Last reviewed · How we verify

NCT03052517

Study of Safety of QAW039 in Patients With Asthma Inadequately Controlled on Standard-of-care Asthma Treatment

Terminated Phase 3 Results posted Last updated 12 October 2020
What this trial tests

Phase 3 trial testing QAW039 150 mg in Asthma in 2,538 participants. Terminated before completion.

Timeline
21 March 2017
Primary endpoint
19 February 2020
16 March 2020

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment2,538
Start date21 March 2017
Primary completion19 February 2020
Estimated completion16 March 2020
Sites347 locations across Colombia, Finland, Japan, Malaysia, Taiwan, Poland, Philippines, Lebanon

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

12 and older, 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.

Number of Participants With Treatment Emergent Adverse Events (AEs) up to Week 52 - Cox Regression Model Primary · 52 weeks

Adverse events starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +7 days (30 days in the case of a serious AE) were classified as treatment emergent AEs. For this Outcome Measure, AE up to week 52 are reported.

GroupValue95% CI
QAW039 150mg675
QAW039 450 mg654
Placebo237
Number of Participants With Treatment Emergent Adverse Events (AEs) up to Week 156 - Cox Regression Model Primary · 156 weeks

Adverse events starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +7 days (30 days in the case of a serious AE) were classified as treatment emergent AEs

GroupValue95% CI
QAW039 150mg709
QAW039 450 mg681
Placebo243
Number of Participants With Treatment Emergent Serious Adverse Events (SAEs) up to Week 52 - Cox Regression Model Primary · 52 weeks

Serious Adverse events starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +30 days were classified as treatment emergent SAEs. For this Outcome Measure, AE up to week 52 are reported.

GroupValue95% CI
QAW039 150mg73
QAW039 450 mg53
Placebo29
Number of Participants With Treatment Emergent Serious Adverse Events (SAEs) up to Week 156 - Cox Regression Model Primary · 156 weeks

Serious Adverse events starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +30 days were classified as treatment emergent SAEs.

GroupValue95% CI
QAW039 150mg86
QAW039 450 mg63
Placebo33
Number of Participants With Treatment Emergent AEs Leading to Discontinuation From Study Treatment up to Week 52 - Cox Regression Model Primary · 52 weeks

Adverse events leading to study treatment discontinuation starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +7 days (30 days in the case of a serious AE) were classified as treatment emergent AEs leading to study treatment discontinuation. For this Outcome Measure, AE up to week 52 are reported.

GroupValue95% CI
QAW039 150mg26
QAW039 450 mg33
Placebo9
Number of Participants With Treatment Emergent AEs Leading to Discontinuation From Study Treatment up to Week 156 - Cox Regression Model Primary · 156 weeks

Adverse events leading to study treatment discontinuation starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +7 days (30 days in the case of a serious AE) were classified as treatment emergent AEs leading to study treatment discontinuation

GroupValue95% CI
QAW039 150mg30
QAW039 450 mg37
Placebo9
Number of Patients With at Least One Treatment Emergent AE by Primary System Organ Class up to Week 52 - Logistic Regression Model Secondary · 52 weeks

The number of patients per patient year of follow-up having a treatment emergent adverse event, categorized by system organ class. Treatment emergent adverse events are defined as an AEs starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +7 days (30 days in the case of a serious AE)

Number of patients with at least one AE
GroupValue95% CI
QAW039 150mg675
QAW039 450 mg654
Placebo237
Blood and lymphatic system disorders
GroupValue95% CI
QAW039 150mg21
QAW039 450 mg10
Placebo5
Cardiac disorders
GroupValue95% CI
QAW039 150mg11
QAW039 450 mg26
Placebo7
Congenital, familial and genetic disorders
GroupValue95% CI
QAW039 150mg1
QAW039 450 mg3
Placebo0
Ear and labyrinth disorders
GroupValue95% CI
QAW039 150mg16
QAW039 450 mg9
Placebo8
Endocrine disorders
GroupValue95% CI
QAW039 150mg2
QAW039 450 mg6
Placebo0
Eye disorders
GroupValue95% CI
QAW039 150mg13
QAW039 450 mg11
Placebo9
Gastrointestinal disorders
GroupValue95% CI
QAW039 150mg88
QAW039 450 mg86
Placebo32
Number of Patients With at Least One Treatment Emergent AE by Primary System Organ Class up to Week 156 - Logistic Regression Model Secondary · 156 weeks

