Title

A Study of 2 Doses of MAP0010 and Placebo in Asthmatic Children
A Randomized, Double Blind, Placebo Controlled, Parallel Group, Study Investigating the Safety and Efficacy Over 12 Weeks Treatment Period of MAP0010 in Asthmatic Infants and Children 12 Months to 8 Years of Age
  • Phase

    Phase 3
  • Study Type

    Interventional
  • Intervention/Treatment

    budesonide ...
  • Study Participants

    360
The purpose of this study is to examine the safety and efficacy of two doses of MAP0010 versus placebo in asthmatic infants and children, 12 months to 8 years of age, over a 12-week treatment period.
Study Started
Dec 31
2007
Primary Completion
Sep 30
2008
Study Completion
Jan 31
2009
Results Posted
Oct 23
2013
Estimate
Last Update
Jan 09
2014
Estimate

Drug 0.135mg MAP0010

0.135mg MAP0010 (unit dose budesonide) delivered by nebulization twice daily for 12 weeks

Drug 0.25mg MAP0010

0.25mg MAP0010 (unit dose budesonide) delivered by nebulization twice daily for 12 weeks

Drug Placebo

Placebo delivered by nebulization twice daily for 12 weeks

0.25mg MAP0010 Experimental

0.25mg MAP0010 (unit dose budesonide) delivered by nebulization twice daily for 12 weeks

Placebo Placebo Comparator

Placebo delivered by nebulization twice daily for 12 weeks

0.135mg MAP0010 Experimental

0.135mg MAP0010 (unit dose budesonide) delivered by nebulization twice daily for 12 weeks

Criteria

Inclusion Criteria:

Male or female asthmatic children with mild to moderate persistent asthma.
12 months to 8 years of age.
For children age 4 to 8 years: Documented diagnosis of asthma at least 3 months prior to Visit 1, per NIH (EPR-3) criteria.
For infants age 12 to <48 months old: 2 or more wheezing episodes in past 12 months which lasted > 1 day and affected sleep.
AND with at least one major or two minor risk factors.

Exclusion Criteria:

Any other significant childhood illness/abnormality or chronic lung disease
Any history of upper or lower respiratory tract infection, within 2 weeks of screening.
Any history of acute or severe asthma attack requiring ICU admission or ventilatory support.
Use of any corticosteroid, including inhaled, parental, intranasal, or topical corticosteroid within 2 weeks of screening.
Any use of oral corticosteroids within 30 days of screening or prolonged use (>10 consecutive days) of oral corticosteroids, within 12 weeks of screening.

Summary

Placebo

0.135 mg MAP0010

0.25 mg MAP0010

All Events

Event Type Organ System Event Term Placebo 0.135 mg MAP0010 0.25 mg MAP0010

Change From Baseline in Daytime Composite Symptom Score

The individual symptoms at each time point to be monitored are: cough, wheeze, and shortness of breath. The individual symptoms were scored using a four point scale: 0=no symptoms; 1=mild symptoms; 2=moderate symptoms; 3=severe symptoms Daily composite symptom score is based on the average of the individual symptom scores for a day. Daytime composite symptom score is defined as average of the last 5 days' daily composite symptom scores within the last 7 days immediately preceding the end day of that week. The range for the daytime composite symptom score is 0 (no symptoms) to 3 (severe symptoms). A negative change indicates an improvement of symptoms and a positive change indicates a worsening of symptoms.

Placebo

Baseline

2.73
units on a scale (Mean)
Standard Deviation: 1.406

Change from Baseline at week 12

-1.38
units on a scale (Mean)
Standard Deviation: 1.722

0.135 mg MAP0010

Baseline

2.96
units on a scale (Mean)
Standard Deviation: 1.329

Change from Baseline at week 12

-1.77
units on a scale (Mean)
Standard Deviation: 1.618

0.25 mg MAP0010

Baseline

2.87
units on a scale (Mean)
Standard Deviation: 1.383

Change from Baseline at week 12

-1.56
units on a scale (Mean)
Standard Deviation: 1.591

Change From Baseline in Nighttime Composite Symptom Score

The individual symptoms at each time point to be monitored are: cough, wheeze, and shortness of breath. The individual symptoms were scored using a four point scale: 0=no symptoms; 1=mild symptoms; 2=moderate symptoms; 3=severe symptoms Nightly composite symptom score is based on the average of the individual symptom scores for the night. Nightime composite symptom score is defined as average of the last 5 days' nightly composite symptom scores within the last 7 nights immediately preceding the end day of that week. The range for the nighttime composite symptom score is 0 (no symptoms) to 3 (severe symptoms). A negative change indicates an improvement of symptoms and a positive change indicates a worsening of symptoms.

