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A Safety, Efficacy and Tolerability Study in Pediatric Subjects With Asthma

Primary Purpose

Asthma

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Levalbuterol
Levalbuterol UDV TID
Placebo
Sponsored by
Sumitomo Pharma America, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma focused on measuring Asthma

Eligibility Criteria

undefined - 48 Months (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject's parent/legal guardian must give written informed consent, including privacy authorization, prior to study participation. Complete documentation regarding the consent process must be recorded in the case report form (CRF) and source documentation.
  • Subject's parent/legal guardian must be willing and able to comply with the study procedures and visit schedules.
  • Subject, male or female, must be between the ages of birth and <48 months, exclusive, at the time of consent.
  • Subjects 24 to <48 months of age must have a history of physician-diagnosed asthma (defined as at least 3 episodes of respiratory symptoms consistent with asthma symptoms including, but not limited to, cough, wheeze, or dyspnea).
  • Subjects 0 to <24 months of age must have a history of 3 episodes of respiratory symptoms that in the judgement of the investigator could be consistent with asthma or reactive airways disease.
  • Subject must be in good health and not affected by any other chronic conditions, including respiratory disorders other than asthma.
  • In subjects with a chest radiograph (taken 12 months prior to screening visit), no evidence of any chronic cardiopulmonary condition other than asthma should be present as discerned by the Investigator.
  • Subject's parent/legal guardian must be able to complete the diary cards and medical event calendars (MEC) reliably on a daily basis and understand dosing instructions and questionnaire completion.

Exclusion Criteria:

  • Subject who requires or is expected to require any disallowed medications
  • Subject who has participated in an investigational drug study within 30 days prior to screening, or who is currently participating in another clinical trial.
  • Subject or parent/legal guardian who has daily commitments during the study that would interfere with trial measurements, compliance, or both.
  • Subject who has a history of hospitalization for asthma, reactive airways disease, or bronchospasm within 4 weeks prior to screening or who is scheduled for in-patient hospitalization, including elective surgery during the course of the trial.
  • Subject who has experienced significant blood loss within 60 days of study drug.
  • Subject with a clinical diagnosis of cystic fibrosis.
  • Subject who was born prematurely, defined as less than 38 weeks gestational age at birth, and is <1 year of age at screening
  • Subject whose body weight is less than 7.0 kg at screening. This minimum weight requirement is based upon standard pediatric growth charts [CDC 2000].
  • Subject with a known sensitivity to levalbuterol or racemic albuterol, or any of the excipients contained in any of these formulations.
  • Subject using any prescription drug with which levalbuterol or racemic albuterol sulfate administration is contraindicated.
  • Subject with a history of life-threatening asthma, defined as previous asthma episodes requiring intubation or associated with hypercapnia, respiratory arrest, or hypoxic seizures.
  • Subject with clinically significant abnormalities that may interfere with the metabolism or excretion of the study drugs or study participation (eg, abnormalities of renal, hepatic, metabolic, or endocrine function).
  • Subject with a history of cancer.
  • Subject with any chronic or congenital cardiorespiratory condition other than asthma including, but not limited to, bronchopulmonary dysplasia, congenital heart disease, and cystic fibrosis.
  • Subject affected by an upper or lower respiratory tract infection in the 3 weeks prior to screening.
  • Subject with a history of ventilation for a respiratory condition occurring at or near birth, including those associated with prematurity or bronchopulmonary dysplasia. Ventilatory support for elective non-cardiopulmonary surgery is not exclusionary. - Subject with any clinically significant abnormal laboratory values (hematology, blood chemistry).
  • Subject with a clinically significant abnormal 12-lead ECG that would put the subject at risk for experiencing adverse cardiac effects.
  • Subject who is a relative of a staff member.

