Epinephrine Inhalation Aerosol USP: For Evaluation Of Efficacy And Safety In Asthma Patients

NCT ID: NCT01357642

Last Updated: 2016-03-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

373 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2011-12-31

Brief Summary

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This clinical study evaluates the 12-week efficacy and safety of Epinephrine HFA Inhalation Aerosol HFA the proposed HFA formulation of metered dose inhaler (MDI) of Epinephrine, in comparison to a Placebo-HFA control MDI and the currently marketed Primatene® Mist (epinephrine CFC inhaler), in adolescent and adult subjects with asthma.

Detailed Description

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Conditions

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Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Arm T

Arm T is the experimental treatment arm consisting of 2 x 125 mcg/inhalations of E004, QID, with 4-6 hr intervals

Group Type EXPERIMENTAL

Epinephrine inhalation aerosol

Intervention Type DRUG

Epinephrine inhalation aerosol, 125 mcg/inhalation, 2 inhalations QID at 4 - 6 hour intervals

Arm P

Placebo comparator as 2×Placebo QID, with 4-6 hr intervals

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo for epinephrine inhalation aerosol, formulation without epinephrine

Arm A

Active comparator, Primatene Mist, 2×220 mcg/inhalation, QID, with 4-6 hr intervals

Group Type ACTIVE_COMPARATOR

epinephrine inhalation aerosol

Intervention Type DRUG

epinephrine inhalation aerosol, 220 mcg/inhalation, 2 inhalations QID at 4-6 hour intervals

Interventions

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Epinephrine inhalation aerosol

Epinephrine inhalation aerosol, 125 mcg/inhalation, 2 inhalations QID at 4 - 6 hour intervals

Intervention Type DRUG

Placebo

Placebo for epinephrine inhalation aerosol, formulation without epinephrine

Intervention Type DRUG

epinephrine inhalation aerosol

epinephrine inhalation aerosol, 220 mcg/inhalation, 2 inhalations QID at 4-6 hour intervals

Intervention Type DRUG

Other Intervention Names

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epinephrine inhalation aerosol - HFA propelled Primatene Mist

Eligibility Criteria

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Inclusion Criteria

* Patients with documented asthma, requiring inhaled epinephrine or beta 2-agonist treatment.
* No significant changes in asthma therapy and no asthma-related hospitalization or emergency visits, within 4 weeks prior to Screening
* Can tolerate withholding treatment with inhaled bronchodilators and other allowed medications for the minimum washout period.
* Demonstrating a Screening Baseline FEV1 that is 50 - 90% of predicted normal value.
* Demonstrating at least a 12% Airway Reversibility.
* Demonstrating satisfactory techniques in the use of metered-dose inhaler and a hand held peak expiratory flow meter.
* Female patients of child-bearing potential must be non-pregnant and non-lactating at Screening and throughout the study, and must use an acceptable method of contraception during the study.

Exclusion Criteria

* A smoking history of 10-pack years, or having smoked within 12 months of screening.
* Any current or past medical conditions that, per investigator discretion, might significantly affect responses to the study drugs, other than asthma.
* Concurrent clinically significant diseases.
* Known intolerance or hypersensitivity to any component of the study drugs.
* Recent infection of the respiratory tract, before screening.
* Use of prohibited medications.
* Having been on other investigational drug/device studies in the last 30 days prior to screening.
* Known or highly suspected substance abuse.
Minimum Eligible Age

12 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amphastar Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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West Coast Clinical Trials

