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AsthmaPhase 2NCT01581177

Albuterol DPI (A006) Clinical Study-B2: Efficacy, Dose-Ranging and Initial Safety Evaluation

A Phase 2 study testing Albuterol DPI 25 mcg/inh, Albuterol DPI 90 mcg/inh and Albuterol MDI 90 mcg/inh in people with Asthma, run by Amphastar Pharmaceuticals, Inc. at 4 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

The main objective of this study is to evaluate the efficacy, dose-ranging and initial safety profiles of A006, an Albuterol dry powder inhaler (DPI), in the dose range of 25 to 180 mcg per dosing in comparison to a DPI Placebo Control and an Albuterol metered dose inhaler (MDI) Active Control. Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Asthma
What is being tested?
Albuterol DPI 25 mcg/inh, Albuterol DPI 90 mcg/inh and Albuterol MDI 90 mcg/inh
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
23 participants
Where
4 sitesUnited States
Study dates
Apr 2012to Aug 2012
Phase
Phase 2
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 18 to 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Generally healthy, male and female adults, 18-55 years of age at screening
  • With mild-to-moderate persistent asthma for at least 6 months prior to screening and having used a beta-agonist(s) inhaler
  • Demonstrate a Forced Expiratory Volume (FEV1) at 50-85 percent of predicted normal during screening baseline measurement
  • Demonstrate an airway reversibility of greater than or equal to 15 percent within 30 minutes of inhaling 2 inhalations of Proventil MDI during screening visit
  • Demonstrate Peak Inspiratory Flow Rate (PIF) within 80-150 L/min (after training), at least 2 times consecutively
  • Demonstrate ability to use a DPI and MDI inhaler properly after training
  • Females must be not pregnant, not lactating, and using a clinically acceptable form of birth control
  • Properly agree to participate in the trial

Who cannot join

  • A smoking history of more than or equal to 10 years or having smoked within 6 months of screening visit
  • Upper respiratory tract infections within 2 weeks or lower respiratory tract infection within 4 weeks prior to screening visit
  • Asthma exacerbations that required emergency care or a hospital stay within 4 weeks prior to screening visit
  • Any current or recent respiratory tract infections that might affect the response to the study drug as determined by the investigator, including cystic fibrosis, bronchiectasis, tuberculosis, emphysema and other significant respiratory diseases besides asthma
  • Current clinically significant cardiovascular, hematological, renal, neurologic, hepatic, endocrine, psychiatric, malignant or other illnesses that could impact the study as determined by the investigator
  • Known intolerance or hypersensitivity to any ingredients of the study drug DPI or Proventil MDI (i.e.: Albuterol, sulfate, lactose, milk protein, HFA-134a, oleic acid and ethanol)

Trial locations and contacts

4 sites in 1 country.

United States4 sites
  • Amphastar Site 0025

    Medford, Oregon, 97504

  • Amphastar Site 0030

    New Braunfels, Texas, 78130

  • Amphastar Site 0032

    San Antonio, Texas, 78229

  • Amphastar Site 0001

    San Jose, California, 95117

Other trials in United States

About this study

Official title: A Randomized, Double- or Evaluator-blind, Active- and Placebo-controlled, Single Dose, Seven-arm, Crossover Dose-ranging Study of A006 in Adult Asthma Patients

The main objective of this study is to evaluate the efficacy, dose-ranging and initial safety profiles of A006, an Albuterol dry powder inhaler (DPI), in the dose range of 25 to 180 mcg per dosing in comparison to a DPI Placebo Control and an Albuterol metered dose inhaler (MDI) Active Control.

This study will be conducted in male and female adult patients who have mild-to-moderate persistent asthma for at least 6 months, but are otherwise generally healthy.

Read the detailed description

The main objective of this study is to evaluate the efficacy, dose-ranging and initial safety profiles of A006, an Albuterol dry powder inhaler (DPI), in the dose range of 25 to 180 mcg per dose in comparison to the DPI Placebo Control and the Active (Reference) Control. The study results of this study together with that of A006-B study will be utilized to determine the optimum final dose range of A006 for further clinical studies.

The study will be conducted in male and female adult patients who have mild-to-moderate persistent asthma but are otherwise generally healthy.

