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Study Analyzed Long-term Symbicort Use In Children With Persistent Asthma - Well Tolerated In 26-Week Study

April 23rd, 2008

A widespread gain knowledge of analyzed long-term implement of the repairs juxtaposition asthma treatment, SYMBICORT� (budesonide/formoterol fumarate dihydrate), inwardly extravagance demanding asthma in brood 6 to 11 years antiquated. The study examine the safekeeping of SYMBICORT in children in bracket of 26 weeks and also built-in efficacy measures. For children in faster times treat beside inhale corticosteroid, any alone or in combination, the study show that long-term use with SYMBICORT resulted in decisively greater improvements in lung corner the market and reduced healthcare resource utilization, compare with budesonide desiccate speck inhaler (DPI) alone. In the study, SYMBICORT also grab a safety profile related to its monocomponent, budesonide, which be an conceded asthma medication children`s. Results be presented today at the American Academy of Allergy, Asthma & Immunology Annual Meeting held in Philadelphia, March 14-18, 2008.

“According to the NIH Guidelines, combination therapy is recommended for children whose asthma is not properly controlled with inhaled corticosteroids alone,” said head investigator Jeffrey Leflein, MD, Allergy & Immunology Associates of Ann Arbor, Michigan.

The study defined resource utilization evenly and long-windedly. Direct utilization be defined by means of pressing contemplation center visit in the red to asthma, unscheduled healthcare provider visits, unscheduled phone call to physician and hospitalizations due to serious adverse business. Indirect utilization was defined as days children were not sufficiently expert to assist in accomplishments, days caregivers abstain from donkey work due to their child’s asthma and caregivers’ days interrupted.

AstraZeneca (NYSE:AZN) anticipates report a supplemental new linctus contention with the Food and Drug Administration for the pediatric demo of SYMBICORT in the unproved moderately of 2008.

About the Studies (Abstracts #28 and #597) Long-term safety was review during a 26-week multicenter, randomized, open-label study that weigh against 186 children ages 6 to 11 years old with persistent asthma that were previously treated with inhaled corticosteroid, either alone or in combination. After one week in aversion their floating ICS therapy, 123 patients were randomized to receive treatment with two inhalations twice-daily SYMBICORT (budesonide/formoterol pressurized metered-dose inhaler (pMDI)) 160/4.5 micrograms (µg), and 63 were randomized to receive two inhalations twice-daily budesonide dry powder inhaler (DPI) 160 µg.

Predose guarded expiratory tome in one second (FEV1) - how via a protracted chalk air a personality can exhale during a forced breath in the first second of exhalation, which is a mull completed of airflow and is reduced with airflow snarl-up - was measured at randomization (baseline) and weeks 2, 12 and 26. Caregivers report resource utilization weekly. Safety pondering included adverse events, 24-hour urinary cortisol (nmol/24 h) and ecological read-through, with amend from baseline to the back of treatment in echelon (cm).

Results showed that anticipate change in predose FEV1 were significantly greater for SYMBICORT versus budesonide. In enclosure, the percentage of patients reception SYMBICORT (3.3%) who had at lowest one urgent care call round was significantly demean compared with patients using budesonide (11.1%) (p0.05), and the percentage of patients using SYMBICORT (29.3%) who worldly learned a reduced amount of days unable to participate in daylight after day activities was significantly lower compared with patients using budesonide (44.4%). In both group, unscheduled visits and headset calls to healthcare provider, use of concomitant asthma medication and interrupted caregiver days were similar. Hospitalizations were sprint hair in both groups.

Results also found that SYMBICORT was powerfully put uphill with over 26 weeks with a similar safety profile to budesonide. The percentage of patients tabloid inscription any adverse events was similar for SYMBICORT (84.6%) and budesonide (85.7%). Most adverse events reported were moderate or temper in brightness and observe not lead to discontinuation. The amount of drug-related adverse events was low and similar with both SYMBICORT (4.9%) and budesonide (6.3%). The fastest undivided adverse events reported were headache, upper respiratory tract smog and nasopharyngitis, also specified as the common chill.

About SYMBICORT SYMBICORT is a combination therapy designate for the long-term maintenance treatment of asthma in patients 12 years of age and elder. Administered twofold daily, SYMBICORT is a combination of two proven asthma medications - budesonide, an inhaled corticosteroid (ICS), and formoterol, a nippy and long-acting beta2-agonist (LABA). SYMBICORT do not replace fast-acting inhalers and should not be previously own to treat acute symptom of asthma.

Important Safety Information Long acting beta2-adrenergic agonists may whet the venture of asthma-related destruction. Therefore, when treating patients with asthma, SYMBICORT should simply be used for patients not adequately controlled on other asthma-controller medications (e.g., low-to-medium dose inhaled corticosteroids) or whose illness inflexibility unambiguously warrant launching of treatment with two maintenance therapy. Data from a big placebo-controlled U.S. study compared the safety of another long-acting beta2-adrenergic agonist (salmeterol) or placebo added to usual asthma therapy showed an increase in asthma-related death in patients receiving salmeterol. This finding with salmeterol may apply to formoterol (a long-acting beta2-adrenergic agonist), one of the live in element in SYMBICORT.

SYMBICORT is not indicated for the relief of acute bronchospasm.

SYMBICORT should not be initiate in patients during hastily waning or potentially life-threatening part of asthma.

Particular care is needed for patients who be rearrangement from systemically active corticosteroids. Deaths due to adrenal deficiency have materialize in asthmatic patients during and after transfer from systemic corticosteroids to smaller digit systemically going spare inhaled corticosteroids.

Patients who are receiving SYMBICORT twice daily should not use secondary formoterol or other long-acting inhaled beta2-agonists for any drive.

Common adverse events reported in clinical action, occurring in 5 percent of patients, regardless of union to treatment, including nasopharyngitis, headache, upper respiratory tract infection, pharyngolaryngeal pain, sinusitis, and tummy discomfort.

For exhaustive Prescribing Information, oblige visit About AstraZeneca AstraZeneca is a highest transnational healthcare conglomerate affianced in the research, refurbishment, engineering and marketing of evocative prescription drug and outlet for healthcare services. AstraZeneca is one of the world’s former pharmaceutical camaraderie with healthcare sale of $29.55 billion and is a perspective in gastrointestinal, cardiovascular, neuroscience, respiratory, oncology and contagious disease medicines. In the United States, AstraZeneca is a $13.35 billion dollar healthcare business with 12,200 unit committed to tightness people’s live. AstraZeneca is timetabled in the Dow Jones Sustainability Index (Global) moreover as the FTSE4Good Index.

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