Symptoms control and adhErenCe assessment during treatment with mepolizUmab new pREfilled devices. SECURE

2022-501029-19-00 Protocol 69HCL21_0419 Therapeutic use (Phase IV) Ended

Start 13 Dec 2022 · End 27 Mar 2025 · Status Ended · 1 EU/EEA countries · 8 sites · Protocol 69HCL21_0419

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 130
Countries 1
Sites 8

Asthma

Compare compliance and asthma control after 6 months of treatment by Mepolizumab (M+ 1 after the 6th injection) between: A1 - Group of patients receiving Mepolizumab using a pre-filled syringe (PFS) administered monthly by a nurse, using a pre-filled syringe (PFS) B1 - Group of patients receiving sel…

Key facts

Sponsor
Hospices Civils De Lyon
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Respiratory Tract Diseases [C08]
Trial duration
13 Dec 2022 → 27 Mar 2025
Decision date (initial)
2022-10-03
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
GlaxoSmithKline

External identifiers

EU CT number
2022-501029-19-00
ClinicalTrials.gov
NCT05626777

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

Compare compliance and asthma control after 6 months of treatment by Mepolizumab (M+ 1 after the 6th injection) between:
A1 - Group of patients receiving Mepolizumab using a pre-filled syringe (PFS) administered monthly by a nurse, using a pre-filled syringe (PFS)
B1 - Group of patients receiving self-administered Mepolizumab monthly, using an auto-injector pen (AIP)

Secondary objectives 16

  1. Compare Asthma control a. between groups A2 and B2 (see study design §4 below for groups description) b. between groups A1 and A2 c. between groups B1 and B2
  2. Mean change in ACT score in each group
  3. Proportion of patients with an ACT score change of at least 4 points in each group
  4. The number of exacerbation of asthma after 6 and 12 months of treatment (between A and B)
  5. The number of exacerbation of asthma requiring a visit to the emergency service or hospitalization after 6 and 12 months of treatment (between A and B)
  6. The reduction of exacerbation of asthma before and during the 12 months of treatment between A et B
  7. The proportion of patients requiring unscheduled medical consultation for asthma, after 12 months of treatment between A et B
  8. Oral corticosteroids consumption before and after Mepolizumab between group A and B
  9. Treatment compliance between groups A and B
  10. Bronchial inflammation by measurement of FeNO after 6 and 12 months of treatment (between groups A and B)
  11. Blood eosinophilia evolution after 6 and 12 months of treatment in each group
  12. Respiratory function measurement after 6 and 12 months of treatment (between A and B)
  13. Safety of treatment with Mepolizumab
  14. Patients’ quality of life in each group
  15. Patient satisfaction regarding asthma treatment in each group
  16. Patient dyspnea in each group

Conditions and MedDRA coding

Asthma

VersionLevelCodeTermSystem organ class
20.0 PT 10003553 Asthma 100000004855

Study design 2 periods

#TitleAllocationBlindingRoles blindedArms
1 Nucala Pre-filled syringe / Nucala Auto-injector pen
Multicenter, prospective, comparative, open interventional, randomized study
Randomised Controlled None Pre-filled syringe: 6 months of treatment : Mepolizumab, 100mg/month
Administred by nurse
6 months of treatment : Mepolizumab, 100mg/month
Administred by patient
Auto-injector pen: 6 months of treatment : Mepolizumab, 100mg/month,
Administred by patient
6 months of treatment : Mepolizumab, 100mg/month,
Administred by patient
2 Nucala Pre-filled syringe / Nucala Auto-injector pen
Multicenter, prospective, comparative, open interventional, randomized study
Randomised Controlled None Pre-filled syringe: 6 months of treatment : Mepolizumab, 100mg/month
Administred by nurse
6 months of treatment : Mepolizumab, 100mg/month
Administred by patient
Auto-injector pen: 6 months of treatment : Mepolizumab, 100mg/month,
Administred by patient
6 months of treatment : Mepolizumab, 100mg/month,
Administred by patient

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 8

  1. Patient aged ≥ 18 years
  2. Severe asthma diagnosed by a pulmonologist and followed for at least a year
  3. Blood eosinophilia ≥ 0.15 G / L in the 12 months preceding inclusion in the trial.
  4. At least 2 exacerbations in the past 12 months, each time treated with oral corticosteroid therapy or an increase in dosage of oral corticosteroid therapy prescribed for a long time, for at least 72 hours
  5. High dose inhaled corticosteroid therapy (> 800 μg / d budesonide,> 500 μg / d fluticasone,> 1000 μg / d beclometasone, etc.) and at least one second controller asthma treatment with LABA or LAMA
  6. Patient affiliated to a social security scheme
  7. Patient able to give free, informed and written consent.
  8. Patient must have an efficient contraception method

Exclusion criteria 10

  1. Pregnant woman (urinary beta-HCG positive at inclusion) or breastfeeding
  2. Active smoking or ex-smoking for less than 6 months and more than 10 pack-years
  3. Exacerbation in the 4 weeks preceding first mepolizumab injection
  4. Patient who has already been treated with Mepolizumab or another anti-IL-5 or -5R treatment
  5. Patient currently using a biotherapy indicated in severe asthma other than anti-IL5 or 5R treatments or stopped for less than 2 months
  6. Treatment underway with another biotherapy not indicated for severe asthma
  7. Patient participating in other interventional research, excluding routine care research (old regulation) and category 2 research not interfering with primary endpoint analysis
  8. Other chronic respiratory pathology (bronchiectasis, COPD, pulmonary fibrosis, etc.)
  9. Any other uncontrolled chronic pathology, the presence of which would be considered incompatible with the performance of the study by the investigator
  10. Patient under guardianship, curatorship or legal protection

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Composite endpoint: Treatment compliance using Pharmacy accountability of study treatment and monthly patient diary after 6 months of treatment with Mepolizumab. Patient will be considered as compliant if all treatment doses of period have been used. Proportion of compliant patients will be compared between groups of patients. Proportion of patients with controlled asthma using the ACT score, after a period of 6 months of treatment with Mepolizumab will be compared between groups of patients.

Secondary endpoints 16

  1. Proportion of patients with asthma control assessed by the ACT score between: group receiving Mepolizumab self-administered, using PFS and group receiving M. self-administered using an AI from 6 months to 12 months (between groups A2 and B2); M. administered by a PFS by a nurse for first 6 months & self-administered by a PFS for the following 6 months between groups A1 and A2; M. self-administered by an AI during first 6 months &self-administered by an AI the 6 months between groups B1 and B2
  2. 2. Comparison of the mean change in ACT score from baseline between groups: A1 vs B1, A2 vs B2, A1 vs A2, B1 vs B2, and A vs B
  3. 3. Comparison of the proportion of patients with a change in ACT score of at least 4 points from baseline between groups: A1 vs B1, A2 vs B2, A1 vs A2, B1 vs B2, and A vs B
  4. 4. Comparison of the proportion of patients with an exacerbation of asthma during the 12 months of treatment (between groups A and B)
  5. 5. Comparison of the proportion of patients with an exacerbation of asthma requiring an emergency service visit or hospitalization during the 12 months of treatment (between groups A and B)
  6. 6. Comparison of the proportion of patients with an exacerbation of asthma during the 12 months of treatment with Mepolizumab versus the proportion of patients with an exacerbation of asthma during the 12 months prior to treatment with Mepolizumab
  7. 7. The proportion of patients requiring unscheduled medical consultation for asthma during the 12 months of treatment (between groups A and B)
  8. 8. Cumulative dose of oral corticosteroids before and after 12 months of treatment with Mepolizumab (exacerbation treatment excluded) between group A and B
  9. 9. Treatment compliance using the MARS-5 questionnaire administered after 6 and 12 months of treatment with Mepolizumab. The MARS-5 score will be compared between both groups of patients.
  10. 10. Carrying out a FeNO at V1, V2 and V3 after 6 and 12 months of Mepolizumab treatment between groups A and B
  11. 11. Performing a hemogram on peripheral blood to measure eosinophilia evolution at M0, M3, M6, M9 and M12
  12. 12. FEV1 measurement, % of theoretical FEV1 value, FEV1 / FVC at V1, V2 and V3
  13. 13. Collection of adverse events related to the study treatment, according to grade 1 to 5.
  14. 14. Calculation of the mini-AQLQ quality of life score and SNOT-22 score at V1, V2 and V3
  15. 15. Patient satisfaction questionnaire SATQ-F at V1, V2 and V3 and assessment of the preferences of patients in each group with respect to the Mepolizumab administration system at V1, V2 and V3
  16. 15.16. Calculation of mMRC score for dyspnea at V1, V2 and V3 visits

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Nucala 100 mg solution for injection in pre-filled syringe

PRD7486157 · Product

Active substance
Mepolizumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Max daily dose
100 mg milligram(s)
Max total dose
1200 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
R03DX09 — -
Marketing authorisation
EU/1/15/1043/005
MA holder
GLAXOSMITHKLINE TRADING SERVICES LIMITED
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Nucala 100 mg solution for injection in pre-filled pen

PRD7486155 · Product

Active substance
Mepolizumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
100 mg milligram(s)
Max total dose
1200 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
R03DX09 — -
Marketing authorisation
EU/1/15/1043/003
MA holder
GLAXOSMITHKLINE TRADING SERVICES LIMITED
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 16

Enerzair Breezhaler 114 micrograms/46 micrograms/136 micrograms inhalation powder, hard capsules

PRD8176455 · Product

Active substance
Mometasone Furoate
Pharmaceutical form
INHALATION POWDER
Route of administration
INHALATION
Max daily dose
150 µg microgram(s)
Max total dose
150 µg microgram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
R03AL12 — -
Marketing authorisation
EU/1/20/1438/001
MA holder
NOVARTIS EUROPHARM LIMITED
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Formodual NEXThaler 200 microgrammes/6 microgrammes par inhalation, poudre pour inhalation

PRD3683961 · Product

Active substance
Formoterol Fumarate Dihydrate
Pharmaceutical form
INHALATION POWDER
Route of administration
INHALATION
Max daily dose
800 µg microgram(s)
Max total dose
800 µg microgram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
R03AK08 — -
Marketing authorisation
34009 300 399 3 9
MA holder
CHIESI S.A.S.
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

SPIRIVA RESPIMAT 2,5 microgrammes/dose, solution à inhaler

PRD7011948 · Product

Active substance
Tiotropium Bromide Monohydrate
Pharmaceutical form
INHALATION SOLUTION
Route of administration
INHALATION
Max daily dose
5 µg microgram(s)
Max total dose
5 µg microgram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
R03BB04 — TIOTROPIUM BROMIDE
Marketing authorisation
34009 301 684 4 8
MA holder
BOEHRINGER INGELHEIM INTERNATIONAL GMBH
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Symbicort Turbuhaler 400/12, 400 microgram / 12 microgram per dosis, inhalatiepoeder

PRD399363 · Product

Active substance
Budesonide
Pharmaceutical form
INHALATION POWDER
Route of administration
INHALATION
Max daily dose
1600 µg microgram(s)
Max total dose
1600 µg microgram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
R03AK07 — FORMOTEROL AND OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
Marketing authorisation
RVG 27690
MA holder
ASTRAZENECA BV
MA country
Netherlands
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Incruse Ellipta 55 micrograms inhalation powder, pre-dispensed

PRD1598607 · Product

Active substance
Umeclidinium Bromide
Pharmaceutical form
INHALATION POWDER, PRE-DISPENSED
Route of administration
INHALATION
Max daily dose
65 µg microgram(s)
Max total dose
65 µg microgram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
R03BB07 — -
Marketing authorisation
EU/1/14/922/001
MA holder
GLAXOSMITHKLINE (IRELAND) LIMITED
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Innovair NEXThaler 200 microgrammes/6 microgrammes par dose, poudre pour inhalation.

PRD3683899 · Product

Active substance
Formoterol Fumarate Dihydrate
Pharmaceutical form
INHALATION POWDER
Route of administration
INHALATION
Max daily dose
800 µg microgram(s)
Max total dose
800 µg microgram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
R03AK08 — -
Marketing authorisation
3400930039946
MA holder
CHIESI S.A.S.
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

PROPIONATE DE FLUTICASONE/SALMETEROL VIATRIS 500 microgrammes/50 microgrammes/dose, poudre pour inhalation en récipient unidose

PRD9747468 · Product

Active substance
Fluticasone Propionate
Substance synonyms
PF-00241939, S-FLUOROMETHYL 6A,9A-DIFLUORO-11B,17A-DIHYDROXY-16A-METHYL-3-OXOANDROSTA-1,4-DIENE-17B-CARBOTHIOATE 17-PROPIONATE
Pharmaceutical form
INHALATION POWDER, PRE-DISPENSED
Route of administration
INHALATION
Max daily dose
1000 µg microgram(s)
Max total dose
1000 µg microgram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
R03AK06 — SALMETEROL AND OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
Marketing authorisation
NL42624
MA holder
VIATRIS SANTE
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

TIOTROPIUM VIATRIS 18 microgrammes, poudre pour inhalation en gélule

PRD9381783 · Product

Active substance
Tiotropium
Pharmaceutical form
INHALATION POWDER, HARD CAPSULE
Route of administration
INHALATION
Max daily dose
18 µg microgram(s)
Max total dose
18 µg microgram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
R03BB04 — TIOTROPIUM BROMIDE
Marketing authorisation
NL48351
MA holder
VIATRIS SANTE
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Seebri Breezhaler 44 micrograms inhalation powder, hard capsules

PRD4008747 · Product

Active substance
Glycopyrronium Bromide
Pharmaceutical form
INHALATION POWDER
Route of administration
INHALATION
Max daily dose
55 µg microgram(s)
Max total dose
55 µg microgram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
R03BB06 — -
Marketing authorisation
EU/1/12/788/001
MA holder
NOVARTIS EUROPHARM LIMITED
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

SERETIDE DISKUS 500 microgrammes/50 microgrammes/dose, poudre pour inhalation en récipient unidose

PRD353793 · Product

Active substance
Fluticasone Propionate
Pharmaceutical form
INHALATION POWDER, PRE-DISPENSED
Route of administration
INHALATION
Max daily dose
1000 µg microgram(s)
Max total dose
1000 µg microgram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
R03AK06 — SALMETEROL AND OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
Marketing authorisation
NL25848
MA holder
LABORATOIRE GLAXOSMITHKLINE
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

DuoResp Spiromax 160 micrograms / 4.5 micrograms inhalation powder

PRD2403638 · Product

Active substance
Budesonide
Pharmaceutical form
INHALATION POWDER
Route of administration
INHALATION
Max daily dose
1280 µg microgram(s)
Max total dose
1280 µg microgram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
R03AK07 — FORMOTEROL AND OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
Marketing authorisation
EU/1/14/920/001
MA holder
TEVA PHARMA B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

PROPIONATE DE FLUTICASONE/SALMETEROL BIOGARAN AIRMASTER 500 microgrammes/ 50 microgrammes/dose, poudre pour inhalation en récipient unidose

PRD8991834 · Product

Active substance
Fluticasone Propionate
Pharmaceutical form
INHALATION POWDER
Route of administration
INHALATION
Max daily dose
1000 µg microgram(s)
Max total dose
1000 µg microgram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
R03AK06 — SALMETEROL AND OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
Marketing authorisation
34009 302 310 5 0
MA holder
BIOGARAN
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Trimbow 87 micrograms/5 micrograms/9 micrograms pressurised inhalation, solution

PRD5227853 · Product

Active substance
Glycopyrronium Bromide
Substance synonyms
CHF 5259.02, AHR-504, CHF-5259, GLYCOPYRROLATE
Pharmaceutical form
PRESSURISED INHALATION, SOLUTION
Route of administration
INHALATION
Max daily dose
348 µg microgram(s)
Max total dose
348 µg microgram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
R03AL09 — -
Marketing authorisation
EU/1/17/1208/001
MA holder
CHIESI FARMACEUTICI S.P.A.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Relvar Ellipta 92 micrograms/22 micrograms inhalation powder, pre-dispensed

