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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03890666
Other study ID # ABS-AS-40138
Secondary ID
Status Completed
Phase Phase 4
First received
Last updated
Start date October 26, 2020
Est. completion date October 4, 2021

Study information

Verified date December 2022
Source Teva Branded Pharmaceutical Products R&D, Inc.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a 12-week treatment, multicenter, open-label, randomized, parallel group comparison feasibility study to evaluate the effectiveness of the Albuterol eMDPI Digital System (DS), including inhaler, App, digital health platform (DHP) (Cloud solution), and dashboard, to optimize outcomes in participants at least 13 years of age or older with asthma. The study will consist of a screening visit, a 12-week open-label treatment period, and a follow-up telephone call (2 weeks following treatment completion). Participants with suboptimal asthma control will be enrolled in the study and randomized in a 1:1 ratio to 1 of 2 parallel groups stratified by investigational center: DS group participants utilizing the Albuterol eMDPI DS, including inhaler, App, DHP (Cloud solution), and dashboard, and CC group participants who will be treated with their standard of care albuterol-administering rescue inhalers and will not use the DS during the treatment period.


Recruitment information / eligibility

Status Completed
Enrollment 333
Est. completion date October 4, 2021
Est. primary completion date October 4, 2021
Accepts healthy volunteers No
Gender All
Age group 13 Years and older
Eligibility Inclusion Criteria: - The participant has a documented diagnosis of asthma - The participant is currently on treatment with an inhaled corticosteroid (ICS) with a long-acting beta2 antagonist (LABA). - The participant is currently using inhaled albuterol sulfate as rescue medication and is willing to discontinue all other rescue medications and replace them with the study provided Albuterol eMDPI. - The participant can read and communicate in English and is familiar with and is willing to use his/her own smart device and download and use the App. - Additional criteria apply, please contact the investigator for more information Exclusion Criteria: - The participant has any clinically significant uncontrolled medical condition (treated or untreated) other than asthma. - The participant was hospitalized for severe asthma in the last 30 days. - The participant has a diagnosis of Chronic Obstructive Pulmonary Disease (COPD) or Asthma-COPD Overlap (ACO). - The participant is a current smoker or has a greater than 10 pack-year history of smoking. - The participant is currently being treated with systemic corticosteroids (oral, intramuscular, or intravenous) or has been treated within the last 30 days. - The participant has any treatment with biologics for asthma (for example, omalizumab, anti-IL5, anti-IL5R, anti-IL4R), or has had such treatment within the last 90 days. - Additional criteria apply, please contact the investigator for more information

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Albuterol eMDPI DS
Albuterol sulfate electronic multidose dry powder inhaler (Albuterol eMDPI) DS with 4 component devices: Device 1: Albuterol eMDPI Device 2: Albuterol eMDPI Patient-facing smart device application (App) Device 3: DHP Cloud solution) Device 4: Provider-facing dashboard (dashboard)
albuterol
Standard of care albuterol-administering rescue inhaler

Locations

Country Name City State
United States Teva Investigational Site 14304 Albany Georgia
United States Teva Investigational Site 14233 Ann Arbor Michigan
United States Teva Investigational Site 14197 Aventura Florida
United States Teva Investigational Site 14207 Bellevue Nebraska
United States Teva Investigational Site 14232 Birmingham Alabama
United States Teva Investigational Site 14234 Chapel Hill North Carolina
United States Teva Investigational Site 14300 Charleston South Carolina
United States Teva Investigational Site 14187 Cincinnati Ohio
United States Teva Investigational Site 14236 Colorado Springs Colorado
United States Teva Investigational Site 14198 Denver Colorado
United States Teva Investigational Site 14217 Evanston Illinois
United States Teva Investigational Site 14201 Gainesville Georgia
United States Teva Investigational Site 14190 Greenfield Wisconsin
United States Teva Investigational Site 14196 Greenville South Carolina
United States Teva Investigational Site 14302 Los Angeles California
United States Teva Investigational Site 14305 Louisville Kentucky
United States Teva Investigational Site 14306 Miami Florida
United States Teva Investigational Site 14220 New Haven Connecticut
United States Teva Investigational Site 14221 New York New York
United States Teva Investigational Site 14191 Owensboro Kentucky
United States Teva Investigational Site 14210 Philadelphia Pennsylvania
United States Teva Investigational Site 14208 Pittsburgh Pennsylvania
United States Teva Investigational Site 14200 Providence Rhode Island
United States Teva Investigational Site 14188 San Antonio Texas
United States Teva Investigational Site 14189 San Antonio Texas
United States Teva Investigational Site 14192 San Antonio Texas
United States Teva Investigational Site 14215 Sarasota Florida
United States Teva Investigational Site 14195 Savannah Georgia
United States Teva Investigational Site 14218 Springfield Illinois
United States Teva Investigational Site 14301 Stockton California

