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Reslizumab

Phase 3

Asthma | Monoclonal antibody | Respiratory |Teva Pharmaceutical Industries Limited|Last Updated: Nov 9, 2021

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 Trials4
Total Enrollment761
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02501629An Efficacy and Safety Study of Reslizumab Subcutaneous in Patients With Oral Corticosteroid Dependent Asthma and Elevated Blood EosinophilsPHASE3 COMPLETED 177Sep 29, 2015Dec 4, 2017Nov 9, 2021127 United States, Argentina +15
NCT02452190Study of Reslizumab in Participants With Uncontrolled Asthma and Elevated Blood EosinophilsPHASE3 COMPLETED 468Sep 28, 2015Jan 31, 2018Nov 9, 2021226 United States, Argentina +19
NCT02947945Reslizumab in the Treatment of Eosinophilic Granulomatosis With Polyangiitis (EGPA) StudyPHASE2 RECRUITING 10Sep 12, 2017Dec 1, 2018Sep 14, 20171 United States
NCT00587288Efficacy and Safety Study of Reslizumab to Treat Poorly Controlled AsthmaPHASE2 COMPLETED 106Apr 1, 2008Mar 1, 2010Aug 17, 201630 United States, Canada
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Study Endpoints
Primary Endpoints
Number of Participants With Reduction In Daily Oral Corticosteroid (OCS) Dose During Weeks 20-24 As Compared to the Optimized Dose At Baseline
Baseline (Day 1), Weeks 20-24

The primary endpoint was the 5-level categorized percent reduction in OCS dose during weeks 20 to 24 compared with the optimized dose at baseline. The primary analysis incorporated data from all randomized patients. Analysis of the primary and secondary variables related to categorical OCS dose reduction incorporated missing data as non-responders. No decrease indicates there was no decrease in OCS, loss of baseline asthma control during weeks 20 to 24, or discontinuation from study drug.

Number of Clinical Asthma Exacerbations (CAEs) During 52 Weeks of Treatment
Day 1 to Week 52

A CAE was defined as a clinically-judged deterioration in asthma control, as determined by the investigator and as evidenced by new or worsening asthma signs or symptoms based on the participant's history, asthma control diary, physical examination, and/or ambulatory or clinic visit assessment of lung function and that resulted in a medical intervention, including at least 1 of the following: 1) use of systemic corticosteroids (oral or injection) or at least a doubling from a stable maintenance oral corticosteroid dose for at least 3 days; 2) asthma-specific hospital admission; 3) asthma-specific emergency department visit. Adjusted CAE rate and confidence intervals were based on Negative Binomial regression model adjusted for stratification factors. Results are presented as adjusted means. For this analysis, the offset variable is calculated as the logarithm of treatment duration minus the summed duration of exacerbations during the treatment period.

Document the safety of reslizumab therapy in patients with EGPA
up to 12 months

All adverse events will be reported to the sponsor and the IRB in accordance with the policy of National Jewish Health and the FDA. Adverse events will be recorded on Case Report Forms as non-serious or serious events (DAEs). Serious adverse events, whether or not considered related to the investigational drug, will be recorded on the Serious Adverse Event form and faxed to the IRB and the sponsor as soon as site personnel are aware of the event. Every attempt will be made to collect discharge summaries for each hospitalization should they occur to provide further details.

Mean Change From Baseline to End of Therapy in Asthma Control Questionnaire (ACQ) Score
Baseline through End of Therapy (up to 15 weeks)

The ACQ is a 7 question instrument. Each question has 7 possible answers of 0, 1, 2, 3, 4, 5, and 6. Each increasing value is an indication of poorer asthma control. At protocol specified visits, the participant answered questions 1 to 6, circling the response that best described how that participant was during the past week, on the basis of a daily diary for the week before the visit. At the actual visit, study center personnel reviewed the questions and responses with the participant and determined the response and score for question 7. The overall ACQ score was presented as the mean of these 7 individual scores and was a number between 0 and 6, but not necessarily an integer.

Secondary Endpoints
Percentage of Participants Achieving a >=50% Reduction in OCS Dose at Weeks 20-24 Compared to Baseline While Maintaining Asthma Control
Baseline (Day 1), Weeks 20-24
Percentage of Participants Achieving an OCS Dose of <=5 mg at Weeks 20-24 While Maintaining Asthma Control
Weeks 20-24
Percent Change From Baseline in Daily Oral Corticosteroid (OCS) Dose During Weeks 20-24 Using a Mixed Model for Repeated Measures
Baseline (Day 1), Weeks 20-24
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Reslizumab 110 mgEXPERIMENTALReslizumab was administered by subcutaneous injection (sc) in a dosage of 110 mg (1.0 mL) every 4 weeks for a total of six doses.
PlaceboPLACEBO_COMPARATORMatching placebo was administered by subcutaneous injection (sc) 1.0 mL every 4 weeks for a total of six doses.
ReslizumabEXPERIMENTALReslizumab
Open-LabelOTHERall subjects will receive the study medication- reslizumab.
Reslizumab 3 mg/kgEXPERIMENTALReslizumab 3 mg/kg intravenous (IV) on Day 0 of each 28-day (+/- 7 days) cycle, for 4 cycles
Interventions
NameTypeDescription
ReslizumabDRUGReslizumab 110 mg was administered by qualified study personnel as subcutaneous injections in the upper arm(s) once every 4 weeks for a total of 6 doses. Drug was supplied in pre-filled syringes.
PlaceboDRUGPlacebo was administered by qualified study personnel as subcutaneous injections in the upper arm(s) once every 4 weeks for a total of 6 doses. Drug was supplied in pre-filled syringes.
Non-Oral Corticosteroid (non-OCS) Asthma MedicationDRUGParticipants continue using their non-OCS background asthma medications without change during the study's treatment period.
Oral Corticosteroid (OCS)DRUGAfter screening and prior to study start, the participant's OCS dose was adjusted to determine the minimal effective OCS requirement.
SalineOTHER -
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Eligibility Criteria
Age Range12 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites127

Inclusion Criteria: 1. The patient is male or female, 12 years of age and older, with a previous diagnosis of asthma. 2. Written informed consent is obtained. 3. The patient requires daily maintenance dose of prednisone or equivalent for asthma of between 5 and 40 mg during the 3 months prior to sc...

Countries:United StatesArgentinaAustraliaBelgiumCzechiaFranceGermanyHungaryIsraelItalyMexicoNetherlandsPolandRussiaSouth KoreaSpainUkraineCanadaJapanNew ZealandRomaniaSouth AfricaTurkey (Türkiye)
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Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT02947945studyFirstPostDate: changed