A Study of the Bronchodilator Effect of Formoterol Fumarate Used in Combination With Mometasone Furoate Metered Dose Inhaler in Children With Persistent Asthma (P06476 AM2)

NCT ID: NCT01258803

Last Updated: 2024-05-23

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

92 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-12-31

Study Completion Date

2011-10-31

Brief Summary

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A study to compare the bronchodilatory effect of a single dose of Mometasone Furoate/Formoterol Fumarate (MF/F) pressurized metered dose inhaler (MDI) delivered with and without an AeroChamber Plus® with Flow-Vu® Anti-Static Valved Holding Chamber (spacer) versus Placebo MDI (combined with and without spacer) and formoterol fumarate (F) dry powder inhaler (DPI). Participants were randomly assigned to 1 of 6 treatment sequences and each participant was to receive a single dose of each of 4 treatments in each period. Each treatment period was separated by a 5 to 7 day washout period. It assumed that a single dose MF/F MDI 100/10 microgram (mcg) delivered with a spacer would produce bronchodilation, defined as a significant increase in forced expiratory volume in one second (FEV1) area under the curve from 0 to 12 hours (AUC\[0-12 hr\]) when compared to placebo.

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

SINGLE

Investigators

Study Groups

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Sequence 1

Treatment Period 1: Placebo MDI with spacer; Treatment Period 2: MF/F MDI without spacer; Treatment Period 3: MF/F MDI with spacer; Treatment Period 4: F DPI

Group Type EXPERIMENTAL

Formoterol Fumarate DPI

Intervention Type DRUG

Two inhalations of Formoterol Fumarate DPI 10 mcg administered as a single dose

Mometasone Furoate/Formoterol Fumarate MDI (ex-actuator) without spacer

Intervention Type DRUG

Two inhalations of Mometasone Furoate/Formoterol Fumarate MDI 50/5 mcg administered as a single dose without an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Mometasone Furoate/Formoterol Fumarate MDI (ex-actuator) with spacer

Intervention Type DRUG

Two inhalations of Mometasone Furoate/Formoterol Fumarate MDI 50/5 mcg administered as a single dose with an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Placebo MDI with spacer

Intervention Type DRUG

Two inhalations of placebo MDI administered as a single dose with an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Mometasone Furoate DPI

Intervention Type DRUG

Two inhalations of MF DPI 100 mcg administered as a single dose once daily at night. Used as maintenance therapy during screening and in between single doses of study drug.

Sequence 2

Treatment Period 1: F DPI; Treatment Period 2: MF/F MDI without spacer; Treatment Period 3: MF/F MDI with spacer; Treatment Period 4: Placebo MDI with spacer

Group Type EXPERIMENTAL

Formoterol Fumarate DPI

Intervention Type DRUG

Two inhalations of Formoterol Fumarate DPI 10 mcg administered as a single dose

Mometasone Furoate/Formoterol Fumarate MDI (ex-actuator) without spacer

Intervention Type DRUG

Two inhalations of Mometasone Furoate/Formoterol Fumarate MDI 50/5 mcg administered as a single dose without an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Mometasone Furoate/Formoterol Fumarate MDI (ex-actuator) with spacer

Intervention Type DRUG

Two inhalations of Mometasone Furoate/Formoterol Fumarate MDI 50/5 mcg administered as a single dose with an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Placebo MDI with spacer

Intervention Type DRUG

Two inhalations of placebo MDI administered as a single dose with an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Mometasone Furoate DPI

Intervention Type DRUG

Two inhalations of MF DPI 100 mcg administered as a single dose once daily at night. Used as maintenance therapy during screening and in between single doses of study drug.

