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A Comparison of Symbicort® Single Inhaler Therapy and Conventional Best Practice for the Treatment of Persistent Asthma (PASSION)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00628758
Recruitment Status : Completed
First Posted : March 5, 2008
Results First Posted : August 14, 2012
Last Update Posted : August 14, 2012
Information provided by (Responsible Party):

Brief Summary:
The primary objective is to compare the efficacy of Symbicort Single inhaler Therapy with treatment according to conventional best practice in adult patients with persistent asthma.

Condition or disease Intervention/treatment Phase
Asthma Drug: Symbicort TBH - Turbuhaler Drug: beta-II-agonist, inhale steroid Phase 3

Detailed Description:
A secondary objective is to collect safety data for treatment wtih Symbicort Single inhaler Therapy in adult patients with persistent asthma.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 430 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Comparison of Symbicort® Single Inhaler Therapy (Symbicort Turbuhaler® 160/4.5mg, 1 Inhalation Two Times a Day (b.i.d.) Plus as Needed) and Conventional Best Practice for the Treatment of Persistent Asthma in Adults a -26-week, Randomized, Open-label, Parallel-group, Multicentre Study
Study Start Date : December 2005
Actual Primary Completion Date : September 2008
Actual Study Completion Date : September 2008

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Asthma

Arm Intervention/treatment
Experimental: Symbicort
Symbicort Single Inhaler Therapy ( Turbuhaler 160/4.5 microgram, 1 inhalation bid + as needed)
Drug: Symbicort TBH - Turbuhaler
Symbicort Single Inhaler Therapy ( Turbuhaler 160/4.5 microgram, 1 inhalation bid + as needed)

Experimental: Conventional BP
Conventional Best Practice for Treatment of Asthma
Drug: beta-II-agonist, inhale steroid
Salbulin inh. 200-400 dosage 100 microgram (mcg)/dosage Salbutamol Sustained Release(SR)capsule 4 mg/8 mg Salbutol tablet (tb) 2 mg Salbutol forte syrup 2 mg/5 ml Ventolin tb, syrup, intravenous(IV),5mgx10 ampule(amp) Ventolin inhaler (inh) 200 dosage, 100 mcg/dosage Ventolin nebul 2.5 mg Volmax tb 4 mg/8 mg Vent-o-sal inh 100 mcg/200 dosage Combivent inh 100 mcg/dosage Combivent neb 2.5 mg/dosage Bricanyl tb 2.5 mg Bricanyl durules ret tb 5 mg Bricanyl syrup 30mg Bricanyl inhaler 0.25 mg/dosage, 400 dosage Bricanyl turbuhaler 0.5 mg/dosage, 200dosage
Other Names:
  • Astmerol inh 25 mcg/dosage, 60-120 dosage
  • Astmerol maksihaler 50 mcg/dosage, 28-60 dosage
  • Serevent diskus 50 mcg/dosage, 60 dosage
  • Serevent inh 25 mcg/dosage, 60 dosage
  • Foradil inh kap 12 mcg/dosage, 60 caps
  • Foradil inh 12 mcg/dosage, 50-100 dosage
  • Foradil combi 200 mcg
  • Foradil combi 400 mcg
  • Oxis turbuhaler 4.5-9 mcg/dosage, 60 dosage
  • Ventofor 12mg/60 inh.caps
  • Seretide disc 100-250-500 mcg/dosage 60 dosage
  • Symbicort 160/4.5 mcg/60-120 dosage, 320/9mcg/60 dosage

Primary Outcome Measures :
  1. Time to First Severe Asthma Exacerbation [ Time Frame: 26 weeks ]
    Time to severe exacerbation among patients

Secondary Outcome Measures :
  1. Number of Severe Asthma Exacerbations [ Time Frame: 26 weeks ]
    Total number of severe asthma exacerbations per treatment group

  2. Change in Standardised Asthma Quality of Life Questionnaire (AQLQ(S)) Score [ Time Frame: Baseline and 26 weeks ]
    Quality-of-Life assessment; grouped in four domains;activity limitation, symptoms, emotional function and exposure to environmental stimuli, using with a scale from 1 to 7 where 1 represents the greatest possible impairment and 7 represents the least impairment.

  3. Mean Use of As-needed Medication Per Day During Treatment Period [ Time Frame: Daily recording during the treatment period of 26 weeks ]
    Mean use of as-needed medication per day during treatment period

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Signed informed consent form. If the patient cannot read and write, verbal consent from the patient is required.
  • Ability to read and write in Turkish
  • Female or male outpatients aged 18 years
  • Minimum of 3 months history of asthma, diagnosed according to the American Thoracic Society (ATS) definition
  • Prescribed inhaled glucocorticosteroid (GCS) at a dose of 320mg/day and within the approved label for the relevant drug during the last 3 months prior to Visit 1
  • Either: daily maintenance treatment with both inhaled GCS and long-acting b2-agonist (LABA) or daily treatment with inhaled GCS alone (i.e. without LABA); and a history of suboptimal asthma control the month prior to enrollment as judged by the investigator; and use of 3 Peak Expiratory Flow inhalations ofas needed medication for symptom relief during the last 7 days before enrollment

Exclusion Criteria:

  • Previous treatment with Symbicort Single inhaler Therapy
  • Use of any b-blocking agent, including eye drops
  • Use of oral GCS as maintenance treatment
  • Known or suspected hypersensitivity to study therapy or excipients
  • A history of smoking 10 pack years
  • Pregnancy, breast-feeding or planned pregnancy during the study. Fertile women not using acceptable contraceptive measures, as judged by the investigator
  • Any significant disease or disorder, which, in the opinion of the investigator, may put the patient at risk because of participating in the study

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00628758

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Research Site
Ankara, Turkey
Research Site
Antalya, Turkey
Research Site
Bursa, Turkey
Research Site
Denizli, Turkey
Research Site
Diyarbakir, Turkey
Research Site
Edirne, Turkey
Research Site
Eski?ehir, Turkey
Research Site
Istanbul, Turkey
Research Site
Izmir, Turkey
Research Site
Kocaeli, Turkey
Research Site
Malatya, Turkey
Research Site
Manisa, Turkey
Research Site
Mersin, Turkey
Research Site
Samsun, Turkey
Research Site
Zonguldak, Turkey
Sponsors and Collaborators
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Principal Investigator: Zeynep Misirligil Ankara Univ. Med. Fac, Chest Disease Dept
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Responsible Party: AstraZeneca Identifier: NCT00628758    
Other Study ID Numbers: D5890L00016
First Posted: March 5, 2008    Key Record Dates
Results First Posted: August 14, 2012
Last Update Posted: August 14, 2012
Last Verified: July 2012
Keywords provided by AstraZeneca:
Persistent Asthma
Additional relevant MeSH terms:
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Bronchial Diseases
Respiratory Tract Diseases
Lung Diseases, Obstructive
Lung Diseases
Respiratory Hypersensitivity
Hypersensitivity, Immediate
Immune System Diseases
Budesonide, Formoterol Fumarate Drug Combination
Formoterol Fumarate
Salmeterol Xinafoate
Anti-Asthmatic Agents
Respiratory System Agents
Bronchodilator Agents
Autonomic Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Adrenergic beta-2 Receptor Agonists
Adrenergic beta-Agonists
Adrenergic Agonists
Adrenergic Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action