Sites / Locations

  • Little Rock Allergy & Asthma Clinical Research Center
  • West Coast Clinical Trials, LLC
  • Allergy & Asthma Care Center of Southern California
  • Clinical Trials of Orange County, Inc.
  • Allergy and Asthma Consultants
  • IMMUNOe International Research Centers
  • All Seasons Allergy and Asthma Center, P.A.
  • Palm Beach Research Center
  • Brookstone Centre Parkway
  • Rush University Medical Center
  • Northern Illinois Research Associates
  • Sneeze, Wheeze & Itch Associates LLC
  • Nassim, McMonigle, Mescia & Associates
  • Grand Blanc Medical
  • Craig A. Spiegel MD
  • Midwest Allergy and Asthma center
  • The Asthma & Allergy Center, P.C.
  • Maimonides Medical Center
  • St. Elizabeth Health Center
  • Cincinnati Children's Hospital Medical Center
  • Dayton Clinical Research
  • Allergy, Asthma and clinical Research Center
  • Eminence Research, LLC
  • Asthma and Allergy Research Associates
  • National Allergy, Asthma, and Uticaria Centers
  • AAC Research - PC
  • ADAC Research, PA
  • The Asthma Institute, PLLC
  • Vanderbilt University Medical Center
  • Isis Clinical Research, LLC
  • Sirius Clinical Research, LLC
  • Hill Country Family Medical Center
  • TTS Research
  • Allergy/Immunology Research Center of North Texas
  • Dallas Allergy Immunology Research
  • Western Sky Medical Research
  • Breath of Life Research Institute
  • Live Oak Allergy and Asthma Clinic
  • Quality Assurance Research Center, Inc.
  • Southwest Allergy and Asthma, P.A.
  • Sylvana Research Associates
  • Allergy & Asthma Care of Waco
  • Allergy and Asthma Research Institute
  • PI-Coor Clinical Research, LLC
  • Colonial Heights Pediatrics
  • Bellingham Asthma, Allergy, & Immunology Clinic

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Placebo Comparator

Arm Label

1

2

3

Arm Description

90 ug Levalbuterol (2 actuations)

0.31 ug Levalbuterol UDV TID

Placebo

Outcomes

Primary Outcome Measures

Change From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessments (PACA)
The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms). The mean daily composite score at Visit 4 is defined as the mean of the daily composite scores in the week prior to Visit 4.

