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Study to Assess the Efficacy and Safety of Budesonide (PT008) in Adult Subjects With Mild to Moderate Persistent Asthma

Primary Purpose

Asthma

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
BD MDI 320 µg
BD MDI 160 µg
BD MDI 80 µg
BD MDI 40 µg
Placebo MDI
Sponsored by
Pearl Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma focused on measuring Mild, moderate persistent, Adult

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • ≥ 18 - 65 years of age
  • Diagnosis of mild to moderate persistent asthma, diagnosed at least 6 months prior to screening
  • Currently receiving treatment with a low to medium dose of an inhaled corticosteroid (ICS) OR a combination of controller medications for at least 4 weeks preceding screening
  • Pre-albuterol FEV1 of > 60% and < 85% of predicted normal value
  • Reversibility: Increase in FEV1 of ≥ 12% and ≥ 200 mL over the pre-albuterol FEV1 within 30 - 60 minutes after the inhalation of 4 puffs of Ventolin hydrofluoroalkane (HFA)
  • Asthma Symptom Criteria: Have required albuterol use on at least two of the last seven days and have an Asthma Control Questionnaire (ACQ) total score ≥ 1.5 prior to Randomization

Exclusion Criteria:

  • Life-Threatening Asthma: A subject must not have life-threatening asthma defined as a history of significant asthma episode(s) requiring intubation associated with hypercapnia, respiratory arrest, hypoxic seizures, or asthma-related syncopal episode(s) within the 12 months prior to screening
  • Worsening of Asthma: A subject must not have experienced a worsening of asthma which involved an emergency department visit, hospitalization or use of oral/parenteral corticosteroids within 6 weeks of screening
  • Intermittent, Seasonal, or Exercise-Induced Asthma Alone: Subjects with only intermittent, seasonal or exercise-induced asthma are excluded from participation in this study
  • Concurrent Respiratory Disease
  • Pregnant women or nursing mothers
  • A current diagnosis of Chronic Obstructive Pulmonary Disease (COPD
  • Current smokers or subjects with a > 10 pack year history of cigarettes, cigars, or pipe smoking
  • Respiratory tract infection within 6 weeks prior to Visit 1
  • Subjects with documented myocardial infarction within a year from screening visit
  • Clinically significant abnormal ECG
  • Abnormal liver function tests defined as aspartate aminotransferase (AST), alanine aminotransferace (ALT), alkaline phosphatase or total bilirubin ≥ 1.5 times upper limit of normal on repeat testing
  • Subjects who have cancer that has not been in complete remission for at least 5 years
  • Drug Allergy: Subjects who have a history of hypersensitivity to any component of the metered-dose inhaler (MDI)

Sites / Locations

  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site
  • Pearl Therapeutics Study Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

BD MDI 320 µg

BD MDI 160 µg

BD MDI 80 µg

BD MDI 40 µg

Placebo MDI

Arm Description

Budesonide metered dose inhaler (BD MDI) 320 µg (PT008) administered as 2 inhalations BID

BD MDI 160 µg (PT008) administered as 2 inhalations BID

BD MDI 80 µg (PT008) administered as 2 inhalations BID

BD MDI 40 µg (PT008) administered as 2 inhalations BID

Placebo MDI administered as 2 inhalations BID

Outcomes

Primary Outcome Measures

Change From Baseline in Morning Pre-dose Trough Forced Expiratory Volume in 1 Second (FEV1) at the End of the Treatment Period
Change from baseline in morning pre-dose trough Forced Expiratory Volume in 1 second (FEV1) at the end of the Treatment Period.

Secondary Outcome Measures

Change From Baseline in Mean Morning Pre-dose Diary Peak Expiratory Flow Rate (PEFR)
Change From Baseline in Mean Morning Pre-dose Diary Peak Expiratory Flow Rate (PEFR)
Change From Baseline in Mean Evening Pre-dose Diary Peak Expiratory Flow Rate (PEFR)
Change From Baseline in Mean Evening Pre-dose Diary Peak Expiratory Flow Rate (PEFR)
Change From Baseline in Mean Number of Puffs of Rescue Ventolin HFA
Change from baseline in mean number of puffs of rescue Ventolin HFA
Change From Baseline in Asthma Control Questionnaire (ACQ-5) Score
The ACQ-5 measures 5 symptoms (woken at night by symptoms, wake in the morning with symptoms, limitation of daily activities, shortness of breath, and wheeze). The scale is 0-6, where 0=minimum and 6=maximum

