A Phase 3 interventional study of QAW039 and QAW039 in Asthma, sponsored by Novartis Pharmaceuticals. Completed at 234 sites in 27 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2026-10-07.
Sponsored by Novartis Pharmaceuticals · Phase 3, Interventional, and Treatment
This study aimed to determine the efficacy and safety of QAW039 150 mg and QAW039 450 mg, compared with placebo, when added to GINA (Global Initiative for Asthma) steps 4 and 5 standard-of- care (SoC) asthma therapy (GINA 2016) in the following two populations:
Inadequate control is defined as partly controlled or uncontrolled asthma (GINA 2016).
This study used a randomized, multicenter, double-blind, placebo-controlled parallel-group design in which QAW039 150 mg or QA039 450 mg or placebo was added to standard of care, GINA steps 4 and 5 asthma therapy.
The study included:
3,921 studies on the registry are indexed under Asthma; 507 are open to participants now.
This study's enrollment of 894 is above the median of 83 across 2,752 interventional studies indexed under Asthma.
Browse Asthma studies →Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.
Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
QAW039 150 mg once daily
Drug: QAW039
QAW039 450 mg once daily
Drug: QAW039
Placebo once daily
Drug: Placebo
QAW039 150 mg once daily
QAW039 450 mg once daily
Placebo once daily
Rate of Moderate-to-severe Asthma Exacerbations During the 52-week Treatment Period in High Eosinophils Subpopulation
A severe asthma exacerbation is defined as treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days and hospitalization; or treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days and emergency department visit (greater than 24 hours\*); or death due to asthma. A moderate asthma exacerbation is defined as treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days either as an outpatient or in emergency department visits (Emergency department visit less than or equal to 24 hours). The high eosinophils subpopulation consists of all patients with blood eosinophil count ≥ 250 cells/μL at baseline.
Time frame: Baseline, Week 52
Rate of Moderate-to-severe Asthma Exacerbations During the 52-week Treatment Period in Overall Population
A severe asthma exacerbation is defined as treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days and hospitalization; or treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days and emergency department visit (greater than 24 hours\*); or death due to asthma. A moderate asthma exacerbation is defined as treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days either as an outpatient or in emergency department visits (Emergency department visit less than or equal to 24 hours).
Time frame: Baseline, Week 52
Change From Baseline to Week 52 in Asthma Quality of Life Questionnaire for Participants 12 Years and Older (AQLQ+12) Score in High Eosinophils Subpopulation
The AQLQ+12 is comprised of a total of 32 individual questions that span a total of four domains: symptoms, activity limitation, emotional function, and environmental stimuli. Patients were asked to recall their experiences during the previous 2 weeks and to score each item on a 7-point scale (7 = not at all impaired to 1 = severely impaired). The AQLQ+12 yields individual domain scores, which is the mean of all items in each domain, and an overall score, which is the mean of all 32 individual responses. Higher scores indicate less impairment in health-related quality of life. The high eosinophils subpopulation consists of all patients with blood eosinophil count ≥ 250 cells/μL at baseline.
Time frame: 52 weeks
Change From Baseline to Week 52 in Asthma Control Questionnaire-5(ACQ-5) Score in High Eosinophils Subpopulation
The ACQ-5 is a five-item, self-completed questionnaire, which is used as a measure of asthma control of a participant. Patients were asked to recall how their asthma had been during the previous week and to respond to the symptom questions on a 7-point scale (0=no impairment, 6=maximum impairment). The questions are equally weighted and the ACQ-5 score is the mean of the 5 questions: therefore, between 0 (totally controlled) and 6 (severely uncontrolled). The high eosinophils subpopulation consists of all patients with blood eosinophil count ≥ 250 cells/μL at baseline.
Time frame: Baseline, Week 52
Change From Baseline to Week 52 in Pre-dose Forced Expiratory Volume in 1 Second (FEV1) in High Eosinophils Subpopulation
Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Baseline is defined as the last available FEV1 measurement taken prior to the first dose of randomized study drug. The high eosinophils subpopulation consists of all patients with blood eosinophil count ≥ 250 cells/μL at baseline.
