AsthmaPhase 4NCT00296491
Study Of Allergic Rhinitis In Patients Who Also Have Asthma
A Phase 4 study testing fluticasone propionate/salmeterol (FSC), montelukast (MON) and fluticasone propionate (FP) in people with Asthma, run by GlaxoSmithKline at 121 sites in 4 countries.
Trial summary
This study will last up to 6 weeks. Subjects will visit the clinic up to 5 times. Certain clinic visits will include a physical examination, medical history review, and lung function tests. All study related medications and medical examinations will be provided at no cost to the subject. Read more about this study
- Who is it for?
- Ages 15 years and older
- Conditions the study is for
- Asthma
- What is being tested?
- fluticasone propionate/salmeterol (FSC), montelukast (MON) and fluticasone propionate (FP)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 725 participants
- Where
- 121 sitesin 4 countries
- Study dates
- Sep 2005to Oct 2007
- Phase
- Phase 4
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 15 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- A subject will be considered eligible for inclusion in this study only if all of the following criteria apply:
- Consent: A signed and dated written informed consent must be obtained from the subject or subject's legally acceptable representative prior to study participation. An informed consent must be signed prior to any change in the subject's medication regimen, including withholding medications prior to Visit 1.
- Gender: Male or female. Females are eligible to participate only if they are currently not pregnant and not lactating. Females of child-bearing potential will be required to use a highly effective method for avoiding pregnancy (i.e., contraception with a failure rate of <1% per year). Female subjects of child-bearing potential will undergo a urine pregnancy test at Visits 1, 2, 3, and 4. Any female who becomes pregnant during the study will be withdrawn. Female subjects should not be enrolled if they plan to become pregnant during the time of study participation.
- Age: 15 years and older.
- Asthma Diagnosis: A diagnosis of persistent asthma, for at least three months, as defined by the following American Thoracic Society definition:
- Asthma is a clinical syndrome characterized by increased responsiveness of the tracheobronchial tree to a variety of stimuli. The major symptoms of asthma are paroxysms of dyspnea, wheezing, and cough, which may vary from mild and almost undetectable to severe and unremitting (status asthmaticus). The primary physiological manifestation of this hyperresponsiveness is variable airway obstruction. This can take the form of spontaneous fluctuations in the severity of obstruction, substantial improvements in the severity of obstruction following bronchodilators or corticosteroids, or increased obstruction caused by drugs or other stimuli [American Thoracic Society, 1987a].
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- NOTE: Intermittent and seasonal asthma, as well as exercise-induced bronchospasm alone, are excluded.
- Asthma Therapy: 3 months' prior and current use of one of the following asthma therapies, with no change in regimen during the month prior to Visit 1:
- Scheduled or as-needed inhaled or oral short-acting beta2-agonist (SABA). Subjects must be able to replace their current short-acting beta2-agonist with albuterol/salbutamol, to be used only on an as-needed basis for the duration of the study.
- Allowed non-corticosteroid controller therapy (e.g., anticholinergics and cromolyn).
- One of the following inhaled corticosteroids taken at the corresponding daily dose:
- criteria.
- Inhaled Corticosteroid (Total Daily Dose) Beclomethasone dipropionate (≤420mcg) Beclomethasone dipropionate HFA (≤240mcg) Budesonide (≤400mcg) Flunisolide (≤1000mcg) Fluticasone propionate inhalation aerosol (≤220mcg) Fluticasone propionate inhalation powder (≤250mcg) Mometasone furoate (≤220mcg) Triamcinolone acetonide (≤1000mcg) Subjects taking ADVAIR 100/50mcg BID are eligible to replace ADVAIR with FLOVENT HFA 110mcg BID for 14 days prior to Visit 1. This change will be at the Investigator's clinical discretion, taking each individual's current and past asthma stability into account. The subject must be aware of the risks and benefits of switching their medication and acknowledge this by signing an informed consent prior to any change in the subject's medication regimen.
- Asthma Severity: An FEV1 between 65% - 95% of predicted value at Visit 1 after withholding asthma medications as detailed in the protocol.
- At Visit 2, subjects must also be experiencing minimum asthma symptoms as defined in Section 5.2.3, "Randomization Criteria", and in Section 6.2 of the protocol.
- Predicted FEV1 will be based on the National Health and Nutrition Examination Survey (NHANES III) predicted normal values [Hankinson, 1999].
- Rhinitis Diagnosis: A diagnosis of seasonal allergic rhinitis defined as follows:
- A clinical history (written or verbal confirmation) of allergic rhinitis with the seasonal onset and offset of nasal allergy symptoms during each of the previous 2 relevant allergy seasons (captured in source documents only).
