A Study Testing the Superiority of CHF 1535 pMDI 800/24µg Total Daily Dose Compared With CHF 718 pMDI 800µg Total Daily Dose in Adults With Asthma on Medium or High-Dose Inhaled Corticosteroid

NCT ID: NCT05292586

Last Updated: 2025-09-04

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

1377 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-31

Study Completion Date

2024-06-24

Brief Summary

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Compare the superiority of CHF 1535 versus CHF 718 in subjects with asthma who are on medium or high dose inhaled corticosteroids.

Detailed Description

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This was a phase III, multicenter, randomized, double-blind active controlled 2-arm parallel group to compare superiority of CHF 1535 pressurised metered dose inhaler (pMDI) compared with CHF 718 pMDI, in subjects with asthma on medium or high dose inhaled corticosteroids, with regard to change from baseline in forced expiratory volume in the first second (FEV1) Area under the Curve Calculated Between Time 0 and 12 Hours (AUC0-12h) at Week 12.

After screening, eligible subjects entered a 2-week run-in period using CHF 718 (BDP) pMDI 100µg, followed by a 12-week double-blind, treatment period. Screened subjects who were on a medium dose inhaled corticosteroid (ICS) or medium dose ICS-long-acting β2-adrenergic receptor agonists (LABA) prior to the study, received CHF 718 pMDI 100µg 2 inhalations twice daily (BID) i.e. total daily dose (TDD) 400µg) during the 2-week run in period. Screened subjects who were on a high dose ICS prior to the study received CHF 718 pMDI 100µg 4 inhalations BID (TDD 800µg) during the 2-week run in period.

Following the run-in period, eligible subjects were randomized to one of two study drug arms (using a 1:1 allocation ratio) for 12 weeks. A total of 6 clinic visits (V), (V0-V5) and a follow-up call (V6) were performed during the study.

During the study, daily symptoms, rescue medication use, and compliance with the study drug were recorded via a subject-specific electronic diary (eDiary). Concomitant medications and adverse events (AEs) were assessed and recorded throughout the study. Vital signs measurements, physical exam, 12-lead electrocardiogram (ECG), peak expiratory flow (PEF), and spirometry measurements, including serial spirometry were performed and recorded. Symptoms were assessed using disease specific questionnaires. Routine hematology, blood chemistry, and urine pregnancy testing were performed before enrolment and at the end of study.

CHF 1535 pMDI = 200/6 μg pressurised metered dose inhaler (fixed combination of extrafine beclomethasone dipropionate \[BDP\] plus formoterol fumarate \[FF\]).

CHF 718 pMDI = 100 μg pressurised metered dose inhaler (extrafine beclomethasone dipropionate \[BDP\]).

Conditions

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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
The blinded roles were participant, investigator, care provider, monitor, data analyst, and assessor.

Study Groups

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CHF 1535 pMDI

CHF 1535 pMDI 800/24µg TDD

Group Type EXPERIMENTAL

Beclomethasone Dipropionate/Formoterol Fumarate

Intervention Type DRUG

Available in pressurized inhalation solution BDP/FF 200/6 µg

CHF 718 pMDI

CHF 718 pMDI 800µg TDD

Group Type ACTIVE_COMPARATOR

Beclomethasone Dipropionate

Intervention Type DRUG

Available in pressurized inhalation solution BDP 100 µg

Interventions

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Beclomethasone Dipropionate/Formoterol Fumarate

Available in pressurized inhalation solution BDP/FF 200/6 µg

Intervention Type DRUG

Beclomethasone Dipropionate

Available in pressurized inhalation solution BDP 100 µg

Intervention Type DRUG

Other Intervention Names

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BDP/FF BDP

Eligibility Criteria

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Inclusion Criteria

1. Informed consent: A signed and dated written informed consent obtained prior to any study-related procedures.
2. Sex and age: Male or female aged ≥18 and ≤75 years.
3. Diagnosis of asthma: A documented history of asthma for at least 1 year, with onset before age 40
4. Stable asthma therapy: Use of medium-dose ICS with or without a LABA or high-dose ICS alone for 3 months (at a stable dose for at least 4 weeks prior to screening).
5. Lung function: Subjects with a pre-bronchodilator FEV1 ≥40% and ≤85% of predicted, after appropriate washout from bronchodilators, at the screening and randomization visits. In addition, the absolute value of the first pre-dose FEV1 at randomization (V2) must be at least 80% of the pre-bronchodilator value attained at screening.
6. Reversibility post-bronchodilator: Subjects with a positive reversibility to bronchodilator at screening, defined as an increase in FEV1 \> 12% and \> 200mL compared to baseline within 30 minutes after 4 inhalations of albuterol hydrofluoroalkane (HFA) pMDI 90µg/actuation.

Note for IC#5 and IC#6: In case the reversibility and/or quality threshold is not met at screening, the test can be performed once before randomization.
7. Female subjects:

a. Women of childbearing potential (WOCBP) fulfilling one of the following criteria: i. WOCBP with fertile male partners: they and/or their partner must be willing to use a highly effective birth control method from the signing of the informed consent form and until the follow-up contact or ii. WOCBP with non-fertile male partners (contraception is not required in this case).

b. Female subjects of non-childbearing potential defined as physiologically incapable of becoming pregnant (i.e. post-menopausal or permanently sterile as per definitions given in Appendix 2). Tubal ligation or partial surgical interventions are not acceptable. If indicated, as per investigator's request, post-menopausal status may be confirmed by follicle-stimulating hormone levels (according to local laboratory ranges).
8. Cooperative attitude and ability to demonstrate correct use of the pMDI inhalers and eDiary/peak flow meter.

Exclusion Criteria

1. Pregnancy or lactation: where pregnancy is defined as the state of a female after conception and until termination of the gestation, confirmed by a positive pregnancy test (serum and urine pregnancy test to be performed at screening visit and urine pregnancy test to be performed prior to randomization).
2. Poor compliance with run-in medication or eDiary completion \<50% before randomization.
3. History of "at risk" asthma: History of near-fatal asthma or of a past hospitalization for asthma in intensive care unit which, in the judgement of the investigator, may place the subject at undue risk.
4. Recent asthma exacerbation: Hospitalization, emergency room admission or use of systemic corticosteroids for an asthma exacerbation in the 4 weeks prior to screening visit or during the run-in period.
5. Unresolved respiratory tract infection (RTI) in the 4 weeks prior to the screening visit or during run-in period. Documented coronavirus disease 2019 (COVID-19) diagnosis within the last 8 weeks or complications from this disease, which have not resolved within 14 days prior to screening.
6. Unstable ICS dose during the 4 weeks prior to screening visit, including any change in dose, schedule, or formulation.
7. Use of systemic corticosteroid medication in the 4 weeks prior to screening or slow-release corticosteroids in the 12 weeks before screening.
8. Respiratory disorders other than asthma: History of a diagnosis of cystic fibrosis, bronchiectasis, Chronic Obstructive Pulmonary Disease (COPD), (as defined by the current Global Initiative for Chronic Obstructive Lung Disease \[GOLD\] Report), alpha-1 antitrypsin deficiency, or any other significant lung disease which may interfere with study evaluations.
9. Smoking status: Current smokers or ex-smokers with total cumulative exposure equal to or more than 10 pack-years or having stopped smoking within one year prior to screening visit.
10. E-cigarette status: Current e-cigarettes users at the time of the screening visit.
11. Cannabis usage: Current use of inhaled or oral cannabis products (e.g. marijuana).
12. Substance abuse: Subjects with a history of alcohol or substance/drug abuse within 12 months prior to screening.
13. Cardiovascular diseases: Subjects who have clinically significant cardiovascular condition such as, but not limited to, unstable ischemic heart disease, New York Heart Association (NYHA) Class III/IV heart failure, acute ischemic heart disease within one year prior to study entry, known history of atrial fibrillation or history of sustained and non-sustained cardiac arrhythmias diagnosed within the last 6 months prior to screening, not controlled with a rate control strategy. Note: Subjects with Permanent Atrial Fibrillation (for at least 6 months) with a resting ventricular rate \<100/min, controlled with a rate control strategy (i.e., selective β-blocker, calcium channel blocker, pacemaker placement, digoxin, or ablation therapy) can be considered for the enrollment.
14. ECG criteria: An abnormal and clinically significant 12-lead electrocardiogram (ECG) which may impact the safety of the subject according to Investigator's judgement. In terms of the QTcF, subjects with QTcF \>450ms for males or QTcF \>470ms for females at screening or at randomization visits (criterion not applicable for subject with pacemaker or permanent atrial fibrillation).
15. Other medical conditions: Other active severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study drug administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study.
16. Vaccination: Subjects having received a vaccination within 2 weeks prior to screening or during the run-in period.
17. Subjects' wellbeing: Subjects mentally or legally incapacitated, including but not limited to subjects who are institutionalized or incarcerated.
18. Hypersensitivity: Subjects with known intolerance, hypersensitivity or contraindication to treatment with ß2-agonists, ICS, or propellant gases/excipients.
19. Surgery: Subjects with major surgery in the 3 months prior to the screening visit or planned surgery during the study.
20. Additional treatment: Subjects treated with non-potassium sparing diuretics (unless administered as a fixed-dose combination with a potassium conserving drug or changed to potassium sparing before the screening), non-selective beta-blocking drugs, quinidine, quinidine-like anti-arrhythmic, or any medication with a QTc prolongation potential or a history of QTc prolongation.
21. Subjects treated with monoamine oxidase inhibitors (MAOIs) and tricyclic antidepressants.
22. Subjects with concomitant immunosuppressive therapy, use of oral or injected corticosteroids, anti-immunoglobulin E (IgE), anti-IL5 or other monoclonal or polyclonal antibodies within 12 weeks prior to screening.
23. Subjects who are receiving any therapy that could interfere with the study drugs according to investigator's opinion.
24. Participating in other investigational trial: Subjects who have received an investigational drug within 1 month or 5 half-lives (whichever is greater) prior to screening visit, or have been previously randomized in this trial, or are currently participating in another clinical trial.
25. Spacer: The need to use a spacer for correct self-administration of a pMDI.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chiesi Farmaceutici S.p.A.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Steven F. Weinstein, M.D.

