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
About this trial
This is an interventional treatment trial for Asthma
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
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
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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