- AND •A positive skin test reaction to a geographically relevant seasonal allergen, as determined by the skin prick method, within 24 months prior to or at Visit 1.
- For the purposes of this study, a positive skin test reaction is defined as a wheal diameter that is at least 3mm greater than diluent control using 1:20 W:V glycerinated solution.
- •At Visit 2, subjects must also be experiencing minimum rhinitis symptoms as defined in Section 5.2.3, "Randomization Criteria", and in Section 6.2 of the protocol.
- Geographical Location: Active residence within a geographical region where exposure to a relevant seasonal allergen is expected to be significant during the entire study period.
- Note: The principal investigator is responsible for tracking and recording pollen counts for geographically relevant seasonal allergens throughout the entire study. Alternatively, this information may be obtained from a reputable source from within the same geographical area.
Who cannot join
- A subject will not be eligible for inclusion in this study if any of the following criteria apply:
- Currently Diagnosed with Life-Threatening Asthma: An episode or episodes of asthma requiring intubation associated with hypercapnia, respiratory arrest, or hypoxic seizures.
- Asthma Instability: Hospitalization for asthma within 6 months of Visit 1.
- Concurrent Respiratory Disease: Current evidence of pneumonia, pneumothorax, atelectasis, pulmonary fibrotic disease, chronic bronchitis, emphysema, or any other respiratory abnormalities other than asthma.
- Nasal Obstruction: Severe physical obstruction of the nose (e.g., deviated septum) that could affect the deposition of double-blind intranasal study drug.
- Nasal History: History of nasal septal perforation or recent nasal septal surgery.
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- Other Concurrent Conditions/Diseases: Any evidence of rhinitis medicamentosa, history of glaucoma and/or cataracts or ocular herpes simplex, or any clinically significant, uncontrolled condition or disease state that, in the opinion of the investigator, would put the safety of the subject at risk through study participation or would confound the interpretation of the results if the condition/disease exacerbated during the study.
- The list of additional excluded conditions/diseases includes, but is not limited to: cardiac arrhythmias; congestive heart failure; coronary artery disease; poorly controlled diabetes, poorly controlled hypertension, poorly controlled peptic ulcer, hematologic, hepatic, or renal disease; immunologic compromise; current malignancy; current or quiescent tuberculosis, and Cushing's or Addison's disease.
- Drug Allergy: Any immediate or delayed hypersensitivity to any beta2-agonist, sympathomimetic drug, leukotriene modifier, or any intranasal, inhaled, or systemic corticosteroid therapy, or sensitivity to aspirin or other NSAIDS. Subjects with severe milk protein allergies are also excluded from participation.
- Respiratory Tract Infections: Any sinus, middle ear, oropharyngeal, upper or lower respiratory tract infection that has not resolved at least 14 days immediately preceding Visit 1, or for which antibiotic therapy has not been completed at least 14 days prior to Visit 1.
- Concurrent Medications: Concurrent use of any of the following medications that may affect the course of asthma, rhinitis, or interact with sympathomimetic amines or montelukast.
- Beta-blockers
- tricyclic antidepressants
- monoamine oxidase inhibitors
- phenobarbital
- rifampin
- ritonavir
- ketoconazole
- Systemic Corticosteroids: Use of oral or parenteral systemic corticosteroids within 28 days of Visit 1, or requirement for more than two courses of parenteral systemic corticosteroids for asthma within 6 months of Visit 1.
- NOTE: Topical hydrocortisone cream or ointment (1% or less) is permitted during the study.
- Excluded Rhinitis Medications: The following rhinitis medications must be withheld during the corresponding "exclusion period" prior to Visit 1 and are not allowed any time during the study, unless dispensed as double-blind study drug:
- Medication (Exclusion Period Prior to Visit 1) Intranasal and ocular corticosteroids (28 days) Leukotriene modifiers (e.g., Singulair, Accolate, Zyflo) (28 days) Intranasal and ocular cromolyn (14 days) Long-acting antihistamines (e.g., loratadine, cetirizine) (10 days) Short-acting antihistamines (includes prescription and OTC) (72 hours) Oral and intranasal decongestants (72 hours) Intranasal anticholinergics (e.g., Atrovent) (24 hours)
- Excluded Asthma Medications: The following asthma medications must be withheld during the corresponding "exclusion period" prior to Visit 1.
- These asthma medications, with the exception of an inhaled corticosteroid/long-acting beta2-agonist combination product and Xolair, may be continued during the run-in period of the study (between Visits 1 and 2), but must be withheld prior to Visit 2 for the appropriate "exclusion period" as shown below.
- These asthma medications are not allowed any time after randomization at Visit 2 (with the exception of as as-needed rescue albuterol/salbutamol), unless dispensed as double-blind study drug:
- Medicationª (Exclusion Period Prior to Visit 1 and/or Visit 2) Inhaled corticosteroid/long-acting beta2-agonist combination product (e.g., ADVAIR) (14 days) Inhaled anticholinergics (e.g., Atrovent, Combivent, Spiriva) (24 hours) Theophylline products (48 hours) Inhaled cromolyn or nedocromil (24 hours) Inhaled corticosteroids (12 hours) Long-acting beta2-agonists (e.g., Foradil, SEREVENT™) (14 days) Oral beta2-agonists (12 hours) Inhaled short-acting beta2-agonists^b (e.g., Proventil) (6 hours) Xolair (12 months)
- For the leukotriene modifier "exclusion period" prior to Visit 1, refer to Exclusion Criterion 11.
- Replaced at Visit 1 with albuterol/salbutamol.
- Ophthalmic preparations: Use of artificial tears, eyewashes, homeopathic preparations, irrigation solutions, lubricants, sympathomimetic preparations, vasoconstrictors, or combinations of any of the aforementioned products during the study.
- Immunosuppressive Medications: Use of immunosuppressive medications during the study.
- NOTE: Immunotherapy for the treatment of allergies is allowed during the study, provided that it was not initiated within 30 days of Visit 1, the dose has remained fixed over the 30 days prior to Visit 1, and the dose will remain fixed for the duration of the study.
- Positive Pregnancy Test: A positive pregnancy test at Visit 1.
- Tobacco Use: Greater than a 10 pack-year history of cigarette smoking or use of any tobacco products within 1 year of Visit 1. This includes cigarettes, cigars, pipe, chewing tobacco, and snuff.
- Note: Pack years = number of cigarettes smoked per day divided by 20, multiplied by the number of years of smoking.
- Questionable Validity of Consent: Any infirmity or disability that would limit the subject's consent or geographic location that would limit the compliance for scheduled visits.
- Investigational Medications: Use of any investigational drug within 30 days of Visit 1.
- 3rd shift/Nighttime employment: Any employment during the nighttime hours (10 p.m. - 6 a.m.) or 3rd shift.
- Site affiliation: Participation of anyone associated with the administration of the study or their immediate family members
Trial locations and contacts
121 sites in 4 countries.
121 sites in 4 countries
United States104 sites
GSK Investigational Site
Albany, Georgia, 31707
GSK Investigational Site
Asheville, North Carolina, 28801
GSK Investigational Site
Atlanta, Georgia, 30342
GSK Investigational Site
Austin, Texas, 78750
GSK Investigational Site
Baltimore, Maryland, 21236
GSK Investigational Site
Baton Rouge, Louisiana, 70808
GSK Investigational Site
Bend, Oregon, 97701
GSK Investigational Site
Berkeley, California, 94705
GSK Investigational Site
Birmingham, Alabama, 35209
GSK Investigational Site
Boulder, Colorado, 80304
GSK Investigational Site
Brandon, Florida, 33511
GSK Investigational Site
Canton, Ohio, 44718
GSK Investigational Site
Charleston, South Carolina, 29407
GSK Investigational Site
Charleston, South Carolina, 29414
GSK Investigational Site
Chattanooga, Tennessee, 37421
GSK Investigational Site
Chicago, Illinois, 60612
GSK Investigational Site
Cincinnati, Ohio, 45242
GSK Investigational Site
Colorado Springs, Colorado, 80907
GSK Investigational Site
Columbus, Georgia, 31904
GSK Investigational Site
Coral Gables, Florida, 33134
GSK Investigational Site
Covington, Louisiana, 70433
GSK Investigational Site
Dallas, Texas, 75230
GSK Investigational Site
Dallas, Texas, 75231-4307
GSK Investigational Site
Dallas, Texas, 75240
GSK Investigational Site
Dallas, Texas, 75246
GSK Investigational Site
Danville, Virginia, 24541
GSK Investigational Site
El Paso, Texas, 79902
GSK Investigational Site
El Paso, Texas, 79925
GSK Investigational Site
Forked River, New Jersey, 08731
GSK Investigational Site
Fort Collins, Colorado, 80526
GSK Investigational Site
Gainesville, Georgia, 30501
GSK Investigational Site
Germantown, Tennessee, 38138
GSK Investigational Site
Glendale, Arizona, 85304
GSK Investigational Site
Greenville, South Carolina, 29607
GSK Investigational Site
Hot Springs, Arkansas, 71913
GSK Investigational Site
Houston, Texas, 77054
GSK Investigational Site
Houston, Texas, 77070
GSK Investigational Site
Huntington Beach, California, 92647
GSK Investigational Site
Indianapolis, Indiana, 46208
GSK Investigational Site
Iowa City, Iowa, 52242
GSK Investigational Site
Jackson, Mississippi, 39202
GSK Investigational Site
Jefferson City, Missouri, 65101
GSK Investigational Site
Kerrville, Texas, 78028
GSK Investigational Site
Kirkland, Washington, 98034
GSK Investigational Site
