E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Moderate to severe asthma in adolescent patients |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10003553 |
E.1.2 | Term | Asthma |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of the study is to demonstrate the clinical superiority in terms of pulmonary function (change from baseline in pre-dose morning PEF) of CHF 1535 versus a corresponding, in terms of equipotency, dose of beclomethasone monotherapy in adolescent patients with partly controlled moderate to severe persistent asthma over a 12-week treatment period. The two study treatments will be administered via a pMDI standard actuator (without a spacing device). |
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E.2.2 | Secondary objectives of the trial |
Secondary objectives will be to evaluate the effects of the therapy (both with and without spacer) on other lung function parameters, on clinical outcome measures, and to assess the safety and the tolerability of both CHF 1535 regimens in adolescents. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients will be enrolled at Visit 1 into the 2-week run-in period if they meet all the following criteria: 1. Male or female patient, aged ≥12 and < 18 years. 2. Subject’s and parents/legal representatives written informed consent. 3. Clinical diagnosis of persistent moderate/severe asthma, already treated with inhaled corticosteroids at a stable dose for at least 4 weeks prior to inclusion. 4. Evidence for “partly controlled” asthma during the 2-week run-in period, according to the Classification of Asthma Severity and Levels of Asthma Control of the Global Strategy for Asthma Management and Prevention (GINA, revised 2006), i.e. any of the followings, other than lung function (FEV1) < 80% predicted already checked at visit 1: - daytime symptoms more than twice/week - any limitations of activities or nocturnal symptoms/awakening - need for reliever/rescue treatment more than twice a week. 5. Daily dose of previous inhaled corticosteroids treatment: ≥ 500 - ≤ 750 µg of BDP-CFC, ≥ 200 - ≤ 400 µg of BDP extrafine - HFA, ≥ 250 - ≤ 400 µg of fluticasone, ≥ 400 - ≤ 600 µg of budesonide, ≥ 400 - ≤ 600 µg of mometasone. 6. FEV1 ≥ 40% and < 80% of the predicted normal values (and at least 0.7 L absolute value) following adequate wash-out from bronchodilators. 7. A documented positive response to the reversibility test, defined as ∆FEV1 > 12% and > 200 mL over baseline, 30 minutes after 400 µg salbutamol pMDI. 8. A cooperative attitude and ability to be trained in the proper use of a pMDI.
Inclusion criteria 4 is to be reviewed and met at visit 2 for the patient to be eligible for randomisation in the study.
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E.4 | Principal exclusion criteria |
Patients will not be enrolled at visit 1 into the run-in period if they meet one or more of the following criteria: 1. Pregnant or lactating girl. Sexually active female not using efficient contraception (e.g. oestro-progestatives, condoms). 2. Having received an investigational drug within 2 months before the screening visit. 3. Inability to comply to study procedures or to study treatment intake. 4. Occurrence of acute asthma exacerbations or respiratory tract infections in the 4 weeks preceding the screening visit. 5. Significant seasonal variation in asthma or asthma occurring only during episodic exposure to an allergen or a chemical sensitizer. 6. History of cystic fibrosis, bronchiectasis or alpha-1 antitrypsin deficiency. 7. History of near fatal asthma (e.g. brittle asthma, hospitalisation for asthma exacerbation in Intensive Care Unit). 8. Diagnosis of restrictive lung disease (e.g. kyphoscoliosis, ankylosing spondylitis, FEV1/FVC >70%). 9. Significant medical history and/or treatments for cardiac, renal, neurological, hepatic, endocrine diseases, or any laboratory abnormality indicative of a significant underlying condition, that may interfere with patient’s safety, compliance, or study evaluations, according to the investigator’s opinion. 10. Cancer or any other chronic disease with poor prognosis and /or affecting patient status. 11. Smoking patient (current and past smoker). 12. QTc interval (Bazett’s formula) higher than 450 msec at screening visit (visit 1). 13. Intolerance or contra-indication to treatment with beta 2-agonists and/or inhaled corticosteroids. 14. Allergy to any component of the study treatments. 15. Patient treated with inhaled LABAs in the 4 weeks prior to screening visit. 16. Any change in dose, schedule, formulation or product of an inhaled corticosteroid in the 4 weeks prior to screening visit. 17. Patient treated with oral or parenteral corticosteroids in the previous 2 months (3 months for parenteral depot corticosteroids).
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E.5 End points |
E.5.1 | Primary end point(s) |
Change from baseline in pre-dose morning PEF (L/min) [the mean of the last 7 available values during the run-in period and during the last 14 days of the treatment period will be considered]. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
Double Dummy, Open Label for Spacer Group |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 8 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 34 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 1 |