A Phase 2 interventional study of GB001 and Placebo in Asthma, sponsored by GB001, Inc, a wholly owned subsidiary of Gossamer Bio, Inc.. Completed at 117 sites in 11 countries. Open to participants aged 18 Years to 74 Years. Per ClinicalTrials.gov, last updated 2021-09-16.
Sponsored by GB001, Inc, a wholly owned subsidiary of Gossamer Bio, Inc. · Phase 2, Interventional, and Treatment
A randomized, double-blind, placebo-controlled, dose-ranging, multi-center study to evaluate the efficacy and safety of GB001 when added to standard-of care (SOC) asthma maintenance therapy in adults with moderate to severe asthma and an eosinophilic phenotype with respect to asthma worsening at the end of 24 weeks of treatment.
3,921 studies on the registry are indexed under Asthma; 507 are open to participants now.
This study's enrollment of 481 is above the median of 83 across 2,752 interventional studies indexed under Asthma.
Browse Asthma studies →GB001, Inc, a wholly owned subsidiary of Gossamer Bio, Inc. is the lead sponsor of 2 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria
Other protocol-defined inclusion/exclusion criteria may apply.
Placebo once per day (QD) for 24 weeks
Drug: Placebo
GB001 20 mg QD for 24 weeks
Drug: GB001
GB001 40 mg QD for 24 weeks
Drug: GB001
GB001 60 mg QD for 24 weeks
Drug: GB001
film-coated oral tablet
film-coated oral tablet
Proportion of Participants Who Experience Worsening of Asthma by Week 24
Proportion of participants who experience worsening of asthma by Week 24 as defined by at least 1 of the following: * On 2 consecutive days, morning (AM) peak expiratory flow (PEF) ≤ 75% of mean AM PEF measured over the last 7 days of the Run-in * Forced expiratory volume in 1 second (FEV1) \< 80% of baseline * Increase in rescue medication use of ≥ 6 puffs/day on 2 consecutive days compared to mean use over the last 7 days of the Run-in * Increase in Asthma Control Questionnaire 5 (ACQ-5; see Outcome Measure 2 for description) score of ≥ 0.5 compared to baseline * The occurrence of a severe asthma exacerbation (asthma attack) defined as deterioration of asthma that leads to the use of systemic corticosteroids for at least 3 days, hospitalization, or an Emergency Department visit.
Time frame: up to Week 24
Change From Baseline to Week 24 in Asthma Control Questionnaire - 5 (ACQ-5) Score
The ACQ-5 is a 5-item questionnaire which has been developed as a measure of the participant's asthma control that can be quickly and easily completed. The questions are designed to be self-completed by the participant. The 5 questions enquire about the frequency and/or severity of symptoms in the prior week (nocturnal awakening, activity limitation, shortness of breath, wheeze). The response options for each of these questions consists of a zero (no impairment/limitation) to 6 (total impairment/limitation) scale.
Time frame: Baseline, Week 24
Change From Baseline to Week 24 in Pre-Bronchodilator Forced Expiratory Volume in 1 Second (FEV1)
Pre-albuterol/salbutamol morning FEV1 was measured using electronic spirometry.
Time frame: Baseline, Week 24
Time to First Asthma Worsening
Time to first asthma worsening is defined as the time from the date of the first dose of study treatment to the first date that any of the components of asthma worsening endpoint is met. See Outcome Measure 1 for the definition of asthma worsening.
Time frame: up to Week 24
Annualized Rate of Severe Asthma Exacerbations
A severe asthma exacerbation is defined as deterioration of asthma that leads to the use of systemic corticosteroids for at least 3 days, hospitalization, or an Emergency Department visit.
Time frame: up to Week 24
Change From Baseline to Week 24 in Post-Bronchodilator FEV1
Post-albuterol/salbutamol morning FEV1 was measured using electronic spirometry.
Time frame: Baseline, Week 24
Change From Baseline to Week 24 in Morning Peak Expiratory Flow (AM PEF)
AM PEF was measured by participants using an electronic diary.
Time frame: Baseline, Week 24
Percentage of Participants With a Treatment-Emergent Adverse Event (AE)
An adverse event (AE) is any untoward medical occurrence in a participant, whether or not considered related to study treatment. Abnormal laboratory test results or other safety assessments, including those that worsened from baseline, that were considered clinically significant in the medical and scientific judgment of the investigator were to be reported as AEs.
