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TerminatedNCT02902809Updated Sep 6, 2019Results posted

A Study to Evaluate the Safety of Tralokinumab in Adults and Adolescents With Uncontrolled Asthma

A Phase 3 interventional study of Tralokinumab open-label in Inadequately Controlled Asthma, sponsored by AstraZeneca. Terminated at 3 sites in Japan. Open to participants aged 12 Years to 75 Years. Per ClinicalTrials.gov, last updated 2019-09-06.

Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment

Why this study was terminated
The study was terminated due to the discontinuation of the tralokinumab asthma program (as per the results of the Phase III study \[D2210C00008\])
Phase
Phase 3
Study type
Interventional
Enrollment
28
Allocation
Not applicable
Ages
12 Years to 75 Years
Sex
All
01

Study summary

A 52-Week, Open-Label, Multicentre Study to Evaluate the Safety of Tralokinumab in Japanese Adults and Adolescents with Asthma Inadequately Controlled on Inhaled Corticosteroid plus Long-Acting β2-Agonist

Read the detailed description

This is a 52-week, open-label, multi-centre study designed to evaluate the safety of tralokinumab in a fixed 300 mg dose every 2 weeks, administered subcutaneously in adults and adolescents with indequately controlled asthma on medium to high dose inhaled corticosteroid plus long acting β-2 antagonist. Approximately 26 Japanese subjects will be recruited to receive 22 completed.

02

Conditions studied

  • Inadequately Controlled Asthma

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Keywords

  • open-label study
  • tralokinumab
  • subcutaneous
  • inadequately controlled asthma
  • asthma
  • medium to high-dose of inhaled corticosteroid
  • long-acting β2-agonist
03

In context

Asthma

3,921 studies on the registry are indexed under Asthma; 506 are open to participants now.

This study's enrollment of 28 is below the median of 83 across 2,751 interventional studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,429 studies on the registry; 270 are open to participants now.

Of its 357 completed or terminated interventional studies of FDA-regulated products, 173 (48%) have results posted.

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

04

Who can participate

Ages eligible
12 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age 12 - 75 yrs
  2. Documented physician-diagnosed asthma
  3. Documented treatment with inhaled corticosteroid (ICS) at a total daily dose corresponding to ≥500 µg fluticasone propionate dry powder formulation equivalents and a long-acting beta-2 agonist (LABA)
  4. Pre-bronchodilator (BD) forced expiratory volume at one second (FEV1) value of ≥40% of their Predicted Normal Value (PNV)
  5. Asthma Control Questionnaire-6 (ACQ-6) score ≥1.5

Exclusion criteria

Exclusion Criteria:

  1. Pulmonary disease other than asthma
  2. History of anaphylaxis following any biologic therapy
  3. Hepatitis B, C or HIV
  4. Pregnant of breastfeeding
  5. History or cancer
  6. Current tobacco smoking or a history or tobacco smoking for ≥10 pack-years
  7. Previous receipt of tralokinumab
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
28 participants (actual)

Study arms

  • Experimental
    Open-label study to evaluate safety

    A fixed 300 mg dose every 2 weeks (Q2W) of tralokinumab administered subcutaneously in subjects with inadequately controlled asthma on medium to high-dose of inhaled corticosteroid plus long-acting β2-agonist.

    Biological: Tralokinumab open-label

Interventions

  • BiologicalTralokinumab open-label

    Subcutaneous injection; fixed dose; 300 mg

    Also known as: Tralokinumab

06

What researchers measure

Primary outcomes

  1. Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    An AE was development of an undesirable medical condition or deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to product. An undesirable medical condition can be symptoms, signs or the abnormal results of an investigation. In clinical studies, an AE can include an undesirable medical condition occurring at any time, including run-in or washout periods, even if no study treatment has been administered. A SAE was an AE occurred during any study phase that fulfils one or more of the following criteria: death; immediately life-threatening, in-patient or prolongation of existing hospitalization; persistent or significant disability/incapacity or substantial disruption of ability to conduct normal life functions; congenital abnormality or birth defect; important medical event that may jeopardise participant or may require medical intervention to prevent one of the outcomes listed above.

    Time frame: From Screening (Day -14) up to 14 weeks after end of treatment (Week 66).

  2. Number of Participants With Clinical Laboratory Abnormalities

    Blood and urine samples for determination of clinical chemistry, haematology and urinalysis parameters were taken at the times. Changes in haematology and clinical chemistry variables between baseline and each subsequent scheduled assessment were evaluated. Baseline is defined as the last available value measured prior to the first dose of study treatment. The change from baseline is defined as the treatment period value minus the baseline period value. Absolute values were compared to the relevant reference range and classified as low (below range), normal (within range or on limits) or high (above range). The AstraZeneca extended reference ranges were used for laboratory variables (where they exist). All values (absolute and change) falling outside the reference ranges were flagged. Urinalysis data were categorised as negative (0), trace or positive (+) at each time point.

    Time frame: From Screening (Day -14) up to 14 weeks after end of treatment (Week 66).

  3. Number of Participants With Abnormal Physical Examinations

    Physical examination included assessment of general appearance, skin, head and neck (including eyes, ears, nose, mouth and throat), lymph nodes, abdomen, musculoskeletal (including spine and extremities), cardiovascular, respiratory, and neurological systems. Criteria for abnormal physical findings were based on investigator's discretion.

    Time frame: From Screening (Day -14) up to 14 weeks after end of treatment (Week 66).

  4. Number of Participants With Vital Signs Abnormalities

    Vital signs that were planned to be assessed included parameters such as pulse, systolic blood pressure, diastolic blood pressure, respiration rate and body temperature.

    Time frame: From Screening (Day -14) up to 14 weeks after end of treatment (Week 66).

  5. Number of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities

    The ECG assessments were performed using an ECG device prior to blood drawing, spirometry, investigational product administration and bronchodilator administration. ECG data and evaluation was planned to be performed by the site Investigator.

    Time frame: At Day -14 and Week 52.

07

Results

Posted Sep 6, 2019
Limitations and caveats
Study was terminated due to discontinuation of tralokinumab asthma program. Study was reported in a synopsis format. Individual listings of laboratory variables, physical examinations, vitals and ECG were evaluated for safety signal.

Participant flow

Adult participants with asthma inadequately controlled on inhaled corticosteroid plus long-acting beta 2 agonist were recruited at 4 sites in Japan from 01 November 2016 until study termination on 24 January 2018. No adolescent participants were enrolled in the study.

Participant flow — Overall Study
MilestoneTralokinumab 300 mg Every 2 Weeks (Q2W)
Started28
Treatment received28
Treatment completed2
Completed0
Not completed28
Withdrew: Discontinuation of asthma program28

Outcome measures

PrimaryNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

An AE was development of an undesirable medical condition or deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to product. An undesirable medical condition can be symptoms, signs or the abnormal results of an investigation. In clinical studies, an AE can include an undesirable medical condition occurring at any time, including run-in or washout periods, even if no study treatment has been administered. A SAE was an AE occurred during any study phase that fulfils one or more of the following criteria: death; immediately life-threatening, in-patient or prolongation of existing hospitalization; persistent or significant disability/incapacity or substantial disruption of ability to conduct normal life functions; congenital abnormality or birth defect; important medical event that may jeopardise participant or may require medical intervention to prevent one of the outcomes listed above.

Time frame:
From Screening (Day -14) up to 14 weeks after end of treatment (Week 66).
Reported as:
Count of participants · Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
ParticipantsTralokinumab 300 mg Every 2 Weeks (Q2W)
Any AE21
Any AE with outcome of death0
Any SAE (including events with outcome of death)1
Any AE leading to discontinuation of study drug1
PrimaryNumber of Participants With Clinical Laboratory Abnormalities

Blood and urine samples for determination of clinical chemistry, haematology and urinalysis parameters were taken at the times. Changes in haematology and clinical chemistry variables between baseline and each subsequent scheduled assessment were evaluated. Baseline is defined as the last available value measured prior to the first dose of study treatment. The change from baseline is defined as the treatment period value minus the baseline period value. Absolute values were compared to the relevant reference range and classified as low (below range), normal (within range or on limits) or high (above range). The AstraZeneca extended reference ranges were used for laboratory variables (where they exist). All values (absolute and change) falling outside the reference ranges were flagged. Urinalysis data were categorised as negative (0), trace or positive (+) at each time point.

Time frame:
From Screening (Day -14) up to 14 weeks after end of treatment (Week 66).

No measurements were reported for this outcome.

