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AsthmaPhase 3NCT01698320

Safety Study of Albuterol Spiromax® in Subjects With Asthma

A Phase 3 study testing Albuterol MDPI in people with Asthma, run by Teva Branded Pharmaceutical Products R&D, Inc. at 30 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the safety of Albuterol Spiromax® over 52 weeks during two dosing periods: (1) a 12-week, double-blind, placebo-controlled QID dosing period followed by (2) a 40-week, open-label PRN dosing period, and to evaluate Albuterol Spiromax® device performance through the life of the… Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Asthma
What is being tested?
Albuterol MDPI
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
364 participants
Where
30 sitesUnited States
Study dates
Oct 2012to Dec 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 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Written informed consent and HIPAA signed and dated by the subject or written informed assent signed and dated both by the subject and/or parent/caregiver/legal guardian before conducting any study related procedure.
  • Males or females with asthma ages 12 years or older at screening.
  • Documented history of persistent asthma and current use of an MDI containing any short-acting beta-adrenergic agonist (e.g. albuterol, levalbuterol,) on average of at least once/week over the 4-weeks prior to screening. The asthma diagnosis must be consistent with the diagnosis of asthma as per the National Asthma Education and Prevention Program.
  • If female, is currently not pregnant, breast feeding, or attempting to become pregnant (for 4 weeks before the screening visit and throughout the duration of the study), and is of Non-childbearing potential, defined as:
  • ≥1 year post-menopausal or
  • Surgically sterile (tubal ligation, bilateral oophorectomy, salpingectomy, or hysterectomy) or is of
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  • Childbearing potential, has a negative serum pregnancy test, and is willing to commit to using a consistent and acceptable method of birth control
  • General good health in the opinion of the investigator as indicated by medical history, physical examination, laboratory tests (hematology, serum chemistry and urinalysis) assessed as either normal or abnormal not clinically significant (NCS) per the principal investigator, as well as a 12-lead ECG interpreted as either "Normal" or "Abnormal NCS" as determined by the central cardiologist. Subjects must also be free of any clinically significant, uncontrolled concomitant conditions other than asthma that could interfere with study conduct, influence the interpretation of study observations/results, or put the subject at increased risk during the trial.
  • Capable of understanding the requirements, risks, and benefits of study participation, and, as judged by the investigator, and being compliant with all study requirements (visits, record-keeping, etc).
  • Non-smoker for at least one year prior to the screening visit and a maximum pack-year (PY) smoking history of 10 years.
  • Able to demonstrate proper inhaler technique with study inhaler.

Who cannot join

  • Pregnancy, nursing, or plans to become pregnant or donate gametes (ova or sperm) for in vitro fertilization during the study period or for 30 days following the subject's last study related visit.
  • Participation in any investigational drug trial within 30 days preceding the screening visit or planned participation in another investigational drug trial at any time during this trial.
  • A known hypersensitivity to albuterol or any of the excipients in the formulations.
  • History of severe milk protein allergy
  • History of an upper or lower respiratory tract infection or disorder (including, but not limited to bronchitis, pneumonia, acute or chronic sinusitis, otitis media, influenza, etc) which is not resolved at least 1 week prior to the SV.
  • History of alcohol or drug abuse within two years preceding the SV.
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  • Use of any protocol prohibited concomitant medications for asthma (any oral β2-adrenergic agonists) or any protocol prohibited concomitant non-asthma medications including treatment with β2-adrenergic receptor antagonists and non-selective β-receptor blocking agents such as β-blocking anti-hypertensive products (administered by any route), MAO inhibitors, and/or tricyclic antidepressants. (Subject's own MDI short-acting β-agonist rescue inhaler should be used until the start of the Run-In period when a study rescue inhaler is provided.)
  • Inability or unwillingness to comply with the protocol requirements.
  • History of life-threatening asthma [defined here as an asthma episode requiring intubation and/or associated with hypercapnea, respiratory arrest or hypoxic seizures.]
  • Any asthma exacerbation within 3 months of the SV requiring oral or systemic corticosteroids or any hospitalization for asthma within 6 months of the SV.
  • Note: An exacerbation of asthma is defined as any worsening of asthma requiring any treatment other than rescue albuterol or the subject's regular asthma maintenance therapy. This includes requiring the use of systemic corticosteroids and/or emergency room visit or hospitalization or a change in subject's regular asthma maintenance treatment. A subject does not need to be withdrawn from the study due to an asthma exacerbation unless hospitalization is required or unless the principal investigator believes it is in the subjects' best interest to withdraw from the study.
  • Previous participation in an inhaled Albuterol Spiromax® (Teva) study, with the exception of the ABS-AS-306 study.
  • Study participation by clinical investigator site employees and/or their immediate relatives.
  • Study participation by related or non-related individuals living in the same household, i.e. only one subject per household may participate in the study.
  • Any clinically significant endocrine, hematological, hepatic, renal, gastrointestinal, neurological, cardiac, metabolic, immunological, any non-asthmatic acute or chronic pulmonary condition (including but not limited to bronchitis, emphysema, active tuberculosis, bronchiectasis, cystic fibrosis), and malignancy other than basal cell carcinoma. Significant is defined for this protocol as any condition that, in the opinion of the investigator, would put the safety of the subject at risk through participation, or which could affect the safety analyses.
  • Any medical or psychological condition that in the investigator's opinion should preclude enrollment.

