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A Safety and Tolerability Study of Arformoterol Tartrate Inhalation Solution in Pediatric Subjects

A Cumulative Dose Safety and Tolerability Crossover Study of Arformoterol Tartrate Inhalation Solution and Levalbuterol Hydrochloride Inhalation Solution in Pediatric Subjects (Aged 2 to 11 Years of Age) With Asthma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00583947
Enrollment
53
Registered
2008-01-02
Start date
2008-01-31
Completion date
2008-12-31
Last updated
2012-02-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Asthma

Keywords

Asthma, Respiratory Tract Diseases

Brief summary

To determine the safety and tolerability of Arformoterol Tartrate in children with asthma

Detailed description

A randomized, double-blind two-way crossover study of three cumulative doses of arformoterol (7.5 ug per nebulization) and levalbuterol (0.63 mg per nebulization) given over a one hour period, followed by a single open-label treatment day with three cumulative doses of arformoterol 15 ug in subjects 2-11 years of age with asthma. This study was previously posted by Sepracor Inc. In October 2009, Sepracor Inc. was acquired by Dainippon Sumitomo Pharma., and in October 2010, Sepracor Inc's name was changed to Sunovion Pharmaceuticals Inc.

Interventions

Arformoterol is given at a 7.5 ug per dosing during the cross-over phase and 15 ug per dosing during the open-label phase. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes).

Levalbuterol is given at a 0.63 mg per dosing during the cross-over phase. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes).

Sponsors

Sumitomo Pharma America, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
2 Years to 11 Years
Healthy volunteers
No

Inclusion criteria

* Male and Female * Between Age 2 and 11, inclusive, at the time of consent * Weight equal to or greater than 15 Kg * History of physician-diagnosed asthma of at least 2 years duration for children age 6 and older, and at least 1 year duration for children 5 and younger.

Exclusion criteria

* Female subject who is pregnant or lactating. * Subject who has a history of hospitalization for asthma within one year, or who is scheduled for in-patient hospitalization, including elective surgery during the course of the trial. * Subject with any history of life-threatening asthma defined as a history of asthma episodes requiring intubation, associated with hypercapnia, respiratory arrest, or hypoxic seizures. * Subject with a history of cancer. * Subject with hyperthyroidism, diabetes, hypertension, cardiac diseases or seizure disorders. * Subject with a history of cigarette smoking or use of any tobacco products.

Design outcomes

Primary

MeasureTime frameDescription
Change From Predose in Mean Serum Glucosepredose, 2 and 6 hours post doseChange in mean serum glucose at the specified timepoint minus the predose value.
Mean Diastolic Blood Pressurepredose, various timeframes up to 5 hours post last doseDiastolic blood pressure measured at various timepoints: predose and timepoints after each of the three dosings. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes).
Change From Predose in Mean Diastolic Blood Pressurepredose, various timeframes up to 5 hours post last doseMean diastolic blood pressure measured at various timepoints minus the predose diastolic blood pressure
Mean Serum Potassium LevelsPredose, 2 hours and 6 hours postdose 1
Change From Predose in Mean Serum Potassiumpredose, 2 and 6 hours post doseChange in mean serum potassium at the specified timepoint minus the predose value.
Mean Serum Glucose ValuesPredose, 2 and 6 hours post dose 1
Mean Heart Ratepredose, various timeframes up to 5 hours post last doseHeart rate measured at various timepoints: predose and timepoints after each of the three dosings. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes).
Change From Predose in Mean Heart Ratepredose, various timeframes up to 5 hours post last doseHeart rate measured at various timepoints minus the heart rate at predose.
Mean Systolic Blood Pressurepredose, various timeframes up to 5 hours post last doseSystolic blood pressure measured at various timepoints: predose and timepoints after each of the three dosings. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes).
Change From Predose in Mean Systolic Blood Pressurepredose, various timeframes up to 5 hours post last doseMean systolic blood pressure measured at various timepoints minus the mean systolic blood pressure at predose

Secondary

MeasureTime frameDescription
Change From Predose of Mean Forced Expiratory Volume in One Second (FEV1)predose, various postdose timepointsForced Expiratory Volume in one second (FEV1) is the volume of air forcibly exhaled in one second as measured by a spirometer. Change in FEV1 was calculated as postdose value minus the predose value at each visit.
Mean Peak Expiratory Flow Rate (PEFR)predose, various postdose timesPEFR is the fastest rate at which air can move through the airways during a forced expiration starting with fully inflated lungs as measured by peak flow meters.
Change From Predose in Mean Peak Expiratory Flow Rate (PEFR)predose, various postdose timesPEFR is the fastest rate at which air can move through the airways during a forced expiration starting with fully inflated lungs as measured by peak flow meters. Change in PEFR was calculated as postdose value minus the predose value at each visit.
Plasma Concentration of (R,R) Formoterolpredose, various postdose timesIf the mean plasma concentration was 'below the limit of quantification' (BLQ) which was set as \<=0.5 picograms/milliliter, the value is displayed as a zero.
Mean Forced Expiratory Volume in One Second(FEV1)predose, various postdose timesForced Expiratory Volume in one second (FEV1) is the volume of air forcibly exhaled in one second as measured by a spirometer.

Countries

United States

Participant flow

Pre-assignment details

86 subjects were screened: 23 subjects aged 2-5 years and 63 subjects aged 6-11 years.

Participants by arm

ArmCount
ARF/LEV
Cross-over: Participants treated with arformoterol 7.5 microgram per nebulization; 7 day washout; levalbuterol 0.63 milligram per nebulization. Open label: 7 day washout; arformoterol 15 microgram per nebulization.
27
LEV/ARF
Cross-over: Participants treated with levalbuterol 0.63 milligram per nebulization; 7 day washout; arformoterol 7.5 microgram per nebulization. Open label: 7 day washout; arformoterol 15 microgram per nebulization.
26
Total53

Withdrawals & dropouts

PeriodReasonFG000FG001
Cross-over PeriodAdverse Event20
Cross-over PeriodDid not meet-no longer met entry criteri01
Cross-over PeriodOther11
Cross-over PeriodWithdrawal by Subject20

Baseline characteristics

CharacteristicTotalLEV/ARFARF/LEV
Age, Categorical
<=18 years
53 Participants26 Participants27 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
0 Participants0 Participants0 Participants
Age Continuous
Age 2-5 years
4.4 years
STANDARD_DEVIATION 0.76
4.4 years
STANDARD_DEVIATION 0.79
4.4 years
STANDARD_DEVIATION 0.79
Age Continuous
Age 6-11 years
8.8 years
STANDARD_DEVIATION 1.35
8.5 years
STANDARD_DEVIATION 1.43
9.0 years
STANDARD_DEVIATION 1.26
Height131.03 centimeters
STANDARD_DEVIATION 15.174
130.42 centimeters
STANDARD_DEVIATION 15.377
131.62 centimeters
STANDARD_DEVIATION 15.244
Race/Ethnicity, Customized
Black/African American
20 participants14 participants6 participants
Race/Ethnicity, Customized
Other
2 participants0 participants2 participants
Race/Ethnicity, Customized
White/Caucasian
31 participants12 participants19 participants
Region of Enrollment
United States
53 participants26 participants27 participants
Sex: Female, Male
Female
25 Participants12 Participants13 Participants
Sex: Female, Male
Male
28 Participants14 Participants14 Participants
Weight32.12 kilograms
STANDARD_DEVIATION 12.345
32.68 kilograms
STANDARD_DEVIATION 12.802
31.57 kilograms
STANDARD_DEVIATION 12.106

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
10 / 517 / 528 / 40
serious
Total, serious adverse events
0 / 510 / 520 / 40

Outcome results

Primary

Change From Predose in Mean Diastolic Blood Pressure

Mean diastolic blood pressure measured at various timepoints minus the predose diastolic blood pressure