Sequence 3

Treatment Period 1: MF/F MDI without spacer; Treatment Period 2: F DPI; Treatment Period 3: Placebo MDI with spacer; Treatment Period 4: MF/F MDI with spacer

Group Type EXPERIMENTAL

Formoterol Fumarate DPI

Intervention Type DRUG

Two inhalations of Formoterol Fumarate DPI 10 mcg administered as a single dose

Mometasone Furoate/Formoterol Fumarate MDI (ex-actuator) without spacer

Intervention Type DRUG

Two inhalations of Mometasone Furoate/Formoterol Fumarate MDI 50/5 mcg administered as a single dose without an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Mometasone Furoate/Formoterol Fumarate MDI (ex-actuator) with spacer

Intervention Type DRUG

Two inhalations of Mometasone Furoate/Formoterol Fumarate MDI 50/5 mcg administered as a single dose with an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Placebo MDI with spacer

Intervention Type DRUG

Two inhalations of placebo MDI administered as a single dose with an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Mometasone Furoate DPI

Intervention Type DRUG

Two inhalations of MF DPI 100 mcg administered as a single dose once daily at night. Used as maintenance therapy during screening and in between single doses of study drug.

Sequence 4

Treatment Period 1: Placebo MDI without spacer; Treatment Period 2: MF/F MDI with spacer; Treatment Period 3: F DPI; Treatment Period 4: MF/F MDI without spacer

Group Type EXPERIMENTAL

Formoterol Fumarate DPI

Intervention Type DRUG

Two inhalations of Formoterol Fumarate DPI 10 mcg administered as a single dose

Mometasone Furoate/Formoterol Fumarate MDI (ex-actuator) without spacer

Intervention Type DRUG

Two inhalations of Mometasone Furoate/Formoterol Fumarate MDI 50/5 mcg administered as a single dose without an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Mometasone Furoate/Formoterol Fumarate MDI (ex-actuator) with spacer

Intervention Type DRUG

Two inhalations of Mometasone Furoate/Formoterol Fumarate MDI 50/5 mcg administered as a single dose with an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Placebo MDI without spacer

Intervention Type DRUG

Two inhalations of placebo MDI administered as a single dose without an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Mometasone Furoate DPI

Intervention Type DRUG

Two inhalations of MF DPI 100 mcg administered as a single dose once daily at night. Used as maintenance therapy during screening and in between single doses of study drug.

Sequence 5

Treatment Period 1: MF/F MDI without spacer; Treatment Period 2: F DPI; Treatment Period 3: MF/F MDI with spacer; Treatment Period 4: Placebo MDI without spacer

Group Type EXPERIMENTAL

Formoterol Fumarate DPI

Intervention Type DRUG

Two inhalations of Formoterol Fumarate DPI 10 mcg administered as a single dose

Mometasone Furoate/Formoterol Fumarate MDI (ex-actuator) without spacer

Intervention Type DRUG

Two inhalations of Mometasone Furoate/Formoterol Fumarate MDI 50/5 mcg administered as a single dose without an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Mometasone Furoate/Formoterol Fumarate MDI (ex-actuator) with spacer

Intervention Type DRUG

Two inhalations of Mometasone Furoate/Formoterol Fumarate MDI 50/5 mcg administered as a single dose with an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Placebo MDI without spacer

Intervention Type DRUG

Two inhalations of placebo MDI administered as a single dose without an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Mometasone Furoate DPI

Intervention Type DRUG

Two inhalations of MF DPI 100 mcg administered as a single dose once daily at night. Used as maintenance therapy during screening and in between single doses of study drug.

Sequence 6

Treatment Period 1: MF/F MDI with spacer; Treatment Period 2: Placebo MDI without spacer; Treatment Period 3: MF/F MDI without spacer; Treatment Period 4: F DPI

Group Type EXPERIMENTAL

Formoterol Fumarate DPI

Intervention Type DRUG

Two inhalations of Formoterol Fumarate DPI 10 mcg administered as a single dose

Mometasone Furoate/Formoterol Fumarate MDI (ex-actuator) without spacer

Intervention Type DRUG

Two inhalations of Mometasone Furoate/Formoterol Fumarate MDI 50/5 mcg administered as a single dose without an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Mometasone Furoate/Formoterol Fumarate MDI (ex-actuator) with spacer

Intervention Type DRUG

Two inhalations of Mometasone Furoate/Formoterol Fumarate MDI 50/5 mcg administered as a single dose with an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Placebo MDI without spacer

Intervention Type DRUG

Two inhalations of placebo MDI administered as a single dose without an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Mometasone Furoate DPI

Intervention Type DRUG

Two inhalations of MF DPI 100 mcg administered as a single dose once daily at night. Used as maintenance therapy during screening and in between single doses of study drug.

Interventions

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Formoterol Fumarate DPI

Two inhalations of Formoterol Fumarate DPI 10 mcg administered as a single dose

Intervention Type DRUG

Mometasone Furoate/Formoterol Fumarate MDI (ex-actuator) without spacer

Two inhalations of Mometasone Furoate/Formoterol Fumarate MDI 50/5 mcg administered as a single dose without an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Intervention Type DRUG

Mometasone Furoate/Formoterol Fumarate MDI (ex-actuator) with spacer

Two inhalations of Mometasone Furoate/Formoterol Fumarate MDI 50/5 mcg administered as a single dose with an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Intervention Type DRUG

Placebo MDI with spacer

Two inhalations of placebo MDI administered as a single dose with an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Intervention Type DRUG

Placebo MDI without spacer

Two inhalations of placebo MDI administered as a single dose without an AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chamber (spacer)

Intervention Type DRUG

Mometasone Furoate DPI

Two inhalations of MF DPI 100 mcg administered as a single dose once daily at night. Used as maintenance therapy during screening and in between single doses of study drug.

Intervention Type DRUG

Other Intervention Names

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SCH 045571 MK-5571 Foradil® Aerolizer® SCH 418131 MK-0877A SCH 418131 MK-0877A SCH 032088 MK-0887 Asmanex® Twisthaler®

Eligibility Criteria

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Inclusion Criteria

* Must have a diagnosis of asthma of at least 6 months duration
* Must have taken an Inhaled Corticosteroid (\[ICS\]; alone or in combination with a long-acting beta-2 Agonist \[LABA\]) for at least 3 months prior to the Screening Visit and must have been on a stable daily dose for at least 2 weeks prior to the Screening Visit
* FEV1 must be at least 70% predicted after all restricted medications have been withheld for the appropriate intervals
* Must demonstrate an increase in absolute FEV1 of at least 12% within 30 minutes after administration of 360 mcg albuterol (4 inhalations x 90 mcg, ex-actuator) or of nebulized albuterol (2.5 mg), if confirmed as standard office practice

Exclusion Criteria

* Has been treated in the emergency room for a severe asthma exacerbation requiring systemic glucocorticosteroid treatment, or hospitalized for management of airway obstruction within 3 months prior to the Screening Visit
* Has required ventilator support for respiratory failure secondary to asthma
* Demonstrates a decrease in absolute FEV1 of \>20% at any time from the Screening Visit up to and including the Baseline Visit
* Requires the use of greater than 8 inhalations per day of short-acting beta-2 agonists (SABA) MDI, or 2 or more nebulized treatments per day of 2.5 mg SABA on any 2 consecutive days from the Screening Visit up to and including the Baseline Visit
* Experiences a clinical deterioration in asthma that results in emergency treatment, hospitalization due to asthma, or treatment with additional, excluded asthma medication (including oral or other systemic corticosteroids, but allowing SABA) as judged by the investigator, at any time from the Screening Visit up to and including the Baseline Visit
Minimum Eligible Age

5 Years

Maximum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Organon and Co

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ariel Teper, MD

Role: STUDY_CHAIR

Merck Sharp & Dohme LLC

References

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Berger WE, Bensch GW, Weinstein SF, Skoner DP, Prenner BM, Shekar T, Nolte H, Teper AA. Bronchodilation with mometasone furoate/formoterol fumarate administered by metered-dose inhaler with and without a spacer in children with persistent asthma. Pediatr Pulmonol. 2014 May;49(5):441-50. doi: 10.1002/ppul.22850. Epub 2013 Sep 9.

Reference Type DERIVED
PMID: 24019197 (View on PubMed)

Other Identifiers

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MK-0887A-178

Identifier Type: OTHER

Identifier Source: secondary_id

P06476

Identifier Type: -

Identifier Source: org_study_id

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