Trial Outcomes & Findings for Effectiveness of Anti-IL-5/IL5R Inhibitors (NCT NCT06239441)

NCT ID: NCT06239441

Last Updated: 2024-10-28

Results Overview

Percentage of subjects achieving response to IL5/IL5R antagonists. A response to treatment was defined as a reduction of asthma exacerbations of at least 50% or a 50% or higher reduction of the OCS doses for steroid dependant patients in the year following the initiation of an IL5/IL5R antagonist compared to the year preceding the initiation of the treatment.

Recruitment status

COMPLETED

Target enrollment

108 participants

Primary outcome timeframe

one year

Results posted on

2024-10-28

Participant Flow

Participant milestones

Participant milestones
Measure
RCT in Group
Subjects who were aged 75 years or younger, had a smoking history of less than 10 pack-year, a FEV1 of less than 80% of the predicted value along with FEV1 reversibility of at least 12% and 200 ml.
RCT Out Group
Subjects who did not meet one of those criteria: age 75 or younger FEV1 less than 80% FEV1 reversibility after bronchodilator of at least 12% and 200ml.
Overall Study
STARTED
22
86
Overall Study
COMPLETED
22
86
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Randomized Clinical Trial (RCT) in Group
n=22 Participants
Subjects who were aged 75 years or younger, had a smoking history of less than 10 pack-year, a forced expiratory volume in one second (FEV1) of less than 80% of the predicted value along with FEV1 reversibility of at least 12% and 200 ml.
Randomized Clinical Trial (RCT) Out Group
n=86 Participants
Subjects who did not meet one of those criteria: age 75 or younger FEV1 less than 80% FEV1 reversibility after bronchodilator of at least 12% and 200ml.
Total
n=108 Participants
Total of all reporting groups
Age, Continuous
54.7 years
STANDARD_DEVIATION 12.5 • n=22 Participants
59.6 years
STANDARD_DEVIATION 13.6 • n=86 Participants
58.7 years
STANDARD_DEVIATION 13.4 • n=108 Participants
Sex: Female, Male
Female
13 Participants
n=22 Participants
51 Participants
n=86 Participants
64 Participants
n=108 Participants
Sex: Female, Male
Male
9 Participants
n=22 Participants
35 Participants
n=86 Participants
44 Participants
n=108 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Canada
22 participants
n=22 Participants
86 participants
n=86 Participants
108 participants
n=108 Participants
Forced expiratory volume in one second (FEV1) pre bronchodilator (BD)
1.63 Litres
STANDARD_DEVIATION 0.54 • n=22 Participants
1.81 Litres
STANDARD_DEVIATION 0.86 • n=86 Participants
1.73 Litres
STANDARD_DEVIATION 0.76 • n=108 Participants
Asthma duration
25.6 years
STANDARD_DEVIATION 16.6 • n=22 Participants
22.9 years
STANDARD_DEVIATION 18.9 • n=86 Participants
23.8 years
STANDARD_DEVIATION 18.5 • n=108 Participants
Atopy
19 participants
n=22 Participants
55 participants
n=86 Participants
74 participants
n=108 Participants
Daily dose of inhaled corticosteroid
1590 microgram
STANDARD_DEVIATION 419 • n=22 Participants
1477 microgram
STANDARD_DEVIATION 576 • n=86 Participants
1505 microgram
STANDARD_DEVIATION 548 • n=108 Participants
Number of exacerbations in the year preceding the prescription of anti IL-5
3.1 exacerbations
STANDARD_DEVIATION 2.5 • n=22 Participants
3.5 exacerbations
STANDARD_DEVIATION 0.9 • n=86 Participants
3.4 exacerbations
STANDARD_DEVIATION 2.1 • n=108 Participants

PRIMARY outcome

Timeframe: one year

Percentage of subjects achieving response to IL5/IL5R antagonists. A response to treatment was defined as a reduction of asthma exacerbations of at least 50% or a 50% or higher reduction of the OCS doses for steroid dependant patients in the year following the initiation of an IL5/IL5R antagonist compared to the year preceding the initiation of the treatment.

Outcome measures

Outcome measures
Measure
Randomized Clinical Trial (RCT) In Group
n=17 Participants
Subjects who would have fulfilled the inclusion criteria of the landmark clinical trials on efficacy of IL-5/IL5R antagonists.
Randomized Clinical Trial (RCT) Out Group
n=80 Participants
Subjects who would have not fulfilled the inclusion criteria of the landmark clinical trials on efficacy of IL-5/IL5R antagonists.
Response to IL5/IL5R Antagonist
76.5 Percent
Interval 54.0 to 99.0
82.5 Percent
Interval 74.0 to 91.0

PRIMARY outcome

Timeframe: one year

Percentage of subjects achieving asthma remission. Clinical remission on treatment at one year was defined as no asthma exacerbation, no treatment with oral corticosteroid and a less than 10% decrease in pre-bronchodilator FEV1 compared with baseline value.

Outcome measures

Outcome measures
Measure
Randomized Clinical Trial (RCT) In Group
n=20 Participants
Subjects who would have fulfilled the inclusion criteria of the landmark clinical trials on efficacy of IL-5/IL5R antagonists.
Randomized Clinical Trial (RCT) Out Group
n=78 Participants
Subjects who would have not fulfilled the inclusion criteria of the landmark clinical trials on efficacy of IL-5/IL5R antagonists.
Remission Rate With IL5/IL5R Antagonist
45 Percent
Interval 21.1 to 68.9
24.4 Percent
Interval 14.6 to 34.1

Adverse Events

RCT in Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

RCT Out Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Catherine Lemiere

Hôpital du Sacre Coeur de Montreal

Phone: 514 338 2492

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place