Clinical Trials Logo

Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT06029595
Other study ID # CLI-06001AA2-01
Secondary ID EUCT: 2022-50220
Status Recruiting
Phase Phase 2
First received
Last updated
Start date November 26, 2023
Est. completion date December 18, 2025

Study information

Verified date April 2024
Source Chiesi Farmaceutici S.p.A.
Contact Chiesi Clinical Trial info
Phone +3905212791
Email clinicaltrials_info@chiesi.Com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to evaluate the efficacy and safety of CHF6001 (Tanimilast) as add-on to maintenance of inhaled corticosteroids in combination with Long-acting ß2-agonists in the target patient population. (TANGO)


Recruitment information / eligibility

Status Recruiting
Enrollment 464
Est. completion date December 18, 2025
Est. primary completion date December 18, 2025
Accepts healthy volunteers No
Gender All
Age group 18 Years to 75 Years
Eligibility Inclusion Criteria: 1. Subject's written informed consent 2. Male or female subjects aged =18 and =75 years 3. A documented history of physician-diagnosed asthma for at least 1 year and with diagnosis before the age of 50 years 4. Stable asthma therapy: a stable maintenance treatment with medium to high dose of inhaled corticosteroids plus long acting ß2 agonists for at least 3 months prior to screening 5. A prebronchodilator FEV1 =80% of the predicted normal value 6. Bronchodilator responsiveness after inhalation of salbutamol or equivalent 7. Evidence of poorly controlled or uncontrolled asthma as based on an ACQ-7 score =1.5 8. History of asthma exacerbations : at least 1 asthma exacerbation leading to hospitalisation or 2 or more asthma exacerbations within the last 12 months 9. A cooperative attitude and ability to use inhalers and to comply with study procedures Exclusion Criteria: 1. e-Diary completion compliance <75% during run-in 2. History of near fatal asthma or of a past hospitalisation for asthma in intensive care unit 3. Recent exacerbation or respiratory tract infection within 4 weeks prior to screening visit or during the run-in period 4. Subjects using systemic corticosteroids medication in the 4 weeks or slow-release corticosteroids in the 12 weeks prior to randomisation 5. Asthma requiring use of biologics 6. Respiratory disorders other than asthma: subjects with known respiratory disorders other than asthma 7. Subjects with a history of lung volume resection 8. Current smokers, ex-smokers with a smoking history of =10 pack-years or current use of inhaled or oral cannabis products. 9. Subjects with cancer or history of cancer 10. Subjects with cardiovascular diseases 11. Subjects with any abnormal and clinically significant 12-lead ECG 12. Subjects with previous medical history, evidence of an uncontrolled intercurrent illness, or any clinically relevant abnormal findings in haematology, clinical chemistry, or urinalysis 13. Subjects with a diagnosis of depression, generalised anxiety disorder, suicidal ideation or behaviour 14. Patients mentally or legally incapacitated or patients accommodated in an establishment 15. Subjects with liver diseases 16. Drugs with hepatoxicity potential 17. Subjects with contra-indications to IMPs: 18. Subjects with history alcohol/drug abuse 19. Subjects with major surgery in the 3 months prior to screening visit or planned during the trial 20. Subjects treated with non-potassium sparing diuretics, nonselective ß-blocking drugs, quinidine, quinidine like anti-arrhythmic, or any medication with a QTc prolongation potential or a history of QTc prolongation 21. Subjects treated with monoamine oxidase inhibitors (MAOIs) and tricyclic anti-depressants 22. Subjects receiving any therapy that could interfere with the study drugs 23. Participation in another investigational trial 24. Documented coronavirus disease 2019 (COVID-19) diagnosis within the last 2 weeks 25. Subjects having received a vaccination within 2 weeks prior to screening or during the run-in period. 26. For females only: pregnant or lactating women

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Experimental: CHF6001 3200 µg
800 µg/actuation - 2 inhalations of CHF6001 800 µg twice daily (BID) total daily dose 3200 µg
Placebo Comparator: CHF6001 Placebo
2 inhalations of CHF6001 matching placebo BID