Time frame: Baseline, Week 52
Change From Baseline to Week 52 in Asthma Quality of Life Questionnaire for Participants 12 Years and Older (AQLQ+12) Score in Overall Population
The AQLQ+12 is comprised of a total of 32 individual questions that span a total of four domains: symptoms, activity limitation, emotional function, and environmental stimuli. Patients were asked to recall their experiences during the previous 2 weeks and to score each item on a 7-point scale (7 = not at all impaired to 1 = severely impaired). The AQLQ+12 yields individual domain scores, which is the mean of all items in each domain, and an overall score, which is the mean of all 32 individual responses. Higher scores indicate less impairment in health-related quality of life.
Time frame: Baseline, Week 52
Change From Baseline to Week 52 in Asthma Control Questionnaire-5(ACQ-5) Score in Overall Population
The ACQ-5 is a five-item, self-completed questionnaire, which is used as a measure of asthma control of a participant. Patients were asked to recall how their asthma had been during the previous week and to respond to the symptom questions on a 7-point scale (0=no impairment, 6=maximum impairment). The questions are equally weighted and the ACQ-5 score is the mean of the 5 questions: therefore, between 0 (totally controlled) and 6 (severely uncontrolled).
Time frame: Baseline, Week 52
Change From Baseline to Week 52 in Pre-dose Forced Expiratory Volume in 1 Second (FEV1) in Overall Population
Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Baseline is defined as the last available FEV1 measurement taken prior to the first dose of randomized study drug.
Time frame: Baseline, Week 52
Participants were from Argentina, Australia, Austria, Belgium, Brazil, China, Denmark, Estonia, Finland, France, Germany, Greece, Guatemala, Hungary, Latvia, Lithuania, Philippines, Poland, Romania, Singapore, Spain, Switzerland, UK, US, Vietnam.
| Milestone | QAW039 150 mg | QAW039 450 mg | Placebo |
|---|---|---|---|
| Started | 301 | 295 | 298 |
| Fas/saf: high eosinophil subpopulation | 200 | 201 | 201 |
| Fas/saf: overall population | 299 | 293 | 298 |
| Completed | 282 | 278 | 269 |
| Not completed | 19 | 17 | 29 |
| Withdrew: Physician decision | 1 | 0 | 2 |
| Withdrew: Lost to follow-up | 2 | 1 | 2 |
| Withdrew: Technical problems | 1 | 1 | 0 |
| Withdrew: Protocol deviation | 0 | 1 | 0 |
| Withdrew: Lack of efficacy | 2 | 0 | 0 |
| Withdrew: Death | 0 | 1 | 2 |
| Withdrew: Adverse event | 1 | 0 | 1 |
| Withdrew: Subject/guardian decision | 12 | 12 | 22 |
| Withdrew: Death post treatment/safety period | 0 | 1 | 0 |
A severe asthma exacerbation is defined as treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days and hospitalization; or treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days and emergency department visit (greater than 24 hours\*); or death due to asthma. A moderate asthma exacerbation is defined as treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days either as an outpatient or in emergency department visits (Emergency department visit less than or equal to 24 hours). The high eosinophils subpopulation consists of all patients with blood eosinophil count ≥ 250 cells/μL at baseline.
| events/year | QAW039 150 mg | QAW039 450 mg | Placebo |
|---|---|---|---|
| Rate of Moderate-to-severe Asthma Exacerbations During the 52-week Treatment Period in High Eosinophils Subpopulation | 0.97 (0.78 to 1.20) | 0.77 (0.62 to 0.97) | 0.93 (0.75 to 1.16) |
The AQLQ+12 is comprised of a total of 32 individual questions that span a total of four domains: symptoms, activity limitation, emotional function, and environmental stimuli. Patients were asked to recall their experiences during the previous 2 weeks and to score each item on a 7-point scale (7 = not at all impaired to 1 = severely impaired). The AQLQ+12 yields individual domain scores, which is the mean of all items in each domain, and an overall score, which is the mean of all 32 individual responses. Higher scores indicate less impairment in health-related quality of life. The high eosinophils subpopulation consists of all patients with blood eosinophil count ≥ 250 cells/μL at baseline.
