E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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MedDRA Classification |
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 |
to evaluate the effect of the combination on central and peripheral airway dimensions with Computational Fluid Dynamics (CFD). |
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E.2.2 | Secondary objectives of the trial |
to assess the effect of the combination on exhaled NO, lung function (spirometry, body plethysmography, diffusion and resistance), on asthma control score and to evaluate the safety of this combination. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Patients with asthma as defined by the current GINA guidelines12 (for details of diagnosis of asthma please refer to the addendum in section 15) Patients can belong to 3 categories: Group 1 (n=8): Steroid naïve patients, not using IHC during the last 2 months and not controlled with symptomatic use of SABA Group 2 (n=14): Patients not well controlled (partially controlled or uncontrolled according to the GINA guidelines) when using medium daily dose of inhaled corticosteroids and long acting inhaled β2 agonists (for definition please refer to the addendum in section 15) given for at least 6 weeks in a powder inhaler Group 3 (n=14): Patients well controlled (according to GINA guidelines) when using medium daily dose of inhaled corticosteroids and long acting inhaled β2 agonists (for definition please refer to the addendum in section 15) given for at least 6 weeks in a powder inhaler From group 1, 2 patients and from group 2 and 3 , 3 patients will at random be assigned to subgroup 2. 2. Male or female patients aged ≥18 years 3. Patients with a documented positive response to the reversibility test (i.e. FEV1 increase ≥ 12% and 200mL from baseline value after 4 puffs of 100 µg of inhaled salbutamol pMDI) within the 12 months preceding the screening visit or performed at screening visit after a wash-out of 2 days for long acting β2 agonists or a documented positive response to the methacholine challenge test 4. Patients with a co-operative attitude and ability to be trained to correctly use the pMDI 5. Written informed consent obtained
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E.4 | Principal exclusion criteria |
1. Pregnant or lactating females or females at risk of pregnancy 2. Inability to carry out pulmonary function testing 3. Diagnosis of COPD as defined by the current GOLD guidelines13 4. History of near fatal asthma 5. Hospitalization due to asthma or symptomatic infection of the airways in the previous 8 weeks 6. Current smokers or recent (less than one year) ex-smokers, defined as smoking at least 10 cigarettes/day 7. Patients with an uncontrolled disease or any condition that might, in the judgement of the investigator, place the patient at undue risk or potentially compromise the results or interpretation of the study 8. Patients with a QTc interval (Bazett’s formula) at the screening visit ECG test >450 msec 9. Cancer or any other chronic disease with poor prognosis and /or affecting patient status 10. History of alcohol or drug abuse 11. Allergy, sensitivity or intolerance to study drugs and/or study drug formulation ingredients 12. Patients unlikely to comply with the protocol or unable to understand the nature, scope and possible consequences of the study 13. Patients who received any investigational new drug within the last 8 weeks prior to the screening visit 14. Patients treated with any non-permitted concomitant medication (see section 7.2.)
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E.5 End points |
E.5.1 | Primary end point(s) |
Effect of delivery treatment |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Information not present in EudraCT |
E.6.2 | Prophylaxis | Information not present in EudraCT |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Information not present in EudraCT |
E.6.7 | Pharmacodynamic | Information not present in EudraCT |
E.6.8 | Bioequivalence | Information not present in EudraCT |
E.6.9 | Dose response | Information not present in EudraCT |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | Information not present in EudraCT |
E.6.12 | Pharmacoeconomic | Information not present in EudraCT |
E.6.13 | Others | Information not present in EudraCT |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | Information not present in EudraCT |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
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 | 6 |
E.8.9.1 | In the Member State concerned days | |