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A Phase 3a, Repeat Dose, Open-label, Long-term Safety Study of Mepolizumab in Asthmatic Subjects

A Multi-Centre, Open-Label, Study of Mepolizumab in a Subset of Subjects With a History of Life Threatening/Seriously Debilitating Asthma Who Participated in the MEA115661 Trial

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02135692
Enrollment
339
Registered
2014-05-12
Start date
2014-05-29
Completion date
2017-10-05
Last updated
2019-12-03

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

Conditions

Asthma

Keywords

Severe eosinophilic asthma, Extension study, Expanded access, Safety, Mepolizumab, Eosinophils

Brief summary

This is a multi-center, open-label, long-term study of subcutaneously (SC) administered mepolizumab 100mg in addition to standard of care (SOC), in subjects with severe eosinophilic asthma. This study will enroll a subset of subjects from Study MEA115661 who have demonstrated clear benefit from therapy and who without continuation of mepolizumab therapy are individuals at greatest risk of serious deterioration of their health status. In order to target individuals at greatest risk for serious deterioration of their health status, only subjects from the MEA115661 study with a history of life-threatening or seriously debilitating asthma, will be allowed to participate. Subjects meeting all of the eligibility criteria for the study will be offered the opportunity to consent for this study of up to 128 weeks in length (including the Follow-Up Visit). This study will give opportunity to extend the collection of clinical data for long-term use and further assess the sustainability of efficacy in a population likely to experience significant loss of asthma control and the need for higher doses of systemic steroids if returned to SOC only.

Interventions

BIOLOGICALMepolizumab

Mepolizumab is a fully humanised IgG antibody (IgG1, kappa) with human heavy and light chain frameworks. Mepolizumab will be supplied as a lyophilised cake in sterile vials for individual use.

DRUGSOC

Standard of Care (SOC) will differ by participant, however it will generally include oral corticosteroids and an inhaled controller medicine (an inhaled corticosteroid plus a long acting beta agonist) and/or short acting beta agonists

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Informed Consent: Prior to commencing any study related activities, subjects must be able and willing to provide written informed consent. * Male or Eligible Female Subjects: To be eligible for the study, females of child-bearing potential must commit to consistent and correct use of an acceptable method of birth control and for 4 months after the last study drug administration. A urine pregnancy test is required of all females of childbearing potential at the initial Baseline Visit (Visit 1). * French Subjects Only: In France, a subject will be eligible for inclusion in this study only if either affiliated to or a beneficiary of a social security category. * MEA115661 Participation: Subjects must have completed Visit 14 of MEA115661. * Current Anti-Asthma Therapy: The subject's asthma has been treated with an ICS controller medication for the last 8 months with fluticasone propionate (FP) \>=500 mcg/day (or equivalent). * Disease Severity: Subjects must be assessed as having life-threatening /serious debilitating asthma in order to enroll, as defined by the following: Subjects enrolled in MEA115588 must meet one of the following criteria: a) Subject has a history of at least one intubation during their lifetime; b) \>=3 asthma exacerbations in the 12 months prior to screening for MEA115588; c) \>=1 or more hospitalization for asthma exacerbation in the 12 months prior to screening for MEA115588. Subjects enrolled in MEA115575 must meet one of the following criteria: d) Subject has a history of at least one intubation during their lifetime; e) Their optimized dose at randomization in MEA115575 was \>=10mg of prednisone; f) \>=1 or more hospitalization for asthma exacerbation in the 12 months prior to screening for MEA115575. * Clinical Benefit: Subjects must have experienced documented clinical benefit to enroll. Subjects must meet the following criteria demonstrating clinical benefit: Subjects enrolled in MEA115588 who received mepolizumab must meet all of the following criteria: a) Subject must have had a reduction in their exacerbation frequency by \>=50% during MEA115588. The baseline for comparison is the total number of exacerbations reported in the 12 months prior to screening for MEA115588. b) The investigator response on the Clinician-Rated Response to Therapy questionnaire at Visit 10 was either: mildly improved, moderately improved or significantly improved. Subjects enrolled in MEA115588 who received placebo must meet all of the following criteria: c) Subject must have had a reduction in their exacerbation frequency by \>=50% during the first 8 months of MEA115661. The baseline for comparison is the total number of exacerbations reported in the 12 months prior to screening for MEA115588; d) The investigator confirms that the subject demonstrated improvement during MEA115661. Subjects enrolled in MEA115575 who received mepolizumab must meet all of the following criteria: e) Subject must have reduced their oral corticosteroid dose by \>=50% during MEA115575. The baseline for comparison is the subject's optimized oral corticosteroid (OCS) dose at randomization in MEA115575; f) The investigator response on the Clinician-Rated Response to Therapy questionnaire at Visit 9 was either: mildly improved, moderately improved or significantly improved. Subjects enrolled in MEA115575 who received placebo must meet all of the following criteria: g) Subject must have reduced their oral corticosteroid dose at randomization by \>=50% in the first 6 months of MEA115661. The baseline for comparison is the subject's optimized OCS dose at randomization in MEA115575; h) The investigator confirms that the subject demonstrated improvement during MEA115661.

Exclusion criteria

* Health Status: Clinically significant change in health status during MEA115661 which in the opinion of the investigator would make the subject unsuitable for participation in this long-term study. * Pregnancy: Subjects who are pregnant or breastfeeding. Subjects should not be enrolled if they plan to become pregnanDeart during the time of study participation. * Exacerbation History: Subjects who received placebo in MEA115588 and had NO exacerbations during the study. * Oral Corticosteroid Use: Subjects who received placebo in MEA115575 and were able to discontinue oral corticosteroid therapy by the end of the study. * Smoking Status: Current smokers * Previous Significant Protocol Deviation: Subjects who were excluded from the per protocol analysis due to significant protocol deviations in either study MEA115575 or MEA115588. * Electrocardiogram (ECG) Assessment: A clinically significant ECG abnormality at the exit visit of MEA115661, as determined by the investigator.

