Flunisolide HFA in Children With Small Airway Disease

NCT ID: NCT02404103

Last Updated: 2017-12-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-03-31

Study Completion Date

2017-06-30

Brief Summary

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The purpose of this study is to see how two doses of Flunisolide HFA (an FDA approved inhaled medication to treat asthma) affect the small airways in children with asthma.

Detailed Description

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This is a prospective, randomized, parallel, open label study. The primary aim is to compare the average change in spirometric values (Forced expiratory volume 1 (FEV1) and Forced Expiratory Flow 25-75% (FEF 25-75%) and Impulse Oscillometry System (IOS) values (Resistance at 5 Hz (R5), Resistance at 20 Hz (R20), Area of reactance (AX), Resonant frequency (Fres)) from baseline to week 6 from participants randomized flunisolide hydrofluoroalkane (HFA) 1 inhalation BID and to flunisolide HFA 2 inhalations BID. The change in scores from baseline to six week follow up will initially be compared using paired t-tests and Chi-squared tests for trend. Repeated measurements will be analyzed using generalized linear mixed-effects regression modeling (GLMM) techniques. For continuous outcomes (e.g. FEV1, FEF 25-75%, Fres, reactance at 5 Hz (X5), AX, R5-R20). The identity link function and normal distribution will be used. For count data (e.g., use of Beta-agonists, episodes of coughing, episodes of wheezing, etc.) the log link function and the Poisson distribution will be used. If we dichotomize outcomes (e.g., a Beta-agonist was used, coughing occurred, etc.) the logit link function and Bernoulli distribution will be used.

Conditions

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Childhood Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Flunisolide 160 mcg per day

Patients will receive inhaled Flunisolide HFA 80 mcg twice per day for a total of 160 mcg per day over the 6 week study period

Group Type ACTIVE_COMPARATOR

Flunisolide HFA

Intervention Type DRUG

Flunisolide 320 mcg per day

Patients will receive inhaled Flunisolide HFA 160 mcg twice per day for a total of 320 mcg per day over the 6 week study period

Group Type ACTIVE_COMPARATOR

Flunisolide HFA

Intervention Type DRUG

Interventions

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Flunisolide HFA

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of asthma
* Informed consent by parent or legal guardian
* 6 years to 18 years of age at screening visit
* ability to comply with medication use, study visits and study procedures as judged by the site investigator
* FEF 25-75% \<65% of predicted as a marker for small airway disease

Exclusion Criteria

* Acute wheezing at screening visit or at Baseline visit
* Acute intercurrent respiratory infection, defined as an increase in cough, wheezing, or respiratory rate with onset in 1 week preceding screening visit or 3 weeks preceding baseline visit
* Oxygen saturation \<95% at screening visit or at Baseline visit
* Clinically significant upper airway obstruction as determined by the Site Investigator (e.g. severe laryngomalacia, markedly enlarged tonsils, significant snoring, diagnosed obstructive sleep apnea.
* Severe gastroesophageal reflux, defined as persistent frequent emesis despite anti-reflux therapy
* Physical findings that would compromise the safety of the subject or the quality of the study data as determined by site investigator
* Inhaled Corticosteroids (ICS) use within 7 days of Baseline visit; systemic steroids within 30 days
* Cystic Fibrosis, Interstitial lung disease (ILD) history of severe Bronchopulmonary dysplasia (BPD) or other underling significant respiratory disease apart from asthma
* Potential subjects who are pregnant may not enroll in the study
Minimum Eligible Age

6 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Meda Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

University of Louisville

OTHER

Sponsor Role lead

Responsible Party

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Nemr Eid

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Louisville Pediatric Pulmonology

Louisville, Kentucky, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Informed Consent Form

View Document

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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14.1024

Identifier Type: -

Identifier Source: org_study_id