Time frame: From first dose of study treatment through Week 28
| Milestone | Placebo | GB001 20 mg | GB001 40 mg | GB001 60 mg |
|---|---|---|---|---|
| Started | 120 | 120 | 118 | 122 |
| Completed | 114 | 116 | 106 | 114 |
| Not completed | 6 | 4 | 12 | 8 |
| Withdrew: Withdrawal by subject | 2 | 0 | 8 | 3 |
| Withdrew: Adverse event | 3 | 0 | 0 | 4 |
| Withdrew: Lack of efficacy | 1 | 0 | 1 | 1 |
| Withdrew: Lost to follow-up | 0 | 1 | 2 | 0 |
| Withdrew: Other, not specified | 0 | 2 | 0 | 0 |
| Withdrew: Protocol violation | 0 | 1 | 1 | 0 |
Proportion of participants who experience worsening of asthma by Week 24 as defined by at least 1 of the following: * On 2 consecutive days, morning (AM) peak expiratory flow (PEF) ≤ 75% of mean AM PEF measured over the last 7 days of the Run-in * Forced expiratory volume in 1 second (FEV1) \< 80% of baseline * Increase in rescue medication use of ≥ 6 puffs/day on 2 consecutive days compared to mean use over the last 7 days of the Run-in * Increase in Asthma Control Questionnaire 5 (ACQ-5; see Outcome Measure 2 for description) score of ≥ 0.5 compared to baseline * The occurrence of a severe asthma exacerbation (asthma attack) defined as deterioration of asthma that leads to the use of systemic corticosteroids for at least 3 days, hospitalization, or an Emergency Department visit.
| proportion of participants | Placebo | GB001 20 mg | GB001 40 mg | GB001 60 mg |
|---|---|---|---|---|
| Proportion of Participants Who Experience Worsening of Asthma by Week 24 | 0.658 (0.570 to 0.737) | 0.567 (0.477 to 0.652) | 0.568 (0.478 to 0.654) | 0.557 (0.469 to 0.642) |
The ACQ-5 is a 5-item questionnaire which has been developed as a measure of the participant's asthma control that can be quickly and easily completed. The questions are designed to be self-completed by the participant. The 5 questions enquire about the frequency and/or severity of symptoms in the prior week (nocturnal awakening, activity limitation, shortness of breath, wheeze). The response options for each of these questions consists of a zero (no impairment/limitation) to 6 (total impairment/limitation) scale.
| score on a scale | Placebo | GB001 20 mg | GB001 40 mg | GB001 60 mg |
|---|---|---|---|---|
| Change From Baseline to Week 24 in Asthma Control Questionnaire - 5 (ACQ-5) Score | -0.89 (-1.05 to -0.73) | -1.04 (-1.20 to -0.89) | -1.04 (-1.20 to -0.88) | -1.08 (-1.24 to -0.92) |
Pre-albuterol/salbutamol morning FEV1 was measured using electronic spirometry.
| liters (L) | Placebo | GB001 20 mg | GB001 40 mg | GB001 60 mg |
|---|---|---|---|---|
| Change From Baseline to Week 24 in Pre-Bronchodilator Forced Expiratory Volume in 1 Second (FEV1) | 0.105 (0.027 to 0.182) | 0.121 (0.041 to 0.200) | 0.146 (0.064 to 0.227) | 0.180 (0.102 to 0.257) |
Time to first asthma worsening is defined as the time from the date of the first dose of study treatment to the first date that any of the components of asthma worsening endpoint is met. See Outcome Measure 1 for the definition of asthma worsening.
| weeks | Placebo | GB001 20 mg | GB001 40 mg | GB001 60 mg |
|---|---|---|---|---|
| Time to First Asthma Worsening | 10.57 (7.857 to 16.286) | 17.43 (12.143 to NA) | 17.57 (13.429 to 24.286) | 19.86 (14.857 to NA) |
A severe asthma exacerbation is defined as deterioration of asthma that leads to the use of systemic corticosteroids for at least 3 days, hospitalization, or an Emergency Department visit.
| events/year | Placebo | GB001 20 mg | GB001 40 mg | GB001 60 mg |
|---|---|---|---|---|
| Annualized Rate of Severe Asthma Exacerbations | 0.933 (0.664 to 1.311) | 0.744 (0.517 to 1.070) | 0.698 (0.480 to 1.015) | 0.829 (0.585 to 1.174) |
Post-albuterol/salbutamol morning FEV1 was measured using electronic spirometry.
| L | Placebo | GB001 20 mg | GB001 40 mg | GB001 60 mg |
|---|---|---|---|---|
| Change From Baseline to Week 24 in Post-Bronchodilator FEV1 | 0.012 (-0.064 to 0.088) | -0.011 (-0.088 to 0.066) | 0.047 (-0.037 to 0.131) | 0.091 (0.015 to 0.166) |
AM PEF was measured by participants using an electronic diary.
| L/min | Placebo | GB001 20 mg | GB001 40 mg | GB001 60 mg |
|---|---|---|---|---|
| Change From Baseline to Week 24 in Morning Peak Expiratory Flow (AM PEF) | 8.993 (-1.514 to 19.499) | 15.115 (4.779 to 25.451) | 22.941 (12.042 to 33.839) | 14.581 (4.140 to 25.021) |
An adverse event (AE) is any untoward medical occurrence in a participant, whether or not considered related to study treatment. Abnormal laboratory test results or other safety assessments, including those that worsened from baseline, that were considered clinically significant in the medical and scientific judgment of the investigator were to be reported as AEs.
