ClinicalTrials.gg
CompletedNCT03421730Updated Oct 21, 2019Results posted

A Study of the Pharmacokinetics, Safety and Tolerability of Single Doses of VR647 Inhalation Suspension Administered Using the VR647 Inhalation System in Children With Wheezing, Reactive Airway Disease or Mild Asthma

A Phase 1 interventional study of VR647 Inhalation Suspension (budesonide) 1 mg/2 mL delivered by the VR647 Inhalation System and 1 mg/2 mL Pulmicort Respules delivered by a conventional jet nebulizer in Wheezing, Reactive Airway Disease and Mild Asthma, sponsored by Vectura Limited. Completed at 3 sites in United States. Open to participants aged 4 Years to 8 Years. Per ClinicalTrials.gov, last updated 2019-10-21.

Sponsored by Vectura Limited · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
17
Allocation
Randomized
Ages
4 Years to 8 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 68 studies in Respiratory Sounds with a site in United States — 9 open to participants now, 12 under way, 1 of them phase 3. Respiratory Sounds · United States.

Enrollment
35th of 39
17 · median 140
Started
2017
with 5 others
Phase 1
2 of 68
none open now
Registered
44th of 68
by date

Among the 68 studies in Respiratory Sounds with a site in United States, this one is the 35th largest by enrollment of the 39 interventional ones that give a count, is one of 6 that started in 2017, is one of 2 in phase 1, and was the 44th registered.

Respiratory Sounds

189 studies on the registry are indexed under Respiratory Sounds; 41 are open to participants now.

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Open to participants now

9 of the 68 studies in Respiratory Sounds with a site in United States are open now. Recruiting first, the newest first:

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All 9 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 31 Respiratory Sounds studies recruiting now, 6 (19%) set no upper age limit and 24 (77%) stop at 75 or younger; 21 take children under 18; 11 take healthy volunteers.

This study: 4 Years to 8 Years · all sexes · no healthy volunteers.

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02

Study summary

The primary objective of this study is to evaluate budesonide levels in the blood following inhalation of single doses of VR647 Inhalation Suspension in children with wheezing, reactive airway disease or mild asthma using a nebulizer, the VR647 Inhalation System. Secondary objectives include the evaluation of the safety and tolerability of VR647 Inhalation Suspension administered using the VR647 Inhalation System.

The study consists of four visits; a screening visit (Visit 1), two dosing days (Visits 2 and 3) and a follow-up visit (Visit 4). On each dosing day a single dose of treatment will be administered. Treatment allocation at Visits 2 and 3 is determined by a balanced incomplete block design.

03

Conditions studied

  • Wheezing
  • Reactive Airway Disease
  • Mild Asthma

Keywords

  • mild asthma
  • budesonide
  • nebulizer
  • pediatric
  • pharmacokinetics
04

Who can participate

Ages eligible
4 Years to 8 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Male or pre-menarchal female subjects.
  • Aged 4 to 8 years, inclusive.
  • Diagnosis of wheezing, reactive airway disease or mild asthma confirmed by a physician at least 3 months prior to screening.
  • Wheezing, reactive airway disease or mild asthma controlled by intermittent or regular non-steroidal medications commonly used for asthma, such as short-acting β2-agonists (SABAs) or leukotriene receptor antagonists (LTRAs), for a minimum of 28 days prior to the Screening Visit.
  • Body weight ≥15 kg.
  • Subject is able to demonstrate the ability to use the VR647 Inhalation System and the conventional jet nebulizer effectively during training.

Key Exclusion Criteria:

  • abnormality or medical condition (other than wheezing, reactive airway disease or mild asthma) identified at the screening assessment that, in the opinion of the investigator, could interfere with the objectives of the trial or the safety of the subject. The sponsor's medical officer should be consulted in case of any doubt.
  • Life-threatening asthma, defined as a history of asthma episode(s) requiring intubation, and/or associated with hypercapnia, respiratory arrest, hypoxic seizures, or asthma-related syncopal episodes.
  • Subjects currently using long-acting β2-agonists.
  • Use of the following prescription medications within 28 days prior to the first treatment day: by any route and drugs that inhibit cytochrome P450 3A4.
Terms in these criteria, in plain language(2)

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.

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.

