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Completed

NCT Number: NCT01343745

Dose Response AMP Challenge Study With Beclometasone Dipropionate (BDP)/Formoterol Pressurised Metered Dose Inhaler (pMDI)

The aim of this exploratory investigation is to evaluate if the Forced Expiratory Volume in the 1st second (FEV1) measurements, fractional exhaled nitric oxide (FENO) and Provocative Concentration 20 (PC20) after Adenosine Monophosphate (AMP) bronchial challenge evaluated after administration of a fixed combination of a Long-acting Beta-2-agonist (LABA) and an Inhaled Corticosteroid (ICS) at increasing doses may be suitable to demonstrate a dose response.

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Key information

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Respiratory Clinical Trials - Heart Lung Centre - Queen Anne Street Medical Centre

London, W1G 8HU, United Kingdom

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male and female patients 18-50 years of age, who have signed an informed consent form.
  • Clinical evidence of asthma
  • Steroid naïve asthmatic patients
  • FEV1 at Screening Visit is >70 % of the predicted value and at least 2.0 L.
  • Body Mass Index between 18 and 35.
  • Sensitivity to AMP at Screening Visit.
  • FENO levels >25 ppb at the Screening Visit

Exclusion criteria

  • Having received an investigational product within 2 months of Screening Visit.
  • Inability to comply with study procedures or with study treatment intake.
  • Any significant lung disease which is considered by the investigator to be clinically significant.
  • Patients who suffer from Chronic Obstructive Pulmonary Disease (COPD)
  • Previous or current smokers who have a smoking history greater than 5 pack years.
  • Patients with any uncontrolled disease that might, in the judgment of the investigator, place the patients at undue risk or potentially compromise the results or interpretation of the study.
  • Patients with QTc >450msec at the Screening Visit.
  • Patients with serum potassium <3.5 mEq/L or >6 mEq/L.
  • Intolerance/hypersensitivity or any contra-indication to treatment with beta2-agonists and/or inhaled corticosteroids.
  • Patients who have a history of alcohol or substance abuse that in the opinion of the Investigator may be of clinical significance.
  • Patients who have undergone major surgery in the previous 3 months.
  • Patients who have had an exacerbation of asthma, requiring treatment with oral steroids during the last month prior to Screening Visit.
  • Patients treated with slow-release corticosteroids 2 months prior to Screening Visit.
  • Patients currently treated with anti-IgE Antibodies.
  • Patients who have had a respiratory tract infection within 4-weeks prior to Screening Visit.
  • Females not willing to use effective contraceptive measures such as oral contraceptive or intra-uterine device (IUD).
  • Females who are pregnant, lactating or planning to become pregnant

Treatment and study plan

BDP/formoterol

Drug

pressurised metered dose inhaler, BDP + Formoterol 100/6 µg, 4 inhalations bid (total daily dose 800 µg BDP + 48 µg formoterol)

Other names: Foster

Placebo

Drug

pressurised metered dose inhaler

Primary outcomes

  1. PC20 after AMP challenge

    Time frame: 4 h post dose

    Provocative Concentration of AMP causing a 20% fall in FEV1.

  2. Fractional Exhaled Nitric Oxide (FeNO)

    Time frame: 4 h post dose

    Fractional exhaled nitric oxide (ppb). FeNO is a biomarker measured in a breath test and it is a validated method for measuring the airway inflammation in asthma.

  3. Lung function

    Time frame: from 0 to 4 h post dose

    FEV1 area under the curve from 0 to 4 hour post dose (AUC0-4h)

Secondary outcomes

  1. FENO

    Time frame: 2 h post dose

    Fractional exhaled nitric oxide

Sponsors and collaborators

Lead sponsor

Chiesi Farmaceutici S.p.A.

Industry

Registry information

Official study title

Dose Response Evaluation of CHF 1535 HFA pMDI in Asthmatic Patients Using Lung Function, Adenosine Monophosphate Bronchial Challenge and Fractional Exhaled Nitric Oxide (FENO)

Important dates

Study start
2008
Primary completion
2008
Study completion
2008
First posted
Apr 28, 2011
Registry last updated
Oct 29, 2021

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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