Locations

Country Name City State
Argentina Site 032004 - CARE - Centro de Alergia y Enfermedades Respiratorias Buenos Aires
Argentina Site 032014 - Instituto de Investigaciones en Alergia y Enfermedades Respiratorias (INAER) Buenos Aires
Argentina Site 032008 - Mautalen Salud e Investigacion Ciudad Autonoma de Buenos Aires
Argentina Site 032003 -Fundacion Respirar (Centro Medico Dra. De Salvo) - Instituto Argentino de Investigaciones Clinicas (IAIC) S.R.L Ciudad de Buenos Aires
Argentina Site 032005 - National University of Cordoba - Rusculleda Foundation - Instituto DAMIC Córdoba
Argentina Site 032001 - Instituto de Enfermedades Respiratorias e Investigacion Medica- IERIM Florencio Varela
Argentina Site 032010 - Centro Platense en Investigaciones Respiratorias - CEPIR La Plata
Argentina Site 032013 - Centro de Investigacion Medico Lanus-CIMEL CHAHIN CHAHIN S.A Lanús
Argentina Site 032006 -Institute Fundacion Enfisema - Instituto Ave Pulmo; Hospital Privado de Comunidad (HPC) Mar Del Plata
Argentina Site 032021 - Centro De Investigaciones Medicas Mar Del Plata Mar Del Plata
Argentina Site 032002 -Consultorios Medicos Dr Isaac Scherbovsky - Fundacion Scherbovsky Mendoza
Argentina Site 032009 - Centro Medico INSARES Mendoza
Argentina Site 032011 - Centro Privado de Medicina Respiratoria de Parana - CPMR Parana
Argentina Site 032016 - Centro Respiratorio Infantil Rosario
Argentina Site 032019 - Servicio de Investigacion de Patologias Alergicas del Instituto ABC - Rosario Rosario
Argentina Site 032015 - Fundacion de Estudios Clinicos de Consultorio Integrados Rosario San Miguel De Tucumán
Argentina Site 032018 - Instituto de Investigaciones en Patologias Respiratorias San Miguel De Tucumán
Argentina Site 032022 - Clinica Mayo de Urgencias Medicas Cruz Blanca SRL San Miguel De Tucumán
Argentina Site 032020 - Instituto Especialidades de la Salud Rosario - Clinica del Torax Santa Fe La
Argentina Site 032012 - Instituto Del Buen Aire Santa Fe de la Vera Cruz
Argentina Site 032017 - Centro Medico de Enfermedades Respiratorias (CEMER) Vicente López
Bulgaria Site 100012 - Medical Center Asklepii OOD Dupnitsa
Bulgaria Site 100005 _MHAT Dr. Tota Venkova AD Gabrovo
Bulgaria Site 100011 - Medical Center Pulmo-2018 EOOD Haskovo
Bulgaria Site 100021 - MC Zdrave 1 Kozloduy
Bulgaria Site 100003 - """DCC 1 - Pernik"" EOOD" Pernik
Bulgaria Site 100010 - Medical Center FAMA Plovdiv
Bulgaria Site 100017 - MHAT Sveti Panteleymon EOOD Plovdiv
Bulgaria Site 100024 - Medical center Respiro Razgrad
Bulgaria Site 100006 _ Ambulatory For Specialized Outpatient Medical Care - Individual Practice - Dr. Nikolay Evgeniev Ruse Ltd Ruse
Bulgaria Site 100014 -SBALPFZ - Ruse EOOD Ruse
Bulgaria Site 100029 - DCC 1 Sevlievo Sevlievo
Bulgaria Site 100004 - MHAT Dr. Ivan Seliminski AD Sliven
Bulgaria Site 100028 - Smolyan Clinical Research Center Smolyan
Bulgaria 100001 -5th MHAT - Sofia EAD Sofia
Bulgaria Site 100001- 5th MHAT - Sofia EAD Sofia
Bulgaria Site 100002 _MHAT St. Ekaterina Dimitrovgrad Sofia
Bulgaria Site 100008 _Diagnostic Consultative Center Convex Ltd Sofia
Bulgaria Site 100013 - MHAT Lyulin EAD Sofia
Bulgaria Site 100018 - Medical Center Excelsior Ltd Sofia
Bulgaria Site 100019 - Aleksandrovska University Hospital Sofia
Bulgaria Site 100020 -Medical Centre N. I. Pirogov EOOD Sofia
Bulgaria Site 100023 - University First Multiprofile Hospital for Active treatment-Sofia EAD Sofia
