ClinicalTrials.gg
TerminatedNCT01070888Updated Jul 7, 2021Results posted

Trial on the Effect of Budesonide/Formoterol and Inhaled Budesonide Alone on Exercise-Induced Asthma

A Phase 4 interventional study of Budesonide/Formoterol and Budesonide in Exercise Induced Asthma, sponsored by Boston Children's Hospital. Terminated at 2 sites in United States. Open to participants aged 12 Years to 50 Years. Per ClinicalTrials.gov, last updated 2021-07-07.

Sponsored by Boston Children's Hospital · Phase 4, Interventional, and Treatment

Why this study was terminated
Unable to reach target goal
Phase
Phase 4
Study type
Interventional
Enrollment
6
Allocation
Randomized
Ages
12 Years to 50 Years
Sex
All
01

Study summary

The purpose of this study is to find out if Symbicort® (budesonide/formoterol), a new combination asthma medication, is more effective than budesonide alone in controlling exercise induced asthma.

The investigators hypothesize that in children and adults who suffer from asthma and exercise induced asthma there will be less decline in lung function associated with exercise when they receive the study medication.

Read the detailed description

The purpose of this study is to find out if Symbicort® (budesonide/formoterol), a new combination asthma medication, is more effective than budesonide alone in controlling exercise induced asthma.

The investigators hypothesize that in children and adults who suffer from asthma and exercise induced asthma there will be less decline in lung function associated with exercise when they receive the study medication.

40 subjects will be randomized to receive both active medications in separate testing periods to determine the effect on their lung function after exercise testing.

02

Conditions studied

  • Exercise Induced Asthma

Keywords

  • Asthma
  • Exercise Induced Asthma
03

In context

Asthma, Exercise-Induced

52 studies on the registry are indexed under Asthma, Exercise-Induced; 3 are open to participants now.

This study's enrollment of 6 is below the median of 47 across 40 interventional studies indexed under Asthma, Exercise-Induced.

Browse Asthma, Exercise-Induced studies →

Lead sponsor

Boston Children's Hospital is the lead sponsor of 608 studies on the registry; 147 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 19 (59%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or Female Patients aged 12 to 50 years with a diagnosis of asthma for at least 6 months before screening
  • Baseline of 60% to >100% of predicted
  • Demonstrate a decrease in FEV1 of 15% or greater from baseline after standardized stepped exercise challenge testing
  • Taking a constant dose of low-medium dose inhaled for at least 30 days before screening of either:

    1. fluticasone, 88 - 440 mcg/d via MDI or 100 to 500 mcg/d via DPI
    2. beclomethasone HFA 80 to 480 mcg/day
    3. budesonide DPI 180 to 1200 mcg/ d
    4. flunisolide 500 to 2000 mcg/d
    5. flunisolide HFA 320 to 640 mcg/d
    6. mometasone 200 to 800 mcg/d
    7. triamcinolone acetonide 300 to 1500 mcg/ d

Exclusion criteria

Exclusion Criteria:

  • Patients already on LABAs, systemic , or other combination inhaled steroids/LABA medications.
  • Patients not able to safely complete an exercise challenge due to physical constraints outside of their respiratory status.
  • Patients who are pregnant or plan to become pregnant during the study period.
  • Patients with a history of reaction to either formoterol or budesonide.
  • Patients with any significant disease or disorder which, in the opinion of the investigator, may either put the patient at risk because of participation in the study, or influence the results of the study, or the patient's ability to participate in the study.
  • Patients with planned hospitalization during the study
  • Current Smokers or those with a history of 10 pack years of tobacco use or more.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
6 participants (actual)

Study arms

  • Experimental
    Budesonide/Formoterol first

    This arm will receive blinded budesonide/formoterol and dummy inhaler and will be asked to take 2 inhalations of each inhaler, twice daily. The second study period will be budesonide and dummy inhaler.

    Drug: Budesonide/Formoterol · Drug: Budesonide

  • Active comparator
    Budesonide first

    This arm will receive blinded budesonide and dummy inhaler and will be asked to take 2 inhalations of each inhaler, twice daily. The second study period will be budesonide/formoterol and dummy inhaler.

