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

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

174 participants

Primary outcome timeframe

Baseline and up to 6 hrs post-dose (±15 min) on Day 14 of treatment

Results posted on

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

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

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

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 treatment

Population: 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

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 treatment

Population: 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

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

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Foradil 12 μg

Serious events: 2 serious events
Other events: 2 other events
Deaths: 0 deaths

Formoterol 12 μg

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Formoterol 6 μg

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

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

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

Study Director

AstraZeneca

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