PRD2139577 · Product

Active substance
Fluticasone Furoate
Pharmaceutical form
INHALATION POWDER, PRE-DISPENSED
Route of administration
INHALATION
Max daily dose
184 µg microgram(s)
Max total dose
184 µg microgram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
R03AK10 — -
Marketing authorisation
EU/1/13/886/001
MA holder
GLAXOSMITHKLINE (IRELAND) LIMITED
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

SPIRIVA 18 microgrammes poudre pour inhalation en gélule

PRD299586 · Product

Active substance
Tiotropium Bromide Monohydrate
Pharmaceutical form
INHALATION POWDER
Route of administration
INHALATION
Max daily dose
18 µg microgram(s)
Max total dose
18 µg microgram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
R03BB04 — TIOTROPIUM BROMIDE
Marketing authorisation
34009 368 692 0 2
MA holder
BOEHRINGER INGELHEIM INTERNATIONAL GMBH
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Revinty Ellipta 92 micrograms/22 micrograms inhalation powder, pre-dispensed

PRD1601205 · Product

Active substance
Fluticasone Furoate
Pharmaceutical form
INHALATION POWDER, PRE-DISPENSED
Route of administration
INHALATION
Max daily dose
184 µg microgram(s)
Max total dose
184 µg microgram(s)
Max treatment duration
24 Week(s)
Authorisation status
Authorised
ATC code
R03AK10 — -
Marketing authorisation
EU/1/14/929/001
MA holder
GLAXOSMITHKLINE (IRELAND) LIMITED
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Hospices Civils De Lyon

Sponsor organisation
Hospices Civils De Lyon
Address
103 Grande Rue De La Croix Rousse
City
Lyon Cedex 04
Postcode
69317
Country
France

Scientific contact point

Organisation
Hospices Civils De Lyon
Contact name
Pr Gilles DEVOUASSOUX

Public contact point

Organisation
Hospices Civils De Lyon
Contact name
Pr Gilles DEVOUASSOUX

Locations

1 EU/EEA country · 8 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ended 130 8
Rest of world 0

Investigational sites

France

8 sites · Ended
Centre Hospitalier Universitaire De Reims
Respiratory and Allergy Diseases, 45 Rue Cognacq Jay, 51100, Reims
Assistance Publique Hopitaux De Paris
Pneumology and Rare Pumonary Diseases Reference Center, 46 Rue Henri Huchard, 75877, Paris Cedex 18
Hospices Civils De Lyon
Service de Pneumologie, 103 Grande Rue De La Croix Rousse, 69317, Lyon Cedex 04
Centre Hospitalier Universitaire De Montpellier
Pneumology, 191 Avenue Du Doyen Gaston Giraud, 34295, Montpellier Cedex 5
Centre Hospitalier Universitaire De Toulouse
Pneumology and Allergology, Cedex 9, 2 Rue Viguerie, Toulouse
Centre Hospitalier Universitaire De Dijon
Pneumology, 14 Rue Paul Gaffarel, 21000, Dijon
CHUR Of Besançon
Pneumology, Respiratory and Allergological Functional Explorations unit, 3 Boulevard Alexander Fleming, Cs 81816, Besancon Cedex
Hopital Cardiologique
Pneumology, Boulevard Du Professeur Jules Leclercq, 59037, Lille

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2022-12-13 2023-03-09 2024-07-09

Application history

4 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2022-06-24 France Acceptable
2022-10-03
2022-10-03
2 SUBSTANTIAL MODIFICATION SM-1 2022-10-26 France Acceptable 2022-11-09
3 SUBSTANTIAL MODIFICATION SM-2 2023-05-05 France Acceptable
2023-06-16
2023-06-16
4 SUBSTANTIAL MODIFICATION SM-4 2023-10-23 France Acceptable
2024-01-10
2024-01-15