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The purpose of this Phase II study is to evaluate efficacy and safety of inhaled formoterol fumarate in the Pressair DPI compared to the Foradil Aerolizer in patients with mild to moderate asthma.
This study will include a screening visit followed by a 4 month treatment period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental 1 | Experimental | Formoterol Fumarate in the Pressair Pressair Dry Powder Inhaler (DPI), Low Dose |
|
| Experimental 2 | Experimental | Formoterol fumarate in the Pressair Dry Powder Inhaler (DPI), High Dose |
|
| Active Comparator 1 | Active Comparator | Foradil Aerolizer, Low Dose |
|
| Active Comparator 2 | Active Comparator | Foradil Aerolizer, High Dose |
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| Placebo | Placebo Comparator | Dose matched placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Formoterol Fumarate in the Pressair DPI, Low Dose | Drug | Formoterol Fumarate in the Pressair DPI 6 micrograms, twice a day for 14 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Normalized Forced Expiratory Volume in One Second (FEV1) AUC0-6 After the Morning Dose (Day 14) | AUC0-6 is area under the curve from time 0 to 6 hours Serial spirometry was performed at -60 min predose, at 5 (+5) and 30 (±5) min post-dose, and at 1, 2, 3, 4, and 6 hrs post-dose (±15 min) Change from baseline was baseline of each treatment period The normalized FEV1 AUC0-6 was calculated by means of the trapezoidal method, dividing the area under the curve by the corresponding time intervals | Baseline and up to 6 hrs post-dose (±15 min) on Day 14 of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Normalized FEV1 AUC0-6 After the Morning Dose (Day 1) | AUC0-6 is area under the curve from time 0 to 6 hours Serial spirometry was performed at -60 min predose, at 5 (+5) and 30 (±5) min post-dose, and at 1, 2, 3, 4, and 6 hrs post-dose (±15 min) Change from baseline was baseline of Period 1 The time-normalized FEV1 AUC0-6 was calculated by means of the trapezoidal method, dividing the area under the curve by the corresponding time intervals |
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Inclusions:
Exclusions:
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| Name | Affiliation | Role |
|---|---|---|
| Esther Garcia, MD | AstraZeneca | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Forest Investigative Site 909 | Phoenix | Arizona | 85006 | United States | ||
| Forest Investigative Site 2066 |
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| Label | URL |
|---|---|
| CSR Synopsis | View source |
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A total of 408 patients were screened; there were 234 screen failures, primarily (225/234) because inclusion/exclusion criteria were not met
The study was conducted in 29 study centers in the United States
First patient visit was in June 2012 and last patient visit was in February 2013
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| ID | Title | Description |
|---|---|---|
| FG000 | Sequence 1 | 24 μg Foradil Aerolizer; 12 μg Foradil Aerolizer; Placebo Pressair; Formoterol 12 μg Pressair; Formoterol 6 μg Pressair |
| FG001 | Sequence 2 | 12 μg Foradil Aerolizer; Formoterol 12 μg Pressair; 24 μg Foradil Aerolizer; Formoterol 6 μg Pressair; Placebo Pressair |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Period 1 |
|
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| Formoterol Fumarate in the Pressair DPI, High Dose | Drug | Formoterol Fumarate in the Pressair DPI 12 micrograms, twice a day for 14 days |
|
| Foradil Aerolizer, Low Dose | Drug | Foradil Aerolizer 12 micrograms, twice a day for 14 days |
|
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| Foradil Aerolizer, High Dose | Drug | Foradil Aerolizer 24 micrograms, twice per day for 14 days |
|
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| Placebo | Drug | Placebo in the Pressair for 14 days |
|
| Baseline and up to 6 hrs post-dose (±15 min) on Day 1 of treatment |
| Encinitas |
| California |
| 92024 |
| United States |
| Forest Investigative Site 1624 | Los Angeles | California | 90025 | United States |
