Safety Study in Adolescent and Adult Patients With Asthma

NCT ID: NCT01476904

Last Updated: 2017-02-13

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

208 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-30

Study Completion Date

2012-07-31

Brief Summary

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E004-C2 is a continuation of E004-C for safety evaluations with additional 3 months to be able to assess the 6-month safety profile for E004 (epinephrine inhalation) versus placebo in a double-blinded manner.

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 epinephrine inhalation, QID, with 4-6 hr intervals

Group Type EXPERIMENTAL

Epinephrine inhalation

Intervention Type DRUG

125 mcg/inhalation, 2 inhalations QID

Arm P

Arm P is a placebo comparator consisting of 2× 0 mcg of placebo inhalations, QID, with 4-6 hr intervals

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

0 mcg/inhalation, 2 inhalations QID

Arm A

Arm A is an active comparator, Primatene Mist, consisting of 2× 220 mcg/inhalation, QID, with 4-6 hr intervals

Group Type ACTIVE_COMPARATOR

Primatene Mist

Intervention Type DRUG

220 mcg/inhalation, 2 inhalations QID

Interventions

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Placebo

0 mcg/inhalation, 2 inhalations QID

Intervention Type DRUG

Primatene Mist

220 mcg/inhalation, 2 inhalations QID

Intervention Type DRUG

Epinephrine inhalation

125 mcg/inhalation, 2 inhalations QID

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Only subjects who have successfully completed the E004-C study within the last 135 days or those who are actively enrolled in the current study E004-C at the time of the study extension initiation
* Male and female asthma patients aged 12 - 75 years
* 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
* 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

Principal Investigators

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Safety Monitor

Role: STUDY_DIRECTOR

Amphastar Pharmaceuticals, Inc.

Locations

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Amphastar Site 0006

Costa Mesa, California, United States

Site Status

Amphastar Site 0005

Los Angeles, California, United States

Site Status

Amphastar Site 0004

Orange, California, United States

Site Status

Amphastar Site 0001

San Jose, California, United States

Site Status

Amphastar Site 0003

Stockton, California, United States

Site Status

Amphastar Site 0008

Denver, Colorado, United States

Site Status

Amphastar Site 0009

Wheat Ridge, Colorado, United States

Site Status

Amphastar Site 0011

Iowa City, Iowa, United States

Site Status

Amphastar Site 0013

North Dartmouth, Massachusetts, United States

Site Status

Amphastar Site 0014

Minneapolis, Minnesota, United States

Site Status

Amphastar Site 0015

Plymouth, Minnesota, United States

Site Status

Amphastar Site 0016

St Louis, Missouri, United States

Site Status

Amphastar Site 0017

Bozeman, Montana, United States

Site Status

Amphastar Site 0019

Bellevue, Nebraska, United States

Site Status

Amphastar Site 0020

Skillman, New Jersey, United States

Site Status

Amphastar Site 0018

Raleigh, North Carolina, United States

Site Status

Amphastar Site 0021

Cincinnati, Ohio, United States

Site Status

Amphastar Site 0024

Ashland, Oregon, United States

Site Status

Amphastar Site 0022

Eugene, Oregon, United States

Site Status

Amphastar Site 0023

Lake Oswego, Oregon, United States

Site Status

Amphastar Site 0025

Medford, Oregon, United States

Site Status

Amphastar Site 0026

Portland, Oregon, United States

Site Status

Amphastar Site 0029

North Charleston, South Carolina, United States

Site Status

Amphastar Site 0031

El Paso, Texas, United States

Site Status

Amphastar Site 0030

New Braunfels, Texas, United States

Site Status

Amphastar Site 0033

Richmond, Virginia, United States

Site Status

Amphastar Site 0034

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)

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)

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)

Hankinson JL, Odencrantz JR, Fedan KB. Spirometric reference values from a sample of the general U.S. population. Am J Respir Crit Care Med. 1999 Jan;159(1):179-87. doi: 10.1164/ajrccm.159.1.9712108.

Reference Type BACKGROUND
PMID: 9872837 (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-C2

Identifier Type: -

Identifier Source: org_study_id

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