ClinicalTrials.gg
CompletedNCT06245551BREATHUpdated Aug 27, 2025Results posted

A Study to Investigate the Effects of PT027 (Budesonide/Albuterol Sulfate) Metered-dose Inhaler Compared With Placebo on Exercise-Induced Bronchoconstriction in Adult Patients With Asthma

A Phase 3 interventional study of Budesonide/albuterol metered-dose inhaler 160/180 μg and Placebo metered-dose inhaler in Asthma, Exercise-Induced, sponsored by AstraZeneca. Completed at 6 sites in Russia. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-08-27.

Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
64
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The purpose of this Phase III, multicentre, randomized, double-blind, single-dose, 2-period, crossover study is to assess the efficacy and safety of PT027 (budesonide/albuterol sulfate) metered-dose inhaler compared with placebo on exercise-induced bronchoconstriction in adult patients with asthma. Subjects will receive each study treatment on separate visits and undergo a treadmill exercise challenge test so that the effect of study treatment on exercise-induced bronchoconstriction can be evaluated

02

Conditions studied

  • Asthma, Exercise-Induced

Keywords

  • Asthma
  • Exercise-Induced Allergies
  • Bronchial Spasm
  • Albuterol
  • Budesonide
  • Bronchodilator Agents
  • Anti-Inflammatory Agents
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 64 is above the median of 47 across 40 interventional studies indexed under Asthma, Exercise-Induced.

Browse Asthma, Exercise-Induced studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,499 studies on the registry; 270 are open to participants now.

Of its 368 completed or terminated interventional studies of FDA-regulated products, 178 (48%) have results posted.

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

04

Who can participate

Ages eligible
18 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 18 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-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, 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. Historical or current evidence of a disease.
  11. History of psychiatric disease or intellectual deficiency.
  12. Having a scheduled or planned hospitalization during the study.
  13. Inability (and/or unwillingness) to abstain from protocol-defined prohibited medications during the study.
  14. 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.
  15. 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
64 participants (actual)

Study arms

  • Experimental
    A/B - Treatment with PT027 (BUDESONIDE/ALBUTEROL) 160/180 μg followed by treatment with Placebo

    Subjects randomized to receive a single dose of PT027 160/180 μg in treatment Period 1, and a single dose of Placebo in treatment Period 2.

    Drug: Budesonide/albuterol metered-dose inhaler 160/180 μg · Drug: Placebo metered-dose inhaler

  • Experimental
    B/A - Treatment with Placebo followed by treatment with PT027 (BUDESONIDE/ALBUTEROL) 160/180 μg

    Subjects randomized to receive a single dose of Placebo in treatment Period 1, and a single dose of PT027 160/180 in treatment Period 2.

    Drug: Budesonide/albuterol metered-dose inhaler 160/180 μg · Drug: Placebo metered-dose inhaler

Interventions

  • DrugBudesonide/albuterol metered-dose inhaler 160/180 μg

    Budesonide/albuterol combination aerosol for inhalation, single dose (given as 2 actuations of 80/90 μg)

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

  • DrugPlacebo metered-dose inhaler

    Placebo aerosol for inhalation, single dose (given as 2 actuations)

    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% and <20%

    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% and \<20% was determined

    Time frame: Up to 60 minutes post exercise challenge

  2. Percentage Fall From Post-dose, Pre-exercise Baseline in FEV1 at Each Time Point Within 60 Minutes Post-exercise Challenge

    The percentage fall in FEV₁ at each time point was calculated based on the baseline value and percentage fall value during the 60-minute assessment period at each time point.

    Time frame: Up to 60 minutes post exercise challenge

  3. Post-Exercise FEV1 Area Under the Curve From 0 to 30 Minutes (AUC0-30min)

    FEV1 AUC0-30min will be derived for the changes from the post-dose, pre-exercise baseline using the trapezoidal rule and will be normalized by dividing by the actual time (in minutes) from dosing to the last included measurement, scheduled at 30 minutes post-exercise challenge.

    Time frame: Up to 30 minutes post exercise challenge

  4. Time To Recovery

    Time to recovery will be derived as the time (minutes) post-exercise challenge in which the FEV1 result returns to within 10% of the value recorded at the post-dose, pre-exercise baseline.

    Time frame: Up to 60 minutes post exercise challenge

Other outcomes

  1. Number of Participants With Adverse Events (AEs)

    The safety profile will be evaluated using vital signs, physical examination, electrocardiograms (ECGs) and AE data.

    Time frame: Through study completion, an average of 4 weeks

07

Results

Posted Aug 27, 2025

Participant flow

Participant flow — Overall Study
MilestoneBudesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180 - PlaceboPlacebo - Budesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180
Started3133
Completed3133
Not completed00
1st Period
Participant flow — 1st Period
MilestoneBudesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180 - PlaceboPlacebo - Budesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180
Started3133
Completed3133
Not completed00
2nd Period
Participant flow — 2nd Period
MilestoneBudesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180 - PlaceboPlacebo - Budesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180
Started3133
Completed3133
Not completed00

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 · Percent fall
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
Percent fallBDA MDI 160/180Placebo
All subjects6.95 (5.36 to 8.54)24.46 (22.87 to 26.05)
Non-ICS6.28 (3.63 to 8.93)26.62 (23.97 to 29.28)
ICS7.29 (5.32 to 9.25)23.28 (21.32 to 25.25)
Statistical analysis
  • BDA MDI 160/180 vs Placebo · Mixed Models Analysis · p = <0.001 · Mean difference (final values): -17.52 · 95% CI -19.78 to -15.25
SecondaryPercentage of Subjects With a Maximum Percentage Fall in FEV₁ Post-exercise Challenge of <10% and <20%

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% and \<20% 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% and <20%
ParticipantsBDA MDI 160/180Placebo
Maximum percentage fall <10%482
Maximum percentage fall <20%6214
SecondaryPercentage Fall From Post-dose, Pre-exercise Baseline in FEV1 at Each Time Point Within 60 Minutes Post-exercise Challenge

The percentage fall in FEV₁ at each time point was calculated based on the baseline value and percentage fall value during the 60-minute assessment period at each time point.

Time frame:
Up to 60 minutes post exercise challenge
Reported as:
Least squares mean · Percent
Percentage Fall From Post-dose, Pre-exercise Baseline in FEV1 at Each Time Point Within 60 Minutes Post-exercise Challenge
PercentBDA MDI 160/180Placebo
5 min Post-ECT1.68 (-0.11 to 3.47)9.79 (8.00 to 11.58)
10 min Post-ECT3.16 (1.30 to 5.02)17.98 (16.12 to 19.84)
15 min Post-ECT4.20 (2.38 to 6.03)19.14 (17.31 to 20.97)
30 min Post-ECT2.64 (0.65 to 4.63)11.85 (9.87 to 13.84)
60 min Post-ECT0.56 (-0.83 to 1.94)3.10 (1.72 to 4.48)
SecondaryPost-Exercise FEV1 Area Under the Curve From 0 to 30 Minutes (AUC0-30min)

FEV1 AUC0-30min will be derived for the changes from the post-dose, pre-exercise baseline using the trapezoidal rule and will be normalized by dividing by the actual time (in minutes) from dosing to the last included measurement, scheduled at 30 minutes post-exercise challenge.

Time frame:
Up to 30 minutes post exercise challenge
Reported as:
Mean · liter
Post-Exercise FEV1 Area Under the Curve From 0 to 30 Minutes (AUC0-30min)
literBDA MDI 160/180Placebo
Post-Exercise FEV1 Area Under the Curve From 0 to 30 Minutes (AUC0-30min)-0.10 ± 0.16-0.44 ± 0.23
SecondaryTime To Recovery

Time to recovery will be derived as the time (minutes) post-exercise challenge in which the FEV1 result returns to within 10% of the value recorded at the post-dose, pre-exercise baseline.

Time frame:
Up to 60 minutes post exercise challenge
Reported as:
Count of participants · Participants
Time To Recovery
ParticipantsBDA MDI 160/180Placebo
Time To Recovery566
Other pre-specifiedNumber of Participants With Adverse Events (AEs)

The safety profile will be evaluated using vital signs, physical examination, electrocardiograms (ECGs) and AE data.

Time frame:
Through study completion, an average of 4 weeks
Reported as:
Count of participants · Participants
Number of Participants With Adverse Events (AEs)
ParticipantsBDA MDI 160/180Placebo
Number of Participants With Adverse Events (AEs)12

Adverse events

Collected over Adverse events presented in the tables below were collected during up to 19 days from the time of first study treatment to follow-up telephone call. Actual time for each participant depends on duration of their participation in the study.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
BDA MDI 160/1800/64 (0%)0/64 (0%)1/64 (1.6%)
Placebo0/64 (0%)0/64 (0%)2/64 (3.1%)
Most frequent other events
Most frequent other events
EventBDA MDI 160/180Placebo
DiarrhoeaGastrointestinal disorders0/641/64
HeadacheNervous system disorders0/641/64
Bronchial irritationRespiratory, thoracic and mediastinal disorders1/640/64

Baseline characteristics

Age, Continuous
Age, Continuous(years)Budesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180 - PlaceboPlacebo - Budesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180Total
Mean39.0 ± 14.543.2 ± 13.941.1 ± 14.2
Age, Customized
Age, Customized(Participants)Budesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180 - PlaceboPlacebo - Budesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180Total
< 65 years303262
>= 65 years112
Sex: Female, Male
Sex: Female, Male(Participants)Budesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180 - PlaceboPlacebo - Budesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180Total
Female191736
Male121628
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Budesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180 - PlaceboPlacebo - Budesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180Total
White313364
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Budesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180 - PlaceboPlacebo - Budesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180Total
Hispanic or Latino000
Not Hispanic or Latino313263
Not Reported011
Pre-dose pre-exercise challenge test (ECT) forced expiratory volume in 1 second (FEV1)
Pre-dose pre-exercise challenge test (ECT) forced expiratory volume in 1 second (FEV1)(liters)Budesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180 - PlaceboPlacebo - Budesonide/Albuterol Metered-dose Inhaler (BDA MDI) 160/180Total
Mean2.925 ± 0.8263.042 ± 0.8772.985 ± 0.848
08

Study locations

6 sites
  • Research Site
    Moscow, 105554, Russia
  • Research Site
    Penza, 440067, Russia
  • Research Site
    Perm, 614000, Russia
  • Research Site
    Saint Petersburg, 192071, Russia
  • Research Site
    Saratov, 410054, Russia
  • Research Site
    Ulyanovsk, 432009, Russia
09

References and documents

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2023 to primary completion in Jun 2024, 6 months.

Results were first posted in Aug 2025, 1 year 1 month after primary completion.

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

Registered
Dec 13, 2023
First posted
Feb 7, 2024
StartActual
Dec 22, 2023
Primary completionActual
Jun 29, 2024
CompletionActual
Jun 29, 2024
Results first posted
Aug 27, 2025
Last update
Aug 27, 2025
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 Aug 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT06245551
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Feb 7, 2024
Start date
Dec 22, 2023
Primary completion
Jun 29, 2024
Completion
Jun 29, 2024
Results posted
Aug 27, 2025
Last update
Aug 27, 2025

Oversight

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

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