Single Dose Study of the Effect of Formoterol Fumarate in Combination With Mometasone Furoate Inhaled Via a Pressurized Metered Dose Inhaler (pMDI) in Children Aged 5-11 Years Old With Persistent Asthma

NCT ID: NCT00746330

Last Updated: 2011-06-07

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-08-31

Study Completion Date

2009-04-30

Brief Summary

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This study is being conducted to compare the pharmacodynamics (bronchodilation, onset and duration of action), of a single dose of formoterol fumarate in combination with mometasone furoate to placebo in children of 5-11 years with persistent asthma. The study will also assess the bronchodilatory effect of a single dose of formoterol fumarate alone and in combination with mometasone furoate delivered via a pressurized metered dose inhaler (pMDI) to the bronchodilatory effect of formoterol fumarate delivered via a dry powder inhaler (DPI). Furthermore, pharmacokinetic assessments of plasma and urine will also be conducted throughout the study to assess systemic exposure following administration of the study medication.

Detailed Description

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Conditions

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Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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F12M - PL - F12D - MFF

Participants received a single dose of each treatment in the following order, separated by a washout period of 6-7 days: Period 1: Formoterol fumarate 12 μg via pMDI + placebo to formoterol fumarate via DPI; Period 2: Placebo to formoterol fumarate / mometasone furoate via pMDI + placebo to formoterol fumarate via DPI; Period 3: Placebo to formoterol fumarate / mometasone furoate via pMDI + formoterol fumarate via DPI; Period 4: Formoterol fumarate / mometasone furoate 10 μg / 100 μg via pMDI + placebo to formoterol fumarate via DPI. Participants were allowed to continue their regular asthma maintenance inhaled corticosteroid medication throughout the study and were supplied with the short-acting β2-agonist (SABA) salbutamol as rescue medication.

Group Type EXPERIMENTAL

Mometasone furoate/formoterol fumarate (MFF)

Intervention Type DRUG

Formoterol fumarate dihydrate / mometasone furoate combination product 10 μg / 100 μg delivered via Pressurized Metered Dose Inhaler (pMDI). One dose consisted of 2 puffs x 5 μg / 50 μg.

Formoterol fumarate 12 μg pMDI (F12M)

Intervention Type DRUG

Formoterol fumarate dihydrate 12 μg delivered via Pressurized Metered Dose Inhaler (pMDI) (1 dose = 2 puffs x 6 μg).

Formoterol fumarate 12 μg DPI (F12D)

Intervention Type DRUG

Formoterol fumarate dihydrate 12 μg delivered via Dry Powder Inhaler (DPI).

Placebo to F12D

Intervention Type DRUG

Placebo to formoterol fumarate DPI delivered via DPI

Placebo to F12M/MFF

Intervention Type DRUG

Placebo to formoterol fumarate pMDI and formoterol fumarate / mometasone furoate delivered via pMDI

F12D - F12M - MFF - PL

Participants received a single dose of each treatment in the following order, separated by a washout period of 6-7 days: Period 1: Placebo to formoterol fumarate / mometasone furoate via pMDI + formoterol fumarate via DPI; Period 2: Formoterol fumarate 12 μg via pMDI + placebo to formoterol fumarate via DPI; Period 3: Formoterol fumarate / mometasone furoate 10 μg / 100 μg via pMDI + placebo to formoterol fumarate via DPI; Period 4: Placebo to formoterol fumarate / mometasone furoate via pMDI + placebo to formoterol fumarate via DPI. Participants were allowed to continue their regular asthma maintenance inhaled corticosteroid medication throughout the study and were supplied with the short-acting β2-agonist (SABA) salbutamol as rescue medication.

Group Type EXPERIMENTAL

Mometasone furoate/formoterol fumarate (MFF)

Intervention Type DRUG

Formoterol fumarate dihydrate / mometasone furoate combination product 10 μg / 100 μg delivered via Pressurized Metered Dose Inhaler (pMDI). One dose consisted of 2 puffs x 5 μg / 50 μg.

Formoterol fumarate 12 μg pMDI (F12M)

Intervention Type DRUG

Formoterol fumarate dihydrate 12 μg delivered via Pressurized Metered Dose Inhaler (pMDI) (1 dose = 2 puffs x 6 μg).

Formoterol fumarate 12 μg DPI (F12D)

Intervention Type DRUG

Formoterol fumarate dihydrate 12 μg delivered via Dry Powder Inhaler (DPI).

Placebo to F12D

Intervention Type DRUG

Placebo to formoterol fumarate DPI delivered via DPI

Placebo to F12M/MFF

Intervention Type DRUG

Placebo to formoterol fumarate pMDI and formoterol fumarate / mometasone furoate delivered via pMDI

MFF - F12D - PL - F12M

Participants received a single dose of each treatment in the following order, separated by a washout period of 6-7 days: Period 1: Formoterol fumarate / mometasone furoate 10 μg / 100 μg via pMDI + placebo to formoterol fumarate via DPI; Period 2: Placebo to formoterol fumarate / mometasone furoate via pMDI + formoterol fumarate via DPI; Period 3: Placebo to formoterol fumarate / mometasone furoate via pMDI + placebo to formoterol fumarate via DPI; Period 4: Formoterol fumarate 12 μg via pMDI + placebo to formoterol fumarate via DPI. Participants were allowed to continue their regular asthma maintenance inhaled corticosteroid medication throughout the study and were supplied with the short-acting β2-agonist (SABA) salbutamol as rescue medication.

Group Type EXPERIMENTAL

Mometasone furoate/formoterol fumarate (MFF)

Intervention Type DRUG

Formoterol fumarate dihydrate / mometasone furoate combination product 10 μg / 100 μg delivered via Pressurized Metered Dose Inhaler (pMDI). One dose consisted of 2 puffs x 5 μg / 50 μg.

Formoterol fumarate 12 μg pMDI (F12M)

Intervention Type DRUG

Formoterol fumarate dihydrate 12 μg delivered via Pressurized Metered Dose Inhaler (pMDI) (1 dose = 2 puffs x 6 μg).

Formoterol fumarate 12 μg DPI (F12D)

Intervention Type DRUG

Formoterol fumarate dihydrate 12 μg delivered via Dry Powder Inhaler (DPI).

Placebo to F12D

Intervention Type DRUG

Placebo to formoterol fumarate DPI delivered via DPI

Placebo to F12M/MFF

Intervention Type DRUG

Placebo to formoterol fumarate pMDI and formoterol fumarate / mometasone furoate delivered via pMDI

PL - MFF - F12M - F12D

Participants received a single dose of each treatment in the following order, separated by a washout period of 6-7 days: Period 1: Placebo to formoterol fumarate / mometasone furoate via pMDI + placebo to formoterol fumarate via DPI; Period 2: Formoterol fumarate / mometasone furoate 10 μg / 100 μg via pMDI + placebo to formoterol fumarate via DPI; Period 3: Formoterol fumarate 12 μg via pMDI + placebo to formoterol fumarate via DPI; Period 4: Placebo to formoterol fumarate / mometasone furoate via pMDI + formoterol fumarate via DPI. Participants were allowed to continue their regular asthma maintenance inhaled corticosteroid medication throughout the study and were supplied with the short-acting β2-agonist (SABA) salbutamol as rescue medication.

Group Type EXPERIMENTAL

Mometasone furoate/formoterol fumarate (MFF)

Intervention Type DRUG

Formoterol fumarate dihydrate / mometasone furoate combination product 10 μg / 100 μg delivered via Pressurized Metered Dose Inhaler (pMDI). One dose consisted of 2 puffs x 5 μg / 50 μg.

Formoterol fumarate 12 μg pMDI (F12M)

Intervention Type DRUG

Formoterol fumarate dihydrate 12 μg delivered via Pressurized Metered Dose Inhaler (pMDI) (1 dose = 2 puffs x 6 μg).

