Study to Compare PT007 to Placebo MDI and Open-Label Proventil® HFA in Adult and Adolescent Subjects With Asthma

NCT ID: NCT03364608

Last Updated: 2019-07-24

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

86 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-15

Study Completion Date

2018-03-30

Brief Summary

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This is a randomized, double-blind, single-dose, placebo-controlled, 5-period, 5-treatment, crossover, multi-center study to assess the bronchodilatory effect and safety of 2 dose levels of Albuterol Sulfate Pressurized Inhalation Suspension (hereafter referred to as AS MDI), 90 μg and 180 μg, compared with placebo for AS MDI (hereafter referred to as Placebo MDI) and open-label Proventil® hydrofluoroalkane (HFA; hereafter referred to as Proventil) 90 μg and 180 μg in adult and adolescent subjects with mild to moderate asthma. This study design utilizes 10 treatment sequences.

Detailed Description

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This is a 5-period crossover study. Each Treatment Period is 1 day. Subjects will receive a single dose of randomized study drug at each of the 5 Treatment Visits (Visits 2, 3, 4, 5, and 6), with a 3- to 7-day Washout Period between Treatment Visits.

Conditions

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Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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• AS MDI 90 µg

(2 actuations of 45 µg/actuation)

Group Type EXPERIMENTAL

AS MDI 90 μg

Intervention Type DRUG

AS MDI 90 μg (2 actuations of 45 μg/actuation)

• AS MDI 180 µg

(2 actuations of 90 µg/actuation)

Group Type EXPERIMENTAL

AS MDI 180 µg

Intervention Type DRUG

AS MDI 180 μg (2 actuations of 90 μg/actuation)

• Placebo MDI

(2 actuations)

Group Type PLACEBO_COMPARATOR

Placebo MDI

Intervention Type OTHER

Placebo MDI (2 actuations)

• Proventil 90 µg

(1 actuation of 90 µg/actuation)

Group Type ACTIVE_COMPARATOR

Proventil 90 μg

Intervention Type DRUG

Proventil 90 μg (1 actuation of 90 μg/actuation)

• Proventil 180 µg

(2 actuations of 90 µg/actuation)

Group Type ACTIVE_COMPARATOR

Proventil 180 μg

Intervention Type DRUG

Proventil 180 μg (2 actuations of 90 μg/actuation)

Interventions

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AS MDI 90 μg

AS MDI 90 μg (2 actuations of 45 μg/actuation)

Intervention Type DRUG

AS MDI 180 µg

AS MDI 180 μg (2 actuations of 90 μg/actuation)

Intervention Type DRUG

Placebo MDI

Placebo MDI (2 actuations)

Intervention Type OTHER

Proventil 90 μg

Proventil 90 μg (1 actuation of 90 μg/actuation)

Intervention Type DRUG

Proventil 180 μg

Proventil 180 μg (2 actuations of 90 μg/actuation)

Intervention Type DRUG

Other Intervention Names

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AS MDI AS MDI Proventil Proventil

Eligibility Criteria

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Inclusion Criteria

* Are at least 12 years of age and no older than 65 years
* Have stable (for 6 months) physician-diagnosed asthma with historical documentation of the diagnosis
* Must be receiving 1 of the following required inhaled asthma therapies listed below for at least the last 30 days; Only SABA, which is used as needed for rescue, or Low to medium doses of ICS (alone or in combination with LABA), used regularly as maintenance asthma therapy
* Demonstrate acceptable spirometry performance (ie, meet American Thoracic Society \[ATS\]/European Respiratory Society \[ERS\] acceptability/repeatability criteria
* Pre-bronchodilator FEV1 of ≥40 to \<90% predicted normal value after withholding SABA for ≥6 hours
* Confirmed FEV1 reversibility to Ventolin, defined as a post-Ventolin increase in FEV1 of ≥15%
* only 2 reversibility testing attempts are allowed

Exclusion Criteria

* Chronic obstructive pulmonary disease or other significant lung disease (eg, chronic bronchitis, emphysema, bronchiectasis with the need of treatment, cystic fibrosis, or bronchopulmonary dysplasia)
* Oral corticosteroid use (any dose) within 6 weeks
* Current smokers, former smokers with \>10 pack-years history, or former smokers who stopped smoking \<6 months (including all forms of tobacco, e-cigarettes \[vaping\], and marijuana)
* Life-threatening asthma as defined as any history of significant asthma episode(s) requiring intubation associated with hypercapnia, respiratory arrest, hypoxic seizures, or asthma-related syncopal episode(s)
* Historical or current evidence of a clinically significant disease
* Cancer not in complete remission for at least 5 years
* Hospitalized for psychiatric disorder or attempted suicide within 1 year
* Unable to abstain from protocol-defined prohibited medications during the study
Minimum Eligible Age

12 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Rolling Hills Estates, California, United States

Site Status

Research Site

Stockton, California, United States

Site Status

Research Site

Winter Park, Florida, United States

Site Status

Research Site

North Dartmouth, Massachusetts, United States

Site Status

Research Site

St Louis, Missouri, United States

Site Status

Research Site

Raleigh, North Carolina, United States

Site Status

Research Site

Cincinnati, Ohio, United States

Site Status

Research Site

Medford, Oregon, United States

Site Status

Research Site

Spartanburg, South Carolina, United States

Site Status

Research Site

El Paso, Texas, United States

Site Status

Countries

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United States

References

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Cappelletti C, Maes A, Rossman K, Gillen M, LaForce C, Kerwin EM, Reisner C. Dose-Ranging and Cumulative Dose Studies of Albuterol Sulfate MDI in Co-Suspension Delivery Technology (AS MDI; PT007) in Patients with Asthma: the ASPEN and ANTORA Trials. Clin Drug Investig. 2021 Jun;41(6):579-590. doi: 10.1007/s40261-021-01040-7. Epub 2021 Jun 4.

Reference Type DERIVED
PMID: 34089147 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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D6930C00001

Identifier Type: -

Identifier Source: org_study_id

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