Secondary Outcome Measures

Change From Baseline to Visit 3 in Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment
The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms). The mean daily composite score at Visit 3 is defined as the mean of the daily composite scores in the 7 days prior to Visit 3.
Change From Baseline to Visit 2 to Visit 3 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment
The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms). The mean daily composite score from Visit 2 to Visit 3 is defined as the mean of the daily composite scores from Visit 2 (inclusive) to the day prior to Visit 3.
Change From Baseline to Visit 3 to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment
The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms). The mean daily composite score from Visit 3 to Visit 4 is defined as the mean of the daily composite scores from Visit 3 (inclusive) to the day prior to Visit 4.
Change From Baseline to Visit 3 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by the Pediatric Asthma Questionnaire (PAQ)
The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms). The mean daily composite score at Visit 3 is defined as the mean daily composite scores for 7 days prior to Visit 3.
Change From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by Pediatric Asthma Questionnaire
The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms). The mean daily composite score at Visit 4 is defined as the mean daily composite scores in the 7 days prior to Visit 4.
Change From Baseline to Visit 2 to Visit 3 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by the Pediatric Asthma Questionnaire
The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms). The mean daily composite score from Visit 2 to Visit 3 is defined as the mean of the daily composite scores from Visit 2 (inclusive) to the day prior to Visit 3.
Change From Baseline to Visit 3 to Visit 4 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Score as Measured by the Pediatric Asthma Questionnaire
The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms). The mean daily composite score from Visit 3 to Visit 4 is defined as the mean of the daily composite scores from Visit 3 (inclusive) to the day prior to Visit 4.
Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2
Peak expiratory flow (PEF) measures how fast a person can breathe out using the greatest effort
Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 3
Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4
Percent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2
Percent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 3
Percent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4
Change From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4
Mean of the daily pre-dose PEF values in the week prior to visit in those subjects aged 24 to <48 months capable of performing acceptable and reproducible PEF maneuvers.
Percent Change From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4)
Mean of the daily pre-dose PEF values in the week prior to visit in those subjects aged 24 to <48 months capable of performing acceptable and reproducible PEF maneuvers.
Investigator Global Assessment - Question 1
Since the start of the study, how would you evaluate the child's asthma symptoms?
Investigator Global Assessment - Question 2
Since the start of the study, how would you evaluate your ability to manage the subject's asthma?
Caregiver Global Assessment - Question 1
Since the start of the study, how would you evaluate your child's asthma symptoms?
Caregiver Global Assessment - Question 2
Since the start of the study, how would you evaluate your ability to manage your child's asthma?
Caregiver Global Assessment - Question 3
Overall I was: Very satisfied with the control of the child's asthma symptoms while enrolled in this study, Moderately satisfied with the control of the child's asthma symptoms while enrolled in this study, Slightly satisfied with the control of the child's asthma symptoms while enrolled in this study, Not satisfied with the control of the child's asthma symptoms while enrolled in this study or answer Missing
Rescue Medication Use: Number of Subjects Using Rescue Medication During the Treatment Period
Number of subjects using rescue medication during the treatment period
Rescue Medication Use - Change From Baseline in Mean Number of Days Used Per Week When Used
Rescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week
Rescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week During Weeks When Used
Change From Baseline to Visit 3 and Visit 4 in the Pediatric Asthma Caregiver's Quality of Life Questionnaire (PACQLA) Composite Score
The PACQLQ composite score was calculated as the mean of the scores of the 13 individual questions. Composite scores could range from 1 to 7. Lower scores indicated greater impact of disease on quality of life.

Full Information

First Posted
December 15, 2008
Last Updated
July 1, 2014
Sponsor
Sumitomo Pharma America, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00809757
Brief Title
A Safety, Efficacy and Tolerability Study in Pediatric Subjects With Asthma
Official Title
A Safety, Efficacy, and Tolerability Study of Daily Dosing With Levalbuterol Tartrate HFA MDI and Placebo in Subjects Aged Birth to <48 Months With Asthma
Study Type
Interventional

