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A Safety and Efficacy Study of Beclomethasone Dipropionate Delivered Via Breath-Actuated Inhaler (BAI) or Metered-Dose Inhaler (MDI) in Participants Ages 4-11 Years Old With Persistent Asthma

A Randomized, Double-Blind, Double-Dummy, Placebo-Controlled, Parallel-Group, 12-Week Clinical Study to Assess the Efficacy and Safety of 80 or 160 mcg/Day of Beclomethasone Dipropionate Delivered Via Breath-Actuated Inhaler (BAI) or Metered-Dose Inhaler (MDI) in Pediatric Patients 4 Through 11 Years of Age With Persistent Asthma

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02040766
Enrollment
628
Registered
2014-01-20
Start date
2013-12-31
Completion date
2016-03-31
Last updated
2021-11-09

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

Conditions

Asthma

Keywords

asthma, breath-actuated inhaler, metered dose inhaler

Brief summary

This randomized, double-blind, double-dummy, placebo-controlled, parallel-group, 12-week study will evaluate the efficacy and safety of beclomethasone dipropionate (80 or 160 mcg/day) administered via breath-actuated inhaler (BAI) and metered-dose inhaler (MDI) in pediatric patients 4 through 11 years of age with persistent asthma, compared with placebo. Patients took 1 inhalation (with assistance from parents/guardians/caregivers, as needed) from each of 2 devices (BAI device followed by MDI device in that order) twice daily as per the double-dummy study design: 1 BAI treatment or placebo device and 1 MDI treatment or placebo device for a total of 2 inhalations each time.

Interventions

Beclomethasone dipropionate (BDP), was delivered by a single inhalation using a breath-actuated inhaler (BAI) at levels of 40 mcg or 80 mcg per inhalation, twice each day.

DRUGPlacebo BAI

Placebo was delivered by a single inhalation using a breath-actuated inhaler (BAI) twice each day.

DRUGalbuterol/salbutamol 90 mcg

Rescue medication (albuterol/salbutamol hydrofluoroalkane (HFA) MDI \[90 mcg ex-actuator\] or equivalent) for use on an as-needed basis for the immediate relief of asthma symptoms throughout the treatment period.

Beclomethasone dipropionate (BDP), was delivered by a single inhalation using a metered-dose inhaler (MDI) at levels of 40 mcg or 80 mcg per inhalation, twice each day.

DRUGPlacebo MDI

Placebo was delivered by a single inhalation using a metered-dose inhaler (MDI) twice each day.

Sponsors

Teva Branded Pharmaceutical Products R&D, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

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

Inclusion criteria

* Written informed consent * Asthma diagnosis: The patient has a diagnosis of asthma as defined by the National Institute of Health (NIH). The asthma diagnosis has been present for a minimum of 3 months and has been stable (defined as no exacerbations and no changes in medication) for at least 30 days before screening visit * Severity of disease: The patient has persistent asthma, with a forced expiratory volume in 1 second (FEV1) 40% to 90% of the value predicted for age, height, and sex at screening visit (SV) * Current asthma therapy: The patient is currently being treated with 1 of the following: 1) a stable daily dosage of an inhaled corticosteroid (ICS) in the range of 88-176 mcg/day of fluticasone propionate (or equivalent) for a minimum of 4 weeks (28 days) before screening visit 2) a stable daily dosage of non-corticosteroid therapy 3) a daily dose of ICS plus a long-acting beta2-agonist (LABA) (at a dose less than or equivalent to fluticasone propionate 100 mcg/salmeterol 50 mcg twice daily) * Reversibility of disease: The patient has demonstrated at least 12% reversibility of FEV1 within 30 minutes after 2-4 inhalations of albuterol/salbutamol hydrofluoroalkane (HFA) MDI (90 mcg ex-actuator) or equivalent at screening visit or on retesting. * Other criteria apply, please contact the investigator for more information