Design outcomes

Primary

MeasureTime frameDescription
Annualized Rate of On-treatment Exacerbations Per YearBaseline (Week 0) to Week 172Exacerbations are defined as the worsening of asthma which requires use of systemic corticosteroids intravenous (IV) or oral steroid like prednisone, for at least 3 days or a single intramuscular (IM) corticosteroid (CS) dose is required. For maintenance systemic corticosteroids, at least double the existing maintenance dose for at least 3 days was required) and/or hospitalization and/or emergency department (ED) visit. On-Treatment data between first dose date and earliest of Withdrawal date/last dose + 28 days was considered for analysis. Analysis of the number of exacerbations was performed using a negative binomial generalized linear model.
Number of Participants With Any On-treatment Adverse Event (AE) or On-treatment Serious AE (SAE)Baseline (Week 0) to Week 172An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, any other situation according to medical or scientific judgment that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the participant or may require medical or surgical intervention or event associated with liver injury and impaired liver function were categorized as SAE. On-treatment AEs and on-treatment SAEs are the events occurring on/after the first dose of open-label mepolizumab date and before/on last dose+28 days.

Secondary

MeasureTime frameDescription
Number of Participants Withdrawn From the Study Due to Lack of Efficacy and Adverse EventsBaseline (Week 0) to Week 172AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. Number of participants withdrawn due to lack of efficacy and adverse events from the study have been presented.
Number of Participants Hospitalized Due to Adverse Events Including Asthma ExacerbationsBaseline (Week 0) to Week 172AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect or is medically significant or all events of possible drug induced liver injury with hyperbilirubinemia. Number of participants requiring hospitalization due to an on-treatment serious adverse event including asthma exacerbations are presented. On-treatment SAEs are the events occurring on/after the first dose of mepolizumab date and before/on last dose of mepolizumab + 28 days.
Number of Participants With AEs Including Both Systemic (Allergic and Non-allergic) and Local Site ReactionsBaseline (Week 0) to Week 172AEs were collected from the Baseline visit until the follow-up visit (Week 172). Participants were monitored to evaluate the AEs of systemic and local site reaction. AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. On treatment AEs were defined as events occurring from the first dose until 28 days after the last dose of mepolizumab. Number of participants with AEs including both systemic (i.e. allergic/immunoglobulin (Ig)E-mediated and non-allergic) and local site reactions have been presented.
Mean Change From Baseline in QT Interval Corrected by Bazett's Method (QTcB) and QT Interval Corrected by Fridericia's Method (QTcF) Values for 12-lead Electrocardiogram (ECG)Baseline (Week 0) to Week 172Twelve-lead ECG measurements were recorded after the participant has rested in the supine position for 5 minutes. The ECG was obtained before lung function testing followed by other study procedures. Baseline was considered as the latest assessment prior to first dose of mepolizumab in this study. The change from Baseline is defined as the difference between the value of the endpoint at the time point of interest and Baseline value. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles)..
Number of Participants With Maximum Change From Baseline in QTcB and QTcF Interval for ECG Assessed at Any Time Post BaselineBaseline (Week 0) to Week 172Twelve-lead ECG measurements were recorded after the participant has rested in the supine position for 5 minutes. The ECG was obtained before lung function testing followed by other study procedures. Baseline was considered as the latest assessment prior to first dose of mepolizumab in this study. The change from Baseline is defined as the difference between the value of the endpoint at the time point of interest and Baseline value. Participants with maximum change from Baseline were summarised at any time post Baseline for the following categories \<-60, \>=-60 to \<-30, \>=-30 to \<0, \>=0 to \<30, \>=30 to \<60 and \>=60. QTc intervals shown at any time post Baseline are the maximum seen in each participant over the course of the trial.
Mean Change From Baseline in Asthma Control Questionnaire (ACQ)-5 On-treatment ScoreBaseline (Week 0) to Week 168The ACQ-5 is a five-item questionnaire developed as a measure of participants asthma control. The five questions enquire about the frequency and/or severity of symptoms (nocturnal awakening on waking in the morning, activity limitation, shortness of breath, wheeze). The response options for all these questions consist of a 0 (no impairment/limitation) to 6 (total impairment/ limitation) scale. The overall ACQ score is calculated as the mean of the 5 questions and therefore ranges between 0 (totally controlled) and 6 (severely uncontrolled). Baseline was considered as the latest assessment prior to first dose of mepolizumab in this study. The change from Baseline is defined as the difference between the value of the endpoint at the time point of interest and Baseline value.
Change From Baseline in Pulse RateBaseline (Week 0) to Week 168Vital sign measurements including pulse rate was done pre-injection with the participants sitting, having rested in this position for at least 5 minutes before each reading. They were taken before measurement of any clinic lung function tests or ECGs at the specified time point. Baseline was considered as the latest assessment prior to first dose of mepolizumab in this study. The change from Baseline is defined as the difference between the value of the endpoint at the time point of interest and Baseline value.
Number of Participants With Positive Anti-mepolizumab Binding Antibodies (ADA) and Neutralizing Antibodies (NAb)Baseline (Week 0) to Week 172Blood samples were collected for the determination of ADA just prior to administration of mepolizumab. Samples that tested positive for anti-mepolizumab antibodies were further tested for the presence of NAb. The highest value post-Baseline visit are based on each participant's highest post-Baseline titer. NAb assay result was only presented for participants with positive ADA assay. Highest value post-Baseline would be positive for a participant who had both negative and positive post-Baseline results. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Number of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselineBaseline (Week 0) to Week 172Blood samples were collected to assess clinical chemistry laboratory parameters. Number of participants with Potential Clinical Importance values for change from Baseline relative to the reference range at any time post-Baseline are presented. Any time post Baseline = all visits (including scheduled and unscheduled) post-Baseline. Participants are counted in the category that their value changes to (low, normal or high), unless there was no change in their category. If lab value category was unchanged, participants were recorded in the To Normal or No Change category. Alanine Aminotransferase=ALT. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Number of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Hematology Parameters at Any Time Post-BaselineBaseline (Week 0) to Week 172Blood samples were collected to assess hematology laboratory parameters. Number of participants with Potential Clinical Importance values for change from Baseline relative to the reference range at any time post-Baseline are presented. Any time post Baseline = all visits (including scheduled and unscheduled) post-Baseline. Participants are counted in the category that their value changes to (low, normal or high), unless there was no change in their category. If lab value category was unchanged, participants were recorded in the To Normal or No Change category.
Change From Baseline in Systolic Blood Pressure and Diastolic Blood PressureBaseline (Week 0) to Week 168Vital sign measurements including systolic blood pressure (SBP) and diastolic blood pressure (DBP) were done pre-injection with the participants sitting, having rested in this position for at least 5 minutes before each reading. They were taken before measurement of any clinic lung function tests or ECGs at the specified time point. Baseline was considered as the latest assessment prior to first dose of mepolizumab in this study. The change from Baseline is defined as the difference between the value of the endpoint at the time point of interest and Baseline value.
Mean Change From Baseline in On-treatment Clinic Pre-bronchodilator FEV1Baseline (Week 0) to Week 168FEV1 is defined as the volume of air forcefully expelled from the lungs in 1 second. Pre-bronchodilator FEV1 measurements were taken by spirometry at Baseline and Weeks 24, 48, 72, 96, 120, 144 and 168. Spirometry was performed within 1 hour of the Baseline assessment. Baseline was considered as the latest assessment prior to first dose of mepolizumab in this study. The change from Baseline is defined as the difference between the value of the endpoint at the time point of interest and Baseline value. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles). Data between first dose date and earliest of Withdrawal date/last dose + 28 days considered on-treatment.

