MedPath

Epinephrine Inhalation Aerosol USP: For Evaluation Of Efficacy And Safety In Asthma Patients

Phase 3
Completed
Conditions
Asthma
Interventions
Registration Number
NCT01357642
Lead Sponsor
Amphastar Pharmaceuticals, Inc.
Brief Summary

This clinical study evaluates the 12-week efficacy and safety of Epinephrine HFA Inhalation Aerosol HFA the proposed HFA formulation of metered dose inhaler (MDI) of Epinephrine, in comparison to a Placebo-HFA control MDI and the currently marketed Primatene® Mist (epinephrine CFC inhaler), in adolescent and adult subjects with asthma.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
373
Inclusion Criteria
  • Patients with documented asthma, requiring inhaled epinephrine or beta 2-agonist treatment.
  • No significant changes in asthma therapy and no asthma-related hospitalization or emergency visits, within 4 weeks prior to Screening
  • Can tolerate withholding treatment with inhaled bronchodilators and other allowed medications for the minimum washout period.
  • Demonstrating a Screening Baseline FEV1 that is 50 - 90% of predicted normal value.
  • Demonstrating at least a 12% Airway Reversibility.
  • Demonstrating satisfactory techniques in the use of metered-dose inhaler and a hand held peak expiratory flow meter.
  • Female patients of child-bearing potential must be non-pregnant and non-lactating at Screening and throughout the study, and must use an acceptable method of contraception during the study.
Exclusion Criteria
  • A smoking history of 10-pack years, or having smoked within 12 months of screening.
  • Any current or past medical conditions that, per investigator discretion, might significantly affect responses to the study drugs, other than asthma.
  • Concurrent clinically significant diseases.
  • Known intolerance or hypersensitivity to any component of the study drugs.
  • Recent infection of the respiratory tract, before screening.
  • Use of prohibited medications.
  • Having been on other investigational drug/device studies in the last 30 days prior to screening.
  • Known or highly suspected substance abuse.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm Aepinephrine inhalation aerosolActive comparator, Primatene Mist, 2×220 mcg/inhalation, QID, with 4-6 hr intervals
Arm Tepinephrine inhalation aerosolArm T is the experimental treatment arm consisting of 2 x 125 mcg/inhalations of E004, QID, with 4-6 hr intervals
Arm PPlaceboPlacebo comparator as 2×Placebo QID, with 4-6 hr intervals
Primary Outcome Measures
NameTimeMethod
Change in Area Under the Curve (AUC) versus placeboat 5, 30, 60, 120, 180, 240, and 360 minutes post-dose

Serial FEV1 measurements to demonstrate the mean AUC of change in percent FEV1 from same-day baseline of E004 (Treatment T; Epinephrine-HFA) versus Placebo-HFA (Treatment P) is the primary efficacy endpoint.

Secondary Outcome Measures
NameTimeMethod
Blood glucose and potassiumbaseline, and at 15 and 120 min post-dose

Monitor blood glucose and potassium levels to assure appropriate balance

Monitor vital signs2, 10, 20, 60, and 360 min after dosing

Assess blood pressure, pulse rate

Cardiac rhythmat baseline, 2, 10, 20, and 60 min post-dose

At study visits 1 and 5 only, perform 12 lead ECG

Trial Locations

Locations (31)

West Coast Clinical Trials

🇺🇸

Costa Mesa, California, United States

Southern California Institute for Respiratory Diseases

🇺🇸

Los Angeles, California, United States

Asthma and Allergy Associates of Southern California

🇺🇸

Mission Viejo, California, United States

CHOC PSF, Division of Allergy, Asthma and Immunology

🇺🇸

Orange, California, United States

Allergy & Asthma Assocaites of Santa Clara Valley

🇺🇸

San Jose, California, United States

Colorado Allergy & Asthma Centers

🇺🇸

Denver, Colorado, United States

Rocky Mountain Center for Clinical Research

🇺🇸

Wheat Ridge, Colorado, United States

Atlanta Allergy & Asthma Clinic

🇺🇸

Woodstock, Georgia, United States

Iowa Clinical Research Corporation

🇺🇸

Iowa City, Iowa, United States

Family Allergy & Asthma Research Institute

🇺🇸

Louisville, Kentucky, United States

Northeast Medical Research Associates

🇺🇸

No. Dartmouth, Massachusetts, United States

Clinical Research Institute

🇺🇸

Plymouth, Minnesota, United States

The Clinical Research Center

🇺🇸

St. Louis, Missouri, United States

Clinical Research Group of Montana

🇺🇸

Bozeman, Montana, United States

Princeton Center for Clinical Research

🇺🇸

Skillman, New Jersey, United States

North Carolina Clinical Research

🇺🇸

Raleigh, North Carolina, United States

New Horizons Clinical Research

🇺🇸

Cincinnati, Ohio, United States

Intergated Medical Research

🇺🇸

Ashland, Oregon, United States

Allergy and Asthma Research Group

🇺🇸

Eugene, Oregon, United States

Baker Allergy, Asthma & Dermatology Research Center

🇺🇸

Lake Oswego, Oregon, United States

The Clinical Research Institute of Southern Oregon

🇺🇸

Medford, Oregon, United States

Transitional Clinical Research

🇺🇸

Portland, Oregon, United States

Allergy and Clinical Immunology Associates

🇺🇸

Pittsburg, Pennsylvania, United States

Asthma & Allergy Research Associates

🇺🇸

Upland, Pennsylvania, United States

National Allergy, Asthma & Urticaria Centers of Charleston

🇺🇸

Charleston, South Carolina, United States

Western Sky Research

🇺🇸

El Paso, Texas, United States

Central Texas Health Research

🇺🇸

New Braunfels, Texas, United States

Sylvana Research Associates

🇺🇸

San Antonio, Texas, United States

Allergy Partners

🇺🇸

Richmond, Virginia, United States

ASTHMA, Inc.

🇺🇸

Seattle, Washington, United States

The Asthma & Allergy Center

🇺🇸

Bellevue, Nebraska, United States

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