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Идёт набор NCT07088926

A Study to Evaluate the Efficacy, Safety, and PK of AZD0292 Administered IV in Participants 12 Years of Age and Older With Bronchiectasis and Chronic Pseudomonas Aeruginosa Colonization

Фаза II С лечением Bronchiectasis With Pseudomonas Aeruginosa Colonization

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: AZD0292, Placebo.
Кому может быть актуально
Состояния в реестре: Bronchiectasis With Pseudomonas Aeruginosa Colonization. Базовые параметры: от 12 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
США, Аргентина, Австралия, Бельгия, Бразилия +20
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
Официальное название

A Phase IIb Randomized, Double-blind, Placebo-controlled, Parallel, Multidose Study to Evaluate the Efficacy, Safety, and PK of AZD0292 in Participants 12 Years of Age and Older With Bronchiectasis and Chronic Pseudomonas Aeruginosa Colonization

Обзор

AZD0292 is a bispecific IgG1k mAb being evaluated for the prevention of exacerbations in bronchiectasis patients chronically colonized with PsA.

Подробное описание

AZD0292 is a bispecific IgG1k mAb being evaluated for the prevention of exacerbations in bronchiectasis patients chronically colonized with PsA.

This Phase IIb study aims to assess the efficacy, safety, and PK of 2 dosage regimens of AZD0292 administered IV, as compared to placebo in participants 12 years of age and older.

The primary population of this study will be PsA-colonized NCFBE patients, a bronchiectasis group with frequent pulmonary exacerbations due to chronic PsA airway colonization. These PsA associated pulmonary exacerbations contribute to a decline in lung function, impair quality of life and increase mortality, highlighting the urgent need for effective therapeutic options. To investigate the broader applicability of AZD0292, bronchiectasis patients with CF who are colonized with PsA will be also included as a non-powered exploratory group in this Phase IIb study.

Вмешательства

  • Биопрепарат AZD0292
    AZD0292 high-dose or low-dose administered starting on Day 1 via IV infusion, subsequent administrations per schedule of assessments.
  • Другое Placebo
    Placebo administered starting on Day 1 via IV infusion, subsequent administrations per schedule of assessments.

Первичные конечные точки

  • Annualized rate of exacerbations over a variable follow-up time [Срок оценки: Min 28 weeks, max 52 weeks]
Вторичные конечные точки (7)
  • Annualized rate of severe exacerbations over a variable follow-up time [Срок оценки: Min 28 weeks, max 52 weeks]
  • Change from baseline in QOL-B-RSS [Срок оценки: Over the observation period (Week 0 to Final Dose+4 weeks)]
  • Change from baseline in SGRQ score [Срок оценки: Over the observation period (Week 0 to Final Dose +4 weeks)]
  • Time to first moderate or severe exacerbation [Срок оценки: Through study completion (Final Dose +24 weeks)]
  • Serum PK Concentrations [Срок оценки: At specified timepoints between Week 0 and Final Dose+12 weeks]
  • Incidence of ADA and ADA titers to AZD0292 [Срок оценки: At specified timepoints between Week 0 and Final Dose +12 weeks]
  • Incidence of AEs, SAEs, AESIs and MAAEs [Срок оценки: Occurrence of AEs; first dose through 12 weeks after last study intervention administration. Occurrence of SAEs, AESIs, and MAAEs; through study completion (Final Dose+24 weeks)]

Критерии участия

Критерии включения

  • Participant must be ≥ 12 years of age at the time of signing the informed consent/assent
  • Weight ≥ 35 kg
  • Bronchiectasis diagnosed by a physician and confirmed by CT demonstrating abnormal bronchial dilation in ≥ 1 lobe. Note: A historical CT scan within the past 5 years is acceptable. If not available, a CT scan should be conducted at screening to confirm eligibility.
  • Participants who are receiving appropriate standard of care therapy per local guidelines and have a documented history of ≥ 2 moderate exacerbations or ≥ 1 severe exacerbation in the preceding 12 months requiring antibiotics
  • Participants who are clinically stable and free from an exacerbation of bronchiectasis for 4 weeks prior to randomization
  • Participants with pre- or post-bronchodilator FEV1 ≥ 25% predicted value at screening.
  • Presence of positive (PCR or culture) PsA in an airway sample at least once in the last 24 months prior to screening
  • Presence of culture positive PsA in sputum at least within 5 weeks of randomization. Participants who have previously received PsA eradication therapy, as determined appropriate by their treating provider, but remain colonized with PsA are eligible for the study.
  • Capable of giving signed informed consent/assent which includes compliance with the requirements and restrictions listed in the ICF and in this protocol

Критерии исключения

  • Primary lung diagnosis other than bronchiectasis
  • Evidence of active tuberculosis or active nontuberculous mycobacteria being treated or requiring treatment. Participants currently receiving treatment for active TB or nontuberculous mycobacteria may be considered after completion of an appropriate course of therapy
  • Evidence of an active allergic bronchopulmonary aspergillosis being treated or requiring treatment
  • Need for long term supplemental oxygen. Oxygen use for ambulation and relief of breathlessness after exercise is allowed
  • Malignancy, current or within the previous 5 years, except for stable prostate cancer, adequately treated non-invasive basal cell and squamous cell carcinoma of the skin and cervical carcinoma in situ treated with apparent success more than one year prior to enrolment
  • AIDS or Advanced human immunodeficiency virus disease (CD4 count of < 200 cells/mm3)
  • History of severe adverse reaction associated with a mAb, and/or history of severe allergic reaction (eg, anaphylaxis that required the use of epinephrine/adrenaline or hospitalization), and/or history of immune complex disease (Type III hypersensitivity reactions) to monoclonal antibody administration
  • Treatment with long term anti-PsA antibiotics, macrolides, or DPP-1 inhibitors, which are newly initiated within the 3 months prior to screening
  • Chronic immunosuppressive therapy (including prednisolone > 5 mg or equivalent) newly initiated within the last 3 months
  • Receipt of investigational products indicated for the treatment or prevention of bronchiectasis exacerbations or expected receipt during the study
  • Participants with CF on CFTR modulator therapies which are newly initiated within the previous 3 months prior to screening
  • Female participants who are pregnant, lactating, or WOCBP and not using a highly effective method of contraception or abstinence from at least 4 weeks prior to study intervention administration and until at least 6 months after study intervention administration

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Тройное слепое
Основная цель
Профилактика

Центры проведения

США · 25 центров
  • Research Site — Orange
  • Research Site — San Francisco
  • Research Site — Denver
  • Research Site — Washington D.C.
  • Research Site — Jacksonville
  • Research Site — Miami Lakes
  • Research Site — Naples
  • Research Site — Ormond Beach
  • … и ещё 17 центров
Япония · 13 центров

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Бразилия · 11 центров
  • Research Site — Blumenau
  • Research Site — Campinas
  • Research Site — Curitiba
  • Research Site — Curitiba
  • Research Site — Porto Alegre
  • Research Site — Porto Alegre
  • Research Site — Porto Alegre
  • Research Site — Salvador
  • … и ещё 3 центра
Германия · 9 центров
  • Research Site — Berlin
  • Research Site — Darmstadt
  • Research Site — Essen
  • Research Site — Frankfurt
  • Research Site — Halle
  • Research Site — Hanover
  • Research Site — Konstanz
  • Research Site — München
  • … и ещё 1 центр
Перу · 9 центров

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South Korea · 9 центров

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Великобритания · 9 центров

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Франция · 8 центров
  • Research Site — Brest
  • Research Site — Créteil
  • Research Site — Marseille
  • Research Site — Montpellier
  • Research Site — Paris
  • Research Site — Pessac
  • Research Site — Strasbourg
  • Research Site — Toulouse
Греция · 8 центров

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Испания · 8 центров

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Канада · 7 центров
  • Research Site — Calgary
  • Research Site — Vancouver
  • Research Site — Ajax
  • Research Site — Stoney Creek
  • Research Site — Québec
  • Research Site — Saint-Charles-Borromée
  • Research Site — Trois-Rivières
Италия · 7 центров

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Тайвань · 7 центров

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Turkey (Türkiye) · 7 центров

