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NCT02808819: MELTEMI

A Safety Extension Study With Benralizumab for Asthmatic Adults on Inhaled Corticosteroid Plus Long-acting β2 Agonist

Completed Phase 3 Results posted Last updated 13 April 2021
What this trial tests

Phase 3 trial testing Benralizumab in Asthma in 447 participants. Completed in 18 June 2020.

Timeline
30 June 2016
Primary endpoint
18 June 2020
18 June 2020

Quick facts

Lead sponsorAstraZeneca
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposeother
Enrollment447
Start date30 June 2016
Primary completion18 June 2020
Estimated completion18 June 2020
Sites178 locations across France, Russia, Ukraine, Chile, United Kingdom, Germany, Poland, Argentina

Drugs / interventions tested

Conditions studied

Sponsor

AstraZeneca — full company profile →

Who can join

Adults 18 to 130, any sex, with Asthma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline in Basophils, Full Analysis Set Primary · From Week 0 to Benralizumab is available in the local market or early discontinuation. Change from week 0 to the end of treatment period/early discontinuation is presented.

Change from baseline in hematologic lab parameter of Basophils.

GroupValue95% CI
Benra 30 mg q.4 Weeks0.014± 0.0229
Benra 30 mg q.8 Weeks0.012± 0.0243
Total0.013± 0.0236
Change From Baseline in Leukocytes, Full Analysis Set Primary · From Week 0 to Benralizumab is available in the local market or early discontinuation. Change from week 0 to the end of treatment period/early discontinuation is presented.

Change from baseline in hematologic lab parameter of Leukocytes.

GroupValue95% CI
Benra 30 mg q.4 Weeks-0.254± 2.0446
Benra 30 mg q.8 Weeks-0.498± 1.7217
Total-0.377± 1.8896
Change From Baseline in Lymphocytes, Full Analysis Set Primary · From Week 0 to Benralizumab is available in the local market or early discontinuation. Change from week 0 to the end of treatment period/early discontinuation is presented.

Change from baseline in hematologic lab parameter of Lymphocytes.

GroupValue95% CI
Benra 30 mg q.4 Weeks-0.098± 0.5479
Benra 30 mg q.8 Weeks-0.142± 0.6544
Total-0.121± 0.6038
Change From Baseline in Neutrophils, Full Analysis Set Primary · From Week 0 to Benralizumab is available in the local market or early discontinuation. Change from week 0 to the end of treatment period/early discontinuation is presented.

Change from baseline in hematologic lab parameter of Neutrophils.

GroupValue95% CI
Benra 30 mg q.4 Weeks-0.237± 1.8765
Benra 30 mg q.8 Weeks-0.392± 1.4802
Total-0.315± 1.6866
Change From Baseline in Monocytes, Full Analysis Set Primary · From Week 0 to Benralizumab is available in the local market or early discontinuation. Change from week 0 to the end of treatment period/early discontinuation is presented.

Change from baseline in hematologic lab parameter of Monocytes.

GroupValue95% CI
Benra 30 mg q.4 Weeks0.055± 0.1835
Benra 30 mg q.8 Weeks0.056± 0.1766
Total0.055± 0.1798
Change From Baseline in Platelets, Full Analysis Set Primary · From Week 0 to Benralizumab is available in the local market or early discontinuation. Change from week 0 to the end of treatment period/early discontinuation is presented.

Change from baseline in hematologic lab parameter of Platelets.

GroupValue95% CI
Benra 30 mg q.4 Weeks9.1± 41.72
Benra 30 mg q.8 Weeks11.9± 36.13
Total10.5± 38.98
Change From Baseline in Hematocrit, Full Analysis Set Primary · From Week 0 to Benralizumab is available in the local market or early discontinuation. Change from week 0 to the end of treatment period/early discontinuation is presented.

Change from baseline in hematologic lab parameter of Hematocrit.

GroupValue95% CI
Benra 30 mg q.4 Weeks-0.002± 0.0269
Benra 30 mg q.8 Weeks-0.003± 0.0260
Total-0.003± 0.0264
Change From Baseline in Erythrocytes, Full Analysis Set Primary · From Week 0 to Benralizumab is available in the local market or early discontinuation. Change from week 0 to the end of treatment period/early discontinuation is presented.

Change from baseline in hematologic lab parameter of Erythrocytes.

GroupValue95% CI
Benra 30 mg q.4 Weeks-0.008± 0.2922
Benra 30 mg q.8 Weeks-0.054± 0.2614
Total-0.031± 0.2776
Change From Baseline in Hemoglobin, Full Analysis Set Primary · From Week 0 to Benralizumab is available in the local market or early discontinuation. Change from week 0 to the end of treatment period/early discontinuation is presented.

Change from baseline in hematologic lab parameter of Hemoglobin.

GroupValue95% CI
Benra 30 mg q.4 Weeks2.6± 8.92
Benra 30 mg q.8 Weeks1.2± 8.37
Total1.9± 8.66
Change From Baseline in Alanine Aminotransferase (ALT), Full Analysis Set Primary · From Week 0 to Benralizumab is available in the local market or early discontinuation. Change from week 0 to the end of treatment period/early discontinuation is presented.

Change from baseline in chemistry test ALT.

GroupValue95% CI
Benra 30 mg q.4 Weeks0.007± 0.2060
Benra 30 mg q.8 Weeks0.004± 0.2118
Total0.005± 0.2086
Change From Baseline in Aspartate Aminotransferase (AST), Full Analysis Set Primary · From Week 0 to Benralizumab is available in the local market or early discontinuation. Change from week 0 to the end of treatment period/early discontinuation is presented.