Knoxville, Tennessee, 37909
GSK Investigational Site
Lafayette, Louisiana, 70503
GSK Investigational Site
Lakewood, Colorado, 80401
GSK Investigational Site
Lawrenceville, Georgia, 30045
GSK Investigational Site
Lexington, Kentucky, 40536
GSK Investigational Site
Lincoln, Nebraska, 68505
GSK Investigational Site
Long Beach, California, 90806
GSK Investigational Site
Los Angeles, California, 90025
GSK Investigational Site
Louisville, Kentucky, 40215
GSK Investigational Site
Minneapolis, Minnesota, 55402
GSK Investigational Site
North Andover, Massachusetts, 01845
GSK Investigational Site
Ocala, Florida, 34471
GSK Investigational Site
Oklahoma City, Oklahoma, 73120
GSK Investigational Site
Omaha, Nebraska, 68124
GSK Investigational Site
Omaha, Nebraska, 68130
GSK Investigational Site
Omaha, Nebraska, 68131
GSK Investigational Site
Orangeburg, South Carolina, 29118
GSK Investigational Site
Overland Park, Kansas, 66210
GSK Investigational Site
Owensboro, Kentucky, 42301
GSK Investigational Site
Papillion, Nebraska, 68046
GSK Investigational Site
Parma, Ohio, 44129
GSK Investigational Site
Pensacola, Florida, 32504
GSK Investigational Site
Pittsburgh, Pennsylvania, 15241
GSK Investigational Site
Portland, Oregon, 97213
GSK Investigational Site
Providence, Rhode Island, 02906
GSK Investigational Site
Raleigh, North Carolina, 27607
GSK Investigational Site
Rancho Mirage, California, 92270
GSK Investigational Site
Richmond, Virginia, 23298
GSK Investigational Site
Riverside, California, 92506
GSK Investigational Site
Rochester, New York, 14618
GSK Investigational Site
Rolla, Missouri, 65401
GSK Investigational Site
Roseville, California, 95678
GSK Investigational Site
Salt Lake City, Utah, 84121
GSK Investigational Site
San Antonio, Texas, 78205
GSK Investigational Site
San Antonio, Texas, 78229
GSK Investigational Site
San Antonio, Texas, 78233
GSK Investigational Site
San Diego, California, 92103
GSK Investigational Site
San Diego, California, 92120
GSK Investigational Site
San Jose, California, 95117
GSK Investigational Site
San Jose, California, 95128
GSK Investigational Site
Savannah, Georgia, 31405
GSK Investigational Site
Savannah, Georgia, 31406
GSK Investigational Site
Savannah, Tennessee, 38372
GSK Investigational Site
Scottsdale, Arizona, 85251
GSK Investigational Site
Shreveport, Louisiana, 71105
GSK Investigational Site
Simpsonville, South Carolina, 29681
GSK Investigational Site
South Bend, Indiana, 46617
GSK Investigational Site
Spartanburg, South Carolina, 29303
GSK Investigational Site
Springfield, Illinois, 62704
GSK Investigational Site
St Louis, Missouri, 63141
GSK Investigational Site
Stockton, California, 95207
GSK Investigational Site
Summit, New Jersey, 07091
GSK Investigational Site
Sunset, Louisiana, 70584
GSK Investigational Site
Tallahassee, Florida, 32308
GSK Investigational Site
Tucson, Arizona, 85712
GSK Investigational Site
Upland, Pennsylvania, 19013
GSK Investigational Site
Vista, California, 92083
GSK Investigational Site
Waco, Texas, 76708
GSK Investigational Site
Warrensburg, Missouri, 64093
GSK Investigational Site
West Jordan, Utah, 84084
Canada11 sites
GSK Investigational Site
Ajax, Ontario, L1S 2J5
GSK Investigational Site
Brampton, Ontario, L6T 3T1
GSK Investigational Site
Greater Sudbury, Ontario, P3E 1H5
GSK Investigational Site
Kanata, Ontario, K2L 3C8
GSK Investigational Site
Mississauga, Ontario, L5A 3V4
GSK Investigational Site
Niagara Falls, Ontario, L2G 1J4
GSK Investigational Site
Ottawa, Ontario, K1N 6N5
GSK Investigational Site
Ottawa, Ontario, K2C 3R2
GSK Investigational Site
Québec, Quebec, G1V 4M6
GSK Investigational Site
Trois-Rivières, Quebec, G8T 7A1
GSK Investigational Site
Winnipeg, Manitoba, R3C 0N2
Poland4 sites
GSK Investigational Site
Bialystok, 15-025
GSK Investigational Site
Bialystok, 15-274
GSK Investigational Site
Krakow, 31-023
GSK Investigational Site
Lodz, 93-513
Estonia2 sites
GSK Investigational Site
Tallinn, 13419
GSK Investigational Site
Tartu, 51014
About this study
Official title: A Multicenter, Randomized, Double-Blind, Triple-Dummy, Placebo-Controlled, Parallel Group, Four-Week Study Assessing the Efficacy of Fluticasone Propionate Aqueous Nasal Spray 200mcg QD Versus Montelukast 10mg QD in Adolescent and Adult Subjects With Asthma and Seasonal Allergic Rhinitis Who Are Receiving ADVAIR DISKUS® 100/50mcg BID or Placebo BID
This study will last up to 6 weeks. Subjects will visit the clinic up to 5 times. Certain clinic visits will include a physical examination, medical history review, and lung function tests. All study related medications and medical examinations will be provided at no cost to the subject. The drugs used in this study are approved for the age group under study.
Read the detailed description
A Multicenter, Randomized, Double-Blind, Triple-Dummy, Placebo-Controlled, Parallel Group, Four-Week Study Assessing the Efficacy of Fluticasone Propionate Aqueous Nasal Spray 200mcg QD versus Montelukast 10mg QD in Adolescent and Adult Subjects with Asthma and Seasonal Allergic Rhinitis Who are Receiving ADVAIR DISKUS® 100/50mcg BID or Placebo BID
- Conditions
- Asthma
- Being tested
- fluticasone propionate/salmeterol (FSC), montelukast (MON), fluticasone propionate (FP), placebo nasal, ADVAIR DISKUS
- Keywords
- Allergic Rhinitis, Asthma
- Medical subject headings
- Asthma, Rhinitis, Allergic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
fluticasone propionate/salmeterol (FSC)Drug
fluticasone propionate/salmeterol DISKUS combination
montelukast (MON)Drug
montelukast capsule
fluticasone propionate (FP)Drug
fluticasone propionate aqueous nasal spray
placebo nasalDrug
vehicle placebo nasal spray
ADVAIR DISKUSDrug
ADVAIR DISKUS
placebo capsuleDrug
placebo capsule
placebo DISKUSDrug
placebo DISKUS
| Study group | Role | What they receive |
|---|---|---|
| Fluticasone Propionate/Salmeterol/Montelukast (FSC+MON) | Active comparator | Fluticasone propionate/salmeterol DISKUS combination product (FSC) twice daily (BID) plus vehicle placebo nasal spray once daily (QD) plus montelukast capsule 10mg (MON) QD Receives: Drug: fluticasone propionate/salmeterol (FSC); Drug: montelukast (MON); Drug: placebo nasal; Drug: ADVAIR DISKUS |
| Fluticasone Propionate/Salmeterol (FSC) | Active comparator | FSC BID plus vehicle placebo nasal spray QD plus placebo capsule QD Receives: Drug: fluticasone propionate/salmeterol (FSC); Drug: placebo nasal; Drug: ADVAIR DISKUS; Drug: placebo capsule |
| Fluticasone Prop/Salmeterol/Flut Prop Nasal Spray (FSC+FPANS) | Active comparator | Fluticasone propionate/salmeterol DISKUS combination product (FSC)100/50mcg BID plus fluticasone propionate aqueous nasal spray 200mcg (FPANS) QD plus placebo capsule QD Receives: Drug: fluticasone propionate/salmeterol (FSC); Drug: fluticasone propionate (FP); Drug: ADVAIR DISKUS; Drug: placebo capsule |
| Montelukast (MON) | Active comparator | Placebo DISKUS BID plus vehicle placebo nasal spray QD plus MON QD Receives: Drug: montelukast (MON); Drug: placebo nasal; Drug: placebo DISKUS |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Change From Baseline at Endpoint in Morning Peak Expiration Flow (PEF) for Intent-to-Treat Population
Endpoint was defined as the average of the data reported from the last week of treatment. Data collected by patient throughout the treatment period between visits. The peak expiratory flow rate measures how fast a person can breathe out (exhale) air. It is one of many tests that measure how well your airways work.
Measured: Baseline to Endpoint (weeks 3-4)
Mean Change From Baseline at Endpoint in Morning Peak Expiratory Flow (PEF) for Per Protocol Population
Endpoint was defined as the average of the data reported from the last week of treatment. Data collected by patient throughout the treatment period between visits. The peak expiratory flow rate measures how fast a person can breathe out (exhale) air. It is one of many tests that measure how well your airways work.