Role: PRINCIPAL_INVESTIGATOR

Allergy and Asthma Specialists Medical Group and Research Center

Locations

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Chiesi Clinical Trial Site 840858

Mobile, Alabama, United States

Site Status

Chiesi Clinical Trial Site 840895

Chandler, Arizona, United States

Site Status

Chiesi Clinical Trial Site 840856

Encinitas, California, United States

Site Status

Chiesi Clinical Trial Site 840843

Huntington Beach, California, United States

Site Status

Chiesi Clinical Trial Site 840860

Huntington Beach, California, United States

Site Status

Chiesi Clinical Trial Site 840896

Long Beach, California, United States

Site Status

Chiesi Clinical Trial Site 840883

Los Angeles, California, United States

Site Status

Chiesi Clinical Trial Site 840810

Los Angeles, California, United States

Site Status

Chiesi Clinical Trial Site 840869

Newport Beach, California, United States

Site Status

Chiesi Clinical Trial Site 840890

North Hollywood, California, United States

Site Status

Chiesi Clinical Trial Site 840808

Northridge, California, United States

Site Status

Chiesi Clinical Trial Site 840879

Pomona, California, United States

Site Status

Chiesi Clinical Trial Site 840868

Sacramento, California, United States

Site Status

Chiesi Clinical Trial Site 840849

San Diego, California, United States

Site Status

Chiesi Clinical Trial Site 840877

San Diego, California, United States

Site Status

Chiesi Clinical Trial Site 840861

San Jose, California, United States

Site Status

Chiesi Clinical Trial Site 840881

Westminster, California, United States

Site Status

Chiesi Clinical Trial Site 840873

Colorado Springs, Colorado, United States

Site Status

Chiesi Clinical Trial Site 840800

Denver, Colorado, United States

Site Status

Chiesi Clinical Trial Site 840820

Coral Gables, Florida, United States

Site Status

Chiesi Clinical Trial Site 840841

Cutler Bay, Florida, United States

Site Status

Chiesi Clinical Trial Site 840817

Greenacres City, Florida, United States

Site Status

Chiesi Clinical Trial Site 840822

Hialeah, Florida, United States

Site Status

Chiesi Clinical Trial Site 840838

Hialeah, Florida, United States

Site Status

Chiesi Clinical Trial Site 840864

Kissimmee, Florida, United States

Site Status

Chiesi Clinical Trial Site 840814

Miami, Florida, United States

Site Status

Chiesi Clinical Trial Site 840819

Miami, Florida, United States

Site Status

Chiesi Clinical Trial Site 840875

Miami, Florida, United States

Site Status

Chiesi Clinical Trial Site 840887

Miami, Florida, United States

Site Status

Chiesi Clinical Trial Site 840821

Miami, Florida, United States

Site Status

Chiesi Clinical Trial Site 840829

Miami, Florida, United States

Site Status

Chiesi Clinical Trial Site 840828

Miami, Florida, United States

Site Status

Chiesi Clinical Trial Site 840847

Miami, Florida, United States

Site Status

Chiesi Clinical Trial Site 840818

Miami, Florida, United States

Site Status

Chiesi Clinical Trial Site 840802

Miami, Florida, United States

Site Status

Chiesi Clinical Trial Site 840835

Miami, Florida, United States

Site Status

Chiesi Clinical Trial Site 840806

Miami, Florida, United States

Site Status

Chiesi Clinical Trial Site 840855

Miami, Florida, United States

Site Status

Chiesi Clinical Trial Site 840809

Miami Gardens, Florida, United States

Site Status

Chiesi Clinical Trial Site 840863

Miami Lakes, Florida, United States

Site Status

Chiesi Clinical Trial Site 840865

Miami Lakes, Florida, United States

Site Status

Chiesi Clinical Trial Site 840831

Miami Springs, Florida, United States

Site Status

Chiesi Clinical Trial Site 840839

Palmetto Bay, Florida, United States

Site Status

Chiesi Clinical Trial Site 840840

Pembroke Pines, Florida, United States

Site Status

Chiesi Clinical Trial Site 840827

Pembroke Pines, Florida, United States

Site Status

Chiesi Clinical Trial Site 840811

Port Saint Lucie, Florida, United States

Site Status

Chiesi Clinical Trial Site 840889

St. Petersburg, Florida, United States

