CClinicalTrials.gg
Not yet recruitingNCT07250594Updated Nov 26, 2025

A Multi-dose Study on the Safety and Efficacy of Self-administered Intranasal AD17002 Treatment for Eosinophilic Asthma

A Phase 2 interventional study of AD17002 and Formulation buffer in Eosinophilic Asthma, sponsored by Advagene Biopharma Co. Ltd.. Not yet recruiting at 1 site in Taiwan. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-11-26.

Sponsored by Advagene Biopharma Co. Ltd. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
126
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

  1. Eosinophilic asthma, a type 2 immune disorder, often involves the excessive production of type 2 cytokines.
  2. Excessive Type 2 cytokines lead to chronic inflammation, airway hyperresponsiveness, and airflow obstruction.
  3. AD17002 is an intranasal self-applicable immunomodulator.
  4. AD17002 is safe and tolerable in all studied clinical trials.
  5. AD17002 elevates local type-1 interferon levels and promotes epithelial healing.
  6. Type-1 interferons have been demonstrated to restore immune balance and reduce eosinophilic infiltration.

AD17002, an innate immune modulator, is likely to be effective as an add-on therapy to control poorly managed moderate to severe eosinophilic asthma.

02

Conditions studied

  • Eosinophilic Asthma

Keywords

  • Eosinophile
  • Type 1 interferon
  • Type 2 cytokines
  • Immunomodulator
  • eosinophilic asthma
  • intranasal
  • self-applicable
03

In context

Pulmonary Eosinophilia

101 studies on the registry are indexed under Pulmonary Eosinophilia; 23 are open to participants now.

This study's planned enrollment of 126 is above the median of 100 across 56 interventional studies indexed under Pulmonary Eosinophilia.

Browse Pulmonary Eosinophilia studies →

Lead sponsor

Advagene Biopharma Co. Ltd. is the lead sponsor of 7 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Aged 18 to 80 on the day of signing the informed consent.
  • With a diagnosis of asthma for at least 6 months.
  • With pre-BD FEV1 ≥ 50% of the predicted value at the Screening visit (see section 18.6 for calculation of the predicted value for FEV1).
  • Having blood eosinophil counts ≥ 150 cells/μL at the Screening visit.
  • Participants who meet any of the following asthma criteria at the Screening visit:

    • Moderate asthma-1 (i.e., step 3 in asthma treatment steps in adults and adolescents from 2025 GINA guideline):
    • Moderate asthma-2 (i.e., step 4 in asthma treatment steps in adults and adolescents from 2025 GINA guideline):
    • Severe asthma (i.e., step 5 in asthma treatment steps in adults and adolescents from 2025 GINA guideline, except for biologic therapies):

Exclusion criteria

Exclusion Criteria:

  • A current smoker or quit smoking ≤ 0.5 years at Screening visit.
  • With serious underlying chronic illness or severe systemic disease, including but not limited to systemic lupus erythematosus, at the investigator's discretion.
  • With a current malignancy or previous history of cancer in remission for less than 5 years prior to Screening visit (Subject will not be excluded if he/she had localized carcinoma of the skin that was resected for cure).
  • With chronic heart failure in New York Heart Association class III to IV.
  • With clinically severe lung disease, including but not limited to cystic fibrosis, chronic bronchitis (chronic obstructive pulmonary disease other than asthma), chronic respiratory infection, lung cancer, current infection, active tuberculosis infection, bronchiectasis, pulmonary fibrosis, bronchopulmonary aspergillosis, or diagnoses of emphysema.
  • With arrhythmia, myocardial infarction, or stroke within the last 3 months prior to the Screening visit.
  • With a recent respiratory tract infection within 4 weeks prior to the Screening visit.
  • Received chronic oxygen therapy within one month prior to the Screening visit.
  • With any nasal conditions that could interfere with drug absorption or confound the efficacy or safety assessments.
  • Immunosuppressive treatment, including but not limited to methotrexate, troleandomycin, cyclosporine, and azathioprine within 3 months prior to the Screening visit and throughout the study.
  • Use of systemic corticosteroids (including regular oral corticosteroids or intramuscular long-acting depot corticosteroids) at daily average doses greater than 7.5 mg prednisone or equivalent for the past 3 months prior to the Screening visit.
  • Having or planning to be vaccinated with live (attenuated) vaccine within 1 month prior to the Screening visit and throughout the study.
  • Having received immunotherapy including but not limited to monoclonal antibodies, within 3 months prior to the Screening visit and throughout the study.
  • Having previously received AD17002.
  • Having received other IP or investigational intervention (non-AD17002), including investigational formulations of marketed products, within the past 30 days or 5 half-lives of the medication, whichever is longer, prior to the Screening visit.
  • Requiring add-on biologic therapy, such as anti-IgE, anti-IL-5/5R, anti-IL-4Rα, and anti-thymic stromal lymphopoietin treatment.
  • Having experienced a life-threatening asthma attack or an occurrence of any clinical deterioration of asthma that resulted in emergency treatment, hospitalization due to asthma, or treatment with high-dose systemic corticosteroids (prednisolone ≥ 40 mg/day or equivalent for ≥ 5 days) within 1 month prior to the Screening visit.
  • Having a history of anaphylaxis with cardiorespiratory symptoms, triggered by prior immunotherapy, an unknown cause, or an inhalant allergen.
  • Being pregnant or breastfeeding.
  • Planning to become pregnant or breastfeed throughout the study.
  • A known history of allergy, hypersensitivity, or intolerance to any component of IP, rescue medications, or self-injectable epinephrine.
  • Any clinically significant abnormalities in physical examination, vital signs, hematology, biochemistry, or urinalysis that, in the investigator's opinion, may pose a risk to the patient's safety, affect study outcomes, or hinder the patient's ability to complete the study.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
126 participants (estimated)

