Overview
Sponsor-declared trial summary
Severe asthma
1. To evaluate if it is possible to extend the dosing interval of mepolizumab, driven by eosinophil levels as biomarker in patients with severe eosinophilic asthma without loss of asthma control 2. To evaluate if it is possible to extend the dosing interval of dupilumab, driven by FeNO as biomarker in patients with se…
Key facts
- Sponsor
- Sint Franciscus Vlietland Groep Stichting
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Respiratory Tract Diseases [C08]
- Trial duration
- 26 Feb 2024 → ongoing
- Decision date (initial)
- 2023-09-26
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Therapy
1. To evaluate if it is possible to extend the dosing interval of mepolizumab, driven by eosinophil levels as biomarker in patients with severe eosinophilic asthma without loss of asthma control
2. To evaluate if it is possible to extend the dosing interval of dupilumab, driven by FeNO as biomarker in patients with severe T2-high asthma without loss of asthma control
Conditions and MedDRA coding
Severe asthma
Regulatory references
- Plan to share IPD
- No
| EU CT number | Title | Sponsor |
|---|---|---|
| 2023-505839-12-00 | BIomarker-dRiven Dosing Interval Extension of biologics in asthma (the BIRDIE trial) | Sint Franciscus Vlietland Groep Stichting |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 3
- Severe asthma as primary indication for treatment with mepolizumab (one dose every 4 weeks) or dupilumab (one dose every 2 weeks) for the last 6 months.
- Stable asthma (an ACQ <1.5 and no severe asthma exacerbations) for at least 6 months.
- Sufficient understanding of the Dutch language
Exclusion criteria 5
- Treatment with maintenance OCS, defined as treatment with OCS during 14 or more subsequent days, in the last 6 months
- Treatment with immunosuppressants (other than mepolizumab, dupilumab or corticosteroids) in the last 6 months
- Treatment with, or switching between, other biologics than the drug of interest in the 6 months before inclusion.
- Pulmonary disease(s) other than asthma (including EGPA)
- Pregnancy
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- The main study endpoint is the number of injections in the mepolizumab and in the dupilumab intervention group compared to the control groups during the follow-up period.
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 2
Dupixent 100 mg solution for injection in pre-filled syringe
PRD10117159 · Product
- Active substance
- Dupilumab
- Substance synonyms
- REGN668, SAR231893
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- SUBCUTANEOUS INJECTION
- Max daily dose
- 300 mg milligram(s)
- Max total dose
- 300 mg milligram(s)
- Max treatment duration
- 12 Month(s)
- Authorisation status
- Authorised
- ATC code
- D11AH05 — -
- Marketing authorisation
- EU/1/17/1229/022
- MA holder
- SANOFI WINTHROP INDUSTRIE
- MA country
- Iceland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Nucala 100 mg powder for solution for injection
PRD3513474 · Product
- Active substance
- Mepolizumab
- Substance synonyms
- SB240563
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- SUBCUTANEOUS INJECTION
- Max daily dose
- 100 mg milligram(s)
- Max total dose
- 100 mg milligram(s)
- Max treatment duration
- 12 Month(s)
- Authorisation status
- Authorised
- ATC code
- R03DX09 — -
- Marketing authorisation
- EU/1/15/1043/001
- MA holder
- GLAXOSMITHKLINE TRADING SERVICES LIMITED
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Sint Franciscus Vlietland Groep Stichting
- Sponsor organisation
- Sint Franciscus Vlietland Groep Stichting
- Address
- Kleiweg 500
- City
- Rotterdam
- Postcode
- 3045 PM
- Country
- Netherlands
Scientific contact point
- Organisation
- Sint Franciscus Vlietland Groep Stichting
- Contact name
- Wetenschapsbureau
Public contact point
- Organisation
- Sint Franciscus Vlietland Groep Stichting
- Contact name
- Wetenschapsbureau
Locations
1 EU/EEA country · 1 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Netherlands | Ongoing, recruiting | 80 | 1 |
| Rest of world | — | 0 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Netherlands | 2024-02-26 | 2024-02-26 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 21 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Research protocol BIRDIE clean dd 12-02-2025 | 4 |
| Protocol (for publication) | D1_Research protocol BIRDIE track changes dd 12-02-2025 | 4 |
| Protocol (for publication) | D1_Research protocol BIRDIE trial redacted | 6 |
| Protocol (for publication) | D1_Research protocol BIRDIE trial track changes | 6 |
| Recruitment arrangements (for publication) | K1_Recruitment Procedure NL | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF adults_dupilumab_NL | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF adults_dupilumab_NL | 2.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF adults_dupilumab_NL track changes | 4 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF adults_dupilumab_NL track changes | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF adults_dupilumab_NL track changes | 2.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF adults_dupilumab_NL track changes | 2.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF adults_dupilumab_NL v2 2 | 2.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF adults_mepolizumab_NL | 4 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF adults_mepolizumab_NL | 3.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF adults_mepolizumab_NL | 3.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF adults_mepolizumab_NL track changes | 3.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF adults_mepolizumab_NL track changes | 3.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF adults_mepolizumab_NL track changes | 4 |
| Summary of Product Characteristics (SmPC) (for publication) | G2_ SmPC Dupixent dupilumab | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | G2_ SmPC Nucala mepolizumab | 1 |
| Synopsis of the protocol (for publication) | D1_ Protocol synposis_NL | 3 |
Application history
2 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2023-06-23 | Netherlands | Acceptable 2023-09-26
|
2023-09-26 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-10-17 | Netherlands | Acceptable 2025-12-03
|
2025-12-03 |