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CompletedNCT01357642Updated Mar 11, 2016

Epinephrine Inhalation Aerosol USP: For Evaluation Of Efficacy And Safety In Asthma Patients

A Phase 3 interventional study of Epinephrine inhalation aerosol and Placebo in Asthma, sponsored by Amphastar Pharmaceuticals, Inc.. Completed at 33 sites in United States. Open to participants aged 12 Years to 75 Years. Per ClinicalTrials.gov, last updated 2016-03-11.

Sponsored by Amphastar Pharmaceuticals, Inc. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
373
Allocation
Randomized
Ages
12 Years to 75 Years
Sex
All
01

Study summary

This clinical study evaluates the 12-week efficacy and safety of Epinephrine HFA Inhalation Aerosol HFA the proposed HFA formulation of metered dose inhaler (MDI) of Epinephrine, in comparison to a Placebo-HFA control MDI and the currently marketed Primatene® Mist (epinephrine CFC inhaler), in adolescent and adult subjects with asthma.

02

Conditions studied

  • Asthma

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Keywords

  • asthma
  • bronchial asthma
  • shortness of breath
03

In context

Asthma

4,010 studies on the registry are indexed under Asthma; 514 are open to participants now.

This study's enrollment of 373 is above the median of 83 across 2,814 interventional studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

Amphastar Pharmaceuticals, Inc. is the lead sponsor of 21 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
12 Years to 75 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

  • Patients with documented asthma, requiring inhaled epinephrine or beta 2-agonist treatment.
  • No significant changes in asthma therapy and no asthma-related hospitalization or emergency visits, within 4 weeks prior to Screening
  • Can tolerate withholding treatment with inhaled bronchodilators and other allowed medications for the minimum washout period.
  • Demonstrating a Screening Baseline FEV1 that is 50 - 90% of predicted normal value.
  • Demonstrating at least a 12% Airway Reversibility.
  • Demonstrating satisfactory techniques in the use of metered-dose inhaler and a hand held peak expiratory flow meter.
  • Female patients of child-bearing potential must be non-pregnant and non-lactating at Screening and throughout the study, and must use an acceptable method of contraception during the study.

Exclusion criteria

Exclusion Criteria:

  • A smoking history of 10-pack years, or having smoked within 12 months of screening.
  • Any current or past medical conditions that, per investigator discretion, might significantly affect responses to the study drugs, other than asthma.
  • Concurrent clinically significant diseases.
  • Known intolerance or hypersensitivity to any component of the study drugs.
  • Recent infection of the respiratory tract, before screening.
  • Use of prohibited medications.
  • Having been on other investigational drug/device studies in the last 30 days prior to screening.
  • Known or highly suspected substance abuse.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
373 participants (actual)

Study arms

  • Experimental
    Arm T

    Arm T is the experimental treatment arm consisting of 2 x 125 mcg/inhalations of E004, QID, with 4-6 hr intervals

    Drug: Epinephrine inhalation aerosol

  • Placebo comparator
    Arm P

    Placebo comparator as 2×Placebo QID, with 4-6 hr intervals

    Drug: Placebo

  • Active comparator
    Arm A

    Active comparator, Primatene Mist, 2×220 mcg/inhalation, QID, with 4-6 hr intervals

    Drug: epinephrine inhalation aerosol

Interventions

  • DrugEpinephrine inhalation aerosol

    Epinephrine inhalation aerosol, 125 mcg/inhalation, 2 inhalations QID at 4 - 6 hour intervals

    Also known as: epinephrine inhalation aerosol - HFA propelled

  • DrugPlacebo

    Placebo for epinephrine inhalation aerosol, formulation without epinephrine

  • epinephrine inhalation aerosol, 220 mcg/inhalation, 2 inhalations QID at 4-6 hour intervals

    Also known as: Primatene Mist

06

What researchers measure

Primary outcomes

  1. Change in Area Under the Curve (AUC) versus placebo

    Serial FEV1 measurements to demonstrate the mean AUC of change in percent FEV1 from same-day baseline of E004 (Treatment T; Epinephrine-HFA) versus Placebo-HFA (Treatment P) is the primary efficacy endpoint.