Study arms

  • Placebo comparator
    Placebo

    Formulation buffer

    Other: Formulation buffer

  • Experimental
    Low dose (10 μg) AD17002

    containing 10 μg of AD17002

    Biological: AD17002

  • Experimental
    High dose (20 μg) AD17002

    containing 20 μg of AD17002

    Biological: AD17002

Interventions

  • BiologicalAD17002

    The IP, AD17002, will be provided in a container, each containing an appropriate number of IP pre-filled, self-administered syringes. Each container will be labeled as required per local requirements

  • OtherFormulation buffer

    The placebo will be provided in a container, each containing an appropriate volume of formulation buffer, pre-filled syringes for self-administration. Each container will be labeled as required per local requirements

06

What researchers measure

Primary outcomes

  1. Safety and tolerability endpoint

    The incidence and severity of TEAEs and serious TEAEs

    Time frame: Baseline to week 17

Secondary outcomes

  1. Time to the first moderate and severe asthma exacerbations.

    Exacerbation of asthma as defined below: Moderate exacerbation of asthma is defined as meeting any one of the following criteria. 1. Nocturnal awakening(s) for 2 consecutive nights 2. Daily asthma symptom score Increases ≥ 0.75 from baseline on 2 consecutive days 3. Increase the use of rescue medication on 2 consecutive days (applicable only when minimum increase: 4 puffs/day) 4. ≥ 20% decrease in peak expiratory flow (PEF) from baseline on at least 2 consecutive mornings and evenings 5. Visit to the outpatient department for exacerbation of asthma 6. ≥ 20% decrease in FEV1 from baseline. Severe exacerbation of asthma is defined by any of the following: 1. Use of systemic corticosteroids, or an increase in the current maintenance dose of oral corticosteroids (OCS), for at least 3 consecutive days. 2. Emergency department visit, hospitalization, or treatment with systemic corticosteroids due to an acute asthma event.

    Time frame: Baseline to week 17

  2. Proportion of patients experiencing moderate and severe asthma exacerbations

    Exacerbation of asthma as defined below: Moderate exacerbation of asthma is defined as meeting any one of the following criteria. 1. Nocturnal awakening(s) for 2 consecutive nights 2. Daily asthma symptom score Increases ≥ 0.75 from baseline on 2 consecutive days 3. Increase the use of rescue medication on 2 consecutive days (applicable only when minimum increase: 4 puffs/day) 4. ≥ 20% decrease in peak expiratory flow (PEF) from baseline on at least 2 consecutive mornings and evenings 5. Visit to the outpatient department for exacerbation of asthma 6. ≥ 20% decrease in FEV1 from baseline. Severe exacerbation of asthma is defined by any of the following: 1. Use of systemic corticosteroids, or an increase in the current maintenance dose of oral corticosteroids (OCS), for at least 3 consecutive days. 2. Emergency department visit, hospitalization, or treatment with systemic corticosteroids due to an acute asthma event.

