Study to Assess the Efficacy and Safety of Beclomethasone Dipropionate in Adolescent and Adult Patients 12 Years of Age and Older With Persistent Asthma

NCT ID: NCT02513160

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

713 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Study Completion Date

2016-03-31

Brief Summary

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The primary objective of this study is to evaluate the efficacy of beclomethasone dipropionate administered via BAI at a dose strength of 40 or 80 mcg per oral inhalation (320 or 640 mcg/day, respectively) compared with placebo treatment in patients with persistent asthma as assessed by the standardized baseline-adjusted trough morning (pre-dose and pre-rescue bronchodilator) forced expiratory volume in 1 second (FEV1) area under the effect curve from time 0 to 6 weeks (AUEC\[0-6wk\]).

Detailed Description

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Run-In Period (Days -14 to Day -1): Participants were provided with single-blind placebo breath-actuated inhaler (BAI) or metered-dose inhaler (MDI) device for twice-daily use after appropriate training and demonstration of the proper technique. Participants discontinued their current asthma therapy for the duration of the study.

Treatment Period (Day 0 to Week 6): Participants were randomly assigned to treatment and device type through a qualified randomization service provider (ie, IRT). The interactive response technology (IRT) system stratified patients based on treatment at the time of screening visit, either inhaled corticosteroid (ICS) or non-corticosteroid (NCS). During the study, blinded persons were blinded to treatment (active or placebo) assigned but not device (BAI or MDI) assignment.

Conditions

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Persistent Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Beclomethasone dipropionate BAI 320

Beclomethasone Dipropionate Delivered via Breath-Actuated Inhaler (BAI) at 320 mcg/day (40 mcg/inhalation, 4 inhalations twice daily)

Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) (90 mcg ex-actuator) or equivalent was supplied by the sponsor for use as rescue medication during the run-in and double-blind study periods.

Group Type EXPERIMENTAL

Beclomethasone dipropionate via 320 mcg BAI

Intervention Type DRUG

Beclomethasone dipropionate treatment administered via breath-actuated inhaler (BAI) (320 mcg/day).

albuterol/salbutamol

Intervention Type DRUG

Each patient's current rescue medication was replaced with study-supplied albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) (90 mcg ex-actuator) or equivalent during the run-in and double-blind study periods.

Beclomethasone dipropionate BAI 640

Beclomethasone Dipropionate Delivered via Breath-Actuated Inhaler (BAI) at 640 mcg/day (80 mcg/inhalation, 4 inhalations twice daily)

Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) (90 mcg ex-actuator) or equivalent was supplied by the sponsor for use as rescue medication during the run-in and double-blind study periods.

Group Type EXPERIMENTAL

Beclomethasone Dipropionate 640

Intervention Type DRUG

Beclomethasone Dipropionate 640 mcg BAI

albuterol/salbutamol

Intervention Type DRUG

Each patient's current rescue medication was replaced with study-supplied albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) (90 mcg ex-actuator) or equivalent during the run-in and double-blind study periods.

Beclomethasone dipropionate MDI 320

Beclomethasone dipropionate Metered Dose Inhaler (MDI) 320 mcg/day (40 mcg/inhalation, 4 inhalations twice daily)

Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) (90 mcg ex-actuator) or equivalent was supplied by the sponsor for use as rescue medication during the run-in and double-blind study periods.

Group Type ACTIVE_COMPARATOR

albuterol/salbutamol

Intervention Type DRUG

Each patient's current rescue medication was replaced with study-supplied albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) (90 mcg ex-actuator) or equivalent during the run-in and double-blind study periods.

Beclomethasone dipropionate via 320 mcg MDI

Intervention Type DRUG

Beclomethasone dipropionate treatment administered via metered-dose inhaler (MDI) (320 mcg/day).

Placebo

Pooled breath-actuated inhaler (BAI) or metered-dose inhaler (MDI) placebo groups. Participants were instructed to take 4 inhalations twice daily for 6 weeks.

Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) (90 mcg ex-actuator) or equivalent was supplied by the sponsor for use as rescue medication during the run-in and double-blind study periods.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo, taken in the morning and evening each day, was provided in matching BAI and MDI devices.

