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NCT04847674

A Study to Test if TEV-53275 is Effective in Relieving Asthma

Terminated Phase 2 Results posted Last updated 8 June 2023
What this trial tests

Phase 2 trial testing TEV-53275 Dose A in Asthma in 97 participants. Terminated before completion.

Timeline
4 May 2021
Primary endpoint
28 April 2022
28 April 2022

Quick facts

Lead sponsorTeva Branded Pharmaceutical Products R&D, Inc.
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment97
Start date4 May 2021
Primary completion28 April 2022
Estimated completion28 April 2022
Sites82 locations across Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

Teva Branded Pharmaceutical Products R&D, Inc. — full company profile →

Who can join

18 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.

Change From Baseline in Clinic-based Standardized Baseline-adjusted Morning Trough (Pre-bronchodilator) FEV1 at Week 12 Primary · Baseline, Week 12

FEV1 was the volume of air exhaled in the first second of a forced expiration as measured by spirometer. Least square (LS) mean and standard error (SE) were calculated using a mixed model for repeated measures (MMRM).

GroupValue95% CI
Placebo0.152± 0.0746
TEV-53275 Dose A0.125± 0.0724
TEV-53275 Dose B0.140± 0.0718
Number of Participants With Well-controlled Asthma Status (Yes Versus No) at Weeks 12 and 16 Secondary · Weeks 12 and 16

The weekly asthma control status (Yes or No) is the derived asthma control composite score based on the following criteria: 1\. Two or more of the following criteria were fulfilled: * ≤2 days with a daily asthma symptom score \>1; - ≤2 days of albuterol/salbutamol used as rescue medication up to a maximum of 4 occasions per week (multiple occasions per day are counted as separate occasions); - morning FEV1 ≥80% predicted for each day (by handheld device) and 2. Both of the following criteria were fulfilled: * no night-time awakenings due to asthma; - no use of asthma maintenance medications.

Well-controlled asthma status at Week 12
GroupValue95% CI
Placebo6
TEV-53275 Dose A11
TEV-53275 Dose B6
Placebo17
TEV-53275 Dose A15
TEV-53275 Dose B21
Well-controlled asthma status at Week 16
GroupValue95% CI
Placebo6
TEV-53275 Dose A12
TEV-53275 Dose B6
Placebo17
TEV-53275 Dose A12
TEV-53275 Dose B20
Change From Baseline in the Weekly Average of Daily Morning Trough (Pre-Rescue Bronchodilator) FEV1 Over 12 Weeks From Week 1 Through 12 and Over 16 Weeks From Week 1 Through 16 Secondary · Baseline, up to Week 12, up to Week 16

FEV1 was the volume of air exhaled in the first second of a forced expiration as measured by a handheld device. The post-baseline analysis window for over 12 weeks was from the first day of study drug up to Day 84. The post-baseline analysis window for over 16 weeks was from the first day of study drug up to Day 112. The daily average of the efficacy data with each weekly analysis window was calculated based on non-missing e-diary as follow: Summation of FEV1 during an analysis window/Number of days with nonmissing data in the analysis window. LS mean and SE was calculated using an MMRM.

Change over 12 weeks
GroupValue95% CI
Placebo0.007± 0.0373
TEV-53275 Dose A0.034± 0.0365
TEV-53275 Dose B0.034± 0.0362
Change over 16 weeks
GroupValue95% CI
Placebo0.009± 0.0378
TEV-53275 Dose A0.036± 0.0369
TEV-53275 Dose B0.032± 0.0367
Change From Baseline in Weekly Average of Rescue Medication Use Over 12 Weeks From Week 1 Through 12 and Over 16 Weeks From Week 1 Through 16 Secondary · Baseline, up to Week 12, up to Week 16

The number of times asthma rescue medication (number of inhalations/puffs) was used was assessed (for example, by reviewing the electronic diary or if required due to missing data in the diary, by site tracking of the inhalation counter on the inhaler). Rescue medication included albuterol sulfate inhalation powder (albuterol eMDPI) or equivalent albuterol/salbutamol. The post-baseline analysis window for over 12 weeks was from the first day of study drug up to Day 84. The post-baseline analysis window for over 16 weeks was from the first day of study drug up to Day 112. The daily average of t

