Safety and Efficacy of Berodual® Inhaled Via Respimat® Compared to MDI (Metered Dose Inhaler) in Pediatric Patients With Asthma

NCT02182505 | Completed Phase 3

• 1 other identifier: 215.1105
• Study Type: interventional
• Target: 535
• Locations: 0 countries
• Sites: N/A

Brief Summary

Study to demonstrate that at least one of the two doses of Berodual® (50 µg fenoterol hydrobromide + 20 µg ipratropium bromide and 25 µg fenoterol hydrobromide + 10 µg ipratropium bromide, 1 puff t.i.d.) administered via Respimat® device gives a bronchodilator response which is not inferior to that obtained from one dose of Berodual® (50 µg fenoterol hydrobromide + 21 µg ipratropium bromide, 2 puffs t.i.d.) administered via the MDI (chlorofluorocarbon-metered dose inhaler) with Aerochamber® and that the safety profile is at least as good when paediatric asthma patients are treated for four weeks.

Conditions

Asthma

Outcome Measures

Primary Outcomes (1)

• Change in average FEV1 AUC0-1 (FEV1( (Forced expiratory volume in one second) AUC0-1(Area under the curve between 0 and 1 hour ))

  pre-dose and 5, 30, 60 minutes post-dose on day 29

Secondary Outcomes (13)

• Average FEV1 between 0 and 1 hour (FEV1 AUC0-1)

  pre-dose and 5, 30, 60 minutes post-dose on days 1 and 15

• Total average FEV1 between 0 and 1 hour (FEV1 AUC0-1)

  pre-dose and 5, 30, 60 minutes post-dose on day 29

• FVC (Forced vital capacity)

  pre-dose and 5, 30, 60 minutes post-dose on days 1, 15 and 29

• FEV25-75% (mean forced expiratory flow during the middle half of the FVC

  pre-dose and 5, 30, 60 minutes post-dose on days 1, 15 and 29

• FEV1max

  pre-dose and 5, 30, 60 minutes post-dose on days 1 and 29

Study Arms (3)

Berodual® Respimat®, low dose

EXPERIMENTAL

Drug: Berodual® Respimat®, low dose

Berodual® Respimat®, high dose

EXPERIMENTAL

Drug: Berodual® Respimat®, high dose

Berodual® MDI Aerochamber®

ACTIVE COMPARATOR

Drug: Berodual® MDI

Interventions

Berodual® Respimat®, low dose DRUG

Berodual® Respimat®, low dose

Berodual® Respimat®, high dose DRUG

Berodual® Respimat®, high dose

Berodual® MDI DRUG

Berodual® MDI Aerochamber®

Eligibility Criteria

• Age: 6 Years - 15 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Diagnosis of bronchial asthma according to the ATS (American Thoracic Society) criteria
• Male or female children between 6 and 15 years old
• Screening FEV1: 60-90 % of predicted normal. Predicted normal values will be based on the reference values by Cotes
• Airway obstruction reversibility: FEV1 should increase ≥ 12% over baseline 30 to 60 minutes after administration of 2 puffs from the Berodual® MDI used with the Aerochamber®
• Ability to be trained in proper use of MDI with Aerochamber® and Respimat®
• Ability to perform technically satisfactory pulmonary function tests
• No hospital admission for an exacerbation and stable dosage of all pulmonary medication in the last four weeks
• Parent(s)/legal guardian is able and willing to give written informed consent in accordance with Good Clinical Practice (GCP) and local legislation. The child is willing to give oral consent

You may not qualify if:

• Patients with significant disease other than asthma, e.g. history of clinically significant cardiovascular, renal, neurological, hepatic or endocrine dysfunction (e.g. hyperthyreosis). A clinically significant disease is defined as a disease which in the opinion of the investigator may either put the patient at risk because of participation in the study or which may influence the results of the study or the ability of the patient to participate in and complete the study
• Tuberculosis with indication for treatment
• History of cancer within the last five years
• Patients who have undergone thoracotomy
• Current psychiatric disorders
• History of life threatening pulmonary obstruction, active bronchiectasis, lung fibrosis, AIDS (acquired immunity deficiency syndrome) and cystic fibrosis
• Severe bronchial asthma with frequent nocturnal asthma attacks or acute exacerbations induced by recurrent bronchial infections several times per year
• An upper or lower respiratory tract infection in the four weeks prior to the screening visit (= Visit 1) or during the 2-week run-in period
• Patients with known narrow-angle glaucoma or raised intra-ocular pressure
• Patients with known intolerance or hypersensitivity to any of the trial medication including excipients
• Patients using oral corticosteroid medication within the last 4 weeks
• Patients using leukotriene receptor antagonists and 5-LO (lipoxygenase) inhibitors within the last 4 weeks
• Beta-blocker medication
• Patients who have taken an investigational drug one month or six half-lives (whichever is greater) prior to the screening visit
• Previous participation in the run-in phase of this study

Sponsors & Collaborators

• Boehringer Ingelheim: lead

MeSH Terms

Conditions

Asthma

Condition Hierarchy (Ancestors)

Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 2, 2014
• First Posted: July 8, 2014
• Study Start: September 1, 1998
• Primary Completion: July 1, 1999
• Last Updated: July 14, 2014

Record last verified: 2014-07