A Study to Evaluate the Effectiveness and Safety of MEDI-528 in Adults

Sponsor
MedImmune LLC (Industry)
Overall Status
Completed
CT.gov ID
NCT00968669
Collaborator
(none)
329
57
4
25
5.8
0.2

Study Details

Study Description

Brief Summary

To study the effectiveness and safety of multiple-doses of MEDI-528 on asthma control in adult participants with uncontrolled, moderate-to-severe, persistent asthma.

Condition or Disease Intervention/Treatment Phase
  • Biological: MEDI528 30 mg
  • Biological: MEDI528 100 mg
  • Biological: MEDI528 300 mg
  • Other: Placebo
Phase 2

Detailed Description

The primary objective of this study is to evaluate the effect of multiple-dose subcutaneous (SC) administration of MEDI-528 on asthma control in adults with uncontrolled, moderate-to-severe, persistent asthma.

Study Design

Study Type:
Interventional
Actual Enrollment :
329 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Phase 2b, Randomized Study to Evaluate the Efficacy and Safety of Subcutaneous MEDI-528 in Adults With Uncontrolled Asthma
Study Start Date :
Dec 1, 2009
Actual Primary Completion Date :
Nov 1, 2011
Actual Study Completion Date :
Jan 1, 2012

Arms and Interventions

Arm Intervention/Treatment
Experimental: MEDI528 30 mg

MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks

Biological: MEDI528 30 mg
MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks

Experimental: MEDI528 100 mg

MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks

Biological: MEDI528 100 mg
MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks

Experimental: MEDI528 300 mg

MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks

Biological: MEDI528 300 mg
MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks

Experimental: Placebo

Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks

Other: Placebo
Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks

Outcome Measures

Primary Outcome Measures

  1. Change at Day 92 From Baseline in Mean Asthma Control Questionnaire (ACQ) Scores (Intent-toTreat Analysis) [Day 92]

    Change at Day 92 from baseline (Day 1, prior to dosing) in mean ACQ scores in pariticpants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). The 6-item ACQ is a participant-reported questionnaire assessing asthma symptoms (night-time waking, symptoms on waking, activity limitation, shortness of breath, wheezing) and daily rescue bronchodilator use. Participants were asked to recall how their asthma had been during the previous week. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The mean ACQ score is the mean of the responses. Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between 0.76 and < 1.5 indicate partly controlled asthma, and a score ≥ 1.5 indicates uncontrolled asthma. Individual changes of at least 0.5 are considered to be clinically meaningful.

Secondary Outcome Measures

  1. Weighted Asthma Exacerbation Rate Through Day 92 (Intent-to-Treat Analysis) [Days 1 - 92]

    Weighted asthma exacerbation rate (total number of exacerbation rate in each group per total duration of participant-year follow-up in each group) between Day 1 and Day 92 in pariticpants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). An exacerbation was defined as a progressive increase of asthma symptoms AND a reduction of 20% or more in peak expiratory flow (PEF) or forced expiratory volume in 1 second (FEV1) from baseline (Day 1, prior to dosing) or best previously measured value prior to the current event that did not resolve after the initiation of rescue medications; and results in a prescription for/or administration of systemic corticosteroid burst therapy by the investigator or health care provider. An exacerbation event was considered resolved when the subject's asthma symptoms diminished and PEF or FEV1 return to greater than 80% of baseline for 7 or more days after completion of systemic corticosteroid burst therapy.

  2. Weighted Asthma Exacerbation Rate Through Day 176 (Intent-to-Treat Analysis) [Days 1 - 176]

    Weighted asthma exacerbation rate (total number of exacerbation rate in each group per total duration of participant-year follow-up in each group) between Day 1 and Day 176 in pariticpants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). An exacerbation was defined as a progressive increase of asthma symptoms AND a reduction of 20% or more in peak expiratory flow (PEF) or forced expiratory volume in 1 second (FEV1) from baseline (Day 1, prior to dosing) or best previously measured value prior to the current event that did not resolve after the initiation of rescue medications; and results in a prescription for/or administration of systemic corticosteroid burst therapy by the investigator or health care provider. An exacerbation event was considered resolved when the subject's asthma symptoms diminished and PEF or FEV1 return to greater than 80% of baseline for 7 or more days after completion of systemic corticosteroid burst therapy.

  3. Proportion of Participants Experiencing at Least One Asthma Exacerbation Through Day 92 (Intent-to-Treat Analysis) [Days 1 - 92]

    The proportion of participants that experienced at least one asthma exacerbation between Day 1 and Day 92 in pariticpants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). An exacerbation was defined as a progressive increase of asthma symptoms AND a reduction of 20% or more in peak expiratory flow (PEF) or forced expiratory volume in 1 second (FEV1) from baseline (Day 1, prior to dosing) or best previously measured value prior to the current event that did not resolve after the initiation of rescue medications; and results in a prescription for/or administration of systemic corticosteroid burst therapy by the investigator or health care provider. An exacerbation event was considered resolved when the subject's asthma symptoms diminished and PEF or FEV1 return to greater than 80% of baseline for 7 or more days after completion of systemic corticosteroid burst therapy.

  4. Proportion of Participants Experiencing at Least One Asthma Exacerbation Through Day 176 (Intent-to-Treat Analysis) [Days 1 - 176]

    The proportion of participants that experienced at least one asthma exacerbation between Day 1 and Day 176 in pariticpants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). An exacerbation was defined as a progressive increase of asthma symptoms AND a reduction of 20% or more in peak expiratory flow (PEF) or forced expiratory volume in 1 second (FEV1) from baseline (Day 1, prior to dosing) or best previously measured value prior to the current event that did not resolve after the initiation of rescue medications; and results in a prescription for/or administration of systemic corticosteroid burst therapy by the investigator or health care provider. An exacerbation event was considered resolved when the subject's asthma symptoms diminished and PEF or FEV1 return to greater than 80% of baseline for 7 or more days after completion of systemic corticosteroid burst therapy.

  5. Time to First Asthma Exacerbation Through Day 92 (Intent-to-Treat Analysis) [Days 1 - 92]

    Time to first asthma exacerbation between Day 1 and Day 92 in pariticpants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). An exacerbation was defined as a progressive increase of asthma symptoms AND a reduction of 20% or more in peak expiratory flow (PEF) or forced expiratory volume in 1 second (FEV1) from baseline (Day 1, prior to dosing) or best previously measured value prior to the current event that did not resolve after the initiation of rescue medications; and results in a prescription for/or administration of systemic corticosteroid burst therapy by the investigator or health care provider. An exacerbation event was considered resolved when the subject's asthma symptoms diminished and PEF or FEV1 return to greater than 80% of baseline for 7 or more days after completion of systemic corticosteroid burst therapy.

  6. Time to First Asthma Exacerbation Through Day 176 (Intent-to-Treat Analysis) [Days 1 - 176]

    Time to first asthma exacerbation between Day 1 and Day 176 in pariticpants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). An exacerbation was defined as a progressive increase of asthma symptoms AND a reduction of 20% or more in peak expiratory flow (PEF) or forced expiratory volume in 1 second (FEV1) from baseline (Day 1, prior to dosing) or best previously measured value prior to the current event that did not resolve after the initiation of rescue medications; and results in a prescription for/or administration of systemic corticosteroid burst therapy by the investigator or health care provider. An exacerbation event was considered resolved when the subject's asthma symptoms diminished and PEF or FEV1 return to greater than 80% of baseline for 7 or more days after completion of systemic corticosteroid burst therapy.

  7. Change at Day 176 From Baseline in Mean Asthma Control Questionnaire Scores (Intent-to-Treat Analysis) [Day 176]

    Change at Day 176 from baseline (Day 1, prior to dosing) in mean ACQ scores in participants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). The 6-item ACQ is a participant-reported questionnaire assessing asthma symptoms (night-time waking, symptoms on waking, activity limitation, shortness of breath, wheezing) and daily rescue bronchodilator use. Participants were asked to recall how their asthma had been during the previous week. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The mean ACQ score is the mean of the responses. Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between 0.76 and < 1.5 indicate partly controlled asthma, and a score ≥ 1.5 indicates uncontrolled asthma. Individual changes of at least 0.5 are considered to be clinically meaningful.

