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| ID | Type | Description | Link |
|---|---|---|---|
| 2024-513568-24-00 | Registry Identifier | CTIS | |
| 2021-002026-24 | EudraCT Number |
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This is a 24 week study to evaluate the efficacy and safety of budesonide and formoterol fumarate metered dose inhaler in adults and adolescents with inadequately controlled asthma.
This is a Phase III randomized, double-blind, active comparison, parallel group, multicenter study comparing BFF MDI 320/9.6 μg to BD MDI 320 µg and open-label Symbicort TBH 320/9 μg in adult and adolescent participants who have asthma which remains inadequately controlled (ACQ-7 total score ≥ 1.5) despite treatment with medium dose ICS or ICS/LABA. Budesonide and Formoterol Fumarate MDI 160/9.6 μg is included in this study to evaluate dose response by comparing to BFF MDI 320/9.6 μg. All doses represent the sum of 2 actuations. All study interventions will be administered BID for 24 weeks.
This study will be conducted at approximately 125 sites worldwide and will randomize approximately 630 adult and adolescent participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BFF MDI 320/9.6 μg | Experimental | Budesonide/ Formoterol Fumarate (BFF) metered-dose inhaler (MDI), 320/9.6 μg |
|
| BFF MDI 160/9.6 μg | Experimental | Budesonide/ Formoterol Fumarate (BFF) metered-dose inhaler (MDI), 160/9.6 μg |
|
| BD MDI 320 μg | Experimental | Budesonide MDI (BD MDI), 320 μg |
|
| Open-label Symbicort TBH 320/9 μg | Active Comparator | Open-Label Comparator Symbicort Turbuhaler 320/9 μg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BFF MDI 320/9.6 μg | Drug | Budesonide/ Formoterol Fumarate (BFF) metered-dose inhaler (MDI), 320/9.6 μg |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve 0 to 3 Hours (AUC0-3) at Week 24 | Change from baseline in forced expiratory volume in 1 second (FEV1) area under the curve 0 to 3 hours (AUC0-3) at Week 24. FEV1 AUC0-3 is calculated from 0-3 hours post-dose using the trapezoidal rule, divided by the observation time to report the result in liters. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented. | At Week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Morning Pre-dose Trough FEV1 at Week 24 | Change from baseline in morning pre-dose trough FEV1 at Week 24. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Chandler | Arizona | 85224 | United States | ||
| Research Site |
Not provided
| Label | URL |
|---|---|
| CSR Synopsis | View source |
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Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool. Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
All participants were on stable daily medium dose ICS or ICS/LABA for at least 8 weeks prior to Visit 1. After meeting the screening eligibility criteria, participants discontinued medium dose ICS or ICS/LABA at Visit 1 and initiated run-in BD MDI 320 µg taking BID until the randomization visit. A total of 581 patients were treated and included in the safety population. Of the 645 initially randomized, 64 were excluded (60 from 11 sites with GCP violation and 4 who did not receive therapy).
Participants who have asthma which remains inadequately controlled (ACQ-7 total score ≥ 1.5) despite treatment with medium dose ICS or ICS/LABA were recruited at 147 sites across 7 countries. Participants were randomized in a 1:2:2:2 scheme to BFF MDI 160/9.6 μg, BFF MDI 320/9.6 μg, BD MDI 320 μg, or open-label Symbicort. Randomization was stratified by baseline asthma treatment and age. The treatment period was 24 weeks in duration with up to 8 in-clinic visits during screening and treatment.
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| ID | Title | Description |
|---|---|---|
| FG000 | BFF MDI 160/9.6 g | Budesonide/ Formoterol Fumarate (BFF) metered-dose inhaler (MDI), 160/9.6 μg |
| FG001 | BFF MDI 320/9.6 g | Budesonide/ Formoterol Fumarate (BFF) metered-dose inhaler (MDI), 320/9.6 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 | Nov 7, 2024 | Sep 18, 2025 |
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Open Label for Symbicort TBH
| BFF MDI 160/9.6 μg | Drug | Budesonide/ Formoterol Fumarate (BFF) metered-dose inhaler (MDI), 160/9.6 μg |
|
|
| BD MDI 320 μg | Drug | Budesonide MDI (BD MDI), 320 μg |
|
|
| Open-label Symbicort TBH 320/9 μg | Drug | Open-label Symbicort Turbuhaler 320/9 μg |
|
|
| At 24 Weeks |
| Onset of Action on Day 1: Absolute Change in FEV1 at 5 Minutes on Day 1 | Onset of action on Day 1: Absolute change in FEV1 at 5 minutes on Day 1. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented. | On Day 1 |
| Change From Baseline in the Mean Number of Puffs of Rescue Medication Use (Puffs/Day) Over 24 Weeks | Change from baseline in the mean number of puffs of rescue medication use (puffs/day) over 24 Weeks. Baseline is the average during the last 7 days before randomization. Over 24 weeks is the average from randomization up to week 24. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented. | Over 24 Weeks |
| Percentage of Responders in ACQ-7 (≥ 0.5 Decrease Equals Response) at Week 24 | Percentage of responders in ACQ-7 at Week 24, where responders are defined as participants with a ≥0.5 decrease in total score from baseline. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented. | At Week 24 |
| Percentage of Responders in ACQ-5 (≥ 0.5 Decrease Equals Response) at Week 24 | Percentage of responders in ACQ-5 at Week 24, where responders are defined as participants with a ≥0.5 decrease in total score from baseline. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented. | At Week 24 |
| Percentage of Responders in the Asthma Quality of Life Questionnaire for 12 Years and Older (AQLQ(s)+12) (≥ 0.5 Increase Equals Response) at Week 24 | Percentage of responders in the Asthma Quality of Life Questionnaire for 12 years and older (AQLQ(s)+12) at Week 24, where responders are defined as participants with a ≥0.5 increase in total score from baseline. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented. | At Week 24 |
| Rate of Severe Asthma Exacerbation (Pooled LITHOS and VATHOS Data) During the Treatment Period (up to 24 Weeks) | As requested by a Health Authority, data from VATHOS and LITHOS (NCT05755906), two studies originally designed to assess lung function, were pooled to analyze the annualized rate of severe asthma exacerbations. This analysis was prespecified, uses data up to 12 weeks for LITHOS and 24 weeks for VATHOS, and was incorporated into the multiple testing procedure. An exacerbation is considered severe if it results in at least one of the following: a course of systemic corticosteroids (SCS) for ≥3 consecutive days to treat symptoms of asthma worsening, an ER or urgent care visit due to asthma requiring treatment with SCS, an in-patient hospitalization due to asthma, or death related to asthma. Treatment policy is implemented to handle all intercurrent events except for initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is used. | 24 Weeks |
| Rate of Severe Asthma Exacerbation During the Treatment Period (up to 24 Weeks) | Annualized rate of severe asthma exacerbation during the treatment period (up to 24 Weeks). An asthma exacerbation will be considered severe if it results in at least one of the following: a course of systemic corticosteroids for at least 3 consecutive days to treat symptoms of asthma worsening, an ER or urgent care visit due to asthma that required treatment with systemic corticosteroids, an in-patient hospitalization due to asthma, or death related to asthma. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented. | 24 Weeks |
| Tucson |
| Arizona |
| 85745 |
| United States |
| Research Site | Bakersfield | California | 93301 | United States |
| Research Site | Fresno | California | 93720 | United States |
| Research Site | Huntington Beach | California | 92647 | United States |
| Research Site | La Palma | California | 90623 | United States |
| Research Site | Lincoln | California | 95648 | United States |
| Research Site | Los Angeles | California | 90017 | United States |
| Research Site | Los Angeles | California | 90025 | United States |
| Research Site | Los Angeles | California | 90048 | United States |
| Research Site | Newport Beach | California | 92663 | United States |
| Research Site | Northridge | California | 91324 | United States |
| Research Site | Sacramento | California | 95823 | United States |
| Research Site | San Diego | California | 92120 | United States |
| Research Site | San Diego | California | 92123 | United States |
| Research Site | San Jose | California | 95117 | United States |
| Research Site | Denver | Colorado | 80230 | United States |
| Research Site | Wheat Ridge | Colorado | 80033 | United States |
| Research Site | Cutler Bay | Florida | 33189 | United States |
| Research Site | DeLand | Florida | 32720 | United States |
| Research Site | Miami | Florida | 33155 | United States |
| Research Site | Miami | Florida | 33173 | United States |
| Research Site | Miami | Florida | 33175 | United States |
| Research Site | Miami | Florida | 33180 | United States |
| Research Site | Tampa | Florida | 33607 | United States |
| Research Site | Atlanta | Georgia | 30361 | United States |
| Research Site | Peoria | Illinois | 61636 | United States |
| Research Site | Lexington | Kentucky | 40509 | United States |
| Research Site | White Marsh | Maryland | 21162 | United States |
| Research Site | North Dartmouth | Massachusetts | 02747 | United States |
| Research Site | Farmington Hills | Michigan | 48336 | United States |
| Research Site | Columbia | Missouri | 65203 | United States |
| Research Site | Saint Charles | Missouri | 63301 | United States |
| Research Site | St Louis | Missouri | 63141 | United States |
| Research Site | Kalispell | Montana | 59901 | United States |
| Research Site | Missoula | Montana | 59808 | United States |
| Research Site | Bellevue | Nebraska | 68123 | United States |
| Research Site | Omaha | Nebraska | 68114 | United States |
| Research Site | Henderson | Nevada | 89052 | United States |
| Research Site | North Las Vegas | Nevada | 89030 | United States |
| Research Site | Portsmouth | New Hampshire | 03801 | United States |
| Research Site | Skillman | New Jersey | 08558 | United States |
| Research Site | Gastonia | North Carolina | 28054 | United States |
| Research Site | Monroe | North Carolina | 28112 | United States |
| Research Site | Raleigh | North Carolina | 27607 | United States |
| Research Site | Cincinnati | Ohio | 45236 | United States |
| Research Site | Columbus | Ohio | 43215 | United States |
| Research Site | Edmond | Oklahoma | 73034 | United States |
| Research Site | Oklahoma City | Oklahoma | 73120 | United States |
| Research Site | Portland | Oregon | 97202 | United States |
| Research Site | Pittsburgh | Pennsylvania | 15236 | United States |
| Research Site | Knoxville | Tennessee | 37909 | United States |
| Research Site | Austin | Texas | 78759 | United States |
| Research Site | Beaumont | Texas | 77701 | United States |
| Research Site | Boerne | Texas | 78006 | United States |
| Research Site | Dallas | Texas | 75231 | United States |
| Research Site | El Paso | Texas | 79912 | United States |
| Research Site | Forney | Texas | 75126 | United States |
| Research Site | Houston | Texas | 77093 | United States |
| Research Site | Red Oak | Texas | 75154 | United States |
| Research Site | San Antonio | Texas | 78229 | United States |
| Research Site | San Antonio | Texas | 78258 | United States |
| Research Site | Victoria | Texas | 77901 | United States |
| Research Site | Waco | Texas | 76712 | United States |
| Research Site | Williamsburg | Virginia | 23188 | United States |
| Research Site | Milwaukee | Wisconsin | 53228 | United States |
| Research Site | Calgary | Alberta | T3B 0M3 | Canada |
| Research Site | Calgary | Alberta | T3E 7M8 | Canada |
| Research Site | Edmonton | Alberta | T5A 4L8 | Canada |
| Research Site | Kamloops | British Columbia | V2C 5T1 | Canada |
| Research Site | Winnipeg | Manitoba | R3L 1Z5 | Canada |
| Research Site | Moncton | New Brunswick | E1G 1A7 | Canada |
| Research Site | Ajax | Ontario | L1S 2J5 | Canada |
| Research Site | Burlington | Ontario | L7N 3V2 | Canada |
| Research Site | Stouffville | Ontario | L4A 1H2 | Canada |
| Research Site | Toronto | Ontario | M9V 4B4 | Canada |
| Research Site | Windsor | Ontario | N8X 2G1 | Canada |
| Research Site | Windsor | Ontario | N8X-5A6 | Canada |
| Research Site | Montreal | Quebec | H2V 2K1 | Canada |
| Research Site | Québec | Quebec | G1G 3Y8 | Canada |
| Research Site | Québec | Quebec | G1V 4W2 | Canada |
| Research Site | Québec | Quebec | G2J 0C4 | Canada |
| Research Site | Berlin | 10119 | Germany |
| Research Site | Berlin | 10787 | Germany |
| Research Site | Berlin | 10961 | Germany |
| Research Site | Berlin | 12157 | Germany |
| Research Site | Berlin | 13156 | Germany |
| Research Site | Frankfurt am Main | 60596 | Germany |
| Research Site | Landsberg | 86899 | Germany |
| Research Site | Leipzig | 04157 | Germany |
| Research Site | Leipzig | 04207 | Germany |
| Research Site | Leipzig | 04299 | Germany |
| Research Site | Magdeburg | 39120 | Germany |
| Research Site | München-Pasing | 81241 | Germany |
| Research Site | Schleswig | 24837 | Germany |
| Research Site | Wiesbaden | 65189 | Germany |
| Research Site | Witten | 58452 | Germany |
| Research Site | Brescia | 25123 | Italy |
| Research Site | Mantua | 46100 | Italy |
| Research Site | Naples | 80131 | Italy |
| Research Site | Roma | 00133 | Italy |
| Research Site | Roma | 00168 | Italy |
| Research Site | Rome | 00165 | Italy |
| Research Site | Tradate | 21049 | Italy |
| Research Site | Chūōku | 103-0022 | Japan |
| Research Site | Chūōku | 103-0027 | Japan |
| Research Site | Chūōku | 103-0028 | Japan |
| Research Site | Chūōku | 104-0031 | Japan |
| Research Site | Fukui-shi | 910-8526 | Japan |
| Research Site | Fukuoka | 819-8555 | Japan |
| Research Site | Himeji-shi | 672-8064 | Japan |
| Research Site | Kagoshima | 890-0053 | Japan |
| Research Site | Kishiwada-shi | 596-8501 | Japan |
| Research Site | Kodaira-shi | 187-0024 | Japan |
| Research Site | Kokubunji-shi | 185-0014 | Japan |
| Research Site | Kusatsu-shi | 525-8585 | Japan |
| Research Site | Kyoto | 601-8213 | Japan |
| Research Site | Kyoto | 612-8555 | Japan |
| Research Site | Mizunami-shi | 509-6134 | Japan |
| Research Site | Obihiro-shi | 080-0013 | Japan |
| Research Site | Osaka | 531-0073 | Japan |
| Research Site | Sapporo | 062-0931 | Japan |
| Research Site | Setagaya-ku | 158-0097 | Japan |
| Research Site | Shibuya-ku | 150-0013 | Japan |
| Research Site | Toon-shi | 791-0281 | Japan |
| Research Site | Toshima-ku | 170-0002 | Japan |
| Research Site | Toshima-ku | 170-0003 | Japan |
| Research Site | Toshima-ku | 171-0014 | Japan |
| Research Site | Utsunomiya | 329-1193 | Japan |
| Research Site | Yokohama | 223-0059 | Japan |
| Research Site | Yokohama | 232-0024 | Japan |
| Research Site | Yokohama | 232-0064 | Japan |
| Research Site | Badalona | 08916 | Spain |
| Research Site | Barcelona | 08017 | Spain |
| Research Site | Bilbao | 48002 | Spain |
| Research Site | Granada | 18004 | Spain |
| Research Site | Granada | 18014 | Spain |
| Research Site | Madrid | 28041 | Spain |
| Research Site | Santiago de Compostela | 15702 | Spain |
| Research Site | Vigo | 36201 | Spain |
| Research Site | Hanoi | 100000 | Vietnam |
| Research Site | Ho Chi Minh City | 700000 | Vietnam |
| FG002 | BD MDI 320 g | Budesonide MDI (BD MDI), 320 μg |
| FG003 | Symbicort TBH 320/9 g | Open-Label Comparator Symbicort Turbuhaler 320/9 μg |
| COMPLETED |
|
| NOT COMPLETED |
|
|
The Efficacy Set is defined as all participants who are randomized to study intervention and receive any amount of randomized study intervention. It excludes 6 participants who were randomized before or concurrently in another study.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | BFF MDI 160/9.6 g | Budesonide/ Formoterol Fumarate (BFF) metered-dose inhaler (MDI), 160/9.6 μg |
| BG001 | BFF MDI 320/9.6 g | Budesonide/ Formoterol Fumarate (BFF) metered-dose inhaler (MDI), 320/9.6 μg |
| BG002 | BD MDI 320 g | Budesonide MDI (BD MDI), 320 μg |
| BG003 | Symbicort TBH 320/9 g | Open-Label Comparator Symbicort Turbuhaler 320/9 μg |
| BG004 | 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 |
| ||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants |
| |||||||||||
| Region of Enrollment | Count of Participants | Participants |
| |||||||||||
| Prior asthma medication | Count of Participants | Participants |
| |||||||||||
| Baseline reversibility (%) | Baseline reversibility (%): ((Post-Albuterol FEV1 - Pre-Albuterol FEV1)/ Pre-Albuterol FEV1) x 100 | Mean | Standard Deviation | Percentage |
| |||||||||
| Baseline pre-bronchodilator FEV1 (L) | Baseline pre-bronchodilator FEV1 (L) is the mean of the pre-dose FEV1 at -60 and -30 minutes on Day 1, using the best effort at each timepoint. | Two participants have missing pre-bronchodilator FEV1 at baseline. | Mean | Standard Deviation | Liter |
|
| 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 Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve 0 to 3 Hours (AUC0-3) at Week 24 | Change from baseline in forced expiratory volume in 1 second (FEV1) area under the curve 0 to 3 hours (AUC0-3) at Week 24. FEV1 AUC0-3 is calculated from 0-3 hours post-dose using the trapezoidal rule, divided by the observation time to report the result in liters. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented. | The Efficacy Set is defined as all participants who are randomized to study intervention and receive any amount of randomized study intervention. Participants are analyzed according to the treatment assigned at randomization, regardless of the actual treatment received. Only subjects with non-missing baseline covariates used in the analysis model are included in the analysis. | Posted | Least Squares Mean | Standard Error | Liter | At Week 24 |
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| Secondary | Change From Baseline in Morning Pre-dose Trough FEV1 at Week 24 | Change from baseline in morning pre-dose trough FEV1 at Week 24. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented. | The Efficacy Set is defined as all participants who are randomized to study intervention and receive any amount of randomized study intervention. Participants are analyzed according to the treatment assigned at randomization, regardless of the actual treatment received. Only subjects with non-missing baseline covariates used in the analysis model are included in the analysis. | Posted | Least Squares Mean | Standard Error | Liter | At 24 Weeks |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Onset of Action on Day 1: Absolute Change in FEV1 at 5 Minutes on Day 1 | Onset of action on Day 1: Absolute change in FEV1 at 5 minutes on Day 1. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented. | The Efficacy Set is defined as all participants who are randomized to study intervention and receive any amount of randomized study intervention. Participants are analyzed according to the treatment assigned at randomization, regardless of the actual treatment received. Only subjects with non-missing baseline covariates used in the analysis model are included in the analysis. | Posted | Least Squares Mean | Standard Error | Liter | On Day 1 |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in the Mean Number of Puffs of Rescue Medication Use (Puffs/Day) Over 24 Weeks | Change from baseline in the mean number of puffs of rescue medication use (puffs/day) over 24 Weeks. Baseline is the average during the last 7 days before randomization. Over 24 weeks is the average from randomization up to week 24. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented. | The Efficacy Set is defined as all participants who are randomized to study intervention and receive any amount of randomized study intervention. Participants are analyzed according to the treatment assigned at randomization, regardless of the actual treatment received. Only subjects with non-missing baseline covariates used in the analysis model are included in the analysis. | Posted | Least Squares Mean | Standard Error | Puffs/Day | Over 24 Weeks |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Responders in ACQ-7 (≥ 0.5 Decrease Equals Response) at Week 24 | Percentage of responders in ACQ-7 at Week 24, where responders are defined as participants with a ≥0.5 decrease in total score from baseline. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented. | The Efficacy Set is defined as all participants who are randomized to study intervention and receive any amount of randomized study intervention. Participants are analyzed according to the treatment assigned at randomization, regardless of the actual treatment received. Only subjects with non-missing baseline covariates used in the analysis model are included in the analysis. | Posted | Number | Percentage of participants | At Week 24 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Responders in ACQ-5 (≥ 0.5 Decrease Equals Response) at Week 24 | Percentage of responders in ACQ-5 at Week 24, where responders are defined as participants with a ≥0.5 decrease in total score from baseline. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented. | The Efficacy Set is defined as all participants who are randomized to study intervention and receive any amount of randomized study intervention. Participants are analyzed according to the treatment assigned at randomization, regardless of the actual treatment received. Only subjects with non-missing baseline covariates used in the analysis model are included in the analysis. | Posted | Number | Percentage of participants | At Week 24 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Responders in the Asthma Quality of Life Questionnaire for 12 Years and Older (AQLQ(s)+12) (≥ 0.5 Increase Equals Response) at Week 24 | Percentage of responders in the Asthma Quality of Life Questionnaire for 12 years and older (AQLQ(s)+12) at Week 24, where responders are defined as participants with a ≥0.5 increase in total score from baseline. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented. | The Efficacy Set is defined as all participants who are randomized to study intervention and receive any amount of randomized study intervention. Participants are analyzed according to the treatment assigned at randomization, regardless of the actual treatment received. Only subjects with non-missing baseline covariates used in the analysis model are included in the analysis. | Posted | Number | Percentage of participants | At Week 24 |
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| Secondary | Rate of Severe Asthma Exacerbation (Pooled LITHOS and VATHOS Data) During the Treatment Period (up to 24 Weeks) | As requested by a Health Authority, data from VATHOS and LITHOS (NCT05755906), two studies originally designed to assess lung function, were pooled to analyze the annualized rate of severe asthma exacerbations. This analysis was prespecified, uses data up to 12 weeks for LITHOS and 24 weeks for VATHOS, and was incorporated into the multiple testing procedure. An exacerbation is considered severe if it results in at least one of the following: a course of systemic corticosteroids (SCS) for ≥3 consecutive days to treat symptoms of asthma worsening, an ER or urgent care visit due to asthma requiring treatment with SCS, an in-patient hospitalization due to asthma, or death related to asthma. Treatment policy is implemented to handle all intercurrent events except for initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is used. | The Efficacy Set is defined as all participants in VATHOS and LITHOS (NCT05755906) who are randomized to study intervention and receive any amount of randomized study intervention. Participants are analyzed according to the treatment assigned at randomization, regardless of the actual treatment received. Only subjects with non-missing baseline covariates used in the analysis model are included in the analysis. | Posted | Least Squares Mean | Standard Error | Exacerbations/year | 24 Weeks |
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| Secondary | Rate of Severe Asthma Exacerbation During the Treatment Period (up to 24 Weeks) | Annualized rate of severe asthma exacerbation during the treatment period (up to 24 Weeks). An asthma exacerbation will be considered severe if it results in at least one of the following: a course of systemic corticosteroids for at least 3 consecutive days to treat symptoms of asthma worsening, an ER or urgent care visit due to asthma that required treatment with systemic corticosteroids, an in-patient hospitalization due to asthma, or death related to asthma. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented. | The Efficacy Set is defined as all participants who are randomized to study intervention and receive any amount of randomized study intervention. Participants are analyzed according to the treatment assigned at randomization, regardless of the actual treatment received. Only subjects with non-missing baseline covariates used in the analysis model are included in the analysis. | Posted | Least Squares Mean | Standard Error | Exacerbations/year | 24 Weeks |
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From the date of first dose of IP up to and including 1 day following the date of last IP dose, up to 24 weeks.
Adverse events were reported by the participant (or, when appropriate, by a caregiver, surrogate, or the participant's legally authorized representative). The Investigator and any designees were responsible for detecting, documenting, and recording events that meet the definition of an AE.
The Safety Set is defined as the Efficacy Set, but it also includes the 6 participants who were randomized multiple times at sites or studies
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 | BFF MDI 160/9.6 g | Budesonide/ Formoterol Fumarate (BFF) metered-dose inhaler (MDI), 160/9.6 μg | 0 | 88 | 3 | 88 | 31 | 88 |
| EG001 | BFF MDI 320/9.6 g | Budesonide/ Formoterol Fumarate (BFF) metered-dose inhaler (MDI), 320/9.6 μg | 0 | 163 | 3 | 163 | 45 | 163 |
| EG002 | BD MDI 320 g | Budesonide MDI (BD MDI), 320 μg | 0 | 168 | 1 | 168 | 40 | 168 |
| EG003 | Symbicort TBH 320/9 g | Open-Label Comparator Symbicort Turbuhaler 320/9 μg | 0 | 162 | 7 | 162 | 39 | 162 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cholecystitis acute | Hepatobiliary disorders | MedDRA 27.1 | Systematic Assessment |
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| Covid-19 pneumonia | Infections and infestations | MedDRA 27.1 | Systematic Assessment |
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| Diverticulitis | Infections and infestations | MedDRA 27.1 | Systematic Assessment |
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| Localised infection | Infections and infestations | MedDRA 27.1 | Systematic Assessment |
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| Clavicle fracture | Injury, poisoning and procedural complications | MedDRA 27.1 | Systematic Assessment |
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| Myocardial ischaemia | Cardiac disorders | MedDRA 27.1 | Systematic Assessment |
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| Decreased appetite | Metabolism and nutrition disorders | MedDRA 27.1 | Systematic Assessment |
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| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA 27.1 | Systematic Assessment |
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| Skin ulcer | Skin and subcutaneous tissue disorders | MedDRA 27.1 | Systematic Assessment |
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| Gastric ulcer | Gastrointestinal disorders | MedDRA 27.1 | Systematic Assessment |
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| Gastritis | Gastrointestinal disorders | MedDRA 27.1 | Systematic Assessment |
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| Inguinal hernia | Gastrointestinal disorders | MedDRA 27.1 | Systematic Assessment |
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| Large intestine polyp | Gastrointestinal disorders | MedDRA 27.1 | Systematic Assessment |
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| Asthenia | General disorders | MedDRA 27.1 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Bronchitis bacterial | Infections and infestations | MedDRA 27.1 | Systematic Assessment |
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| Covid-19 | Infections and infestations | MedDRA 27.1 | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA 27.1 | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA 27.1 | Systematic Assessment |
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| Viral upper respiratory tract infection | Infections and infestations | MedDRA 27.1 | Systematic Assessment |
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| Gout | Metabolism and nutrition disorders | MedDRA 27.1 | Systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 27.1 | Systematic Assessment |
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| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA 27.1 | Systematic Assessment |
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| Rhinitis allergic | Respiratory, thoracic and mediastinal disorders | MedDRA 27.1 | Systematic Assessment |
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| Hypertension | Vascular disorders | MedDRA 27.1 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA 27.1 | Systematic Assessment |
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| Influenza like illness | General disorders | MedDRA 27.1 | Systematic Assessment |
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Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Global Clinical Lead | AstraZeneca | 1-877-240-9479 | information.center@astrazeneca.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Nov 27, 2024 | Sep 18, 2025 | 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
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| OG003 | Symbicort TBH 320/9 μg | Open-Label Comparator Symbicort Turbuhaler 320/9 μg |
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| OG003 | Symbicort TBH 320/9 μg | Open-Label Comparator Symbicort Turbuhaler 320/9 μg |
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| BD MDI 320 μg |
Budesonide MDI (BD MDI), 320 μg |
| OG003 | Symbicort TBH 320/9 μg | Open-Label Comparator Symbicort Turbuhaler 320/9 μg |
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Budesonide MDI (BD MDI), 320 μg
| OG003 | Symbicort TBH 320/9 μg | Open-Label Comparator Symbicort Turbuhaler 320/9 μg |
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Budesonide MDI (BD MDI), 320 μg
| OG003 | Symbicort TBH 320/9 μg | Open-Label Comparator Symbicort Turbuhaler 320/9 μg |
|
|
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| BD MDI 320 μg |
Budesonide MDI (BD MDI), 320 μg |
| OG003 | Symbicort TBH 320/9 μg | Open-Label Comparator Symbicort Turbuhaler 320/9 μg |
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| OG001 | BD MDI 160 μg or 320 μg | Budesonide (BD) metered-dose inhaler (MDI), 160 μg BID (320 μg/day) or Budesonide (BD) metered-dose inhaler (MDI), 320 μg BID (640 μg/day) |
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Budesonide/ Formoterol Fumarate (BFF) metered-dose inhaler (MDI), 320/9.6 μg
| OG002 | BD MDI 320 μg | Budesonide MDI (BD MDI), 320 μg |
| OG003 | Symbicort TBH 320/9 μg | Open-Label Comparator Symbicort Turbuhaler 320/9 μg |
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