Time frame: predose, various timeframes up to 5 hours post last dose

Population: Intent to treat population

ArmMeasureGroupValue (MEAN)Dispersion
Levalbuterol 0.63 mgChange From Predose in Mean Diastolic Blood Pressure30 min post dose 2 (n=47,50,40)0.8 mmHgStandard Deviation 7.82
Levalbuterol 0.63 mgChange From Predose in Mean Diastolic Blood Pressure30 min post dose 1 (n=51,52,40)-1.7 mmHgStandard Deviation 7.69
Levalbuterol 0.63 mgChange From Predose in Mean Diastolic Blood Pressure60 min post dose 1 (n=51,51,40)0.8 mmHgStandard Deviation 7.89
Levalbuterol 0.63 mgChange From Predose in Mean Diastolic Blood Pressure15 min post dose 2 (n=50,51,40)-1.1 mmHgStandard Deviation 8.1
Levalbuterol 0.63 mgChange From Predose in Mean Diastolic Blood Pressure15 min post dose 1 (n=51,52,40)-1.1 mmHgStandard Deviation 8.6
Levalbuterol 0.63 mgChange From Predose in Mean Diastolic Blood Pressure60 min post dose 2 (n=46,50,37)0.0 mmHgStandard Deviation 7.08
Levalbuterol 0.63 mgChange From Predose in Mean Diastolic Blood Pressure30 min post last dose (n=49,52,40)0.8 mmHgStandard Deviation 7.12
Levalbuterol 0.63 mgChange From Predose in Mean Diastolic Blood Pressure60 min post last dose (n=49,52,40)0.8 mmHgStandard Deviation 8.84
Levalbuterol 0.63 mgChange From Predose in Mean Diastolic Blood Pressure1.5 hours post last dose (n=48,52,40)0.1 mmHgStandard Deviation 8
Levalbuterol 0.63 mgChange From Predose in Mean Diastolic Blood Pressure2 hours post last dose (n=50,52,40)1.4 mmHgStandard Deviation 10.16
Levalbuterol 0.63 mgChange From Predose in Mean Diastolic Blood Pressure2.5 hours post last dose (n=49,52,40)-1.9 mmHgStandard Deviation 8.66
Levalbuterol 0.63 mgChange From Predose in Mean Diastolic Blood Pressure3 hours post last dose (n=50,52,40)0.8 mmHgStandard Deviation 8.45
Levalbuterol 0.63 mgChange From Predose in Mean Diastolic Blood Pressure3.5 hours post last dose (n=50,52,40)-0.4 mmHgStandard Deviation 8.36
Levalbuterol 0.63 mgChange From Predose in Mean Diastolic Blood Pressure4 hours post last dose (n=50,52,40)0.5 mmHgStandard Deviation 10.38
Levalbuterol 0.63 mgChange From Predose in Mean Diastolic Blood Pressure4.5 hours post last dose (n=50,52,40)0.2 mmHgStandard Deviation 8.86
Levalbuterol 0.63 mgChange From Predose in Mean Diastolic Blood Pressure5 hours post last dose (n=50,52,40)-0.1 mmHgStandard Deviation 8.84
Arformoterol 7.5 McgChange From Predose in Mean Diastolic Blood Pressure60 min post dose 2 (n=46,50,37)-1.3 mmHgStandard Deviation 6.98
Arformoterol 7.5 McgChange From Predose in Mean Diastolic Blood Pressure30 min post last dose (n=49,52,40)-1.2 mmHgStandard Deviation 7.34
Arformoterol 7.5 McgChange From Predose in Mean Diastolic Blood Pressure60 min post last dose (n=49,52,40)-1.1 mmHgStandard Deviation 8.48
Arformoterol 7.5 McgChange From Predose in Mean Diastolic Blood Pressure4 hours post last dose (n=50,52,40)-0.0 mmHgStandard Deviation 7.63
Arformoterol 7.5 McgChange From Predose in Mean Diastolic Blood Pressure1.5 hours post last dose (n=48,52,40)-0.9 mmHgStandard Deviation 7.23
Arformoterol 7.5 McgChange From Predose in Mean Diastolic Blood Pressure2 hours post last dose (n=50,52,40)-0.9 mmHgStandard Deviation 7.7
Arformoterol 7.5 McgChange From Predose in Mean Diastolic Blood Pressure5 hours post last dose (n=50,52,40)-0.1 mmHgStandard Deviation 8.06
Arformoterol 7.5 McgChange From Predose in Mean Diastolic Blood Pressure2.5 hours post last dose (n=49,52,40)-3.5 mmHgStandard Deviation 7.36
Arformoterol 7.5 McgChange From Predose in Mean Diastolic Blood Pressure15 min post dose 1 (n=51,52,40)-1.1 mmHgStandard Deviation 7.26
Arformoterol 7.5 McgChange From Predose in Mean Diastolic Blood Pressure4.5 hours post last dose (n=50,52,40)-1.0 mmHgStandard Deviation 7.64
Arformoterol 7.5 McgChange From Predose in Mean Diastolic Blood Pressure30 min post dose 1 (n=51,52,40)-0.6 mmHgStandard Deviation 7.84
Arformoterol 7.5 McgChange From Predose in Mean Diastolic Blood Pressure3 hours post last dose (n=50,52,40)-1.8 mmHgStandard Deviation 8.31
Arformoterol 7.5 McgChange From Predose in Mean Diastolic Blood Pressure60 min post dose 1 (n=51,51,40)-0.7 mmHgStandard Deviation 7.71
Arformoterol 7.5 McgChange From Predose in Mean Diastolic Blood Pressure15 min post dose 2 (n=50,51,40)0.1 mmHgStandard Deviation 6.85
Arformoterol 7.5 McgChange From Predose in Mean Diastolic Blood Pressure30 min post dose 2 (n=47,50,40)-1.1 mmHgStandard Deviation 7.59
Arformoterol 7.5 McgChange From Predose in Mean Diastolic Blood Pressure3.5 hours post last dose (n=50,52,40)-2.6 mmHgStandard Deviation 6.66
Arformoterol 15 McgChange From Predose in Mean Diastolic Blood Pressure2.5 hours post last dose (n=49,52,40)-1.3 mmHgStandard Deviation 9.56
Arformoterol 15 McgChange From Predose in Mean Diastolic Blood Pressure60 min post dose 2 (n=46,50,37)-1.8 mmHgStandard Deviation 6.91
Arformoterol 15 McgChange From Predose in Mean Diastolic Blood Pressure3.5 hours post last dose (n=50,52,40)-1.0 mmHgStandard Deviation 8.87
Arformoterol 15 McgChange From Predose in Mean Diastolic Blood Pressure60 min post dose 1 (n=51,51,40)-1.3 mmHgStandard Deviation 9.43
Arformoterol 15 McgChange From Predose in Mean Diastolic Blood Pressure30 min post last dose (n=49,52,40)-1.9 mmHgStandard Deviation 9.35
Arformoterol 15 McgChange From Predose in Mean Diastolic Blood Pressure5 hours post last dose (n=50,52,40)-3.6 mmHgStandard Deviation 10.25
Arformoterol 15 McgChange From Predose in Mean Diastolic Blood Pressure15 min post dose 1 (n=51,52,40)-1.0 mmHgStandard Deviation 10.23
Arformoterol 15 McgChange From Predose in Mean Diastolic Blood Pressure60 min post last dose (n=49,52,40)-1.1 mmHgStandard Deviation 8.31
Arformoterol 15 McgChange From Predose in Mean Diastolic Blood Pressure3 hours post last dose (n=50,52,40)-1.1 mmHgStandard Deviation 10.49
Arformoterol 15 McgChange From Predose in Mean Diastolic Blood Pressure30 min post dose 2 (n=47,50,40)-1.9 mmHgStandard Deviation 9.59
Arformoterol 15 McgChange From Predose in Mean Diastolic Blood Pressure1.5 hours post last dose (n=48,52,40)-1.1 mmHgStandard Deviation 9.38
Arformoterol 15 McgChange From Predose in Mean Diastolic Blood Pressure4 hours post last dose (n=50,52,40)-3.7 mmHgStandard Deviation 10.29
Arformoterol 15 McgChange From Predose in Mean Diastolic Blood Pressure30 min post dose 1 (n=51,52,40)-1.9 mmHgStandard Deviation 7.27
Arformoterol 15 McgChange From Predose in Mean Diastolic Blood Pressure2 hours post last dose (n=50,52,40)-1.5 mmHgStandard Deviation 9.39
Arformoterol 15 McgChange From Predose in Mean Diastolic Blood Pressure15 min post dose 2 (n=50,51,40)-2.8 mmHgStandard Deviation 9.65
Arformoterol 15 McgChange From Predose in Mean Diastolic Blood Pressure4.5 hours post last dose (n=50,52,40)-1.7 mmHgStandard Deviation 10.42
Primary

Change From Predose in Mean Heart Rate

Heart rate measured at various timepoints minus the heart rate at predose.

Time frame: predose, various timeframes up to 5 hours post last dose

Population: Intent to treat population

ArmMeasureGroupValue (MEAN)Dispersion
Levalbuterol 0.63 mgChange From Predose in Mean Heart Rate2.5 hours post last dose (n=49,52,40)6.8 beats per minuteStandard Deviation 11.2
Levalbuterol 0.63 mgChange From Predose in Mean Heart Rate3 hours post last dose (n=50,52,40)6.7 beats per minuteStandard Deviation 10.94
Levalbuterol 0.63 mgChange From Predose in Mean Heart Rate30 min post dose 1 (n=51,52,40)3.2 beats per minuteStandard Deviation 11.91
Levalbuterol 0.63 mgChange From Predose in Mean Heart Rate3.5 hours post last dose (n=50,52,40)5.9 beats per minuteStandard Deviation 11.89
Levalbuterol 0.63 mgChange From Predose in Mean Heart Rate30 min post dose 2 (n=47,50,40)10.0 beats per minuteStandard Deviation 10.67
Levalbuterol 0.63 mgChange From Predose in Mean Heart Rate4.5 hours post last dose (n=50,52,40)5.9 beats per minuteStandard Deviation 10.86
Levalbuterol 0.63 mgChange From Predose in Mean Heart Rate5 hours post last dose (n=50,51,40)5.0 beats per minuteStandard Deviation 12.03
Levalbuterol 0.63 mgChange From Predose in Mean Heart Rate4 hours post last dose (n=50,52,40)6.6 beats per minuteStandard Deviation 10.3
Levalbuterol 0.63 mgChange From Predose in Mean Heart Rate60 min post dose 2 (n=46,50,37)13.2 beats per minuteStandard Deviation 13.81
Levalbuterol 0.63 mgChange From Predose in Mean Heart Rate30 min post last dose (n=49,52,40)11.9 beats per minuteStandard Deviation 14.11
Levalbuterol 0.63 mgChange From Predose in Mean Heart Rate60 min post dose 1 (n=51,51,40)8.7 beats per minuteStandard Deviation 10.7
Levalbuterol 0.63 mgChange From Predose in Mean Heart Rate60 min post last dose (n=49,52,40)8.7 beats per minuteStandard Deviation 13.97
Levalbuterol 0.63 mgChange From Predose in Mean Heart Rate1.5 hours post last dose (n=48,52,40)8.9 beats per minuteStandard Deviation 11.73
Levalbuterol 0.63 mgChange From Predose in Mean Heart Rate15 min post dose 1 (n=51,52,40)1.6 beats per minuteStandard Deviation 10.27
Levalbuterol 0.63 mgChange From Predose in Mean Heart Rate2 hours post last dose (n=50,52,40)5.6 beats per minuteStandard Deviation 12.13
Levalbuterol 0.63 mgChange From Predose in Mean Heart Rate15 min post dose 2 (n=50,51,40)7.8 beats per minuteStandard Deviation 10.72
Arformoterol 7.5 McgChange From Predose in Mean Heart Rate60 min post dose 1 (n=51,51,40)4.4 beats per minuteStandard Deviation 11.85
Arformoterol 7.5 McgChange From Predose in Mean Heart Rate15 min post dose 2 (n=50,51,40)2.8 beats per minuteStandard Deviation 11.48
Arformoterol 7.5 McgChange From Predose in Mean Heart Rate60 min post dose 2 (n=46,50,37)4.7 beats per minuteStandard Deviation 10.5
Arformoterol 7.5 McgChange From Predose in Mean Heart Rate3 hours post last dose (n=50,52,40)5.9 beats per minuteStandard Deviation 12.74
Arformoterol 7.5 McgChange From Predose in Mean Heart Rate15 min post dose 1 (n=51,52,40)0.5 beats per minuteStandard Deviation 9.4
Arformoterol 7.5 McgChange From Predose in Mean Heart Rate2.5 hours post last dose (n=49,52,40)5.5 beats per minuteStandard Deviation 14.33
Arformoterol 7.5 McgChange From Predose in Mean Heart Rate3.5 hours post last dose (n=50,52,40)5.1 beats per minuteStandard Deviation 11.63
Arformoterol 7.5 McgChange From Predose in Mean Heart Rate30 min post last dose (n=49,52,40)5.6 beats per minuteStandard Deviation 11.44
Arformoterol 7.5 McgChange From Predose in Mean Heart Rate4 hours post last dose (n=50,52,40)4.6 beats per minuteStandard Deviation 13.51
Arformoterol 7.5 McgChange From Predose in Mean Heart Rate30 min post dose 2 (n=47,50,40)4.5 beats per minuteStandard Deviation 10.46
Arformoterol 7.5 McgChange From Predose in Mean Heart Rate1.5 hours post last dose (n=48,52,40)7.1 beats per minuteStandard Deviation 12.65
Arformoterol 7.5 McgChange From Predose in Mean Heart Rate4.5 hours post last dose (n=50,52,40)4.9 beats per minuteStandard Deviation 12
Arformoterol 7.5 McgChange From Predose in Mean Heart Rate30 min post dose 1 (n=51,52,40)2.0 beats per minuteStandard Deviation 11.06
Arformoterol 7.5 McgChange From Predose in Mean Heart Rate2 hours post last dose (n=50,52,40)6.6 beats per minuteStandard Deviation 10.77
Arformoterol 7.5 McgChange From Predose in Mean Heart Rate5 hours post last dose (n=50,51,40)5.3 beats per minuteStandard Deviation 12.41
Arformoterol 7.5 McgChange From Predose in Mean Heart Rate60 min post last dose (n=49,52,40)8.6 beats per minuteStandard Deviation 14.06
Arformoterol 15 McgChange From Predose in Mean Heart Rate5 hours post last dose (n=50,51,40)5.8 beats per minuteStandard Deviation 12.55
Arformoterol 15 McgChange From Predose in Mean Heart Rate15 min post dose 1 (n=51,52,40)2.3 beats per minuteStandard Deviation 10.33
Arformoterol 15 McgChange From Predose in Mean Heart Rate30 min post dose 1 (n=51,52,40)2.5 beats per minuteStandard Deviation 11.14
Arformoterol 15 McgChange From Predose in Mean Heart Rate60 min post dose 1 (n=51,51,40)6.5 beats per minuteStandard Deviation 12.62
Arformoterol 15 McgChange From Predose in Mean Heart Rate15 min post dose 2 (n=50,51,40)5.5 beats per minuteStandard Deviation 12.89
Arformoterol 15 McgChange From Predose in Mean Heart Rate30 min post dose 2 (n=47,50,40)6.3 beats per minuteStandard Deviation 12.9
Arformoterol 15 McgChange From Predose in Mean Heart Rate60 min post dose 2 (n=46,50,37)9.5 beats per minuteStandard Deviation 12.89
Arformoterol 15 McgChange From Predose in Mean Heart Rate30 min post last dose (n=49,52,40)9.0 beats per minuteStandard Deviation 13.34
Arformoterol 15 McgChange From Predose in Mean Heart Rate60 min post last dose (n=49,52,40)10.0 beats per minuteStandard Deviation 14.81
Arformoterol 15 McgChange From Predose in Mean Heart Rate1.5 hours post last dose (n=48,52,40)8.3 beats per minuteStandard Deviation 15.95
Arformoterol 15 McgChange From Predose in Mean Heart Rate2 hours post last dose (n=50,52,40)8.9 beats per minuteStandard Deviation 12.69
Arformoterol 15 McgChange From Predose in Mean Heart Rate2.5 hours post last dose (n=49,52,40)7.8 beats per minuteStandard Deviation 13.36
Arformoterol 15 McgChange From Predose in Mean Heart Rate3 hours post last dose (n=50,52,40)6.4 beats per minuteStandard Deviation 13.31
Arformoterol 15 McgChange From Predose in Mean Heart Rate3.5 hours post last dose (n=50,52,40)7.9 beats per minuteStandard Deviation 12.11
Arformoterol 15 McgChange From Predose in Mean Heart Rate4 hours post last dose (n=50,52,40)7.4 beats per minuteStandard Deviation 11.62
Arformoterol 15 McgChange From Predose in Mean Heart Rate4.5 hours post last dose (n=50,52,40)6.9 beats per minuteStandard Deviation 12.7
Primary