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.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
17 participants (actual)

Study arms

  • Experimental
    AB - VR647 5 breaths, then VR647 10 breaths

    5 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System followed by 10 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System

    Combination Product: VR647 Inhalation Suspension (budesonide) 1 mg/2 mL delivered by the VR647 Inhalation System

  • Experimental
    AC - VR647 5 breaths, then VR647 20 breaths

    5 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System followed by 20 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System

    Combination Product: VR647 Inhalation Suspension (budesonide) 1 mg/2 mL delivered by the VR647 Inhalation System

  • Experimental
    AD - VR647 5 breaths, then Pulmicort

    5 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System followed by 1 mg/2 mL Pulmicort Respules delivered by the conventional jet nebulizer nebulized to empty

    Combination Product: VR647 Inhalation Suspension (budesonide) 1 mg/2 mL delivered by the VR647 Inhalation System · Combination Product: 1 mg/2 mL Pulmicort Respules delivered by a conventional jet nebulizer

  • Experimental
    BA - VR647 10 breaths, then VR647 5 breaths

    10 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System followed by 5 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System

    Combination Product: VR647 Inhalation Suspension (budesonide) 1 mg/2 mL delivered by the VR647 Inhalation System

  • Experimental
    BC - VR647 10 breaths, then VR647 20 breaths

    10 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System followed by 20 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System

    Combination Product: VR647 Inhalation Suspension (budesonide) 1 mg/2 mL delivered by the VR647 Inhalation System

  • Experimental
    BD - VR647 10 breaths, then Pulmicort

    10 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System followed by 1 mg/2 mL Pulmicort Respules delivered by the conventional jet nebulizer nebulized to empty

    Combination Product: VR647 Inhalation Suspension (budesonide) 1 mg/2 mL delivered by the VR647 Inhalation System · Combination Product: 1 mg/2 mL Pulmicort Respules delivered by a conventional jet nebulizer

  • Experimental
    CA - VR647 20 breaths, then VR647 5 breaths

    20 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System followed by 5 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System

    Combination Product: VR647 Inhalation Suspension (budesonide) 1 mg/2 mL delivered by the VR647 Inhalation System

  • Experimental
    CB - VR647 20 breaths, then VR647 10 breaths

    20 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System followed by 10 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System

    Combination Product: VR647 Inhalation Suspension (budesonide) 1 mg/2 mL delivered by the VR647 Inhalation System

  • Experimental
    CD - VR647 20 breaths, then Pulmicort

    20 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System followed by 1 mg/2 mL Pulmicort Respules delivered by the conventional jet nebulizer nebulized to empty

    Combination Product: VR647 Inhalation Suspension (budesonide) 1 mg/2 mL delivered by the VR647 Inhalation System · Combination Product: 1 mg/2 mL Pulmicort Respules delivered by a conventional jet nebulizer

  • Experimental
    DA - Pulmicort, then VR647 5 breaths

    1 mg/2 mL Pulmicort Respules delivered by the conventional jet nebulizer nebulized to empty followed by 5 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System

    Combination Product: VR647 Inhalation Suspension (budesonide) 1 mg/2 mL delivered by the VR647 Inhalation System · Combination Product: 1 mg/2 mL Pulmicort Respules delivered by a conventional jet nebulizer

  • Experimental
    DB - Pulmicort, then VR647 10 breaths

    1 mg/2 mL Pulmicort Respules delivered by the conventional jet nebulizer nebulized to empty followed by 10 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System

    Combination Product: VR647 Inhalation Suspension (budesonide) 1 mg/2 mL delivered by the VR647 Inhalation System · Combination Product: 1 mg/2 mL Pulmicort Respules delivered by a conventional jet nebulizer

  • Experimental
    DC - Pulmicort, then VR647 20 breaths

    1 mg/2 mL Pulmicort Respules delivered by the conventional jet nebulizer nebulized to empty followed by 20 breaths of the VR647 Inhalation Suspension 1 mg/2 mL delivered by the VR647 Inhalation System

    Combination Product: VR647 Inhalation Suspension (budesonide) 1 mg/2 mL delivered by the VR647 Inhalation System · Combination Product: 1 mg/2 mL Pulmicort Respules delivered by a conventional jet nebulizer

Interventions

  • Combination productVR647 Inhalation Suspension (budesonide) 1 mg/2 mL delivered by the VR647 Inhalation System

    Drug page: Budesonide

    The VR647 Inhalation System consists of the VR647 Inhalation System 1 control unit, a VR647 nebulizer handset, a mouthpiece and VR647 Smart Cards designed specifically for this trial.

