Trial Outcomes & Findings for Efficacy and Safety Study to Compare Formoterol Fumerate in the Pressair DPI to the Foradil Aerolizer in Patient With Mild to Moderate Asthma (NCT NCT01641081)
NCT ID: NCT01641081
Last Updated: 2017-02-28
Results Overview
AUC0-6 is area under the curve from time 0 to 6 hours Serial spirometry was performed at -60 min predose, at 5 (+5) and 30 (±5) min post-dose, and at 1, 2, 3, 4, and 6 hrs post-dose (±15 min) Change from baseline was baseline of each treatment period The normalized FEV1 AUC0-6 was calculated by means of the trapezoidal method, dividing the area under the curve by the corresponding time intervals
COMPLETED
PHASE2
174 participants
Baseline and up to 6 hrs post-dose (±15 min) on Day 14 of treatment
2017-02-28
Participant Flow
The study was conducted in 29 study centers in the United States First patient visit was in June 2012 and last patient visit was in February 2013
A total of 408 patients were screened; there were 234 screen failures, primarily (225/234) because inclusion/exclusion criteria were not met
Participant milestones
| Measure |
Sequence 1
24 μg Foradil Aerolizer; 12 μg Foradil Aerolizer; Placebo Pressair; Formoterol 12 μg Pressair; Formoterol 6 μg Pressair
|
Sequence 2
12 μg Foradil Aerolizer; Formoterol 12 μg Pressair; 24 μg Foradil Aerolizer; Formoterol 6 μg Pressair; Placebo Pressair
|
Sequence 3
Formoterol 12 μg Pressair; Formoterol 6 μg Pressair; 12 μg Foradil Aerolizer; Placebo Pressair; 24 μg Foradil Aerolizer
|
Sequence 4
Formoterol 6 μg Pressair; Placebo Pressair; Formoterol 12 μg Pressair; 24 μg Foradil Aerolizer; 12 μg Foradil Aerolizer
|
Sequence 5
Placebo Pressair; 24 μg Foradil Aerolizer; Formoterol 6 μg Pressair; 12 μg Foradil Aerolizer; Formoterol 12 μg Pressair
|
Sequence 6
Formoterol 6 μg Pressair; Formoterol 12 μg Pressair; Placebo Pressair; 12 μg Foradil Aerolizer; 24 μg Foradil Aerolizer
|
Sequence 7
Placebo Pressair; Formoterol 6 μg Pressair; 24 μg Foradil Aerolizer; Formoterol 12 μg Pressair; 12 μg Foradil Aerolizer
|
Sequence 8
24 μg Foradil Aerolizer; Placebo Pressair; 12 μg Foradil Aerolizer; Formoterol 6 μg Pressair; Formoterol 12 μg Pressair
|
Sequence 9
12 μg Foradil Aerolizer; 24 μg Foradil Aerolizer; Formoterol 12 μg Pressair; Placebo Pressair; Formoterol 6 μg Pressair
|
Sequence 10
Formoterol 12 μg Pressair; 12 μg Foradil Aerolizer; Formoterol 6 μg Pressair; 24 μg Foradil Aerolizer; Placebo Pressair
|
|---|---|---|---|---|---|---|---|---|---|---|
|
Period 1
STARTED
|
18
|
18
|
15
|
22
|
17
|
19
|
19
|
17
|
15
|
14
|
|
Period 1
COMPLETED
|
17
|
18
|
15
|
22
|
16
|
19
|
18
|
14
|
15
|
14
|
|
Period 1
NOT COMPLETED
|
1
|
0
|
0
|
0
|
1
|
0
|
1
|
3
|
0
|
0
|
|
Period 2
STARTED
|
17
|
18
|
15
|
22
|
16
|
19
|
18
|
14
|
15
|
14
|
|
Period 2
COMPLETED
|
16
|
18
|
15
|
21
|
16
|
18
|
16
|
14
|
15
|
14
|
|
Period 2
NOT COMPLETED
|
1
|
0
|
0
|
1
|
0
|
1
|
2
|
0
|
0
|
0
|
|
Period 3
STARTED
|
16
|
18
|
15
|
21
|
16
|
18
|
16
|
14
|
15
|
14
|
|
Period 3
COMPLETED
|
16
|
18
|
14
|
21
|
16
|
18
|
16
|
14
|
14
|
14
|
|
Period 3
NOT COMPLETED
|
0
|
0
|
1
|
0
|
0
|
0
|
0
|
0
|
1
|
0
|
|
Period 4
STARTED
|
16
|
18
|
14
|
21
|
16
|
18
|
16
|
14
|
14
|
14
|
|
Period 4
COMPLETED
|
16
|
17
|
14
|
20
|
16
|
18
|
16
|
14
|
14
|
14
|
|
Period 4
NOT COMPLETED
|
0
|
1
|
0
|
1
|
0
|
0
|
0
|
0
|
0
|
0
|
|
Period 5
STARTED
|
16
|
17
|
14
|
20
|
16
|
18
|
16
|
14
|
14
|
14
|
|
Period 5
COMPLETED
|
16
|
17
|
12
|
20
|
16
|
18
|
16
|
14
|
14
|
14
|
|
Period 5
NOT COMPLETED
|
0
|
0
|
2
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
Reasons for withdrawal
| Measure |
Sequence 1
24 μg Foradil Aerolizer; 12 μg Foradil Aerolizer; Placebo Pressair; Formoterol 12 μg Pressair; Formoterol 6 μg Pressair
|
Sequence 2
12 μg Foradil Aerolizer; Formoterol 12 μg Pressair; 24 μg Foradil Aerolizer; Formoterol 6 μg Pressair; Placebo Pressair
|
Sequence 3
Formoterol 12 μg Pressair; Formoterol 6 μg Pressair; 12 μg Foradil Aerolizer; Placebo Pressair; 24 μg Foradil Aerolizer
|
