Recent Updates
Recently added Catalysts

Symbicort Turbuhaler

Phase 3

Asthma | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Apr 29, 2014

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials2
Total Enrollment2,116

FDA Designations

No designations recorded

Clinical trial landscape

Symbicort Turbuhaler · 4 trials · 3 indications

Phase 3 4
NCT01070784A Safety and Efficacy Study of Symbicort Turbuhaler Compared With Standard Chronic Obstructive Pulmonary Disease (COPD) Treatment in JapanChronic Obstructive Pulmonary Disease
COMPLETED328 Analytics
NCT00839800Study to Investigate the Efficacy of Symbicort® SMART.Asthma
COMPLETED2,091 Analytics
NCT00837967Study to Investigate the Safety and Efficacy of High Dose of Symbicort® SMART in Japanese PatientsAsthma
COMPLETED25 Analytics
NCT00536731Symbicort Rapihaler Therapeutic Equivalence StudyBronchial Asthma
COMPLETED742 Analytics
PHASE3COMPLETED
A Safety and Efficacy Study of Symbicort Turbuhaler Compared With Standard Chronic Obstructive Pulmonary Disease (COPD) Treatment in Japan
Chronic Obstructive Pulmonary DiseaseUnlock trial analytics
PHASE3COMPLETED
Study to Investigate the Efficacy of Symbicort® SMART.
AsthmaUnlock trial analytics
PHASE3COMPLETED
Study to Investigate the Safety and Efficacy of High Dose of Symbicort® SMART in Japanese Patients
AsthmaUnlock trial analytics
PHASE3COMPLETED
Symbicort Rapihaler Therapeutic Equivalence Study
Bronchial AsthmaUnlock trial analytics

Study Endpoints

Primary Endpoints

Clinical Laboratory Test: Haematology -Erythrocytes
Baseline and 52 week after

Mean change from Baseline

Clinical Laboratory Test: Haematology -Haemoglobin
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Haematology -Leucocytes
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Haematology -Platelet Count
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Haematology -Eosinophils
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Haematology -Basophils
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Haematology -Lymphocytes
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Haematology -Monocytes
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Haematology -Neutrophils
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-Alanine Aminotransferase
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-Aspartate Aminotransferase
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-Alkaline Phosphatase (ALP)
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-Creatinine
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-Total Bilirubin
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-Sodium
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-Potassium
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S- Calcium
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-Albumin
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-Protein, Total
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-C-Reactive Protein
Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-Urea Nitrogen
Baseline and 52 week after

Change from baseline

Vital Signs- Sitting Systolic Blood Pressure(SBP)
Baseline and 52 week after

Change from baseline

Vital Signs- Sitting Diastolic Blood Pressure(DBP)
Baseline and 52 week after

Change from baseline

Vital Signs- Pulse Rate
Baseline and 52 week after

Change from baseline

ECG Variables - Heart Rate
Baseline and 52 week after

Change from baseline

ECG Variables - QT Interval
Baseline and 52 week after

Change from baseline

ECG Variables - QTcB Interval
Baseline and 52 week after

Change from baseline

ECG Variables - QTcF Interval
Baseline and 52 week after

Change from baseline

ECG Variables - RR Interval
Baseline and 52 week after

Change from baseline

The Percentage of Participants Who Had Experienced Asthma Exacerbation(s) at the End of the Study
week 52

Asthma exacerbation was defined as deterioration in asthma leading to oral glucocorticosteroid \[GCS\] treatment, hospitalization, or emergency room \[ER\] treatment.

Adverse Events
3 days

Total number of adverse events

Serum Potassium - Average Concentration From Trapezoidal Area Under the Curve (AUC)
up to 740 min after start dosing for each treatment day

The mean AUC value was calculated as AUC (calculated using the trapezoidal method) divided by the length of the sampling period.

Blood Glucose - Average Concentration From Trapezoidal Area Under the Curve (AUC)
up to 140 min after start dosing for each treatment day

The mean AUC value was calculated as AUC (calculated using the trapezoidal method) divided by the length of the sampling period.

Electrocardiogram (ECG)- Average Trapezoidal Area Under the Curve (AUC)
up to 740 min after start dosing for each treatment day

The mean AUC of QTcF (ECG interval measured from the beginning of the Q wave to the end of the T wave, corrected for heart rate using Fridericia's formula)was calculated as AUC (calculated using the trapezoidal method) divided by the length of the sampling period.

Vital Sign (Blood Pressure)- Average Trapezoidal Area Under the Curve (AUC)
up to 740 min after start dosing for each treatment day

The mean AUC value was calculated as AUC (calculated using the trapezoidal method) divided by the length of the sampling period.

Vital Sign (Pulse Rate)- Average Trapezoidal Area Under the Curve (AUC)
up to 740 min after start dosing for each treatment day

The mean AUC value was calculated as AUC (calculated using the trapezoidal method) divided by the length of the sampling period.

