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AsthmaPhase 3NCT00635505

Controlled, 12-Week Study of Albuterol HFA Versus the Active Control, Proventil(R)-HFA in Asthmatic Patients

A Phase 3 study testing albuterol HFA (Armstrong's) and albuterol HFA (Proventil HFA) in people with Asthma, run by Amphastar Pharmaceuticals, Inc. at 42 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This 12-week clinical study evaluates the safety and efficacy of Albuterol Sulfate HFA Inhalation Aerosol (Albuterol-HFA, or: A004), Armstrong's proposed HFA formulation of metered dose inhaler (MDI) of Albuterol (Treatment T), in comparison with: 1. Placebo control: (HFA propellant only, Treatment P); and 2. Read more about this study

Who is it for?
Ages 12 to 75 years
Conditions the study is for
Asthma
What is being tested?
albuterol HFA (Armstrong's) and albuterol HFA (Proventil HFA)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
300 participants
Where
42 sitesUnited States
Study dates
Sep 2007to Aug 2008
Phase
Phase 3
Are there results?
None posted in the registry

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 12 to 75 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Male and female asthma patients aged 12 - 75 years, in general good health.
  • A documented history of mild to moderate asthma, for at-least 6-months prior to Screening, requiring inhaled B2-adrenergic agonists, with or without orally inhaled corticosteroids, for asthma treatment.
  • Satisfying criteria of asthma stability, defined as no asthma-related hospitalization or emergency visits, and no significant changes in asthma therapy, over 4 weeks prior to Screening (with exception for switching from long- to short-acting B2-agonists).
  • Can tolerate withholding treatment with inhaled bronchodilators and other allowed medications for the minimum washout periods indicated in Appendix II prior to the Screening Baseline FEV1 testing.
  • Having a Screening Baseline FEV1 test that falls within 50-90% of the predicted values.
  • Airway Reversibility PFT at screening should demonstrate a greater than 12% increase in FEV1 at 30 minutes of inhaling 2 actuations of Ventolin-HFA (180 mcg albuterol base).
Show all 9Show fewer
  • Demonstrating satisfactory techniques in the use of metered-dose inhaler (MDIs) and a hand held peak flow meter.
  • Female patients of child-bearing potential being non-pregnant and non-lactating at Screening and throughout the study, and using an acceptable method of contraception during the study.
  • Has properly consented to participate in this study.

Who cannot join

  • Male and female asthma patients aged 12 - 75 years, in general good health.
  • A documented history of mild to moderate asthma, for at-least 6-months prior to Screening, requiring inhaled B2-adrenergic agonists, with or without orally inhaled corticosteroids, for asthma treatment.
  • Satisfying criteria of asthma stability, defined as no asthma-related hospitalization or emergency visits, and no significant changes in asthma therapy, over 4 weeks prior to Screening (with exception for switching from long- to short-acting B2-agonists).
  • Can tolerate withholding treatment with inhaled bronchodilators and other allowed medications for the minimum washout periods indicated in Appendix II prior to the Screening Baseline FEV1 testing.
  • Having a Screening Baseline FEV1 test that falls within 50-90% of the predicted values.
  • Airway Reversibility PFT at screening should demonstrate a greater than12% increase in FEV1 at 30 minutes of inhaling 2 actuations of Ventolin-HFA (180 mcg albuterol base).
Show all 9Show fewer
  • Demonstrating satisfactory techniques in the use of metered-dose inhaler (MDIs) and a hand held peak flow meter.
  • Female patients of child-bearing potential being non-pregnant and non-lactating at Screening and throughout the study, and using an acceptable method of contraception during the study.
  • Has properly consented to participate in this study.

Trial locations and contacts

42 sites in 1 country.

42 sites in 1 country

United States42 sites
  • Integrated Medical Research

    Ashland, Oregon, 97520

  • Clinical Research Group of Montana

    Bozeman, Montana, 59718

  • New Horizons Clinical Research

    Cincinnati, Ohio, 45242

  • Pharmaceutical Research & Consulting, Inc.

    Dallas, Texas, 25231

  • Colorado Allergy and Asthma Centers

    Denver, Colorado, 80230

  • Allergy & Asthma Research Group

    Eugene, Oregon, 97504

  • Allergy and Asthma Associates of Houston

    Houston, Texas, 77054

  • Clinical Trials of North Houston

    Houston, Texas, 77070

  • Allergy & Asthma Specialists Medical Group

    Huntington Beach, California, 92647

  • Kerrville Allergy and Asthma Associates

    Kerrville, Texas, 78028

  • Allergy Asthma and Dermatology Research

    Lake Oswego, Oregon, 97035

  • Colorado Allergy and Asthma Centers

    Lakewood, Colorado, 80401

  • Allergy Asthma & Respiratory Care Medical Center

    Long Beach, California, 90806

  • Allergy & Asthma Care Center

    Long Beach, California, 90808

  • Family Allergy and Asthma Research Institute

    Louisville, Kentucky, 40215

  • Clinical Research Institute of Southern Oregon

    Medford, Oregon, 97504

  • Park Nicollet Institute

    Minneapolis, Minnesota, 55416

  • Southern California Research

    Mission Viejo, California, 92691

  • Montant Medical Research

    Missoula, Montana, 59808

  • Pulmonary Associates of Mobile, PC

    Mobile, Alabama, 36608

  • Northeast Medical Research Group

    North Dartmouth, Massachusetts, 02747

  • Allergy and Asthma Care of Florida

    Ocala, Florida, 34471

  • CHOC PSF, AMC, Divison AA and I

    Orange, California, 92868

  • Clinical Trials of Orange County

    Orange, California, 92868

  • Asthma and Allergy Center, PC

    Papillion, Nebraska, 68046

  • Allergy and Clinical Immunology Associates

    Pittsburgh, Pennsylvania, 15241

  • Allergy Associates Research Center

    Portland, Oregon, 97213

  • Virginia Adult and Pediatric Allergy and Asthma, PC

    Richmond, Virginia, 23229

  • Peninsula Research Associates

    Rolling Hills Estates, California, 90274

  • Biogenics Research Institute

    San Antonio, Texas, 78229

  • Sylvania Research Associates

    San Antonio, Texas, 78229

  • Allergy Associates Medical Group

    San Diego, California, 92120

  • Allergy & Asthma Associates of Santa Clara Valley Research Centere

    San Jose, California, 95117

  • Asthma, Inc.

    Seattle, Washington, 98105

  • MEDEX Healthcare Research, Inc.

    St Louis, Missouri, 63117

  • The Clinical Research Center, LLC

    St Louis, Missouri, 63141

  • Bensch Research Associates

    Stockton, California, 95207

  • Toledo Center for Clinical Research

    Sylvania, Ohio, 43560

  • Brandon-Valrico Center for Allergy and Astham Research,LLC

    Valrico, Florida, 33594

  • Waterbury Pulmonary Research

    Waterbury, Connecticut, 06708

  • Rocky Mountain center for Clinical Research

    Wheat Ridge, Colorado, 80033

  • Atlanta Allergy and Asthma Clinic

    Woodstock, Georgia, 30188

Other trials in United States

About this study

Official title: Randomized, Placebo-Controlled, Parallel, Multi-Center, 12-Week Study to Evaluate the Efficacy and Safety of Albuterol HFA Versus the Active Control, Proventil(R)-HFA in Adult and Adolescent Asthmatic Patients

This 12-week clinical study evaluates the safety and efficacy of Albuterol Sulfate HFA Inhalation Aerosol (Albuterol-HFA, or: A004), Armstrong's proposed HFA formulation of metered dose inhaler (MDI) of Albuterol (Treatment T), in comparison with:

  1. Placebo control: (HFA propellant only, Treatment P); and
  2. Active control: 3M/Key's Proventil-HFA (Treatment R).

The treatments will be given as self-administered oral inhalations in adult and adolescent patients with mild-to-moderate asthma, for 12-weeks. Dosing regimen throughout the 12-week study is two actuations four times daily (QID).

Read the detailed description

This is a randomized, parallel, multicenter, 12-week study in adolescent and adult patients with mild-to-moderate asthma, to evaluate the efficacy and safety of Armstrong's Albuterol-HFA MDI, in comparison to a Placebo Control and an Active Control of Proventil-HFA. While Albuterol-HFA (Treatment T) and Placebo (Treatment P) will be double-blinded to both the subjects and investigational staff, the active comparator drug, Proventil-HFA (Treatment R), can only be evaluator-blinded, due to: (1) its physical appearance differing from that of the T and P devices; and (2) unavailability of a Proventil-HFA placebo which would otherwise be used for a double-dummy design. All study medications will have the canisters and all product-identifying text or graphics (e.g., molded text on actuator) masked so that the treatments cannot be identified. No subject in any study arm will be given any information that could reveal the nature of the treatment given. All study subjects will be instructed not to reveal or discuss the study medications to the study staff or other subjects. The designated study evaluator(s), who conduct the clinical visits and safety and efficacy evaluations and perform the data recording and transcription, will be blinded to the study medications.

All subjects will be screened for enrollment, and will be randomized into the following three treatment groups in a double-blinded (for Treatments T and P) or evaluator-blinded (for Treatment R) manner:

Treatment T (Albuterol-HFA, N=200): 216 mcg albuterol sulfate (equivalent to 180 mcg albuterol base), QID; Treatment R (Proventil-HFA, N=50): 216 mcg albuterol sulfate (equivalent to 180 mcg albuterol base), QID; Treatment P (Placebo-HFA, N=50): two actuations of placebo, QID.

Randomization is achieved with blocks of six (6), with four (4) patients receiving Albuterol-HFA for every one (1) patient receiving Proventil-HFA and every one (1) receiving the Placebo-HFA. At each Clinical Visit that takes place every 3 weeks, the double-blinded (T, P) or evaluator-blinded (R) study drugs will be distributed in resealable masking pouches to the subjects of each arm.

An additional aim of the study is to evaluate the effect of weekly cleaning on the Albuterol-HFA MDI device clinical performance throughout the four, 3-week life-of-device treatment cycles, in conformance with the FDA's specific requirements.

Arms:

All subjects will be screened for enrollment, and will be randomized into the following three treatment groups in a double-blinded (for Treatments T and P) or evaluator-blinded (for Treatment R) manner:

Treatment T (Albuterol-HFA, N=200): 216 mcg albuterol sulfate (equivalent to 180 mcg albuterol base), QID; Treatment R (Proventil-HFA, N=50): 216 mcg albuterol sulfate (equivalent to 180 mcg albuterol base), QID; Treatment P (Placebo-HFA, N=50): two actuations of placebo, QID.

Conditions
Asthma
Being tested
albuterol HFA (Armstrong's), albuterol HFA (Proventil HFA), HFA placebo
Keywords
Asthma, albuterol, HFA
Medical subject headings
Asthma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • albuterol HFA (Armstrong's)Drug

    180 mcg QID 12 weeks

  • albuterol HFA (Proventil HFA)Drug

    Also called Proventil HFA

    180 mcg QID 12 weeks

  • HFA placeboDrug

    2 actuations QID 12 weeks or until use of rescue drug

Study groups in NCT00635505
Study groupRoleWhat they receive
TExperimentalalbuterol HFA 180 mcg QID
Receives: Drug: albuterol HFA (Armstrong's)
RActive comparator180 mcg QID 12 weeks
Receives: Drug: albuterol HFA (Proventil HFA)
PPlacebo comparator2 actuations QID 12 weeks or until use of rescue drug
Receives: Drug: HFA placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The primary endpoint is the bronchodilator effect expressed as the mean area under the curve (AUC) of FEV1 (% change from Same-Day Baseline FEV1) versus time.

    Measured: Concurent with each visit

Secondary outcomes (20)
  1. The comparative analysis of AUC of FEV1 (% change from the Same-Day Baseline) versus time, for bronchodilator effect (between Albuterol-HFA and Proventil-HFA).

    Measured: End of Study

  2. AUC of FEV1-time curve (changes of actual volumes from the Same-Day Baseline).

    Measured: End of Study

  3. Time to onset of bronchodilator effect, determined by linear interpolation as the time point where FEV1 first reaches 12% over Same-Day Baseline.

    Measured: End of Study

  4. The peak bronchodilator response, defined as the maximum FEV1 (% change from Same-Day Baseline) post-dose.

    Measured: end of study

  5. The time to peak FEV1 effect, measured as the time point of peak response, as defined (4) above.

    Measured: End of Study

  6. Duration of bronchodilator effect, defined as the total length of time when FEV1 is maintained 12% above the respective Same-Day Baseline values (time points calculated with linear interpolation).

    Measured: Concurrent with each visit

  7. Percentage of positive responders including those whose FEV1 exceed the Same-Day Baseline by 12% within 30 minutes post-dose (quick responders), and during the entire 6 hr post-dose (overall responders).

    Measured: Concurrent with visit

  8. Number of inhalations of the rescue inhalers taken.

    Measured: Concurrent with each visit

  9. Global assessment of Overall Asthma Control Scores by investigators.

    Measured: End of Study

  10. Total daytime asthma symptom scores.

    Measured: End of Study

  11. Nighttime sleep disturbance scores.

    Measured: End of Study

  12. Morning pre-dose Peak Expiratory Flow Rate (PEF).

    Measured: Concurrent with each visit

  13. The clinical performances of the Albuterol-HFA MDI at the representative first, middle and last one third of the usable life stage, are compared with each other, and are also compared to those of the active control, Proventil-HFA.

    Measured: End of Study

  14. The in vitro performance of the Albuterol-HFA MDI will be evaluated.

    Measured: Concurrent with each visit

  15. Vital signs (SBP/DBP, and heart rate) will be monitored at Clinical Visit 1, 3 and 5, at baseline (within 30 minutes prior to dosing), and 90+/-15 min, and 360+/-30 min, post-dose.

    Measured: concurrent with study visits as noted

  16. A 12-lead ECG (for HR, QT and QTc intervals) will be recorded at Screening Visit, and at baseline (within 30 min) pre-dose and at 90+/-15 min post-dose (predicted time of peak effect).

    Measured: Clinical Visits 1 and 5

  17. Data for CBC, blood chemistry panel (8-hr fasted), and urinalysis.

    Measured: Screening and end-of-study

  18. Study compliance and diaries will be reviewed

    Measured: at all cliniical visits

  19. Concomitant medications will be reviewed and recorded

    Measured: each study visit

  20. Adverse events/side effects whether observed by investigators or reported by subjects, will be documented, evaluated, followed up, and treated if deemed necessary.

    Measured: concurrent with each study visit

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Mar 2008 (estimated)
  2. Study startSep 2007
  3. Primary completionAug 2008
  4. Study completionAug 2008

Why it stopped: IND voluntarily withdrawn, without prejudice

Resources

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
300 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00635505
Sponsor's protocol ID
API-A004-CLN-C
Status last verified
Jul 2012
First submitted
7 Mar 2008
Last updated
15 Jul 2013
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing albuterol HFA (Armstrong's) and albuterol HFA (Proventil HFA) in people with Asthma, run by Amphastar Pharmaceuticals, Inc. at 42 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 9 inclusion and 9 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: stopped early, as of the sponsor's last update on 15 Jul 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: IND voluntarily withdrawn, without prejudice). Results are not available in the source record.

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?

The primary endpoint is the bronchodilator effect expressed as the mean area under the curve (AUC) of FEV1 (% change from Same-Day Baseline FEV1) versus time. (time frame: Concurent with each visit). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 15 Jul 2013.

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