Costa Mesa, California, United States

Site Status

Southern California Institute for Respiratory Diseases

Los Angeles, California, United States

Site Status

Asthma and Allergy Associates of Southern California

Mission Viejo, California, United States

Site Status

CHOC PSF, Division of Allergy, Asthma and Immunology

Orange, California, United States

Site Status

Allergy & Asthma Assocaites of Santa Clara Valley

San Jose, California, United States

Site Status

Colorado Allergy & Asthma Centers

Centennial, Colorado, United States

Site Status

Colorado Allergy & Asthma Centers

Denver, Colorado, United States

Site Status

Rocky Mountain Center for Clinical Research

Wheat Ridge, Colorado, United States

Site Status

Atlanta Allergy & Asthma Clinic

Woodstock, Georgia, United States

Site Status

Iowa Clinical Research Corporation

Iowa City, Iowa, United States

Site Status

Family Allergy & Asthma Research Institute

Louisville, Kentucky, United States

Site Status

Northeast Medical Research Associates

No. Dartmouth, Massachusetts, United States

Site Status

Clinical Research Institute

Minneapolis, Minnesota, United States

Site Status

Clinical Research Institute

Plymouth, Minnesota, United States

Site Status

The Clinical Research Center

St Louis, Missouri, United States

Site Status

Clinical Research Group of Montana

Bozeman, Montana, United States

Site Status

The Asthma & Allergy Center

Bellevue, Nebraska, United States

Site Status

Princeton Center for Clinical Research

Skillman, New Jersey, United States

Site Status

North Carolina Clinical Research

Raleigh, North Carolina, United States

Site Status

New Horizons Clinical Research

Cincinnati, Ohio, United States

Site Status

Intergated Medical Research

Ashland, Oregon, United States

Site Status

Allergy and Asthma Research Group

Eugene, Oregon, United States

Site Status

Baker Allergy, Asthma & Dermatology Research Center

Lake Oswego, Oregon, United States

Site Status

The Clinical Research Institute of Southern Oregon

Medford, Oregon, United States

Site Status

Transitional Clinical Research

Portland, Oregon, United States

Site Status

Allergy and Clinical Immunology Associates

Pittsburgh, Pennsylvania, United States

Site Status

Asthma & Allergy Research Associates

Upland, Pennsylvania, United States

Site Status

National Allergy, Asthma & Urticaria Centers of Charleston

Charleston, South Carolina, United States

Site Status

Western Sky Research

El Paso, Texas, United States

Site Status

Central Texas Health Research

New Braunfels, Texas, United States

Site Status

Sylvana Research Associates

San Antonio, Texas, United States

Site Status

Allergy Partners

Richmond, Virginia, United States

Site Status

ASTHMA, Inc.

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Pinnas JL, Schachtel BP, Chen TM, Roseberry HR, Thoden WR. Inhaled epinephrine and oral theophylline-ephedrine in the treatment of asthma. J Clin Pharmacol. 1991 Mar;31(3):243-7. doi: 10.1002/j.1552-4604.1991.tb04969.x.

Reference Type BACKGROUND
PMID: 2019665 (View on PubMed)

Hendeles L, Marshik PL, Ahrens R, Kifle Y, Shuster J. Response to nonprescription epinephrine inhaler during nocturnal asthma. Ann Allergy Asthma Immunol. 2005 Dec;95(6):530-4. doi: 10.1016/S1081-1206(10)61014-9.

Reference Type BACKGROUND
PMID: 16400891 (View on PubMed)

Warren JB, Doble N, Dalton N, Ewan PW. Systemic absorption of inhaled epinephrine. Clin Pharmacol Ther. 1986 Dec;40(6):673-8. doi: 10.1038/clpt.1986.243.

Reference Type BACKGROUND
PMID: 3780129 (View on PubMed)

Cripps A, Riebe M, Schulze M, Woodhouse R. Pharmaceutical transition to non-CFC pressurized metered dose inhalers. Respir Med. 2000 Jun;94 Suppl B:S3-9.

Reference Type BACKGROUND
PMID: 10919679 (View on PubMed)

Dickinson BD, Altman RD, Deitchman SD, Champion HC. Safety of over-the-counter inhalers for asthma: report of the council on scientific affairs. Chest. 2000 Aug;118(2):522-6. doi: 10.1378/chest.118.2.522.

Reference Type BACKGROUND
PMID: 10936150 (View on PubMed)

Simons FE, Gu X, Johnston LM, Simons KJ. Can epinephrine inhalations be substituted for epinephrine injection in children at risk for systemic anaphylaxis? Pediatrics. 2000 Nov;106(5):1040-4. doi: 10.1542/peds.106.5.1040.

Reference Type BACKGROUND
PMID: 11061773 (View on PubMed)

Kerwin EM, Tashkin DP, Korenblat PE, Greos LS, Pearlman DS, Bensch GW, Miller SD, Marrs T, Luo MZ, Zhang JY. Long-term safety and efficacy studies of epinephrine HFA metered-dose inhaler (Primatene(R) Mist): a two-stage randomized controlled trial. J Asthma. 2021 May;58(5):633-644. doi: 10.1080/02770903.2020.1713147. Epub 2020 Jan 20.

Reference Type DERIVED
PMID: 31959019 (View on PubMed)

Other Identifiers

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API-E004-CL-C

Identifier Type: -

Identifier Source: org_study_id

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