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Table 2 Primary and secondary objectives and endpoints

From: NAVIGATOR: a phase 3 multicentre, randomized, double-blind, placebo-controlled, parallel-group trial to evaluate the efficacy and safety of tezepelumab in adults and adolescents with severe, uncontrolled asthma

Objective

Endpoint(s)

Primary objective

 Assess the effect of tezepelumab on asthma exacerbations in adults and adolescents with severe, uncontrolled asthma, compared with placebo

AAER

Key secondary objectives

 Assess the effect of tezepelumab on pulmonary function compared with placebo

Change from baseline in pre-bronchodilator FEV1

 Assess the effect of tezepelumab on HRQoL compared with placebo

Change from baseline in AQLQ(S) + 12 total score

 Assess the effect of tezepelumab on asthma control compared with placebo

Change from baseline in ACQ-6 score

 Assess the effect of tezepelumab on asthma symptoms compared with placebo

Change from baseline in weekly mean daily Asthma Symptom Diary score

Other secondary objectives

 Assess the effect of tezepelumab on other endpoints associated with exacerbations

Time to first asthma exacerbation

Proportion of patients with ≥1 exacerbation

Annualized rate of exacerbations associated with hospital, ER or urgent care visits

 Assess the effect of tezepelumab on biomarkers

Change from baseline in FeNO, peripheral blood eosinophil count and total serum IgE

 Assess the effect of tezepelumab on other asthma control metrics

Weekly mean rescue medication use

Weekly mean morning and evening PEF

Weekly mean number of night-time awakenings

 Assess the effect of tezepelumab on healthcare resource use and productivity loss due to asthma

Asthma-specific resource use: for example, unscheduled physician visits, use of other asthma medications

WPAI + CIQ score

 Evaluate the pharmacokinetics and immunogenicity of tezepelumab

Pharmacokinetics: serum trough concentrations

Immunogenicity: incidence of anti-drug antibodies

 Assess the effect of tezepelumab on general health-related quality of life

EQ-5D-5L

 Assess the effect of tezepelumab on patient and clinical impression of overall asthma severity

PGI-C/S

CGI-C

  1. All objectives relate to tezepelumab 210 mg Q4W SC
  2. AAER Annualized asthma exacerbation rate; ACQ-6 Asthma Control Questionnaire-6; AQLQ(S) + 12 Asthma Quality of Life Questionnaire standardized for patients 12 years and older; CGI-C Clinician Global Impression of Change; EQ-5D-5L European Quality of Life – 5 Dimensions 5 Levels; ER Emergency room; FeNO Fractional exhaled nitric oxide; FEV1 Forced expiratory volume in 1 s; IgE Immunoglobulin E; PEF Peak expiratory flow; PGIC/S Patient Global Impression of Change/Severity; Q4W Every 4 weeks; SC Subcutaneous; WPAI + CIQ Work Productivity and Activity Impairment Questionnaire and Classroom Impairment Questionnaire