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Chronic Obstructive Pulmonary DiseasePhase 3NCT03256695

Evaluate the Relationship Between Use of Albuterol Multidose Dry Powder Inhaler With an eModule (eMDPI) and Exacerbations in Participants With Chronic Obstructive Pulmonary Disease (COPD)

A Phase 3 study testing Albuterol sulfate (ABS) in people with Chronic Obstructive Pulmonary Disease, run by Teva Branded Pharmaceutical Products R&D, Inc. at 40 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

This is a Phase 3B, 12-week, multicenter, open-label study to evaluate the relationship between as-needed usage of albuterol eMDPI and Clinical Exacerbation-Chronic Obstructive Pulmonary Disease (CE-COPD) in adult participants at least 40 years of age with exacerbation-prone COPD. Read more about this study

Who is it for?
Ages 40 years and older
Conditions the study is for
Chronic Obstructive Pulmonary Disease
What is being tested?
Albuterol sulfate (ABS)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
405 participants
Where
40 sitesUnited States
Study dates
28 Sep 2017to 17 Apr 2018
Phase
Phase 3
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 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • The participant has had at least 1 episode of moderate or severe CE-COPD over the past 12 months before screening.
  • The participant must be able to demonstrate appropriate use of albuterol from the ABS eMDPI.
  • The participant is currently using a short-acting beta agonist (SABA) reliever plus at least one of the following: long-acting beta agonist (LABA), an inhaled corticosteroid (ICS)/LABA, a long-acting muscarinic antagonist (LAMA), or a LABA/LAMA.
  • The participant must be willing and able to comply with study requirements as specified in the protocol, including the use of a wearable accelerometer for the subset of participants who consent to use of the device.
  • The participant is willing to discontinue all other rescue or maintenance SABA or antimuscarinic agents and replace them with the study-provided ABS eMDPI for the duration of the trial.
  • Women of childbearing potential (not surgically sterile or greater than or equal to [≥]2 years postmenopausal) must have exclusively same-sex partners or use a highly effective method of birth control and must agree to continue the use of this method for the duration of the study and for 30 days after discontinuation of the investigational medicinal product (IMP).
  • Additional criteria apply, please contact the investigator for more information.

Who cannot join

  • The participant has any clinically significant medical condition (treated or untreated) that, in the opinion of the investigator, would interfere with participation in the study.
  • The participant has any other confounding underlying lung disorder other than COPD.
  • The participant has used an investigational drug within 5 half-lives of it being discontinued or within1 month of Visit 2 (Baseline [Day 1]), whichever is longer.
  • The participant is a pregnant or lactating woman, or plans to become pregnant during the study. Note: Any woman becoming pregnant during the study will be withdrawn from the study.
  • The participant is known to be allergic to albuterol or any of the excipients in the IMP or rescue medication formulation (that is, lactose [milk protein]). Dietary lactose intolerance does not exclude the participant from inclusion in the study or as per the investigator's medical discretion.
  • The participant has a history or presence of "silent" infections, including positive testing for human immunodeficiency virus types 1 and 2, hepatitis B, hepatitis C, and tuberculosis.
  • Additional criteria apply, please contact the investigator for more information.

Trial locations and contacts

40 sites in 1 country.

