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Trial · NCT03421730

A Study of the Pharmacokinetics, Safety and Tolerability of Single Doses of VR647 Inhalation Suspension Administered Using the VR647 Inhalation System in Children With Wheezing, Reactive Airway Disease or Mild Asthma

NCT03421730, Phase 1, Completed, Vectura Limited; results first posted 2019-10-21

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of the Pharmacokinetics, Safety and Tolerability of Single Doses of VR647 Inhalation Suspension Administered Using the VR647 Inhalation System in Children With Wheezing, Reactive Airway Disease or Mild Asthma. Trials, record NCT03421730. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03421730

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Trial

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

Title
A Study of the Pharmacokinetics, Safety and Tolerability of Single Doses of VR647 Inhalation Suspension Administered Using the VR647 Inhalation System in Children With Wheezing, Reactive Airway Disease or Mild Asthma
NCT number
NCT03421730
Status
Completed
Phases
Phase 1
Enrollment
17 participants, actual
Lead sponsor
Vectura Limited
Conditions
Wheezing, Reactive Airway Disease, Mild Asthma
Interventions
VR647 Inhalation Suspension (budesonide) 1 mg/2 mL delivered by the VR647 Inhalation System, 1 mg/2 mL Pulmicort Respules delivered by a conventional jet nebulizer
First posted
2018-02-05
Last updated
2019-10-21
Results first posted
2019-10-21

Source ClinicalTrials.gov

Registered outcomes16

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

ListOutcomeTime frameDescription
PrimaryAUClast of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).AUClast is the area under the plasma concentration-time curve, from time 0 to the time of the last measurable concentration (Clast).
PrimaryAUCinf of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).
AUCinf is the area under the plasma concentration-time curve, from time 0 extrapolated to infinity. AUCinf is calculated as the sum of AUClast plus the ratio of the last measurable plasma concentration (Clast) to the elimination rate constant (λz).
PrimaryCmax of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).Cmax is the maximum observed concentration.
PrimaryTmax of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).Tmax is the time to reach Cmax.
PrimaryTlast of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).Tlast is the time of the last measurable concentration (Clast).
PrimaryT1/2 of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).T1/2 is the apparent first-order terminal elimination half-life.
SecondaryMean Modified Patient Satisfaction and Preference Questionnaire (PASAPQ) Total Score (Q1 to Q8).Following dosing on Day 1 (Visit 2) and Day 8 (Visit 3).
The PASAPQ is a validated multi-item measure of satisfaction and preference with inhaler devices. The modified PASAPQ consists of 10 questions. The first 8 questions generate the total score domain. Data from this questionnaire were listed by subject and summarized by treatment. The results from Questions 1 through 8 were added for each subject to generate the Total Score (n = Q1+Q2+Q3+Q4+Q5+Q6+Q7+Q8) and expressed as percentage of maximum total score (i.e., (n/56)\*100). Questions 1 to 8 were answered using scores from 1 (i.e., very dissatisfied) to 7 (i.e., very satisfied).
SecondaryMean Modified PASAPQ Performance ScoreFollowing dosing on Day 1 (Visit 2) and Day 8 (Visit 3).
The PASAPQ is a validated multi-item measure of satisfaction and preference with inhaler devices; it was originally a 15-item questionnaire, with performance assessed over 7 items. The modified PASAPQ (mPASAPQ) has 10 questions, including only 4 from the performance domain; the 3 questions not included were dropped from the mPASAPQ as they were not applicable to patient population and device under study. Questions 1, 2, 6, and 7 were assessed, covering satisfaction with nebulizer reliability, ease of inhalation, use and treatment time. Although specified in the protocol, the mPASAPQ performance score was not summarized in the efficacy analysis. The results for each question are presented below, however it was not considered appropriate to analyze the performance domain, as it is not possible to verify the validity of the questionnaire utilising only 4 of the original 7 questions. Questions were answered using scores from 1 (i.e., very dissatisfied) to 7 (i.e., very satisfied).
SecondaryMean Modified PASAPQ Satisfaction Score (Q9).Following dosing on Day 1 (Visit 2) and Day 8 (Visit 3).
The PASAPQ is a validated multi-item measure of satisfaction and preference with inhaler devices. The modified PASAPQ consists of 10 questions. Question 9 asks for overall satisfaction with the device(s) used in the trial. Question 9 was answered using scores from 1 (i.e., very dissatisfied) to 7 (i.e., very satisfied).
SecondaryMean Modified PASAPQ Score Indicating Willingness to Continue With the Device (Q10).Following dosing on Day 1 (Visit 2) and Day 8 (Visit 3).
The PASAPQ is a validated multi-item measure of satisfaction and preference with inhaler devices. The modified PASAPQ consists of 10 questions. Question 10 asks about willingness to continue with the device(s) used in the trial. Parents/legal guardians were asked to indicate how willing they would be for their child to use the nebulizer used during the study, providing a number between 0 (unwilling) and 100 (willing).

