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AsthmaPhase 2NCT01397162

Dose Finding Study on BI54903 (Inhaled Corticosteroid) Administered Twice Daily Via Respimat® Inhaler in Asthmatic Patients Inadequately Controlled on Short-acting-beta-agonist (SABA) Therapy

A Phase 2 study testing Fluticasone propionate and BI 54903 in people with Asthma, run by Boehringer Ingelheim at 41 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The aim of the study is to assess and compare efficacy and safety of BI 54903 at 3 doses twice daily (b.i.d.) and fluticasone propionate hydrofluoroalkane metered dose inhaler (HFA MDI) at a dose of 88 mcg b.i.d and placebo b.i.d. Read more about this study

Who is it for?
Ages 12 to 65 years
Conditions the study is for
Asthma
What is being tested?
Fluticasone propionate and BI 54903
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
29 participants
Where
41 sitesUnited States
Study dates
21 Jul 2011to 23 Dec 2011
Phase
Phase 2
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 12 to 65 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Male and female patients aged at least 12 to 65 years
  • All patients must have a history of asthma diagnosed by a physician for at least three months at the time of enrolment into the trial according to the 2009 Global Initiative for Asthma (GINA) Guidelines. The initial diagnosis of asthma must have been made before the age of 40 years 4 All patients must be on a maintenance treatment with either low-dose inhaled corticosteroid (ICS) plus long-acting-beta -agonist (LABA) or medium-dose ICS without LABA, stable for at least six weeks prior to Visit 1
  • 5 All patients must have a pre-bronchodilator FEV1 of not less than 60 to 90% of predicted normal and an asthma control questionnaire (ACQ-6) mean score of less than 1.5 at the pre-screening Visit 1 6 All patients must have an improvement in forced expiratory volume in one second (FEV1) not less than 12 % above baseline and an absolute change of at least 200 mL within 15-30 min after administration of 400 mcg salbutamol/albuterol hydrofluoroalkane metered dose inhaler (HFA MDI) 7 Patients must be never-smokers or ex-smokers with a smoking history of less than 10 pack-years and smoking cessation at least one year prior to screening 9 Patients must be able to use Respimat® inhaler and metered dose inhaler (MDI) correctly 10 Patients must be able to perform all trial-related procedures including technically acceptable pulmonary function tests and electronic peak expiratory flow (PEF) measurements, and must be able to maintain records during the study period as required in the protocol

Who cannot join

  • Patients with significant pulmonary disease other than asthma or other significant medical conditions (as determined by medical history, examination and clinical investigations at screening)
  • Patients with a clinically relevant, abnormal screening haematology and/or blood chemistry finding
  • Patients with a history of upper or lower respiratory tract infection (URTI/LRTI) in the past four weeks prior to the pre-screening Visit 1, and during pre-screening and run-in periods
  • Patients with any exacerbation of their underlying asthma during the eight weeks prior to the pre-screening Visit 1
  • Patients with active allergic rhinitis requiring treatment with systemic corticosteroids
  • Any of the following criteria are met during the pre-screening / run-in period (Visits 1 - 6):in clinic pre-bronchodilator forced expiratory volume in one second (FEV1 %) predicted less than 40%; more than 12 puffs rescue salbutamol/albuterol HFA MDI per day for > 2 consecutive days;exacerbation of asthma
Show all 19Show fewer
  • Patients with a history of pneumonectomy or who are planning to undergo thoracotomy for any reason
  • Patients who are currently in a pulmonary rehabilitation program or have completed a pulmonary rehabilitation program in the six weeks prior to the first screening visit 1
  • Patients with two or more hospitalizations for asthma within the previous 12 months
  • Patients with a recent history of myocardial infarction during the last twelve months or known coronary heart disease that requires treatment
  • Patients with a history of hospitalisation due to heart failure in the past twelve months
  • Patients with myocarditis or any unstable or life-threatening cardiac arrhythmia or cardiac arrhythmia requiring intervention or a change in drug therapy within the past year
  • Patients with significant alcohol or drug abuse in the opinion of the investigator within the past two years
  • Patients with rheumatoid arthritis or other systemic diseases that require immune system modulating treatment
  • Patients suffering from narrow angle glaucoma with a history of glaucoma, increased intraocular pressure, and/or cataracts
  • Pregnant or nursing women
  • Women of childbearing potential not using a highly effective method of birth control
  • Patients who have been treated with anti-Immunoglobin-E-antibodies (e.g. omalizumab, Xolair®) or other immune system modulating antibodies such as tumor necrosis factor-alpha blockers within six months prior to Visit 1
  • Patients who have been treated with the following drugs during the past four weeks prior to Visit 1 or are foreseen to need this during the study:Non-selective beta-blockers (topical cardio-selective beta-blocker eye medications for non-narrow angle glaucoma are allowed; Oral or other systemic corticosteroids; Oral beta-agonists; Changes in allergen desensitisation therapy in last 6 months; Immune system modulating agents such as methotrexate or cyclosporine; Inhibitors of cytochrome P450 3A4 such as antifungals (e.g. ketoconazole, itraconazole), antibiotics (e.g. erythromycin) or antiretroviral drugs; Patients who have been treated with leukotriene modifiers, chromones or theophylline within two weeks prior to Visit 1; Patients who have been treated with tiotropium within 3 weeks prior to Visit 1