Placebo

Baseline

2.71
units on a scale (Mean)
Standard Deviation: 1.393

Change from Baseline at week 12

-1.47
units on a scale (Mean)
Standard Deviation: 1.572

0.135 mg MAP0010

Baseline

2.97
units on a scale (Mean)
Standard Deviation: 1.466

Change from Baseline at week 12

-1.82
units on a scale (Mean)
Standard Deviation: 1.907

0.25 mg MAP0010

Baseline

2.82
units on a scale (Mean)
Standard Deviation: 1.349

Change from Baseline at week 12

-1.59
units on a scale (Mean)
Standard Deviation: 1.516

Change From Baseline in FEV1% Predicted

The forced expiratory volume in 1 second (FEV1) is the amount forced of air exhaled in 1 second. The percent predicted is calculated for age, gender, and height. Subjects had to perform at least 3 acceptable maneuvers into a spirometer and the largest volume from the 3 maneuvers was selected. An increase indicates an improvement (a greater volume of air expired).

Placebo

Baseline

96.96
percentage of predicted FEV1 (Mean)
Standard Deviation: 18.646

Change from Baseline at Week 12

1.51
percentage of predicted FEV1 (Mean)
Standard Deviation: 13.068

0.135 mg MAP0010

Baseline

91.2
percentage of predicted FEV1 (Mean)
Standard Deviation: 17.713

Change from Baseline at Week 12

4.14
percentage of predicted FEV1 (Mean)
Standard Deviation: 12.845

0.25 mg MAP0010

Baseline

93.0
percentage of predicted FEV1 (Mean)
Standard Deviation: 17.305

Change from Baseline at Week 12

0.36
percentage of predicted FEV1 (Mean)
Standard Deviation: 16.657

Change From Baseline in PEF

The peak expiratory flow (PEF) is the highest air flow achieved from a maximum forced expiratory maneuver measured in liters of air per minute (L/min). Subjects had to perform at least 3 acceptable maneuvers into a PEF meter. An increase indicates an improvement (a greater volume of air expired).

Placebo

Baseline

170.94
L/min (Mean)
Standard Deviation: 49.343

Change from Baseline at Week 12

0.71
L/min (Mean)
Standard Deviation: 44.544

0.135 mg MAP0010

Baseline

163.39
L/min (Mean)
Standard Deviation: 52.881

Change from Baseline at Week 12

20.1
L/min (Mean)
Standard Deviation: 45.444

0.25 mg MAP0010

Baseline

165.34
L/min (Mean)
Standard Deviation: 49.133

Change from Baseline at Week 12

15.02
L/min (Mean)
Standard Deviation: 45.306

Change From Baseline in Daytime Individual Symptom Scores

The individual symptoms at each time point to be monitored are: cough, wheeze, and shortness of breath. The individual symptoms were scored using a four point scale: 0=no symptoms; 1=mild symptoms; 2=moderate symptoms; 3=severe symptoms Individual Daytime symptom score is defined as an average of the last 5 days' individual symptom scores within the last 7 days immediately preceding the end day of that week. A negative change indicates an improvement of symptoms and a positive change indicates a worsening of symptoms.

