A Safety and Efficacy Study of Beclomethasone Dipropionate Delivered Via Breath-Actuated Inhaler (BAI) or Metered-Dose Inhaler (MDI) in Participants Ages 4-11 Years Old With Persistent Asthma

NCT ID: NCT02040766

Last Updated: 2021-11-09

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

628 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-31

Study Completion Date

2016-03-31

Brief Summary

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This randomized, double-blind, double-dummy, placebo-controlled, parallel-group, 12-week study will evaluate the efficacy and safety of beclomethasone dipropionate (80 or 160 mcg/day) administered via breath-actuated inhaler (BAI) and metered-dose inhaler (MDI) in pediatric patients 4 through 11 years of age with persistent asthma, compared with placebo.

Patients took 1 inhalation (with assistance from parents/guardians/caregivers, as needed) from each of 2 devices (BAI device followed by MDI device in that order) twice daily as per the double-dummy study design: 1 BAI treatment or placebo device and 1 MDI treatment or placebo device for a total of 2 inhalations each time.

Detailed Description

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Conditions

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Asthma

Keywords

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asthma breath-actuated inhaler metered dose inhaler

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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BDP 80 mcg BAI

Beclomethasone dipropionate (BDP) was administered via a breath-actuated inhaler (BAI) twice daily (40 mcg twice a day).

Placebo MDI twice daily for blinding.

Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) at 90 mcg ex-actuator) or equivalent was used as rescue medication throughout the study.

Group Type EXPERIMENTAL

Beclomethasone dipropionate BAI

Intervention Type DRUG

Beclomethasone dipropionate (BDP), was delivered by a single inhalation using a breath-actuated inhaler (BAI) at levels of 40 mcg or 80 mcg per inhalation, twice each day.

albuterol/salbutamol 90 mcg

Intervention Type DRUG

Rescue medication (albuterol/salbutamol hydrofluoroalkane (HFA) MDI \[90 mcg ex-actuator\] or equivalent) for use on an as-needed basis for the immediate relief of asthma symptoms throughout the treatment period.

Placebo MDI

Intervention Type DRUG

Placebo was delivered by a single inhalation using a metered-dose inhaler (MDI) twice each day.

BDP 160 mcg BAI

Beclomethasone dipropionate (BDP) was administered via a breath-actuated inhaler (BAI) twice daily (80 mcg twice a day).

Placebo MDI twice daily for blinding.

Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) at 90 mcg ex-actuator) or equivalent was used as rescue medication throughout the study.

Group Type EXPERIMENTAL

Beclomethasone dipropionate BAI

Intervention Type DRUG

Beclomethasone dipropionate (BDP), was delivered by a single inhalation using a breath-actuated inhaler (BAI) at levels of 40 mcg or 80 mcg per inhalation, twice each day.

albuterol/salbutamol 90 mcg

Intervention Type DRUG

Rescue medication (albuterol/salbutamol hydrofluoroalkane (HFA) MDI \[90 mcg ex-actuator\] or equivalent) for use on an as-needed basis for the immediate relief of asthma symptoms throughout the treatment period.

Placebo MDI

Intervention Type DRUG

Placebo was delivered by a single inhalation using a metered-dose inhaler (MDI) twice each day.

BDP 80 mcg MDI

Beclomethasone dipropionate (BDP) was administered via a metered-dose inhaler (MDI) twice daily (40 mcg twice a day).

Placebo BAI twice daily for blinding.

Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) at 90 mcg ex-actuator) or equivalent was used as rescue medication throughout the study.

Group Type ACTIVE_COMPARATOR

Placebo BAI

Intervention Type DRUG

Placebo was delivered by a single inhalation using a breath-actuated inhaler (BAI) twice each day.

albuterol/salbutamol 90 mcg

Intervention Type DRUG

Rescue medication (albuterol/salbutamol hydrofluoroalkane (HFA) MDI \[90 mcg ex-actuator\] or equivalent) for use on an as-needed basis for the immediate relief of asthma symptoms throughout the treatment period.

Beclomethasone dipropionate MDI

Intervention Type DRUG

Beclomethasone dipropionate (BDP), was delivered by a single inhalation using a metered-dose inhaler (MDI) at levels of 40 mcg or 80 mcg per inhalation, twice each day.

BDP 160 mcg MDI

Beclomethasone dipropionate (BDP) was administered via a metered-dose inhaler (MDI) twice daily (80 mcg twice a day).

Placebo BAI twice daily for blinding.

Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) at 90 mcg ex-actuator) or equivalent was used as rescue medication throughout the study.

Group Type ACTIVE_COMPARATOR

Placebo BAI

Intervention Type DRUG

Placebo was delivered by a single inhalation using a breath-actuated inhaler (BAI) twice each day.

albuterol/salbutamol 90 mcg

Intervention Type DRUG

Rescue medication (albuterol/salbutamol hydrofluoroalkane (HFA) MDI \[90 mcg ex-actuator\] or equivalent) for use on an as-needed basis for the immediate relief of asthma symptoms throughout the treatment period.

Beclomethasone dipropionate MDI

Intervention Type DRUG

Beclomethasone dipropionate (BDP), was delivered by a single inhalation using a metered-dose inhaler (MDI) at levels of 40 mcg or 80 mcg per inhalation, twice each day.

Placebo BAI and MDI

Placebo was administered via breath-actuated inhaler (BAI) twice daily. Additionally placebo was administered via metered-dose inhaler (MDI) twice daily.

Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) at 90 mcg ex-actuator) or equivalent was used as rescue medication throughout the study.

Group Type PLACEBO_COMPARATOR

Placebo BAI

Intervention Type DRUG

Placebo was delivered by a single inhalation using a breath-actuated inhaler (BAI) twice each day.

albuterol/salbutamol 90 mcg

Intervention Type DRUG

Rescue medication (albuterol/salbutamol hydrofluoroalkane (HFA) MDI \[90 mcg ex-actuator\] or equivalent) for use on an as-needed basis for the immediate relief of asthma symptoms throughout the treatment period.

Placebo MDI

Intervention Type DRUG

Placebo was delivered by a single inhalation using a metered-dose inhaler (MDI) twice each day.

Interventions

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Beclomethasone dipropionate BAI

Beclomethasone dipropionate (BDP), was delivered by a single inhalation using a breath-actuated inhaler (BAI) at levels of 40 mcg or 80 mcg per inhalation, twice each day.

Intervention Type DRUG

Placebo BAI

Placebo was delivered by a single inhalation using a breath-actuated inhaler (BAI) twice each day.

Intervention Type DRUG

albuterol/salbutamol 90 mcg

Rescue medication (albuterol/salbutamol hydrofluoroalkane (HFA) MDI \[90 mcg ex-actuator\] or equivalent) for use on an as-needed basis for the immediate relief of asthma symptoms throughout the treatment period.

Intervention Type DRUG

Beclomethasone dipropionate MDI

Beclomethasone dipropionate (BDP), was delivered by a single inhalation using a metered-dose inhaler (MDI) at levels of 40 mcg or 80 mcg per inhalation, twice each day.

Intervention Type DRUG

Placebo MDI

Placebo was delivered by a single inhalation using a metered-dose inhaler (MDI) twice each day.

Intervention Type DRUG

Other Intervention Names

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BDP breath-actuated inhaler breath-actuated inhaler bronchodilators BDP metered-dose inhaler QVAR®

Eligibility Criteria

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Inclusion Criteria

* Written informed consent
* Asthma diagnosis: The patient has a diagnosis of asthma as defined by the National Institute of Health (NIH). The asthma diagnosis has been present for a minimum of 3 months and has been stable (defined as no exacerbations and no changes in medication) for at least 30 days before screening visit
* Severity of disease: The patient has persistent asthma, with a forced expiratory volume in 1 second (FEV1) 40% to 90% of the value predicted for age, height, and sex at screening visit (SV)
* Current asthma therapy: The patient is currently being treated with 1 of the following: 1) a stable daily dosage of an inhaled corticosteroid (ICS) in the range of 88-176 mcg/day of fluticasone propionate (or equivalent) for a minimum of 4 weeks (28 days) before screening visit 2) a stable daily dosage of non-corticosteroid therapy 3) a daily dose of ICS plus a long-acting beta2-agonist (LABA) (at a dose less than or equivalent to fluticasone propionate 100 mcg/salmeterol 50 mcg twice daily)
* Reversibility of disease: The patient has demonstrated at least 12% reversibility of FEV1 within 30 minutes after 2-4 inhalations of albuterol/salbutamol hydrofluoroalkane (HFA) MDI (90 mcg ex-actuator) or equivalent at screening visit or on retesting.
* Other criteria apply, please contact the investigator for more information

Exclusion Criteria

* The patient has a history of life-threatening asthma, defined for this protocol as an asthma episode that required intubation and/or was associated with hypercapnia, respiratory arrest, or hypoxic seizures.
* The patient is pregnant or lactating, or plans to become pregnant during the study period or for 30 days after the patient's last study-related visit (for eligible patients only, if applicable). Any patient becoming pregnant during the study will be withdrawn from the study.
* The patient has a known hypersensitivity to any corticosteroid or any of the excipients in the study drug or rescue medication formulation.
* The patient has used tobacco products within the past year (eg, cigarettes, cigars, chewing tobacco, or pipe tobacco, as applicable).
* The patient has had an asthma exacerbation requiring oral corticosteroids within 30 days before screening visit, or has had any hospitalization for asthma within 2 months before screening visit.
* The patient has historical or current evidence of a clinically significant disease. Significant disease is defined as any disease that in the medical judgment of the investigator would put the safety of the patient at risk through participation or that could affect the efficacy or safety analysis if the disease/condition worsened during the study.
* Other criteria apply, please contact the investigator for more information
Minimum Eligible Age

4 Years

Maximum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Teva Branded Pharmaceutical Products R&D, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Teva Medical Expert, MD

Role: STUDY_DIRECTOR

Teva Branded Pharmaceutical Products R&D, Inc.

Locations

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Teva Investigational Site 12346

Hoover, Alabama, United States

Site Status

Teva Investigational Site 12294

Montgomery, Alabama, United States

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Teva Investigational Site 10925

Phoenix, Arizona, United States

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Teva Investigational Site 12349

Little Rock, Arkansas, United States

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Teva Investigational Site 10903

Costa Mesa, California, United States

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Teva Investigational Site 10911

Downey, California, United States

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Teva Investigational Site 10901

Huntington Beach, California, United States

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Teva Investigational Site 12297

Huntington Beach, California, United States

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Teva Investigational Site 10880

Mission Viejo, California, United States

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Teva Investigational Site 10895

Orange, California, United States

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Teva Investigational Site 10924

Paramount, California, United States

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Teva Investigational Site 10910

Rolling Hills Estates, California, United States

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Teva Investigational Site 12343

Roseville, California, United States

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Teva Investigational Site 12298

San Diego, California, United States

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Teva Investigational Site 12300

San Diego, California, United States

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Teva Investigational Site 12295

San Jose, California, United States

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Teva Investigational Site 12312

West Covina, California, United States

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Teva Investigational Site 10937

Centennial, Colorado, United States

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Teva Investigational Site 10899

Colorado Springs, Colorado, United States

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Teva Investigational Site 10894

Aventura, Florida, United States

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Teva Investigational Site 12335

Gainesville, Florida, United States

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Teva Investigational Site 12336

Homestead, Florida, United States

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Teva Investigational Site 12345

Homestead, Florida, United States

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Teva Investigational Site 12315

Miami, Florida, United States

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Teva Investigational Site 12341

Miami, Florida, United States

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Teva Investigational Site 12342

Miami, Florida, United States

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Teva Investigational Site 10919

Orlando, Florida, United States

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Teva Investigational Site 12281

Sarasota, Florida, United States

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Teva Investigational Site 12332

Winter Park, Florida, United States

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Teva Investigational Site 10935

Gainesville, Georgia, United States

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Teva Investigational Site 10912

Lawrenceville, Georgia, United States

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Teva Investigational Site 10927

Savannah, Georgia, United States

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Teva Investigational Site 10885

Owensboro, Kentucky, United States

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Teva Investigational Site 12317

Covington, Louisiana, United States

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Teva Investigational Site 12296

Baltimore, Maryland, United States

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Teva Investigational Site 12323

White Marsh, Maryland, United States

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Teva Investigational Site 10897

North Dartmouth, Massachusetts, United States

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Teva Investigational Site 10932

Ypsilanti, Michigan, United States

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Teva Investigational Site 10914

Plymouth, Minnesota, United States

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Teva Investigational Site 10917

Columbia, Missouri, United States

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Teva Investigational Site 10916

Rolla, Missouri, United States

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Teva Investigational Site 12331

Missoula, Montana, United States

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Teva Investigational Site 10922

Brick, New Jersey, United States

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Teva Investigational Site 10909

Ocean City, New Jersey, United States

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Teva Investigational Site 12289

Verona, New Jersey, United States

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Teva Investigational Site 10939

Asheville, North Carolina, United States

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Teva Investigational Site 12348

Charlotte, North Carolina, United States

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Teva Investigational Site 10893

