Trial Outcomes & Findings for Comparison of Single-Dose Efficacy of an Albuterol Breath-Actuated Inhaler (Albuterol-HFA-BAI) Versus an Albuterol Metered-Dose Inhaler (Albuterol-HFA-MDI) in Participants With Asthma (NCT NCT00530062)

NCT ID: NCT00530062

Last Updated: 2022-09-07

Results Overview

The %FEV1 AUEC0-2 was calculated using the linear trapezoidal rule. The baseline value consisted of the average of the two predose FEV1 measurements. The mean was obtained from the mixed-effect analysis of variance adjusted for effects from the study center, the treatment sequence, and study period.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

49 participants

Primary outcome timeframe

Baseline, Up to 2 hours postdose

Results posted on

2022-09-07

Participant Flow

Eligible participants were randomized to receive the following 2 treatments on separate occasions 2-7 days apart: Albuterol-hydrofluoroalkane-breath-actuated inhaler (HFA-BAI) and Albuterol-HFA-metered-dose inhaler (MDI).

Participant milestones

Participant milestones
Measure
Overall Population
Participants received single actuation of albuterol 90 micrograms (mcg), administered using BAI in treatment period 1, then single actuation of albuterol 90 mcg, administered using MDI in treatment period 2. There was a washout period of 2-7 days between treatments.
Overall Study
STARTED
49
Overall Study
Received at Least 1 Dose of Study Drug
49
Overall Study
COMPLETED
49
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Comparison of Single-Dose Efficacy of an Albuterol Breath-Actuated Inhaler (Albuterol-HFA-BAI) Versus an Albuterol Metered-Dose Inhaler (Albuterol-HFA-MDI) in Participants With Asthma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Population
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using BAI in treatment period 1, then single actuation of albuterol 90 mcg, administered using MDI in treatment period 2. There was a washout period of 2-7 days between treatments.
Age, Continuous
14.1 years
STANDARD_DEVIATION 9.59 • n=5 Participants
Sex: Female, Male
Female
27 Participants
n=5 Participants
Sex: Female, Male
Male
22 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
38 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Black or African heritage
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · White
47 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Up to 2 hours postdose

Population: ITT population included all randomized participants who took at least 1 dose of the assigned study medication.

The %FEV1 AUEC0-2 was calculated using the linear trapezoidal rule. The baseline value consisted of the average of the two predose FEV1 measurements. The mean was obtained from the mixed-effect analysis of variance adjusted for effects from the study center, the treatment sequence, and study period.

Outcome measures

Outcome measures
Measure
Albuterol-HFA-BAI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using BAI in treatment period 1
Albuterol-HFA-MDI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using MDI in treatment period 2.
Area-Under-the-Effect Curve of Percent Change in Test-Day Baseline Forced Expiratory Volume in 1 Second (FEV1) Versus Time (up to 2 Hours Postdose), %FEV1 AUEC0-2
21.403 percent change from baseline*hour
Standard Error 2.263
20.457 percent change from baseline*hour
Standard Error 2.253

SECONDARY outcome

Timeframe: Baseline up to 30 minutes postdose

Population: ITT population included all randomized participants who took at least 1 dose of the assigned study medication.

The mean was obtained from the mixed-effect analysis of variance adjusted for effects from the study center, the treatment sequence, and study period.

Outcome measures

Outcome measures
Measure
Albuterol-HFA-BAI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using BAI in treatment period 1
Albuterol-HFA-MDI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using MDI in treatment period 2.
Percent Change From Baseline in FEV1 Within 30 Minutes Postdose
10.777 percent change
Standard Error 1.185
10.114 percent change
Standard Error 1.180

SECONDARY outcome

Timeframe: Baseline up to 2 hours postdose

Population: ITT population included all randomized participants who took at least 1 dose of the assigned study medication.

The mean was obtained from the mixed-effect analysis of variance adjusted for effects from the study center, the treatment sequence, and study period.

Outcome measures

Outcome measures
Measure
Albuterol-HFA-BAI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using BAI in treatment period 1
Albuterol-HFA-MDI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using MDI in treatment period 2.
Percent Change From Baseline in FEV1 up to 2 Hours Postdose
14.319 percent change
Standard Error 1.292
13.731 percent change
Standard Error 1.286

SECONDARY outcome

Timeframe: Baseline up to 2 hours postdose

Population: ITT population included all randomized participants who took at least 1 dose of the assigned study medication.

The %FEV1 AUEC0-2 was calculated using the linear trapezoidal rule. The test-day baseline consisted of the average of the two predose FEV1 measurements. The mean was obtained from the mixed-effect analysis of variance adjusted for effects from the study center, the treatment sequence, and study period.

