A 6 Month Safety Study Comparing Symbicort With Inhaled Corticosteroid Only in Asthmatic Adults and Adolescents
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Purpose
The purpose of the study is to evaluate the safety of Symbicort compared to inhaled corticosteroid alone during 6 months in adult and adolescent patients with asthma
| Condition | Intervention | Phase |
|---|---|---|
|
Asthma |
Drug: Symbicort pMDI Drug: budesonide pMDI |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A 26 Week, Randomized, Double-blind, Parallel-group, Active Controlled, Multicenter, Multinational Safety Study Evaluating the Risk of Serious Asthma-related Events During Treatment With Symbicort®, a Fixed Combination of Inhaled Corticosteroid (ICS) (Budesonide) and a Long Acting β2-agonist (LABA) (Formoterol) as Compared to Treatment With ICS (Budesonide) Alone in Adult and Adolescent (≥12 Years of Age) Patients With Asthma |
- Time to first event in composite endpoint (asthma-related death, asthma-related intubation or asthma-related hospitalization) [ Time Frame: Up to 27 weeks ] [ Designated as safety issue: Yes ]
- Time to first event included in the definition of asthma exacerbation [ Time Frame: Up to 26 weeks ] [ Designated as safety issue: No ]Asthma exacerbations, defined as a deterioration of asthma requiring systemic corticosteroids for at least 3 days or an inpatient hospitalization or emergency room visit due to asthma that required systemic corticosteroids
- Percent of days with no asthma symptoms [ Time Frame: daily up to 26 weeks ] [ Designated as safety issue: No ]
- Percent of days with no activity limitation due to asthma [ Time Frame: daily up to 26 weeks ] [ Designated as safety issue: No ]
- Mean number of puffs of rescue medication per day [ Time Frame: daily up to 26 weeks ] [ Designated as safety issue: No ]
- Asthma Control Questionnaire (ACQ6) [ Time Frame: baseline, day 28, day 84, day 182 ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 11700 |
| Study Start Date: | December 2011 |
| Estimated Study Completion Date: | August 2016 |
| Estimated Primary Completion Date: | August 2016 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Symbicort 80
|
Drug: Symbicort pMDI
80/4.5 μg x 2 actuations bid (morning and evening), for oral inhalation, 26-week treatment
|
|
Experimental: 2
Symbicort 160
|
Drug: Symbicort pMDI
160/4.5 μg x 2 actuations bid (morning and evening), for oral inhalation, 26-week treatment
|
|
Active Comparator: 3
budesonide 80
|
Drug: budesonide pMDI
80 μg x 2 actuations bid (morning and evening), for oral inhalation, 26-week treatment
|
|
Active Comparator: 4
budesonide 160
|
Drug: budesonide pMDI
160 μg x 2 actuations bid (morning and evening), for oral inhalation, 26-week treatment
|
Detailed Description:
A 26 week, randomized, double-blind, parallel-group, active controlled, multicenter, multinational safety study evaluating the risk of serious asthma-related events during treatment with Symbicort®, a fixed combination of inhaled corticosteroid (ICS) (budesonide) and a long acting β2-agonist (LABA) (formoterol) as compared to treatment with ICS (budesonide) alone in adult and adolescent (≥12 years of age) patients with asthma.
Eligibility| Ages Eligible for Study: | 12 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Provision of signed informed consent/ paediatric assent (if applicable) prior to any study specific procedures including medication withdrawal
- Male or Female, ≥12 years of age
- Documented clinical diagnosis of asthma for at least 1 year prior to Visit 2
Patient must have history of at least 1 asthma exacerbation including one of the following:
- requiring treatment with systemic corticosteroids
- an asthma-related hospitalization between 4 weeks and 12 months prior to randomization
- Current Asthma Therapy: Patients must be appropriately using one of the treatments for asthma listed in the protocol combined with achieving certain results when recording an Asthma Control Questionnaire
Exclusion Criteria:
- Patient has a history of life-threatening asthma. Defined for this protocol as an asthma episode that required intubation and/or was associated with hypercapnea requiring non-invasive ventilatory support.
- Patient has required treatment with systemic corticosteroids (tablets, suspensions or injectable) for any reason within 4 weeks prior to Visit 2
- Patient has an ongoing exacerbation, defined as a worsening of asthma that requires treatment with systemic corticosteroids (tablets, suspension, or injectable)
- An asthma exacerbation within 4 weeks of randomization or more than 4 separate exacerbations in the 12 months preceding randomization or more than 2 hospitalizations for treatment of asthma in the 12 months preceding randomization
- Patient has a respiratory infection or other viral/bacterial illness, or is recovering from such an illness at the time of Visit 2 that, in the investigator's opinion, will interfere with the patient's lung function
- Patient must not meet unstable asthma severity criteria as listed in the protocol
- Peak expiratory flow must not be below 50% o predicted normal
- Pregnancy, breast-feeding or planned pregnancy during the study
Contacts and Locations| Contact: AstraZeneca Clinical Study Information | 800-236-9933 | information.center@astrazeneca.com |
Show 295 Study Locations| Study Director: | Peter Held | AstraZeneca Pepparedsleden 1, 431 83 Mölndal |
More Information
No publications provided
| Responsible Party: | AstraZeneca |
| ClinicalTrials.gov Identifier: | NCT01444430 History of Changes |
| Other Study ID Numbers: | D5896C00027, 2011-002790-28 |
| Study First Received: | September 23, 2011 |
| Last Updated: | May 7, 2013 |
| Health Authority: | Argentina: Administración Nacional de Medicamentos, Alimentos y Tecnología MédicaBrazil: Ministry of Health Brazil: National Health Surveillance Agency Bulgaria: Ministry of Health Chile: Instituto de Salud Publica de Chile Colombia: INVIMA Instituto Nacional de Vigilancia de Medicamentos y Alimentos Czech Republic: State Institute for Drug Control France: Ministry of Health Germany: Federal Institute for Drugs and Medical Devices India: Drugs Controller General of India Italy: National Monitoring Centre for Clinical Trials - Ministry of Health Mexico: Federal Commission for Protection Against Health Risks Panama: Ministry of Health Peru: Ministry of Health Philippines: Bureau of Food and Drugs Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products Puerto Rico: Food and Drug Administration Romania: National Medicines Agency Russia: Ministry of Health of the Russian Federation Slovakia: State Institute for Drug Control South Africa: Medicines Control Council South Korea: Korea Food and Drug Administration (KFDA) Sweden: Medical Products Agency Thailand: Food and Drug Administration Turkey: Ministry of Health Ukraine: Ministry of Health United Kingdom: Medicines and Healthcare Products Regulatory Agency United States: Food and Drug Administration Vietnam: Ho Chi Minh City Health Service, Ministry of Health |
Keywords provided by AstraZeneca:
|
Symbicort pMDI Asthma safety budesonide |
Additional relevant MeSH terms:
|
Asthma Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Lung Diseases Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases Budesonide Symbicort Bronchodilator Agents |
Autonomic Agents Peripheral Nervous System Agents Physiological Effects of Drugs Pharmacologic Actions Anti-Asthmatic Agents Respiratory System Agents Therapeutic Uses Glucocorticoids Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Anti-Inflammatory Agents |
ClinicalTrials.gov processed this record on May 22, 2013