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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06261957
Registration number
NCT06261957
Ethics application status
Date submitted
8/02/2024
Date registered
15/02/2024
Date last updated
3/07/2025
Titles & IDs
Public title
A Study to Assess and Compare Safety and Tolerability of 3 Months Treatment With Salbutamol Administered Via MDI Containing Propellant HFA-152a or HFA-134a in Participants = 18 Years of Age With Asthma
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Scientific title
A Randomized, Double-blind, Parallel Group, Multi-center Study to Evaluate the Long-term Safety of Salbutamol Rescue Medication When Administered Via Metered Dose Inhalers Containing the Propellant HFA-152a or Reference HFA-134a
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Secondary ID [1]
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2023-509001-76-00
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Secondary ID [2]
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220735
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Asthma
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Condition category
Condition code
Respiratory
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0
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Asthma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Salbutamol HFA-134a
Treatment: Drugs - Salbutamol HFA-152a
Experimental: Salbutamol Test Arm -
Active comparator: Salbutamol Reference Arm -
Treatment: Drugs: Salbutamol HFA-134a
100 microgram (µg) (ex-valve) at 30-second intervals per actuation
Treatment: Drugs: Salbutamol HFA-152a
100 µg (ex-valve) at 30-second intervals per actuation
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of participants with Adverse Events (AEs)
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Assessment method [1]
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Timepoint [1]
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Up to 3 months
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Secondary outcome [1]
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Number of participants with Serious Adverse Events (SAEs)
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Assessment method [1]
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Timepoint [1]
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Up to 3 months
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Secondary outcome [2]
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Absolute Values of Minimum serum potassium (milliequivalents per litre [mEq/L])
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Assessment method [2]
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0
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Timepoint [2]
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Up to 3 months
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Secondary outcome [3]
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Absolute values of serum potassium (milligrams per decilitre)
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Assessment method [3]
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Timepoint [3]
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Up to 3 months
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Secondary outcome [4]
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Change from baseline in serum potassium (milligrams per decilitre)
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Assessment method [4]
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Timepoint [4]
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Baseline (Day 1) and up to 3 months
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Secondary outcome [5]
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Absolute value of haematology parameter: Platelet count (cells per microliter)
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Assessment method [5]
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0
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Timepoint [5]
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Up to 3 months
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Secondary outcome [6]
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Absolute value of haematology parameter: Red Blood Cell Count (RBC) (million cells per microliter)
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Assessment method [6]
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Timepoint [6]
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Up to 3 months
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Secondary outcome [7]
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Absolute value of haematology parameter: Mean Corpuscle Volume (MCV) (Femtoliters)
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Assessment method [7]
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0
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Timepoint [7]
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Up to 3 months
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Secondary outcome [8]
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Absolute value of haematology parameter: Mean Corpuscle haemoglobin (MCH) (Picograms)
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Assessment method [8]
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Timepoint [8]
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Up to 3 months
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Secondary outcome [9]
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Absolute values of haematology parameter: Reticulocytes (Percentage of reticulocytes)
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Assessment method [9]
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Timepoint [9]
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Up to 3 months
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Secondary outcome [10]
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Absolute values of haematology parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils (giga cells per litre)
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Assessment method [10]
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0
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Timepoint [10]
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Up to 3 months
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Secondary outcome [11]
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Absolute values of haematology parameter: haemoglobin (Hgb) (grams per decilitre)
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Assessment method [11]
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0
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Timepoint [11]
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Up to 3 months
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Secondary outcome [12]
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Absolute values of haematology parameter: haematocrit (Proportion of red blood cells in blood)
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Assessment method [12]
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0
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Timepoint [12]