Countries

Argentina, Australia, Belgium, Canada, Chile, Czechia, France, Germany, Italy, Japan, Netherlands, Poland, Russia, South Korea, Spain, Ukraine, United Kingdom, United States

Participant flow

Recruitment details

This was an open-label, long-term study of mepolizumab 100 milligram (mg) administered subcutaneously (SC), in addition to standard of care (SOC), in eligible participants with severe eosinophilic asthma, who completed the MEA115661 Exit Visit (Visit 14). The study enrolled participants across 18 countries.

Pre-assignment details

A total of 340 participants were screened for the study, of which one participant was screening failure, and 339 participants received the study treatment.

Participants by arm

ArmCount
Mepolizumab 100 mg SC
Participants received mepolizumab 100 mg administered via SC injection into the upper arm or thigh approximately every 4 weeks for 172 weeks. Participants remained on standard of care asthma therapy which could be adjusted during the study at the discretion of the physician.
339
Total339

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event3
Overall StudyLack of Efficacy2
Overall StudyLost to Follow-up4
Overall StudyProduct commercially available159
Overall StudyProtocol Violation2
Overall StudyStudy closed/terminated153
Overall StudySubject met Liver Stopping Criteria1
Overall StudyWithdrawal by Subject15

Baseline characteristics

CharacteristicMepolizumab 100 mg SC
Age, Continuous52.9 Years
STANDARD_DEVIATION 13.08
Race/Ethnicity, Customized
Race/ Ethnicity
Asian-Central/South Asian Heritage
2 Participants
Race/Ethnicity, Customized
Race/ Ethnicity
Asian-East Asian Heritage
19 Participants
Race/Ethnicity, Customized
Race/ Ethnicity
Asian-Japanese Heritage
26 Participants
Race/Ethnicity, Customized
Race/ Ethnicity
Asian-South East Asian Heritage
4 Participants
Race/Ethnicity, Customized
Race/ Ethnicity
Black or African American
4 Participants
Race/Ethnicity, Customized
Race/ Ethnicity
White-Arabic/North African Heritage
7 Participants
Race/Ethnicity, Customized
Race/ Ethnicity
White-White/Caucasian/European Heritage
277 Participants
Sex: Female, Male
Female
178 Participants
Sex: Female, Male
Male
161 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
2 / 339
other
Total, other adverse events
288 / 339
serious
Total, serious adverse events
84 / 339

Outcome results

Primary

Annualized Rate of On-treatment Exacerbations Per Year

Exacerbations are defined as the worsening of asthma which requires use of systemic corticosteroids intravenous (IV) or oral steroid like prednisone, for at least 3 days or a single intramuscular (IM) corticosteroid (CS) dose is required. For maintenance systemic corticosteroids, at least double the existing maintenance dose for at least 3 days was required) and/or hospitalization and/or emergency department (ED) visit. On-Treatment data between first dose date and earliest of Withdrawal date/last dose + 28 days was considered for analysis. Analysis of the number of exacerbations was performed using a negative binomial generalized linear model.

Time frame: Baseline (Week 0) to Week 172

Population: As Treated (AT) Population. AT Population included all participants who received at least one dose of mepolizumab within study 201312.

ArmMeasureValue (MEAN)
Mepolizumab 100 mg SCAnnualized Rate of On-treatment Exacerbations Per Year0.93 Exacerbations per year
Primary

Number of Participants With Any On-treatment Adverse Event (AE) or On-treatment Serious AE (SAE)

An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, any other situation according to medical or scientific judgment that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the participant or may require medical or surgical intervention or event associated with liver injury and impaired liver function were categorized as SAE. On-treatment AEs and on-treatment SAEs are the events occurring on/after the first dose of open-label mepolizumab date and before/on last dose+28 days.

Time frame: Baseline (Week 0) to Week 172

Population: AT Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Mepolizumab 100 mg SCNumber of Participants With Any On-treatment Adverse Event (AE) or On-treatment Serious AE (SAE)Any AE315 Participants
Mepolizumab 100 mg SCNumber of Participants With Any On-treatment Adverse Event (AE) or On-treatment Serious AE (SAE)Any SAE84 Participants
Secondary

Change From Baseline in Pulse Rate

Vital sign measurements including pulse rate was done pre-injection with the participants sitting, having rested in this position for at least 5 minutes before each reading. They were taken before measurement of any clinic lung function tests or ECGs at the specified time point. Baseline was considered as the latest assessment prior to first dose of mepolizumab in this study. The change from Baseline is defined as the difference between the value of the endpoint at the time point of interest and Baseline value.

