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Symbicort Turbuhaler

Phase 3

Asthma | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Nov 30, 2012

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials2
Total Enrollment2,116
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00839800Study to Investigate the Efficacy of Symbicort® SMART.PHASE3 COMPLETED 2,091Feb 1, 2009Feb 1, 2011Nov 30, 2012109 Argentina, Brazil +10
NCT00837967Study to Investigate the Safety and Efficacy of High Dose of Symbicort® SMART in Japanese PatientsPHASE3 COMPLETED 25Jan 1, 2009Jul 1, 2009Aug 29, 20122 Japan
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Study Endpoints
Primary Endpoints
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.

Secondary Endpoints
Number of Asthma Exacerbations
up to 52 weeks
Morning Peak Expiratory Flow (PEF)
52-week treatment period
Evening PEF
2-week run-in period (14 - 18 days before randomization - week 0) and a 52-week treatment period
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
1EXPERIMENTALSymbicort Turbuhaler 160/4.5 µg one inhalation bid (twice daily) + Symbicort Turbuhaler 160/4.5 µg as needed
2ACTIVE_COMPARATORSymbicort Turbuhaler 160/4.5 µg one inhalation bid (twice daily) + terbutaline Turbuhaler 0.4 mg as needed
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,
Interventions
NameTypeDescription
Symbicort TurbuhalerDRUG160/4.5 µg
Terbutaline TurbuhalerDRUG0.4 mg
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Eligibility Criteria
Age Range16 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites109

Inclusion Criteria: * Diagnosis of asthma according to the Global Initiative for Asthma guidelines (GINA) 2007 with a documented history of at least 6 months duration. * Reversible airway obstruction, defined as an increase in FEV1 ≥12% relative to baseline for all patients 15-30 minutes after inha...

Countries:ArgentinaBrazilChinaCosta RicaHungaryIndiaJapanMalaysiaPeruPhilippinesSouth KoreaThailand
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