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TerminatedNCT02658877Updated Sep 30, 2019Results posted

Sputum-derived Cellular Targets After Xolair (Omalizumab)

A Phase 4 interventional study of Omalizumab and Placebo in Asthma, sponsored by NYU Langone Health. Terminated at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-09-30.

Sponsored by NYU Langone Health · Phase 4, Interventional, and Treatment

Why this study was terminated
Difficulty recruiting subjects
Phase
Phase 4
Study type
Interventional
Enrollment
3
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The primary purpose of this study is to identify additional mechanisms of action of omalizumab that will lead to improved stratification of patients for treatment. Understanding the response of specific innate immune effector cells in the lung can provide clues to these questions. Investigators will use non-invasive measures of a discrete cell population to examine the downstream effects of omalizumab treatment in the lung. Information derived from these studies will help clarify mechanisms of action of omalizumab and help identify potential tools for patient endotyping and stratification for therapeutic interventions.

Read the detailed description

This is a randomized, placebo-controlled, double blind, 16-week intervention study to show feasibility and proof of concept. Analysis of whole induced sputum is under development for endotyping for asthma, allowing sampling of rare cells from conducting airways, repeated sampling, and cell-specific detailed genomic evaluation. Investigators have developed a novel technique to simultaneously enrich innate immune cells from sputum. This technique allows for in situ analyses of sputum-derived human bronchial epithelial cells (sHBEC). The non-invasive nature of the technique provides a unique tool for in vivo human studies.

02

Conditions studied

  • Asthma

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Keywords

  • Xolair
  • corticosteroids
  • asthma
  • long-acting beta-agonists
03

In context

Asthma

4,010 studies on the registry are indexed under Asthma; 514 are open to participants now.

This study's enrollment of 3 is below the median of 83 across 2,814 interventional studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

NYU Langone Health is the lead sponsor of 1,421 studies on the registry; 254 are open to participants now.

Of its 231 completed or terminated interventional studies of FDA-regulated products, 195 (84%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Physician diagnosed asthma
  • Lung function (one or more of the following documented in the 5 years before enrollment or demonstration during screening) 1. Bronchial hyper responsiveness (BhR) confirmed by ≥ 12% improvement in FEV1 post bronchodilator within the previous 5 years, or 2. Methacholine PC20 \< 16mg/dl within the previous 5 years
  • Severity Criteria: Moderate-persistent asthma defined by the American Thoracic Society (ATS)
  • Asthma Control: Partly or uncontrolled asthma according to GINA 2012 guidelines (at least three of the following features: daytime symptoms more than 2 times/week, limitation of activities, nocturnal symptoms, need for rescue inhaler > 2 times/week, FEV1 \<80% predicted)
  • Stable use of moderate-high dose inhaled corticosteroids in previous 3 months (definition derived from GINA 2012 guidelines: e.g. fluticasone propionate >250 mcg/day, budesonide > 400mcg/day)
  • Ability to perform induced sputum maneuvers
  • Presence of elevated allergen IgE to any perennial aeroallergen

Exclusion criteria

Exclusion Criteria:

  • Pulmonary function: FEV1 ≤ 70% predicted
  • Any major chronic illness including but not limited to Chronic Obstructive Pulmonary Disease (COPD), uncontrolled hypertension, coronary artery disease, bronchiectasis, congestive heart failure, stroke, cystic fibrosis, insulin-dependent diabetes mellitus, renal failure, liver disorders, immunodeficiency state, or other condition that would interfere with participation in the study
  • Current or > 10 pack a year pack-year tobacco use
  • Any investigational study within previous 1 month
  • Inability to perform baseline measurements
  • Inability to contact by telephone
  • Pregnancy at screening and failure to use double barrier pregnancy protection in woman of childbearing age
  • Hypersensitivity reaction to omalizumab in the past
  • Exceeds limits of dosing table (IgE \<30 or 700 IU/ml) or body weight of \<30 or > 150kg
  • Systemic corticosteroids within the previous month
  • Known malignant neoplasm
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    Omalizumab

    Drug: Omalizumab

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • Omalizumab will be dosed according to dosing and U.S. administration guidelines for omalizumab. Omalizumab will be dosed every 2-4 weeks based on the patient's pre treatment serum IgE level (IU/mL) and initial visit body weight (kg). Omalizumab will be delivered as a subcutaneous injection. Standard safety precautions for dosing will be observed, including clinical observation after dosing, and provision of an epinephrine pen. Maintenance asthma treatment will remain unchanged.

    Also known as: Xolair, corticosteroids

  • DrugPlacebo

    Saline with a volume of injection frequency indicated based on the patient's serum IgE and body weight, delivered subcutaneously and supplied by Novartis Pharma.