Time frame: Baseline (Week 0) to Week 168

Population: AT Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 164, n=81.4 Beats per minuteStandard Deviation 21.23
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 4, n=3342.1 Beats per minuteStandard Deviation 9.98
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 8, n=3332.3 Beats per minuteStandard Deviation 10.65
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 12, n=3372.6 Beats per minuteStandard Deviation 11.05
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 16, n=3342.1 Beats per minuteStandard Deviation 11.03
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 20, n=3272.7 Beats per minuteStandard Deviation 11.1
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 24, n=3331.2 Beats per minuteStandard Deviation 11.22
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 28, n=3302.8 Beats per minuteStandard Deviation 10.43
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 32, n=3242.7 Beats per minuteStandard Deviation 11.44
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 36, n=3302.6 Beats per minuteStandard Deviation 11.02
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 40, n=3272.7 Beats per minuteStandard Deviation 11.09
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 44, n=3272.7 Beats per minuteStandard Deviation 12.05
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 48, n=3290.4 Beats per minuteStandard Deviation 10.63
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 52, n=3251.7 Beats per minuteStandard Deviation 10.48
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 56, n=3242.1 Beats per minuteStandard Deviation 11.36
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 60, n=3152.1 Beats per minuteStandard Deviation 10.97
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 64, n=3072.7 Beats per minuteStandard Deviation 10.96
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 68, n=2862.9 Beats per minuteStandard Deviation 11.32
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 72, n=2812.0 Beats per minuteStandard Deviation 11.15
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 76, n=2742.8 Beats per minuteStandard Deviation 11.15
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 80, n=2653.3 Beats per minuteStandard Deviation 11.45
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 84, n=2553.2 Beats per minuteStandard Deviation 12.21
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 88, n=2452.4 Beats per minuteStandard Deviation 11.98
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 92, n=2182.4 Beats per minuteStandard Deviation 12.42
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 96, n=2080.0 Beats per minuteStandard Deviation 11.16
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 100, n=1991.8 Beats per minuteStandard Deviation 12.3
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 104, n=1972.3 Beats per minuteStandard Deviation 12.29
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 108, n=1922.2 Beats per minuteStandard Deviation 11.34
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 112, n=1822.3 Beats per minuteStandard Deviation 12.35
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 116, n=1772.0 Beats per minuteStandard Deviation 12.06
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 120, n=1671.2 Beats per minuteStandard Deviation 12.19
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 124, n=1522.3 Beats per minuteStandard Deviation 12.56
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 128, n=1511.5 Beats per minuteStandard Deviation 11.69
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 132, n=1392.2 Beats per minuteStandard Deviation 12.46
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 136, n=1122.0 Beats per minuteStandard Deviation 11.68
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 140, n=920.7 Beats per minuteStandard Deviation 11.45
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 144, n=77-1.5 Beats per minuteStandard Deviation 11.92
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 148, n=62-0.5 Beats per minuteStandard Deviation 11.68
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 152, n=35-0.6 Beats per minuteStandard Deviation 13.8
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 156, n=32-0.4 Beats per minuteStandard Deviation 12.94
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 160, n=141.5 Beats per minuteStandard Deviation 13.24
Mepolizumab 100 mg SCChange From Baseline in Pulse RatePulse rate, Week 168, n=136.0 Beats per minute
Secondary

Change From Baseline in Systolic Blood Pressure and Diastolic Blood Pressure

Vital sign measurements including systolic blood pressure (SBP) and diastolic blood pressure (DBP) were done pre-injection with the participants sitting, having rested in this position for at least 5 minutes before each reading. They were taken before measurement of any clinic lung function tests or ECGs at the specified time point. Baseline was considered as the latest assessment prior to first dose of mepolizumab in this study. The change from Baseline is defined as the difference between the value of the endpoint at the time point of interest and Baseline value.

