A Study to Determine the Efficacy and Safety of Two Mometasone Dry Powder Inhalers in the Treatment of Asthma (Study P02524)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Merck Sharp & Dohme Corp.
ClinicalTrials.gov Identifier:
NCT00817817
First received: January 6, 2009
Last updated: May 22, 2014
Last verified: May 2014
  Purpose

This is an open-label, comparative, randomized, parallel, multicenter study in asthmatics to determine whether the administration of dry powder inhaled mometasone furoate (MF) 400 μg in a monodose capsule device would be comparable to administration of powder inhaled MF 400 μg in a multidose device.


Condition Intervention Phase
Asthma
Device: MF
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Bio-equivalence Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: An Open-Label, Comparative, Randomized, Parallel, Multicenter Study to Determine the Efficacy and Safety of Two Dry Powder Inhalers (DPIs) Used for the Application of Mometasone in the Treatment of Asthma

Resource links provided by NLM:


Further study details as provided by Merck Sharp & Dohme Corp.:

Primary Outcome Measures:
  • The assessment of efficacy will be done by spirometry, determining the difference in FEV1 and PEFR measured by spirometry on baseline, 7, 14, 28, 42 and 56 days after initiation of MF dry powder inhaler (DPI) therapy. [ Time Frame: Baseline, 7, 14, 28, 42, and 56 days after initiation of MF DPI therapy. ] [ Designated as safety issue: No ]
  • To determine the number of puffs/day of rescue medication (Salbutamol). [ Time Frame: Daily ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To compare the PEFR daily measurements obtained by Peak flow Meter used by subjects at home. [ Time Frame: Daily ] [ Designated as safety issue: No ]
  • To compare the daily scores for asthma symptoms and sleep quality. [ Time Frame: Every morning ] [ Designated as safety issue: No ]
  • To compare the evaluation of response to therapy made by the investigator at each visit compared to the Baseline visit. [ Time Frame: Visits 2 to 6. ] [ Designated as safety issue: No ]
  • To determine and compare the safety (HPA axis evaluation) of both treatments using 400 μg MF DPI once daily in adult subjects with asthma. [ Time Frame: Visits 2 to 6 ] [ Designated as safety issue: Yes ]
  • To determine and compare the safety (clinical laboratory measurements) of both treatments using 400 μg MF DPI once daily in adult subjects with asthma. [ Time Frame: Visit 6 ] [ Designated as safety issue: Yes ]
  • To determine and compare the tolerability (adverse events) of both treatments using 400 μg MF DPI once daily in adult subjects with asthma. [ Time Frame: Visits 2 to 6. ] [ Designated as safety issue: Yes ]

Enrollment: 93
Study Start Date: October 2002
Study Completion Date: May 2003
Primary Completion Date: May 2003 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Group 1 Device: MF
One evening dose of dry powder inhaled MF 400 μg (Multidose device).
Other Names:
  • Asmanex
  • SCH 32088
Experimental: Group 2 Device: MF
One evening dose of dry powder inhaled 400 μg (400 μg capsules - Monodose).
Other Names:
  • Asmanex
  • SCH 32088

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Must be >=18 years of age, of either gender & of any race.
  • Must have had a diagnosis of asthma for at least 6 months, characterized by recurrent episode of wheezing, breathlessness, chest tightness & coughing.
  • Baseline FEV1 must be >=55% and <=85% of predicted at the Screening Visit, when all restricted medications have been withheld for the specified intervals.
  • Must demonstrate evidence of an increase in absolute FEV1 of >=12%, with an absolute volume increase of at least 200 mL, after reversibility testing at the Screening Visit or documented in the patients chart reversibility up to 1 year previous to inclusion.
  • Must be free of any clinically significant disease (other than asthma), that would interfere with study evaluations.
  • Must be willing to give written informed consent and be able to adhere to dose & visit schedules.
  • Must agree to inform their own usual treating physician about their participation in the study.
  • Non-pregnant women of childbearing potential must be using a medically acceptable, adequate form of birth control. This includes: 1) hormonal contraceptive as prescribed by a physician (eg, oral combined, hormonal implant, depot injectable); 2) medically prescribed IUD; 3) condom in combination with a spermicide; 4) Monogamous relationship with a male partner who has had a vasectomy or is using a condom plus spermicide during the study. They must have started this birth control method at least 3 months prior to Screening (with the exception of condom in combination with a spermicide), & must agree to continue its use for the duration of the study. Women of childbearing potential who are not currently sexually active must agree and consent to using a double-barrier method should they become sexually active during the course of this study. Women who are surgically sterilized or are at least 1 year postmenopausal are considered not to be of childbearing potential. However, all female subjects must have a urine pregnancy test obtained at screening, prior to initiation of treatment, & at the end of the trial, which must be negative.
  • Subjects who did not use the following medication prior to inclusion:

    • Beta 2 agonist short-acting (inhaled, oral)(12 Hours)
    • Beta 2 agonist long-acting (inhaled)(48 Hours)
    • Ipratropium bromide (12 hours)
    • Cromolyn sodium, nedocromil (7 days)
    • Astemizole (3 months)
    • Cetotifeno (3 months)
    • Another investigational drug (1 month)
    • Theophyline (2 weeks)
    • Antihistamines (7 days)
    • Anticholinergics (7 days)
    • Leukotriene modifiers (2 weeks)
    • Oral decongestant long-acting (72 hours)
    • Oral decongestant short-acting (24 hours)
    • Oral corticosteroids (1 month)
    • Injected corticosteroids (3 months)
    • Inhaled corticosteroids (24 hours)
  • Baseline portable Peak Expiratory Flow at the Screening Visit must be >50% of predicted. The best value out of 3 must be considered.

Exclusion Criteria:

  • Women who are pregnant, breast-feeding, or are pre-menarcheal.
  • Have used any investigational drug within the last 30 days or who have ever been treated with any investigational antibody for asthma or rhinitis.
  • Are receiving escalating doses of immunotherapy, oral immunotherapy or short course (rush) immunotherapy.
  • No subject participating in this study may participate in this same study at another investigational site or in any other investigational study at the same time.
  • Must not be randomized into the study more than once.
  • Subjects with the following clinical conditions/demography:

    • Allergic to corticosteroids or beta-agonists.
    • Required hospitalization for asthma control within the previous 3 months.
    • Required ventilator support for respiratory failure secondary to their asthma within the last 5 years.
    • Treated in the ER (for a severe asthma exacerbation), or admitted to the hospital for management of airway obstruction, on 2 or more occasions within the last 6 months.
    • Clinical evidence of emphysema, chronic bronchitis, bronchiectasis, or cystic fibrosis.
    • Significant history of renal, hepatic, cardiovascular, metabolic, neurologic, hematological, respiratory, gastrointestinal, cerebrovascular, or other significant medical illness or disorder which, in the judgment of the investigator, could have interfered with the study, or required treatment which might have interfered with the study.
    • Requiring the use of >12 puffs per day of Salbutamol on any 2 consecutive days between study visits.
    • Experienced upper or lower respiratory tract infection within the previous 2 weeks prior to enrollment.
    • Clinically relevant abnormal baseline vital sign.
    • Clinically significant abnormalities on chest x-ray at the Screening Visit or within the previous 6 months.
    • Evidence of clinically significant oropharyngeal candidiasis.
    • Smokers, or ex-smokers who are smoking or have smoked at least 20 years/pack or subjects who are smoking in the last 6 months.
    • Known to be HIV positive.
    • Known to be illicit drug abusers.
    • HPA axis disturbances.
    • Showing any clinical condition considered to be severe.
    • Severe airflow obstruction showing to be life-threatening.
    • Baseline FEV1 <55% of the predicted normal.
    • Uncontrolled hypertension.
    • Suspected pneumonia, pneumothorax, pneumomediastinum, pulmonary TB, alpha-1 anti-trypsin deficiency, lung mycosis or pulmonary cystic fibrosis.
    • History of thoracic surgery or any previous malignancy of the lung,
    • Significant heart disease,
    • Receiving beta-adrenergic blocking agents.
  • Presenting baseline portable peak expiratory flow at the Screening Visit <=50% of predicted. The best value out of 3 must be considered.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

No Contacts or Locations Provided
  More Information

Publications:
Responsible Party: Merck Sharp & Dohme Corp.
ClinicalTrials.gov Identifier: NCT00817817     History of Changes
Other Study ID Numbers: P02524
Study First Received: January 6, 2009
Last Updated: May 22, 2014
Health Authority: Brazil: National Health Surveillance Agency

Additional relevant MeSH terms:
Asthma
Bronchial Diseases
Respiratory Tract Diseases
Lung Diseases, Obstructive
Lung Diseases
Respiratory Hypersensitivity
Hypersensitivity, Immediate
Hypersensitivity
Immune System Diseases
Mometasone furoate
Anti-Allergic Agents
Therapeutic Uses
Pharmacologic Actions
Anti-Inflammatory Agents

ClinicalTrials.gov processed this record on July 29, 2014