Sequence 4
Formoterol 6 μg Pressair; Placebo Pressair; Formoterol 12 μg Pressair; 24 μg Foradil Aerolizer; 12 μg Foradil Aerolizer
|
Sequence 5
Placebo Pressair; 24 μg Foradil Aerolizer; Formoterol 6 μg Pressair; 12 μg Foradil Aerolizer; Formoterol 12 μg Pressair
|
Sequence 6
Formoterol 6 μg Pressair; Formoterol 12 μg Pressair; Placebo Pressair; 12 μg Foradil Aerolizer; 24 μg Foradil Aerolizer
|
Sequence 7
Placebo Pressair; Formoterol 6 μg Pressair; 24 μg Foradil Aerolizer; Formoterol 12 μg Pressair; 12 μg Foradil Aerolizer
|
Sequence 8
24 μg Foradil Aerolizer; Placebo Pressair; 12 μg Foradil Aerolizer; Formoterol 6 μg Pressair; Formoterol 12 μg Pressair
|
Sequence 9
12 μg Foradil Aerolizer; 24 μg Foradil Aerolizer; Formoterol 12 μg Pressair; Placebo Pressair; Formoterol 6 μg Pressair
|
Sequence 10
Formoterol 12 μg Pressair; 12 μg Foradil Aerolizer; Formoterol 6 μg Pressair; 24 μg Foradil Aerolizer; Placebo Pressair
|
|---|---|---|---|---|---|---|---|---|---|---|
|
Period 1
Sponsor request (potential unblinding)
|
0
|
0
|
0
|
0
|
0
|
0
|
1
|
0
|
0
|
0
|
|
Period 1
Protocol Violation
|
0
|
0
|
0
|
0
|
1
|
0
|
0
|
1
|
0
|
0
|
|
Period 1
Adverse Event
|
1
|
0
|
0
|
0
|
0
|
0
|
0
|
2
|
0
|
0
|
|
Period 2
Adverse Event
|
0
|
0
|
0
|
0
|
0
|
1
|
0
|
0
|
0
|
0
|
|
Period 2
Withdrawal by Subject
|
0
|
0
|
0
|
1
|
0
|
0
|
2
|
0
|
0
|
0
|
|
Period 2
Protocol Violation
|
1
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
|
Period 3
Adverse Event
|
0
|
0
|
1
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
|
Period 3
Withdrawal by Subject
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
1
|
0
|
|
Period 4
Adverse Event
|
0
|
1
|
0
|
1
|
0
|
0
|
0
|
0
|
0
|
0
|
|
Period 5
Adverse Event
|
0
|
0
|
2
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
Baseline Characteristics
Efficacy and Safety Study to Compare Formoterol Fumerate in the Pressair DPI to the Foradil Aerolizer in Patient With Mild to Moderate Asthma
Baseline characteristics by cohort
| Measure |
Overall Study Population
n=174 Participants
All patients participating in the crossover study
|
|---|---|
|
Age, Continuous
|
45.4 Years
STANDARD_DEVIATION 13.2 • n=5 Participants
|
|
Gender
Female
|
91 Participants
n=5 Participants
|
|
Gender
Male
|
83 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: Baseline and up to 6 hrs post-dose (±15 min) on Day 14 of treatmentPopulation: Intent to treat (ITT) Population defined as all patients in the Safety Population who had a baseline and at least 1 post-baseline FEV1 assessment
AUC0-6 is area under the curve from time 0 to 6 hours Serial spirometry was performed at -60 min predose, at 5 (+5) and 30 (±5) min post-dose, and at 1, 2, 3, 4, and 6 hrs post-dose (±15 min) Change from baseline was baseline of each treatment period The normalized FEV1 AUC0-6 was calculated by means of the trapezoidal method, dividing the area under the curve by the corresponding time intervals
Outcome measures
| Measure |
Foradil 24 μg
n=155 Participants
Administered via Aerolizer
|
Foradil 12 μg
n=151 Participants
Administered via Aerolizer
|
Formoterol 12 μg
n=155 Participants
Administered via Pressair
|
Formoterol 6 μg
n=159 Participants
Administered via Pressair
|
Placebo
n=154 Participants
Administered via Pressair
|
|---|---|---|---|---|---|
|
Change From Baseline in Normalized Forced Expiratory Volume in One Second (FEV1) AUC0-6 After the Morning Dose (Day 14)
|
0.3196 Liters
Standard Error 0.0382
|
0.3076 Liters
Standard Error 0.0382
|
0.2795 Liters
Standard Error 0.0382
|
0.2726 Liters
Standard Error 0.0381
|
0.0552 Liters
Standard Error 0.0382
|
SECONDARY outcome
Timeframe: Baseline and up to 6 hrs post-dose (±15 min) on Day 1 of treatmentPopulation: Intent to treat (ITT) Population defined as all patients in the Safety Population who had a baseline and at least 1 post-baseline FEV1 assessment