Trial locations and contacts

41 sites in 1 country.

41 sites in 1 country

United States41 sites
  • 1248.5.01053 Boehringer Ingelheim Investigational Site

    Alexandria, Virginia

  • 1248.5.01050 Boehringer Ingelheim Investigational Site

    Austin, Texas

  • 1248.5.01019 Boehringer Ingelheim Investigational Site

    Baltimore, Maryland

  • 1248.5.01049 Boehringer Ingelheim Investigational Site

    Berlin, New Jersey

  • 1248.5.01015 Boehringer Ingelheim Investigational Site

    Centennial, Colorado

  • 1248.5.01048 Boehringer Ingelheim Investigational Site

    Charleston, South Carolina

  • 1248.5.01045 Boehringer Ingelheim Investigational Site

    Cincinnati, Ohio

  • 1248.5.01051 Boehringer Ingelheim Investigational Site

    Columbus, Georgia

  • 1248.5.01011 Boehringer Ingelheim Investigational Site

    Eagle, Idaho

  • 1248.5.01047 Boehringer Ingelheim Investigational Site

    Fountain Valley, California

  • 1248.5.01005 Boehringer Ingelheim Investigational Site

    Gresham, Oregon

  • 1248.5.01031 Boehringer Ingelheim Investigational Site

    High Point, North Carolina

  • 1248.5.01041 Boehringer Ingelheim Investigational Site

    Huntington Beach, California

  • 1248.5.01002 Boehringer Ingelheim Investigational Site

    Live Oak, Texas

  • 1248.5.01038 Boehringer Ingelheim Investigational Site

    Long Beach, California

  • 1248.5.01022 Boehringer Ingelheim Investigational Site

    Miami, Florida

  • 1248.5.01004 Boehringer Ingelheim Investigational Site

    Mission Viejo, California

  • 1248.5.01025 Boehringer Ingelheim Investigational Site

    Murray, Utah

  • 1248.5.01039 Boehringer Ingelheim Investigational Site

    North Dartmouth, Massachusetts

  • 1248.5.01055 Boehringer Ingelheim Investigational Site

    Oak Lawn, Illinois

  • 1248.5.01020 Boehringer Ingelheim Investigational Site

    Omaha, Nebraska

  • 1248.5.01028 Boehringer Ingelheim Investigational Site

    Palmdale, California

  • 1248.5.01013 Boehringer Ingelheim Investigational Site

    Philadelphia, Pennsylvania

  • 1248.5.01040 Boehringer Ingelheim Investigational Site

    Pittsburgh, Pennsylvania

  • 1248.5.01021 Boehringer Ingelheim Investigational Site

    Portland, Oregon

  • 1248.5.01014 Boehringer Ingelheim Investigational Site

    Rancho Mirage, California

  • 1248.5.01006 Boehringer Ingelheim Investigational Site

    Rochester, New York

  • 1248.5.01056 Boehringer Ingelheim Investigational Site

    Rolla, Missouri

  • 1248.5.01032 Boehringer Ingelheim Investigational Site

    San Antonio, Texas

  • 1248.5.01046 Boehringer Ingelheim Investigational Site

    San Antonio, Texas

  • 1248.5.01042 Boehringer Ingelheim Investigational Site

    Sarasota, Florida

  • 1248.5.01052 Boehringer Ingelheim Investigational Site

    Savannah, Georgia

  • 1248.5.01044 Boehringer Ingelheim Investigational Site

    Stockton, California

  • 1248.5.01030 Boehringer Ingelheim Investigational Site

    Tacoma, Washington

  • 1248.5.01054 Boehringer Ingelheim Investigational Site

    Trenton, New Jersey

  • 1248.5.01012 Boehringer Ingelheim Investigational Site

    Upland, Pennsylvania

  • 1248.5.01010 Boehringer Ingelheim Investigational Site

    Verona, New Jersey

  • 1248.5.01001 Boehringer Ingelheim Investigational Site

    Waco, Texas

  • 1248.5.01007 Boehringer Ingelheim Investigational Site

