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CTRI Number  CTRI/2009/091/000562 [Registered on: 17/02/2010]
Last Modified On: 16/05/2020
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Single Arm Study 
Public Title of Study
Modification(s)  
Study to investigate real life effectiveness of Symbicort Maintenance and Reliever Therapy in Asthma patients across Asia.  
Scientific Title of Study
Modification(s)  
Real life Effectiveness of Symbicort Maintenance and Reliever Therapy (SMART) in Asthma Patients across Asia: SMARTASIA  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
D5890L00035  Protocol Number 
NCT00939341  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Parthiv Mehta 
Designation  Medical Director 
Affiliation   
Address  Sidhhachal Complex, Near TV Tower
Drive in Road
Ahmadabad
GUJARAT
380054
India 
Phone  91-9825031615  
Fax  91-79-2685-7040  
Email  parthivmehta@hotmail.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Ramesh Jagannathan 
Designation  Director - Clinical Research 
Affiliation   
Address  AstraZeneca Pharma India Ltd
Avishkar P B No. 2483, Off Bellary Road, Hebbal
Bangalore
KARNATAKA
560024
India 
Phone  91-80-6774-8515  
Fax  91-80-2362-2052  
Email  Ramesh.Jagannathan@astrazeneca.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Ramesh Jagannathan 
Designation  Director - Clinical Research 
Affiliation   
Address  AstraZeneca Pharma India Ltd
Avishkar P B No. 2483, Off Bellary Road, Hebbal
Bangalore
KARNATAKA
560024
India 
Phone  91-80-6774-8515  
Fax  91-80-2362-2052  
Email  Ramesh.Jagannathan@astrazeneca.com  
 
Source of Monetary or Material Support
Modification(s)  
AstraZeneca Pharma India Ltd., "Avishkar", P.B. No 2483, off Bellary Road, Hebbal; Bangalore - 560024 
 
Primary Sponsor
Modification(s)  
Name  AstraZeneca Singapore Pte Ltd 
Address  8 Wilkie Road #07-01 Wilkie Edge Singapore 228095 Regional Office - 7 Temasek Boulevard #28-01, Suntec Tower One, Singapore 038987 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
AstraZeneca Pharma India Ltd  Block N1, 12th Floor, Manyata Embassy Business Park, Rachenahalli, Outer Ring Road, Bangalore – 560045, India 
NIL   
 
Countries of Recruitment
Modification(s)  
  India
Thailand
Indonesia
China  
Sites of Study  
No of Sites = 12  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr. S. Dinesh  Bangalore Clinisearch  No 416,4th cross, 2nd Block,Kalyan Nagar-560043
Bangalore
KARNATAKA 
+91 80 25450070

bhaktha.dinesh@gmail.com 
Nagendra Prasad K.V  Bengaluru Allergy & Immunology Research Foundation  #1/2, 1st Cross, CSI Compound,Mission Road-560027

 
9844006879

ballergy@yahoo.co.uk 
Dr. S. Nagarajan  Coimbatore Chest Clinic  M. S. S. Memorial Building, Opp. Savitha Hall,D. B. Road, R. S. Puram-641 002
Coimbatore
TAMIL NADU 
+91 9443055740

nagrajsri@gmail.com 
Dr. Rajendra Mehta  Dr. Mehta's Allergy and Asthma Care and Research Centre  107, Asawa Chambers,Sapna-Sangeeta Road-452001
Indore
MADHYA PRADESH 
+91 731 2468737

drrajendramehta@hotmail.com 
Mrinal Sircar  Fortis Hospital  B-22, Sector 62,Noida-201301