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Up to 3 months
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Secondary outcome [13]
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Absolute values of Clinical Chemistry parameters: Glucose (non-fasting), Blood Urea Nitrogen (BUN), Creatinine, Sodium, Potassium, Calcium, Direct Bilirubin and Total Bilirubin (milligrams per decilitre)
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Assessment method [13]
0
0
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Timepoint [13]
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Up to 3 months
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Secondary outcome [14]
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Absolute values of Aspartate aminotransferase/serum glutamic-oxaloacetic transaminase, Alanine aminotransferase/serum glutamic-pyruvic transaminase, Alkaline phosphatase, Creatine phosphokinase (International Units per litre)
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Assessment method [14]
0
0
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Timepoint [14]
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Up to 3 months
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Secondary outcome [15]
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Absolute value of routine urinalysis: potential of hydrogen (pH)
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Assessment method [15]
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0
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Timepoint [15]
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Up to 3 months
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Secondary outcome [16]
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Number of participants with abnormal urinalysis dipstick results: glucose, protein, blood, ketones, bilirubin, urobilinogen, nitrite, leukocyte esterase
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Assessment method [16]
0
0
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Timepoint [16]
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Up to 3 months
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Secondary outcome [17]
0
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Change from baseline in haematology parameter: Platelet count (cells per microliter)
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Assessment method [17]
0
0
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Timepoint [17]
0
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Baseline (Day 1) and up to 3 months
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Secondary outcome [18]
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Change from baseline in haematology parameter: Red Blood Cell Count (RBC) (million cells per microliter)
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Assessment method [18]
0
0
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Timepoint [18]
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Baseline (Day 1) and up to 3 months
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Secondary outcome [19]
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Change from baseline in haematology parameter: Mean Corpuscle Volume (MCV) (Femtoliters)
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Assessment method [19]
0
0
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Timepoint [19]
0
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Baseline (Day 1) and up to 3 months
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Secondary outcome [20]
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Change from baseline in haematology parameter: Mean Corpuscle haemoglobin (MCH) (Picograms)
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Assessment method [20]
0
0
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Timepoint [20]
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Baseline (Day 1) and up to 3 months
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Secondary outcome [21]
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Change from baseline in haematology parameter: Reticulocytes (Percentage of reticulocytes)
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Assessment method [21]
0
0
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Timepoint [21]
0
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Baseline (Day 1) and up to 3 months
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Secondary outcome [22]
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Change from baseline in haematology parameters: Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils (giga cells per litre)
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Assessment method [22]
0
0
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Timepoint [22]
0
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Baseline (Day 1) and up to 3 months
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Secondary outcome [23]
0
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Change from baseline in haematology parameter: haemoglobin (Hgb) (grams per decilitre)
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Assessment method [23]
0
0
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Timepoint [23]
0
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Baseline (Day 1) and up to 3 months
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Secondary outcome [24]
0
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Change from baseline in haematology parameters: haematocrit (Proportion of red blood cells in blood)
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Assessment method [24]
0
0
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Timepoint [24]
0
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Baseline (Day 1) and up to 3 months
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Secondary outcome [25]
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Change from baseline in Clinical Chemistry parameters: Glucose (non-fasting), Blood Urea Nitrogen (BUN), Creatinine, Sodium, Potassium, Calcium, Direct Bilirubin and Total Bilirubin (milligrams per decilitre)
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Assessment method [25]
0
0
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Timepoint [25]
0
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Baseline (Day 1) and up to 3 months
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Secondary outcome [26]
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Change from baseline in Aspartate aminotransferase/ serum glutamic-oxaloacetic transaminase,Alanine aminotransferase/serum glutamic-pyruvic transaminase, Alkaline phosphatase, Creatine phosphokinase (International Units per litre)
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Assessment method [26]
0
0
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Timepoint [26]
0
0
Baseline (Day 1) and up to 3 months
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Secondary outcome [27]
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0
Change from baseline in routine urinalysis: pH
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Assessment method [27]
0
0
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Timepoint [27]
0
0
Baseline (Day 1) and up to 3 months
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Secondary outcome [28]
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Absolute values for vital signs: Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) [millimeters of mercury (mm Hg)]
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Assessment method [28]
0
0
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Timepoint [28]
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Up to 3 months
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Secondary outcome [29]
0
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Absolute values for vital sign: pulse rate [beats per min (bpm)]
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Assessment method [29]
0
0
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Timepoint [29]
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Up to 3 months
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Secondary outcome [30]
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Change from baseline in vital signs: Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) [millimeters of mercury (mm Hg)]
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Assessment method [30]
0
0
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Timepoint [30]
0
0
Baseline (Day 1) and up to 3 months
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Secondary outcome [31]
0
0
Change from baseline in vital sign: pulse rate [beats per min (bpm)]
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Assessment method [31]
0
0
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Timepoint [31]
0
0
Baseline (Day 1) and up to 3 months
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Secondary outcome [32]
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Absolute values for 12 Lead Electrocardiograms (ECGs) in Corrected QT interval (QTc) (milliseconds)
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Assessment method [32]
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0
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Timepoint [32]
0
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Up to 3 months
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Secondary outcome [33]
0
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Absolute values for heart rate [beats per min (bpm)]
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Assessment method [33]
0
0
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Timepoint [33]
0
0
Up to 3 months
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Secondary outcome [34]
0
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Change from baseline for 12 Lead ECGs in QTc (milliseconds)
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Assessment method [34]
0
0
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Timepoint [34]
0
0
Baseline (Day 1) and up to 3 months
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Secondary outcome [35]
0
0
Change from baseline for heart rate [beats per min (bpm)]
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Assessment method [35]
0
0
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Timepoint [35]
0
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Baseline (Day 1) and up to 3 months
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Secondary outcome [36]
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Change from baseline in Asthma Control Questionnaire (ACQ-6) score
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Assessment method [36]
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ACQ-6 consists of 5 symptom related questions (nocturnal awakening, symptoms on waking in the morning, activity limitation, shortness of breath and wheeze with response options ranging from zero (no impairment/limitation) to 6 (total impairment/ limitation)) and a question on rescue bronchodilator use. A score of less than or equal to (\<=) 0.75 indicates well-controlled asthma and a score greater than or equal to (\>=)1.5 indicates poorly controlled asthma.
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Timepoint [36]
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Baseline (Day 1) and up to 3 months
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Secondary outcome [37]
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Change from baseline for pre-bronchodilator Forced expiratory volume in 1 second (FEV1)
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Assessment method [37]
0
0
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Timepoint [37]
0
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Baseline (Day 1) and up to 3 months
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Eligibility
Key inclusion criteria
1. Participant of =18 years of age at the time of signing the informed consent or written informed consent is obtained from each study participant's legal guardian.
2. Asthma for = 6 months, defined as:
* Documented history of asthma, as defined by Global Initiative for Asthma (GINA) (GINA, 2023]
* Receiving one of the following asthma treatments, at a stable dose (applicable to daily Inhaled corticosteroid (ICS), ICS/Long-acting bronchodilator (LABA), and ICS/LABA/Long-acting muscarinic antagonist [LAMA]), for at least 12 weeks prior to the screening visit, with treatment that is anticipated to remain stable for the duration of the study:
* Short-Acting Beta-2-Adrenoreceptor Agonists (SABA) used as needed for asthma symptoms
* Daily maintenance low to medium dose Inhaled corticosteroid (ICS) (low to medium dose ICS defined as 100-500 µg/day fluticasone propionate or equivalent as defined in the 2023 GINA guidelines [GINA, 2023], plus Short-Acting Beta-2-Adrenoreceptor Agonists (SABA), which is anticipated to remain stable for the duration of the study.
* Daily maintenance low to medium dose ICS/ Long-acting bronchodilator (LABA) (low to medium dose ICS defined as 100-500 µg/day fluticasone propionate or equivalent as defined in the GINA guidelines [GINA, 2023] plus SABA, which is anticipated to remain stable for the duration of the study.
* Daily maintenance ICS/LABA/LAMA (low to medium dose ICS defined as 100-500 µg/day fluticasone propionate or equivalent as defined in the GINA guidelines [GINA, 2023] plus SABA, which is anticipated to remain stable for the duration of the study.
* Participants who utilize combination budesonide/formoterol as reliever therapy, whether or not this is in addition to a SABA - are not eligible for screening.
* Participants who utilize ICS/SABA combination therapy as reliever therapy, in addition to low to medium dose ICS or ICS/LABA as maintenance, are only eligible if they agree to discontinue their ICS/SABA inhaler for the duration of the study (screening through follow-up).
3. Severity of disease assessed by the investigator by baseline pre-bronchodilator Forced expiratory volume in 1 second (FEV1)
4. Asthma Control Status
* Asthma Control Questionnaire (ACQ) 6 score <1.5 at screening
* Asthma that has remained stable with no severe exacerbations in the last 6 months. Severe exacerbation defined as:
* Deterioration of asthma-requiring the use of systemic corticosteroids (tablets, suspension or injection), for at least 3 days, OR
* An inpatient hospitalization or Emergency Department (ED) visit because of asthma, requiring systemic corticosteroids.