    Waco, Texas

  • 1248.5.01036 Boehringer Ingelheim Investigational Site

    Warrensburg, Missouri

  • 1248.5.01037 Boehringer Ingelheim Investigational Site

    Ypsilanti, Michigan

Other trials in United States

About this study

Official title: A Randomised, Double-blind, Double-dummy, Placebo-controlled, Parallel-group Study to Assess and Compare Efficacy and Safety of an 8-week Treatment With BI 54903 at Doses of 22.7, 45.5 and 90.9 Doses b.i.d. Administered Via Respimat® Inhaler and Fluticasone Propionate HFA MDI 88 mcg b.i.d. in Patients With Asthma Inadequately Controlled on SABA Therapy

The aim of the study is to assess and compare efficacy and safety of BI 54903 at 3 doses twice daily (b.i.d.) and fluticasone propionate hydrofluoroalkane metered dose inhaler (HFA MDI) at a dose of 88 mcg b.i.d and placebo b.i.d. over an 8-week treatment period in asthmatic patients aged 12 to 65 years inadequately controlled on short-acting-beta-agonist (SABA) prn therapy only as demonstrated by a decrease in forced expiratory volume in one second (FEV1) range10 to 25% and an asthma control questionnaire (ACQ-6) equal or greater than 1.5 at time of randomization

Conditions
Asthma
Being tested
Fluticasone propionate, Placebo, BI 54903
Medical subject headings
Asthma

What participants receive

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

  • Fluticasone propionateDrug

    Fluticasone propionate

  • PlaceboDrug

    Placebo matching fluticasone propionate HFA MDI

  • BI 54903Drug

    BI 54903

Study groups in NCT01397162
Study groupRoleWhat they receive
BI 54903 - low doseExperimentalBI 54903 low dose 2 puffs twice daily (b.i.d.) via Respimat inhaler plus hydrofluoralkane (HFA) metered dose inhaler (MDI) matching placebo 2 puffs b.i.d.
Receives: Drug: BI 54903
BI 54903 - medium doseExperimentalBI 54903 medium dose 2 puffs b.i.d. via Respimat inhaler plus HFA MDI matching placebo 2 puffs b.i.d.
Receives: Drug: BI 54903
BI 54903 - high doseExperimentalBI 54903 high dose 2 puffs b.i.d. via Respimat inhaler plus HFA MDI matching placebo 2 puffs b.i.d.
Receives: Drug: BI 54903
Fluticasone propionateActive comparatorFluticasone propionate 2 puffs twice b.i.d via HFA MDI plus placebo BI 54903 via Respimat inhaler 2 puffs b.i.d.
Receives: Drug: Fluticasone propionate
PlaceboPlacebo comparatorPlacebo Respimat inhaler 2 puffs b.i.d. and placebo HFA MDI, 2 puffs b.i.d.
Receives: Drug: Placebo

What is being measured

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

  1. Mean Change From the Randomisation Baseline to the End of the 8-week Treatment Period in Trough (Morning Pre-dose and Pre-rescue Bronchodilator ) Forced Expiratory Volume in One Second (FEV1)

    Mean change from the randomisation baseline to the end of the 8-week treatment period in trough (morning pre-dose and pre-rescue bronchodilator ) forced expiratory volume in one second (FEV1).

    Measured: At baseline and week 8.

Secondary outcomes (8)
  1. Mean Changes From Randomisation Baseline in Trough (Pre-dose and Pre-rescue Bronchodilator) Forced Expiratory Volume in One Second (FEV1) After 2 and 4-week Treatment Periods

    Mean changes from randomisation baseline in trough (pre-dose and pre-rescue bronchodilator) forced expiratory volume in one second (FEV1) after 2 and 4-week treatment periods.

    Measured: At baseline and at week 2 and 4.

  2. Mean Changes From Randomisation Baseline in Trough (Pre-dose and Pre-rescue Bronchodilator) Forced Vital Capacity (FVC) After 2, 4 and 8-week Treatment Periods

    Mean changes from randomisation baseline in trough (pre-dose and pre-rescue bronchodilator) forced vital capacity (FVC) after 2, 4 and 8-week treatment periods.

    Measured: At baseline and week 2, 4, 8.

  3. Mean Changes From Randomisation Baseline in Trough (Morning Pre-dose and Prerescue Bronchodilator) FEF25-75 After 2, 4 and 8-week Treatment Periods

    Mean change from randomization baseline in through (morning pre-dose and pre-rescue bronchodilator) Forced expiratory flow between 25% and 75% of vital capacity (FEF 25-75) after 2, 4 and 8-week treatment periods.

    Measured: At baseline and at week 2, 4 and 8.

  4. Mean Pre-dose (and Pre-rescue) Peak Expiratory Flow (PEF) as Assessed Via Asthma Monitor (AM2+) in the Morning and Evening, of the Last Week of the 8-week Treatment Period

    Mean pre-dose (and pre-rescue) peak expiratory flow (PEF) as assessed via asthma monitor (AM2+) in the morning and evening of the last week of the 8-week treatment period.

    Measured: At week 8.

  5. Mean Rescue Medication Use (Daytime and Night-time) as Assessed Via Asthma Monitor (AM2+) in the Morning and Evening, of the Last Week of the 8-week Treatment Period

    Mean rescue medication use (daytime and night-time) as assessed via asthma monitor (AM2+) in the morning and evening, of the last week of the 8-week treatment period.

    Measured: At week 8.

  6. Mean Change From Randomisation Baseline in Asthma Control Questionnaire (ACQ-6) Scores at Subsequent Study Visits

    The Asthma Control Questionnaire (ACQ) consists of 6 patient self-evaluated questions with each question in 7-point scale. The items are equally weighted and the ACQ score is the mean of 6 items and ranges between 0 (well controlled) and 6 (extremely poorly controlled). Mean scores of less than or equal to 0.75 indicate well-controlled asthma, scores between 0.76 and less than 1.5 indicate partly controlled asthma, and a score greater than or equal to 1.5 indicates uncontrolled asthma.

    Measured: At baseline and at week 2, 4 and 8.

  7. Mean Change From Randomisation Baseline in Asthma Quality of Life Questionnaire (AQLQ(S)+12) Scores at Subsequent Study Visits

    AQLQ(S)+12 are well established and validated questionnaires to measure control of asthma symptoms and quality of life, which is a patient-reported self-administered outcome questionnaire containing 32 items. Each item is scored on a 7-point scale (1=maximal impairment, 7=no impairment). The 32 items of the questionnaire are averaged to produce one overall quality of life score ranging from 1 (severely impaired) to 7 (not impaired at all). Higher scores indicate better quality of life.

    Measured: At baseline and at week 2, 4 and 8.

  8. Time to Withdrawal Due to First Asthma Exacerbation

    Time to withdrawal due to first asthma exacerbation.

    Measured: At week 8.

Timeline

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

  1. First posted19 Jul 2011 (estimated)
  2. Study start21 Jul 2011
  3. Primary completion23 Dec 2011
  4. Study completion23 Dec 2011

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
29 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01397162
Sponsor's protocol ID
1248.5
Other IDs
2010-023167-17
Status last verified
May 2022
First submitted
18 Jul 2011
Last updated
23 Jun 2022

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Fluticasone propionate and BI 54903 in people with Asthma, run by Boehringer Ingelheim at 41 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 3 inclusion and 19 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: stopped early, as of the sponsor's last update on 23 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 41 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 23 Jun 2022). 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?

Mean Change From the Randomisation Baseline to the End of the 8-week Treatment Period in Trough (Morning Pre-dose and Pre-rescue Bronchodilator ) Forced Expiratory Volume in One Second (FEV1) (time frame: At baseline and week 8.). 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 23 Jun 2022.

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