New asthma inhaler combo shows promise in large trial
NCT ID NCT05202262
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a new inhaler containing two medicines (budesonide and formoterol) in 645 people aged 12 to 80 with asthma that was not well controlled. The trial compared the new inhaler to a standard budesonide-only inhaler and an existing combination inhaler over 24 weeks. The goal was to see if the new inhaler improves lung function and is safe for daily use.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Budesonide and formoterol fumarate (combination inhaler)
- What this could lead to
- If successful, this could offer a new, effective option for people whose asthma is not well controlled with current treatments.
- What could go wrong
- This is a completed Phase 3 trial, but results may not apply to all asthma patients. The study is relatively short (24 weeks), so long-term safety and effectiveness are not fully known.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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645 people
The number who actually took part.
- Started
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Jan 2022
- Finished
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Feb 2025
- 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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12 to 80 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: 1. 12 to 80 years of age, male and female, BMI \<40 kg/m2; females must be not of childbearing potential or using a form of highly effective birth control. 2. Participants who have a documented history of physician-diagnosed asthma ≥ 6 months prior to Visit 1, according to GINA guidelines \[GINA 2020\]. Healthcare records for one year prior to Visit 1 must be provided for adolescent participants (12 to \< 18 years of age) to ensure consistent evaluation and follow-up of treatment in those participants. 3. Participants who have been regularly using a stable daily ICS or an ICS/LABA regimen (including a stable ICS dose), with the ICS doses, for at least 8 weeks prior to Visit 1. 4. ACQ-7 total score ≥ 1.5 at Visits 1 and 4. 5. Pre-bronchodilator/pre-dose FEV1 \<90% predicted normal value at Visits 1, 2 and 3, and a pre-dose FEV1 of 50% to 90% at Visit 4 (pre-randomization). 6. Reversibility to albuterol, defined as a post-albuterol increase in FEV1 of ≥ 12% and ≥ 200 mL for participants ≥ 18 years of age OR a post-albuterol increase in FEV1 of ≥ 12% for participants 12 to \< 18 years of age, either in the 12 months prior to Visit 1 or at Visit 2 or Visit 3. 7. A pre-bronchodilator/pre-dose FEV1 at Visits 2, 3, and 4 that have not changed 20% or more (increase or decrease) from the pre-bronchodilator/pre-dose FEV1 recorded at the previous visit. 8. Asthma stability during run-in based on Investigator discretion using the symptom worsening assessment. 9. Willing and, in the opinion of the Investigator, able to adjust current asthma therapy, as required by the protocol. 10. Demonstrate acceptable MDI administration technique. 11. eDiary compliance ≥ 70% during screening, defined as completing the daily eDiary and answering "Yes" to taking 2 puffs of run-in BD MDI for any 10 mornings and 10 evenings in the last 14 days prior to randomization. Exclusion Criteria: 1. Life-threatening asthma as defined as a history of significant asthma episode(s) requiring intubation associated with hypercapnia, respiratory arrest, hypoxic seizures, or asthma related syncopal episode(s). 2. Any respiratory infection or asthma exacerbation treated with systemic corticosteroids and/or additional ICS treatment in the 8 weeks prior to Visit 1 and throughout the Screening Period. 3. Hospitalization for asthma within 8 weeks of Visit 1. 4. Historical or current evidence of a clinically significant disease including, but not limited to: cardiovascular, hepatic, renal, hematological, neurological, endocrine, gastrointestinal, or pulmonary (eg, active tuberculosis, bronchiectasis, pulmonary eosinophilic syndromes, and COPD). Significant is defined as any disease that, in the opinion of the Investigator, would put the safety of the participant at risk through participation, or that could affect the efficacy or safety analysis. 5. Known history of drug or alcohol abuse within 12 months of Visit 1. 6. Unresectable cancer that has not been in complete remission for at least 5 years prior to Visit 1. 7. Participation in another clinical study with a study intervention administered in the last 30 days or 5 half-lives, whichever is longer. Any other study intervention that is not identified in this protocol is prohibited for use during study duration. 8. Previous or current randomization into studies within the AEROSPHERE program including KALOS, LOGOS, VATHOS, LITHOS, or any glycopyrronium studies (PT001). 9. Use of a nebulizer or a home nebulizer for receiving asthma medications. 10. Do not meet the stable dosing period prior to Visit 1 or unable to abstain from protocol-defined prohibited medications during Screening and Treatment Periods. 11. Receipt of COVID-19 vaccine (regardless of vaccine delivery platform, eg, vector, lipid nanoparticle) \< 7 days prior to Visit 1 (from last vaccination or booster dose). 12. Participants with known hypersensitivity to beta2-agonists, corticosteroids, or any component of the MDI. 13. Any clinically relevant abnormal findings in physical examination, clinical chemistry, hematology, vital signs, or ECG, which in the opinion of the Investigator, may put the participant at risk because of his/her participation in the study. 14. Current smokers, former smokers with \> 10 pack-years history, or former smokers who stopped smoking \< 6 months prior to Visit 1 (including all forms of tobacco, e-cigarettes or other vaping devices, and marijuana). 15. Planned hospitalization during the study. 16. Involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff and/or staff at the study site). 17. Study Investigators, sub-Investigators, coordinators, and their employees or immediate family members. 18. Judgment by the Investigator that the participant is unlikely to comply with study procedures, restrictions, and requirements. 19. For women only - currently pregnant (confirmed with positive highly sensitive urine pregnancy test), breast-feeding, or planned pregnancy during the study or not using acceptable contraception measures, as judged by the Investigator.
