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Phase 2 N=610 Randomized Quadruple-blind Other

An 8-week Dose Ranging Study of CHF 718 pMDI in Asthmatic Subjects

Asthma

Enrolled (actual)
610
Serious AEs
1.0%
Results posted
Dec 2021
Primary outcome: Primary: Pre-dose Morning FEV1 at Week 8 - Change From Baseline — 0.021; 0.090; 0.070; -0.023 Litres — p=0.567

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
CHF 718 pMDI (Drug); Placebo pMDI (Drug); Beclomethasone Dipropionate (BDP) (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Chiesi Farmaceutici S.p.A.
Primary completion
Nov 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Pre-dose Morning FEV1 at Week 8 - Change From Baseline
0.021; 0.090; 0.070; -0.023; 0.078 0.567
SECONDARY
Pre-dose Morning FEV1 at Week 4 - Change From Baseline
0.021; 0.120; 0.073; 0.003; 0.077 0.647
SECONDARY
Pre-dose Morning FVC at Week 4 and 8 - Change From Baseline
0.036; 0.099; 0.066; 0.023; 0.056; 0.014 0.780
SECONDARY
Asthma Control Questionnaire-7© (ACQ-7) Score at Week 4 and Week 8 - Change From Baseline
-0.43; -0.53; -0.49; -0.27; -0.47; -0.53 0.053
SECONDARY
Average Use of Rescue Medication - Change From Baseline
-0.11; -0.27; -0.14; 0.07; -0.13; -0.12 0.067
SECONDARY
Percentage (%) of Rescue Medication-free Days - Change From Baseline
5.9; 9.0; 6.1; 1.5; 7.7; 8.9 0.115
SECONDARY
Overall Daily Asthma Symptoms Scores - Change From Baseline
-0.1; -0.1; -0.1; 0.0; -0.1; -0.1 < 0.001 sig
SECONDARY
Percentage (%) of Asthma Symptoms-free Days - Change From Baseline
8.6; 10.5; 10.1; 5.7; 12.8; 16.4 0.316
SECONDARY
Percentage (%) of Asthma Control Days - Change From Baseline
7.3; 10.6; 10.4; 5.0; 12.8; 14.3 0.426
SECONDARY
Pre-dose Peak Expiratory Flow (PEF) (L/Min) (Morning and Evening) - Change From Baseline
-2; -3; -4; -6; 0; -4 0.260
SECONDARY
Vital Signs (Systolic and Diastolic Blood Pressure) - Change From Baseline
-0.4; 1.0; 0.5; 0.6; 0.0; 1.0
SECONDARY
12-lead ECG Parameters - Heart Rate - Change From Baseline
0.6; 0.2; 0.4; 1.2; -0.4
SECONDARY
12-lead ECG Parameters - PR, QRS, QTcF - Change From Baseline.
-2.6; 1.5; -1.9; -1.3; 1.0; 0.1
SECONDARY
12-lead ECG Parameters - Prolonged QTcF - Change From Baseline
6; 4; 4; 9; 3; 1
SECONDARY
24-hr Urine Free Cortisol - Change From Baseline
-3.60; -5.35; -4.10; 1.40; -3.50
SECONDARY
24-hr Creatinine - Change From Baseline.
0.00; 0.00; 0.00; 0.00; 0.00

Summary

The purpose of this study is to evaluate the dose-response of different doses of CHF 781 Pressurized Metered Dose Inhaler (pMDI) on lung function and other clinical outcomes, to identify the optimal dose(s) in terms of benefit/ risk ratio for further development in the target patient population.

Eligibility Criteria

Inclusion Criteria

  • Male or female subjects aged ≥18 and ≤75 years who have signed an Informed Consent form prior to initiation of any study-related procedure.
  • A diagnosis of asthma as defined in the Global Initiative for Asthma (GINA) Report, 2016, documented for at least 1 year prior to screening.
  • Subjects with poorly controlled or uncontrolled asthma evidenced by a score at the Asthma Control Questionnaire 7 © (ACQ-7) ≥1.5 (this criterion must be met at screening and at randomization visits).
  • Subjects with a pre-bronchodilator Forced Expiratory Volume in the 1st Second (FEV1) ≥50% and 10 pack-years or having stopped smoking one year or less prior to screening visit.
  • History of life-threatening asthma, clinically significant uncontrolled disease or respiratory infection.
  • An asthma exacerbation requiring oral corticosteroids within 3 months or hospitalization within 6 months prior to screening.
  • Subjects with unresolved bacterial or viral respiratory tract, sinus or middle ear infection affecting asthma status within 2 weeks prior to screening.
  • Subjects who received a vaccination within 2 weeks prior to screening or during the run-in.
  • Subjects with oral candidiasis at screening or at randomization.
  • Subjects with any clinically significant, uncontrolled condition
  • Subjects who have clinically significant cardiovascular condition
  • Subjects who have a clinically significant abnormal 12-lead ECG that results in active medical problem which may impact the safety of the subject according to Investigator's judgement.
  • Subjects whose 12-lead ECG shows Fridericia corrected QT interval (QTcF) >450 ms for males or QTcF >470 ms for females at screening and randomization visits.
  • Subjects with known intolerance/hypersensitivity or contra-indication to treatment with ß2-adrenergic receptor agonists, inhaled corticosteroids or propellant gases/excipients.
  • Subjects with concomitant immunosuppressive therapy, use of oral or injected corticosteroids, anti-Immunoglobulin E (IgE), anti-Interleukin 5 (IL5), or other monoclonal or polyclonal antibodies within 12 weeks prior to screening.
  • Use of potent cytochrome P450 3A4 inhibitors and inducers within 4 weeks prior to screening.
  • History of alcohol abuse and/or substance/drug abuse within 12 months prior to screening.
  • Subjects who have received an investigational drug within 1 month or 5 half-lives (whichever is greater) prior to screening visit, or have been previously randomized in this trial, or are currently participating in another clinical trial.
  • Subjects who are mentally or legally incapacitated, or subjects accommodated in an establishment as a result of an official or judicial order.
  • Subjects who have undergone major surgery in the 3 months prior to screening visit or have a planned surgery during the trial.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03084718). 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.

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