Trial Outcomes & Findings for Efficacy of Albuterol SPIROMAX® in Adult and Adolescent Patients With Exercise-Induced Bronchoconstriction (EIB) (NCT NCT01791972)

NCT ID: NCT01791972

Last Updated: 2015-06-18

Results Overview

A centralized spirometry data collection system was used to reduce FEV1 variability between and within patients and between each participating study center. The percentage fall was defined as 100\*(baseline-post baseline)/baseline. The baseline FEV1 is the test day FEV1 measured 5 minutes before the exercise challenge (30 minutes postdose). FEV1 post exercise challenge were measured 5 (±5), 10 (±5), 15 (±5), 30 (±5), and 60 (±10) minutes after completion of the exercise challenge. The exercise challenge consisted of the participant running on a motor-driven treadmill (with adjustable speed and incline). The treadmill was set at a speed and incline sufficient to increase the participant's heart rate to ≥80% of the maximum rate for age (220 bpm-age in years) for a period of either 6, 7, or 8 minutes using a stepped-exercise protocol in accordance with ATS guidelines (American Thoracic Society 2000). Conditions were repeated for subsequent challenges.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

38 participants

Primary outcome timeframe

Days 1 and 7; up to 60 minutes post-exercise challenge

Results posted on

2015-06-18

Participant Flow

A total of 64 patients with EIB were screened. Of the 26 patients who did not participate in the study, 23 were excluded on the basis of inclusion/exclusion criteria, 2 patients withdrew consent, and 1 patient was withdrawn for other reason(s) before the baseline visit.

Participant milestones

Participant milestones
Measure
Albuterol Spiromax / Placebo Spiromax
Albuterol Spiromax, 180 mcg (2 inhalations of 90 mcg/inhalation), single dose on Day 1. Placebo Spiromax (2 inhalations), single dose on approximately Day 7.
Placebo Spiromax / Albuterol Spiromax
Placebo Spiromax, (2 inhalations), single dose on Day 1. Albuterol Spiromax 180 mcg (2 inhalations of 90 mcg/inhalation), single dose on approximately Day 7.
Overall Study
STARTED
19
19
Overall Study
COMPLETED
19
19
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Efficacy of Albuterol SPIROMAX® in Adult and Adolescent Patients With Exercise-Induced Bronchoconstriction (EIB)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Albuterol Spiromax / Placebo Spiromax
n=19 Participants
Albuterol Spiromax, 180 mcg (2 inhalations of 90 mcg/inhalation), single dose on Day 1. Placebo Spiromax (2 inhalations), single dose on approximately Day 7.
Placebo Spiromax / Albuterol Spiromax
n=19 Participants
Placebo Spiromax, (2 inhalations), single dose on Day 1. Albuterol Spiromax 180 mcg (2 inhalations of 90 mcg/inhalation), single dose on approximately Day 7.
Total
n=38 Participants
Total of all reporting groups
Age, Continuous
31.7 years
STANDARD_DEVIATION 7.11 • n=5 Participants
31.9 years
STANDARD_DEVIATION 8.87 • n=7 Participants
31.8 years
STANDARD_DEVIATION 7.93 • n=5 Participants
Age, Customized
<18 years
1 participants
n=5 Participants
1 participants
n=7 Participants
2 participants
n=5 Participants
Age, Customized
>=18 years
18 participants
n=5 Participants
18 participants
n=7 Participants
36 participants
n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
10 Participants
n=7 Participants
19 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
9 Participants
n=7 Participants
19 Participants
n=5 Participants
Race/Ethnicity, Customized
White
14 participants
n=5 Participants
16 participants
n=7 Participants
30 participants
n=5 Participants
Race/Ethnicity, Customized
Black
4 participants
n=5 Participants
2 participants
n=7 Participants
6 participants
n=5 Participants
Race/Ethnicity, Customized
Asian
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Race/Ethnicity, Customized
Other
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
2 participants
n=5 Participants
2 participants
n=7 Participants
4 participants
n=5 Participants
Race/Ethnicity, Customized
Non-Hispanic and non-Latino
17 participants
n=5 Participants
17 participants
n=7 Participants
34 participants
n=5 Participants
Weight
82.7 kg
STANDARD_DEVIATION 15.54 • n=5 Participants
74.2 kg
STANDARD_DEVIATION 21.04 • n=7 Participants
78.4 kg
STANDARD_DEVIATION 18.75 • n=5 Participants
Height
171.4 cm
STANDARD_DEVIATION 12.06 • n=5 Participants
169.8 cm
STANDARD_DEVIATION 11.46 • n=7 Participants
170.6 cm
STANDARD_DEVIATION 11.63 • n=5 Participants
Body Mass Index
28.1 kg/m^2
STANDARD_DEVIATION 4.00 • n=5 Participants
25.3 kg/m^2
STANDARD_DEVIATION 4.58 • n=7 Participants
26.7 kg/m^2
STANDARD_DEVIATION 4.47 • n=5 Participants

PRIMARY outcome

Timeframe: Days 1 and 7; up to 60 minutes post-exercise challenge

Population: Full analysis set

A centralized spirometry data collection system was used to reduce FEV1 variability between and within patients and between each participating study center. The percentage fall was defined as 100\*(baseline-post baseline)/baseline. The baseline FEV1 is the test day FEV1 measured 5 minutes before the exercise challenge (30 minutes postdose). FEV1 post exercise challenge were measured 5 (±5), 10 (±5), 15 (±5), 30 (±5), and 60 (±10) minutes after completion of the exercise challenge. The exercise challenge consisted of the participant running on a motor-driven treadmill (with adjustable speed and incline). The treadmill was set at a speed and incline sufficient to increase the participant's heart rate to ≥80% of the maximum rate for age (220 bpm-age in years) for a period of either 6, 7, or 8 minutes using a stepped-exercise protocol in accordance with ATS guidelines (American Thoracic Society 2000). Conditions were repeated for subsequent challenges.

Outcome measures

Outcome measures
Measure
Albuterol Spiromax 180 mcg
n=38 Participants
Single dose of Albuterol Spiromax, 180 mcg (2 inhalations of 90 mcg/inhalation)
Placebo Spiromax
n=38 Participants
Single dose of Placebo Spiromax (2 inhalations)
Maximum Percentage Fall From Baseline in Forced Expiratory Volume in 1 Second (FEV1) up to 60 Minutes After the Exercise Challenge
6.21 percentage change from baseline FEV1
Standard Error 1.443
22.38 percentage change from baseline FEV1
Standard Error 1.444

SECONDARY outcome

Timeframe: Days 1 and 7; up to 60 minutes post-exercise challenge

Population: Full analysis set

Participants were classified as protected if the maximum percentage decrease from baseline FEV1 after exercise was less than 10%. Data represents the percentage of participants who were classified as protected.

Outcome measures

Outcome measures
Measure
Albuterol Spiromax 180 mcg
n=38 Participants
Single dose of Albuterol Spiromax, 180 mcg (2 inhalations of 90 mcg/inhalation)
Placebo Spiromax
n=38 Participants
Single dose of Placebo Spiromax (2 inhalations)
Percentage of Participants Whose Maximum Percentage Decrease From the Baseline Forced Expiratory Volume in 1 Second (FEV1) Post-Exercise Challenge Was <10%
84.21 percentage of participants
15.79 percentage of participants

SECONDARY outcome

Timeframe: Days 1 and 7; up to 60 minutes post-exercise challenge

Population: Full analysis set

Participants were classified as unprotected if the maximum percentage decrease from baseline FEV1 after exercise was more than 20%. Data represents the number of participants who were classified as unprotected.

Outcome measures

Outcome measures
Measure
Albuterol Spiromax 180 mcg
n=38 Participants
Single dose of Albuterol Spiromax, 180 mcg (2 inhalations of 90 mcg/inhalation)
Placebo Spiromax
n=38 Participants
Single dose of Placebo Spiromax (2 inhalations)
Participants Whose Maximum Percentage Decrease From the Baseline Forced Expiratory Volume in 1 Second (FEV1) Post-Exercise Challenge Was >20%
1 participants
22 participants

Adverse Events

Albuterol Spiromax 180 mcg

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

Placebo Spiromax

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Teva Branded Pharmaceutical Products, R&D Inc.

Director, Clinical Research

Phone: 1-215-591-3000

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor has the right 60 days before submission for publication to review/provide comments. If the Sponsor's review shows that potentially patentable subject matter would be disclosed, publication or public disclosure shall be delayed for up to 90 additional days in order for the Sponsor, or Sponsor's designees, to file the necessary patent applications. In multicenter trials, each PI will postpone single center publications until after disclosure or publication of multicenter data.
  • Publication restrictions are in place

Restriction type: OTHER