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Clinical Equivalence of Budesonide HFA MDI Versus Budesonide Turbuhaler in Mild to Moderate Chinese Asthma Patients

Registration Number
NCT05152355
Lead Sponsor
Intech Biopharm Ltd.
Brief Summary

The primary objective of this study is to compare the efficacy and safety of budesonide HFA MDI 200 mcg 2 puffs BID versus budesonide DPI (Turbuhaler) 100 mcg 4 puffs BID in Chinese mild to moderate Asthma patients.

Detailed Description

A total of 270 Chinese mild to moderate Asthma patients will be enrolled and 230 will be completed in this multi-center, randomized, single blind, parallel efficacy and safety comparison study of budesonide HFA MDI 200 mcg 2 puffs BID versus budesonide DPI (Turbuhaler) 100 mcg 4 puffs BID.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
270
Inclusion Criteria
  • Aged 18 to 70 years old and diagnosed as Asthma in clinics
  • Diagnosed as Asthma according to the 2016 Asthma guidance of Chinese Thoracic Society, and without administer corticosteroids within three months, either new or old patients
  • FEV1 predicted ≧ 60%
  • Patients is willing to participate the study and signed the Informed Consent Form
Exclusion Criteria
  • Allergy to budesonide or salbutamol
  • Infections of Respiratory tract, nasal-sinus and ear within 4 weeks before enrollment
  • Severe nasal allergy and need the treatment of corticostreoids and histamines.
  • Severe cardiovascular disease history
  • Has used leukotriene receptor antagonist (Montelukast, Pranlukast, Zafirlukast etc.) within 2 weeks before enrollment
  • Severe cognition or mental disorder and can not cooperation with the treatment
  • Significant liver dysfunction, AST, ALT > 3 X normal upper limits, CR > 1.5 X normal upper limits
  • Patients with uncontrolled diabetes or fasting blood glucose > 10 mmol/L
  • Patients currently receiving beta-antagonists or beta-agonists treatment (including eye drops)
  • Patients who has contraindications to beta2-agonists
  • Patients who has participated others drug's clinical study within three months
  • Female patients who are pregnant or lactation or prepare to pregnant
  • Any conditions which the investigators considered not suitable to enrolled

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Budesonide HFA MDI (Treatment A)Budesonide 200 microgram/Puff, HFA MDIParticipants assigned to Experimental arm will inhaled 2 puffs of budesonide 200 mcg HFA MDI bid (am 08:00 and pm 16:00) for 4 weeks
Budesonide DPI (Turbuhaler) (Treatment B)Budesonide 100 microgram/Actuation Powder for InhalationParticipants assigned to Active Comparator arm will inhaled 4 puffs of budesonide 100 mcg powder for inhalation bid (am 08:00 and pm 16:00) for 4 weeks
Primary Outcome Measures
NameTimeMethod
Change from base line of FEV1Week 0, 2 and 4

The change from base line of forced expiratory volume in one second after 4 weeks treatment

Secondary Outcome Measures
NameTimeMethod
Change from base line of FEF25%Week 0 and 4

The changes from base line of FEF25% after 4 weeks treatment

Percentage of days without symptomduring week 0 to 4

The percentage of days without asthma symptom during the treatment period

Mean change from base line of morning and evening PEFWeek 0 and 4

The mean change from base line of morning and evening PEF (peak expiratory flow)

Change from base line of FVCWeek 0 and 4

The changes from base line of FVC after 4 weeks treatment

Subjects number with acute exacerbationduring week 0 to 4

The total number of subjects with acute exacerbation during treatment period

Change from base line of FEV1/FVC ratioWeek 0 and 4

The changes from base line of FEV1/FVC ratio after 4 weeks treatment

Change from base line of ACTWeek 0, 2 and 4

The change from base line of Asthma Control Test after 4 weeks treatment

Daily PEF variabilityduring week 0 to 4

The Daily PEF variability (= (daily highest PEF-daily lowest PEF)X2/((daily highest PEF+daily lowest PEF) X 100% during the whole treatment period

Weekly PEF variabilityduring week 0 to 4

The Weekly PEF variability (= (biweely highest PEF-biweekly lowest PEF)X2/((biweekly highest PEF+biweekly lowest PEF) X 100% during the whole treatment period

Change from base line of FEF50%Week 0 and 4

The changes from base line of FEF50% after 4 weeks treatment

Change from base line of FEF75%Week 0 and 4

The changes from base line of FEF75% after 4 weeks treatment

Changes of day time and night time symptomduring week 0 to 4

The changes of day time and night time symptom during the treatment period

Total amount of rescue medication, Ventolin 100 mcg inhaler, usedduring week 0 to 4

The total amount of doses of rescue medication, Ventolin 100 mcg inhaler, used during the treatment period

Percentage of days without using rescue medicineduring week 0 to 4

The percentage of days without using rescue medicine during the treatment period

Trial Locations

Locations (13)

The Second Hospital of Hebei Medical University

🇨🇳

Shijia Zhuang, He Bei Sheng, China

Bao Gang Hospital

🇨🇳

Baotou, Inner Mongolia, China

The Affiliated Hospital of Inner Mongolia Medical University

🇨🇳

Hohhot, Inner Mongolia, China

The First Affiliated Hospital of Shanxi Medical University

🇨🇳

Taiyuan, Shan XI Sheng, China

Shanxi Provincial People's Hospital

🇨🇳

Taiyuan, Shan XI Sheng, China

QingDao Municipal Hospital

🇨🇳

Qingdao, Shandon, China

Daqing Oil Field Hospital

🇨🇳

Daqing, Heilongjiang, China

Peking University People's Hospital

🇨🇳

Beijing, Beijing, China

The First Affiliated Hospital of Jinan University

🇨🇳

Guangzhou, Guangdong, China

Meizhou People's Hospital

🇨🇳

Meizhou, Guangdong, China

Meiheko Central Hospital

🇨🇳

Tonghua, Jilin, China

Affiliated Hospital of Jining Medical University

🇨🇳

Jining, Shandon, China

Tianjin First Central Hospital

🇨🇳

Tianjin, China

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