Time frame: Baseline (Week 0) to Week 168

Population: AT Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 4, n=3331.8 Millimeter of mercuryStandard Deviation 11.26
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 8, n=3340.6 Millimeter of mercuryStandard Deviation 11.75
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 12, n=3371.5 Millimeter of mercuryStandard Deviation 12.48
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 16, n=3342.0 Millimeter of mercuryStandard Deviation 12.35
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 20, n=3271.2 Millimeter of mercuryStandard Deviation 13.69
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 24, n=3331.8 Millimeter of mercuryStandard Deviation 13.35
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 28, n=3301.4 Millimeter of mercuryStandard Deviation 13.56
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 32, n=3241.0 Millimeter of mercuryStandard Deviation 13.43
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 36, n=3300.8 Millimeter of mercuryStandard Deviation 13
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 40, n=3271.6 Millimeter of mercuryStandard Deviation 13.44
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 44, n=3271.2 Millimeter of mercuryStandard Deviation 12.75
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 48, n=3291.8 Millimeter of mercuryStandard Deviation 13.22
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 52, n=3251.5 Millimeter of mercuryStandard Deviation 13.31
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 56, n=3242.0 Millimeter of mercuryStandard Deviation 13.52
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 60, n=3152.0 Millimeter of mercuryStandard Deviation 13.17
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 64, n=3072.5 Millimeter of mercuryStandard Deviation 13.37
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 68, n=2862.5 Millimeter of mercuryStandard Deviation 13.46
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 72, n=2812.3 Millimeter of mercuryStandard Deviation 13.35
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 76, n=2742.3 Millimeter of mercuryStandard Deviation 12.31
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 80, n=2653.5 Millimeter of mercuryStandard Deviation 13.58
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 84, n=2552.7 Millimeter of mercuryStandard Deviation 14.01
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 88, n=2451.5 Millimeter of mercuryStandard Deviation 13.7
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 92, n=2180.7 Millimeter of mercuryStandard Deviation 13.24
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 96, n=2081.2 Millimeter of mercuryStandard Deviation 13.39
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 100, n=1991.0 Millimeter of mercuryStandard Deviation 12.43
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 104, n=1972.4 Millimeter of mercuryStandard Deviation 13.38
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 108, n=1921.7 Millimeter of mercuryStandard Deviation 12.76
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 112, n=1821.8 Millimeter of mercuryStandard Deviation 14.12
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 116, n=1771.9 Millimeter of mercuryStandard Deviation 14.66
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 120, n=1671.9 Millimeter of mercuryStandard Deviation 13.63
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 124, n=1522.5 Millimeter of mercuryStandard Deviation 14.88
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 128, n=1512.6 Millimeter of mercuryStandard Deviation 14.15
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 132, n=1391.0 Millimeter of mercuryStandard Deviation 14.37
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 136, n=1122.3 Millimeter of mercuryStandard Deviation 14.94
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 140, n=91-0.9 Millimeter of mercuryStandard Deviation 16.53
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 144, n=772.3 Millimeter of mercuryStandard Deviation 14.13
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 148, n=620.6 Millimeter of mercuryStandard Deviation 13.02
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 152, n=350.6 Millimeter of mercuryStandard Deviation 11.33
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 156, n=321.5 Millimeter of mercuryStandard Deviation 15.73
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 160, n=144.4 Millimeter of mercuryStandard Deviation 9.48
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 164, n=87.0 Millimeter of mercuryStandard Deviation 15.07
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureSBP, Week 168, n=1-4.0 Millimeter of mercury
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 4, n=3330.1 Millimeter of mercuryStandard Deviation 8.41
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 8, n=334-0.8 Millimeter of mercuryStandard Deviation 8.81
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 12, n=3370.2 Millimeter of mercuryStandard Deviation 9.25
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 16, n=3340.5 Millimeter of mercuryStandard Deviation 9.3
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 20, n=327-0.7 Millimeter of mercuryStandard Deviation 10.35
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 24, n=333-0.2 Millimeter of mercuryStandard Deviation 9.4
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 28, n=3300.1 Millimeter of mercuryStandard Deviation 8.88
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 32, n=324-0.1 Millimeter of mercuryStandard Deviation 10.44
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 36, n=330-0.4 Millimeter of mercuryStandard Deviation 10.12
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 40, n=327-0.6 Millimeter of mercuryStandard Deviation 9.24
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 44, n=3270.1 Millimeter of mercuryStandard Deviation 9.39
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 48, n=3290.2 Millimeter of mercuryStandard Deviation 9.71
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 52, n=325-0.1 Millimeter of mercuryStandard Deviation 9.83
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 56, n=3240.7 Millimeter of mercuryStandard Deviation 9.77
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 60, n=315-0.5 Millimeter of mercuryStandard Deviation 10.4
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 64, n=307-0.4 Millimeter of mercuryStandard Deviation 9.92
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 68, n=286-0.1 Millimeter of mercuryStandard Deviation 10.04
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 72, n=281-0.3 Millimeter of mercuryStandard Deviation 10.13
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 76, n=274-0.2 Millimeter of mercuryStandard Deviation 9.92
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 80, n=2650.7 Millimeter of mercuryStandard Deviation 9.83
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 84, n=255-0.6 Millimeter of mercuryStandard Deviation 10.05
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 88, n=245-0.3 Millimeter of mercuryStandard Deviation 9.22
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 92, n=218-0.9 Millimeter of mercuryStandard Deviation 9.1
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 96, n=208-0.2 Millimeter of mercuryStandard Deviation 9.17
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 100, n=199-0.7 Millimeter of mercuryStandard Deviation 10.04
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 104, n=1970.1 Millimeter of mercuryStandard Deviation 10.21
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 108, n=1920.1 Millimeter of mercuryStandard Deviation 9.89
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 112, n=1820.0 Millimeter of mercuryStandard Deviation 10.17
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 116, n=177-0.1 Millimeter of mercuryStandard Deviation 10.31
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 120, n=1670.4 Millimeter of mercuryStandard Deviation 9.74
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 124, n=152-0.3 Millimeter of mercuryStandard Deviation 11.11
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 128, n=1510.6 Millimeter of mercuryStandard Deviation 9.58
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 132, n=139-0.5 Millimeter of mercuryStandard Deviation 10.1
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 136, n=1120.1 Millimeter of mercuryStandard Deviation 9.89
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 140, n=91-1.8 Millimeter of mercuryStandard Deviation 9.68
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 144, n=77-0.6 Millimeter of mercuryStandard Deviation 10.92
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 148, n=62-0.7 Millimeter of mercuryStandard Deviation 11.03
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 152, n=35-1.0 Millimeter of mercuryStandard Deviation 8.97
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 156, n=32-2.0 Millimeter of mercuryStandard Deviation 10.42
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 160, n=142.9 Millimeter of mercuryStandard Deviation 7.92
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 164, n=81.9 Millimeter of mercuryStandard Deviation 8.06
Mepolizumab 100 mg SCChange From Baseline in Systolic Blood Pressure and Diastolic Blood PressureDBP, Week 168, n=15.0 Millimeter of mercury
Secondary

Mean Change From Baseline in Asthma Control Questionnaire (ACQ)-5 On-treatment Score

The ACQ-5 is a five-item questionnaire developed as a measure of participants asthma control. The five questions enquire about the frequency and/or severity of symptoms (nocturnal awakening on waking in the morning, activity limitation, shortness of breath, wheeze). The response options for all these questions consist of a 0 (no impairment/limitation) to 6 (total impairment/ limitation) scale. The overall ACQ score is calculated as the mean of the 5 questions and therefore ranges between 0 (totally controlled) and 6 (severely uncontrolled). Baseline was considered as the latest assessment prior to first dose of mepolizumab in this study. The change from Baseline is defined as the difference between the value of the endpoint at the time point of interest and Baseline value.

