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Efficacy and Safety Study of Budesonide Novolizer Dry Powder Inhaler 200μg to Treat Chinese Patients With Mild to Moderate Asthma

Primary Purpose

Asthma

Status
Unknown status
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Budesonide dry powder inhaler
Sponsored by
NovaMed Pharmaceuticals Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma focused on measuring mild to moderate asthma

Eligibility Criteria

12 Years - 70 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Provision of informed consent by the subject and his/her legal guardian if the subject is under 18 years old.
  • Male or females aged more than 12 and under 70
  • Had a definite diagnosis of asthma with symptoms of cough/expectoration/chest tightness/wheeze/breathlessness within the last one month
  • Inhaled corticosteroid (ICS) naïve or no regular use of ICS within the last one month (It is suggested that ICS average daily dose with no more than 100mg budesonide or equal within the last month as "No-regular-use")
  • FEV1 between 60% and 85% of predicted normal values
  • Reversibility test of airway obstruction is positive, i.e. degree of reversibility in FEV1 as over 12%(included) and 200ml(included). Or average diurnal PEFR variability is not less than 20% in two weeks.
  • Are able to use Peak Flow Meter and record it on patient diary card

Exclusion Criteria:

  • Asthma exacerbation leading to hospitalization for more than 2 days within the last 6 months or emergency room visit due to asthma exacerbation in the last 3 months prior to screening
  • Infection of respiratory system in the last 4 weeks prior to screening visit
  • Use of oral, injectable, rectal or transdermal glucocorticoid in the last 4 weeks prior to screening visit
  • Use of Leukotriene receptor antagonist (LTRAs), oral b2 agonist, methylxanthines or use of inhaled long acting b2 agonist, inhaled anticholinergic receptor in the last 1 week, or inhaled Tiotropium Bromide within 45 days prior to screening visit
  • Patients with chronic obstructive pulmonary disease (COPD)or COPD with asthma
  • Patients with severe persistent asthma (Based on definition in GINA 2006)
  • Patients with specific immunity treatment (including monoclonal antibody treatment) due to asthma within the 6 months prior to screening visit
  • Patients with eye disorders including cataract, glaucoma and herpes virus infection
  • Smoking history of 10 pack-year (1 pack-year refers to 20 cigarette per day for 1 year)
  • History of drug or alcohol abuse
  • History of adrenal disease
  • History of malignancy disease in the last 5 years, with the exception of basal cell carcinoma
  • Heart function failure or any severe systematic disease, at the investigator's discretion, which will make it undesirable for the patient to participate in the trial or which could jeopardize compliance with the trial protocol
  • ALT or AST > 2 times of upper limit of reference range
  • Creatinine (Cr) > 159µmol/L for males or > 141µmol/L for females
  • Patients with hypersensitivity to budesonide and/or lactose
  • Participation in a clinical study or treatment with a non-approved experimental medication in the last 1 month
  • Pregnant or breast-feeding women, or women of childbearing age without appropriate contraception measures

Limitations:

The following medications are prohibited from screening onward:

  • Use of oral, injectable, rectal or transdermal glucocorticoid
  • Inhaled nedocromil sodium/Inhaled cromoglycate sodium
  • Leukotriene receptor antagonist
  • Methylxanthines
  • Inhaled long acting b2 agonist
  • Oral b2 agonist
  • Inhaled anticholinergic receptor
  • Any b2 receptor blocker (Including eye drops)

Sites / Locations

  • The Second Artillery General Hospital of PLARecruiting
  • The First Affiliated Hospital of FoshanRecruiting
  • Guangzhou First Municipal People's HospitalRecruiting
  • The First Affiliated Hospital of Guangzhou Medical College, Guangzhou Institute of Respiratory DiseaseRecruiting
  • Zhongda Hospital of Southeast UniversityRecruiting
  • Shengjing HospitalRecruiting
  • Dongfang Hospital Affiliated to Tongji UniversityRecruiting
  • Putuo District HospitalRecruiting
  • Shanghai Pulmonary Hospital
  • Zhongshan Hospital affiliated to Fudan UniversityRecruiting
  • The General Hospital of Shenyang Military RegionRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Budesonide, Novolizer

