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Study on BI 54903 (Inhaled Corticosteroid) Administered Twice Daily Via Respimat Inhaler in Patients With Asthma Inadequately Controlled on Medium Dose Inhaled Corticosteroid (ICS).

Phase 2
Terminated
Conditions
Asthma
Interventions
Registration Number
NCT01396278
Lead Sponsor
Boehringer Ingelheim
Brief Summary

The aim of the study is to assess and compare efficacy and safety of BI 54903 at three different dosages (b.i.d)., fluticasone propionate hydrofluoroalkane (HFA) metered dose inhaler (MDI) at a dose of 440 mcg b.i.d and low dose fluticasone propionate 88 mcg b.i.d. over an 8-week treatment period in asthmatic patients aged 12 to 65 years inadequately controlled medium dose ICS therapy as demonstrated by a decrease in forced expiratory volume in one second (FEV1) range 10 to 25 % and an asthma control questionnaire-6 (ACQ-6) equal or greater than 1.5 at time of randomisation.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
9
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
BI 54903 medium doseBI 54903Respimat inhaler containing medium dose BI 54903 plus placebo matching HFA MDI
BI 54903 high doseBI 54903Respimat inhaler containing high dose BI 54903 plus placebo matching HFA MDI
BI 54903 low doseBI 54903patient to receive Respimat inhaler containing low dose BI 54903 plus placebo matching hydrofluoroalkane (HFA) metered dose inhaler (MDI)
BI 54903 medium dosePlaceboRespimat inhaler containing medium dose BI 54903 plus placebo matching HFA MDI
BI 54903 low dosePlacebopatient to receive Respimat inhaler containing low dose BI 54903 plus placebo matching hydrofluoroalkane (HFA) metered dose inhaler (MDI)
BI 54903 high dosePlaceboRespimat inhaler containing high dose BI 54903 plus placebo matching HFA MDI
Fluticasone propionate 440 mcg BIDFluticasone propionateFluticasone HFA MDI containing 440 mcg ICS plus placebo matching Respimat inhaler
Fluticasone propionate 88 mcg BIDFluticasone propionateFluticasone HFA MDI containing 88 mcg ICS plus placebo matching Respimat inhaler
Primary Outcome Measures
NameTimeMethod
Mean Change From Randomisation Baseline to the End of the 8-week Treatment Period in Trough (Morning Pre-dose and Pre-rescue Bronchodilator) Forced Expiratory Volume in One Second (FEV1)At baseline and week 8

Mean change from randomisation baseline to the end of the 8-week treatment period in trough (morning pre-dose and pre-rescue bronchodilator) Forced expiratory volume in one second (FEV1).

Secondary Outcome Measures
NameTimeMethod
Mean Changes From Randomization Baseline in Trough (Morning Pre-dose and Pre-rescue Bronchodilator) Forced Vital Capacity (FVC) After 2, 4 and 8-week Treatment PeriodsAt baseline and week 2, 4, 8.

Mean changes from randomization baseline in trough (morning pre-dose and pre-rescue bronchodilator) forced vital capacity (FVC) after 2, 4 and 8-week treatment periods.

Mean Changes From Randomization Baseline in Trough (Morning Pre-dose and Pre-rescue Bronchodilator) FEV1 After 2 and 4-week Treatment PeriodsAt baseline and week 2 and 4.

Mean changes from randomization baseline in trough (morning pre-dose and pre-rescue bronchodilator) FEV1 after 2 and 4-week treatment periods.

Mean Pre-dose (and Pre-rescue) Peak Expiratory Flow (PEF) as Assessed Via Asthma Monitor2+ (AM2+) in the Morning and Evening of the Last Week of the 8-week Treatment PeriodAt week 8.

Mean pre-dose (and pre-rescue) peak expiratory flow (PEF) as assessed via Asthma Monitor2+ (AM2+) in the morning and evening of the last week of the 8-week treatment period.

Mean Rescue Medication Use (Daytime and Night-time) as Assessed Via AM2+ in the Morning and Evening of the Last Week of the 8-week Treatment PeriodAt week 8.

Mean rescue medication use (daytime and night-time) as assessed via AM2+ in the morning and evening of the last week of the 8-week treatment period.

Mean Change From Randomisation Baseline in ACQ-6 Scores at Subsequent Study VisitsAt baseline and week 2, 4, 8.

The Asthma Control Questionnaire (ACQ) consists of 6 patient self-evaluated questions with each question in 7-point scale. The items are equally weighted and the ACQ score is the mean of 6 items and ranges between 0 (well controlled) and 6 (extremely poorly controlled). Mean scores of less than or equal to 0.75 indicate well-controlled asthma, scores between 0.76 and less than 1.5 indicate partly controlled asthma, and a score greater than or equal to 1.5 indicates uncontrolled asthma.

