ClinicalTrials.gg
CompletedNCT04234464TYREEUpdated Jan 13, 2022Results posted

A Study to Assess the Efficacy of Budesonide/Albuterol Metered-dose Inhaler (BDA MDI/PT027) on Exercise-induced Bronchoconstriction in Adults and Adolescents With Asthma

A Phase 3 interventional study of Budesonide/albuterol sulfate metered-dose inhaler 160/180 μg and Placebo metered-dose inhaler in Exercise Induced Bronchospasm, sponsored by Bond Avillion 2 Development LP. Completed at 6 sites in United States. Open to participants aged 12 Years to 70 Years. Per ClinicalTrials.gov, last updated 2022-01-13.

Sponsored by Bond Avillion 2 Development LP · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
12 Years to 70 Years
Sex
All
01

Study summary

This is a multicenter, randomized, double-blind, single-dose, placebo-controlled, 2-period, crossover study to evaluate the efficacy and safety of budesonide/albuterol metered-dose inhaler (BDA MDI/PT027) as compared with a placebo metered-dose inhaler (placebo MDI) on exercise-induced bronchoconstriction (EIB) in adult and adolescent subjects with asthma. Subjects will receive each study treatment on separate visits and undergo a treadmill exercise challenge test for up to 10 minutes so that the effect of study treatment on exercise-induced bronchoconstriction can be evaluated.

02

Conditions studied

  • Exercise Induced Bronchospasm
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 60 is above the median of 47 across 40 interventional studies indexed under Asthma, Exercise-Induced.

Browse Asthma, Exercise-Induced studies →

Lead sponsor

Bond Avillion 2 Development LP is the lead sponsor of 6 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 6 (100%) have results posted.

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

04

Who can participate

Ages eligible
12 Years to 70 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

  1. Female or male aged 12 to 70 years at the time of
  2. Documented history of asthma for at least 6 months prior to Visit 1
  3. Receiving 1 of the following asthma therapies with stable dosing for at least the 4 weeks before Visit 1; no other asthma therapies are permitted during the study:

    • Short/rapid-acting β 2-adrenoreceptor agonist (SABA) used as needed
    • Low- to medium-dose maintenance therapy with inhaled (ICS) and SABA used as needed
  4. Demonstrate acceptable MDI administration technique (use of a spacer device during the treatment phase is not permitted)

Exclusion criteria

Exclusion Criteria:

  1. or other significant lung disease (eg, chronic bronchitis, emphysema, bronchiectasis with the need of treatment, cystic fibrosis, or bronchopulmonary dysplasia), including regular or occasional use of oxygen
  2. Systemic (SCS) use (any dose and any indication) within 3 months before Visit 1
  3. History of life-threatening asthma, defined by past intubations for asthma, or intensive care unit admission for asthma within the prior 24 months
  4. Receiving regular maintenance treatment with prohibited anti-inflammatory or long-acting bronchodilator asthma medication (inhaled, nebulized, oral, or systemic) within 1 month prior to Visit 1
  5. Unable to tolerate the lung function testing performed after exercise challenge test without use of rescue medication
  6. Current smokers, former smokers with >10 pack-years history, or former smokers who stopped smoking \<6 months before Visit 1 (including all forms of tobacco, e-cigarettes [vaping], and marijuana)
  7. Completed treatment for lower respiratory infection within 6 weeks prior to Visit 1, regardless if resulting in accompanying asthma symptoms aggravation or not
  8. Upper respiratory infection involving antibiotic treatment not resolved within 7 days prior to Visit 1
  9. Received any marketed (eg, omalizumab, mepolizumab, reslizumab, benralizumab, dupilumab) or biologic within 3 months before Visit 1, or any other prohibited medication
  10. Current treatment with any investigational product or within the last 30 days of Visit 1.
  11. Historical or current evidence of a disease
  12. Cancer not in complete remission for at least 5 years before Visit 1
  13. Hospitalization for psychiatric disorder or attempted suicide within 1 year of Visit 1
  14. History of psychiatric disease or intellectual deficiency
  15. Having a scheduled or planned hospitalization during the study
  16. Inability (and/or unwillingness) to abstain from protocol-defined prohibited medications during the study.
  17. Use of any herbal products by inhalation or nebulizer within 2 weeks of Visit 1 and/or the unwillingness to stop during the study duration.
  18. Significant abuse of alcohol or drugs
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

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.

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.

05

Study design

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

Study arms

  • Experimental
    A/B - Treatment with BDA MDI 160/180 followed by treatment with Placebo MDI

    Subjects randomized to receive a single dose of BDA MDI 160/180 in treatment period 1, and a single dose of Placebo MDI in treatment period 2.

    Combination Product: Budesonide/albuterol sulfate metered-dose inhaler 160/180 μg · Combination Product: Placebo metered-dose inhaler

  • Experimental
    B/A - Treatment with Placebo MDI followed by treatment with BDA MDI 160/180

    Subjects randomized to receive a single dose of Placebo MDI in treatment period 1, and a single dose of BDA MDI 160/180 in treatment period 2.