Conditions
Asthma
Being tested
Albuterol DPI 25 mcg/inh, Albuterol DPI 90 mcg/inh, Placebo DPI, Albuterol MDI 90 mcg/inh
Keywords
asthma, mild-to-moderate persistent asthma, mild asthma, moderate asthma, persistent asthma
Medical subject headings
Asthma

What participants receive

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

  • Albuterol DPI 25 mcg/inhDrug

    Albuterol DPI with 25 mcg Albuterol/inhalation

  • Albuterol DPI 90 mcg/inhDrug

    Albuterol DPI with 90 mcg Albuterol/inhalation

  • Placebo DPIDrug

    Placebo DPI with 0 mcg Albuterol/inhalation

  • Albuterol MDI 90 mcg/inhDrug

    Albuterol MDI with 90 mcg Albtuerol/inhalation

Study groups in NCT01581177
Study groupRoleWhat they receive
T1ExperimentalTwo inhalations, one of Albuterol DPI 25 mcg/inh and one of Placebo DPI; Total Albuterol dose of 25 mcg
Receives: Drug: Albuterol DPI 25 mcg/inh; Drug: Placebo DPI
T2ExperimentalTwo inhalations of Albuterol DPI 25 mcg/inh; Total Albuterol dose of 50 mcg
Receives: Drug: Albuterol DPI 25 mcg/inh
T3ExperimentalTwo inhalations, one of Albuterol DPI 90 mcg/inh and one of Placebo DPI; Total Albuterol dose of 90 mcg
Receives: Drug: Albuterol DPI 90 mcg/inh; Drug: Placebo DPI
T4ExperimentalTwo inhalations of Albuterol DPI 90 mcg/inh; Total Albuterol dose of 180 mcg
Receives: Drug: Albuterol DPI 90 mcg/inh
PPlacebo comparatorTwo inhalations Placebo DPI; Total Albuterol dose of 0 mcg
Receives: Drug: Placebo DPI
R1Active comparatorOne inhalation of Albuterol MDI 90 mcg/inh; Total Albuterol dose of 90 mcg
Receives: Drug: Albuterol MDI 90 mcg/inh
R2Active comparatorTwo inhalations of Albuterol MDI 90 mcg/inh; Total Albuterol dose of 180 mcg
Receives: Drug: Albuterol MDI 90 mcg/inh

What is being measured

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

  1. Change in FEV1 Area Under the Curve (AUC) versus placebo

    Serial FEV1 measurements to demonstrate the mean AUC change in percent FEV1 from same-day baseline of A006 versus placebo control

    Measured: Visits 1-7, at baseline, 5, 20, 30, 60, 90, 120, 240, 360 minutes post-dose

Secondary outcomes (21)
  1. Placebo AUC of adjusted FEV1 changes

    Determination of change of FEV1 in placebo arm

    Measured: Visits 1-7 at baseline, 5, 20, 30, 60, 90, 120, 180, 240 and 360 minutes post-dose

  2. AUC of post-dose FEV1 volume changes from pre-dose baseline to Visit 7

    Determination of FEV1 volume change from pre-dose baseline to post treatment at Visit 7

    Measured: Visits 1-7 at baseline, 5, 20, 30, 60, 90, 120, 180, 240, 360 minutes post-dose

  3. Time post-dose change in FEV1 percent first reaches greater than or equal to 12 percent over the Pre-dose Baseline

    Time to onset of bronchodilator effect (Tonset), determined by linear interpolation as the point where post-dose change in FEV1 percent first reaches greater than or equal to 12 percent over the Pre-dose Baseline.

    Measured: Visits 1-7, at 5, 20, 30, 60, 90, 120, 180, 240 and 360 minutes post-dose

  4. Peak bronchodilator response (Fmax)

    The peak bronchodilator response (Fmax), defined as the maximum post-dose change in FEV1 percent.

    Measured: Visits 1-7 at 5, 20, 30, 60, 90, 120, 180, 240, 360 minutes post-dose

  5. Time to peak FEV1 effect (tmax)

    The time to peak FEV1 effect (tmax), defined as the time of Fmax.

    Measured: Visits 1-7 at 5, 20, 30, 60, 90, 120, 180, 240 and 360 minutes post-dose

  6. Duration of effect

    Duration of effect, calculated as the total duration of bronchodilator effects when change in FEV1 percent is greater than or equal to 12 percent above baseline.

    Measured: Visits 1-7 at 5, 20, 30, 60, 90, 120, 180 and 360 minutes post-dose

  7. Bronchodilatory Response Rate (R percent)

    Evaluation of Bronchodilatory Response Rate (R percent) of responders who demonstrate a greater than or equal to 12 percent increase for change in FEV1 percent during the initial 60 min post-dose.

    Measured: Visits 1-7 at 60 minutes

  8. Dose response curve: AUC of change in percent FEV1 versus Dose

    Evaluation of change in FEV1 in relation to dose.

    Measured: Visits 1-7

  9. Vital Signs (i.e.: blood pressure and heart rate)

    Vital signs, i.e. blood pressure (SBP/DBP) and heart rate (HR), at pre-dose baseline, and 3, 8, 15, 30, 90, and 360 min post-dose.

