NCT06456450

Brief Summary

This is a prospective multi-centers cohort study for registration adult patients with severe asthma and were reimbursed biologics treatment in Taiwan. The goal of this observational study is to discover the real-world effectiveness, the impact of initiating, switching of biologics, and the possible prediction factors for selecting the best treatment option for patients. The main question\[s\] it aims to answer are:

  1. 1.Determine risk factors associated with poor asthma control.
  2. 2.Support the development of effectiveness and safety of therapeutic principles
  3. 3.To discover the real-world effectiveness of different biologics ( Clinical remission)
  4. 4.To discover the impact of initiating biologics for severe asthma patients.
  5. 5.To evaluate the prevalence of biologics switching and its benefits for patients.
  6. 6.To compare the achievement rate of clinical remission among different biologics.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
500

participants targeted

Target at P75+ for all trials

Timeline
205mo left

Started Nov 2023

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress13%
Nov 2023Feb 2043

Study Start

First participant enrolled

November 11, 2023

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

May 30, 2024

Completed
14 days until next milestone

First Posted

Study publicly available on registry

June 13, 2024

Completed
18.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 28, 2043

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2043

Last Updated

June 13, 2024

Status Verified

June 1, 2024

Enrollment Period

19.3 years

First QC Date

May 30, 2024

Last Update Submit

June 7, 2024

Conditions

Keywords

Severe AsthmaRegistryBiologic

Outcome Measures

Primary Outcomes (4)

  • Status of Asthma Control

    Mean change in Asthma Control Test score after biologic initiation.

    6 months

  • Status of Asthma exacerbations

    Annual frequency of exacerbations after biologic initiation.

    6 months

  • Reduction of daily oral corticosteriod dose

    Percentage of daily oral corticosteroids dose reduction after biologic initiation.

    6 months

  • Change of Pre-BD FEV1 (%pred)

    Measure the change of Pre-BD FEV1 (%pred) after biologic initiation. FVC (L) FEV1(L)

    6 months

Secondary Outcomes (2)

  • Disease Prognosis

    6 months

  • Mortality

    6 months

Study Arms (5)

Omalizumab

Severe asthma patients who are treated with omalizumab after January 1, 2020.

Biological: Biological Treatment for severe asthma patients

Mepolizumab

Severe asthma patients who are treated with mepolizumab after January 1, 2020.

Biological: Biological Treatment for severe asthma patients

Benralizumab

Severe asthma patients who are treated with benralizumab after January 1, 2020.

Biological: Biological Treatment for severe asthma patients

Dupilzumab

Severe asthma patients who are treated with dupilzumab after January 1, 2020.

Biological: Biological Treatment for severe asthma patients

Tezepelumab

Severe asthma patients who are treated with Tezepelumab after January 1, 2020.

Biological: Biological Treatment for severe asthma patients

Interventions

Biological treatment for severe asthma available in Taiwan and is covered by covered by National Health Insurance

Also known as: Omalizumab, Mepolizumab, Benralizumab, Dupilzumab, Tezepelumab
BenralizumabDupilzumabMepolizumabOmalizumabTezepelumab

Eligibility Criteria

Age18 Years+
Sexall(Gender-based eligibility)
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Severe Asthma Patient

You may qualify if:

  • Provision of informed consent prior to any study specific procedures.
  • Patient should be reviewed as well as confirmed by the National Health Insurance Administration (NHIA) or by the study board member as a Severe Asthma case.
  • Female and male aged over 18 years old.
  • Patients who are treated either with omalizumab, mepolizumab, or benralizumab after January 1, 2020.

You may not qualify if:

  • Lack of informed consent for participation.
  • History of Biologic usage before January 1, 2020, should be ruled out.
  • The washout period should be at least 12 months. In other words, the enrolled patients should have no experience in receiving a biological treatment or in participating relative clinical trial before his/her biologic initiation.
  • Comorbid pulmonary diseases (e.g.: Chronic Obstructive Pulmonary Disease, Bronchiectasis, Pulmonary Fibrosis, etc.) or risk factors (e.g.: smoking or environmental exposure, etc..) that could be associated with pulmonary or systemic diseases, other than Asthma.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Taichung Veterans General Hospital

Taichung, 40705, Taiwan

RECRUITING

MeSH Terms

Conditions

Lung DiseasesAsthma

Interventions

Omalizumabmepolizumabbenralizumabtezepelumab

Condition Hierarchy (Ancestors)

Respiratory Tract DiseasesBronchial DiseasesLung Diseases, ObstructiveRespiratory HypersensitivityHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Anti-IdiotypicAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsAntibodies, Monoclonal, HumanizedAntibodies, MonoclonalSerum GlobulinsGlobulins

Central Study Contacts

Pin-Kuei Fu, MD.,PhD.

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director of Clinical Trail Center

Study Record Dates

First Submitted

May 30, 2024

First Posted

June 13, 2024

Study Start

November 11, 2023

Primary Completion (Estimated)

February 28, 2043

Study Completion (Estimated)

February 28, 2043

Last Updated

June 13, 2024

Record last verified: 2024-06

Locations