Time frame: Baseline (Week 0) to Week 168

Population: AT Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
Mepolizumab 100 mg SCMean Change From Baseline in Asthma Control Questionnaire (ACQ)-5 On-treatment ScoreWeek 12, n=333-0.16 Scores on a scaleStandard Deviation 1.096
Mepolizumab 100 mg SCMean Change From Baseline in Asthma Control Questionnaire (ACQ)-5 On-treatment ScoreWeek 72, n=282-0.08 Scores on a scaleStandard Deviation 1.145
Mepolizumab 100 mg SCMean Change From Baseline in Asthma Control Questionnaire (ACQ)-5 On-treatment ScoreWeek 24, n=333-0.15 Scores on a scaleStandard Deviation 1.131
Mepolizumab 100 mg SCMean Change From Baseline in Asthma Control Questionnaire (ACQ)-5 On-treatment ScoreWeek 36, n=326-0.21 Scores on a scaleStandard Deviation 1.089
Mepolizumab 100 mg SCMean Change From Baseline in Asthma Control Questionnaire (ACQ)-5 On-treatment ScoreWeek 48, n=328-0.17 Scores on a scaleStandard Deviation 0.965
Mepolizumab 100 mg SCMean Change From Baseline in Asthma Control Questionnaire (ACQ)-5 On-treatment ScoreWeek 60, n=307-0.18 Scores on a scaleStandard Deviation 1.066
Mepolizumab 100 mg SCMean Change From Baseline in Asthma Control Questionnaire (ACQ)-5 On-treatment ScoreWeek 84, n=254-0.03 Scores on a scaleStandard Deviation 1.151
Mepolizumab 100 mg SCMean Change From Baseline in Asthma Control Questionnaire (ACQ)-5 On-treatment ScoreWeek 96, n=212-0.12 Scores on a scaleStandard Deviation 0.976
Mepolizumab 100 mg SCMean Change From Baseline in Asthma Control Questionnaire (ACQ)-5 On-treatment ScoreWeek 108, n=190-0.06 Scores on a scaleStandard Deviation 1.057
Mepolizumab 100 mg SCMean Change From Baseline in Asthma Control Questionnaire (ACQ)-5 On-treatment ScoreWeek 120, n=164-0.01 Scores on a scaleStandard Deviation 1.244
Mepolizumab 100 mg SCMean Change From Baseline in Asthma Control Questionnaire (ACQ)-5 On-treatment ScoreWeek 132, n=135-0.09 Scores on a scaleStandard Deviation 1.089
Mepolizumab 100 mg SCMean Change From Baseline in Asthma Control Questionnaire (ACQ)-5 On-treatment ScoreWeek 144, n=730.34 Scores on a scaleStandard Deviation 1.22
Mepolizumab 100 mg SCMean Change From Baseline in Asthma Control Questionnaire (ACQ)-5 On-treatment ScoreWeek 156, n=230.07 Scores on a scaleStandard Deviation 0.962
Mepolizumab 100 mg SCMean Change From Baseline in Asthma Control Questionnaire (ACQ)-5 On-treatment ScoreWeek 168, n=6-0.33 Scores on a scaleStandard Deviation 0.935
Secondary

Mean Change From Baseline in On-treatment Clinic Pre-bronchodilator FEV1

FEV1 is defined as the volume of air forcefully expelled from the lungs in 1 second. Pre-bronchodilator FEV1 measurements were taken by spirometry at Baseline and Weeks 24, 48, 72, 96, 120, 144 and 168. Spirometry was performed within 1 hour of the Baseline assessment. Baseline was considered as the latest assessment prior to first dose of mepolizumab in this study. The change from Baseline is defined as the difference between the value of the endpoint at the time point of interest and Baseline value. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles). Data between first dose date and earliest of Withdrawal date/last dose + 28 days considered on-treatment.

Time frame: Baseline (Week 0) to Week 168

Population: AT Population

ArmMeasureGroupValue (MEAN)Dispersion
Mepolizumab 100 mg SCMean Change From Baseline in On-treatment Clinic Pre-bronchodilator FEV1Week 24, n=33267 MilliliterStandard Deviation 382.9
Mepolizumab 100 mg SCMean Change From Baseline in On-treatment Clinic Pre-bronchodilator FEV1Week 48, n=32527 MilliliterStandard Deviation 404.6
Mepolizumab 100 mg SCMean Change From Baseline in On-treatment Clinic Pre-bronchodilator FEV1Week 72, n=28930 MilliliterStandard Deviation 406
Mepolizumab 100 mg SCMean Change From Baseline in On-treatment Clinic Pre-bronchodilator FEV1Week 96, n=22347 MilliliterStandard Deviation 433.7
Mepolizumab 100 mg SCMean Change From Baseline in On-treatment Clinic Pre-bronchodilator FEV1Week 120, n=16934 MilliliterStandard Deviation 369.9
Mepolizumab 100 mg SCMean Change From Baseline in On-treatment Clinic Pre-bronchodilator FEV1Week 144, n=8814 MilliliterStandard Deviation 374.9
Mepolizumab 100 mg SCMean Change From Baseline in On-treatment Clinic Pre-bronchodilator FEV1Week 168, n=1578 MilliliterStandard Deviation 302.9
Secondary

Mean Change From Baseline in QT Interval Corrected by Bazett's Method (QTcB) and QT Interval Corrected by Fridericia's Method (QTcF) Values for 12-lead Electrocardiogram (ECG)

Twelve-lead ECG measurements were recorded after the participant has rested in the supine position for 5 minutes. The ECG was obtained before lung function testing followed by other study procedures. Baseline was considered as the latest assessment prior to first dose of mepolizumab in this study. The change from Baseline is defined as the difference between the value of the endpoint at the time point of interest and Baseline value. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles)..