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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.
Contacts and locations
Locations
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Research Site
Chandler, Arizona, 85224, United States
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Research Site
Tucson, Arizona, 85745, United States
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Bakersfield, California, 93301, United States
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Fresno, California, 93720, United States
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Huntington Beach, California, 92647, United States
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La Palma, California, 90623, United States
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Lincoln, California, 95648, United States
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Los Angeles, California, 90017, United States
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Los Angeles, California, 90025, United States
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Los Angeles, California, 90048, United States
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Newport Beach, California, 92663, United States
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Northridge, California, 91324, United States
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Sacramento, California, 95823, United States
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San Diego, California, 92120, United States
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San Diego, California, 92123, United States
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San Jose, California, 95117, United States
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Denver, Colorado, 80230, United States
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Wheat Ridge, Colorado, 80033, United States
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Cutler Bay, Florida, 33189, United States
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DeLand, Florida, 32720, United States
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Miami, Florida, 33155, United States
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Miami, Florida, 33173, United States
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Miami, Florida, 33175, United States
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Miami, Florida, 33180, United States
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Tampa, Florida, 33607, United States
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Atlanta, Georgia, 30361, United States
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Peoria, Illinois, 61636, United States
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Lexington, Kentucky, 40509, United States
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White Marsh, Maryland, 21162, United States
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North Dartmouth, Massachusetts, 02747, United States
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Farmington Hills, Michigan, 48336, United States
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Columbia, Missouri, 65203, United States
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Saint Charles, Missouri, 63301, United States
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St Louis, Missouri, 63141, United States
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Kalispell, Montana, 59901, United States
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Missoula, Montana, 59808, United States
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Bellevue, Nebraska, 68123, United States
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Omaha, Nebraska, 68114, United States
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Henderson, Nevada, 89052, United States
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North Las Vegas, Nevada, 89030, United States
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Portsmouth, New Hampshire, 03801, United States
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Skillman, New Jersey, 08558, United States
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Gastonia, North Carolina, 28054, United States
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Monroe, North Carolina, 28112, United States
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Raleigh, North Carolina, 27607, United States
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Cincinnati, Ohio, 45236, United States
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Columbus, Ohio, 43215, United States
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Edmond, Oklahoma, 73034, United States
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Oklahoma City, Oklahoma, 73120, United States
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Portland, Oregon, 97202, United States
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Pittsburgh, Pennsylvania, 15236, United States
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Knoxville, Tennessee, 37909, United States
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Austin, Texas, 78759, United States
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Beaumont, Texas, 77701, United States
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Boerne, Texas, 78006, United States
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Dallas, Texas, 75231, United States
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El Paso, Texas, 79912, United States
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Forney, Texas, 75126, United States
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Houston, Texas, 77093, United States
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Red Oak, Texas, 75154, United States
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San Antonio, Texas, 78229, United States
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San Antonio, Texas, 78258, United States
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Victoria, Texas, 77901, United States
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Waco, Texas, 76712, United States
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Williamsburg, Virginia, 23188, United States