5. Evidence of reversibility of disease: Airway reversibility is defined as =12 percent (%) and =200 milliliter (mL) increase in FEV1 within 20 to 60 minutes following up to 4 inhalations of albuterol/salbutamol aerosol.
6. Participants on as-needed SABA only, or daily maintenance ICS (plus as needed SABA):
* With a documented history of reversibility (as defined above) within 2 years will meet this inclusion criterion. Pre- and post-bronchodilator measurements will still be collected at screening to characterize the degree of reversibility.
* Who do not have a documented history of reversibility within the past 2 years will need to demonstrate reversibility during the screening period.
* SABA should be withheld for =6 hours
* Participants on daily maintenance ICS/LABA or ICS/LABA/LAMA:
7. Participants on daily maintenance ICS/LABA or ICS/LABA/LAMA:
* Do not need to demonstrate reversibility in accordance with the above definition during the screening period. A reversibility maneuver will be performed to characterize the degree of post-bronchodilator change.
* SABA should be withheld for =6 hours
* LABA- and LAMA-containing medications should be withheld for >=24 hours for the characterization of post-bronchodilator change.
Participants should be able to withhold SABA for =6 hours and LABA-/ LAMA containing medications for =24 hours for the purposes of performing screening spirometry.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. A history of life-threatening asthma or asthma that is unstable in the opinion of the investigator.
2. Other significant pulmonary diseases to include (but not limited to): pneumothorax, pulmonary fibrotic disease, bronchopulmonary dysplasia, chronic bronchitis, emphysema, chronic obstructive pulmonary disease, tuberculosis or other respiratory abnormalities other than asthma.
3. Respiratory Infection: Culture-documented or suspected bacterial or viral infection of the upper or lower respiratory tract, sinus or middle ear that is not resolved within 4 weeks of screening that led to a change in asthma management, OR in the opinion of the Investigator, is expected to affect the participant's asthma status, OR the participant's ability to participate in the study.
4. Asthma Exacerbation: Any severe asthma exacerbation within 6 months prior to screening.
5. Current or chronic history of liver disease or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones) Biologic/immunosuppressive therapies used for the treatment of respiratory diseases during the 6 months, or 5 half-lives-whichever is longer-prior to start of the study.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
31/05/2024
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
5/09/2025
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Actual
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Sample size
Target
412
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,WA
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Recruitment hospital [1]
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GSK Investigational Site - Botany
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Recruitment hospital [2]
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GSK Investigational Site - Coffs Harbour
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Recruitment hospital [3]
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GSK Investigational Site - Kanwal
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Recruitment hospital [4]
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GSK Investigational Site - Spearwood
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Recruitment postcode(s) [1]
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2019 - Botany
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Recruitment postcode(s) [2]
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0
2450 - Coffs Harbour
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Recruitment postcode(s) [3]
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2259 - Kanwal
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Recruitment postcode(s) [4]
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6163 - Spearwood
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Recruitment outside Australia
Country [1]
0
0
United States of America
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State/province [1]
0
0
California
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Country [2]
0
0
United States of America
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State/province [2]
0
0
Colorado
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Country [3]
0
0
United States of America
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State/province [3]
0
0
Florida
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Country [4]
0
0
United States of America
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State/province [4]
0
0
Georgia
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Country [5]
0
0
United States of America
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State/province [5]
0
0
Kentucky
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Country [6]
0
0
United States of America
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State/province [6]
0
0
Massachusetts
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Country [7]
0
0
United States of America
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State/province [7]
0
0
Minnesota
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Country [8]
0
0
United States of America
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State/province [8]
0
0
Mississippi
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Country [9]
0
0
United States of America
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State/province [9]
0
0
Missouri
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Country [10]
0
0
United States of America
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State/province [10]
0
0
Nevada
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Country [11]
0
0
United States of America
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State/province [11]
0
0
New Jersey
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Country [12]
0
0
United States of America
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State/province [12]
0
0
New York
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Country [13]
0
0
United States of America
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State/province [13]
0
0
North Carolina
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Country [14]
0
0
United States of America
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State/province [14]
0
0
Ohio
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Country [15]
0
0
United States of America
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State/province [15]
0
0
Oregon
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Country [16]
0
0
United States of America
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State/province [16]
0
0
Pennsylvania
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Country [17]
0
0
United States of America
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State/province [17]
0
0
South Carolina
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Country [18]
0
0
United States of America
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State/province [18]
0
0
Texas
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Country [19]
0
0
Argentina
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State/province [19]
0
0
Buenos Aires
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Country [20]
0
0
Argentina
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State/province [20]
0
0
La Plata
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Country [21]
0
0
Argentina
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State/province [21]
0
0
Mendoza
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Country [22]
0
0
Canada
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State/province [22]
0
0
Ontario
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Country [23]
0
0
Canada