| Forest Investigative Site 1995 | Mission Viejo | California | 92691 | United States |
| Forest Investigative Site 1347 | San Jose | California | 95117 | United States |
| Forest Investigative Site 1996 | Centennial | Colorado | 80112 | United States |
| Forest Investigative Site 1137 | Colorado Springs | Colorado | 80907 | United States |
| Forest Investigative Site 1998 | Denver | Colorado | 80230 | United States |
| Forest Investigative Site 2047 | Tampa | Florida | 33613 | United States |
| Forest Investigative Site 1536 | Louisville | Kentucky | 40215 | United States |
| Forest Investigative Site 1333 | Baltimore | Maryland | 21236 | United States |
| Forest Investigative Site 1431 | North Dartmouth | Massachusetts | 02747 | United States |
| Forest Investigative Site 2041 | Minneapolis | Minnesota | 55402 | United States |
| Forest Investigative Site 1599 | St Louis | Missouri | 63141 | United States |
| Forest Investigative Site 1609 | Bellevue | Nebraska | 68123 | United States |
| Forest Investigative Site 1999 | Skillman | New Jersey | 08558 | United States |
| Forest Investigative Site 1153 | Raleigh | North Carolina | 27607 | United States |
| Forest Investigative Site 1134 | Canton | Ohio | 44718 | United States |
| Forest Investigative Site 1806 | Cincinnati | Ohio | 45231 | United States |
| Forest Investigative Site 1176 | Oklahoma City | Oklahoma | 73120 | United States |
| Forest Investigative Site 2043 | Medford | Oregon | 97504 | United States |
| Forest Investigative Site 1580 | Portland | Oregon | 97202 | United States |
| Forest Investigative Site 2025 | Charleston | South Carolina | 29407 | United States |
| Forest Investigative Site 1155 | Dallas | Texas | 75231 | United States |
| Forest Investigative Site 1332 | El Paso | Texas | 79903 | United States |
| Forest Investigative Site 1370 | New Braunfels | Texas | 78130 | United States |
| Forest Investigative Site 1699 | San Antonio | Texas | 78229 | United States |
| Forest Investigative Site 2011 | Seattle | Washington | 98115 | United States |
| Forest Investigative Site 1997 | Madison | Wisconsin | 53792 | United States |
| FG002 | Sequence 3 | Formoterol 12 μg Pressair; Formoterol 6 μg Pressair; 12 μg Foradil Aerolizer; Placebo Pressair; 24 μg Foradil Aerolizer |
| FG003 | Sequence 4 | Formoterol 6 μg Pressair; Placebo Pressair; Formoterol 12 μg Pressair; 24 μg Foradil Aerolizer; 12 μg Foradil Aerolizer |
| FG004 | Sequence 5 | Placebo Pressair; 24 μg Foradil Aerolizer; Formoterol 6 μg Pressair; 12 μg Foradil Aerolizer; Formoterol 12 μg Pressair |
| FG005 | Sequence 6 | Formoterol 6 μg Pressair; Formoterol 12 μg Pressair; Placebo Pressair; 12 μg Foradil Aerolizer; 24 μg Foradil Aerolizer |
| FG006 | Sequence 7 | Placebo Pressair; Formoterol 6 μg Pressair; 24 μg Foradil Aerolizer; Formoterol 12 μg Pressair; 12 μg Foradil Aerolizer |
| FG007 | Sequence 8 | 24 μg Foradil Aerolizer; Placebo Pressair; 12 μg Foradil Aerolizer; Formoterol 6 μg Pressair; Formoterol 12 μg Pressair |
| FG008 | Sequence 9 | 12 μg Foradil Aerolizer; 24 μg Foradil Aerolizer; Formoterol 12 μg Pressair; Placebo Pressair; Formoterol 6 μg Pressair |
| FG009 | Sequence 10 | Formoterol 12 μg Pressair; 12 μg Foradil Aerolizer; Formoterol 6 μg Pressair; 24 μg Foradil Aerolizer; Placebo Pressair |
| COMPLETED |
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| NOT COMPLETED |
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| Period 2 |
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| Period 3 |
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| Period 4 |
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| Period 5 |
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| ID | Title | Description |
|---|---|---|
| BG000 | Overall Study Population | All patients participating in the crossover study |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | Years |
| |||||||||||||||||
