ClinicalTrials.gg
CompletedNCT03306043Updated Jun 23, 2020Results posted

A Multi-center, Open-label Extension, Safety Study of Mepolizumab in Subjects With Hypereosinophilic Syndrome (HES) From Study 200622

A Phase 3 interventional study of Mepolizumab in Hypereosinophilic Syndrome, sponsored by GlaxoSmithKline. Completed at 36 sites in 13 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2020-06-23.

Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
102
Allocation
Not applicable
Ages
12 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 23 studies in Hypereosinophilic Syndrome with a site in United States — 3 open to participants now, 8 under way, 3 of them phase 3. Hypereosinophilic Syndrome · United States.

Enrollment
7th of 21
102 · median 68
Started
2017
with 1 other
Phase 3
8 of 23
1 open now
Registered
15th of 23
by date
Lead sponsor
6 of 23
GlaxoSmithKline

Among the 23 studies in Hypereosinophilic Syndrome with a site in United States, this one is the 7th largest by enrollment of the 21 interventional ones that give a count, is one of 2 that started in 2017, is one of 8 in phase 3, and was the 15th registered.

Hypereosinophilic Syndrome

40 studies on the registry are indexed under Hypereosinophilic Syndrome; 8 are open to participants now.

Browse Hypereosinophilic Syndrome studies →

Open to participants now

3 of the 23 studies in Hypereosinophilic Syndrome with a site in United States are open now. Recruiting first, the newest first:

All 3 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 7 Hypereosinophilic Syndrome studies recruiting now, 5 set no upper age limit and none stop at 75 or younger; 4 take children under 18; 2 take healthy volunteers.

This study: 12 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 23 studies in Hypereosinophilic Syndrome with a site in United States, or all of them as a file.
02

Study summary

This is an open-label extension study to Study 200622.In this study subjects from Study 200622 will be continued on 4-weekly dosing with open-label mepolizumab 300 milligram (mg) subcutaneously (SC) for an additional 20 Weeks after completing the 32 Week study assessments post-randomization, while they continue with their background HES therapy per standard of care (SoC). Subjects from study 200622 will participate in this extension study if they had completed the 32-Week treatment period in study 200622 or if they were withdrawn from the study pre-maturely, but were continued in the study per protocol until 32 Weeks from randomization. Data from this study (205203) and 200622 will be combined to provide up to 52-Week exposure data to further characterize the long-term safety profile of mepolizumab and provide additional data on the clinical benefit in HES subjects beyond 32 Weeks. The duration of the study participation will be 20 Weeks for subjects who continue with mepolizumab treatment via MHE104317/MHE112562 after this open-label extension study; and 28 Weeks for subjects who do not continue with MHE104317/MHE112562.

03

Conditions studied

  • Hypereosinophilic Syndrome

Keywords

  • hypereosinophilic syndrome
  • hypereosinophilic syndrome flare
  • open-label extension study
  • Mepolizumab
  • SB240563
  • Long-term safety
04

Who can participate

Ages eligible
12 Years and older
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

  • Age 12 years and older subjects who were enrolled in Study 200622.
  • To be considered for Study 205203, subjects from study 200622 must have completed 32-Week treatment period in the study or if the subject was withdrawn from study treatment prematurely during the 200622 study, but continued in the study per protocol (including HES flare-related assessments) until 32 Weeks from randomization.
  • Male or female subjects. Female subjects must be either not a woman of (WOCBP) or WOCBP who agrees to follow the guidance at least 30 days prior to the first dose of study treatment and until 16 weeks after the last dose of study treatment.
  • The treating physician must confirm a positive benefit/risk ratio. The anticipated clinical benefit from mepolizumab must outweigh any potential safety or tolerability risk in Study 205203.
  • Capable of giving signed .

