A Phase II Study to Investigate Lung Function With 2 Different Doses of Inhaled Glycopyrronium Taken With BFF Compared to BFF in Participants of 4 to Less Than 12 Years of Age With Asthma
Purpose
The purpose of this study is to evaluate the effect of 2 different GP metered dose inhaler (MDI) doses relative to placebo MDI as add-on treatment to BFF MDI on lung function in participants 4 to less than 12 years of age with asthma.
Condition
- Asthma
Eligibility
- Eligible Ages
- Between 4 Years and 11 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Participants who have a documented history of physician-diagnosed asthma - Participants who have been using a stable and regular inhaled corticosteroid plus one additional asthma controller medication. - Participants must have a Childhood Asthma Control Test score ≥ 19. - Participants must have a pre-bronchodilator FEV1 ≤ 95% of predicted normal value. - Body mass index (BMI) ≤ 95 percentile for age and body weight of ≥ 14 kg or higher. - Female participants who experience menarche must have a negative urine pregnancy test. - Received no asthma medication other than run-in BFF MDI BID and albuterol/salbutamol as needed. Main
Exclusion Criteria
- Life-threatening asthma defined as a history of significant asthma episode(s) requiring intubation associated with hypercapnia, respiratory arrest, hypoxic seizures, or asthma-related syncopal episode(s). - Historical or current evidence of a clinically significant disease including, but not limited to cardiovascular, hepatic, renal, hematological, neurological, endocrine, gastrointestinal, or pulmonary. - Any clinically relevant abnormal findings in physical examination, clinical chemistry, hematology, vital signs, or ECG. - Hospitalization for asthma - Narrow-angle glaucoma not adequately treated and/or change in vision, bladder dysfunction, bladder outlet obstruction/urinary retention or any other conditions where anticholinergic treatment is contraindicated and may be relevant. - Use of Long-acting muscarinic antagonist (LAMA), either alone or as part of an inhaled combination therapy. - Current use of any systemic beta-blockers. - Respiratory infection involving antibiotic treatment. - Systemic corticosteroid use for any reason (including asthma exacerbations). - Participants with a known hypersensitivity to beta 2-agonists, corticosteroids, anticholinergics, or any component of the MDI. - Participants who are medically unable to withhold their short-acting bronchodilators and other asthma medications. - Any use of marketed (eg, omalizumab, mepolizumab, benralizumab, reslizumab) or investigational biologic. - Regular use of a nebulizer or a home nebulizer for receiving asthma medications. - Use of any immunomodulators or immunosuppressive medication.
Study Design
- Phase
- Phase 2
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Crossover Assignment
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Care Provider, Investigator)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Treatment Sequence ABC |
Participants will receive three treatments in sequence: Treatment A, Treatment B followed by Treatment C for 3 weeks each. |
|
|
Experimental Treatment Sequence BCA |
Participants will receive three treatments in sequence: Treatment B, Treatment C followed by Treatment A for 3 weeks each. |
|
|
Experimental Treatment Sequence CAB |
Participants will receive three treatments in sequence: Treatment C, Treatment A followed by Treatment B for 3 weeks each. |
|
|
Experimental Treatment Sequence ACB |
Participants will receive three treatments in sequence: Treatment A, Treatment C followed by Treatment B for 3 weeks each. |
|
|
Experimental Treatment Sequence BAC |
Participants will receive three treatments in sequence: Treatment B, Treatment A followed by Treatment C for 3 weeks each. |
|
|
Experimental Treatment Sequence CBA |
Participants will receive three treatments in sequence: Treatment C, Treatment B followed by Treatment A for 3 weeks each. |
|
Recruiting Locations
Owensboro, Kentucky 42301
More Details
- NCT ID
- NCT07525375
- Status
- Recruiting
- Sponsor
- AstraZeneca
Study Contact
AstraZeneca Clinical Study Information Center1-877-240-9479
information.center@astrazeneca.com
Detailed Description
This is a Phase II, multi-center, randomized, double-blind, 3-period, 6-sequence crossover study evaluating two doses of GP Metered-Dose Inhaler (MDI) compared with placebo MDI as add-on therapy to BFF MDI. The study comprises a 3-week run-in period, followed by three 3-week treatment periods where participants will be randomized to one of six treatment sequences, and a safety follow-up visit 12 to 16 days after the last dose of study intervention. The treatment periods are as follows: - Treatment A: BFF MDI + GP MDI Dose A - Treatment B: BFF MDI + GP MDI Dose B - Treatment C: BFF MDI + Placebo MDI