    Combination Product: Budesonide/albuterol sulfate metered-dose inhaler 160/180 μg · Combination Product: Placebo metered-dose inhaler

Interventions

  • Combination productBudesonide/albuterol sulfate metered-dose inhaler 160/180 μg

    Budesonide/albuterol sulfate combination inhalation aerosol single dose

    Also known as: BDA MDI 160/180 μg (PT027)

  • Combination productPlacebo metered-dose inhaler

    Placebo inhalation aerosol single dose

    Also known as: Placebo MDI

06

What researchers measure

Primary outcomes

  1. Maximum Percentage Fall From Post-dose, Pre-exercise Baseline in Forced Expiratory Volume in 1 Second (FEV₁) Observed up to 60 Minutes Post-exercise Challenge

    Lung function was measured by spirometry. Spirometry assessments were completed 5 minutes before dosing, 30 minutes after dosing (baseline; 5 minutes before the exercise challenge), and then 5, 10, 15, 30, and 60 minutes after the exercise challenge. A reduction in FEV₁ was expected due to the effects of asthma and exercise on breathing and lung function. The percentage fall in FEV₁ was calculated based on the baseline value and maximum percentage fall value during the 60-minute assessment period.

    Time frame: Up to 60 minutes post exercise challenge

Secondary outcomes

  1. Percentage of Subjects With a Maximum Percentage Fall in FEV₁ Post-exercise Challenge of <10%

    The percentage fall in FEV₁ was calculated based on the baseline value and maximum percentage fall value during the 60-minute assessment period, and the percentage of subjects with a maximum percentage fall \<10% was determined.

    Time frame: Up to 60 minutes post exercise challenge

07

Results

Posted Dec 30, 2021

Participant flow

Subjects included in the study were male and female adults and adolescents 12 to 70 years of age with a diagnosis of asthma as defined by the Global Initiative for Asthma (GINA) criteria and EIB as defined by a \>=20% decrease from pre-exercise challenge best FEV₁ observed within 60 minutes after an exercise challenge at both screening visits. The first subject enrolled on 15 January 2020 and the last subject completed the study on 28 August 2020. Subjects were enrolled at 6 US study centers.

Period 1 (First Treatment Intervention)
Participant flow — Period 1 (First Treatment Intervention)
MilestoneA/B - Treatment With BDA MDI 160/180 Followed by Treatment With Placebo MDIB/A - Treatment With Placebo MDI Followed by Treatment With BDA MDI 160/180
Started2931
Completed2931
Not completed00
Period 2 (Second Treatment Intervention)
Participant flow — Period 2 (Second Treatment Intervention)
MilestoneA/B - Treatment With BDA MDI 160/180 Followed by Treatment With Placebo MDIB/A - Treatment With Placebo MDI Followed by Treatment With BDA MDI 160/180
Started2931
Completed2831
Not completed10
Withdrew: Subject did not meet the pre-dose fev₁ criterion of >70% predicted at visit 4/visit 4 repeat.10

Outcome measures

PrimaryMaximum Percentage Fall From Post-dose, Pre-exercise Baseline in Forced Expiratory Volume in 1 Second (FEV₁) Observed up to 60 Minutes Post-exercise Challenge

Lung function was measured by spirometry. Spirometry assessments were completed 5 minutes before dosing, 30 minutes after dosing (baseline; 5 minutes before the exercise challenge), and then 5, 10, 15, 30, and 60 minutes after the exercise challenge. A reduction in FEV₁ was expected due to the effects of asthma and exercise on breathing and lung function. The percentage fall in FEV₁ was calculated based on the baseline value and maximum percentage fall value during the 60-minute assessment period.

Time frame:
Up to 60 minutes post exercise challenge
Reported as:
Least squares mean · Maximum percentage fall FEV₁
Maximum Percentage Fall From Post-dose, Pre-exercise Baseline in Forced Expiratory Volume in 1 Second (FEV₁) Observed up to 60 Minutes Post-exercise Challenge
Maximum percentage fall FEV₁Treatment Intervention A - BDA MDI 160/180 - All SubjectsTreatment Intervention B - Placebo MDI - All Subjects
Maximum Percentage Fall From Post-dose, Pre-exercise Baseline in Forced Expiratory Volume in 1 Second (FEV₁) Observed up to 60 Minutes Post-exercise Challenge5.45 (2.56 to 8.35)18.97 (16.06 to 21.88)
Statistical analysis
  • Treatment Intervention A - BDA MDI 160/180 - All Subjects vs Treatment Intervention B - Placebo MDI - All Subjects · Mixed Models Analysis · p = <0.001 · Mean difference (final values): 13.51 · 95% CI 10.09 to 16.94
SecondaryPercentage of Subjects With a Maximum Percentage Fall in FEV₁ Post-exercise Challenge of <10%

The percentage fall in FEV₁ was calculated based on the baseline value and maximum percentage fall value during the 60-minute assessment period, and the percentage of subjects with a maximum percentage fall \<10% was determined.

