A Study to Assess the Efficacy of Budesonide/Albuterol Metered-dose Inhaler (BDA MDI/PT027) on Exercise-induced Bronchoconstriction in Adults and Adolescents With Asthma (TYREE)
Primary Purpose
Exercise Induced Bronchospasm
Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Budesonide/albuterol sulfate metered-dose inhaler 160/180 μg
Placebo metered-dose inhaler
Sponsored by
About this trial
This is an interventional treatment trial for Exercise Induced Bronchospasm
Eligibility Criteria
Inclusion Criteria:
- Female or male aged 12 to 70 years at the time of informed consent
- Documented history of asthma for at least 6 months prior to Visit 1
Receiving 1 of the following asthma therapies with stable dosing for at least the 4 weeks before Visit 1; no other asthma therapies are permitted during the study:
- Short/rapid-acting β 2-adrenoreceptor agonist (SABA) used as needed
- Low- to medium-dose maintenance therapy with inhaled corticosteroid (ICS) and SABA used as needed
- Demonstrate acceptable MDI administration technique (use of a spacer device during the treatment phase is not permitted)
Exclusion Criteria:
- Chronic obstructive pulmonary disease or other significant lung disease (eg, chronic bronchitis, emphysema, bronchiectasis with the need of treatment, cystic fibrosis, or bronchopulmonary dysplasia), including regular or occasional use of oxygen
- Systemic corticosteroids (SCS) use (any dose and any indication) within 3 months before Visit 1
- History of life-threatening asthma, defined by past intubations for asthma, or intensive care unit admission for asthma within the prior 24 months
- Receiving regular maintenance treatment with prohibited anti-inflammatory or long-acting bronchodilator asthma medication (inhaled, nebulized, oral, or systemic) within 1 month prior to Visit 1
- Unable to tolerate the lung function testing performed after exercise challenge test without use of rescue medication
- Current smokers, former smokers with >10 pack-years history, or former smokers who stopped smoking <6 months before Visit 1 (including all forms of tobacco, e-cigarettes [vaping], and marijuana)
- Completed treatment for lower respiratory infection within 6 weeks prior to Visit 1, regardless if resulting in accompanying asthma symptoms aggravation or not
- Upper respiratory infection involving antibiotic treatment not resolved within 7 days prior to Visit 1
- Received any marketed (eg, omalizumab, mepolizumab, reslizumab, benralizumab, dupilumab) or investigational biologic within 3 months before Visit 1, or any other prohibited medication
- Current treatment with any investigational product or within the last 30 days of Visit 1.
- Historical or current evidence of a clinically significant disease
- Cancer not in complete remission for at least 5 years before Visit 1
- Hospitalization for psychiatric disorder or attempted suicide within 1 year of Visit 1
- History of psychiatric disease or intellectual deficiency
- Having a scheduled or planned hospitalization during the study
- Inability (and/or unwillingness) to abstain from protocol-defined prohibited medications during the study.
- Use of any herbal products by inhalation or nebulizer within 2 weeks of Visit 1 and/or the unwillingness to stop during the study duration.
- Significant abuse of alcohol or drugs
Sites / Locations
- Research Site
- Research Site
- Research Site
- Research Site
- Research Site
- Research Site
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
A/B - Treatment with BDA MDI 160/180 followed by treatment with Placebo MDI
B/A - Treatment with Placebo MDI followed by treatment with BDA MDI 160/180
Arm Description
Subjects randomized to receive a single dose of BDA MDI 160/180 in treatment period 1, and a single dose of Placebo MDI in treatment period 2.
Subjects randomized to receive a single dose of Placebo MDI in treatment period 1, and a single dose of BDA MDI 160/180 in treatment period 2.
Outcomes
Primary Outcome Measures
Maximum Percentage Fall From Post-dose, Pre-exercise Baseline in Forced Expiratory Volume in 1 Second (FEV₁) Observed up to 60 Minutes Post-exercise Challenge
Lung function was measured by spirometry. Spirometry assessments were completed 5 minutes before dosing, 30 minutes after dosing (baseline; 5 minutes before the exercise challenge), and then 5, 10, 15, 30, and 60 minutes after the exercise challenge. A reduction in FEV₁ was expected due to the effects of asthma and exercise on breathing and lung function. The percentage fall in FEV₁ was calculated based on the baseline value and maximum percentage fall value during the 60-minute assessment period.
