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This is a randomized, double-blind, multicenter, parallel-group, variable-length study to compare 2 doses of BDA MDI (PT027) with AS MDI (PT007) on the time to first severe asthma exacerbation in adult, adolescent, and pediatric subjects with moderate to severe asthma.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BDA MDI (PT027) 160/180 μg | Experimental | Budesonide/albuterol sulfate, BDA MDI, PT027 high dose |
|
| BDA MDI (PT027) 80/180 μg | Experimental | Budesonide/albuterol sulfate, BDA MDI, PT027 low dose |
|
| AS MDI (PT007) 180 µg | Active Comparator | Albuterol sulfate MDI, PT007 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Budesonide/albuterol sulfate metered-dose inhaler 160/180 μg | Combination Product | Budesonide/albuterol sulfate combination inhalation aerosol |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With a Severe Asthma Exacerbation Event | Time to first severe asthma exacerbation will be calculated as the time from randomization until the start date of the first severe asthma exacerbation. An asthma exacerbation will be considered severe if it results in at least one of the following: a temporary bolus/burst of systemic corticosteroids for at least 3 consecutive days to treat symptoms of asthma worsening (a single depo-injectable dose of corticosteroids will be considered equivalent), an emergency room or urgent care visit (<24 hours in the facility for evaluation and treatment) due to asthma that required systemic corticosteroids, or an in-patient hospitalization (admission to an in-patient facility and/or ≥ 24 hours in a healthcare facility) due to asthma. The descriptive summary shows the number of participants with a severe exacerbation event, occurring between the date of randomization up to the date of randomized treatment discontinuation or a change in maintenance therapy. | From randomization up to a discontinuation of randomized treatment or a change in maintenance therapy. The mean and median reporting period for all participants was 44 and 48 weeks, respectively. |
| Measure | Description | Time Frame |
|---|---|---|
| Annualized Severe Exacerbation Rate | The annualized severe exacerbation rate (severe exacerbations per year) is estimated from a negative binomial model with treatment, age group, region, and number of severe exacerbations in the last 12 months prior to randomization as categorical covariates. The logarithm of the time at risk is included as an offset variable. | From randomization up to discontinuation of randomized treatment or a change in maintenance therapy. The mean and median reporting period for all participants was 44 and 48 weeks, respectively. |
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Inclusion Criteria:
Female or male aged ≥4 years at the time of informed consent
Physician diagnosis of asthma documented for at least 1 year
Receiving 1 of the following scheduled asthma maintenance therapies for 3 months with stable dosing for at least the last 4 weeks before Visit 1:
Prebronchodilator forced expiratory volume in 1 second (FEV1) of ≥40 to <90% predicted normal value for adults and adolescents, and ≥60 to <100% predicted normal value for subjects aged 4 to 11 years after withholding specified medications including short/rapid-acting β2-adrenoreceptor agonist (SABA)
Demonstrate reversibility at Visit 1, with an increase in FEV1 ≥12% (and ≥200 mL for subjects aged ≥18 years) relative to baseline after administration of sponsor provided Ventolin via central spirometry. One re-test for reversibility testing is allowed within the screening period in advance of Visit 2
Demonstrate acceptable spirometry performance (i.e., meet American Thoracic Society/European Respiratory Society acceptability/repeatability criteria)
A documented history of at least 1 severe asthma exacerbation within 12 months before Visit 1
Able to perform acceptable and reproducible peak expiratory flow (PEF) measurements as assessed by the investigator
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Frank Albers, MD, PhD | Avillion LLP | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Birmingham | Alabama | 35209 | United States | ||
| Research Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34887317 | Background | Chipps BE, Albers FC, Reilly L, Johnsson E, Cappelletti C, Papi A. Efficacy and safety of as-needed albuterol/budesonide versus albuterol in adults and children aged >/=4 years with moderate-to-severe asthma: rationale and design of the randomised, double-blind, active-controlled MANDALA study. BMJ Open Respir Res. 2021 Dec;8(1):e001077. doi: 10.1136/bmjresp-2021-001077. | |
| 35569035 |
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The randomized treatment phase started after a 2 to 4 week screening period during which participants used sponsor provided Ventolin HFA (albuterol sulfate) as needed. In addition to the 3,132 participants randomized, 2,488 participants were screened but did not participate, of which 2,456 were ineligible (98.7%). The next most frequent reason was withdrawal by the participant, with 18 meeting this criteria.
