This study is a multi-center, randomized, double-blind, placebo-controlled Phase II clinical study to evaluate the efficacy, safety, PK characteristics, PD effects and immunogenicity of CM310 in subjects with moderate to severe asthma. The study consists of three periods, including an up to 4-week screening period, a 24-week randomized treatment period, and a 8-week safety follow-up period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
52
China-Japan Friendship Hospital
Beijing, China
Change from baseline in pre-bronchodilator FEV1 (forced expiratory volume in 1 second) at 12 weeks.
Absolute change from baseline in pre-bronchodilator FEV1 in each dose group at 12 weeks of CM310 treatment compared with placebo.
Time frame: 12 weeks
Change from baseline in pre-bronchodilator FEV1 at each evaluation time point.
Absolute change from baseline in pre-bronchodilator FEV1 at each evaluation time point.
Time frame: 24 weeks
Percent change from baseline in pre-bronchodilator FEV1 at each evaluation time point.
Percent change from baseline in pre-bronchodilator FEV1 at each evaluation time point.
Time frame: 24 weeks
Annualized rate of subjects experiencing severe asthma exacerbations.
Annualized rate of subjects experiencing severe asthma exacerbations during the 24-week randomized treatment period.
Time frame: 24 weeks
Time to the first onset of the severe asthma exacerbation event.
Time from baseline to the first onset of the severe asthma exacerbation event.
Time frame: 24 weeks
Annualized rate of subjects experiencing the event of loss of asthma control (LOAC).
Annualized rate of subjects experiencing the event of loss of asthma control (LOAC) during the 24-week randomized treatment period.
Time frame: 24 weeks
Time to the onset of the first event of LOAC.
Time from baseline to the onset of the first event of LOAC.
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Time frame: 24 weeks
FEV1 percentage of predicted value (FEV1% Pred)
FEV1 percentage of predicted value (FEV1% Pred)
Time frame: 32 weeks
Peak diurnal and nocturnal expiratory flow (PEF)
Peak diurnal and nocturnal expiratory flow (PEF)
Time frame: 32 weeks
Forced vital capacity (FVC)
Forced vital capacity (FVC)
Time frame: 32 weeks
Maximal mid-expiratory flow (MMEF)
Maximal mid-expiratory flow (MMEF)
Time frame: 32 weeks
Change from baseline of FEV1 after the use of bronchodilator.
Change from baseline of FEV1 after the use of bronchodilator.
Time frame: 32 weeks
Change from baseline in the Asthma Control Questionnaire-5 (ACQ-5) score at each evaluation time point.
The ACQ-5 is a questionnaire used to evaluate the degree of asthma control. Each question is scored from 0 to 6 (on a 7-point scale) according to its severity. The higher the score, the less satisfactory symptom control is.
Time frame: 32 weeks
Change from baseline in asthma symptom score at each evaluation time point.
Patients will record total symptom scores in morning(a 0-4 scale, with 0=no symptoms, 4=inability to fall asleep at night due to symptoms) and afternoon (a 0-5 scale, with 0=no symptoms, 5=severe symptoms, unable to work or perform daily activities).
Time frame: 32 weeks
Incidence of Adverse events (AEs)
Incidence of AEs, including any abnormal physical examinations, abnormal vital signs, abnormal ECG, and abnormal lab testing.
Time frame: 32 weeks
Trough concentration at steady-state of CM310
To evaluate the trough concentration at steady-state of CM310 for each dose group. Population pharmacokinetic analysis is performed using a nonlinear mixed-effects model.
Time frame: 32 weeks
Human thymus and activation-regulated chemokine (TARC)
Change from baseline in TARC at each evaluation time point for each dose group.
Time frame: 32 weeks
Fractional exhaled nitric oxide (FeNO).
Change from baseline in FeNO at each evaluation time point for each dose group.
Time frame: 32 weeks
Total IgE (immunoglobulin E)
Change from baseline in total IgE at each evaluation time point for each dose group.
Time frame: 32 weeks
Anti-drug antibodies (ADAs) and neutralizing antibodies (Nabs).
Incidence of anti-drug antibodies (ADAs) and neutralizing antibodies (Nabs) (if applicable).
Time frame: 32 weeks