 
9871292226

mrinalsircar@yahoo.co.uk 
Vijil Rahulan  Global Hospitals and Health City  439, Cheran Nagar,Perumbakkam-600100
Chennai
TAMIL NADU 
9884378289

vkrahulan@yahoo.com 
Dr. Pradhyut Waghray   Kunal Institute of Medical Specialities Pvt. Ltd.  #5-9-41/1/A, New MLA Quarters Lane,Basheerbagh-500 029
Hyderabad
ANDHRA PRADESH 
9246531036

kimschest@rediffmail.com 
Parthiv Mehta  Mehta's Hospital  Sidhhachal Complex, Near TV Tower,Drive in Road, Thaltej-380054
Ahmadabad
GUJARAT 
9825031615

parthivmehta@hotmail.com  
Jayachandra  Ramamurthy Hospital  A K J Chest Clinic,3-6-147,Himayath Nagar-500029
Hyderabad
ANDHRA PRADESH 
9848013254

jayachandraa@hotmail.com 
Vijayalakshmi T  Sri Ramachandra Medical Center  Sri Ramachandra University Campus,Porur-600116
Chennai
TAMIL NADU 
9840112099

drvthanasekaraan@yahoo.com 
H S Dhumra  Sterling Hospital Road  Memnagar,-380 052
Ahmadabad
GUJARAT 
9825023160

drdumra@yahoo.co.in 
BP Singh  Surya Chest Foundation   16/1326,Indira Nagar-226016

 
9415011669

bps2159@yahoo.com;  
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 12  
Name of Committee  Approval Status 
Apex Independent Ethics Committee  Approved 
Bangalore Central Ethics Committee  Approved 
Cerebral Independent Review Board-Hyderabad For Human Research  Approved 
Ethics Committee, Bengaluru Allergy Centre  Approved 
Fortis Hospital Institutional Review Board  Approved 
Independent Ethics committee of Lucknow  Approved 
Institutional Ethics Committee Coimbatore Chest Clinic  Approved 
Institutional Ethics Committee(IEC), Global Hospitals and Health City  Approved 
Institutional Ethics Committee, Sri Ramachandra Medical Center  Approved 
Safe Search Independent Ethics Committee  Approved 
Sameeksha Independent Ethics Committee  Approved 
Sterling hospital Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Asthma, (1) ICD-10 Condition: J459||Other and unspecified asthma,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  Symbicort Turbuhaler   Turbuhaler 160/4.5 µg delivered dose  
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  - Provision of signed informed consent.
- Asthma diagnosis at least 6 months before visit 1 of study
- Patients who have reversible airway obstruction continuous asthma treatment except Symbicort at least within 4 weeks before visit 1 of study  
 
ExclusionCriteria 
Details  - Known or suspected allergy to active ingredients of study medication or excipients - Use of oral, rectal or parenteral glucocorticosteroids 30 days before visit 1 of study - Smoking, current or previous with a smoking history of ≥10 pack years 
 
Method of Generating Random Sequence
Modification(s)  
Not Applicable 
Method of Concealment
Modification(s)  
Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking
Modification(s)  
Open Label 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
Change in Asthma Control Questionnaire (ACQ(5)) score from baseline at a regional level  At initiate study treatment visit with 3 further visits at 4, 8 and 12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Change in ACQ (5) score from baseline at country level  At initiate study treatment visit with 3 further visits at 4, 8 and 12 weeks 
Change in Asthma Quality of Life Questionnaire, standardized version (AQLQ (S)) domain and overall scores from baseline  At initiate study treatment visit with 3 further visits at 4, 8 and 12 weeks 
Study medication use (maintenance and reliever) in Diary Cards  At initiate study treatment visit with 2 further visits at 4 and 8 weeks 
 
Target Sample Size
Modification(s)  
Total Sample Size="1150"
Sample Size from India="180" 
Final Enrollment numbers achieved (Total)= "867"
Final Enrollment numbers achieved (India)="162" 
Phase of Trial
Modification(s)  
Phase 4 
Date of First Enrollment (India)
Modification(s)  
18/12/2009 
Date of Study Completion (India) 14/07/2010 
Date of First Enrollment (Global)  10/07/2009 
Date of Study Completion (Global) 19/08/2010 
Estimated Duration of Trial
Modification(s)  
Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
NA 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
The propose of this study is to compare whether Symbicort Maintence & Reliever Therapy (SMART) is more effective in uncontrolled asthmatic patients than their current therapy in a real life situation. Of 1150 patients planned regionally for the study, India enrolled 176 patients in the study. 
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