Patient Reported Outcomes in Adults With Severe Eosinophilic Asthma on Benralizumab.

AstraZeneca170 enrolled

Overview

This study will generate patient reported outcomes (PROs) associated with the use of benralizumab as treatment for severe eosinophilic asthma.

Benralizumab was launched in 2018 following regulatory approval in Canada and is now widely available for Canadian patients with severe eosinophilic asthma. This study is an observational cohort study of patient reported outcomes (PROs) within real-world settings for participants who are prescribed benralizumab for treatment of uncontrolled severe eosinophilic asthma. Patients will be recruited in select clinics across Canada. Survey data for each participant in the study will be obtained at the following time-points: * Baseline (Week 0) * Short-term follow up: 1-, 2-, 4-, and 8-weeks after baseline * Long-term follow-up: 24- and 56-weeks after baseline

Study Type

OBSERVATIONAL

Enrollment

170

Conditions

Severe Eosinophilic Asthma

Interventions

Survey AdministrationOTHER

Patient Reported Outcomes (PROs) of health, quality of life, and economic outcomes during routine clinical practice.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 130 Years

Medical Language ↔ Plain English

The following individuals may be eligible to participate: * Are enrolled in the benralizumab PSP; * Are 18 years of age or older; * Can understand the requirements of the study and provide informed consent to participate in this study; * Agree to abide by the study protocol and the exclusion criteria and can complete all aspects of the study, including all visits. * Are benralizumab naïve and have not previously received benralizumab prior to the start of this study AND * Suffer from uncontrolled severe eosinophilic asthma meeting at least one of the following: 1. Has blood eosinophil count ≥ 300 cells/μL AND experienced two or more clinically-significant exacerbations in the past 12 months; OR 2. Has blood eosinophil count ≥ 150 cells/μL AND are treated chronically with oral corticosteroids (OCS); OR 3. Sputum eosinophil levels of 3% and higher OR 4. Have been previously treated with a biologic for severe asthma and previously met the above eosinophil counts (detailed in #1,2, or 3 above) prior to initiation of the previous biologic. AND * ACQ-6 score ≥ 1.5 Exclusion criteria: Any of the following conditions are cause for exclusion from the study: * Patients currently enrolled in an interventional clinical study in parallel will be excluded from the study, except for patients who are in parallel documented in a national asthma registry; * Patients who have previously received benralizumab prior to the start of the study * Patients currently participating (i.e. have not completed) in any other clinical trial including those with biologic treatment; * Patients with other documented lung disease other than asthma and not within reimbursed label.

Locations (20)

Research Site

Calgary, Alberta, Canada

Research Site

Calgary, Alberta, Canada

Outcomes

Primary Outcomes

Change of at least 0.5 units in ACQ-6 after initiation of benralizumab

ACQ-6 is able to identify the adequacy of asthma control in individual patients. Data will be presented as the proportion of patients achieving a change of at least 0.5 units following initiation of therapy.

Time frame: Up to week 56 (from 1st dose of benralizumab)

Secondary Outcomes

Number of exacerbations

The start of an exacerbation is defined as the start-date of systemic corticosteroids or start-date of a temporary increase in a stable oral corticosteroid background dose, or start-date of a hospital admission, whichever occurs earlier. Data will be presented as an annualized exacerbation rate.

Time frame: Up to week 56 (from first dose of benralizumab)

Change in concomitant medications

Change in concomitant medications (i.e. oral corticosteroid usage) will be measured.

Time frame: Up to week 56 (from first dose of benralizumab)

Number of participants with Serious Adverse Events and hospitalizations

Assessment of safety and tolerability through measuring the overall change in number of serious adverse events and hospitalizations. Data will be presented as the proportion of patients experiencing serious adverse events and hospitalizations.

Time frame: Up to week 56 (from first dose of benralizumab)

Asthma Quality of Life Questionnaire, Symptoms (AQLQ(S)+12)

The AQLQ(S)+12 is a questionnaire that measures the health-related quality of life experienced by asthma patients. The questionnaire comprises 4 separate domains (symptoms, activity limitations, emotional function, and environmental stimuli). Patients are asked to recall their experiences during the previous 2 weeks and to score each of the questions on a 7-point scale ranging from 7 (no impairment) to 1 (severe impairment). The overall score is calculated as the mean response to all questions, and is presented as a score from 1 to 7, with lower overall scores indicating increasing impairement. The 4 individual domain scores (symptoms, activity limitations, emotional function, and environmental stimuli) are the means of the responses to the questions in each of the domains. Individual AQLQ(s)+12 Total or domain score changes of ≥0.5 are considered clinically meaningful. Data will be presented as a mean score and change from baseline with a measure of dispersion.

Data from ClinicalTrials.gov

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