    Drug: Budesonide/Formoterol · Drug: Budesonide

Interventions

  • DrugBudesonide/Formoterol

    Drug pages: Budesonide · Formoterol

    Budesonide/Formoterol 160/4.5, 2 puff twice daily for 2 weeks

    Also known as: Symbicort

  • Budesonide 180mcg, 2 puffs twice daily for 2 weeks

    Also known as: Pulmicort

06

What researchers measure

Primary outcomes

  1. Mean Difference Between Maximal Percentage Decrease in FEV1 After the Exercise Challenge Compared to the Run in Period, Budesonide/Formoterol - Budesonide

    Mean difference between maximal percentage decrease in FEV1 after the exercise challenge compared to the run in period, budesonide/formoterol - budesonide, calculated as follows: (max fall in FEV1(baseline) - maximal fall in FEV1(bud/form) - (max fall in FEV1(baseline) - maximal fall in FEV1(bud))

    Time frame: 8 weeks

07

Results

Posted Dec 30, 2014

Participant flow

October 2010 to October 2012

First Intervention (14 Days)
Participant flow — First Intervention (14 Days)
MilestoneBudesonide FirstBudesonide/Formoterol First
Started24
Completed22
Not completed02
Withdrew: Adverse event01
Withdrew: Lost to follow-up01
Washout (14 Days)
Participant flow — Washout (14 Days)
MilestoneBudesonide FirstBudesonide/Formoterol First
Started22
Completed12
Not completed10
Withdrew: Physician decision10
Second Intervention (14 Days)
Participant flow — Second Intervention (14 Days)
MilestoneBudesonide FirstBudesonide/Formoterol First
Started12
Completed12
Not completed00

Outcome measures

PrimaryMean Difference Between Maximal Percentage Decrease in FEV1 After the Exercise Challenge Compared to the Run in Period, Budesonide/Formoterol - Budesonide

Mean difference between maximal percentage decrease in FEV1 after the exercise challenge compared to the run in period, budesonide/formoterol - budesonide, calculated as follows: (max fall in FEV1(baseline) - maximal fall in FEV1(bud/form) - (max fall in FEV1(baseline) - maximal fall in FEV1(bud))

Time frame:
8 weeks
Reported as:
Mean · percentage of fall in FEV1
Mean Difference Between Maximal Percentage Decrease in FEV1 After the Exercise Challenge Compared to the Run in Period, Budesonide/Formoterol - Budesonide
percentage of fall in FEV1Budesonide FirstBudesonide/Formoterol First
Mean Difference Between Maximal Percentage Decrease in FEV1 After the Exercise Challenge Compared to the Run in Period, Budesonide/Formoterol - Budesonide-3.1 ± 0-19.4 ± 30.5

Adverse events

Collected over Throughout entire study, 2 years. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Budesonide/Formoterol—0/5 (0%)1/5 (20%)
Budesonide—0/4 (0%)0/4 (0%)
Most frequent other events
Most frequent other events
EventBudesonide/FormoterolBudesonide
asthma exacerbationRespiratory, thoracic and mediastinal disorders1/50/4

Baseline characteristics

Age, Continuous
Age, Continuous(years)Budesonide FirstBudesonide/Formoterol FirstTotal
Mean29.5 (18 to 41)22.5 (15 to 33)24.8 (15 to 41)
Sex: Female, Male
Sex: Female, Male(Participants)Budesonide FirstBudesonide/Formoterol FirstTotal
Female224
Male022
FEV1 fall % predicted with exercise
FEV1 fall % predicted with exercise(percent fall in FEV1)Budesonide FirstBudesonide/Formoterol FirstTotal
Mean15.5 ± 0.661.1 ± 13.045.9 ± 25.6
08

Study locations

2 sites
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
  • Children's Hospital Boston
    Boston, Massachusetts 02115, United States
09

References and documents

Publications

  • Gaffin JM, Bouzaher A, McCown M, Larabee Tuttle K, Israel E, Phipatanakul W. Rethinking the prevalence of exercise-induced bronchoconstriction in patients with asthma. Ann Allergy Asthma Immunol. 2013 Dec;111(6):567-8. doi: 10.1016/j.anai.2013.10.005. Epub 2013 Oct 30. No abstract available. PubMed 24267370 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Feb 2010, a primary completion of Apr 2014 and a completion of Apr 2014. It does not say whether these dates are actual or estimated.

Results were first posted in Dec 2014, 8 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 17, 2010
First posted
Feb 18, 2010
Start
Feb 2010
Primary completionActual
Apr 2014
CompletionActual
Apr 2014
Results first posted
Dec 30, 2014
Last update
Jul 7, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 7, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01070888
Responsible party
Wanda Phipatanakul (Study PI, Boston Children's Hospital) — Principal investigator
First posted
Feb 18, 2010
Start date
Feb 2010
Primary completion
Apr 2014
Completion
Apr 2014
Results posted
Dec 30, 2014
Last update
Jul 7, 2021

Study contacts

Wanda Phipatanakul, MD,MS
principal investigator · Boston Children's Hospital
Jonathan M Gaffin, MD
study director · Boston Children's Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Budesonide · Formoterol

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