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AsthmaPhase 3NCT00809757

A Safety, Efficacy and Tolerability Study in Pediatric Subjects With Asthma

A Phase 3 study testing Levalbuterol and Levalbuterol UDV TID in people with Asthma, run by Sumitomo Pharma America, Inc. at 46 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A Safety, Efficacy, and Tolerability Study of Daily Dosing with Levalbuterol Tartrate HFA MDI and Placebo in Subjects Aged Birth to <48 Months with Asthma. Read more about this study

Who is it for?
Ages Up to 48 months
Conditions the study is for
Asthma
What is being tested?
Levalbuterol and Levalbuterol UDV TID
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
197 participants
Where
46 sitesUnited States
Study dates
Dec 2008to Jun 2013
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Up to 48 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Subject's parent/legal guardian must give written informed consent, including privacy authorization, prior to study participation. Complete documentation regarding the consent process must be recorded in the case report form (CRF) and source documentation.
  • Subject's parent/legal guardian must be willing and able to comply with the study procedures and visit schedules.
  • Subject, male or female, must be between the ages of birth and <48 months, exclusive, at the time of consent.
  • Subjects 24 to <48 months of age must have a history of physician-diagnosed asthma (defined as at least 3 episodes of respiratory symptoms consistent with asthma symptoms including, but not limited to, cough, wheeze, or dyspnea).
  • Subjects 0 to <24 months of age must have a history of 3 episodes of respiratory symptoms that in the judgement of the investigator could be consistent with asthma or reactive airways disease.
  • Subject must be in good health and not affected by any other chronic conditions, including respiratory disorders other than asthma.
  • In subjects with a chest radiograph (taken 12 months prior to screening visit), no evidence of any chronic cardiopulmonary condition other than asthma should be present as discerned by the Investigator.
  • Subject's parent/legal guardian must be able to complete the diary cards and medical event calendars (MEC) reliably on a daily basis and understand dosing instructions and questionnaire completion.

Who cannot join

  • Subject who requires or is expected to require any disallowed medications
  • Subject who has participated in an investigational drug study within 30 days prior to screening, or who is currently participating in another clinical trial.
  • Subject or parent/legal guardian who has daily commitments during the study that would interfere with trial measurements, compliance, or both.
  • Subject who has a history of hospitalization for asthma, reactive airways disease, or bronchospasm within 4 weeks prior to screening or who is scheduled for in-patient hospitalization, including elective surgery during the course of the trial.
  • Subject who has experienced significant blood loss within 60 days of study drug.
  • Subject with a clinical diagnosis of cystic fibrosis.
Show all 18Show fewer
  • Subject who was born prematurely, defined as less than 38 weeks gestational age at birth, and is <1 year of age at screening
  • Subject whose body weight is less than 7.0 kg at screening. This minimum weight requirement is based upon standard pediatric growth charts [CDC 2000].
  • Subject with a known sensitivity to levalbuterol or racemic albuterol, or any of the excipients contained in any of these formulations.
  • Subject using any prescription drug with which levalbuterol or racemic albuterol sulfate administration is contraindicated.
  • Subject with a history of life-threatening asthma, defined as previous asthma episodes requiring intubation or associated with hypercapnia, respiratory arrest, or hypoxic seizures.
  • Subject with clinically significant abnormalities that may interfere with the metabolism or excretion of the study drugs or study participation (eg, abnormalities of renal, hepatic, metabolic, or endocrine function).
  • Subject with a history of cancer.
  • Subject with any chronic or congenital cardiorespiratory condition other than asthma including, but not limited to, bronchopulmonary dysplasia, congenital heart disease, and cystic fibrosis.
  • Subject affected by an upper or lower respiratory tract infection in the 3 weeks prior to screening.
  • Subject with a history of ventilation for a respiratory condition occurring at or near birth, including those associated with prematurity or bronchopulmonary dysplasia. Ventilatory support for elective non-cardiopulmonary surgery is not exclusionary. - Subject with any clinically significant abnormal laboratory values (hematology, blood chemistry).
  • Subject with a clinically significant abnormal 12-lead ECG that would put the subject at risk for experiencing adverse cardiac effects.
  • Subject who is a relative of a staff member.

Trial locations and contacts

46 sites in 1 country.

