Trial Outcomes & Findings for Study to Investigate the Safety and Efficacy of High Dose of Symbicort® SMART in Japanese Patients (NCT NCT00837967)

NCT ID: NCT00837967

Last Updated: 2012-08-29

Results Overview

Total number of adverse events

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

25 participants

Primary outcome timeframe

3 days

Results posted on

2012-08-29

Participant Flow

Patients recruited from 2 hospitals in Japan between January 2009 and July 2009. 28 patients enrolled; 25 patients randomized, 3 patients were not randomized (1 due to incorrect enrollment and 2 due to adverse event)

Participant milestones

Participant milestones
Measure
Symbicort First, Then Terbutaline
Symbicort Turbuhaler 160/4.5μg for 3 days First , then Terbutaline Turbuhaler 0.4 mg for 3 days
Terbutaline First, Then Symbicort
Terbutaline Turbuhaler 0.4 mg for 3 days First, then Symbicort Turbuhaler 160/4.5μg for 3 days,
First Intervention
STARTED
13
12
First Intervention
COMPLETED
13
12
First Intervention
NOT COMPLETED
0
0
Washout Period of 7 - 14 Days
STARTED
13
12
Washout Period of 7 - 14 Days
COMPLETED
11
12
Washout Period of 7 - 14 Days
NOT COMPLETED
2
0
Second Intervention
STARTED
11
12
Second Intervention
COMPLETED
11
12
Second Intervention
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Symbicort First, Then Terbutaline
Symbicort Turbuhaler 160/4.5μg for 3 days First , then Terbutaline Turbuhaler 0.4 mg for 3 days
Terbutaline First, Then Symbicort
Terbutaline Turbuhaler 0.4 mg for 3 days First, then Symbicort Turbuhaler 160/4.5μg for 3 days,
Washout Period of 7 - 14 Days
Adverse Event
2
0

Baseline Characteristics

Study to Investigate the Safety and Efficacy of High Dose of Symbicort® SMART in Japanese Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Participants
n=25 Participants
Age Continuous
44.3 years
STANDARD_DEVIATION 14.8 • n=5 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 days

Total number of adverse events

Outcome measures

Outcome measures
Measure
Symbicort
n=25 Participants
Symbicort Turbuhaler 160/4.5μg
Terbutaline
n=23 Participants
Terbutaline Turbuhaler 0.4 mg
Adverse Events
14 adverse events
24 adverse events

PRIMARY outcome

Timeframe: up to 740 min after start dosing for each treatment day

The mean AUC value was calculated as AUC (calculated using the trapezoidal method) divided by the length of the sampling period.

Outcome measures

Outcome measures
Measure
Symbicort
n=25 Participants
Symbicort Turbuhaler 160/4.5μg
Terbutaline
n=23 Participants
Terbutaline Turbuhaler 0.4 mg
Serum Potassium - Average Concentration From Trapezoidal Area Under the Curve (AUC)
4.01 mEq/L
Standard Deviation 0.25
3.88 mEq/L
Standard Deviation 0.26

PRIMARY outcome

Timeframe: up to 140 min after start dosing for each treatment day

The mean AUC value was calculated as AUC (calculated using the trapezoidal method) divided by the length of the sampling period.

Outcome measures

Outcome measures
Measure
Symbicort
n=25 Participants
Symbicort Turbuhaler 160/4.5μg
Terbutaline
n=23 Participants
Terbutaline Turbuhaler 0.4 mg
Blood Glucose - Average Concentration From Trapezoidal Area Under the Curve (AUC)
121.1 mg/dLiters
Standard Deviation 20.3
129.5 mg/dLiters
Standard Deviation 22.0

PRIMARY outcome

Timeframe: up to 740 min after start dosing for each treatment day

The mean AUC of QTcF (ECG interval measured from the beginning of the Q wave to the end of the T wave, corrected for heart rate using Fridericia's formula)was calculated as AUC (calculated using the trapezoidal method) divided by the length of the sampling period.

Outcome measures

Outcome measures
Measure
Symbicort
n=25 Participants
Symbicort Turbuhaler 160/4.5μg
Terbutaline
n=23 Participants
Terbutaline Turbuhaler 0.4 mg
Electrocardiogram (ECG)- Average Trapezoidal Area Under the Curve (AUC)
411.71 ms
Standard Deviation 15.07
414.33 ms
Standard Deviation 14.04

PRIMARY outcome

Timeframe: up to 740 min after start dosing for each treatment day

The mean AUC value was calculated as AUC (calculated using the trapezoidal method) divided by the length of the sampling period.

