ASPEN: A Study to Assess the Efficacy, Safety, and Tolerability of Brensocatib in Participants With Non-Cystic Fibrosis Bronchiectasis

Sponsor
Insmed Incorporated (Industry)
Overall Status
Recruiting
CT.gov ID
NCT04594369
Collaborator
(none)
1,620
424
3
39.7
3.8
0.1

Study Details

Study Description

Brief Summary

The primary objective of this study is to evaluate the effect of brensocatib at 10 mg and 25 mg compared with placebo on the rate of pulmonary exacerbations (PEs) over the 52-week treatment period.

Condition or Disease Intervention/Treatment Phase
  • Drug: Brensocatib 10 mg
  • Drug: Brensocatib 25 mg
  • Drug: Placebo
Phase 3

Study Design

Study Type:
Interventional
Anticipated Enrollment :
1620 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy, Safety, and Tolerability of Brensocatib Administered Once Daily for 52 Weeks in Subjects With Non-Cystic Fibrosis Bronchiectasis - The ASPEN Study
Actual Study Start Date :
Dec 1, 2020
Anticipated Primary Completion Date :
Mar 22, 2024
Anticipated Study Completion Date :
Mar 22, 2024

Arms and Interventions

Arm Intervention/Treatment
Experimental: Brensocatib 10 mg

Participants will receive brensocatib 10 mg, tablets orally, once daily, for 52 weeks.

Drug: Brensocatib 10 mg
Oral tablet.
Other Names:
  • INS1007
  • Experimental: Brensocatib 25 mg

    Participants will receive brensocatib 25 mg, tablets orally, once daily, for 52 weeks.

    Drug: Brensocatib 25 mg
    Oral tablet.
    Other Names:
  • INS1007
  • Placebo Comparator: Placebo

    Participants will receive a brensocatib-matching placebo, tablets orally, once daily, for 52 weeks.

    Drug: Placebo
    Brensocatib-matching oral tablet.

    Outcome Measures

    Primary Outcome Measures

    1. Rate of Adjudicated Pulmonary Exacerbations (PEs) [52 Weeks]

    Secondary Outcome Measures

    1. Time to First Adjudicated Pulmonary Exacerbation (PE) [52 Weeks]

    2. Percentage of Participants who are Pulmonary Exacerbation (PE) Free [52 Weeks]

    3. Change From Baseline in Postbronchodilator Forced Expiratory Volume in 1 second (FEV1) [Baseline, at Week 52]

    4. Rate of Severe Adjudicated Pulmonary Exacerbations (PEs) [52 Weeks]

    5. Change from Baseline to Week 52 in Quality of Life Questionnaire - Bronchiectasis (QOL-B) Respiratory Symptoms Domain Score in Adult Participants [Baseline to Week 52]

    6. Number of Participants who Experience at Least one Treatment-Emergent Adverse Events (TEAEs) [56 Weeks]

    7. Plasma Concentration of Brensocatib at Select Time Points [Pre-dose and post-dose at multiple time points up to Week 52]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    12 Years to 85 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    1. Provide their signed study informed consent to participate.
    1. Adolescent participants must have signed study assent form to participate, and the adolescent's parent or legal guardian must have provided signed informed consent for the adolescent to participate.
    1. Clinical history consistent with non-cystic fibrosis bronchiectasis (NCFBE) (cough, chronic sputum production and/or recurrent respiratory infections) that is confirmed by chest computerized tomography (CT) scan.

    2. At least 2 PEs defined by need for antibiotic prescription by a physician for the signs and symptoms of respiratory infections in the past 12 months before the Screening Visit.

    1. Adolescent participants are required to have at least 1 pulmonary exacerbation in the prior 12 months.
    1. Women must be postmenopausal (defined as no menses for 12 months without an alternative medical cause), surgically sterile, or using highly effective contraception (ie, methods that can achieve a failure rate <1% per year when used consistently and correctly) from Day 1 to at least 90 days after the last dose.

    2. Male participants with female partners of childbearing potential must be using effective contraception from Day 1 to at least 90 days after the last dose.

    3. Male participants with pregnant or non-pregnant women of child-bearing potential partners must use condoms to avoid potential exposure to the embryo/fetus.

    Exclusion Criteria:
    1. A primary diagnosis of chronic obstructive pulmonary disease (COPD) or asthma as judged by the Investigator.

    2. Bronchiectasis due to cystic fibrosis.

    3. Current smokers as defined per Centers for Disease Control (CDC).

    4. Known or suspected immunodeficiency disorder, including history of invasive opportunistic infections.

    5. Known history of human immunodeficiency virus (HIV) infection.

    6. Currently being treated for nontuberculous mycobacteria (NTM) lung infection, allergic bronchopulmonary aspergillosis, or tuberculosis (TB).

    7. Active and current symptomatic infection by COVID-19.

    8. Inability to follow the procedures of the study (eg, due to language problems or psychological disorders).

    9. Receiving medications or therapy that are prohibited as concomitant medications.

    10. Previously participated in a clinical trial for brensocatib.

    11. Received any live attenuated vaccine within 4 weeks prior to the first administration of brensocatib.

    12. Suffering an exacerbation 4 weeks before Screening or during the Screening period.

    13. Adult participants only: Have compliance issues with completion of electronic diary entries during the Screening Period and in the opinion of the Investigator, compliance is unlikely to improve during the study.

    14. Participated in any other interventional clinical studies within 3 months before Screening Visit.

    15. History of alcohol or drug abuse within 6 months prior to the Screening Visit.

    16. Is the Investigator or any Sub-Investigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved in the conduct of the study.

    17. Known history of hypersensitivity to brensocatib or any of its excipients.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
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    424 GBR010 Swansea United Kingdom SA6 6NL

    Sponsors and Collaborators

    • Insmed Incorporated

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Insmed Incorporated
    ClinicalTrials.gov Identifier:
    NCT04594369
    Other Study ID Numbers:
    • INS1007-301
    • 2020-003688-25
    First Posted:
    Oct 20, 2020
    Last Update Posted:
    Aug 19, 2022
    Last Verified:
    Aug 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Insmed Incorporated
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Aug 19, 2022