Sponsors (1)

Lead Sponsor Collaborator
Teva Branded Pharmaceutical Products R&D, Inc.

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Participants Achieving Meaningful Asthma Improvement at the End of 12-Week Treatment Period Meaningful asthma improvement was defined as an Asthma Control Test (ACT) score of at least 20 at the end of the 12-week treatment period or an increase of at least 3 units on the ACT score from baseline at the end of the 12-week treatment period. The ACT was a simple, participant-completed tool used to assess overall asthma control. The 5 items included in the ACT assess daytime and night-time asthma symptoms, use of reliever medication, and impact of asthma on daily functioning. Each item in the ACT was scored on a 5-point scale, with a summation of all items providing scores ranging from 5 to 25. The scores span the continuum of poor control of asthma (score of 5) to complete control of asthma (score of 25), with a cutoff score of 19 and below indicating participants with poorly controlled asthma. Baseline to Week 12
Secondary Number of Discussions Between Participant and Investigational Center Healthcare Professional (iHCP) Regarding Inhaler Technique or Adherence Number of participants who had discussions with iHCP regarding inhaler technique or adherence are reported. Baseline up to Week 12
Secondary Number of Decreased Doses of Inhaled Medication Number of participants who received decreased dose of inhaled medication during the 12-week treatment period are reported. Baseline up to Week 12
Secondary Number of Increased Doses of Inhaled Medication Number of participants who received increased dose of inhaled medication during the 12-week treatment period are reported. Baseline up to Week 12
Secondary Number of Changes to Different Inhaled Medication Number of participants who received different inhaled medication during the 12-week treatment period are reported. Baseline up to Week 12
Secondary Number of Additional Inhaled Medication Number of participants who received additional inhaled medication during the 12-week treatment period are reported. Baseline up to Week 12
Secondary Number of Addition of a Systemic Corticosteroid Medication for Asthma Therapy Number of participants who received additional systemic corticosteroid medication for asthma therapy during the 12-week treatment period are reported. Baseline up to Week 12
Secondary Frequency of Intervention to Manage Comorbid Conditions Associated With Poor Asthma Control Number of participants with different frequency of intervention to manage comorbid conditions such as Gastroesophageal Reflux Disease (GERD) and Sinusitis are reported. Baseline up to Week 12
Secondary Change From Baseline in Mean Weekly Short-acting Beta2 Agonist (SABA) Usage at Week 12 for the DS Group Baseline, Week 12
Secondary Change From Baseline in the Number of SABA-free Days at Week 12 for the DS Group Baseline, Week 12
Secondary System Usability Scale (SUS) Overall Score The SUS was used to explore device acceptability and usability for participants in the DS group. It covered a variety of aspects of system usability, such as the need for support, training, and complexity, and thus giving a global view of subjective assessments of usability. It was a 10-question tool (with five response options; from 1=strongly disagree to 5=strongly agree) that provided a composite measure, ranging from 0 to 100, of the overall usability of the system being studied. Higher scores represent better usability level for the tool. Week 12
Secondary Change From Baseline in Beliefs About Medicines Questionnaire (BMQ) Concern Subscale Score at Week 12 The BMQ was used to assess cognitive representations of medicine. The Beliefs About Medicines Questionnaire-Specific 11 (BMQ-S11) was an 11-item questionnaire that assessed the representation of medication prescribed for personal use and the BMQ-General assesses beliefs about medicines in general. BMQ concern is a 6-item scale assessing participant's concerns about potential adverse consequences (range: 1=strongly disagree to 5=strongly agree). Participants indicated their degree of agreement on a 5-point scale, ranging from 1=strongly disagree to 5=strongly agree. Scores obtained for individual items were summed, divided by the total number of items and multiplied by 5 to give a total score ranging from 5 to 25 (higher scores=stronger beliefs). Baseline, Week 12