The number of patients per patient year of follow-up having a treatment emergent adverse event, categorized by system organ class. Treatment emergent adverse events are defined as an AEs starting on or after the day of the first intake of study drug in this study and until the day of last intake of study drug +7 days (30 days in the case of a serious AE)

Number of patients with at least one AE
GroupValue95% CI
QAW039 150mg710
QAW039 450 mg682
Placebo243
Blood and lymphatic system disorders
GroupValue95% CI
QAW039 150mg23
QAW039 450 mg12
Placebo5
Cardiac disorders
GroupValue95% CI
QAW039 150mg16
QAW039 450 mg34
Placebo7
Congenital, familial and genetic disorders
GroupValue95% CI
QAW039 150mg1
QAW039 450 mg3
Placebo1
Ear and labyrinth disorders
GroupValue95% CI
QAW039 150mg18
QAW039 450 mg13
Placebo9
Endocrine disorders
GroupValue95% CI
QAW039 150mg5
QAW039 450 mg7
Placebo0
Eye disorders
GroupValue95% CI
QAW039 150mg16
QAW039 450 mg14
Placebo9
Gastrointestinal disorders
GroupValue95% CI
QAW039 150mg101
QAW039 450 mg96
Placebo38
Number of Treatment Emergent Patient Deaths Due to an Asthma Exacerbation up to Week 52 Secondary · 52 weeks

The number of treatment emergent patient deaths due to an asthma exacerbation. Treatment emergent deaths are defined as deaths resulting from treatment emergent AEs.

GroupValue95% CI
QAW039 150mg0
QAW039 450 mg0
Placebo0
Number of Treatment Emergent Patient Deaths Due to an Asthma Exacerbation up to Week 156 Secondary · 156 weeks

The number of treatment emergent patient deaths due to an asthma exacerbation. Treatment emergent deaths are defined as deaths resulting from treatment emergent AEs.

GroupValue95% CI
QAW039 150mg0
QAW039 450 mg0
Placebo0
Rate of Treatment Emergent Severe Asthma Exacerbation Episodes Requiring Hospitalizations Per Person Year up to Week 52 Secondary · 52 weeks

Number of treatment emergent severe asthma exacerbation episodes requiring hospitalizations (any visit to the hospital requiring an overnight stay or an emergency room visit greater than 24 hours) per person year of follow-up. Treatment emergent severe asthma exacerbation episodes are defined as episodes occurring on or after the day of the first intake of study drug and until the day of last intake of study drug +7 days (30 days in the case of a serious AE). Rate of exacerbations per person year = total number of exacerbations / total number of treatment years

GroupValue95% CI
QAW039 150mg0.04
QAW039 450 mg0.02
Placebo0.06
Rate of Treatment Emergent Severe Asthma Exacerbation Episodes Requiring Hospitalizations Per Person Year up to Week 156 Secondary · 156 weeks

Number of treatment emergent severe asthma exacerbation episodes requiring hospitalizations (any visit to the hospital requiring an overnight stay or an emergency room visit greater than 24 hours) per person year of follow-up. Treatment emergent severe asthma exacerbation episodes are defined as episodes occurring on or after the day of the first intake of study drug and until the day of last intake of study drug +7 days (30 days in the case of a serious AE). Rate of exacerbations per person year = total number of exacerbations / total number of treatment years

GroupValue95% CI
QAW039 150mg0.04
QAW039 450 mg0.02
Placebo0.05

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected from first dose of study treatment until end of study treatment plus 7 days post treatment (30 days in the case of a serious AE), up to maximum duration of 156 weeks.. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

QAW039 150 mg
Serious: 87/1092 (8%)
Deaths: 3/1092
QAW039 450 mg
Serious: 64/1084 (6%)
Deaths: 1/1084
Placebo
Serious: 33/361 (9%)
Deaths: 1/361

Serious adverse events (140 terms)

