ClinicalTrials.gg
CompletedNCT01460511Updated Jul 31, 2018

Evaluation of Efficacy and Safety of E004 in Children With Asthma

A Phase 3 interventional study of E004 (Epinephrine Inhalation Aerosol) HFA-MDI and Placebo-HFA in Asthma, sponsored by Amphastar Pharmaceuticals, Inc.. Completed at 8 sites in United States. Open to participants aged 4 Years to 11 Years. Per ClinicalTrials.gov, last updated 2018-07-31.

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

Phase
Phase 3
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
4 Years to 11 Years
Sex
All
01

Study summary

This is a multi-center, randomized, double-blinded, placebo-controlled, parallel, 4-week study in 60 pediatric patients (4-11 years old) with asthma, comparing E004 with Placebo HFA-MDI in pediatric patients who are 4-11 years of age with asthma.

02

Conditions studied

  • Asthma

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Keywords

  • Mild bronchial asthma
03

In context

Asthma

4,841 studies on the registry are indexed under Asthma; 600 are open to participants now.

This study's enrollment of 70 is below the median of 78 across 3,341 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.

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Who can participate

Ages eligible
4 Years to 11 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

  • Generally healthy male, and premenarchal female, children aged 4 - 11 years upon Screening.
  • With documented asthma, requiring inhaled epinephrine or beta2-agonist treatment, with or without concurrent anti-inflammatory therapies for at least 6-months prior to Screening.
  • Being capable of performing spirometry for
  • Satisfying criteria of asthma
  • Can tolerate withholding treatment with inhaled bronchodilators and other allowed medications for the minimum
  • Demonstrating a Screening Baseline FEV1 that is 50 - 90% of Polgar predicted normal value.
  • Demonstrating an Airway Reversibility,
  • Demonstrating satisfactory techniques in the use of a metered-dose inhaler (MDIs) and a hand held peak expiratory flow meter, after training.
  • Has been properly consented to participate in this study.

Exclusion criteria

Exclusion Criteria:

  • Any current or past medical conditions that, per investigator discretion, might significantly affect pharmacodynamic responses to the study drugs
  • Concurrent cardiovascular, hematological, renal, neurologic, hepatic, endocrine, psychiatric, or malignant diseases.
  • Known intolerance or to any component of the study drugs
  • Recent infection of the respiratory tract
  • Use of prohibited medications
  • Having been on other drug/device studies in the last 30 days prior to screening.
Terms in these criteria, in plain language(5)

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.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
70 participants (actual)

Study arms

  • Placebo comparator
    P - Placebo-HFA

    Placebo-HFA, 0 mcg/inhalation, 2 inhalations QID

    Drug: Placebo-HFA

  • Experimental
    T - E004 (Epinephrine Inhalation Aerosol) HFA-MDI

    E004 (Epinephrine Inhalation Aerosol) HFA-MDI, 125 mcg/inhalation, 2 inhalations QID

    Drug: E004 (Epinephrine Inhalation Aerosol) HFA-MDI

Interventions

  • DrugE004 (Epinephrine Inhalation Aerosol) HFA-MDI

    E004 (Epinephrine Inhalation Aerosol) HFA-MDI, 125 mcg/inhalation, 2 inhalations QID

  • DrugPlacebo-HFA

    Placebo-HFA, 0 mcg/inhalation, 2 inhalations QID

06

What researchers measure

Primary outcomes

  1. Primary Efficacy Endpoint AUC of FEV1's relative change

    bronchodilator effect expressed as AUC of FEV1's relative change (from the same day baseline) versus time, defined as AUC of ΔFEV1%.