2. Study Status

Record Verification Date
July 2014
Overall Recruitment Status
Completed
Study Start Date
December 2008 (undefined)
Primary Completion Date
June 2013 (Actual)
Study Completion Date
June 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sumitomo Pharma America, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
A Safety, Efficacy, and Tolerability Study of Daily Dosing with Levalbuterol Tartrate HFA MDI and Placebo in Subjects Aged Birth to <48 Months with Asthma.
Detailed Description
This is a modified-blind, randomized, placebo-controlled, multicenter, parallel-group trial of levalbuterol HFA MDI administered using a facemask and holding chamber in subjects birth to <48 months with asthma. This study was previously posted by Sepracor Inc. In October 2009, Sepracor Inc. was acquired by Dainippon Sumitomo Pharma., and in October 2010, Sepracor Inc's name was changed to Sunovion Pharmaceuticals Inc.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
Keywords
Asthma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
197 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
90 ug Levalbuterol (2 actuations)
Arm Title
2
Arm Type
Active Comparator
Arm Description
0.31 ug Levalbuterol UDV TID
Arm Title
3
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
Levalbuterol
Other Intervention Name(s)
Xopenex HFA Inhalation Aerosol
Intervention Description
90 ug Levalbuterol (2 actuations)
Intervention Type
Drug
Intervention Name(s)
Levalbuterol UDV TID
Other Intervention Name(s)
Xopenex Inhalation Solution
Intervention Description
0.31 ug Levalbuterol UDV TID
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo (2 actuations)
Primary Outcome Measure Information:
Title
Change From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessments (PACA)
Description
The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms). The mean daily composite score at Visit 4 is defined as the mean of the daily composite scores in the week prior to Visit 4.
Time Frame
Baseline, Visit 4 (Week 4)
Secondary Outcome Measure Information:
Title
Change From Baseline to Visit 3 in Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment
Description
The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms). The mean daily composite score at Visit 3 is defined as the mean of the daily composite scores in the 7 days prior to Visit 3.
Time Frame
Baseline, Visit 3 (Week 3)
Title
Change From Baseline to Visit 2 to Visit 3 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment
Description
The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms). The mean daily composite score from Visit 2 to Visit 3 is defined as the mean of the daily composite scores from Visit 2 (inclusive) to the day prior to Visit 3.
Time Frame
The days from Visit 2 (inclusive) to the day prior to Visit 3 - approximately 14 days
Title
Change From Baseline to Visit 3 to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment
Description
The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms). The mean daily composite score from Visit 3 to Visit 4 is defined as the mean of the daily composite scores from Visit 3 (inclusive) to the day prior to Visit 4.
Time Frame
The days from Visit 3 (inclusive) to the day prior to Visit 4 - approximately 14 days
Title
Change From Baseline to Visit 3 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by the Pediatric Asthma Questionnaire (PAQ)
Description
The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms). The mean daily composite score at Visit 3 is defined as the mean daily composite scores for 7 days prior to Visit 3.
Time Frame
Baseline, Visit 3 (Week 3)
Title
Change From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by Pediatric Asthma Questionnaire
Description
The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms). The mean daily composite score at Visit 4 is defined as the mean daily composite scores in the 7 days prior to Visit 4.
Time Frame
Baseline, Visit 4 (Week 4)
Title
Change From Baseline to Visit 2 to Visit 3 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by the Pediatric Asthma Questionnaire
Description
The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms). The mean daily composite score from Visit 2 to Visit 3 is defined as the mean of the daily composite scores from Visit 2 (inclusive) to the day prior to Visit 3.
Time Frame
The days from Visit 2 (inclusive) to the day prior to Visit 3 - approximately 14 days
Title
Change From Baseline to Visit 3 to Visit 4 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Score as Measured by the Pediatric Asthma Questionnaire
Description
The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms). The mean daily composite score from Visit 3 to Visit 4 is defined as the mean of the daily composite scores from Visit 3 (inclusive) to the day prior to Visit 4.
