AsthmaPhase 3FORCE2NCT05292586
A Study Testing the Superiority of CHF 1535 pMDI 800/24µg Total Daily Dose Compared With CHF 718 pMDI 800µg Total Daily Dose in Adults With Asthma on Medium or High-Dose Inhaled Corticosteroid
A Phase 3 study testing Beclomethasone Dipropionate/Formoterol Fumarate and Beclomethasone Dipropionate in people with Asthma, run by Chiesi Farmaceutici S.p.A. at 91 sites in United States.
Trial summary
Compare the superiority of CHF 1535 versus CHF 718 in subjects with asthma who are on medium or high dose inhaled corticosteroids. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Asthma
- What is being tested?
- Beclomethasone Dipropionate/Formoterol Fumarate and Beclomethasone Dipropionate
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,377 participants
- Where
- 91 sitesUnited States
- Study dates
- 31 Aug 2022to 24 Jun 2024
- 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 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Informed consent: A signed and dated written informed consent obtained prior to any study-related procedures.
- Sex and age: Male or female aged ≥18 and ≤75 years.
- Diagnosis of asthma: A documented history of asthma for at least 1 year, with onset before age 40
- Stable asthma therapy: Use of medium-dose ICS with or without a LABA or high-dose ICS alone for 3 months (at a stable dose for at least 4 weeks prior to screening).
- Lung function: Subjects with a pre-bronchodilator FEV1 ≥40% and ≤85% of predicted, after appropriate washout from bronchodilators, at the screening and randomization visits. In addition, the absolute value of the first pre-dose FEV1 at randomization (V2) must be at least 80% of the pre-bronchodilator value attained at screening.
- Reversibility post-bronchodilator: Subjects with a positive reversibility to bronchodilator at screening, defined as an increase in FEV1 > 12% and > 200mL compared to baseline within 30 minutes after 4 inhalations of albuterol hydrofluoroalkane (HFA) pMDI 90µg/actuation.
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- Note for IC#5 and IC#6: In case the reversibility and/or quality threshold is not met at screening, the test can be performed once before randomization.
- Female subjects:
- Women of childbearing potential (WOCBP) fulfilling one of the following criteria: i. WOCBP with fertile male partners: they and/or their partner must be willing to use a highly effective birth control method from the signing of the informed consent form and until the follow-up contact or ii. WOCBP with non-fertile male partners (contraception is not required in this case).
- Female subjects of non-childbearing potential defined as physiologically incapable of becoming pregnant (i.e. post-menopausal or permanently sterile as per definitions given in Appendix 2). Tubal ligation or partial surgical interventions are not acceptable. If indicated, as per investigator's request, post-menopausal status may be confirmed by follicle-stimulating hormone levels (according to local laboratory ranges).
- Cooperative attitude and ability to demonstrate correct use of the pMDI inhalers and eDiary/peak flow meter.
Who cannot join
- Pregnancy or lactation: where pregnancy is defined as the state of a female after conception and until termination of the gestation, confirmed by a positive pregnancy test (serum and urine pregnancy test to be performed at screening visit and urine pregnancy test to be performed prior to randomization).
- Poor compliance with run-in medication or eDiary completion <50% before randomization.
- History of "at risk" asthma: History of near-fatal asthma or of a past hospitalization for asthma in intensive care unit which, in the judgement of the investigator, may place the subject at undue risk.
- Recent asthma exacerbation: Hospitalization, emergency room admission or use of systemic corticosteroids for an asthma exacerbation in the 4 weeks prior to screening visit or during the run-in period.
- Unresolved respiratory tract infection (RTI) in the 4 weeks prior to the screening visit or during run-in period. Documented coronavirus disease 2019 (COVID-19) diagnosis within the last 8 weeks or complications from this disease, which have not resolved within 14 days prior to screening.
- Unstable ICS dose during the 4 weeks prior to screening visit, including any change in dose, schedule, or formulation.
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- Use of systemic corticosteroid medication in the 4 weeks prior to screening or slow-release corticosteroids in the 12 weeks before screening.
- Respiratory disorders other than asthma: History of a diagnosis of cystic fibrosis, bronchiectasis, Chronic Obstructive Pulmonary Disease (COPD), (as defined by the current Global Initiative for Chronic Obstructive Lung Disease [GOLD] Report), alpha-1 antitrypsin deficiency, or any other significant lung disease which may interfere with study evaluations.
- Smoking status: Current smokers or ex-smokers with total cumulative exposure equal to or more than 10 pack-years or having stopped smoking within one year prior to screening visit.
- E-cigarette status: Current e-cigarettes users at the time of the screening visit.
- Cannabis usage: Current use of inhaled or oral cannabis products (e.g. marijuana).
- Substance abuse: Subjects with a history of alcohol or substance/drug abuse within 12 months prior to screening.
- Cardiovascular diseases: Subjects who have clinically significant cardiovascular condition such as, but not limited to, unstable ischemic heart disease, New York Heart Association (NYHA) Class III/IV heart failure, acute ischemic heart disease within one year prior to study entry, known history of atrial fibrillation or history of sustained and non-sustained cardiac arrhythmias diagnosed within the last 6 months prior to screening, not controlled with a rate control strategy. Note: Subjects with Permanent Atrial Fibrillation (for at least 6 months) with a resting ventricular rate <100/min, controlled with a rate control strategy (i.e., selective β-blocker, calcium channel blocker, pacemaker placement, digoxin, or ablation therapy) can be considered for the enrollment.