Change From Predose in Mean Serum Glucose

Change in mean serum glucose at the specified timepoint minus the predose value.

Time frame: predose, 2 and 6 hours post dose

Population: Intent to treat population

ArmMeasureGroupValue (MEAN)Dispersion
Levalbuterol 0.63 mgChange From Predose in Mean Serum Glucose2 hours post dose 1 (n=48,47,39)27.1 mg/dlStandard Deviation 34.74
Levalbuterol 0.63 mgChange From Predose in Mean Serum Glucose6 hours post dose 1 (n=49,48,38)20.3 mg/dlStandard Deviation 22.49
Arformoterol 7.5 McgChange From Predose in Mean Serum Glucose2 hours post dose 1 (n=48,47,39)22.4 mg/dlStandard Deviation 32.66
Arformoterol 7.5 McgChange From Predose in Mean Serum Glucose6 hours post dose 1 (n=49,48,38)12.1 mg/dlStandard Deviation 20.59
Arformoterol 15 McgChange From Predose in Mean Serum Glucose2 hours post dose 1 (n=48,47,39)32.9 mg/dlStandard Deviation 35.21
Arformoterol 15 McgChange From Predose in Mean Serum Glucose6 hours post dose 1 (n=49,48,38)18.6 mg/dlStandard Deviation 23.11
Primary

Change From Predose in Mean Serum Potassium

Change in mean serum potassium at the specified timepoint minus the predose value.

Time frame: predose, 2 and 6 hours post dose

Population: Intent to treat population

ArmMeasureGroupValue (MEAN)Dispersion
Levalbuterol 0.63 mgChange From Predose in Mean Serum Potassium2 hours post dose 1 (n=48,47,38)-0.58 mEq/LStandard Deviation 0.457
Levalbuterol 0.63 mgChange From Predose in Mean Serum Potassium6 hours post dose 1 (n=48,49,38)-0.23 mEq/LStandard Deviation 0.307
Arformoterol 7.5 McgChange From Predose in Mean Serum Potassium2 hours post dose 1 (n=48,47,38)-0.42 mEq/LStandard Deviation 0.407
Arformoterol 7.5 McgChange From Predose in Mean Serum Potassium6 hours post dose 1 (n=48,49,38)-0.31 mEq/LStandard Deviation 0.45
Arformoterol 15 McgChange From Predose in Mean Serum Potassium2 hours post dose 1 (n=48,47,38)-0.62 mEq/LStandard Deviation 0.401
Arformoterol 15 McgChange From Predose in Mean Serum Potassium6 hours post dose 1 (n=48,49,38)-0.39 mEq/LStandard Deviation 0.424
Primary

Change From Predose in Mean Systolic Blood Pressure

Mean systolic blood pressure measured at various timepoints minus the mean systolic blood pressure at predose

Time frame: predose, various timeframes up to 5 hours post last dose

Population: Intent to treat population

ArmMeasureGroupValue (MEAN)Dispersion
Levalbuterol 0.63 mgChange From Predose in Mean Systolic Blood Pressure30 min post dose 2 (n=47,50,40)3.3 mmHgStandard Deviation 8.59
Levalbuterol 0.63 mgChange From Predose in Mean Systolic Blood Pressure30 min post dose 1 (n=51,52,40)2.6 mmHgStandard Deviation 10.14
Levalbuterol 0.63 mgChange From Predose in Mean Systolic Blood Pressure60 min post dose 1 (n=51,51,40)3.7 mmHgStandard Deviation 8.6
Levalbuterol 0.63 mgChange From Predose in Mean Systolic Blood Pressure15 min post dose 2 (n=50,51,40)2.6 mmHgStandard Deviation 8.94
Levalbuterol 0.63 mgChange From Predose in Mean Systolic Blood Pressure15 min post dose 1 (n=51,52,40)0.8 mmHgStandard Deviation 10.58
Levalbuterol 0.63 mgChange From Predose in Mean Systolic Blood Pressure60 min post dose 2 (n=46,50,37)4.0 mmHgStandard Deviation 7.89
Levalbuterol 0.63 mgChange From Predose in Mean Systolic Blood Pressure30 min post last dose (n=49,52,40)2.4 mmHgStandard Deviation 10.72
Levalbuterol 0.63 mgChange From Predose in Mean Systolic Blood Pressure60 min post last dose (n=49,52,40)3.5 mmHgStandard Deviation 10.92
Levalbuterol 0.63 mgChange From Predose in Mean Systolic Blood Pressure1.5 hours post last dose (n=48,52,40)1.8 mmHgStandard Deviation 9.7
Levalbuterol 0.63 mgChange From Predose in Mean Systolic Blood Pressure2 hours post last dose (n=50,52,40)2.3 mmHgStandard Deviation 10.31
Levalbuterol 0.63 mgChange From Predose in Mean Systolic Blood Pressure2.5 hours post last dose (n=49,52,40)0.4 mmHgStandard Deviation 10.12
Levalbuterol 0.63 mgChange From Predose in Mean Systolic Blood Pressure3 hours post last dose (n=50,52,40)3.9 mmHgStandard Deviation 10.58
Levalbuterol 0.63 mgChange From Predose in Mean Systolic Blood Pressure3.5 hours post last dose (n=50,52,40)1.2 mmHgStandard Deviation 8.87
Levalbuterol 0.63 mgChange From Predose in Mean Systolic Blood Pressure4 hours post last dose (n=50,52,40)1.3 mmHgStandard Deviation 11.08
Levalbuterol 0.63 mgChange From Predose in Mean Systolic Blood Pressure4.5 hours post last dose (n=50,52,40)2.2 mmHgStandard Deviation 10.37
Levalbuterol 0.63 mgChange From Predose in Mean Systolic Blood Pressure5 hours post last dose (n=50,52,40)4.5 mmHgStandard Deviation 10.79
Arformoterol 7.5 McgChange From Predose in Mean Systolic Blood Pressure60 min post dose 2 (n=46,50,37)-0.3 mmHgStandard Deviation 8.98
Arformoterol 7.5 McgChange From Predose in Mean Systolic Blood Pressure30 min post last dose (n=49,52,40)-0.4 mmHgStandard Deviation 9.37
Arformoterol 7.5 McgChange From Predose in Mean Systolic Blood Pressure60 min post last dose (n=49,52,40)1.5 mmHgStandard Deviation 11.17
Arformoterol 7.5 McgChange From Predose in Mean Systolic Blood Pressure4 hours post last dose (n=50,52,40)0.6 mmHgStandard Deviation 10.17
Arformoterol 7.5 McgChange From Predose in Mean Systolic Blood Pressure1.5 hours post last dose (n=48,52,40)0.3 mmHgStandard Deviation 10.22
Arformoterol 7.5 McgChange From Predose in Mean Systolic Blood Pressure2 hours post last dose (n=50,52,40)1.8 mmHgStandard Deviation 10.18
Arformoterol 7.5 McgChange From Predose in Mean Systolic Blood Pressure5 hours post last dose (n=50,52,40)2.5 mmHgStandard Deviation 8.9
Arformoterol 7.5 McgChange From Predose in Mean Systolic Blood Pressure2.5 hours post last dose (n=49,52,40)-0.0 mmHgStandard Deviation 8.8
Arformoterol 7.5 McgChange From Predose in Mean Systolic Blood Pressure15 min post dose 1 (n=51,52,40)-0.4 mmHgStandard Deviation 9.57
Arformoterol 7.5 McgChange From Predose in Mean Systolic Blood Pressure4.5 hours post last dose (n=50,52,40)1.7 mmHgStandard Deviation 9.61
Arformoterol 7.5 McgChange From Predose in Mean Systolic Blood Pressure30 min post dose 1 (n=51,52,40)0.9 mmHgStandard Deviation 6.97
Arformoterol 7.5 McgChange From Predose in Mean Systolic Blood Pressure3 hours post last dose (n=50,52,40)0.6 mmHgStandard Deviation 8.83
Arformoterol 7.5 McgChange From Predose in Mean Systolic Blood Pressure60 min post dose 1 (n=51,51,40)1.1 mmHgStandard Deviation 9.54
Arformoterol 7.5 McgChange From Predose in Mean Systolic Blood Pressure15 min post dose 2 (n=50,51,40)-0.3 mmHgStandard Deviation 9.28
Arformoterol 7.5 McgChange From Predose in Mean Systolic Blood Pressure30 min post dose 2 (n=47,50,40)0.8 mmHgStandard Deviation 9.01
Arformoterol 7.5 McgChange From Predose in Mean Systolic Blood Pressure3.5 hours post last dose (n=50,52,40)1.7 mmHgStandard Deviation 10.18
Arformoterol 15 McgChange From Predose in Mean Systolic Blood Pressure2.5 hours post last dose (n=49,52,40)0.7 mmHgStandard Deviation 7.77
Arformoterol 15 McgChange From Predose in Mean Systolic Blood Pressure60 min post dose 2 (n=46,50,37)1.8 mmHgStandard Deviation 8.87
Arformoterol 15 McgChange From Predose in Mean Systolic Blood Pressure3.5 hours post last dose (n=50,52,40)0.9 mmHgStandard Deviation 7.06
Arformoterol 15 McgChange From Predose in Mean Systolic Blood Pressure60 min post dose 1 (n=51,51,40)2.6 mmHgStandard Deviation 7.97
Arformoterol 15 McgChange From Predose in Mean Systolic Blood Pressure30 min post last dose (n=49,52,40)1.1 mmHgStandard Deviation 11.25
Arformoterol 15 McgChange From Predose in Mean Systolic Blood Pressure5 hours post last dose (n=50,52,40)1.6 mmHgStandard Deviation 9.62
Arformoterol 15 McgChange From Predose in Mean Systolic Blood Pressure15 min post dose 1 (n=51,52,40)2.0 mmHgStandard Deviation 8.06
Arformoterol 15 McgChange From Predose in Mean Systolic Blood Pressure60 min post last dose (n=49,52,40)4.4 mmHgStandard Deviation 8.43
Arformoterol 15 McgChange From Predose in Mean Systolic Blood Pressure3 hours post last dose (n=50,52,40)1.3 mmHgStandard Deviation 7.28
Arformoterol 15 McgChange From Predose in Mean Systolic Blood Pressure30 min post dose 2 (n=47,50,40)1.4 mmHgStandard Deviation 7.19
Arformoterol 15 McgChange From Predose in Mean Systolic Blood Pressure1.5 hours post last dose (n=48,52,40)2.4 mmHgStandard Deviation 8.06
Arformoterol 15 McgChange From Predose in Mean Systolic Blood Pressure4 hours post last dose (n=50,52,40)-0.0 mmHgStandard Deviation 8.36
Arformoterol 15 McgChange From Predose in Mean Systolic Blood Pressure30 min post dose 1 (n=51,52,40)-0.3 mmHgStandard Deviation 7.68
Arformoterol 15 McgChange From Predose in Mean Systolic Blood Pressure2 hours post last dose (n=50,52,40)1.3 mmHgStandard Deviation 9.44
Arformoterol 15 McgChange From Predose in Mean Systolic Blood Pressure15 min post dose 2 (n=50,51,40)1.6 mmHgStandard Deviation 9.07
Arformoterol 15 McgChange From Predose in Mean Systolic Blood Pressure4.5 hours post last dose (n=50,52,40)0.9 mmHgStandard Deviation 8.26
Primary

