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AsthmaPhase 3NCT05505734

A Comparison of PT027 vs PT007 Used as Needed in Participants With Asthma

A Phase 3 study testing BDA MDI and AS MDI in people with Asthma, run by Bond Avillion 2 Development LP at 61 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 US study comparing the efficacy and safety of BDA MDI [Budesonide/Albuterol Sulfate (BDA) metered dose inhaler (MDI)] with AS [Albuterol Sulfate] MDI, both are administered as needed for up to 12 months. Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Asthma
What is being tested?
BDA MDI and AS MDI
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,516 participants
Where
61 sitesUnited States
Study dates
2 Sep 2022to 22 Aug 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 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Participant must be ≥12 years of age, at the time of signing the electronic informed consent form (eICF). For participants from 12 years of age to age of majority, their parents/legal guardian must provide signed consent, as appropriate, and participants will sign an assent form.
  • Diagnosis of asthma by a prescribing healthcare professional. Protocol-specified documentation of asthma diagnosis is required to confirm diagnosis of asthma.
  • Participants actively using SABA alone or SABA on a background of either low-dose ICS or LTRA.
  • Self-reported use of a SABA on ≥2 occasions, in response to symptoms (ie, not for exercise prophylaxis only), in the previous 2 weeks prior to enrollment.
  • An Asthma Impairment and Risk Questionnaire (AIRQ) score of ≥2 at Screening (Visit1/re-screen) and Randomisation (Randomization (Visit2) where applicable. Note, where screening Visit1/re-screen and randomization occur on the same day, AIRQ will only be completed once.
  • Females of child-bearing potential must have a negative pregnancy test prior to randomization and agree to use an acceptable method of contraception throughout the study.
  • Male participants who are in heterosexual relationships must be surgically sterile or agree to use an effective method of contraception (condom) if the female partner does not use contraception from the date the eICF is signed until 2 weeks after their last dose.

Who cannot join

  • Any evidence of significant lung disease other than asthma, such as chronic obstructive pulmonary disease, emphysema, idiopathic pulmonary fibrosis, sarcoidosis etc or any other significant disease (like malignancies or severe chronic diseases) that by Investigator judgment would interfere with the participant being able to comply with study procedures or complete the study.
  • Hospitalization due to asthma in the 3 months prior to enrollment or self-reported admission to the Intensive Care Unit with life-threatening asthma at any time in the past
  • Self-reported use of inhaled Long-Acting Beta-Agonists (LABA), theophylline, inhaled anticholinergic agent, cromone or medium/high dose ICS daily, as regular maintenance asthma therapy in the 3 months prior to enrollment
  • Self-reported use of systemic corticosteroids (SCS) for the treatment of asthma and any other condition in the 6 weeks prior to enrollment
  • Participants with a home supply of oral corticosteroids (OCS) to be used in the case of an asthma exacerbation or any other condition that could require a course of OCS, who are not willing to commit to the treating physician to stop using this medication for the duration of the study.
  • Receipt of any marketed (eg, omalizumab, mepolizumab, reslizumab, benralizumab, dupilumab, tezepelumab) or investigational biologic for the treatment of asthma at any time in the past
Show all 13Show fewer
  • Receipt of bronchothermoplasty
  • Use of a SABA prophylactically primarily to prevent exercise induced bronchospasm (EIB) and not to treat symptoms
  • Currently receiving systemic treatment with potent cytochrome P3A4 inhibitors (eg, ketoconazole, itraconazole, and ritonavir)
  • Judgment by the Investigator that the participant should not participate in the study if the participant is unlikely to comply with study procedures, restrictions, and requirements.
  • Previous screening, enrollment or randomization in the present study.
  • For females only - currently pregnant (confirmed with positive pregnancy test) or breastfeeding.
  • Participants without access to a smartphone or the internet.

Trial locations and contacts

61 sites in 1 country.

61 sites in 1 country

United States61 sites
  • Velocity Clinical Research - Anderson

    Anderson, South Carolina, 29621

  • Javara Inc.

    Annapolis, Maryland, 21401

  • Kern Research Inc.

    Bakersfield, California, 93301

  • Baltimore Early Phase Clinical Unit (EPCU)

    Baltimore, Maryland, 21225

  • Helix Biomedics

    Boynton Beach, Florida, 33435

  • Velocity Clinical Research, Austin

    Cedar Park, Texas, 78759

  • Javara Inc.