- ECG criteria: An abnormal and clinically significant 12-lead electrocardiogram (ECG) which may impact the safety of the subject according to Investigator's judgement. In terms of the QTcF, subjects with QTcF >450ms for males or QTcF >470ms for females at screening or at randomization visits (criterion not applicable for subject with pacemaker or permanent atrial fibrillation).
- Other medical conditions: Other active severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study drug administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study.
- Vaccination: Subjects having received a vaccination within 2 weeks prior to screening or during the run-in period.
- Subjects' wellbeing: Subjects mentally or legally incapacitated, including but not limited to subjects who are institutionalized or incarcerated.
- Hypersensitivity: Subjects with known intolerance, hypersensitivity or contraindication to treatment with ß2-agonists, ICS, or propellant gases/excipients.
- Surgery: Subjects with major surgery in the 3 months prior to the screening visit or planned surgery during the study.
- Additional treatment: Subjects treated with non-potassium sparing diuretics (unless administered as a fixed-dose combination with a potassium conserving drug or changed to potassium sparing before the screening), non-selective beta-blocking drugs, quinidine, quinidine-like anti-arrhythmic, or any medication with a QTc prolongation potential or a history of QTc prolongation.
- Subjects treated with monoamine oxidase inhibitors (MAOIs) and tricyclic antidepressants.
- Subjects with concomitant immunosuppressive therapy, use of oral or injected corticosteroids, anti-immunoglobulin E (IgE), anti-IL5 or other monoclonal or polyclonal antibodies within 12 weeks prior to screening.
- Subjects who are receiving any therapy that could interfere with the study drugs according to investigator's opinion.
- Participating in other investigational trial: Subjects who have received an investigational drug within 1 month or 5 half-lives (whichever is greater) prior to screening visit, or have been previously randomized in this trial, or are currently participating in another clinical trial.
- Spacer: The need to use a spacer for correct self-administration of a pMDI.
Trial locations and contacts
91 sites in 1 country.
91 sites in 1 country
United States91 sites
Chiesi Clinical Trial Site 840871
Adairsville, Georgia, 30103
Chiesi Clinical Trial Site 840851
Albuquerque, New Mexico, 87108
Chiesi Clinical Trial Site 840892
Anderson, South Carolina, 29621
Chiesi Clinical Trial Site 840815
Baytown, Texas, 77521
Chiesi Clinical Trial Site 840867
Bellevue, Nebraska, 68123
Chiesi Clinical Trial Site 840882
Bellingham, Washington, 98225
Chiesi Clinical Trial Site 840874
Boerne, Texas, 78006
Chiesi Clinical Trial Site 840836
Brick, New Jersey, 08724
Chiesi Clinical Trial Site 840845
Carrollton, Texas, 75007
Chiesi Clinical Trial Site 840895
Chandler, Arizona, 85224
Chiesi Clinical Trial Site 840873
Colorado Springs, Colorado, 80907
Chiesi Clinical Trial Site 840859
Columbia, Missouri, 65203
Chiesi Clinical Trial Site 840844
Columbia, South Carolina, 29204
Chiesi Clinical Trial Site 840820
Coral Gables, Florida, 33134
Chiesi Clinical Trial Site 840841
Cutler Bay, Florida, 33189
Chiesi Clinical Trial Site 840876
Dallas, Texas, 75225
Chiesi Clinical Trial Site 840800
Denver, Colorado, 80230
Chiesi Clinical Trial Site 840866
Edmond, Oklahoma, 73034
Chiesi Clinical Trial Site 840803
El Paso, Texas, 79903
Chiesi Clinical Trial Site 840856
Encinitas, California, 92024
Chiesi Clinical Trial Site 840884
Grants Pass, Oregon, 97527
Chiesi Clinical Trial Site 840817
Greenacres City, Florida, 33467
Chiesi Clinical Trial Site 840870
Greenfield, Wisconsin, 53228
Chiesi Clinical Trial Site 840850
Greenville, South Carolina, 29615
Chiesi Clinical Trial Site 840897
Henderson, Nevada, 89052
Chiesi Clinical Trial Site 840822
Hialeah, Florida, 33012
Chiesi Clinical Trial Site 840838
Hialeah, Florida, 33015
Chiesi Clinical Trial Site 840833
Houston, Texas, 77094
Chiesi Clinical Trial Site 840843
Huntington Beach, California, 92647
Chiesi Clinical Trial Site 840860
Huntington Beach, California, 92647
Chiesi Clinical Trial Site 840864
Kissimmee, Florida, 34746
Chiesi Clinical Trial Site 840812
Knoxville, Tennessee, 37909
Chiesi Clinical Trial Site 840896
Long Beach, California, 90805
Chiesi Clinical Trial Site 840883
Los Angeles, California, 90025
Chiesi Clinical Trial Site 840810
Los Angeles, California, 90048
Chiesi Clinical Trial Site 840862
McKinney, Texas, 75069
Chiesi Clinical Trial Site 840816
McKinney, Texas, 75071
Chiesi Clinical Trial Site 840830
Medford, Oregon, 97504
Chiesi Clinical Trial Site 840814
Miami, Florida, 33125
Chiesi Clinical Trial Site 840819