Secondary Change From Baseline in BMQ Necessity Subscale Score at Week 12 The BMQ was used to assess cognitive representations of medicine. The Beliefs About Medicines Questionnaire-Specific 11 (BMQ-S11) was an 11-item questionnaire that assessed the representation of medication prescribed for personal use and the BMQ-General assesses beliefs about medicines in general. BMQ necessity is a 5-item scale assessing participant's beliefs about necessity of medications for controlling disease. Participants indicated degree of agreement on a 5-point scale, ranging from 1=strongly disagree to 5=strongly agree. Scores obtained for individual items were summed, divided by the total number of items and multiplied by 5 to give a total score ranging from 5 to 25 (higher scores=stronger beliefs). Baseline, Week 12
Secondary Change From Baseline in Brief Illness Perception Questionnaire (BIPQ) Illness Comprehensibility Subscale Score at Week 12 The BIPQ was a 9-item questionnaire designed to rapidly assess cognitive and emotional representations of illness. Only one item assesses illness comprehensibility or coherence of illness (Item 7: How well do you feel you understand your illness?). This item was rated using a 0 (do not understand at all) to 10 (understand very clearly) response scale. A higher score indicates a stronger illness comprehensibility. Baseline, Week 12
Secondary Change From Baseline in BIPQ Cognitive Subscale Score at Week 12 BIPQ was a 9-item questionnaire designed to rapidly assess cognitive and emotional representations of illness. It comprised 5 items on cognitive representation of illness perception: consequences (Item 1: How much does your illness affect your life? Response range 0 [no affect] - 10 [severe affect]), timeline (Item 2: How long do you think your illness will continue? Response range 0 [a very short time] - 10 [forever]), personal control (Item 3: How much control do you feel you have over your illness? Response range 0 [no control] - 10 [extreme amount of control]), treatment control (Item 4: How much do you think your treatment can help your illness? Response range 0 [not at all] - 10 [extremely helpful]), and identity (Item 5: How much do you experience symptoms from your illness? Response range 0 [no symptoms] - 10 [severe symptoms]). Total BIPQ Cognitive Subscale Score was the sum of all item score and ranged from 0 to 50. A higher score indicates stronger illness perception. Baseline, Week 12
Secondary Change From Baseline in BIPQ Emotional Representations Subscale Score at Week 12 BIPQ was a 9-item questionnaire designed to rapidly assess cognitive and emotional representations of illness. It comprised 2 items on emotional representation: concern (Item 6: How concerned are you about your illness? Response range 0 [not at all concerned] - 10 [extremely concerned]) and emotions (Item 8: How much does your illness affect you emotionally; for example, does it make you angry, scared, upset or depressed? Response range 0 [not at all affected emotionally] - 10 [extremely affected emotionally]). Total BIPQ Emotional Subscale Score was the sum of above 2 items score and ranged from 0 to 20. A higher score indicates extreme emotional representation. Baseline, Week 12
Secondary Number of Participants With Adverse Events (AEs) An AE was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. SAEs included death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. A summary of serious and non-serious AEs regardless of causality is located in 'Reported Adverse Events module'. Number of participants with any AEs, treatment-related AEs, and device-related AEs has been reported. Baseline up to Week 14
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