Exclusion criteria

Exclusion Criteria:

  • Subjects with any history of to any monoclonal antibody (including mepolizumab).
  • Subjects with current or malignancy that developed during Study 200622.
  • Subjects who is pregnant or breastfeeding.
  • Subjects who has other medical conditions uncontrolled with SoC therapy not associated with HES, example (e. g.), unstable liver disease, uncontrolled cardiovascular disease, ongoing active infectious disease.
  • Subjects with corrected (QTc) greater than 450 millisecond (msec) or QTc greater than 480 msec in subjects with bundle branch block based on local (EGC) reading.
  • Subjects who discontinue study treatment based on liver chemistry stopping criteria during Study 200622.
  • Current active liver or biliary disease (with the exception of Gilbert's syndrome or asymptomatic gallstones or otherwise stable chronic liver disease per investigator assessment).
  • Subjects who have received treatment with an agent (biologic or non-biologic) within the past 30 days or 5 drug half-lives whichever is longer, prior to the first dose, other than Study 200622 study treatment. The term "investigational" applies to any drug not approved for sale for the disease/indication to treat in the country in which it is being used or investigational formulations of marketed products.
  • Subjects who are currently participating in any other interventional clinical study.
  • Subjects had an AE (serious or non-serious) considered related to study treatment while participating in Study 200622 which resulted in permanent withdrawal of study treatment.
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

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

Study arms

  • Experimental
    Subjects who received mepolizumab

    Subjects who were part of study 200622 and were randomized to receive either placebo or mepolizumab will be enrolled in this study as per study eligibility criteria. In this study, subjects will receive 300 mg of mepolizumab SC (three 100 mg SC injections) every 4 Weeks for a total of 5 doses during 20-Week treatment period.

    Drug: Mepolizumab

Interventions

  • Mepolizumab will be available as 100 mg vial for injection. Subjects will receive three 100 mg SC injections for every 4 Weeks for a total of 5 doses during 20 Week treatment period.

06

What researchers measure

Primary outcomes

  1. Number of Participants With Common (>=3%) Non-serious Adverse Events (AEs)

    An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Serious AE was defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, congenital anomaly/birth defect or any other situation according to medical or scientific judgment. Non-serious AEs from start of study treatment until 28 days after last dose (up to Week 20) are reported. Number of participants with common (\>=3% incidence) non-serious AEs are presented.

    Time frame: Up to Week 20

  2. Number of Participants With Serious AEs

    An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Serious AE was defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, congenital anomaly/birth defect or any other situation according to medical or scientific judgment. Number of participants with serious AEs are presented.

    Time frame: Up to Week 28

  3. Number of Participants With the Presence of Anti-drug Antibody

    Blood samples were analyzed for the presence of anti-mepolizumab antibodies by binding anti-drug antibody (ADA) assay. The binding ADA assay results at each visit were summarized as negative or positive. The binding ADA assay was performed in three steps; screening, confirmation and titration. The screening assay produced a result of positive or negative relative to a screening cut point. Positive samples continued with the confirmation assay, which also produced a result of positive or negative relative to a confirmation cut point. For positive confirmation samples, a titre value was obtained to quantify the degree of binding in a titration assay. Participants were considered 'Positive' if they had a positive confirmation ADA assay result.

    Time frame: Baseline (Day 1), Week 20 and Week 28

07

Results

Posted Jun 23, 2020

Participant flow

This was a multi-center, open-label extension study to evaluate the long-term safety profile of mepolizumab in participants with Hypereosinophilic Syndrome (HES). In this study, participants received open-label mepolizumab 300 milligram (mg) subcutaneously (SC).

Participant flow — Overall Study
MilestoneMepolizumab 300 mg SC
Started102
Completed98
Not completed4
Withdrew: Adverse event1
Withdrew: Lost to follow-up1
Withdrew: Withdrawal by subject2

Outcome measures

PrimaryNumber of Participants With Common (>=3%) Non-serious Adverse Events (AEs)

An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Serious AE was defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, congenital anomaly/birth defect or any other situation according to medical or scientific judgment. Non-serious AEs from start of study treatment until 28 days after last dose (up to Week 20) are reported. Number of participants with common (\>=3% incidence) non-serious AEs are presented.