  • Combination product1 mg/2 mL Pulmicort Respules delivered by a conventional jet nebulizer

    Commercial Pulmicort Respules (budesonide inhalation suspension 1 mg/2 mL) delivered by a conventional jet nebulizer operated to sputtering.

06

What researchers measure

Primary outcomes

  1. AUClast of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).

    AUClast is the area under the plasma concentration-time curve, from time 0 to the time of the last measurable concentration (Clast).

    Time frame: Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).

  2. AUCinf of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).

    AUCinf is the area under the plasma concentration-time curve, from time 0 extrapolated to infinity. AUCinf is calculated as the sum of AUClast plus the ratio of the last measurable plasma concentration (Clast) to the elimination rate constant (λz).

    Time frame: Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).

  3. Cmax of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).

    Cmax is the maximum observed concentration.

    Time frame: Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).

  4. Tmax of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).

    Tmax is the time to reach Cmax.

    Time frame: Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).

  5. Tlast of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).

    Tlast is the time of the last measurable concentration (Clast).

    Time frame: Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).

  6. T1/2 of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).

    T1/2 is the apparent first-order terminal elimination half-life.

    Time frame: Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).

Secondary outcomes

  1. Mean Modified Patient Satisfaction and Preference Questionnaire (PASAPQ) Total Score (Q1 to Q8).

    The PASAPQ is a validated multi-item measure of satisfaction and preference with inhaler devices. The modified PASAPQ consists of 10 questions. The first 8 questions generate the total score domain. Data from this questionnaire were listed by subject and summarized by treatment. The results from Questions 1 through 8 were added for each subject to generate the Total Score (n = Q1+Q2+Q3+Q4+Q5+Q6+Q7+Q8) and expressed as percentage of maximum total score (i.e., (n/56)\*100). Questions 1 to 8 were answered using scores from 1 (i.e., very dissatisfied) to 7 (i.e., very satisfied).

    Time frame: Following dosing on Day 1 (Visit 2) and Day 8 (Visit 3).

  2. Mean Modified PASAPQ Performance Score

    The PASAPQ is a validated multi-item measure of satisfaction and preference with inhaler devices; it was originally a 15-item questionnaire, with performance assessed over 7 items. The modified PASAPQ (mPASAPQ) has 10 questions, including only 4 from the performance domain; the 3 questions not included were dropped from the mPASAPQ as they were not applicable to patient population and device under study. Questions 1, 2, 6, and 7 were assessed, covering satisfaction with nebulizer reliability, ease of inhalation, use and treatment time. Although specified in the protocol, the mPASAPQ performance score was not summarized in the efficacy analysis. The results for each question are presented below, however it was not considered appropriate to analyze the performance domain, as it is not possible to verify the validity of the questionnaire utilising only 4 of the original 7 questions. Questions were answered using scores from 1 (i.e., very dissatisfied) to 7 (i.e., very satisfied).

    Time frame: Following dosing on Day 1 (Visit 2) and Day 8 (Visit 3).

  3. Mean Modified PASAPQ Satisfaction Score (Q9).

    The PASAPQ is a validated multi-item measure of satisfaction and preference with inhaler devices. The modified PASAPQ consists of 10 questions. Question 9 asks for overall satisfaction with the device(s) used in the trial. Question 9 was answered using scores from 1 (i.e., very dissatisfied) to 7 (i.e., very satisfied).

    Time frame: Following dosing on Day 1 (Visit 2) and Day 8 (Visit 3).

  4. Mean Modified PASAPQ Score Indicating Willingness to Continue With the Device (Q10).

    The PASAPQ is a validated multi-item measure of satisfaction and preference with inhaler devices. The modified PASAPQ consists of 10 questions. Question 10 asks about willingness to continue with the device(s) used in the trial. Parents/legal guardians were asked to indicate how willing they would be for their child to use the nebulizer used during the study, providing a number between 0 (unwilling) and 100 (willing).

    Time frame: Following dosing on Day 1 (Visit 2) and Day 8 (Visit 3).

  5. Changes in Vital Signs (Blood Pressure)

    Mean values for blood pressure from pre-dose to 0.5 hours post-dose.

    Time frame: Baseline to Day 1 0.5 hours post-dose

  6. Changes in Vital Signs (Heart Rate)

    Mean values for heart rate from pre-dose to 0.5 hours post-dose.

