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Trial · NCT02138916

Benralizumab Efficacy in Moderate to Very Severe Chronic Obstructive Pulmonary Disease (COPD) With Exacerbation History

NCT02138916, Phase 3, Completed, AstraZeneca; results first posted 2019-06-13

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Benralizumab Efficacy in Moderate to Very Severe Chronic Obstructive Pulmonary Disease (COPD) With Exacerbation History. Trials, record NCT02138916. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02138916

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Benralizumab Efficacy in Moderate to Very Severe Chronic Obstructive Pulmonary Disease (COPD) With Exacerbation History
NCT number
NCT02138916
Status
Completed
Phases
Phase 3
Enrollment
1,656 participants, actual
Lead sponsor
AstraZeneca
Conditions
Moderate to Very Severe Chronic Obstructive Pulmonary Disease
Interventions
Benralizumab Arm A, Benralizumab Arm B, Placebo
First posted
2014-05-15
Last updated
2019-06-13
Results first posted
2019-06-13

Source ClinicalTrials.gov

Registered outcomes19

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryAnnual COPD Exacerbation Rate Over 56 Weeks Treatment Comparison for Patients With Baseline EOS>=220/uLFrom first IP to week 56
A COPD exacerbation is defined by symptomatic worsening of COPD requiring: * Use of systemic corticosteroids for at least 3 days; a single depot injectable dose of corticosteroids will be considered equivalent to a 3-day course of systemic corticosteroids; and/or * Use of antibiotics; and/or * An inpatient hospitalization or death due to COPD Annual COPD exacerbation rate is the number of exacerbations per year. Its raw rate is calculated by number of exacerbations divided by the treatment period and then normalized to an annual rate, and is estimated by negative binomial model. Rate ratio between two treatment groups is also estimated through this model.
SecondaryAnnual COPD Exacerbation Rate Over 56 Weeks Treatment Comparison for Patients With Baseline EOS<220/uLFrom first IP to week 56
A COPD exacerbation is defined by symptomatic worsening of COPD requiring: * Use of systemic corticosteroids for at least 3 days; a single depot injectable dose of corticosteroids will be considered equivalent to a 3-day course of systemic corticosteroids; and/or * Use of antibiotics; and/or * An inpatient hospitalization or death due to COPD Annual COPD exacerbation rate is the number of exacerbations per year. Its raw rate is calculated by number of exacerbations divided by the treatment period and then normalized to an annual rate, and is estimated by negative binomial model. Rate ratio between two treatment groups is also estimated through this model.
SecondaryMean Change From Baseline to Week 56 in Pre-bronchodilator FEV1 (L) Value for Patients With Baseline EOS>=220/uLFirst IP up to end of treatment Week 56
Pre-bronchodilator FEV1 (L) is collected at Weeks 0, 4, 8, 16, 24, 32, 40, 48, and 56. Baseline is the last non-missing value with quality (acceptable or borderline quality grade) prior to the first dose of study treatment.
SecondaryMean Change From Baseline in SGRQ Total Score for Patients With Baseline EOS>=220/uLFirst IP up to Week 56
SGRQ is from 50-item PRO instrument. The SGRQ total score is expressed as a percentage of overall impairment, in which 100% means the worst possible health status and 0 indicates the best possible health status.
SecondaryMean Change From Baseline in CAT Total Score for Patients With Baseline EOS>=220/uLFirst IP up to Week 56
CAT is an 8-item PRO developed to measure the impact of COPD on health status. The instrument uses semantic differential six-point response scales. A CAT total score is the sum of item responses. Score ranges from 0 to 40 with higher scores indicative of greater COPD impact on health status.
SecondaryMean Change From Baseline in E-RS: COPD Total Score for Patients With Baseline EOS>=220/uLFirst IP up to Week 56
The E-RS: COPD is an 11-item PRO developed to evaluate the severity of respiratory symptoms of COPD. Summation of E-RS: COPD item responses produces a total score ranging from 0 to 40, with higher scores indicating greater severity.
SecondaryMean Change From Baseline in Total Rescue Medication Use (Number of Puffs Per Day) for Patients With Baseline EOS>=220/uLFirst IP up to Week 56The number of rescue medication inhalations and nebulizer treatments taken are recorded by the patient in the eDiary twice daily. Total rescue medication use is the sum of daytime and night-time use.
SecondaryMean Change From Baseline in Proportion of Nights Awakenings Due to Respiratory Symptoms for Patients With Baseline EOS>=220/uLFirst IP up to Week 56Change from baseline to week 56 in proportion of nights awakenings due to respiratory symptoms.
SecondaryNumber of Participants by Number of COPD Exacerbations Based on EXACT-PRO for Patients With Baseline EOS>=220/uLImmediately following first IP up to week 56
The EXACT-PRO is a 14-item PRO instrument developed to assess the frequency, severity and duration of COPD exacerbations. Respondents are instructed to complete the electronic diary (eDiary) each evening just prior to bedtime and to answer the questions while onsidering their experiences "today". The daily EXACT-PRO total score has a range of 0-100 with higher scores indicative of greater severity. Exacerbation event frequency is calculated by comparing the baseline with daily total scores. An increase in EXACT-PRO total score ≥9 for 3 days or ≥12 for 2 days indicate an exacerbation event has occurred.
SecondarySeverity of EXACT-PRO for Patients With Baseline EOS>=220/uLImmediately following first IP up to week 56
The EXACT-PRO is a 14-item PRO instrument developed to assess the frequency, severity and duration of COPD exacerbations. Respondents are instructed to complete the electronic diary (eDiary) each evening just prior to bedtime and to answer the questions while onsidering their experiences "today". The daily EXACT-PRO total score has a range of 0-100 with higher scores indicative of greater severity. Severity for the study is the highest score of EXACT-PRO.

Outcomes19

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAnnual COPD Exacerbation Rate Over 56 Weeks Treatment Comparison for Patients With Baseline EOS>=220/uLFrom first IP to week 56Full analysis set with baseline EOS\>=220/uLExacerbations per yearLEAST_SQUARES_MEAN
SECONDARYAnnual COPD Exacerbation Rate Over 56 Weeks Treatment Comparison for Patients With Baseline EOS<220/uLFrom first IP to week 56Full analysis set with baseline EOS\<220/uLExacerbations per yearLEAST_SQUARES_MEAN
SECONDARYMean Change From Baseline to Week 56 in Pre-bronchodilator FEV1 (L) Value for Patients With Baseline EOS>=220/uLFirst IP up to end of treatment Week 56Full analysis set, baseline EOS\>=220/uLLiterMEAN
SECONDARYMean Change From Baseline in SGRQ Total Score for Patients With Baseline EOS>=220/uLFirst IP up to Week 56Full analysis set, baseline EOS\>=220/uLPercentageMEAN
SECONDARYMean Change From Baseline in CAT Total Score for Patients With Baseline EOS>=220/uLFirst IP up to Week 56Full analysis set, baseline EOS\>=220/uLScore on a scaleMEAN
SECONDARYMean Change From Baseline in E-RS: COPD Total Score for Patients With Baseline EOS>=220/uLFirst IP up to Week 56Full analysis set, baseline EOS\>=220/uLScore on a scaleMEAN
SECONDARYMean Change From Baseline in Total Rescue Medication Use (Number of Puffs Per Day) for Patients With Baseline EOS>=220/uLFirst IP up to Week 56Full analysis set, baseline EOS\>=220/uLPuffs/dayMEAN
SECONDARYMean Change From Baseline in Proportion of Nights Awakenings Due to Respiratory Symptoms for Patients With Baseline EOS>=220/uLFirst IP up to Week 56Full analysis set, baseline EOS\>=220/uLProportion of nightsMEAN
SECONDARYNumber of Participants by Number of COPD Exacerbations Based on EXACT-PRO for Patients With Baseline EOS>=220/uLImmediately following first IP up to week 56Full analysis set, EOS\>=220/uLParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYSeverity of EXACT-PRO for Patients With Baseline EOS>=220/uLImmediately following first IP up to week 56Full analysis set, baseline EOS\>=220/uLScore on a scaleMEAN

Results by group127

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Annual COPD Exacerbation Rate Over 56 Weeks Treatment Comparison for Patients With Baseline EOS>=220/uLBenralizumab 30 mg1.1995% Confidence Interval 1.04 to 1.36Exacerbations per year
Annual COPD Exacerbation Rate Over 56 Weeks Treatment Comparison for Patients With Baseline EOS>=220/uLBenralizumab 100 mg1.0395% Confidence Interval 0.9 to 1.19Exacerbations per year
Annual COPD Exacerbation Rate Over 56 Weeks Treatment Comparison for Patients With Baseline EOS>=220/uLPlacebo1.2495% Confidence Interval 1.08 to 1.42Exacerbations per year
Annual COPD Exacerbation Rate Over 56 Weeks Treatment Comparison for Patients With Baseline EOS<220/uLBenralizumab 30 mg1.495% Confidence Interval 1.19 to 1.64Exacerbations per year
Annual COPD Exacerbation Rate Over 56 Weeks Treatment Comparison for Patients With Baseline EOS<220/uLBenralizumab 100 mg1.3295% Confidence Interval 1.12 to 1.56Exacerbations per year
Annual COPD Exacerbation Rate Over 56 Weeks Treatment Comparison for Patients With Baseline EOS<220/uLPlacebo1.3095% Confidence Interval 1.11 to 1.52Exacerbations per year
Mean Change From Baseline to Week 56 in Pre-bronchodilator FEV1 (L) Value for Patients With Baseline EOS>=220/uLBenralizumab 30 mg0.014Standard Deviation 0.282Liter
Mean Change From Baseline to Week 56 in Pre-bronchodilator FEV1 (L) Value for Patients With Baseline EOS>=220/uLBenralizumab 100 mg0.031Standard Deviation 0.294Liter
Mean Change From Baseline to Week 56 in Pre-bronchodilator FEV1 (L) Value for Patients With Baseline EOS>=220/uLPlacebo0.010Standard Deviation 0.275Liter
Mean Change From Baseline in SGRQ Total Score for Patients With Baseline EOS>=220/uLBenralizumab 30 mg-5.025Standard Deviation 14.677Percentage

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDBenralizumab 30 mg554
Overall StudySTARTEDBenralizumab 100 mg552
Overall StudySTARTEDPlacebo550
Overall StudyCOMPLETEDBenralizumab 30 mg497
Overall StudyCOMPLETEDBenralizumab 100 mg492
Overall StudyCOMPLETEDPlacebo491
Overall StudyNOT COMPLETEDBenralizumab 30 mg57
Overall StudyNOT COMPLETEDBenralizumab 100 mg60
Overall StudyNOT COMPLETEDPlacebo59

Adverse events789

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherConstipationGastrointestinal disordersBenralizumab 30 mg1755419
otherConstipationGastrointestinal disordersBenralizumab 100 mg1955219
otherConstipationGastrointestinal disordersPlacebo1555017
otherDiarrhoeaGastrointestinal disordersBenralizumab 30 mg1755418
otherDiarrhoeaGastrointestinal disordersBenralizumab 100 mg1555218
otherDiarrhoeaGastrointestinal disordersPlacebo65507
otherNauseaGastrointestinal disordersBenralizumab 30 mg1355417
otherNauseaGastrointestinal disordersBenralizumab 100 mg1855222
otherNauseaGastrointestinal disordersPlacebo1355015
otherOedema peripheralGeneral disordersBenralizumab 30 mg1155413

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityBenralizumab 30 mg15554
Total, all-cause mortalityBenralizumab 100 mg11552
Total, all-cause mortalityPlacebo13550
Total, other adverse eventsBenralizumab 30 mg293554
Total, other adverse eventsBenralizumab 100 mg318552
Total, other adverse eventsPlacebo282550
Total, serious adverse eventsBenralizumab 30 mg151554
Total, serious adverse eventsBenralizumab 100 mg177552
Total, serious adverse eventsPlacebo176550

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
31112385DERIVEDPubMed
31575508DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02138916

GET https://conductscience.org/api/trials/v1/NCT02138916/results?page=2