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NCT06932263ClinicalTrials.gov

Dose Range Finding Study to Assess Efficacy and Safety of Tozorakimab in Adults With Uncontrolled Asthma on Medium-to-High Dose Inhaled Corticosteroids

A Phase IIb, Multicentre, Double-blind, Placebo-controlled Dose Range Finding Study to Assess Efficacy and Safety of Tozorakimab in Adult Participants With Uncontrolled Asthma on Medium-to High Dose Inhaled Corticosteroids

En recrutementAccepte des participants actuellement, selon la fiche du registre.
Contacter cette étude

En bref

This is a dose-range finding, double-blind, placebo-controlled, phase IIb study designed to assess efficacy and safety of tozorakimab administered subcutaneously in adult participants with uncontrolled asthma receiving medium-to-high dose inhaled corticosteroids.

Phase 2540 participants recherchés221 sites21 pays

Catégories

Enregistré dans 1 registre

Une même étude peut être enregistrée dans plusieurs registres. Nous l'affichons une seule fois et renvoyons vers chaque fiche que nous détenons.

Les informations de l'essai sont affichées telles que publiées par le registre, dans leur langue d'origine.

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How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Not stated: Registered after enrolment began (about 22 days after the recorded start)First posted 2025-04-17; recorded start 2025-03-26
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Present: Participants are randomly assignedAllocation is recorded as randomised
  • Present: Has a comparison groupThe record lists a placebo or comparator arm, or more than one study arm
  • Present: Uses blinding (masking)A masking level is recorded in the record
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Present: Sponsor has 1019 other studies in this databaseCounted from the lead sponsor named in the record (AstraZeneca)
  • Present: Sponsor has posted results for at least one studyBased on the sponsor’s studies in this database
  • The record lists 1 condition.
  • Lead sponsor type recorded as: industry.
  • Intervention regulatory context: investigational, within a phased regulatory pathway.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourDEFINITIVE

A definitive-grade design for a phase 2 study, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation20/20

    Participants are randomly allocated between arms

  • Blinding20/20

    Quadruple-blind

  • Control arm13/15

    Placebo / sham control arm

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type3/10

    Surrogate or intermediate endpoint (conservative default)

  • Multi-centre8/8

    Multi-centre: 221 sites

  • Data monitoring committee7/7

    A data monitoring committee is in place

  • Prospective registration3/5

    Registered within 30 days of the study start

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleMEDIUM

A medium-sized study, international in scope: 540 participants (target), run at 221 sites, across 21 countries.

How this score is built
  • Enrolment27/40

    540 participants (target)

  • Site count25/25

    221 sites

  • Country count15/15

    21 countries

  • Planned duration8/10

    Planned over about 36 months

  • Sponsor scale10/10

    AstraZeneca has led 991 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

Résumé

This is a dose-range finding, double-blind, placebo-controlled, phase IIb study designed to assess efficacy and safety of tozorakimab administered subcutaneously in adult participants with uncontrolled asthma receiving medium-to-high dose inhaled corticosteroids.

Affections

  • Asthma

Éligibilité

Éligibilité
SexeTous
Âges18 Years75 Years
Volontaires sainsNon

Éligibilité telle qu'elle figure dans le registre

Inclusion Criteria: 1. Provision of signed and dated written informed consent prior to any study-specific procedures. 2. Adults aged 18-75, inclusive when signing the informed consent. 3. Documented physician-diagnosis of asthma for at least 12 months. 4. Treated with medium or high dose ICS in combination with LABA. 5. Demonstration of uncontrolled asthma through ACQ-6 score ≥ 1.5 . 6. Pre-bronchodilator FEV1 ≥ 40% to ≤ 90% of predicted normal. 7. Documented exacerbation history in the last 12 months and biomarker requirements of: 1. 2 severe exacerbations OR 2. 1 severe exacerbation and: (i) Eosinophils ≥ 150 cells/µl or (ii) FeNo ≥ 25 ppb 8. Participants need to demonstrate a ≥70% compliance for Asthma Daily Diary. 9. Women of Child Bearing Potential (WOCBP) must have a negative pregnancy test. 10. Contraceptive use by males and females should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Exclusion Criteria: 1. Completed treatment for respiratory infection with antibiotics in the 4 weeks prior to Visit 1. 2. Clinically significant pulmonary disease other than asthma . 3. Current smokers, former smokers with \>10 pack-years history. 4. Clinically significant aortic stenosis or pulmonary arterial hypertension. 5. Active tuberculosis, hepatitis, HIV, or current diagnosis of cancer or immune complex disease. 6. Unstable cardiovascular disorders.

