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Safety and Efficacy of Berodual® Inhaled Via Respimat® Compared to MDI (Metered Dose Inhaler) in Pediatric Patients With Asthma

Primary Purpose

Asthma

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Berodual® Respimat®, low dose
Berodual® Respimat®, high dose
Berodual® MDI
Sponsored by
Boehringer Ingelheim
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma

Eligibility Criteria

6 Years - 15 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Diagnosis of bronchial asthma according to the ATS (American Thoracic Society) criteria
  • Male or female children between 6 and 15 years old
  • Screening FEV1: 60-90 % of predicted normal. Predicted normal values will be based on the reference values by Cotes
  • Airway obstruction reversibility: FEV1 should increase ≥ 12% over baseline 30 to 60 minutes after administration of 2 puffs from the Berodual® MDI used with the Aerochamber®
  • Ability to be trained in proper use of MDI with Aerochamber® and Respimat®
  • Ability to perform technically satisfactory pulmonary function tests
  • No hospital admission for an exacerbation and stable dosage of all pulmonary medication in the last four weeks
  • Parent(s)/legal guardian is able and willing to give written informed consent in accordance with Good Clinical Practice (GCP) and local legislation. The child is willing to give oral consent

Exclusion Criteria:

  • Patients with significant disease other than asthma, e.g. history of clinically significant cardiovascular, renal, neurological, hepatic or endocrine dysfunction (e.g. hyperthyreosis). A clinically significant disease is defined as a disease which in the opinion of the investigator may either put the patient at risk because of participation in the study or which may influence the results of the study or the ability of the patient to participate in and complete the study
  • Tuberculosis with indication for treatment
  • History of cancer within the last five years
  • Patients who have undergone thoracotomy
  • Current psychiatric disorders
  • History of life threatening pulmonary obstruction, active bronchiectasis, lung fibrosis, AIDS (acquired immunity deficiency syndrome) and cystic fibrosis
  • Severe bronchial asthma with frequent nocturnal asthma attacks or acute exacerbations induced by recurrent bronchial infections several times per year
  • An upper or lower respiratory tract infection in the four weeks prior to the screening visit (= Visit 1) or during the 2-week run-in period
  • Patients with known narrow-angle glaucoma or raised intra-ocular pressure
  • Patients with known intolerance or hypersensitivity to any of the trial medication including excipients
  • Patients using oral corticosteroid medication within the last 4 weeks
  • Patients using leukotriene receptor antagonists and 5-LO (lipoxygenase) inhibitors within the last 4 weeks
  • Beta-blocker medication
  • Patients who have taken an investigational drug one month or six half-lives (whichever is greater) prior to the screening visit
  • Previous participation in the run-in phase of this study
  • Presence of psycho-social factors in the patient and/or relatives which, at the discretion of the investigator, do not assure compliance with medication, procedures and/or protocol

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Active Comparator

    Arm Label

    Berodual® Respimat®, low dose

    Berodual® Respimat®, high dose

    Berodual® MDI Aerochamber®

    Arm Description

    Outcomes

    Primary Outcome Measures

    Change in average FEV1 AUC0-1 (FEV1( (Forced expiratory volume in one second) AUC0-1(Area under the curve between 0 and 1 hour ))

    Secondary Outcome Measures

    Average FEV1 between 0 and 1 hour (FEV1 AUC0-1)
    Total average FEV1 between 0 and 1 hour (FEV1 AUC0-1)
    FVC (Forced vital capacity)
    FEV25-75% (mean forced expiratory flow during the middle half of the FVC
    FEV1max
    Onset of therapeutic response
    Peak expiratory flow (PEF)
    Extent of use of rescue bronchodilator medication
    Overall incidence of adverse events
    Occurrence of application induced bronchoconstriction
    Number of patients with clinically significant changes in heart rate
    Number of patients with clinically significant changes in blood pressure
    Number of patients with abnormal findings in physical examination

    Full Information

    First Posted
    July 2, 2014
    Last Updated
    July 11, 2014
    Sponsor
    Boehringer Ingelheim
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02182505
    Brief Title
    Safety and Efficacy of Berodual® Inhaled Via Respimat® Compared to MDI (Metered Dose Inhaler) in Pediatric Patients With Asthma
    Official Title
    A Randomized, Double-blind Study to Compare the Safety and Efficacy of Berodual® Inhaled Via the Respimat® Device in Two Dosages (50 µg Fenoterol Hydrobromide + 20 µg Ipratropium Bromide and 25 µg Fenoterol Hydrobromide + 10 µg Ipratropium Bromide, 1 Puff t.i.d.) With That of Berodual® Inhaled Via the MDI With Aerochamber® (50 µg Fenoterol Hydrobromide + 21 µg Ipratropium Bromide, 2 Puffs t.i.d.) in Pediatric Patients With Asthma Over a 4 Week Period
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2014
    Overall Recruitment Status
    Completed
    Study Start Date
    September 1998 (undefined)
    Primary Completion Date
    July 1999 (Actual)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Boehringer Ingelheim

    4. Oversight

    5. Study Description

    Brief Summary
    Study to demonstrate that at least one of the two doses of Berodual® (50 µg fenoterol hydrobromide + 20 µg ipratropium bromide and 25 µg fenoterol hydrobromide + 10 µg ipratropium bromide, 1 puff t.i.d.) administered via Respimat® device gives a bronchodilator response which is not inferior to that obtained from one dose of Berodual® (50 µg fenoterol hydrobromide + 21 µg ipratropium bromide, 2 puffs t.i.d.) administered via the MDI (chlorofluorocarbon-metered dose inhaler) with Aerochamber® and that the safety profile is at least as good when paediatric asthma patients are treated for four weeks.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    Double
    Allocation
    Randomized
    Enrollment
    535 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Berodual® Respimat®, low dose
    Arm Type
    Experimental
    Arm Title
    Berodual® Respimat®, high dose
    Arm Type
    Experimental
    Arm Title
    Berodual® MDI Aerochamber®
    Arm Type
    Active Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    Berodual® Respimat®, low dose
    Intervention Type
    Drug
    Intervention Name(s)
    Berodual® Respimat®, high dose
    Intervention Type
    Drug
    Intervention Name(s)
    Berodual® MDI
    Primary Outcome Measure Information:
    Title
    Change in average FEV1 AUC0-1 (FEV1( (Forced expiratory volume in one second) AUC0-1(Area under the curve between 0 and 1 hour ))
    Time Frame
    pre-dose and 5, 30, 60 minutes post-dose on day 29
    Secondary Outcome Measure Information:
    Title
    Average FEV1 between 0 and 1 hour (FEV1 AUC0-1)
    Time Frame
    pre-dose and 5, 30, 60 minutes post-dose on days 1 and 15
    Title
    Total average FEV1 between 0 and 1 hour (FEV1 AUC0-1)
    Time Frame
    pre-dose and 5, 30, 60 minutes post-dose on day 29
    Title
    FVC (Forced vital capacity)
    Time Frame
    pre-dose and 5, 30, 60 minutes post-dose on days 1, 15 and 29
    Title
    FEV25-75% (mean forced expiratory flow during the middle half of the FVC
    Time Frame
    pre-dose and 5, 30, 60 minutes post-dose on days 1, 15 and 29
    Title
    FEV1max
    Time Frame
    pre-dose and 5, 30, 60 minutes post-dose on days 1 and 29
    Title
    Onset of therapeutic response
    Time Frame
    Days 1 and 29
    Title
    Peak expiratory flow (PEF)
    Time Frame
    pre-dose until day 29
    Title
    Extent of use of rescue bronchodilator medication
    Time Frame
    up to day 29
    Title
    Overall incidence of adverse events
    Time Frame
    up to day 29
    Title
    Occurrence of application induced bronchoconstriction
    Time Frame
    up to day 29
    Title
    Number of patients with clinically significant changes in heart rate
    Time Frame
    pre-dose and 5, 30, 60 minutes post-dose on days 1, 15, 29
    Title
    Number of patients with clinically significant changes in blood pressure
    Time Frame
    pre-dose and 5, 30, 60 minutes post-dose on days 1, 15, 29
    Title
    Number of patients with abnormal findings in physical examination
    Time Frame
    Baseline, day 29

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    6 Years
    Maximum Age & Unit of Time
    15 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Diagnosis of bronchial asthma according to the ATS (American Thoracic Society) criteria Male or female children between 6 and 15 years old Screening FEV1: 60-90 % of predicted normal. Predicted normal values will be based on the reference values by Cotes Airway obstruction reversibility: FEV1 should increase ≥ 12% over baseline 30 to 60 minutes after administration of 2 puffs from the Berodual® MDI used with the Aerochamber® Ability to be trained in proper use of MDI with Aerochamber® and Respimat® Ability to perform technically satisfactory pulmonary function tests No hospital admission for an exacerbation and stable dosage of all pulmonary medication in the last four weeks Parent(s)/legal guardian is able and willing to give written informed consent in accordance with Good Clinical Practice (GCP) and local legislation. The child is willing to give oral consent Exclusion Criteria: Patients with significant disease other than asthma, e.g. history of clinically significant cardiovascular, renal, neurological, hepatic or endocrine dysfunction (e.g. hyperthyreosis). A clinically significant disease is defined as a disease which in the opinion of the investigator may either put the patient at risk because of participation in the study or which may influence the results of the study or the ability of the patient to participate in and complete the study Tuberculosis with indication for treatment History of cancer within the last five years Patients who have undergone thoracotomy Current psychiatric disorders History of life threatening pulmonary obstruction, active bronchiectasis, lung fibrosis, AIDS (acquired immunity deficiency syndrome) and cystic fibrosis Severe bronchial asthma with frequent nocturnal asthma attacks or acute exacerbations induced by recurrent bronchial infections several times per year An upper or lower respiratory tract infection in the four weeks prior to the screening visit (= Visit 1) or during the 2-week run-in period Patients with known narrow-angle glaucoma or raised intra-ocular pressure Patients with known intolerance or hypersensitivity to any of the trial medication including excipients Patients using oral corticosteroid medication within the last 4 weeks Patients using leukotriene receptor antagonists and 5-LO (lipoxygenase) inhibitors within the last 4 weeks Beta-blocker medication Patients who have taken an investigational drug one month or six half-lives (whichever is greater) prior to the screening visit Previous participation in the run-in phase of this study Presence of psycho-social factors in the patient and/or relatives which, at the discretion of the investigator, do not assure compliance with medication, procedures and/or protocol

    12. IPD Sharing Statement

    Links:
    URL
    http://trials.boehringer-ingelheim.com/content/dam/internet/opu/clinicaltrial/com_EN/results/215/215.1105_U01-1116.pdf
    Description
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    Safety and Efficacy of Berodual® Inhaled Via Respimat® Compared to MDI (Metered Dose Inhaler) in Pediatric Patients With Asthma

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