Measured: Baseline to Endpoint (weeks 3-4)
Secondary outcomes (8)
Rhinitis: Mean Change From Baseline at 1-2 Weeks in Daytime Total Nasal Symptom Scores (D-TNNS).
The sum of scores of each of the four daytime symptoms (nasal congestion, itching, rhinorrhea, and sneezing). Scale: 0=none (no sign/symptom evident)1=mild (sign/symptom clearly present; easily tolerated)2=moderate (definite awareness of sign/symptom that is bothersome but tolerable)3=severe (sign/symptom is hard to tolerate)
Measured: Baseline to 1-2 Weeks
Rhinitis: Mean Change From Baseline at 1-2 Weeks in Nightime Total Nasal Symptom Scores (N-TNSS)
The scores of 3 nighttime symptoms (nasal congestion upon awakening, difficulty going to sleep due to nasal symptoms, nighttime awakenings due to nasal symptoms). Scale: 0=not noticeable, 1=noticeable but not bothersome, 2=noticeable and bothersome some of the time, 3=bothersome most of the time and/or very bothersome some of the time.
Measured: Baseline To 1-2 Weeks
Asthma: Mean Change From Baseline at Endpoint in Predose Morning Forced Expiratory Volume (FEV1) for Intent-to-Treat Population
Endpoint was defined as the average of the last week's worth of evaluable data. The volume of air that can be forced out taking a deep breath, an important measure of pulmonary function. FEV1 is forced expiratory volume in one second.
Measured: Baseline to Endpoint (weeks 3-4)
Asthma: Mean Change From Baseline at Endpoint in Predose Morning Forced Expiratory Volume (FEV1) for Per Protocol Population
Endpoint was defined as the average of the last week's worth of evaluable data. The volume of air that can be forced out taking a deep breath, an important measure of pulmonary function. FEV1 is forced expiratory volume in one second.
Measured: Baseline to Endpoint (weeks 3-4)
Asthma: Mean Change From Baseline at Endpoint in Percentage of Asthma Symptom-Free Days for Intent-to-Treat Population
Endpoint was defined as the average of the data reported from the last week of treatment.Asthma symptom scores and the subject-rated overall satisfaction with treatment, related to the percentage of asthma symptom-free days. Same scale used as in outcome 8.
Measured: Baseline to Endpoint (weeks 3-4)
Asthma: Mean Change From Baseline at Endpoint in Percentage of Asthma Symptom-Free Days for Per Protocol Population
Asthma symptom score:0=no symptoms,1=symptoms 1 short period,2=symptoms 2 or more short periods,3=symptoms most of day not affect activities,4=symptoms most of day did affect activities,5=symptoms severe.Overall satisfaction score:0=very dissatisfied,1=dissatisfied,2=slightly dissatisfied,3=neutral,4=slightly satisfied,5=satisfied 6=very satisfied
Measured: Baseline to Endpoint (weeks 3-4)
Asthma: Mean Change From Baseline at Endpoint in Percentage of Albuterol-Salbutamol Free Days for Intent-to-Treat Population
Endpoint was defined as the average of the data reported from the last week of treatment. Albuterol/salbutamol use (related to percentage of asthma rescue-free days).
Measured: Baseline to Endpoint (weeks 3-4)
Asthma: Mean Change From Baseline at Endpoint in Percentage of Albuterol/Salbutamol-Free Days for Per Protocol Population
Endpoint was defined as the average of the data reported from the last week of treatment. Albuterol/salbutamol use (related to percentage of asthma rescue-free days).
Measured: Baseline to Endpoint (weeks 3-4)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Feb 2006 (estimated)
- Study startSep 2005
- Primary completionOct 2007
- Study completionOct 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for AsthmaStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 725 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00296491
- Sponsor's protocol ID
- ADA103575
- Status last verified
- Nov 2016
- First submitted
- 23 Feb 2006
- Last updated
- 16 Dec 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Individual data sharing
- Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
Publications
Katial RK, Oppenheimer JJ, Ostrom NK, Mosnaim GS, Yancey SW, Waitkus-Edwards KR, Prillaman BA, Ortega HG. Adding montelukast to fluticasone propionate/salmeterol for control of asthma and seasonal allergic rhinitis. Allergy Asthma Proc. 2010 Jan-Feb;31(1):68-75. doi: 10.2500/aap.2010.31.3306.
PubMed 20167147
Study at a glance
From the registry record, last updated by the sponsor on 16 Dec 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Triple-Dummy, Placebo-Controlled, Parallel Group, Four-Week Study Assessing the Efficacy of Fluticasone Propionate Aqueous Nasal Spray 200mcg QD Versus Montelukast 10mg QD in Adolescent and Adult Subjects With Asthma and Seasonal Allergic Rhinitis Who Are Receiving ADVAIR DISKUS® 100/50mcg BID or Placebo BID
- ClinicalTrials.gov ID
- NCT00296491
- Acronym / sponsor ID
- ADA103575
- Conditions
- Asthma
- Keywords
- Allergic Rhinitis, Asthma
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 725 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- Sep 2005
- Primary completion
- Oct 2007 (actual)
- Study completion
- Oct 2007 (actual)
- First posted
- 27 Feb 2006 (estimated)
- Results
- Posted 13 May 2009
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will last up to 6 weeks. Subjects will visit the clinic up to 5 times. Certain clinic visits will include a physical examination, medical history review, and lung function tests. All study related medications and medical examinations will be provided at no cost to the subject. The drugs used in this study are approved for the age group under study.
Detailed description
A Multicenter, Randomized, Double-Blind, Triple-Dummy, Placebo-Controlled, Parallel Group, Four-Week Study Assessing the Efficacy of Fluticasone Propionate Aqueous Nasal Spray 200mcg QD versus Montelukast 10mg QD in Adolescent and Adult Subjects with Asthma and Seasonal Allergic Rhinitis Who are Receiving ADVAIR DISKUS® 100/50mcg BID or Placebo BID
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Fluticasone Propionate/Salmeterol/Montelukast (FSC+MON) | Active comparator | Drug: fluticasone propionate/salmeterol (FSC), Drug: montelukast (MON), Drug: placebo nasal, Drug: ADVAIR DISKUSFluticasone propionate/salmeterol DISKUS combination product (FSC) twice daily (BID) plus vehicle placebo nasal spray once daily (QD) plus montelukast capsule 10mg (MON) QD |
| Fluticasone Propionate/Salmeterol (FSC) | Active comparator | Drug: fluticasone propionate/salmeterol (FSC), Drug: placebo nasal, Drug: ADVAIR DISKUS, Drug: placebo capsuleFSC BID plus vehicle placebo nasal spray QD plus placebo capsule QD |
| Fluticasone Prop/Salmeterol/Flut Prop Nasal Spray (FSC+FPANS) | Active comparator | Drug: fluticasone propionate/salmeterol (FSC), Drug: fluticasone propionate (FP), Drug: ADVAIR DISKUS, Drug: placebo capsuleFluticasone propionate/salmeterol DISKUS combination product (FSC)100/50mcg BID plus fluticasone propionate aqueous nasal spray 200mcg (FPANS) QD plus placebo capsule QD |
| Montelukast (MON) | Active comparator | Drug: montelukast (MON), Drug: placebo nasal, Drug: placebo DISKUSPlacebo DISKUS BID plus vehicle placebo nasal spray QD plus MON QD |
Who may qualify
- Ages
- 15 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (23 listed)
- A subject will be considered eligible for inclusion in this study only if all of the following criteria apply:
- Consent: A signed and dated written informed consent must be obtained from the subject or subject's legally acceptable representative prior to study participation. An informed consent must be signed prior to any change in the subject's medication regimen, including withholding medications prior to Visit 1.
- Gender: Male or female. Females are eligible to participate only if they are currently not pregnant and not lactating. Females of child-bearing potential will be required to use a highly effective method for avoiding pregnancy (i.e., contraception with a failure rate of <1% per year). Female subjects of child-bearing potential will undergo a urine pregnancy test at Visits 1, 2, 3, and 4. Any female who becomes pregnant during the study will be withdrawn. Female subjects should not be enrolled if they plan to become pregnant during the time of study participation.
- Age: 15 years and older.
- Asthma Diagnosis: A diagnosis of persistent asthma, for at least three months, as defined by the following American Thoracic Society definition:
Key exclusion criteria (38 listed)
- A subject will not be eligible for inclusion in this study if any of the following criteria apply:
- Currently Diagnosed with Life-Threatening Asthma: An episode or episodes of asthma requiring intubation associated with hypercapnia, respiratory arrest, or hypoxic seizures.
- Asthma Instability: Hospitalization for asthma within 6 months of Visit 1.
- Concurrent Respiratory Disease: Current evidence of pneumonia, pneumothorax, atelectasis, pulmonary fibrotic disease, chronic bronchitis, emphysema, or any other respiratory abnormalities other than asthma.