Éligibilité en énoncés simples

Les critères de cette fiche n'ont pas encore été décomposés en énoncés distincts. Le texte du registre ci-dessus est complet et fait foi.

Conception de l'étude

Conception de l'étude
Type d'étudeInterventionnelle
PhasePhase 2
RépartitionRandomisée
Modèle d'interventionPARALLEL
Objectif principalTREATMENT
InsuQUADRUPLE (4)
Recrutement540 participants recherchés

Promoteur et collaborateurs

  • AstraZeneca Promoteur

Groupes et interventions

  • Tozorakimab Dose 1EXPERIMENTAL

    Dosing subcutaneously tozorakimab Dose 1

  • Tozorakimab Dose 2EXPERIMENTAL

    Dosing subcutaneously tozorakimab Dose 2 and placebo

  • PlaceboPLACEBO_COMPARATOR

    Dosing subcutaneously with equivalent volume to tozorakimab

Interventions

  • Médicament Placebo

    Placebo will be administered subcutaneously.

  • Médicament Tozorakimab

    The drug will be administered subcutaneously.

Critères de jugement

  1. Critère de jugement principal

    Annualised rate of severe asthma exacerbations

    The rate ratio of severe asthma exacerbations will be assessed in the participants with uncontrolled moderate-to-severe asthma and ≥ 1 severe exacerbation within 12 months prior to screening.

    Délai Over 26 to 52 weeks

  2. Critère de jugement secondaire

    Annualised rate of severe asthma exacerbations

    The rate ratio of severe asthma exacerbations will be assessed in the participants with uncontrolled moderate-to-severe asthma and baseline eosinophils \< 300 cells/µL and history of ≥2 severe exacerbations within 12 months prior to screening.

    Délai Over 26 to 52 weeks

  3. Critère de jugement secondaire

    Time to first severe asthma exacerbation

    To evaluate the effect of two dose levels of tozorakimab compared to placebo on time to first severe asthma exacerbations.

    Délai Over 26 to 52 weeks

  4. Critère de jugement secondaire

    Change from baseline in pre-bronchodilator forced expiratory volume in 1 second (FEV1)

    Difference in mean change from baseline between tozorakimab and placebo.

    Délai Over weeks 20 to 26

  5. Critère de jugement secondaire

    Change from baseline in post-bronchodilator FEV1

    Difference in mean change from baseline between tozorakimab and placebo.

    Délai At week 26

  6. Critère de jugement secondaire

    Change from baseline in the Asthma Control Questionnaire 6 (ACQ-6)

    Difference in mean change from baseline between tozorakimab and placebo. The ACQ-6 has 6 questions (regarding asthma symptoms and rescue bronchodilator use). Answering the questions results in a score out of 6. A Score of 0 indicates complete control and 6 reflects severely uncontrolled disease.

    Délai At week 26

  7. Critère de jugement secondaire

    Change from baseline in the Asthma Quality of Life Questionnaire for 12 Years and Older (AQLQ12+)

    Difference in mean change from baseline between tozorakimab and placebo. The AQLQ12+ includes 32 questions grouped into four domains: symptoms; activity limitations; emotional function; and, environmental stimuli. Each question is scored on a seven-point Likert scale, which ranges from 7 (no impairment) to 1 (severe impairment). The overall score is calculated as the mean of all questions, and the four domain scores are the means of the scores for the questions in the respective domains.