Full Information

First Posted
April 2, 2014
Last Updated
May 5, 2017
Sponsor
Pearl Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02105012
Brief Title
Study to Assess the Efficacy and Safety of Budesonide (PT008) in Adult Subjects With Mild to Moderate Persistent Asthma
Official Title
Randomized, Double-Blind, Chronic Dosing (4 Weeks), Four-Period, Five-Treatment, Incomplete Block, Cross-Over, Multi-Center Study to Assess the Efficacy and Safety of Four Doses of Budesonide Inhalation Aerosol (BD MDI, PT008) Relative to Placebo MDI in Adult Subjects With Mild to Moderate Persistent Asthma
Study Type
Interventional

2. Study Status

Record Verification Date
May 2017
Overall Recruitment Status
Completed
Study Start Date
April 1, 2014 (Actual)
Primary Completion Date
September 1, 2015 (Actual)
Study Completion Date
September 4, 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pearl Therapeutics, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Study to assess the efficacy and safety of four doses of budesonide inhalation aerosol (BD MDI, PT008) relative to placebo MDI in adult subjects with mild to moderate persistent asthma.
Detailed Description
This is a randomized, double-blind, chronic dosing (4 weeks), four-period, five-treatment, incomplete block, cross-over, multicenter study to assess the efficacy and safety of four doses of budesonide inhalation aerosol (BD MDI, PT008) relative to placebo MDI in adult subjects with mild to moderate persistent asthma.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
Keywords
Mild, moderate persistent, Adult