Outcome measures

Outcome measures
Measure
Albuterol-HFA-BAI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using BAI in treatment period 1
Albuterol-HFA-MDI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using MDI in treatment period 2.
Area-Under-the-Effect Curve of Change in Test-Day Baseline FEV1 Versus Time (up to 2 Hours Postdose), FEV1 AUEC0-2
0.443 liters*hours
Standard Error 0.044
0.407 liters*hours
Standard Error 0.044

SECONDARY outcome

Timeframe: Baseline up to 2 hours postdose

Population: ITT population included all randomized participants who took at least 1 dose of the assigned study medication.

Outcome measures

Outcome measures
Measure
Albuterol-HFA-BAI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using BAI in treatment period 1
Albuterol-HFA-MDI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using MDI in treatment period 2.
Percentage of Participants With a 12% Increase From Baseline in FEV1 Within 2 Hours Postdose
57.1 percentage of participants
42.9 percentage of participants

SECONDARY outcome

Timeframe: Baseline up to 2 hours postdose

Population: ITT population included all randomized participants who took at least 1 dose of the assigned study medication.

Outcome measures

Outcome measures
Measure
Albuterol-HFA-BAI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using BAI in treatment period 1
Albuterol-HFA-MDI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using MDI in treatment period 2.
Percentage of Participants With a 15% Increase From Baseline in FEV1 Within 2 Hours Postdose
32.7 percentage of participants
30.6 percentage of participants

SECONDARY outcome

Timeframe: Baseline up to 2 hours postdose

Population: ITT population included all randomized participants who took at least 1 dose of the assigned study medication.

The number of minutes required for the baseline FEV1 to increase by at least 12% within the 2-hour observation period. Median time and corresponding confidence intervals (CIs) were obtained via the Kaplan-Meier estimate.

Outcome measures

Outcome measures
Measure
Albuterol-HFA-BAI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using BAI in treatment period 1
Albuterol-HFA-MDI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using MDI in treatment period 2.
Time to a 12% Increase From Baseline in FEV1 Within 2 Hours Postdose
60.00 minutes
Interval 45.0 to
Due to smaller number of participants with an event, upper limit of 95% CI was not estimable.
NA minutes
Interval 46.0 to
Due to smaller number of participants with an event, median and upper limit of 95% CI was not estimable.

SECONDARY outcome

Timeframe: Baseline up to 2 hours postdose

Population: ITT population included all randomized participants who took at least 1 dose of the assigned study medication.

The number of minutes required for the baseline FEV1 to increase by at least 15% within the 2-hour observation period. Median time and corresponding CIs were obtained via the Kaplan-Meier estimate.

Outcome measures

Outcome measures
Measure
Albuterol-HFA-BAI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using BAI in treatment period 1
Albuterol-HFA-MDI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using MDI in treatment period 2.
Time to a 15% Increase From Baseline in FEV1 Within 2 Hours Postdose
NA minutes
Interval 123.0 to
Due to smaller number of participants with an event, median and upper limit of 95% CI was not estimable.
NA minutes
Not enough participants experienced a 15% increase in FEV1 and therefore the median could not be calculated.

SECONDARY outcome

Timeframe: Baseline up to 2 hours postdose

Population: ITT population included all randomized participants who took at least 1 dose of the assigned study medication.

Each calculation for FEV1 took several minutes in order to obtain the highest of 3 measurements. The total collection time exceeded the 120 mins post-dose time frame for some participants.

Outcome measures

Outcome measures
Measure
Albuterol-HFA-BAI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using BAI in treatment period 1
Albuterol-HFA-MDI
n=49 Participants
Participants received single actuation of albuterol 90 mcg, administered using MDI in treatment period 2.
Time to Maximum Increase in FEV1
48.00 minutes
Interval 15.0 to 123.0
45.00 minutes
Interval 11.0 to 128.0

Adverse Events

Albuterol-HFA-BAI

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Albuterol-HFA-MDI

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Director, Clinical Research

Teva Branded Pharmaceutical Products R&D, Inc.

Phone: 1-888-483-8279

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor has the right 60 days before submission for publication to review/provide comments. If the Sponsor's review shows that potentially patentable subject matter would be disclosed, publication or public disclosure shall be delayed for up to 90 additional days in order for the Sponsor, or Sponsor's designees, to file the necessary patent applications. In multicenter trials, each PI will postpone single center publications until after disclosure or publication of multicenter data.
  • Publication restrictions are in place

Restriction type: OTHER