Time Frame
The days from Visit 3 (inclusive) to the day prior to Visit 4 - approximately 14 days
Title
Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2
Description
Peak expiratory flow (PEF) measures how fast a person can breathe out using the greatest effort
Time Frame
Baseline, Visit 2: 30 minutes post-dose (on the day of randomization), 1 hour post-dose, 4 hours post-dose, 6 hours post-dose
Title
Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 3
Time Frame
Baseline, Visit 3, pre-dose (approximately 14 days after randomization)
Title
Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4
Time Frame
Visit 4: pre-dose (approximately 28 days after randomization) , 30 minutes post-dose, 1 hour post-dose, 4 hours post-dose, 6 hours post-dose
Title
Percent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2
Time Frame
Baseline, Visit 2: , 30 minutes post-dose (on the day of randomization), 1 hour post-dose, 4 hours post-dose, 6 hours post-dose
Title
Percent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 3
Time Frame
Baseline, Visit 3, pre -dose (approximately 14 days after randomization)
Title
Percent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4
Time Frame
Baseline, Visit 4, pre -dose (approximately 28 days after randomization)
Title
Change From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4
Description
Mean of the daily pre-dose PEF values in the week prior to visit in those subjects aged 24 to <48 months capable of performing acceptable and reproducible PEF maneuvers.
Time Frame
Baseline, Visit 3 (the week prior to Visit 3) and Visit 4
Title
Percent Change From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4)
Description
Mean of the daily pre-dose PEF values in the week prior to visit in those subjects aged 24 to <48 months capable of performing acceptable and reproducible PEF maneuvers.
Time Frame
Visit 3 (the week prior to Visit 3), Visit 4 (the week prior to Visit 4)
Title
Investigator Global Assessment - Question 1
Description
Since the start of the study, how would you evaluate the child's asthma symptoms?
Time Frame
Visit 4 (End of 28 day treatment period)
Title
Investigator Global Assessment - Question 2
Description
Since the start of the study, how would you evaluate your ability to manage the subject's asthma?
Time Frame
Visit 4 (End of 28 day treatment period)
Title
Caregiver Global Assessment - Question 1
Description
Since the start of the study, how would you evaluate your child's asthma symptoms?
Time Frame
Visit 4 (End of 28 day treatment period)
Title
Caregiver Global Assessment - Question 2
Description
Since the start of the study, how would you evaluate your ability to manage your child's asthma?
Time Frame
Visit 4 (End of 28 day treatment period)
Title
Caregiver Global Assessment - Question 3
Description
Overall I was: Very satisfied with the control of the child's asthma symptoms while enrolled in this study, Moderately satisfied with the control of the child's asthma symptoms while enrolled in this study, Slightly satisfied with the control of the child's asthma symptoms while enrolled in this study, Not satisfied with the control of the child's asthma symptoms while enrolled in this study or answer Missing
Time Frame
Visit 4 (End of 28 day treatment period)
Title
Rescue Medication Use: Number of Subjects Using Rescue Medication During the Treatment Period
Description
Number of subjects using rescue medication during the treatment period
Time Frame
Visit 2 to Visit 3 (the first 2 weeks of the study) , Visit 3 to Visit 4 (the second 2 weeks of the study), Visit 2 to Visit 4 (the entire 4 weeks of the study)
Title
Rescue Medication Use - Change From Baseline in Mean Number of Days Used Per Week When Used
Time Frame
Visit 2 to Visit 3 (the first 2 weeks of the study) , Visit 3 to Visit 4 (the second 2 weeks of the study), Visit 2 to Visit 4 (the entire 4 weeks of the study)
Title
Rescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week
Time Frame
Visit 2 to Visit 3 (the first 2 weeks of the study) , Visit 3 to Visit 4 (the second 2 weeks of the study), Visit 2 to Visit 4 (the entire 4 weeks of the study)
Title
Rescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week During Weeks When Used
Time Frame
Visit 2 to Visit 3 (the first 2 weeks of the study), Visit 3 to Visit 4 (the second 2 weeks of the study), Visit 2 to Visit 4 (the entire 4 weeks of the study)
Title
Change From Baseline to Visit 3 and Visit 4 in the Pediatric Asthma Caregiver's Quality of Life Questionnaire (PACQLA) Composite Score
Description
The PACQLQ composite score was calculated as the mean of the scores of the 13 individual questions. Composite scores could range from 1 to 7. Lower scores indicated greater impact of disease on quality of life.
Time Frame
Visit 3 and Visit 4 (End of 28 day treatment period)

10. Eligibility

Sex
All
Maximum Age & Unit of Time
48 Months
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject's parent/legal guardian must give written informed consent, including privacy authorization, prior to study participation. Complete documentation regarding the consent process must be recorded in the case report form (CRF) and source documentation. Subject's parent/legal guardian must be willing and able to comply with the study procedures and visit schedules. Subject, male or female, must be between the ages of birth and <48 months, exclusive, at the time of consent. Subjects 24 to <48 months of age must have a history of physician-diagnosed asthma (defined as at least 3 episodes of respiratory symptoms consistent with asthma symptoms including, but not limited to, cough, wheeze, or dyspnea). Subjects 0 to <24 months of age must have a history of 3 episodes of respiratory symptoms that in the judgement of the investigator could be consistent with asthma or reactive airways disease. Subject must be in good health and not affected by any other chronic conditions, including respiratory disorders other than asthma. In subjects with a chest radiograph (taken 12 months prior to screening visit), no evidence of any chronic cardiopulmonary condition other than asthma should be present as discerned by the Investigator. Subject's parent/legal guardian must be able to complete the diary cards and medical event calendars (MEC) reliably on a daily basis and understand dosing instructions and questionnaire completion. Exclusion Criteria: Subject who requires or is expected to require any disallowed medications Subject who has participated in an investigational drug study within 30 days prior to screening, or who is currently participating in another clinical trial. Subject or parent/legal guardian who has daily commitments during the study that would interfere with trial measurements, compliance, or both. Subject who has a history of hospitalization for asthma, reactive airways disease, or bronchospasm within 4 weeks prior to screening or who is scheduled for in-patient hospitalization, including elective surgery during the course of the trial. Subject who has experienced significant blood loss within 60 days of study drug. Subject with a clinical diagnosis of cystic fibrosis. Subject who was born prematurely, defined as less than 38 weeks gestational age at birth, and is <1 year of age at screening Subject whose body weight is less than 7.0 kg at screening. This minimum weight requirement is based upon standard pediatric growth charts [CDC 2000]. Subject with a known sensitivity to levalbuterol or racemic albuterol, or any of the excipients contained in any of these formulations. Subject using any prescription drug with which levalbuterol or racemic albuterol sulfate administration is contraindicated. Subject with a history of life-threatening asthma, defined as previous asthma episodes requiring intubation or associated with hypercapnia, respiratory arrest, or hypoxic seizures. Subject with clinically significant abnormalities that may interfere with the metabolism or excretion of the study drugs or study participation (eg, abnormalities of renal, hepatic, metabolic, or endocrine function). Subject with a history of cancer. Subject with any chronic or congenital cardiorespiratory condition other than asthma including, but not limited to, bronchopulmonary dysplasia, congenital heart disease, and cystic fibrosis. Subject affected by an upper or lower respiratory tract infection in the 3 weeks prior to screening. Subject with a history of ventilation for a respiratory condition occurring at or near birth, including those associated with prematurity or bronchopulmonary dysplasia. Ventilatory support for elective non-cardiopulmonary surgery is not exclusionary. - Subject with any clinically significant abnormal laboratory values (hematology, blood chemistry). Subject with a clinically significant abnormal 12-lead ECG that would put the subject at risk for experiencing adverse cardiac effects. Subject who is a relative of a staff member.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Respiratory Medical Director, MD
Organizational Affiliation
Sumitomo Pharma America, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Little Rock Allergy & Asthma Clinical Research Center
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Facility Name
West Coast Clinical Trials, LLC
City
Cypress
State/Province
California
ZIP/Postal Code
90630
Country
United States
Facility Name
Allergy & Asthma Care Center of Southern California
City
Long Beach
State/Province
California
ZIP/Postal Code
90808
Country
United States
Facility Name
Clinical Trials of Orange County, Inc.
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
Allergy and Asthma Consultants
City
Redwood
State/Province
California
ZIP/Postal Code
94063
Country
United States
Facility Name
IMMUNOe International Research Centers
City
Centennial
State/Province
