placebo reported feeling their study medication begin to work right away (P
less than or equal to .004; end of week 1).(1) Similar results (P<.001)
were observed for patients' satisfaction with how quickly they felt their
medication begin to work (except for SYMBICORT versus budesonide pMDI in
Study 1 [P=.073]).(1) The results seen at the end of treatment were similar
to those demonstrated at randomization.(1) Patient perception of onset of
effect of SYMBICORT and formoterol DPI were similar.(1)
In both studies, the majority of reported adverse events were mild or
moderate in intensity.(3,4) The most common adverse events reported in
Study I were headache, upper respiratory tract infection and
nasopharyngitis, also known as the common cold.(3) The most common adverse
events reported in Study II were nasopharyngitis, headache and
pharyngolaryngeal pain.(4)
About the Design of Study I and Study II
Onset of bronchodilation and patient perception of onset of effect was
assessed in two 12-week randomized, double-blind, placebo-controlled
studies in asthma patients who were previously treated with inhaled
corticosteroids (ICS),(1) either alone or in combination with other asthma
maintenance therapy. Study I involved 596 patients ages 12 years and older
with moderate to severe persistent asthma; Study II involved 480 patients
ages 12 years and older with mild to moderate persistent asthma.(1) Each
study included a two-week run-in period during which patients discontinued
use of their current asthma therapy and received single-blind budesonide
pMDI 80 micrograms (mcg) two inhalations twice-daily (Study I) or placebo
(Study II) and albuterol as needed for rescue.(1)
After run-in, patients within Study I were randomized to receive
treatment with two inhalations twice-daily of SYMBICORT 160/4.5 mcg, two
inhalations twice-daily of budesonide pMDI 160 mcg + two inhalations
twice-daily of formoterol DPI 4.5 mcg, two inhalations twice-daily of
budesonid
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