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Phase 2 Completed N=598 Randomized Double-blind Treatment

A Randomized Study To Evaluate The Efficacy And Safety Of An Investigational Drug In Adolescent And Adult Subjects With Asthma Uncontrolled on Non-steroidal Therapy.

Source: ClinicalTrials.gov NCT00603382 ↗
Enrolled (actual)
598
Serious AEs
0.7%
Results posted
Aug 2013
Primary outcomePrimary: Mean Change From Baseline in Trough (Evening Pre-dose and Pre- Rescue Bronchodilator) FEV1 at Week 8 — 0.137; 0.239; 0.266; 0.341 Liters — p=0.095

Summary

This study is designed to determine if the investigational drug is effective and safe in individuals with asthma.

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Change From Baseline in Trough (Evening Pre-dose and Pre- Rescue Bronchodilator) FEV1 at Week 8
0.137; 0.239; 0.266; 0.341; 0.367; 0.243 0.095
SECONDARY
Mean Change From Baseline in Daily Trough (Pre-dose and Pre-rescue Bronchodilator) Evening Peak Expiratory Flow (PEF) Averaged Over the 8-week Treatment Period
9.6; 23.6; 30.3; 25.7; 31.3; 24.4
SECONDARY
Mean Change From Baseline in Daily Morning PEF Averaged Over the 8-week Treatment Period
13.6; 27.2; 33.5; 29.5; 35.6; 25.6
SECONDARY
Mean Change From Baseline in the Percentage of Symptom-free 24 Hour (hr) Periods During the 8-week Treatment Period
18.4; 25.3; 31.1; 38.7; 31.7; 33.3
SECONDARY
Mean Change From Baseline in the Percentage of Rescue Free 24-hour (hr) Periods During the 8-week Treatment Period
21.9; 29.3; 34.5; 40.8; 32.0; 35.5
SECONDARY
Number of Participants Who Withdrew Due to Lack of Efficacy During the 8-Week Treatment Period
14; 9; 3; 6; 6; 11
SECONDARY
Number of Participants With Any On-treatment Adverse Events or Serious Adverse Events Throughout the 8-week Treatment Period
24; 19; 28; 35; 27; 35
SECONDARY
Number of Participants With Clinical/Visual Evidence of Oropharyngeal Candidiasis
0; 0; 4; 4; 2; 2
SECONDARY
Percentage of Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils in the Blood at Baseline and Week 8
0.31; 0.32; 0.31; 0.32; 0.33; 0.33
SECONDARY
Hematocrit at Baseline and Week 8
0.43; 0.42; 0.42; 0.43; 0.42; 0.43
SECONDARY
Hemoglobin at Baseline and Week 8
141.54; 138.05; 140.70; 141.14; 139.50; 141.90
SECONDARY
Platelet Count and White Blood Cell (WBC) Count at Baseline and Week 8
271.68; 265.75; 279.38; 272.20; 268.37; 281.26
SECONDARY
Red Blood Cells (RBC) Count at Baseline and Week 8
4.71; 4.65; 4.68; 4.71; 4.68; 4.71
SECONDARY
Clinical Chemistry Parameters of Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Lactate Dehydrogenase (LD), and Gamma Glutamyltransferase (GGT) at Baseline and Week 8
82.7; 79.7; 83.5; 90.3; 94.4; 84.7
SECONDARY
Clinical Chemistry Parameters of Albumin and Total Protein at Baseline and Week 8
45.2; 45.6; 45.1; 45.9; 45.3; 45.2
SECONDARY
Clinical Chemistry Parameters of Chloride, Calcium, Carbon Dioxide Content/Bicarbonate (CO2/BI), Cholesterol, Glucose, Phosphorus Inorganic(PI), Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) at Baseline and Week 8
104.4; 104.7; 104.5; 104.4; 104.8; 104.4
SECONDARY
Clinical Chemistry Parameters of Creatinine, Direct Bilirubin, Total Bilirubin, and Uric Acid at Baseline and Week 8
2.1; 2.1; 2.0; 2.0; 1.8; 2.0
SECONDARY
Number of Participants With the Indicated Result for the Indicated Urinalysis Parameters Tested by Dipstick at Baseline and Week 8/Early Withdrawal
2; 1; 3; 4; 3; 2
SECONDARY
Urine Specific Gravity at Baseline and Week 8/Early Withdrawal
1.0230; 1.0240; 1.0236; 1.0230; 1.0242; 1.0227
SECONDARY
Urine pH at Baseline and Week 8/Early Withdrawal
6.04; 6.05; 6.06; 6.13; 6.05; 6.08
SECONDARY
24-hour Urinary Cortisol Excretion at Baseline and Week 8
70.20; 74.45; 65.80; 65.56; 66.80; 66.20
SECONDARY
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Week 8
-2.5; 1.5; 0.9; -0.4; 1.4; 0.2
SECONDARY
Change From Baseline in Heart Rate at Week 8
2.9; 0.4; 1.5; 0.8; -2.3; 0.8

