This study is looking at asthma that is moderate or severe in adults. Asthma is a long-term condition that affects the airways in the lungs, causing breathing difficulties, wheezing, coughing, and chest tightness. The study will test a medication called WIN378, which is a type of medicine known as a monoclonal antibody that works against a substance in the body called TSLP. This substance is believed to play a role in causing inflammation in the airways of people with asthma. Some participants will receive WIN378 while others will receive placebo. The main goal of this study is to check how safe WIN378 is and how well it is tolerated by participants, and also to understand how the body processes the medication and whether the body develops any immune response to it.
During the study, participants will receive the medication or placebo as an injection under the skin using a device. The treatment will be given over a period of 48 weeks, with the total amount of medication not exceeding 600 milligrams. Participants will need to continue taking their regular asthma medications during the study, which may include inhaled corticosteroids and other controller medications such as long-acting bronchodilators, leukotriene modifiers, or other medicines prescribed by their doctor. To be part of this study, participants must have been diagnosed with asthma for at least 12 months and must have certain characteristics such as elevated levels of a type of white blood cell called eosinophils in their blood, which indicates a specific type of asthma inflammation. They must also have experienced at least one asthma worsening episode in the past year that required treatment with systemic corticosteroids, an emergency room visit, or hospitalization.
Throughout the study, doctors will monitor participants closely by checking various measurements including lung function tests such as FEV1, which measures how much air a person can forcefully exhale in one second, and FeNO, which measures the level of nitric oxide in exhaled breath as a marker of airway inflammation. Blood tests will be done to measure eosinophil counts and to check for any antibodies the body might make against the study medication. Participants will also complete questionnaires about their asthma symptoms, how well their asthma is controlled, and their quality of life. The study will track any side effects, changes in vital signs, laboratory test results, and heart rhythm measurements through electrocardiogram. The entire study participation will last approximately 60 weeks, which includes the treatment period and a follow-up period after the last dose of medication.



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