Bulgaria Site 100026 - Military Medical Academy (MMA) Sofia
Bulgaria Site 100030 - Medical Center Hera EOOD Sofia
Bulgaria Site 100009 - Medical Center Kissiovi Varna
Bulgaria Site 100027 - Medical Center Research Expert Varna
Bulgaria Site 100007 _SHATPPD Vratsa Vratsa
Czechia Site 203001 -MUDr. I. Cierna Peterova s.r.o. Brandýs Nad Labem
Czechia Site 203008 - Fakultni nemocnice Brno Brno
Czechia Site 203002 - MediTrial s.r.o. Jindrichuv Hradec
Czechia Site 203009 - Alergologie Nemcova s.r.o Liskovec
Czechia 203004 -Nemocnice Mesice Mesice
Czechia Site 203003 - Plicni Stredisko Teplice, s.r.o. Teplice
Czechia Site 203005 - Ambulance Pneumologie a Ftizeologie Varnsdorf
Georgia 268007 - TSMU & Ingorokva High Medical Technologies University Clinic Tbilisi
Georgia Site 268001 - Chapidze Emergency Cardiology Center Tbilisi
Georgia Site 268002 - JSC German Hospital Tbilisi
Georgia Site 268003 - French Joint Hepatology Clinic Hepa Tbilisi
Georgia Site 268004 - LTD Helsicore Tbilisi
Georgia Site 268005 - LLC Medi Club Georgia Tbilisi
Georgia Site 268006 - The Firsts University Clinic of Tbilisi State Medical University Tbilisi
Germany Site 276004 - RCMS Berlin
Germany Site 276012 - Institut fuer Allergie- und Asthmaforschung Berlin Berlin
Germany Site 276013 - MECS Research Berlin
Germany Site 276010 - Office of Dr. Thomas Ginko, MD Bonn
Germany Site 276014 - MECS Cottbus GmbH Cottbus
Germany Site 276019 - Praxis Dr. Eckhardt Delitzsch
Germany Site 276007 - IKF Institut fuer klinische Forschung Frankfurt Frankfurt am Main
Germany Site 276008 - Office of Dr. med. Claus Keller MD Frankfurt am Main
Germany Site 276003 - ME Clinical Respiratory Research Hamburg Hamburg
Germany Site 276015 - Velocity Clinical Research Hamburg GmbH Hamburg
Germany Site 276002 - Pneumologicum im Suedstadtforum - Hannover Hannover
Germany Site 276009 - Velocity Clinical Research Leipzig GmbH Leipzig
Germany Site 276011 - POIS Sachsen GmbH Leipzig
Germany Site 276020 - BAG Prof. Gerhard Hoheisel/Dr. Andreas Bonitz Praxis für Pneumologie und Allergologie-Studienzentrum Leipzig
Germany Site 276006 - IKF Pneumologie Mainz, Helix Medical Excellence Center Mainz Mainz
Germany Site 276001 - Studienzentrum Muenchen-West; Gemeinschaftspraxis fuer Lungen- und Bronchialheilkunde Prof. Dr. med. Rainald Fischer und Dr. med. Michael Baborka Muenchen
Germany Site 276017 - Office of Dr. Christian Schlenska MD Peine
Germany Site 276021 - Pneumologische Gemeinschaftspraxis Rheine Rheine
Germany Site 276022 - Universitaetsmedizin Rostock Rostock
Germany Site 276016 - Praxisgemeinschaft in Saalfeld - HNO Saalfeld /Saale
Germany Site 276018 - Siteworks Prufzentrum Schleswig-RespiRatio Schleswig
Germany Site 276005 - Lungenzentrum Ruhr - Praxis fuer Lungenheilkunde Witten
Hungary Site 348002 - Clinexpert SMO Budapest
Hungary Site 348006 - Bajcsy-Zsilinszky Hospital Budapest
Hungary Site 348003 - ClinTrial-Kenezy Hospital Institute of Clinical Pharmacology Infectology and Allergology Debrecen
Hungary Site 348001 - Koch Robert Korhaz es Rendelointezet Edeleny
Hungary Site 348005 - Szalay Janos Rendelointezet Hajdúnánás
Hungary Site 348004 - INFER-MED Kft. Da Vinci Maganklinika Pecs
Italy Site 380002 - AOU-S.Orsola-Malpighi - Universita degli Studi di Bologna Bologna
Italy Site 380003 - Azienda Ospedaliero Universitaria OO RR di Foggia Foggia
Italy Site 380001 - SC Pneumologia -Fondazione IRCCS Policlinico San Matteo Pavia
