This is a multicenter, randomized, masked, active and placebo controlled, Phase II clinical study to evaluate the efficacy, safety, and pharmacokinetics of LP-003 injection in adult patients with moderate to severe persistent allergic asthma.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
200
s.c. injection, Q12W
s.c. injection, Q4W
s.c. injection, Q4W
Ruijin Hospital
Shanghai, China
RECRUITINGMean number of asthma exacerbations per subject
Time frame: During the 24-week treatment period
Proportion of subjects with asthma exacerbations
Time frame: During the 24-week treatment period
Mean number of asthma exacerbations per subject
Time frame: During the 36-week and 48-week follow-up period
Proportion of subjects with asthma exacerbations
Time frame: During the 36-week and 48-week follow-up period
Proportion of subjects with loss of asthma control (LOAC) in each group
Time frame: During the 24-week treatment period
Incidence of adverse events (AEs)
Time frame: Up to approximately 52 weeks
Change from baseline in pre-bronchodilator FEV1, FVC, and FEV1/FVC ratio
Time frame: Weeks 4, 8, 12, 16, 20, and 24
Change from baseline in weekly mean daily and weekly Peak Expiratory Flow (PEF) variability, and change from baseline in mean PEF
Time frame: Weeks 4, 8, 12, 16, 20, and 24
Time to first asthma exacerbation from baseline
Time frame: Up to approximately 52 weeks
Change from baseline in weekly use of reliever medication (Salbutamol Sulfate Aerosol)
Time frame: Up to approximately 52 weeks
Change from baseline in weekly Asthma Symptom Diary Score
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Time frame: Up to approximately 52 weeks
Change from baseline in standardized Asthma Quality of Life Questionnaire (AQLQ(S))
The AQLQ(S) is a validated patient-reported outcome (PRO) tool designed to assess the impact of asthma on patients' quality of life. This questionnaire consists of a total of 35 items, which are scored on a 7-point Likert scale (where 1 indicates the worst quality of life and 7 indicates the best quality of life).
Time frame: Weeks 12 and 24
Change from baseline in Asthma Control Questionnaire (ACQ-5)
The ACQ-5 is a tool for evaluating asthma control status. The questionnaire comprises 5 items, with the ACQ-5 score calculated as the mean score of the 5 items. A score of \< 0.75 indicates complete asthma control, a score between 0.75 and 1.5 indicates well-controlled asthma, and a score of \> 1.5 indicates uncontrolled asthma.
Time frame: Weeks 12 and 24
Change from baseline in Asthma Control Test (ACT)
The ACT is a tool for assessing asthma control status, comprising 5 questions with 5 response options each (scored 1 to 5 points per question). The total score is the sum of the 5 items, with the following criteria: 20-25 = well-controlled; 16-19 = inadequately controlled; 5-15 = very poorly controlled.
Time frame: Weeks 12 and 24
Change in serum free IgE levels over time at different time points
Time frame: Up to approximately 52 weeks
Serum concentrations of LP-003 at different time points
Time frame: Up to approximately 52 weeks
Incidence of Anti-drug Antibodies (ADA)
Time frame: Up to approximately 52 weeks
Change from baseline in Fractional exhaled Nitric Oxide (FeNO)
Time frame: Weeks 4, 8, 12, 16, 20, and 24
Change from baseline in blood eosinophil count (EOS)
Time frame: Weeks 4, 8, 12, 16, 20, and 24
Change in serum total IgE levels over time at different time points
Time frame: Up to approximately 52 weeks