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AsthmaPhase 4TitanNCT00702325

Phase4/Symbicort® Versus Pulmicort Flexhaler® in African Americans

A Phase 4 study testing Budesonide / formoterol fumarate (SYMBICORT) and Budesonide in people with Asthma, run by AstraZeneca at 57 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To compare the efficacy of SYMBICORT® pMDI 160/4.5 μg x 2 actuations twice daily (bid) to that of budesonide inhalation powder DPI 180 μg x 2 inhalations bid, in African American(self-reported) subjects with inhaled corticosteroid (ICS) dependent asthma. Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Asthma
What is being tested?
Budesonide / formoterol fumarate (SYMBICORT) and Budesonide
Could I receive a placebo?
No, everyone receives an active treatment
How many people
311 participants
Where
57 sitesUnited States
Study dates
Jun 2008to Sep 2009
Phase
Phase 4
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 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • African American (self-reported)
  • Documented clinical diagnosis of asthma as defined by the American Thoracic Society (ATS) for at least 6 months prior to Visit 2 and be in stable condition.
  • FEV1, measured ≥6 hours after the last dose of short-acting β2-agonist and at least 48 hours after LABA, of 45%-85%, inclusive, of predicted normal.

Who cannot join

  • Has been hospitalized at least once for an asthma related condition during the 6 months prior to Visit 2, or has required emergency treatment due to an asthma related condition more than once in the 3 months prior to Visit 2.
  • Has required treatment with systemic corticosteroids (eg, oral, parenteral, ocular, or rectal) for any reason within the 30 days prior to Visit 2.
  • Has a respiratory infection or other viral/bacterial illness, or is recovering from such an illness at the time of Visit 3 that, in the Investigator's opinion, will interfere with the subject's lung function and/or ability to perform spirometry

Trial locations and contacts

57 sites in 1 country.