Miami, Florida, 33126
Chiesi Clinical Trial Site 840875
Miami, Florida, 33126
Chiesi Clinical Trial Site 840887
Miami, Florida, 33134
Chiesi Clinical Trial Site 840821
Miami, Florida, 33136
Chiesi Clinical Trial Site 840829
Miami, Florida, 33155
Chiesi Clinical Trial Site 840828
Miami, Florida, 33165
Chiesi Clinical Trial Site 840847
Miami, Florida, 33172
Chiesi Clinical Trial Site 840818
Miami, Florida, 33174
Chiesi Clinical Trial Site 840802
Miami, Florida, 33176
Chiesi Clinical Trial Site 840835
Miami, Florida, 33184
Chiesi Clinical Trial Site 840806
Miami, Florida, 33185
Chiesi Clinical Trial Site 840855
Miami, Florida, 33186
Chiesi Clinical Trial Site 840809
Miami Gardens, Florida, 33014
Chiesi Clinical Trial Site 840863
Miami Lakes, Florida, 33014
Chiesi Clinical Trial Site 840865
Miami Lakes, Florida, 33014
Chiesi Clinical Trial Site 840831
Miami Springs, Florida, 33166
Chiesi Clinical Trial Site 840858
Mobile, Alabama, 36608
Chiesi Clinical Trial Site 840899
Monroe, North Carolina, 28112
Chiesi Clinical Trial Site 840893
Murray, Utah, 84107
Chiesi Clinical Trial Site 840869
Newport Beach, California, 92663
Chiesi Clinical Trial Site 840826
North Dartmouth, Massachusetts, 02747
Chiesi Clinical Trial Site 840890
North Hollywood, California, 91606
Chiesi Clinical Trial Site 840872
North Las Vegas, Nevada, 89030
Chiesi Clinical Trial Site 840808
Northridge, California, 91324
Chiesi Clinical Trial Site 840839
Palmetto Bay, Florida, 33157
Chiesi Clinical Trial Site 840840
Pembroke Pines, Florida, 33024
Chiesi Clinical Trial Site 840827
Pembroke Pines, Florida, 33029
Chiesi Clinical Trial Site 840879
Pomona, California, 91768
Chiesi Clinical Trial Site 840811
Port Saint Lucie, Florida, 34952
Chiesi Clinical Trial Site 840853
Portland, Oregon, 97202
Chiesi Clinical Trial Site 840852
Raleigh, North Carolina, 27607
Chiesi Clinical Trial Site 840837
Riverton, Utah, 84065
Chiesi Clinical Trial Site 840894
Rock Hill, South Carolina, 29732
Chiesi Clinical Trial Site 840868
Sacramento, California, 95823
Chiesi Clinical Trial Site 840888
Saint Charles, Missouri, 63301
Chiesi Clinical Trial Site 840842
San Antonio, Texas, 78207
Chiesi Clinical Trial Site 840857
San Antonio, Texas, 78215
Chiesi Clinical Trial Site 840823
San Antonio, Texas, 78258
Chiesi Clinical Trial Site 840849
San Diego, California, 92120
Chiesi Clinical Trial Site 840877
San Diego, California, 92123
Chiesi Clinical Trial Site 840861
San Jose, California, 95117
Chiesi Clinical Trial Site 840891
Spartanburg, South Carolina, 29303
Chiesi Clinical Trial Site 840846
St Louis, Missouri, 63141
Chiesi Clinical Trial Site 840889
St. Petersburg, Florida, 33707
Chiesi Clinical Trial Site 840834
St. Petersburg, Florida, 33709
Chiesi Clinical Trial Site 840880
St. Petersburg, Florida, 33713
Chiesi Clinical Trial Site 840801
Sugar Land, Texas, 77479
Chiesi Clinical Trial Site 840807
Tallahassee, Florida, 32308
Chiesi Clinical Trial Site 840878
Tulsa, Oklahoma, 74133
Chiesi Clinical Trial Site 840885
Warwick, Rhode Island, 02886
Chiesi Clinical Trial Site 840881
Westminster, California, 92683
Chiesi Clinical Trial Site 840824
White Marsh, Maryland, 21162
About this study
Official title: A 12 Week, Randomized, Double-blind, Multicenter, Active Controlled, 2-Arm Parallel Group Study Testing the Superiority of CHF 1535 pMDI 800/24µg Total Daily Dose (Fixed Combination of Extrafine Beclomethasone Dipropionate Plus Formoterol Fumarate) Compared to CHF 718 pMDI 800µg Total Daily Dose (Extrafine Beclomethasone Dipropionate) in Adults With Asthma on Medium or High-Dose Inhaled Corticosteroid
Compare the superiority of CHF 1535 versus CHF 718 in subjects with asthma who are on medium or high dose inhaled corticosteroids.
Read the detailed description
This was a phase III, multicenter, randomized, double-blind active controlled 2-arm parallel group to compare superiority of CHF 1535 pressurised metered dose inhaler (pMDI) compared with CHF 718 pMDI, in subjects with asthma on medium or high dose inhaled corticosteroids, with regard to change from baseline in forced expiratory volume in the first second (FEV1) Area under the Curve Calculated Between Time 0 and 12 Hours (AUC0-12h) at Week 12.
After screening, eligible subjects entered a 2-week run-in period using CHF 718 (BDP) pMDI 100µg, followed by a 12-week double-blind, treatment period. Screened subjects who were on a medium dose inhaled corticosteroid (ICS) or medium dose ICS-long-acting β2-adrenergic receptor agonists (LABA) prior to the study, received CHF 718 pMDI 100µg 2 inhalations twice daily (BID) i.e. total daily dose (TDD) 400µg) during the 2-week run in period. Screened subjects who were on a high dose ICS prior to the study received CHF 718 pMDI 100µg 4 inhalations BID (TDD 800µg) during the 2-week run in period.