    Measured: Visits 1-7 and EOS at baseline, 3, 8, 15, 30, 90 and 360 minutes post-dose

  10. 12-lead ECG (for routine and QT/QTc)

    Measurement of 12-lead ECG (for routine and QT/QTc), at pre-dose baseline, and at 10, 50, and 360 min post-dose.

    Measured: Visits 1-7 at baseline, 10, 50 and 360 minutes post-dose

  11. Serum glucose

    Determination of Serum glucose, at pre-dose baseline, and at 15, 35 and 120 min post-dose.

    Measured: Visits 1-7 at baseline, 15, 35 and 120 minutes post-dose

  12. Serum potassium

    Determination of serum potassium levels, at pre-dose baseline, and at 15, 35 and 120 min post-dose.

    Measured: Visits 1-7 at baseline, 15, 35 and 120 minutes post-dose

  13. Asthma exacerbation incidents

    Evaluation of asthma exacerbation incidents in all patients throughout the duration of the study.

    Measured: Visits 1-7 and EOS

  14. Asthma management/ rescue drug usage

    Evaluation of asthma exacerbation incidents in all patients throughout the duration of the study.

    Measured: Visits 1-7 and EOS

  15. Physical examination

    Physical examination of all subjects performed at screening and end-of-study visit to evaluate subject's general health.

    Measured: Screening and End-of-Study Visit

  16. CBC

    Evaluation of CBC in all subjects at screening and end-of-study visit.

    Measured: Screening and End-of-Study Visit

  17. Comprehensive metabolic panel

    Comprehensive metabolic panel performed on all subjects at screening and end-of-study visit.

    Measured: Screening and End-of-Study Visit

  18. Urinalysis

    Urinalysis performed on all subjects at screening and end-of-study visit.

    Measured: Screening and End-of-Study Visit

  19. Pregnancy test

    A pregnancy test for women of child bearing potential at screening and end-of-study visit.

    Measured: Screening and End-of-Study Visit

  20. Medication interactions

    Evaluation of concomitant medications used by subjects throughout the study and their potential to affect the study

    Measured: Screening, Visits 1-7 and End-of-Study Visit

  21. Number of participants with adverse events as a measure of safety and tolerability

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

    Measured: Screening, Visits 1-7, End-of-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 posted20 Apr 2012 (estimated)
  2. Study startApr 2012
  3. Primary completionJul 2012
  4. Study completionAug 2012

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
23 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01581177
Sponsor's protocol ID
API-A006-CL-B2
Status last verified
May 2017
First submitted
17 Apr 2012
Last updated
19 May 2017
Results posted
No
Data monitoring committee
No

Publications

  • Lipworth BJ, Clark DJ. Lung delivery of salbutamol given by breath activated pressurized aerosol and dry powder inhaler devices. Pulm Pharmacol Ther. 1997 Aug;10(4):211-4. doi: 10.1006/pupt.1997.0093.

    PubMed 9695144
  • Ahrens RC. The role of the MDI and DPI in pediatric patients: "Children are not just miniature adults". Respir Care. 2005 Oct;50(10):1323-8; discussion 1328-30.

    PubMed 16185368
  • Goldstein DA, Tan YK, Soldin SJ. Pharmacokinetics and absolute bioavailability of salbutamol in healthy adult volunteers. Eur J Clin Pharmacol. 1987;32(6):631-4. doi: 10.1007/BF02456001.

    PubMed 3653233
  • Hindle M, Newton DA, Chrystyn H. Dry powder inhalers are bioequivalent to metered-dose inhalers. A study using a new urinary albuterol (salbutamol) assay technique. Chest. 1995 Mar;107(3):629-33. doi: 10.1378/chest.107.3.629.

    PubMed 7874928
  • Crapo RO, Morris AH, Gardner RM. Reference spirometric values using techniques and equipment that meet ATS recommendations. Am Rev Respir Dis. 1981 Jun;123(6):659-64. doi: 10.1164/arrd.1981.123.6.659.

    PubMed 7271065
  • Crapo RO, Morris AH, Clayton PD, Nixon CR. Lung volumes in healthy nonsmoking adults. Bull Eur Physiopathol Respir. 1982 May-Jun;18(3):419-25.

    PubMed 7074238

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Albuterol DPI 25 mcg/inh, Albuterol DPI 90 mcg/inh and Albuterol MDI 90 mcg/inh in people with Asthma, run by Amphastar Pharmaceuticals, Inc. at 4 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 8 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 19 May 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 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 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 in FEV1 Area Under the Curve (AUC) versus placebo (time frame: Visits 1-7, at baseline, 5, 20, 30, 60, 90, 120, 240, 360 minutes post-dose). 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 NCT01581177, which also lists 6 linked publications.

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 19 May 2017.

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