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Benralizumab Arm A

Phase 3

Moderate to Very Severe Chronic Obstructive Pulmonary Disease | Small molecule | Other |AstraZeneca PLC|Last Updated: Jun 26, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment3,911
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02155660Efficacy and Safety of Benralizumab in Moderate to Very Severe Chronic Obstructive Pulmonary Disease (COPD) With Exacerbation HistoryPHASE3 COMPLETED 2,255Jun 25, 2014Apr 9, 2018Jun 26, 2019356 United States, Argentina +24
NCT02138916Benralizumab Efficacy in Moderate to Very Severe Chronic Obstructive Pulmonary Disease (COPD) With Exacerbation HistoryPHASE3 COMPLETED 1,656Jun 13, 2014Apr 10, 2018Jun 13, 2019407 United States, Austria +15
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Study Endpoints
Primary Endpoints
Annual COPD Exacerbation Rate Over 56 Weeks Treatment Comparison for Patients With Baseline EOS>=220/uL
Immediately following the first IP dose through week 56

A COPD exacerbation is defined by symptomatic worsening of COPD requiring: * Use of systemic corticosteroids for at least 3 days; a single depot injectable dose of corticosteroids will be considered equivalent to a 3-day course of systemic corticosteroids; and/or * Use of antibiotics; and/or * An inpatient hospitalization or death due to COPD Annual COPD exacerbation rate is the number of exacerbations per year. Its raw rate is calculated by number of exacerbations divided by the treatment period and then normalized to an annual rate, and is estimated by negative binomial model. Rate ratio between two treatment groups is also estimated through this model.

Secondary Endpoints
Annual COPD Exacerbation Rate Over 56 Weeks Treatment Comparison for Patients With Baseline EOS<220/uL
Immediately following the first IP dose through week 56
Mean Change From Baseline to Week 56 in Pre-bronchodilator FEV1 (L) Value for Patients With Baseline EOS>=220/uL
First IP up to end of treatment Week 56
Mean Change From Baseline in SGRQ Total Score for Patients With Baseline EOS>=220/uL
First IP up to Week 56
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Benralizumab Arm AEXPERIMENTALBenralizumab administered subcutaneously
Benralizumab Arm BEXPERIMENTALBenralizumab administered subcutaneously
Benralizumab Arm CEXPERIMENTALBenralizumab administered subcutaneously
PlaceboPLACEBO_COMPARATORPlacebo administered subcutaneously
Interventions
NameTypeDescription
Benralizumab Arm ADRUGBenralizumab subcutaneously on study week 0 until study week 48 inclusive
Benralizumab Arm BDRUGBenralizumab subcutaneously on study week 0 until study week 48 inclusive
Benralizumab Arm CDRUGBenralizumab subcutaneously on study week 0 until study week 48 inclusive
PlaceboDRUGBenralizumab subcutaneously on study week 0 until study week 48 inclusive
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Eligibility Criteria
Age Range40 Years — 85 Years
SexALL
Healthy VolunteersNo
Study Sites356

Inclusion Criteria:. * Informed consent. * Subjects 40-85 y.o. * Moderate to very severe COPD with Post Bronchodilator (BD) FEV1\>20% and ≤65%. -≥2 moderate or ≥1 severe COPD exacerbation(s) required treatment or hospitalization within 2-52 weeks prior to Visit1. * Modified Medical Research Coun...

Countries:United StatesArgentinaAustraliaBelgiumBrazilBulgariaChileColombiaCroatiaDenmarkFranceIsraelMexicoNew ZealandNorwayPeruPhilippinesPolandSerbiaSloveniaSwedenTaiwanThailandTurkey (Türkiye)UkraineVietnamAustriaCanadaCzechiaGermanyHungaryItalyJapanNetherlandsRomaniaRussiaSouth AfricaSouth KoreaSpainSwitzerlandUnited Kingdom
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