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Exploration of biomarkers to predict the effects of anti TSLP antibody (Tezepelumab) in refractory asthma patients using comprehensive analyses of changes in gene expression in whole blood cells

Exploration of biomarkers to predict the effects of anti TSLP antibody (Tezepelumab) in refractory asthma patients using comprehensive analyses of changes in gene expression in whole blood cells - Exploration of biomarkers to predict the effects of anti TSLP antibody (Tezepelumab) in refractory asthma patients using comprehensive analyses of changes in gene expression in whole blood cells

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
JPRN
Registry ID
JPRN-UMIN000050670
Enrollment
50
Registered
2023-04-21
Start date
2023-04-21
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Severe asthma

Interventions

None listed

Sponsors

Department of Respiratory Medicine, University of Tsukuba
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Severe asthma patients with 18 years or older who are scheduled to receive tezepelumab based on phsician's judge. And Tezepelumab will be treated according to the package insert 2. Patients who agree to receive tezepelumab in advance as a result of consultations with the attending physician

Exclusion criteria

Exclusion criteria: 1. Patients with serious complications such as uncontrolled heart disease, diabetes mellitus, or gastrointestinal hemorrhage 2. Patients with active local or systemic infection requiring treatment 3. Patients with a history of serious hypersensitivity 4. Patients whose enrollment in this study is considered to be difficult due to clinically significant psychiatric disorders 5. Other patients considered ineligible for this study by the principal investigator/sub-investigator

Design outcomes

Primary

MeasureTime frame
During a 4-month observation period (up to 1 year), all participants will be divided into treatment responders and non-responders using FEV1.0, ACT score, GETE score, and frequency of acute exacerbations.

Secondary

MeasureTime frame
1, To analyze association between gene expression data from whole blood cells and effect of Tezepelumab, first, the difference in baseline gene expression between the responder and non-responder groups will be analyzed. In addition, changes in gene expression will be analyzed before and after tezepelumab treatment in the responder group and non-responder group, or in all patients. Thereafter, a cluster analysis will be performed by integrating gene sets with changes and clinical information. 2, If important genes involved in treatment response are identified, serum protein concentrations will be measured to determine whether these can be used as biomarkers. 3, To analyze the difference in the effect of Tezepelumab between type2 severe asthma patients and non-type 2 severe asthma patients in terms of clinical and gene expression information. 4, To clarify the effect of tezepelumab in terms of TSLP genetic polymorphisms. 5, Furthermore, using the R package, Coexpression analysis and consensus clustering will be performed, and analysis that is not bound by existing clinical information will also be performed. And the correlation between genetic information and clinical information will be analyzed.

Countries

Japan

Contacts

Public ContactMasashi Matsuyama

Tsukuba university hospital Department of Respiratory Medicine

mmatsuyama@md.tsukuba.ac.jp029-853-3144

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026