    Time frame: Visit 1 and Visit 3 at 5, 30, 60, 120, 180, 240, and 360 minutes post-dose

Secondary outcomes

  1. AUC of FEV1 volume changes (AUC of change in FEV1)

    determination of the change in FEV1 from baseline at visit to to post treatment at Visit 3

    Time frame: Visit 1 and Visit 3 at 5, 30, 60, 120, 180, 240, and 360 minutes post-dose

  2. Maximum of change in FEV1% (Fmax)

    Evaluation of maximum percent change in FEV1

    Time frame: Visit 1 and Visit 3 at 5, 30, 60, 120, 180, 240, and 360 minutes post-dose

  3. Curves of change in FEV1, and change in FEV1%, versus time

    Evaluation of curves of change in FEV1 and percent change in FEV1 over time

    Time frame: Visit 1 and Visit 3 at 5, 30, 60, 120, 180, 240, and 360 minutes post-dose

  4. Time to onset of bronchodilator effect (to onset), determined the time point (within 60 minutes) where FEV1 first reaches ≥12% above Same-Day Baseline.

    Evaluation of how much time elapses (within 60 minutes), until FEV1 first reaches ≥12% above Same-Day Baseline.

    Time frame: Study Visits 1and 3 within 60 minutes post dose

  5. The time to peak FEV1 effect (tmax), defined as the time of Fmax.

    Evaluation of how much time elapses until FEV1 reaches its peak

    Time frame: Study Visits 1 and 3 at 5, 30, 60, 120, 180, 240, and 360 minutes post-dose

  6. Duration of efficacy (duration), defined as the total length of time when ΔFEV1% reaches and stays ≥12% above Same-Day Baseline.

    Evaluation of the total length of time it takes until the change in FEV1% reaches and stays ≥12% above Same-Day Baseline.

    Time frame: Study Weeks 1and 3 at 5, 30, 60, 120, 180, 240, and 360 minutes post-dose

  7. Percentage of positive responders (R%), including all subjects whose Fmax reaches ≥12% above Same-Day Baseline.

    Evaluation of what percentage of subjects are positive responders (R%), including all subjects whose Fmaxreaches ≥12% above Same-Day Baseline.

    Time frame: Study Weeks 1 and 3 within 60 minutes post dose

  8. Mean daily morning pre-dose Peak Expiratory Flow Rate (PEF)

    Evaluation of the mean of daily morning pre-dose Expiratory Flow Rate

    Time frame: daily pre-dose

  9. Evaluation of Vital Signs

    Monitoring of vital signs (SBP/DBP, and heart rate) at the Screening Visit (Baseline and 30 min post-dose), and at the baseline, 3, 20, 60 and 360 minute time points during the study

    Time frame: predose, and 3, 20, 60, 360 minutes post-dose

  10. 12-lead ECG

    Recording of 12-lead ECG (Routine and QT/QTc) at Screening Visit Baseline, and at the baseline, 3, 20 and 60 minute time points during Study Visits 1 and 3

    Time frame: Pre-dose and , 3, 20 and 60 minutes post-dose (Study Visits 1 and 3)

  11. Albuterol HFA usage for rescue relief of acute asthma symptoms

    Evaluation Albuterol HFA usage for rescue relief of acute asthma symptoms

    Time frame: Study Visits 1, 2, and 3, within 30 min predose

07

Study locations

8 sites
  • Amphastar Site 5
    Costa Mesa, California 92626, United States
  • Amphastar Site 8
    Orange, California 92868, United States
  • Amphastar Site 4
    Stockton, California 95207, United States
  • Amphastar Site 2
    Medford, Oregon 97504, United States
  • Amphastar Site 1
    Portland, Oregon 97202, United States
  • Amphastar Site 7
    North Charleston, South Carolina 29406, United States
  • Amphastar Site 3
    El Paso, Texas 79903, United States
  • Amphastar Site 6
    San Antonio, Texas 78229, 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 ↗
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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 Oct 2011, a primary completion of Mar 2012 and a completion of Jul 2012. 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
Oct 24, 2011
First posted
Oct 27, 2011
Start
Oct 2011
Primary completionActual
Mar 2012
CompletionActual
Jul 2012
Results delay requested
Jul 20, 2018
Last update
Jul 31, 2018
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 31, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01460511
Lead sponsor
Amphastar Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Oct 27, 2011
Start date
Oct 2011
Primary completion
Mar 2012
Completion
Jul 2012
Last update
Jul 31, 2018

Study contacts

John Gao, M.D.
study chair · Amphastar Pharmaceuticals, Inc.

Oversight

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

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