E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Moderate to severe persistent asthma |
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E.1.1.1 | Medical condition in easily understood language |
Moderate to severe persistent asthma |
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E.1.1.2 | Therapeutic area | Diseases [C] - Respiratory Tract Diseases [C08] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 13.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10003553 |
E.1.2 | Term | Asthma |
E.1.2 | System Organ Class | 10038738 - Respiratory, thoracic and mediastinal disorders |
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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 trial is to compare the 24-hour FEV1-time profile of
olodaterol versus placebo after 3 weeks of once daily (5 μg, 10 μg) or twice daily (2.5
μg and 5 μg) olodaterol inhalation solution administration with the Respimat® Inhaler.
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E.2.2 | Secondary objectives of the trial |
Secondary objective is to conduct an exploratory comparison between the different
active treatments. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients of either sex; aged ≥18 ≤ 70 years; a current diagnosis and a documented
minimum 3 month history of asthma (GINA treatment steps 3 and 4); prebronchodilator FEV1≥60% predicted and <90% predicted (ECSC); increase in FEV1 ≥12% and ≥200 ml 15 min. after 400 μg salbutamol (albuterol); stable on medium to high dose ICS or low to high dose ICS in combination with a LABA for at least 6 weeks prior to screening; stable on ICS mono component of the former fixed
LABA/ICS treatment for at least 48 hours prior to Visit 1b. |
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E.4 | Principal exclusion criteria |
History of frequent seasonal exacerbations of asthma (defined as one or more seasonal exacerbations every year for the past three years), upper respiratory tract infection in the past 4 weeks prior to screening visit 1b, oral or other systemic corticosteroids in the past 6 weeks; patients with allergen desensitization therapy if started within two years, if they are not on an established maintenance regimen characterized by dose adjustments but no further increase to the tolerable maximum in the same course of immunotherapy. |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary efficacy variable will be forced expiratory volume in one second (FEV1). The primary endpoint will be AUC 0-24h response after three weeks of treatment. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
After each three weeks of treatment |
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E.5.2 | Secondary end point(s) |
KEY SECONDARY ENDPOINT:
1. The key secondary efficacy endpoints will be FEV1 AUC0-12 h and FEV1 AUC12-24 h response after 3 weeks of treatment.
OTHER SECONDARY ENDPOINTS
2. Peak expiratory flow (PEF) a.m. and p.m. (L/min) measured by patients at home using the AM3® device (weekly and overall means obtained will be compared).
3. Peak FEV1 (L) (within 24 hours post-dose) measured following the morning trial-drug inhalation at the end of each 3 week period of randomised treatment.
4. Trough FEV1 (L) at the end of each 3 week treatment period. Trough FEV1 (L) at the end of each 3 week treatment period. Trough FEV1 is defined as the mean of the two FEV1 values (performed at 23:00 and 23:50 hours after the last morning trial-drug inhalation) at the end of the dosing interval.
5. Trough forced vital capacity (FVC) (L) at the end of each dosing interval (as defined above for FEV1) determined at the end of each 3 week period of randomised treatment.
6. FVC (AUC0-12h) and FVC (AUC12-24h) response and peak FVC (L) (within 24 hours post-dose) measured following each dosing determined at the end of each 3 week treatment period.
7. PEF (AUC0-12 h), PEF (AUC12-24 h) and PEF (AUC0-24 h) response and peak PEF (L/min) (within 24 hours post-dose) measured following each dosing determined at the end of each 3 week treatment period.
8. PEF (home measured) variability: PEF variability (L/min) is the absolute difference between morning and evening PEF value divided by the mean of these two values (weekly and overall means obtained after each period of randomised treatment will be compared).
9. Use of PRN salbutamol (albuterol) rescue medication during the entire study period.: Number of puffs of rescue therapy used per day (i.e. the full 24 hour period, the daytime and the night time evaluated separately and together; weekly and overall means obtained each period of randomised treatment will be compared).
10. Control of asthma as assessed by the Asthma Control Questionnaire (ACQ) at the end each period of randomised treatment.
11. FEV1 a.m. / p.m. (L): mean pre-dose morning and evening FEV1 measured by patients at home (weekly and overall means using the AM3® device during the entire study period.
12. Weekly mean number of night time awakenings as assessed by the patient’s electronic diary (e-Diary incorporated in the AM3® device) obtained of each period of randomised treatment.
SAFETY ENDPOINTS:
13. All adverse events.
14. Vital signs: Pulse rate and blood pressure (seated) recorded in conjunction with spirometry pre-dose and up to 3 hours post-dose.
15. Routine blood chemistry, haematology and urinalysis.
16. 12 lead Electrocardiograms (ECG) at Visit 1b (only at this Visit in triplicate) and each period baseline (-30 minutes pre-dose) and at end of each 3 week treatment period. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1./3./4./ 5./6./7./8./9./10. After each three weeks of treatment
2./11. Weekly and overall means.
12. Weekly during treatment.
13. Throughout the study.
14. At the beginning and the end of each 3 week treatment period.
15. At Screening and after each 3 week treatment period.
16. At screening and at the beginning and the end of each 3 week treatment period.
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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 | Yes |
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 | Yes |
E.6.10 | Pharmacogenetic | Yes |
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) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
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 | Yes |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
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 | 10 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 25 |
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 | No |
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 |
Austria |
Germany |
Hungary |
Slovakia |
Slovenia |
United States |
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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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Last visit of last subject |
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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 | 0 |
E.8.9.1 | In the Member State concerned months | 9 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 9 |
E.8.9.2 | In all countries concerned by the trial days | 0 |