Efficacy and Safety Study to Compare Formoterol Fumerate in the Pressair DPI to the Foradil Aerolizer in Patient With Mild to Moderate Asthma
Primary Purpose
Asthma
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Formoterol Fumarate in the Pressair DPI, Low Dose
Formoterol Fumarate in the Pressair DPI, High Dose
Foradil Aerolizer, Low Dose
Foradil Aerolizer, High Dose
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Asthma
Eligibility Criteria
Inclusions:
- Patients with mild-to-moderate asthma for at least 6 months prior to Visit 1 (as defined in the GINA Guidelines) which is unlikely to exacerbate during the study (e.g., due to seasonal allergen exposure).
- Patients must be on a stable dose of Inhaled Corticosteroids (ICS) for at least 30 days prior to Visit 1. Patients on a combination of ICS/LABA must discontinue the use of LABA and must be on a stable dose of ICS for 30 days prior to Visit 1.
- Qualifying spirometry at Visit 1 demonstrates highest FEV1 is ≤ 85% and ≥ 60% of predicted for age, height, and gender using NHANES III (NHANES 2010) when bronchodilator medications have been withheld the appropriate length of time per the List of Concomitant Medications (Appendix III)
- Patient demonstrates reversibility with an increase in FEV1 of 12% and 200 mL after the administration of 360 µg of albuterol.
- Highest pre-dose FEV1 at Visits 2, 4, 6, 8, and 10 must be within 25% of the qualifying FEV1 at Visit 1
Exclusions:
- Patients with any clinically significant respiratory conditions other than mild to moderate asthma, such as COPD, active tuberculosis, or history of interstitial lung disease
- Patients with a severe asthma exacerbation requiring hospitalization in the previous 12 months
- Patient is not able to withhold use of inhaled short-acting beta-agonist (SABA) for at least 6 hours prior to visit
Sites / Locations
- Forest Investigative Site 909
- Forest Investigative Site 2066
- Forest Investigative Site 1624
- Forest Investigative Site 1995
- Forest Investigative Site 1347
- Forest Investigative Site 1996
- Forest Investigative Site 1137
- Forest Investigative Site 1998
- Forest Investigative Site 2047
- Forest Investigative Site 1536
- Forest Investigative Site 1333
- Forest Investigative Site 1431
- Forest Investigative Site 2041
- Forest Investigative Site 1599
- Forest Investigative Site 1609
- Forest Investigative Site 1999
- Forest Investigative Site 1153
- Forest Investigative Site 1134
- Forest Investigative Site 1806
- Forest Investigative Site 1176
- Forest Investigative Site 2043
- Forest Investigative Site 1580
- Forest Investigative Site 2025
- Forest Investigative Site 1155
- Forest Investigative Site 1332
- Forest Investigative Site 1370
- Forest Investigative Site 1699
- Forest Investigative Site 2011
- Forest Investigative Site 1997
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm Type
Experimental
Experimental
Active Comparator
Active Comparator
Placebo Comparator
Arm Label
Experimental 1
Experimental 2
Active Comparator 1
Active Comparator 2
Placebo
Arm Description
Formoterol Fumarate in the Pressair Pressair Dry Powder Inhaler (DPI), Low Dose
Formoterol fumarate in the Pressair Dry Powder Inhaler (DPI), High Dose
Foradil Aerolizer, Low Dose
Foradil Aerolizer, High Dose
Dose matched placebo
Outcomes
Primary Outcome Measures
Change From Baseline in Normalized Forced Expiratory Volume in One Second (FEV1) AUC0-6 After the Morning Dose (Day 14)
AUC0-6 is area under the curve from time 0 to 6 hours Serial spirometry was performed at -60 min predose, at 5 (+5) and 30 (±5) min post-dose, and at 1, 2, 3, 4, and 6 hrs post-dose (±15 min) Change from baseline was baseline of each treatment period The normalized FEV1 AUC0-6 was calculated by means of the trapezoidal method, dividing the area under the curve by the corresponding time intervals
Secondary Outcome Measures
Change From Baseline in Normalized FEV1 AUC0-6 After the Morning Dose (Day 1)
AUC0-6 is area under the curve from time 0 to 6 hours Serial spirometry was performed at -60 min predose, at 5 (+5) and 30 (±5) min post-dose, and at 1, 2, 3, 4, and 6 hrs post-dose (±15 min) Change from baseline was baseline of Period 1 The time-normalized FEV1 AUC0-6 was calculated by means of the trapezoidal method, dividing the area under the curve by the corresponding time intervals
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01641081
Brief Title
Efficacy and Safety Study to Compare Formoterol Fumerate in the Pressair DPI to the Foradil Aerolizer in Patient With Mild to Moderate Asthma
Official Title
Phase II, Randomized, Placebo-controlled, Double-blind, Double-dummy, 5-period Complete Crossover Study of the Bronchodilator Effects of Formoterol Fumarate Inhalation Powder in Patients With Mild to Moderate Asthma.