Outcomes16

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAUClast of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).Pharmacokinetic set included 13 (76%) subjects.pg*hr/mLMEAN
PRIMARYAUCinf of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).Pharmacokinetic set included 13 (76%) subjects.pg*hr/mLMEAN
PRIMARYCmax of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).Pharmacokinetic set included 13 (76%) subjects.pg/mLMEAN
PRIMARYTmax of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).Pharmacokinetic set included 13 (76%) subjects.hoursMEDIAN
PRIMARYTlast of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).Pharmacokinetic set included 13 (76%) subjects.hoursMEAN
PRIMARYT1/2 of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).Pre-dose, and at 20 minutes, 40 minutes, 1.5, 3, 4, 6 and 8 hours after start of nebulization on Day 1 (Visit 2) and Day 8 (Visit 3).Pharmacokinetic set included 13 (76%) subjects.hoursMEAN
SECONDARYMean Modified Patient Satisfaction and Preference Questionnaire (PASAPQ) Total Score (Q1 to Q8).Following dosing on Day 1 (Visit 2) and Day 8 (Visit 3).Safety set included 15 (88%) subjects who received at least one dose of study treatment.percentage of maximum total scoreMEAN
SECONDARYMean Modified PASAPQ Performance ScoreFollowing dosing on Day 1 (Visit 2) and Day 8 (Visit 3).
Although specified in the protocol, mPASAPQ performance score wasn't summarized in the efficacy analysis as 3 questions were dropped from the PASAPQ that were not applicable. This change from the protocol-planned analysis was described in the SAP, finalized before DB lock. Individual scores for the 4 remaining performance questions are presented.
scores on a scaleMEAN
SECONDARYMean Modified PASAPQ Satisfaction Score (Q9).Following dosing on Day 1 (Visit 2) and Day 8 (Visit 3).Safety set included 15 (88%) subjects who received at least one dose of study treatment.scores on a scaleMEAN
SECONDARYMean Modified PASAPQ Score Indicating Willingness to Continue With the Device (Q10).Following dosing on Day 1 (Visit 2) and Day 8 (Visit 3).Safety set included 15 (88%) subjects who received at least one dose of study treatment.scores on a scaleMEAN

Results by group80

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

OutcomeGroupCategoryValueSpreadUnits
AUClast of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).A - 5 Breaths VR647120.7Standard Deviation 20.498pg*hr/mL
AUClast of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).B - 10 Breaths VR647327.5Standard Deviation 119.49pg*hr/mL
AUClast of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).C - 20 Breaths VR647759.5Standard Deviation 311.79pg*hr/mL
AUClast of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).D - Pulmicort1357Standard Deviation 564.06pg*hr/mL
AUCinf of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).A - 5 Breaths VR647138.3Standard Deviation 25.189pg*hr/mL
AUCinf of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).B - 10 Breaths VR647326.2Standard Deviation 116.09pg*hr/mL
AUCinf of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).C - 20 Breaths VR647737.1Standard Deviation 313.27pg*hr/mL
AUCinf of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).D - Pulmicort1492Standard Deviation 707.99pg*hr/mL
Cmax of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).A - 5 Breaths VR64771.25Standard Deviation 9.5776pg/mL
Cmax of Plasma Budesonide (VR647 Inhalation Suspension Delivered by the VR647 Inhalation System or Pulmicort Respules Delivered by a Conventional Jet Nebulizer).B - 10 Breaths VR647179.7Standard Deviation 79.442pg/mL

Participant flow108

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

PeriodMilestoneGroupParticipantsUnits counted
First Intervention (Day 1, Visit 2)STARTEDAB - VR647 5 Breaths, Then VR647 10 Breaths1
First Intervention (Day 1, Visit 2)STARTEDAC - VR647 5 Breaths, Then VR647 20 Breaths3
First Intervention (Day 1, Visit 2)STARTEDAD - VR647 5 Breaths, Then Pulmicort1
First Intervention (Day 1, Visit 2)STARTEDBA - VR647 10 Breaths, Then VR647 5 Breaths1
First Intervention (Day 1, Visit 2)STARTEDBC - VR647 10 Breaths, Then VR647 20 Breaths3
First Intervention (Day 1, Visit 2)STARTEDBD - VR647 10 Breaths, Then Pulmicort1
First Intervention (Day 1, Visit 2)STARTEDCA - VR647 20 Breaths, Then VR647 5 Breaths1
First Intervention (Day 1, Visit 2)STARTEDCB - VR647 20 Breaths, Then VR647 10 Breaths1
First Intervention (Day 1, Visit 2)STARTEDCD - VR647 20 Breaths, Then Pulmicort1
First Intervention (Day 1, Visit 2)STARTEDDA - Pulmicort, Then VR647 5 Breaths2

Adverse events15

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNauseaGastrointestinal disordersA - 5 Breaths VR647171
otherNauseaGastrointestinal disordersB - 10 Breaths VR647080
otherNauseaGastrointestinal disordersC - 20 Breaths VR647060
otherNauseaGastrointestinal disordersD - Pulmicort070
otherNauseaGastrointestinal disordersOverall Treatment1151
otherVomitingGastrointestinal disordersA - 5 Breaths VR647171
otherVomitingGastrointestinal disordersB - 10 Breaths VR647080
otherVomitingGastrointestinal disordersC - 20 Breaths VR647060
otherVomitingGastrointestinal disordersD - Pulmicort070
otherVomitingGastrointestinal disordersOverall Treatment1151

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityA - 5 Breaths VR64707
Total, all-cause mortalityB - 10 Breaths VR64708
Total, all-cause mortalityC - 20 Breaths VR64706
Total, all-cause mortalityD - Pulmicort07
Total, all-cause mortalityOverall Treatment015
Total, other adverse eventsA - 5 Breaths VR64717
Total, other adverse eventsB - 10 Breaths VR64718
Total, other adverse eventsC - 20 Breaths VR64716
Total, other adverse eventsD - Pulmicort07
Total, other adverse eventsOverall Treatment215

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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 comparisons0

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

None in this release.

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/NCT03421730

GET https://conductscience.org/api/trials/v1/NCT03421730/results?page=2