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Mepolizumab 750

Phase 2

Asthma | Monoclonal antibody | Respiratory |GSK plc|Last Updated: Jan 24, 2018

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_CONTROLLEDBiomarker
Total Trials1
Total Enrollment621
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01000506Dose Ranging Efficacy And Safety With Mepolizumab in Severe AsthmaPHASE2 COMPLETED 621Nov 1, 2009Mar 23, 2012Jan 24, 201894 United States, Argentina +11
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Study Endpoints
Primary Endpoints
Number of Clinically Significant Exacerbations of Asthma Per Year
From randomization (Week 0) to Week 52 or early withdrawal (EW)

Clinically significant exacerbations of asthma are defined as worsening of asthma which required use of oral/systemic corticosteroids (for participants on maintenance oral corticosteroids \[OCS\], an exacerbation requiring OCS is defined as the use of oral/systemic corticosteroids at least double the existing maintenance dose for at least 3 days) and/or hospitalization and/or emergency department (ED) visit. The frequency of clinically significant exacerbations of asthma over the 52-week treatment period is expressed as exacerbation rate per year. Analysis of the number of exacerbations was performed using a negative binomial regression model with covariates of treatment group, Baseline (BL) maintenance OCS therapy (OCS vs. no OCS), region, exacerbations in the year prior to the study (as an ordinal variable) and BL percent (%) predicted forced expiratory volume in 1 second (FEV1), and with logarithm of time on treatment as an offset variable

Secondary Endpoints
Time to First Clinically Significant Exacerbation Requiring Oral or Systemic Corticosteroid, Hospitalization and/ or ED Visit
From randomization (Week 0) to Week 52 or EW
Number of Exacerbations Requiring Hospitalization (Including Intubation and Admittance to an Intensive Care Unit [ICU]) or ED Visit Per Year
From randomization (Week 0) to Week 52 or EW
Time to First Exacerbation Requiring Hospitalization or ED Visit
From randomization (Week 0) to Week 52 or EW
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Mepolizumab 750mgACTIVE_COMPARATORMepolizumab 750mcg i.v. every 4 weeks
Mepolizumab 250mgACTIVE_COMPARATORMepolizumab 250mcg i.v. every 4 weeks
Mepolizumab 75mgACTIVE_COMPARATORMepolizumab 75mcg i.v. every 4 weeks
PlaceboPLACEBO_COMPARATORPlacebo saline every 4 weeks i.v.
Interventions
NameTypeDescription
Mepolizumab 750BIOLOGICALMepolizumab 750mg every four weeks by i.v.
Mepolizumab 250BIOLOGICALMepolizumab 250mg every four weeks by i.v.
Mepolizumab 75BIOLOGICALMepolizumab 75mg every four weeks by i.v.
Placebo salineDRUGPlacebo saline every four weeks by i.v.
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Eligibility Criteria
Age Range12 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites94

Inclusion Criteria: * Male or female * Aged 12 to 65 years inclusive * Minimum weight 45kg * Clinical features of severe refractory asthma * Well documented requirement for high dose inhaled corticosteroids (ICS) \[i.e. \>= 880mcg/day fluticasone propionate or equivalent daily\] for at least 12 mon...

Countries:United StatesArgentinaAustraliaCanadaChileFranceGermanyPolandRomaniaRussiaSouth KoreaUkraineUnited Kingdom
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