NCT07654842

Brief Summary

The goal of this observational study is to learn more about the effectiveness of benralizumab (Fasenra, 30 mg every 8 weeks) in maintaining asthma control in people with severe eosinophilic asthma. Participants will have electronic medication monitors fitted to their usual maintenance inhaler, as well as a study-provided anti-inflammatory rescue inhaler, albuterol-budesonide (AirSupra). These monitors will track when each inhaler is used. Participants will also upload time-stamped photos of their benralizumab administration to their electronic medical records.

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
40

participants targeted

Target at P25-P50 for phase_4

Timeline
18mo left

Started Jul 2026

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 21, 2026

Completed
27 days until next milestone

First Posted

Study publicly available on registry

June 17, 2026

Completed
14 days until next milestone

Study Start

First participant enrolled

July 1, 2026

Expected
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2027

4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2028

Last Updated

June 17, 2026

Status Verified

June 1, 2026

Enrollment Period

1.2 years

First QC Date

May 21, 2026

Last Update Submit

June 12, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in anti-inflammatory reliever inhaler use during last benralizumab dosing cycle

    Difference between ICS-SABA uses in the first and last two weeks of the 3rd of 3 benralizumab dosing cycles during the study period.

    Weeks 17 through 24

Secondary Outcomes (3)

  • Change in anti-inflammatory reliever inhaler use during all benralizumab dosing cycles

    Weeks 1 through 24

  • Number of days per week without anti-inflammatory reliever inhaler use

    Weeks 1 through 24

  • Time to severe asthma exacerbation

    Weeks 1 through 24

Study Arms (1)

Open-Label benralizumab + budesonide-albuterol

OTHER

Participants will continue their usual treatment with benralizumab (300mg every 8 weeks) and inhaled corticosteroid-containing maintenance inhaler (as prescribed by their usual clinician). During the study, participants will be asked to switch their usual reliever inhaler to study-provided budesonide-albuterol (also known as AirSupra).

Drug: Budesonide-albuterolDrug: Benralizumab

Interventions

Budesonide-albuterol will be used as an anti-inflammatory reliever inhaler for the duration of the study.

Also known as: AirSupra
Open-Label benralizumab + budesonide-albuterol

Participants will continue using benralizumab as prescribed. Benralizumab is not supplied by the study.

Also known as: Fasenra
Open-Label benralizumab + budesonide-albuterol

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICF.
  • At least 18 years of age at the time of signing the informed consent at Visit 1.
  • Documented asthma diagnosis ≥12 months prior to Visit 1. This may be documented by physician-diagnosis or by documented pharmacy records.
  • Treated with a daily ICS-containing maintenance inhaler for asthma at a stable dose for ≥3 months prior to Visit 1. This inhaler may contain ICS alone, or in combination with a LABA or LABA-LAMA. The prescribed inhaler must be compatible with a study-provided EMM (see Appendix A).
  • Prescribed a SABA-containing reliever inhaler, AND willing to use study-provided ICS-SABA reliever with EMM provided by the study.
  • Prescribed benralizumab for severe eosinophilic asthma for ≥6 months AND has had ≥4 benralizumab doses (3 loading doses + at least 1 8-week dosing interval).

You may not qualify if:

  • Current smoker (including tobacco, vaping, and marijuana). Former smokers must have stopped ≥6 months prior to Visit 1.
  • Has a known, preexisting, clinically significant cardiac, endocrine, autoimmune, metabolic, neurological, renal, gastrointestinal, hepatic, hematological, or any other system abnormalities that are uncontrolled with standard treatment, which, in the investigator's opinion, would compromise the participant's safety, interfere with the interpretation of the study results or otherwise preclude participation or protocol adherence.
  • History of use of any biologic therapy for asthma (other than benralizumab) within 5 half-lives or 5 months, whichever is longer, before Visit 1.
  • A severe asthma exacerbation within 4 weeks of Visit 1. For this study, a severe asthma exacerbation is defined as an episode of worsening asthma symptoms that result in at least one of the following:
  • Use of systemic corticosteroids for at least 3 consecutive days (or a single depo-injectable dose of corticosteroids)
  • An inpatient hospitalization (defined as admission to an inpatient facility and/or evaluation and treatment in a healthcare facility for ≥24 hours) due to asthma
  • An emergency department visit (defined as evaluation and treatment for \<24 hours in an emergency department or urgent care) due to asthma that required systemic corticosteroids (as per above)
  • Current enrollment in an asthma-related clinical trial.
  • Any known history of adverse reactions to budesonide-albuterol.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Endeavor Health

Skokie, Illinois, 60077, United States

Location

MeSH Terms

Conditions

Pulmonary EosinophiliaAsthma

Interventions

benralizumab

Condition Hierarchy (Ancestors)

Lung DiseasesRespiratory Tract DiseasesHypereosinophilic SyndromeEosinophiliaLeukocyte DisordersHematologic DiseasesHemic and Lymphatic DiseasesBronchial DiseasesLung Diseases, ObstructiveRespiratory HypersensitivityHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Study Officials

  • Giselle Mosnaim, MD, MS

    Endeavor Health

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director of Allergy & Immunology Research

Study Record Dates

First Submitted

May 21, 2026

First Posted

June 17, 2026

Study Start (Estimated)

July 1, 2026

Primary Completion (Estimated)

September 1, 2027

Study Completion (Estimated)

January 1, 2028

Last Updated

June 17, 2026

Record last verified: 2026-06

Locations