Italy Site 380006 - Azienda Ospedaliero Universitaria Pisana - Stabilimento Ospedaliero di Santa Chiara Pisa
Italy Site 380005 - Ospedale Fatebenefratelli Isola Tiberina Gemelli Isola Roma
Italy Site 380004 - Fondazione Salvatore Maugeri I.R.C.C.S. - Istituto Scientifico di Tradate Tradate
Korea, Republic of Site 410003 - Hallym University Sacred Heart Hospital Anyang-si
Korea, Republic of Site 410012 - Chungbuk National University Hospital (CBNUH) Cheongju-si
Korea, Republic of Site 410010 - Yeungnam University Medical Center Daegu
Korea, Republic of Site 410014 - The Catholic University of Korea, Incheon St. Mary's Hospital Incheon
Korea, Republic of Site 410004 - Jeonbuk National University Hospital Jeonju
Korea, Republic of Site 410001 - Konkuk University Medical Center Seoul
Korea, Republic of Site 410002 - The Catholic University of Korea, Seoul St. Marys Hospital Seoul
Korea, Republic of Site 410005 - Korea University Guro Hospital Seoul
Korea, Republic of Site 410006 - Asan Medical Center (AMC) Seoul
Korea, Republic of Site 410007 - Kangbuk Samsung Hospital Seoul
Korea, Republic of Site 410008 - Severance Hospital, Yonsei University Health System Seoul
Korea, Republic of Site 410013 - Chung-Ang University College of Medicine - Chung-Ang University Hopital (CAUH) Seoul
Korea, Republic of Site 410009 - Ajou University Hospital Suwon-si
Korea, Republic of Site 410011 - Yonsei University Wonju Severance Christian Hospital Wonju
Latvia Site 428005 - Balvi and Gulbene hospital union Balvi
Latvia Site 428008 - Dubultu Poliklinika Jurmala
Latvia Site 428001 - Pauls Stradins Clinical University Hospital Riga
Latvia Site 428002 - Consilium Medicum SIA Riga
Latvia Site 428003 - Latvian University Medical Postgraduate Institute Riga
Latvia Site 428006 - RiGa 1st Hospital Riga
Latvia Site 428007 - SIA RAKUS Riga
Lithuania Site 440002 - Hospital of Lithuanian University of Health Sciences Kauno klinikos Kaunas
Lithuania Site 440003 - LSMU Kauno ligonine (Kaunas Hospital of the Lithuanian University of Health Sciences) Kaunas
Lithuania Site 440006 - CD8 Klinika Kaunas
Lithuania Site 440007 - Republic Hospital Of Klaipeda (Respublikine Klaipedos ligonine) Klaipeda
Lithuania Site 440005 - PI Republican Siauliai Hospital Siauliai
Lithuania Site 440001 - Viesoji Istaiga Antakalnio poliklinika Vilnius
Poland Site 616011 - Centrum Medycyny Oddechowej, Mroz Spolka Jawna Bialystok
Poland Site 616017 - NZOZ Przychodnia Vitamed Bydgoszcz
Poland Site 616024- Mital Site Elblag
Poland Site 616015 - Centrum Medyczne CLW-MED Aneta Cichomska i Joanna Luka-Wendrowska Grudziadz
Poland Site 616020 - Pro Familia Altera Sp. z o.o. Katowice
Poland Site 616001 - Malopolskie Centrum Alergologii Sp z o.o Krakow
Poland Site 616018 - Prywatna Praktyka Lekarska Adam Smialowski - Intermed Ksawerów Ksawerow
Poland 616007 - ETG Lodz Lodz
Poland Site 616009 - Samodzielny Publiczny Zaklad Opieki Zdrowotnej Uniwersytecki Szpital Kliniczny Nr 1 im. Norberta Barlickiego Uniwersytetu Medycznego w Lodzi Lódz
Poland Site 616021 -IP Clinic Sp. z o.o. Lódz
Poland Site 616010 - Centrum Diagnostyczno-Terapeutyczne (CDT) Medicus Sp.z o.o. Lubin
Poland Site 616008 - Centrum Alergologii Specjalistyczna Przychodnia Alergologiczna Lublin
Poland Site 616025 - MS Pneumed Janusz Milanowski, Katarzyna Szmygin-Milanowska Spolka Jawna Lublin