Morning Peak Expiratory Flow (PEF)
Baseline to 6 weeks

Change in the Morning PEF from baseline (calculated as a mean using all available data for the 10 last days of run-in period) to week 6 (calculated as a mean using all available data after randomisation). No imputation of missing data was performed

Secondary Endpoints

Chronic Obstructive Pulmonary Disease (COPD) symptoms_Night-time Awakening
Daily during run-in period and daily during 52-week randomization treatment
Chronic Obstructive Pulmonary Disease (COPD) symptoms_Breathlessness
Daily during run-in period and daily during 52-week randomization treatment
Chronic Obstructive Pulmonary Disease (COPD) symptoms_cough
Daily during run-in period and daily during 52-week randomization treatment
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTAL -
2ACTIVE_COMPARATOR -
First Symbicort, then TerbutalineEXPERIMENTALSymbicort Turbuhaler 160/4.5μg for 3 days First , then Terbutaline Turbuhaler 0.4 mg for 3 days
First Turbuhaler, then SymbicortEXPERIMENTALTerbutaline Turbuhaler 0.4 mg for 3 days First, then Symbicort Turbuhaler 160/4.5μg for 3 days,
Symbicort pMDIACTIVE_COMPARATORSymbicort®pMDI® 40/2.25 μg 2 Actuations Twice Daily
Symbicort TurbuhalerACTIVE_COMPARATORSymbicort Turbuhaler® 80/4.5 μg 1 Inhalation Twice Daily
Pulmicort TurbuhalerACTIVE_COMPARATORPulmicort®Turbuhaler® 100 μg 1 Inhalation Twice Daily

Interventions

NameTypeDescription
Symbicort Turbuhaler (Budesonide/formoterol)DRUG2 x 160/4.5 microgram, inhalation, bid, 52 weeks
Drug: any available COPD treatment; investigator to decideDRUGAccording to investigator decision, 52 weeks, Standard COPD treatment according to investigator decision
Symbicort TurbuhalerDRUG160/4.5 µg
Terbutaline TurbuhalerDRUG0.4 mg
Symbicort pMDIDRUGSymbicort®pMDI® 40/2.25 μg 2 Actuations Twice Daily
Pulmicort TurbuhalerDRUGPulmicort®Turbuhaler® 100 μg 1 Inhalation Twice Daily
Unlock Study Design Details

Eligibility Criteria

Age Range40 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: * A current clinical diagnosis of COPD according to the guidelines (GOLD, JPS) * Documented COPD symptoms for more than 2 years * Pre-bronchodilator FEV1≦50% of predicted normal value, and post-bronchodilator FEV1/FVC\<70% Exclusion Criteria: * History and/or current clinical ...

Countries:JapanArgentinaBrazilChinaCosta RicaHungaryIndiaMalaysiaPeruPhilippinesSouth KoreaThailandBulgariaCzechiaPoland
Unlock Eligibility Criteria

Frequently asked questions about Symbicort Turbuhaler

What is Symbicort Turbuhaler used for?

Symbicort Turbuhaler is used for asthma, bronchial asthma, and chronic obstructive pulmonary disease (COPD). It is a small molecule respiratory therapy developed by AstraZeneca PLC (AZN). The drug is delivered via the Turbuhaler device and is intended for patients with these chronic respiratory conditions.

What does Symbicort Turbuhaler target?

Symbicort Turbuhaler contains a combination of an inhaled corticosteroid and a long-acting beta2-agonist. The corticosteroid reduces airway inflammation, while the beta2-agonist relaxes bronchial smooth muscle to improve airflow. This dual action addresses both the inflammatory and bronchoconstrictive components of asthma and COPD.

Who makes Symbicort Turbuhaler?

Symbicort Turbuhaler is developed and manufactured by AstraZeneca PLC, a multinational pharmaceutical company listed on the stock exchange under the ticker AZN. AstraZeneca has conducted multiple Phase 3 clinical trials to evaluate the safety and efficacy of Symbicort Turbuhaler in respiratory indications.

What phase is Symbicort Turbuhaler in?

Symbicort Turbuhaler is in Phase 3 clinical development. All four completed trials listed are Phase 3 studies, with no active trials currently ongoing. The drug is investigational and has not been approved by regulatory authorities based on the available data.

What clinical trials is Symbicort Turbuhaler in?

Symbicort Turbuhaler has been studied in four completed Phase 3 trials. NCT00536731 assessed therapeutic equivalence in bronchial asthma with 742 patients. NCT00837967 and NCT00839800 investigated safety and efficacy in asthma, enrolling 25 and 2091 patients respectively. NCT01070784 evaluated safety and efficacy in COPD with 328 patients.

Is Symbicort Turbuhaler the same as Symbicort Rapihaler?

Symbicort Turbuhaler is a specific formulation of Symbicort delivered via the Turbuhaler device. A clinical trial (NCT00536731) compared Symbicort Rapihaler to the Turbuhaler formulation for therapeutic equivalence in bronchial asthma, indicating they are distinct delivery forms of the same medication.