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State/province [23]
0
0
Quebec
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Country [24]
0
0
France
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State/province [24]
0
0
Amiens Cedex 1
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Country [25]
0
0
France
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State/province [25]
0
0
Argenteuil cedex
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Country [26]
0
0
France
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State/province [26]
0
0
Cannes
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Country [27]
0
0
France
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State/province [27]
0
0
CrEteil cedex
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Country [28]
0
0
France
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State/province [28]
0
0
Poitiers
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Country [29]
0
0
France
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State/province [29]
0
0
Pontoise
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Country [30]
0
0
France
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State/province [30]
0
0
Strasbourg
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Country [31]
0
0
Greece
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State/province [31]
0
0
Athens
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Country [32]
0
0
Greece
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State/province [32]
0
0
Larissa
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Country [33]
0
0
Greece
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State/province [33]
0
0
Thessaloniki
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Country [34]
0
0
Italy
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State/province [34]
0
0
Cagliari
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Country [35]
0
0
Italy
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State/province [35]
0
0
Firenze
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Country [36]
0
0
Italy
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State/province [36]
0
0
Foggia
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0
0
Italy
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State/province [37]
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Milano
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Country [38]
0
0
Italy
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State/province [38]
0
0
Napoli
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Country [39]
0
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Italy
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State/province [39]
0
0
Padova
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Country [40]
0
0
Italy
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State/province [40]
0
0
Roma
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Country [41]
0
0
Italy
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State/province [41]
0
0
Torino
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Country [42]
0
0
Italy
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State/province [42]
0
0
Tradate VA
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Country [43]
0
0
Italy
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State/province [43]
0
0
Verona
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Country [44]
0
0
Panama
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State/province [44]
0
0
Ciudad de Panama
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Country [45]
0
0
Panama
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State/province [45]
0
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Panama
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Country [46]
0
0
Philippines
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State/province [46]
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0
Iloilo City
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Country [47]
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Philippines
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Iloilo
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Poland
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Bialystok
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Poland
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Bielsko-Biala
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Chorzow
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Elblag
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Katowice
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Ostrowiec Swietokrzyski
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Plock
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Tarnow
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Spain
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Barcelona
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Spain
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BenalmAdena
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Spain
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Madrid
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Spain
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Marbella
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Spain
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Pozuelo De AlarcOn Madr
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Spain
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Santiago de Compostela
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Thailand
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Pathumthani
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United Kingdom
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Bebington
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United Kingdom
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Cambridgeshire
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United Kingdom
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Corby
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United Kingdom
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Greater Manchester
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Guisborough
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United Kingdom
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Hounslow
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United Kingdom
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Rhyl
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United Kingdom
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Funding & Sponsors
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Commercial sector/industry
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Name
GlaxoSmithKline
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Summary
Brief summary
The goal of this study is to assess and compare the safety and tolerability of salbutamol administered via metered dose inhaler (MDI) containing propellant 1,1-difluoroethane (HFA-152a) or 1,1,1,2-tetrafluoroethane (HFA-134a) in participants aged \>=18 years with asthma
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Trial website
https://clinicaltrials.gov/study/NCT06261957
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Contacts
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GSK Clinical Trials
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GlaxoSmithKline
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Contact person for public queries
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US GSK Clinical Trials Call Center
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Phone
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877-379-3718
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[email protected]
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Data sharing statement
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
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Results not provided in
https://clinicaltrials.gov/study/NCT06261957
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