    Charlotte, North Carolina, 28277

  • Javara Inc/Wake Forest Health Network, LLC

    Clemmons, North Carolina, 27012

  • Asthma and Allergy Associates

    Colorado Springs, Colorado, 80907

  • Centricity Research

    Columbus, Georgia, 31904

  • Centricity Research

    Columbus, Georgia, 31905

  • Centricity Research

    Columbus, Georgia, 31906

  • Centricity Research

    Columbus, Georgia, 31907

  • Buckeye Health and Research

    Columbus, Ohio, 43207

  • Science 37

    Culver City, California, 90230

  • Privia Medical Group Gulf Coast

    Cypress, Texas, 77433

  • CardioVoyage LLC

    Denison, Texas, 75020

  • Velocity Clinical Research, Denver

    Denver, Colorado, 80209

  • Velocity Clinical Research - Providence

    East Greenwich, Rhode Island, 02818

  • Meridian Clinical Research

    Endwell, New York, 13760

  • Genesis Clinical Research and Consulting, LLC

    Fall River, Massachusetts, 02723

  • Texas Health Care, PLLC d/b/a Privia Medical Group- North Texas

    Fort Worth, Texas, 76133

  • Allure Health at Mt Olympus Medical Research

    Friendswood, Texas, 77546

  • Velocity Clinical Research, Greenville

    Greenville, South Carolina, 29615

  • Hatboro Medical Associates

    Hatboro, Pennsylvania, 19040

  • Spectrum Clinical Research

    Kansas City, Missouri, 64118

  • Velocity Clinical Research

    Lafayette, Louisiana, 70508

  • Antelope Valley Clinical Trials

    Lancaster, California, 93534

  • Lifeline Primary Care

    Lilburn, Georgia, 30047

  • Meridian Clinical Research, LLC

    Lincoln, Nebraska, 68510

  • Mankato Clinic

    Mankato, Minnesota, 56001

  • Velocity Clinical Resarch - Medford

    Medford, Oregon, 97504

  • Velocity Clinical Research - Boise

    Meridian, Idaho, 83642

  • Pulmonary Associates of Mobile PC

    Mobile, Alabama, 36608

  • Monroe Biomedical Research

    Monroe, North Carolina, 28112

  • Modern Migraine MD/CTNX

    New York, New York, 10001

  • Infinity Medical Research

    North Dartmouth, Massachusetts, 02747

  • South Ogden Family Medicine clinic

    Ogden, Utah, 84405

  • Midwest Regional Health Services, LLC/CCT Research

    Omaha, Nebraska, 68144

  • One of a Kind Clinical Research Center

    Paradise Valley, Arizona, 85253

  • LinQ Research, LLC

    Pearland, Texas, 77584

  • Northwest Research Center

    Portland, Oregon, 97202

  • Meridian Clinical Research

    Portsmouth, Virginia, 23703

  • North Carolina Clinical Research

    Raleigh, North Carolina, 27607

  • Allergy & Asthma Medical Group and Research (AAMGRC) - Allergy, Asthma and Immunology

    San Diego, California, 92123

  • Javara Inc./Privia Medical Group Georgia, LLC

    Savannah, Georgia, 31406

  • Mt. Olympus Medical Research

    Sugar Land, Texas, 77479

  • Allergy and Asthma Diagnostic Treatment Center

    Tallahassee, Florida, 32308

  • Fiel Family and Sports Medicine/CCT Research

    Tempe, Arizona, 85283

  • Velocity Clinical Research - Valparaiso

    Valparaiso, Indiana, 46383

  • Clinical Research of California

    Walnut Creek, California, 94598

  • AAPRI Clinical Research Institute

    Warwick, Rhode Island, 02886

  • Velocity Clinical Research -Salt Lake City

    West Jordan, Utah, 84088

  • Chesapeake Clinical Research

    White Marsh, Maryland, 21162

  • Wilmington Health (Innovo Research)

    Wilmington, North Carolina, 28401

  • CVS Health

    Woonsocket, Rhode Island, 02895

  • CVS Health

    Woonsocket, Rhode Island, 02896

  • CVS Health

    Woonsocket, Rhode Island, 02897

  • CVS Health

    Woonsocket, Rhode Island, 02898

  • CVS Health

    Woonsocket, Rhode Island, 02899

  • CVS Health

    Woonsocket, Rhode Island, 02900

Other trials in United States

About this study

Official title: A Multicenter, Randomized, Double-blind, Parallel-group, Event-driven, Decentralized, Phase IIIb Study Comparing PT027 With PT007 Administered as Needed in Participants 12 Years of Age and Older With Asthma (BATURA)

This is a US study comparing the efficacy and safety of BDA MDI [Budesonide/Albuterol Sulfate (BDA) metered dose inhaler (MDI)] with AS [Albuterol Sulfate] MDI, both are administered as needed for up to 12 months.

Read the detailed description

This is a phase IIIb, multicenter, randomized, double-blind, parallel-group, event-driven, variable-length, decentralized study.

Participants from around 40 to 50 centers located in the US will be screened and randomized 1:1 to receive one of the following two treatments to be used as needed: BDA MDI (160/180 μg) and AS MDI (180 μg). Participants 12 years of age and older with asthma will be recruited with all visits conducted virtually.

Eligible participants must be using as-needed SABA (Short -acting β2agonist) alone, or as-needed SABA on a background of either low-dose ICS (Inhaled corticosteroid) or a LTRA (Leukotriene receptor agonist), for the treatment of asthma.

Participants will be stratified by pre-study asthma medication (SABA only, low-dose ICS + SABA and LTRA + SABA) and number of prior severe exacerbations (0, ≥1) in the 12 months prior to the Screening visit.

Conditions
Asthma
Being tested
BDA MDI, AS MDI
Keywords
Metered-dose inhaler (MDI), Leukotriene receptor agonist (LTRA), Inhaled corticosteroid (ICS), Short -acting β2agonist (SABA)
Medical subject headings
Asthma

What participants receive

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

  • BDA MDIDrug

    Participants will receive Budesonide and Albuterol Sulfate MDI 80/90 μg per Actuation 1 to 6 doses (2 inhalations/dose) per day as needed via Oral inhalation route.

  • AS MDIDrug

    Participants will receive Albuterol Sulfate MDI 90 μg per Actuation 1 to 6 doses (2 inhalations/dose) per day as needed via Oral inhalation route.

Study groups in NCT05505734
Study groupRoleWhat they receive
PT027ExperimentalParticipants will receive Budesonide and Albuterol Sulfate Pressurised Inhalation Suspension 160/180 μg up to a maximum of 12 inhalations to max dose.
Receives: Drug: BDA MDI
PT007ExperimentalParticipants will receive Albuterol Sulfate Pressurised Inhalation Suspension 180 μg up to a maximum of 12 inhalations to max dose.
Receives: Drug: AS MDI

What is being measured

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

  1. Time to First Severe Asthma Exacerbation, While on Treatment Strategy, Interim Analysis Data Cut-off (Participants Aged >=12 Years)

    The time to first severe asthma exacerbation was analyzed under the While on Treatment strategy in the Full analysis set (FAS) and was defined as the length in days from treatment initiation until the date of the first severe asthma exacerbation event. Participants were censored at treatment discontinuation, a step-up in maintenance therapy, or interim analysis DCO. An asthma exacerbation was considered severe if it resulted in at least one of the following: use of systemic steroids for at least 3 days, inpatient hospitalization due to asthma or emergency room visit that required systemic steroids, or death due to asthma. The primary outcome measure was analyzed at the interim analysis (22 April 2024). Since the primary objective was met at the interim analysis, it was not re-tested at final database lock. Since fewer than 50% of participants had an exacerbation event, the median survival time could not be calculated and instead the number of participants with an event is reported.

    Measured: From treatment initiation until the earliest occurrence of study completion, treatment discontinuation, step-up in maintenance therapy, or interim analysis DCO, up to one year following treatment initiation.

