Phase 3
N=64
A Study to Investigate the Effects of PT027 (Budesonide/Albuterol Sulfate) Metered-dose Inhaler Compared With Placebo on Exercise-Induced Bronchoconstriction in Adult Patients With Asthma
Asthma, Exercise-Induced
Bottom Line
View on ClinicalTrials.gov: NCT06245551 ↗Enrolled (actual)
64
Serious AEs
0.0%
Results posted
Aug 2025
Primary outcome: Primary: 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 — 6.95; 24.46; 6.28; 26.62 Percent fall — p=<0.001
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Budesonide/albuterol metered-dose inhaler 160/180 μg (Drug); Placebo metered-dose inhaler (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- AstraZeneca
- Primary completion
- Jun 2024
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY 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 |
6.95; 24.46; 6.28; 26.62; 7.29; 23.28 | <0.001 sig |
| SECONDARY Percentage of Subjects With a Maximum Percentage Fall in FEV₁ Post-exercise Challenge of <10% and <20% |
48; 2; 62; 14 | — |
| SECONDARY Percentage Fall From Post-dose, Pre-exercise Baseline in FEV1 at Each Time Point Within 60 Minutes Post-exercise Challenge |
1.68; 9.79; 3.16; 17.98; 4.20; 19.14 | — |
| SECONDARY Post-Exercise FEV1 Area Under the Curve From 0 to 30 Minutes (AUC0-30min) |
-0.10; -0.44 | — |
| SECONDARY Time To Recovery |
56; 6 | — |
Summary
The purpose of this Phase III, multicentre, randomized, double-blind, single-dose, 2-period, crossover study is to assess the efficacy and safety of PT027 (budesonide/albuterol sulfate) metered-dose inhaler compared with placebo on exercise-induced bronchoconstriction in adult patients with asthma. Subjects will receive each study treatment on separate visits and undergo a treadmill exercise challenge test so that the effect of study treatment on exercise-induced bronchoconstriction can be evaluated
Eligibility Criteria
Inclusion Criteria
- Female or male aged 18 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-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, 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.
- Historical or current evidence of a clinically significant disease.
- 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.
Data sourced from ClinicalTrials.gov (NCT06245551). 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.