Phase 2
Completed N=622
A Randomized Study To Evaluate The Efficacy And Safety Of An Investigational Drug In Adolescent And Adult Subjects With Asthma Uncontrolled on Moderate-Dose ICS Therapy.
Source: ClinicalTrials.gov NCT00603746 ↗Enrolled (actual)
622
Serious AEs
1.0%
Results posted
Aug 2013
Primary outcomePrimary: Mean Change From Baseline in Trough (Evening Pre-dose and Pre- Rescue Bronchodilator) FEV1 at Week 8 — -0.043; 0.232; 0.229; 0.221 Liters — p=<0.001
Summary
This study is designed to determine if the investigational drug is effective and safe in individuals with asthma.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Mean Change From Baseline in Trough (Evening Pre-dose and Pre- Rescue Bronchodilator) FEV1 at Week 8 |
-0.043; 0.232; 0.229; 0.221; 0.182; 0.155 | <0.001 sig |
| 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 |
-5.1; 11.9; 14.5; 11.7; 16.3; 11.1 | — |
| SECONDARY Mean Change From Baseline in Daily Morning PEF Averaged Over the 8-week Treatment Period |
-7.3; 19.6; 20.9; 16.7; 20.7; 16.5 | — |
| SECONDARY Mean Change From Baseline in the Percentage of Symptom-free 24-hour (hr) Periods During the 8-week Treatment Period |
6.4; 20.1; 19.6; 15.1; 18.5; 15.4 | — |
| SECONDARY Mean Change From Baseline in the Percentage of Rescue-free 24-hour (hr) Periods During the 8-week Treatment Period |
3.6; 17.9; 21.1; 17.4; 22.3; 16.7 | — |
| SECONDARY Number Participants Who Withdrew Due to Lack of Efficacy During the 8-week Treatment Period |
34; 11; 6; 11; 12; 8 | — |
| SECONDARY Number of Participants With Any On-treatment Adverse Event or Serious Adverse Event Throughout the 8-week Treatment Period |
23; 31; 34; 37; 36; 39 | — |
| SECONDARY Number of Participants With Clinical/Visual Evidence of Oropharyngeal Candidiasis |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Percentage of Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils in the Blood at Baseline and Week 8 |
0.31; 0.38; 0.35; 0.34; 0.36; 0.34 | — |
| SECONDARY Hematocrit at Baseline and Week 8 |
0.43; 0.43; 0.42; 0.42; 0.43; 0.42 | — |
| SECONDARY Hemoglobin at Baseline and Week 8 |
139.99; 140.20; 139.35; 138.50; 140.91; 138.53 | — |
| SECONDARY Platelet Count and White Blood Cell Count at Baseline and Week 8 |
275.76; 281.46; 270.32; 275.62; 269.09; 269.80 | — |
| SECONDARY Red Blood Cell Count at Baseline and Week 8 |
4.67; 4.69; 4.64; 4.60; 4.66; 4.64 | — |
| SECONDARY Clinical Chemistry Parameters of Alanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), Gamma Glutamyl Transferase (GGT), and Lactate Dehydrogenase (LDH) at Baseline and Week 8 |
22.4; 21.0; 23.9; 23.5; 23.1; 20.5 | — |
| SECONDARY Clinical Chemistry Parameters of Albumin and Total Protein at Baseline and Week 8 |
44.6; 44.9; 45.1; 44.3; 44.8; 44.9 | — |
| SECONDARY Clinical Chemistry Parameters of Calcium, Carbon Dioxide Content/Bicarbonate, Chloride, Cholesterol, Glucose, Phosphorus Inorganic, Potassium, Sodium, and Urea at Baseline and Week 8 |
2.3; 2.3; 2.4; 2.3; 2.3; 2.3 | — |
| SECONDARY Clinical Chemistry Parameters of Creatinine, Direct Bilirubin, Total Bilirubin, and Uric Acid at Baseline and Week 8 |
84.4; 79.8; 79.4; 78.8; 81.4; 82.0 | — |
| SECONDARY Number of Participants With the Indicated Result for the Indicated Urinalysis Parameters Tested by Dipstick at Baseline and Week 8/Withdrawal |
0; 3; 3; 0; 1; 4 | — |
| SECONDARY Urine Specific Gravity at Baseline and Week 8/Early Withdrawal |
1.0221; 1.0232; 1.0217; 1.0223; 1.0210; 1.0218 | — |
| SECONDARY Urine pH at Baseline and Week 8/Early Withdrawal |
6.01; 5.93; 6.01; 6.00; 5.92; 5.88 | — |
| SECONDARY 24-hour Urinary Cortisol Excretion at Baseline and Week 8 |
52.55; 66.00; 54.65; 67.50; 51.30; 70.12 | — |
| SECONDARY Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Week 8 |
-0.4; -1.2; -1.9; -0.8; 0.0; -2.8 | — |
| SECONDARY Change From Baseline in Heart Rate at Week 8 |
0.7; -0.8; 0.2; -0.1; -0.4; -0.0 | — |
Eligibility Criteria
INCLUSION CRITERIA
Subjects eligible for enrolment 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 enrolment of adults only.
- 3. 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 (if required, spacers are permitted for reversibility testing only) or one nebulized albuterol/salbutamol solution during 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 inhaled corticosteroid for at least 8 weeks prior to Visit 1 and maintained on a stable dose of inhaled corticosteroids for four weeks prior to Visit 1 at one of the following doses: [fluticasone propionate MDI CFC/HFA >176 ≤ 440mcg exactuator or > 200 ≤500mcg ex valve]; [fluticasone propionate DPI > 200≤500mcg]; [beclomethasone dipropionate DPI > 420 ≤ 840mcg exactuator or > 500 ≤ 1000mcg ex-valve]; [beclomethasone dipropionate HFA Qvar > 160 ≤ 480mcg exactuator or > 200 ≤ 500mcg ex-valve]; [budesonide DPI MDI >400 ≤1200mcg]; [flunisolide > 1000 ≤ 2000mcg]; [triamcinolone acetonide >1000 ≤1600mcg]; [mometasone furoate DPI >200 ≤ 440mcg]; [ciclesonide MDI HFA >160 mcg ≤ 320mcg ex-actuator dose / >200mcg ≤ 400mcg ex-valve dose}
- 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 t
Data sourced from ClinicalTrials.gov (NCT00603746). 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.