Longitudinal Cohort Study in Participants With Severe Asthma to Assess Biomarkers
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT02537691 |
Recruitment Status :
Completed
First Posted : September 2, 2015
Last Update Posted : April 9, 2019
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Condition or disease | Intervention/treatment | Phase |
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Asthma | Drug: FP Drug: LABA Drug: LTRA Drug: LAMA Drug: Theophylline Drug: Oral Corticosteroids | Phase 4 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 483 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Health Services Research |
Official Title: | A Prospective, Single Arm, Longitudinal Cohort Study To Assess Biomarkers In Real World Patients With Severe Asthma |
Actual Study Start Date : | August 28, 2015 |
Actual Primary Completion Date : | July 10, 2017 |
Actual Study Completion Date : | July 10, 2017 |
Arm | Intervention/treatment |
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Inhaled Corticosteroids (ICS) + Controller Medications
Participants with severe asthma Global Initiative for Asthma (GINA) step 4/5 as indicated by current treatment with daily ICS consisting of >/=500 mcg FP administered by DPI (or equivalent), and at least one of the following controller medications: LABAs, LTRAs, LAMAs, theophylline or oral corticosteroids.
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Drug: FP
ICS consisting of FP will be administered by DPI (or equivalent) as per investigator discretion. Drug: LABA LABA will be administered as per investigator discretion. Drug: LTRA LTRA will be administered as per investigator discretion. Drug: LAMA LAMA will be administered as per investigator discretion. Drug: Theophylline Theophylline will be administered as per investigator discretion. Drug: Oral Corticosteroids Oral corticosteroids will be administered as per investigator discretion. |
- Mean Number of Asthma Exacerbations in Participants With High Baseline Periostin Compared to participants With Low Baseline Periostin [ Time Frame: Baseline up to Week 52 ]
- Percentage of Participants With Asthma Exacerbations [ Time Frame: Baseline up to Week 52 ]
- Change From Baseline in Pre-Bronchodilator Forced Expiratory Volume in 1 Second (FEV1) at Specified Time Points [ Time Frame: Baseline, Weeks 26, 52 ]
- Time Taken for the Occurrence of First Asthma Exacerbation [ Time Frame: Baseline up to Week 52 ]
- Time to Treatment Failure [ Time Frame: Baseline up to Week 52 ]
- Change From Baseline in Mini Standardized Asthma Quality of Life Questionnaire (MiniAQLQ) at Specified Time Points [ Time Frame: Baseline, Weeks 13, 26, 39, 52 ]
- Change From Baseline in Asthma Control Questionnaire-7 (ACQ-7) at Specified Time Points [ Time Frame: Baseline, Weeks 13, 26, 39, 52 or within 12 weeks of last visit for early termination (up to Week 52) ]
- Change From Baseline in Asthma Control Test (ACT) at Specified Time Points [ Time Frame: Baseline, Weeks 13, 26, 39, 52 or within 12 weeks of last visit for early termination (up to Week 52) ]
- Percentage of Participants With Changes to Standard of Care (SoC) Asthma Treatment as Reported by the Investigator and Confirmed by Study Steering Committee [ Time Frame: Baseline up to Week 52 ]
- Serum Periostin Levels During the Study [ Time Frame: Baseline, Weeks 26, 52 ]
- Change From Baseline in Fractional Exhaled Nitric Oxide (FeNO) Levels [ Time Frame: Baseline, Weeks 26, 52 ]
- Blood Eosinophil Levels During the Study [ Time Frame: Baseline, Weeks 26, 52 ]
- Serum Immunoglobulin E (IgE) Levels During the Study [ Time Frame: Baseline, Weeks 26, 52 ]
- Number of Urgent Asthma-Related Health Care Utilization: Hospitalizations [ Time Frame: Weeks 13, 26, 39, 52 ]
- Number of Urgent Asthma-Related Health Care Utilization: Emergency Department Visits [ Time Frame: Weeks 13, 26, 39, 52 ]
- Number of Urgent Asthma-Related Health Care Utilization: Acute Care Visits [ Time Frame: Weeks 13, 26, 39, 52 ]

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Asthma diagnosed by a respiratory physician greater than or equal to (>/=) 12 months prior to study enrolment
- Pre-bronchodilator FEV1 of 30 percent (%) to 85% at baseline/Visit 1
- Documented bronchodilator response defined as >/=12% relative improvement in FEV1 after bronchodilator administration or a positive methacholine bronchial challenge test with provocative concentration causing a 20% fall in FEV1 (PC20) less than (<) 8 milligrams (mg) at study baseline/Visit 1 or within 24 months prior to baseline
- Current treatment with a total daily dose of >/= 500 micrograms (mcg) of fluticasone propionate (FP) dry powder inhaler (DPI) (or equivalent ) and at least one of the following controller medications: long-acting Beta-agonist (LABA), leukotriene receptor antagonist (LTRA), long-acting muscarinic antagonists (LAMAs), theophylline or oral corticosteroids, with a continued duration of three months prior to baseline/Visit 1
Exclusion Criteria:
- Acute or chronic parasitic, bacterial, fungal or viral infections that required, or currently require, hospitalization or antimicrobial treatment during the last four weeks prior to participant eligibility
- Acute asthma exacerbation or any other medical event treated with increased doses of oral, or any dose of intramuscular (IM) or intravenous (IV) corticosteroids within six weeks prior to study
- Other relevant pulmonary diseases (e.g. chronic obstructive pulmonary disease, idiopathic pulmonary fibrosis, cystic fibrosis, pulmonary arterial hypertension, tuberculosis) requiring treatment within 12 months prior to baseline/Visit 1
- Ex-smokers with >/=10 pack-year smoking history
- Prior treatment with bronchial thermoplasty
- Participation in any clinical trial of an investigational agent or procedure within six months prior to baseline/Visit 1 or during the study
- Pregnancy prior to participation or during the study

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02537691

Study Director: | Clinical Trials | Hoffmann-La Roche |
Responsible Party: | Hoffmann-La Roche |
ClinicalTrials.gov Identifier: | NCT02537691 |
Other Study ID Numbers: |
MB29599 2015-000742-35 ( EudraCT Number ) |
First Posted: | September 2, 2015 Key Record Dates |
Last Update Posted: | April 9, 2019 |
Last Verified: | April 2019 |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Asthma Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Lung Diseases Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases Theophylline Bronchodilator Agents Autonomic Agents |
Peripheral Nervous System Agents Physiological Effects of Drugs Anti-Asthmatic Agents Respiratory System Agents Phosphodiesterase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Vasodilator Agents Purinergic P1 Receptor Antagonists Purinergic Antagonists Purinergic Agents Neurotransmitter Agents |