- Nasal Obstruction: Severe physical obstruction of the nose (e.g., deviated septum) that could affect the deposition of double-blind intranasal study drug.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| fluticasone propionate/salmeterol (FSC)fluticasone propionate/salmeterol DISKUS combination | Drug | Fluticasone Prop/Salmeterol/Flut Prop Nasal Spray (FSC+FPANS), Fluticasone Propionate/Salmeterol (FSC), Fluticasone Propionate/Salmeterol/Montelukast (FSC+MON) |
| montelukast (MON)montelukast capsule | Drug | Fluticasone Propionate/Salmeterol/Montelukast (FSC+MON), Montelukast (MON) |
| fluticasone propionate (FP)fluticasone propionate aqueous nasal spray | Drug | Fluticasone Prop/Salmeterol/Flut Prop Nasal Spray (FSC+FPANS) |
| placebo nasalvehicle placebo nasal spray | Drug | Fluticasone Propionate/Salmeterol (FSC), Fluticasone Propionate/Salmeterol/Montelukast (FSC+MON), Montelukast (MON) |
| ADVAIR DISKUSADVAIR DISKUS | Drug | Fluticasone Prop/Salmeterol/Flut Prop Nasal Spray (FSC+FPANS), Fluticasone Propionate/Salmeterol (FSC), Fluticasone Propionate/Salmeterol/Montelukast (FSC+MON) |
| placebo capsuleplacebo capsule | Drug | Fluticasone Prop/Salmeterol/Flut Prop Nasal Spray (FSC+FPANS), Fluticasone Propionate/Salmeterol (FSC) |
| placebo DISKUSplacebo DISKUS | Drug | Montelukast (MON) |
Primary outcome
Mean Change From Baseline at Endpoint in Morning Peak Expiration Flow (PEF) for Intent-to-Treat Population
Time frame: Baseline to Endpoint (weeks 3-4)
Endpoint was defined as the average of the data reported from the last week of treatment. Data collected by patient throughout the treatment period between visits. The peak expiratory flow rate measures how fast a person can breathe out (exhale) air. It is one of many tests that measure how well your airways work.
Mean Change From Baseline at Endpoint in Morning Peak Expiratory Flow (PEF) for Per Protocol Population
Time frame: Baseline to Endpoint (weeks 3-4)
Endpoint was defined as the average of the data reported from the last week of treatment. Data collected by patient throughout the treatment period between visits. The peak expiratory flow rate measures how fast a person can breathe out (exhale) air. It is one of many tests that measure how well your airways work.
8 secondary outcomes
Rhinitis: Mean Change From Baseline at 1-2 Weeks in Daytime Total Nasal Symptom Scores (D-TNNS).
Time frame: Baseline to 1-2 Weeks
Rhinitis: Mean Change From Baseline at 1-2 Weeks in Nightime Total Nasal Symptom Scores (N-TNSS)
Time frame: Baseline To 1-2 Weeks
Asthma: Mean Change From Baseline at Endpoint in Predose Morning Forced Expiratory Volume (FEV1) for Intent-to-Treat Population
Time frame: Baseline to Endpoint (weeks 3-4)
Asthma: Mean Change From Baseline at Endpoint in Predose Morning Forced Expiratory Volume (FEV1) for Per Protocol Population
Time frame: Baseline to Endpoint (weeks 3-4)
Asthma: Mean Change From Baseline at Endpoint in Percentage of Asthma Symptom-Free Days for Intent-to-Treat Population
Time frame: Baseline to Endpoint (weeks 3-4)
Asthma: Mean Change From Baseline at Endpoint in Percentage of Asthma Symptom-Free Days for Per Protocol Population
Time frame: Baseline to Endpoint (weeks 3-4)
Asthma: Mean Change From Baseline at Endpoint in Percentage of Albuterol-Salbutamol Free Days for Intent-to-Treat Population
Time frame: Baseline to Endpoint (weeks 3-4)
Asthma: Mean Change From Baseline at Endpoint in Percentage of Albuterol/Salbutamol-Free Days for Per Protocol Population
Time frame: Baseline to Endpoint (weeks 3-4)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Dec 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 20167147Katial RK, Oppenheimer JJ, Ostrom NK, Mosnaim GS, Yancey SW, Waitkus-Edwards KR, Prillaman BA, Ortega HG. Adding montelukast to fluticasone propionate/salmeterol for control of asthma and seasonal allergic rhinitis. Allergy Asthma Proc. 2010 Jan-Feb;31(1):68-75. doi: 10.2500/aap.2010.31.3306.
- Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
121 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing fluticasone propionate/salmeterol (FSC), montelukast (MON) and fluticasone propionate (FP) in people with Asthma, run by GlaxoSmithKline at 121 sites in 4 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 23 inclusion and 38 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 16 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 121 sites in United States, Canada, Poland, Estonia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 13 May 2009). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Mean Change From Baseline at Endpoint in Morning Peak Expiration Flow (PEF) for Intent-to-Treat Population (time frame: Baseline to Endpoint (weeks 3-4)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00296491, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Dec 2016.