Secondary outcomes (9)
  1. Time to First Severe Asthma Exacerbation, Treatment Policy Strategy, Interim Analysis Data Cut-off (Participants Aged >=12 Years)

    The time to first severe asthma exacerbation was analyzed under the Treatment Policy strategy in the Full analysis set (FAS) and was defined as the length in days from treatment initiation until the date of first severe asthma exacerbation occurred. Participants were censored at study completion or withdrawal, or the interim analysis DCO. An asthma exacerbation was considered severe if it resulted in at least one of the following: use of systemic steroids for at least 3 days, inpatient hospitalization due to asthma or emergency room visit that required systemic steroids, or death due to asthma. The key secondary outcome measure was analyzed at the interim analysis (22 April 2024). Since the key secondary objective was met at the interim analysis, it was not re-tested at final database lock. Since fewer than 50% of participants had an exacerbation event, the median survival time could not be calculated and instead the number of participants with an event is reported.

    Measured: From treatment initiation until the earliest occurrence of study completion or withdrawal only, regardless of treatment discontinuation, a step-up in maintenance therapy or interim analysis DCO, up to one year following treatment initiation.

  2. Time to First Severe Asthma Exacerbation, While on Treatment Strategy (Participants Aged >=18 Years)

    The time to first severe asthma exacerbation was analyzed under the While on Treatment strategy in the Full analysis set (FAS) and was defined as the length in days from treatment initiation until the date of first severe asthma exacerbation event, including all events that occurred up to the final DCO (20 September 2024). Participants were censored at treatment discontinuation or a step-up in maintenance therapy. An asthma exacerbation was considered severe if it results in at least one of the following: use of systemic steroids for at least 3 days, inpatient hospitalization due to asthma or emergency room visit that required systemic steroids, or death due to asthma. Since fewer than 50% of participants had an exacerbation event, the median survival time could not be calculated and instead the number of participants with an event is reported.

    Measured: From treatment initiation until the earliest occurrence of study completion, treatment discontinuation or a step-up in maintenance therapy, up to one year following treatment initiation.

  3. Time to First Severe Asthma Exacerbation, Treatment Policy Strategy (Participants Aged >=18 Years)

    The time to first severe asthma exacerbation was analyzed under the Treatment Policy strategy in the Full analysis set (FAS) and was defined as the length in days from treatment initiation until the date of first severe asthma exacerbation event, including all events that occurred up to the Final DCO (20 September 2024). Participants were censored at study completion or withdrawal. An asthma exacerbation was considered severe if it resulted in at least one of the following: use of systemic steroids for at least 3 days, inpatient hospitalization due to asthma or emergency room visit that required systemic steroids, or death due to asthma. Since fewer than 50% of participants had an exacerbation event, the median survival time could not be calculated and instead the number of participants with an event is reported.

    Measured: From treatment initiation until the earliest occurrence of study completion or withdrawal only, regardless of treatment discontinuation or a step-up in maintenance therapy, up to one year following treatment initiation.

  4. Annualized Severe Asthma Exacerbation Rate, While on Treatment Strategy (Participants Aged >=12 Years)

    The annualized exacerbation rate was analyzed under the While on Treatment strategy in the Full analysis set (FAS) and was defined as the length in days from treatment initiation until the date of first severe asthma exacerbation event, including all events that occurred up to the final DCO (20 September 2024). Time at risk was defined as the cumulative number of days in the randomized treatment period across all participants in the treatment group, excluding the days during a severe exacerbation event and the 7 days following it resolving. An asthma exacerbation was considered severe if it resulted in at least one of the following: use of systemic steroids for at least 3 days, inpatient hospitalization due to asthma or emergency room visit that required systemic steroids, or death due to asthma.

    Measured: From treatment initiation until the earliest occurrence of study completion, treatment discontinuation or a step-up in maintenance therapy, up to one year following treatment initiation.

  5. Annualized Severe Asthma Exacerbation Rate, While on Treatment Strategy (Participants Aged >=18 Years)

    The annualized exacerbation rate was analyzed under the While on Treatment strategy in the Full analysis set (FAS) and was defined as the length in days from treatment initiation until the date of first severe asthma exacerbation event, including all events that occurred up to the final DCO (20 September 2024). Time at risk was defined as the cumulative number of days in the randomized treatment period across all participants in the treatment group, excluding the days during a severe exacerbation event and the 7 days following it resolving. An asthma exacerbation was considered severe if it resulted in at least one of the following: use of systemic steroids for at least 3 days, inpatient hospitalization due to asthma or emergency room visit that required systemic steroids, or death due to asthma.

    Measured: From treatment initiation until the earliest occurrence of study completion, treatment discontinuation or a step-up in maintenance therapy, up to one year following treatment initiation.

  6. Total Systemic Glucocorticoid Exposure, While on Treatment Strategy (Participants Aged >=12 Years)

    The total systemic glucocorticoid exposure was analyzed under the While on Treatment strategy in the Full analysis set (FAS) and was defined as the cumulative dose of SCS following a severe exacerbation from treatment initiation until study completion, treatment discontinuation or a step-up in maintenance therapy. SCS were normalized to prednisone equivalents when calculating total dose, patients whose total dose could not be normalized are excluded from analysis.

    Measured: From treatment initiation until the earliest occurrence of study completion, treatment discontinuation or a step-up in maintenance therapy, up to one year following treatment initiation.

  7. Total Systemic Glucocorticoid Exposure, While on Treatment Strategy (Participants Aged >=18 Years)

    The total systemic glucocorticoid exposure was analyzed under the While on Treatment strategy in the Full analysis set (FAS) and was defined as the cumulative dose of SCS following a severe exacerbation from treatment initiation until study completion, treatment discontinuation or a step-up in maintenance therapy. SCS were normalized to prednisone equivalents when calculating total dose, patients whose total dose could not be normalized are excluded from analysis.

    Measured: From treatment initiation until the earliest occurrence of study completion, treatment discontinuation or a step-up in maintenance therapy, up to one year following treatment initiation.

  8. Total Duration of Systemic Glucocorticoid Exposure, While on Treatment Strategy (Participants Aged >=12 Years)

    The total duration of systemic glucocorticoid exposure was analyzed under the While on Treatment strategy in the Full analysis set (FAS) and was defined as the cumulative days of SCS use following a severe exacerbation from treatment initiation until study completion, treatment discontinuation or a step-up in maintenance therapy. SCS were normalized to prednisone equivalents when calculating total dose, patients whose total dose could not be normalized are excluded from analysis.

    Measured: From treatment initiation until the earliest occurrence of study completion, treatment discontinuation or a step-up in maintenance therapy, up to one year following treatment initiation.

  9. Total Duration of Systemic Glucocorticoid Exposure, While on Treatment Strategy (Participants Aged >=18 Years)

    The total duration of systemic glucocorticoid exposure was analyzed under the While on Treatment strategy in the Full analysis set (FAS) and was defined as the cumulative days of SCS use following a severe exacerbation from treatment initiation until study completion, treatment discontinuation or a step-up in maintenance therapy. SCS were normalized to prednisone equivalents when calculating total dose, patients whose total dose could not be normalized are excluded from analysis.

    Measured: From treatment initiation until the earliest occurrence of study completion, treatment discontinuation or a step-up in maintenance therapy, up to one year following treatment initiation.

Timeline

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

  1. First posted18 Aug 2022
  2. Study start2 Sep 2022
  3. Primary completion22 Aug 2024
  4. Study completion22 Aug 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
2,516 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05505734
Sponsor's protocol ID
AV007
Status last verified
Jun 2025
First submitted
15 Aug 2022
Last updated
3 Aug 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • LaForce C, Albers F, Danilewicz A, Jeynes-Ellis A, Kraft M, Panettieri RA Jr, Rees R, Bardsley S, Dunsire L, Harrison T, Sobande O, Surujbally R, Trudo F, Cappelletti C, Papi A, Beasley R, Chipps BE, Israel E, Pandya H, Clancy M, Bacharier LB; BATURA Investigators. As-Needed Albuterol-Budesonide in Mild Asthma. N Engl J Med. 2025 Jul 10;393(2):113-124. doi: 10.1056/NEJMoa2504544. Epub 2025 May 19.

    PubMed 40388330

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing BDA MDI and AS MDI in people with Asthma, run by Bond Avillion 2 Development LP at 61 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 13 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 3 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 61 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 3 Aug 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?

Time to First Severe Asthma Exacerbation, While on Treatment Strategy, Interim Analysis Data Cut-off (Participants Aged >=12 Years) (time frame: From treatment initiation until the earliest occurrence of study completion, treatment discontinuation, step-up in maintenance therapy, or interim analysis DCO, up to one year following treatment initiation.). 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 NCT05505734, 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 3 Aug 2025.

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