Trial Outcomes & Findings for 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 NCT02040766)

NCT ID: NCT02040766

Last Updated: 2021-11-09

Results Overview

Trough morning FEV1 measurements were taken pre-dose and pre-rescue bronchodilator treatment for asthma. Baseline was defined as baseline trough morning percent predicted FEV1. Pulmonary function measurements (including FEV1) were obtained electronically by spirometry. All pulmonary function test data were submitted to a central reading center for evaluation. The highest ('best attempt') FEV1 value from 3 acceptable and 2 repeatable maneuvers (maximum of 8 attempts) was used.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

628 participants

Primary outcome timeframe

Day 1 (baseline), Weeks 2, 4, 8, 12

Results posted on

2021-11-09

Participant Flow

Patients were screened at 123 centers in Croatia, Mexico, Poland, Ukraine, and the United States. The intent-to-treat (ITT) population included all randomly assigned patients

Patients were randomly assigned to treatment through a qualified randomization service provider. This system was used to ensure a balance across treatment groups, within each stratum

Participant milestones

Participant milestones
Measure
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.
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.
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.
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.
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.
Overall Study
STARTED
127
126
125
125
125
Overall Study
COMPLETED
109
116
113
112
112
Overall Study
NOT COMPLETED
18
10
12
13
13

Reasons for withdrawal

Reasons for withdrawal
Measure
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.
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.
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.
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.
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.
Overall Study
Adverse Event
1
1
1
0
2
Overall Study
Withdrawal by Subject
4
3
2
3
2
Overall Study
Non-compliance
0
1
0
0
0
Overall Study
Protocol Violation
2
1
2
3
0
Overall Study
Lost to Follow-up
4
1
3
1
4
Overall Study
Not reported
1
0
0
0
0
Overall Study
Lack of Efficacy
6
3
4
6
5

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
BDP 80 mcg MDI
n=125 Participants
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.
Placebo BAI and MDI
n=127 Participants
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.
BDP 80 mcg BAI
n=126 Participants
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.
BDP 160 mcg BAI
n=125 Participants
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.
BDP 160 mcg MDI
n=125 Participants
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.
Total
n=628 Participants
Total of all reporting groups
Age, Continuous
8.2 years
STANDARD_DEVIATION 1.78 • n=4 Participants
8.2 years
STANDARD_DEVIATION 2.06 • n=5 Participants
8.5 years
STANDARD_DEVIATION 2.10 • n=7 Participants
8.4 years
STANDARD_DEVIATION 1.24 • n=5 Participants
8.4 years
STANDARD_DEVIATION 1.86 • n=21 Participants
8.3 years
STANDARD_DEVIATION 1.93 • n=10 Participants
Sex: Female, Male
Female
49 Participants
n=4 Participants
41 Participants
n=5 Participants
52 Participants
n=7 Participants
46 Participants
n=5 Participants
50 Participants
n=21 Participants
238 Participants
n=10 Participants
Sex: Female, Male
Male
76 Participants
n=4 Participants
86 Participants
n=5 Participants
74 Participants
n=7 Participants
79 Participants
n=5 Participants
75 Participants
n=21 Participants
390 Participants
n=10 Participants
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants
n=4 Participants
3 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
1 Participants
n=21 Participants
15 Participants
n=10 Participants
Race (NIH/OMB)
Asian
0 Participants
n=4 Participants
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
0 Participants
n=21 Participants
4 Participants
n=10 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=4 Participants
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Race (NIH/OMB)
Black or African American
37 Participants
n=4 Participants
42 Participants
n=5 Participants
34 Participants
n=7 Participants
33 Participants
n=5 Participants
49 Participants
n=21 Participants
195 Participants
n=10 Participants
Race (NIH/OMB)
White
76 Participants
n=4 Participants
71 Participants
n=5 Participants
69 Participants
n=7 Participants
69 Participants
n=5 Participants
63 Participants
n=21 Participants
348 Participants
n=10 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=4 Participants
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Race (NIH/OMB)
Unknown or Not Reported
9 Participants
n=4 Participants
11 Participants
n=5 Participants
17 Participants
n=7 Participants
17 Participants
n=5 Participants
12 Participants
n=21 Participants
66 Participants
n=10 Participants

PRIMARY outcome

Timeframe: Day 1 (baseline), Weeks 2, 4, 8, 12

Population: The full analysis set (FAS) included all patients in the ITT population who received at least 1 dose of study drug and had at least 1 post baseline trough morning (pre-dose and pre-rescue bronchodilator) assessment of percent predicted FEV1.

Trough morning FEV1 measurements were taken pre-dose and pre-rescue bronchodilator treatment for asthma. Baseline was defined as baseline trough morning percent predicted FEV1. Pulmonary function measurements (including FEV1) were obtained electronically by spirometry. All pulmonary function test data were submitted to a central reading center for evaluation. The highest ('best attempt') FEV1 value from 3 acceptable and 2 repeatable maneuvers (maximum of 8 attempts) was used.

Outcome measures

Outcome measures
Measure
Placebo BAI and MDI
n=113 Participants
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.
BDP 80 mcg BAI
n=111 Participants
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.
BDP 160 mcg BAI
n=116 Participants
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.
BDP 80 mcg MDI
n=114 Participants
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.
BDP 160 mcg MDI
n=114 Participants
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.
Standardized Baseline-adjusted Trough Morning Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Area Under the Effect Curve From Time 0 to 12 Weeks (AUEC(0-12wk))
2.62 liters
Standard Error 0.744
5.43 liters
Standard Error 0.742
3.25 liters
Standard Error 0.732
3.54 liters
Standard Error 0.734
3.71 liters
Standard Error 0.734

SECONDARY outcome

Timeframe: Day 1 (baseline), weeks 1-12

Population: Full analysis set

The analysis of change from baseline in weekly average of daily trough morning (pre-dose and pre-rescue bronchodilator) PEF calculated across the 12-week treatment period was performed using a mixed model for repeated measures (MMRM) with effects due to baseline weekly average of daily trough morning PEF.

Outcome measures

Outcome measures
Measure
Placebo BAI and MDI
n=124 Participants
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.
BDP 80 mcg BAI
n=124 Participants
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.
BDP 160 mcg BAI
n=122 Participants
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.
BDP 80 mcg MDI
n=121 Participants
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.
BDP 160 mcg MDI
n=123 Participants
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.
Change From Baseline in Weekly Average of Daily Trough Morning Peak Expiratory Flow (PEF) Over the 12-week Treatment Period
4.3 liters
Standard Error 2.11
15.6 liters
Standard Error 2.08
12.8 liters
Standard Error 2.12
11.9 liters
Standard Error 2.11
10.8 liters
Standard Error 2.11

SECONDARY outcome

Timeframe: Day 1 (baseline), weeks 1-12

Population: Full analysis set

The analysis of change from baseline in the weekly average of daily evening PEF across the 12-week treatment period was performed using a mixed model for repeated measures (MMRM) with effects due to baseline weekly average of daily evening PEF.

Outcome measures

Outcome measures
Measure
Placebo BAI and MDI
n=124 Participants
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.
BDP 80 mcg BAI
n=124 Participants
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.
BDP 160 mcg BAI
n=122 Participants
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.
BDP 80 mcg MDI
n=121 Participants
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.
BDP 160 mcg MDI
n=123 Participants
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.
Change From Baseline in Weekly Average of Daily Evening Peak Expiratory Flow (PEF) Over the 12-week Treatment Period
1.4 liters
Standard Error 2.11
13.1 liters
Standard Error 2.09
11.4 liters
Standard Error 2.12
11.3 liters
Standard Error 2.12
10.1 liters
Standard Error 2.12

SECONDARY outcome

Timeframe: Day 1 (baseline), weeks 1-12

Population: Full analysis set

The change from baseline in the weekly average of total daily (24-hour) use of albuterol/ salbutamol inhalation aerosol (number of inhalations) across the 12 weeks was analyzed using a mixed model for repeated measures (MMRM).

Outcome measures

Outcome measures
Measure
Placebo BAI and MDI
n=124 Participants
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.
BDP 80 mcg BAI
n=124 Participants
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.
BDP 160 mcg BAI
n=122 Participants
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.
BDP 80 mcg MDI
n=121 Participants
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.
BDP 160 mcg MDI
n=123 Participants
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.
Change From Baseline in the Weekly Average of Total Daily (24-hour) Use of Albuterol/Salbutamol Inhalation Aerosol (Number of Inhalations) Over Weeks 1-12
-0.36 Number of inhalations
Standard Error 0.069
-0.72 Number of inhalations
Standard Error 0.068
-0.50 Number of inhalations
Standard Error 0.069
-0.41 Number of inhalations
Standard Error 0.069
-0.54 Number of inhalations
Standard Error 0.069

SECONDARY outcome

Timeframe: Day 1 (baseline), weeks 1-12

Population: Full analysis set

The total daily asthma symptom score is the average of the daytime and nighttime scores analyzed using an mixed model for repeated measures (MMRM). Baseline was defined as the average of recorded morning and evening asthma symptom scores over the 7 days before randomization. Daytime Scores range from 0=No symptoms during the day to 5=Symptoms so severe that I could not go to work or perform normal daily activities; Nighttime Scores range from 0=No symptoms during the night to 4=Symptoms so severe that I did not sleep at all. The daily asthma symptom score was therefore 0 - 9 with 0=no symptoms during the day or night and 9=severe symptoms both day and night.

