This study will assess whether switching participants who have benefitted from mepolizumab or benralizumab to GSK3511294 (Depemokimab) is non-inferior to maintaining current treatment on the annualized rate of clinically significant exacerbations in participants with severe asthma with an eosinophilic phenotype. Throughout the study, all participants will continue their non-biologic Baseline standard of care (SoC) asthma treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
1,719
GSK3511294 (Depemokimab) will be provided in a single-use prefilled syringe (PFS).
Mepolizumab will be provided in a single-use PFS.
Benralizumab will be provided in a single-use PFS.
Annualized rate of clinically significant exacerbations over 52 weeks
Clinically significant exacerbations of asthma are defined by worsening of asthma which requires use of systemic corticosteroids and/or hospitalization and/or Emergency Department (ED) visit. Annualized rate of exacerbations will be calculated as number of exacerbations experienced by the participant divided by the length of time the participant is measured on.
Time frame: Up to Week 52
Weighted mean change from Baseline in St. George's Respiratory Questionnaire (SGRQ) total score
The SGRQ is a well-established instrument, comprising 51 questions designed to measure Quality of Life in participants with diseases of airway obstruction. Higher score indicates worse quality of life.
Time frame: Baseline (Day 1) and up to Week 52
Weighted mean change from Baseline in Asthma Control Questionnaire-5 (ACQ-5) score
The ACQ-5 is a five-item questionnaire, which has been developed as a measure of participants' asthma control that can be quickly and easily completed. The five questions enquire about the frequency and/or severity of symptoms (nocturnal awakening on waking in the morning, activity limitation, and shortness of breath, wheeze) over the previous week. The response options for all these questions consist of a zero (no impairment/limitation) to six (total impairment/ limitation) scale. Higher score indicates more limitations.
Time frame: Baseline (Day 1) and up to Week 52
Weighted mean change from Baseline in pre-bronchodilator forced expiratory volume in one second (FEV1)
FEV1 is a measure of pulmonary function and is the maximum amount of air that can be forced out in one second after taking a deep breath. FEV1 will be measured using spirometry.
Time frame: Baseline (Day 1) and up to Week 52
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Placebo will be a sterile liquid formulation.
Non-biologic SoC will include inhaled corticosteroid (ICS) plus at least one other controller, long-acting beta-2-agonist (LABA), long-acting muscarinic antagonist (LAMA), with or without maintenance oral corticosteroids (OCS).
PFS will include glass barrel with pre-staked needle and plunger.
GSK Investigational Site
Birmingham, Alabama, United States
GSK Investigational Site
Scottsboro, Alabama, United States
GSK Investigational Site
Litchfield Park, Arizona, United States
GSK Investigational Site
Phoenix, Arizona, United States
GSK Investigational Site
Scottsdale, Arizona, United States
GSK Investigational Site
Bakersfield, California, United States
GSK Investigational Site
Encinitas, California, United States
GSK Investigational Site
Huntington Beach, California, United States
GSK Investigational Site
Los Angeles, California, United States
GSK Investigational Site
Newport Beach, California, United States
...and 387 more locations