Poland Site 616013 - Ostrowieckie Centrum Medyczne Spolka Cywilna Anna Olech-Cudzik, Krzysztof Cudzik Ostrowiec Swietokrzyski
Poland Site 616002 - Niepubliczny Zaklad Opieki Zdrowotnej (NZOZ) Allmed - Regionalne Centrum Leczenia Chorob Pluc i Alergii Piekary Slaskie
Poland Site 616006 - Centrum Alergologii Teresa Hofman Sp.z.o.o Poznan
Poland Site 616019 - Alergologia Plus Poznan
Poland Site 616023 - Specjalistyczna Przychodnia Lekarska Alergo-Med Sp. z o.o Poznan
Poland Site 616014 - Pawlukiewicz Malgorzata Prywatny Gabinet Lekarski Rzeszow
Poland Site 616005 - Niepubliczny Zaklad Opieki Zdrowotnej (NZOZ) - Poradnia Chorob Pluc Slupsk
Poland Site 616004 - Centrum Medyczne Lucyna Andrazej Dymek - Strzelce Opolskie Strzelce Opolskie
Poland Site 616003 - Lekarze Specjalisci - J. Malolepszy i Partnerzy Wroclaw
Poland Site 616012 - Centrum Badan Klinicznych Piotr Napora Lekarze Spolka Partnerska, Centrum Badan Klinicznych Osrodek Badan Wczesnej Fazy Wroclaw
Poland Site 616016 - Michal Bogacki Dobrostan Wroclaw
Romania Site 642005 - Angisan grup srl Bragadiru
Romania Site 642001 6 Centrul Medical de Diagnostic si Tratament Neomed Brasov
Romania Site 642002 - Institute of Pneumology 'Marius Nasta' Bucuresti
Romania Site 642004 - Clinical Hospital Of Pneumology Leon Daniello Cluj-Napoca
Romania Site 642007 - ICRH Prof DR Octavian Fodor, Sectia Medicina Interna si Ambulator Alergologie Cluj-Napoca
Romania Site 642003 - Spitalul De Boli Infectioase Victor Babes, Craiova Craiova
Romania Site 642008 - SPITALUL CLINIC DE PNEUMOFTIZIOLOGIE IASI, Sectia Clinica I de Pneumologie Iasi
Romania Site 642006 - Fundatia Cardioprevent Timisoara
Romania Site 642009 - Spitalul Clinic de Boli Infectioase si Pneumoftiziologie Dr. Victor Babes Timisoara
South Africa Site 710005 - Worthwhile Clinical Trials Benoni
South Africa Site 710013 - Office of Dr. Agatha Cathrine Wilhase, MD Boksburg
South Africa Site 710003 - Office of Dr. ZFA Vawda MD Durban
South Africa Site 710004 - Synapta Clinical Research Center Durban
South Africa Site 710012 - CRISMO Research Centre Germiston
South Africa Site 710015 - University Of The Witwatersrand Johannesburg
South Africa Site 710006 - Langeberg Medicross Medical Centre Kraaifontein
South Africa Site 710002 - Lenmed- Ahmed Kathrada Private Hospital Lenasia
South Africa Site 710007 - Ubuntu Clinical Research Lenasia
South Africa Site 710001 - Emmed Research- Jakaranda Hospital Pretoria
South Africa Site 710009 - Global Clinical Trials Pretoria
South Africa Site 710011 - Busamed Paardevlei Hospital Somerset West
South Africa Site 710014 - University Of Stellenbosch Stellenbosch
South Africa Site 710010 - Limpopo Clinical Research Initiative Thabazimbi
South Africa Site 710008 - Welkom Clinical Trial Centre Welkom
Spain Site 724005 - Clinica Mi Tres Torres Barcelona Barcelona
Spain Site 724008 - Hospital del SAS de Jerez de la Frontera Jerez De La Frontera
Spain Site 724007 - Hospital General Universitario Gregorio Maranon (HGUGM) - Instituto de Investigacion Sanitaria Gregorio Maranon (IiSGM) Madrid
Spain Site 724002 - Servicio Andaluz de Salud Consejeria de Salud - Hospital Universitario Virgen de la Victoria Málaga
Spain Site 724004 - Hospital Universitario Marqués de Valdecilla Santander
Spain Site 724006 - Complejo Hospitalario Universitario De Santiago Santiago De Compostela
Spain Site 724003 - Hospital La Plana Vila-Real
Spain Site 724001 - Hospital Universitario Miguel Servet Zaragoza

