UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000052764
Receipt number R000060211
Scientific Title Development of a biomarker for predicting the clinical effectiveness of tezepelumab in patients with severe asthma and elucidation of immunomodulatory effects of tezepelumab
Date of disclosure of the study information 2023/11/20
Last modified on 2023/11/10 23:14:51

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Basic information

Public title

Development of a biomarker for predicting the clinical effectiveness of tezepelumab in patients with severe asthma and elucidation of immunomodulatory effects of tezepelumab

Acronym

Tokyo Asthma Study for Tezepelumab: TOAST2

Scientific Title

Development of a biomarker for predicting the clinical effectiveness of tezepelumab in patients with severe asthma and elucidation of immunomodulatory effects of tezepelumab

Scientific Title:Acronym

Tokyo Asthma Study for Tezepelumab: TOAST2

Region

Japan


Condition

Condition

bronchial asthma

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this research is to develop a new biomarker useful for predicting the therapeutic effect of the humanized anti-TSLP (Thymic stromal lymphopoietin) monoclonal antibody preparation tezepelumab, and to elucidate of the immunomodulatory effects of tezepelumab.

Basic objectives2

Others

Basic objectives -Others

Evaluation of the changes from baseline in secondary endpoints due to tezepelumab treatment (amount of change or rate of change) up to Week 24 and Week 52 of tezepelumab treatment, and the association between these items.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Changes from baseline in the cell ratio of each peripheral blood immunocompetent cell population (eosinophils, etc.) due to tezepelumab administration up to 24 weeks of tezepelumab treatment for patients with severe asthma that is difficult to control with existing treatments.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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

Subjects with refractory asthma whose asthma symptoms cannot be controlled by existing treatments and who require tezepelumab treatment under insurance according to the package insert.
Subjects receiving treatment with moderate to high doses of inhaled corticosteroids plus at least one controller.
Subjects who meet at least one of the following criteria at baseline:
(1) At least one exacerbation of asthma has been observed within the past 2 years
(2) ACQ-6 score 1.5 or higher or ACT score 20 or lower
(3) FEV1 before bronchodilator administration is less than 80% of the predicted value

Key exclusion criteria

Subjects with malignancy
Current smokers and subjects with a history of smoking within the past 6 months
Subjects receiving treatment with other biologics and less than 1 month since last administraion (benralizumab requires 2 months)
Subjects who have received bronchial thermoplasty within the past 6 months
Subjects with a history of anaphylaxis due to biologics
Subjects currently pregnant or breastfeeding
Subjects with chronic obstructive pulmonary disease with obvious emphysematous changes
Subjects with hypereosinophilic syndrome, eosinophilic granulomatosis with polyangiitis, pulmonary hypertension, sequelae of tuberculosis, diffuse panbronchiolitis, and interstitial pneumonia

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Norihiro
Middle name
Last name Harada

Organization

Juntendo Hospital, Juntendo University School of Medicine

Division name

Department of Respiratory Medicine

Zip code

113-8431

Address

3-1-3 Hongo, Bunkyo-ku, Tokyo

TEL

03-3813-3111

Email

nor@juntendo.ac.jp


Public contact

Name of contact person

1st name Norihiro
Middle name
Last name Harada

Organization

Juntendo Hospital, Juntendo University School of Medicine

Division name

Department of Respiratory Medicine

Zip code

113-8431

Address

3-1-3 Hongo, Bunkyo-ku, Tokyo

TEL

03-3813-3111

Homepage URL


Email

nor@juntendo.ac.jp


Sponsor or person

Institute

Juntendo University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

AstraZeneca Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Research Ethics Committee Faculty of Medicine, Juntendo University

Address

3-1-3 Hongo, Bunkyo-ku, Tokyo

Tel

03-3813-3111

Email

hongo-rinri@juntendo.ac.jp


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

日本大学医部附属板橋病院(東京都)
東京医科歯科大学病院(東京都)
仁友クリニック(東京都)
昭和大学病院(東京都)
東京医科大学病院(東京都)
東京慈恵会医科大学附属病院(東京都)
慶應義塾大学病院(東京都)
帝京大学医学部内科学講座(東京都)
東京女子医科大学病院(東京都)
独立行政法人国立病院機構 東京病院(東京都)
国立国際医療研究センター病院(東京都)
国際医療福祉大学医学部附属三田病院(東京都)
社会医療法人社団順江会江東病院(東京都)
独立行政法人国立病院機構災害医療センター(東京都)
順天堂大学医学部附属浦安病院(千葉県)
順天堂大学医学部附属順天堂東京江東高齢者医療センター(東京都)
順天堂大学医学部附属練馬病院(東京都)


Other administrative information

Date of disclosure of the study information

2023 Year 11 Month 20 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

Preinitiation

Date of protocol fixation

2023 Year 10 Month 03 Day

Date of IRB


Anticipated trial start date

2023 Year 11 Month 22 Day

Last follow-up date

2027 Year 04 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

The method of recruitment;
Subjects who meet any inclusion criteria will be recruited from study participating facilities, including outpatient clinic at Juntendo University Hospital, by March 31, 2026.


Management information

Registered date

2023 Year 11 Month 10 Day

Last modified on

2023 Year 11 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000060211


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name