Time frame: Baseline (Week 0) to Week 172

Population: AT Population

ArmMeasureGroupValue (MEAN)Dispersion
Mepolizumab 100 mg SCMean Change From Baseline in QT Interval Corrected by Bazett's Method (QTcB) and QT Interval Corrected by Fridericia's Method (QTcF) Values for 12-lead Electrocardiogram (ECG)QTcB, Week 24, n=3010.1 MillisecondsStandard Deviation 16.9
Mepolizumab 100 mg SCMean Change From Baseline in QT Interval Corrected by Bazett's Method (QTcB) and QT Interval Corrected by Fridericia's Method (QTcF) Values for 12-lead Electrocardiogram (ECG)QTcB, Week 48, n=294-0.9 MillisecondsStandard Deviation 17.27
Mepolizumab 100 mg SCMean Change From Baseline in QT Interval Corrected by Bazett's Method (QTcB) and QT Interval Corrected by Fridericia's Method (QTcF) Values for 12-lead Electrocardiogram (ECG)QTcB, Week 72, n=269-2.9 MillisecondsStandard Deviation 18.13
Mepolizumab 100 mg SCMean Change From Baseline in QT Interval Corrected by Bazett's Method (QTcB) and QT Interval Corrected by Fridericia's Method (QTcF) Values for 12-lead Electrocardiogram (ECG)QTcB, Week 96, n=221-0.6 MillisecondsStandard Deviation 17.96
Mepolizumab 100 mg SCMean Change From Baseline in QT Interval Corrected by Bazett's Method (QTcB) and QT Interval Corrected by Fridericia's Method (QTcF) Values for 12-lead Electrocardiogram (ECG)QTcB, Week 144, n=1310.5 MillisecondsStandard Deviation 21.07
Mepolizumab 100 mg SCMean Change From Baseline in QT Interval Corrected by Bazett's Method (QTcB) and QT Interval Corrected by Fridericia's Method (QTcF) Values for 12-lead Electrocardiogram (ECG)QTcB, Week 172, n=161.8 MillisecondsStandard Deviation 22.08
Mepolizumab 100 mg SCMean Change From Baseline in QT Interval Corrected by Bazett's Method (QTcB) and QT Interval Corrected by Fridericia's Method (QTcF) Values for 12-lead Electrocardiogram (ECG)QTcF, Week 24, n=301-1.1 MillisecondsStandard Deviation 14.61
Mepolizumab 100 mg SCMean Change From Baseline in QT Interval Corrected by Bazett's Method (QTcB) and QT Interval Corrected by Fridericia's Method (QTcF) Values for 12-lead Electrocardiogram (ECG)QTcF, Week 48, n=294-1.3 MillisecondsStandard Deviation 14.08
Mepolizumab 100 mg SCMean Change From Baseline in QT Interval Corrected by Bazett's Method (QTcB) and QT Interval Corrected by Fridericia's Method (QTcF) Values for 12-lead Electrocardiogram (ECG)QTcF, Week 72, n=269-3.7 MillisecondsStandard Deviation 15.68
Mepolizumab 100 mg SCMean Change From Baseline in QT Interval Corrected by Bazett's Method (QTcB) and QT Interval Corrected by Fridericia's Method (QTcF) Values for 12-lead Electrocardiogram (ECG)QTcF, Week 96, n=221-0.8 MillisecondsStandard Deviation 16.18
Mepolizumab 100 mg SCMean Change From Baseline in QT Interval Corrected by Bazett's Method (QTcB) and QT Interval Corrected by Fridericia's Method (QTcF) Values for 12-lead Electrocardiogram (ECG)QTcF, Week 144, n=131-0.0 MillisecondsStandard Deviation 17.88
Mepolizumab 100 mg SCMean Change From Baseline in QT Interval Corrected by Bazett's Method (QTcB) and QT Interval Corrected by Fridericia's Method (QTcF) Values for 12-lead Electrocardiogram (ECG)QTcF, Week 172, n=161.7 MillisecondsStandard Deviation 17.06
Secondary

Number of Participants Hospitalized Due to Adverse Events Including Asthma Exacerbations

AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect or is medically significant or all events of possible drug induced liver injury with hyperbilirubinemia. Number of participants requiring hospitalization due to an on-treatment serious adverse event including asthma exacerbations are presented. On-treatment SAEs are the events occurring on/after the first dose of mepolizumab date and before/on last dose of mepolizumab + 28 days.

Time frame: Baseline (Week 0) to Week 172

Population: AT Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Mepolizumab 100 mg SCNumber of Participants Hospitalized Due to Adverse Events Including Asthma Exacerbations78 Participants
Secondary

Number of Participants With AEs Including Both Systemic (Allergic and Non-allergic) and Local Site Reactions

AEs were collected from the Baseline visit until the follow-up visit (Week 172). Participants were monitored to evaluate the AEs of systemic and local site reaction. AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. On treatment AEs were defined as events occurring from the first dose until 28 days after the last dose of mepolizumab. Number of participants with AEs including both systemic (i.e. allergic/immunoglobulin (Ig)E-mediated and non-allergic) and local site reactions have been presented.

Time frame: Baseline (Week 0) to Week 172

Population: AT Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Mepolizumab 100 mg SCNumber of Participants With AEs Including Both Systemic (Allergic and Non-allergic) and Local Site ReactionsAny systemic events2 Participants
Mepolizumab 100 mg SCNumber of Participants With AEs Including Both Systemic (Allergic and Non-allergic) and Local Site ReactionsAny local site reactions14 Participants
Secondary

Number of Participants Withdrawn From the Study Due to Lack of Efficacy and Adverse Events

AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. Number of participants withdrawn due to lack of efficacy and adverse events from the study have been presented.

Time frame: Baseline (Week 0) to Week 172

Population: AT Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Mepolizumab 100 mg SCNumber of Participants Withdrawn From the Study Due to Lack of Efficacy and Adverse EventsWithdrawals due to lack of efficacy2 Participants
Mepolizumab 100 mg SCNumber of Participants Withdrawn From the Study Due to Lack of Efficacy and Adverse EventsWithdrawals due to adverse events3 Participants
Secondary

Number of Participants With Maximum Change From Baseline in QTcB and QTcF Interval for ECG Assessed at Any Time Post Baseline

Twelve-lead ECG measurements were recorded after the participant has rested in the supine position for 5 minutes. The ECG was obtained before lung function testing followed by other study procedures. Baseline was considered as the latest assessment prior to first dose of mepolizumab in this study. The change from Baseline is defined as the difference between the value of the endpoint at the time point of interest and Baseline value. Participants with maximum change from Baseline were summarised at any time post Baseline for the following categories \<-60, \>=-60 to \<-30, \>=-30 to \<0, \>=0 to \<30, \>=30 to \<60 and \>=60. QTc intervals shown at any time post Baseline are the maximum seen in each participant over the course of the trial.