Time frame:
Up to 60 minutes post exercise challenge
Reported as:
Count of participants · Participants
Percentage of Subjects With a Maximum Percentage Fall in FEV₁ Post-exercise Challenge of <10%
ParticipantsTreatment Intervention A - BDA MDI 160/180 - All SubjectsTreatment Intervention B - Placebo MDI - All Subjects
Percentage of Subjects With a Maximum Percentage Fall in FEV₁ Post-exercise Challenge of <10%4717
Statistical analysis
  • Treatment Intervention A - BDA MDI 160/180 - All Subjects vs Treatment Intervention B - Placebo MDI - All Subjects · Mixed Models Analysis · p = <0.001 · Odds ratio (or): 10.548 · 95% CI 4.311 to 25.805

Adverse events

Collected over Approximately one week for each treatment intervention.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment Intervention - BDA MDI 160/180 - All Subjects0/60 (0%)0/60 (0%)0/60 (0%)
Treatment Intervention - Placebo MDI - All Subjects0/59 (0%)0/59 (0%)2/59 (3.4%)
Most frequent other events
Most frequent other events
EventTreatment Intervention - BDA MDI 160/180 - All SubjectsTreatment Intervention - Placebo MDI - All Subjects
AnxietyPsychiatric disorders0/601/59
DyspnoeaRespiratory, thoracic and mediastinal disorders0/601/59

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)A/B - Treatment With BDA MDI 160/180 Followed by Treatment With Placebo MDIB/A - Treatment With Placebo MDI Followed by Treatment With BDA MDI 160/180Total
<=18 years112
Between 18 and 65 years273057
>=65 years101
Age, Continuous
Age, Continuous(years)A/B - Treatment With BDA MDI 160/180 Followed by Treatment With Placebo MDIB/A - Treatment With Placebo MDI Followed by Treatment With BDA MDI 160/180Total
Mean39.1 ± 12.2841.8 ± 11.3140.5 ± 11.76
Sex: Female, Male
Sex: Female, Male(Participants)A/B - Treatment With BDA MDI 160/180 Followed by Treatment With Placebo MDIB/A - Treatment With Placebo MDI Followed by Treatment With BDA MDI 160/180Total
Female211738
Male81422
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)A/B - Treatment With BDA MDI 160/180 Followed by Treatment With Placebo MDIB/A - Treatment With Placebo MDI Followed by Treatment With BDA MDI 160/180Total
Hispanic or Latino033
Not Hispanic or Latino292857
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)A/B - Treatment With BDA MDI 160/180 Followed by Treatment With Placebo MDIB/A - Treatment With Placebo MDI Followed by Treatment With BDA MDI 160/180Total
American Indian or Alaska Native000
Asian202
Native Hawaiian or Other Pacific Islander101
Black or African American51318
White211839
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)A/B - Treatment With BDA MDI 160/180 Followed by Treatment With Placebo MDIB/A - Treatment With Placebo MDI Followed by Treatment With BDA MDI 160/180Total
United States293160
Height
Height(Centimeters)A/B - Treatment With BDA MDI 160/180 Followed by Treatment With Placebo MDIB/A - Treatment With Placebo MDI Followed by Treatment With BDA MDI 160/180Total
Mean167.0 ± 9.41170.7 ± 10.28168.9 ± 9.96
Weight
Weight(Kilograms)A/B - Treatment With BDA MDI 160/180 Followed by Treatment With Placebo MDIB/A - Treatment With Placebo MDI Followed by Treatment With BDA MDI 160/180Total
Mean81.3 ± 18.5084.4 ± 21.6082.9 ± 20.05

8 further baseline measures are reported on the registry.

08

Study locations

6 sites
  • Research Site
    Denver, Colorado 80230, United States
  • Research Site
    North Dartmouth, Massachusetts 02747, United States
  • Research Site
    Saint Louis, Missouri 63109, United States
  • Research Site
    Skillman, New Jersey 08558, United States
  • Research Site
    Raleigh, North Carolina 27607, United States
  • Research Site
    Burke, Virginia 22015, United States
09

References and documents

Publications

  • LaForce C, Chipps BE, Albers FC, Reilly L, Johnsson E, Andrews H, Cappelletti C, Maes A, Papi A. Albuterol/budesonide for the treatment of exercise-induced bronchoconstriction in patients with asthma: The TYREE study. Ann Allergy Asthma Immunol. 2022 Feb;128(2):169-177. doi: 10.1016/j.anai.2021.10.020. Epub 2021 Oct 24. PubMed 34699967 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 13, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04234464
Lead sponsor
Bond Avillion 2 Development LP
Responsible party
Sponsor
First posted
Jan 21, 2020
Start date
Jan 15, 2020
Primary completion
Aug 28, 2020
Completion
Aug 28, 2020
Results posted
Dec 30, 2021
Last update
Jan 13, 2022

Study contacts

Frank Albers, MD, PhD
study director · Avillion LLP

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion