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Trial · NCT00463866

Local Phase 4 Pan-European SMART Study

NCT00463866, Phase 4, Completed, AstraZeneca; results first posted 2010-03-22

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Local Phase 4 Pan-European SMART Study. Trials, record NCT00463866. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00463866

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Local Phase 4 Pan-European SMART Study
NCT number
NCT00463866
Status
Completed
Phases
Phase 4
Enrollment
8,424 participants, actual
Lead sponsor
AstraZeneca
Conditions
Asthma
Interventions
Budesonide/formoterol
First posted
2007-04-20
Last updated
2010-03-22
Other registries' IDs
eudract:2006-006512-30
Results first posted
2010-03-22

Source ClinicalTrials.gov

Registered outcomes9

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Severe Asthma Exacerbations Per Participant.6 months
Time to first severe asthma exacerbation, translated to mean number of severe asthma exacerbations per participant. A severe asthma exacerbation is defined as deterioration in asthma requiring oral/systemic glucocorticosteroids for at least 3 days and/or hospitalisation/emergency room visit with oral/systemic glucocorticosteroid treatment.
SecondaryFraction of Participants With Severe Asthma Exacerbation6 months.
The total number of severe asthma exacerbations was calculated for each participant. A severe asthma exacerbation is defined as deterioration in asthma requiring oral/systemic glucocorticosteroids for at least 3 days and/or hospitalisation/emergency room visit with oral/systemic glucocorticosteroid treatment.
SecondaryTotal Number of Severe Asthma Exacerbations That Led to Hospitalisation and/or Emergency Room Treatment.6 months.
A severe asthma exacerbation is defined as deterioration in asthma requiring oral/systemic glucocorticosteroids for at least 3 days and/or hospitalisation/emergency room visit with oral/systemic glucocorticosteroid treatment. Number of events per participant
SecondaryTotal Number of Days Per Participant With Oral/Systemic Glucocorticosteroids During Severe Asthma Exacerbation6 months.
Total number of days with oral/systemic glucocorticosteroids during severe exacerbation calculated for each participant. A severe asthma exacerbation is defined as deterioration in asthma requiring oral/systemic glucocorticosteroids for at least 3 days and/or hospitalisation/emergency room visit with oral/systemic glucocorticosteroid treatment.
SecondaryMean Daily Number of Inhalations of As-needed Medication.4 weeksThe number of as-needed inhalations was measured 2 times during 2 weeks before 13 weeks and 26 weeks of treatment.
SecondaryPercent of Participants With a Well Controlled Asthma Week.6 months.
The mean percent of participants fulfilling the criteria for a well controlled asthma week in each treatment. A well controlled asthma week is defined as a week with no exacerbations and no night-time awakenings due to asthma and a maximum of 2 days with symptoms and as-needed inhalation use.
SecondaryMean Overall Asthma Control Questionnaire (ACQ) Score6 months.The ACQ5 was used. The lower value the better with a full range from 0=no impairment, 6= maximum impairment. Awakenings, morning symptoms, limitations, shortness of breath and wheeze.
SecondaryThe Mean Total Daily Dose of Steroids From Symbicort.4 weeksThe mean total daily dose of steroids from Symbicort was calculated as the sum of the maintenance dose and the as-needed dose.
SecondaryMean Cost Per Participant Per Country6 monthsMean cost is calculated for each country using participants from the whole study and country specific costs. Mean value for the whole study can not be calculated.

Outcomes9

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Severe Asthma Exacerbations Per Participant.6 monthsSevere exacerbations per participantMEAN
SECONDARYFraction of Participants With Severe Asthma Exacerbation6 months.Fraction of participants with eventMEAN
SECONDARYTotal Number of Severe Asthma Exacerbations That Led to Hospitalisation and/or Emergency Room Treatment.6 months.Number of events per participantMEAN
SECONDARYTotal Number of Days Per Participant With Oral/Systemic Glucocorticosteroids During Severe Asthma Exacerbation6 months.Days per participantMEAN
SECONDARYMean Daily Number of Inhalations of As-needed Medication.4 weeksInhalations of as-needed medication recorded by 3880 participants in the Symbicort SMART 1\*2 Reporting Group and recorded by 3881 participants in the Symbicort SMART 2\*2 Reporting GroupInhalations per day per participantMEAN
SECONDARYPercent of Participants With a Well Controlled Asthma Week.6 months.Data for this measure recorded by 3714 participants in the Symbicort SMART 1\*2 Reporting Group and recorded by 3718 participants in the Symbicort SMART 2\*2 Reporting Group.Percentage of participantsMEAN
SECONDARYMean Overall Asthma Control Questionnaire (ACQ) Score6 months.Data for this measure recorded by 3709 participants in the Symbicort SMART 1\*2 Reporting Group and recorded by 3735 participants in the Symbicort SMART 2\*2 Reporting Group.Scores in a scaleMEAN
SECONDARYThe Mean Total Daily Dose of Steroids From Symbicort.4 weeks: Data for this measure recorded by 3874 participants in the Symbicort SMART 1\*2 Reporting Group and recorded by 3873 participants in the Symbicort SMART 2\*2 Reporting Group.μg budesonide per dayMEAN
SECONDARYMean Cost Per Participant Per Country6 monthsEuroMEAN

Results by group16

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Severe Asthma Exacerbations Per Participant.Symbicort® SMART®) 1*20.097Full Range 0Severe exacerbations per participant
Number of Severe Asthma Exacerbations Per Participant.Symbicort® SMART®) 2*20.080Full Range 0Severe exacerbations per participant
Fraction of Participants With Severe Asthma ExacerbationSymbicort® SMART®) 1*20.0968695% Confidence Interval 0.08528Fraction of participants with event
Fraction of Participants With Severe Asthma ExacerbationSymbicort® SMART®) 2*20.0795595% Confidence Interval 0.06927Fraction of participants with event
Total Number of Severe Asthma Exacerbations That Led to Hospitalisation and/or Emergency Room Treatment.Symbicort® SMART®) 1*20.0120Full Range 0Number of events per participant
Total Number of Severe Asthma Exacerbations That Led to Hospitalisation and/or Emergency Room Treatment.Symbicort® SMART®) 2*20.0091Full Range 0Number of events per participant
Total Number of Days Per Participant With Oral/Systemic Glucocorticosteroids During Severe Asthma ExacerbationSymbicort® SMART®) 1*29.6Standard Deviation 8.1Days per participant
Total Number of Days Per Participant With Oral/Systemic Glucocorticosteroids During Severe Asthma ExacerbationSymbicort® SMART®) 2*29.1Standard Deviation 5.5Days per participant
Mean Daily Number of Inhalations of As-needed Medication.Symbicort® SMART®) 1*20.897Full Range 0Inhalations per day per participant
Mean Daily Number of Inhalations of As-needed Medication.Symbicort® SMART®) 2*20.625Full Range 0Inhalations per day per participant

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSymbicort® SMART®) 1*24,008
Overall StudySTARTEDSymbicort® SMART®) 2*24,045
Overall StudyCOMPLETEDSymbicort® SMART®) 1*23,699
Overall StudyCOMPLETEDSymbicort® SMART®) 2*23,705
Overall StudyNOT COMPLETEDSymbicort® SMART®) 1*2309
Overall StudyNOT COMPLETEDSymbicort® SMART®) 2*2340

Adverse events230

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
seriousAnaemiaBlood and lymphatic system disordersSymbicort® SMART®) 1*214,008
seriousAnaemiaBlood and lymphatic system disordersSymbicort® SMART®) 2*214,045
seriousAngina PectorisCardiac disordersSymbicort® SMART®) 1*214,008
seriousAngina PectorisCardiac disordersSymbicort® SMART®) 2*214,045
seriousAtrial FibrillationCardiac disordersSymbicort® SMART®) 1*224,008
seriousAtrial FibrillationCardiac disordersSymbicort® SMART®) 2*214,045
seriousAtrioventricular BlockCardiac disordersSymbicort® SMART®) 1*214,008
seriousAtrioventricular BlockCardiac disordersSymbicort® SMART®) 2*204,045
seriousCoronary Artery DiseaseCardiac disordersSymbicort® SMART®) 1*214,008
seriousCoronary Artery DiseaseCardiac disordersSymbicort® SMART®) 2*204,045

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySymbicort® SMART®) 1*2
Total, all-cause mortalitySymbicort® SMART®) 2*2
Total, other adverse eventsSymbicort® SMART®) 1*204,008
Total, other adverse eventsSymbicort® SMART®) 2*204,045
Total, serious adverse eventsSymbicort® SMART®) 1*2774,008
Total, serious adverse eventsSymbicort® SMART®) 2*2884,045

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
20595145DERIVEDPubMed
21435854DERIVEDPubMed
21586508DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Symbicort® SMART®) 1*2 vs Symbicort® SMART®) 2*2: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00463866

GET https://conductscience.org/api/trials/v1/NCT00463866/events?page=2