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Study of Daily Dosing With Levalbuterol, Racemic Albuterol, and Placebo in Pediatric Subjects With Asthma

This study has been completed.

Sponsored by: Sepracor, Inc.
Information provided by: Sepracor, Inc.
ClinicalTrials.gov Identifier: NCT00073814
  Purpose

Study of Daily Dosing with Levalbuterol, Racemic Albuterol, and Placebo in Pediatric Subjects with Asthma


Condition Intervention Phase
Asthma
Drug: Levalbuterol tartrate MDI
Drug: racemic albuterol MDI
Drug: Placebo
Phase III

MedlinePlus related topics:   Asthma   

Drug Information available for:   Albuterol sulfate    Albuterol    Levalbuterol hydrochloride    Levalbuterol tartrate   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized, Double Blind (Subject, Investigator, Outcomes Assessor), Active Control, Parallel Assignment, Efficacy Study
Official Title:   An Efficacy, Safety, and Tolerability Study of Daily Dosing With Levalbuterol, Racemic Albuterol, and Placebo in Pediatric Subjects With Asthma

Further study details as provided by Sepracor, Inc.:

Primary Outcome Measures:
  • was peak percent change in FEV1 from visit predose averaged over the double-blind period [ Time Frame: Week 0, 2, 4 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • under the FEV1 percent change from visit predose curve averaged over the double-blind period [ Time Frame: Week 0, 2, 4 ] [ Designated as safety issue: No ]
  • peak change and peak percent change in FEV1 from visit predose to each visit [ Time Frame: Week 0, 2, 4 ] [ Designated as safety issue: No ]
  • peak change in FEV1 from visit predose to each visit [ Time Frame: Week 0, 2, 4 ] [ Designated as safety issue: No ]
  • peak percent change in FEV1 from study baseline over the double blind period [ Time Frame: Week 0, 2, 4 ] [ Designated as safety issue: No ]
  • time to peak change [ Time Frame: Week 0, 2, 4 ] [ Designated as safety issue: No ]
  • peak percent of predicted FEV1 at each visit and over the double-blind period [ Time Frame: Week 0, 2, 4 ] [ Designated as safety issue: No ]
  • area under the FEV1 percent change from predose curve at each visit [ Time Frame: Week 0, 2, 4 ] [ Designated as safety issue: No ]
  • area under the FEV1 percent change from study baseline curve at each visit and averaged over the double-blind period [ Time Frame: Week 0, 2, 4 ] [ Designated as safety issue: No ]
  • percent of predicted FEV1 AUC at each visit [ Time Frame: Week 0, 2, 4 ] [ Designated as safety issue: No ]
  • percent change in predose FEV1 from study baseline at each visit [ Time Frame: Week 0, 2, 4 ] [ Designated as safety issue: No ]
  • number and percent of responders [ Time Frame: Week 0, 2, 4 ] [ Designated as safety issue: No ]
  • time to onset of response and duration of response [ Time Frame: Week 0, 2, 4 ] [ Designated as safety issue: No ]

Enrollment:   80
Study Start Date:   December 2002
Study Completion Date:   June 2003
Primary Completion Date:   June 2003 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
1: Experimental
levalbuterol MDI 90 mcg QID
Drug: Levalbuterol tartrate MDI
levalbuterol MDI 90 mcg QID
2: Active Comparator
racemic albuterol MDI 190 mcg QID
Drug: racemic albuterol MDI
racemic albuterol MDI 180 mcg QID
3: Placebo Comparator
Placebo MDI QID
Drug: Placebo
Placebo MDI QID

Detailed Description:

This was a Phase III, double-blind, randomized, placebo- and active-controlled, multicenter, parallel-group study of up to 6 weeks in duration. Seven days of QID single-blind, placebo administration (via HFA MDI) was followed by 28 days of QID, double-blind treatment. A follow-up visit was required only for subjects who had, in the opinion of the investigator, a clinically significant finding at Visit 6 /ET that would put the subject at risk. A final follow up phone evaluation was conducted 7 days after the completion of Visit 6/ET.

