A Study to Assess the Efficacy of Budesonide/Albuterol Metered-dose Inhaler (BDA MDI/PT027) on Exercise-induced Bronchoconstriction in Adults and Adolescents With Asthma (TYREE)

Avillion

Status and phase: Completed; Phase 3

Conditions: Exercise Induced Bronchospasm

Treatments: Combination Product: Budesonide/albuterol sulfate metered-dose inhaler 160/180 μg; Combination Product: Placebo metered-dose inhaler

Study type: Interventional

Funder types: Industry

Identifiers

NCT04234464

AV005

Details and patient eligibility

About

This is a multicenter, randomized, double-blind, single-dose, placebo-controlled, 2-period, crossover study to evaluate the efficacy and safety of budesonide/albuterol metered-dose inhaler (BDA MDI/PT027) as compared with a placebo metered-dose inhaler (placebo MDI) on exercise-induced bronchoconstriction (EIB) in adult and adolescent subjects with asthma. Subjects will receive each study treatment on separate visits and undergo a treadmill exercise challenge test for up to 10 minutes so that the effect of study treatment on exercise-induced bronchoconstriction can be evaluated.

Enrollment: 60 patients

Sex: All

Ages: 12 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Female or male aged 12 to 70 years at the time of informed consent

2. Documented history of asthma for at least 6 months prior to Visit 1

3. Receiving 1 of the following asthma therapies with stable dosing for at least the 4 weeks before Visit 1; no other asthma therapies are permitted during the study:

   • Short/rapid-acting β 2-adrenoreceptor agonist (SABA) used as needed
   • Low- to medium-dose maintenance therapy with inhaled corticosteroid (ICS) and SABA used as needed

4. Demonstrate acceptable MDI administration technique (use of a spacer device during the treatment phase is not permitted)

Exclusion criteria

1. Chronic obstructive pulmonary disease or other significant lung disease (eg, chronic bronchitis, emphysema, bronchiectasis with the need of treatment, cystic fibrosis, or bronchopulmonary dysplasia), including regular or occasional use of oxygen
2. Systemic corticosteroids (SCS) use (any dose and any indication) within 3 months before Visit 1
3. History of life-threatening asthma, defined by past intubations for asthma, or intensive care unit admission for asthma within the prior 24 months
4. Receiving regular maintenance treatment with prohibited anti-inflammatory or long-acting bronchodilator asthma medication (inhaled, nebulized, oral, or systemic) within 1 month prior to Visit 1
5. Unable to tolerate the lung function testing performed after exercise challenge test without use of rescue medication
6. Current smokers, former smokers with >10 pack-years history, or former smokers who stopped smoking <6 months before Visit 1 (including all forms of tobacco, e-cigarettes [vaping], and marijuana)
7. Completed treatment for lower respiratory infection within 6 weeks prior to Visit 1, regardless if resulting in accompanying asthma symptoms aggravation or not
8. Upper respiratory infection involving antibiotic treatment not resolved within 7 days prior to Visit 1
9. Received any marketed (eg, omalizumab, mepolizumab, reslizumab, benralizumab, dupilumab) or investigational biologic within 3 months before Visit 1, or any other prohibited medication
10. Current treatment with any investigational product or within the last 30 days of Visit 1.
11. Historical or current evidence of a clinically significant disease
12. Cancer not in complete remission for at least 5 years before Visit 1
13. Hospitalization for psychiatric disorder or attempted suicide within 1 year of Visit 1
14. History of psychiatric disease or intellectual deficiency
15. Having a scheduled or planned hospitalization during the study
16. Inability (and/or unwillingness) to abstain from protocol-defined prohibited medications during the study.
17. Use of any herbal products by inhalation or nebulizer within 2 weeks of Visit 1 and/or the unwillingness to stop during the study duration.
18. Significant abuse of alcohol or drugs

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Quadruple Blind

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60 participants in 2 patient groups

A/B - Treatment with BDA MDI 160/180 followed by treatment with Placebo MDI

Experimental group

Description:

Subjects randomized to receive a single dose of BDA MDI 160/180 in treatment period 1, and a single dose of Placebo MDI in treatment period 2.

Treatment:

Combination Product: Placebo metered-dose inhaler

Combination Product: Budesonide/albuterol sulfate metered-dose inhaler 160/180 μg

B/A - Treatment with Placebo MDI followed by treatment with BDA MDI 160/180

Experimental group

Description:

Subjects randomized to receive a single dose of Placebo MDI in treatment period 1, and a single dose of BDA MDI 160/180 in treatment period 2.

Treatment:

Combination Product: Placebo metered-dose inhaler

Combination Product: Budesonide/albuterol sulfate metered-dose inhaler 160/180 μg