Sponsors (1)

Lead Sponsor Collaborator
Chiesi Farmaceutici S.p.A.

Countries where clinical trial is conducted

Argentina,  Bulgaria,  Czechia,  Georgia,  Germany,  Hungary,  Italy,  Korea, Republic of,  Latvia,  Lithuania,  Poland,  Romania,  South Africa,  Spain, 

Outcome

Type Measure Description Time frame Safety issue
Primary Number of Asthma exacerbation over 52 weeks of treatment Number of Asthma exacerbation over 52 weeks of treatment (Asthma exacerbations defined as severe event with worsening of asthma requiring at least 3 days of SCS use with or without emergency visit or hospitalization) Over 52 weeks
Secondary Time to first asthma exacerbation; Asthma exacerbations defined as severe event with worsening of asthma requiring at least 3 days of SCS use with or without emergency visit or hospitalization Up to 52 weeks
Secondary Number of asthma exacerbation and asthma worsening over 52 weeks of treatment Asthma exacerbations defined as severe event with worsening of asthma requiring at least 3 days of SCS use with or without emergency visit or hospitalization; Asthma worsening defined as moderate asthma exacerbation. Up to 52 weeks
Secondary Time to first asthma exacerbation or asthma worsening Asthma exacerbations defined as severe event with worsening of asthma requiring at least 3 days of SCS use with or without emergency visit or hospitalization; Asthma worsening defined as moderate asthma exacerbation. Up to 52 weeks
Secondary ACQ-7 responders ACQ-7 responders at Week 4, Week 26 and Week 52 (i.e., subjects showing improvement from baseline in ACQ-7 score of =0.5 units); week 4, week 26 and week 52
Secondary Change from baseline in ACQ-7 and ACQ-6 Change from baseline in ACQ-7 and ACQ-6 at Week 4, Week 26 and Week 52 week 4, week 26 and week 52
Secondary Change from baseline in Mini-AQLQ Change from baseline in Mini-AQLQ at Week 4, Week 26 and Week 52 week 4, week 26 and week 52
Secondary Change from baseline in pre-dose FEV1 Change from baseline in pre-dose FEV1 at Week 4, Week 26 and Week 52; week 4, week 26 and week 52
Secondary Change from baseline in pre-dose FVC Change from baseline in pre-dose FVC at Week4, Week 52 and Week 26; Week4, Week 52 and Week 26
Secondary Change from baseline (run-in period) to each inter-visit period and to the entire treatment period in pre dose morning/evening PEF; Up to 52 weeks
Secondary Change from baseline to each inter-visit period and to the entire treatment period in the average rescue medication use (number of puffs/day) and asthma symptoms score Up to 52 weeks
Secondary Change from baseline to each inter-visit period and to the entire treatment period in the percentage of rescue medication-free days, asthma symptoms-free days and asthma control days. Up to 52 weeks
See also
  Status Clinical Trial Phase
Completed NCT02194699 - A Phase 3 Study to Evaluate the Efficacy and Safety of Tralokinumab in Adults and Adolescents With Uncontrolled Asthma Phase 3
Active, not recruiting NCT03978936 - Medication Adherence With Telehealthcare Medication Therapy Management N/A
Completed NCT02161757 - A Phase 3 Study to Evaluate the Efficacy and Safety of Tralokinumab in Adults and Adolescents With Uncontrolled Asthma Phase 3
Completed NCT02768623 - Evaluation of a Community Pharmacist Managed Asthma Consultation Service N/A
Completed NCT02906761 - Aspirin for Uncontrolled Asthma Phase 3
Completed NCT04865575 - Systems Pharmacology Approach to Uncontrolled Pediatric Asthma