  Eligibility
Ages Eligible for Study:   4 Years to 11 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria

  • Subject and subject's p/l guardian must be willing and able to comply with the study procedures and visit schedules
  • Subject, male or female, between the ages of 4 to 11 yrs
  • Female subjects 8 yrs or older will have a negative serum pregnancy test
  • Must have a documented diagnosis of asthma for a minimum of 6 months prior to study start
  • Must have stable baseline asthma and have been using a B-adrenergic agonist, and/or anti-asthma anti-inflammatory medication, and/or over-the-counter asthma medication for at least 6 mos. prior to study start
  • Must be in good health with the exception of reversible airways disease and not suffering from any chronic condition that might affect their respiratory function
  • Must have a chest X-ray that is not diagnostic of pneumonia, atelectasis, pulmonary fibrotic disease, pneumothorax, chronic obstructive pulmonary disease etc
  • Subject's p/l guardian must be able to complete the diary cards and medical event calendars reliably on a daily basis, understand dosing instructions and questionnaire completion, and demonstrate how to use the MiniWright PEF meter

Exclusion Criteria

  • Female subject who is pregnant or lactating
  • Have participated in an investigational drug study within 30 days prior to study start, or who is currently participating in another clinical trial
  • Schedule prevents him or her from taking the first daily dose of study medication and/or starting study visits before 9 AM
  • Have travel commitments during the study that would interfere with trial measurements or compliance or both
  • Have a history of hospitalization for asthma within 60 days prior to study start, or who is scheduled for in-patient hospitalization, including elective surgery during the course of the trial
  • Have a known sensitivity to levalbuterol or racemic albuterol, or any of the excipients contained in any of these formulations
  • Subject using any prescription drug with which albuterol sulfate administration is contraindicated
  • Have currently diagnosed life-threatening asthma defined as a history of asthma episodes requiring intubation, associated with hypercapnia, respiratory arrest, or hypoxic seizures within 3 mos. prior to study start
  • Have a history of cancer
  • Subject with hyperthyroidism, diabetes, hypertension, cardiac diseases or seizure disorders that currently are not well controlled by medication or that may interfere with the successful completion of this protocol
  • Have a history of substance abuse or drug abuse within 12 months preceding V1 or a positive urine drug screening at study start
  • Have a documented history of bronchopulmonary aspergillosis or any form of allergic alveolitis
  • Has suffered from a clinically significant upper or lower respiratory tract infection in the 2 wks prior to study start
  • Have a history of cigarette smoking or use of any tobacco products
  • Subject who is a relative of a staff member
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00073814

Show 45 study locations  Show 45 Study Locations

Sponsors and Collaborators
Sepracor, Inc.
  More Information


Responsible Party:   Sepracor Inc. ( Xopenex Medical Director )
Study ID Numbers:   051-354
First Received:   December 9, 2003
Last Updated:   June 6, 2008
ClinicalTrials.gov Identifier:   NCT00073814
Health Authority:   United States: Food and Drug Administration

Keywords provided by Sepracor, Inc.:
levalbuterol  
pediatric  
asthma  

Study placed in the following topic categories:
Hypersensitivity
Lung Diseases, Obstructive
Respiratory Tract Diseases
Lung Diseases
Albuterol
Hypersensitivity, Immediate
Asthma
Respiratory Hypersensitivity

Additional relevant MeSH terms:
Respiratory System Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Adrenergic Agents
Bronchial Diseases
Immune System Diseases
Adrenergic beta-Agonists
Physiological Effects of Drugs
Anti-Asthmatic Agents
Reproductive Control Agents
Adrenergic Agonists
Pharmacologic Actions
Tocolytic Agents
Autonomic Agents
Therapeutic Uses
Peripheral Nervous System Agents
Bronchodilator Agents

ClinicalTrials.gov processed this record on November 19, 2008




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