AUC0-6 is area under the curve from time 0 to 6 hours Serial spirometry was performed at -60 min predose, at 5 (+5) and 30 (±5) min post-dose, and at 1, 2, 3, 4, and 6 hrs post-dose (±15 min) Change from baseline was baseline of Period 1 The time-normalized FEV1 AUC0-6 was calculated by means of the trapezoidal method, dividing the area under the curve by the corresponding time intervals
Outcome measures
| Measure |
Foradil 24 μg
n=163 Participants
Administered via Aerolizer
|
Foradil 12 μg
n=155 Participants
Administered via Aerolizer
|
Formoterol 12 μg
n=159 Participants
Administered via Pressair
|
Formoterol 6 μg
n=158 Participants
Administered via Pressair
|
Placebo
n=154 Participants
Administered via Pressair
|
|---|---|---|---|---|---|
|
Change From Baseline in Normalized FEV1 AUC0-6 After the Morning Dose (Day 1)
|
0.3544 Liters
Standard Error 0.0196
|
0.3068 Liters
Standard Error 0.0198
|
0.2712 Liters
Standard Error 0.0197
|
0.2204 Liters
Standard Error 0.0197
|
0.0306 Liters
Standard Error 0.0198
|
Adverse Events
Foradil 24 μg
Foradil 12 μg
Formoterol 12 μg
Formoterol 6 μg
Placebo
Serious adverse events
| Measure |
Foradil 24 μg
n=167 participants at risk
Administered via Aerolizer
|
Foradil 12 μg
n=163 participants at risk
Administered via Aerolizer
|
Formoterol 12 μg
n=164 participants at risk
Administered via Pressair
|
Formoterol 6 μg
n=166 participants at risk
Administered via Pressair
|
Placebo
n=165 participants at risk
Administered via Pressair
|
|---|---|---|---|---|---|
|
Injury, poisoning and procedural complications
Ankle fracture
|
0.00%
0/167 • Day 14±1 of the final treatment period (Period 5)
The Safety Population consisted of all patients screened, randomized to a treatment sequence, and who took at least one dose of double-blind investigational product The total number of patients in the Safety Population was 174; due to study drop-out and the crossover study design, not all patients received all treatments
|
0.61%
1/163 • Day 14±1 of the final treatment period (Period 5)
The Safety Population consisted of all patients screened, randomized to a treatment sequence, and who took at least one dose of double-blind investigational product The total number of patients in the Safety Population was 174; due to study drop-out and the crossover study design, not all patients received all treatments
|
0.00%
0/164 • Day 14±1 of the final treatment period (Period 5)
The Safety Population consisted of all patients screened, randomized to a treatment sequence, and who took at least one dose of double-blind investigational product The total number of patients in the Safety Population was 174; due to study drop-out and the crossover study design, not all patients received all treatments
|
0.00%
0/166 • Day 14±1 of the final treatment period (Period 5)
The Safety Population consisted of all patients screened, randomized to a treatment sequence, and who took at least one dose of double-blind investigational product The total number of patients in the Safety Population was 174; due to study drop-out and the crossover study design, not all patients received all treatments
|
0.00%
0/165 • Day 14±1 of the final treatment period (Period 5)
The Safety Population consisted of all patients screened, randomized to a treatment sequence, and who took at least one dose of double-blind investigational product The total number of patients in the Safety Population was 174; due to study drop-out and the crossover study design, not all patients received all treatments
|
|
Musculoskeletal and connective tissue disorders
Osteoarthritis
|
0.00%
0/167 • Day 14±1 of the final treatment period (Period 5)
The Safety Population consisted of all patients screened, randomized to a treatment sequence, and who took at least one dose of double-blind investigational product The total number of patients in the Safety Population was 174; due to study drop-out and the crossover study design, not all patients received all treatments
|
0.61%
1/163 • Day 14±1 of the final treatment period (Period 5)