| units on scale | QAW039 150 mg | QAW039 450 mg | Placebo |
|---|---|---|---|
| Change From Baseline to Week 52 in Asthma Quality of Life Questionnaire for Participants 12 Years and Older (AQLQ+12) Score in High Eosinophils Subpopulation | 0.75 ± 0.067 | 0.81 ± 0.067 | 0.68 ± 0.067 |
The ACQ-5 is a five-item, self-completed questionnaire, which is used as a measure of asthma control of a participant. Patients were asked to recall how their asthma had been during the previous week and to respond to the symptom questions on a 7-point scale (0=no impairment, 6=maximum impairment). The questions are equally weighted and the ACQ-5 score is the mean of the 5 questions: therefore, between 0 (totally controlled) and 6 (severely uncontrolled). The high eosinophils subpopulation consists of all patients with blood eosinophil count ≥ 250 cells/μL at baseline.
| units on scale | QAW039 150 mg | QAW039 450 mg | Placebo |
|---|---|---|---|
| Change From Baseline to Week 52 in Asthma Control Questionnaire-5(ACQ-5) Score in High Eosinophils Subpopulation | -0.88 ± 0.069 | -0.94 ± 0.069 | -0.76 ± 0.070 |
Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Baseline is defined as the last available FEV1 measurement taken prior to the first dose of randomized study drug. The high eosinophils subpopulation consists of all patients with blood eosinophil count ≥ 250 cells/μL at baseline.
| Liter | QAW039 150 mg | QAW039 450 mg | Placebo |
|---|---|---|---|
| Change From Baseline to Week 52 in Pre-dose Forced Expiratory Volume in 1 Second (FEV1) in High Eosinophils Subpopulation | 0.169 ± 0.0257 | 0.153 ± 0.0255 | 0.103 ± 0.0260 |
A severe asthma exacerbation is defined as treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days and hospitalization; or treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days and emergency department visit (greater than 24 hours\*); or death due to asthma. A moderate asthma exacerbation is defined as treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days either as an outpatient or in emergency department visits (Emergency department visit less than or equal to 24 hours).
| events/year | QAW039 150 mg | QAW039 450 mg | Placebo |
|---|---|---|---|
| Rate of Moderate-to-severe Asthma Exacerbations During the 52-week Treatment Period in Overall Population | 0.92 (0.77 to 1.09) | 0.75 (0.62 to 0.90) | 0.96 (0.80 to 1.15) |
The AQLQ+12 is comprised of a total of 32 individual questions that span a total of four domains: symptoms, activity limitation, emotional function, and environmental stimuli. Patients were asked to recall their experiences during the previous 2 weeks and to score each item on a 7-point scale (7 = not at all impaired to 1 = severely impaired). The AQLQ+12 yields individual domain scores, which is the mean of all items in each domain, and an overall score, which is the mean of all 32 individual responses. Higher scores indicate less impairment in health-related quality of life.
| units on scale | QAW039 150 mg | QAW039 450 mg | Placebo |
|---|---|---|---|
| Change From Baseline to Week 52 in Asthma Quality of Life Questionnaire for Participants 12 Years and Older (AQLQ+12) Score in Overall Population | 0.68 ± 0.053 | 0.73 ± 0.054 | 0.61 ± 0.054 |
The ACQ-5 is a five-item, self-completed questionnaire, which is used as a measure of asthma control of a participant. Patients were asked to recall how their asthma had been during the previous week and to respond to the symptom questions on a 7-point scale (0=no impairment, 6=maximum impairment). The questions are equally weighted and the ACQ-5 score is the mean of the 5 questions: therefore, between 0 (totally controlled) and 6 (severely uncontrolled).
| units on scale | QAW039 150 mg | QAW039 450 mg | Placebo |
|---|---|---|---|
| Change From Baseline to Week 52 in Asthma Control Questionnaire-5(ACQ-5) Score in Overall Population | -0.83 ± 0.055 | -0.90 ± 0.056 | -0.71 ± 0.056 |
Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Baseline is defined as the last available FEV1 measurement taken prior to the first dose of randomized study drug.
| Liter | QAW039 150 mg | QAW039 450 mg | Placebo |
|---|---|---|---|
| Change From Baseline to Week 52 in Pre-dose Forced Expiratory Volume in 1 Second (FEV1) in Overall Population | 0.144 ± 0.0205 | 0.108 ± 0.0206 | 0.068 ± 0.0209 |
Collected over Adverse events (AEs) are presented from first dose of study treatment until last dose of study treatment plus 7 days post treatment. Serious AEs (including the All-Cause Mortality data table) are presented from first dose of study treatment until last dose of study treatment plus 30 days post treatment, up to maximum duration of 56 weeks.. Non-serious events are listed at a 4% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| QAW039 150 mg | 0/299 (0%) | 33/299 (11%) | 204/299 (68.2%) |
| QAW039 450 mg | 1/293 (0.3%) | 30/293 (10.2%) | 193/293 (65.9%) |
| Placebo | 2/298 (0.7%) | 32/298 (10.7%) | 214/298 (71.8%) |
| Event | QAW039 150 mg | QAW039 450 mg | Placebo |
|---|---|---|---|
| AsthmaRespiratory, thoracic and mediastinal disorders | 10/299 | 8/293 | 14/298 |
| PneumoniaInfections and infestations | 3/299 | 5/293 | 1/298 |
| InfluenzaInfections and infestations | 1/299 | 2/293 | 1/298 |
| Acute kidney injuryRenal and urinary disorders | 1/299 | 2/293 | 0/298 |
| Viral upper respiratory tract infectionInfections and infestations | 2/299 | 0/293 | 0/298 |
| Radius fractureInjury, poisoning and procedural complications | 2/299 | 0/293 | 0/298 |
| Acute myocardial infarctionCardiac disorders | 0/299 | 1/293 | 0/298 |
| Myocardial ischaemiaCardiac disorders | 0/299 | 1/293 | 0/298 |
| Diverticulum intestinalGastrointestinal disorders | 0/299 | 1/293 | 0/298 |
| GastritisGastrointestinal disorders | 0/299 | 1/293 | 0/298 |
| Event | QAW039 150 mg | QAW039 450 mg | Placebo |
|---|---|---|---|
| AsthmaRespiratory, thoracic and mediastinal disorders | 151/299 | 135/293 | 155/298 |
| NasopharyngitisInfections and infestations | 43/299 | 37/293 | 49/298 |
| Upper respiratory tract infectionInfections and infestations | 35/299 | 35/293 | 31/298 |
| BronchitisInfections and infestations | 29/299 | 22/293 | 26/298 |
| Viral upper respiratory tract infectionInfections and infestations | 29/299 | 26/293 | 26/298 |
| HeadacheNervous system disorders | 28/299 | 22/293 | 24/298 |
| Upper respiratory tract infection bacterialInfections and infestations | 13/299 | 14/293 | 21/298 |
| SinusitisInfections and infestations | 18/299 | 19/293 | 18/298 |
| Urinary tract infectionInfections and infestations | 11/299 | 15/293 | 18/298 |
| Back painMusculoskeletal and connective tissue disorders | 16/299 | 16/293 | 11/298 |
| Age, Continuous(years) | QAW039 150 mg | QAW039 450 mg | Placebo | Total |
|---|---|---|---|---|
| Mean | 49.9 ± 14.97 | 51.1 ± 14.29 | 50.3 ± 14.48 | 50.4 ± 14.58 |
| Sex: Female, Male(Participants) | QAW039 150 mg | QAW039 450 mg | Placebo | Total |
|---|---|---|---|---|
| Female | 192 | 214 | 177 | 583 |
| Male | 109 | 81 | 121 | 311 |
| Race/Ethnicity, Customized(Participants) | QAW039 150 mg | QAW039 450 mg | Placebo | Total |
|---|---|---|---|---|
| Caucasian | 214 | 215 | 213 | 642 |
| Black | 11 | 6 | 12 | 29 |
| Asian | 45 | 38 | 44 | 127 |
| Native American | 24 | 29 | 24 | 77 |
| Unknown | 1 | 2 | 3 | 6 |
| Other | 6 | 5 | 2 | 13 |
Showing the first 100 of 234 sites across 27 countries.
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