PrimaryNumber of Participants With Abnormal Physical Examinations

Physical examination included assessment of general appearance, skin, head and neck (including eyes, ears, nose, mouth and throat), lymph nodes, abdomen, musculoskeletal (including spine and extremities), cardiovascular, respiratory, and neurological systems. Criteria for abnormal physical findings were based on investigator's discretion.

Time frame:
From Screening (Day -14) up to 14 weeks after end of treatment (Week 66).

No measurements were reported for this outcome.

PrimaryNumber of Participants With Vital Signs Abnormalities

Vital signs that were planned to be assessed included parameters such as pulse, systolic blood pressure, diastolic blood pressure, respiration rate and body temperature.

Time frame:
From Screening (Day -14) up to 14 weeks after end of treatment (Week 66).

No measurements were reported for this outcome.

PrimaryNumber of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities

The ECG assessments were performed using an ECG device prior to blood drawing, spirometry, investigational product administration and bronchodilator administration. ECG data and evaluation was planned to be performed by the site Investigator.

Time frame:
At Day -14 and Week 52.

No measurements were reported for this outcome.

Adverse events

Collected over From Screening (Day -14) to study termination (Approximately 60 weeks).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Tralokinumab 300 mg Every 2 Weeks (Q2W)0/28 (0%)1/28 (3.6%)21/28 (75%)
Most frequent serious events
Most frequent serious events
EventTralokinumab 300 mg Every 2 Weeks (Q2W)
Chronic tonsillitisInfections and infestations1/28
AsthmaRespiratory, thoracic and mediastinal disorders1/28
Most frequent other events
Showing 10 of 45
Most frequent other events
EventTralokinumab 300 mg Every 2 Weeks (Q2W)
Viral upper respiratory tract infectionInfections and infestations10/28
Injection site reactionGeneral disorders9/28
InfluenzaInfections and infestations4/28
HeadacheNervous system disorders3/28
CoughRespiratory, thoracic and mediastinal disorders3/28
Upper respiratory tract inflammationRespiratory, thoracic and mediastinal disorders3/28
Oral herpesInfections and infestations2/28
Oropharyngeal painRespiratory, thoracic and mediastinal disorders2/28
Abdominal pain upperGastrointestinal disorders2/28
ContusionInjury, poisoning and procedural complications2/28

Baseline characteristics

The safety analysis set included all participants enrolled and who received at least 1 dose of investigational product irrespective of their protocol adherence and continued participation in the study.

Age, Categorical
Age, Categorical(Participants)Tralokinumab 300 mg Every 2 Weeks (Q2W)
<=18 years0
Between 18 and 65 years27
>=65 years1
Age, Continuous
Age, Continuous(Years)Tralokinumab 300 mg Every 2 Weeks (Q2W)
Mean47.7 ± 10.8
Sex: Female, Male
Sex: Female, Male(Participants)Tralokinumab 300 mg Every 2 Weeks (Q2W)
Female15
Male13
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Tralokinumab 300 mg Every 2 Weeks (Q2W)
Hispanic or Latino0
Not Hispanic or Latino28
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Tralokinumab 300 mg Every 2 Weeks (Q2W)
American Indian or Alaska Native0
Asian28
Native Hawaiian or Other Pacific Islander0
Black or African American0
White0
More than one race0
Unknown or Not Reported0
08

Study locations

3 sites
  • Research Site
    Chuo-ku, 103-0027, Japan
  • Research Site
    Itabashi-ku, 173-8610, Japan
  • Research Site
    Yokohama-shi, 236-0004, Japan
09

References and documents

Publications

  • Panettieri RA Jr, Wang M, Braddock M, Bowen K, Colice G. Tralokinumab for the treatment of severe, uncontrolled asthma: the ATMOSPHERE clinical development program. Immunotherapy. 2018 Mar 1;10(6):473-490. doi: 10.2217/imt-2017-0191. Epub 2018 Mar 14. PubMed 29536781 ↗

Study documents

  • Study protocol · Jun 15, 2017
  • Statistical analysis plan · Feb 16, 2018

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 6, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02902809
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Sep 16, 2016
Start date
Nov 11, 2016
Primary completion
Jan 19, 2018
Completion
Jan 19, 2018
Results posted
Sep 6, 2019
Last update
Sep 6, 2019

Study contacts

Takeshi Kaneko, MD, PhD
principal investigator · Yokohama City University Graduate School of Medicine

Oversight

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

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