Following the run-in period, eligible subjects were randomized to one of two study drug arms (using a 1:1 allocation ratio) for 12 weeks. A total of 6 clinic visits (V), (V0-V5) and a follow-up call (V6) were performed during the study.
During the study, daily symptoms, rescue medication use, and compliance with the study drug were recorded via a subject-specific electronic diary (eDiary). Concomitant medications and adverse events (AEs) were assessed and recorded throughout the study. Vital signs measurements, physical exam, 12-lead electrocardiogram (ECG), peak expiratory flow (PEF), and spirometry measurements, including serial spirometry were performed and recorded. Symptoms were assessed using disease specific questionnaires. Routine hematology, blood chemistry, and urine pregnancy testing were performed before enrolment and at the end of study.
CHF 1535 pMDI = 200/6 μg pressurised metered dose inhaler (fixed combination of extrafine beclomethasone dipropionate [BDP] plus formoterol fumarate [FF]).
CHF 718 pMDI = 100 μg pressurised metered dose inhaler (extrafine beclomethasone dipropionate [BDP]).
- Conditions
- Asthma
- Being tested
- Beclomethasone Dipropionate/Formoterol Fumarate, Beclomethasone Dipropionate
- Keywords
- Asthma, Beclomethasone Dipropionate, Beclometasone dipropionate/Formoterol fumarate, Inhaled Corticosteroids, CHF 1535 pMDI, CHF 718 pMDI
- Medical subject headings
- Asthma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Beclomethasone Dipropionate/Formoterol FumarateDrug
Also called BDP/FF
Available in pressurized inhalation solution BDP/FF 200/6 µg
Beclomethasone DipropionateDrug
Also called BDP
Available in pressurized inhalation solution BDP 100 µg
| Study group | Role | What they receive |
|---|---|---|
| CHF 1535 pMDI | Experimental | CHF 1535 pMDI 800/24µg TDD Receives: Drug: Beclomethasone Dipropionate/Formoterol Fumarate |
| CHF 718 pMDI | Active comparator | CHF 718 pMDI 800µg TDD Receives: Drug: Beclomethasone Dipropionate |
What is being measured
The primary outcome is the main question the study is designed to answer.
1_Change From Baseline in FEV1 AUC0-12h Normalised by Time at Week 12
The pre-dose FEV1 at baseline (i.e. pre-dose on Week 0 [Visit 2]) and the FEV1 AUC0-12h normalised by time at Week 12 (Visit 5) are presented by treatment group in the ITT population, as change from baseline.
AUC0=12h Area under the curve calculated between time 0 and 12 hours
Measured: Baseline (pre-dose on Week 0) and Week 12.
Secondary outcomes (12)
2_Change From Baseline in Peak FEV1 Within the First 3 Hours Post-dose at Week 12
The peak FEV1 at baseline (i.e. pre-dose on Week 0 [V2]) and the peak FEV1 within the first 3 hours post-dose at Week 12 (V5) are presented by treatment group in the ITT population, as change from baseline.
FEV1=Forced Expiratory Volume in the First Second
Measured: Baseline (pre-dose on Week 0) and Week 12.
3_Change From Baseline in FEV1 AUC0-12h Normalised by Time at Week 0
The pre-dose FEV1 at baseline (i.e. pre-dose on Week 0 [V2]) and the FEV1 AUC0-12h normalised by time at Week 0 (V2, post-dose) are presented by treatment group in the ITT population, as change from baseline.
Measured: Baseline (pre-dose on Week 0) and Week 12.
4_Change From Baseline in Peak FEV1 Within the First 3 Hours Post-dose at Week 0
The peak FEV1 at baseline (i.e. pre-dose on Week 0 [V2]) and the peak FEV1 within the first 3 hours post-dose at Week 0 (V2, post-dose) are presented by treatment group in the ITT population, as change from baseline.
FEV1=Forced Expiratory Volume in the First Second
Measured: Baseline (pre-dose on Week 0) and 3 h post dose on Week 0.
5_Change From Baseline in Trough FEV1 at Week 12
The trough FEV1 at baseline (i.e. pre-dose on Week 0 [V2]), the trough FEV1 at Week 12 (V5) and the change from baseline in trough FEV1 at Week 12 (V5) are presented by treatment group in the ITT population, as change from baseline.
FEV1=Forced Expiratory Volume in the First Second
Measured: Baseline (pre-dose on Week 0) and Week 12.
6_Change From Baseline in Pre-dose Morning FEV1 at Weeks 4, 8 and 12
The pre-dose MORNING FEV1 at baseline (i.e. pre-dose on Week 0 [V2]) and the pre-dose morning FEV1 at Week 4 (V3), Week 8 (V4) and Week 12 (V5) are presented by treatment group in the ITT population, as change from baseline.
FEV1=Forced Expiratory Volume in the First Second
Measured: Baseline (pre-dose on Week 0) and Week 4, Week 8, Week 12.
7_Proportion of Pre-dose Morning FEV1 Responders at Weeks 4, 8 and 12
The proportion of pre-dose MORNING FEV1 responders at Week 4 (V3), Week 8 (V4) and Week 12 (V5) are presented by treatment group in the ITT population. The proportion of subjects classified as pre-dose morning FEV1 responders (i.e. those subjects who had change from baseline in pre-dose morning FEV1 ≥100 mL).
FEV1=Forced Expiratory Volume in the First Second
Measured: Baseline (pre-dose on Week 0) and Week 4, Week 8, Week 12.
8_Proportion of Trough FEV1 Responders at Week 12
The proportion of trough FEV1 responders at Week 12 (V5) are presented by treatment group in the ITT population.
The proportion of subjects classified as trough FEV1 responders (i.e. those subjects who had change from baseline in trough FEV1 ≥100 mL).
FEV1=Forced Expiratory Volume in the First Second
Measured: Baseline (pre-dose on Week 0) and Week 4, Week 8, Week 12.
9_Change From Baseline in Average Morning Peak Expiratory Flow (PEF) Over the 12-Week Treatment Period
The average MORNING PEF at baseline (i.e. average morning "Best PEF" values during the run-in period, over each inter-visit period and over the 12-week treatment period are presented by treatment group in the ITT population), as change from baseline.
PEF=Peak Expiratory Flow
Measured: Baseline (Week 0) to Week 12.
10_Change From Baseline in Average Evening Peak Expiratory Flow (PEF) Over the 12-Week Treatment Period
The average EVENING PEF at baseline (i.e. average evening "Best PEF" values during the run-in period, see Section 9.7.1.4), over each inter-visit period and over the 12-week treatment period are presented by treatment group in the ITT population, as change from baseline.
PEF=Peak Expiratory Flow
Measured: Baseline (Week 0) to Week 12.
11_Change From Baseline in ACQ-7 Score and ACQ-5 Score at Week 12
The ACQ-7 and ACQ-5 scores at baseline (i.e. pre-dose on Week 0 [V2]) and at Week 12 (V5) are presented by treatment group in the ITT population, as change from baseline; only patients who provided required data at baseline and at specified times are included in the calculation.
Asthma control was evaluated during the treatment period (Week 0 to Week 12 [V2-V5])/end of treatment (ET) if applicable, using ACQ-7; first 6 items refer to symptoms and rescue use in the previous 7 days. The 7th item, filled in by the clinical staff, was the FEV1 (% predicted) recorded at 15 min pre-dose, measured at each visit during the treatment period. ACQ-5 has 5 items on adequacy of asthma control.
ACQ-7:
Assess asthma symptoms over last 7 days (night-time awakenings due to symptoms, morning symptoms, activity limitation, shortness of breath, wheezing), average daily rescue medication use, and current FEV1 percent predicted. Score scale: 0=totally controlled; 6=severely uncontrolled.
Measured: Baseline (pre-dose on Week 0) and Week 12.
12_Change From Baseline in Percentage of Rescue Medication-free Days Over the 12-Week Treatment Period
The percentage of rescue medication-free days at baseline (i.e. percentage of days during the run-in period with no rescue medication), over each inter-visit period and over the 12-week treatment period are presented by treatment group in the ITT population, as change from baseline.
Measured: Baseline (pre-dose on Week 0) and Week 12.
13_Change From Baseline in Percentage of Asthma Symptom-free Days Over the 12-Week Treatment Period
The percentage of asthma symptom-free days at baseline (i.e. percentage of days during the run-in period with no asthma symptom, over each inter-visit period and over the 12-week treatment period are presented by treatment group in the ITT population, as change from baseline.
Measured: Baseline (pre-dose on Week 0) and Week 12.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Mar 2022
- Study start31 Aug 2022
- Primary completion24 Jun 2024
- Study completion24 Jun 2024
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 (33)Papers the sponsor has linked to this study.
- Other trials for AsthmaStudies of the same condition, open and under way.
- More trials run by Chiesi Farmaceutici S.p.A.The sponsor's other registered studies.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,377 participants (actual)
Sponsor and investigators
- Lead sponsor
- Chiesi Farmaceutici S.p.A.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Steven F. Weinstein, M.D., Principal investigator, Allergy and Asthma Specialists Medical Group and Research Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05292586
- Sponsor's protocol ID
- CLI-05993AB8-02
- Acronym
- FORCE2
- Status last verified
- Jun 2026
- First submitted
- 4 Mar 2022
- Last updated
- 20 Jul 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Chiesi clinical data sharing scope, process and data access criteria is available on the Chiesi Group website.
Publications
Pelaia C, Crimi C, Vatrella A, Tinello C, Terracciano R, Pelaia G. Molecular Targets for Biological Therapies of Severe Asthma. Front Immunol. 2020 Nov 30;11:603312. doi: 10.3389/fimmu.2020.603312. eCollection 2020.
PubMed 33329598Roger JH, Bratton DJ, Mayer B, Abellan JJ, Keene ON. Treatment policy estimands for recurrent event data using data collected after cessation of randomised treatment. Pharm Stat. 2019 Jan;18(1):85-95. doi: 10.1002/pst.1910. Epub 2018 Nov 8.
PubMed 30406948Kardas G, Kuna P, Panek M. Biological Therapies of Severe Asthma and Their Possible Effects on Airway Remodeling. Front Immunol. 2020 Jun 18;11:1134. doi: 10.3389/fimmu.2020.01134. eCollection 2020.
PubMed 32625205Kippelen P, Anderson SD, Hallstrand TS. Mechanisms and Biomarkers of Exercise-Induced Bronchoconstriction. Immunol Allergy Clin North Am. 2018 May;38(2):165-182. doi: 10.1016/j.iac.2018.01.008.
PubMed 29631728Chau-Etchepare F, Hoerger JL, Kuhn BT, Zeki AA, Haczku A, Louie S, Kenyon NJ, Davis CE, Schivo M. Viruses and non-allergen environmental triggers in asthma. J Investig Med. 2019 Oct;67(7):1029-1041. doi: 10.1136/jim-2019-001000. Epub 2019 Jul 27.
PubMed 31352362GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020 Oct 17;396(10258):1204-1222. doi: 10.1016/S0140-6736(20)30925-9.