Eligibility Criteria

Inclusion Criteria

Subjects eligible for enrollment in the study must meet all of the following criteria:

  • Type of Subject: Outpatient
  • Age: 12 years of age or older at Visit 1. For sites in the following countries, subjects recruited will be ≥18 years of age: Bulgaria, Czech Republic, Germany, Greece, Lithuania, New Zealand, Russian Federation, Turkey and any other countries where local regulations or the regulatory status of study medication permit enrollment of adults only.
  • Gender: Male or Eligible Female
  • To be eligible for entry into the study, females of childbearing potential must commit to consistent and correct use of an acceptable method of birth control, as defined by the following:
  • Male partner who is sterile prior to the female subject's entry into the study and is the sole sexual partner for that female subject
  • Implants of levonorgestrel
  • Injectable progestogen
  • Oral contraceptive (either combined estrogen/progestin or progestin only)
  • Any intrauterine device (IUD) with a documented failure rate of less than 1% per year.
  • Females of childbearing potential who are not sexually active must commit to complete abstinence from intercourse throughout the clinical trial and for a period after the trial to account for elimination of the drug (minimum of six days).
  • Double barrier method - spermicide plus a mechanical barrier (e.g., spermicide plus a male condom or a spermicide and female diaphragm).
  • NB: For German sites, female subjects must use a method of birth control other than the double barrier method.
  • The contraceptive transdermal patch, Ortho Evra (if the subject is less than 198 pounds)
  • Female subjects should not be enrolled if they are pregnant, lactating or plan to become pregnant during the time of study participation. A serum pregnancy test is required of all females. This test will be performed at the initial screening visit (Visit 1) and Visit 8. In addition, a urine pregnancy test will be performed on the evening of the double-blind treatment visit, prior to randomization (Visit 3) and at Visits 4 through 7.
  • Asthma Diagnosis: Asthma as defined by the National Institutes of Health [National Institutes of Health, 2007].
  • Severity of Disease: A best FEV1 of 40%-85% of the predicted normal value during the morning Visit 1 screening period or a best FEV1 of 40%-90% of the predicted normal value during the evening Visit 1 screening period.
  • Reversibility of Disease: Demonstrated a ≥ 12% and ≥200mL reversibility of FEV1 within approximately 30-minutes following 4 inhalations of albuterol/salbutamol inhalation aerosol (spacers are permitted for reversibility testing if required) or one nebulized albuterol/salbutamol solution at the screening period. Re-screening of subjects during the Visit 1 screening period: If a subject does not meet the inclusion criteria based upon FEV1 percent predicted and/or reversibility, the subject may return to the site once within 4 days and repeat the lung function tests.
  • Current Anti-Asthma Therapy: Subjects must have been using a non-corticosteroid controller or short acting beta2-agonist bronchodilators alone (with no inhaled corticosteroids use for at least 6 weeks) for ≥ 3 months preceding Visit 1.
  • Short- Acting Beta2-Agonists: All subjects must be able to replace their current short-acting beta2-agonists with albuterol/salbutamol inhalation aerosol at Visit 1 for use as needed for the duration of the study. The use of spacer devices with metered dose inhaler (MDI) or nebulized albuterol/salbutamol will not be allowed during the study with the exception of their use during reversibility testing at Visit 1. Subjects must be able to withhold all inhaled short-acting beta sympathomimetic bronchodilators for at least 6 hours prior to all study visits.
  • Informed Consent: All subjects must be able and willing to give written informed consent to take part in the study.
  • Compliance: Subjects must be able to comply with completion of the Daily Diary (inc
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00603382). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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