46 sites in 1 country

United States46 sites
  • Isis Clinical Research, LLC

    Austin, Texas, 78731

  • Sirius Clinical Research, LLC

    Austin, Texas, 78759

  • Bellingham Asthma, Allergy, & Immunology Clinic

    Bellingham, Washington, 98225

  • Hill Country Family Medical Center

    Boerne, Texas, 78006

  • TTS Research

    Boerne, Texas, 78006

  • Craig A. Spiegel MD

    Bridgeton, Missouri, 63044

  • Maimonides Medical Center

    Brooklyn, New York, 11219

  • PI-Coor Clinical Research, LLC

    Burke, Virginia, 22015

  • IMMUNOe International Research Centers

    Centennial, Colorado, 80112

  • National Allergy, Asthma, and Uticaria Centers

    Charleston, South Carolina, 29407

  • AAC Research - PC

    Charleston, South Carolina, 29414

  • The Asthma Institute, PLLC

    Chattanooga, Tennessee, 37421

  • Rush University Medical Center

    Chicago, Illinois, 60612

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

  • Colonial Heights Pediatrics

    Colonial Heights, Virginia, 23834

  • Brookstone Centre Parkway

    Columbus, Georgia, 31904

  • West Coast Clinical Trials, LLC

    Cypress, California, 90630

  • Allergy/Immunology Research Center of North Texas

    Dallas, Texas, 75230

  • Dallas Allergy Immunology Research

    Dallas, Texas, 75230

  • Dayton Clinical Research

    Dayton, Ohio, 45406

  • Northern Illinois Research Associates

    DeKalb, Illinois, 60115

  • Western Sky Medical Research

    El Paso, Texas, 79903

  • All Seasons Allergy and Asthma Center, P.A.

    Fort Walton Beach, Florida, 32547

  • Grand Blanc Medical

    Grand Blanc, Michigan, 48439

  • ADAC Research, PA

    Greenville, South Carolina, 29607

  • Breath of Life Research Institute

    Katy, Texas, 77450

  • Little Rock Allergy & Asthma Clinical Research Center

    Little Rock, Arkansas, 72205

  • Live Oak Allergy and Asthma Clinic

    Live Oak, Texas, 78233

  • Allergy & Asthma Care Center of Southern California

    Long Beach, California, 90808

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37203

  • Nassim, McMonigle, Mescia & Associates

    New Albany, Indiana, 47150

  • Sneeze, Wheeze & Itch Associates LLC

    Normal, Illinois, 61761

  • Allergy, Asthma and clinical Research Center

    Oklahoma City, Oklahoma, 73120

  • Eminence Research, LLC

    Oklahoma City, Oklahoma, 73139

  • Midwest Allergy and Asthma center

    Omaha, Nebraska, 68130

  • Clinical Trials of Orange County, Inc.

    Orange, California, 92868

  • The Asthma & Allergy Center, P.C.

    Papillion, Nebraska, 68046

  • Allergy and Asthma Consultants

    Redwood City, California, 94063

  • Quality Assurance Research Center, Inc.

    San Antonio, Texas, 78205

  • Southwest Allergy and Asthma, P.A.

    San Antonio, Texas, 78229

  • Sylvana Research Associates

    San Antonio, Texas, 78229

  • Asthma and Allergy Research Associates

    Upland, Pennsylvania, 19013

  • St. Elizabeth Health Center

    Utica, New York, 13502

  • Allergy & Asthma Care of Waco

    Waco, Texas, 76712

  • Allergy and Asthma Research Institute

    Waco, Texas, 76712

  • Palm Beach Research Center

    West Palm Beach, Florida, 33409

Other trials in United States

About this study

Official title: A Safety, Efficacy, and Tolerability Study of Daily Dosing With Levalbuterol Tartrate HFA MDI and Placebo in Subjects Aged Birth to <48 Months With Asthma

A Safety, Efficacy, and Tolerability Study of Daily Dosing with Levalbuterol Tartrate HFA MDI and Placebo in Subjects Aged Birth to <48 Months with Asthma.