Study Type
Interventional
2. Study Status
Record Verification Date
January 2017
Overall Recruitment Status
Completed
Study Start Date
June 2012 (undefined)
Primary Completion Date
February 2013 (Actual)
Study Completion Date
February 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AstraZeneca
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this Phase II study is to evaluate efficacy and safety of inhaled formoterol fumarate in the Pressair DPI compared to the Foradil Aerolizer in patients with mild to moderate asthma.
This study will include a screening visit followed by a 4 month treatment period.
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 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
174 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Experimental 1
Arm Type
Experimental
Arm Description
Formoterol Fumarate in the Pressair Pressair Dry Powder Inhaler (DPI), Low Dose
Arm Title
Experimental 2
Arm Type
Experimental
Arm Description
Formoterol fumarate in the Pressair Dry Powder Inhaler (DPI), High Dose
Arm Title
Active Comparator 1
Arm Type
Active Comparator
Arm Description
Foradil Aerolizer, Low Dose
Arm Title
Active Comparator 2
Arm Type
Active Comparator
Arm Description
Foradil Aerolizer, High Dose
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Dose matched placebo
Intervention Type
Drug
Intervention Name(s)
Formoterol Fumarate in the Pressair DPI, Low Dose
Intervention Description
Formoterol Fumarate in the Pressair DPI 6 micrograms, twice a day for 14 days
Intervention Type
Drug
Intervention Name(s)
Formoterol Fumarate in the Pressair DPI, High Dose
Intervention Description
Formoterol Fumarate in the Pressair DPI 12 micrograms, twice a day for 14 days
Intervention Type
Drug
Intervention Name(s)
Foradil Aerolizer, Low Dose
Other Intervention Name(s)
Formoterol
Intervention Description
Foradil Aerolizer 12 micrograms, twice a day for 14 days
Intervention Type
Drug
Intervention Name(s)
Foradil Aerolizer, High Dose
Other Intervention Name(s)
Formoterol
Intervention Description
Foradil Aerolizer 24 micrograms, twice per day for 14 days
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo in the Pressair for 14 days
Primary Outcome Measure Information:
Title
Change From Baseline in Normalized Forced Expiratory Volume in One Second (FEV1) AUC0-6 After the Morning Dose (Day 14)
Description
AUC0-6 is area under the curve from time 0 to 6 hours Serial spirometry was performed at -60 min predose, at 5 (+5) and 30 (±5) min post-dose, and at 1, 2, 3, 4, and 6 hrs post-dose (±15 min) Change from baseline was baseline of each treatment period The normalized FEV1 AUC0-6 was calculated by means of the trapezoidal method, dividing the area under the curve by the corresponding time intervals
Time Frame
Baseline and up to 6 hrs post-dose (±15 min) on Day 14 of treatment
Secondary Outcome Measure Information:
Title
Change From Baseline in Normalized FEV1 AUC0-6 After the Morning Dose (Day 1)
Description
AUC0-6 is area under the curve from time 0 to 6 hours Serial spirometry was performed at -60 min predose, at 5 (+5) and 30 (±5) min post-dose, and at 1, 2, 3, 4, and 6 hrs post-dose (±15 min) Change from baseline was baseline of Period 1 The time-normalized FEV1 AUC0-6 was calculated by means of the trapezoidal method, dividing the area under the curve by the corresponding time intervals
Time Frame
Baseline and up to 6 hrs post-dose (±15 min) on Day 1 of treatment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusions:
Patients with mild-to-moderate asthma for at least 6 months prior to Visit 1 (as defined in the GINA Guidelines) which is unlikely to exacerbate during the study (e.g., due to seasonal allergen exposure).
Patients must be on a stable dose of Inhaled Corticosteroids (ICS) for at least 30 days prior to Visit 1. Patients on a combination of ICS/LABA must discontinue the use of LABA and must be on a stable dose of ICS for 30 days prior to Visit 1.