PubMed 33069326Forno E, Celedon JC. Asthma and ethnic minorities: socioeconomic status and beyond. Curr Opin Allergy Clin Immunol. 2009 Apr;9(2):154-60. doi: 10.1097/aci.0b013e3283292207.
PubMed 19326508Zein JG, Udeh BL, Teague WG, Koroukian SM, Schlitz NK, Bleecker ER, Busse WB, Calhoun WJ, Castro M, Comhair SA, Fitzpatrick AM, Israel E, Wenzel SE, Holguin F, Gaston BM, Erzurum SC; Severe Asthma Research Program. Impact of Age and Sex on Outcomes and Hospital Cost of Acute Asthma in the United States, 2011-2012. PLoS One. 2016 Jun 13;11(6):e0157301. doi: 10.1371/journal.pone.0157301. eCollection 2016.
PubMed 27294365Global Initiative for Asthma (GINA): global strategy for asthma management and prevention. 2021 update. (2021). Available from: www.ginasthma.org.
Davis J, Trudo F, Siddall J, Small M. Burden of asthma among patients adherent to ICS/LABA: A real-world study. J Asthma. 2019 Mar;56(3):332-340. doi: 10.1080/02770903.2018.1455858. Epub 2018 Apr 6.
PubMed 29624458Bateman ED, Boushey HA, Bousquet J, Busse WW, Clark TJ, Pauwels RA, Pedersen SE; GOAL Investigators Group. Can guideline-defined asthma control be achieved? The Gaining Optimal Asthma ControL study. Am J Respir Crit Care Med. 2004 Oct 15;170(8):836-44. doi: 10.1164/rccm.200401-033OC. Epub 2004 Jul 15.
PubMed 15256389Lee LK, Obi E, Paknis B, Kavati A, Chipps B. Asthma control and disease burden in patients with asthma and allergic comorbidities. J Asthma. 2018 Feb;55(2):208-219. doi: 10.1080/02770903.2017.1316394. Epub 2017 Jun 6.
PubMed 28586296Kerstjens HAM, Maspero J, Chapman KR, van Zyl-Smit RN, Hosoe M, Tanase AM, Lavecchia C, Pethe A, Shu X, D'Andrea P; IRIDIUM trial investigators. Once-daily, single-inhaler mometasone-indacaterol-glycopyrronium versus mometasone-indacaterol or twice-daily fluticasone-salmeterol in patients with inadequately controlled asthma (IRIDIUM): a randomised, double-blind, controlled phase 3 study. Lancet Respir Med. 2020 Oct;8(10):1000-1012. doi: 10.1016/S2213-2600(20)30190-9. Epub 2020 Jul 9.
PubMed 32653074Sobieraj DM, Baker WL, Nguyen E, Weeda ER, Coleman CI, White CM, Lazarus SC, Blake KV, Lang JE. Association of Inhaled Corticosteroids and Long-Acting Muscarinic Antagonists With Asthma Control in Patients With Uncontrolled, Persistent Asthma: A Systematic Review and Meta-analysis. JAMA. 2018 Apr 10;319(14):1473-1484. doi: 10.1001/jama.2018.2757.
PubMed 29554174Averell CM, Laliberte F, Duh MS, Wu JW, Germain G, Faison S. Characterizing Real-World Use Of Tiotropium In Asthma In The USA. J Asthma Allergy. 2019 Oct 7;12:309-321. doi: 10.2147/JAA.S216932. eCollection 2019.
PubMed 31632091
Study at a glance
From the registry record, last updated by the sponsor on 20 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 12 Week, Randomized, Double-blind, Multicenter, Active Controlled, 2-Arm Parallel Group Study Testing the Superiority of CHF 1535 pMDI 800/24µg Total Daily Dose (Fixed Combination of Extrafine Beclomethasone Dipropionate Plus Formoterol Fumarate) Compared to CHF 718 pMDI 800µg Total Daily Dose (Extrafine Beclomethasone Dipropionate) in Adults With Asthma on Medium or High-Dose Inhaled Corticosteroid
- ClinicalTrials.gov ID
- NCT05292586
- Acronym / sponsor ID
- FORCE2 / CLI-05993AB8-02
- Conditions
- Asthma
- Keywords
- Asthma, Beclomethasone Dipropionate, Beclometasone dipropionate/Formoterol fumarate, Inhaled Corticosteroids, CHF 1535 pMDI, CHF 718 pMDI
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,377 participants (actual)
- Lead sponsor
- Chiesi Farmaceutici S.p.A.Industry (pharma, biotech, devices)
- Study start
- 31 Aug 2022 (actual)
- Primary completion
- 24 Jun 2024 (actual)
- Study completion
- 24 Jun 2024 (actual)
- First posted
- 23 Mar 2022 (actual)
- Results
- Posted 4 Sep 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Compare the superiority of CHF 1535 versus CHF 718 in subjects with asthma who are on medium or high dose inhaled corticosteroids.
Detailed description
This was a phase III, multicenter, randomized, double-blind active controlled 2-arm parallel group to compare superiority of CHF 1535 pressurised metered dose inhaler (pMDI) compared with CHF 718 pMDI, in subjects with asthma on medium or high dose inhaled corticosteroids, with regard to change from baseline in forced expiratory volume in the first second (FEV1) Area under the Curve Calculated Between Time 0 and 12 Hours (AUC0-12h) at Week 12.
