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Completed

NCT Number: NCT01581177

Albuterol DPI (A006) Clinical Study-B2: Efficacy, Dose-Ranging and Initial Safety Evaluation

The main objective of this study is to evaluate the efficacy, dose-ranging and initial safety profiles of A006, an Albuterol dry powder inhaler (DPI), in the dose range of 25 to 180 mcg per dosing in comparison to a DPI Placebo Control and an Albuterol metered dose inhaler (MDI) Active Control.

This study will be conducted in male and female adult patients who have mild-to-moderate persistent asthma for at least 6 months, but are otherwise generally healthy.

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Key information

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Amphastar Site 0001, San Jose, California, United States

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About this study

The main objective of this study is to evaluate the efficacy, dose-ranging and initial safety profiles of A006, an Albuterol dry powder inhaler (DPI), in the dose range of 25 to 180 mcg per dose in comparison to the DPI Placebo Control and the Active (Reference) Control. The study results of this study together with that of A006-B study will be utilized to determine the optimum final dose range of A006 for further clinical studies.

The study will be conducted in male and female adult patients who have mild-to-moderate persistent asthma but are otherwise generally healthy.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Generally healthy, male and female adults, 18-55 years of age at screening
  • With mild-to-moderate persistent asthma for at least 6 months prior to screening and having used a beta-agonist(s) inhaler
  • Demonstrate a Forced Expiratory Volume (FEV1) at 50-85 percent of predicted normal during screening baseline measurement
  • Demonstrate an airway reversibility of greater than or equal to 15 percent within 30 minutes of inhaling 2 inhalations of Proventil MDI during screening visit
  • Demonstrate Peak Inspiratory Flow Rate (PIF) within 80-150 L/min (after training), at least 2 times consecutively
  • Demonstrate ability to use a DPI and MDI inhaler properly after training
  • Females must be not pregnant, not lactating, and using a clinically acceptable form of birth control
  • Properly agree to participate in the trial

Exclusion criteria

  • A smoking history of more than or equal to 10 years or having smoked within 6 months of screening visit
  • Upper respiratory tract infections within 2 weeks or lower respiratory tract infection within 4 weeks prior to screening visit
  • Asthma exacerbations that required emergency care or a hospital stay within 4 weeks prior to screening visit
  • Any current or recent respiratory tract infections that might affect the response to the study drug as determined by the investigator, including cystic fibrosis, bronchiectasis, tuberculosis, emphysema and other significant respiratory diseases besides asthma
  • Current clinically significant cardiovascular, hematological, renal, neurologic, hepatic, endocrine, psychiatric, malignant or other illnesses that could impact the study as determined by the investigator
  • Known intolerance or hypersensitivity to any ingredients of the study drug DPI or Proventil MDI (i.e.: Albuterol, sulfate, lactose, milk protein, HFA-134a, oleic acid and ethanol)

Treatment and study plan

Albuterol DPI 25 mcg/inh

Drug

Albuterol DPI with 25 mcg Albuterol/inhalation

Albuterol DPI 90 mcg/inh

Drug

Albuterol DPI with 90 mcg Albuterol/inhalation

Placebo DPI

Drug

Placebo DPI with 0 mcg Albuterol/inhalation

Albuterol MDI 90 mcg/inh

Drug

Albuterol MDI with 90 mcg Albtuerol/inhalation

Primary outcomes

  1. Change in FEV1 Area Under the Curve (AUC) versus placebo

    Time frame: Visits 1-7, at baseline, 5, 20, 30, 60, 90, 120, 240, 360 minutes post-dose

    Serial FEV1 measurements to demonstrate the mean AUC change in percent FEV1 from same-day baseline of A006 versus placebo control

Secondary outcomes

  1. Placebo AUC of adjusted FEV1 changes

    Time frame: Visits 1-7 at baseline, 5, 20, 30, 60, 90, 120, 180, 240 and 360 minutes post-dose

    Determination of change of FEV1 in placebo arm

  2. AUC of post-dose FEV1 volume changes from pre-dose baseline to Visit 7

    Time frame: Visits 1-7 at baseline, 5, 20, 30, 60, 90, 120, 180, 240, 360 minutes post-dose

    Determination of FEV1 volume change from pre-dose baseline to post treatment at Visit 7

  3. Time post-dose change in FEV1 percent first reaches greater than or equal to 12 percent over the Pre-dose Baseline

    Time frame: Visits 1-7, at 5, 20, 30, 60, 90, 120, 180, 240 and 360 minutes post-dose

    Time to onset of bronchodilator effect (Tonset), determined by linear interpolation as the point where post-dose change in FEV1 percent first reaches greater than or equal to 12 percent over the Pre-dose Baseline.