Time frame: Baseline (Week 0) to Week 172

Population: AT Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Mepolizumab 100 mg SCNumber of Participants With Maximum Change From Baseline in QTcB and QTcF Interval for ECG Assessed at Any Time Post BaselineQTcF, >=-60 to <-301 Participants
Mepolizumab 100 mg SCNumber of Participants With Maximum Change From Baseline in QTcB and QTcF Interval for ECG Assessed at Any Time Post BaselineQTcB, <-600 Participants
Mepolizumab 100 mg SCNumber of Participants With Maximum Change From Baseline in QTcB and QTcF Interval for ECG Assessed at Any Time Post BaselineQTcB, >=-60 to <-301 Participants
Mepolizumab 100 mg SCNumber of Participants With Maximum Change From Baseline in QTcB and QTcF Interval for ECG Assessed at Any Time Post BaselineQTcB, >=-30 to < 070 Participants
Mepolizumab 100 mg SCNumber of Participants With Maximum Change From Baseline in QTcB and QTcF Interval for ECG Assessed at Any Time Post BaselineQTcB, >= 0 to < 30196 Participants
Mepolizumab 100 mg SCNumber of Participants With Maximum Change From Baseline in QTcB and QTcF Interval for ECG Assessed at Any Time Post BaselineQTcB, >= 30 to < 6035 Participants
Mepolizumab 100 mg SCNumber of Participants With Maximum Change From Baseline in QTcB and QTcF Interval for ECG Assessed at Any Time Post BaselineQTcB, >=603 Participants
Mepolizumab 100 mg SCNumber of Participants With Maximum Change From Baseline in QTcB and QTcF Interval for ECG Assessed at Any Time Post BaselineQTcF, <-600 Participants
Mepolizumab 100 mg SCNumber of Participants With Maximum Change From Baseline in QTcB and QTcF Interval for ECG Assessed at Any Time Post BaselineQTcF, >=-30 to < 077 Participants
Mepolizumab 100 mg SCNumber of Participants With Maximum Change From Baseline in QTcB and QTcF Interval for ECG Assessed at Any Time Post BaselineQTcF, >= 0 to < 30199 Participants
Mepolizumab 100 mg SCNumber of Participants With Maximum Change From Baseline in QTcB and QTcF Interval for ECG Assessed at Any Time Post BaselineQTcF, >= 30 to < 6028 Participants
Mepolizumab 100 mg SCNumber of Participants With Maximum Change From Baseline in QTcB and QTcF Interval for ECG Assessed at Any Time Post BaselineQTcF, >=600 Participants
Secondary

Number of Participants With Positive Anti-mepolizumab Binding Antibodies (ADA) and Neutralizing Antibodies (NAb)

Blood samples were collected for the determination of ADA just prior to administration of mepolizumab. Samples that tested positive for anti-mepolizumab antibodies were further tested for the presence of NAb. The highest value post-Baseline visit are based on each participant's highest post-Baseline titer. NAb assay result was only presented for participants with positive ADA assay. Highest value post-Baseline would be positive for a participant who had both negative and positive post-Baseline results. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).

Time frame: Baseline (Week 0) to Week 172

Population: AT Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Mepolizumab 100 mg SCNumber of Participants With Positive Anti-mepolizumab Binding Antibodies (ADA) and Neutralizing Antibodies (NAb)Highest value post-Baseline, ADA, positive, n=3356 Participants
Mepolizumab 100 mg SCNumber of Participants With Positive Anti-mepolizumab Binding Antibodies (ADA) and Neutralizing Antibodies (NAb)Highest value post-Baseline, ADA, Negative, n=335329 Participants
Mepolizumab 100 mg SCNumber of Participants With Positive Anti-mepolizumab Binding Antibodies (ADA) and Neutralizing Antibodies (NAb)Highest value post-Baseline, NAb, positive, n=60 Participants
Mepolizumab 100 mg SCNumber of Participants With Positive Anti-mepolizumab Binding Antibodies (ADA) and Neutralizing Antibodies (NAb)Highest value post-Baseline, NAb, Negative, n=66 Participants
Secondary

Number of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-Baseline

Blood samples were collected to assess clinical chemistry laboratory parameters. Number of participants with Potential Clinical Importance values for change from Baseline relative to the reference range at any time post-Baseline are presented. Any time post Baseline = all visits (including scheduled and unscheduled) post-Baseline. Participants are counted in the category that their value changes to (low, normal or high), unless there was no change in their category. If lab value category was unchanged, participants were recorded in the To Normal or No Change category. Alanine Aminotransferase=ALT. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).

Time frame: Baseline (Week 0) to Week 172

Population: AT Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselineGlucose, To low, n=3361 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselineGlucose, To Normal or No Change, n=336334 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselineGlucose, To high, n=3361 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselineALT, To low, n=3370 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselineALT, To Normal or No Change, n=337337 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselineALT, To high, n=3370 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselineCalcium, To low, n=3360 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselineCalcium, To Normal or No Change, n=336336 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselineCalcium, To high, n=3360 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselinePhosphate, To low, n=3360 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselinePhosphate, To Normal or No Change, n=336336 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselinePhosphate, To high, n=3360 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselinePotassium, To low, n=3360 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselinePotassium, To Normal or No Change, n=336336 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselinePotassium, To high, n=3360 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselineSodium, To low, n=3361 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselineSodium, To Normal or No Change, n=336335 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Clinical Chemistry Parameters at Any Time Post-BaselineSodium, To high, n=3360 Participants
Secondary

Number of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Hematology Parameters at Any Time Post-Baseline

Blood samples were collected to assess hematology laboratory parameters. Number of participants with Potential Clinical Importance values for change from Baseline relative to the reference range at any time post-Baseline are presented. Any time post Baseline = all visits (including scheduled and unscheduled) post-Baseline. Participants are counted in the category that their value changes to (low, normal or high), unless there was no change in their category. If lab value category was unchanged, participants were recorded in the To Normal or No Change category.

Time frame: Baseline (Week 0) to Week 172

Population: AT Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Hematology Parameters at Any Time Post-BaselineHematocrit, To low1 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Hematology Parameters at Any Time Post-BaselineHematocrit, To Normal or No Change335 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Hematology Parameters at Any Time Post-BaselineHematocrit, To high0 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Hematology Parameters at Any Time Post-BaselineHemoglobin, To low1 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Hematology Parameters at Any Time Post-BaselineHemoglobin, To Normal or No Change335 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Hematology Parameters at Any Time Post-BaselineHemoglobin, To high0 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Hematology Parameters at Any Time Post-BaselineLeukocytes, To low1 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Hematology Parameters at Any Time Post-BaselineLeukocytes, To Normal or No Change335 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Hematology Parameters at Any Time Post-BaselineLeukocytes, To high0 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Hematology Parameters at Any Time Post-BaselinePlatelets, To low1 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Hematology Parameters at Any Time Post-BaselinePlatelets, To Normal or No Change335 Participants
Mepolizumab 100 mg SCNumber of Participants With Potential Clinical Importance Values for Change From Baseline Relative to the Reference Range for Hematology Parameters at Any Time Post-BaselinePlatelets, To high0 Participants

Source: ClinicalTrials.gov · Data processed: Mar 2, 2026