- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06521229
Clinical& Demographic Profiles of patIents With unControllEd Asthma in Russia: Multi-center oBsErvational ReGistry Study (ICEBERG)
An Ambispective Observational Multicenter Registry of Patients With Uncontrolled Asthma in the Population of the Russian Federation
Study Overview
Status
Conditions
Detailed Description
There are limited epidemiological data of the patients with uncontrolled asthma in Russia. The systematic information about complications and comorbidities, about the treatment approaches and their effectiveness in the Russian population is also absent.
The observational registry is really important to describe the epidemiological characteristics of the disease and to analyse the clinical characteristics of the various subgroups of patients. This is an excellent starting point to be able to investigate the characteristics of the disease in detail.
The Russian Federation consists of 85 regions with a total population of more than 145 million people. The regions differ in ethnic composition, age, gender, climate, ecology, economic level, prevalence of asthma in general and uncontrolled asthma in particular.
Thus, there is a need to perform a large-scale observational registry in regions of the country with a sufficient size of population to obtain information on uncontrolled asthma epidemiology, clinical and demographic characteristics, to describe main clinical outcomes and evaluate existing associations between observed treatment patterns and clinical outcomes in real clinical practice in patients with uncontrolled asthma not receiving biologic therapy.
Trial will have ambispective design and will include 2 visits for obtaining the patient's demographic and clinical data. To allow wide data coverage the study will involve at least 50 regions of Russian Federation; in each region 200 patients will be recruited. The total size of study population will be 9 000 patients.
All data will be collected during 2-3 visits carried out according to routine clinical practice for observation and treatment of patients with uncontrolled asthma. At visit 1, baseline data of 52 weeks prior to inclusion will be collected by physician based on the patient's medical records and interview during the visit. Visit 2 (final visit) will be conducted after 12 weeks (±7 days) in order to collect follow-up data which coincides with the recommended dates. Information on changes in the treatment of uncontrolled asthma and on clinical outcomes will be collected.
For the cohort of patients receiving fixed-dose combination budesonide/salbutamol on Visit 2, an additional follow-up visit (Visit 3) will be conducted in 12 weeks (±14 days) after Visit 2, in order to collect data which coincides with the recommended dates. Information on changes in the treatment of uncontrolled asthma and on clinical outcomes will be collected. It is planned to enroll 500 patients receiving fixed-dose combination budesonide/salbutamol on Visit 2, to whom the follow-up visit (Visit 3) will be conducted.
This non-interventional study does not imply any intervention into a routine clinical practice, and does not provide for any diagnostic and therapeutic procedures other than those used in routine practice.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: AstraZeneca Clinical Study Information Center
- Phone Number: 1-877-240-9479
- Email: information.center@astrazeneca.com
Study Locations
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-
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Astrakhan, Russia
- Recruiting
- Research Site
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Blagoveshchensk, Russia
- Active, not recruiting
- Research Site
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Bryansk, Russia
- Recruiting
- Research Site
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Chelyabinsk, Russia
- Recruiting
- Research Site
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Gatchina, Russia
- Recruiting
- Research Site
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Irkutsk, Russia
- Recruiting
- Research Site
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Ivanovo, Russia
- Recruiting
- Research Site
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Izhevsk, Russia
- Recruiting
- Research Site
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Kazan', Russia
- Recruiting
- Research Site
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Kemerovo, Russia
- Recruiting
- Research Site
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Krasnodar, Russia
- Recruiting
- Research Site
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Krasnoyarsk, Russia
- Recruiting
- Research Site
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Lipetsk, Russia
- Recruiting
- Research Site
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Makhachkala, Russia
- Recruiting
- Research Site
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Moscow, Russia
- Recruiting
- Research Site
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Murmansk, Russia
- Recruiting
- Research Site
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Nal'chik, Russia
- Recruiting
- Research Site
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Nizhny Novgorod, Russia
- Active, not recruiting
- Research Site
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Nizhny Tagil, Russia
- Recruiting
- Research Site
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Novokuznetsk, Russia
- Recruiting
- Research Site
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Novosibirsk, Russia
- Recruiting
- Research Site
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Omsk, Russia
- Recruiting
- Research Site
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Omsk, Russia
- Active, not recruiting
- Research Site
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Orenburg, Russia
- Recruiting
- Research Site
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Perm, Russia
- Recruiting
- Research Site
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Petrozavodsk, Russia
- Recruiting
- Research Site
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Pyatigorsk, Russia
- Recruiting
- Research Site
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Rostov-on-Don, Russia
- Recruiting
- Research Site
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Ryazan, Russia
- Recruiting
- Research Site
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Saint Petersburg, Russia
- Recruiting
- Research Site
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Saint Petersburg, Russia
- Active, not recruiting
- Research Site
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Samara, Russia
- Recruiting
- Research Site
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Saratov, Russia
- Recruiting
- Research Site
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Smolensk, Russia
- Withdrawn
- Research Site
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Stavropol, Russia
- Recruiting
- Research Site
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Surgut, Russia
- Recruiting
- Research Site
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Tomsk, Russia
- Recruiting
- Research Site
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Tula, Russia
- Recruiting
- Research Site
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Ufa, Russia
- Recruiting
- Research Site
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Ulan-Ude, Russia
- Recruiting
- Research Site
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Verkhnyaya Pyshma, Russia
- Recruiting
- Research Site
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Vladimir, Russia
- Recruiting
- Research Site
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Vladivostok, Russia
- Recruiting
- Research Site
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Voronezh, Russia
- Recruiting
- Research Site
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Yaroslavl, Russia
- Recruiting
- Research Site
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Yekaterinburg, Russia
- Recruiting
- Research Site
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Yuzhno-Sakhalinsk, Russia
- Recruiting
- Research Site
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age ≥ 18 years at the time of inclusion;
- Signed and dated written informed consent in accordance with ICH GCP and local law prior to inclusion in the study;
- Patients with diagnosis of uncontrolled mild and moderate asthma (according to Global Initiative for Asthma (GINA) score);
- Patients with the availability of at least 52 weeks of follow-up data (prior to inclusion) in the medical records.