Read the detailed description

This is a modified-blind, randomized, placebo-controlled, multicenter, parallel-group trial of levalbuterol HFA MDI administered using a facemask and holding chamber in subjects birth to <48 months with asthma. This study was previously posted by Sepracor Inc. In October 2009, Sepracor Inc. was acquired by Dainippon Sumitomo Pharma., and in October 2010, Sepracor Inc's name was changed to Sunovion Pharmaceuticals Inc.

Conditions
Asthma
Being tested
Levalbuterol, Levalbuterol UDV TID, Placebo
Keywords
Asthma
Medical subject headings
Asthma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LevalbuterolDrug

    Also called Xopenex HFA Inhalation Aerosol

    90 ug Levalbuterol (2 actuations)

  • Levalbuterol UDV TIDDrug

    Also called Xopenex Inhalation Solution

    0.31 ug Levalbuterol UDV TID

  • PlaceboDrug

    Placebo (2 actuations)

Study groups in NCT00809757
Study groupRoleWhat they receive
1Experimental90 ug Levalbuterol (2 actuations)
Receives: Drug: Levalbuterol
2Active comparator0.31 ug Levalbuterol UDV TID
Receives: Drug: Levalbuterol UDV TID
3Placebo comparatorPlacebo
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessments (PACA)

    The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms).

    The mean daily composite score at Visit 4 is defined as the mean of the daily composite scores in the week prior to Visit 4.

    Measured: Baseline, Visit 4 (Week 4)

Secondary outcomes (25)
  1. Change From Baseline to Visit 3 in Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment

    The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms).

    The mean daily composite score at Visit 3 is defined as the mean of the daily composite scores in the 7 days prior to Visit 3.

    Measured: Baseline, Visit 3 (Week 3)

  2. Change From Baseline to Visit 2 to Visit 3 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment

    The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms).

    The mean daily composite score from Visit 2 to Visit 3 is defined as the mean of the daily composite scores from Visit 2 (inclusive) to the day prior to Visit 3.

    Measured: The days from Visit 2 (inclusive) to the day prior to Visit 3 - approximately 14 days

  3. Change From Baseline to Visit 3 to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment

    The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms).

    The mean daily composite score from Visit 3 to Visit 4 is defined as the mean of the daily composite scores from Visit 3 (inclusive) to the day prior to Visit 4.

    Measured: The days from Visit 3 (inclusive) to the day prior to Visit 4 - approximately 14 days

  4. Change From Baseline to Visit 3 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by the Pediatric Asthma Questionnaire (PAQ)

    The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms).

    The mean daily composite score at Visit 3 is defined as the mean daily composite scores for 7 days prior to Visit 3.

    Measured: Baseline, Visit 3 (Week 3)

  5. Change From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by Pediatric Asthma Questionnaire

    The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms).

    The mean daily composite score at Visit 4 is defined as the mean daily composite scores in the 7 days prior to Visit 4.

    Measured: Baseline, Visit 4 (Week 4)

  6. Change From Baseline to Visit 2 to Visit 3 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by the Pediatric Asthma Questionnaire

    The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms).

    The mean daily composite score from Visit 2 to Visit 3 is defined as the mean of the daily composite scores from Visit 2 (inclusive) to the day prior to Visit 3.

    Measured: The days from Visit 2 (inclusive) to the day prior to Visit 3 - approximately 14 days

  7. Change From Baseline to Visit 3 to Visit 4 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Score as Measured by the Pediatric Asthma Questionnaire

    The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms).

    The mean daily composite score from Visit 3 to Visit 4 is defined as the mean of the daily composite scores from Visit 3 (inclusive) to the day prior to Visit 4.

    Measured: The days from Visit 3 (inclusive) to the day prior to Visit 4 - approximately 14 days

  8. Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2

    Peak expiratory flow (PEF) measures how fast a person can breathe out using the greatest effort

    Measured: Baseline, Visit 2: 30 minutes post-dose (on the day of randomization), 1 hour post-dose, 4 hours post-dose, 6 hours post-dose

  9. Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 3

    Measured: Baseline, Visit 3, pre-dose (approximately 14 days after randomization)

  10. Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4

    Measured: Visit 4: pre-dose (approximately 28 days after randomization) , 30 minutes post-dose, 1 hour post-dose, 4 hours post-dose, 6 hours post-dose

  11. Percent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2

    Measured: Baseline, Visit 2: , 30 minutes post-dose (on the day of randomization), 1 hour post-dose, 4 hours post-dose, 6 hours post-dose

  12. Percent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 3

    Measured: Baseline, Visit 3, pre -dose (approximately 14 days after randomization)

  13. Percent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4

    Measured: Baseline, Visit 4, pre -dose (approximately 28 days after randomization)

  14. Change From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4

    Mean of the daily pre-dose PEF values in the week prior to visit in those subjects aged 24 to <48 months capable of performing acceptable and reproducible PEF maneuvers.