57 sites in 1 country

United States57 sites
  • Research Site

    Alpharetta, Georgia

  • Research Site

    Arlington, Texas

  • Research Site

    Atlanta, Georgia

  • Research Site

    Bentonville, Arkansas

  • Research Site

    Blue Bell, Pennsylvania

  • Research Site

    Centennial, Colorado

  • Research Site

    Charleston, South Carolina

  • Research Site

    Chicago, Illinois

  • Research Site

    Colorado Springs, Colorado

  • Research Site

    Dallas, Texas

  • Research Site

    Decatur, Georgia

  • Research Site

    Durham, North Carolina

  • Research Site

    Emporia, Virginia

  • Research Site

    Flint, Michigan

  • Research Site

    Fort Worth, Texas

  • Research Site

    Greenville, North Carolina

  • Research Site

    Hagerstown, Maryland

  • Research Site

    Hot Springs, Arkansas

  • Research Site

    Houston, Texas

  • Research Site

    Huntington Park, California

  • Research Site

    Inverness, Florida

  • Research Site

    Kansas City, Missouri

  • Research Site

    Lanham, Maryland

  • Research Site

    Largo, Maryland

  • Research Site

    Las Vegas, Nevada

  • Research Site

    Lawrenceville, Georgia

  • Research Site

    Lithia Springs, Georgia

  • Research Site

    Little Rock, Arkansas

  • Research Site

    Long Beach, California

  • Research Site

    Los Angeles, California

  • Research Site

    Los Angles, California

  • Research Site

    Lovejoy, Georgia

  • Research Site

    Malvern, Arkansas

  • Research Site

    McKinney, Texas

  • Research Site

    Memphis, Tennessee

  • Research Site

    Miami, Florida

  • Research Site

    Milwaukee, Wisconsin

  • Research Site

    New York, New York

  • Research Site

    North Syracuse, New York

  • Research Site

    Ocala, Florida

  • Research Site

    Orange, California

  • Research Site

    Pell City, Alabama

  • Research Site

    Plano, Texas

  • Research Site

    Portland, Oregon

  • Research Site

    Raleigh, North Carolina

  • Research Site

    Richmond, Virginia

  • Research Site

    Rolling Hills Estates, California

  • Research Site

    San Antonio, Texas

  • Research Site

    Skillman, New Jersey

  • Research Site

    Spartanburg, South Carolina

  • Research Site

    St Louis, Missouri

  • Research Site

    Tallahassee, Florida

  • Research Site

    Tampa, Florida

  • Research Site

    Towson, Maryland

  • Research Site

    Virginia Beach, Virginia

  • Research Site

    Waco, Texas

  • Research Site

    Waterbury, Connecticut

Other trials in United States

About this study

Official title: A 12-wk, Rand., Double-blind, Double Dummy, Multi-ctr., Phase IV Study Comparing Efficacy and Safety of SYMBICORT® pMDI 160/4.5 ug x 2 Actuations Twice Daily Versus Pulmicort® (Budesonide Inhalation Powder DPI) 180 ug x 2 Inhalations Twice Daily, in Adult and Adolescent African American Subjects With Asthma

To compare the efficacy of SYMBICORT® pMDI 160/4.5 μg x 2 actuations twice daily (bid) to that of budesonide inhalation powder DPI 180 μg x 2 inhalations bid, in African American(self-reported) subjects with inhaled corticosteroid (ICS) dependent asthma.

Conditions
Asthma
Being tested
Budesonide / formoterol fumarate (SYMBICORT), Budesonide
Keywords
Asthma
Medical subject headings
Asthma

What participants receive

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

  • Budesonide / formoterol fumarate (SYMBICORT)Drug

    Also called SYMBICORT

    160/4.5 μg x 2 actuations twice daily (bid)

  • BudesonideDrug

    Also called PULMICORT

    inhalation powder 180 μg x 2 inhalations bid (PULMICORT)

Study groups in NCT00702325
Study groupRoleWhat they receive
1ExperimentalNot described
Receives: Drug: Budesonide / formoterol fumarate (SYMBICORT)
2Active comparatorNot described
Receives: Drug: Budesonide

What is being measured

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

  1. Change From Baseline in Pre-dose Forced Expiratory Volume in 1 Second (FEV1) Averaged Over Treatment Period

    Mean change from baseline (Visit 3) value to average value recorded at visits during treatment period

    Measured: Baseline to 12 weeks

Secondary outcomes (23)
  1. Change From Baseline in Morning Peak Expiratory Flow (AM PEF) Averaged Over the Treatment Period

    Mean change from baseline (Visit 3) value to average value recorded at visits during treatment period

    Measured: Baseline to 12 weeks

  2. Change From Baseline in Evening Peak Expiratory Flow (PM PEF) Averaged Over the Treatment Period

    Mean change from baseline (Visit 3) value to average value recorded at visits during treatment period

    Measured: Baseline to 12 weeks

  3. Change From Baseline in Pre-dose Forced Vital Capacity (FVC) Averaged Over the Treatment Period

    Mean change from baseline (Visit 3) value to average value recorded at visits during treatment period

    Measured: Baseline to 12 weeks

  4. Change From Baseline in Pre-dose Forced Expiratory Flow (FEF 25-75%) Averaged Over the Treatment Period

    Mean change of the FEF (25-75%) value at the baseline (Visit 3) compared to average value of the FEF (25-75%) recorded at visits during treatment period (to week 12). The mean change was calculated.

    Measured: Baseline to 12 weeks

  5. Number of First Predefined Asthma Events by Inhaled Corticosteroid (ICS) Dose at Entry

    Total number of participants with any first predefined asthma event (decrease in FEV1 ≥ 20%,or to <40% of predicted normal value,12 puffs of albuterol pMDI per day on 3 or more days, decrease in morning PEF ≥ 20% on 3 or more days, use of rescue medication for 2 or more nights, emergency treatment, hospitalization, use of other asthma medication)

    Measured: 12 weeks

  6. Number of Withdrawals Due to a Predefined Asthma Event

    Total number of participants who withdrew due to a predefined asthma event (decrease in FEV1 ≥ 20%,or to <40% of predicted normal value,12 puffs of albuterol pMDI per day on 3 or more days, decrease in morning PEF ≥ 20% on 3 or more days, use of rescue medication for 2 or more nights, emergency treatment, hospitalization, use of other asthma meds)

    Measured: 12 weeks

  7. Change From Baseline in Total Average Daily Asthma Symptom Score Averaged Over the Treatment Period

    Diary assessment of total asthma symptoms score (treatment average) by Inhaled Corticosteroid (ICS) dose at entry. Asthma symptoms are cough, wheeze and shortness of breath. Each symptom is usually rated from 0-3: 0-no symptoms, 1-mild, 2-moderate and 3-severe. Change from baseline (Visit 3) mean value to average value recorded at visits during treatment period

    Measured: Baseline to 12 weeks

  8. Change From Baseline in Nighttime Asthma Symptom Score Averaged Over the Treatment Period

    Diary assessment of nighttime asthma symptoms score (treatment average) by ICS dose at entry. Asthma symptoms are cough, wheeze and shortness of breath. Each symptom is usually rated from 0-3: 0-no symptoms, 1-mild, 2-moderate and 3-severe. Change from baseline (Visit 3) mean value to average value recorded at visits during treatment period; full analysis set (FAS)

    Measured: Baseline to 12 weeks

  9. Change From Baseline in Daytime Asthma Symptom Score Averaged Over the Treatment Period

    Diary assessment of daytime asthma symptoms score (treatment average) by ICS dose at entry. Asthma symptoms are cough, wheeze and shortness of breath. Each symptom is usually rated from 0-3: 0-no symptoms, 1-mild, 2-moderate and 3-severe. Change from baseline (Visit 3) mean value to average value recorded at visits during treatment period; full analysis set (FAS)

    Measured: Baseline to 12 weeks

  10. Change From Baseline in Awakening-free Nights Averaged Over the Treatment Period

    Diary assessment of number of nights free from awakenings due to asthma; mean change from baseline (Visit 3) value to average value recorded at visits during treatment period

    Measured: Baseline to 12 weeks

  11. Change From Baseline to the Average in Total Rescue Medication Use Averaged Over the Treatment Period

    Diary assessment of total daily puffs of rescue medication used for asthma symptoms relief; mean change from baseline (Visit 3) value to average value recorded at visits during treatment period

    Measured: Baseline to 12 weeks

  12. Change From Baseline to the Average in Nighttime Rescue Medication Use Averaged Over the Treatment Period

    Diary assessment of total nighttime puffs of rescue medication used for asthma symptoms relief; mean change from baseline (Visit 3) value to average value recorded at visits during treatment period

    Measured: Baseline to 12 weeks

  13. Change From Baseline to the Average in Daytime Medication Use Averaged Over the Treatment Period

    Diary assessment of total daytime puffs of rescue medication used for asthma symptoms relief; mean change from baseline (Visit 3) value to average value recorded at visits during treatment period

    Measured: Baseline to 12 weeks

  14. Change From Baseline to the Average in Rescue Medication-free Days Averaged Over the Treatment Period

    Diary assessment of total (percent) days free from rescue medication use for asthma symptoms relief; mean change from baseline (Visit 3) value to average value recorded at visits during treatment period

    Measured: Baseline to 12 weeks

  15. Change From Baseline in Asthma Symptom-free Days Averaged Over the Treatment Period

    Diary assessment of number (percent) of days free from asthma symptoms by ICS dose at entry; mean change from baseline (Visit 3) value to average value recorded at visits during treatment period

    Measured: Baseline to 12 weeks

  16. Change From Baseline to the Average for Asthma-control Days Averaged Over the Treatment Period

    Diary assessment of number (percent) of asthma-control days (defined as days that were free of symptoms and nighttime and daytime rescue medication use); mean change from baseline (Visit 3) value to average value recorded at visits during treatment period

    Measured: Baseline to 12 weeks

  17. Perception of Onset of Medication Effect at Last Week of Treatment Assessed by Number of Participants Who Agreed With Item 2 on the Onset of Effect Questionnaire (OEQ)

    Diary assessment of participants age 12 years and older and 18 years and older who agreed with OEQ Item 2 at last week of treatment - During the past week, you could feel your medication begin to work right away

    Measured: 12 week

  18. Change From Baseline to End of Treatment in Overall Score on the Asthma Quality of Life Questionnaire-Standardized (AQLQ[S])

    Mean change in overall score at end of treatment for participants age 17 years and older (scores ranged from 1 to 7, with higher scores indicating better quality of life); mean change from baseline (Visit 3) value to average value recorded at visits during treatment period

    Measured: Baseline to 12 weeks

  19. Proportion of Participants Who Reported on the Asthma Control Test (ACT) That Their Asthma Was Controlled at the Last Week of Treatment

    There are 5 questions in the survey, and each question has 5 responses (total score for each question can range from 1 to 5). To score the survey, responses to the 5 questions are added to yield a total score that ranges from 5 (poor control of asthma control) to 25 (complete control of asthma). Score of 20 or higher was indicative of well-controlled asthma.

    Measured: 12 weeks

  20. Change From Baseline to Last Week of Treatment in Scores on the Asthma Impact Survey (AIS)

    There are 6 questions in the survey, and each question has 5 responses (total score for each question can range from 6 to 13). Responses to the 6 questions were added to yield a total score that ranged from 36 to 78. Scoring is based on a norm-based method. Higher AIS scores indicated more asthma impact and poorer quality of life; mean change from baseline (Visit 3) value to average value recorded at visits during treatment period.

    Measured: Baseline to 12 weeks

  21. Perception of Onset of Medication Effect at Last Week of Treatment Assessed by Number of Participants Who Agreed With Item 5 on the Onset of Effect Questionnaire (OEQ)

    Diary assessment of participants age 12 years and older and 18 years and older who agreed with OEQ Item 5 at last week of treatment - During the past week, you were satisfied with how quickly you felt your study medication began to work.

    Measured: 12 week

  22. Perception of Onset of Medication Effect at First Week of Treatment Assessed by Number of Participants Who Agreed With Item 2 on the Onset of Effect Questionnaire (OEQ)

    Diary assessment of participants age 12 years and older and 18 years and older who agreed with OEQ Item 2 at first week of treatment - During the past week, you could feel your medication begin to work right away

    Measured: 1 week

  23. Perception of Onset of Medication Effect at First Week of Treatment Assessed by Number of Participants Who Agreed With Item 5 on the Onset of Effect Questionnaire (OEQ)

    Diary assessment of participants age 12 years and older and 18 years and older who agreed with OEQ Item 5 at first week of treatment - During the past week, you were satisfied with how quickly you felt your study medication began to work.

    Measured: 1 week

Timeline

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

  1. First posted20 Jun 2008 (estimated)
  2. Study startJun 2008
  3. Primary completionSep 2009
  4. Study completionSep 2009

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
311 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00702325
Sponsor's protocol ID
D589BL00003
Acronym
Titan
Status last verified
Oct 2012
First submitted
19 Jun 2008
Last updated
9 Nov 2012
Data monitoring committee
No

Publications

  • Murphy KR, Uryniak T, Martin UJ, Zangrilli J. The effect of budesonide/formoterol pressurized metered-dose inhaler on predefined criteria for worsening asthma in four different patient populations with asthma. Drugs R D. 2012 Mar 1;12(1):9-14. doi: 10.2165/11630600-000000000-00000.

    PubMed 22329608

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Budesonide / formoterol fumarate (SYMBICORT) and Budesonide in people with Asthma, run by AstraZeneca at 57 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 3 inclusion and 3 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 9 Nov 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 57 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 9 Nov 2012). 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?

Change From Baseline in Pre-dose Forced Expiratory Volume in 1 Second (FEV1) Averaged Over Treatment Period (time frame: Baseline to 12 weeks). 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 NCT00702325, 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 9 Nov 2012.

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