Outcome measures

Outcome measures
Measure
Placebo BAI and MDI
n=124 Participants
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.
BDP 80 mcg BAI
n=124 Participants
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.
BDP 160 mcg BAI
n=122 Participants
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.
BDP 80 mcg MDI
n=121 Participants
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.
BDP 160 mcg MDI
n=123 Participants
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.
Change From Baseline in the Weekly Average of the Total Daily Asthma Symptom Score Over Weeks 1-12
-0.27 units on a scale
Standard Error 0.036
-0.44 units on a scale
Standard Error 0.036
-0.36 units on a scale
Standard Error 0.036
-0.31 units on a scale
Standard Error 0.036
-0.36 units on a scale
Standard Error 0.036

SECONDARY outcome

Timeframe: Day 1 to 12 weeks

Population: Full analysis set

Time to withdrawal due to meeting stopping criteria was defined as number of days elapsed from the date of first dose of double-blind study treatment to the date of withdrawal due to meeting stopping criteria. Kaplan-Meier estimates (median and 95% CI of the median) are not applicable if the proportion of participants withdrawn is less than 0.5.

Outcome measures

Outcome measures
Measure
Placebo BAI and MDI
n=124 Participants
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.
BDP 80 mcg BAI
n=124 Participants
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.
BDP 160 mcg BAI
n=122 Participants
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.
BDP 80 mcg MDI
n=121 Participants
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.
BDP 160 mcg MDI
n=123 Participants
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.
Kaplan-Meier Estimates For Time to Withdrawal Due to Meeting Stopping Criteria for Worsening Asthma During the 12-week Treatment Period
NA Days
Too few participants withdrew to calculate estimate.
NA Days
Too few participants withdrew to calculate estimate.
NA Days
Too few participants withdrew to calculate estimate.
NA Days
Too few participants withdrew to calculate estimate.
NA Days
Too few participants withdrew to calculate estimate.

Adverse Events

Run-in Placebo

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

Placebo BAI and MDI

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

BDP 80 mcg BAI

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

BDP 160 mcg BAI

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

BDP 80 mcg MDI

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

BDP 160 mcg MDI

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Run-in Placebo
n=628 participants at risk
Placebo was administered via breath-actuated inhaler (BAI) twice daily. Additionally placebo was administered via metered-dose inhaler (MDI) twice daily. Both were single-blind therapies giving participants experience with the devices. Prestudy asthma medications were adjusted according to the protocol. Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) at 90 mcg ex-actuator) or equivalent was used as rescue medication throughout the study.
Placebo BAI and MDI
n=127 participants at risk
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.
BDP 80 mcg BAI
n=126 participants at risk
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.
BDP 160 mcg BAI
n=125 participants at risk
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.
BDP 80 mcg MDI
n=125 participants at risk
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.
BDP 160 mcg MDI
n=125 participants at risk
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.
Infections and infestations
Nasopharyngitis
0.00%
0/628 • - Run-In: Days -21 to Day 0 - Double-blind Study Treatment: Day 1 to Week 12
Run-In Placebo arm includes participants who were randomized.
3.1%
4/127 • Number of events 5 • - Run-In: Days -21 to Day 0 - Double-blind Study Treatment: Day 1 to Week 12
Run-In Placebo arm includes participants who were randomized.
4.0%
5/126 • Number of events 6 • - Run-In: Days -21 to Day 0 - Double-blind Study Treatment: Day 1 to Week 12
Run-In Placebo arm includes participants who were randomized.
8.8%
11/125 • Number of events 14 • - Run-In: Days -21 to Day 0 - Double-blind Study Treatment: Day 1 to Week 12
Run-In Placebo arm includes participants who were randomized.
4.8%
6/125 • Number of events 7 • - Run-In: Days -21 to Day 0 - Double-blind Study Treatment: Day 1 to Week 12
Run-In Placebo arm includes participants who were randomized.
4.8%
6/125 • Number of events 7 • - Run-In: Days -21 to Day 0 - Double-blind Study Treatment: Day 1 to Week 12
Run-In Placebo arm includes participants who were randomized.
Respiratory, thoracic and mediastinal disorders
Cough
0.16%
1/628 • Number of events 1 • - Run-In: Days -21 to Day 0 - Double-blind Study Treatment: Day 1 to Week 12
Run-In Placebo arm includes participants who were randomized.
3.1%
4/127 • Number of events 7 • - Run-In: Days -21 to Day 0 - Double-blind Study Treatment: Day 1 to Week 12
Run-In Placebo arm includes participants who were randomized.
0.79%
1/126 • Number of events 1 • - Run-In: Days -21 to Day 0 - Double-blind Study Treatment: Day 1 to Week 12
Run-In Placebo arm includes participants who were randomized.
2.4%
3/125 • Number of events 3 • - Run-In: Days -21 to Day 0 - Double-blind Study Treatment: Day 1 to Week 12
Run-In Placebo arm includes participants who were randomized.
7.2%
9/125 • Number of events 11 • - Run-In: Days -21 to Day 0 - Double-blind Study Treatment: Day 1 to Week 12
Run-In Placebo arm includes participants who were randomized.
4.8%
6/125 • Number of events 7 • - Run-In: Days -21 to Day 0 - Double-blind Study Treatment: Day 1 to Week 12
Run-In Placebo arm includes participants who were randomized.

Additional Information

Director, Clinical Research

Teva Branded Pharmaceutical Products R&D, Inc.

Phone: 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