Use of Symbicort or Pulmicort to Treat Viral-mediated Asthma Exacerbations

Overview[ - collapse ][ - ]

Purpose This is an investigator-initiated study in which Dr. Nadeau wrote the protocol and received funding from an Astra Zeneca grant to direct, perform, and monitor the study on her own with Stanford staff. We hypothesize that the budesonide/formoterol combination improves the efficacy of budesonide alone.
ConditionAsthma
InterventionDrug: Symbicort vs Budesonide in treating acute respiratory illness
PhaseN/A
SponsorStanford University
Responsible PartyStanford University
ClinicalTrials.gov IdentifierNCT01218399
First ReceivedOctober 7, 2010
Last UpdatedMarch 14, 2014
Last verifiedMarch 2014

Tracking Information[ + expand ][ + ]

First Received DateOctober 7, 2010
Last Updated DateMarch 14, 2014
Start DateSeptember 2009
Estimated Primary Completion DateJuly 2010
Current Primary Outcome Measuresasthma symptom scores [Time Frame: 1 week] [Designated as safety issue: No]
Current Secondary Outcome MeasuresEnhanced glucocorticoid signaling pathways as shown by FACS and ImageStream [Time Frame: 1 week] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleUse of Symbicort or Pulmicort to Treat Viral-mediated Asthma Exacerbations
Official TitleA Randomized, Blinded, Single-center Study in Mild to Moderate Asthmatics Over the Age of 12 Years Who Have a Viral-mediated Exacerbation and Are Treated With Symbicort (160 mcg Budesonide/4.5 Formoterol, 2 Inhalations BID) or Pulmicort Flexhaler (160 mcg Budesonide, 2 Inhalations BID).
Brief Summary
This is an investigator-initiated study in which Dr. Nadeau wrote the protocol and received
funding from an Astra Zeneca grant to direct, perform, and monitor the study on her own with
Stanford staff. We hypothesize that the budesonide/formoterol combination improves the
efficacy of budesonide alone.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhaseN/A
Study DesignAllocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
ConditionAsthma
InterventionDrug: Symbicort vs Budesonide in treating acute respiratory illness
use of either symbicort or budesonide
Study Arm (s)
  • Experimental: Symbicort
    combination of budesonide and formoterol
  • Active Comparator: budesonide
    control of budesonide alone

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment30
Estimated Completion DateJuly 2010
Estimated Primary Completion DateJuly 2010
Eligibility Criteria
Inclusion Criteria:

Subjects will be considered for inclusion in this study based on meeting all of the
following criteria:

1. Male or female, aged 12 to 65 years

2. Subjects with mild to moderate asthma as determined by NHLBI 2007 guidelines

3. Subjects with exacerbation of their asthma symptoms by NHLBI 2007 guidelines

4. IgE level at study entry less than 50 IU/mL

5. Men and women of reproductive potential who document use of adequate contraception
during the study and for 3 months after the conclusion of treatment with study
drug/placebo

6. Historical documentation of asthma in the patient's medical record. The patient
should have 6 months or more of asthma medication and management by a Stanford
physician.

7. Women of childbearing potential who have a negative pregnancy test (urine or serum)
at the time of study entry

8. Subject's guardians who are capable of understanding the purpose and risks of the
study and who sign a statement of informed consent for the study

Exclusion Criteria:

Subjects will be ineligible for this study based on any one of the following criteria:

1. With a chronic or acute disease that might interfere with the evaluation of Symbicort
or Pulmicort Flexhaler therapy

2. Pregnancy or lactation

3. Current or prior malignancies (excluding non-melanoma skin carcinoma or carcinoma in
situ of the cervix that has been adequately treated)

4. History of infection with human immunodeficiency virus (HSC-1), hepatitis B virus
(HBV), or hepatitis C virus (HCV); or Hepatitis A virus (HAV)

5. Infections that require intravenous antibiotic therapy

6. Significant organ dysfunction, including cardiac, renal, liver, CNS, pulmonary,
vascular, gastrointestinal, endocrine, or metabolic (e.g., creatinine >1.6 mg/dL; ALT
or AST > 1.5x the upper limit of normal; history of myocardial infarction, congestive
heart failure, or arrhythmias within 6 months prior to study entry)

7. Treatment with a humanized or chimeric antibody therapy within 4 weeks prior to study
entry

8. Treatment with any investigational drugs or therapies within 2 weeks prior to study
entry

9. Any use of oral, systemic corticosteroids within 2 weeks prior to study entry
GenderBoth
Ages12 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesUnited States

Administrative Information[ + expand ][ + ]

NCT Number NCT01218399
Other Study ID NumbersSU-10042010-7010
Has Data Monitoring CommitteeNot Provided
Information Provided ByStanford University
Study SponsorStanford University
CollaboratorsAstraZeneca
Investigators Principal Investigator: Kari Christine Nadeau Stanford University
Verification DateMarch 2014

Locations[ + expand ][ + ]

Stanford University School of Medicine
Stanford, California, United States, 94305