Asthma
Conditions
Keywords
Asthma, Mild to moderate asthma, Tolerability, Immunogenicity, Pharmacokinetics
Brief summary
This is a multicenter, randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability, PK, and immunogenicity of APG777 in adult participants with mild-to-moderate asthma. The duration of the study will be approximately 52 weeks (364 days) for each participant and will consist of a Screening Period, Treatment Period, and Follow-up Period.
Interventions
APG777 subcutaneous injection
Matching placebo subcutaneous injection
Sponsors
Study design
Eligibility
Inclusion criteria
* Have a diagnosis of mild-to-moderate asthma (Global Initiative for Asthma 2023 criteria) ≥ 1 year prior to Screening * Maintain FeNO-high (≥ 25 parts per billion \[ppb\]) or FeNO-low (\< 25 ppb) status from Screening to Day 1 prior to Randomization * Pre-bronchodilator forced expiratory volume in 1 second (FEV1) ≥ 60% of predicted normal value at Screening * Asthma Control Test (ACT) score \> 19 at Screening * Maintained control on as-needed short-acting beta-agonist (SABA) +/- stable dose inhaled corticosteroids (ICS) or stable dose of ICS/ long-acting beta-agonist (LABA); +/- stable dose leukotriene receptor antagonist (LTRA). ICS dose should be stable for ≥ 12 weeks prior to Day 1, LTRA dose should be stable for ≥ 8 weeks prior to Day 1 * Women of childbearing potential and male participants to use a highly effective form of contraception
Exclusion criteria
* Any asthma exacerbation requiring systemic corticosteroids within 12 weeks of Screening and/or any asthma exacerbation that resulted in overnight hospitalization within 6 months prior to Screening * Any history of life-threatening asthma, defined as an asthma episode that required intubation and/or was associated with hypercapnia * History of biologics use for treatment or control of asthma * Current smokers or participants with a smoking history of ≥ 10 pack years * Known history of illicit drug abuse, harmful alcohol use Note: Other protocol defined criteria may apply.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of Participants with Treatment Emergent Adverse Events (TEAEs) | Up to 52 weeks |
| Number of Participants with Abnormal Laboratory Findings | Up to 52 weeks |
| Number of Participants with Abnormal Vital Signs | Up to 52 weeks |
| Number of Participants with Abnormal Electrocardiograms (ECGs) | Up to 52 weeks |
| Number of Participants with Abnormal Physical Examination Findings | Up to 52 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Maximum concentration (Cmax) of APG777 | Up to 48 weeks |
| Time to reach Cmax (tmax) | Up to 48 weeks |
| Terminal elimination rate constant (λz) | Up to 48 weeks |
| Terminal Elimination half-life (t1/2) | Up to 48 weeks |
| Area Under the Serum Concentration-time curve (AUC) from Time 0 to the Last Quantifiable Time Point (AUC0-last) | Up to 48 weeks |
| AUC From Time 0 Extrapolated to Infinity (AUC0-inf) | Up to 48 weeks |
| Apparent Clearance of APG777 (CL/F) | Up to 48 weeks |
| Apparent Volume of Distribution (Vz/F) | Up to 48 weeks |
| Number of Participants with Anti-Drug-Antibodies (ADAs) | Up to 48 weeks |
| Cmax in Participants With and without ADAs | Up to 48 weeks |
| AUClast Participants With and without ADAs | Up to 48 weeks |
| AUCInf Participants With and without ADAs | Up to 48 weeks |
Countries
United Kingdom, United States