The Safety Population consisted of all patients screened, randomized to a treatment sequence, and who took at least one dose of double-blind investigational product The total number of patients in the Safety Population was 174; due to study drop-out and the crossover study design, not all patients received all treatments
|
0.00%
0/164 • Day 14±1 of the final treatment period (Period 5)
The Safety Population consisted of all patients screened, randomized to a treatment sequence, and who took at least one dose of double-blind investigational product The total number of patients in the Safety Population was 174; due to study drop-out and the crossover study design, not all patients received all treatments
|
0.00%
0/166 • Day 14±1 of the final treatment period (Period 5)
The Safety Population consisted of all patients screened, randomized to a treatment sequence, and who took at least one dose of double-blind investigational product The total number of patients in the Safety Population was 174; due to study drop-out and the crossover study design, not all patients received all treatments
|
0.00%
0/165 • Day 14±1 of the final treatment period (Period 5)
The Safety Population consisted of all patients screened, randomized to a treatment sequence, and who took at least one dose of double-blind investigational product The total number of patients in the Safety Population was 174; due to study drop-out and the crossover study design, not all patients received all treatments
|
Other adverse events
| Measure |
Foradil 24 μg
n=167 participants at risk
Administered via Aerolizer
|
Foradil 12 μg
n=163 participants at risk
Administered via Aerolizer
|
Formoterol 12 μg
n=164 participants at risk
Administered via Pressair
|
Formoterol 6 μg
n=166 participants at risk
Administered via Pressair
|
Placebo
n=165 participants at risk
Administered via Pressair
|
|---|---|---|---|---|---|
|
Nervous system disorders
Tremor
|
6.0%
10/167 • Day 14±1 of the final treatment period (Period 5)
The Safety Population consisted of all patients screened, randomized to a treatment sequence, and who took at least one dose of double-blind investigational product The total number of patients in the Safety Population was 174; due to study drop-out and the crossover study design, not all patients received all treatments
|
1.2%
2/163 • Day 14±1 of the final treatment period (Period 5)
The Safety Population consisted of all patients screened, randomized to a treatment sequence, and who took at least one dose of double-blind investigational product The total number of patients in the Safety Population was 174; due to study drop-out and the crossover study design, not all patients received all treatments
|
1.2%
2/164 • Day 14±1 of the final treatment period (Period 5)
The Safety Population consisted of all patients screened, randomized to a treatment sequence, and who took at least one dose of double-blind investigational product The total number of patients in the Safety Population was 174; due to study drop-out and the crossover study design, not all patients received all treatments
|
0.60%
1/166 • Day 14±1 of the final treatment period (Period 5)
The Safety Population consisted of all patients screened, randomized to a treatment sequence, and who took at least one dose of double-blind investigational product The total number of patients in the Safety Population was 174; due to study drop-out and the crossover study design, not all patients received all treatments
|
0.00%
0/165 • Day 14±1 of the final treatment period (Period 5)
The Safety Population consisted of all patients screened, randomized to a treatment sequence, and who took at least one dose of double-blind investigational product The total number of patients in the Safety Population was 174; due to study drop-out and the crossover study design, not all patients received all treatments
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee Publication of the results by the PI will be subject to mutual agreement between the PI and sponsor.
- Publication restrictions are in place
Restriction type: OTHER