Time frame:
Up to Week 20
Reported as:
Count of participants · Participants
Number of Participants With Common (>=3%) Non-serious Adverse Events (AEs)
ParticipantsMepolizumab 300 mg SC
Number of Participants With Common (>=3%) Non-serious Adverse Events (AEs)34
PrimaryNumber of Participants With Serious AEs

An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Serious AE was defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, congenital anomaly/birth defect or any other situation according to medical or scientific judgment. Number of participants with serious AEs are presented.

Time frame:
Up to Week 28
Reported as:
Count of participants · Participants
Number of Participants With Serious AEs
ParticipantsMepolizumab 300 mg SC
Number of Participants With Serious AEs9
PrimaryNumber of Participants With the Presence of Anti-drug Antibody

Blood samples were analyzed for the presence of anti-mepolizumab antibodies by binding anti-drug antibody (ADA) assay. The binding ADA assay results at each visit were summarized as negative or positive. The binding ADA assay was performed in three steps; screening, confirmation and titration. The screening assay produced a result of positive or negative relative to a screening cut point. Positive samples continued with the confirmation assay, which also produced a result of positive or negative relative to a confirmation cut point. For positive confirmation samples, a titre value was obtained to quantify the degree of binding in a titration assay. Participants were considered 'Positive' if they had a positive confirmation ADA assay result.

Time frame:
Baseline (Day 1), Week 20 and Week 28
Reported as:
Count of participants · Participants
Number of Participants With the Presence of Anti-drug Antibody
ParticipantsMepolizumab 300 mg SC
Baseline, Negative, n=102101
Baseline, Positive, n=1021
Week 20, Negative, n=101101
Week 20, Positive, n=1010
Week 28, Negative, n=1414
Week 28, Positive, n=140

Adverse events

Collected over Serious AEs were reported from start of study (Week 0) up to end of study (up to Week 28) and non-serious AEs were reported from start of study treatment until 28 days after last dose (up to Week 20). Non-serious events are listed at a 3% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Mepolizumab 300 mg SC0/102 (0%)9/102 (8.8%)34/102 (33.3%)
Most frequent serious events
Showing 10 of 13
Most frequent serious events
EventMepolizumab 300 mg SC
BacteraemiaInfections and infestations1/102
Clostridium difficile colitisInfections and infestations1/102
DiverticulitisInfections and infestations1/102
Gastrointestinal infectionInfections and infestations1/102
Infective exacerbation of bronchiectasisInfections and infestations1/102
Mycobacterium abscessus infectionInfections and infestations1/102
Perihepatic abscessInfections and infestations1/102
PneumoniaInfections and infestations1/102
SinusitisInfections and infestations1/102
Hypereosinophilic syndromeBlood and lymphatic system disorders1/102
Most frequent other events
Showing 10 of 13
Most frequent other events
EventMepolizumab 300 mg SC
DiarrhoeaGastrointestinal disorders12/102
PruritusSkin and subcutaneous tissue disorders7/102
VomitingGastrointestinal disorders6/102
HeadacheNervous system disorders6/102
ConstipationGastrointestinal disorders5/102
NauseaGastrointestinal disorders5/102
NasopharyngitisInfections and infestations5/102
ArthralgiaMusculoskeletal and connective tissue disorders5/102
BronchitisInfections and infestations4/102
SinusitisInfections and infestations4/102

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Mepolizumab 300 mg SC
Mean46.0 ± 15.54
Sex: Female, Male
Sex: Female, Male(Participants)Mepolizumab 300 mg SC
Female55
Male47
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Mepolizumab 300 mg SC
Asian-East Asian Heritage1
Black or African American2
White-White/Caucasian/European Heritage79
American Indian or Alaskan Native3
Unknown17
08