BudesonideTurbuhaler

Arm Description

Budesonide Dry Powder Inhaler

Budesonide Dry Powder Inhaler

Outcomes

Primary Outcome Measures

To demonstrate the non-inferiority of budesonide delivered by Novolizer to that delivered by Turbuhaler in terms of mPEF (morning peak expiratory flow) in Chinese mild to moderate asthma patients
The change of mPEF in the Week 11-12 of treatment from baseline

Secondary Outcome Measures

To evaluate the improvement of FEV1(Forced Expiratory Volume in One Second) in Chinese mild to moderate asthma patients after treatment of budesonide delivered by Novolizer or Turbuhaler
The change of FEV1 in the Week 12 of treatment from baseline
To evaluate the improvement of ePEF (Evening Peak Expiratory Flow) in Chinese mild to moderate asthma patients after treatment of budesonide delivered by Novolizer or Turbuhaler
The change of ePEF in the Week 11-12 of treatment from baseline
To evaluate the improvement in ACT (Asthma Control Test) score in Chinese mild to moderate asthma patients after treatment of budesonide delivered by Novolizer or Turbuhaler
The change of ACT scores in the Week 12 of treatment from baseline
To evaluate the tolerability and safety of budesonide delivered by Novolizer or Turbuhaler in Chinese mild to moderate asthma patients
It will be assessed according to numbers of adverse event and laboratory results

Full Information

First Posted
December 31, 2010
Last Updated
August 22, 2011
Sponsor
NovaMed Pharmaceuticals Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01269437
Brief Title
Efficacy and Safety Study of Budesonide Novolizer Dry Powder Inhaler 200μg to Treat Chinese Patients With Mild to Moderate Asthma
Official Title
Open-label, Randomized, Parallel Group, Multicenter Study to Evaluate the Efficacy and Safety of Budesonide Novolizer Dry Powder Inhaler Compared With Budesonide Turbuhaler Dry Powder Inhaler in Chinese Mild to Moderate Asthma Patients
Study Type
Interventional