  8. Proportion of Participants Achieving Mean Asthma Control Questionnaire (ACQ) Scores at Day 92 of < or = 0.75, > 0.75 to < 1.5, and > or = 1.5 (Intent-to-Treat Analysis) [Day 92]

    Proportion of participants achieving mean ACQ scores of < or = 0.75, > 0.75 to < 1.5, and > or = 1.5 at Day 92 in participants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). The 6-item ACQ is a participant-reported questionnaire assessing asthma symptoms (night-time waking, symptoms on waking, activity limitation, shortness of breath, wheezing) and daily rescue bronchodilator use. Participants were asked to recall how their asthma had been during the previous week. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The mean ACQ score is the mean of the responses. Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between 0.76 and < 1.5 indicate partly controlled asthma, and a score ≥ 1.5 indicates uncontrolled asthma. Individual changes of at least 0.5 are considered to be clinically meaningful.

  9. Proportion of Participants Achieving Mean Asthma Control Questionnaire (ACQ) Scores at Day 176 of < or = 0.75, > 0.75 to < 1.5, and > or = 1.5 (Intent-to-Treat Analysis) [Day 176]

    Proportion of participants achieving mean ACQ scores of < or = 0.75, > 0.75 to < 1.5, and > or = 1.5 at Day 176 in participants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). The 6-item ACQ is a participant-reported questionnaire assessing asthma symptoms (night-time waking, symptoms on waking, activity limitation, shortness of breath, wheezing) and daily rescue bronchodilator use. Participants were asked to recall how their asthma had been during the previous week. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The mean ACQ score is the mean of the responses. Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between 0.76 and < 1.5 indicate partly controlled asthma, and a score ≥ 1.5 indicates uncontrolled asthma. Individual changes of at least 0.5 are considered to be clinically meaningful.

  10. Time to First Observed Mean Asthma Control Questionnaire (ACQ) Change From Baseline > or = 0.5 Through Day 92 (Intent-to-Treat Analysis) [Days 1 - 92]

    Effect of MEDI-528 (30, 100, or 300 mg) versus placebo on the time to first observed mean ACQ change from baseline (Day 1, prior to dosing) > or = 0.5 through Day 92 (Intent-to-Treat Analysis). The 6-item ACQ is a participant-reported questionnaire assessing asthma symptoms (night-time waking, symptoms on waking, activity limitation, shortness of breath, wheezing) and daily rescue bronchodilator use. Participants were asked to recall how their asthma had been during the previous week. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The mean ACQ score is the mean of the responses. Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between 0.76 and < 1.5 indicate partly controlled asthma, and a score ≥ 1.5 indicates uncontrolled asthma. Individual changes of at least 0.5 are considered to be clinically meaningful.

  11. Time to First Observed Mean Asthma Control Questionnaire (ACQ) Change From Baseline > or = 0.5 Through Day 176 (Intent-to-Treat Analysis) [Days 1 - 176]

    Effect of MEDI-528 (30, 100, or 300 mg) versus placebo on the time to first observed mean ACQ change from baseline (Day 1, prior to dosing) > or = 1.5 Through Day 176 (Intent-to-Treat Analysis). The 6-item ACQ is a participant-reported questionnaire assessing asthma symptoms (night-time waking, symptoms on waking, activity limitation, shortness of breath, wheezing) and daily rescue bronchodilator use. Participants were asked to recall how their asthma had been during the previous week. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The mean ACQ score is the mean of the responses. Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between 0.76 and < 1.5 indicate partly controlled asthma, and a score ≥ 1.5 indicates uncontrolled asthma. Individual changes of at least 0.5 are considered to be clinically meaningful.

  12. Change at Day 92 From Baseline in Forced Expiratory Volume in One Second (FEV1) (Intent-to-Treat Analysis) [Day 92]

    Effect of MEDI-528 (30, 100, or 300 mg) versus placebo on the mean change at Day 92 from baseline (Day 1, prior to dosing) in FEV1.

  13. Change at Day 176 From Baseline in Forced Expiratory Volume in One Second (FEV1) (Intent-to-Treat Analysis) [Day 176]

    Effect of MEDI-528 (30, 100, or 300 mg) versus placebo on the mean change from baseline (Day 1, prior to dosing) in FEV1 at Day 176

  14. Proportion of Participants Who Had a Asthma Quality of Life Questionnaire - Standard (AQLQ[S]) Assessment Response at Day 85 (Intent-to-Treat Analysis) [Day 85]

    Effect of MEDI-528 (30, 100, or 300 mg) versus placebo on the proportion of participants who had an AQLQ(S) assessment response (defined as an improvement of at least 0.5 score in AQLQ[S]) at Day 85 (Intent-to-Treat Analysis). The AQLQ(S) is a 32-item questionnaire that measures the health related quality of life experienced by asthma patients. In the study, participants were asked to recall their experiences during the previous 2 weeks and to score each of the 32 questions on a 7-point scale ranging from 7 (no impairment) to 1 (severe impairment). The overall score is calculated as the mean response to all questions. Individual improvement in the overall score of 0.5 has been identified as the minimally important difference, with score changes > 1.5 identified to be large meaningful differences.

  15. Proportion of Participants Who Had a Asthma Quality of Life Questionnaire - Standard (AQLQ[S]) Assessment Response at Day 176 (Intent-to-Treat Analysis) [Day 176]

    Effect of MEDI-528 (30, 100, or 300 mg) versus placebo on the proportion of participants who had an AQLQ(S) assessment response at Day 176 (Intent-to-Treat Analysis). The AQLQ(S) is a 32-item questionnaire that measures the health related quality of life experienced by asthma patients. In the study, participants were asked to recall their experiences during the previous 2 weeks and to score each of the 32 questions on a 7-point scale ranging from 7 (no impairment) to 1 (severe impairment). The overall score is calculated as the mean response to all questions. Individual improvement in the overall score of 0.5 has been identified as the minimally important difference, with score changes > 1.5 identified to be large meaningful differences.

  16. Proportion of Participants With Detectable Anti-drug Antibodies to MEDI-528 [Days 1, 29, 57, 85, 127, 169, 176, 204,260, and 323]

    Proportion of participants with detectable anti-drug antibodies to MEDI-528 in subjects receiving 30, 100, or 300 mg MEDI-528 and placebo

  17. First Dose Trough Concentration of MEDI-528 [Day 15]

    First dose trough concentration of MEDI-528 measured on Day 15 prior to administration of the second dose of MEDI-528 (30, 100, or 300 mg). Serum concentrations of MEDI-528 were measured on Days 1, 15, 29, 57, 85, 127, 169, 176, 204, 232, 260, 288, and 323. The first dose trough concentration of MEDI-528 was measured on Day 15 prior to the Day 15 dose.

  18. Day 169 Steady State Trough Concentration of MEDI-528 [Day 169]

    Trough concentration of MEDI-528 measured on Day 169 prior to administration of the last dose of MEDI-528 (30, 100, or 300 mg). Serum concentrations of MEDI-528 were measured on Days 1, 15, 29, 57, 85, 127, 169, 176, 204, 232, 260, 288, and 323. Steady state trough concentration of MEDI-528 was measured on Day 169.

  19. Half Life of MEDI-528 [Days 1, 15, 29, 57, 85, 127, 169, 176, 204, 232, 260, 288, and 323]

    Half life of MEDI-528 in subjects receiving 30, 100, or 300 mg MEDI-528. Serum concentrations of MEDI-528 were measured on Days 1, 15, 29, 57, 85, 127, 169, 176, 204, 232, 260, 288, and 323.