    Time frame: Baseline to Day 1 0.5 hours post-dose

  7. Changes in Vital Signs (Respiration Rate)

    Mean values for respiratory rate from pre-dose to 0.5 hours post-dose.

    Time frame: Baseline to Day 1 0.5 hours post-dose

  8. Changes in Vital Signs (Temperature)

    Mean values for temperature from pre-dose to 0.5 hours post-dose.

    Time frame: Baseline to Day 1 0.5 hours post-dose

  9. Changes in Physical Examination

    Physical examination data were listed. The number of participants with a change in physical examination status (i.e. from normal to abnormal, or from abnormal to normal) is presented below.

    Time frame: Visit 1, and Day 8 of Visit 3.

  10. Use of Concomitant Medications

    Number of subjects using concomitant medications.

    Time frame: Visit 1

07

Results

Posted Oct 21, 2019

Participant flow

First Intervention (Day 1, Visit 2)
Participant flow — First Intervention (Day 1, Visit 2)
MilestoneAB - VR647 5 Breaths, Then VR647 10 BreathsAC - VR647 5 Breaths, Then VR647 20 BreathsAD - VR647 5 Breaths, Then PulmicortBA - VR647 10 Breaths, Then VR647 5 BreathsBC - VR647 10 Breaths, Then VR647 20 BreathsBD - VR647 10 Breaths, Then PulmicortCA - VR647 20 Breaths, Then VR647 5 BreathsCB - VR647 20 Breaths, Then VR647 10 BreathsCD - VR647 20 Breaths, Then PulmicortDA - Pulmicort, Then VR647 5 BreathsDB - Pulmicort, Then VR647 10 BreathsDC - Pulmicort, Then VR647 20 Breaths
Started131131111211
Completed111131111211
Not completed020000000000
Withdrew: Withdrawal by subject or legal guardian020000000000
Washout (Days 4 to 10)
Participant flow — Washout (Days 4 to 10)
MilestoneAB - VR647 5 Breaths, Then VR647 10 BreathsAC - VR647 5 Breaths, Then VR647 20 BreathsAD - VR647 5 Breaths, Then PulmicortBA - VR647 10 Breaths, Then VR647 5 BreathsBC - VR647 10 Breaths, Then VR647 20 BreathsBD - VR647 10 Breaths, Then PulmicortCA - VR647 20 Breaths, Then VR647 5 BreathsCB - VR647 20 Breaths, Then VR647 10 BreathsCD - VR647 20 Breaths, Then PulmicortDA - Pulmicort, Then VR647 5 BreathsDB - Pulmicort, Then VR647 10 BreathsDC - Pulmicort, Then VR647 20 Breaths
Started111131111211
Completed111111111211
Not completed000020000000
Withdrew: Withdrawal by subject or legal guardian000020000000
Second Intervention (Day 8±3, Visit 3)
Participant flow — Second Intervention (Day 8±3, Visit 3)
MilestoneAB - VR647 5 Breaths, Then VR647 10 BreathsAC - VR647 5 Breaths, Then VR647 20 BreathsAD - VR647 5 Breaths, Then PulmicortBA - VR647 10 Breaths, Then VR647 5 BreathsBC - VR647 10 Breaths, Then VR647 20 BreathsBD - VR647 10 Breaths, Then PulmicortCA - VR647 20 Breaths, Then VR647 5 BreathsCB - VR647 20 Breaths, Then VR647 10 BreathsCD - VR647 20 Breaths, Then PulmicortDA - Pulmicort, Then VR647 5 BreathsDB - Pulmicort, Then VR647 10 BreathsDC - Pulmicort, Then VR647 20 Breaths
Started111111111211
Completed111111111211
Not completed000000000000

Outcome measures

PrimaryAUClast of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).

AUClast is the area under the plasma concentration-time curve, from time 0 to the time of the last measurable concentration (Clast).

Time frame:
Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).
Reported as:
Mean · pg*hr/mL
AUClast of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).
pg*hr/mLA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - Pulmicort
AUClast of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).120.7 ± 20.498327.5 ± 119.49759.5 ± 311.791357 ± 564.06
Statistical analysis
  • A - 5 Breaths VR647 vs D - Pulmicort · Geometric mean ratio (%): 8.69A: n=6; D: n=5
  • B - 10 Breaths VR647 vs D - Pulmicort · Geometric mean ratio (%): 28.18B: n=6, D: n=5
  • C - 20 Breaths VR647 vs D - Pulmicort · Geometric mean ratio (%): 59.51C: n=6, D: n=5
PrimaryAUCinf of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).

AUCinf is the area under the plasma concentration-time curve, from time 0 extrapolated to infinity. AUCinf is calculated as the sum of AUClast plus the ratio of the last measurable plasma concentration (Clast) to the elimination rate constant (λz).

Time frame:
Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).
Reported as:
Mean · pg*hr/mL
AUCinf of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).
pg*hr/mLA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - Pulmicort
AUCinf of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).138.3 ± 25.189326.2 ± 116.09737.1 ± 313.271492 ± 707.99
Statistical analysis
  • A - 5 Breaths VR647 vs D - Pulmicort · Geometric mean ratio (%): 13.35A: n=4, D: n=4
  • B - 10 Breaths VR647 vs D - Pulmicort · Geometric mean ratio (%): 35.97B: n=4, D: n=4
  • C - 20 Breaths VR647 vs D - Pulmicort · Geometric mean ratio (%): 76.98C: n=4, D: n=4
PrimaryCmax of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).

Cmax is the maximum observed concentration.

Time frame:
Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).
Reported as:
Mean · pg/mL
Cmax of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).
pg/mLA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - Pulmicort
Cmax of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).71.25 ± 9.5776179.7 ± 79.442390.3 ± 178.07601.8 ± 405.32
Statistical analysis
  • A - 5 Breaths VR647 vs D - Pulmicort · Geometric mean ratio (%): 9.55A: n=6, D: n=5
  • B - 10 Breaths VR647 vs D - Pulmicort · Geometric mean ratio (%): 32.42B: n=6, D: n=5
  • C - 20 Breaths VR647 vs D - Pulmicort · Geometric mean ratio (%): 59.75C: n=6, D: n=5
PrimaryTmax of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).

Tmax is the time to reach Cmax.

Time frame:
Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).
Reported as:
Median · hours
Tmax of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).
hoursA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - Pulmicort
Tmax of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).0.3330 (0.317 to 0.367)0.3330 (0.317 to 0.350)0.3500 (0.300 to 0.700)0.3330 (0.333 to 0.367)
PrimaryTlast of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).

Tlast is the time of the last measurable concentration (Clast).

Time frame:
Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).
Reported as:
Mean · hours
Tlast of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).
hoursA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - Pulmicort
Tlast of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).5.325 ± 1.63317.386 ± 0.95397.620 ± 0.79627.937 ± 0.0447
PrimaryT1/2 of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).

T1/2 is the apparent first-order terminal elimination half-life.

Time frame:
Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).
Reported as:
Mean · hours
T1/2 of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).
hoursA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - Pulmicort
T1/2 of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).1.703 ± 0.70051.991 ± 0.35872.059 ± 0.58952.200 ± 0.3300
SecondaryMean Modified Patient Satisfaction and Preference Questionnaire (PASAPQ) Total Score (Q1 to Q8).

The PASAPQ is a validated multi-item measure of satisfaction and preference with inhaler devices. The modified PASAPQ consists of 10 questions. The first 8 questions generate the total score domain. Data from this questionnaire were listed by subject and summarized by treatment. The results from Questions 1 through 8 were added for each subject to generate the Total Score (n = Q1+Q2+Q3+Q4+Q5+Q6+Q7+Q8) and expressed as percentage of maximum total score (i.e., (n/56)\*100). Questions 1 to 8 were answered using scores from 1 (i.e., very dissatisfied) to 7 (i.e., very satisfied).

Time frame:
Following dosing on Day 1 (Visit 2) and Day 8 (Visit 3).
Reported as:
Mean · percentage of maximum total score
Mean Modified Patient Satisfaction and Preference Questionnaire (PASAPQ) Total Score (Q1 to Q8).
percentage of maximum total scoreA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - Pulmicort
Mean Modified Patient Satisfaction and Preference Questionnaire (PASAPQ) Total Score (Q1 to Q8).97.7 ± 3.9595.8 ± 7.2397.5 ± 3.5688.6 ± 8.28
SecondaryMean Modified PASAPQ Performance Score