2. Study Status

Record Verification Date
April 2011
Overall Recruitment Status
Unknown status
Study Start Date
December 2010 (undefined)
Primary Completion Date
October 2011 (Anticipated)
Study Completion Date
October 2011 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
NovaMed Pharmaceuticals Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is an open-label, randomized, parallel Group, multicenter study to evaluate the efficacy and safety of budesonide novolizer dry powder inhaler compared with budesonide turbuhaler dry powder inhaler in Chinese mild to moderate asthma patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
Keywords
mild to moderate asthma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
332 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Budesonide, Novolizer
Arm Type
Experimental
Arm Description
Budesonide Dry Powder Inhaler
Arm Title
BudesonideTurbuhaler
Arm Type
Active Comparator
Arm Description
Budesonide Dry Powder Inhaler
Intervention Type
Drug
Intervention Name(s)
Budesonide dry powder inhaler
Intervention Description
200mcg per inhalation, twice daily, for 12 weeks
Primary Outcome Measure Information:
Title
To demonstrate the non-inferiority of budesonide delivered by Novolizer to that delivered by Turbuhaler in terms of mPEF (morning peak expiratory flow) in Chinese mild to moderate asthma patients
Description
The change of mPEF in the Week 11-12 of treatment from baseline
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
To evaluate the improvement of FEV1(Forced Expiratory Volume in One Second) in Chinese mild to moderate asthma patients after treatment of budesonide delivered by Novolizer or Turbuhaler
Description
The change of FEV1 in the Week 12 of treatment from baseline
Time Frame
12 weeks
Title
To evaluate the improvement of ePEF (Evening Peak Expiratory Flow) in Chinese mild to moderate asthma patients after treatment of budesonide delivered by Novolizer or Turbuhaler
Description
The change of ePEF in the Week 11-12 of treatment from baseline
Time Frame
12 weeks
Title
To evaluate the improvement in ACT (Asthma Control Test) score in Chinese mild to moderate asthma patients after treatment of budesonide delivered by Novolizer or Turbuhaler
Description
The change of ACT scores in the Week 12 of treatment from baseline
Time Frame
12 weeks
Title
To evaluate the tolerability and safety of budesonide delivered by Novolizer or Turbuhaler in Chinese mild to moderate asthma patients
Description
It will be assessed according to numbers of adverse event and laboratory results
Time Frame
15 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Provision of informed consent by the subject and his/her legal guardian if the subject is under 18 years old. Male or females aged more than 12 and under 70 Had a definite diagnosis of asthma with symptoms of cough/expectoration/chest tightness/wheeze/breathlessness within the last one month Inhaled corticosteroid (ICS) naïve or no regular use of ICS within the last one month (It is suggested that ICS average daily dose with no more than 100mg budesonide or equal within the last month as "No-regular-use") FEV1 between 60% and 85% of predicted normal values Reversibility test of airway obstruction is positive, i.e. degree of reversibility in FEV1 as over 12%(included) and 200ml(included). Or average diurnal PEFR variability is not less than 20% in two weeks. Are able to use Peak Flow Meter and record it on patient diary card Exclusion Criteria: Asthma exacerbation leading to hospitalization for more than 2 days within the last 6 months or emergency room visit due to asthma exacerbation in the last 3 months prior to screening Infection of respiratory system in the last 4 weeks prior to screening visit Use of oral, injectable, rectal or transdermal glucocorticoid in the last 4 weeks prior to screening visit Use of Leukotriene receptor antagonist (LTRAs), oral b2 agonist, methylxanthines or use of inhaled long acting b2 agonist, inhaled anticholinergic receptor in the last 1 week, or inhaled Tiotropium Bromide within 45 days prior to screening visit Patients with chronic obstructive pulmonary disease (COPD)or COPD with asthma Patients with severe persistent asthma (Based on definition in GINA 2006) Patients with specific immunity treatment (including monoclonal antibody treatment) due to asthma within the 6 months prior to screening visit Patients with eye disorders including cataract, glaucoma and herpes virus infection Smoking history of 10 pack-year (1 pack-year refers to 20 cigarette per day for 1 year) History of drug or alcohol abuse History of adrenal disease History of malignancy disease in the last 5 years, with the exception of basal cell carcinoma Heart function failure or any severe systematic disease, at the investigator's discretion, which will make it undesirable for the patient to participate in the trial or which could jeopardize compliance with the trial protocol ALT or AST > 2 times of upper limit of reference range Creatinine (Cr) > 159µmol/L for males or > 141µmol/L for females Patients with hypersensitivity to budesonide and/or lactose Participation in a clinical study or treatment with a non-approved experimental medication in the last 1 month Pregnant or breast-feeding women, or women of childbearing age without appropriate contraception measures Limitations: The following medications are prohibited from screening onward: Use of oral, injectable, rectal or transdermal glucocorticoid Inhaled nedocromil sodium/Inhaled cromoglycate sodium Leukotriene receptor antagonist Methylxanthines Inhaled long acting b2 agonist Oral b2 agonist Inhaled anticholinergic receptor Any b2 receptor blocker (Including eye drops)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chunxue BAI, MD, PhD
