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Completed

NCT Number: NCT04203797

A Study to Evaluate the Effect of Dupilumab on Exercise Capacity in Adult Patients With Asthma

The primary objective of the study is to demonstrate that dupilumab treatment improves exercise capacity in patients with moderate-to-severe asthma.

The secondary objectives of the study are:

* To demonstrate that dupilumab treatment increases physical activity of daily living in patients with moderate-to-severe asthma * To demonstrate that dupilumab treatment improves pre- and post-exercise lung function in patients with moderate-to-severe asthma

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Key information

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

CHU Dijon, Dijon, Bourgogne-Franche-Comté, France

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • A physician diagnosis of asthma
  • Pre-bronchodilator FEV1 between 30% and 75% predicted at both the screening and baseline visits
  • Bronchodilator reversibility defined as >200 mL and 12% increase in FEV1 post-administration of a short-acting beta agonist (SABA). A patient may also qualify if there is a documented history of bronchodilator reversibility or positive methacholine challenge test within 12 months prior to the screening visit
  • Stable background therapy for at least 3 months with a stable dose ≥4 weeks prior to the baseline visit of a medium-to-high dose ICS (fluticasone propionate ≥250 to 1000 μg twice daily [BID] or equivalent) in combination with at least a second controller medication (eg, long-acting beta agonist [LABA], long-acting muscarinic antagonist [LAMA], leukotriene receptor antagonist [LTRA], theophylline, etc.); a third controller is allowed and with the same stabilization requirements
  • Blood eosinophil count ≥300 cells/μL for patients not on maintenance OCS at the screening visit
  • ACQ-5 score ≥1.5 at the screening and baseline visits

Key Exclusion Criteria:

  • Body mass index >35 kg/m2 at screening
  • Current smoking, vaping or tobacco chewing or cessation of any of these within 6 months prior to randomization, or >10 pack years smoking history
  • Patients who require supplemental oxygen at screening
  • Clinically significant cardiac disease as described in the protocol
  • Uncontrolled hypertension at screening or baseline
  • Participation in exercise or physical rehabilitation program within last 6 months prior to screening or planned during the study
  • Previous use of dupilumab
  • Anti-IgE therapy (eg, omalizumab [Xolair®]) within 130 days prior to visit 1 or any other biologic therapy (including anti-IL5, anti-IL-5R, anti-IL4Rα, anti-IL-13 mAb) or systemic immunosuppressant (eg, methotrexate, any anti-tumor necrosis factor mAbs, Janus kinase inhibitors, B- and/or T-cell targeted immunosuppressive therapies) to treat inflammatory disease or autoimmune disease (eg, rheumatoid arthritis, inflammatory bowel disease, primary biliary cirrhosis, systemic lupus erythematosus, multiple sclerosis) and other diseases, within 3 months or 5 half-lives prior to screening, whichever is longer
  • Exposure to another investigative drug (monoclonal antibodies as well as small molecules) within a period prior to screening, of <3 months or <5 half-lives (whichever is longer)
  • Pregnant or breastfeeding women, or women planning to become pregnant or breastfeed during the study
  • Women of childbearing potential (WOCBP)* who are unwilling to practice highly effective contraception prior to the initial dose/start of the first treatment, during the study, and for at least 12 weeks after the last dose

NOTE: Other protocol defined inclusion/exclusion criteria apply

Treatment and study plan

Dupilumab

Drug

Pre-filled syringe administered by subcutaneous (SC) injections

Other names: Dupixent®, SAR231893

Matching Placebo

Drug

Pre-filled syringe administered by subcutaneous (SC)

Primary outcomes

  1. Change From Baseline to Week 12 in Constant Work Rate Exercise Endurance Time - CWRET (Constant Work Rate Exercise Test)

    Time frame: Up to week 12

    CWRET (Constant Work Rate Exercise Test) will be performed on an electromagnetically-braked cycle ergometer in an exercise physiology laboratory overseen by a trained pulmonologist or medical doctor designee.

Secondary outcomes

  1. Change From Baseline to Week 12 in Average Number of Steps Walked Per Day

    Time frame: Up to week 12

    Based on accelerometry data

  2. Change From Baseline to Week 12 in Total Energy Expenditure

    Time frame: Up to week 12

    Metabolic equivalents of tasks [METs]. Based on accelerometry data

  3. Change From Baseline to Week 12 in the Mean Duration of Moderate-to-vigorous Physical Activity

    Time frame: Up to week 12

    Defined as ≥3 METs. Based on accelerometry data

  4. Change From Baseline to Week 12 in Pre- and Post-exercise Forced Expiratory Volume in One Second (FEV1)

    Time frame: Up to week 12

    Based on spirometry data

Sponsors and collaborators

Lead sponsor

Regeneron Pharmaceuticals

Industry

Registry information

Official study title

A Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Effect of Dupilumab on Exercise Capacity in Patients With Moderate-to-Severe Asthma

Important dates

Study start
2020
Primary completion
2023
Study completion
2023
First posted
Dec 18, 2019
Registry last updated
Apr 18, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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