Exclusion Criteria:
- Patients with severe asthma or/and patients receiving any biological therapy currently or within 52 weeks prior to inclusion;
- Presence of chronic obstructive pulmonary disease (COPD) or idiopathic pulmonary fibrosis (ILF) currently or in the anamnesis;
- The participation in any clinical study currently or within 52 weeks prior to inclusion;
- An acute or chronic disease that, as deemed by Investigator, limits the ability of patients to participate in this study or could influence the interpretation of the results.
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To describe the baseline demographic characteristics of outpatients with uncontrolled asthma in the Russian Federation in all patients and in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 12 weeks (also 52 weeks of retrospective data before visit 1)
|
|
12 weeks (also 52 weeks of retrospective data before visit 1)
|
|
To describe the baseline clinical characteristics of outpatients with uncontrolled asthma in the Russian Federation in all patients and in the cohort of patients receiving FDC budesonide/salbutamol on Visit 2
Time Frame: 12 weeks and 52 weeks of retrospective data before visit 1
|
16. Mean FeNO (parts per billion (ppb)) (in case of availability of laboratory data)
|
12 weeks and 52 weeks of retrospective data before visit 1
|
|
To characterise the profile of routine therapy used for outpatients with uncontrolled asthma in the Russian Federation in all patients and in the cohort of patients receiving FDC budesonide/salbutamol on Visit 2
Time Frame: 12 weeks (also 52 weeks of retrospective data before visit 1)
|
17. Proportion of patients receiving different classes of drugs for treatment of asthma as reliever and maintenance therapy:
a) SABA; b) LAMA; c) LTRA; d) Theophylline; e) Macrolide antibiotics. f) ICS and LABA (MART therapy) 18. Proportion of patients with ICS-containing therapy as reliever and as maintenance at baseline; 19. Proportion of patients using SABA reliever for symptoms more than two times a week at baseline; 20. Proportion of patients receiving OCS: intermittent (for exacerbations) / regularly (in the frame of basic therapy); 21. Mean number of OCS treatment courses; 22. Median daily dose in case of regular OCS use; 23. Median cumulative OCS exposure for exacerbations 24. Median cumulative OCS exposure in the frame of basic therapy; 25. Mean baseline parameters of lung function (in case of availability of spirometry data) |
12 weeks (also 52 weeks of retrospective data before visit 1)
|
|
To describe the baseline eosinophils blood count of outpatients with uncontrolled asthma in the Russian Federation in all patients and in the cohort of patients receiving FDC budesonide/salbutamol on Visit 2
Time Frame: 12 weeks and 52 weeks of retrospective data before visit 1
|
12. Proportion of patients with different levels of eosinophils blood count (in case of availability of laboratory data):
|
12 weeks and 52 weeks of retrospective data before visit 1
|
|
To describe the baseline mean eosinophils count in sputum of outpatients with uncontrolled asthma in the Russian Federation in all patients and in the cohort of patients receiving FDC budesonide/salbutamol on Visit 2
Time Frame: 12 weeks and 52 weeks of retrospective data before visit 1
|
13. Mean eosinophils count in sputum (cells per high power field) (in case of availability of laboratory data);
|
12 weeks and 52 weeks of retrospective data before visit 1
|
|
To describe the baseline mean total IgE of outpatients with uncontrolled asthma in the Russian Federation in all patients and in the cohort of patients receiving FDC budesonide/salbutamol on Visit 2
Time Frame: 12 weeks and 52 weeks of retrospective data before visit 1
|
14. Mean total IgE (IU/ml) (in case of availability of laboratory data);
|
12 weeks and 52 weeks of retrospective data before visit 1
|
|
To describe the baseline Proportion of patients with different levels of total IgE of outpatients with uncontrolled asthma in the Russian Federation in all patients and in the cohort of patients receiving FDC budesonide/salbutamol on Visit 2
Time Frame: 12 weeks and 52 weeks of retrospective data before visit 1
|
15. Proportion of patients with different levels of total IgE (in case of availability of laboratory data)
|
12 weeks and 52 weeks of retrospective data before visit 1
|
|
To describe the baseline Mean eosinophils blood count of outpatients with uncontrolled asthma in the Russian Federation in all patients and in the cohort of patients receiving FDC budesonide/salbutamol on Visit 2
Time Frame: 12 weeks and 52 weeks of retrospective data before visit 1
|
11. Mean eosinophils blood count (cells/μl) (in case of availability of laboratory data);
|
12 weeks and 52 weeks of retrospective data before visit 1
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
1. Proportion of patients with controlled and partly controlled asthma at visit 2 in all patients and in the cohort of patients receiving FDC budesonide/salbutamol
Time Frame: 12 weeks (also 52 weeks of retrospective data before visit 1)
|
according to GINA (Global Initiative for Asthma) score.