Trial locations and contacts

30 sites in 1 country.

30 sites in 1 country

United States30 sites
  • Teva Investigational Site 10146

    Bellevue, Nebraska

  • Teva Investigational Site 10162

    Bethesda, Maryland

  • Teva Investigational Site 10163

    Burke, Virginia

  • Teva Investigational Site 10147

    Canton, Ohio

  • Teva Investigational Site 10143

    Cincinnati, Ohio

  • Teva Investigational Site 10148

    Denver, Colorado

  • Teva Investigational Site 10159

    Denver, Colorado

  • Teva Investigational Site 10155

    El Paso, Texas

  • Teva Investigational Site 10150

    Eugene, Oregon

  • Teva Investigational Site 10154

    Gainesville, Georgia

  • Teva Investigational Site 10164

    Greenfield, Wisconsin

  • Teva Investigational Site 10141

    High Point, North Carolina

  • Teva Investigational Site 10169

    Huntington Beach, California

  • Teva Investigational Site 10161

    Louisville, Kentucky

  • Teva Investigational Site 10158

    Miami, Florida

  • Teva Investigational Site 10168

    Miami, Florida

  • Teva Investigational Site 10151

    Minneapolis, Minnesota

  • Teva Investigational Site 10149

    New Braunfels, Texas

  • Teva Investigational Site 10142

    Plymouth, Minnesota

  • Teva Investigational Site 10156

    Portland, Oregon

  • Teva Investigational Site 10153

    Raleigh, North Carolina

  • Teva Investigational Site 10144

    Rochester, New York

  • Teva Investigational Site 10145

    San Antonio, Texas

  • Teva Investigational Site 10170

    San Antonio, Texas

  • Teva Investigational Site 10157

    San Diego, California

  • Teva Investigational Site 10165

    Seattle, Washington

  • Teva Investigational Site 10160

    Skillman, New Jersey

  • Teva Investigational Site 10152

    St Louis, Missouri

  • Teva Investigational Site 10167

    Sylvania, Ohio

  • Teva Investigational Site 10166

    Wheaton, Maryland

Other trials in United States

About this study

Official title: A Multi-Center 52-Week Study to Assess the Safety of Albuterol Spiromax® in Subjects With Asthma

The purpose of this study is to evaluate the safety of Albuterol Spiromax® over 52 weeks during two dosing periods: (1) a 12-week, double-blind, placebo-controlled QID dosing period followed by (2) a 40-week, open-label PRN dosing period, and to evaluate Albuterol Spiromax® device performance through the life of the device during the study.

Conditions
Asthma
Being tested
Placebo MDPI, Albuterol MDPI
Medical subject headings
Asthma

What participants receive

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

  • Placebo MDPIDrug

    Also called placebo

    Placebo MDPI (multi-dose dry powder inhaler) to match the active intervention.

  • Albuterol MDPIDrug

    Also called ProAir® RespiClick, Albuterol Spiromax

    Albuterol MDPI (multi-dose dry powder inhaler or Spiromax®) 90 mcg/inhalation.

