ClinicalTrials.gg
CompletedNCT03470311Updated Jan 20, 2023

Benralizumab in Patients With Inadequate Response to Anti-IL5 Monoclonal Antibody Therapies

A Phase 3 interventional study of Benralizumab and Placebo in Severe Prednisone Dependent Eosinophilic Asthma, sponsored by McMaster University. Completed at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-01-20.

Sponsored by McMaster University · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
20
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

In severe prednisone-dependent eosinophilic asthma, Benralizumab would suppress airway eosinophilia that is not suppressed by either Mepolizumab or Reslizumab and this would be associated with greater asthma control

Read the detailed description

Benralizumab thus targets 'eosinophil biology', by inhibiting the interleukin (IL-5) receptor signalling, and inducing apoptosis in cells with an IL-5receptor. Hence, for patients who remain 'uncontrolled' on anti-IL-5 therapy (with detectable eosinophil activity and IL5-Rα+ cells in the airways), the investigators believe would benefit from a strategy that not only reduces eosinophil proliferation/recruitment/maturation, but also depletes cells capable of inducing downstream IL-5 signalling.

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Conditions studied

  • Severe Prednisone Dependent Eosinophilic Asthma

Keywords

  • Eosinophils
  • asthma
  • inflammation
  • prednisone
03

In context

Asthma

4,841 studies on the registry are indexed under Asthma; 600 are open to participants now.

This study's enrollment of 20 is below the median of 78 across 3,341 interventional studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

McMaster University is the lead sponsor of 741 studies on the registry; 127 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 3 (43%) have results posted.

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

04

Who can participate

Ages eligible
18 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

  1. Prior to the beginning of the study, patients must be willing and fully capable to provide written informed consent.
  2. Diagnosed prednisone-dependent eosinophilic asthma
  3. Previous treatment with 100 mg mepolizumab administered subcutaneously Q4W or reslizumab 3 mg/kg IV Q4W for at least 6 months
  4. Sputum eosinophils >3%
  5. ACQ ≥1.5
  6. Age >18
  7. Male or eligible female subjects:

    To be eligible for entry into the study, females of (premenopausal women who are not permanently sterilized by means of hysterectomy, bilateral oophorectomy, or bilateral salpingectomy) must commit to consistent and correct use of a highly effective method of (true sexual abstinence, a vasectomized sexual partner, Implanon, female tubal occlusion, Intrauterine device (IUD), Depo provera injections, oral contraceptive pills or Nuvaring) for the duration of the trial and for 3 months after the last study drug administration. A serum pregnancy test is required of all females at the initial Baseline Visit (Visit 1). In addition, a urine pregnancy test will be performed for all females prior to enrollment, during each scheduled study visit prior to the injection of product, and during the Follow-up Visit.

  8. Male subjects who are sexually active must agree to use a double barrier method of contraception (condom with spermicide) from the first dose of study drug and for 3 months after the last dose of study drug.

Exclusion criteria

Exclusion Criteria:

  1. Currently receiving another monoclonal antibody
  2. Intolerance, , insensitivity or neutralizing antibody to Mepolizumab and/or Reslizumab
  3. within the last 5 years
  4. Any co-morbidity that the investigator believes is a . This includes but is not limited to any respiratory, cardiovascular, gastrointestinal, hematological, neurological, immunological, musculoskeletal, renal, infectious, neoplastic or inflammatory condition that may place the safety of the subject at risk during the duration of the study, influence the results of the study or their interpretation, or prevent the patient from completing the entire duration of the study.
  5. Current pregnancy or lactation
  6. Current smoker or ex-smoker with a smoking history greater than 20 pack years.
Terms in these criteria, in plain language(7)

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.

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.

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.

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.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
20 participants (actual)

Study arms

  • Active comparator
    Benralizumab

    Benralizumab 30mg in 1mL subcutaneously

    Biological: Benralizumab

  • Placebo comparator
    Placebo

    Matched placebo (1mL) to active Benralizumab subcutaneously

    Biological: Placebo

Interventions

  • BiologicalBenralizumab

    30mg in 1mL pre-filled syringe

    Also known as: MEDI-563

  • BiologicalPlacebo

    Matched placebo (1mL) in pre-filled syringe

06

What researchers measure

Primary outcomes

  1. Sputum eosinophil percentage

    Change in Percentage of sputum eosinophils (%)

    Time frame: Visit 1 (Week 2) and Visit 10 (Week 38)

Secondary outcomes

  1. Blood eosinophils

    Blood eosinophil level (x10\^9/L)

    Time frame: Visit 1 (Week 2) and Visit 10 (Week 38)

  2. Forced Expired Volume in 1 second (FEV1)(pre and post bronchodilator)

    FEV1 in litres both pre and post bronchodilator

    Time frame: Visit 1 (Week 2) and Visit 10 (Week 38)

  3. ACQ-5 (Asthma Control Questionnaire)

    Asthma Control Questionnaire score (mean answer of 5 questions on a 7-point scale (0=no impairment, 6= maximum impairment).