Change in weekly average rescue medication use over 12 weeks
GroupValue95% CI
Placebo-3.7± 9.21
TEV-53275 Dose A-3.4± 5.86
TEV-53275 Dose B-2.9± 8.55
Change in weekly average rescue medication use over 16 weeks
GroupValue95% CI
Placebo-4.2± 9.30
TEV-53275 Dose A-3.5± 5.81
TEV-53275 Dose B-3.0± 8.66
Change From Baseline in Weekly Percentage of Asthma Control Days (No Symptoms and No Rescue Medication Use) Over 12 Weeks From Week 1 Through 12 and Over 16 Weeks From Week 1 Through 16 Secondary · Baseline, up to Week 12, up to Week 16

An asthma control day was defined as a day on which the participant used 0 puffs of inhaled short-acting β-adrenergic agonist (SABA), had no night-time awakenings, and experienced no asthma exacerbations. The post-baseline analysis window for over 12 weeks was from the first day of study drug up to Day 84. The post-baseline analysis window for over 16 weeks was from the first day of study drug up to Day 112. Percentage of asthma control days in each analysis window was calculated as follow: Summation of asthma control days in an analysis window/Number of days with nonmissing data in the analys

Change in weekly percentage of asthma control days over 12 weeks
GroupValue95% CI
Placebo23.21± 36.645
TEV-53275 Dose A21.51± 23.907
TEV-53275 Dose B12.71± 27.024
Change in weekly percentage of asthma control days over 16 weeks
GroupValue95% CI
Placebo24.28± 36.557
TEV-53275 Dose A23.23± 25.585
TEV-53275 Dose B13.57± 28.148
Change From Baseline in Clinic-based Standardized Baseline-adjusted Morning Trough (Pre-bronchodilator) FEV1 at Week 16 Secondary · Baseline, Week 16

FEV1 was the volume of air exhaled in the first second of a forced expiration as measured by spirometer. LS mean and SE were calculated using an MMRM.

GroupValue95% CI
Placebo0.175± 0.0787
TEV-53275 Dose A0.092± 0.0771
TEV-53275 Dose B0.086± 0.0754
Number of Participants Who Achieved Clinic-based FEV1 ≥80% Predicted at Weeks 12 and 16 Secondary · Weeks 12 and 16

The percent of predicted FEV1 (the volume of air exhaled in the first second of a forced expiration) was measured by handheld device.

Week 12
GroupValue95% CI
Placebo7
TEV-53275 Dose A7
TEV-53275 Dose B8
Week 16
GroupValue95% CI
Placebo6
TEV-53275 Dose A4
TEV-53275 Dose B5
Number of Participants Who Achieved Forced Expiratory Flow at 25% to 75% of Forced Expiratory Volume (FVC) (FEF25-75) ≥70% Predicted at Weeks 12 and 16 Secondary · Weeks 12 and 16

The FVC is the volume of air that can be forcibly blown out after full inspiration. FVC results in this study were presented as the forced expiratory flow at 25% to 75% of FVC.

Week 12
GroupValue95% CI
Placebo2
TEV-53275 Dose A3
TEV-53275 Dose B1
Week 16
GroupValue95% CI
Placebo2
TEV-53275 Dose A2
TEV-53275 Dose B2
Change From Baseline in FEF25-75 Over 12 Weeks From Week 1 Through 12 and Over 16 Weeks From Week 1 Through 16 Secondary · Baseline, up to Week 12, up to Week 16

The FVC is the volume of air that can be forcibly blown out after full inspiration. FVC results in this study were presented as the forced expiratory flow at 25% to 75% of FVC. The post-baseline analysis window for over 12 weeks was from the first day of study drug up to Day 84. The post-baseline analysis window for over 16 weeks was from the first day of study drug up to Day 112. The daily average of the efficacy data with each weekly analysis window was calculated based on non-missing e-diary as follow: Summation of FEF25-75 during an analysis window/Number of days with nonmissing data in th

Change in FEF25-75 over 12 weeks
GroupValue95% CI
Placebo0.086± 0.0742
TEV-53275 Dose A0.179± 0.0734
TEV-53275 Dose B0.119± 0.0721
Change in FEF25-75 over 16 weeks
GroupValue95% CI
Placebo0.098± 0.0772
TEV-53275 Dose A0.185± 0.0763
TEV-53275 Dose B0.108± 0.0749
Time to First Clinical Asthma Exacerbation (CAE) Secondary · Baseline up to Week 16

The time (days) to the first CAE was the interval from the randomization to the occurrence of the first CAE. A CAE was defined as worsening asthma requiring treatment with a systemic corticosteroid for at least 3 days, emergency room visit resulting in systemic corticosteroid treatment, or hospitalization due to asthma. Worsening asthma included new or increased symptoms or signs that either worried the participant or were related to an asthma-specific alert (if available through the electronic diary/handheld spirometer) and required the addition of maintenance medications (other than systemic

GroupValue95% CI
Placebo54.5± 36.06
TEV-53275 Dose A77.0± 47.82
TEV-53275 Dose B87.0± 36.77
Change From Baseline in Asthma Control Questionnaire (ACQ-6) Score at Weeks 12 and 16 Secondary · Baseline, Week 12, Week 16

The ACQ-6 is a validated 6-item asthma assessment tool that has been widely used. Six questions are self-assessments (completed by the participant), 5 questions assessing asthma symptoms: night-time waking, symptoms on waking, activity limitation, shortness of breath, wheezing, and 1 question for short-acting bronchodilator use. Each item on the ACQ has a possible score ranging from 0 (no impairment) to 6 (maximum impairment), and the total score is the mean of all responses. The total score ranging from 0 (totally controlled) to 6 (severely uncontrolled) with higher scores indicating maximum

Change in ACQ-6 score at Week 12
GroupValue95% CI
Placebo-1.1± 0.16
TEV-53275 Dose A-1.1± 0.16
TEV-53275 Dose B-1.0± 0.15
Change in ACQ-6 score at Week 16
GroupValue95% CI
Placebo-1.0± 0.16
TEV-53275 Dose A-1.1± 0.16
TEV-53275 Dose B-1.0± 0.16
Change From Baseline in Asthma Control Test (ACT) Score at Weeks 12 and 16 Secondary · Baseline, Week 12, Week 16

The Asthma Control Test (ACT) is a participant self-administered tool for identifying those with poorly controlled asthma comprising 5 items, with 4-week recall (on symptoms and daily functioning). It assesses the frequency of shortness of breath and general asthma symptoms, the use of rescue medications, the effect of asthma on daily functioning, and the overall self-assessment of asthma control measured on a 5-point scale (for symptoms and activities: 1=all the time to 5= not at all; for asthma control rating: 1=not controlled at all to 5=completely controlled). Total scores range from 5 (po

Change at Week 12
GroupValue95% CI
Placebo4.8± 0.75
TEV-53275 Dose A4.1± 0.73
TEV-53275 Dose B3.6± 0.70
Change at Week 16
GroupValue95% CI
Placebo4.6± 0.72
TEV-53275 Dose A4.0± 0.71
TEV-53275 Dose B3.7± 0.68

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline up to Week 30. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 0/31 (0%)
Deaths: 0/31
TEV-53275 Dose A
Serious: 2/34 (6%)
Deaths: 0/34
TEV-53275 Dose B
Serious: 1/31 (3%)
Deaths: 0/31

Serious adverse events (3 terms)

ReactionSystemPlaceboTEV-53275 Dose ATEV-53275 Dose B
DiverticulitisInfections and infestations
OsteoarthritisMusculoskeletal and connective tissue disorders
Colon cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (4 terms — click to expand)

ReactionSystemPlaceboTEV-53275 Dose ATEV-53275 Dose B
COVID-19Infections and infestations
Pain in extremityMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
Rhinitis allergicRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Diverticulitis, Osteoarthritis, Colon cancer.

Data from ClinicalTrials.gov NCT04847674 adverse events section.

Sponsor's own description

The primary objective of the study is to evaluate the efficacy of TEV-53275 administered subcutaneously (sc) in adult participants with persistent asthma and an eosinophilic phenotype compared to placebo. A secondary objective is to evaluate the efficacy of TEV-53275 compared to placebo assessed by lung function, asthma symptoms, rescue medication use, and quality of life measures. Another secondary objective is to evaluate the safety and tolerability of TEV-53275 administered sc in adult participants with persistent asthma and an eosinophilic phenotype compared with placebo, and lastly, to evaluate the immunogenicity of TEV-53275 administered sc in adult participants with persistent asthma and an eosinophilic phenotype.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Therapeutic monoclonal antibodies in allergy: Targeting IgE, cytokine, and alarmin pathways.
    Eggel A, Pennington LF, Jardetzky TS. · · 2024 · cited 45× · PMID 39158477 · DOI 10.1111/imr.13380

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Other recruiting trials for Asthma

Currently open trials in the same condition.

Other Teva Branded Pharmaceutical Products R&D, Inc. trials

Trials by the same sponsor.

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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/NCT04847674.

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