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Evaluation of Dupilumab in Patients With Persistent Asthma (Liberty Asthma Quest)

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Sanofi

Status and phase

Completed
Phase 3

Conditions

Asthma

Treatments

Drug: Inhaled corticosteroid (ICS) therapy
Drug: Levalbuterol/Levosalbutamol
Drug: Dupilumab
Drug: Placebo
Drug: Albuterol/Salbutamol

Study type

Interventional

Funder types

Industry

Identifiers

NCT02414854
U1111-1163-1293 (Other Identifier)
EFC13579
2014-004940-36 (EudraCT Number)

Details and patient eligibility

About

Primary Objective:

To evaluate the efficacy of dupilumab (SAR231893 / REGN668) in participants with persistent asthma.

Secondary Objectives:

  • To evaluate the safety and tolerability of dupilumab.
  • To evaluate the effect of dupilumab on improving participant-reported outcomes including health-related quality of life.
  • To evaluate dupilumab systemic exposure and incidence of anti-drug antibodies.

Full description

The total duration of study period for each participant is 67 to 69 weeks, including a screening period of 3 to 5 weeks, treatment period of 52 weeks, and post-treatment follow-up period of 12 weeks.

Enrollment

1,902 patients

Sex

All

Ages

12+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

-Adults and adolescent participants with a physician diagnosis of asthma for ≥12 months, based on the Global Initiative for Asthma (GINA) 2014 Guidelines and the following criteria:

a) Existing treatment with medium to high dose ICS (≥250 mcg of fluticasone propionate twice daily or equipotent ICS daily dosage to a maximum of 2000 mcg/day of fluticasone propionate or equivalent) in combination with a second controller (eg, long-acting beta agonist, leukotriene receptor antagonist) for at least 3 months with a stable dose ≥1 month prior to Visit 1.

i) Note for Japan: for participants aged 18 years and older, ICS must be on ≥200 mcg of fluticasone propionate twice daily or equivalent; for participants aged 12 to 17 years, ICS must be ≥100 mcg of fluticasone propionate twice daily or equivalent).

ii) Participants requiring a third controller for their asthma will be considered eligible for this study, and it should also be used for at least 3 months with a stable dose ≥1 month prior to Visit 1.

Exclusion criteria

  • Participants <12 years of age or the minimum legal age for adolescents in the country of the investigative site, whichever is higher (For those countries where local regulations permit enrollment of adults only, participant recruitment will be restricted to those who are ≥18 years of age).
  • Weight is less than 30 kilograms.
  • Chronic obstructive pulmonary disease or other lung diseases (eg, idiopathic pulmonary fibrosis, Churg-Strauss Syndrome, etc) which may impair lung function.
  • A participant who experiences a severe asthma exacerbation (defined as a deterioration of asthma that results in emergency treatment, hospitalization due to asthma, or treatment with systemic steroids at any time from 1 month prior to the Screening Visit up to and including the Baseline Visit).
  • Evidence of lung disease(s) other than asthma, either clinical evidence or imaging (Chest X-ray, CT, MRI) within 12 months of Visit 1 or at the screening visit, as per local standard of care.
  • Note for Japan: According to the request from the health authority, chest X-ray should be performed at screening visit if there is no chest imaging (Chest X-ray, computed tomography [CT], magnetic resonance imaging [MRI]) available within 3 months prior to screening to exclude participants with suspected active or untreated latent tuberculosis.
  • Current smoker or cessation of smoking within 6 months prior to Visit 1.
  • Previous smoker with a smoking history >10 pack-years.
  • Comorbid disease that might interfere with the evaluation of Investigational Medicinal Product.

The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Triple Blind

1,902 participants in 4 patient groups, including a placebo group

Placebo (for Dupilumab 200 mg) q2w
Placebo Comparator group
Description:
2 subcutaneous injections of matched Placebo (for Dupilumab 200 mg) as a loading dose on Day 1 (Week 0), followed by a single injection every 2 weeks (q2w) from Week 2 to Week 50 in combination with stable ICS and up to 2 other controller medicines. Albuterol/salbutamol or levalbuterol/levosalbutamol was given as reliever medication.
Treatment:
Drug: Albuterol/Salbutamol
Drug: Placebo
Drug: Levalbuterol/Levosalbutamol
Drug: Inhaled corticosteroid (ICS) therapy
Dupilumab 200 mg q2w
Experimental group
Description:
2 subcutaneous injections of Dupilumab 200 mg (for a total of 400 mg) as a loading dose on Day 1 (Week 0), followed by a single 200 mg injection q2w from Week 2 to Week 50 in combination with stable ICS and up to 2 other controller medicines. Albuterol/salbutamol or levalbuterol/levosalbutamol was given as reliever medication.
Treatment:
Drug: Albuterol/Salbutamol
Drug: Dupilumab
Drug: Levalbuterol/Levosalbutamol
Drug: Inhaled corticosteroid (ICS) therapy
Placebo (for Dupilumab 300 mg) q2w
Placebo Comparator group
Description:
2 subcutaneous injections of matched Placebo (for Dupilumab 300 mg) as a loading dose on Day 1 (Week 0), followed by a single injection q2w from Week 2 to Week 50 in combination with stable ICS and up to 2 other controller medicines. Albuterol/salbutamol or levalbuterol/levosalbutamol was given as reliever medication.
Treatment:
Drug: Albuterol/Salbutamol
Drug: Placebo
Drug: Levalbuterol/Levosalbutamol
Drug: Inhaled corticosteroid (ICS) therapy
Dupilumab 300 mg q2w
Experimental group
Description:
2 subcutaneous injections of Dupilumab 300 mg (for a total of 600 mg) as a loading dose on Day 1 (Week 0), followed by a single 300 mg injection q2w from Week 2 to Week 50 in combination with stable ICS and up to 2 other controller medicines . Albuterol/salbutamol or levalbuterol/levosalbutamol was given as reliever medication.
Treatment:
Drug: Albuterol/Salbutamol
Drug: Dupilumab
Drug: Levalbuterol/Levosalbutamol
Drug: Inhaled corticosteroid (ICS) therapy

Trial documents
2

Trial contacts and locations

389

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Data sourced from clinicaltrials.gov

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