    Time frame: Visit 1 (Week 2) and Visit 10 (Week 38)

  4. Fraction of exhaled nitric oxide (FeNO)

    Exhaled nitric oxide measurement in ppb

    Time frame: Visit 1 (Week 2) and Visit 10 (Week 38)

  5. Number of Exacerbations (defined as: ER visit/hospitalization requiring prednisone burst)

    Worsening requiring increase in oral steroids/prednisone (30mg x 5 days)

    Time frame: Visit 1 (Week 2) and Visit 10 (Week 38)

  6. Sputum and blood ILC2 biology

    Measurement of ILC2 biological cells in both blood and sputum

    Time frame: Visit 1 (Week 2) and Visit 10 (Week 38)

  7. Sputum autoimmune responses

    Measurement of autoimmune markers in sputum: anti-eosinophil peroxidase (EPX) and anti-nuclear antibodies (ANA) - (See last reference PubMed ID: 28751233)

    Time frame: Visit 1 (Week 2) and Visit 10 (Week 38)

07

Study locations

1 site
  • Firestone Institute for Respiratory Health, Research - St. Joseph's Healthcare
    Hamilton, Ontario L8N 4A6, Canada
08

References and documents

Publications

  • Mukherjee M, Lim HF, Thomas S, Miller D, Kjarsgaard M, Tan B, Sehmi R, Khalidi N, Nair P. Airway autoimmune responses in severe eosinophilic asthma following low-dose Mepolizumab therapy. Allergy Asthma Clin Immunol. 2017 Jan 6;13:2. doi: 10.1186/s13223-016-0174-5. eCollection 2017. PubMed 28070196 ↗
  • Smith SG, Chen R, Kjarsgaard M, Huang C, Oliveria JP, O'Byrne PM, Gauvreau GM, Boulet LP, Lemiere C, Martin J, Nair P, Sehmi R. Increased numbers of activated group 2 innate lymphoid cells in the airways of patients with severe asthma and persistent airway eosinophilia. J Allergy Clin Immunol. 2016 Jan;137(1):75-86.e8. doi: 10.1016/j.jaci.2015.05.037. Epub 2015 Jul 17. PubMed 26194544 ↗
  • Sehmi R, Smith SG, Kjarsgaard M, Radford K, Boulet LP, Lemiere C, Prazma CM, Ortega H, Martin JG, Nair P. Role of local eosinophilopoietic processes in the development of airway eosinophilia in prednisone-dependent severe asthma. Clin Exp Allergy. 2016 Jun;46(6):793-802. doi: 10.1111/cea.12695. PubMed 26685004 ↗
  • Kolbeck R, Kozhich A, Koike M, Peng L, Andersson CK, Damschroder MM, Reed JL, Woods R, Dall'acqua WW, Stephens GL, Erjefalt JS, Bjermer L, Humbles AA, Gossage D, Wu H, Kiener PA, Spitalny GL, Mackay CR, Molfino NA, Coyle AJ. MEDI-563, a humanized anti-IL-5 receptor alpha mAb with enhanced antibody-dependent cell-mediated cytotoxicity function. J Allergy Clin Immunol. 2010 Jun;125(6):1344-1353.e2. doi: 10.1016/j.jaci.2010.04.004. PubMed 20513525 ↗
  • Mukherjee M, Aleman Paramo F, Kjarsgaard M, Salter B, Nair G, LaVigne N, Radford K, Sehmi R, Nair P. Weight-adjusted Intravenous Reslizumab in Severe Asthma with Inadequate Response to Fixed-Dose Subcutaneous Mepolizumab. Am J Respir Crit Care Med. 2018 Jan 1;197(1):38-46. doi: 10.1164/rccm.201707-1323OC. PubMed 28915080 ↗
  • Nair P, Wenzel S, Rabe KF, Bourdin A, Lugogo NL, Kuna P, Barker P, Sproule S, Ponnarambil S, Goldman M; ZONDA Trial Investigators. Oral Glucocorticoid-Sparing Effect of Benralizumab in Severe Asthma. N Engl J Med. 2017 Jun 22;376(25):2448-2458. doi: 10.1056/NEJMoa1703501. Epub 2017 May 22. PubMed 28530840 ↗
  • Mukherjee M, Bulir DC, Radford K, Kjarsgaard M, Huang CM, Jacobsen EA, Ochkur SI, Catuneanu A, Lamothe-Kipnes H, Mahony J, Lee JJ, Lacy P, Nair PK. Sputum autoantibodies in patients with severe eosinophilic asthma. J Allergy Clin Immunol. 2018 Apr;141(4):1269-1279. doi: 10.1016/j.jaci.2017.06.033. Epub 2017 Jul 24. PubMed 28751233 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 20, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03470311
Responsible party
Sponsor
First posted
Mar 19, 2018
Start date
Apr 26, 2018
Primary completion
Jun 14, 2022
Completion
Nov 30, 2022
Last update
Jan 20, 2023

Study contacts

Parameswaran Nair, MD, PhD
principal investigator · McMaster University and St. Joseph's Healthcare Hamilton

Oversight

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

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This study is completed, as verified in Jan 2023. You cannot join it, but the record below documents what was studied.

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