Asthma MedDRA version: 20.0 Level: PT Classification code 10003553 Term: Asthma System Organ Class: 10038738 - Respiratory, thoracic and mediastinal disorders
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Written informed consent and assent if applicable. -Male and female patients aged =12 years (or = lower age limit allowed by health authority and/or ethics committee/institutional review board approvals). -A diagnosis of severe asthma, uncontrolled on GINA 4/5 asthma medication. -Evidence of airway reversibility or airway hyper-reactivity. -For patients aged =18 years, FEV1 of =80% of the predicted normal value for the patient, after withholding bronchodilators at Visit 1 and Visit 101. For patients aged 12 to =65 years) yes F.1.3.1 Number of subjects for this age range 10
Exclusion criteria
Exclusion criteria: -Use of other investigational drugs within 5 half-lives of study entry, or within 30 days, whichever is longer. -Subjects who have participated in another trial of QAW039. -A QTcF (Fridericia) =450 msec (male) or =460 msec (female). -History of malignancy with the exception of local basal cell carcinoma of the skin. -Pregnant or nursing (lactating) women. -Serious co-morbidities. -Patients on >20 mg of simvastatin, > 40 mg of atorvastatin, >40 mg of pravastatin, and >2 mg of pitavastatin Other exclusion criteria apply. See protocol for full details
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary end point(s): Reduction in the rate of moderate-to-severe asthma exacerbations. A severe asthma exacerbation is defined as treatment with ‘rescue’ systemic corticosteroids for greater than or equal to 3 days and hospitalization; or treatment with ‘rescue’ systemic corticosteroids for greater than or equal to 3 days and emergency department visit (greater than 24 hours); or death due to asthma. A moderate asthma exacerbation is defined as treatment with ‘rescue’ systemic corticosteroids for greater than or equal to 3 days either as an outpatient or in emergency department visits (Emergency department visit less than or equal to 24 hours).;Timepoint(s) of evaluation of this end point: 52 weeks; Main Objective: In patients with severe asthma and high eosinophil counts (=250 cells/µl) receiving SoC asthma therapy, to demonstrate the efficacy (as measured by rate of moderate-to-severe asthma exacerbations) of at least one dose level of QAW039 (150 mg or 450 mg once daily), compared with placebo, at the end of the 52-week active-treatment epoch. In patients with severe asthma receiving SoC asthma therapy, to demonstrate the efficacy (as measured by rate of moderate-to-severe asthma exacerbations) of at least one dose level of QAW039 (150 mg or 450 mg once daily), compared with placebo, at the end of the 52-week active-treatment epoch. ; Secondary Objective: In patients with severe asthma and high eosinophil counts (=250 cells/µl) receiving SoC asthma therapy to demonstrate the efficacy of at least one dose level of QAW039 (150 mg or 450 mg once daily), compared with placebo, with respect to change from baseline, at the end of the 52-week active-treatment epoch, in AQLQ+12 scores, ACQ-5 score and pre-dose FEV1. In all patients with severe asthma receiving SoC asthma therapy to demonstrate the efficacy of at least one dose level of QAW039 (150 mg or 450 mg once daily), compa | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Change from baseline in AQLQ+12 score. AQLQ+12 consists of 32 questions each scaled from 1 to 7, where 1 indicates maximal impairment and 7 indicates no impairment. - Change from baseline in ACQ-5 score. The ACQ- 5 consists of 5 questions on a 7-point scale (0=no impairment, 6=maximum impairment). - Change from baseline in pre-dose FEV1 (liters). - Adverse event monitoring. ;Timepoint(s) of evaluation of this end point: 52 weeks | — |
Countries
Australia, Austria, Belgium, Brazil, China, Denmark, Estonia, Finland, France, Germany, Greece, Guatemala, Hungary, Iceland, Ireland, Latvia, Lithuania, Luxembourg, Philippines, Poland, Romania, Singapore, Spain, Sweden, Switzerland, United Kingdom, United States, Vietnam
Contacts
Novartis Pharmaceuticals UK Ltd