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Symbicort pMDI+ budesonide HFA pMDI

Phase 3

Asthma | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Apr 10, 2017

Success Probability

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Trial Design

RandomizedDouble-BlindSHAM_CONTROLLED
Total Trials3
Total Enrollment13,912

FDA Designations

No designations recorded

Clinical trial landscape

Symbicort pMDI+ budesonide HFA pMDI · 3 trials · 1 indication

Phase 3 3
NCT02091986A 12-Week Study in Asthmatic Children Ages 6 to <12 Years, Investigating the Efficacy and Safety of Symbicort pMDI 80/2.25 μg and Symbicort pMDI 80/4.5 μg, Compared With Budesonide pMDI 80 μgAsthma
COMPLETED882 Analytics
NCT01444430A 6 Month Safety Study Comparing Symbicort With Inhaled Corticosteroid Only in Asthmatic Adults and AdolescentsAsthma
COMPLETED12,460 Analytics
NCT00651768Titratable Dosing in Moderate to Severe AsthmaticsAsthma
COMPLETED570 Analytics
PHASE3COMPLETED
A 12-Week Study in Asthmatic Children Ages 6 to <12 Years, Investigating the Efficacy and Safety of Symbicort pMDI 80/2.25 μg and Symbicort pMDI 80/4.5 μg, Compared With Budesonide pMDI 80 μg
AsthmaUnlock trial analytics
PHASE3COMPLETED
A 6 Month Safety Study Comparing Symbicort With Inhaled Corticosteroid Only in Asthmatic Adults and Adolescents
AsthmaUnlock trial analytics
PHASE3COMPLETED
Titratable Dosing in Moderate to Severe Asthmatics
AsthmaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline to Week 12 in 1h Post-dose FEV1
Week 0 (baseline), Week 12

1h post-dose FEV1 is defined as the 1-hour post-dose measurement taken at Week 12 minus the pre dose measurement taken at randomization for patients who remain in the study (irrespective of whether IP has been discontinued).

Number of Participants Experiencing an Event in the Composite Endpoint (Asthma-related Death, Asthma-related Intubation or Asthma-related Hospitalization)
Up to 27 weeks

Number of participants experiencing an event in the composite endpoint (asthma-related death, asthma-related intubation or asthma-related hospitalization), using events adjudicated and confirmed by the Joint Adjudication Committee. Cox proportional hazards model with terms for randomized treatment and strata for incoming control/asthma treatment was used to compare Symbicort and budesonide. Hazard ratios and 95% confidence intervals were estimated.

Number of Participants Experiencing an Event Included in the Definition of Asthma Exacerbation
Up to 26 weeks

Number of participants experiencing an event included in the definition of asthma exacerbation. An asthma exacerbation was defined as a deterioration of asthma requiring systemic corticosteroids for at least 3 days or an inpatient hospitalization or emergency room visit due to asthma that required systemic corticosteroids. Cox proportional hazards model with terms for randomized treatment and strata for incoming control/asthma treatment was used to compare Symbicort and budesonide. Hazard ratios and 95% confidence intervals were estimated.

Asthma exacerbations, ECG and Holter monitors, lung function, adverse events, requirement of other asthma therapies and other routine safety assessments.
7 assessments within 12 month treatment period

Secondary Endpoints

Change From Baseline to Week 12 in 1h Post-dose PEF
Week 0 (baseline), Week 12
Change From Baseline to Week 12 in 1h Post-dose FEF25-75
Week 0 (baseline), Week 12
Change From Baseline to Week 12 in 1h Post-dose FVC
Week 0 (baseline), Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Symbicort pMDI 80/2.25 µgACTIVE_COMPARATORBudesonide/formoterol pMDI 80/2.25 µg, 2 acuations twice daily
Symbicort pMDI 80/4.5µgACTIVE_COMPARATORBudesonide/formoterol pMDI 80/4.5µg, 2 acuations twice daily
Budesonide pMDIACTIVE_COMPARATORBudesonide pMDI 80µg, 2 acuations twice daily
1EXPERIMENTALSymbicort
2ACTIVE_COMPARATORbudesonide

Interventions

NameTypeDescription
Symbicort pMDIDRUGBudesonide/formoterol pMDI 80/2.25 µg, 2 acuations twice daily
Budesonide pMDIOTHERBudesonide pMDI 80µg, 2 acuations twice daily
budesonide/formoterolDRUG -
Symbicort pMDI + budesonide HFA pMDIDRUGSymbicort 2 X 160/4.5mcg \& budesonide HFA pMDI 4 X 160mcg
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Eligibility Criteria

Age Range6 Years to 11 Years
SexALL
Healthy VolunteersNo
Study Sites70

Inclusion Criteria: * Has a documented clinical diagnosis of asthma defined by the ATS for at least 6 months prior to Visit 2 * Have a morning pre-bronchodilator clinic FEV1 measured at least 6 hours after the last dose of inhaled SABA and at least 48 hours after last dose of inhaled LABA of 60% to...

Countries:United StatesMexicoPanamaSlovakiaArgentinaBrazilBulgariaChileColombiaCzechiaFranceGermanyIndiaItalyPeruPhilippinesPolandPuerto RicoRomaniaRussiaSouth AfricaSouth KoreaThailandUkraineUnited KingdomVietnam
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Frequently asked questions about Symbicort pMDI+ budesonide HFA pMDI

What is Symbicort pMDI with spacer device used for?

Symbicort pMDI with spacer device is an investigational small molecule being studied for use in asthma. A Phase 1 study is being conducted in healthy volunteers to assess how much drug reaches the blood when given from Symbicort pMDI with spacer compared to without spacer. It is not approved and remains in clinical development.

Who makes Symbicort pMDI with spacer device?

Symbicort pMDI with spacer device is being developed by AstraZeneca PLC, a biopharmaceutical company traded on the stock exchange under the ticker AZN. AstraZeneca is conducting clinical trials to evaluate the drug's safety and efficacy in asthma patients and healthy volunteers.

What phase is Symbicort pMDI with spacer device in?

Symbicort pMDI with spacer device is in Phase 1 clinical development. A Phase 1 study is being conducted in healthy volunteers to compare drug levels in the blood when administered with a spacer versus without a spacer. The drug is investigational and not yet approved.

What clinical trials is Symbicort pMDI with spacer device in?

Symbicort pMDI with spacer device has completed three clinical trials. These include NCT00651768, a Phase 3 titratable dosing study in moderate to severe asthmatics; NCT01444430, a 6-month safety study in asthmatic adults and adolescents; and NCT02091986, a 12-week study in asthmatic children. A Phase 1 study, NCT02934607, is being conducted in healthy volunteers.

Is Symbicort pMDI with spacer device the same as Symbicort pMDI without spacer?

Symbicort pMDI with spacer device is being studied in comparison to Symbicort pMDI without spacer. A Phase 1 clinical trial (NCT02934607) is assessing how much drug reaches the blood when given from Symbicort pMDI with spacer compared to that of Symbicort pMDI without spacer in healthy volunteers.