Exclusion criteria

* The patient has a history of life-threatening asthma, defined for this protocol as an asthma episode that required intubation and/or was associated with hypercapnia, respiratory arrest, or hypoxic seizures. * The patient is pregnant or lactating, or plans to become pregnant during the study period or for 30 days after the patient's last study-related visit (for eligible patients only, if applicable). Any patient becoming pregnant during the study will be withdrawn from the study. * The patient has a known hypersensitivity to any corticosteroid or any of the excipients in the study drug or rescue medication formulation. * The patient has used tobacco products within the past year (eg, cigarettes, cigars, chewing tobacco, or pipe tobacco, as applicable). * The patient has had an asthma exacerbation requiring oral corticosteroids within 30 days before screening visit, or has had any hospitalization for asthma within 2 months before screening visit. * The patient has historical or current evidence of a clinically significant disease. Significant disease is defined as any disease that in the medical judgment of the investigator would put the safety of the patient at risk through participation or that could affect the efficacy or safety analysis if the disease/condition worsened during the study. * Other criteria apply, please contact the investigator for more information

Design outcomes

Primary

MeasureTime frameDescription
Standardized Baseline-adjusted Trough Morning Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Area Under the Effect Curve From Time 0 to 12 Weeks (AUEC(0-12wk))Day 1 (baseline), Weeks 2, 4, 8, 12Trough morning FEV1 measurements were taken pre-dose and pre-rescue bronchodilator treatment for asthma. Baseline was defined as baseline trough morning percent predicted FEV1. Pulmonary function measurements (including FEV1) were obtained electronically by spirometry. All pulmonary function test data were submitted to a central reading center for evaluation. The highest ('best attempt') FEV1 value from 3 acceptable and 2 repeatable maneuvers (maximum of 8 attempts) was used.

Secondary

MeasureTime frameDescription
Change From Baseline in Weekly Average of Daily Trough Morning Peak Expiratory Flow (PEF) Over the 12-week Treatment PeriodDay 1 (baseline), weeks 1-12The analysis of change from baseline in weekly average of daily trough morning (pre-dose and pre-rescue bronchodilator) PEF calculated across the 12-week treatment period was performed using a mixed model for repeated measures (MMRM) with effects due to baseline weekly average of daily trough morning PEF.
Change From Baseline in Weekly Average of Daily Evening Peak Expiratory Flow (PEF) Over the 12-week Treatment PeriodDay 1 (baseline), weeks 1-12The analysis of change from baseline in the weekly average of daily evening PEF across the 12-week treatment period was performed using a mixed model for repeated measures (MMRM) with effects due to baseline weekly average of daily evening PEF.
Change From Baseline in the Weekly Average of Total Daily (24-hour) Use of Albuterol/Salbutamol Inhalation Aerosol (Number of Inhalations) Over Weeks 1-12Day 1 (baseline), weeks 1-12The change from baseline in the weekly average of total daily (24-hour) use of albuterol/ salbutamol inhalation aerosol (number of inhalations) across the 12 weeks was analyzed using a mixed model for repeated measures (MMRM).
Change From Baseline in the Weekly Average of the Total Daily Asthma Symptom Score Over Weeks 1-12Day 1 (baseline), weeks 1-12The total daily asthma symptom score is the average of the daytime and nighttime scores analyzed using an mixed model for repeated measures (MMRM). Baseline was defined as the average of recorded morning and evening asthma symptom scores over the 7 days before randomization. Daytime Scores range from 0=No symptoms during the day to 5=Symptoms so severe that I could not go to work or perform normal daily activities; Nighttime Scores range from 0=No symptoms during the night to 4=Symptoms so severe that I did not sleep at all. The daily asthma symptom score was therefore 0 - 9 with 0=no symptoms during the day or night and 9=severe symptoms both day and night.
Kaplan-Meier Estimates For Time to Withdrawal Due to Meeting Stopping Criteria for Worsening Asthma During the 12-week Treatment PeriodDay 1 to 12 weeksTime to withdrawal due to meeting stopping criteria was defined as number of days elapsed from the date of first dose of double-blind study treatment to the date of withdrawal due to meeting stopping criteria. Kaplan-Meier estimates (median and 95% CI of the median) are not applicable if the proportion of participants withdrawn is less than 0.5.