Raleigh, North Carolina, United States

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Teva Investigational Site 10888

Canton, Ohio, United States

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Teva Investigational Site 12302

Fairfield, Ohio, United States

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Teva Investigational Site 10921

Toledo, Ohio, United States

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Teva Investigational Site 12285

Toledo, Ohio, United States

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Teva Investigational Site 10906

Oklahoma City, Oklahoma, United States

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Teva Investigational Site 10915

Oklahoma City, Oklahoma, United States

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Teva Investigational Site 12314

Oklahoma City, Oklahoma, United States

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Teva Investigational Site 10891

Tulsa, Oklahoma, United States

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Teva Investigational Site 10892

Medford, Oregon, United States

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Teva Investigational Site 10898

Portland, Oregon, United States

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Teva Investigational Site 12273

Pittsburgh, Pennsylvania, United States

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Teva Investigational Site 12282

Warwick, Rhode Island, United States

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Teva Investigational Site 10902

North Charleston, South Carolina, United States

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Teva Investigational Site 10938

Orangeburg, South Carolina, United States

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Teva Investigational Site 12347

Beaumont, Texas, United States

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Teva Investigational Site 10926

Boerne, Texas, United States

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Teva Investigational Site 10908

Dallas, Texas, United States

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Teva Investigational Site 10918

Dallas, Texas, United States

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Teva Investigational Site 12291

El Paso, Texas, United States

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Teva Investigational Site 12329

Live Oak, Texas, United States

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Teva Investigational Site 10890

New Braunfels, Texas, United States

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Teva Investigational Site 10904

San Antonio, Texas, United States

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Teva Investigational Site 10929

San Antonio, Texas, United States

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Teva Investigational Site 10879

Waco, Texas, United States

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Teva Investigational Site 10883

Richmond, Virginia, United States

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Teva Investigational Site 10886

Bellingham, Washington, United States

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Teva Investigational Site 10913

Greenfield, Wisconsin, United States

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Teva Investigational Site 60017

Čakovec, , Croatia

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Teva Investigational Site 60018

Zagreb, , Croatia

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Teva Investigational Site 60019

Zagreb, , Croatia

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Teva Investigational Site 21037

Guadalajara, , Mexico

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Teva Investigational Site 21042

Guadalajara, , Mexico

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Teva Investigational Site 21039

Mexico City, , Mexico

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Teva Investigational Site 21045

Mexico City, , Mexico

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Teva Investigational Site 21035

Monterrey, , Mexico

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Teva Investigational Site 21043

San Lucas Tepetlacalco, , Mexico

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Teva Investigational Site 21047

San Lucas Tepetlacalco, , Mexico

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Teva Investigational Site 21051

Zapopan, , Mexico

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Teva Investigational Site 53276

Bialystok, , Poland

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Teva Investigational Site 53267

Krakow, , Poland

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Teva Investigational Site 53269

Lodz, , Poland

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Teva Investigational Site 53272

Lodz, , Poland

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Teva Investigational Site 53271

Lublin, , Poland

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Teva Investigational Site 53274

Lublin, , Poland

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Teva Investigational Site 53273

Tarnów, , Poland

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Teva Investigational Site 53275

Wroclaw, , Poland

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Teva Investigational Site 53270

Zawadzkie, , Poland

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Teva Investigational Site 58165

Dnipropetrovsk, , Ukraine

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Teva Investigational Site 58171

Kharkiv, , Ukraine

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Teva Investigational Site 58168

Kryvyi Rih, , Ukraine

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Teva Investigational Site 58167

Kyiv, , Ukraine

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Teva Investigational Site 58172

Kyiv, , Ukraine

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Teva Investigational Site 58169

Zaporizhzhia, , Ukraine

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Teva Investigational Site 58170

Zaporizhzhya, , Ukraine

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Countries

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Argentina Chile Colombia Ecuador El Salvador Guatemala Israel Lithuania Panama Peru Romania Serbia United States Croatia Mexico Poland Ukraine

References

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Vandewalker M, Hickey L, Small CJ. Efficacy and safety of beclomethasone dipropionate breath-actuated or metered-dose inhaler in pediatric patients with asthma. Allergy Asthma Proc. 2017 Sep 14;38(5):354-364. doi: 10.2500/aap.2017.38.4078. Epub 2017 Jul 14.

Reference Type RESULT
PMID: 28710850 (View on PubMed)

Other Identifiers

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2013-004632-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

BDB-AS-302

Identifier Type: -

Identifier Source: org_study_id