The placebo devices were identical to the devices used to deliver active drug.

albuterol/salbutamol

Intervention Type DRUG

Each patient's current rescue medication was replaced with study-supplied albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) (90 mcg ex-actuator) or equivalent during the run-in and double-blind study periods.

Interventions

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Beclomethasone Dipropionate 640

Beclomethasone Dipropionate 640 mcg BAI

Intervention Type DRUG

Placebo

Placebo, taken in the morning and evening each day, was provided in matching BAI and MDI devices.

The placebo devices were identical to the devices used to deliver active drug.

Intervention Type DRUG

Beclomethasone dipropionate via 320 mcg BAI

Beclomethasone dipropionate treatment administered via breath-actuated inhaler (BAI) (320 mcg/day).

Intervention Type DRUG

albuterol/salbutamol

Each patient's current rescue medication was replaced with study-supplied albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) (90 mcg ex-actuator) or equivalent during the run-in and double-blind study periods.

Intervention Type DRUG

Beclomethasone dipropionate via 320 mcg MDI

Beclomethasone dipropionate treatment administered via metered-dose inhaler (MDI) (320 mcg/day).

Intervention Type DRUG

Other Intervention Names

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ProAir® QVAR® Inhalation Aerosol

Eligibility Criteria

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Inclusion Criteria

* The patient has a diagnosis of asthma as defined by the 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.
* The patient has been maintained on stable doses of :

* non-corticosteroid therapy
* inhaled corticosteroid therapy
* Written informed consent/assent is obtained. For adult patients (18 years of age and older, or as applicable per local regulations), the written informed consent form (ICF) must be signed and dated by the patient before conducting any study-related procedure. For minor patients (ages 12 to 17 years, or as applicable per local regulations), the written ICF must be signed and dated by the parent/legal guardian and the written informed assent form must be signed and dated by the patient before conducting any study-related procedure.
* The patient is a male or female 12 years of age or older as of the visit when informed consent/assent is signed (screening or prescreening visit, as applicable). (Note: Age requirements are as specified or allowed by local regulations.)
* The patient is able to perform acceptable and repeatable spirometry
* The patient is able to use an electronic diary after training.
* The patient is able to use devices properly
* If female, patient is currently not pregnant, not breast feeding, nor attempting to become pregnant (for 30 days before the screening visit (SV) and throughout the duration of the study and for 30 days after patient's last study visit) or, is of childbearing potential and not sexually active, has a negative urine pregnancy test, and is willing to commit to using a consistent and acceptable method of birth control
* If male, the patient is willing to commit to an acceptable method of birth control for the duration of the study, is surgically sterile or exclusively has same-sex partner(s).
* The patient does not have any concomitant conditions or treatments that could interfere with study conduct, influence the interpretation of study observations/results, or put the patient at increased risk during the study as judged by the investigator.
* The patient/parent/legal guardian is capable of understanding the requirements, risks, and benefits of study participation, and, as judged by the investigator, capable of giving informed consent/assent and being compliant with all study requirements (eg, dose schedules, visit schedules, procedures, and record keeping).
* The patient, as judged by the investigator, is able to discontinue all asthma medications at the SV.