40 sites in 1 country

United States40 sites
  • Teva Investigational Site 14682

    Andalusia, Alabama, 36420

  • Teva Investigational Site 14704

    Anniston, Alabama, 36207

  • Teva Investigational Site 14725

    Brandon, Florida, 33511

  • Teva Investigational Site 14681

    Charleston, South Carolina, 29406

  • Teva Investigational Site 14710

    Charlotte, North Carolina, 28207

  • Teva Investigational Site 14705

    Chesterfield, Missouri, 63017

  • Teva Investigational Site 14708

    Columbus, Ohio, 43215

  • Teva Investigational Site 14703

    Dayton, Ohio, 45458

  • Teva Investigational Site 14711

    Daytona Beach, Florida, 32117

  • Teva Investigational Site 14699

    DeLand, Florida, 32720

  • Teva Investigational Site 14686

    Easley, South Carolina, 29640

  • Teva Investigational Site 14694

    Edgewater, Florida, 32132

  • Teva Investigational Site 14719

    Gaffney, South Carolina, 29341

  • Teva Investigational Site 14696

    Gastonia, North Carolina, 28054

  • Teva Investigational Site 14706

    Gold River, California, 95670

  • Teva Investigational Site 14722

    Greensboro, North Carolina, 27408

  • Teva Investigational Site 14691

    Greenville, South Carolina, 29615

  • Teva Investigational Site 14680

    Grove City, Ohio, 43123

  • Teva Investigational Site 14701

    Miami, Florida, 33126

  • Teva Investigational Site 14689

    Miami, Florida, 33135

  • Teva Investigational Site 14678

    Miami, Florida, 33155

  • Teva Investigational Site 14712

    Mobile, Alabama, 36608

  • Teva Investigational Site 14695

    Mt. Pleasant, South Carolina, 29464

  • Teva Investigational Site 14677

    North Dartmouth, Massachusetts, 02747

  • Teva Investigational Site 14717

    Omaha, Nebraska, 68114

  • Teva Investigational Site 14688

    Orlando, Florida, 32825

  • Teva Investigational Site 14702

    Peoria, Arizona, 85381

  • Teva Investigational Site 14683

    Pittsburgh, Pennsylvania, 15243

  • Teva Investigational Site 14713

    Richmond, Virginia, 23225

  • Teva Investigational Site 14716

    San Antonio, Texas, 78229

  • Teva Investigational Site 14715

    Spartanburg, South Carolina, 29303

  • Teva Investigational Site 14718

    Spartanburg, South Carolina, 29303

  • Teva Investigational Site 14687

    Spokane, Washington, 99204

  • Teva Investigational Site 14709

    Toledo, Ohio, 43617

  • Teva Investigational Site 14684

    Toms River, New Jersey, 08755

  • Teva Investigational Site 14707

    Union, South Carolina, 29379

  • Teva Investigational Site 14679

    Valparaiso, Indiana, 46383

  • Teva Investigational Site 14720

    Waterbury, Connecticut, 06708

  • Teva Investigational Site 14724

    Willoughby, Ohio, 44094

  • Teva Investigational Site 14692

    Winston-Salem, North Carolina, 27103

Other trials in United States

About this study

Official title: A 12-Week, Open-Label Study to Evaluate the Relationship Between Use of Albuterol eMDPI, an Inhaled Short-Acting Beta Agonist "Rescue" Agent With an eModule, and Exacerbations in Patients (40 Years of Age or Older) With Chronic Obstructive Pulmonary Disease

This is a Phase 3B, 12-week, multicenter, open-label study to evaluate the relationship between as-needed usage of albuterol eMDPI and Clinical Exacerbation-Chronic Obstructive Pulmonary Disease (CE-COPD) in adult participants at least 40 years of age with exacerbation-prone COPD.

Being tested
Albuterol sulfate (ABS)
Medical subject headings
Pulmonary Disease, Chronic Obstructive

What participants receive

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

  • Albuterol sulfate (ABS)Drug

    ABS will be administered via eMDPI as per the dose and schedule specified in the arm.

Study groups in NCT03256695
Study groupRoleWhat they receive
ABS eMDPIExperimentalParticipants will receive 90 micrograms (mcg) of albuterol sulfate (ABS) via eMDPI (sitting on the upper part of the device for the purposes of detecting and storing usage information), 1 to 2 inhalations every 4 hours, as needed for 12 weeks. ABS eMDPI is a rescue/reliever agent that includes an eModule on top of the approved PROAIR RESPICLICK® inhaler. Participants will be allowed to continue use of other COPD and non-COPD medications as advised by their physician without changes unless deemed necessary by their physician.
Receives: Drug: Albuterol sulfate (ABS)

What is being measured

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

  1. Clinical Exacerbation of COPD (CE-COPD) Rate: Percentage of Participants Who Experienced at Least 1 Moderate or Severe CE-COPD

    CE-COPD was an occurrence of either severe CE-COPD or moderate CE-COPD. Severe CE-COPD was defined as an event that involved worsening respiratory symptoms for at least 2 consecutive days requiring treatment with systemic corticosteroids (SCS; at least 10 milligrams [mg] prednisone equivalent above baseline) and/or systemic antibiotics and a hospitalization for CE COPD.

    Moderate CE-COPD was defined as an event that involved worsening respiratory symptoms for at least 2 consecutive days requiring treatment with SCS (at least 10 mg prednisone equivalent above baseline), and/or systemic antibiotics, and an unscheduled encounter (such as a phone call, an office visit, an urgent care visit, or an emergency care visit) for a CE-COPD, but not a hospitalization.

