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Study to Investigate Real Life Effectiveness of Symbicort Maintenance and Reliever Therapy in Asthma Patients Across Asia (SMARTASIA)
This study has been completed.
Study NCT00939341   Information provided by AstraZeneca

First Received on July 13, 2009.   Last Updated on January 12, 2012   History of Changes
Results First Received: August 11, 2011  
Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment;   Masking: Open Label;   Primary Purpose: Treatment
Condition: Asthma
Intervention: Drug: Symbicort (Budesonide/Formoterol)

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
A total of 1022 asthma patients were enrolled at 51 sites in 5 Asian countries: China (21 sites), India (12 sites), Indonesia (3 sites), Thailand (6 sites) and Taiwan (9 sites) during the period July 2009 to August 2010. Of the 1022 enrolled, 862 participants entered into a 12-week treatment with the investigational drug.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
The study consisted of an initial screening visit followed by a 2-week run-in period before a 12-week treatment with investigational drug.

Reporting Groups
  Description
Symbicort Turbuhaler 160/4.5 µg delivered dose

Participant Flow:   Overall Study
    Symbicort Turbuhaler  
STARTED     862 [1]
COMPLETED     796 [2]
NOT COMPLETED     66  
Adverse Event                 15  
Pregnancy                 1  
Lost to Follow-up                 23  
Withdrawal by Subject                 13  
Protocol Violation                 6  
Incorrect enrolment                 8  
[1] 1022 participants were enrolled. There were 160 screen failures, 862 proceeded to treatment period.
[2] 862 participants entered into the 12-week treatment,66 discontinued, 796 completed the treatment.



  Baseline Characteristics
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Reporting Groups
  Description
Symbicort Turbuhaler 160/4.5 µg delivered dose

Baseline Measures
    Symbicort Turbuhaler  
Number of Participants  
[units: participants]
  862  
Age  
[units: Years]
Mean ± Standard Deviation
 
All Participants     13.7  ± 44.7  
Gender  
[units: Participants]
 
Female     455  
Male     407  



  Outcome Measures
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1.  Primary:   Change in Asthma Control Questionnaire (ACQ(5)) Score From Baseline at a Regional Level   [ Time Frame: Baseline and 12 weeks ]

2.  Secondary:   Change in ACQ(5) Score From Baseline at Country Level (China)   [ Time Frame: Baseline and 12 weeks ]

3.  Secondary:   Change in Overall ACQ(5) Score From Baseline at Country Level (India)   [ Time Frame: Baseline and 12 weeks ]

4.  Secondary:   Change in Overall ACQ(5) Score From Baseline at Country Level (Indonesia)   [ Time Frame: Baseline and 12 weeks ]

5.  Secondary:   Change in Overall ACQ(5) Score From Baseline at Country Level (Taiwan)   [ Time Frame: Baseline and 12 weeks ]

6.  Secondary:   Change in Overall ACQ(5) Score From Baseline at Country Level (Thailand)   [ Time Frame: Baseline and 12 weeks ]

7.  Secondary:   Change in Asthma Quality of Life Questionnaire, Standardized Version (AQLQ (S)) Overall Scores From Baseline   [ Time Frame: Baseline and 12 weeks ]

8.  Secondary:   Change in AQLQ (S) Domain (Symptom) Scores From Baseline   [ Time Frame: Baseline and 12 weeks ]

9.  Secondary:   Change in AQLQ (S) Domain (Activity Limitation) Scores From Baseline   [ Time Frame: Baseline and 12 weeks ]

10.  Secondary:   Change in AQLQ (S) Domain (Emotion Function) Scores From Baseline   [ Time Frame: Baseline and 12 weeks ]

11.  Secondary:   Change in AQLQ (S) Domain (Environmental Stimuli) Scores From Baseline   [ Time Frame: Baseline and 12 weeks ]

12.  Secondary:   Study Medication Use (Maintenance and Reliever) in Diary Cards – Change in As-needed Day-time Reliever Medication From run-in Period   [ Time Frame: Baseline and 12 weeks ]

13.  Secondary:   Study Medication Use (Maintenance and Reliever) in Diary Cards – Change in As-needed Night-time Reliever Medication From run-in Period   [ Time Frame: Baseline and 12 weeks ]

14.  Secondary:   Study Medication Use (Maintenance and Reliever) in Diary Cards – Total Number of Inhalations of Symbicort® 160µg/4.5µg Per Day During Treatment Period   [ Time Frame: Baseline and 12 weeks ]

15.  Secondary:   Study Medication Use (Maintenance and Reliever) in Diary Cards – Percentage of Days During Treatment Period Participants Used ≥ 3 Inhalations of Symbicort® 160µg/4.5µg in a Day   [ Time Frame: Baseline and 12 weeks ]

16.  Secondary:   Study Medication Use (Maintenance and Reliever) in Diary Cards – Percentage of Days During Treatment Period Participants Used ≥ 5 Inhalations of of Symbicort® 160µg/4.5µg in a Day   [ Time Frame: Baseline and 12 weeks ]

17.  Secondary:   Study Medication Use (Maintenance and Reliever) in Diary Cards – Percentage of Days During Treatment Period Participants Used ≥ 9 Inhalations of Symbicort® 160µg/4.5µg in a Day   [ Time Frame: Baseline and 12 weeks ]


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
The design of the study does not allow for any conclusion regarding the effect of Symbicort SMART, it being a within-group comparison  


Results Point of Contact:  
Name/Title: Gerard Lynch
Organization: AstraZeneca
phone: +44 1625 518062   ext 28062  
e-mail: aztrial_results_posting@astrazeneca.com


No publications provided


Responsible Party: AstraZeneca
ClinicalTrials.gov Identifier: NCT00939341     History of Changes
Other Study ID Numbers: D5890L00035
Study First Received: July 13, 2009
Results First Received: August 11, 2011
Last Updated: January 12, 2012
Health Authority: China: Ethics Committee;   India: Ministry of Health;   Indonesia: Departement Kesehatan (Department of Health);   Taiwan: Institutional Review Board;   Thailand: Ethical Committee