    Time frame: at 5, 30, 60, 120, 180, 240, and 360 minutes post-dose

Secondary outcomes

  1. Monitor vital signs

    Assess blood pressure, pulse rate

    Time frame: 2, 10, 20, 60, and 360 min after dosing

  2. Cardiac rhythm

    At study visits 1 and 5 only, perform 12 lead ECG

    Time frame: at baseline, 2, 10, 20, and 60 min post-dose

  3. Blood glucose and potassium

    Monitor blood glucose and potassium levels to assure appropriate balance

    Time frame: baseline, and at 15 and 120 min post-dose

07

Study locations

33 sites
  • West Coast Clinical Trials
    Costa Mesa, California 92626, United States
  • Southern California Institute for Respiratory Diseases
    Los Angeles, California 90048, United States
  • Asthma and Allergy Associates of Southern California
    Mission Viejo, California 92691, United States
  • CHOC PSF, Division of Allergy, Asthma and Immunology
    Orange, California 92868, United States
  • Allergy & Asthma Assocaites of Santa Clara Valley
    San Jose, California 95117, United States
  • Colorado Allergy & Asthma Centers
    Centennial, Colorado 80112, United States
  • Colorado Allergy & Asthma Centers
    Denver, Colorado 80230, United States
  • Rocky Mountain Center for Clinical Research
    Wheat Ridge, Colorado 80033, United States
  • Atlanta Allergy & Asthma Clinic
    Woodstock, Georgia 30188, United States
  • Iowa Clinical Research Corporation
    Iowa City, Iowa 52240, United States
  • Family Allergy & Asthma Research Institute
    Louisville, Kentucky 40215, United States
  • Northeast Medical Research Associates
    No. Dartmouth, Massachusetts 02747, United States
  • Clinical Research Institute
    Minneapolis, Minnesota 55402, United States
  • Clinical Research Institute
    Plymouth, Minnesota 55441, United States
  • The Clinical Research Center
    St Louis, Missouri 63141, United States
  • Clinical Research Group of Montana
    Bozeman, Montana 59718, United States
  • The Asthma & Allergy Center
    Bellevue, Nebraska 68123, United States
  • Princeton Center for Clinical Research
    Skillman, New Jersey 08558, United States
  • North Carolina Clinical Research
    Raleigh, North Carolina 27607, United States
  • New Horizons Clinical Research
    Cincinnati, Ohio 45242, United States
  • Intergated Medical Research
    Ashland, Oregon 97520, United States
  • Allergy and Asthma Research Group
    Eugene, Oregon 97401, United States
  • Baker Allergy, Asthma & Dermatology Research Center
    Lake Oswego, Oregon 97035, United States
  • The Clinical Research Institute of Southern Oregon
    Medford, Oregon 97504, United States
  • Transitional Clinical Research
    Portland, Oregon 97213, United States
  • Allergy and Clinical Immunology Associates
    Pittsburgh, Pennsylvania 15241, United States
  • Asthma & Allergy Research Associates
    Upland, Pennsylvania 17013, United States
  • National Allergy, Asthma & Urticaria Centers of Charleston
    Charleston, South Carolina 29406, United States
  • Western Sky Research
    El Paso, Texas 79903, United States
  • Central Texas Health Research
    New Braunfels, Texas 78130, United States
  • Sylvana Research Associates
    San Antonio, Texas 78229, United States
  • Allergy Partners
    Richmond, Virginia 23229, United States
  • ASTHMA, Inc.
    Seattle, Washington 98105, United States
08

References and documents

Publications

  • Pinnas JL, Schachtel BP, Chen TM, Roseberry HR, Thoden WR. Inhaled epinephrine and oral theophylline-ephedrine in the treatment of asthma. J Clin Pharmacol. 1991 Mar;31(3):243-7. doi: 10.1002/j.1552-4604.1991.tb04969.x. PubMed 2019665 ↗
  • Hendeles L, Marshik PL, Ahrens R, Kifle Y, Shuster J. Response to nonprescription epinephrine inhaler during nocturnal asthma. Ann Allergy Asthma Immunol. 2005 Dec;95(6):530-4. doi: 10.1016/S1081-1206(10)61014-9. PubMed 16400891 ↗
  • Warren JB, Doble N, Dalton N, Ewan PW. Systemic absorption of inhaled epinephrine. Clin Pharmacol Ther. 1986 Dec;40(6):673-8. doi: 10.1038/clpt.1986.243. PubMed 3780129 ↗
  • Cripps A, Riebe M, Schulze M, Woodhouse R. Pharmaceutical transition to non-CFC pressurized metered dose inhalers. Respir Med. 2000 Jun;94 Suppl B:S3-9. PubMed 10919679 ↗
  • Dickinson BD, Altman RD, Deitchman SD, Champion HC. Safety of over-the-counter inhalers for asthma: report of the council on scientific affairs. Chest. 2000 Aug;118(2):522-6. doi: 10.1378/chest.118.2.522. PubMed 10936150 ↗
  • Simons FE, Gu X, Johnston LM, Simons KJ. Can epinephrine inhalations be substituted for epinephrine injection in children at risk for systemic anaphylaxis? Pediatrics. 2000 Nov;106(5):1040-4. doi: 10.1542/peds.106.5.1040. PubMed 11061773 ↗
  • Kerwin EM, Tashkin DP, Korenblat PE, Greos LS, Pearlman DS, Bensch GW, Miller SD, Marrs T, Luo MZ, Zhang JY. Long-term safety and efficacy studies of epinephrine HFA metered-dose inhaler (Primatene(R) Mist): a two-stage randomized controlled trial. J Asthma. 2021 May;58(5):633-644. doi: 10.1080/02770903.2020.1713147. Epub 2020 Jan 20. PubMed 31959019 ↗
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Timeline

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

The record gives a start of Jul 2011, a primary completion of Nov 2011 and a completion of Dec 2011. It does not say whether these dates are actual or estimated.

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

Registered
May 19, 2011
First posted
May 23, 2011
Start
Jul 2011
Primary completionActual
Nov 2011
CompletionActual
Dec 2011
Results delay requested
Feb 11, 2016
Last update
Mar 11, 2016
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 Mar 11, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01357642
Lead sponsor
Amphastar Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
May 23, 2011
Start date
Jul 2011
Primary completion
Nov 2011
Completion
Dec 2011
Last update
Mar 11, 2016

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Epinephrine

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