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OpenTrials
Completed

NCT Number: NCT00667797

Costs & Outcomes of Hospitalization/Treatment With Levalbuterol & Albuterol in Asthma or Chronic Obstructive Pulmonary Disease (COPD) Subjects

An analysis of the costs and outcomes associated with hospitalization and treatment of Levalbuterol versus Racemic Albuterol in subjects with Asthma and COPD.

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Key information

About this study

This was a randomized, open-label study evaluating clinical and pharmacoeconomic outcomes in hospitalized patients with asthma or COPD who have been admitted due to an exacerbation of their disease and required further treatment with a beta2-adrenergic agonist. Approximately 430 patients were randomized and enrolled. Patients were then followed during their hospitalization. Once discharged, patient status was assessed via telephone interview 30 days after discharge. This study was previously posted by Sepracor Inc. In October 2009, Sepracor Inc. was acquired by Dainippon Sumitomo Pharma., and in October 2010, Sepracor Inc's name was changed to Sunovion Pharmaceuticals Inc.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male and female subjects must be at least greater than or equal to 18 years of age at the time of consent.
  • Subjects must have history of asthma or COPD for at least 6 months prior to hospitalization.
  • Subjects must have been hospitalized due to an exacerbation of their disease and required further treatment with a nebulized beta2-adrenergic agonist.
  • Subjects must have an oxygen saturation level greater than or equal to 90% with greater than or equal to 40% face mask supplemental oxygen.

Exclusion criteria

  • Subjects who are likely to be in the Intensive Care Unit (ICU) or Critical Care Unit (CCU).
  • Based upon history or physical exam in the ED or Clinic, subjects with known or suspected cause of pulmonary symptoms other than asthma or COPD, such as pneumonia, pulmonary embolism, cystic fibrosis, or angioedema. Subjects with CHF that are admitted with a primary admission diagnosis of COPD are not excluded.
  • Female subjects who are pregnant or breast feeding.
  • Subjects who have participated in an investigational drug study within 30 days of study entry or have previously participated in the current trial.
  • Subjects who are planning to receive elective surgical procedures during the 30 day period after hospital discharge.

Treatment and study plan

levalbuterol HCl

Drug

Levalbuterol 1.25 mg will be prescribed every 6-8 hours, with standing orders for as needed PRN use. However, the prescribing physician may change the dose, frequency, and/or duration of levalbuterol administration at their discretion.

Other names: Xopenex Inhalation Solution

Albuterol sulfate

Drug

Racemic albuterol 2.5 mg will be prescribed per the standard of care used in the institution, with standing orders for as needed PRN use. However, the prescribing physician may change the dose, frequency, and/or duration of racemic albuterol administration at their discretion.

Other names: Ventolin Inhalation Solution

Primary outcomes

  1. The primary endpoint is the number of nebulizations, scheduled and rescue, required to treat the patient.

    Time frame: Daily for 14 days

Secondary outcomes

  1. Hospital Length of Stay

    Time frame: Daily for 14 days

  2. Relapse Rate

    Time frame: Daily for 14 days

  3. Clinical Chest Assessment

    Time frame: Daily for 14 days

  4. Pulmonary Function Test Data (FEV1, FVC, PEF, FEV1/FVC)

    Time frame: Pre-dose each day and within 30 minutes after the initial dose of study medication on the first day

  5. Disease Symptoms

    Time frame: Daily for 14 days

  6. Investigator and Subject Global Assessments

    Time frame: Daily for 14 days

  7. Discharge Location Classification

    Time frame: Daily for 14 days

  8. Concomitant Respiratory Medication Use

    Time frame: Daily and 30 days post discharge

  9. Total Hospital Costs

    Time frame: Daily for 14 days

  10. Cost of Respiratory Therapy Resources

    Time frame: Daily for 14 days

  11. Respiratory Medication Costs

    Time frame: Daily for 14 days

  12. Subject Satisfaction with Treatment

    Time frame: Daily for 14 days

  13. Subject General Well-being

    Time frame: Daily and 30 days post discharge

Sponsors and collaborators

Lead sponsor

Sumitomo Pharma America, Inc.

Industry

Registry information

Official study title

Pharmacoeconomic Outcomes of Levalbuterol and Racemic Albuterol in Inpatients Requiring Nebulization (POLARIS)

Acronym: POLARIS

Important dates

Study start
2003
Primary completion
2005
Study completion
2005
First posted
Apr 28, 2008
Registry last updated
Feb 22, 2012

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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