GINA assessment of asthma control consists of 4 questions, the higher the score the worse asthma control is.
|
12 weeks (also 52 weeks of retrospective data before visit 1)
|
|
2. Proportion of patients with changes of inhaled asthma therapy occurred from baseline to visit 2 (in all patients and in the cohort of patients receiving FDC budesonide/salbutamol)
Time Frame: 12 weeks (also 52 weeks of retrospective data before visit 1)
|
|
12 weeks (also 52 weeks of retrospective data before visit 1)
|
|
3. Proportion of patients with OCS prescription occurred from baseline to visit 2 (in all patients and in the cohort of patients receiving FDC budesonide/salbutamol)
Time Frame: 12 weeks (also 52 weeks of retrospective data before visit 1)
|
for patients already used OCS at baseline dose change will be evaluated
|
12 weeks (also 52 weeks of retrospective data before visit 1)
|
|
4. Proportion of patients with ICS-containing therapy as reliever and as maintenance at visit 2
Time Frame: 12 weeks (also 52 weeks of retrospective data before visit 1)
|
(in all patients and in the cohort of patients receiving FDC budesonide/salbutamol)
|
12 weeks (also 52 weeks of retrospective data before visit 1)
|
|
5. Proportion of patients using SABA reliever for symptoms more than two times a week at visit 2 (in all patients and in the cohort of patients receiving FDC budesonide/salbutamol)
Time Frame: 12 weeks (also 52 weeks of retrospective data before visit 1)
|
|
12 weeks (also 52 weeks of retrospective data before visit 1)
|
|
6. Proportion of patients experiencing 0, 1, 2, ≥3 severe asthma exacerbations (in all patients and in the cohort of patients receiving FDC budesonide/salbutamol)
Time Frame: during 52 weeks prior to inclusion
|
Severe asthma exacerbation is defined as worsening of asthma requiring any of the following:
|
during 52 weeks prior to inclusion
|
|
7. Annualised rate of severe asthma exacerbations (in all patients and in the cohort of patients receiving FDC budesonide/salbutamol)
Time Frame: during 52 weeks prior to inclusion
|
during 52 weeks prior to inclusion
|
|
|
8. Cumulative days of severe asthma exacerbations (in all patients and in the cohort of patients receiving FDC budesonide/salbutamol)
Time Frame: during 52 weeks prior to inclusion
|
during 52 weeks prior to inclusion
|
|
|
9. Proportion of patients experiencing 0, 1, 2, ≥3 severe asthma exacerbations (in all patients and in the cohort of patients receiving FDC budesonide/salbutamol)
Time Frame: 12 weeks
|
12 weeks
|
|
|
10. Proportion of patients with healthcare resource utilization (HRU) events (in all patients and in the cohort of patients receiving FDC budesonide/salbutamol)
Time Frame: during 52 weeks prior to inclusion
|
|
during 52 weeks prior to inclusion
|
|
11. Proportion of patients with HRU events (in all patients and in the cohort of patients receiving FDC budesonide/salbutamol)
Time Frame: 12 weeks
|
d. Unscheduled outpatient visits; e. Emergency department visits/emergency calls; f.
Hospitalizations.
|
12 weeks
|
|
12.a Change from baseline in mean parameters of lung function at visit 2 (in case of availability of spirometry data) in all patients and in the cohort of patients receiving FDC budesonide/salbutamol
Time Frame: 12 weeks
|
a. Pre- and post-FEV1 (Forced Expiratory Volume in 1 second).