* other criteria apply, please contact the investigator for more information

Exclusion Criteria

* Life-threatening asthma, defined as a history of asthma episode(s) requiring intubation and/or associated with hypercapnea, respiratory arrest or hypoxic seizures, asthma-related syncopal episode(s), or hospitalizations within the past year.
* The patient received systemic corticosteroids within 30 days before the SV (for asthma exacerbation or for other indications).
* The patient has participated in any investigational drug study as a randomized patient within the 30 days (starting at the final visit of that study) preceding SV (or prescreening visit, as applicable), or plans to participate in another investigational drug study at any time during this study.
* The patient has previously participated in a beclomethasone dipropionate breath-actuated inhaler (device) (BAI) study as a randomized patient.
* 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 been treated with any known strong cytochrome inhibitors during the study.
* The patient has been treated with any of the prohibited medications during the prescribed (per protocol) withdrawal periods before the SV.
* The patient currently smokes or has a smoking history of 10 pack years or more (a pack year is defined as smoking 1 pack of cigarettes/day for 1 year). The patient may not have used tobacco products within the past year (eg, cigarettes, cigars, chewing tobacco, or pipe tobacco).
* The patient has a suspected bacterial or viral infection of the upper or lower respiratory tract, sinus, or middle ear that has not resolved at least 2 weeks before the SV.
* The patient has a history of alcohol or drug abuse within 2 years preceding SV.
* The patient has had an asthma exacerbation requiring oral corticosteroids within 1 month before the SV, or has had any hospitalization for asthma within 3 months before SV.
* The patient has initiated immunotherapy (administered by any route) less than 90 days before the SV or had a dose escalation of immunotherapy less than 30 days before the SV.
* The patient is unable to tolerate or unwilling to comply with the required washout periods and withholding of all applicable medications.
* The patient has untreated oral candidiasis at SV. Patients with clinical visual evidence of oral candidiasis and who agree to receive treatment and comply with appropriate medical monitoring may enter the study.
* The patient is either an employee or an immediate relative of an employee of the clinical investigational center.
* A member of the patient's household is participating in the study at the same time. (However, after the enrolled patient completes or discontinues participation in the study, another patient from the same household may be screened).
* The patient has a disease/condition 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