Study groups in NCT01698320
Study groupRoleWhat they receive
Placebo MDPI-Albuterol MDPIPlacebo comparatorDuring the 12-week double-blind period, participants take 2 inhalations of placebo MDPI (multi-dose dry powder inhaler), four times a day (QID) at approximately 7:00 AM, 12:00 PM, 5:00 PM, and bedtime. The double-blind period is followed by a 40-week open-label period in which all study participants take albuterol MDPI 90 micrograms/inhalation, 2 inhalations every 4-6 hours as needed (PRN) and, if applicable, 2 inhalations 15-30 minutes prior to sports/exercise.
Receives: Drug: Placebo MDPI; Drug: Albuterol MDPI
Albuterol MDPI-Albuterol MDPIExperimentalDuring the 12-week double-blind period, participants take 2 inhalations of albuterol MDPI (multi-dose dry powder inhaler or Spiromax®) 90 mcg/inhalation, four times a day (QID) at approximately 7:00 AM, 12:00 PM, 5:00 PM, and bedtime for a total daily dose of 720 micrograms per day. The double-blind period is followed by a 40-week open-label period in which all study participants take albuterol MDPI 90 micrograms/inhalation, 2 inhalations every 4-6 hours as needed (PRN) and, if applicable, 2 inhalations 15-30 minutes prior to sports/exercise.
Receives: Drug: Albuterol MDPI

What is being measured

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

  1. Participants With Adverse Experiences During Weeks 0-12 (Double-Blind Period)

    Adverse events (AEs) summarized in this table are those that began or worsened after treatment with study drug (treatment-emergent AEs). An adverse event was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an AE which prevents normal daily activities. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes.

    Measured: Day 1 to Week 12

  2. Participants With Adverse Experiences During Weeks 13-52 (Open-Label Period)

    Adverse events (AEs) summarized in this table are those that began or worsened after treatment with study drug (treatment-emergent AEs). An adverse event was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an AE which prevents normal daily activities. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes.

    Measured: Weeks 13-52

  3. Electrocardiogram (ECG) Results At Weeks 0, 12, and 52

    A standard 12-lead ECG was performed at screening, week 12, and week 52 or early termination/discontinuation. The ECG recording methods were centralized and standardized across all study participants. A centralized cardiologist was responsible for providing all ECG interpretations.

    Measured: Weeks 0 (screening visit), 12, and 52

  4. Change From Baseline in Blood Pressure Measurements to Week 12 and Week 52

    Participants were seated at least 2 minutes before blood pressure measurements were obtained by either an electronic or manual sphygmomanometer.

    Week 12 values represent change from Week 0. Week 52 values represent change from Week 12.

    Measured: Week 0, Week 12 and Week 52

  5. Change From Baseline in Pulse Measurements to Week 12 and Week 52

    Participants were seated at least 2 minutes before pulse measurements were obtained by radial pulse.

    Week 12 values represent change from Week 0. Week 52 values represent change from Week 12.

    Measured: Week 0, Week 12 and Week 52

  6. Participants With Abnormal and Clinically Relevant Physical Exam Findings at Weeks 0, 12 and 52

    The physical exam was performed by a qualified healthcare professional, and when possible, the same qualified healthcare professional that performed the physical examination at study screening performed all the scheduled physical examinations. Abnormalities and clinical relevance were determined by the qualified healthcare professional.

    HEENT = head, eyes, ears, nose, throat

    Measured: Weeks 0, 12 and 52

Timeline

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

  1. First posted3 Oct 2012 (estimated)
  2. Study startOct 2012
  3. Primary completionDec 2013
  4. Study completionDec 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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
364 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01698320
Sponsor's protocol ID
ABS-AS-307
Status last verified
Aug 2015
First submitted
14 Sep 2012
Last updated
19 Aug 2015
Data monitoring committee
No

Publications

  • Raphael G, Taveras H, Iverson H, O'Brien C, Miller D. Twelve- and 52-week safety of albuterol multidose dry powder inhaler in patients with persistent asthma. J Asthma. 2016;53(2):187-93. doi: 10.3109/02770903.2015.1070862. Epub 2015 Sep 15.

    PubMed 26369589

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Albuterol MDPI in people with Asthma, run by Teva Branded Pharmaceutical Products R&D, Inc. at 30 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 11 inclusion and 16 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 19 Aug 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 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 19 Aug 2015). 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?

Participants With Adverse Experiences During Weeks 0-12 (Double-Blind Period) (time frame: Day 1 to Week 12). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01698320, which also lists 1 linked publication.

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 19 Aug 2015.

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