ReactionSystemQAW039 150 mgQAW039 450 mgPlacebo
AsthmaRespiratory, thoracic and mediastinal disorders
PneumoniaInfections and infestations
BronchitisInfections and infestations
Ischaemic strokeNervous system disorders
DepressionPsychiatric disorders
Angina unstableCardiac disorders
Myocardial infarctionCardiac disorders
Pancreatitis acuteGastrointestinal disorders
CholecystitisHepatobiliary disorders
CholelithiasisHepatobiliary disorders
Respiratory tract infectionInfections and infestations
Septic shockInfections and infestations
SinusitisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
Intervertebral disc degenerationMusculoskeletal and connective tissue disorders
Intervertebral disc protrusionMusculoskeletal and connective tissue disorders
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebrovascular accidentNervous system disorders
NephrolithiasisRenal and urinary disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Blood loss anaemiaBlood and lymphatic system disorders
Angina pectorisCardiac disorders
Arteriosclerosis coronary arteryCardiac disorders
Atrial fibrillationCardiac disorders
Cardiac failureCardiac disorders
Other adverse events (16 terms — click to expand)

ReactionSystemQAW039 150 mgQAW039 450 mgPlacebo
AsthmaRespiratory, thoracic and mediastinal disorders
NasopharyngitisInfections and infestations
BronchitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
Blood creatinine increasedInvestigations
HeadacheNervous system disorders
SinusitisInfections and infestations
Urinary tract infectionInfections and infestations
PharyngitisInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
Upper respiratory tract infection bacterialInfections and infestations
Back painMusculoskeletal and connective tissue disorders
InfluenzaInfections and infestations
HypertensionVascular disorders
Rhinitis allergicRespiratory, thoracic and mediastinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Asthma, Pneumonia, Bronchitis, Ischaemic stroke, Depression, Angina unstable, Myocardial infarction, Pancreatitis acute.

Data from ClinicalTrials.gov NCT03052517 adverse events section.

Sponsor's own description

This study was a 2-treatment period, randomized, multicenter parallel-group study. The overall purpose of this study was to provide long- term safety data for fevipiprant (QAW039) (Dose 1 and Dose 2), compared with placebo, when added to the Global Initiative for Asthma (GINA) steps 3, 4, and 5 standard-of-care (SoC) asthma therapy (GINA 2016), in patients with moderate-to- severe asthma. The purpose of this study was to provide long-term safety data for QAW039 150 mg once daily and 450 mg once daily, compared with placebo, when added to GINA steps 3, 4, and 5 standard-of-care asthma therapy (GINA 2020) in adult and adolescent (≥12 years) patients with moderate-to-severe asthma. The study included 2 cohorts of patients: 1. Rollover patients who had completed any of the four Phase 3 pivotal efficacy studies with QAW039 (QAW039A2307, QAW039A2314, QAW039A2316, or QAW039A2317, hereafter referred to as Studies A2307, A2314, A2316, and A2317), thus providing data for a longer duration of exposure, and 2. New patients who had not previously participated in a study of QAW039, permitting an increase in the number of patients with long-term exposure to QAW039. By including these 2 categories of patients, the total number of patients treated with QAW039 as well as the duration of exposure to QAW039 treatment was substantially increased, supporting evaluation of the safety profile of QAW039.

Publications & conference data

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

  1. Fevipiprant in the treatment of asthma.
    White C, Wright A, Brightling C. · · 2018 · cited 22× · PMID 29363343 · DOI 10.1080/13543784.2018.1432592
  2. Spotlight on fevipiprant and its potential in the treatment of asthma: evidence to date.
    Kao CC, Parulekar AD. · · 2019 · cited 14× · PMID 30662272 · DOI 10.2147/jaa.s167973
  3. Long-term safety and exploratory efficacy of fevipiprant in patients with inadequately controlled asthma: the SPIRIT randomised clinical trial.
    Maspero J, Agache IO, Kamei T, Yoshida M, et al · · 2021 · cited 5× · PMID 34895218 · DOI 10.1186/s12931-021-01904-8

Verify or expand the search:

Other recruiting trials for Asthma

Currently open trials in the same condition.

Other Novartis Pharmaceuticals trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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/NCT03052517.

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