STRATOS 1 and 2: considerations in clinical trial design for a fully human monoclonal antibody in severe asthma

R. Panettieri, C. Brightling, Ulf Sjobring, AnnaMaria Péterffy, G. Tornling, Sami Z. Daoud, K. Ranade, Sally Hollis, G. Colice
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引用次数: 17

Abstract

New therapies are being developed to target proinflammatory mediators thought to be involved in the pathophysiology of severe asthma. Tralokinumab is an investigational fully human monoclonal antibody that specifically blocks binding of IL-13 to its receptors. Here, we describe the background leading to the design of two Phase III trials, STRATOS 1 and 2 (NCT02161757 and NCT02194699), which aim to provide confirmatory evidence of the efficacy and safety of tralokinumab in patients with asthma that is uncontrolled despite treatment with inhaled corticosteroids and long-acting β2-agonists. These trials will also confirm the validity of periostin and DPP-4, identified in a prior Phase IIb study (NCT01402986), as predictors of an enhanced response to tralokinumab.
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STRATOS 1和2:重度哮喘全人源单克隆抗体临床试验设计的考虑
新的治疗方法正在开发针对促炎介质被认为是参与严重哮喘的病理生理。Tralokinumab是一种研究性的全人源单克隆抗体,可特异性阻断IL-13与其受体的结合。在这里,我们描述了两项III期试验STRATOS 1和2 (NCT02161757和NCT02194699)的设计背景,旨在为曲洛单抗治疗吸入皮质类固醇和长效β2激动剂治疗后仍无法控制的哮喘患者的有效性和安全性提供证实性证据。这些试验还将证实在之前的IIb期研究(NCT01402986)中发现的periostin和DPP-4作为tralokinumab增强应答的预测因子的有效性。
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