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AsthmaPhase 3TRIADESNCT07858123

Safety and Efficacy Comparison Between CHF5993 100/6 12.5µg pMDI to Seretide Evohaler 125/25µg pMDI in Adolescent Subjects With Asthma

A Phase 3 study testing CHF5993 100/6/12.5 μg pMDI HFA-152a and Seretide Evohaler in people with Asthma, run by Chiesi Farmaceutici S.p.A. at 25 sites in 3 countries.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

The CLI-05993AA5-06 study is an interventional study designed to investigate the safety and efficacy of a new experimental drug called CHF5993 pMDI compared to the currently approved Seretide 125 Evohaler pMDI in adolescent patients with uncontrolled asthma. Read more about this study

Who is it for?
Ages 12 to 17 years
Conditions the study is for
Asthma
What is being tested?
CHF5993 100/6/12.5 μg pMDI HFA-152a and Seretide Evohaler
Could I receive a placebo?
No, everyone receives an active treatment
How many people
700 participants
Where
25 sitesin 3 countries
Study dates
16 Nov 2026to 26 Jun 2030
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Subject's written informed consent obtained prior to any study related procedure;
  • Male and female adolescent aged ≥ 12 and <18 years;
  • Subject participating in the Pharmacokinetic(s) (PK) part of the study, body weight should be ≥ 30kg
  • A documented history of asthma for at least 6 months
  • Subjects in treatment with double therapy with medium doses of inhaled corticosteroids (ICS) in fixed or free combination with a long-acting β2-agonist (LABA) ( > 500-1000 μg daily dose Beclomethasone Dipropionate non-extrafine or estimated clinically comparable dose plus formoterol 24 µg/day or salmeterol 100 µg/day or vilanterol 25 µg/day) at a stable dose for at least 4 weeks prior to screening;
  • Subjects must have a cooperative attitude and the ability to be trained to use correctly the pMDI inhalers and e-Diary, to be able to read/write, to be able to perform the required outcomes measurements (e.g., technically acceptable spirometry, e-Diary completion) and the ability to understand the risks involved.
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  • Subjects with a pre-Bronchodilator (BD) Forced Expiratory Volume in the first second (FEV1) ≤90% and ≥60% of their predicted normal value, after appropriate washout from BDs, at the Screening and Randomization Visits
  • Subjects with a positive response to a reversibility test at screening, defined as FEV1 ≥12% and ≥200 mL over baseline, 10 to 15 minutes (min) after inhaling 200-400 µg of salbutamol pMDI.
  • Subjects with uncontrolled asthma evidenced by an ACQ-7 total score ≥1.5 at screening;
  • A documented history of one or more asthma exacerbations requiring treatment with systemic corticosteroids (SCS) or emergency department visit or in-patient hospitalization in the previous 12 months;

Who cannot join

  • History of "at risk" asthma: history of near fatal asthma or of a past hospitalization for asthma in an intensive care unit which, in the judgement of the Investigator, may place the subject at undue risk;
  • Recent exacerbation or respiratory tract infection: hospitalization, emergency room admission or use of SCS for an asthma exacerbation or a documented diagnosis of lower respiratory tract infection that required antibiotics or an unresolved respiratory tract infection within 4 weeks prior to Screening Visit (V1) or during the run-in period;
  • Respiratory disorders other than asthma: this can include but is not limited to: α1-antitrypsin deficiency, active tuberculosis, bronchiectasis, cystic fibrosis, sarcoidosis, pulmonary hypertension and interstitial lung disease;
  • Current smokers (including e-cigarettes, vaping and hookah), or ex-smokers with a smoking history of ≥5 pack-years (pack-years = the number of cigarette packs per day times the number of years), or current use of inhaled or oral cannabis products. Ex-smokers must have stopped smoking ≥1 year (≥6 months for e-cigarettes);
  • Other severe acute or chronic medical (such as but not limited to thyrotoxicosis, diabetes mellitus, and untreated hypokalemia) or malignancy or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study treatment 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;
  • Any change in dose, schedule or formulation of the combination ICS plus LABA in the 4 weeks prior to Screening Visit (V1)
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  • Subjects using SCS medication in the 4 weeks or slow-release corticosteroids in the 12 weeks, prior to screening
  • Only for subjects included in the subset for PK assessment:
  • Veins unsuitable for repeated venipuncture; Blood donation or blood loss (>450 mL) in the 4 weeks before randomization.

Trial locations and contacts

25 sites in 3 countries. Contact the study team or a site near you to ask about taking part.

Chiesi Clinical Trial Info contact

+39 0521 2791

clinicaltrials_info@chiesi.com

25 sites in 3 countries

Italy12 sites
  • ASST Spedali Civili Brescia

    Brescia

    Laura Pini

  • "A. Perrino" Hospital

    Brindisi

    Aniello Meoli

  • Istituto Giannina Gaslini Pediatric Allergic Center,

    Genoa

    Maria Angela Tosca

  • University of Messina G. Martino Hospital, Allergy and Clinical Immunology Unit

    Messina

    Luisa Riccardi

  • Buzzi Children Hospital

    Milan

    Michele Ghezzi

  • Federico II University, Department of Translational Medical Sciences, Section of Pediatrics

    Naples

    Melissa Borrelli

  • IPAS (Respiratory Diseases of Pediatric Interest) University of Campania 'Luigi Vanvitelli',

    Naples

    Michele Miraglia del Giudice

  • University Hospital of Parma

    Parma

    Susanna Maria Roberta Esposito

  • University Hospital of Pisa, Pediatrics Unit

    Pisa

    Maria Elisa di Cicco

  • Fondazione Policlinico Universitario A. Gemelli IRCCS, Department of Woman and Child Health and Public Health

    Roma

    Roberta Onesimo

  • Bambino Gesù Pediatric Hospital IRCCS, Allergy Division

    Rome

    Alessandro Fiocchi

  • IRCCS Humanitas Research Hospital

    Rozzano

    Enrico Heffler

Other trials in Italy

Spain9 sites
  • Hospital Universitario Germans Trias

    Badalona

    Albert Roger Reig

  • Hospital Sant Joan de Deu

    Barcelona

    Jaime Lozano Blasco

  • Vall d'Hebron University Hospital

    Barcelona

    Teresa Garriga-Baraut

  • Hospital General Universitario Santa Lucia

    Cartagena

    Jose Valverde Molina

  • Hospital Universitario De Jerez Servicio de Pediatría

    Jerez de la Frontera

    David Gomez Pastrana

  • Hospital Universitario Infanta Leonor

    Madrid

    Maria Vazquez de la Torre Gaspar

  • Hospital Universitario Severo Ochoa

    Madrid

    Sergio Quevedo Teruel

  • Hospital Clínico Universitario de Santiago de Compostela

    Santiago de Compostela

    Carlos Garcia Magan

  • IMED Valencia

    Valencia

    Noelia Colomer Hernadez

Other trials in Spain

Germany4 sites
  • Institute for Respiratory Diseases Medaimun GmbH

    Frankfurt

    Stefan Zielen

  • Georg-August-Universität Göttingen

    Göttingen

    Christiane Lex

  • Universitätsklinikum Jena

    Jena

    Michael Lorenz

  • Centre for Congenital Heart Defects Stuttgart, Paediatric Intensive Care, Pulmonology and Allergology

    Stuttgart

    Marcus Rose

Other trials in Germany

About this study

Official title: A 52-Week, Randomised, Double-Blind, Double-Dummy, Multinational, Multicenter, Active-Controlled, 2-Arm Parallel Group Study Comparing CHF5993 100/6/12.5 μg pMDI (Fixed Combination of Extrafine Beclomethasone Dipropionate Plus Formoterol Fumarate Plus Glycopyrronium Bromide) to Seretide® Evohaler® 125/25 μg pMDI (Fixed Combination of Fluticasone Propionate/Salmeterol Xinafoate) in Adolescent Subjects With Uncontrolled Asthma on Medium Doses of Inhaled Corticosteroids in Combination With Long-Acting β2-Agonists

The CLI-05993AA5-06 study is an interventional study designed to investigate the safety and efficacy of a new experimental drug called CHF5993 pMDI compared to the currently approved Seretide 125 Evohaler pMDI in adolescent patients with uncontrolled asthma.

Read the detailed description

Outpatients attending the hospital clinics/study centers will be recruited. Uncontrolled asthma adolescent subjects will be recruited. A total of 420 subjects will be randomized. The whole study will last approximately 52 weeks for each subject.

Conditions
Asthma
Being tested
CHF5993 100/6/12.5 μg pMDI HFA-152a, Seretide Evohaler
Medical subject headings
Asthma

What participants receive

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

  • CHF5993 100/6/12.5 μg pMDI HFA-152aDrug

    Drug: CHF5993 100/6/12.5 μg pMDI HFA-152a administered via Pressurized Metered Dose Inhaler (pMDI).

    Active ingredients: Beclomethasone Dipropionate (BDP)//Formoterol Fumarate (FF) /Glycopyrronium Bromide (GB) 100/6/12,5μg per actuation; Excipients: HFA-152a propellant.

  • Seretide EvohalerDrug

    Drug: Seretide Evohaler administered via Pressurized Metered Dose Inhaler (pMDI).

    Active ingredients: Fluticasone Propionate (FP)/Salmeterol Xinafoate (SLM) pMDI 125/25μg per actuation; Excipients: HFA-134a propellant.

Study groups in NCT07858123
Study groupRoleWhat they receive
Inhaler CHF5993 100/6/12,5μg pMDIExperimentalNot described
Receives: Drug: CHF5993 100/6/12.5 μg pMDI HFA-152a
Seretide Evohaler FP/SLM pMDI 125/25μgActive comparatorNot described
Receives: Drug: Seretide Evohaler

What is being measured

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

  1. Change from baseline in pre-dose Forced Expiratory Volume FEV1 in the first second (FEV1).

    Population summary measure is the adjusted mean between treatment difference comparing CHF5993 BDP/FF/GB pMDI vs. Seretide® Evohaler® FP/SLM pMDI in a Intent To Treat (ITT) Population to demonstrate the superiority of CHF5993 BDP/FF/GB pMDI compared to Seretide Evohaler FP/SLM pMDI

    Measured: Baseline (pre-dose on Week 0) and Week 26

Secondary outcomes (11)
  1. Change from baseline in 2h post-dose FEV1

    Population summary measure is the adjusted mean between treatment difference comparing CHF5993 BDP/FF/GB pMDI vs. Seretide® Evohaler® FP/SLM pMDI in ITT population to demonstrate the superiority of CHF5993 BDP/FF/GB pMDI compared to Seretide Evohaler FP/SLM pMDI

    Measured: Baseline (pre-dose on Week 0) and Week 26

  2. Evaluation of Severe asthma exacerbations rate over the 52 weeks of treatment

    Measured: Over the 52 weeks of treatment

  3. Time to first severe exacerbation during the entire 52 weeks of treatment

    Measured: Over the 52 weeks of treatment

  4. Change from baseline in the 7-item Asthma Control Questionnaire (ACQ-7) at Week 12, Week 26 and Week 52 during study visits (using centralized spirometry)

    The 7-item Asthma Control Questionnaire (ACQ-7) score ranges from 0 to 6, with higher scores indicating worse asthma control.

    Measured: Baseline (pre-dose on Week 0) and Week 12, Week 26, Week 52

  5. Change from baseline in Asthma Quality of Life Questionnaire (AQLQ) at Week 12, Week 26 and Week 52 during study visits

    The Asthma Quality of Life Questionnaire (AQLQ) score ranges from 1 to 7, with higher scores indicating better asthma-related quality of life.

    Measured: Baseline (pre-dose on Week 0) and Week 12, Week 26, Week 52

  6. Change from baseline in pre-dose FEV1 at all clinical visits

    Measured: Baseline (pre-dose on Week 0) and applicable clinical visits

  7. Change from baseline in 2h post-dose FEV1 at all clinical visits

    Measured: Baseline (pre-dose on Week 0) and all applicable clinical visits

  8. Proportion of subjects classified as responders in terms of pre-dose FEV1 at Week 26 and Week 52 (i.e., subjects with change from baseline in pre-dose FEV1 ≥100 mL)

    Measured: Baseline (pre-dose on Week 0) and Week 26, Week 52

  9. Change from baseline in 48h post-dose morning FEV1 after the last intake of study treatment at Week 52

    Measured: Week 52

  10. Change from baseline in weekly 5-item Asthma Control Questionnaire (ACQ-5) over the 52 weeks of treatment (performed at home by the subject)

    The 5-item Asthma Control Questionnaire (ACQ-5) score ranges from 0 to 6, with higher scores indicating worse asthma control.

    Measured: Baseline (pre-dose on Week 0) and over the 52 weeks of treatment

  11. Change from baseline in home spirometry parameters (e.g. FEV1, Forced Vital Capacity) over the 52 weeks of treatment (performed at home by the subject)

    Measured: Baseline (pre-dose on Week 0) and Over the 52 weeks of treatment

Timeline

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

  1. First posted5 Oct 2026
  2. Study start16 Nov 2026 (estimated)
  3. Primary completion26 Jun 2030 (estimated)
  4. Study completion26 Jun 2030 (estimated)

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
Model description
Double-blind multicenter, randomized, active-controlled, 2-arm, parallel-group
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
700 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07858123
Sponsor's protocol ID
CLI-05993AA5-06
Other IDs
2024-514248-95-00
Acronym
TRIADES
Status last verified
Oct 2026
First submitted
18 Sep 2026
Last updated
5 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing CHF5993 100/6/12.5 μg pMDI HFA-152a and Seretide Evohaler in people with Asthma, run by Chiesi Farmaceutici S.p.A. at 25 sites in 3 countries.

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 10 inclusion and 9 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: opening soon, as of the sponsor's last update on 5 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in Italy, Spain, Germany. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Chiesi Clinical Trial Info (+39 0521 2791, clinicaltrials_info@chiesi.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline in pre-dose Forced Expiratory Volume FEV1 in the first second (FEV1). (time frame: Baseline (pre-dose on Week 0) and Week 26). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 5 Oct 2026.

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