The PASAPQ is a validated multi-item measure of satisfaction and preference with inhaler devices; it was originally a 15-item questionnaire, with performance assessed over 7 items. The modified PASAPQ (mPASAPQ) has 10 questions, including only 4 from the performance domain; the 3 questions not included were dropped from the mPASAPQ as they were not applicable to patient population and device under study. Questions 1, 2, 6, and 7 were assessed, covering satisfaction with nebulizer reliability, ease of inhalation, use and treatment time. Although specified in the protocol, the mPASAPQ performance score was not summarized in the efficacy analysis. The results for each question are presented below, however it was not considered appropriate to analyze the performance domain, as it is not possible to verify the validity of the questionnaire utilising only 4 of the original 7 questions. Questions were answered using scores from 1 (i.e., very dissatisfied) to 7 (i.e., very satisfied).

Time frame:
Following dosing on Day 1 (Visit 2) and Day 8 (Visit 3).
Reported as:
Mean · scores on a scale
Mean Modified PASAPQ Performance Score
scores on a scaleA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - Pulmicort
Question 16.9 ± 0.386.6 ± 0.526.3 ± 0.826.4 ± 0.53
Question 26.9 ± 0.386.5 ± 0.767.0 ± 0.006.0 ± 1.15
Question 66.7 ± 0.496.6 ± 0.526.8 ± 0.416.1 ± 1.07
Question 77.0 ± 0.006.8 ± 0.717.0 ± 0.005.3 ± 1.60
SecondaryMean Modified PASAPQ Satisfaction Score (Q9).

The PASAPQ is a validated multi-item measure of satisfaction and preference with inhaler devices. The modified PASAPQ consists of 10 questions. Question 9 asks for overall satisfaction with the device(s) used in the trial. Question 9 was answered using scores from 1 (i.e., very dissatisfied) to 7 (i.e., very satisfied).

Time frame:
Following dosing on Day 1 (Visit 2) and Day 8 (Visit 3).
Reported as:
Mean · scores on a scale
Mean Modified PASAPQ Satisfaction Score (Q9).
scores on a scaleA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - Pulmicort
Mean Modified PASAPQ Satisfaction Score (Q9).6.9 ± 0.386.6 ± 0.746.8 ± 0.415.7 ± 0.95
SecondaryMean Modified PASAPQ Score Indicating Willingness to Continue With the Device (Q10).

The PASAPQ is a validated multi-item measure of satisfaction and preference with inhaler devices. The modified PASAPQ consists of 10 questions. Question 10 asks about willingness to continue with the device(s) used in the trial. Parents/legal guardians were asked to indicate how willing they would be for their child to use the nebulizer used during the study, providing a number between 0 (unwilling) and 100 (willing).

Time frame:
Following dosing on Day 1 (Visit 2) and Day 8 (Visit 3).
Reported as:
Mean · scores on a scale
Mean Modified PASAPQ Score Indicating Willingness to Continue With the Device (Q10).
scores on a scaleA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - Pulmicort
Mean Modified PASAPQ Score Indicating Willingness to Continue With the Device (Q10).98.6 ± 3.7893.5 ± 11.7598.3 ± 4.0877.3 ± 22.10
SecondaryChanges in Vital Signs (Blood Pressure)

Mean values for blood pressure from pre-dose to 0.5 hours post-dose.

Time frame:
Baseline to Day 1 0.5 hours post-dose
Reported as:
Mean · mm Hg
Changes in Vital Signs (Blood Pressure)
mm HgA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - Pulmicort
Change in systolic blood pressure-8.4 ± 8.409.0 ± 5.350.8 ± 4.674.4 ± 5.19
Change in diastolic blood pressure-7.4 ± 13.602.1 ± 7.30-6.3 ± 12.931.9 ± 9.51
SecondaryChanges in Vital Signs (Heart Rate)

Mean values for heart rate from pre-dose to 0.5 hours post-dose.

Time frame:
Baseline to Day 1 0.5 hours post-dose
Reported as:
Mean · change in beats per minute
Changes in Vital Signs (Heart Rate)
change in beats per minuteA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - Pulmicort
Changes in Vital Signs (Heart Rate)6.6 ± 9.862.6 ± 13.184.0 ± 11.30-2.6 ± 17.09
SecondaryChanges in Vital Signs (Respiration Rate)

Mean values for respiratory rate from pre-dose to 0.5 hours post-dose.

Time frame:
Baseline to Day 1 0.5 hours post-dose
Reported as:
Mean · Change in breaths per minute
Changes in Vital Signs (Respiration Rate)
Change in breaths per minuteA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - Pulmicort
Changes in Vital Signs (Respiration Rate)0.0 ± 1.150.3 ± 0.710.3 ± 1.510.3 ± 0.76
SecondaryChanges in Vital Signs (Temperature)

Mean values for temperature from pre-dose to 0.5 hours post-dose.

Time frame:
Baseline to Day 1 0.5 hours post-dose
Reported as:
Mean · Change in degrees Celsius
Changes in Vital Signs (Temperature)
Change in degrees CelsiusA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - Pulmicort
Changes in Vital Signs (Temperature)0.27 ± 0.3730.04 ± 0.3200.05 ± 0.2070.14 ± 0.351
SecondaryChanges in Physical Examination

Physical examination data were listed. The number of participants with a change in physical examination status (i.e. from normal to abnormal, or from abnormal to normal) is presented below.

Time frame:
Visit 1, and Day 8 of Visit 3.
Reported as:
Count of participants · Participants
Changes in Physical Examination
ParticipantsA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - Pulmicort
Changes in Physical Examination0000
SecondaryUse of Concomitant Medications

Number of subjects using concomitant medications.

Time frame:
Visit 1
Reported as:
Count of participants · Participants
Use of Concomitant Medications
ParticipantsA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - Pulmicort
Use of Concomitant Medications7867

Adverse events

Collected over Adverse events (AEs) and adverse device effects were monitored throughout the trial, until resolution. The total duration of participation for each subject was approximately 47 days, which included a 30-day screening period, two dosing visits with a washout period of 4 to 10 days between each dose, and a follow-up assessment approximately 7 days after last nebulization.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
A - 5 Breaths VR6470/7 (0%)0/7 (0%)1/7 (14.3%)
B - 10 Breaths VR6470/8 (0%)0/8 (0%)1/8 (12.5%)
C - 20 Breaths VR6470/6 (0%)0/6 (0%)1/6 (16.7%)
D - Pulmicort0/7 (0%)0/7 (0%)0/7 (0%)
Overall Treatment0/15 (0%)0/15 (0%)2/15 (13.3%)
Most frequent other events
Most frequent other events
EventA - 5 Breaths VR647B - 10 Breaths VR647C - 20 Breaths VR647D - PulmicortOverall Treatment
CoughRespiratory, thoracic and mediastinal disorders0/71/81/60/71/15
NauseaGastrointestinal disorders1/70/80/60/71/15
VomitingGastrointestinal disorders1/70/80/60/71/15

Baseline characteristics

A total of 17 subjects were enrolled. However, 2 subjects withdrew from the study prior to treatment with the first intervention. As baseline characteristics were not reported for these two subjects, the overall number of baseline participants was 15 subjects.

Age, Continuous
Age, Continuous(months)Overall Treatment
Mean82.6 ± 14.05
Sex: Female, Male
Sex: Female, Male(Participants)Overall Treatment
Female8
Male7
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Overall Treatment
Hispanic or Latino0
Not Hispanic or Latino15
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Overall Treatment
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American9
White6
More than one race0
Unknown or Not Reported0
08

Study locations

3 sites
  • Vectura Study Site 0003
    Colorado Springs, Colorado 80907, United States
  • Vectura Study Site 0002
    Raleigh, North Carolina 27607, United States
  • Vectura Study Site 0001
    Tulsa, Oklahoma 74136, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2017 to primary completion in Mar 2018, 3 months.

Results were first posted in Oct 2019, 1 year 7 months after primary completion.

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

Registered
Jan 12, 2018
First posted
Feb 5, 2018
StartActual
Dec 18, 2017
Primary completionActual
Mar 21, 2018
CompletionActual
Mar 27, 2018
Results first posted
Oct 21, 2019
Last update
Oct 21, 2019
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 Oct 21, 2019, 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
NCT03421730
Lead sponsor
Vectura Limited
Responsible party
Sponsor
First posted
Feb 5, 2018
Start date
Dec 18, 2017
Primary completion
Mar 21, 2018
Completion
Mar 27, 2018
Results posted
Oct 21, 2019
Last update
Oct 21, 2019

Study contacts

Gary Burgess, MD
study director · Vectura Ltd

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Budesonide

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