  20. Accumulation Ratio of Trough Concentrations of MEDI-528 [Days 1, 15, 29, 57, 85, 127, 169, 176, 204, 232, 260, 288, and 323]

    Accumulation ratio of trough concentrations of MEDI-528 in subjects receiving 30, 100, or 300 mg MEDI-528. Serum concentrations of MEDI-528 were measured on Days 1, 15, 29, 57, 85, 127, 169, 176, 204, 232, 260, 288, and 323.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 65 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No

Inclusion Criteria

Subjects must meet all of the following criteria:
  1. Male or female

  2. Age 18 through 65 years at the time of screening

  3. Written informed consent and any locally required authorization obtained from the subject prior to performing any protocol-related procedures, including screening evaluations

  4. Female subjects of childbearing potential who are sexually active with non-sterilized male partner must use adequate contraception from screening through the end of the study. An acceptable method of contraception is defined as one that has no higher than a 1% failure rate. Sustained abstinence is an acceptable practice; however, periodic abstinence, the rhythm method, and the withdrawal method are not acceptable methods of contraception

  5. Non-sterilized males who are sexually active with a female of child-bearing potential must use adequate contraception from screening through the end of the study

  6. Females or female partners not of childbearing potential must have been surgically sterilized (eg, hysterectomy, bilateral tubal ligation, or bilateral oophorectomy) or postmenopausal (defined as at least 1 year since last regular menses)

  7. Sterilized males must be at least 1-year post vasectomy and have obtained documentation of the absence of sperm in the ejaculate

  8. Weight ≥ 45 kg but ≤ 120 kg and body mass index (BMI) between 18 and 35 kg/m2

  9. Physician-diagnosed asthma by medical chart

  10. Currently taking inhaled corticosteroids (ICS) or is a candidate to receive ICS per Expert Panel Report (EPR)-3

  11. Pre-bronchodilator forced expiratory volume in 1 second (FEV1) value ≥ 40% at Day -28 and Day 1

  12. A post-bronchodilator increase in FEV1 and/or FVC ≥ 12% and ≥ 200 mL at Day -28 OR meeting any one of the following criteria:

  13. Proof of post-bronchodilator reversibility of airflow obstruction ≥ 12% documented within 36 months prior to randomization or proof of a positive response to a methacholine challenge documented within 36 months prior to randomization; OR

  14. Proof of partial reversibility of ≥ 8% to < 12% improvement in post-bronchodilator FEV1 on Day -28 and achievement of ≥ 12% reversibility at a second time between Day -27 and Day -15; OR

  15. If a) and b) are not met and all other inclusion/exclusion criteria are met, subjects with a FEV1 of ≥ 1.5 L and ≥ 60% on Day -14 will be eligible to undergo a methacholine challenge. If the subject achieves a positive response to this methacholine challenge, then this criterion is met

  16. Uncontrolled asthma consistent with EPR-3. In the 28 days before screening, subjects should have a history of one or more of the following:

  • Daytime asthma symptoms ≥ 2 days/week

  • Nighttime awakening ≥ 1 night/week

  • Albuterol/salbutamol use ≥ 2 days/week

  1. An Asthma Control Questionnaire (ACQ) score ≥ 1.5 at Day -28 and at Day 1.

  2. At least one asthma exacerbation in the 12 months before screening that required intake of systemic corticosteroids after an unscheduled medical encounter or as agreed with a physician based on an asthma action plan that defines when oral steroids can be taken by the subject

  3. Ability and willingness to complete the follow-up period through Day 323 as required by the protocol.

Exclusion Criteria

Any of the following would exclude the subject from participation in the study:
  1. Any condition that, in the opinion of the investigator, would interfere with evaluation of the investigational product or interpretation of subject safety or study results

  2. Concurrent enrollment in another clinical study

  3. Employees of the clinical study site or any other individuals involved with the conduct of the study, or immediate family members of such individuals

  4. Known history of allergy or reaction to any component of the investigational product formulation

  5. History of anaphylaxis to other biologic therapy

  6. Lung disease other than asthma (eg, chronic obstructive pulmonary disease [COPD], cystic fibrosis)

  7. Severe depression as measured by a depression score > 15 on the Hospital Anxiety and Depression Scale (HADS) at either Day-28 or Day 1.

  8. History of suicidal behavior in the previous 3 years as measured by the Columbia Suicide Severity Rating Scale (C-SSRS) at Day -28.

  9. Acute illness other than asthma at the screening and randomization visits

  10. History of an active infection within 28 days before and during the screening period, or evidence of clinically significant active infection, including ongoing chronic infection

  11. History of ingestion of untreated water in a location known to be infected with parasites, resulting in acute or chronic diarrhea; history of recent travel to areas where parasite infestations are endemic within 6 months before screening; or a diagnosis of parasitic infection within 6 months before screening

  12. Use of immunosuppressive medication (except oral prednisone up to a dose of 20 mg every other day or equivalent [eg, 10 mg a day or 5 mg twice a day] and inhaled and topical corticosteroids) within 28 days before randomization

  13. Receipt of immunoglobulin or blood products within 28 days before randomization

  14. Plans to donate blood during the entire study period

  15. Donated blood or has had a blood transfusion within 28 days before screening

  16. Receipt of any non-biological study drugs or interventional therapy (including surgical procedures) within 28 days of the first dose of investigational product in this study

  17. Receipt of any biologicals including MEDI-528 within 5 half-lives before the first dose of investigational product in this study

  18. History of any known immunodeficiency disorder

  19. A positive hepatitis B surface antigen, or hepatitis C virus antibody, as determined by medical history and/or subject's verbal report

  20. A positive human immunodeficiency virus test or is taking antiretroviral medications, as determined by medical history and/or subject's verbal report

  21. A live attenuated vaccination received within 28 days before screening

  22. History of clinically significant abnormality on electrocardiogram (ECG) in the opinion of the investigator

  23. Breastfeeding or lactating

  24. History of treatment for alcohol or drug abuse within the past year

  25. History suggestive of COPD or of tobacco smoking ≥ 10 pack-years

  26. Evidence of any uncontrolled systemic disease upon physical examination

  27. History of cancer, apart from basal cell carcinoma or in situ carcinoma of the cervix treated with apparent success with curative therapy ≥ 1 year before Day 1 or other malignancies treated with apparent success with curative therapy ≥ 5 years before screening

  28. Any noninfectious disease involving multiple organs (eg, cystic fibrosis, systemic lupus erythematosus, hemophilia, multiple sclerosis, etc.) that, in the opinion of the investigator, would interfere with evaluation of the investigational product or interpretation of subject safety or study results

  29. Individuals who are legally institutionalized

Contacts and Locations

Locations

Site City State Country Postal Code
1 Research Site Pell City Alabama United States 35128
2 Research Site Los Angeles California United States 90025
3 Research Site Sacramento California United States 95819
4 Research Site San Diego California United States 92123
5 Research Site Centennial Colorado United States 80112
6 Research Site Colarado Springs Colorado United States 80907
7 Research Site Thornton Colorado United States 80233
8 Research Site Waterbury Connecticut United States 06708
9 Research Site Kissimmee Florida United States 34741
10 Research Site Normal Illinois United States 61761
11 Research Site Overland Park Kansas United States 66210
12 Research Site Louisville Kentucky United States 40215
13 Research Site Baltimore Maryland United States 21236
14 Research Site Silver Spring Maryland United States 20902
15 Research Site N. Dartmouth Massachusetts United States 02747
16 Research Site Minneapolis Minnesota United States 55402
17 Research Site Omaha Nebraska United States 68131
18 Research Site Mt. Laurel New Jersey United States 08054
19 Research Site Sylvania Ohio United States 43560
20 Research Site Medford Oregon United States 97504
21 Research Site Lincoln Rhode Island United States 02865
22 Research Site Greenville South Carolina United States 29607
23 Research Site El Paso Texas United States 79903
24 Research Site San Antonio Texas United States 78229
25 Research Site Buenos Aire Caba Argentina 1425
26 Research Site Ciudad Autonoma Bs As Ciudad de Buenos Aires Argentina 1405
27 Research Site Rosario Santa Fe Argentina 2000
28 Research Site San Miguel de Tucuman Tucuman Argentina T4000IAR
29 Research Site Buenos Aires Argentina C1424BSF
30 Research Site Ciudad de Buenos Aire Argentina 1425
31 Research Site Porto Alegre RS Brazil 90020-090
32 Research Site Porto Alegre RS Brazil 90610-000
33 Research Site Florianopolis Santa Catarina Brazil 88040-970
34 Research Site Santo André Brazil 09060-870
35 Research Site Sao Paulo Brazil 05403-000
36 Research Site Calgary Alberta Canada T2N 4Z6
37 Research Site Edmonton Alberta Canada T6G 2B7
38 Research Site Vancouver British Columbia Canada V5Z 1M9
39 Research Site Mississauga Ontario Canada L5A 3V4
40 Research Site Ottawa Ontario Canada K1Y 4G2
41 Research Site Montreal Quebec Canada H2X 2P4
42 Research Site Quebec City Quebec Canada G1V 4M6
43 Research Site Quebec Canada
44 Research Site Bogota DC Cundinamarca Colombia
45 Research Site Bogota Cundinamarca Colombia
46 Research Site Bogotá D.C. Cundinamarca Colombia
47 Research Site San Francisco de Dos Rios San José Costa Rica
48 Research Site Ciudad de Panama Panama
49 Research Site Jesus Maria Lima Peru Lima 11
50 Research Site Lima Peru Lima 27
51 Research Site Lima Peru LIMA 33
52 Research Site Lima Peru
53 Research Site Lipa City Batangas Philippines
54 Research Site Iloilo City Iloilo Philippines 5000
55 Research Site Quezon City Metro Manila Philippines 870
56 Research Site Kaohsiung Taiwan
57 Research Site Taoyuan Taiwan

Sponsors and Collaborators

  • MedImmune LLC

Investigators

  • Study Director: Chad Oh, M.D., MedImmune LLC

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
MedImmune LLC
ClinicalTrials.gov Identifier:
NCT00968669
Other Study ID Numbers:
  • MI-CP198
First Posted:
Aug 31, 2009
Last Update Posted:
Jun 4, 2014
Last Verified:
May 1, 2014
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail A total of 329 participants was randomized into the study, but 2 participants (1 in the MEDI-528 30 mg arm and 1 in the MEDI-528 300 mg arm) were randomized by mistake as they were screen failures. Therefore, a total of 327 participants were correctly randomized into the study.
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Period Title: Overall Study
STARTED 82 81 83 81
COMPLETED 64 63 72 72
NOT COMPLETED 18 18 11 9

Baseline Characteristics

Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg Total
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks Total of all reporting groups
Overall Participants 82 81 83 81 327
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
43.6
(11.6)
41.8
(11.1)
45.1
(11.6)
41.5
(12.3)
43.0
(11.7)
Sex: Female, Male (Count of Participants)
Female
53
64.6%
55
67.9%
62
74.7%
55
67.9%
225
68.8%
Male
29
35.4%
26
32.1%
21
25.3%
26
32.1%
102
31.2%

Outcome Measures

1. Primary Outcome
Title Change at Day 92 From Baseline in Mean Asthma Control Questionnaire (ACQ) Scores (Intent-toTreat Analysis)
Description Change at Day 92 from baseline (Day 1, prior to dosing) in mean ACQ scores in pariticpants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). The 6-item ACQ is a participant-reported questionnaire assessing asthma symptoms (night-time waking, symptoms on waking, activity limitation, shortness of breath, wheezing) and daily rescue bronchodilator use. Participants were asked to recall how their asthma had been during the previous week. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The mean ACQ score is the mean of the responses. Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between 0.76 and < 1.5 indicate partly controlled asthma, and a score ≥ 1.5 indicates uncontrolled asthma. Individual changes of at least 0.5 are considered to be clinically meaningful.
Time Frame Day 92

Outcome Measure Data

Analysis Population Description
All participants randomized into the 30, 100, or 300 mg MEDI-528 (n=81, 83, or 81, respectively) or placebo (n=82) groups.
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 82 81 83 81
Mean (Standard Deviation) [Scores on a scale]
-1.23
(0.95)
-1.10
(1.11)
-1.26
(1.02)
-1.31
(1.07)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 30 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.435
Comments
Method ANOVA
Comments Missing mean ACQ scores at Day 92 was imputed by last observation carried forward
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 100 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.828
Comments
Method ANOVA
Comments Missing mean ACQ scores at Day 92 was imputed by last observation carried forward
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection MEDI528 300 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.628
Comments
Method ANOVA
Comments Missing mean ACQ scores at Day 92 was imputed by last observation carried forward
2. Secondary Outcome
Title Weighted Asthma Exacerbation Rate Through Day 92 (Intent-to-Treat Analysis)
Description Weighted asthma exacerbation rate (total number of exacerbation rate in each group per total duration of participant-year follow-up in each group) between Day 1 and Day 92 in pariticpants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). An exacerbation was defined as a progressive increase of asthma symptoms AND a reduction of 20% or more in peak expiratory flow (PEF) or forced expiratory volume in 1 second (FEV1) from baseline (Day 1, prior to dosing) or best previously measured value prior to the current event that did not resolve after the initiation of rescue medications; and results in a prescription for/or administration of systemic corticosteroid burst therapy by the investigator or health care provider. An exacerbation event was considered resolved when the subject's asthma symptoms diminished and PEF or FEV1 return to greater than 80% of baseline for 7 or more days after completion of systemic corticosteroid burst therapy.
Time Frame Days 1 - 92

Outcome Measure Data

Analysis Population Description
All participants who were randomized and received at least one dose of investigational product (30, 100, or 300 mg MEDI-528 or placebo)
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 82 81 83 81
Number (95% Confidence Interval) [Exacerbations per participant year]
0.53
(0.96)
0.82
(1.15)
0.33
0.39
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 30 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.271
Comments
Method Pairwise Poisson Regression
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 100 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.319
Comments
Method Pairwise Poisson Regression
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 300 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.502
Comments
Method Pairwise Poisson Regression
Comments
3. Secondary Outcome
Title Weighted Asthma Exacerbation Rate Through Day 176 (Intent-to-Treat Analysis)
Description Weighted asthma exacerbation rate (total number of exacerbation rate in each group per total duration of participant-year follow-up in each group) between Day 1 and Day 176 in pariticpants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). An exacerbation was defined as a progressive increase of asthma symptoms AND a reduction of 20% or more in peak expiratory flow (PEF) or forced expiratory volume in 1 second (FEV1) from baseline (Day 1, prior to dosing) or best previously measured value prior to the current event that did not resolve after the initiation of rescue medications; and results in a prescription for/or administration of systemic corticosteroid burst therapy by the investigator or health care provider. An exacerbation event was considered resolved when the subject's asthma symptoms diminished and PEF or FEV1 return to greater than 80% of baseline for 7 or more days after completion of systemic corticosteroid burst therapy.
Time Frame Days 1 - 176

Outcome Measure Data

Analysis Population Description
All participants who were randomized and received at least one dose of investigational product (30, 100, or 300 mg MEDI-528 or placebo)
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 82 81 83 81
Number (95% Confidence Interval) [Exacerbations per participant year]
0.58
(0.96)
0.64
(1.15)
0.28
0.58
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 30 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.756
Comments
Method Pairwise Poisson Regression
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 100 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.047
Comments
Method Pairwise Poisson Regression
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 300 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 1.000
Comments
Method Pairwise Poisson Regression
Comments
4. Secondary Outcome
Title Proportion of Participants Experiencing at Least One Asthma Exacerbation Through Day 92 (Intent-to-Treat Analysis)
Description The proportion of participants that experienced at least one asthma exacerbation between Day 1 and Day 92 in pariticpants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). An exacerbation was defined as a progressive increase of asthma symptoms AND a reduction of 20% or more in peak expiratory flow (PEF) or forced expiratory volume in 1 second (FEV1) from baseline (Day 1, prior to dosing) or best previously measured value prior to the current event that did not resolve after the initiation of rescue medications; and results in a prescription for/or administration of systemic corticosteroid burst therapy by the investigator or health care provider. An exacerbation event was considered resolved when the subject's asthma symptoms diminished and PEF or FEV1 return to greater than 80% of baseline for 7 or more days after completion of systemic corticosteroid burst therapy.
Time Frame Days 1 - 92

Outcome Measure Data

Analysis Population Description
All participants who were randomized and received at least one dose of investigational product (30, 100, or 300 mg MEDI-528 or placebo)
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 82 81 83 81
Number [Participants]
8
(0.15) 9.8%
14
(0.14) 17.3%
5
6%
7
8.6%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 30 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1764
Comments
Method Fisher Exact
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 100 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4031
Comments
Method Fisher Exact
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 300 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 1.0000
Comments
Method Fisher Exact
Comments
5. Secondary Outcome
Title Proportion of Participants Experiencing at Least One Asthma Exacerbation Through Day 176 (Intent-to-Treat Analysis)
Description The proportion of participants that experienced at least one asthma exacerbation between Day 1 and Day 176 in pariticpants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). An exacerbation was defined as a progressive increase of asthma symptoms AND a reduction of 20% or more in peak expiratory flow (PEF) or forced expiratory volume in 1 second (FEV1) from baseline (Day 1, prior to dosing) or best previously measured value prior to the current event that did not resolve after the initiation of rescue medications; and results in a prescription for/or administration of systemic corticosteroid burst therapy by the investigator or health care provider. An exacerbation event was considered resolved when the subject's asthma symptoms diminished and PEF or FEV1 return to greater than 80% of baseline for 7 or more days after completion of systemic corticosteroid burst therapy.
Time Frame Days 1 - 176

Outcome Measure Data

Analysis Population Description
All participants who were randomized and received at least one dose of investigational product (30, 100, or 300 mg MEDI-528 or placebo)
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 82 81 83 81
Number [Participants]
16
(0.15) 19.5%
17
(0.14) 21%
8
9.6%
15
18.5%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 30 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8475
Comments
Method Fisher Exact
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 100 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0811
Comments
Method Fisher Exact
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 300 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 1.0000
Comments
Method Fisher Exact
Comments
6. Secondary Outcome
Title Time to First Asthma Exacerbation Through Day 92 (Intent-to-Treat Analysis)
Description Time to first asthma exacerbation between Day 1 and Day 92 in pariticpants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). An exacerbation was defined as a progressive increase of asthma symptoms AND a reduction of 20% or more in peak expiratory flow (PEF) or forced expiratory volume in 1 second (FEV1) from baseline (Day 1, prior to dosing) or best previously measured value prior to the current event that did not resolve after the initiation of rescue medications; and results in a prescription for/or administration of systemic corticosteroid burst therapy by the investigator or health care provider. An exacerbation event was considered resolved when the subject's asthma symptoms diminished and PEF or FEV1 return to greater than 80% of baseline for 7 or more days after completion of systemic corticosteroid burst therapy.
Time Frame Days 1 - 92

Outcome Measure Data

Analysis Population Description
All participants who were randomized and received at least one dose of investigational product (30, 100, or 300 mg MEDI-528 or placebo)
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 82 81 83 81
Median (95% Confidence Interval) [Day]
NA
(2.10)
NA
(3.38)
NA
(2.14)
NA
(2.27)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 30 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.144
Comments
Method Log Rank
Comments Stratified by atopic asthma and steroid use
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.938
Confidence Interval () %
to
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 100 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.395
Comments
Method Log Rank
Comments Stratified by atopic asthma status and steroid use
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.618
Confidence Interval () %
to
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 300 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.863
Comments
Method Log Rank
Comments Stratified by atopic asthma status and steroid use
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.899
Confidence Interval () %
to
Parameter Dispersion Type:
Value:
Estimation Comments
7. Secondary Outcome
Title Time to First Asthma Exacerbation Through Day 176 (Intent-to-Treat Analysis)
Description Time to first asthma exacerbation between Day 1 and Day 176 in pariticpants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). An exacerbation was defined as a progressive increase of asthma symptoms AND a reduction of 20% or more in peak expiratory flow (PEF) or forced expiratory volume in 1 second (FEV1) from baseline (Day 1, prior to dosing) or best previously measured value prior to the current event that did not resolve after the initiation of rescue medications; and results in a prescription for/or administration of systemic corticosteroid burst therapy by the investigator or health care provider. An exacerbation event was considered resolved when the subject's asthma symptoms diminished and PEF or FEV1 return to greater than 80% of baseline for 7 or more days after completion of systemic corticosteroid burst therapy.
Time Frame Days 1 - 176

Outcome Measure Data

Analysis Population Description
All participants who were randomized and received at least one dose of investigational product (30, 100, or 300 mg MEDI-528 or placebo)
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 82 81 83 81
Median (95% Confidence Interval) [Day]
NA
(5.30)
NA
(7.15)
NA
(4.70)
NA
(5.40)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 30 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.717
Comments
Method Log Rank
Comments Stratified by atopic asthma and steroid use
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.162
Confidence Interval () %
to
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 100 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.070
Comments
Method Log Rank
Comments Stratified by atopic asthma status and steroid use
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.467
Confidence Interval () %
to
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 300 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.934
Comments
Method Log Rank
Comments Stratified by atopic asthma status and steroid use
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.955
Confidence Interval () %
to
Parameter Dispersion Type:
Value:
Estimation Comments
8. Secondary Outcome
Title Change at Day 176 From Baseline in Mean Asthma Control Questionnaire Scores (Intent-to-Treat Analysis)
Description Change at Day 176 from baseline (Day 1, prior to dosing) in mean ACQ scores in participants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). The 6-item ACQ is a participant-reported questionnaire assessing asthma symptoms (night-time waking, symptoms on waking, activity limitation, shortness of breath, wheezing) and daily rescue bronchodilator use. Participants were asked to recall how their asthma had been during the previous week. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The mean ACQ score is the mean of the responses. Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between 0.76 and < 1.5 indicate partly controlled asthma, and a score ≥ 1.5 indicates uncontrolled asthma. Individual changes of at least 0.5 are considered to be clinically meaningful.
Time Frame Day 176

Outcome Measure Data

Analysis Population Description
All participants who were randomized into the 30 mg MEDI-528 (n=81), 100 mg MEDI-528 (n=83), 300 mg MEDI-528 (n=81), or placebo group (n=82) who had ACQ data available on Day 176.
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 82 81 83 81
Mean (Standard Deviation) [Scores on a scale]
-1.27
(1.17)
-1.32
(1.23)
-1.46
(1.07)
-1.45
(1.08)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 30 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.813
Comments
Method ANOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 100 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.290
Comments
Method ANOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 300 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.303
Comments
Method ANOVA
Comments
9. Secondary Outcome
Title Proportion of Participants Achieving Mean Asthma Control Questionnaire (ACQ) Scores at Day 92 of < or = 0.75, > 0.75 to < 1.5, and > or = 1.5 (Intent-to-Treat Analysis)
Description Proportion of participants achieving mean ACQ scores of < or = 0.75, > 0.75 to < 1.5, and > or = 1.5 at Day 92 in participants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). The 6-item ACQ is a participant-reported questionnaire assessing asthma symptoms (night-time waking, symptoms on waking, activity limitation, shortness of breath, wheezing) and daily rescue bronchodilator use. Participants were asked to recall how their asthma had been during the previous week. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The mean ACQ score is the mean of the responses. Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between 0.76 and < 1.5 indicate partly controlled asthma, and a score ≥ 1.5 indicates uncontrolled asthma. Individual changes of at least 0.5 are considered to be clinically meaningful.
Time Frame Day 92