The first subject enrolled on 13 December 2018 and the last subject completed the study on 07 February 2022. Subjects were enrolled at 347 study centers worldwide (Argentina, Canada, Czechia, Germany, Serbia, Slovakia, South Africa, Spain, Ukraine, United Kingdom and the United States).
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| ID | Title | Description |
|---|---|---|
| FG000 | BDA MDI (PT027) 160/180 μg | Budesonide/albuterol sulfate, BDA MDI, PT027 high dose Budesonide/albuterol sulfate metered-dose inhaler 160/180 μg: Budesonide/albuterol sulfate combination inhalation aerosol |
| FG001 | BDA MDI (PT027) 80/180 μg |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 8, 2021 | Jul 19, 2022 |
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| Budesonide/albuterol sulfate metered-dose inhaler 80/180 μg | Combination Product | Budesonide/albuterol sulfate combination inhalation aerosol |
|
| Albuterol sulfate metered-dose inhaler 180 μg | Drug | Albuterol sulfate inhalation aerosol |
|
| Total Annualized Dose of Systemic Corticosteroid (SCS) | This endpoint includes all systemic corticosteroids (SCS) taken in response to a severe exacerbation event from randomization up to randomized treatment discontinuation or a change in maintenance therapy. All SCS are standardized to equipotent doses of prednisone before deriving the total dose. The total annualized dose is calculated as the total dose of SCS divided by the duration of the randomized treatment period. | From randomization up to discontinuation of randomized treatment or a change in maintenance therapy. The mean and median reporting period for all participants was 44 and 48 weeks, respectively. |
| Asthma Control Questionnaire-5 (ACQ-5) - Number of Participants Who Were Responders at Week 24 | The ACQ-5 consists of 5 questions on symptom control, with each scored on a 7-point scale (0 = excellent asthma control; 6 = extremely poor control). The overall score (0 = excellent asthma control; 6 = extremely poor control, so a lower score is the better outcome) is the mean of the 5 symptom items. A responder is defined as a participant with a decrease from baseline to Week 24 overall ACQ-5 score of 0.5 or more. ACQ-5 is not validated for children less than 6 years old, data for participants who were 4 or 5 years old was excluded from the analysis of ACQ-5. | From baseline to Week 24 |
| Asthma Quality of Life Questionnaire for Participants Aged 12 Years and Older (AQLQ+12) - Number of Participants Who Were Responders at Week 24 | The AQLQ+12 consists of 32 questions in 4 domains and is assessed on separate 7-point Likert scales from 1 to 7, with higher values indicating better health-related quality of life. The overall score is the mean of all responses. A responder is defined as a participant with an increase from baseline to week 24 AQLQ-12 score of at least 0.5. | From baseline to 24 weeks |
| Huntsville |
| Alabama |
| 35801 |
| United States |
| Research Site | Mobile | Alabama | 36608 | United States |
| Research Site | Montgomery | Alabama | 36106 | United States |
| Research Site | Scottsboro | Alabama | 35768 | United States |
| Research Site | Sheffield | Alabama | 35660 | United States |
| Research Site | Tuscumbia | Alabama | 35674 | United States |
| Research Site | Glendale | Arizona | 85306 | United States |
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| Research Site | Scottsdale | Arizona | 85251 | United States |
| Research Site | Little Rock | Arkansas | 72209 | United States |
| Research Site | Bakersfield | California | 93301 | United States |
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| Research Site | Newport Beach | California | 92663 | United States |
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| Research Site | Redwood City | California | 94063 | United States |
| Research Site | Sacramento | California | 95823 | United States |
| Research Site | San Diego | California | 92120 | United States |
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| Research Site | Brick | New Jersey | 08724 | United States |
| Research Site | Marlton | New Jersey | 08053 | United States |
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| Research Site | Toms River | New Jersey | 08755 | United States |
| Research Site | Albuquerque | New Mexico | 87131 | United States |
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| Research Site | New Hyde Park | New York | 11040 | United States |