Mean Diastolic Blood Pressure

Diastolic blood pressure measured at various timepoints: predose and timepoints after each of the three dosings. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes).

Time frame: predose, various timeframes up to 5 hours post last dose

Population: Intent to treat population

ArmMeasureGroupValue (MEAN)Dispersion
Levalbuterol 0.63 mgMean Diastolic Blood Pressure15 min post dose 2 (n=50,51,40)61.7 mmHgStandard Deviation 8.76
Levalbuterol 0.63 mgMean Diastolic Blood Pressure60 min post dose 2 (n=46,50,37)62.8 mmHgStandard Deviation 8.07
Levalbuterol 0.63 mgMean Diastolic Blood Pressure3.5 hours post last dose (n=50,52,40)62.0 mmHgStandard Deviation 9.8
Levalbuterol 0.63 mgMean Diastolic Blood Pressure30 min post dose 1 (n=51,52,40)60.8 mmHgStandard Deviation 8.34
Levalbuterol 0.63 mgMean Diastolic Blood Pressure30 min post last dose (n=49,52,40)63.4 mmHgStandard Deviation 7.27
Levalbuterol 0.63 mgMean Diastolic Blood Pressure4.5 hours post last dose (n=50,52,40)62.6 mmHgStandard Deviation 9.12
Levalbuterol 0.63 mgMean Diastolic Blood Pressure3 hours post last dose (n=50,52,40)63.2 mmHgStandard Deviation 8.85
Levalbuterol 0.63 mgMean Diastolic Blood Pressure60 min post last dose (n=49,52,40)63.5 mmHgStandard Deviation 8.88
Levalbuterol 0.63 mgMean Diastolic Blood Pressure15 min post dose 1 (n=51,52,40)61.4 mmHgStandard Deviation 9.32
Levalbuterol 0.63 mgMean Diastolic Blood PressurePredose (n=51,52,40)62.5 mmHgStandard Deviation 8.19
Levalbuterol 0.63 mgMean Diastolic Blood Pressure1.5 hours post last dose (n=48,52,40)63.1 mmHgStandard Deviation 9.09
Levalbuterol 0.63 mgMean Diastolic Blood Pressure5 hours post last dose (n=50,52,40)62.3 mmHgStandard Deviation 8.75
Levalbuterol 0.63 mgMean Diastolic Blood Pressure60 min post dose 1 (n=51,51,40)63.4 mmHgStandard Deviation 7.72
Levalbuterol 0.63 mgMean Diastolic Blood Pressure2 hours post last dose (n=50,52,40)63.8 mmHgStandard Deviation 10.79
Levalbuterol 0.63 mgMean Diastolic Blood Pressure4 hours post last dose (n=50,52,40)62.9 mmHgStandard Deviation 10.15
Levalbuterol 0.63 mgMean Diastolic Blood Pressure30 min post dose 2 (n=47,50,40)63.1 mmHgStandard Deviation 7.35
Levalbuterol 0.63 mgMean Diastolic Blood Pressure2.5 hours post last dose (n=49,52,40)60.7 mmHgStandard Deviation 10.41
Arformoterol 7.5 McgMean Diastolic Blood PressurePredose (n=51,52,40)63.2 mmHgStandard Deviation 6.82
Arformoterol 7.5 McgMean Diastolic Blood Pressure3 hours post last dose (n=50,52,40)61.4 mmHgStandard Deviation 7.51
Arformoterol 7.5 McgMean Diastolic Blood Pressure3.5 hours post last dose (n=50,52,40)60.5 mmHgStandard Deviation 6.54
Arformoterol 7.5 McgMean Diastolic Blood Pressure15 min post dose 2 (n=50,51,40)63.3 mmHgStandard Deviation 6.75
Arformoterol 7.5 McgMean Diastolic Blood Pressure4 hours post last dose (n=50,52,40)63.1 mmHgStandard Deviation 7.32
Arformoterol 7.5 McgMean Diastolic Blood Pressure15 min post dose 1 (n=51,52,40)62.0 mmHgStandard Deviation 7.29
Arformoterol 7.5 McgMean Diastolic Blood Pressure4.5 hours post last dose (n=50,52,40)62.2 mmHgStandard Deviation 7.84
Arformoterol 7.5 McgMean Diastolic Blood Pressure30 min post dose 2 (n=47,50,40)62.2 mmHgStandard Deviation 7.61
Arformoterol 7.5 McgMean Diastolic Blood Pressure5 hours post last dose (n=50,52,40)63.0 mmHgStandard Deviation 7.4
Arformoterol 7.5 McgMean Diastolic Blood Pressure2.5 hours post last dose (n=49,52,40)59.7 mmHgStandard Deviation 7.97
Arformoterol 7.5 McgMean Diastolic Blood Pressure60 min post dose 2 (n=46,50,37)62.0 mmHgStandard Deviation 8.15
Arformoterol 7.5 McgMean Diastolic Blood Pressure30 min post last dose (n=49,52,40)62.0 mmHgStandard Deviation 8.83
Arformoterol 7.5 McgMean Diastolic Blood Pressure30 min post dose 1 (n=51,52,40)62.5 mmHgStandard Deviation 7.61
Arformoterol 7.5 McgMean Diastolic Blood Pressure60 min post last dose (n=49,52,40)62.1 mmHgStandard Deviation 8.6
Arformoterol 7.5 McgMean Diastolic Blood Pressure1.5 hours post last dose (n=48,52,40)62.3 mmHgStandard Deviation 7.9
Arformoterol 7.5 McgMean Diastolic Blood Pressure2 hours post last dose (n=50,52,40)62.3 mmHgStandard Deviation 6.87
Arformoterol 7.5 McgMean Diastolic Blood Pressure60 min post dose 1 (n=51,51,40)62.5 mmHgStandard Deviation 7.47
Arformoterol 15 McgMean Diastolic Blood Pressure5 hours post last dose (n=50,52,40)60.0 mmHgStandard Deviation 8.59
Arformoterol 15 McgMean Diastolic Blood PressurePredose (n=51,52,40)63.6 mmHgStandard Deviation 9.77
Arformoterol 15 McgMean Diastolic Blood Pressure15 min post dose 1 (n=51,52,40)62.5 mmHgStandard Deviation 8.52
Arformoterol 15 McgMean Diastolic Blood Pressure30 min post dose 1 (n=51,52,40)61.6 mmHgStandard Deviation 7.56
Arformoterol 15 McgMean Diastolic Blood Pressure60 min post dose 1 (n=51,51,40)62.3 mmHgStandard Deviation 9.38
Arformoterol 15 McgMean Diastolic Blood Pressure15 min post dose 2 (n=50,51,40)60.8 mmHgStandard Deviation 8.81
Arformoterol 15 McgMean Diastolic Blood Pressure30 min post dose 2 (n=47,50,40)61.7 mmHgStandard Deviation 8.86
Arformoterol 15 McgMean Diastolic Blood Pressure60 min post dose 2 (n=46,50,37)62.3 mmHgStandard Deviation 7.99
Arformoterol 15 McgMean Diastolic Blood Pressure30 min post last dose (n=49,52,40)61.6 mmHgStandard Deviation 7.91
Arformoterol 15 McgMean Diastolic Blood Pressure60 min post last dose (n=49,52,40)62.5 mmHgStandard Deviation 8.09
Arformoterol 15 McgMean Diastolic Blood Pressure1.5 hours post last dose (n=48,52,40)62.5 mmHgStandard Deviation 9.03
Arformoterol 15 McgMean Diastolic Blood Pressure2 hours post last dose (n=50,52,40)62.1 mmHgStandard Deviation 9.62
Arformoterol 15 McgMean Diastolic Blood Pressure2.5 hours post last dose (n=49,52,40)62.3 mmHgStandard Deviation 8.71
Arformoterol 15 McgMean Diastolic Blood Pressure3 hours post last dose (n=50,52,40)62.5 mmHgStandard Deviation 9.77
Arformoterol 15 McgMean Diastolic Blood Pressure3.5 hours post last dose (n=50,52,40)62.6 mmHgStandard Deviation 7.59
Arformoterol 15 McgMean Diastolic Blood Pressure4 hours post last dose (n=50,52,40)59.9 mmHgStandard Deviation 8.65
Arformoterol 15 McgMean Diastolic Blood Pressure4.5 hours post last dose (n=50,52,40)61.9 mmHgStandard Deviation 8.38
Primary