Outcome Measure Data

Analysis Population Description
All participants who were randomized into the 30 mg MEDI-528 (n=81), 100 mg MEDI-528 (n=83), 300 mg MEDI-528 (n=81), or placebo group (n=82) who had ACQ data available on Day 92.
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 82 81 83 81
< or = 0.75
17
20.7%
17
21%
17
20.5%
22
27.2%
> 0.75 and < 1.5
23
28%
21
25.9%
22
26.5%
16
19.8%
> or = 1.5
42
51.2%
43
53.1%
44
53%
43
53.1%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 30 mg, MEDI528 100 mg, MEDI528 300 mg
Comments Combined MEDI-528 treatment was compared to placebo
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.764
Comments
Method Fisher Exact
Comments
10. Secondary Outcome
Title Proportion of Participants Achieving Mean Asthma Control Questionnaire (ACQ) Scores at Day 176 of < or = 0.75, > 0.75 to < 1.5, and > or = 1.5 (Intent-to-Treat Analysis)
Description Proportion of participants achieving mean ACQ scores of < or = 0.75, > 0.75 to < 1.5, and > or = 1.5 at Day 176 in participants receiving 30, 100, or 300 mg MEDI-528 versus placebo (Intent-to-Treat Analysis). The 6-item ACQ is a participant-reported questionnaire assessing asthma symptoms (night-time waking, symptoms on waking, activity limitation, shortness of breath, wheezing) and daily rescue bronchodilator use. Participants were asked to recall how their asthma had been during the previous week. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The mean ACQ score is the mean of the responses. Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between 0.76 and < 1.5 indicate partly controlled asthma, and a score ≥ 1.5 indicates uncontrolled asthma. Individual changes of at least 0.5 are considered to be clinically meaningful.
Time Frame Day 176

Outcome Measure Data

Analysis Population Description
All participants who were randomized into the 30 mg MEDI-528 (n=81), 100 mg MEDI-528 (n=83), 300 mg MEDI-528 (n=81), or placebo group (n=82) who had ACQ data available on Day 176.
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 82 81 83 81
< or = 0.75
25
30.5%
29
35.8%
24
28.9%
25
30.9%
> 0.75 and < 1.5
19
23.2%
18
22.2%
18
21.7%
20
24.7%
> or = 1.5
38
46.3%
34
42%
41
49.4%
36
44.4%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 30 mg, MEDI528 100 mg, MEDI528 300 mg
Comments Combined MEDI-528 treatment was compared to placebo
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.986
Comments
Method Fisher Exact
Comments
11. Secondary Outcome
Title Time to First Observed Mean Asthma Control Questionnaire (ACQ) Change From Baseline > or = 0.5 Through Day 92 (Intent-to-Treat Analysis)
Description Effect of MEDI-528 (30, 100, or 300 mg) versus placebo on the time to first observed mean ACQ change from baseline (Day 1, prior to dosing) > or = 0.5 through Day 92 (Intent-to-Treat Analysis). The 6-item ACQ is a participant-reported questionnaire assessing asthma symptoms (night-time waking, symptoms on waking, activity limitation, shortness of breath, wheezing) and daily rescue bronchodilator use. Participants were asked to recall how their asthma had been during the previous week. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The mean ACQ score is the mean of the responses. Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between 0.76 and < 1.5 indicate partly controlled asthma, and a score ≥ 1.5 indicates uncontrolled asthma. Individual changes of at least 0.5 are considered to be clinically meaningful.
Time Frame Days 1 - 92

Outcome Measure Data

Analysis Population Description
All participants who were randomized into the 30 mg MEDI-528 (n=81), 100 mg MEDI-528 (n=83), 300 mg MEDI-528 (n=81), or placebo group (n=82) who had ACQ data through Day 92.
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 82 81 83 81
Median (95% Confidence Interval) [Day]
15.0
(2.62)
17.0
(2.93)
20.0
(2.67)
20.0
(2.89)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 30 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7171
Comments
Method Log Rank
Comments Stratified by atopic asthma status and steroid use
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.955
Confidence Interval () %
to
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 100 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6219
Comments
Method Log Rank
Comments Stratified by atopic asthma status and steroid use
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.942
Confidence Interval () %
to
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 300 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6182
Comments
Method Log Rank
Comments Stratified by atopic asthma status and steroid use
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.909
Confidence Interval () %
to
Parameter Dispersion Type:
Value:
Estimation Comments
12. Secondary Outcome
Title Time to First Observed Mean Asthma Control Questionnaire (ACQ) Change From Baseline > or = 0.5 Through Day 176 (Intent-to-Treat Analysis)
Description Effect of MEDI-528 (30, 100, or 300 mg) versus placebo on the time to first observed mean ACQ change from baseline (Day 1, prior to dosing) > or = 1.5 Through Day 176 (Intent-to-Treat Analysis). The 6-item ACQ is a participant-reported questionnaire assessing asthma symptoms (night-time waking, symptoms on waking, activity limitation, shortness of breath, wheezing) and daily rescue bronchodilator use. Participants were asked to recall how their asthma had been during the previous week. Questions were weighted equally and scored from 0 (totally controlled) to 6 (severely uncontrolled). The mean ACQ score is the mean of the responses. Mean scores of ≤ 0.75 indicate well-controlled asthma, scores between 0.76 and < 1.5 indicate partly controlled asthma, and a score ≥ 1.5 indicates uncontrolled asthma. Individual changes of at least 0.5 are considered to be clinically meaningful.
Time Frame Days 1 - 176

Outcome Measure Data

Analysis Population Description
All participants who were randomized into the 30 mg MEDI-528 (n=81), 100 mg MEDI-528 (n=83), 300 mg MEDI-528 (n=81), or placebo group (n=82) who had ACQ data through Day 176.
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 82 81 83 81
Median (95% Confidence Interval) [Day]
15.0
(4.07)
17.0
(4.57)
20.0
(3.63)
20.0
(4.70)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 30 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7120
Comments
Method Log Rank
Comments Stratified by atopic asthma status and steroid use
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.952
Confidence Interval () %
to
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 100 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5086
Comments
Method Log Rank
Comments Stratified by atopic asthma status and steroid use
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.928
Confidence Interval () %
to
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 300 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5184
Comments
Method Log Rank
Comments Stratified by atopic asthma status and steroid use
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.887
Confidence Interval () %
to
Parameter Dispersion Type:
Value:
Estimation Comments
13. Secondary Outcome
Title Change at Day 92 From Baseline in Forced Expiratory Volume in One Second (FEV1) (Intent-to-Treat Analysis)
Description Effect of MEDI-528 (30, 100, or 300 mg) versus placebo on the mean change at Day 92 from baseline (Day 1, prior to dosing) in FEV1.
Time Frame Day 92

Outcome Measure Data

Analysis Population Description
All participants randomized into the 30, 100, or 300 mg MEDI-528 (n=81, 83, or 81, respectively) or placebo (n=82) groups who had FEV1 data available at Day 92 (n=62, 73, or 72 for 30, 100, or 300 mg MEDI-528, respectively, and n=67 for placebo).
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 67 62 73 72
Mean (Standard Deviation) [Liters]
0.033
(0.326)
0.045
(0.327)
0.048
(0.230)
0.097
(0.290)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 30 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.837
Comments
Method Two-sample t-test
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 100 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.756
Comments
Method Two-sample t-test
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 300 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.224
Comments
Method Two-sample t-test
Comments
14. Secondary Outcome
Title Change at Day 176 From Baseline in Forced Expiratory Volume in One Second (FEV1) (Intent-to-Treat Analysis)
Description Effect of MEDI-528 (30, 100, or 300 mg) versus placebo on the mean change from baseline (Day 1, prior to dosing) in FEV1 at Day 176
Time Frame Day 176

Outcome Measure Data

Analysis Population Description
All participants randomized into the 30, 100, or 300 mg MEDI-528 (n=81, 83, or 81, respectively) or placebo (n=82) groups who had FEV1 data available at Day 176 (n=67, 75, or 73 for 30, 100, or 300 mg MEDI-528, respectively, and n=69 for placebo).
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 69 67 75 73
Mean (Standard Deviation) [Liters]
0.044
(0.367)
-0.005
(0.324)
0.055
(0.299)
0.047
(0.290)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 30 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.409
Comments
Method Two-sample t-test
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 100 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.847
Comments
Method Two-sample t-test
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 300 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.968
Comments
Method Two-sample t-test
Comments
15. Secondary Outcome
Title Proportion of Participants Who Had a Asthma Quality of Life Questionnaire - Standard (AQLQ[S]) Assessment Response at Day 85 (Intent-to-Treat Analysis)
Description Effect of MEDI-528 (30, 100, or 300 mg) versus placebo on the proportion of participants who had an AQLQ(S) assessment response (defined as an improvement of at least 0.5 score in AQLQ[S]) at Day 85 (Intent-to-Treat Analysis). The AQLQ(S) is a 32-item questionnaire that measures the health related quality of life experienced by asthma patients. In the study, participants were asked to recall their experiences during the previous 2 weeks and to score each of the 32 questions on a 7-point scale ranging from 7 (no impairment) to 1 (severe impairment). The overall score is calculated as the mean response to all questions. Individual improvement in the overall score of 0.5 has been identified as the minimally important difference, with score changes > 1.5 identified to be large meaningful differences.
Time Frame Day 85

Outcome Measure Data

Analysis Population Description
All participants who were randomized into the 30 mg MEDI-528 (n=81), 100 mg MEDI-528 (n=83), 300 mg MEDI-528 (n=81), or placebo group (n=82) who had AQLQ(S) data at Day 85 (n=69, 63, 76, and 68 for placebo, 30, 100, and 300 mg MEDI-528, respectively).
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 69 63 76 68
Number [Participants]
53
(57.871) 64.6%
43
(60.584) 53.1%
52
(53.110) 62.7%
49
(55.339) 60.5%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 30 mg, MEDI528 100 mg, MEDI528 300 mg
Comments Combined MEDI-528 dose groups versus placebo
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.208
Comments
Method Fisher Exact
Comments
16. Secondary Outcome
Title Proportion of Participants Who Had a Asthma Quality of Life Questionnaire - Standard (AQLQ[S]) Assessment Response at Day 176 (Intent-to-Treat Analysis)
Description Effect of MEDI-528 (30, 100, or 300 mg) versus placebo on the proportion of participants who had an AQLQ(S) assessment response at Day 176 (Intent-to-Treat Analysis). The AQLQ(S) is a 32-item questionnaire that measures the health related quality of life experienced by asthma patients. In the study, participants were asked to recall their experiences during the previous 2 weeks and to score each of the 32 questions on a 7-point scale ranging from 7 (no impairment) to 1 (severe impairment). The overall score is calculated as the mean response to all questions. Individual improvement in the overall score of 0.5 has been identified as the minimally important difference, with score changes > 1.5 identified to be large meaningful differences.
Time Frame Day 176

Outcome Measure Data

Analysis Population Description
All participants who were randomized into the 30 mg MEDI-528 (n=81), 100 mg MEDI-528 (n=83), 300 mg MEDI-528 (n=81), or placebo group (n=82) who had AQLQ(S) data at Day 176 (n=62, 58, 64, and 60 for placebo, 30, 100, and 300 mg MEDI-528, respectively).
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 62 58 64 60
Number [Participants]
50
(57.871) 61%
42
(60.584) 51.9%
48
(53.110) 57.8%
46
(55.339) 56.8%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, MEDI528 30 mg, MEDI528 100 mg, MEDI528 300 mg
Comments Combined MEDI-528 dose groups versus placebo
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.574
Comments
Method Fisher Exact
Comments
17. Secondary Outcome
Title Proportion of Participants With Detectable Anti-drug Antibodies to MEDI-528
Description Proportion of participants with detectable anti-drug antibodies to MEDI-528 in subjects receiving 30, 100, or 300 mg MEDI-528 and placebo
Time Frame Days 1, 29, 57, 85, 127, 169, 176, 204,260, and 323

Outcome Measure Data

Analysis Population Description
All participants who were randomized into the 30 mg MEDI-528 (n=81), 100 mg MEDI-528 (n=83), 300 mg MEDI-528 (n=81), or placebo (n=82) group and received at least one dose of investigational product.
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 82 81 83 81
Number [Participants]
4
4.9%
15
(1.53) 18.5%
4
(1.83) 4.8%
3
(1.99) 3.7%
18. Secondary Outcome
Title First Dose Trough Concentration of MEDI-528
Description First dose trough concentration of MEDI-528 measured on Day 15 prior to administration of the second dose of MEDI-528 (30, 100, or 300 mg). Serum concentrations of MEDI-528 were measured on Days 1, 15, 29, 57, 85, 127, 169, 176, 204, 232, 260, 288, and 323. The first dose trough concentration of MEDI-528 was measured on Day 15 prior to the Day 15 dose.
Time Frame Day 15

Outcome Measure Data

Analysis Population Description
All participants randomized into the 30, 100, or 300 mg MEDI-528 group (n=81, 83, or 81, respectively).
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 0 81 83 81
Mean (Standard Deviation) [Microgram per milliliter]
2.15
(0.81)
5.91
(2.97)
15.80
(5.68)
19. Secondary Outcome
Title Day 169 Steady State Trough Concentration of MEDI-528
Description Trough concentration of MEDI-528 measured on Day 169 prior to administration of the last dose of MEDI-528 (30, 100, or 300 mg). Serum concentrations of MEDI-528 were measured on Days 1, 15, 29, 57, 85, 127, 169, 176, 204, 232, 260, 288, and 323. Steady state trough concentration of MEDI-528 was measured on Day 169.
Time Frame Day 169

Outcome Measure Data

Analysis Population Description
All participants randomized into the 30, 100, or 300 mg MEDI-528 group (n=81, 83, or 81, respectively).
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 0 81 83 81
Mean (Standard Deviation) [Microgram per milliliter]
5.99
(3.37)
21.68
(9.49)
61.57
(26.85)
20. Secondary Outcome
Title Half Life of MEDI-528
Description Half life of MEDI-528 in subjects receiving 30, 100, or 300 mg MEDI-528. Serum concentrations of MEDI-528 were measured on Days 1, 15, 29, 57, 85, 127, 169, 176, 204, 232, 260, 288, and 323.
Time Frame Days 1, 15, 29, 57, 85, 127, 169, 176, 204, 232, 260, 288, and 323

Outcome Measure Data

Analysis Population Description
All participants randomized into the 30, 100, or 300 mg MEDI-528 group (n=81, 83, or 81, respectively).
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 0 81 83 81
Mean (Standard Deviation) [Days]
39.0
(8.14)
32.6
(5.89)
32.2
(6.41)
21. Secondary Outcome
Title Accumulation Ratio of Trough Concentrations of MEDI-528
Description Accumulation ratio of trough concentrations of MEDI-528 in subjects receiving 30, 100, or 300 mg MEDI-528. Serum concentrations of MEDI-528 were measured on Days 1, 15, 29, 57, 85, 127, 169, 176, 204, 232, 260, 288, and 323.
Time Frame Days 1, 15, 29, 57, 85, 127, 169, 176, 204, 232, 260, 288, and 323

Outcome Measure Data

Analysis Population Description
All participants who were randomized into the 30 mg MEDI-528 (n=81), 100 mg MEDI-528 (n=83), 300 mg MEDI-528 (n=81) and received at least one dose of investigational product.
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
Measure Participants 0 81 83 81
Mean (Standard Deviation) [Ratio]
3.46
(1.53)
4.18
(1.83)
4.11
(1.99)

Adverse Events

Time Frame Day 1 to Day 323
Adverse Event Reporting Description
Arm/Group Title Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Arm/Group Description Placebo administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 30 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 100 mg administered as a subcutaneous injection every 2 weeks for 24 weeks MEDI-528 at a dose of 300 mg administered as a subcutaneous injection every 2 weeks for 24 weeks
All Cause Mortality
Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 4/82 (4.9%) 9/81 (11.1%) 4/83 (4.8%) 2/81 (2.5%)
Gastrointestinal disorders
Pancreatitis 1/82 (1.2%) 1 0/81 (0%) 0 0/83 (0%) 0 0/81 (0%) 0
Hepatobiliary disorders
Cholelithiasis 1/82 (1.2%) 1 0/81 (0%) 0 0/83 (0%) 0 0/81 (0%) 0
Hydrocholecystis 1/82 (1.2%) 1 0/81 (0%) 0 0/83 (0%) 0 0/81 (0%) 0
Immune system disorders
Food allergy 0/82 (0%) 0 1/81 (1.2%) 1 0/83 (0%) 0 0/81 (0%) 0
Infections and infestations
Appendicitis 1/82 (1.2%) 1 0/81 (0%) 0 0/83 (0%) 0 0/81 (0%) 0
Bronchitis 0/82 (0%) 0 1/81 (1.2%) 1 0/83 (0%) 0 0/81 (0%) 0
Lobar pneumonia 0/82 (0%) 0 0/81 (0%) 0 1/83 (1.2%) 1 0/81 (0%) 0
Pneumonia 0/82 (0%) 0 3/81 (3.7%) 3 0/83 (0%) 0 0/81 (0%) 0
Injury, poisoning and procedural complications
Limb traumatic amputation 0/82 (0%) 0 1/81 (1.2%) 1 0/83 (0%) 0 0/81 (0%) 0
Thoracic vertebral fracture 0/82 (0%) 0 0/81 (0%) 0 1/83 (1.2%) 1 0/81 (0%) 0
Musculoskeletal and connective tissue disorders
Muscle spasms 0/82 (0%) 0 0/81 (0%) 0 1/83 (1.2%) 1 0/81 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyoma 0/82 (0%) 0 0/81 (0%) 0 1/83 (1.2%) 1 0/81 (0%) 0
Nervous system disorders
Complicated migraine 0/82 (0%) 0 1/81 (1.2%) 1 0/83 (0%) 0 0/81 (0%) 0
Ischaemic stroke 0/82 (0%) 0 1/81 (1.2%) 1 0/83 (0%) 0 0/81 (0%) 0
Renal and urinary disorders
Nephrolithiasis 1/82 (1.2%) 1 0/81 (0%) 0 0/83 (0%) 0 0/81 (0%) 0
Reproductive system and breast disorders
Vaginal haemorrhage 0/82 (0%) 0 0/81 (0%) 0 1/83 (1.2%) 1 0/81 (0%) 0
Respiratory, thoracic and mediastinal disorders
Asthma 0/82 (0%) 0 6/81 (7.4%) 6 1/83 (1.2%) 1 2/81 (2.5%) 2
Other (Not Including Serious) Adverse Events
Placebo MEDI528 30 mg MEDI528 100 mg MEDI528 300 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 67/82 (81.7%) 62/81 (76.5%) 68/83 (81.9%) 69/81 (85.2%)
Gastrointestinal disorders
Diarrhoea 2/82 (2.4%) 2 3/81 (3.7%) 3 3/83 (3.6%) 4 3/81 (3.7%) 3
Toothache 1/82 (1.2%) 1 2/81 (2.5%) 2 4/83 (4.8%) 4 0/81 (0%) 0
General disorders
Asthenia 2/82 (2.4%) 3 3/81 (3.7%) 3 1/83 (1.2%) 1 1/81 (1.2%) 1
Injection site erythema 2/82 (2.4%) 3 1/81 (1.2%) 2 4/83 (4.8%) 10 5/81 (6.2%) 9
Injection site pain 5/82 (6.1%) 6 1/81 (1.2%) 1 4/83 (4.8%) 5 2/81 (2.5%) 14
Pyrexia 0/82 (0%) 0 0/81 (0%) 0 4/83 (4.8%) 4 3/81 (3.7%) 3
Infections and infestations
Acute sinusitis 2/82 (2.4%) 2 3/81 (3.7%) 4 2/83 (2.4%) 2 2/81 (2.5%) 4
Bronchitis 8/82 (9.8%) 8 4/81 (4.9%) 5 2/83 (2.4%) 3 5/81 (6.2%) 7
Gastroenteritis 3/82 (3.7%) 3 2/81 (2.5%) 2 5/83 (6%) 5 2/81 (2.5%) 2
Influenza 6/82 (7.3%) 8 10/81 (12.3%) 11 5/83 (6%) 5 2/81 (2.5%) 2
Nasopharyngitis 12/82 (14.6%) 15 11/81 (13.6%) 15 5/83 (6%) 9 7/81 (8.6%) 11
Pharyngitis 2/82 (2.4%) 2 4/81 (4.9%) 4 8/83 (9.6%) 13 4/81 (4.9%) 5
Rhinitis 5/82 (6.1%) 5 3/81 (3.7%) 3 3/83 (3.6%) 3 2/81 (2.5%) 2
Sinusitis 4/82 (4.9%) 5 10/81 (12.3%) 11 4/83 (4.8%) 4 6/81 (7.4%) 10
Upper respiratory tract infection 12/82 (14.6%) 19 6/81 (7.4%) 6 16/83 (19.3%) 23 20/81 (24.7%) 32
Urinary tract infection 6/82 (7.3%) 6 7/81 (8.6%) 9 7/83 (8.4%) 7 2/81 (2.5%) 3
Viral upper respiratory tract infection 5/82 (6.1%) 7 1/81 (1.2%) 4 0/83 (0%) 0 3/81 (3.7%) 3
Musculoskeletal and connective tissue disorders
Back pain 2/82 (2.4%) 2 3/81 (3.7%) 3 3/83 (3.6%) 3 2/81 (2.5%) 3
Pain in extremity 2/82 (2.4%) 2 1/81 (1.2%) 1 3/83 (3.6%) 3 3/81 (3.7%) 4
Nervous system disorders
Dizziness 5/82 (6.1%) 5 2/81 (2.5%) 2 5/83 (6%) 15 0/81 (0%) 0
Headache 8/82 (9.8%) 11 13/81 (16%) 20 5/83 (6%) 9 6/81 (7.4%) 7
Migraine 1/82 (1.2%) 1 4/81 (4.9%) 5 1/83 (1.2%) 1 1/81 (1.2%) 1
Respiratory, thoracic and mediastinal disorders
Asthma 25/82 (30.5%) 41 28/81 (34.6%) 53 20/83 (24.1%) 29 31/81 (38.3%) 64
Cough 0/82 (0%) 0 2/81 (2.5%) 2 2/83 (2.4%) 2 3/81 (3.7%) 3
Oropharyngeal pain 0/82 (0%) 0 2/81 (2.5%) 2 3/83 (3.6%) 3 2/81 (2.5%) 2
Rhinitis allergic 7/82 (8.5%) 7 5/81 (6.2%) 5 1/83 (1.2%) 1 3/81 (3.7%) 4
Skin and subcutaneous tissue disorders
Pruritus 1/82 (1.2%) 1 1/81 (1.2%) 1 2/83 (2.4%) 3 3/81 (3.7%) 3
Rash 3/82 (3.7%) 4 2/81 (2.5%) 2 1/83 (1.2%) 2 4/81 (4.9%) 5
Vascular disorders
Hypertension 2/82 (2.4%) 3 4/81 (4.9%) 4 3/83 (3.6%) 3 0/81 (0%) 0

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

MedImmune has 60 days to review results communications prior to public release and may delete information that compromises ongoing studies or is considered proprietary. This restriction is not intended to compromise the objective scientific integrity of the manuscript, it being understood that results shall be published regardless of outcome. The PIs also agree for data to be presented first as a joint, multi-center publication.

Results Point of Contact

Name/Title Joe Parker, MD
Organization MedImmune
Phone 301-398-0000
Email parkerJ@medimmune.com
Responsible Party:
MedImmune LLC
ClinicalTrials.gov Identifier:
NCT00968669
Other Study ID Numbers:
  • MI-CP198
First Posted:
Aug 31, 2009
Last Update Posted:
Jun 4, 2014
Last Verified:
May 1, 2014