UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000016283
Receipt number R000018891
Scientific Title Effect of CTLA4-Ig on severe asthma (ECSA) study ; Double blind, placebo controlled, phase IIa trial of CTLA4-Ig (abatacept) on severe asthma
Date of disclosure of the study information 2015/02/01
Last modified on 2016/07/22 11:50:14

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Basic information

Public title

Effect of CTLA4-Ig on severe asthma (ECSA) study ; Double blind, placebo controlled, phase IIa trial of CTLA4-Ig (abatacept) on severe asthma

Acronym

Effect of CTLA4-Ig on severe asthma (ECSA) study

Scientific Title

Effect of CTLA4-Ig on severe asthma (ECSA) study ; Double blind, placebo controlled, phase IIa trial of CTLA4-Ig (abatacept) on severe asthma

Scientific Title:Acronym

Effect of CTLA4-Ig on severe asthma (ECSA) study

Region

Japan


Condition

Condition

Severe asthma

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine efficacy of CTLA4-Ig on adult severe asthma patients

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Phase II


Assessment

Primary outcomes

The difference in the mean FEV1 from baseline between two groups

Key secondary outcomes

The difference and the change in FEV1, V25, V50, FEF25-75%, PEF and FCV from baseline.
The number of clinically significant exacerbation of asthma.
The change in the cytokine production and the proliferation of peripheral blood T-cell.
The number of the use of rescue drug.
PEF Values in the early morning.
ACQ score.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

CTLA4-Ig is administered in 0, 2, 4, 8, 12, 16, and 20 wks.

Interventions/Control_2

Placebo is administered in 0, 2, 4, 8, 12, 16, and 20 wks.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Poor asthma control notwithstanding high-dose inhaled steroid, defined by Japanese asthma guideline 2012.
More than twice/year or once/6 months clinically significant asthma exacerbation.
Meet at least one of the following criteria,
-sputum eosinophilia more than 3%.
-FeNO more than 50ppb.
-peripheral blood eosinophils more than 3x108/L(last 12 months) or 1.5x108/L (observation period).
-asthma deteriorated after 25% decrease in inhaled steroid dose.
Prescribed high-dose inhaled steroid (more than 800 microgram BDP equivalent/day) plus more than one controller.
Can perform spirometry.
Can keep asthma diary.

Key exclusion criteria

Administration of abatacept in the past.
Rheumatoid arthritis.
Respiratory disorders other than asthma.
Current malignancy or past history of (within 5 years) malignancy.
Other clinically serious health problems.
Active infectious diseases or psoriasis.
Those who are pregnant, under-lactation, or desire pregnancy.
Administration of live vaccine within past 3 months or during the trial period or those who desire live vaccine within 3 months from the end of the trial.
Omalizumab use within past 3 months.
History or suspicion of alcohol or drug abuse within past 2 years.
Enrollment in other clinical trials within past 3 months.
Other conditions that doctors consider not eligible.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Akio Mori, MD, PhD

Organization

National Hospital Organization, Sagamihara National Hospital

Division name

Clinical Research Center

Zip code


Address

18-1 Sakuradai, Minami-ku, Sagamihara, Kanagawa, 252-0392 JAPAN

TEL

042-742-8311

Email

moriakiojp@yahoo.co.jp


Public contact

Name of contact person

1st name
Middle name
Last name Akio Mori, MD, PhD

Organization

National Hospital Organization, Sagamihara National Hospital

Division name

Clinical Research Center

Zip code


Address

18-1 Sakuradai, Minami-ku, Sagamihara, Kanagawa, 252-0392 JAPAN

TEL

042-742-8311

Homepage URL


Email

moriakiojp@yahoo.co.jp


Sponsor or person

Institute

National Hospital Organization, Sagamihara National Hospital

Institute

Department

Personal name



Funding Source

Organization

Health and Labor Science Research Grants for Research on Rare and Intractable Diseases from Ministry of Health, Labor and Welfare of Japan

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor

National Hospital Organization Minami-Okayama Medical Center, National Hospital Organization Tokyo National Hospital, Kyushu

Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

九州大学病院(福岡県) Kyushu University Hospital
国立病院機構南岡山医療センター(岡山県)National Hospital Organization Minami-Okayama Medical Center
国立病院機構東京病院(東京)National Hospital Organization Tokyo National Hospital


Other administrative information

Date of disclosure of the study information

2015 Year 02 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2014 Year 12 Month 25 Day

Date of IRB


Anticipated trial start date

2015 Year 02 Month 01 Day

Last follow-up date

2016 Year 04 Month 30 Day

Date of closure to data entry

2016 Year 05 Month 20 Day

Date trial data considered complete

2016 Year 05 Month 30 Day

Date analysis concluded

2016 Year 06 Month 30 Day


Other

Other related information



Management information

Registered date

2015 Year 01 Month 20 Day

Last modified on

2016 Year 07 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000018891


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name