12 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 13415

Peoria, Arizona, United States

Site Status

Teva Investigational Site 13389

Downey, California, United States

Site Status

Teva Investigational Site 13421

Huntington Beach, California, United States

Site Status

Teva Investigational Site 13434

Huntington Beach, California, United States

Site Status

Teva Investigational Site 13427

Los Angeles, California, United States

Site Status

Teva Investigational Site 13386

Mission Viejo, California, United States

Site Status

Teva Investigational Site 13394

Orange, California, United States

Site Status

Teva Investigational Site 13417

Riverside, California, United States

Site Status

Teva Investigational Site 13445

Rolling Hills Estates, California, United States

Site Status

Teva Investigational Site 13420

San Diego, California, United States

Site Status

Teva Investigational Site 13443

San Diego, California, United States

Site Status

Teva Investigational Site 13438

San Jose, California, United States

Site Status

Teva Investigational Site 13397

Centennial, Colorado, United States

Site Status

Teva Investigational Site 13454

Denver, Colorado, United States

Site Status

Teva Investigational Site 13404

Aventura, Florida, United States

Site Status

Teva Investigational Site 13458

Hialeah, Florida, United States

Site Status

Teva Investigational Site 13416

Miami, Florida, United States

Site Status

Teva Investigational Site 13440

Miami, Florida, United States

Site Status

Teva Investigational Site 13455

Miami, Florida, United States

Site Status

Teva Investigational Site 13431

Ormond Beach, Florida, United States

Site Status

Teva Investigational Site 13437

Sarasota, Florida, United States

Site Status

Teva Investigational Site 13425

Tallahassee, Florida, United States

Site Status

Teva Investigational Site 13450

Normal, Illinois, United States

Site Status

Teva Investigational Site 13448

River Forest, Illinois, United States

Site Status

Teva Investigational Site 13408

Lenexa, Kansas, United States

Site Status

Teva Investigational Site 13410

Baltimore, Maryland, United States

Site Status

Teva Investigational Site 13422

Bethesda, Maryland, United States

Site Status

Teva Investigational Site 13435

Wheaton, Maryland, United States

Site Status

Teva Investigational Site 13411

North Dartmouth, Massachusetts, United States

Site Status

Teva Investigational Site 13398

Plymouth, Minnesota, United States

Site Status

Teva Investigational Site 13429

Plymouth, Minnesota, United States

Site Status

Teva Investigational Site 13433

Columbia, Missouri, United States

Site Status

Teva Investigational Site 13432

Rolla, Missouri, United States

Site Status

Teva Investigational Site 13414

St Louis, Missouri, United States

Site Status

Teva Investigational Site 13430

St Louis, Missouri, United States

Site Status

Teva Investigational Site 13384

Bellevue, Nebraska, United States

Site Status

Teva Investigational Site 13392

Brick, New Jersey, United States

Site Status

Teva Investigational Site 13426

Ocean City, New Jersey, United States

Site Status

Teva Investigational Site 13419

Skillman, New Jersey, United States

Site Status

Teva Investigational Site 13388

Rochester, New York, United States

Site Status

Teva Investigational Site 13441

Hickory, North Carolina, United States

Site Status

Teva Investigational Site 13403

Raleigh, North Carolina, United States

Site Status

Teva Investigational Site 13405

Wilmington, North Carolina, United States

Site Status

Teva Investigational Site 13395

Canton, Ohio, United States

Site Status

Teva Investigational Site 13396

Cincinnati, Ohio, United States

Site Status

Teva Investigational Site 13436

Sylvania, Ohio, United States

Site Status

Teva Investigational Site 13423

Toledo, Ohio, United States

Site Status

Teva Investigational Site 13387

Oklahoma City, Oklahoma, United States

Site Status

Teva Investigational Site 13453

Eugene, Oregon, United States

Site Status

Teva Investigational Site 13439

Lake Oswego, Oregon, United States

Site Status

Teva Investigational Site 13402

Medford, Oregon, United States

Site Status

Teva Investigational Site 13412

Portland, Oregon, United States

Site Status

Teva Investigational Site 13391

Pittsburgh, Pennsylvania, United States

Site Status

Teva Investigational Site 13449

East Providence, Rhode Island, United States

Site Status

Teva Investigational Site 13456

Warwick, Rhode Island, United States

Site Status

Teva Investigational Site 13413

North Charleston, South Carolina, United States

Site Status

Teva Investigational Site 13390

Knoxville, Tennessee, United States

Site Status

Teva Investigational Site 13442

Knoxville, Tennessee, United States

Site Status

Teva Investigational Site 13400

Austin, Texas, United States

Site Status

Teva Investigational Site 13452

Boerne, Texas, United States

Site Status

Teva Investigational Site 13407

Dallas, Texas, United States

Site Status

Teva Investigational Site 13424

Dallas, Texas, United States

Site Status

Teva Investigational Site 13409

El Paso, Texas, United States

Site Status

Teva Investigational Site 13451

Houston, Texas, United States

Site Status

Teva Investigational Site 13399

New Braunfels, Texas, United States

Site Status

Teva Investigational Site 13393

San Antonio, Texas, United States

Site Status

Teva Investigational Site 13444

San Antonio, Texas, United States

Site Status

Teva Investigational Site 13446

San Antonio, Texas, United States

Site Status

Teva Investigational Site 13457

San Antonio, Texas, United States

Site Status

Teva Investigational Site 13459

San Antonio, Texas, United States

Site Status

Teva Investigational Site 13383

Waco, Texas, United States

Site Status

Teva Investigational Site 13401

South Burlington, Vermont, United States

Site Status

Teva Investigational Site 13385

Richmond, Virginia, United States

Site Status

Teva Investigational Site 13447

Richmond, Virginia, United States

Site Status

Teva Investigational Site 13428

Greenfield, Wisconsin, United States

Site Status

Countries

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Germany Hungary Poland United States

References

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Kerwin EM, Hickey L, Small CJ. Relationship between handheld and clinic-based spirometry measurements in asthma patients receiving beclomethasone. Respir Med. 2019 May;151:35-42. doi: 10.1016/j.rmed.2019.03.010. Epub 2019 Mar 20.

Reference Type DERIVED
PMID: 31047115 (View on PubMed)

Ostrom NK, Raphael G, Tillinghast J, Hickey L, Small CJ. Randomized trial to assess the efficacy and safety of beclomethasone dipropionate breath-actuated inhaler in patients with asthma. Allergy Asthma Proc. 2018 Mar 9;39(2):117-126. doi: 10.2500/aap.2018.39.4115. Epub 2018 Jan 9.

Reference Type DERIVED
PMID: 29317015 (View on PubMed)

Other Identifiers

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2015-002510-80

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

BDB-AS-30039

Identifier Type: -

Identifier Source: org_study_id