After screening, eligible subjects entered a 2-week run-in period using CHF 718 (BDP) pMDI 100µg, followed by a 12-week double-blind, treatment period. Screened subjects who were on a medium dose inhaled corticosteroid (ICS) or medium dose ICS-long-acting β2-adrenergic receptor agonists (LABA) prior to the study, received CHF 718 pMDI 100µg 2 inhalations twice daily (BID) i.e. total daily dose (TDD) 400µg) during the 2-week run in period. Screened subjects who were on a high dose ICS prior to the study received CHF 718 pMDI 100µg 4 inhalations BID (TDD 800µg) during the 2-week run in period.
Following the run-in period, eligible subjects were randomized to one of two study drug arms (using a 1:1 allocation ratio) for 12 weeks. A total of 6 clinic visits (V), (V0-V5) and a follow-up call (V6) were performed during the study.
During the study, daily symptoms, rescue medication use, and compliance with the study drug were recorded via a subject-specific electronic diary (eDiary). Concomitant medications and adverse events (AEs) were assessed and recorded throughout the study. Vital signs measurements, physical exam, 12-lead electrocardiogram (ECG), peak expiratory flow (PEF), and spirometry measurements, including serial spirometry were performed and recorded. Symptoms were assessed using disease specific questionnaires. Routine hematology, blood chemistry, and urine pregnancy testing were performed before enrolment and at the end of study.
CHF 1535 pMDI = 200/6 μg pressurised metered dose inhaler (fixed combination of extrafine beclomethasone dipropionate [BDP] plus formoterol fumarate [FF]).
CHF 718 pMDI = 100 μg pressurised metered dose inhaler (extrafine beclomethasone dipropionate [BDP]).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| CHF 1535 pMDI | Experimental | Drug: Beclomethasone Dipropionate/Formoterol FumarateCHF 1535 pMDI 800/24µg TDD |
| CHF 718 pMDI | Active comparator | Drug: Beclomethasone DipropionateCHF 718 pMDI 800µg TDD |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Informed consent: A signed and dated written informed consent obtained prior to any study-related procedures.
- Sex and age: Male or female aged ≥18 and ≤75 years.
- Diagnosis of asthma: A documented history of asthma for at least 1 year, with onset before age 40
- Stable asthma therapy: Use of medium-dose ICS with or without a LABA or high-dose ICS alone for 3 months (at a stable dose for at least 4 weeks prior to screening).
- Lung function: Subjects with a pre-bronchodilator FEV1 ≥40% and ≤85% of predicted, after appropriate washout from bronchodilators, at the screening and randomization visits. In addition, the absolute value of the first pre-dose FEV1 at randomization (V2) must be at least 80% of the pre-bronchodilator value attained at screening.
Key exclusion criteria (25 listed)
- Pregnancy or lactation: where pregnancy is defined as the state of a female after conception and until termination of the gestation, confirmed by a positive pregnancy test (serum and urine pregnancy test to be performed at screening visit and urine pregnancy test to be performed prior to randomization).
- Poor compliance with run-in medication or eDiary completion <50% before randomization.
- History of "at risk" asthma: History of near-fatal asthma or of a past hospitalization for asthma in intensive care unit which, in the judgement of the investigator, may place the subject at undue risk.
- Recent asthma exacerbation: Hospitalization, emergency room admission or use of systemic corticosteroids for an asthma exacerbation in the 4 weeks prior to screening visit or during the run-in period.
- Unresolved respiratory tract infection (RTI) in the 4 weeks prior to the screening visit or during run-in period. Documented coronavirus disease 2019 (COVID-19) diagnosis within the last 8 weeks or complications from this disease, which have not resolved within 14 days prior to screening.
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 |
|---|---|---|
| Beclomethasone Dipropionate/Formoterol FumarateAlso: BDP/FFAvailable in pressurized inhalation solution BDP/FF 200/6 µg | Drug | CHF 1535 pMDI |
| Beclomethasone DipropionateAlso: BDPAvailable in pressurized inhalation solution BDP 100 µg | Drug | CHF 718 pMDI |
Primary outcome
1_Change From Baseline in FEV1 AUC0-12h Normalised by Time at Week 12
Time frame: Baseline (pre-dose on Week 0) and Week 12.
The pre-dose FEV1 at baseline (i.e. pre-dose on Week 0 [Visit 2]) and the FEV1 AUC0-12h normalised by time at Week 12 (Visit 5) are presented by treatment group in the ITT population, as change from baseline. AUC0=12h Area under the curve calculated between time 0 and 12 hours
12 secondary outcomes
2_Change From Baseline in Peak FEV1 Within the First 3 Hours Post-dose at Week 12
Time frame: Baseline (pre-dose on Week 0) and Week 12.
3_Change From Baseline in FEV1 AUC0-12h Normalised by Time at Week 0
Time frame: Baseline (pre-dose on Week 0) and Week 12.
4_Change From Baseline in Peak FEV1 Within the First 3 Hours Post-dose at Week 0
Time frame: Baseline (pre-dose on Week 0) and 3 h post dose on Week 0.
5_Change From Baseline in Trough FEV1 at Week 12
Time frame: Baseline (pre-dose on Week 0) and Week 12.
6_Change From Baseline in Pre-dose Morning FEV1 at Weeks 4, 8 and 12
Time frame: Baseline (pre-dose on Week 0) and Week 4, Week 8, Week 12.
7_Proportion of Pre-dose Morning FEV1 Responders at Weeks 4, 8 and 12
Time frame: Baseline (pre-dose on Week 0) and Week 4, Week 8, Week 12.