    Time frame: Baseline to week 17

  3. Number of moderate and severe asthma exacerbations

    Exacerbation of asthma as defined below: Moderate exacerbation of asthma is defined as meeting any one of the following criteria. 1. Nocturnal awakening(s) for 2 consecutive nights 2. Daily asthma symptom score Increases ≥ 0.75 from baseline on 2 consecutive days 3. Increase the use of rescue medication on 2 consecutive days (applicable only when minimum increase: 4 puffs/day) 4. ≥ 20% decrease in peak expiratory flow (PEF) from baseline on at least 2 consecutive mornings and evenings 5. Visit to the outpatient department for exacerbation of asthma 6. ≥ 20% decrease in FEV1 from baseline. Severe exacerbation of asthma is defined by any of the following: 1. Use of systemic corticosteroids, or an increase in the current maintenance dose of oral corticosteroids (OCS), for at least 3 consecutive days. 2. Emergency department visit, hospitalization, or treatment with systemic corticosteroids due to an acute asthma event.

    Time frame: Baseline to week 17

  4. Time to first asthma worsening alert.

    Asthma worsening alert is defined as any one of the following criteria: 1. Nocturnal awakening(s) and requiring rescue medication for 2 consecutive nights 2. Daily symptom score increase of ≥ 0.75 from baseline on 2 consecutive days 3. Rescue medicine increases from baseline on 2 consecutive days (applicable only when minimum increase: 4 puffs/day) 4. ≥ 20% decrease in PEF from baseline on at least 2 consecutive mornings and evenings 5. Outpatient visit for exacerbation of asthma not requiring systemic corticosteroids 6. ≥ 20% decrease in FEV1 from baseline

    Time frame: Baseline to week 17

  5. Change in pre-bronchodilator (BD) FEV1

    FEV1 (Forced Expiratory Volume in 1 Second) is measured using spirometry

    Time frame: Baseline (Week 1) to Weeks 5, 9, 13, 15, and 17

  6. Change in FeNO levels

    Fractional Exhaled Nitric Oxide (FeNO) in a clinical trial is measured by an electrochemical FeNO analyzer.

    Time frame: Baseline to week 17

  7. Change in the ratio of weekly average PEF in the morning to predicted PEF from baseline

    The predicted value of PEF equation: Men: PEFpred (L/min) = 3.89×Height (cm)-2.95×Age (years)+43.59 Women: PEFpred (L/min) = 4.10×Height (cm)-1.61×Age (years)-173.55 Ratio of PEF = measured weekly average PEF/PEFpred × 100

    Time frame: Baseline to week 17

  8. Change in asthma control

    The ACT is a validated and patient-centric tool (questionnaire) that collects data directly from the patient regarding their symptoms, activity limitations, and medication use. A total of 5 questions. Each question is scored from 1 to 5, and the total is the sum of these scores, with a range of 5 to 25. A score of 19 or less suggests poorly controlled asthma.

    Time frame: Baseline to week 17

  9. Change in blood eosinophil counts

    Measured Blood eosinophil counts (cells/μL)

    Time frame: Baseline to week 17

  10. change in vital signs

    Number of participants with abnormal vital signs.

    Time frame: Baseline to week 17

  11. Change in laboratory values

    Number of participants with abnormal laboratory test results

    Time frame: Baseline to week 17

Other outcomes

  1. Change in percentage of sputum eosinophils

    Measured eosinophil counts in the sputum

    Time frame: Baseline to week 17

  2. Change in serum levels of type 2 cytokines

    Measured by an ELISA-based assay.

    Time frame: Baseline to week 17

07

Study locations

1 site
  • Advagene Biopharma
    Taipei, Taiwan, Taiwan
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07250594
Lead sponsor
Advagene Biopharma Co. Ltd.
Responsible party
Sponsor
First posted
Nov 26, 2025
Start date
Dec 2025 (estimated)
Primary completion
Oct 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Nov 26, 2025

Study contacts

Emily Lien, Master of Science
Contact
emily.lien@advagene.com.tw
886-2-2797-0073
Mingi Chang, Ph.D.
Contact
mingi.chang@advagene.com.tw
886-2-2797-0073

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion