Efficacy and Tolerability of Beclomethasone Plus Salbutamol in HFA pMDI Fixed Combination vs Beclomethasone Plus Salbutamol in CFC pMDI Fixed Combination in a 12-week Treatment Period of Adult Patients With Uncontrolled Asthma
Multicentre, Multinational, Randomised, Double Blind, Double Dummy, Active Drug Controlled, Parallel Group Study Design Clinical Trial of the Efficacy and Tolerability of Beclomethasone Dipropionate 250 mcg Plus Salbutamol 100 mcg in HFA pMDI Fixed Combination vs. Beclomethasone Dipropionate 250 mcg Plus Salbutamol 100 mcg in CFC pMDI (Clenil® Compositum 250) Fixed Combination in a 12-week Treatment Period of Adult Patients With Uncontrolled Asthma
2 other identifiers
interventional
180
4 countries
25
Brief Summary
The purpose of this trial is to verify if the test treatment BDP 250 mcg/salbutamol 100 mcg HFA pMDI fixed combination is non-inferior to BDP 250 mcg/salbutamol 100 mcg pMDI fixed combination given with the conventional CFC propellant (Clenil® Compositum 250, Chiesi Farmaceutici) in terms of Pulmonary Function (morning PEF).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Nov 2007
Shorter than P25 for phase_3
25 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 11, 2007
CompletedFirst Posted
Study publicly available on registry
September 12, 2007
CompletedStudy Start
First participant enrolled
November 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2009
CompletedMarch 30, 2017
March 1, 2017
1.2 years
September 11, 2007
March 28, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Mean value of morning PEF (daily measured by the patient)
last 2 weeks treatment
Secondary Outcomes (8)
Morning PEF daily measured by the patient at any other time point
last 2 weeks treatment
Evening PEF, and morning and evening FEV1 daily measured by the patient
all treatment period (12 weeks), at each two weeks
Pulmonary function parameters (FEV1, FVC, PEF and FEF25-75%)
clinic visits
Changes from pre-dosing of pulmonary function parameters measured at in the interval 0-60 minutes (pre-dose and 5, 15, 30 and 60 minutes post-dose);
baseline (visit 2) and end of treatment (visit 6)
Rates of asthma exacerbations (in total and by severity)
all treatment period, at each two weeks
- +3 more secondary outcomes
Study Arms (2)
A
EXPERIMENTALBDP/salbutamol HFA pMDI
B
ACTIVE COMPARATORBDP/salbutamol CFC pMDI
Interventions
Patients assigned to BDP/salbutamol HFA pMDI will receive 2 puffs twice daily (morning and evening), for a total daily dose of BDP 1000 mcg/salbutamol 400 mcg, plus 2 puffs twice daily of alternative CFC placebo
Patients assigned to BDP/salbutamol CFC pMDI will receive 2 puffs twice daily (morning and evening), for a total daily dose of BDP 1000 mcg/salbutamol 400 mcg, plus 2 puffs twice daily of alternative HFA placebo
Eligibility Criteria
You may qualify if:
- Written informed consent obtained,
- Male or female out-patients aged ³ 18 and \< 65 years;
- Uncontrolled asthma defined according to the GINA 2006 "Classification of Levels of Asthma Control". This definition includes the presence of two or more of the following features (in addition to the required range of FEV1): a) daytime asthma symptoms \> twice a week; b) any limitation of activities; c) any nocturnal symptoms/awakening; b) need for reliever/rescue treatment \> twice a week. These conditions are to be based on recent medical history and are to be confirmed in the 2-week run-in period;
- Forced expiratory volume in the first second (FEV1) ³ 60% and \< 80% of the predicted normal value;
- Positive response to the reversibility test in the screening visit, defined as an increase of at least 12% (or, alternatively, of 200 mL) from pre-bronchodilator value in the measurement of FEV1 30 minutes following 4 puffs (4 ´ 100 µg) of inhaled salbutamol administered via pMDI. The reversibility test can be avoided in patients having a documented positive response in the previous 6 months;
- Non-smokers or ex-smokers with a cumulative tobacco exposure less than 5 pack-years and who have stopped smoking since more than 1 year;
- A co-operative attitude and ability to be trained to correctly use the pMDIs;
You may not qualify if:
- Inability to carry out pulmonary function testing;
- Diagnosis of Chronic Obstructive Pulmonary Disease (COPD;
- History of near fatal asthma;
- Evidence of severe asthma exacerbation or symptomatic infection of the airways in the previous 4 weeks;
- Three or more courses of oral corticosteroids or hospitalisation due to asthma during the previous 6 months;
- Patients who have been treated with an inhaled corticosteroid in the previous 4 weeks;
- Patients who have been treated with nebulized, oral, intravenous or intramuscular corticosteroids in the past 8 weeks or depot injectable corticosteroids in the past 12 weeks;
- Patients who have been treated with a long-acting β2-agonist (LABA) in the past 2 weeks;
- Patients who have been treated with an oral β2-agonist in the past 48 hours;
- Patients who have been treated with a short-acting β2-agonist (SABA) in the past 6 hours;
- Patients who have been treated with nebulized bronchodilators in the past 2 weeks;
- Patients who have been treated with anticholinergic medications (by any route) in the past 2 weeks;
- Patients who have been treated with a xanthine derivative (by any route) in the past 4 weeks;
- Patients who have been treated with an inhaled cromone or a leukotriene modifier in the past 4 weeks;
- History or current evidence of heart failure, coronary artery disease, myocardial infarction, severe hypertension, cardiac arrhythmias;
- +16 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (25)
Servizio di Fisiopatologia Respiratoria Diagnostica Allergologica e Biologia Respiratoria Endoscopica e Toracica U.O.C. di Pneumologia Ospedale Orlandi
Bussolengo, (vr), 37012, Italy
Unità Dipartimentale di Fisiopatologia Respiratoria -Dipartimento di Medicina Interna e Specialità Mediche (DI.MI.) - Ospedale S. Martino e Cliniche Universitarie Convenzionate
Genova, 16129, Italy
Unità Operativa Complessa di Clinica fisiologica e Pneumologia - Dipartimento di Medicina Interna e Specialità Mediche (DI.MI.) - Ospedale S. Martino e Cliniche Universitarie Convenzionate
Genova, 16129, Italy
Dipartimento di Medicina Ambientale e Sanità Pubblica-Sede di Medicina del Lavoro Servizio di Fisiopatologia Respiratoria
Padua, 35127, Italy
Malattie dell'Apparato Respiratorio - Università degli Studi di Pisa Ospedale Cisanello
Pisa, 56100, Italy
City Clinical Hospital № 61, Pulmonology Department
Moscow, 119048, Russia
Central Clinical Hospital №1 OAO"RZD",Pulmonology Department
Moscow, 125315, Russia
Clinical Hospital № 2, Pulmonology Department
Yaroslavl, 150010, Russia
Clinical Hospital № 8, Pulmonology Department
Yaroslavl, 150030, Russia
Regional Clinical Hospital, Department of Therapeutics of Post Graduate, Yaroslavl Medical Academy
Yaroslavl, 150062, Russia
Hospital General Universitario Gregorio Marañón
Madrid, 28007, Spain
Department of Therapy of Kharkov Medical Academy of Postgraduate Education City Multifield Clinical Hospital n° 25
Kharkiv, 61008, Ukraine
Pulmonological and Allergological Department of the Kharkov Regional Clinical Hospital
Kharkiv, 61022,, Ukraine
Central Military Hospital of North Region. Pulmonological Department
Kharkiv, 61022, Ukraine
Department of propaedeutics of internal diseases #1. Kharkov State Medical University.
Kharkiv, 61022, Ukraine
Pulmonological Department # 2 City Clinical Hospital # 13
Kharkiv, 61035, Ukraine
Pulmonological Department of the Institute of Therapy Ukrainian Academy of Medical Science
Kharkiv, 61035, Ukraine
Department of General Practice - Family Medecine Medical Academy of post-graduate education. City Clinical Hospital N° 17
Kharkiv, 61037, Ukraine
Department of Diagnostic, Therapy and Clinical Pharmacology of Lung Disease of the Institute of Phtisiology and Pulmonology Academy of Medical Sciences of the Ukraine
Kiev, 03680, Ukraine
Institute of Phthisiology and Pulmonology Acedemy of Medical Science of the Ukraine
Kiev, 03680, Ukraine
Pulmonology Department of the Institute of Phthisiology and Pulmonology AMS of the Ukraine
Kiev, 03680, Ukraine
Department of Pediatrics and laboratory diagnostics, Dniepropetrovsk State Medical Academy City Clinical Hospital No. 8. Pulmonology Department. 55
Krivoi Rog, 50082, Ukraine
General Therapy Clinic Central Military Clinical Hospital of Ministry of Defenses of Ukraine
Kyiv, 01133, Ukraine
Department of Hospital Therapy of Lugansk State Medical Institute
Luhansk, 91045, Ukraine
Department of Hospital Therapy, Lviv State Medical University named by Danylo Galytsky, Lviv Regional Clinical Hospital
Lviv, 79010, Ukraine
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Giovanni Cremonesi, M D
Chiesi Farmaceutici S.p.A.
- STUDY DIRECTOR
Gabriele Nicolini, CPM
Chiesi Farmaceutici S.p.A.
- PRINCIPAL INVESTIGATOR
Luis Puente, Dr
Hospital General Universitario Gregorio Maranon, Madrid
- PRINCIPAL INVESTIGATOR
Giorgio Walter Canonica, Prof.
Ospedale S.Martino e Cliniche Universitarie Convenzionate, Genova, Italy
- PRINCIPAL INVESTIGATOR
Igor Bereznyakov, Prof.
Department of therapy of Kharkov Academy of Postgraduate Education, Kharkov, Ukraine
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
September 11, 2007
First Posted
September 12, 2007
Study Start
November 1, 2007
Primary Completion
January 1, 2009
Study Completion
January 1, 2009
Last Updated
March 30, 2017
Record last verified: 2017-03