| Research Site | Potsdam | New York | 13676 | United States |
| Research Site | The Bronx | New York | 10461 | United States |
| Research Site | Asheville | North Carolina | 28801 | United States |
| Research Site | Charlotte | North Carolina | 28207 | United States |
| Research Site | Charlotte | North Carolina | 28210 | United States |
| Research Site | Charlotte | North Carolina | 28277 | United States |
| Research Site | Gastonia | North Carolina | 28054 | United States |
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| Research Site | Greenville | South Carolina | 29607 | United States |
| Research Site | Mt. Pleasant | South Carolina | 29464 | United States |
| Research Site | Myrtle Beach | South Carolina | 29588 | United States |
| Research Site | North Charleston | South Carolina | 29420 | United States |
| Research Site | Pelzer | South Carolina | 29669 | United States |
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| Research Site | Spartanburg | South Carolina | 29303 | United States |
| Research Site | Austin | Texas | 78726 | United States |
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| Research Site | Beaumont | Texas | 77702 | United States |
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| Research Site | Dallas | Texas | 75225 | United States |
| Research Site | Dallas | Texas | 75231 | United States |
| Research Site | Dallas | Texas | 75246 | United States |
| Research Site | El Paso | Texas | 79903 | United States |
| Research Site | Galveston | Texas | 77555 | United States |
| Research Site | Houston | Texas | 77036 | United States |
| Research Site | Kerrville | Texas | 78028 | United States |
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| Research Site | McKinney | Texas | 75069 | United States |
| Research Site | Pearland | Texas | 77584 | United States |
| Research Site | San Antonio | Texas | 78229 | United States |
| Research Site | San Antonio | Texas | 78230 | United States |
| Research Site | Sherman | Texas | 75092 | United States |
| Research Site | The Woodlands | Texas | 77380 | United States |
| Research Site | Tomball | Texas | 77375 | United States |
| Research Site | Waco | Texas | 76712 | United States |
| Research Site | Waxahachie | Texas | 75165 | United States |
| Research Site | Murray | Utah | 84107 | United States |
| Research Site | Salt Lake City | Utah | 84107 | United States |
| Research Site | South Burlington | Vermont | 05403 | United States |
| Research Site | Morgantown | West Virginia | 26505 | United States |
| Research Site | Greenfield | Wisconsin | 53228 | United States |
| Research Site | Buenos Aires | C1121ABE | Argentina |
| Research Site | Buenos Aires | C1128AAF | Argentina |
| Research Site | Buenos Aires | C1414AJF | Argentina |
| Research Site | Buenos Aires | C1424CSF | Argentina |
| Research Site | Buenos Aires | C1425BEN | Argentina |
| Research Site | Buenos Aires | C1425FVH | Argentina |
| Research Site | Córdoba | X5003DCE | Argentina |
| Research Site | Lanus | B1824KAJ | Argentina |
| Research Site | Mar del Plata | B7602DCK | Argentina |
| Research Site | Mendoza | 5500 | Argentina |
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| Research Site | San Miguel de Tucumán | T4000 | Argentina |
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| Research Site | Ajax | Ontario | L1S 2J5 | Canada |
| Research Site | Burlington | Ontario | L7N 3V2 | Canada |
| Research Site | Greater Sudbury | Ontario | P3A 1W8 | Canada |
| Research Site | London | Ontario | N5W 6A2 | Canada |
| Research Site | Newmarket | Ontario | L3Y5G8 | Canada |
| Research Site | Toronto | Ontario | M9V 4B4 | Canada |
| Research Site | Waterloo | Ontario | N2J 1C4 | Canada |
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| Research Site | Kralupy nad Vltavou | Czechia |
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| Research Site | Berlin | 10367 | Germany |
| Research Site | Berlin | 10627 | Germany |
| Research Site | Berlin | 10717 | Germany |
| Research Site | Berlin | 10787 | Germany |
| Research Site | Berlin | 12157 | Germany |
| Research Site | Berlin | 12159 | Germany |
| Research Site | Berlin | 12203 | Germany |
| Research Site | Berlin | 13187 | Germany |
| Research Site | Bonn | Germany |
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| Research Site | Cottbus | Germany |
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| Research Site | Essen | Germany |
