New asthma inhaler trial for kids: could improve breathing
NCT ID NCT05222529
First seen Jun 26, 2026 · Last updated Aug 20, 2026 · Updated 5 times
Summary
This study tests two doses of an inhaled drug called glycopyrronium in 42 children aged 6 to 12 with moderate to severe asthma. The goal is to see how well it opens airways and how safe it is compared to a placebo. Results will help decide the best dose for future combination treatments.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Glycopyrronium bromide (an inhaled bronchodilator)
- What this could lead to
- If successful, this could help determine the right dose of glycopyrronium for children with asthma, potentially leading to a new combination inhaler that improves breathing control.
- What could go wrong
- This is an early Phase 2 trial with only 42 children, so results may not apply to all. The drug is already used in adults, but its effectiveness and safety in children are still being studied.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 42 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2022
- Expected to finish
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Aug 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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6 to 11 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Confirmed diagnosis of asthma for at least 6 months * Signed informed consent by parent(s)/legal guardian(s) and assent by the pediatric participant (depending on local requirements) * Participant on stable dose of inhaled low-to-medium dose ICS with one additional controller for at least 4 weeks prior to run-in * Pre-Bronchodilator FEV1 ≥60% to ≤90% of predicted normal at beginning of Run-in and randomization. If FEV1 eligibility criteria are not met at -45min pre-dose of the End of Run-in (Visit 30), the visit can be rescheduled once within 5 days from the previous attempt. * FEV1 reversibility, done using up to 4 puffs of SABA (up to 400μg salbutamol or 360μg albuterol) at Run-in visit (Visit 20): increase \> and/or = 12% (performed according to American Thoracic Society (ATS)/European Respiratory Society (ERS) 2019 guidelines). All participants must perform a reversibility test at start of Run-in. If reversibility is not demonstrated at Run-in, it may be attempted at up to two ad hoc, unscheduled separate visits within 5 days from previous attempt. If reversibility is still not demonstrated after repeated assessment participants must be screen failed * Demonstrated acceptable inhaler use technique for Diskus/Accuhaler (prior to run-in) and Breezhaler (prior to randomization) and able to complete spirometry procedures prior to randomization. * A parent/legal guardian must be designated to complete all e-Diary entries and attend all clinic visits with the participant. * Parents/legal guardian must be willing and able to assist the child with the procedures outlined in the protocol, e.g. compliance with study medication, completion of electronic participant diary * Female participants of child-bearing potential, who might become sexually active, must be informed of the need to prevent pregnancy during the study using effective contraceptive methods. The decision on the contraceptive method should be reviewed at least every 3 months to evaluate the individual need and compatibility of the method chosen. Exclusion Criteria: * Systemic corticosteroid use for any reason within 3 months of Run-in * Participants on low to medium mono ICS alone * Participants requiring six or more puffs of rescue medication per day on more than two consecutive days in the four weeks prior to Screening (Visit 1) and/or in the four weeks prior to the Run-in visit * Participants who have had an asthma attack/exacerbation requiring a) systemic corticosteroids (SCS) or b) hospitalization or c) emergency room visit, within 3 months prior to Screening (Visit 1), or more than 3 separate exacerbations in the 12 months preceding the Screening visit * Participants with a known narrow-angle glaucoma, bladder dysfunction, bladder outlet obstruction or any other conditions where anticholinergic treatment is contraindicated prior to Screening (Visit 1) * Participants with a history of long QT syndrome or whose corrected QT interval (QTc) measured at start of Run-in and confirmed at Baseline (prior to randomization) (Fridericia method) is prolonged (\> 450 msec for boys and girls) and confirmed by a central assessor (these patients should not be rescreened) * Suspected or documented active infections (bacterial, viral, fungal, mycobacterial or other, including active SARS-CoV-2, tuberculosis or atypical mycobacterial disease) of the upper or lower respiratory tract, sinus or middle ear that is not resolved within 6 weeks of Screening (Visit 1) * History of Type I diabetes or uncontrolled Type II diabetes * Participants who are sexually active at screening * Hemoglobin levels outside normal ranges at Run-in (Visit 20) * Female patients of childbearing potential (e.g., are menstruating) who do not agree to abstinence or, if they become sexually active during study participation, do not agree to the use of contraception as defined in the inclusion criteria. Additional protocol-defined inclusion / exclusion criteria may apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
19 sites in 8 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Novartis Investigative Site
RECRUITINGRousse, 7002, Bulgaria
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Novartis Investigative Site
RECRUITINGSevlievo, 5400, Bulgaria
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Novartis Investigative Site
RECRUITINGSofia, 1510, Bulgaria
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Novartis Investigative Site
RECRUITINGIbague, Tolima Department, 730006, Colombia
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Novartis Investigative Site
WITHDRAWNGuatemala City, GTM, 01010, Guatemala
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Novartis Investigative Site
RECRUITINGGuatemala City, 01015, Guatemala
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Novartis Investigative Site
RECRUITINGDebrecen, Hajdu Bihar Megye, 4032, Hungary
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Novartis Investigative Site
RECRUITINGBudapest, 1033, Hungary
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Novartis Investigative Site
RECRUITINGBudapest, 1083, Hungary
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Novartis Investigative Site
RECRUITINGEger, 3300, Hungary
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Novartis Investigative Site
WITHDRAWNKaposvár, 7400, Hungary
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Novartis Investigative Site
WITHDRAWNNagykanizsa, 8800, Hungary
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Novartis Investigative Site
RECRUITINGSzigetvár, 7900, Hungary
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Novartis Investigative Site
RECRUITINGTarnów, Poland, 33-100, Poland
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Novartis Investigative Site
RECRUITINGLodz, Łódź Voivodeship, 90-329, Poland
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Novartis Investigative Site
RECRUITINGGeorge, Western Cape, 6529, South Africa
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Novartis Investigative Site
RECRUITINGCape Town, 7531, South Africa
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Novartis Investigative Site
RECRUITINGEsplugues, Barcelona, 08950, Spain
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Novartis Investigative Site
RECRUITINGSabadell, Barcelona, 08208, Spain
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Novartis Investigative Site
WITHDRAWNMérida, Extremadura, 06800, Spain
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Novartis Investigative Site
RECRUITINGBarcelona, 08035, Spain
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Novartis Investigative Site
RECRUITINGLondon, SE5 9RS, United Kingdom
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Novartis Investigative Site
RECRUITINGStoke-on-Trent, ST4 6QG, United Kingdom
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- Can a simple breath test cut asthma Flare-Ups?
- Breathing tests face off: can extra lung measurements improve asthma diagnosis?
- The carbon label on your inhaler: can it sway a Doctor's choice?
- Six biologics put to the test in Real-World asthma and COPD care
- Can a digital program help teens with chronic illnesses move to adult care?