Formoterol fumarate 12 μg DPI (F12D)

Intervention Type DRUG

Formoterol fumarate dihydrate 12 μg delivered via Dry Powder Inhaler (DPI).

Placebo to F12D

Intervention Type DRUG

Placebo to formoterol fumarate DPI delivered via DPI

Placebo to F12M/MFF

Intervention Type DRUG

Placebo to formoterol fumarate pMDI and formoterol fumarate / mometasone furoate delivered via pMDI

Interventions

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Mometasone furoate/formoterol fumarate (MFF)

Formoterol fumarate dihydrate / mometasone furoate combination product 10 μg / 100 μg delivered via Pressurized Metered Dose Inhaler (pMDI). One dose consisted of 2 puffs x 5 μg / 50 μg.

Intervention Type DRUG

Formoterol fumarate 12 μg pMDI (F12M)

Formoterol fumarate dihydrate 12 μg delivered via Pressurized Metered Dose Inhaler (pMDI) (1 dose = 2 puffs x 6 μg).

Intervention Type DRUG

Formoterol fumarate 12 μg DPI (F12D)

Formoterol fumarate dihydrate 12 μg delivered via Dry Powder Inhaler (DPI).

Intervention Type DRUG

Placebo to F12D

Placebo to formoterol fumarate DPI delivered via DPI

Intervention Type DRUG

Placebo to F12M/MFF

Placebo to formoterol fumarate pMDI and formoterol fumarate / mometasone furoate delivered via pMDI

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 5 to 11 years of age of either sex and of any race
* A diagnosis (according to the Global Initiative for Asthma \[GINA\] guidelines) of persistent asthma for a period of at least 6 months prior to screening and must have been on a stable asthma regimen (daily dose unchanged) for at least 4 weeks prior to screening
* β2-agonist reversibility, defined as an increase in absolute FEV1 of ≥12% within 30 minutes after administration of 200μg of salbutamol without the use of a spacer or its equivalent in accordance with ATS/ERS standards
* A child must have an FEV1 of ≥ 60% and ≤ 90% of Polgar predicted when all restricted medications have been withheld for the appropriate intervals

Exclusion Criteria

* Use of other investigational drugs at the time of enrolment, or within 30 days or 5 half-lives of enrolment, whichever is longer.
* History of malignancy of any organ system within past 5 years.
* Pre-dose change (increase or decrease) in absolute FEV1 of 15% at Visit 2, compared with value at screening.
* Hospitalized or had an emergency room treatment for an acute asthma exacerbation in the 1 month prior to Visit 1, or who had a clinical deterioration of asthma between Visits 1 and 2 that resulted in emergency treatment, hospitalization, or treatment with excluded asthma medication.
* Significant medication condition or situation.
* QTc \> 440 msec (boys) or \> 450 msec (girls) on electrocardiogram(ECG) assessment at screening.
* Upper or lower respiratory tract infection within 4 weeks prior to screening.
* Chronic conditions affecting the respiratory tract or chronic lung diseases.
Minimum Eligible Age

5 Years

Maximum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Schering-Plough

INDUSTRY

Sponsor Role collaborator

Novartis

INDUSTRY

Sponsor Role lead

Responsible Party

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Novartis

Locations

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Novartis Investigative Site

Mobile, Alabama, United States

Site Status

Novartis Investigative Site

Huntington Beach, California, United States

Site Status

Novartis Investigative Site

Orange, California, United States

Site Status

Novartis Investigative Site

Hialeah, Florida, United States

Site Status

Novartis Investigative Site

Pensacola, Florida, United States

Site Status

Novartis Investigative Site

Oklahoma City, Oklahoma, United States

Site Status

Novartis Investigative Site

Barranquilla, , Colombia

Site Status

Novartis Investigative Site

Bogotá, , Colombia

Site Status

Novartis Investigative Site

Lima, , Peru

Site Status

Countries

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United States Colombia Peru

Other Identifiers

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CMFF258C2204

Identifier Type: -

Identifier Source: org_study_id

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