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

This study has been completed.
Information provided by (Responsible Party):
Sunovion Identifier:
First received: December 9, 2003
Last updated: February 21, 2012
Last verified: February 2012
Study of Daily Dosing with Levalbuterol, Racemic Albuterol, and Placebo in Pediatric Subjects with Asthma

Condition Intervention Phase
Drug: Levalbuterol tartrate MDI
Drug: racemic albuterol MDI
Drug: Placebo
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Participant, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: An Efficacy, Safety, and Tolerability Study of Daily Dosing With Levalbuterol, Racemic Albuterol, and Placebo in Pediatric Subjects With Asthma

Resource links provided by NLM:

Further study details as provided by Sunovion:

Primary Outcome Measures:
  • was peak percent change in FEV1 from visit predose averaged over the double-blind period [ Time Frame: Week 0, 2, 4 ]

Secondary Outcome Measures:
  • under the FEV1 percent change from visit predose curve averaged over the double-blind period [ Time Frame: Week 0, 2, 4 ]
  • peak change and peak percent change in FEV1 from visit predose to each visit [ Time Frame: Week 0, 2, 4 ]
  • peak change in FEV1 from visit predose to each visit [ Time Frame: Week 0, 2, 4 ]
  • peak percent change in FEV1 from study baseline over the double blind period [ Time Frame: Week 0, 2, 4 ]
  • time to peak change [ Time Frame: Week 0, 2, 4 ]
  • peak percent of predicted FEV1 at each visit and over the double-blind period [ Time Frame: Week 0, 2, 4 ]
  • area under the FEV1 percent change from predose curve at each visit [ Time Frame: Week 0, 2, 4 ]
  • 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 ]
  • percent of predicted FEV1 AUC at each visit [ Time Frame: Week 0, 2, 4 ]
  • percent change in predose FEV1 from study baseline at each visit [ Time Frame: Week 0, 2, 4 ]
  • number and percent of responders [ Time Frame: Week 0, 2, 4 ]
  • time to onset of response and duration of response [ Time Frame: Week 0, 2, 4 ]

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
Experimental: 1
levalbuterol MDI 90 mcg QID
Drug: Levalbuterol tartrate MDI
levalbuterol MDI 90 mcg QID
Other Name: Xopenex MDI
Active Comparator: 2
racemic albuterol MDI 190 mcg QID
Drug: racemic albuterol MDI
racemic albuterol MDI 180 mcg QID
Placebo Comparator: 3
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. This study was previously posted by Sepracor Inc. In October 2009, Sepracor Inc. was acquired by Dainippon Sumitomo Pharma., and in October 2010, Sepracor Inc's name was changed to Sunovion Pharmaceuticals Inc.

Ages Eligible for Study:   4 Years to 11 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00073814

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Sponsors and Collaborators
  More Information

Responsible Party: Sunovion Identifier: NCT00073814     History of Changes
Other Study ID Numbers: 051-354
Study First Received: December 9, 2003
Last Updated: February 21, 2012

Keywords provided by Sunovion:

Additional relevant MeSH terms:
Bronchial Diseases
Respiratory Tract Diseases
Lung Diseases, Obstructive
Lung Diseases
Respiratory Hypersensitivity
Hypersensitivity, Immediate
Immune System Diseases
Bronchodilator Agents
Autonomic Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Anti-Asthmatic Agents
Respiratory System Agents
Tocolytic Agents
Reproductive Control Agents
Adrenergic beta-2 Receptor Agonists
Adrenergic beta-Agonists
Adrenergic Agonists
Adrenergic Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action processed this record on May 22, 2017