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Milwaukee, Wisconsin, 53228, United States
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Calgary, Alberta, T3B 0M3, Canada
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Calgary, Alberta, T3E 7M8, Canada
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Edmonton, Alberta, T5A 4L8, Canada
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Kamloops, British Columbia, V2C 5T1, Canada
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Winnipeg, Manitoba, R3L 1Z5, Canada
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Moncton, New Brunswick, E1G 1A7, Canada
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Ajax, Ontario, L1S 2J5, Canada
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Burlington, Ontario, L7N 3V2, Canada
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Stouffville, Ontario, L4A 1H2, Canada
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Toronto, Ontario, M9V 4B4, Canada
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Windsor, Ontario, N8X 2G1, Canada
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Windsor, Ontario, N8X-5A6, Canada
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Montreal, Quebec, H2V 2K1, Canada
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Québec, Quebec, G1G 3Y8, Canada
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Québec, Quebec, G1V 4W2, Canada
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Québec, Quebec, G2J 0C4, Canada
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Berlin, 10119, Germany
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Berlin, 10787, Germany
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Berlin, 10961, Germany
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Berlin, 12157, Germany
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Berlin, 13156, Germany
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Frankfurt am Main, 60596, Germany
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Landsberg, 86899, Germany
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Leipzig, 04157, Germany
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Leipzig, 04207, Germany
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Leipzig, 04299, Germany
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Magdeburg, 39120, Germany
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München-Pasing, 81241, Germany
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Schleswig, 24837, Germany
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Wiesbaden, 65189, Germany
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Witten, 58452, Germany
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Brescia, 25123, Italy
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Mantua, 46100, Italy
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Naples, 80131, Italy
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Roma, 00133, Italy
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Roma, 00168, Italy
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Rome, 00165, Italy
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Tradate, 21049, Italy
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Chūōku, 103-0022, Japan
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Chūōku, 103-0027, Japan
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Chūōku, 103-0028, Japan
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Chūōku, 104-0031, Japan
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Fukui-shi, 910-8526, Japan
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Fukuoka, 819-8555, Japan
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Himeji-shi, 672-8064, Japan
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Kagoshima, 890-0053, Japan
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Kishiwada-shi, 596-8501, Japan
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Kodaira-shi, 187-0024, Japan
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Kokubunji-shi, 185-0014, Japan
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Kusatsu-shi, 525-8585, Japan
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Kyoto, 601-8213, Japan
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Kyoto, 612-8555, Japan
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Mizunami-shi, 509-6134, Japan
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Obihiro-shi, 080-0013, Japan
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Osaka, 531-0073, Japan
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Sapporo, 062-0931, Japan
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Setagaya-ku, 158-0097, Japan
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Shibuya-ku, 150-0013, Japan
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Toon-shi, 791-0281, Japan
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Toshima-ku, 170-0002, Japan
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Toshima-ku, 170-0003, Japan
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Toshima-ku, 171-0014, Japan
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Utsunomiya, 329-1193, Japan
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Yokohama, 223-0059, Japan
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Yokohama, 232-0024, Japan
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Yokohama, 232-0064, Japan
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Badalona, 08916, Spain
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Barcelona, 08017, Spain
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Bilbao, 48002, Spain
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Granada, 18004, Spain
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Granada, 18014, Spain
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Madrid, 28041, Spain
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Santiago de Compostela, 15702, Spain
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Vigo, 36201, Spain
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Hanoi, 100000, Vietnam
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Research Site
Ho Chi Minh City, 700000, Vietnam
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Other studies related to the condition(s) this trial covers.
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