Countries

Croatia, Mexico, Poland, Ukraine, United States

Participant flow

Recruitment details

Patients were screened at 123 centers in Croatia, Mexico, Poland, Ukraine, and the United States. The intent-to-treat (ITT) population included all randomly assigned patients

Pre-assignment details

Patients were randomly assigned to treatment through a qualified randomization service provider. This system was used to ensure a balance across treatment groups, within each stratum

Participants by arm

ArmCount
Placebo BAI and MDI
Placebo was administered via breath-actuated inhaler (BAI) twice daily. Additionally placebo was administered via metered-dose inhaler (MDI) twice daily. Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) at 90 mcg ex-actuator) or equivalent was used as rescue medication throughout the study.
127
BDP 80 mcg BAI
Beclomethasone dipropionate (BDP) was administered via a breath-actuated inhaler (BAI) twice daily (40 mcg twice a day). Placebo MDI twice daily for blinding. Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) at 90 mcg ex-actuator) or equivalent was used as rescue medication throughout the study.
126
BDP 160 mcg BAI
Beclomethasone dipropionate (BDP) was administered via a breath-actuated inhaler (BAI) twice daily (80 mcg twice a day). Placebo MDI twice daily for blinding. Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) at 90 mcg ex-actuator) or equivalent was used as rescue medication throughout the study.
125
BDP 80 mcg MDI
Beclomethasone dipropionate (BDP) was administered via a metered-dose inhaler (MDI) twice daily (40 mcg twice a day). Placebo BAI twice daily for blinding. Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) at 90 mcg ex-actuator) or equivalent was used as rescue medication throughout the study.
125
BDP 160 mcg MDI
Beclomethasone dipropionate (BDP) was administered via a metered-dose inhaler (MDI) twice daily (80 mcg twice a day). Placebo BAI twice daily for blinding. Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) at 90 mcg ex-actuator) or equivalent was used as rescue medication throughout the study.
125
Total628

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyAdverse Event11102
Overall StudyLack of Efficacy63465
Overall StudyLost to Follow-up41314
Overall StudyNon-compliance01000
Overall StudyNot reported10000
Overall StudyProtocol Violation21230
Overall StudyWithdrawal by Subject43232

Baseline characteristics

CharacteristicPlacebo BAI and MDITotalBDP 160 mcg MDIBDP 80 mcg MDIBDP 160 mcg BAIBDP 80 mcg BAI
Age, Continuous8.2 years
STANDARD_DEVIATION 2.06
8.3 years
STANDARD_DEVIATION 1.93
8.4 years
STANDARD_DEVIATION 1.86
8.2 years
STANDARD_DEVIATION 1.78
8.4 years
STANDARD_DEVIATION 1.24
8.5 years
STANDARD_DEVIATION 2.1
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants15 Participants1 Participants3 Participants4 Participants4 Participants
Race (NIH/OMB)
Asian
0 Participants4 Participants0 Participants0 Participants2 Participants2 Participants
Race (NIH/OMB)
Black or African American
42 Participants195 Participants49 Participants37 Participants33 Participants34 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
11 Participants66 Participants12 Participants9 Participants17 Participants17 Participants
Race (NIH/OMB)
White
71 Participants348 Participants63 Participants76 Participants69 Participants69 Participants
Sex: Female, Male
Female
41 Participants238 Participants50 Participants49 Participants46 Participants52 Participants
Sex: Female, Male
Male
86 Participants390 Participants75 Participants76 Participants79 Participants74 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
1 / 6288 / 1276 / 12613 / 12515 / 12511 / 125
serious
Total, serious adverse events
0 / 6280 / 1270 / 1260 / 1250 / 1250 / 125

Outcome results

Primary

Standardized Baseline-adjusted Trough Morning Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Area Under the Effect Curve From Time 0 to 12 Weeks (AUEC(0-12wk))

Trough morning FEV1 measurements were taken pre-dose and pre-rescue bronchodilator treatment for asthma. Baseline was defined as baseline trough morning percent predicted FEV1. Pulmonary function measurements (including FEV1) were obtained electronically by spirometry. All pulmonary function test data were submitted to a central reading center for evaluation. The highest ('best attempt') FEV1 value from 3 acceptable and 2 repeatable maneuvers (maximum of 8 attempts) was used.