% predicted and L
|
12 weeks
|
|
12.b Change from baseline in mean parameters of lung function at visit 2 (in case of availability of spirometry data) in all patients and in the cohort of patients receiving FDC budesonide/salbutamol
Time Frame: 12 weeks
|
b. Pre- and post-FVC (Forced Vital Capacity) (L)
|
12 weeks
|
|
12.c Change from baseline in mean parameters of lung function at visit 2 (in case of availability of spirometry data) in all patients and in the cohort of patients receiving FDC budesonide/salbutamol
Time Frame: 12 weeks
|
c. Pre-FEF (Forced Expiratory Flow).
Measured in L/sec.
|
12 weeks
|
|
Proportion of patients with controlled and partlly controlled asthma (in all patients and in the cohort of patients receiving FDC budesonide/salbutamol)
Time Frame: at inclusion into the study, then in 3 months (+-7days) after the inclusion
|
according to the bronchial asthma symptom control questionnaire (ACQ-5).
Uncontrolled asthma is defined as >1.5 points according to the Asthma Symptom Control Questionnaire (ACQ-5).
The higher the score, the worse
|
at inclusion into the study, then in 3 months (+-7days) after the inclusion
|
|
To describe the Proportion of patients with history of smoking/current smokers at visit 3 in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
applicable to smoking tobacco and electronic cigarettes (vapes)), and proportion of patients with change of smoking status at visit 3 compared to baseline (non-smoker/former smoker switched to current smoker, current smoker switched to former smoker);
|
24 weeks
|
|
To describe mean smoking index for current (tobacco) smokers, according to the assessment at visit 3 in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
Mean smoking index to be evaluated in pack-years
|
24 weeks
|
|
To describe mean duration of smoking (years) for current e-cigarette (vape) smokers in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
according to the assessment at visit 3
|
24 weeks
|
|
To describe change of body mass index (BMI) to visit 3 compared to baseline in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
according to the assessment at visit 3
|
24 weeks
|
|
To describe proportion with overweight (BMI ≥25 kg/m2) in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
assessment at visit 3;
|
24 weeks
|
|
To describe Change of body mass index (BMI) to visit 3 compared to baseline in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
assessment at visit 3;
|
24 weeks
|
|
To describe proportion of patients with controlled and partly controlled asthma (according to GINA score) at visit 3 in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
assessment at visit 3;
|
24 weeks
|
|
To describe Proportion of patients with controlled and partly controlled asthma (according to the questionnaire ACQ-5) at visit 3 in the cohort of patients receiving FDC budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
assessment at visit 3;
|
24 weeks
|
|
To describe Proportion of patients receiving FDC budesonide/salbutamol as monotherapy or in combination with basic therapy in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
assessment at visit 3;
|
24 weeks
|
|
To describe Asthma therapy regimen from which the patient was switched to the FDC budesonide/salbutamol in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
assessment at visit 3;
|
24 weeks
|
|
To describe Proportion of patients with changes of inhaled asthma therapy occurred from visit 2 to visit 3 in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
|
24 weeks
|
|
To describe Proportion of patients with OCS prescription occurred from visit 2 to visit 3; for patients already used OCS at visit 2 dose change will be evaluated in the cohort of patients receiving FDC budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
assessment at Visit 3
|
24 weeks
|
|
To describe Proportion of patients with ICS-containing therapy as reliever and as maintenance at visit 3 in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
assessment at Visit 3
|
24 weeks
|
|
To describe number of budesonide/salbutamol inhalers used between visit 2 and visit 3 in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
assessment at Visit 3
|
24 weeks
|
|
To describe number of budesonide/salbutamol inhalations per month for a period from visit 2 to visit 3 in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
assessment at Visit 3
|
24 weeks
|
|
To describe proportion of patients experiencing 0, 1, 2, ≥3 severe asthma exacerbations* between visit 2 and visit 3 in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
assessment at Visit 3
|
24 weeks
|
|
To describe proportion of patients with HRU events occurred between visit 2 and visit 3 in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
|
24 weeks
|
|
To describe change from Visit 2 Pre- and post-FEV1 at visit 3 (in case of availability of spirometry data) in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
assessment at Visit 3
|
24 weeks
|
|
To describe change from Visit 2 Pre- and post-FVC at visit 3 (in case of availability of spirometry data) in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
assessment at Visit 3
|
24 weeks
|
|
To describe change from Visit Pre-FEF at visit 3 (in case of availability of spirometry data) in the cohort of patients receiving fixed-dose combination (FDC) budesonide/salbutamol on Visit 2
Time Frame: 24 weeks
|
assessment at Visit 3
|
24 weeks
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- D2287R00206
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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