| Research Site | Frankfurt | 60389 | Germany |
| Research Site | Frankfurt | 60596 | Germany |
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| Research Site | Hamburg | 22299 | Germany |
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| Research Site | Hanover | 30173 | Germany |
| Research Site | Homburg | Germany |
| Research Site | Jena | Germany |
| Research Site | Leipzig | 04107 | Germany |
| Research Site | Leipzig | 04157 | Germany |
| Research Site | Leipzig | 04207 | Germany |
| Research Site | Leipzig | 04275 | Germany |
| Research Site | Leipzig | 04357 | Germany |
| Research Site | Lübeck | 23552 | Germany |
| Research Site | Lübeck | 23558 | Germany |
| Research Site | Magdeburg | Germany |
| Research Site | Marburg | Germany |
| Research Site | München | 80809 | Germany |
| Research Site | München | 81241 | Germany |
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| Research Site | Schleswig | Germany |
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| Research Site | Kamenitz | 21204 | Serbia |
| Research Site | Kragujevac | Serbia |
| Research Site | Niš | Serbia |
| Research Site | Valjevo | Serbia |
| Research Site | Bratislava | Slovakia |
| Research Site | Ilava | Slovakia |
| Research Site | Kežmarok | Slovakia |
| Research Site | Košice | 040 01 | Slovakia |
| Research Site | Košice | 040 22 | Slovakia |
| Research Site | Poprad | Slovakia |
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| Research Site | Žilina | Slovakia |
| Research Site | Athlone | South Africa |
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| Research Site | Benoni | South Africa |
| Research Site | Bloemfontein | South Africa |
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| Research Site | Cape Town | 7500 | South Africa |
| Research Site | Cape Town | 7505 | South Africa |
| Research Site | Durban | 4001 | South Africa |
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| Research Site | Kraaifontein | South Africa |
| Research Site | Middelburg | South Africa |
| Research Site | Mowbray | 7700 | South Africa |
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| Research Site | Pretoria | 0002 | South Africa |
| Research Site | Pretoria | 0183 | South Africa |
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| Research Site | Barcelona | 08006 | Spain |
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| Research Site | Barcelona | 08916 | Spain |
| Research Site | Girona | Spain |
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| Research Site | Mérida | Spain |
| Research Site | Valencia | Spain |
| Research Site | Cherkasy | Ukraine |
| Research Site | Dnipro | Ukraine |
| Research Site | Ivano-Frankivsk | Ukraine |
| Research Site | Kharkiv | 61002 | Ukraine |
| Research Site | Kharkiv | 61039 | Ukraine |
| Research Site | Kharkiv | 61124 | Ukraine |
| Research Site | Kherson | Ukraine |
| Research Site | Kyiv | 02232 | Ukraine |
| Research Site | Kyiv | 03680 | Ukraine |
| Research Site | Kyiv | 04201 | Ukraine |
| Research Site | Lutsk | Ukraine |
| Research Site | Uzhhorod | Ukraine |
| Research Site | Vinnytsia | Ukraine |
| Research Site | Zaporizhzhya | 69035 | Ukraine |
| Research Site | Zaporizhzhya | 69118 | Ukraine |
| Research Site | Zaporizhzhya | 69600 | Ukraine |
| Research Site | Belfast | United Kingdom |
| Research Site | Blackpool | United Kingdom |
| Research Site | Bradford | United Kingdom |
| Research Site | Chippenham | United Kingdom |
| Research Site | Corby | NN17 2UR | United Kingdom |
| Research Site | Corby | NN18 9EZ | United Kingdom |
| Research Site | Kenilworth | United Kingdom |
| Research Site | Liverpool | United Kingdom |
| Research Site | London | United Kingdom |
| Research Site | Newcastle upon Tyne | United Kingdom |
| Research Site | Northwood | United Kingdom |
| Research Site | Nottingham | United Kingdom |
| Research Site | Peterborough | United Kingdom |
| Research Site | Romford | United Kingdom |
| Research Site | Shipley | United Kingdom |
| Research Site | Sidcup | United Kingdom |
| Research Site | Wokingham | United Kingdom |
| Result |
| Papi A, Chipps BE, Beasley R, Panettieri RA Jr, Israel E, Cooper M, Dunsire L, Jeynes-Ellis A, Johnsson E, Rees R, Cappelletti C, Albers FC. Albuterol-Budesonide Fixed-Dose Combination Rescue Inhaler for Asthma. N Engl J Med. 2022 Jun 2;386(22):2071-2083. doi: 10.1056/NEJMoa2203163. Epub 2022 May 15. |
| 40664332 | Derived | Chipps BE, Panettieri RA Jr, Skolnik N, Cappelletti C, Daoud SZ, Dunsire L, Gilbert IA, Papi A. Albuterol-budesonide rescue inhaler for asthma: Patterns of use and safety in the MANDALA trial. Ann Allergy Asthma Immunol. 2026 Jan;136(1):54-60.e3. doi: 10.1016/j.anai.2025.07.008. Epub 2025 Jul 13. |
| 36161875 | Derived | Kew KM, Flemyng E, Quon BS, Leung C. Increased versus stable doses of inhaled corticosteroids for exacerbations of chronic asthma in adults and children. Cochrane Database Syst Rev. 2022 Sep 26;9(9):CD007524. doi: 10.1002/14651858.CD007524.pub5. |
Budesonide/albuterol sulfate, BDA MDI, PT027 low dose Budesonide/albuterol sulfate metered-dose inhaler 80/180 μg: Budesonide/albuterol sulfate combination inhalation aerosol |
| FG002 | AS MDI (PT007) 180 µg | Albuterol sulfate MDI, PT007 Albuterol sulfate metered-dose inhaler 180 μg: Albuterol sulfate inhalation aerosol |
| COMPLETED |
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| NOT COMPLETED |
|
|
Of the 3,132 participants randomized, the full analysis set across all ages comprises 3,127 participants as one participant was randomized and did not receive randomized study treatment, and four participants were randomized in error and did not receive randomized study treatment. These five participants have therefore been excluded from the summaries of baseline characteristics, efficacy and safety.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | BDA MDI (PT027) 160/180 μg | Budesonide/albuterol sulfate, BDA MDI, PT027 high dose Budesonide/albuterol sulfate metered-dose inhaler 160/180 μg: Budesonide/albuterol sulfate combination inhalation aerosol |
| BG001 | BDA MDI (PT027) 80/180 μg | Budesonide/albuterol sulfate, BDA MDI, PT027 low dose Budesonide/albuterol sulfate metered-dose inhaler 80/180 μg: Budesonide/albuterol sulfate combination inhalation aerosol |
| BG002 | AS MDI (PT007) 180 µg | Albuterol sulfate MDI, PT007 Albuterol sulfate metered-dose inhaler 180 μg: Albuterol sulfate inhalation aerosol |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Age, Customized | Count of Participants | Participants |
| ||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Count of Participants | Participants |
| ||||||||||||||||
| Height | Mean | Standard Deviation | Centimeters |
| |||||||||||||||
| Weight | Mean | Standard Deviation | Kilograms |
| |||||||||||||||
| Body mass index | Mean | Standard Deviation | kg/m^2 |
|
| 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 | Number of Participants With a Severe Asthma Exacerbation Event | Time to first severe asthma exacerbation will be calculated as the time from randomization until the start date of the first severe asthma exacerbation. An asthma exacerbation will be considered severe if it results in at least one of the following: a temporary bolus/burst of systemic corticosteroids for at least 3 consecutive days to treat symptoms of asthma worsening (a single depo-injectable dose of corticosteroids will be considered equivalent), an emergency room or urgent care visit (<24 hours in the facility for evaluation and treatment) due to asthma that required systemic corticosteroids, or an in-patient hospitalization (admission to an in-patient facility and/or ≥ 24 hours in a healthcare facility) due to asthma. The descriptive summary shows the number of participants with a severe exacerbation event, occurring between the date of randomization up to the date of randomized treatment discontinuation or a change in maintenance therapy. | All participants that were randomized, took at least one puff of randomized treatment, and had at least one efficacy assessment, excluding participants confirmed as duplicates (n = 4). As children <12 years of age were not randomized to the BDA MDI 160/180μg dose, comparison was made to the participants >=12 years of age within the AS MDI 180μg arm. | Posted | Count of Participants | Participants | From randomization up to a discontinuation of randomized treatment or a change in maintenance therapy. The mean and median reporting period for all participants was 44 and 48 weeks, respectively. |
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| Secondary | Annualized Severe Exacerbation Rate | The annualized severe exacerbation rate (severe exacerbations per year) is estimated from a negative binomial model with treatment, age group, region, and number of severe exacerbations in the last 12 months prior to randomization as categorical covariates. The logarithm of the time at risk is included as an offset variable. | All participants that were randomized, took at least one puff of randomized treatment, and had at least one efficacy assessment, excluding participants confirmed as duplicates (n = 4). As children <12 years of age were not randomized to the BDA MDI 160/180μg dose, comparison was made to the participants >=12 years of age within the AS MDI 180μg arm. | Posted | Least Squares Mean | 95% Confidence Interval | Severe exacerbations per year | From randomization up to discontinuation of randomized treatment or a change in maintenance therapy. The mean and median reporting period for all participants was 44 and 48 weeks, respectively. |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Total Annualized Dose of Systemic Corticosteroid (SCS) | This endpoint includes all systemic corticosteroids (SCS) taken in response to a severe exacerbation event from randomization up to randomized treatment discontinuation or a change in maintenance therapy. All SCS are standardized to equipotent doses of prednisone before deriving the total dose. The total annualized dose is calculated as the total dose of SCS divided by the duration of the randomized treatment period. | All participants that were randomized, took at least one puff of randomized treatment, and had at least one efficacy assessment, excluding participants confirmed as duplicates (n = 4). As children <12 years of age were not randomized to the BDA MDI 160/180μg dose, comparison was made to the participants >=12 years of age within the AS MDI 180μg arm. | Posted | Mean | Full Range | Milligram(s) | From randomization up to discontinuation of randomized treatment or a change in maintenance therapy. The mean and median reporting period for all participants was 44 and 48 weeks, respectively. |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Asthma Control Questionnaire-5 (ACQ-5) - Number of Participants Who Were Responders at Week 24 | The ACQ-5 consists of 5 questions on symptom control, with each scored on a 7-point scale (0 = excellent asthma control; 6 = extremely poor control). The overall score (0 = excellent asthma control; 6 = extremely poor control, so a lower score is the better outcome) is the mean of the 5 symptom items. A responder is defined as a participant with a decrease from baseline to Week 24 overall ACQ-5 score of 0.5 or more. ACQ-5 is not validated for children less than 6 years old, data for participants who were 4 or 5 years old was excluded from the analysis of ACQ-5. | All participants that were randomized, took at least one puff of randomized treatment, and had at least one efficacy assessment, excluding participants confirmed as duplicates (n = 4). As children <12 years of age were not randomized to the BDA MDI 160/180μg dose, comparison was made to the participants >=12 years of age within the AS MDI 180μg arm. | Posted | Count of Participants | Participants | From baseline to Week 24 |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Asthma Quality of Life Questionnaire for Participants Aged 12 Years and Older (AQLQ+12) - Number of Participants Who Were Responders at Week 24 | The AQLQ+12 consists of 32 questions in 4 domains and is assessed on separate 7-point Likert scales from 1 to 7, with higher values indicating better health-related quality of life. The overall score is the mean of all responses. A responder is defined as a participant with an increase from baseline to week 24 AQLQ-12 score of at least 0.5. | All participants that were randomized, took at least one puff of randomized treatment, and had at least one efficacy assessment, excluding participants confirmed as duplicates (n = 4). As children <12 years of age were not randomized to the BDA MDI 160/180μg dose, comparison was made to the participants >=12 years of age within the AS MDI 180μg arm. | Posted | Count of Participants | Participants | From baseline to 24 weeks |
|
Adverse events (AEs) were collected from the time of signed informed consent/assent and up to the safety follow up period. Reported AEs are those that occurred from the date of first dose of randomized treatment up to the date of treatment discontinuation, which per protocol, was expected to be at least 24 weeks. The mean and median duration of exposure to randomized treatment for the reporting period for all participants was 44 and 48 weeks, respectively.
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | BDA MDI (PT027) 160/180 μg | Budesonide/albuterol sulfate, BDA MDI, PT027 high dose Budesonide/albuterol sulfate metered-dose inhaler 160/180 μg: Budesonide/albuterol sulfate combination inhalation aerosol | 4 | 1,015 | 53 | 1,015 | 244 | 1,015 |
| EG001 | BDA MDI (PT027) 80/180 μg | Budesonide/albuterol sulfate, BDA MDI, PT027 low dose Budesonide/albuterol sulfate metered-dose inhaler 80/180 μg: Budesonide/albuterol sulfate combination inhalation aerosol | 2 | 1,055 | 40 | 1,055 | 253 | 1,055 |
| EG002 | AS MDI (PT007) 180 µg | Albuterol sulfate MDI, PT007 Albuterol sulfate metered-dose inhaler 180 μg: Albuterol sulfate inhalation aerosol | 2 | 1,057 | 48 | 1,057 | 243 | 1,057 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Accelerated hypertension | Vascular disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Deep vein thrombosis | Vascular disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Haematoma | Vascular disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Hypertensive crisis | Vascular disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Acute promyelocytic leukaemia | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (24.0) | Systematic Assessment |
| |
| Adenocarcinoma of colon | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (24.0) | Systematic Assessment |
| |
| Cholesteatoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (24.0) | Systematic Assessment |
| |
| Haemangioma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (24.0) | Systematic Assessment |
| |
| Lung neoplasm malignant | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (24.0) | Systematic Assessment |
| |
| Metastases to lung | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (24.0) | Systematic Assessment |
| |
| Neoplasm skin | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (24.0) | Systematic Assessment |
| |
| Rectal adenoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (24.0) | Systematic Assessment |
| |
| Rectal cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (24.0) | Systematic Assessment |
| |
| Allergy to arthropod sting | Immune system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Anaphylatic shock | Immune system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Drug hypersensitivity | Immune system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Food allergy | Immune system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Chest pain | General disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Non-cardiac chest pain | General disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Adjustment disorder with depressed mood | Psychiatric disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Mixed anxiety and depressive disorder | Psychiatric disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Post-traumatic stress disorder | Psychiatric disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cervical dysplasia | Reproductive system and breast disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Colpocele | Reproductive system and breast disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Vaginal haemorrhage | Reproductive system and breast disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Accidental overdose | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Animal bite | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Concussion | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Femur fracture | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Joint dislocation | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Limb injury | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Lumbar vertebral fracture | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Radius fracture | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Tendon rupture | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Urinary retention postoperative | Injury, poisoning and procedural complications | MedDRA (24.0) | Systematic Assessment |
| |
| Blood glucose increased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Troponin I increased | Investigations | MedDRA (24.0) | Systematic Assessment |
| |
| Acute myocardial infarction | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Atrial fibrillation | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Atrioventricular block second degree | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cardiac arrest | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Coronary artery stenosis | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Myocardial infarction | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Pericardial effusion | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Supraventricular tachycardia | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Tachycardia | Cardiac disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Nasal polyps | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Pneumothorax | Respiratory, thoracic and mediastinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Ataxia | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cerebrovascular accident | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cervicobrachial syndrome | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Intensive care unit acquired weakness | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Migraine | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Transient ischaemic attack | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Diplopia | Eye disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Vertigo | Ear and labyrinth disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Duodenal ulcer | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Gastritis | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Intestinal obstruction | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Small intestinal obstruction | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Umbilical hernia | Gastrointestinal disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Acute kidney injury | Renal and urinary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Haematuria | Renal and urinary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Nephrolithiasis | Renal and urinary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cholecystitis | Hepatobiliary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cholecystitis acute | Hepatobiliary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cholelithiasis | Hepatobiliary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Cirrhosis alcoholic | Hepatobiliary disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Dermatitis | Skin and subcutaneous tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Foot deformity | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Intervertebral disc protrusion | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Polyarthritis | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Diabetes mellitus inadequate control | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Vitamin D deficiency | Metabolism and nutrition disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Appendicitis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| COVID-19 | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| COVID-19 pneumonia | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Clostridium difficile colitis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Diverticulitis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Lower respiratory tract infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Pneumonia viral | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Suspected COVID-19 | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hypertension | Vascular disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| COVID-19 | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA (24.0) | Systematic Assessment |
|
Data or results obtained from this study must not be published without prior approval from the Sponsor.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Chief Medical Officer | Avillion LLP | +44 (0)203 764 9530 | avillion@avillionllp.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jul 30, 2021 | Jul 19, 2022 | SAP_001.pdf |
Not provided
| 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 |
Not provided
Not provided
| ID | Term |
|---|---|
| D019819 | Budesonide |
| ID | Term |
|---|---|
| D011282 | Pregnenediones |
| D011283 | Pregnenes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
Not provided
Not provided
| Adolescents (>=12 to <18 years) |
|
| Adults (>=18 to <65 years) |
|
| Elderly (>=65 years) |
|
| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Argentina |
|
| United States |
|
| Czechia |
|
| Ukraine |
|
| South Africa |
|
| United Kingdom |
|
| Slovakia |
|
| Serbia |
|
| Germany |
|
| Spain |
|
H0 = Null hypothesis. Hazard ratios, 95% confidence intervals for hazard ratios and p-values are estimated using a Cox regression model with treatment group, age group, region and number of severe exacerbations in the last 12 months prior to randomization as factors. A hazard ratio less than 1 favours BDI MDI treatment. |
| Regression, Cox |
| 0.041 |
| Hazard Ratio (HR) |
| 0.835 |
| 2-Sided |
| 95 |
| 0.702 |
| 0.992 |
| Superiority |
| OG002 | BDA MDI 80/180 μg (Full Analysis Set) | All participants who are randomized to BDA MDI 80/180 μg, take at least one puff of randomized treatment and have at least one efficacy assessment, excluding participants identified as confirmed duplicates. |
| OG003 | AS MDI 180 μg (Full Analysis Set) | All participants who are randomized to AS MDI 180 μg, take at least one puff of randomized treatment and have at least one efficacy assessment, excluding participants identified as confirmed duplicates. |
|
|
|
| OG002 | BDA MDI 80/180 μg (Full Analysis Set) | All participants who are randomized to BDA MDI 80/180 μg, take at least one puff of randomized treatment and have at least one efficacy assessment, excluding participants identified as confirmed duplicates. |
| OG003 | AS MDI 180 μg (Full Analysis Set) | All participants who are randomized to AS MDI 180 μg, take at least one puff of randomized treatment and have at least one efficacy assessment, excluding participants identified as confirmed duplicates. |
|
|
|
All participants who are randomized to AS MDI 180 μg, are aged >=12 years at randomization, take at least one puff of randomized treatment and have at least one efficacy assessment, excluding participants identified as confirmed duplicates.
| OG002 | BDA MDI 80/180 μg (Full Analysis Set) | All participants who are randomized to BDA MDI 80/180 μg, take at least one puff of randomized treatment and have at least one efficacy assessment, excluding participants identified as confirmed duplicates. |
| OG003 | AS MDI 180 μg (Full Analysis Set) | All participants who are randomized to AS MDI 180 μg, take at least one puff of randomized treatment and have at least one efficacy assessment, excluding participants identified as confirmed duplicates. |
|
|
|
| OG002 | AS MDI 180 μg (Full Analysis Set; >=12 Years) | All participants who are randomized to AS MDI 180 μg, are aged >=12 years at randomization, take at least one puff of randomized treatment and have at least one efficacy assessment, excluding participants identified as confirmed duplicates. |
|
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