    Délai At week 26

  8. Critère de jugement secondaire

    Trough serum concentrations of tozorakimab

    Pharmacokinetics: concentrations of tozorakimab in trough serum.

    Délai Over 52 weeks

  9. Critère de jugement secondaire

    Anti-drug antibody incidence

    Immunogenicity: Number of Participants With Positive Antibodies to tozorakimab

    Délai Over 52 weeks

Dates

Dates
Date de début26 mars 2025 (réelle)
Achèvement principal7 juin 2027 (estimée)
Achèvement28 février 2028 (estimée)
Première publication17 avril 2025 (réelle)
Dernière mise à jour20 juillet 2026
Résultats publiésNon précisé dans la fiche du registre
Statut vérifié pour la dernière foisjuillet 2026

Réelle signifie que l'événement a eu lieu. Estimée signifie que le promoteur s'y attend. Les deux ont un sens différent.

Lieux

150 sites sont en recrutement

Argentina

Argentina
ÉtablissementVilleÉtat ou régionStatut
Research SiteCABAEn recrutement
Research SiteCiudad de Buenos AiresRetiré
Research SiteCiudad de Buenos AiresEn recrutement
Research SiteLa PlataEn recrutement
Research SiteMendozaEn recrutement
Research SiteRosarioEn recrutement
Research SiteSan Miguel de TucumánEn recrutement

Brazil

Brazil
ÉtablissementVilleÉtat ou régionStatut
Research SiteCaxias do SulRetiré
Research SiteCriciúmaEn recrutement
Research SitePorto AlegreEn recrutement
Research SitePorto AlegreEn recrutement
Research SiteSalvadorRetiré
Research SiteSanto AndréRetiré
Research SiteSorocabaEn recrutement
Research SiteSão José do Rio PretoEn recrutement
Research SiteSão PauloEn recrutement
Research SiteSão PauloEn recrutement

Chile

Chile
ÉtablissementVilleÉtat ou régionStatut
Research SiteCuricóActif, sans recrutement
Research SiteQuillotaActif, sans recrutement
Research SiteSantiagoActif, sans recrutement
Research SiteSantiagoActif, sans recrutement
Research SiteSantiagoActif, sans recrutement
Research SiteTemucoActif, sans recrutement
Research SiteViña del MarActif, sans recrutement

China

China
ÉtablissementVilleÉtat ou régionStatut
Research SiteBaotouEn recrutement
Research SiteChangchunEn recrutement
Research SiteChengduEn recrutement
Research SiteChongqingEn recrutement
Research SiteGuangzhouEn recrutement
Research SiteHaikouEn recrutement
Research SiteHefeiEn recrutement
Research SiteHohhotEn recrutement
Research SiteHuizhouEn recrutement
Research SiteQingdaoEn recrutement
Research SiteShanghaiEn recrutement
Research SiteShanghaiEn recrutement
Research SiteShanghaiEn recrutement
Research SiteShenzhenEn recrutement
Research SiteWenzhouEn recrutement
Research SiteXuzhouEn recrutement

France

France
ÉtablissementVilleÉtat ou régionStatut
Research SiteBrestEn recrutement
Research SiteCréteilEn recrutement
Research SiteLyonEn recrutement
Research SiteMarseilleEn recrutement
Research SitePessacEn recrutement
Research SiteStrasbourgEn recrutement
Research SiteSuresnesEn recrutement

Greece

Greece
ÉtablissementVilleÉtat ou régionStatut
Research SiteAthensEn recrutement
Research SiteAthensEn recrutement
Research SiteIoanninaRetiré

171 sites supplémentaires sont indiqués dans la fiche du registre.

Documents de l'étude

Aucun document n'est lié dans cette fiche du registre.

Évolution au fil du temps

Aucun changement n'a été enregistré depuis que nous avons intégré cette fiche pour la première fois.

Un changement est enregistré chaque fois que le promoteur met à jour la fiche du registre. Le statut, les dates, le recrutement et les sites apparaissent ici au fur et à mesure de leur évolution.