Secondary Outcome Measures
Percentage of Subjects With a Maximum Percentage Fall in FEV₁ Post-exercise Challenge of <10%
The percentage fall in FEV₁ was calculated based on the baseline value and maximum percentage fall value during the 60-minute assessment period, and the percentage of subjects with a maximum percentage fall <10% was determined.
Full Information
NCT ID
NCT04234464
First Posted
January 16, 2020
Last Updated
January 4, 2022
Sponsor
Bond Avillion 2 Development LP
1. Study Identification
Unique Protocol Identification Number
NCT04234464
Brief Title
A Study to Assess the Efficacy of Budesonide/Albuterol Metered-dose Inhaler (BDA MDI/PT027) on Exercise-induced Bronchoconstriction in Adults and Adolescents With Asthma
Acronym
TYREE
Official Title
A Randomized, Double-blind, Single-dose, 2-Period, Crossover Study to Assess the Efficacy of PT027 Compared With Placebo on Exercise-Induced Bronchoconstriction in Adult and Adolescent Subjects With Asthma
Study Type
Interventional
2. Study Status
Record Verification Date
January 2022
Overall Recruitment Status
Completed
Study Start Date
January 15, 2020 (Actual)
Primary Completion Date
August 28, 2020 (Actual)
Study Completion Date
August 28, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bond Avillion 2 Development LP
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
This is a multicenter, randomized, double-blind, single-dose, placebo-controlled, 2-period, crossover study to evaluate the efficacy and safety of budesonide/albuterol metered-dose inhaler (BDA MDI/PT027) as compared with a placebo metered-dose inhaler (placebo MDI) on exercise-induced bronchoconstriction (EIB) in adult and adolescent subjects with asthma. Subjects will receive each study treatment on separate visits and undergo a treadmill exercise challenge test for up to 10 minutes so that the effect of study treatment on exercise-induced bronchoconstriction can be evaluated.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Exercise Induced Bronchospasm
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Actual)
8. Arms, Groups, and Interventions
Arm Title
A/B - Treatment with BDA MDI 160/180 followed by treatment with Placebo MDI
Arm Type
Experimental
Arm Description
Subjects randomized to receive a single dose of BDA MDI 160/180 in treatment period 1, and a single dose of Placebo MDI in treatment period 2.
Arm Title
B/A - Treatment with Placebo MDI followed by treatment with BDA MDI 160/180
Arm Type
Experimental
Arm Description
Subjects randomized to receive a single dose of Placebo MDI in treatment period 1, and a single dose of BDA MDI 160/180 in treatment period 2.
Intervention Type
Combination Product
Intervention Name(s)
Budesonide/albuterol sulfate metered-dose inhaler 160/180 μg
Other Intervention Name(s)
BDA MDI 160/180 μg (PT027)
Intervention Description
Budesonide/albuterol sulfate combination inhalation aerosol single dose
Intervention Type
Combination Product
Intervention Name(s)
Placebo metered-dose inhaler
Other Intervention Name(s)
Placebo MDI
Intervention Description
Placebo inhalation aerosol single dose
Primary Outcome Measure Information:
Title
Maximum Percentage Fall From Post-dose, Pre-exercise Baseline in Forced Expiratory Volume in 1 Second (FEV₁) Observed up to 60 Minutes Post-exercise Challenge
Description
Lung function was measured by spirometry. Spirometry assessments were completed 5 minutes before dosing, 30 minutes after dosing (baseline; 5 minutes before the exercise challenge), and then 5, 10, 15, 30, and 60 minutes after the exercise challenge. A reduction in FEV₁ was expected due to the effects of asthma and exercise on breathing and lung function. The percentage fall in FEV₁ was calculated based on the baseline value and maximum percentage fall value during the 60-minute assessment period.