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Masking Description
Double Blind
Allocation
Randomized
Enrollment
147 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BD MDI 320 µg
Arm Type
Experimental
Arm Description
Budesonide metered dose inhaler (BD MDI) 320 µg (PT008) administered as 2 inhalations BID
Arm Title
BD MDI 160 µg
Arm Type
Experimental
Arm Description
BD MDI 160 µg (PT008) administered as 2 inhalations BID
Arm Title
BD MDI 80 µg
Arm Type
Experimental
Arm Description
BD MDI 80 µg (PT008) administered as 2 inhalations BID
Arm Title
BD MDI 40 µg
Arm Type
Experimental
Arm Description
BD MDI 40 µg (PT008) administered as 2 inhalations BID
Arm Title
Placebo MDI
Arm Type
Placebo Comparator
Arm Description
Placebo MDI administered as 2 inhalations BID
Intervention Type
Drug
Intervention Name(s)
BD MDI 320 µg
Other Intervention Name(s)
PT008
Intervention Description
Budesonide Inhalation Aerosol administered as 2 inhalations BID
Intervention Type
Drug
Intervention Name(s)
BD MDI 160 µg
Other Intervention Name(s)
PT008
Intervention Description
Budesonide Inhalation Aerosol administered as 2 inhalations BID
Intervention Type
Drug
Intervention Name(s)
BD MDI 80 µg
Other Intervention Name(s)
PT008
Intervention Description
Budesonide Inhalation Aerosol administered as 2 inhalations BID
Intervention Type
Drug
Intervention Name(s)
BD MDI 40 µg
Other Intervention Name(s)
PT008
Intervention Description
Budesonide Inhalation Aerosol administered as 2 inhalations BID
Intervention Type
Drug
Intervention Name(s)
Placebo MDI
Intervention Description
Placebo MDI administered as 2 inhalations BID
Primary Outcome Measure Information:
Title
Change From Baseline in Morning Pre-dose Trough Forced Expiratory Volume in 1 Second (FEV1) at the End of the Treatment Period
Description
Change from baseline in morning pre-dose trough Forced Expiratory Volume in 1 second (FEV1) at the end of the Treatment Period.
Time Frame
Baseline to End of Treatment Period (Day 29 or Day 15 if Day 29 is missing)
Secondary Outcome Measure Information:
Title
Change From Baseline in Mean Morning Pre-dose Diary Peak Expiratory Flow Rate (PEFR)
Description
Change From Baseline in Mean Morning Pre-dose Diary Peak Expiratory Flow Rate (PEFR)
Time Frame
Baseline to Last 7 Days of Treatment Period
Title
Change From Baseline in Mean Evening Pre-dose Diary Peak Expiratory Flow Rate (PEFR)
Description
Change From Baseline in Mean Evening Pre-dose Diary Peak Expiratory Flow Rate (PEFR)
Time Frame
Baseline to Last 7 Days of Treatment Period
Title
Change From Baseline in Mean Number of Puffs of Rescue Ventolin HFA
Description
Change from baseline in mean number of puffs of rescue Ventolin HFA
Time Frame
Baseline to Last 7 Days of Treatment
Title
Change From Baseline in Asthma Control Questionnaire (ACQ-5) Score
Description
The ACQ-5 measures 5 symptoms (woken at night by symptoms, wake in the morning with symptoms, limitation of daily activities, shortness of breath, and wheeze). The scale is 0-6, where 0=minimum and 6=maximum
Time Frame
Baseline to End of Treatment Period (Day 29 or Day 15 if Day 29 is missing)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: ≥ 18 - 65 years of age Diagnosis of mild to moderate persistent asthma, diagnosed at least 6 months prior to screening Currently receiving treatment with a low to medium dose of an inhaled corticosteroid (ICS) OR a combination of controller medications for at least 4 weeks preceding screening Pre-albuterol FEV1 of > 60% and < 85% of predicted normal value Reversibility: Increase in FEV1 of ≥ 12% and ≥ 200 mL over the pre-albuterol FEV1 within 30 - 60 minutes after the inhalation of 4 puffs of Ventolin hydrofluoroalkane (HFA) Asthma Symptom Criteria: Have required albuterol use on at least two of the last seven days and have an Asthma Control Questionnaire (ACQ) total score ≥ 1.5 prior to Randomization Exclusion Criteria: Life-Threatening Asthma: A subject must not have life-threatening asthma defined as a history of significant asthma episode(s) requiring intubation associated with hypercapnia, respiratory arrest, hypoxic seizures, or asthma-related syncopal episode(s) within the 12 months prior to screening Worsening of Asthma: A subject must not have experienced a worsening of asthma which involved an emergency department visit, hospitalization or use of oral/parenteral corticosteroids within 6 weeks of screening Intermittent, Seasonal, or Exercise-Induced Asthma Alone: Subjects with only intermittent, seasonal or exercise-induced asthma are excluded from participation in this study Concurrent Respiratory Disease Pregnant women or nursing mothers A current diagnosis of Chronic Obstructive Pulmonary Disease (COPD Current smokers or subjects with a > 10 pack year history of cigarettes, cigars, or pipe smoking Respiratory tract infection within 6 weeks prior to Visit 1 Subjects with documented myocardial infarction within a year from screening visit Clinically significant abnormal ECG Abnormal liver function tests defined as aspartate aminotransferase (AST), alanine aminotransferace (ALT), alkaline phosphatase or total bilirubin ≥ 1.5 times upper limit of normal on repeat testing Subjects who have cancer that has not been in complete remission for at least 5 years Drug Allergy: Subjects who have a history of hypersensitivity to any component of the metered-dose inhaler (MDI)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Paul Dorinsky, MD, FCCP
Organizational Affiliation
Pearl Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Pearl Therapeutics Study Site
City
Athens
State/Province
Alabama
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Birmingham
State/Province
Alabama
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Foley
State/Province
Alabama
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Los Angeles
State/Province
California
Country
United States
Facility Name
Pearl Therapeutics
City
Los Angeles
State/Province
California
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Rolling Hills Estates
State/Province
California
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
San Diego
State/Province
California
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Stockton
State/Province
California
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Clearwater
State/Province
Florida
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Clermont
State/Province
Florida
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Miami
State/Province
Florida
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Orlando
State/Province
Florida
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Ormond Beach
State/Province
Florida
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Saint Cloud
State/Province
Florida
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Sebring
State/Province
Florida
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Tampa
State/Province
Florida
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Blue Island
State/Province
Illinois
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
North Dartmouth
State/Province
Massachusetts
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Hazelwood
State/Province
Missouri
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Skillman
State/Province
New Jersey
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Charlotte
State/Province
North Carolina
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Winston-Salem
State/Province
North Carolina
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Cincinnati
State/Province
Ohio
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Columbus
State/Province
Ohio
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Dayton
State/Province
Ohio
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Middleburg Heights
State/Province
Ohio
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Oregon
State/Province
Ohio
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Sylvania
State/Province
Ohio
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Toledo
State/Province
Ohio
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Oklahoma City
State/Province
Oklahoma
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Lake Oswego
State/Province
Oregon
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Medford
State/Province
Oregon
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Greenville
State/Province
South Carolina
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Spartanburg
State/Province
South Carolina
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Rapid City
State/Province
South Dakota
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Tullahoma
State/Province
Tennessee
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
El Paso
State/Province
Texas
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Houston
State/Province
Texas
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Plano
State/Province
Texas
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
San Antonio
State/Province
Texas
Country
United States
Facility Name
Pearl Therapeutics Study Site
City
Everett
State/Province
Washington
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes

Learn more about this trial

Study to Assess the Efficacy and Safety of Budesonide (PT008) in Adult Subjects With Mild to Moderate Persistent Asthma

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