Mean Heart Rate

Heart rate measured at various timepoints: predose and timepoints after each of the three dosings. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes).

Time frame: predose, various timeframes up to 5 hours post last dose

Population: Intent to treat population

ArmMeasureGroupValue (MEAN)Dispersion
Levalbuterol 0.63 mgMean Heart Rate2.5 hours post last dose (n=49,52,40)94.1 beats per minuteStandard Deviation 16.22
Levalbuterol 0.63 mgMean Heart Rate60 min post dose 2 (n=46,50,37)100.4 beats per minuteStandard Deviation 16.6
Levalbuterol 0.63 mgMean Heart Rate15 min post dose 1 (n=51,52,40)89.3 beats per minuteStandard Deviation 15.57
Levalbuterol 0.63 mgMean Heart RatePredose (n=51,52,40)87.6 beats per minuteStandard Deviation 12.56
Levalbuterol 0.63 mgMean Heart Rate30 min post last dose (n=49,52,40)99.2 beats per minuteStandard Deviation 17.38
Levalbuterol 0.63 mgMean Heart Rate4 hours post last dose (n=50,52,40)94.0 beats per minuteStandard Deviation 12.68
Levalbuterol 0.63 mgMean Heart Rate2 hours post last dose (n=50,52,40)93.0 beats per minuteStandard Deviation 16.23
Levalbuterol 0.63 mgMean Heart Rate60 min post last dose (n=49,52,40)96.0 beats per minuteStandard Deviation 16.45
Levalbuterol 0.63 mgMean Heart Rate60 min post dose 1 (n=51,51,40)96.4 beats per minuteStandard Deviation 12.33
Levalbuterol 0.63 mgMean Heart Rate1.5 hours post last dose (n=48,52,40)96.2 beats per minuteStandard Deviation 17.29
Levalbuterol 0.63 mgMean Heart Rate5 hours post last dose (n=50,51,40)92.4 beats per minuteStandard Deviation 15.36
Levalbuterol 0.63 mgMean Heart Rate3.5 hours post last dose (n=50,52,40)93.3 beats per minuteStandard Deviation 14.65
Levalbuterol 0.63 mgMean Heart Rate15 min post dose 2 (n=50,51,40)95.4 beats per minuteStandard Deviation 12.94
Levalbuterol 0.63 mgMean Heart Rate4.5 hours post last dose (n=50,52,40)93.3 beats per minuteStandard Deviation 13.71
Levalbuterol 0.63 mgMean Heart Rate3 hours post last dose (n=50,52,40)94.1 beats per minuteStandard Deviation 14.84
Levalbuterol 0.63 mgMean Heart Rate30 min post dose 2 (n=47,50,40)97.1 beats per minuteStandard Deviation 13.28
Levalbuterol 0.63 mgMean Heart Rate30 min post dose 1 (n=51,52,40)90.9 beats per minuteStandard Deviation 14.47
Arformoterol 7.5 McgMean Heart Rate2 hours post last dose (n=50,52,40)91.2 beats per minuteStandard Deviation 11.77
Arformoterol 7.5 McgMean Heart RatePredose (n=51,52,40)84.7 beats per minuteStandard Deviation 14.11
Arformoterol 7.5 McgMean Heart Rate15 min post dose 1 (n=51,52,40)85.2 beats per minuteStandard Deviation 15.19
Arformoterol 7.5 McgMean Heart Rate30 min post dose 1 (n=51,52,40)86.6 beats per minuteStandard Deviation 14.63
Arformoterol 7.5 McgMean Heart Rate60 min post dose 1 (n=51,51,40)89.0 beats per minuteStandard Deviation 13.67
Arformoterol 7.5 McgMean Heart Rate15 min post dose 2 (n=50,51,40)87.5 beats per minuteStandard Deviation 14.88
Arformoterol 7.5 McgMean Heart Rate30 min post dose 2 (n=47,50,40)88.9 beats per minuteStandard Deviation 13.33
Arformoterol 7.5 McgMean Heart Rate60 min post dose 2 (n=46,50,37)89.3 beats per minuteStandard Deviation 13.97
Arformoterol 7.5 McgMean Heart Rate30 min post last dose (n=49,52,40)90.3 beats per minuteStandard Deviation 14.24
Arformoterol 7.5 McgMean Heart Rate60 min post last dose (n=49,52,40)93.3 beats per minuteStandard Deviation 13.06
Arformoterol 7.5 McgMean Heart Rate1.5 hours post last dose (n=48,52,40)91.8 beats per minuteStandard Deviation 11.75
Arformoterol 7.5 McgMean Heart Rate2.5 hours post last dose (n=49,52,40)90.2 beats per minuteStandard Deviation 14.61
Arformoterol 7.5 McgMean Heart Rate3 hours post last dose (n=50,52,40)90.6 beats per minuteStandard Deviation 13.57
Arformoterol 7.5 McgMean Heart Rate3.5 hours post last dose (n=50,52,40)89.8 beats per minuteStandard Deviation 13.2
Arformoterol 7.5 McgMean Heart Rate4 hours post last dose (n=50,52,40)89.3 beats per minuteStandard Deviation 11.76
Arformoterol 7.5 McgMean Heart Rate4.5 hours post last dose (n=50,52,40)89.6 beats per minuteStandard Deviation 12.5
Arformoterol 7.5 McgMean Heart Rate5 hours post last dose (n=50,51,40)89.8 beats per minuteStandard Deviation 14.16
Arformoterol 15 McgMean Heart Rate15 min post dose 1 (n=51,52,40)89.4 beats per minuteStandard Deviation 16.88
Arformoterol 15 McgMean Heart Rate2.5 hours post last dose (n=49,52,40)94.8 beats per minuteStandard Deviation 15.66
Arformoterol 15 McgMean Heart Rate15 min post dose 2 (n=50,51,40)92.5 beats per minuteStandard Deviation 18.6
Arformoterol 15 McgMean Heart Rate5 hours post last dose (n=50,51,40)92.9 beats per minuteStandard Deviation 14.51
Arformoterol 15 McgMean Heart Rate3 hours post last dose (n=50,52,40)93.4 beats per minuteStandard Deviation 16.04
Arformoterol 15 McgMean Heart Rate60 min post dose 1 (n=51,51,40)93.5 beats per minuteStandard Deviation 16.41
Arformoterol 15 McgMean Heart Rate4.5 hours post last dose (n=50,52,40)93.9 beats per minuteStandard Deviation 16.49
Arformoterol 15 McgMean Heart Rate3.5 hours post last dose (n=50,52,40)95.0 beats per minuteStandard Deviation 15.16
Arformoterol 15 McgMean Heart Rate30 min post dose 1 (n=51,52,40)89.5 beats per minuteStandard Deviation 15.59
Arformoterol 15 McgMean Heart RatePredose (n=51,52,40)87.0 beats per minuteStandard Deviation 17.47
Arformoterol 15 McgMean Heart Rate60 min post last dose (n=49,52,40)97.1 beats per minuteStandard Deviation 14.95
Arformoterol 15 McgMean Heart Rate4 hours post last dose (n=50,52,40)94.5 beats per minuteStandard Deviation 14.94
Arformoterol 15 McgMean Heart Rate1.5 hours post last dose (n=48,52,40)95.3 beats per minuteStandard Deviation 16.42
Arformoterol 15 McgMean Heart Rate30 min post last dose (n=49,52,40)96.1 beats per minuteStandard Deviation 13.92
Arformoterol 15 McgMean Heart Rate60 min post dose 2 (n=46,50,37)96.1 beats per minuteStandard Deviation 12.8
Arformoterol 15 McgMean Heart Rate2 hours post last dose (n=50,52,40)95.9 beats per minuteStandard Deviation 14.57
Arformoterol 15 McgMean Heart Rate30 min post dose 2 (n=47,50,40)93.3 beats per minuteStandard Deviation 16.72
Primary

Mean Serum Glucose Values

Time frame: Predose, 2 and 6 hours post dose 1

Population: Intent to treat population

ArmMeasureGroupValue (MEAN)Dispersion
Levalbuterol 0.63 mgMean Serum Glucose Values2 hours post dose 1 (n=48,47,39)114.5 mg/dlStandard Deviation 30.42
Levalbuterol 0.63 mgMean Serum Glucose ValuesPredose (n=51,52,40)86.4 mg/dlStandard Deviation 15.59
Levalbuterol 0.63 mgMean Serum Glucose Values6 hours post dose 1 (n=49,48,38)107.6 mg/dlStandard Deviation 18.43
Arformoterol 7.5 McgMean Serum Glucose Values2 hours post dose 1 (n=48,47,39)108.6 mg/dlStandard Deviation 27.51
Arformoterol 7.5 McgMean Serum Glucose ValuesPredose (n=51,52,40)87.5 mg/dlStandard Deviation 15.43
Arformoterol 7.5 McgMean Serum Glucose Values6 hours post dose 1 (n=49,48,38)99.0 mg/dlStandard Deviation 15.78
Arformoterol 15 McgMean Serum Glucose ValuesPredose (n=51,52,40)87.6 mg/dlStandard Deviation 17.41
Arformoterol 15 McgMean Serum Glucose Values6 hours post dose 1 (n=49,48,38)106.3 mg/dlStandard Deviation 15.64
Arformoterol 15 McgMean Serum Glucose Values2 hours post dose 1 (n=48,47,39)120.6 mg/dlStandard Deviation 32.52
Primary

Mean Serum Potassium Levels

Time frame: Predose, 2 hours and 6 hours postdose 1

Population: Intent to treat population

ArmMeasureGroupValue (MEAN)Dispersion
Levalbuterol 0.63 mgMean Serum Potassium Levels2 hours post dose 1 (n=48,47,38)3.67 mEq/LStandard Deviation 0.423
Levalbuterol 0.63 mgMean Serum Potassium LevelsPredose (n=51,52,39)4.25 mEq/LStandard Deviation 0.376
Levalbuterol 0.63 mgMean Serum Potassium Levels6 hours post dose 1 (n=48,49,38)3.99 mEq/LStandard Deviation 0.334
Arformoterol 7.5 McgMean Serum Potassium Levels2 hours post dose 1 (n=48,47,38)3.83 mEq/LStandard Deviation 0.391
Arformoterol 7.5 McgMean Serum Potassium LevelsPredose (n=51,52,39)4.27 mEq/LStandard Deviation 0.386
Arformoterol 7.5 McgMean Serum Potassium Levels6 hours post dose 1 (n=48,49,38)3.95 mEq/LStandard Deviation 0.325
Arformoterol 15 McgMean Serum Potassium LevelsPredose (n=51,52,39)4.31 mEq/LStandard Deviation 0.325
Arformoterol 15 McgMean Serum Potassium Levels6 hours post dose 1 (n=48,49,38)3.87 mEq/LStandard Deviation 0.435
Arformoterol 15 McgMean Serum Potassium Levels2 hours post dose 1 (n=48,47,38)3.71 mEq/LStandard Deviation 0.41
Primary

Mean Systolic Blood Pressure

Systolic blood pressure measured at various timepoints: predose and timepoints after each of the three dosings. Each treatment consists of one nebulization every 30 minutes over a 60 minute treatment interval (totaling 3 cumulative dosings at 0,30 and 60 minutes).

Time frame: predose, various timeframes up to 5 hours post last dose

Population: Intent to treat population

ArmMeasureGroupValue (MEAN)Dispersion
Levalbuterol 0.63 mgMean Systolic Blood Pressure2.5 hours post last dose (n=49,52,40)103.0 mmHgStandard Deviation 12.41
Levalbuterol 0.63 mgMean Systolic Blood Pressure60 min post dose 2 (n=46,50,37)107.2 mmHgStandard Deviation 12.05
Levalbuterol 0.63 mgMean Systolic Blood Pressure15 min post dose 1 (n=51,52,40)102.9 mmHgStandard Deviation 10.9
Levalbuterol 0.63 mgMean Systolic Blood PressurePredose (n=51,52,40)102.1 mmHgStandard Deviation 10.8
Levalbuterol 0.63 mgMean Systolic Blood Pressure30 min post last dose (n=49,52,40)105.0 mmHgStandard Deviation 12.22
Levalbuterol 0.63 mgMean Systolic Blood Pressure4 hours post last dose (n=50,52,40)103.6 mmHgStandard Deviation 11.26
Levalbuterol 0.63 mgMean Systolic Blood Pressure2 hours post last dose (n=50,52,40)104.6 mmHgStandard Deviation 11.4
Levalbuterol 0.63 mgMean Systolic Blood Pressure60 min post last dose (n=49,52,40)106.1 mmHgStandard Deviation 10.32
Levalbuterol 0.63 mgMean Systolic Blood Pressure60 min post dose 1 (n=51,51,40)105.8 mmHgStandard Deviation 9.31
Levalbuterol 0.63 mgMean Systolic Blood Pressure1.5 hours post last dose (n=48,52,40)104.8 mmHgStandard Deviation 11.43
Levalbuterol 0.63 mgMean Systolic Blood Pressure5 hours post last dose (n=50,52,40)106.7 mmHgStandard Deviation 9.94
Levalbuterol 0.63 mgMean Systolic Blood Pressure3.5 hours post last dose (n=50,52,40)103.4 mmHgStandard Deviation 10
Levalbuterol 0.63 mgMean Systolic Blood Pressure15 min post dose 2 (n=50,51,40)105.0 mmHgStandard Deviation 11.2
Levalbuterol 0.63 mgMean Systolic Blood Pressure4.5 hours post last dose (n=50,52,40)104.5 mmHgStandard Deviation 10.5
Levalbuterol 0.63 mgMean Systolic Blood Pressure3 hours post last dose (n=50,52,40)106.1 mmHgStandard Deviation 12.28
Levalbuterol 0.63 mgMean Systolic Blood Pressure30 min post dose 2 (n=47,50,40)106.4 mmHgStandard Deviation 10.32
Levalbuterol 0.63 mgMean Systolic Blood Pressure30 min post dose 1 (n=51,52,40)104.6 mmHgStandard Deviation 12.08
Arformoterol 7.5 McgMean Systolic Blood Pressure2 hours post last dose (n=50,52,40)103.4 mmHgStandard Deviation 10.81
Arformoterol 7.5 McgMean Systolic Blood PressurePredose (n=51,52,40)101.5 mmHgStandard Deviation 9.86
Arformoterol 7.5 McgMean Systolic Blood Pressure15 min post dose 1 (n=51,52,40)101.2 mmHgStandard Deviation 11.07
Arformoterol 7.5 McgMean Systolic Blood Pressure30 min post dose 1 (n=51,52,40)102.5 mmHgStandard Deviation 10.2
Arformoterol 7.5 McgMean Systolic Blood Pressure60 min post dose 1 (n=51,51,40)102.7 mmHgStandard Deviation 9.82
Arformoterol 7.5 McgMean Systolic Blood Pressure15 min post dose 2 (n=50,51,40)101.7 mmHgStandard Deviation 9.42
Arformoterol 7.5 McgMean Systolic Blood Pressure30 min post dose 2 (n=47,50,40)102.8 mmHgStandard Deviation 9.26
Arformoterol 7.5 McgMean Systolic Blood Pressure60 min post dose 2 (n=46,50,37)101.9 mmHgStandard Deviation 11.18
Arformoterol 7.5 McgMean Systolic Blood Pressure30 min post last dose (n=49,52,40)101.2 mmHgStandard Deviation 11.72
Arformoterol 7.5 McgMean Systolic Blood Pressure60 min post last dose (n=49,52,40)103.0 mmHgStandard Deviation 11.87
Arformoterol 7.5 McgMean Systolic Blood Pressure1.5 hours post last dose (n=48,52,40)101.9 mmHgStandard Deviation 11.67
Arformoterol 7.5 McgMean Systolic Blood Pressure2.5 hours post last dose (n=49,52,40)101.5 mmHgStandard Deviation 10.58
Arformoterol 7.5 McgMean Systolic Blood Pressure3 hours post last dose (n=50,52,40)102.1 mmHgStandard Deviation 10.84
Arformoterol 7.5 McgMean Systolic Blood Pressure3.5 hours post last dose (n=50,52,40)103.2 mmHgStandard Deviation 11.38
Arformoterol 7.5 McgMean Systolic Blood Pressure4 hours post last dose (n=50,52,40)102.1 mmHgStandard Deviation 10.14
Arformoterol 7.5 McgMean Systolic Blood Pressure4.5 hours post last dose (n=50,52,40)103.2 mmHgStandard Deviation 10.96
Arformoterol 7.5 McgMean Systolic Blood Pressure5 hours post last dose (n=50,52,40)104.1 mmHgStandard Deviation 10.46
Arformoterol 15 McgMean Systolic Blood Pressure15 min post dose 1 (n=51,52,40)102.6 mmHgStandard Deviation 11.42
Arformoterol 15 McgMean Systolic Blood Pressure2.5 hours post last dose (n=49,52,40)101.3 mmHgStandard Deviation 10.1
Arformoterol 15 McgMean Systolic Blood Pressure15 min post dose 2 (n=50,51,40)102.1 mmHgStandard Deviation 12.2
Arformoterol 15 McgMean Systolic Blood Pressure5 hours post last dose (n=50,52,40)102.1 mmHgStandard Deviation 9.49
Arformoterol 15 McgMean Systolic Blood Pressure3 hours post last dose (n=50,52,40)101.9 mmHgStandard Deviation 11.57
Arformoterol 15 McgMean Systolic Blood Pressure60 min post dose 1 (n=51,51,40)103.2 mmHgStandard Deviation 10.82
Arformoterol 15 McgMean Systolic Blood Pressure4.5 hours post last dose (n=50,52,40)101.5 mmHgStandard Deviation 9.25
Arformoterol 15 McgMean Systolic Blood Pressure3.5 hours post last dose (n=50,52,40)101.4 mmHgStandard Deviation 9.41
Arformoterol 15 McgMean Systolic Blood Pressure30 min post dose 1 (n=51,52,40)100.3 mmHgStandard Deviation 9.78
Arformoterol 15 McgMean Systolic Blood PressurePredose (n=51,52,40)100.6 mmHgStandard Deviation 10.36
Arformoterol 15 McgMean Systolic Blood Pressure60 min post last dose (n=49,52,40)104.9 mmHgStandard Deviation 11.03
Arformoterol 15 McgMean Systolic Blood Pressure4 hours post last dose (n=50,52,40)100.5 mmHgStandard Deviation 10.48
Arformoterol 15 McgMean Systolic Blood Pressure1.5 hours post last dose (n=48,52,40)103.0 mmHgStandard Deviation 10.35
Arformoterol 15 McgMean Systolic Blood Pressure30 min post last dose (n=49,52,40)101.6 mmHgStandard Deviation 12.6
Arformoterol 15 McgMean Systolic Blood Pressure60 min post dose 2 (n=46,50,37)102.9 mmHgStandard Deviation 9.95
Arformoterol 15 McgMean Systolic Blood Pressure2 hours post last dose (n=50,52,40)101.8 mmHgStandard Deviation 10.87
Arformoterol 15 McgMean Systolic Blood Pressure30 min post dose 2 (n=47,50,40)101.9 mmHgStandard Deviation 9.81
Secondary

Change From Predose in Mean Peak Expiratory Flow Rate (PEFR)

PEFR is the fastest rate at which air can move through the airways during a forced expiration starting with fully inflated lungs as measured by peak flow meters. Change in PEFR was calculated as postdose value minus the predose value at each visit.

Time frame: predose, various postdose times

Population: Intent to treat population. Pulmonary function testing was only performed on subjects six years of age or older; there were no subjects five or younger who performed spirometry. Subject data for those who were misdosed with ARF 7.5mcg rather than ARF 15mcg in the open-label portion were excluded from these analyses.