Mean Change From Randomisation Baseline in Asthma Quality of Life Questionnaire (AQLQ(S)+12) Scores at Subsequent Study VisitsAt baseline and week 2, 4, 8.

AQLQ(S)+12 are well established and validated questionnaires to measure control of asthma symptoms and quality of life, which is a patient-reported self-administered outcome questionnaire containing 32 items. Each item is scored on a 7-point scale (1=maximal impairment, 7=no impairment). The 32 items of the questionnaire are averaged to produce one overall quality of life score ranging from 1 (severely impaired) to 7 (not impaired at all). Higher scores indicate better quality of life.

Time to Withdrawal Due to First Asthma ExacerbationAt week 8.

Time to withdrawal due to first asthma exacerbation.

Mean Change From Randomization Baseline in Through (Morning Pre-dose and Pre-rescue Bronchodilator) FEF 25-75 After 2, 4 and 8-week Treatment PeriodsAt baseline and week 2, 4 and 8.

Mean change from randomization baseline in through (morning pre-dose and pre-rescue bronchodilator) Forced expiratory flow between 25% and 75% of vital capacity (FEF 25-75) after 2, 4 and 8-week treatment periods.

Trial Locations

Locations (37)

1248.7.01035 Boehringer Ingelheim Investigational Site

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Aventura, Florida, United States

1248.7.01056 Boehringer Ingelheim Investigational Site

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Rolla, Missouri, United States

1248.7.01013 Boehringer Ingelheim Investigational Site

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Philadelphia, Pennsylvania, United States

1248.7.01047 Boehringer Ingelheim Investigational Site

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Fountain Valley, California, United States

1248.7.01044 Boehringer Ingelheim Investigational Site

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Stockton, California, United States

1248.7.01023 Boehringer Ingelheim Investigational Site

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Fullerton, California, United States

1248.7.01028 Boehringer Ingelheim Investigational Site

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Palmdale, California, United States

1248.7.01055 Boehringer Ingelheim Investigational Site

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Oak Lawn, Illinois, United States

1248.7.01019 Boehringer Ingelheim Investigational Site

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Baltimore, Maryland, United States

1248.7.01011 Boehringer Ingelheim Investigational Site

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Eagle, Idaho, United States

1248.7.01053 Boehringer Ingelheim Investigational Site

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Alexandria, Virginia, United States

1248.7.01022 Boehringer Ingelheim Investigational Site

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Miami, Florida, United States

1248.7.01015 Boehringer Ingelheim Investigational Site

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Centennial, Colorado, United States

1248.7.01021 Boehringer Ingelheim Investigational Site

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Portland, Oregon, United States

1248.7.01039 Boehringer Ingelheim Investigational Site

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North Dartmouth, Massachusetts, United States

1248.7.01026 Boehringer Ingelheim Investigational Site

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Ocean City, New Jersey, United States

1248.7.01054 Boehringer Ingelheim Investigational Site

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Trenton, New Jersey, United States

1248.7.01045 Boehringer Ingelheim Investigational Site

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Cincinnati, Ohio, United States

1248.7.01050 Boehringer Ingelheim Investigational Site

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Austin, Texas, United States

1248.7.01012 Boehringer Ingelheim Investigational Site

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Upland, Pennsylvania, United States

1248.7.01002 Boehringer Ingelheim Investigational Site

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Live Oak, Texas, United States

1248.7.01025 Boehringer Ingelheim Investigational Site

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Murray, Utah, United States

1248.7.01036 Boehringer Ingelheim Investigational Site

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Warrensburg, Missouri, United States

1248.7.01051 Boehringer Ingelheim Investigational Site

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Columbus, Georgia, United States

1248.7.01040 Boehringer Ingelheim Investigational Site

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Pittsburgh, Pennsylvania, United States

1248.7.01046 Boehringer Ingelheim Investigational Site

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San Antonio, Texas, United States

1248.7.01038 Boehringer Ingelheim Investigational Site

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Long Beach, California, United States

1248.7.01052 Boehringer Ingelheim Investigational Site

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Savannah, Georgia, United States

1248.7.01004 Boehringer Ingelheim Investigational Site

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Mission Viejo, California, United States

1248.7.01037 Boehringer Ingelheim Investigational Site

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Ypsilanti, Michigan, United States

1248.7.01049 Boehringer Ingelheim Investigational Site

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Berlin, New Jersey, United States

1248.7.01020 Boehringer Ingelheim Investigational Site

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Omaha, Nebraska, United States

1248.7.01048 Boehringer Ingelheim Investigational Site

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Charleston, South Carolina, United States

1248.7.01031 Boehringer Ingelheim Investigational Site

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High Point, North Carolina, United States

1248.7.01032 Boehringer Ingelheim Investigational Site

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San Antonio, Texas, United States

1248.7.01001 Boehringer Ingelheim Investigational Site

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Waco, Texas, United States

1248.7.01030 Boehringer Ingelheim Investigational Site

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Tacoma, Washington, United States

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