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Public Assessment Report for paediatric studies submitted in ...

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total number and 10% out of cl<strong>in</strong>ic) or placebo (13% total number and 9% out of cl<strong>in</strong>ic). The <strong>in</strong>cidence of<br />

patients hav<strong>in</strong>g two or more exacerbations was very low and comparable among treatment groups (2-4%).<br />

Conclusions:<br />

Albuterol DISKUS and albuterol MDI significantly improve bronchodilation compared to<br />

placebo <strong>in</strong> <strong>paediatric</strong> patients aged 4-11 years with asthma.<br />

Albuterol DISKUS and albuterol MDI are well tolerated and show comparable safety to placebo<br />

throughout a 4-week treatment period <strong>in</strong> <strong>paediatric</strong> patients aged 4-11 years with asthma.<br />

Albuterol DISKUS and albuterol MDI produce comparable improvements <strong>in</strong> lung function <strong>in</strong><br />

<strong>paediatric</strong> patients.<br />

In the responder subset, albuterol DISKUS and albuterol MDI produce cl<strong>in</strong>ically significant<br />

onset of improvement (≥15% over basel<strong>in</strong>e) <strong>in</strong> pulmonary function between 3 to 4 m<strong>in</strong>utes after dos<strong>in</strong>g<br />

and ma<strong>in</strong>ta<strong>in</strong> this improvement <strong>for</strong> 2-4 hours.<br />

Study Code: SALA2003<br />

Study Title: A Randomized, Double-bl<strong>in</strong>d, Double-Dummy, S<strong>in</strong>gle-Dose, Six-Way<br />

Crossover Study to Compare the Safety and Efficacy of S<strong>in</strong>gle Dose of 200 and 400 mcg Albuterol<br />

Powder Via DISKUS With S<strong>in</strong>gle Dose of 100, 200 and 400 mcg (90, 180 and 360 mcg Ex-Actuator)<br />

Albuterol Aerosol Via MDI and Placebo <strong>in</strong> Subjects, Aged 4-11 Years, With Asthma.<br />

Study period: 08 Mar 1997 – 12 Aug 1997.<br />

GSK Study <strong>Report</strong> Number: <strong>Report</strong> Nos. RM1998/0055/00.<br />

Methods<br />

Protocol SALA2003 was designed to assess the safety and efficacy of both 200 and 400 mcg<br />

doses of albuterol powder via DISKUS, as well as comparability with 100, 200 and 400 mcg doses of<br />

albuterol via MDI and placebo <strong>in</strong> asthma patients, 4 to 11 years of age.<br />

• Objective<br />

1. to compare the safety and efficacy of s<strong>in</strong>gle doses of 200 and 400 mcg albuterol powder via<br />

DISKUS with s<strong>in</strong>gle doses of 100, 200 and 400 mcg (90, 180 and 360 mcg ex-actuator) albuterol aerosol<br />

via MDI and placebo <strong>in</strong> <strong>paediatric</strong> patients (ages 4-11 years) with asthma;<br />

2. to demonstrate dose-response characteristics of both albuterol <strong>for</strong>mulations.<br />

• Study design<br />

Multicenter, Randomized, Double-bl<strong>in</strong>d, Double-Dummy, s<strong>in</strong>gle-dose, placebo-controlled, sixway<br />

crossover, multicenter <strong>in</strong> <strong>paediatric</strong> patients with asthma.<br />

The study <strong>in</strong>cluded a screen<strong>in</strong>g visit conducted 3-14 days be<strong>for</strong>e the Treatment Visit 1, followed<br />

by six treatment visits, each separated by 1-14 days.<br />

This study <strong>in</strong>cluded a concurrent placebo treatment with an additional active control comparator<br />

treatment (MDI). The study drug was supplied <strong>in</strong> identical MDI devices and identical DISKUS devices <strong>in</strong><br />

bl<strong>in</strong>d treatments.<br />

Phase II.<br />

Location: 5 centers <strong>in</strong> the Unites States.<br />

The cl<strong>in</strong>ical trial, <strong>in</strong>clud<strong>in</strong>g study medication management, was monitored by Glaxo Wellcome<br />

personnel with one contract monitor from Research Scientists, Inc (Los Angeles, CA). Site visits were<br />

scheduled every 4 to 8 weeks depend<strong>in</strong>g on site enrollment. Covance, Inc (Indianapolis, IN) was the<br />

Salbutamol F<strong>in</strong>al <strong>Public</strong> <strong>Assessment</strong> <strong>Report</strong><br />

RO/W/0001/pdWS/001<br />

Page 14/76

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