Site Status

Chiesi Clinical Trial Site 840834

St. Petersburg, Florida, United States

Site Status

Chiesi Clinical Trial Site 840880

St. Petersburg, Florida, United States

Site Status

Chiesi Clinical Trial Site 840807

Tallahassee, Florida, United States

Site Status

Chiesi Clinical Trial Site 840871

Adairsville, Georgia, United States

Site Status

Chiesi Clinical Trial Site 840824

White Marsh, Maryland, United States

Site Status

Chiesi Clinical Trial Site 840826

North Dartmouth, Massachusetts, United States

Site Status

Chiesi Clinical Trial Site 840859

Columbia, Missouri, United States

Site Status

Chiesi Clinical Trial Site 840888

Saint Charles, Missouri, United States

Site Status

Chiesi Clinical Trial Site 840846

St Louis, Missouri, United States

Site Status

Chiesi Clinical Trial Site 840867

Bellevue, Nebraska, United States

Site Status

Chiesi Clinical Trial Site 840897

Henderson, Nevada, United States

Site Status

Chiesi Clinical Trial Site 840872

North Las Vegas, Nevada, United States

Site Status

Chiesi Clinical Trial Site 840836

Brick, New Jersey, United States

Site Status

Chiesi Clinical Trial Site 840851

Albuquerque, New Mexico, United States

Site Status

Chiesi Clinical Trial Site 840899

Monroe, North Carolina, United States

Site Status

Chiesi Clinical Trial Site 840852

Raleigh, North Carolina, United States

Site Status

Chiesi Clinical Trial Site 840866

Edmond, Oklahoma, United States

Site Status

Chiesi Clinical Trial Site 840878

Tulsa, Oklahoma, United States

Site Status

Chiesi Clinical Trial Site 840884

Grants Pass, Oregon, United States

Site Status

Chiesi Clinical Trial Site 840830

Medford, Oregon, United States

Site Status

Chiesi Clinical Trial Site 840853

Portland, Oregon, United States

Site Status

Chiesi Clinical Trial Site 840885

Warwick, Rhode Island, United States

Site Status

Chiesi Clinical Trial Site 840892

Anderson, South Carolina, United States

Site Status

Chiesi Clinical Trial Site 840844

Columbia, South Carolina, United States

Site Status

Chiesi Clinical Trial Site 840850

Greenville, South Carolina, United States

Site Status

Chiesi Clinical Trial Site 840894

Rock Hill, South Carolina, United States

Site Status

Chiesi Clinical Trial Site 840891

Spartanburg, South Carolina, United States

Site Status

Chiesi Clinical Trial Site 840812

Knoxville, Tennessee, United States

Site Status

Chiesi Clinical Trial Site 840815

Baytown, Texas, United States

Site Status

Chiesi Clinical Trial Site 840874

Boerne, Texas, United States

Site Status

Chiesi Clinical Trial Site 840845

Carrollton, Texas, United States

Site Status

Chiesi Clinical Trial Site 840876

Dallas, Texas, United States

Site Status

Chiesi Clinical Trial Site 840803

El Paso, Texas, United States

Site Status

Chiesi Clinical Trial Site 840833

Houston, Texas, United States

Site Status

Chiesi Clinical Trial Site 840862

McKinney, Texas, United States

Site Status

Chiesi Clinical Trial Site 840816

McKinney, Texas, United States

Site Status

Chiesi Clinical Trial Site 840842

San Antonio, Texas, United States

Site Status

Chiesi Clinical Trial Site 840857

San Antonio, Texas, United States

Site Status

Chiesi Clinical Trial Site 840823

San Antonio, Texas, United States

Site Status

Chiesi Clinical Trial Site 840801

Sugar Land, Texas, United States

Site Status

Chiesi Clinical Trial Site 840893

Murray, Utah, United States

Site Status

Chiesi Clinical Trial Site 840837

Riverton, Utah, United States

Site Status

Chiesi Clinical Trial Site 840882

Bellingham, Washington, United States

Site Status

Chiesi Clinical Trial Site 840870

Greenfield, Wisconsin, United States

Site Status

Countries

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United States

References

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Other Identifiers

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CLI-05993AB8-02

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Identifier Source: org_study_id

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