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A New Modified-release Tablet Formulation of Prednisone (Lodotra®) in Patients With Nocturnal Asthma (MONA)

Primary Purpose

Asthma

Status
Completed
Phase
Phase 2
Locations
France
Study Type
Interventional
Intervention
Lodotra
Cortancyl
Sponsored by
Horizon Pharma Ireland, Ltd., Dublin Ireland
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma focused on measuring asthma, nocturnal asthma, glucocorticoid dependent persistent asthma, signs and symptoms, lung function, prednisone

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • The subject must be able to understand the terms of the written informed consent form, and must provide a dated and signed form before the start of any study procedure
  • At least 18 years old
  • Patient having a diagnosis of asthma dating back more than 6 months at the time of inclusion
  • Asthma necessitating a continuous treatment by oral corticoids
  • A minimum of 3 nocturnal awakenings due to asthma during the last screening week
  • Stable dose of oral glucocorticoids for at least 4 weeks prior to inclusion into the study
  • No change in asthma medication during the last 4 weeks prior to V0
  • Non-smoker or ex-smoker (having stopped smoking more than one year previously and with a smoking history of less than 10 pack years )
  • Female patients of childbearing potential must be using a medically accepted contraceptive regimen
  • Able to perform the required study procedures including handling of medication containers and diaries

Exclusion Criteria:

  • Poorly controlled asthma, defined as meeting at least one of the following within the 4 weeks prior to Visit V0:

    • hospital admission for asthma (including treatment in an emergency room),
    • a lower airway infection,
  • Diagnosis of chronic obstructive pulmonary disease or other relevant lung diseases (e.g. history of bronchiectasis, cystic fibrosis, bronchiolitis, lung resection, lung cancer, active tuberculosis, interstitial lung disease)
  • Clinically significant abnormalities of the hematological or biochemical constants
  • Pregnancy or breastfeeding
  • Participation in another clinical study within 30 days preceding Visit V0,
  • Re-entry of patients previously enrolled in this trial,
  • Suspected inability or unwillingness to comply with the study procedures
  • Alcohol or drug abuse
  • Need to take a non-authorised concomitant treatment (cf. list of medicaments not authorised during the study) in the course of the study
  • Other disease requiring treatment with corticosteroids
  • Subject is the investigator or any subinvestigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved in the conduct of the protocol
  • Patient with a hospitalisation scheduled during the study period
  • Any uncontrolled concomitant disease requiring further clinical evaluation (e.g. uncontrolled diabetes, uncontrolled hypertension, etc.)

Sites / Locations

  • Hôpital Bichat

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Lodotra

Cortancyl

Arm Description

After the 4 week run-in period with immediate release prednisone (Cortancyl), patients were switched to the identical dose of modified release prednisone tablets (Lodotra). Study medication for the Lodotra treatment period consisted of Lodotra in 2 dose strengths (5 mg and 1 mg prednisone per tablet). Patients were to take their tablets with or after the evening meal (at 10 pm +/- 30 minutes) for 4 weeks.

During the 4 week run-in period, patients remained on their respective pre-study dose of prednisone or equivalent. However, patients were standardized to 5 mg and 1 mg tablets of immediate release prednisone (Cortancyl). Patients were to take their tablets with or after the morning meal (at 8am +/- 30 minutes) for 4 weeks.

Outcomes

Primary Outcome Measures

Total Number of Nocturnal Awakenings During the Last 2 Weeks of Treatment
Variation in the total number of nocturnal awakenings during the last 2 weeks of run-in treatment with Cortancyl and the last 2 weeks of treatment with Lodotra.

Secondary Outcome Measures

Full Information

First Posted
May 26, 2008
Last Updated
November 27, 2012
Sponsor
Horizon Pharma Ireland, Ltd., Dublin Ireland
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1. Study Identification

Unique Protocol Identification Number
NCT00686335
Brief Title
A New Modified-release Tablet Formulation of Prednisone (Lodotra®) in Patients With Nocturnal Asthma
Acronym
MONA
Official Title
A New Modified-release Tablet Formulation of Prednisone (Lodotra®) in Patients With Nocturnal Asthma
Study Type
Interventional

2. Study Status

Record Verification Date
November 2012
Overall Recruitment Status
Completed
Study Start Date
June 2008 (undefined)
Primary Completion Date
March 2010 (Actual)
Study Completion Date
May 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Horizon Pharma Ireland, Ltd., Dublin Ireland

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the study is to evaluate in subjects suffering from nocturnal asthma, the efficacy and safety of modified release Prednisone on signs and symptoms.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
Keywords
asthma, nocturnal asthma, glucocorticoid dependent persistent asthma, signs and symptoms, lung function, prednisone

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Lodotra
Arm Type
Experimental
Arm Description
After the 4 week run-in period with immediate release prednisone (Cortancyl), patients were switched to the identical dose of modified release prednisone tablets (Lodotra). Study medication for the Lodotra treatment period consisted of Lodotra in 2 dose strengths (5 mg and 1 mg prednisone per tablet). Patients were to take their tablets with or after the evening meal (at 10 pm +/- 30 minutes) for 4 weeks.
Arm Title
Cortancyl
Arm Type
Active Comparator
Arm Description
During the 4 week run-in period, patients remained on their respective pre-study dose of prednisone or equivalent. However, patients were standardized to 5 mg and 1 mg tablets of immediate release prednisone (Cortancyl). Patients were to take their tablets with or after the morning meal (at 8am +/- 30 minutes) for 4 weeks.
Intervention Type
Drug
Intervention Name(s)
Lodotra
Other Intervention Name(s)
modified release tablet formulation of prednisone
Intervention Description
Administered with food at approximately 10 pm during the 4 week treatment period; patients received the identical dose of Lodotra as received of IR prednisone during the run-in period.
Intervention Type
Drug
Intervention Name(s)
Cortancyl
Other Intervention Name(s)
immediate release prednisone tablets
Intervention Description
Administered in the morning with food during the 4 week run-in period; patients remained on their respective pre-study dose of prednisone or equivalent standardized to 5 mg and 1 mg tablets of immediate release (IR) prednisone (Cortancyl).
Primary Outcome Measure Information:
Title
Total Number of Nocturnal Awakenings During the Last 2 Weeks of Treatment
Description
Variation in the total number of nocturnal awakenings during the last 2 weeks of run-in treatment with Cortancyl and the last 2 weeks of treatment with Lodotra.
Time Frame
4 weeks and 8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The subject must be able to understand the terms of the written informed consent form, and must provide a dated and signed form before the start of any study procedure At least 18 years old Patient having a diagnosis of asthma dating back more than 6 months at the time of inclusion Asthma necessitating a continuous treatment by oral corticoids A minimum of 3 nocturnal awakenings due to asthma during the last screening week Stable dose of oral glucocorticoids for at least 4 weeks prior to inclusion into the study No change in asthma medication during the last 4 weeks prior to V0 Non-smoker or ex-smoker (having stopped smoking more than one year previously and with a smoking history of less than 10 pack years ) Female patients of childbearing potential must be using a medically accepted contraceptive regimen Able to perform the required study procedures including handling of medication containers and diaries Exclusion Criteria: Poorly controlled asthma, defined as meeting at least one of the following within the 4 weeks prior to Visit V0: hospital admission for asthma (including treatment in an emergency room), a lower airway infection, Diagnosis of chronic obstructive pulmonary disease or other relevant lung diseases (e.g. history of bronchiectasis, cystic fibrosis, bronchiolitis, lung resection, lung cancer, active tuberculosis, interstitial lung disease) Clinically significant abnormalities of the hematological or biochemical constants Pregnancy or breastfeeding Participation in another clinical study within 30 days preceding Visit V0, Re-entry of patients previously enrolled in this trial, Suspected inability or unwillingness to comply with the study procedures Alcohol or drug abuse Need to take a non-authorised concomitant treatment (cf. list of medicaments not authorised during the study) in the course of the study Other disease requiring treatment with corticosteroids Subject is the investigator or any subinvestigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved in the conduct of the protocol Patient with a hospitalisation scheduled during the study period Any uncontrolled concomitant disease requiring further clinical evaluation (e.g. uncontrolled diabetes, uncontrolled hypertension, etc.)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michel Aubier, Prof. Dr.
Organizational Affiliation
Hôpital Bichat, Paris, France
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hôpital Bichat
City
Paris
ZIP/Postal Code
75018
Country
France

12. IPD Sharing Statement

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A New Modified-release Tablet Formulation of Prednisone (Lodotra®) in Patients With Nocturnal Asthma

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