Change from baseline in chemistry test AST.

GroupValue95% CI
Benra 30 mg q.4 Weeks-0.021± 0.1258
Benra 30 mg q.8 Weeks-0.018± 0.1280
Total-0.020± 0.1267
Change From Baseline in Bilirubin, Full Analysis Set Primary · From Week 0 to Benralizumab is available in the local market or early discontinuation. Change from week 0 to the end of treatment period/early discontinuation is presented.

Change from baseline in chemistry test Bilirubin.

GroupValue95% CI
Benra 30 mg q.4 Weeks-0.451± 3.0980
Benra 30 mg q.8 Weeks-0.297± 3.3972
Total-0.374± 3.2486

Adverse events — posted to ClinicalTrials.gov

Time frame: All participants completed treatment period up to Week 184.. Reporting threshold: 3%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Benra 30 mg q.4 Weeks
Serious: 44/220 (20%)
Deaths: 1/220
Benra 30 mg q.8 Weeks
Serious: 47/226 (21%)
Deaths: 0/226

Serious adverse events (89 terms)

ReactionSystemBenra 30 mg q.4 WeeksBenra 30 mg q.8 Weeks
AsthmaRespiratory, thoracic and mediastinal disorders
InfluenzaInfections and infestations
AstheniaGeneral disorders
PneumoniaInfections and infestations
Limb injuryInjury, poisoning and procedural complications
Lower limb fractureInjury, poisoning and procedural complications
Hypochromic anaemiaBlood and lymphatic system disorders
LymphadenitisBlood and lymphatic system disorders
Aortic valve stenosisCardiac disorders
Atrial fibrillationCardiac disorders
Coronary artery occlusionCardiac disorders
Left ventricular failureCardiac disorders
HyperthyroidismEndocrine disorders
CataractEye disorders
Retinal tearEye disorders
Abdominal pain upperGastrointestinal disorders
Anal stenosisGastrointestinal disorders
Femoral hernia incarceratedGastrointestinal disorders
Gastrointestinal haemorrhageGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
HaemorrhoidsGastrointestinal disorders
Hiatus herniaGastrointestinal disorders
Large intestine polypGastrointestinal disorders
Musculoskeletal complication associated with deviceGeneral disorders
Non-cardiac chest painGeneral disorders
Other adverse events (24 terms — click to expand)

ReactionSystemBenra 30 mg q.4 WeeksBenra 30 mg q.8 Weeks
NasopharyngitisInfections and infestations
HeadacheNervous system disorders
Viral upper respiratory tract infectionInfections and infestations
HypertensionVascular disorders
BronchitisInfections and infestations
AsthmaRespiratory, thoracic and mediastinal disorders
SinusitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
Acute sinusitisInfections and infestations
Bronchitis bacterialInfections and infestations
RhinitisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
InfluenzaInfections and infestations
PharyngitisInfections and infestations
Upper respiratory tract infection bacterialInfections and infestations
OsteoarthritisMusculoskeletal and connective tissue disorders
DiarrhoeaGastrointestinal disorders
Influenza like illnessGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Rhinitis allergicRespiratory, thoracic and mediastinal disorders
Sinusitis bacterialInfections and infestations
Urinary tract infectionInfections and infestations
DizzinessNervous system disorders
Nasal polypsRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Asthma, Influenza, Asthenia, Pneumonia, Limb injury, Lower limb fracture, Hypochromic anaemia, Lymphadenitis.

Data from ClinicalTrials.gov NCT02808819 adverse events section.

Sponsor's own description

The purpose of this study is to continue to characterize the safety profile of benralizumab administration and monitor the pharmacodynamic activity of the drug in those asthma patients who remain on treatment for at least 16 weeks and not more than 40 weeks in the predecessor study D3250C00021 (BORA, NCT02258542).

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Anti-IL5 therapies for asthma.
    Farne HA, Wilson A, Powell C, Bax L, et al · · 2017 · cited 190× · PMID 28933516 · DOI 10.1002/14651858.cd010834.pub3
  2. Benralizumab in the treatment of severe asthma: design, development and potential place in therapy.
    Pelaia C, Vatrella A, Bruni A, Terracciano R, et al · · 2018 · cited 54× · PMID 29606855 · DOI 10.2147/dddt.s155307
  3. Safety of Eosinophil-Depleting Therapy for Severe, Eosinophilic Asthma: Focus on Benralizumab.
    Jackson DJ, Korn S, Mathur SK, Barker P, et al · · 2020 · cited 53× · PMID 32242310 · DOI 10.1007/s40264-020-00926-3
  4. Anti-IL-5 therapies for asthma.
    Farne HA, Wilson A, Milan S, Banchoff E, et al · · 2022 · cited 37× · PMID 35838542 · DOI 10.1002/14651858.cd010834.pub4
  5. Two-Year Integrated Efficacy And Safety Analysis Of Benralizumab In Severe Asthma.
    FitzGerald JM, Bleecker ER, Bourdin A, Busse WW, et al · · 2019 · cited 31× · PMID 31849500 · DOI 10.2147/jaa.s227170
  6. Subsets of Eosinophils in Asthma, a Challenge for Precise Treatment.
    Novosad J, Krčmová I, Souček O, Drahošová M, et al · · 2023 · cited 16× · PMID 36982789 · DOI 10.3390/ijms24065716

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02808819.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing