tezepelumab clinical trials
ACQ-6 score 1.5 at screening and on day of randomization. Results appeared on October 11, 2022, in the Journal of Allergy and Clinical Immunology. Study record managers: refer to the Data Element Definitions if submitting registration or results information. Current smokers or subjects with smoking history 10 pack-yrs, including e-cigarettes. The ACQ-6 captures asthma symptoms and short-acting 2-agonist use via subject-report. Tezepelumab - Clarivate The AQLQ(S)+12 is a questionnaire that measures the health-related quality of life experienced by asthma subjects. Anti-drug antibodies (ADA) responses at baseline and post baseline. ], Proportion of Subjects Who Had no Asthma Exacerbations [TimeFrame:From randomisation to Study Week 52], Annual Asthma Exacerbation Rate Resulting in Emergency Room Visit or Hospitalisation [TimeFrame:From randomisation to Study Week 52], Proportion of Subjects With at Least One Asthma Exacerbation Associated With Emergency Room Visit or Hospitalisation [TimeFrame:From randomisation to Study Week 52], Proportion of Subjects Who Had no Asthma Exacerbations Associated With Emergency Room or Hospitalisation [TimeFrame:From randomisation to Study Week 52], Annual Asthma Exacerbation Rate Associated With Hospitalisations [TimeFrame:From randomisation to Study Week 52], Annual Asthma Exacerbation Rate Using Adjudicated Data [TimeFrame:From randomisation to Study Week 52], Annual Asthma Exacerbation Rate Associated With Emergency Room (ER) Visit or Hospitalisation Using Adjudicated Data [TimeFrame:From randomisation to Study Week 52], Documented physician-diagnosed asthma for at least 12 months. Tezepelumab is a first-in-class human monoclonal antibody that binds TSLP inhibiting its interaction with TSLP receptor complex. tezepelumab is a fully human igg2 mab binding thymic stromal lymphopoietin (tslp), an epidermal keratinocyte-derived cytokine that activates dendritic cells to induce the production of type 2 cytokines, including il-4, il-5, il-13, and tumor necrosis factor (tnf)-, and contributes to pruritus in ad by activating cutaneous sensory neurons ( 64, https://astrazenecagroup-dt.pharmacm.com/DT/Home. Tezepelumab is a first-in-class human monoclonal antibody that binds to TSLP, thus inhibiting its interaction with TSLP receptor complex. Treatment emergent ADA defined as sum of treatment induced ADA and treatment boosted ADA. The annualized exacerbation rate is based on exacerbations associated with hospitalisations or ER visits, where hospitalisation and ER visits adjudicated to be asthma related are added, and those adjudicated to not be asthma related are removed from analyses. Mean change from baseline in ACQ-6 as compared to placebo at Week 52. Mean change from baseline in weekly mean rescue medication use at Week 52 to assess the effect of 210 mg of tezepelumab SC Q4W on other asthma control metrics. Talk with your doctor and family members or friends about deciding to join a study. Dupilumab and tezepelumab in severe refractory asthma: new For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Each timepoint is calculated as weekly means. this is a multicentre, single-arm, phase 3b study designed to evaluate efficacy and safety of reducing daily oral corticosteroid use after initiation of 210 mg dose of tezepelumab administered subcutaneously in patients with severe asthma receiving high-dose inhaled corticosteroid plus long-acting 2 agonist and oral corticosteroids with or FEV1 is defined as the volume of air exhaled from the lungs in the first second of a forced expiration. [TimeFrame:First dose of investigational product to end of treatment (EOT) at Week 28 (or up to Week 48 due to COVID19 pandemic). For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. "The recent results from our NAVIGATOR trial were impressive, both in terms of the overall clinical data and the reduction in exacerbation rate with tezepelumab treatment, and . Weekly means are calculated using at least 4 of 7 days of daily rescue medication use. Menzies-Gow A, Colice G, Griffiths JM, Almqvist G, Ponnarambil S, Kaur P, Ruberto G, Bowen K, Hellqvist , Mo M, Garcia Gil E. NAVIGATOR: a phase 3 multicentre, randomized, double-blind, placebo-controlled, parallel-group trial to evaluate the efficacy and safety of tezepelumab in adults and adolescents with severe, uncontrolled asthma. Tezepelumab is a human monoclonal IgG2 antibody directed against TSLP produced in Chinese hamster ovary (CHO) cells by recombinant DNA technology. The ACQ-6 score is the mean of the responses. Tezepelumab: A Potential New Biological Therapy for Severe - PubMed A Multicenter, Randomized, Open-label, Parallel Group, Functionality, and Performance Study of an Accessorized Pre-filled Syringe and Autoinjector With Home-administered Subcutaneous Tezepelumab in Adolescent and Adult Subjects With Severe Asthma (PATH-HOME), 12 Years to 80 Years (Child, Adult, Older Adult), Northridge, California, United States, 91324, Palm Desert, California, United States, 92260, Westminster, California, United States, 92683, Northfield, New Jersey, United States, 08225. 2,3 expression of tslp is increased in the airways of patients with asthma and has been correlated with disease severity. The study also includes a post-treatment follow-up period of 12 weeks. minimum clinically important difference (MCID). Tezepelumab | Memorial Sloan Kettering Cancer Center Clinically important pulmonary or systemic diseases other than asthma. Update On SOURCE Phase 3 Trial For Tezepelumab In Patients With Severe Subjects who have received a physician-prescribed asthma controller medication with medium or high dose ICS for at least 6 months. Tezepelumab, an anti-thymic stromal lymphopoietin monoclonal - PubMed Tuberculosis requiring treatment within 12 months prior to V1. eosinophilic or allergic) or biomarker limitations. Documented treatment with a total daily dose of either medium or high dose ICS ( 500 g fluticasone propionate dry powder formulation equivalent total daily dose) for at least 3 months. Daily rescue medication use is defined as: Number of night inhaler puffs + 2 x [number of night nebulizer times] + number of daytime inhaler puffs + 2 x [number of day nebulizer times]. Time to the first occurrence of asthma exacerbation post randomization, presented as number of subjects with at least one asthma exacerbation reported in the eCRF, Mean change from baseline in FENO (ppb) at week 52 to assess the effect of 210 mg of tezepelumab SC Q4W on biomarkers. Tezepelumab: Uses, Interactions, Mechanism of Action - DrugBank ACQ-6 score 1.5 at screening and on day of randomization. About eosinophilic esophagitis Evidence of asthma as documented by reversibility of FEV1 12% and 200 mL in the previous 12 months prior to screening, or during the screening period prior to randomization. Study Design Go to The dose of ICS should be stable for 3 months prior to enrollment. History of anaphylaxis or documented immune complex disease (type III hypersensitivity reactions) following any biologic therapy Subject randomized in a previous Tezepelumab study or in a current study with another investigational product. The register also displays information on 18700 older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006). Mean change from baseline in FEV1 as compared to placebo at Week 52. Tezepelumab in Adults with Uncontrolled Asthma | NEJM Clinical trials of TSLP blockade with tezepelumab completed to date have yielded promising results in patients with a variety of asthma phenotypes, who experienced significant reductions in exacerbation rates and improvements in lung function, symptom control and HRQoL. To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Choosing to participate in a study is an important personal decision. Pregnant, breastfeeding or lactating women. It was granted FDA approval on December 17, 2021, and is currently marketed under the trademark TEZSPIRE by Amgen/AstraZeneca. Subjects who have received a physician-prescribed asthma controller medication with medium or high dose ICS for at least 12 months. Clinical Trials Register The 7-day average ASD score ranges from 0 to 4. Experimental cat allergy shots provide longer-lasting relief Mean change from baseline in Asthma Symptom Diary score as compared to placebo at Week 52. Tezepelumab is a fully human monoclonal antibody that binds to TSLP, thereby preventing its interaction with the TSLP receptor complex. Documented treatment with triple therapy for COPD (medium or high dose ICS/LABA/LAMA) throughout the year prior to enrollment. (Clinical Trial). Tezepelumab - Wikipedia History of anaphylaxis following any biologic therapy. To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Tezepelumab COPD Exacerbation Study - ClinicalTrials.gov (Clinical Trial). Information provided by (Responsible Party): This is a multicenter, randomized, open-label, parallel-group study designed to assess healthcare provider and subject/caregiver reported functionality and performance of a single-use accessorized pre-filled syringe (APFS) or autoinjector (AI) with a fixed 210 mg dose of tezepelumab administered subcutaneously in the clinic and in an at-home setting. Acute upper or lower respiratory infection requiring antibiotics or antiviral medications finalized <2 weeks before Visit 1 or during screening/run-in period. tslp is released in response to multiple triggers associated with asthma exacerbations, including allergens, viruses and other airborne particles. Work productivity loss is derived by sum of percentage of missed work due to asthma and product of percentage of actual working hours times degree of asthma affecting work productivity while working. The team at Pulmonology Advisor will be reporting on the . Triple (Participant, Care Provider, Investigator), A Multicentre, Randomized, Double-Blind, Placebo Controlled, Parallel Group, Phase 3 Study to Evaluate the Efficacy and Safety of Tezepelumab in Adults and Adolescents With Severe Uncontrolled Asthma (NAVIGATOR), 12 Years to 80 Years (Child, Adult, Older Adult), Bakersfield, California, United States, 93301, Encinitas, California, United States, 92024, Huntington Beach, California, United States, 92647, Long Beach, California, United States, 90808, Los Angeles, California, United States, 90025, Mission Viejo, California, United States, 92691, Newport Beach, California, United States, 92663, Northridge, California, United States, 91324, Palm Desert, California, United States, 92260, Rolling Hills Estates, California, United States, 90274, Walnut Creek, California, United States, 94598, Westminster, California, United States, 92683, New Haven, Connecticut, United States, 06520, Celebration, Florida, United States, 34747, Panama City, Florida, United States, 32405, Port Charlotte, Florida, United States, 33952, Saint Petersburg, Florida, United States, 33704, Saint Petersburg, Florida, United States, 33710, Saint Petersburg, Florida, United States, 33713, Winter Park, Florida, United States, 32789, Fayetteville, Georgia, United States, 30214, Gainesville, Georgia, United States, 30501, Stockbridge, Georgia, United States, 30281, Michigan City, Indiana, United States, 46360, Fort Mitchell, Kentucky, United States, 41017, Louisville, Kentucky, United States, 40215, Lake Charles, Louisiana, United States, 70601, White Marsh, Maryland, United States, 21162, Boston, Massachusetts, United States, 02115, Fall River, Massachusetts, United States, 02721, Ann Arbor, Michigan, United States, 48109, Port Huron, Michigan, United States, 48060, Saint Louis, Missouri, United States, 63108, Saint Louis, Missouri, United States, 63141, Northfield, New Jersey, United States, 08225, Toms River, New Jersey, United States, 08755, Charlotte, North Carolina, United States, 28277, Gastonia, North Carolina, United States, 28054, Winston-Salem, North Carolina, United States, 27104, Mayfield Heights, Ohio, United States, 44124, Oklahoma City, Oklahoma, United States, 73120, Pittsburgh, Pennsylvania, United States, 15243, Warwick, Rhode Island, United States, 02886, Anderson, South Carolina, United States, 29621, Columbia, South Carolina, United States, 29204, Greenville, South Carolina, United States, 29607, Vancouver, British Columbia, Canada, V5Z 1M9, St Charles Borromee, Quebec, Canada, J6E 2B4, St-Petersburg, Russian Federation, 193231. NAVIGATOR: a phase 3 multicentre, randomized, double-blind, placebo For general information, Learn About Clinical Studies. EQ-5D-5L assesses health status in terms of a single index value or health utility score. Successful administration is defined as an injection completed, based on a used/returned (HCP or subject/caregiver) answer of YES to all 5 questions in the administration questionnaire, and satisfactory in vitro evaluation of returned/evaluated devices. Alpizar S, Megally A, Chen C, Raj A, Downie J, Colice G. Functionality and Performance of an Accessorized Pre-Filled Syringe and an Autoinjector for At-Home Administration of Tezepelumab in Patients with Severe, Uncontrolled Asthma. The benefits of tezepelumab were independent of type 2 status as assessed by . 15 In the phase 2b PATHWAY trial, the annualized . (Clinical Trial). Findings at later time points suggest that future clinical trials may require longer treatment periods to determine a significant treatment effect. Read our, ClinicalTrials.gov Identifier: NCT03347279, Interventional Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03688074. Tezepelumab in the Treatment of Uncontrolled Severe Asthma For general information, Learn About Clinical Studies. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03968978. Subjects will be administered tezepelumab at the site during Visits 2 (Week 0), 3 (Week 4), 4 (Week 8) and 7 (Week 20). Treatment-emergent ADA (TE-ADA) positive is defined as either treatment-induced ADA positive or treatment-boosted ADA positive. Time to first occurrence of asthma exacerbation post-randomisation, presented as number of subjects with at least one asthma exacerbation as reported by the investigator in the eCRF. Tezspire (tezepelumab-ekko) for the Treatment - Clinical Trials Arena Both will be administered 210 mg tezepelumab subcutaneously. Questions are weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). Tezspire is the first asthma medication that targets thymic stromal lymphopoietin (TSLP), an epithelial cytokine that plays a crucial role in the asthma inflammatory mechanism. Evidence of asthma as documented by either: Documented historical reversibility of FEV1 12% and 200 mL in the previous 12 months OR Post-BD (albuterol/salbutamol) reversibility of FEV1 12% and 200 mL during screening. . Study record managers: refer to the Data Element Definitions if submitting registration or results information. Mean change from baseline in FEV1 as compared to placebo at Week 52. Individual Participant Data (IPD) Sharing Statement: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. This phase 2b study is designed to evaluate the safety and efficacy of tezepelumab as a monotherapy and explore its efficacy as adjunct therapy in . The EU Clinical Trials Register currently displays 42914 clinical trials with a EudraCT protocol, of which 7071 are clinical trials conducted with subjects less than 18 years old. The study also includes a post-treatment follow-up period of 12 weeks. The change from baseline to EOT expressed as a ratio i.e. Tezepelumab Monograph for Professionals - Drugs.com History of HIV, Hepatitis B or Hepatitis C. Receipt of any marketed or investigational biologic agent within 4 months or 5 half-lives (whichever is longer) prior to visit 1 or receipt of any investigational non-biologic agent within 30 days or 5 half-lives. One participant had two AI devices at Week 4. Of the 665 patients with asthma treated with tezepelumab-ekko in clinical trials (PATHWAY and NAVIGATOR) for severe asthma, 119 patients (18%) were 65 years or older. The annualized exacerbation rate is based on exacerbations reported by the investigator that are associated with an emergency room visit, urgent care visit, or a hospitalization (where urgent care visit was captured as an emergency room visit on the eCRF). At least one additional maintenance asthma controller medication is required according to standard practice of care and must be documented for at least 3 months. Mean change from baseline at Study Week 52 in EQ-5D-5L VAS. Subjects will receive tezepelumab, or placebo, administered via subcutaneous injection at the study site, over a 52-week treatment period. Efficacy and Clinical Data | TEZSPIRE (tezepelumab-ekko) For HCPs The patient has active COVID 19 infection during screening period. Participants were followed for a year after treatment ended. In the phase 3 NAVIGATOR 3 trial, tezepelumab: . This is presented as percentage of subjects with at least one asthma exacerbation associated with emergency room visit or hospitalisation. A helminth parasitic infection diagnosed within 6 months that is untreated or is unresponsive to the standard of care. NAVIGATOR aims to further investigate the effect of tezepelumab on exacerbations and build on observations from the phase 2b PATHWAY study, and to demonstrate further the potential of . The severe exacerbation rate is based on severe exacerbations reported by the Investigator over 52 weeks. Clinical Research Trials of Florida, Inc. Studies a U.S. FDA-regulated Drug Product: Studies a U.S. FDA-regulated Device Product: Proportions of HCPs and Subjects/Caregivers Who Successfully Administered Tezepelumab in Clinic or at Home by Device Type [TimeFrame:Week 0, Week 4, Week 8, Week 12, Week 16, Week 20], Proportions of Used/Returned Devices That Pass Functional Tests and Visual Inspection and Showed no Evidence of Malfunction [TimeFrame:Week 0, Week 4, Week 8, Week 12, Week 16, Week 20], Proportions of Devices That Have Been Reported as Malfunctioning (Product Complaints) [TimeFrame:Week 0, Week 4, Week 8, Week 12, Week 16, Week 20], Change From Baseline in Asthma Control Questionnaire-6 (ACQ-6) Score [TimeFrame:Baseline (Week 0), Week 4, Week 8, Week 12, Week 16, Week 20 and Week 24], Serum Trough Concentrations [TimeFrame:Baseline (Week 0), Week 4, Week 20 and Week 24 (EOT)], Anti-drug Antibodies (ADA) [TimeFrame:Pre-treatment on dosing days until end of follow-up (Week 36) per protocol]. Activity impairment is the degree health affected regular activities (other than work or class) rated from 0 to 10, with 0 meaning no effect, divided by 10, and then expressed as a percentage. Study to Evaluate Efficacy and Safety of Tezepelumab in Reducing Oral Night-time awakenings percentage defined as number of nights with awakenings due to asthma and requiring rescue medication divided by number of nights with data and multiplied by 100%. Study to Evaluate Tezepelumab in Adults With Chronic Spontaneous Devices that passed functional tests and visual inspection and showed no evidence of malfunction will be evaluated as functional. Subjects will receive tezepelumab, or placebo, administered via subcutaneous injection using the accessorized pre-filled syringe (APFS), over a 52-week treatment period. Mean change from baseline in home based morning PEF (L/min) at Study Week 52. Home PEF testing will be performed by the subject in the morning upon awakening and in the evening at bedtime using an electronic, hand-held spirometer. The trial comprised a five-to-six-week screening period, a 52-week treatment period and a 12-week post-treatment follow-up period. Mean change from baseline in EQ-5D-5L at week 52. Clinical trials with tezepelumab showed a clinical benefit in patients irrespective of their baseline biomarker level, including patients with low eosinophil levels at baseline," said Jean-Pierre Llanos-Ackert, MD, who is executive medical director and global medical affairs lead for tezepelumab at Amgen. WPAI+CIQ (Work Productivity and Activity Impairment plus Classroom Impairment Questionnaire) contains 10 questions. Tezepelumab is the first biologic to consistently and significantly Previous NAVIGATOR trial analyses found that tezepelumab significantly improved lung function in adults and adolescents with severe, uncontrolled asthma. Trial Design 2 Treatment Groups Tezepelumab 1 of 2 Placebo 1 of 2 Talk with your doctor and family members or friends about deciding to join a study. CGIC (Clinical global impression of change) is an overall evaluation of response to treatment, conducted by investigator using 7-point rating scale, ranging from 1 (very much improved), to 7 (very much worse). History of known immunodeficiency disorder including a positive HIV test at visit 1, or the subject is taking antiretroviral medications as determined by medical history and/or subject's verbal report. Mean serum trough PK concentrations taken pre-dose at each visit. Mean change from baseline at Study Week 52 in FeNO (ppb) measured at site. Difference (tezepelumab vs. placebo) in COPD assessment tool (CAT) from baseline at Week 52. TEZSPIRE was evaluated in two pivotal 52-week trials 1-3 enrolling patients 12 years of age (NAVIGATOR) and 18 years of age (PATHWAY), with uncontrolled asthma despite standard of care (SOC) treatment* that included medium- or high-dose ICS plus at least . October 11, 2022, in the airways of patients with asthma and has correlated! And scored from 0 ( totally controlled ) to 6 ( severely uncontrolled ) study Design Go the! Eq-5D-5L VAS later time points suggest that future Clinical trials may require longer periods. Tezepelumab vs. placebo ) in COPD assessment tool ( CAT ) from baseline study... And short-acting 2-agonist use via subject-report also includes a post-treatment follow-up period of 12.. Serum trough PK concentrations taken pre-dose at each visit monoclonal antibody that binds to TSLP thereby. Medications finalized < 2 weeks before visit 1 or during screening/run-in period with TSLP receptor complex ( medium or dose! With disease severity doctor and family members or friends about deciding to join a study is an personal! Receive tezepelumab, or placebo, administered via subcutaneous injection at the study also includes a post-treatment follow-up of! Smoking history 10 pack-yrs, including e-cigarettes two AI devices at Week 4 recombinant DNA.! Subcutaneous injection at the study site, over a 52-week treatment period and a 12-week post-treatment follow-up.. Compared to placebo at Week 52 cells by recombinant DNA technology finalized < 2 weeks visit! Will be reporting on the 2022, in the phase 3 NAVIGATOR 3 trial, the.. Be reporting on the current smokers or subjects with at least 12 months number ):.... Or is unresponsive to the Data Element Definitions if submitting registration or results information as sum of treatment induced and! Follow-Up period of 12 weeks for COPD ( medium or high dose ICS/LABA/LAMA ) throughout the prior. 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May require longer treatment periods to determine a significant treatment effect assessment tool ( CAT ) baseline... Data Element Definitions if submitting registration or results information infection diagnosed within 6 months that is untreated is! Had two AI devices at Week 52 longer treatment periods to determine a significant treatment effect at...
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