    Also known as: Saline

06

What researchers measure

Primary outcomes

  1. Measurement in the Reduction of the Effect of Omalizumab on Thymic Stromal Lymphopoietin (TSLP) Using Two Group T-test in Moderate Persistent Asthma

    Time frame: 16 Weeks of Treatment of omalizumab or placebo

  2. Measurement in the Reduction of the Effect of Omalizumab on Thymic Stromal Lymphopoietin (TSLP) Using Nonparametric Wilcoxon in sHBEC in Moderate Persistent Asthma

    Time frame: 16 Weeks of Treatment of omalizumab or placebo

  3. Measurement in the Reduction of the Effect of Omalizumab on IL-33 Gene Expression Using Two Group T-test in Moderate Persistent Asthma

    Time frame: 16 Weeks of Treatment of omalizumab or placebo

  4. Measurement in the Reduction of the Effect of Omalizumab on IL-33 Gene Expression Using Nonparametric Wilcoxon in sHBEC in Moderate Persistent Asthma

    Time frame: 16 Weeks of Treatment of omalizumab or placebo

Secondary outcomes

  1. The Effect of Omalizumab on Changes sHBEC Targets (Gene Expression Array) Compared Using Two-group T-test if Data

    Time frame: 16 Weeks of Treatment of omalizumab or placebo

  2. Change in Score on Asthma Control Test

    Time frame: 16 Weeks of Treatment of omalizumab or placebo

  3. Change in Lung Function Measure by Spirometry Test

    Time frame: 16 Weeks of Treatment of omalizumab or placebo

  4. Change in Measures of Small Airway Dysfunction Using Impulse Oscillometry

    Time frame: 16 Weeks of Treatment of omalizumab or placebo

Other outcomes

  1. The Effect of Omalizumab on Newly Identified sHBEC Targets (Gene Expression) Analyzed Using Cufflinks.

    Time frame: 16 Weeks of Treatment of omalizumab or placebo

  2. The Effect of Omalizumab on Newly Identified sHBEC Targets (Gene Expression) Analyzed Using Gene Analyses

    Time frame: 16 Weeks of Treatment of omalizumab or placebo

  3. The Effect of Omalizumab on Gene "Signature" Generation Analyzed Using Gene Analysis Techniques

    Time frame: 16 Weeks of Treatment of omalizumab or placebo

07

Results

Posted Sep 30, 2019

Participant flow

Participant flow — Overall Study
MilestoneOmalizumabPlacebo
Started30
Completed30
Not completed00

Outcome measures

PrimaryMeasurement in the Reduction of the Effect of Omalizumab on Thymic Stromal Lymphopoietin (TSLP) Using Two Group T-test in Moderate Persistent Asthma
Time frame:
16 Weeks of Treatment of omalizumab or placebo

No measurements were reported for this outcome.

PrimaryMeasurement in the Reduction of the Effect of Omalizumab on Thymic Stromal Lymphopoietin (TSLP) Using Nonparametric Wilcoxon in sHBEC in Moderate Persistent Asthma
Time frame:
16 Weeks of Treatment of omalizumab or placebo

No measurements were reported for this outcome.

PrimaryMeasurement in the Reduction of the Effect of Omalizumab on IL-33 Gene Expression Using Two Group T-test in Moderate Persistent Asthma
Time frame:
16 Weeks of Treatment of omalizumab or placebo

No measurements were reported for this outcome.

PrimaryMeasurement in the Reduction of the Effect of Omalizumab on IL-33 Gene Expression Using Nonparametric Wilcoxon in sHBEC in Moderate Persistent Asthma
Time frame:
16 Weeks of Treatment of omalizumab or placebo

No measurements were reported for this outcome.

SecondaryThe Effect of Omalizumab on Changes sHBEC Targets (Gene Expression Array) Compared Using Two-group T-test if Data
Time frame:
16 Weeks of Treatment of omalizumab or placebo

No measurements were reported for this outcome.

SecondaryChange in Score on Asthma Control Test
Time frame:
16 Weeks of Treatment of omalizumab or placebo

No measurements were reported for this outcome.

SecondaryChange in Lung Function Measure by Spirometry Test
Time frame:
16 Weeks of Treatment of omalizumab or placebo

No measurements were reported for this outcome.

SecondaryChange in Measures of Small Airway Dysfunction Using Impulse Oscillometry
Time frame:
16 Weeks of Treatment of omalizumab or placebo

No measurements were reported for this outcome.

Other pre-specifiedThe Effect of Omalizumab on Newly Identified sHBEC Targets (Gene Expression) Analyzed Using Cufflinks.
Time frame:
16 Weeks of Treatment of omalizumab or placebo

No measurements were reported for this outcome.

Other pre-specifiedThe Effect of Omalizumab on Newly Identified sHBEC Targets (Gene Expression) Analyzed Using Gene Analyses
Time frame:
16 Weeks of Treatment of omalizumab or placebo

No measurements were reported for this outcome.

Other pre-specifiedThe Effect of Omalizumab on Gene "Signature" Generation Analyzed Using Gene Analysis Techniques
Time frame:
16 Weeks of Treatment of omalizumab or placebo

No measurements were reported for this outcome.

Adverse events

Collected over 60 Months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Omalizumab0/3 (0%)0/3 (0%)0/3 (0%)
Placebo———

Baseline characteristics

None were on placebo because study had a block randomization of 6.

Age, Categorical
Age, Categorical(Participants)OmalizumabPlaceboTotal
<=18 years000
Between 18 and 65 years303
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)OmalizumabPlaceboTotal
Female202
Male101
Race (NIH/OMB)
Race (NIH/OMB)(Participants)OmalizumabPlaceboTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White000
More than one race000
Unknown or Not Reported303
Region of Enrollment
Region of Enrollment(Participants)OmalizumabPlaceboTotal
United States303
08

Study locations

1 site
  • New York University School of Medicine
    New York, New York 10016, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Aug 22, 2017

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 30, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02658877
Lead sponsor
NYU Langone Health
Responsible party
Sponsor
First posted
Jan 20, 2016
Start date
Jan 2016
Primary completion
Jul 19, 2018
Completion
Jul 19, 2018
Results posted
Sep 30, 2019
Last update
Sep 30, 2019

Study contacts

Joan Reibman, MD
principal investigator · New York University Medical School

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.

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