  4. Peak bronchodilator response (Fmax)

    Time frame: Visits 1-7 at 5, 20, 30, 60, 90, 120, 180, 240, 360 minutes post-dose

    The peak bronchodilator response (Fmax), defined as the maximum post-dose change in FEV1 percent.

  5. Time to peak FEV1 effect (tmax)

    Time frame: Visits 1-7 at 5, 20, 30, 60, 90, 120, 180, 240 and 360 minutes post-dose

    The time to peak FEV1 effect (tmax), defined as the time of Fmax.

  6. Duration of effect

    Time frame: Visits 1-7 at 5, 20, 30, 60, 90, 120, 180 and 360 minutes post-dose

    Duration of effect, calculated as the total duration of bronchodilator effects when change in FEV1 percent is greater than or equal to 12 percent above baseline.

  7. Bronchodilatory Response Rate (R percent)

    Time frame: Visits 1-7 at 60 minutes

    Evaluation of Bronchodilatory Response Rate (R percent) of responders who demonstrate a greater than or equal to 12 percent increase for change in FEV1 percent during the initial 60 min post-dose.

  8. Dose response curve: AUC of change in percent FEV1 versus Dose

    Time frame: Visits 1-7

    Evaluation of change in FEV1 in relation to dose.

  9. Vital Signs (i.e.: blood pressure and heart rate)

    Time frame: Visits 1-7 and EOS at baseline, 3, 8, 15, 30, 90 and 360 minutes post-dose

    Vital signs, i.e. blood pressure (SBP/DBP) and heart rate (HR), at pre-dose baseline, and 3, 8, 15, 30, 90, and 360 min post-dose.

  10. 12-lead ECG (for routine and QT/QTc)

    Time frame: Visits 1-7 at baseline, 10, 50 and 360 minutes post-dose

    Measurement of 12-lead ECG (for routine and QT/QTc), at pre-dose baseline, and at 10, 50, and 360 min post-dose.

  11. Serum glucose

    Time frame: Visits 1-7 at baseline, 15, 35 and 120 minutes post-dose

    Determination of Serum glucose, at pre-dose baseline, and at 15, 35 and 120 min post-dose.

  12. Serum potassium

    Time frame: Visits 1-7 at baseline, 15, 35 and 120 minutes post-dose

    Determination of serum potassium levels, at pre-dose baseline, and at 15, 35 and 120 min post-dose.

  13. Asthma exacerbation incidents

    Time frame: Visits 1-7 and EOS

    Evaluation of asthma exacerbation incidents in all patients throughout the duration of the study.

  14. Asthma management/ rescue drug usage

    Time frame: Visits 1-7 and EOS

    Evaluation of asthma exacerbation incidents in all patients throughout the duration of the study.

  15. Physical examination

    Time frame: Screening and End-of-Study Visit

    Physical examination of all subjects performed at screening and end-of-study visit to evaluate subject's general health.

  16. CBC

    Time frame: Screening and End-of-Study Visit

    Evaluation of CBC in all subjects at screening and end-of-study visit.

  17. Comprehensive metabolic panel

    Time frame: Screening and End-of-Study Visit

    Comprehensive metabolic panel performed on all subjects at screening and end-of-study visit.

  18. Urinalysis

    Time frame: Screening and End-of-Study Visit

    Urinalysis performed on all subjects at screening and end-of-study visit.

  19. Pregnancy test

    Time frame: Screening and End-of-Study Visit

    A pregnancy test for women of child bearing potential at screening and end-of-study visit.

  20. Medication interactions

    Time frame: Screening, Visits 1-7 and End-of-Study Visit

    Evaluation of concomitant medications used by subjects throughout the study and their potential to affect the study

  21. Number of participants with adverse events as a measure of safety and tolerability

    Time frame: Screening, Visits 1-7, End-of-Study Visit

    Adverse drug events whether observed by investigators or reported by subjects, will be documented, evaluated, followed up, and treated if deemed necessary.

Sponsors and collaborators

Lead sponsor

Amphastar Pharmaceuticals, Inc.

Industry

Registry information

Official study title

A Randomized, Double- or Evaluator-blind, Active- and Placebo-controlled, Single Dose, Seven-arm, Crossover Dose-ranging Study of A006 in Adult Asthma Patients

Important dates

Study start
2012
Primary completion
2012
Study completion
2012
First posted
Apr 20, 2012
Registry last updated
May 19, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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