Organizational Affiliation
Shanghai Zhongshan Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Second Artillery General Hospital of PLA
City
Beijing
State/Province
Beijing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Suiyang ZHANG
Phone
+86 13693652527
Email
suiyangzhang@yahoo.com
First Name & Middle Initial & Last Name & Degree
Ai'E WANG
First Name & Middle Initial & Last Name & Degree
Suiyang ZHANG
First Name & Middle Initial & Last Name & Degree
Kaicheng MEI
First Name & Middle Initial & Last Name & Degree
Hong ZHANG
First Name & Middle Initial & Last Name & Degree
Jianxin MA
First Name & Middle Initial & Last Name & Degree
Chuanlian YAN
First Name & Middle Initial & Last Name & Degree
Dongxia WANG
First Name & Middle Initial & Last Name & Degree
Chaoxia LI
First Name & Middle Initial & Last Name & Degree
Ying WANG
Facility Name
The First Affiliated Hospital of Foshan
City
Foshan
State/Province
Guangdong
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhiyang LUO
Phone
+86 13929930368
Email
zhiyangluo@yahoo.com.cn
First Name & Middle Initial & Last Name & Degree
Zhiyang LUO
First Name & Middle Initial & Last Name & Degree
Gang CHEN
First Name & Middle Initial & Last Name & Degree
Yueming LIANG
First Name & Middle Initial & Last Name & Degree
Jian LIU
First Name & Middle Initial & Last Name & Degree
Shaozhi HU
First Name & Middle Initial & Last Name & Degree
Peifang ZHANG
First Name & Middle Initial & Last Name & Degree
Yanhua FAN
Facility Name
Guangzhou First Municipal People's Hospital
City
Guangzhou
State/Province
Guangdong
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ziwen ZHAO, Professor
Phone
+86 13006872260
Email
zhaozw@yeah.net
First Name & Middle Initial & Last Name & Degree
Ziwen ZHAO
First Name & Middle Initial & Last Name & Degree
Shuquan WEI
First Name & Middle Initial & Last Name & Degree
Xiaoyan LI
First Name & Middle Initial & Last Name & Degree
Zhigao XIA
Facility Name
The First Affiliated Hospital of Guangzhou Medical College, Guangzhou Institute of Respiratory Disease
City
Guangzhou
State/Province
Guangdong
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kefang LAI, Professor
Phone
+86 13719138526
Email
klai@163.com
First Name & Middle Initial & Last Name & Degree
Kefang LAI
First Name & Middle Initial & Last Name & Degree
Siqi JIANG
First Name & Middle Initial & Last Name & Degree
Xu ZHANG
First Name & Middle Initial & Last Name & Degree
Baojuan LIU
Facility Name
Zhongda Hospital of Southeast University
City
Nanjing
State/Province
Jiangsu
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yong LIN, Professor
Phone
+86 13951899504
Email
linyong63@163.com
First Name & Middle Initial & Last Name & Degree
Yong LIN
First Name & Middle Initial & Last Name & Degree
Qiang ZHANG
First Name & Middle Initial & Last Name & Degree
Weilan LI
Facility Name
Shengjing Hospital
City
Shenyang
State/Province
Liaoning
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Li ZHAO
Phone
+86 024 96615-21121
Email
zhaol@sj-hospital.org
First Name & Middle Initial & Last Name & Degree
Yu LI
First Name & Middle Initial & Last Name & Degree
Xiaoman XU
First Name & Middle Initial & Last Name & Degree
Cuihong WANG
First Name & Middle Initial & Last Name & Degree
Li ZHAO
First Name & Middle Initial & Last Name & Degree
Lihua ZHU
First Name & Middle Initial & Last Name & Degree
Heng DAI
Facility Name
Dongfang Hospital Affiliated to Tongji University
City
Shanghai
State/Province
Shanghai
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yongjie LIANG
Phone
+86 21 38804518
Ext
6191
First Name & Middle Initial & Last Name & Degree
Yongjie LIANG
First Name & Middle Initial & Last Name & Degree
Qi YIN
Facility Name
Putuo District Hospital
City
Shanghai
State/Province
Shanghai
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xiongbiao WANG
Phone
+86 021 62572723
Email
xiongbiao6@hotmail.com
First Name & Middle Initial & Last Name & Degree
Xiongbiao WANG
Facility Name
Shanghai Pulmonary Hospital
City
Shanghai
State/Province
Shanghai
Country
China
Individual Site Status
Withdrawn
Facility Name
Zhongshan Hospital affiliated to Fudan University
City
Shanghai
State/Province
Shanghai
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Chunxue BAI
Phone
+86 13681971807
Email
bai.chunxue@zs-hospital.sh.cn
First Name & Middle Initial & Last Name & Degree
Chunxue BAI, Professor
First Name & Middle Initial & Last Name & Degree
Meiling JIN
First Name & Middle Initial & Last Name & Degree
Dong YANG
First Name & Middle Initial & Last Name & Degree
Maosong YE
First Name & Middle Initial & Last Name & Degree
Ling YE
First Name & Middle Initial & Last Name & Degree
Qi CHEN
First Name & Middle Initial & Last Name & Degree
Xia AN
Facility Name
The General Hospital of Shenyang Military Region
City
Shenyang
State/Province
Shenyang
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ping CHEN, Professor
Phone
+86 13309887193
Email
cp59620@sina.com
First Name & Middle Initial & Last Name & Degree
Haitao ZHAO
First Name & Middle Initial & Last Name & Degree
Ping CHEN
First Name & Middle Initial & Last Name & Degree
Binbin JI
First Name & Middle Initial & Last Name & Degree
Li SUN
First Name & Middle Initial & Last Name & Degree
Yan WANG

12. IPD Sharing Statement

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Efficacy and Safety Study of Budesonide Novolizer Dry Powder Inhaler 200μg to Treat Chinese Patients With Mild to Moderate Asthma

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