8_Proportion of Trough FEV1 Responders at Week 12
Time frame: Baseline (pre-dose on Week 0) and Week 4, Week 8, Week 12.
9_Change From Baseline in Average Morning Peak Expiratory Flow (PEF) Over the 12-Week Treatment Period
Time frame: Baseline (Week 0) to Week 12.
10_Change From Baseline in Average Evening Peak Expiratory Flow (PEF) Over the 12-Week Treatment Period
Time frame: Baseline (Week 0) to Week 12.
11_Change From Baseline in ACQ-7 Score and ACQ-5 Score at Week 12
Time frame: Baseline (pre-dose on Week 0) and Week 12.
12_Change From Baseline in Percentage of Rescue Medication-free Days Over the 12-Week Treatment Period
Time frame: Baseline (pre-dose on Week 0) and Week 12.
13_Change From Baseline in Percentage of Asthma Symptom-free Days Over the 12-Week Treatment Period
Time frame: Baseline (pre-dose on Week 0) and Week 12.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jul 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 33329598Pelaia C, Crimi C, Vatrella A, Tinello C, Terracciano R, Pelaia G. Molecular Targets for Biological Therapies of Severe Asthma. Front Immunol. 2020 Nov 30;11:603312. doi: 10.3389/fimmu.2020.603312. eCollection 2020.
- Background: PubMed 30406948Roger JH, Bratton DJ, Mayer B, Abellan JJ, Keene ON. Treatment policy estimands for recurrent event data using data collected after cessation of randomised treatment. Pharm Stat. 2019 Jan;18(1):85-95. doi: 10.1002/pst.1910. Epub 2018 Nov 8.
- Background: PubMed 32625205Kardas G, Kuna P, Panek M. Biological Therapies of Severe Asthma and Their Possible Effects on Airway Remodeling. Front Immunol. 2020 Jun 18;11:1134. doi: 10.3389/fimmu.2020.01134. eCollection 2020.
- Background: PubMed 29631728Kippelen P, Anderson SD, Hallstrand TS. Mechanisms and Biomarkers of Exercise-Induced Bronchoconstriction. Immunol Allergy Clin North Am. 2018 May;38(2):165-182. doi: 10.1016/j.iac.2018.01.008.
- Background: PubMed 31352362Chau-Etchepare F, Hoerger JL, Kuhn BT, Zeki AA, Haczku A, Louie S, Kenyon NJ, Davis CE, Schivo M. Viruses and non-allergen environmental triggers in asthma. J Investig Med. 2019 Oct;67(7):1029-1041. doi: 10.1136/jim-2019-001000. Epub 2019 Jul 27.
- Background: PubMed 33069326GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020 Oct 17;396(10258):1204-1222. doi: 10.1016/S0140-6736(20)30925-9.
- Background: PubMed 19326508Forno E, Celedon JC. Asthma and ethnic minorities: socioeconomic status and beyond. Curr Opin Allergy Clin Immunol. 2009 Apr;9(2):154-60. doi: 10.1097/aci.0b013e3283292207.
- Background: PubMed 27294365Zein JG, Udeh BL, Teague WG, Koroukian SM, Schlitz NK, Bleecker ER, Busse WB, Calhoun WJ, Castro M, Comhair SA, Fitzpatrick AM, Israel E, Wenzel SE, Holguin F, Gaston BM, Erzurum SC; Severe Asthma Research Program. Impact of Age and Sex on Outcomes and Hospital Cost of Acute Asthma in the United States, 2011-2012. PLoS One. 2016 Jun 13;11(6):e0157301. doi: 10.1371/journal.pone.0157301. eCollection 2016.
- BackgroundGlobal Initiative for Asthma (GINA): global strategy for asthma management and prevention. 2021 update. (2021). Available from: www.ginasthma.org.
- Background: PubMed 29624458Davis J, Trudo F, Siddall J, Small M. Burden of asthma among patients adherent to ICS/LABA: A real-world study. J Asthma. 2019 Mar;56(3):332-340. doi: 10.1080/02770903.2018.1455858. Epub 2018 Apr 6.
- Background: PubMed 15256389Bateman ED, Boushey HA, Bousquet J, Busse WW, Clark TJ, Pauwels RA, Pedersen SE; GOAL Investigators Group. Can guideline-defined asthma control be achieved? The Gaining Optimal Asthma ControL study. Am J Respir Crit Care Med. 2004 Oct 15;170(8):836-44. doi: 10.1164/rccm.200401-033OC. Epub 2004 Jul 15.
- Background: PubMed 28586296Lee LK, Obi E, Paknis B, Kavati A, Chipps B. Asthma control and disease burden in patients with asthma and allergic comorbidities. J Asthma. 2018 Feb;55(2):208-219. doi: 10.1080/02770903.2017.1316394. Epub 2017 Jun 6.
- Individual participant dataSharing planned: Yes. Chiesi clinical data sharing scope, process and data access criteria is available on the Chiesi Group website.
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Asthma
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.
Steven F. Weinstein, M.D. principal investigator
Allergy and Asthma Specialists Medical Group and Research Center
91 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Beclomethasone Dipropionate/Formoterol Fumarate and Beclomethasone Dipropionate in people with Asthma, run by Chiesi Farmaceutici S.p.A. at 91 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 11 inclusion and 25 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 20 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 91 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 4 Sep 2025). 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?
1_Change From Baseline in FEV1 AUC0-12h Normalised by Time at Week 12 (time frame: Baseline (pre-dose on Week 0) and Week 12.). 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 NCT05292586, which also lists 33 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 20 Jul 2026.