PT010 Inhaler for Asthma

(KALOS Trial)

No longer recruiting at 354 trial locations
AC
Overseen ByAstraZeneca Clinical Study Information Center
Age: Any Age
Sex: Any
Trial Phase: Phase 3
Sponsor: AstraZeneca
Must be taking: ICS/LABA
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial
Breakthrough TherapyThis drug has been fast-tracked for approval by the FDA given its high promise

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to test the effectiveness of a new inhaler that combines budesonide, glycopyrronium, and formoterol for individuals with severe asthma not well-managed by standard treatments. The trial will compare this inhaler to existing ones to determine if it provides better asthma symptom control. It seeks participants who have had asthma for at least a year and frequently experience asthma attacks despite regular inhaler use. As a Phase 3 trial, this study is the final step before FDA approval, offering participants an opportunity to contribute to potentially groundbreaking advancements in asthma treatment.

Do I have to stop taking my current medications for the trial?

The trial requires that you adjust your current asthma therapy as needed, and you must not use certain medications like oral beta2-agonists, LAMA, or systemic corticosteroids close to the start of the study. It's best to discuss your specific medications with the study team to see if any changes are needed.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that the budesonide/glycopyrronium/formoterol inhaler is generally safe for people with severe asthma. Studies have found it to be as safe as other inhalers used to prevent asthma attacks. In one study, participants using the inhaler reported feeling better over 12 weeks, suggesting it could be a good choice for many.

Although the inhaler is still under testing for asthma, it has approval for other conditions, supporting its safety profile. However, like any medication, some individuals might experience side effects. Discuss any concerns with a doctor before joining a trial.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about the PT010 inhaler for asthma because it combines three active ingredients: budesonide, glycopyrronium, and formoterol fumarate, offering a comprehensive approach to managing asthma symptoms. Unlike typical treatments such as Symbicort®, which only combines budesonide and formoterol, PT010 includes glycopyrronium, an anticholinergic agent that can help further open the airways and improve breathing. This unique combination may enhance symptom control and reduce asthma flare-ups more effectively than current options. By targeting multiple pathways in asthma management, PT010 has the potential to provide improved, long-lasting relief for patients.

What evidence suggests that this trial's treatments could be effective for severe asthma?

Research has shown that the budesonide/glycopyrronium/formoterol (BGF) inhaler, which participants in this trial may receive, could help people with severe asthma. This combination, known as triple therapy, has already improved breathing in other lung conditions like COPD, where airflow is blocked. In previous studies, patients using BGF inhalers breathed easier and experienced fewer symptoms over 12 weeks. Another study found that a similar BGF inhaler reduced health risks, such as the chance of dying, in people with lung problems. These results suggest the BGF inhaler might benefit those with severe asthma when regular treatments aren't enough.13567

Who Is on the Research Team?

AM

Andrew Menzies-Gow, MD

Principal Investigator

Royal Brompton Hospital, United Kingdom

Are You a Good Fit for This Trial?

This trial is for adults and adolescents aged 12-80 with severe asthma that isn't well-controlled by their current treatment. They must have a BMI under 40, not be pregnant or breastfeeding, and use effective birth control if applicable. Participants should have been on a stable dose of inhaled corticosteroids and long-acting beta agonists for at least four weeks.

Inclusion Criteria

I am between 12 and 80 years old, my BMI is under 40, and if female, I am not able to have children or am using effective birth control.
I have been on a stable daily asthma medication regimen for at least 4 weeks.
My lung function test after using albuterol shows my FEV1 level.
See 7 more

Exclusion Criteria

I have not taken any corticosteroids in the last 4 weeks.
I have had severe asthma attacks that required breathing support.
I have untreated narrow angle glaucoma or vision changes in the last 3 months.
See 8 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive budesonide, glycopyrronium, and formoterol fumarate metered dose inhaler (MDI) or comparator treatments

24 to 52 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Budesonide/Glycopyrronium/Formoterol Inhaler
Trial Overview The study tests different doses of an inhaler containing budesonide/glycopyrronium/formoterol (BFF/BGF) to see how safe and effective they are compared to standard care for severe asthma. The trial will randomly assign participants to receive one of the various dosages.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Active Control
Group I: Budesonide, glycopyrronium, and formoterol fumarate (BGF) MDI 320/28.8/9.6 μgExperimental Treatment1 Intervention
Group II: BGF MDI 320/14.4/9.6 μgExperimental Treatment1 Intervention
Group III: Budesonide and formoterol fumarate (BFF) MDI 320/9.6 μgActive Control1 Intervention
Group IV: Symbicort®Active Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

AstraZeneca

Lead Sponsor

Trials
4,491
Recruited
290,540,000+

Sir Pascal Soriot

AstraZeneca

Chief Executive Officer since 2012

Veterinary Medicine from École nationale vétérinaire d'Alfort, MBA from HEC Paris

Dr. Cristian Massacesi

AstraZeneca

Chief Medical Officer since 2021

MD from Marche Polytechnic University, Oncology training at Royal Marsden Hospital, Kaplan Comprehensive Cancer Center, and European Institute of Oncology

Pascal Soriot

AstraZeneca

Chief Executive Officer since 2012

Veterinary Medicine from École nationale vétérinaire d'Alfort, MBA from HEC Paris

Cristian Massacesi

AstraZeneca

Chief Medical Officer since 2021

MD from Marche Polytechnic University, Medical Oncology training at Royal Marsden Hospital, Kaplan Comprehensive Cancer Center, and European Institute of Oncology

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40513294/
EBISU studyTriple therapy with a BGF MDI significantly improved CAT and SGRQ scores over 12 weeks. BGF MDI could be a suitable option for patients living with COPD.
Real-world effectiveness of budesonide/glycopyrronium/ ...Conclusions. Triple therapy with a BGF MDI significantly improved CAT and SGRQ scores over 12 weeks. BGF MDI could be a suitable option for patients living with ...
NCT04609904 | Study to Assess PT010 in Adult and ...This is a variable length study to evaluate the efficacy and safety of budesonide/glycopyrronium/formoterol inhaler in adults and adolescents with severe asthma ...
Characteristics of Patients Receiving Budesonide ...In the Phase 3 ETHOS clinical trial, single inhaler higher-dose glucocorticoid BGF (320 μg budesonide) reduced all-cause mortality compared with ...
Breztri met primary endpoints in KALOS and LOGOS ...A 12-week Study to Assess the Efficacy and Safety of Budesonide and Formoterol Fumarate Metered Dose Inhaler Relative to Budesonide Metered ...
Efficacy and Safety of Budesonide/Glycopyrronium/Formoterol ...A recent NMA showed that BUD/GLY/FOR had similar efficacy to other ICS/LAMA/LABA fixed-dose and open combination therapies in reducing exacerbation rates, and ...
Study to Assess PT010 in Adult and Adolescent ...This is a variable length study to evaluate the efficacy and safety of budesonide/glycopyrronium/formoterol inhaler in adults and adolescents with severe asthma ...
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