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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 (FAROS)

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AstraZeneca

Status and phase

Enrolling
Phase 2

Conditions

Asthma

Treatments

Combination Product: BFF MDI
Combination Product: GP MDI
Combination Product: Placebo MDI

Study type

Interventional

Funder types

Industry

Identifiers

NCT07525375
D5982C00015
EMEA-002063-PIP01-16 (Other Identifier)
2025-524914-26-00 (Other Identifier)

Details and patient eligibility

About

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.

Full 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

Enrollment

69 estimated patients

Sex

All

Ages

4 to 11 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Main 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.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Crossover Assignment

Masking

Triple Blind

69 participants in 6 patient groups

Treatment Sequence ABC
Experimental group
Description:
Participants will receive three treatments in sequence: Treatment A, Treatment B followed by Treatment C for 3 weeks each.
Treatment:
Combination Product: Placebo MDI
Combination Product: GP MDI
Combination Product: BFF MDI
Treatment Sequence BCA
Experimental group
Description:
Participants will receive three treatments in sequence: Treatment B, Treatment C followed by Treatment A for 3 weeks each.
Treatment:
Combination Product: Placebo MDI
Combination Product: GP MDI
Combination Product: BFF MDI
Treatment Sequence CAB
Experimental group
Description:
Participants will receive three treatments in sequence: Treatment C, Treatment A followed by Treatment B for 3 weeks each.
Treatment:
Combination Product: Placebo MDI
Combination Product: GP MDI
Combination Product: BFF MDI
Treatment Sequence ACB
Experimental group
Description:
Participants will receive three treatments in sequence: Treatment A, Treatment C followed by Treatment B for 3 weeks each.
Treatment:
Combination Product: Placebo MDI
Combination Product: GP MDI
Combination Product: BFF MDI
Treatment Sequence BAC
Experimental group
Description:
Participants will receive three treatments in sequence: Treatment B, Treatment A followed by Treatment C for 3 weeks each.
Treatment:
Combination Product: Placebo MDI
Combination Product: GP MDI
Combination Product: BFF MDI
Treatment Sequence CBA
Experimental group
Description:
Participants will receive three treatments in sequence: Treatment C, Treatment B followed by Treatment A for 3 weeks each.
Treatment:
Combination Product: Placebo MDI
Combination Product: GP MDI
Combination Product: BFF MDI

Trial contacts and locations

39

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Central trial contact

AstraZeneca Clinical Study Information Center

Data sourced from clinicaltrials.gov

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