AsthmaPhase 2NCT00583947
A Safety and Tolerability Study of Arformoterol Tartrate Inhalation Solution in Pediatric Subjects
A Phase 2 study testing arformoterol and levalbuterol in people with Asthma, run by Sumitomo Pharma America, Inc. at 14 sites in United States.
Trial summary
To determine the safety and tolerability of Arformoterol Tartrate in children with asthma Read more about this study
- Who is it for?
- Ages 2 to 11 years
- Conditions the study is for
- Asthma
- What is being tested?
- arformoterol and levalbuterol
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 53 participants
- Where
- 14 sitesUnited States
- Study dates
- Jan 2008to Dec 2008
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 2 to 11 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Male and Female
- Between Age 2 and 11, inclusive, at the time of consent
- Weight equal to or greater than 15 Kg
- History of physician-diagnosed asthma of at least 2 years duration for children age 6 and older, and at least 1 year duration for children 5 and younger.
Who cannot join
- Female subject who is pregnant or lactating.
- Subject who has a history of hospitalization for asthma within one year, or who is scheduled for in-patient hospitalization, including elective surgery during the course of the trial.
- Subject with any history of life-threatening asthma defined as a history of asthma episodes requiring intubation, associated with hypercapnia, respiratory arrest, or hypoxic seizures.
- Subject with a history of cancer.
- Subject with hyperthyroidism, diabetes, hypertension, cardiac diseases or seizure disorders.
- Subject with a history of cigarette smoking or use of any tobacco products.
Trial locations and contacts
14 sites in 1 country.
14 sites in 1 country
United States14 sites
Study site
Beverly Hills, California, 90211
Study site
Burke, Virginia, 22015
Study site
Dallas, Texas, 75230
Study site
Medford, Oregon, 97504
Study site
Normal, Illinois, 61761
Study site
Oklahoma City, Oklahoma, 73112
Study site
Oklahoma City, Oklahoma, 73120
Study site
Orange, California, 92868
Study site
Orangeburg, South Carolina, 29118
Study site
Portland, Oregon, 97213
Study site
Richmond, Virginia, 23229
Study site
Savannah, Georgia, 31406
Study site
Spartanburg, South Carolina, 29303
Study site
Upland, Pennsylvania, 19013
About this study
Official title: A Cumulative Dose Safety and Tolerability Crossover Study of Arformoterol Tartrate Inhalation Solution and Levalbuterol Hydrochloride Inhalation Solution in Pediatric Subjects (Aged 2 to 11 Years of Age) With Asthma
To determine the safety and tolerability of Arformoterol Tartrate in children with asthma
Read the detailed description
A randomized, double-blind two-way crossover study of three cumulative doses of arformoterol (7.5 ug per nebulization) and levalbuterol (0.63 mg per nebulization) given over a one hour period, followed by a single open-label treatment day with three cumulative doses of arformoterol 15 ug in subjects 2-11 years of age with asthma. This study was previously posted by Sepracor Inc. In October 2009, Sepracor Inc. was acquired by Dainippon Sumitomo Pharma., and in October 2010, Sepracor Inc's name was changed to Sunovion Pharmaceuticals Inc.
- Conditions
- Asthma
- Being tested
- arformoterol, levalbuterol
- Keywords
- Asthma, Respiratory Tract Diseases
- Medical subject headings
- Asthma, Respiratory Tract Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
arformoterolDrug
Also called Brovana
Arformoterol is given at a 7.5 ug per dosing during the cross-over phase and 15 ug per dosing during the open-label phase. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes).
levalbuterolDrug
Also called Xopenex
Levalbuterol is given at a 0.63 mg per dosing during the cross-over phase. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes).
| Study group | Role | What they receive |
|---|---|---|
| ARF/LEV | Other | Cross-over phase: one day active treatment with arformoterol 7.5 microgram per nebulization followed by a 7 day washout. Then a one day active treatment with levalbuterol 0.63 milligram per nebulization.
Open-label phase: Following another 7 day washout, one day treatment with arformoterol 15 micrograms per nebulization. Receives: Drug: arformoterol; Drug: levalbuterol |
| LEV/ARF | Other | Cross-over phase: one day active treatment with levalbuterol 0.63 milligram per nebulization followed by a 7 day washout. Then a one day active treatment with arformoterol 7.5 micrograms per nebulization.
Open-label phase: Following another 7 day washout, one day treatment with arformoterol 15 micrograms per nebulization. Receives: Drug: arformoterol; Drug: levalbuterol |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Heart Rate
Heart rate measured at various timepoints: predose and timepoints after each of the three dosings. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes).
Measured: predose, various timeframes up to 5 hours post last dose
Change From Predose in Mean Heart Rate
Heart rate measured at various timepoints minus the heart rate at predose.
Measured: predose, various timeframes up to 5 hours post last dose
Mean Systolic Blood Pressure
Systolic blood pressure measured at various timepoints: predose and timepoints after each of the three dosings. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes).
Measured: predose, various timeframes up to 5 hours post last dose
Change From Predose in Mean Systolic Blood Pressure
Mean systolic blood pressure measured at various timepoints minus the mean systolic blood pressure at predose
Measured: predose, various timeframes up to 5 hours post last dose
Mean Diastolic Blood Pressure
Diastolic blood pressure measured at various timepoints: predose and timepoints after each of the three dosings. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes).
Measured: predose, various timeframes up to 5 hours post last dose
Change From Predose in Mean Diastolic Blood Pressure
Mean diastolic blood pressure measured at various timepoints minus the predose diastolic blood pressure
Measured: predose, various timeframes up to 5 hours post last dose
Mean Serum Potassium Levels
Measured: Predose, 2 hours and 6 hours postdose 1
Change From Predose in Mean Serum Potassium
Change in mean serum potassium at the specified timepoint minus the predose value.
Measured: predose, 2 and 6 hours post dose
Mean Serum Glucose Values
Measured: Predose, 2 and 6 hours post dose 1
Change From Predose in Mean Serum Glucose
Change in mean serum glucose at the specified timepoint minus the predose value.
Measured: predose, 2 and 6 hours post dose
Secondary outcomes (5)
Mean Forced Expiratory Volume in One Second(FEV1)
Forced Expiratory Volume in one second (FEV1) is the volume of air forcibly exhaled in one second as measured by a spirometer.
Measured: predose, various postdose times
Change From Predose of Mean Forced Expiratory Volume in One Second (FEV1)
Forced Expiratory Volume in one second (FEV1) is the volume of air forcibly exhaled in one second as measured by a spirometer. Change in FEV1 was calculated as postdose value minus the predose value at each visit.
Measured: predose, various postdose timepoints
Mean Peak Expiratory Flow Rate (PEFR)
PEFR is the fastest rate at which air can move through the airways during a forced expiration starting with fully inflated lungs as measured by peak flow meters.
Measured: predose, various postdose times
Change From Predose in Mean Peak Expiratory Flow Rate (PEFR)
PEFR is the fastest rate at which air can move through the airways during a forced expiration starting with fully inflated lungs as measured by peak flow meters. Change in PEFR was calculated as postdose value minus the predose value at each visit.
Measured: predose, various postdose times
Plasma Concentration of (R,R) Formoterol
If the mean plasma concentration was 'below the limit of quantification' (BLQ) which was set as <=0.5 picograms/milliliter, the value is displayed as a zero.
Measured: predose, various postdose times
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Jan 2008 (estimated)
- Study startJan 2008
- Primary completionDec 2008
- Study completionDec 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for AsthmaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 53 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sumitomo Pharma America, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pulmonary Medical Director, Study chair, Unicorn Pharma Consulting
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00583947
- Sponsor's protocol ID
- 091-029
- Status last verified
- Jan 2012
- First submitted
- 21 Dec 2007
- Last updated
- 22 Feb 2012
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Hinkle J, Hinson J, Kerwin E, Goodwin E, Sciarappa K, Curry L, Hanrahan JP. A cumulative dose, safety and tolerability study of arformoterol in pediatric subjects with stable asthma. Pediatr Pulmonol. 2011 Aug;46(8):761-9. doi: 10.1002/ppul.21446. Epub 2011 May 16.
PubMed 21584948
Study at a glance
From the registry record, last updated by the sponsor on 22 Feb 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Cumulative Dose Safety and Tolerability Crossover Study of Arformoterol Tartrate Inhalation Solution and Levalbuterol Hydrochloride Inhalation Solution in Pediatric Subjects (Aged 2 to 11 Years of Age) With Asthma
- ClinicalTrials.gov ID
- NCT00583947
- Acronym / sponsor ID
- 091-029
- Conditions
- Asthma
- Keywords
- Asthma, Respiratory Tract Diseases
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 53 participants (actual)
- Lead sponsor
- Sumitomo Pharma America, Inc.Industry (pharma, biotech, devices)
- Study start
- Jan 2008
- Primary completion
- Dec 2008 (actual)
- Study completion
- Dec 2008 (actual)
- First posted
- 2 Jan 2008 (estimated)
- Results
- Posted 8 Feb 2010
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To determine the safety and tolerability of Arformoterol Tartrate in children with asthma
Detailed description
A randomized, double-blind two-way crossover study of three cumulative doses of arformoterol (7.5 ug per nebulization) and levalbuterol (0.63 mg per nebulization) given over a one hour period, followed by a single open-label treatment day with three cumulative doses of arformoterol 15 ug in subjects 2-11 years of age with asthma. This study was previously posted by Sepracor Inc. In October 2009, Sepracor Inc. was acquired by Dainippon Sumitomo Pharma., and in October 2010, Sepracor Inc's name was changed to Sunovion Pharmaceuticals Inc.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| ARF/LEV | Other | Drug: arformoterol, Drug: levalbuterolCross-over phase: one day active treatment with arformoterol 7.5 microgram per nebulization followed by a 7 day washout. Then a one day active treatment with levalbuterol 0.63 milligram per nebulization. Open-label phase: Following another 7 day washout, one day treatment with arformoterol 15 micrograms per nebulization. |
| LEV/ARF | Other | Drug: arformoterol, Drug: levalbuterolCross-over phase: one day active treatment with levalbuterol 0.63 milligram per nebulization followed by a 7 day washout. Then a one day active treatment with arformoterol 7.5 micrograms per nebulization. Open-label phase: Following another 7 day washout, one day treatment with arformoterol 15 micrograms per nebulization. |
Who may qualify
- Ages
- 2 to 11 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (4 listed)
- Male and Female
- Between Age 2 and 11, inclusive, at the time of consent
- Weight equal to or greater than 15 Kg
- History of physician-diagnosed asthma of at least 2 years duration for children age 6 and older, and at least 1 year duration for children 5 and younger.
Key exclusion criteria (6 listed)
- Female subject who is pregnant or lactating.
- Subject who has a history of hospitalization for asthma within one year, or who is scheduled for in-patient hospitalization, including elective surgery during the course of the trial.
- Subject with any history of life-threatening asthma defined as a history of asthma episodes requiring intubation, associated with hypercapnia, respiratory arrest, or hypoxic seizures.
- Subject with a history of cancer.
- Subject with hyperthyroidism, diabetes, hypertension, cardiac diseases or seizure disorders.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| arformoterolAlso: BrovanaArformoterol is given at a 7.5 ug per dosing during the cross-over phase and 15 ug per dosing during the open-label phase. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes). | Drug | ARF/LEV, LEV/ARF |
| levalbuterolAlso: XopenexLevalbuterol is given at a 0.63 mg per dosing during the cross-over phase. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes). | Drug | ARF/LEV, LEV/ARF |
Primary outcome
Mean Heart Rate
Time frame: predose, various timeframes up to 5 hours post last dose
Heart rate measured at various timepoints: predose and timepoints after each of the three dosings. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes).
Change From Predose in Mean Heart Rate
Time frame: predose, various timeframes up to 5 hours post last dose
Heart rate measured at various timepoints minus the heart rate at predose.
Mean Systolic Blood Pressure
Time frame: predose, various timeframes up to 5 hours post last dose
Systolic blood pressure measured at various timepoints: predose and timepoints after each of the three dosings. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes).
Change From Predose in Mean Systolic Blood Pressure
Time frame: predose, various timeframes up to 5 hours post last dose
Mean systolic blood pressure measured at various timepoints minus the mean systolic blood pressure at predose
Mean Diastolic Blood Pressure
Time frame: predose, various timeframes up to 5 hours post last dose
Diastolic blood pressure measured at various timepoints: predose and timepoints after each of the three dosings. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes).
Change From Predose in Mean Diastolic Blood Pressure
Time frame: predose, various timeframes up to 5 hours post last dose
Mean diastolic blood pressure measured at various timepoints minus the predose diastolic blood pressure
Mean Serum Potassium Levels
Time frame: Predose, 2 hours and 6 hours postdose 1
Change From Predose in Mean Serum Potassium
Time frame: predose, 2 and 6 hours post dose
Change in mean serum potassium at the specified timepoint minus the predose value.
Mean Serum Glucose Values
Time frame: Predose, 2 and 6 hours post dose 1
Change From Predose in Mean Serum Glucose
Time frame: predose, 2 and 6 hours post dose
Change in mean serum glucose at the specified timepoint minus the predose value.
5 secondary outcomes
Mean Forced Expiratory Volume in One Second(FEV1)
Time frame: predose, various postdose times
Change From Predose of Mean Forced Expiratory Volume in One Second (FEV1)
Time frame: predose, various postdose timepoints
Mean Peak Expiratory Flow Rate (PEFR)
Time frame: predose, various postdose times
Change From Predose in Mean Peak Expiratory Flow Rate (PEFR)
Time frame: predose, various postdose times
Plasma Concentration of (R,R) Formoterol
Time frame: predose, various postdose times
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Feb 2012.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 21584948Hinkle J, Hinson J, Kerwin E, Goodwin E, Sciarappa K, Curry L, Hanrahan JP. A cumulative dose, safety and tolerability study of arformoterol in pediatric subjects with stable asthma. Pediatr Pulmonol. 2011 Aug;46(8):761-9. doi: 10.1002/ppul.21446. Epub 2011 May 16.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pulmonary Medical Director study chair
Unicorn Pharma Consulting
14 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing arformoterol and levalbuterol in people with Asthma, run by Sumitomo Pharma America, Inc. at 14 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 22 Feb 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 14 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 8 Feb 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Mean Heart Rate (time frame: predose, various timeframes up to 5 hours post last dose). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00583947, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Feb 2012.