Study locations

36 sites
  • GSK Investigational Site
    La Jolla, California 92093, United States
  • GSK Investigational Site
    New Haven, Connecticut 06520, United States
  • GSK Investigational Site
    Rochester, Minnesota 55905, United States
  • GSK Investigational Site
    Cincinnati, Ohio 45229, United States
  • GSK Investigational Site
    Mayfield Heights, Ohio 44124, United States
  • GSK Investigational Site
    Murray, Utah 84107, United States
  • GSK Investigational Site
    Ciudad Autonoma de Buenos Aires, Buenos Aires C1028AAP, Argentina
  • GSK Investigational Site
    La Plata, Buenos Aires, Argentina
  • GSK Investigational Site
    Mar del Plata, Buenos Aires 7600, Argentina
  • GSK Investigational Site
    Bruxelles, 1070, Belgium
  • GSK Investigational Site
    Leuven, 3000, Belgium
  • GSK Investigational Site
    Porto Alegre, Rio Grande Do Sul 40110-160, Brazil
  • GSK Investigational Site
    Santo André - SP, São Paulo 09080-110, Brazil
  • GSK Investigational Site
    Sorocaba, São Paulo 18040-425, Brazil
  • GSK Investigational Site
    Lille Cedex, 59037, France
  • GSK Investigational Site
    Nantes Cedex 1, 44093, France
  • GSK Investigational Site
    Suresnes, 92151, France
  • GSK Investigational Site
    Toulouse Cedex 9, 31059, France
  • GSK Investigational Site
    Mannheim, Baden-Wuerttemberg 68167, Germany
  • GSK Investigational Site
    Fulda, Hessen 36043, Germany
  • GSK Investigational Site
    Hannover, Niedersachsen 30625, Germany
  • GSK Investigational Site
    Kirchheim unter Teck, 73230, Germany
  • GSK Investigational Site
    Napoli, Campania 80131, Italy
  • GSK Investigational Site
    Firenze, Toscana 50134, Italy
  • GSK Investigational Site
    Guadalajara, Jalisco 44100, Mexico
  • GSK Investigational Site
    Monterrey, Nuevo León 64060, Mexico
  • GSK Investigational Site
    Villahermosa, Tabasco 86035, Mexico
  • GSK Investigational Site
    Krakow, 31-066, Poland
  • GSK Investigational Site
    Lodz, 90-153, Poland
  • GSK Investigational Site
    Bucharest, 010306, Romania
  • GSK Investigational Site
    Targu Mures, 540327, Romania
  • GSK Investigational Site
    Moscow, 125167, Russian Federation
  • GSK Investigational Site
    Saint-Petersburg, 197341, Russian Federation
  • GSK Investigational Site
    Barcelona, 08036, Spain
  • GSK Investigational Site
    Valencia, 46026, Spain
  • GSK Investigational Site
    Leicester, LE3 9QP, United Kingdom
09

References and documents

Publications

  • Gleich GJ, Roufosse F, Chupp G, Faguer S, Walz B, Reiter A, Yancey SW, Bentley JH, Steinfeld J; HES Mepolizumab Study Group. Safety and Efficacy of Mepolizumab in Hypereosinophilic Syndrome: An Open-Label Extension Study. J Allergy Clin Immunol Pract. 2021 Dec;9(12):4431-4440.e1. doi: 10.1016/j.jaip.2021.07.050. Epub 2021 Aug 10. PubMed 34389506 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — IPD for this study will be made available via the Clinical Study Data Request site.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: IPD will be made available within 6 months of publishing the results of the primary endpoints of the study.

Access criteria: Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.

Data sharing details ↗ · clinicalstudydatarequest.com

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2017 to primary completion in Dec 2019, 25 months.

Results were first posted in Jun 2020, 5 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 5, 2017
First posted
Oct 10, 2017
StartActual
Nov 13, 2017
Primary completionActual
Dec 30, 2019
CompletionActual
Dec 30, 2019
Results first posted
Jun 23, 2020
Last update
Jun 23, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 23, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03306043
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Oct 10, 2017
Start date
Nov 13, 2017
Primary completion
Dec 30, 2019
Completion
Dec 30, 2019
Results posted
Jun 23, 2020
Last update
Jun 23, 2020

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

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

Not currently enrolling

This study is completed, as verified in Jun 2020. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Mepolizumab

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