Colorado
ZIP/Postal Code
80112
Country
United States
Facility Name
All Seasons Allergy and Asthma Center, P.A.
City
Fort Walton Beach
State/Province
Florida
ZIP/Postal Code
32547
Country
United States
Facility Name
Palm Beach Research Center
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33409
Country
United States
Facility Name
Brookstone Centre Parkway
City
Columbus
State/Province
Georgia
ZIP/Postal Code
31904
Country
United States
Facility Name
Rush University Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
Northern Illinois Research Associates
City
DeKalb
State/Province
Illinois
ZIP/Postal Code
60115
Country
United States
Facility Name
Sneeze, Wheeze & Itch Associates LLC
City
Normal
State/Province
Illinois
ZIP/Postal Code
61761
Country
United States
Facility Name
Nassim, McMonigle, Mescia & Associates
City
New Albany
State/Province
Indiana
ZIP/Postal Code
47150
Country
United States
Facility Name
Grand Blanc Medical
City
Grand Blanc
State/Province
Michigan
ZIP/Postal Code
48439
Country
United States
Facility Name
Craig A. Spiegel MD
City
Bridgeton
State/Province
Missouri
ZIP/Postal Code
63044
Country
United States
Facility Name
Midwest Allergy and Asthma center
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68130
Country
United States
Facility Name
The Asthma & Allergy Center, P.C.
City
Papillion
State/Province
Nebraska
ZIP/Postal Code
68046
Country
United States
Facility Name
Maimonides Medical Center
City
Brooklyn
State/Province
New York
ZIP/Postal Code
11219
Country
United States
Facility Name
St. Elizabeth Health Center
City
Utica
State/Province
New York
ZIP/Postal Code
13502
Country
United States
Facility Name
Cincinnati Children's Hospital Medical Center
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States
Facility Name
Dayton Clinical Research
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45406
Country
United States
Facility Name
Allergy, Asthma and clinical Research Center
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73120
Country
United States
Facility Name
Eminence Research, LLC
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73139
Country
United States
Facility Name
Asthma and Allergy Research Associates
City
Upland
State/Province
Pennsylvania
ZIP/Postal Code
19013
Country
United States
Facility Name
National Allergy, Asthma, and Uticaria Centers
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29407
Country
United States
Facility Name
AAC Research - PC
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29414
Country
United States
Facility Name
ADAC Research, PA
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29607
Country
United States
Facility Name
The Asthma Institute, PLLC
City
Chattanooga
State/Province
Tennessee
ZIP/Postal Code
37421
Country
United States
Facility Name
Vanderbilt University Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Isis Clinical Research, LLC
City
Austin
State/Province
Texas
ZIP/Postal Code
78731
Country
United States
Facility Name
Sirius Clinical Research, LLC
City
Austin
State/Province
Texas
ZIP/Postal Code
78759
Country
United States
Facility Name
Hill Country Family Medical Center
City
Boerne
State/Province
Texas
ZIP/Postal Code
78006
Country
United States
Facility Name
TTS Research
City
Boerne
State/Province
Texas
ZIP/Postal Code
78006
Country
United States
Facility Name
Allergy/Immunology Research Center of North Texas
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
Dallas Allergy Immunology Research
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
Western Sky Medical Research
City
El Paso
State/Province
Texas
ZIP/Postal Code
79903
Country
United States
Facility Name
Breath of Life Research Institute
City
Katy
State/Province
Texas
ZIP/Postal Code
77450
Country
United States
Facility Name
Live Oak Allergy and Asthma Clinic
City
Live Oak
State/Province
Texas
ZIP/Postal Code
78233
Country
United States
Facility Name
Quality Assurance Research Center, Inc.
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78205
Country
United States
Facility Name
Southwest Allergy and Asthma, P.A.
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Sylvana Research Associates
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Allergy & Asthma Care of Waco
City
Waco
State/Province
Texas
ZIP/Postal Code
76712
Country
United States
Facility Name
Allergy and Asthma Research Institute
City
Waco
State/Province
Texas
ZIP/Postal Code
76712
Country
United States
Facility Name
PI-Coor Clinical Research, LLC
City
Burke
State/Province
Virginia
ZIP/Postal Code
22015
Country
United States
Facility Name
Colonial Heights Pediatrics
City
Colonial Heights
State/Province
Virginia
ZIP/Postal Code
23834
Country
United States
Facility Name
Bellingham Asthma, Allergy, & Immunology Clinic
City
Bellingham
State/Province
Washington
ZIP/Postal Code
98225
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Safety, Efficacy and Tolerability Study in Pediatric Subjects With Asthma

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