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Израиль · 6 центров

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Вьетнам · 6 центров

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Чили · 5 центров
  • Research Site — Concepción
  • Research Site — Santiago
  • Research Site — Santiago
  • Research Site — Talca
  • Research Site — Viña del Mar
Дания · 5 центров
  • Research Site — Aalborg
  • Research Site — Aarhus N
  • Research Site — Hvidovre
  • Research Site — Odense C
  • Research Site — Roskilde
Таиланд · 5 центров

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Аргентина · 4 центра
  • Research Site — Ciudad de Buenos Aires
  • Research Site — Florida
  • Research Site — Rosario
  • Research Site — San Miguel de Tucumán
Бельгия · 4 центра
  • Research Site — Ghent
  • Research Site — Leuven
  • Research Site — Liège
  • Research Site — Sint-Niklaas
Филиппины · 4 центра

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Австралия · 3 центра
  • Research Site — Birtinya
  • Research Site — Macquarie University
  • Research Site — South Brisbane
Малайзия · 3 центра

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Нидерланды · 3 центра

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Публикации

  • Araujo D, Shteinberg M, Aliberti S, Goeminne PC, Hill AT, Fardon TC, Obradovic D, Stone G, Trautmann M, Davis A, Dimakou K, Polverino E, De Soyza A, McDonnell MJ, Chalmers JD. The independent contribution of Pseudomonas aeruginosa infection to long-term clinical outcomes in bronchiectasis. Eur Respir J. 2018 Jan 31;51(2):1701953. doi: 10.1183/13993003.01953-2017. Print 2018 Feb. PMID 29386336
  • Artaraz A, Crichton ML, Finch S, Abo-Leyah H, Goeminne P, Aliberti S, Fardon T, Chalmers JD. Development and initial validation of the bronchiectasis exacerbation and symptom tool (BEST). Respir Res. 2020 Jan 13;21(1):18. doi: 10.1186/s12931-019-1272-y. PMID 31931782
  • Bellelli G, Chalmers JD, Sotgiu G, Dore S, McDonnell MJ, Goeminne PC, Dimakou K, Skrbic D, Lombi A, Pane F, Obradovic D, Fardon TC, Rutherford RM, Pesci A, Aliberti S. Characterization of bronchiectasis in the elderly. Respir Med. 2016 Oct;119:13-19. doi: 10.1016/j.rmed.2016.08.008. Epub 2016 Aug 17. PMID 27692133
  • CFFPR 2023 Cystic Fibrosis Foundation Patient Registry. Bethesda, MD. 2023 Annual Data Report. Available at https://www.cff.org/media/34491/download.
  • Chalmers JD, Goeminne P, Aliberti S, McDonnell MJ, Lonni S, Davidson J, Poppelwell L, Salih W, Pesci A, Dupont LJ, Fardon TC, De Soyza A, Hill AT. The bronchiectasis severity index. An international derivation and validation study. Am J Respir Crit Care Med. 2014 Mar 1;189(5):576-85. doi: 10.1164/rccm.201309-1575OC. PMID 24328736
  • Chalmers JD, Aliberti S, Blasi F. Management of bronchiectasis in adults. Eur Respir J. 2015 May;45(5):1446-62. doi: 10.1183/09031936.00119114. Epub 2015 Mar 18. PMID 25792635
  • Chalmers JD, Chang AB, Chotirmall SH, Dhar R, McShane PJ. Bronchiectasis. Nat Rev Dis Primers. 2018 Nov 15;4(1):45. doi: 10.1038/s41572-018-0042-3. PMID 30442957
  • Chalmers JD, Aliberti S, Filonenko A, Shteinberg M, Goeminne PC, Hill AT, Fardon TC, Obradovic D, Gerlinger C, Sotgiu G, Operschall E, Rutherford RM, Dimakou K, Polverino E, De Soyza A, McDonnell MJ. Characterization of the "Frequent Exacerbator Phenotype" in Bronchiectasis. Am J Respir Crit Care Med. 2018 Jun 1;197(11):1410-1420. doi: 10.1164/rccm.201711-2202OC. PMID 29357265

Идентификаторы

NCT: NCT07088926 · D7700C00003

Первоисточники (государственные реестры)

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