Placebo

Cough: Baseline

1.16
units on a scale (Mean)
Standard Deviation: 0.544

Cough: Change from Baseline at week 12

-0.55
units on a scale (Mean)
Standard Deviation: 0.734

Shortness of Breath: Baseline

0.73
units on a scale (Mean)
Standard Deviation: 0.557

Shortness of Breath: Change from Baseline at Wk 12

-0.37
units on a scale (Mean)
Standard Deviation: 0.635

Wheeze: Baseline

0.84
units on a scale (Mean)
Standard Deviation: 0.591

Wheeze: Change from Baseline at week 12

-0.45
units on a scale (Mean)
Standard Deviation: 0.615

0.135 mg MAP0010

Cough: Baseline

1.21
units on a scale (Mean)
Standard Deviation: 0.490

Cough: Change from Baseline at week 12

-0.68
units on a scale (Mean)
Standard Deviation: 0.705

Shortness of Breath: Baseline

0.84
units on a scale (Mean)
Standard Deviation: 0.612

Shortness of Breath: Change from Baseline at Wk 12

-0.51
units on a scale (Mean)
Standard Deviation: 0.632

Wheeze: Baseline

0.91
units on a scale (Mean)
Standard Deviation: 0.546

Wheeze: Change from Baseline at week 12

-0.58
units on a scale (Mean)
Standard Deviation: 0.563

0.25 mg MAP0010

Cough: Baseline

1.18
units on a scale (Mean)
Standard Deviation: 0.582

Cough: Change from Baseline at week 12

-0.58
units on a scale (Mean)
Standard Deviation: 0.664

Shortness of Breath: Baseline

0.81
units on a scale (Mean)
Standard Deviation: 0.602

Shortness of Breath: Change from Baseline at Wk 12

-0.49
units on a scale (Mean)
Standard Deviation: 0.626

Wheeze: Baseline

0.88
units on a scale (Mean)
Standard Deviation: 0.550

Wheeze: Change from Baseline at week 12

-0.49
units on a scale (Mean)
Standard Deviation: 0.589

Change From Baseline in Nighttime Individual Symptom Scores

The individual symptoms at each time point to be monitored are: cough, wheeze, and shortness of breath. The individual symptoms were scored using a four point scale: 0=no symptoms; 1=mild symptoms; 2=moderate symptoms; 3=severe symptoms Individual nighttime symptom score is defined as an average of the last 5 nights' individual symptom scores within the last 7 nights immediately preceding the end day of that week. A negative change indicates an improvement of symptoms and a positive change indicates a worsening of symptoms.

Placebo

Cough: Baseline

1.16
units on a scale (Mean)
Standard Deviation: 0.528

Cough: Change from Baseline at week 12

-0.59
units on a scale (Mean)
Standard Deviation: 0.663

Shortness of Breath: Baseline

0.72
units on a scale (Mean)
Standard Deviation: 0.543

Shortness of Breath: Change from Baseline at Wk 12

-0.39
units on a scale (Mean)
Standard Deviation: 0.549

Wheeze: Baseline

0.83
units on a scale (Mean)
Standard Deviation: 0.563

Wheeze: Change from Baseline at week 12

-0.48
units on a scale (Mean)
Standard Deviation: 0.594

0.135 mg MAP0010

Cough: Baseline

1.2
units on a scale (Mean)
Standard Deviation: 0.495

Cough: Change from Baseline at week 12

-0.69
units on a scale (Mean)
Standard Deviation: 0.720

Shortness of Breath: Baseline

0.83
units on a scale (Mean)
Standard Deviation: 0.622

Shortness of Breath: Change from Baseline at Wk 12

-0.56
units on a scale (Mean)
Standard Deviation: 0.690

Wheeze: Baseline

0.94
units on a scale (Mean)
Standard Deviation: 0.592

Wheeze: Change from Baseline at week 12

-0.57
units on a scale (Mean)
Standard Deviation: 0.704

0.25 mg MAP0010

Cough: Baseline

1.17
units on a scale (Mean)
Standard Deviation: 0.565

Cough: Change from Baseline at week 12

-0.61
units on a scale (Mean)
Standard Deviation: 0.638

Shortness of Breath: Baseline

0.75
units on a scale (Mean)
Standard Deviation: 0.569

Shortness of Breath: Change from Baseline at Wk 12

-0.47
units on a scale (Mean)
Standard Deviation: 0.566

Wheeze: Baseline

0.9
units on a scale (Mean)
Standard Deviation: 0.548

Wheeze: Change from Baseline at week 12

-0.51
units on a scale (Mean)
Standard Deviation: 0.603

Total

360
Participants

Age, Continuous

4.4
years (Mean)
Standard Deviation: 2.26

Age, Continuous

4.0
years (Median)
Full Range: 1.0 to 8.0

Sex: Female, Male

Overall Study

Placebo

0.135 mg MAP0010

0.25 mg MAP0010