    Measured: Baseline (Day 1) to Week 12

  2. Total Number of Albuterol Inhalations in the Days Preceding the Symptom Peak of a CE-COPD Event

    Severe CE-COPD: an event that involved worsening respiratory symptoms for at least 2 consecutive days requiring treatment with SCS (at least 10 mg prednisone equivalent above baseline) and/or systemic antibiotics and a hospitalization. Moderate CE-COPD: an event that involved worsening respiratory symptoms for at least 2 consecutive days requiring treatment with SCS (at least 10 mg prednisone equivalent above baseline), and/or systemic antibiotics, and an unscheduled encounter (such as a phone call, office visit, urgent care visit, or emergency care visit), but not a hospitalization. Total number of inhalations taken in 1 day(24-hour period on day prior to date of CE-COPD symptom peak) and at 3,5,7,10,14, and 21 days preceding the date of CE-COPD symptom peak were reported. If a participant experienced multiple CE-COPD events, number of inhalations preceding symptom peak of a subsequent event was counted since end of previous event. Average of inhalations of all events were presented.

    Measured: Baseline to Week 12

  3. Number of Days Prior to the Symptom Peak of a CE-COPD Event When Albuterol Use Increased

    CE-COPD: occurrence of moderate or severe CE-COPD. Severe CE-COPD: an event that involved worsening respiratory symptoms for at least 2 consecutive days requiring treatment with SCS (at least 10 mg prednisone equivalent above baseline) and/or systemic antibiotics and a hospitalization. Moderate CE-COPD: an event that involved worsening respiratory symptoms for at least 2 consecutive days requiring treatment with SCS (at least 10 mg prednisone equivalent above baseline), and/or systemic antibiotics, and an unscheduled encounter (such as a phone call, an office visit, an urgent care visit, or an emergency care visit), but not a hospitalization. Number of days of increased albuterol use prior to the symptom peak of a CE-COPD was reported for first increase of daily albuterol use; 2 and 4 inhalations in a single day from baseline. increased daily albuterol use was defined as single-day increase of greater than (>) 20 percent (%) from baseline.

    Measured: Baseline to Week 12

  4. Number of Albuterol Uses in the 24 Hours Preceding a CE-COPD

    CE-COPD referred to occurrence of moderate or severe CE-COPD. Severe CE-COPD was defined as an event that involved worsening respiratory symptoms for at least 2 consecutive days requiring treatment with SCS (at least 10 mg prednisone equivalent above baseline) and/or systemic antibiotics and a hospitalization for CE COPD. Moderate CE-COPD was defined as an event that involved worsening respiratory symptoms for at least 2 consecutive days requiring treatment with SCS (at least 10 mg prednisone equivalent above baseline), and/or systemic antibiotics, and an unscheduled encounter (such as a phone call, an office visit, an urgent care visit, or an emergency care visit) for a CE-COPD, but not a hospitalization. Number of albuterol inhalations used in the 24 hours preceding a moderate or severe CE-COPD was reported.

    Measured: Baseline to Week 12

Secondary outcomes (1)
  1. Number of Participants With Adverse Events (AEs)

    AE was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by investigator on a scale of mild, moderate and severe, with severe= an inability to carry out usual activities. Relation of AE to treatment was determined by investigator. SAEs included death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. A summary of serious and non-serious AEs regardless of causality is located in 'Reported Adverse Events module'.

    Measured: Baseline up to Week 12

Timeline

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

  1. First posted22 Aug 2017
  2. Study start28 Sep 2017
  3. Primary completion17 Apr 2018
  4. Study completion17 Apr 2018

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
405 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03256695
Sponsor's protocol ID
ABS-COPD-30065
Status last verified
Nov 2021
First submitted
18 Aug 2017
Last updated
9 Nov 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Snyder LD, DePietro M, Reich M, Neely ML, Lugogo N, Pleasants R, Li T, Granovsky L, Brown R, Safioti G. Predictive machine learning algorithm for COPD exacerbations using a digital inhaler with integrated sensors. BMJ Open Respir Res. 2025 May 12;12(1):e002577. doi: 10.1136/bmjresp-2024-002577.

    PubMed 40355297

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Albuterol sulfate (ABS) in people with Chronic Obstructive Pulmonary Disease, run by Teva Branded Pharmaceutical Products R&D, Inc. at 40 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 7 inclusion and 7 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 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 40 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 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?

Yes. Results are posted in the registry (first posted 6 Aug 2019). 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?

Clinical Exacerbation of COPD (CE-COPD) Rate: Percentage of Participants Who Experienced at Least 1 Moderate or Severe CE-COPD (time frame: Baseline (Day 1) to Week 12). The study lists 4 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 NCT03256695, 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 2021.

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