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Evaluation of Two Doses of QVAR Versus Placebo by Breath Operated and Metered Dose Inhalers in Moderate Asthmatic Adolescents and Adults on a Stable Regimen of Inhaled Corticosteroids

Phase 3
Completed
Conditions
Asthma
Registration Number
NCT00109668
Lead Sponsor
Teva Branded Pharmaceutical Products R&D, Inc.
Brief Summary

QVAR in a standard press and breath inhaler (QVAR-MDI) has been approved by the Food and Drug Administration (FDA) for use in the United States. The purpose of this study is to determine the level of asthma control when comparing the safety and effectiveness of QVAR in two different devices, a metered dose inhaler (MDI) and a breath operated inhaler (BOI).

Detailed Description

This investigation is a multicenter, randomized, placebo and active controlled, double-blind, double-dummy, parallel-group study to evaluate the safety and efficacy of two doses of QVAR-BOI in adolescents and adults.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
415
Inclusion Criteria
  • Male or non-pregnant, non-nursing female at least 12 years of age at the screening visit. NOTE: Females of childbearing potential may be included if they are practicing an acceptable method of contraception for at least 2 months and have a negative urine pregnancy test at the screening visit.
  • Asthma (FEV1 60-85% predicted)
  • Ability to perform acceptable and reproducible spirometry
  • Ability to perform PEF determinations
  • Reversible bronchoconstriction as verified by a greater than or equal to 12% increase in FEV1 following inhalation of albuterol. Historical reversibility will be allowed
  • Patients must be on a stable regimen of daily-inhaled corticosteroids at low to medium doses for at least 30 days prior to screening.
  • Otherwise healthy individuals with clinically-acceptable medical history, physical examination, vital signs, 12 lead ECG, and clinical laboratory parameters within the acceptable ranges for asthma patients.
  • Non-smoker for at least one year prior to the screening visit and maximum smoking history of ten-pack years
  • The patient must be willing to give written informed consent and be able to adhere to the dose and visit schedules. If applicable, parent or guardian must also provide consent.
Exclusion Criteria
  • Allergy or sensitivity to BDP (beclomethasone dipropionate) or to other components of the formulations used in the CTM
  • Patients demonstrating an increase or decrease in FEV1 >20% between the screening and baseline visit.
  • Patients requiring the use of >12 puffs per day of albuterol for any 3 consecutive days between the screening and baseline visits.
  • Patients who are unable to use an MDI without a spacer device. (Use of spacers is prohibited during the course of the study.)
  • Patients who have been treated with methotrexate, cyclosporin, gold or other cytotoxic agents for the control of asthma or for a concurrent condition within the last 3 months.
  • Patients who are receiving escalating doses of immunotherapy, oral immunotherapy or short course (rush) immunotherapy for rhinitis.
  • Patients with evidence of oropharyngeal candidiasis.
  • Exposure to investigational drugs within 30 days prior to the screening visit
  • Require continuous treatment with beta blockers (administered by any route), MAO inhibitors, leukotriene modifiers, tricyclic antidepressants, anticholinergics, inhaled nedocromil or cromolyn, or nebulized therapy (excluding sponsor provided albuterol MDI) following the screening visit.
  • Patients who have received any of the following treatments or met any of the following conditions within six weeks prior to the screening visit: *oral or injectable corticosteroids; *an upper respiratory tract infection and/or sinusitis associated with exacerbation of asthmatic symptoms; *emergency room treatment or hospitalization for asthmatic symptoms
  • Inability to tolerate or unwillingness to comply with required washout periods for all applicable medications
  • Treatment at any time for life-threatening asthmatic episodes
  • History or presence of any non-asthmatic acute or chronic lung disease
  • History of glaucoma, ocular hypertension or cataracts
  • Presence of systemic fungal, bacterial, viral or parasitic infections and/or ocular herpes simplex
  • Known or suspected substance abuse (e.g., alcohol, marijuana, etc.)
  • Patients who are known to be HIV positive
  • Unlikely to be compliant, take study medication as directed, complete the diary cards, or attend scheduled clinic visits as required.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (32)

Allergy Research Foundation

๐Ÿ‡บ๐Ÿ‡ธ

Los Angeles, California, United States

Asthma and Allergy Research Center

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Sarasota, Florida, United States

Aero Allergy Research Labs of Savannah, Inc

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Savannah, Georgia, United States

Regional Allergy and Asthma Consultants

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Asheville, North Carolina, United States

Morgantown Pulmonary Associates

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Morgantown, West Virginia, United States

Alabama Allergy and Asthma

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Birmingham, Alabama, United States

Colorado Allergy and Asthma Center

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Denver, Colorado, United States

Allergy Associates Medical Group

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San Diego, California, United States

Allergy, Asthma & Clinical Research Center

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Oklahoma City, Oklahoma, United States

Allergy Associates Research Center

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Portland, Oregon, United States

Allergy and Asthma Associates

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Houston, Texas, United States

Allergy and Asthma Specialists

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Huntington Beach, California, United States

West Coast Clinical Trials

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Long Beach, California, United States

Allergy and Asthma Medical Group

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Walnut Creek, California, United States

Clinical Trials of Orange County, Inc.

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Orange, California, United States

Northeast Medical Research Associates

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North Dartmouth, Massachusetts, United States

Asthma and Allergy Associates, PC

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Colorado Springs, Colorado, United States

The Clinical Research Center

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Saint Louis, Missouri, United States

Allergy and Asthma DTC

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Tallahassee, Florida, United States

Allergy, Asthma & Dermatology Research Center

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Lake Oswego, Oregon, United States

Dr. Emory Robinette

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Abingdon, Virginia, United States

Boulder Medical Center

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Boulder, Colorado, United States

Bendel Medical Research

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Lafayette, Louisiana, United States

UCLA David Geffen School of Medcine

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Los Angeles, California, United States

Dr. Alan Kaufman

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Bronx, New York, United States

Ponce School of Medicine

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Ponce, Puerto Rico

Family Allergy and Asthma Research Center

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Louisville, Kentucky, United States

National Allergy and Asthma and Urticaria Centers of Charleston, PA

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Charleston, South Carolina, United States

Belligham Asthma and Allergy

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Bellingham, Washington, United States

Sneeze, Wheeze and Itch Associates

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Normal, Illinois, United States

Pulmonary Consultants

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Tacoma, Washington, United States

Pulmonary Consultants of North Idaho

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Coeur d'Alene, Idaho, United States

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