Time Frame
Up to 60 minutes post exercise challenge
Secondary Outcome Measure Information:
Title
Percentage of Subjects With a Maximum Percentage Fall in FEV₁ Post-exercise Challenge of <10%
Description
The percentage fall in FEV₁ was calculated based on the baseline value and maximum percentage fall value during the 60-minute assessment period, and the percentage of subjects with a maximum percentage fall <10% was determined.
Time Frame
Up to 60 minutes post exercise challenge
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:
Female or male aged 12 to 70 years at the time of informed consent
Documented history of asthma for at least 6 months prior to Visit 1
Receiving 1 of the following asthma therapies with stable dosing for at least the 4 weeks before Visit 1; no other asthma therapies are permitted during the study:
Short/rapid-acting β 2-adrenoreceptor agonist (SABA) used as needed
Low- to medium-dose maintenance therapy with inhaled corticosteroid (ICS) and SABA used as needed
Demonstrate acceptable MDI administration technique (use of a spacer device during the treatment phase is not permitted)
Exclusion Criteria:
Chronic obstructive pulmonary disease or other significant lung disease (eg, chronic bronchitis, emphysema, bronchiectasis with the need of treatment, cystic fibrosis, or bronchopulmonary dysplasia), including regular or occasional use of oxygen
Systemic corticosteroids (SCS) use (any dose and any indication) within 3 months before Visit 1
History of life-threatening asthma, defined by past intubations for asthma, or intensive care unit admission for asthma within the prior 24 months
Receiving regular maintenance treatment with prohibited anti-inflammatory or long-acting bronchodilator asthma medication (inhaled, nebulized, oral, or systemic) within 1 month prior to Visit 1
Unable to tolerate the lung function testing performed after exercise challenge test without use of rescue medication
Current smokers, former smokers with >10 pack-years history, or former smokers who stopped smoking <6 months before Visit 1 (including all forms of tobacco, e-cigarettes [vaping], and marijuana)
Completed treatment for lower respiratory infection within 6 weeks prior to Visit 1, regardless if resulting in accompanying asthma symptoms aggravation or not
Upper respiratory infection involving antibiotic treatment not resolved within 7 days prior to Visit 1
Received any marketed (eg, omalizumab, mepolizumab, reslizumab, benralizumab, dupilumab) or investigational biologic within 3 months before Visit 1, or any other prohibited medication
Current treatment with any investigational product or within the last 30 days of Visit 1.
Historical or current evidence of a clinically significant disease
Cancer not in complete remission for at least 5 years before Visit 1
Hospitalization for psychiatric disorder or attempted suicide within 1 year of Visit 1
History of psychiatric disease or intellectual deficiency
Having a scheduled or planned hospitalization during the study
Inability (and/or unwillingness) to abstain from protocol-defined prohibited medications during the study.
Use of any herbal products by inhalation or nebulizer within 2 weeks of Visit 1 and/or the unwillingness to stop during the study duration.
Significant abuse of alcohol or drugs
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Frank Albers, MD, PhD
Organizational Affiliation
Avillion LLP
Official's Role
Study Director
Facility Information:
Facility Name
Research Site
City
Denver
State/Province
Colorado
ZIP/Postal Code
80230
Country
United States
Facility Name
Research Site
City
North Dartmouth
State/Province
Massachusetts
ZIP/Postal Code
02747
Country
United States
Facility Name
Research Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63109
Country
United States
Facility Name
Research Site
City
Skillman
State/Province
New Jersey
ZIP/Postal Code
08558
Country
United States
Facility Name
Research Site
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27607
Country
United States
Facility Name
Research Site
City
Burke
State/Province
Virginia
ZIP/Postal Code
22015
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
34699967
Citation
LaForce C, Chipps BE, Albers FC, Reilly L, Johnsson E, Andrews H, Cappelletti C, Maes A, Papi A. Albuterol/budesonide for the treatment of exercise-induced bronchoconstriction in patients with asthma: The TYREE study. Ann Allergy Asthma Immunol. 2022 Feb;128(2):169-177. doi: 10.1016/j.anai.2021.10.020. Epub 2021 Oct 24.
Results Reference
result
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A Study to Assess the Efficacy of Budesonide/Albuterol Metered-dose Inhaler (BDA MDI/PT027) on Exercise-induced Bronchoconstriction in Adults and Adolescents With Asthma
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