    Measured: Baseline, Visit 3 (the week prior to Visit 3) and Visit 4

  15. Percent Change From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4)

    Mean of the daily pre-dose PEF values in the week prior to visit in those subjects aged 24 to <48 months capable of performing acceptable and reproducible PEF maneuvers.

    Measured: Visit 3 (the week prior to Visit 3), Visit 4 (the week prior to Visit 4)

  16. Investigator Global Assessment - Question 1

    Since the start of the study, how would you evaluate the child's asthma symptoms?

    Measured: Visit 4 (End of 28 day treatment period)

  17. Investigator Global Assessment - Question 2

    Since the start of the study, how would you evaluate your ability to manage the subject's asthma?

    Measured: Visit 4 (End of 28 day treatment period)

  18. Caregiver Global Assessment - Question 1

    Since the start of the study, how would you evaluate your child's asthma symptoms?

    Measured: Visit 4 (End of 28 day treatment period)

  19. Caregiver Global Assessment - Question 2

    Since the start of the study, how would you evaluate your ability to manage your child's asthma?

    Measured: Visit 4 (End of 28 day treatment period)

  20. Caregiver Global Assessment - Question 3

    Overall I was: Very satisfied with the control of the child's asthma symptoms while enrolled in this study, Moderately satisfied with the control of the child's asthma symptoms while enrolled in this study, Slightly satisfied with the control of the child's asthma symptoms while enrolled in this study, Not satisfied with the control of the child's asthma symptoms while enrolled in this study or answer Missing

    Measured: Visit 4 (End of 28 day treatment period)

  21. Rescue Medication Use: Number of Subjects Using Rescue Medication During the Treatment Period

    Number of subjects using rescue medication during the treatment period

    Measured: Visit 2 to Visit 3 (the first 2 weeks of the study) , Visit 3 to Visit 4 (the second 2 weeks of the study), Visit 2 to Visit 4 (the entire 4 weeks of the study)

  22. Rescue Medication Use - Change From Baseline in Mean Number of Days Used Per Week When Used

    Measured: Visit 2 to Visit 3 (the first 2 weeks of the study) , Visit 3 to Visit 4 (the second 2 weeks of the study), Visit 2 to Visit 4 (the entire 4 weeks of the study)

  23. Rescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week

    Measured: Visit 2 to Visit 3 (the first 2 weeks of the study) , Visit 3 to Visit 4 (the second 2 weeks of the study), Visit 2 to Visit 4 (the entire 4 weeks of the study)

  24. Rescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week During Weeks When Used

    Measured: Visit 2 to Visit 3 (the first 2 weeks of the study), Visit 3 to Visit 4 (the second 2 weeks of the study), Visit 2 to Visit 4 (the entire 4 weeks of the study)

  25. Change From Baseline to Visit 3 and Visit 4 in the Pediatric Asthma Caregiver's Quality of Life Questionnaire (PACQLA) Composite Score

    The PACQLQ composite score was calculated as the mean of the scores of the 13 individual questions. Composite scores could range from 1 to 7. Lower scores indicated greater impact of disease on quality of life.

    Measured: Visit 3 and Visit 4 (End of 28 day treatment period)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Dec 2008 (estimated)
  2. Study startDec 2008
  3. Primary completionJun 2013
  4. Study completionJun 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
197 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00809757
Sponsor's protocol ID
051-359
Status last verified
Jul 2014
First submitted
15 Dec 2008
Last updated
28 Jul 2014
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Levalbuterol and Levalbuterol UDV TID in people with Asthma, run by Sumitomo Pharma America, Inc. at 46 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 46 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Jul 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessments (PACA) (time frame: Baseline, Visit 4 (Week 4)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jul 2014.

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