Trial on the Effect of Budesonide/Formoterol and Inhaled Budesonide Alone on Exercise-Induced Asthma

NCT ID: NCT01070888

Last Updated: 2021-07-07

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-02-28

Study Completion Date

2014-04-30

Brief Summary

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The purpose of this study is to find out if Symbicort® (budesonide/formoterol), a new combination asthma medication, is more effective than budesonide alone in controlling exercise induced asthma.

The investigators hypothesize that in children and adults who suffer from asthma and exercise induced asthma there will be less decline in lung function associated with exercise when they receive the study medication.

Detailed Description

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The purpose of this study is to find out if Symbicort® (budesonide/formoterol), a new combination asthma medication, is more effective than budesonide alone in controlling exercise induced asthma.

The investigators hypothesize that in children and adults who suffer from asthma and exercise induced asthma there will be less decline in lung function associated with exercise when they receive the study medication.

40 subjects will be randomized to receive both active medications in separate testing periods to determine the effect on their lung function after exercise testing.

Conditions

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Exercise Induced 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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Budesonide/Formoterol first

This arm will receive blinded budesonide/formoterol and dummy inhaler and will be asked to take 2 inhalations of each inhaler, twice daily. The second study period will be budesonide and dummy inhaler.

Group Type EXPERIMENTAL

Budesonide/Formoterol

Intervention Type DRUG

Budesonide/Formoterol 160/4.5, 2 puff twice daily for 2 weeks

Budesonide

Intervention Type DRUG

Budesonide 180mcg, 2 puffs twice daily for 2 weeks

Budesonide first

This arm will receive blinded budesonide and dummy inhaler and will be asked to take 2 inhalations of each inhaler, twice daily. The second study period will be budesonide/formoterol and dummy inhaler.

Group Type ACTIVE_COMPARATOR

Budesonide/Formoterol

Intervention Type DRUG

Budesonide/Formoterol 160/4.5, 2 puff twice daily for 2 weeks

Budesonide

Intervention Type DRUG

Budesonide 180mcg, 2 puffs twice daily for 2 weeks

Interventions

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Budesonide/Formoterol

Budesonide/Formoterol 160/4.5, 2 puff twice daily for 2 weeks

Intervention Type DRUG

Budesonide

Budesonide 180mcg, 2 puffs twice daily for 2 weeks

Intervention Type DRUG

Other Intervention Names

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Symbicort Pulmicort

Eligibility Criteria

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Inclusion Criteria

* Male or Female Patients aged 12 to 50 years with a diagnosis of asthma for at least 6 months before screening
* Baseline FEV1 of 60% to \>100% of predicted
* Demonstrate a decrease in FEV1 of 15% or greater from baseline after standardized stepped exercise challenge testing
* Taking a constant dose of low-medium dose inhaled steroids for at least 30 days before screening of either:

1. fluticasone, 88 - 440 mcg/d via MDI or 100 to 500 mcg/d via DPI
2. beclomethasone HFA 80 to 480 mcg/day
3. budesonide DPI 180 to 1200 mcg/ d
4. flunisolide 500 to 2000 mcg/d
5. flunisolide HFA 320 to 640 mcg/d
6. mometasone 200 to 800 mcg/d
7. triamcinolone acetonide 300 to 1500 mcg/ d

Exclusion Criteria

* Patients already on LABAs, systemic corticosteroids, or other combination inhaled steroids/LABA medications.
* Patients not able to safely complete an exercise challenge due to physical constraints outside of their respiratory status.
* Patients who are pregnant or plan to become pregnant during the study period.
* Patients with a history of hypersensitivity reaction to either formoterol or budesonide.
* Patients with any significant disease or disorder which, in the opinion of the investigator, may either put the patient at risk because of participation in the study, or influence the results of the study, or the patient's ability to participate in the study.
* Patients with planned hospitalization during the study
* Current Smokers or those with a history of 10 pack years of tobacco use or more.
Minimum Eligible Age

12 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Brigham and Women's Hospital

OTHER

Sponsor Role collaborator

Boston Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Wanda Phipatanakul

Study PI

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Wanda Phipatanakul, MD,MS

Role: PRINCIPAL_INVESTIGATOR

Boston Children's Hospital

Jonathan M Gaffin, MD

Role: STUDY_DIRECTOR

Boston Children's Hospital

Locations

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Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Children's Hospital Boston

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Gaffin JM, Bouzaher A, McCown M, Larabee Tuttle K, Israel E, Phipatanakul W. Rethinking the prevalence of exercise-induced bronchoconstriction in patients with asthma. Ann Allergy Asthma Immunol. 2013 Dec;111(6):567-8. doi: 10.1016/j.anai.2013.10.005. Epub 2013 Oct 30. No abstract available.

Reference Type DERIVED
PMID: 24267370 (View on PubMed)

Other Identifiers

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08080372

Identifier Type: -

Identifier Source: org_study_id

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