Qualifying spirometry at Visit 1 demonstrates highest FEV1 is ≤ 85% and ≥ 60% of predicted for age, height, and gender using NHANES III (NHANES 2010) when bronchodilator medications have been withheld the appropriate length of time per the List of Concomitant Medications (Appendix III)
Patient demonstrates reversibility with an increase in FEV1 of 12% and 200 mL after the administration of 360 µg of albuterol.
Highest pre-dose FEV1 at Visits 2, 4, 6, 8, and 10 must be within 25% of the qualifying FEV1 at Visit 1
Exclusions:
Patients with any clinically significant respiratory conditions other than mild to moderate asthma, such as COPD, active tuberculosis, or history of interstitial lung disease
Patients with a severe asthma exacerbation requiring hospitalization in the previous 12 months
Patient is not able to withhold use of inhaled short-acting beta-agonist (SABA) for at least 6 hours prior to visit
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Esther Garcia, MD
Organizational Affiliation
AstraZeneca
Official's Role
Study Director
Facility Information:
Facility Name
Forest Investigative Site 909
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85006
Country
United States
Facility Name
Forest Investigative Site 2066
City
Encinitas
State/Province
California
ZIP/Postal Code
92024
Country
United States
Facility Name
Forest Investigative Site 1624
City
Los Angeles
State/Province
California
ZIP/Postal Code
90025
Country
United States
Facility Name
Forest Investigative Site 1995
City
Mission Viejo
State/Province
California
ZIP/Postal Code
92691
Country
United States
Facility Name
Forest Investigative Site 1347
City
San Jose
State/Province
California
ZIP/Postal Code
95117
Country
United States
Facility Name
Forest Investigative Site 1996
City
Centennial
State/Province
Colorado
ZIP/Postal Code
80112
Country
United States
Facility Name
Forest Investigative Site 1137
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80907
Country
United States
Facility Name
Forest Investigative Site 1998
City
Denver
State/Province
Colorado
ZIP/Postal Code
80230
Country
United States
Facility Name
Forest Investigative Site 2047
City
Tampa
State/Province
Florida
ZIP/Postal Code
33613
Country
United States
Facility Name
Forest Investigative Site 1536
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40215
Country
United States
Facility Name
Forest Investigative Site 1333
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21236
Country
United States
Facility Name
Forest Investigative Site 1431
City
North Dartmouth
State/Province
Massachusetts
ZIP/Postal Code
02747
Country
United States
Facility Name
Forest Investigative Site 2041
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55402
Country
United States
Facility Name
Forest Investigative Site 1599
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
Forest Investigative Site 1609
City
Bellevue
State/Province
Nebraska
ZIP/Postal Code
68123
Country
United States
Facility Name
Forest Investigative Site 1999
City
Skillman
State/Province
New Jersey
ZIP/Postal Code
08558
Country
United States
Facility Name
Forest Investigative Site 1153
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27607
Country
United States
Facility Name
Forest Investigative Site 1134
City
Canton
State/Province
Ohio
ZIP/Postal Code
44718
Country
United States
Facility Name
Forest Investigative Site 1806
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45231
Country
United States
Facility Name
Forest Investigative Site 1176
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73120
Country
United States
Facility Name
Forest Investigative Site 2043
City
Medford
State/Province
Oregon
ZIP/Postal Code
97504
Country
United States
Facility Name
Forest Investigative Site 1580
City
Portland
State/Province
Oregon
ZIP/Postal Code
97202
Country
United States
Facility Name
Forest Investigative Site 2025
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29407
Country
United States
Facility Name
Forest Investigative Site 1155
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Forest Investigative Site 1332
City
El Paso
State/Province
Texas
ZIP/Postal Code
79903
Country
United States
Facility Name
Forest Investigative Site 1370
City
New Braunfels
State/Province
Texas
ZIP/Postal Code
78130
Country
United States
Facility Name
Forest Investigative Site 1699
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Forest Investigative Site 2011
City
Seattle
State/Province
Washington
ZIP/Postal Code
98115
Country
United States
Facility Name
Forest Investigative Site 1997
City
Madison
State/Province
Wisconsin
ZIP/Postal Code
53792
Country
United States
12. IPD Sharing Statement
Links:
URL
http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_MED_7111&studyid=4059&filename=LAC-MD-21_CSRredacted.pdf
Description
CSR Synopsis
Learn more about this trial
Efficacy and Safety Study to Compare Formoterol Fumerate in the Pressair DPI to the Foradil Aerolizer in Patient With Mild to Moderate Asthma
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