| percentage of participants | Placebo | GB001 20 mg | GB001 40 mg | GB001 60 mg |
|---|---|---|---|---|
| Percentage of Participants With a Treatment-Emergent Adverse Event (AE) | 65.8 | 65.8 | 69.5 | 68.0 |
Collected over From first dose of study treatment through Week 28. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | 0/120 (0%) | 9/120 (7.5%) | 45/120 (37.5%) |
| GB001 20 mg | 0/120 (0%) | 5/120 (4.2%) | 53/120 (44.2%) |
| GB001 40 mg | 0/118 (0%) | 5/118 (4.2%) | 59/118 (50%) |
| GB001 60 mg | 1/122 (0.8%) | 7/122 (5.7%) | 55/122 (45.1%) |
| Event | Placebo | GB001 20 mg | GB001 40 mg | GB001 60 mg |
|---|---|---|---|---|
| AsthmaRespiratory, thoracic and mediastinal disorders | 2/120 | 2/120 | 2/118 | 1/122 |
| SinusitisInfections and infestations | 0/120 | 0/120 | 1/118 | 0/122 |
| Left ventricular failureCardiac disorders | 0/120 | 0/120 | 1/118 | 0/122 |
| HypertensionVascular disorders | 0/120 | 0/120 | 1/118 | 0/122 |
| Acute respiratory failureRespiratory, thoracic and mediastinal disorders | 0/120 | 0/120 | 1/118 | 0/122 |
| Allergic bronchitisRespiratory, thoracic and mediastinal disorders | 0/120 | 0/120 | 1/118 | 0/122 |
| Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders | 0/120 | 0/120 | 1/118 | 0/122 |
| Back painMusculoskeletal and connective tissue disorders | 0/120 | 0/120 | 1/118 | 0/122 |
| Uterine haemorrhageReproductive system and breast disorders | 0/120 | 0/120 | 1/118 | 0/122 |
| Uterine polypReproductive system and breast disorders | 0/120 | 0/120 | 1/118 | 0/122 |
| Event | Placebo | GB001 20 mg | GB001 40 mg | GB001 60 mg |
|---|---|---|---|---|
| NasopharyngitisInfections and infestations | 19/120 | 23/120 | 29/118 | 17/122 |
| HeadacheNervous system disorders | 11/120 | 14/120 | 14/118 | 13/122 |
| Aspartate aminotransferase increasedInvestigations | 2/120 | 2/120 | 4/118 | 13/122 |
| Alanine aminotransferase increasedInvestigations | 1/120 | 2/120 | 3/118 | 13/122 |
| SinusitisInfections and infestations | 3/120 | 4/120 | 10/118 | 3/122 |
| Upper respiratory tract infectionInfections and infestations | 7/120 | 3/120 | 8/118 | 4/122 |
| PruritusSkin and subcutaneous tissue disorders | 1/120 | 1/120 | 2/118 | 8/122 |
| RhinitisInfections and infestations | 6/120 | 1/120 | 2/118 | 7/122 |
| HypertensionVascular disorders | 2/120 | 3/120 | 6/118 | 5/122 |
| BronchitisInfections and infestations | 6/120 | 4/120 | 1/118 | 1/122 |
Intent to Treat (ITT) Population: all participants who were randomized and received at least 1 dose of study treatment
| Age, Continuous(years) | Placebo | GB001 20 mg | GB001 40 mg | GB001 60 mg | Total |
|---|---|---|---|---|---|
| Mean | 51.5 ± 11.91 | 52.8 ± 11.81 | 52.9 ± 13.32 | 49.9 ± 14.37 | 51.8 ± 12.92 |
| Sex: Female, Male(Participants) | Placebo | GB001 20 mg | GB001 40 mg | GB001 60 mg | Total |
|---|---|---|---|---|---|
| Female | 76 | 86 | 74 | 72 | 308 |
| Male | 44 | 34 | 44 | 50 | 172 |
| Race/Ethnicity, Customized(Participants) | Placebo | GB001 20 mg | GB001 40 mg | GB001 60 mg | Total |
|---|---|---|---|---|---|
| White | 108 | 109 | 109 | 112 | 438 |
| Black or African American | 6 | 7 | 8 | 6 | 27 |
| Asian | 4 | 3 | 0 | 1 | 8 |
| Other, Not Specified | 1 | 1 | 1 | 3 | 6 |
| Native Hawaiian or Other Pacific Islander | 1 | 0 | 0 | 0 | 1 |
| Race/Ethnicity, Customized(Participants) | Placebo | GB001 20 mg | GB001 40 mg | GB001 60 mg | Total |
|---|---|---|---|---|---|
| Not Hispanic or Latino | 107 | 113 | 112 | 116 | 448 |
| Hispanic or Latino | 11 | 2 | 5 | 5 | 23 |
| Unknown or Not Reported | 2 | 5 | 1 | 1 | 9 |
Showing the first 100 of 117 sites across 11 countries.
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GB001, Inc, a wholly owned subsidiary of Gossamer Bio, Inc.