Outcome measures

Outcome measures
Measure
Symbicort
n=25 Participants
Symbicort Turbuhaler 160/4.5μg
Terbutaline
n=23 Participants
Terbutaline Turbuhaler 0.4 mg
Vital Sign (Blood Pressure)- Average Trapezoidal Area Under the Curve (AUC)
115.3 mmHg
Standard Deviation 6.3
114.9 mmHg
Standard Deviation 8.0

PRIMARY outcome

Timeframe: up to 740 min after start dosing for each treatment day

The mean AUC value was calculated as AUC (calculated using the trapezoidal method) divided by the length of the sampling period.

Outcome measures

Outcome measures
Measure
Symbicort
n=25 Participants
Symbicort Turbuhaler 160/4.5μg
Terbutaline
n=23 Participants
Terbutaline Turbuhaler 0.4 mg
Vital Sign (Pulse Rate)- Average Trapezoidal Area Under the Curve (AUC)
70.0 beats/min
Standard Deviation 6.6
74.1 beats/min
Standard Deviation 7.5

Adverse Events

Symbicort

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Terbutaline

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Symbicort
n=25 participants at risk
Symbicort Turbuhaler 160/4.5μg for 3 days
Terbutaline
n=23 participants at risk
Terbutaline Turbuhaler 0.4 mg for 3 days
Infections and infestations
Nasopharyngitis
8.0%
2/25
Of 25 patients in safety analysis set, 2 patients did not receive terbutaline due to adverse events lead to discontinuation. Therefore, data from 25 patients for Symbicort and 23 patients for terbutaline were used for the safety evaluation.
8.7%
2/23
Of 25 patients in safety analysis set, 2 patients did not receive terbutaline due to adverse events lead to discontinuation. Therefore, data from 25 patients for Symbicort and 23 patients for terbutaline were used for the safety evaluation.
Nervous system disorders
Tremor
12.0%
3/25
Of 25 patients in safety analysis set, 2 patients did not receive terbutaline due to adverse events lead to discontinuation. Therefore, data from 25 patients for Symbicort and 23 patients for terbutaline were used for the safety evaluation.
17.4%
4/23
Of 25 patients in safety analysis set, 2 patients did not receive terbutaline due to adverse events lead to discontinuation. Therefore, data from 25 patients for Symbicort and 23 patients for terbutaline were used for the safety evaluation.
Cardiac disorders
Palpitations
4.0%
1/25
Of 25 patients in safety analysis set, 2 patients did not receive terbutaline due to adverse events lead to discontinuation. Therefore, data from 25 patients for Symbicort and 23 patients for terbutaline were used for the safety evaluation.
13.0%
3/23
Of 25 patients in safety analysis set, 2 patients did not receive terbutaline due to adverse events lead to discontinuation. Therefore, data from 25 patients for Symbicort and 23 patients for terbutaline were used for the safety evaluation.
Cardiac disorders
Tachycardia
4.0%
1/25
Of 25 patients in safety analysis set, 2 patients did not receive terbutaline due to adverse events lead to discontinuation. Therefore, data from 25 patients for Symbicort and 23 patients for terbutaline were used for the safety evaluation.
13.0%
3/23
Of 25 patients in safety analysis set, 2 patients did not receive terbutaline due to adverse events lead to discontinuation. Therefore, data from 25 patients for Symbicort and 23 patients for terbutaline were used for the safety evaluation.
Investigations
Blood Pressure Decreased
8.0%
2/25
Of 25 patients in safety analysis set, 2 patients did not receive terbutaline due to adverse events lead to discontinuation. Therefore, data from 25 patients for Symbicort and 23 patients for terbutaline were used for the safety evaluation.
13.0%
3/23
Of 25 patients in safety analysis set, 2 patients did not receive terbutaline due to adverse events lead to discontinuation. Therefore, data from 25 patients for Symbicort and 23 patients for terbutaline were used for the safety evaluation.

Additional Information

Gerard Lynch

AstraZeneca

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place