A Phase II Study to Investigate Lung Function With 2 Different Doses of Inhaled Glycopyrronium Taken With BFF Compared to BFF in Participants of 4 to Less Than 12 Years of Age With Asthma
FAROS
A Phase II, Randomized, Double-blind, 3-Period Cross-over, Dose-ranging Study to Assess the Efficacy and Safety of Glycopyrronium (GP) Versus Placebo in Participants of 4 to Less Than 12 Years of Age With Asthma Receiving Background Budesonide and Formoterol Fumarate (BFF)
3 other identifiers
interventional
69
7 countries
39
Brief Summary
The purpose of this study is to evaluate the effect of 2 different GP metered dose inhaler (MDI) doses relative to placebo MDI as add-on treatment to BFF MDI on lung function in participants 4 to less than 12 years of age with asthma.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2 asthma
Started Apr 2026
Longer than P75 for phase_2 asthma
39 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
April 7, 2026
CompletedFirst Posted
Study publicly available on registry
April 13, 2026
CompletedStudy Start
First participant enrolled
April 14, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 23, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
May 23, 2029
April 22, 2026
April 1, 2026
3.1 years
April 7, 2026
April 17, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change from baseline in Forced Expiratory volume in one second (FEV1) at 1-hour post-dose measured at End of treatment (EoT)
Evaluate the effect of 2 different GP MDI doses relative to placebo MDI as an add-on treatment to BFF MDI on lung function in 4 to less than 12 years old participants with asthma.
at 3 weeks
Secondary Outcomes (1)
Change from baseline in morning pre-dose trough FEV1 at EOT
at 3 weeks
Other Outcomes (1)
Number of participants with adverse events (AEs) and Adverse events of special interest (AESIs)
Up to Follow-up (2 weeks after last dose)(Approximately 14 weeks)
Study Arms (6)
Treatment Sequence ABC
EXPERIMENTALParticipants will receive three treatments in sequence: Treatment A, Treatment B followed by Treatment C for 3 weeks each.
Treatment Sequence BCA
EXPERIMENTALParticipants will receive three treatments in sequence: Treatment B, Treatment C followed by Treatment A for 3 weeks each.
Treatment Sequence CAB
EXPERIMENTALParticipants will receive three treatments in sequence: Treatment C, Treatment A followed by Treatment B for 3 weeks each.
Treatment Sequence ACB
EXPERIMENTALParticipants will receive three treatments in sequence: Treatment A, Treatment C followed by Treatment B for 3 weeks each.
Treatment Sequence BAC
EXPERIMENTALParticipants will receive three treatments in sequence: Treatment B, Treatment A followed by Treatment C for 3 weeks each.
Treatment Sequence CBA
EXPERIMENTALParticipants will receive three treatments in sequence: Treatment C, Treatment B followed by Treatment A for 3 weeks each.
Interventions
GP MDI will be administered via oral inhalation twice daily (BID).
BFF MDI will be administered via oral inhalation BID.
Placebo MDI will be adminsitered via oral inhalation BID.
Eligibility Criteria
You may qualify if:
- Participants who have a documented history of physician-diagnosed asthma
- Participants who have been using a stable and regular inhaled corticosteroid plus one additional asthma controller medication.
- Participants must have a Childhood Asthma Control Test score ≥ 19.
- Participants must have a pre-bronchodilator FEV1 ≤ 95% of predicted normal value.
- Body mass index (BMI) ≤ 95 percentile for age and body weight of ≥ 14 kg or higher.
- Female participants who experience menarche must have a negative urine pregnancy test.
- Received no asthma medication other than run-in BFF MDI BID and albuterol/salbutamol as needed.
You may not qualify if:
- Life-threatening asthma defined as a history of significant asthma episode(s) requiring intubation associated with hypercapnia, respiratory arrest, hypoxic seizures, or asthma-related syncopal episode(s).
- Historical or current evidence of a clinically significant disease including, but not limited to cardiovascular, hepatic, renal, hematological, neurological, endocrine, gastrointestinal, or pulmonary.
- Any clinically relevant abnormal findings in physical examination, clinical chemistry, hematology, vital signs, or ECG.
- Hospitalization for asthma
- Narrow-angle glaucoma not adequately treated and/or change in vision, bladder dysfunction, bladder outlet obstruction/urinary retention or any other conditions where anticholinergic treatment is contraindicated and may be relevant.
- Use of Long-acting muscarinic antagonist (LAMA), either alone or as part of an inhaled combination therapy.
- Current use of any systemic beta-blockers.
- Respiratory infection involving antibiotic treatment.
- Systemic corticosteroid use for any reason (including asthma exacerbations).
- Participants with a known hypersensitivity to beta 2-agonists, corticosteroids, anticholinergics, or any component of the MDI.
- Participants who are medically unable to withhold their short-acting bronchodilators and other asthma medications.
- Any use of marketed (eg, omalizumab, mepolizumab, benralizumab, reslizumab) or investigational biologic.
- Regular use of a nebulizer or a home nebulizer for receiving asthma medications.
- Use of any immunomodulators or immunosuppressive medication.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AstraZenecalead
Study Sites (39)
Research Site
Bakersfield, California, 93301, United States
Research Site
Long Beach, California, 90806, United States
Research Site
San Diego, California, 92123, United States
Research Site
Miami, Florida, 33125, United States
Research Site
Pembroke Pines, Florida, 33026, United States
Research Site
Owensboro, Kentucky, 42301, United States
Research Site
Lafayette, Louisiana, 70508, United States
Research Site
Boston, Massachusetts, 02114, United States
Research Site
Columbia, Missouri, 65203, United States
Research Site
Cincinnati, Ohio, 45229, United States
Research Site
Oklahoma City, Oklahoma, 73120, United States
Research Site
Buenos Aires, C1122, Argentina
Research Site
CABA, 1426, Argentina
Research Site
La Plata, B1900AXI, Argentina
Research Site
Lanús Este, B1824KAJ, Argentina
Research Site
Lobos, 7240, Argentina
Research Site
Mar del Plata, B7600, Argentina
Research Site
Mendoza, 5500, Argentina
Research Site
Mendoza, M5500, Argentina
Research Site
Rosario, 2000, Argentina
Research Site
Rosario, S2000CVD, Argentina
Research Site
San Juan Bautista, 1888, Argentina
Research Site
Santa Fe, 3000, Argentina
Research Site
Brno, 65691, Czechia
Research Site
Prague, 15006, Czechia
Research Site
Debrecen, 4032, Hungary
Research Site
Orosháza, 5900, Hungary
Research Site
Szeged, 6720, Hungary
Research Site
Székesfehérvár, 8000, Hungary
Research Site
Szigetvár, 7900, Hungary
Research Site
Apodaca, 64620, Mexico
Research Site
Guadalajara, 44130, Mexico
Research Site
San Juan, 00909, Mexico
Research Site
Lodz, 90-329, Poland
Research Site
Tarnów, 33-100, Poland
Research Site
Belgrade, 11000, Serbia
Research Site
Belgrade, 11040, Serbia
Research Site
Belgrade, 11070, Serbia
Research Site
Novi Sad, 21000, Serbia
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
AstraZeneca Clinical Study Information Center
CONTACT
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 7, 2026
First Posted
April 13, 2026
Study Start
April 14, 2026
Primary Completion (Estimated)
May 23, 2029
Study Completion (Estimated)
May 23, 2029
Last Updated
April 22, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP
- Time Frame
- AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment athttps://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
- Access Criteria
- When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.