ArmMeasureGroupValue (MEAN)Dispersion
Levalbuterol 0.63 mgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 2 (n=36,38,27)0.452 liters/secondStandard Deviation 0.329
Levalbuterol 0.63 mgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)6 hours post dose 1 (n=36,38,27)0.324 liters/secondStandard Deviation 0.337
Levalbuterol 0.63 mgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 3 (n=35,38,26)0.539 liters/secondStandard Deviation 0.375
Levalbuterol 0.63 mgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 3 (n=34,38,27)0.524 liters/secondStandard Deviation 0.343
Levalbuterol 0.63 mgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 1 (n=37,38,27)0.322 liters/secondStandard Deviation 0.305
Levalbuterol 0.63 mgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)4 hours post dose 1 (n=36,38,27)0.509 liters/secondStandard Deviation 0.345
Levalbuterol 0.63 mgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 2 (n=36,38,27)0.458 liters/secondStandard Deviation 0.363
Levalbuterol 0.63 mgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 1 (n=37,37,27)0.399 liters/secondStandard Deviation 0.367
Levalbuterol 0.63 mgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)2 hours post dose 1 (n=36,37,27)0.575 liters/secondStandard Deviation 0.385
Arformoterol 7.5 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 3 (n=34,38,27)0.457 liters/secondStandard Deviation 0.439
Arformoterol 7.5 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 1 (n=37,38,27)0.242 liters/secondStandard Deviation 0.298
Arformoterol 7.5 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 1 (n=37,37,27)0.320 liters/secondStandard Deviation 0.392
Arformoterol 7.5 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 2 (n=36,38,27)0.344 liters/secondStandard Deviation 0.369
Arformoterol 7.5 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 2 (n=36,38,27)0.419 liters/secondStandard Deviation 0.363
Arformoterol 7.5 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 3 (n=35,38,26)0.462 liters/secondStandard Deviation 0.429
Arformoterol 7.5 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)2 hours post dose 1 (n=36,37,27)0.596 liters/secondStandard Deviation 0.596
Arformoterol 7.5 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)4 hours post dose 1 (n=36,38,27)0.484 liters/secondStandard Deviation 0.44
Arformoterol 7.5 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)6 hours post dose 1 (n=36,38,27)0.513 liters/secondStandard Deviation 0.72
Arformoterol 15 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 2 (n=36,38,27)0.360 liters/secondStandard Deviation 0.406
Arformoterol 15 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 1 (n=37,38,27)0.259 liters/secondStandard Deviation 0.396
Arformoterol 15 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)2 hours post dose 1 (n=36,37,27)0.501 liters/secondStandard Deviation 0.408
Arformoterol 15 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 1 (n=37,37,27)0.279 liters/secondStandard Deviation 0.442
Arformoterol 15 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)6 hours post dose 1 (n=36,38,27)0.451 liters/secondStandard Deviation 0.462
Arformoterol 15 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 3 (n=34,38,27)0.513 liters/secondStandard Deviation 0.466
Arformoterol 15 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 2 (n=36,38,27)0.424 liters/secondStandard Deviation 0.383
Arformoterol 15 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)4 hours post dose 1 (n=36,38,27)0.474 liters/secondStandard Deviation 0.449
Arformoterol 15 McgChange From Predose in Mean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 3 (n=35,38,26)0.449 liters/secondStandard Deviation 0.497
Secondary

Change From Predose of Mean Forced Expiratory Volume in One Second (FEV1)

Forced Expiratory Volume in one second (FEV1) is the volume of air forcibly exhaled in one second as measured by a spirometer. Change in FEV1 was calculated as postdose value minus the predose value at each visit.

Time frame: predose, various postdose timepoints

Population: Intent to treat population. Pulmonary function testing was only performed on subjects six years of age or older; there were no subjects five or younger who performed spirometry. Subject data for those who were misdosed with ARF 7.5mcg rather than ARF 15mcg in the open-label portion were excluded from these analyses

ArmMeasureGroupValue (MEAN)Dispersion
Levalbuterol 0.63 mgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)25 minutes post dose 2 (n=36,38,27)0.194 litersStandard Deviation 0.153
Levalbuterol 0.63 mgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)6 hours post dose 1 (n=36,38,27)0.098 litersStandard Deviation 0.128
Levalbuterol 0.63 mgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)25 minutes post dose 3 (n=35,38,26)0.226 litersStandard Deviation 0.154
Levalbuterol 0.63 mgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)10 minutes post dose 3 (n=34,38,27)0.226 litersStandard Deviation 0.144
Levalbuterol 0.63 mgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)10 minutes post dose 1 (n=37,38,27)0.160 litersStandard Deviation 0.102
Levalbuterol 0.63 mgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)4 hours post dose 1 (n=36,38,27)0.163 litersStandard Deviation 0.15
Levalbuterol 0.63 mgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)10 minutes post dose 2 (n=36,38,27)0.199 litersStandard Deviation 0.13
Levalbuterol 0.63 mgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)25 minutes post dose 1 (n=37,37,27)0.159 litersStandard Deviation 0.139
Levalbuterol 0.63 mgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)2 hours post dose 1 (n=36,37,27)0.216 litersStandard Deviation 0.139
Arformoterol 7.5 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)10 minutes post dose 3 (n=34,38,27)0.179 litersStandard Deviation 0.16
Arformoterol 7.5 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)10 minutes post dose 1 (n=37,38,27)0.117 litersStandard Deviation 0.112
Arformoterol 7.5 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)25 minutes post dose 1 (n=37,37,27)0.142 litersStandard Deviation 0.151
Arformoterol 7.5 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)10 minutes post dose 2 (n=36,38,27)0.169 litersStandard Deviation 0.154
Arformoterol 7.5 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)25 minutes post dose 2 (n=36,38,27)0.162 litersStandard Deviation 0.166
Arformoterol 7.5 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)25 minutes post dose 3 (n=35,38,26)0.188 litersStandard Deviation 0.15
Arformoterol 7.5 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)2 hours post dose 1 (n=36,37,27)0.194 litersStandard Deviation 0.146
Arformoterol 7.5 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)4 hours post dose 1 (n=36,38,27)0.170 litersStandard Deviation 0.175
Arformoterol 7.5 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)6 hours post dose 1 (n=36,38,27)0.173 litersStandard Deviation 0.165
Arformoterol 15 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)10 minutes post dose 2 (n=36,38,27)0.175 litersStandard Deviation 0.106
Arformoterol 15 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)10 minutes post dose 1 (n=37,38,27)0.133 litersStandard Deviation 0.105
Arformoterol 15 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)2 hours post dose 1 (n=36,37,27)0.218 litersStandard Deviation 0.149
Arformoterol 15 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)25 minutes post dose 1 (n=37,37,27)0.158 litersStandard Deviation 0.125
Arformoterol 15 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)6 hours post dose 1 (n=36,38,27)0.174 litersStandard Deviation 0.166
Arformoterol 15 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)10 minutes post dose 3 (n=34,38,27)0.203 litersStandard Deviation 0.148
Arformoterol 15 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)25 minutes post dose 2 (n=36,38,27)0.183 litersStandard Deviation 0.137
Arformoterol 15 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)4 hours post dose 1 (n=36,38,27)0.198 litersStandard Deviation 0.15
Arformoterol 15 McgChange From Predose of Mean Forced Expiratory Volume in One Second (FEV1)25 minutes post dose 3 (n=35,38,26)0.205 litersStandard Deviation 0.152
Secondary

Mean Forced Expiratory Volume in One Second(FEV1)

Forced Expiratory Volume in one second (FEV1) is the volume of air forcibly exhaled in one second as measured by a spirometer.

Time frame: predose, various postdose times

Population: Intent to treat population. Pulmonary function testing was only performed on subjects six years of age or older; there were no subjects five or younger who performed spirometry. Subject data for those who were misdosed with ARF 7.5mcg rather than ARF 15mcg in the open-label portion were excluded from these analyses.

ArmMeasureGroupValue (MEAN)Dispersion
Levalbuterol 0.63 mgMean Forced Expiratory Volume in One Second(FEV1)predose (n=37,38,27)1.554 litersStandard Deviation 0.374
Levalbuterol 0.63 mgMean Forced Expiratory Volume in One Second(FEV1)10 minutes post dose 1 (n=37,38,27)1.714 litersStandard Deviation 0.411
Levalbuterol 0.63 mgMean Forced Expiratory Volume in One Second(FEV1)25 minutes post dose 1 (n=37,37,27)1.712 litersStandard Deviation 0.425
Levalbuterol 0.63 mgMean Forced Expiratory Volume in One Second(FEV1)10 minutes post dose 2 (n=36,38,27)1.741 litersStandard Deviation 0.43
Levalbuterol 0.63 mgMean Forced Expiratory Volume in One Second(FEV1)25 minutes post dose 2 (n=36,38,27)1.735 litersStandard Deviation 0.438
Levalbuterol 0.63 mgMean Forced Expiratory Volume in One Second(FEV1)10 minutes post dose 3 (n=34,38,27)1.775 litersStandard Deviation 0.402
Levalbuterol 0.63 mgMean Forced Expiratory Volume in One Second(FEV1)25 minutes post dose 3 (n=35,38,26)1.782 litersStandard Deviation 0.415
Levalbuterol 0.63 mgMean Forced Expiratory Volume in One Second(FEV1)2 hours post dose 1 (n=36,37,27)1.784 litersStandard Deviation 0.397
Levalbuterol 0.63 mgMean Forced Expiratory Volume in One Second(FEV1)4 hours post dose 1 (n=36,38,27)1.732 litersStandard Deviation 0.401
Levalbuterol 0.63 mgMean Forced Expiratory Volume in One Second(FEV1)6 hours post dose 1 (n=36,38,27)1.667 litersStandard Deviation 0.4
Arformoterol 7.5 McgMean Forced Expiratory Volume in One Second(FEV1)4 hours post dose 1 (n=36,38,27)1.722 litersStandard Deviation 0.423
Arformoterol 7.5 McgMean Forced Expiratory Volume in One Second(FEV1)predose (n=37,38,27)1.552 litersStandard Deviation 0.377
Arformoterol 7.5 McgMean Forced Expiratory Volume in One Second(FEV1)10 minutes post dose 3 (n=34,38,27)1.731 litersStandard Deviation 0.419
Arformoterol 7.5 McgMean Forced Expiratory Volume in One Second(FEV1)25 minutes post dose 2 (n=36,38,27)1.714 litersStandard Deviation 0.423
Arformoterol 7.5 McgMean Forced Expiratory Volume in One Second(FEV1)10 minutes post dose 1 (n=37,38,27)1.668 litersStandard Deviation 0.403
Arformoterol 7.5 McgMean Forced Expiratory Volume in One Second(FEV1)6 hours post dose 1 (n=36,38,27)1.725 litersStandard Deviation 0.426
Arformoterol 7.5 McgMean Forced Expiratory Volume in One Second(FEV1)2 hours post dose 1 (n=36,37,27)1.754 litersStandard Deviation 0.408
Arformoterol 7.5 McgMean Forced Expiratory Volume in One Second(FEV1)25 minutes post dose 1 (n=37,37,27)1.695 litersStandard Deviation 0.409
Arformoterol 7.5 McgMean Forced Expiratory Volume in One Second(FEV1)25 minutes post dose 3 (n=35,38,26)1.740 litersStandard Deviation 0.419
Arformoterol 7.5 McgMean Forced Expiratory Volume in One Second(FEV1)10 minutes post dose 2 (n=36,38,27)1.721 litersStandard Deviation 0.42
Arformoterol 15 McgMean Forced Expiratory Volume in One Second(FEV1)2 hours post dose 1 (n=36,37,27)1.704 litersStandard Deviation 0.337
Arformoterol 15 McgMean Forced Expiratory Volume in One Second(FEV1)10 minutes post dose 2 (n=36,38,27)1.661 litersStandard Deviation 0.332
Arformoterol 15 McgMean Forced Expiratory Volume in One Second(FEV1)25 minutes post dose 2 (n=36,38,27)1.669 litersStandard Deviation 0.331
Arformoterol 15 McgMean Forced Expiratory Volume in One Second(FEV1)10 minutes post dose 3 (n=34,38,27)1.689 litersStandard Deviation 0.34
Arformoterol 15 McgMean Forced Expiratory Volume in One Second(FEV1)4 hours post dose 1 (n=36,38,27)1.684 litersStandard Deviation 0.344
Arformoterol 15 McgMean Forced Expiratory Volume in One Second(FEV1)25 minutes post dose 3 (n=35,38,26)1.700 litersStandard Deviation 0.345
Arformoterol 15 McgMean Forced Expiratory Volume in One Second(FEV1)predose (n=37,38,27)1.486 litersStandard Deviation 0.294
Arformoterol 15 McgMean Forced Expiratory Volume in One Second(FEV1)6 hours post dose 1 (n=36,38,27)1.660 litersStandard Deviation 0.356
Arformoterol 15 McgMean Forced Expiratory Volume in One Second(FEV1)10 minutes post dose 1 (n=37,38,27)1.620 litersStandard Deviation 0.315
Arformoterol 15 McgMean Forced Expiratory Volume in One Second(FEV1)25 minutes post dose 1 (n=37,37,27)1.644 litersStandard Deviation 0.334
Secondary

Mean Peak Expiratory Flow Rate (PEFR)

PEFR is the fastest rate at which air can move through the airways during a forced expiration starting with fully inflated lungs as measured by peak flow meters.

Time frame: predose, various postdose times

Population: Intent to treat population. Pulmonary function testing was only performed on subjects six years of age or older; there were no subjects five or younger who performed spirometry. Subject data for those who were misdosed with ARF 7.5mcg rather than ARF 15mcg in the open-label portion were excluded from these analyses.

ArmMeasureGroupValue (MEAN)Dispersion
Levalbuterol 0.63 mgMean Peak Expiratory Flow Rate (PEFR)predose (n=37,38,27)3.604 liters/secondStandard Deviation 0.949
Levalbuterol 0.63 mgMean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 1 (n=37,38,27)3.926 liters/secondStandard Deviation 0.9
Levalbuterol 0.63 mgMean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 1 (n=37,37,27)4.003 liters/secondStandard Deviation 0.893
Levalbuterol 0.63 mgMean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 2 (n=36,38,27)4.053 liters/secondStandard Deviation 1.007
Levalbuterol 0.63 mgMean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 2 (n=36,38,27)4.047 liters/secondStandard Deviation 0.982
Levalbuterol 0.63 mgMean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 3 (n=34,38,27)4.156 liters/secondStandard Deviation 0.96
Levalbuterol 0.63 mgMean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 3 (n=35,38,26)4.176 liters/secondStandard Deviation 0.966
Levalbuterol 0.63 mgMean Peak Expiratory Flow Rate (PEFR)2 hours post dose 1 (n=36,37,27)4.221 liters/secondStandard Deviation 0.961
Levalbuterol 0.63 mgMean Peak Expiratory Flow Rate (PEFR)4 hours post dose 1 (n=36,38,27)4.155 liters/secondStandard Deviation 0.984
Levalbuterol 0.63 mgMean Peak Expiratory Flow Rate (PEFR)6 hours post dose 1 (n=36,38,27)3.970 liters/secondStandard Deviation 0.938
Arformoterol 7.5 McgMean Peak Expiratory Flow Rate (PEFR)4 hours post dose 1 (n=36,38,27)4.029 liters/secondStandard Deviation 1.061
Arformoterol 7.5 McgMean Peak Expiratory Flow Rate (PEFR)predose (n=37,38,27)3.546 liters/secondStandard Deviation 0.928
Arformoterol 7.5 McgMean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 3 (n=34,38,27)4.003 liters/secondStandard Deviation 0.993
Arformoterol 7.5 McgMean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 2 (n=36,38,27)3.964 liters/secondStandard Deviation 0.912
Arformoterol 7.5 McgMean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 1 (n=37,38,27)3.788 liters/secondStandard Deviation 0.95
Arformoterol 7.5 McgMean Peak Expiratory Flow Rate (PEFR)6 hours post dose 1 (n=36,38,27)4.058 liters/secondStandard Deviation 1.075
Arformoterol 7.5 McgMean Peak Expiratory Flow Rate (PEFR)2 hours post dose 1 (n=36,37,27)4.178 liters/secondStandard Deviation 1.013
Arformoterol 7.5 McgMean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 1 (n=37,37,27)3.877 liters/secondStandard Deviation 0.95
Arformoterol 7.5 McgMean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 3 (n=35,38,26)4.007 liters/secondStandard Deviation 0.899
Arformoterol 7.5 McgMean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 2 (n=36,38,27)3.890 liters/secondStandard Deviation 0.998
Arformoterol 15 McgMean Peak Expiratory Flow Rate (PEFR)2 hours post dose 1 (n=36,37,27)4.066 liters/secondStandard Deviation 0.668
Arformoterol 15 McgMean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 2 (n=36,38,27)3.925 liters/secondStandard Deviation 0.679
Arformoterol 15 McgMean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 2 (n=36,38,27)3.989 liters/secondStandard Deviation 0.652
Arformoterol 15 McgMean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 3 (n=34,38,27)4.077 liters/secondStandard Deviation 0.711
Arformoterol 15 McgMean Peak Expiratory Flow Rate (PEFR)4 hours post dose 1 (n=36,38,27)4.039 liters/secondStandard Deviation 0.663
Arformoterol 15 McgMean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 3 (n=35,38,26)4.017 liters/secondStandard Deviation 0.693
Arformoterol 15 McgMean Peak Expiratory Flow Rate (PEFR)predose (n=37,38,27)3.565 liters/secondStandard Deviation 0.675
Arformoterol 15 McgMean Peak Expiratory Flow Rate (PEFR)6 hours post dose 1 (n=36,38,27)4.016 liters/secondStandard Deviation 0.628
Arformoterol 15 McgMean Peak Expiratory Flow Rate (PEFR)10 minutes post dose 1 (n=37,38,27)3.824 liters/secondStandard Deviation 0.613
Arformoterol 15 McgMean Peak Expiratory Flow Rate (PEFR)25 minutes post dose 1 (n=37,37,27)3.844 liters/secondStandard Deviation 0.698
Secondary

Plasma Concentration of (R,R) Formoterol

If the mean plasma concentration was 'below the limit of quantification' (BLQ) which was set as \<=0.5 picograms/milliliter, the value is displayed as a zero.

Time frame: predose, various postdose times

Population: PK population consisted of subjects who were in the intent-to-treat population and had any plasma concentration data available.

ArmMeasureGroupValue (MEAN)Dispersion
Levalbuterol 0.63 mgPlasma Concentration of (R,R) Formoterol2 hours post dose 1 (n=50,51,38)0 picogram/milliliterStandard Deviation 0
Levalbuterol 0.63 mgPlasma Concentration of (R,R) Formoterol25 minutes post dose 2 (n=48,47,36)0 picogram/milliliterStandard Deviation 0.8858
Levalbuterol 0.63 mgPlasma Concentration of (R,R) Formoterolpredose (n=51,52,39)0.646 picogram/milliliterStandard Deviation 3.4172
Levalbuterol 0.63 mgPlasma Concentration of (R,R) Formoterol25 minutes post dose 1 (n=50,46,36)2.402 picogram/milliliterStandard Deviation 15.1253
Levalbuterol 0.63 mgPlasma Concentration of (R,R) Formoterol6 hours post dose 1 (n=50,50,37)0 picogram/milliliterStandard Deviation 0.8899
Arformoterol 7.5 McgPlasma Concentration of (R,R) Formoterol25 minutes post dose 2 (n=48,47,36)1.845 picogram/milliliterStandard Deviation 2.8085
Arformoterol 7.5 McgPlasma Concentration of (R,R) Formoterolpredose (n=51,52,39)0 picogram/milliliterStandard Deviation 0.5159
Arformoterol 7.5 McgPlasma Concentration of (R,R) Formoterol25 minutes post dose 1 (n=50,46,36)2.236 picogram/milliliterStandard Deviation 13.0128
Arformoterol 7.5 McgPlasma Concentration of (R,R) Formoterol2 hours post dose 1 (n=50,51,38)1.885 picogram/milliliterStandard Deviation 1.7035
Arformoterol 7.5 McgPlasma Concentration of (R,R) Formoterol6 hours post dose 1 (n=50,50,37)0.874 picogram/milliliterStandard Deviation 1.1988
Arformoterol 15 McgPlasma Concentration of (R,R) Formoterol6 hours post dose 1 (n=50,50,37)2.818 picogram/milliliterStandard Deviation 1.7195
Arformoterol 15 McgPlasma Concentration of (R,R) Formoterol2 hours post dose 1 (n=50,51,38)4.189 picogram/milliliterStandard Deviation 2.8207
Arformoterol 15 McgPlasma Concentration of (R,R) Formoterolpredose (n=51,52,39)0.737 picogram/milliliterStandard Deviation 2.7612
Arformoterol 15 McgPlasma Concentration of (R,R) Formoterol25 minutes post dose 2 (n=48,47,36)3.325 picogram/milliliterStandard Deviation 2.3515
Arformoterol 15 McgPlasma Concentration of (R,R) Formoterol25 minutes post dose 1 (n=50,46,36)1.659 picogram/milliliterStandard Deviation 2.4584

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026