Time frame: Day 1 (baseline), Weeks 2, 4, 8, 12

Population: The full analysis set (FAS) included all patients in the ITT population who received at least 1 dose of study drug and had at least 1 post baseline trough morning (pre-dose and pre-rescue bronchodilator) assessment of percent predicted FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo BAI and MDIStandardized Baseline-adjusted Trough Morning Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Area Under the Effect Curve From Time 0 to 12 Weeks (AUEC(0-12wk))2.62 litersStandard Error 0.744
BDP 80 mcg BAIStandardized Baseline-adjusted Trough Morning Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Area Under the Effect Curve From Time 0 to 12 Weeks (AUEC(0-12wk))5.43 litersStandard Error 0.742
BDP 160 mcg BAIStandardized Baseline-adjusted Trough Morning Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Area Under the Effect Curve From Time 0 to 12 Weeks (AUEC(0-12wk))3.25 litersStandard Error 0.732
BDP 80 mcg MDIStandardized Baseline-adjusted Trough Morning Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Area Under the Effect Curve From Time 0 to 12 Weeks (AUEC(0-12wk))3.54 litersStandard Error 0.734
BDP 160 mcg MDIStandardized Baseline-adjusted Trough Morning Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Area Under the Effect Curve From Time 0 to 12 Weeks (AUEC(0-12wk))3.71 litersStandard Error 0.734
Comparison: ANCOVA model with effects due to baseline trough morning percent predicted FEV1, sex, age, current protocol-allowed asthma therapy (inhaled corticosteroid (ICS) or non-corticosteroid (NCS) therapy) at the time of screening visit, during the run-in period, and during treatment.p-value: 0.006395% CI: [0.796, 4.821]ANCOVA
Comparison: ANCOVA model with effects due to baseline trough morning percent predicted FEV1, sex, age, current protocol-allowed asthma therapy (ICS or NCS therapy) at the time of screening visit, during the run-in period, and during treatment.p-value: 0.533295% CI: [-1.354, 2.614]ANCOVA
Comparison: ANCOVA model with effects due to baseline trough morning percent predicted FEV1, sex, age, current protocol-allowed asthma therapy (ICS or NCS therapy) at the time of screening visit, during the run-in period, and during treatment.p-value: 0.364995% CI: [-1.077, 2.924]ANCOVA
p-value: 0.282395% CI: [-0.902, 3.088]ANCOVA
Secondary

Change From Baseline in the Weekly Average of the Total Daily Asthma Symptom Score Over Weeks 1-12

The total daily asthma symptom score is the average of the daytime and nighttime scores analyzed using an mixed model for repeated measures (MMRM). Baseline was defined as the average of recorded morning and evening asthma symptom scores over the 7 days before randomization. Daytime Scores range from 0=No symptoms during the day to 5=Symptoms so severe that I could not go to work or perform normal daily activities; Nighttime Scores range from 0=No symptoms during the night to 4=Symptoms so severe that I did not sleep at all. The daily asthma symptom score was therefore 0 - 9 with 0=no symptoms during the day or night and 9=severe symptoms both day and night.

Time frame: Day 1 (baseline), weeks 1-12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo BAI and MDIChange From Baseline in the Weekly Average of the Total Daily Asthma Symptom Score Over Weeks 1-12-0.27 units on a scaleStandard Error 0.036
BDP 80 mcg BAIChange From Baseline in the Weekly Average of the Total Daily Asthma Symptom Score Over Weeks 1-12-0.44 units on a scaleStandard Error 0.036
BDP 160 mcg BAIChange From Baseline in the Weekly Average of the Total Daily Asthma Symptom Score Over Weeks 1-12-0.36 units on a scaleStandard Error 0.036
BDP 80 mcg MDIChange From Baseline in the Weekly Average of the Total Daily Asthma Symptom Score Over Weeks 1-12-0.31 units on a scaleStandard Error 0.036
BDP 160 mcg MDIChange From Baseline in the Weekly Average of the Total Daily Asthma Symptom Score Over Weeks 1-12-0.36 units on a scaleStandard Error 0.036
p-value: 0.001195% CI: [-0.261, -0.065]Mixed Models Analysis
p-value: 0.086995% CI: [-0.185, 0.013]Mixed Models Analysis
p-value: 0.438895% CI: [-0.138, 0.06]Mixed Models Analysis
p-value: 0.104195% CI: [-0.18, 0.017]Mixed Models Analysis
Secondary

Change From Baseline in the Weekly Average of Total Daily (24-hour) Use of Albuterol/Salbutamol Inhalation Aerosol (Number of Inhalations) Over Weeks 1-12

The change from baseline in the weekly average of total daily (24-hour) use of albuterol/ salbutamol inhalation aerosol (number of inhalations) across the 12 weeks was analyzed using a mixed model for repeated measures (MMRM).

Time frame: Day 1 (baseline), weeks 1-12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo BAI and MDIChange From Baseline in the Weekly Average of Total Daily (24-hour) Use of Albuterol/Salbutamol Inhalation Aerosol (Number of Inhalations) Over Weeks 1-12-0.36 Number of inhalationsStandard Error 0.069
BDP 80 mcg BAIChange From Baseline in the Weekly Average of Total Daily (24-hour) Use of Albuterol/Salbutamol Inhalation Aerosol (Number of Inhalations) Over Weeks 1-12-0.72 Number of inhalationsStandard Error 0.068
BDP 160 mcg BAIChange From Baseline in the Weekly Average of Total Daily (24-hour) Use of Albuterol/Salbutamol Inhalation Aerosol (Number of Inhalations) Over Weeks 1-12-0.50 Number of inhalationsStandard Error 0.069
BDP 80 mcg MDIChange From Baseline in the Weekly Average of Total Daily (24-hour) Use of Albuterol/Salbutamol Inhalation Aerosol (Number of Inhalations) Over Weeks 1-12-0.41 Number of inhalationsStandard Error 0.069
BDP 160 mcg MDIChange From Baseline in the Weekly Average of Total Daily (24-hour) Use of Albuterol/Salbutamol Inhalation Aerosol (Number of Inhalations) Over Weeks 1-12-0.54 Number of inhalationsStandard Error 0.069
p-value: 0.000295% CI: [-0.548, -0.174]Mixed Models Analysis
p-value: 0.13295% CI: [-0.331, 0.044]Mixed Models Analysis
p-value: 0.586695% CI: [-0.24, 0.136]Mixed Models Analysis
p-value: 0.058795% CI: [-0.369, 0.007]Mixed Models Analysis
Secondary

Change From Baseline in Weekly Average of Daily Evening Peak Expiratory Flow (PEF) Over the 12-week Treatment Period

The analysis of change from baseline in the weekly average of daily evening PEF across the 12-week treatment period was performed using a mixed model for repeated measures (MMRM) with effects due to baseline weekly average of daily evening PEF.

Time frame: Day 1 (baseline), weeks 1-12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo BAI and MDIChange From Baseline in Weekly Average of Daily Evening Peak Expiratory Flow (PEF) Over the 12-week Treatment Period1.4 litersStandard Error 2.11
BDP 80 mcg BAIChange From Baseline in Weekly Average of Daily Evening Peak Expiratory Flow (PEF) Over the 12-week Treatment Period13.1 litersStandard Error 2.09
BDP 160 mcg BAIChange From Baseline in Weekly Average of Daily Evening Peak Expiratory Flow (PEF) Over the 12-week Treatment Period11.4 litersStandard Error 2.12
BDP 80 mcg MDIChange From Baseline in Weekly Average of Daily Evening Peak Expiratory Flow (PEF) Over the 12-week Treatment Period11.3 litersStandard Error 2.12
BDP 160 mcg MDIChange From Baseline in Weekly Average of Daily Evening Peak Expiratory Flow (PEF) Over the 12-week Treatment Period10.1 litersStandard Error 2.12
p-value: <0.000195% CI: [5.96, 17.45]Mixed Models Analysis
p-value: 0.000795% CI: [4.2, 15.76]Mixed Models Analysis
p-value: 0.000895% CI: [4.11, 15.68]Mixed Models Analysis
p-value: 0.003195% CI: [2.95, 14.49]Mixed Models Analysis
Secondary

Change From Baseline in Weekly Average of Daily Trough Morning Peak Expiratory Flow (PEF) Over the 12-week Treatment Period

The analysis of change from baseline in weekly average of daily trough morning (pre-dose and pre-rescue bronchodilator) PEF calculated across the 12-week treatment period was performed using a mixed model for repeated measures (MMRM) with effects due to baseline weekly average of daily trough morning PEF.

Time frame: Day 1 (baseline), weeks 1-12

Population: Full analysis set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo BAI and MDIChange From Baseline in Weekly Average of Daily Trough Morning Peak Expiratory Flow (PEF) Over the 12-week Treatment Period4.3 litersStandard Error 2.11
BDP 80 mcg BAIChange From Baseline in Weekly Average of Daily Trough Morning Peak Expiratory Flow (PEF) Over the 12-week Treatment Period15.6 litersStandard Error 2.08
BDP 160 mcg BAIChange From Baseline in Weekly Average of Daily Trough Morning Peak Expiratory Flow (PEF) Over the 12-week Treatment Period12.8 litersStandard Error 2.12
BDP 80 mcg MDIChange From Baseline in Weekly Average of Daily Trough Morning Peak Expiratory Flow (PEF) Over the 12-week Treatment Period11.9 litersStandard Error 2.11
BDP 160 mcg MDIChange From Baseline in Weekly Average of Daily Trough Morning Peak Expiratory Flow (PEF) Over the 12-week Treatment Period10.8 litersStandard Error 2.11
p-value: 0.000195% CI: [5.58, 17.06]Mixed Models Analysis
p-value: 0.004195% CI: [2.71, 14.24]Mixed Models Analysis
p-value: 0.010395% CI: [1.79, 13.35]Mixed Models Analysis
p-value: 0.027895% CI: [0.71, 12.23]Mixed Models Analysis
Secondary

Kaplan-Meier Estimates For Time to Withdrawal Due to Meeting Stopping Criteria for Worsening Asthma During the 12-week Treatment Period

Time to withdrawal due to meeting stopping criteria was defined as number of days elapsed from the date of first dose of double-blind study treatment to the date of withdrawal due to meeting stopping criteria. Kaplan-Meier estimates (median and 95% CI of the median) are not applicable if the proportion of participants withdrawn is less than 0.5.

Time frame: Day 1 to 12 weeks

Population: Full analysis set

ArmMeasureValue (MEDIAN)
Placebo BAI and MDIKaplan-Meier Estimates For Time to Withdrawal Due to Meeting Stopping Criteria for Worsening Asthma During the 12-week Treatment PeriodNA Days
BDP 80 mcg BAIKaplan-Meier Estimates For Time to Withdrawal Due to Meeting Stopping Criteria for Worsening Asthma During the 12-week Treatment PeriodNA Days
BDP 160 mcg BAIKaplan-Meier Estimates For Time to Withdrawal Due to Meeting Stopping Criteria for Worsening Asthma During the 12-week Treatment PeriodNA Days
BDP 80 mcg MDIKaplan-Meier Estimates For Time to Withdrawal Due to Meeting Stopping Criteria for Worsening Asthma During the 12-week Treatment PeriodNA Days
BDP 160 mcg MDIKaplan-Meier Estimates For Time to Withdrawal Due to Meeting Stopping Criteria for Worsening Asthma During the 12-week Treatment PeriodNA Days
p-value: 0.287Log Rank
p-value: 0.5257Log Rank
p-value: 0.9982Log Rank
p-value: 0.7633Log Rank

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