| Gender | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline in Normalized Forced Expiratory Volume in One Second (FEV1) AUC0-6 After the Morning Dose (Day 14) | AUC0-6 is area under the curve from time 0 to 6 hours Serial spirometry was performed at -60 min predose, at 5 (+5) and 30 (±5) min post-dose, and at 1, 2, 3, 4, and 6 hrs post-dose (±15 min) Change from baseline was baseline of each treatment period The normalized FEV1 AUC0-6 was calculated by means of the trapezoidal method, dividing the area under the curve by the corresponding time intervals | Intent to treat (ITT) Population defined as all patients in the Safety Population who had a baseline and at least 1 post-baseline FEV1 assessment | Posted | Least Squares Mean | Standard Error | Liters | Baseline and up to 6 hrs post-dose (±15 min) on Day 14 of treatment |
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| Secondary | Change From Baseline in Normalized FEV1 AUC0-6 After the Morning Dose (Day 1) | AUC0-6 is area under the curve from time 0 to 6 hours Serial spirometry was performed at -60 min predose, at 5 (+5) and 30 (±5) min post-dose, and at 1, 2, 3, 4, and 6 hrs post-dose (±15 min) Change from baseline was baseline of Period 1 The time-normalized FEV1 AUC0-6 was calculated by means of the trapezoidal method, dividing the area under the curve by the corresponding time intervals | Intent to treat (ITT) Population defined as all patients in the Safety Population who had a baseline and at least 1 post-baseline FEV1 assessment | Posted | Least Squares Mean | Standard Error | Liters | Baseline and up to 6 hrs post-dose (±15 min) on Day 1 of treatment |
|
Day 14±1 of the final treatment period (Period 5)
The Safety Population consisted of all patients screened, randomized to a treatment sequence, and who took at least one dose of double-blind investigational product The total number of patients in the Safety Population was 174; due to study drop-out and the crossover study design, not all patients received all treatments
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Foradil 24 μg | Administered via Aerolizer | 0 | 167 | 10 | 167 | ||
| EG001 | Foradil 12 μg | Administered via Aerolizer | 2 | 163 | 2 | 163 | ||
| EG002 | Formoterol 12 μg | Administered via Pressair | 0 | 164 | 2 | 164 | ||
| EG003 | Formoterol 6 μg | Administered via Pressair | 0 | 166 | 1 | 166 | ||
| EG004 | Placebo | Administered via Pressair | 0 | 165 | 0 | 165 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Ankle fracture | Injury, poisoning and procedural complications | MedDRA v 16.0 | Systematic Assessment |
| |
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA v 16.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Tremor | Nervous system disorders | MedDRA v 16.0 | Systematic Assessment |
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Publication of the results by the PI will be subject to mutual agreement between the PI and sponsor.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | AstraZeneca | ClinicalTrialTransparency@astrazeneca.com |
| ID | Term |
|---|---|
| D001249 | Asthma |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012130 | Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D000068759 | Formoterol Fumarate |
| ID | Term |
|---|---|
| D004983 | Ethanolamines |
| D000605 | Amino Alcohols |
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
| D000588 | Amines |
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| Withdrawal by Subject |
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| Protocol Violation |
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| Withdrawal by Subject |
|
| Mixed Models Analysis |
Treatment and period as fixed effects, and baseline FEV1 values at each period as a covariate |
| <0.0001 |
| Least squares mean difference |
| 0.2524 |
| Standard Error of the Mean |
| 0.0156 |
| 2-Sided |
| 95 |
| 0.2218 |
| 0.2830 |
| No |
| Superiority or Other |
| Mixed Models Analysis | Treatment and period as fixed effects, and baseline FEV1 values at each period as a covariate | <0.0001 | Least squares mean difference | 0.2242 | Standard Error of the Mean | 0.0153 | 2-Sided | 95 | 0.1941 | 0.2544 | No | Superiority or Other |
| Mixed Models Analysis | Treatment and period as fixed effects, and baseline FEV1 values at each period as a covariate | <0.0001 | Least squares mean difference | 0.2174 | Standard Error of the Mean | 0.0146 | 2-Sided | 95 | 0.1887 | 0.2461 | No | Superiority or Other |
| OG004 | Placebo | Administered via Pressair |
|
|