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AsthmaPhase 4NCT00353873

Seretide Versus Flixotide In Asthmatic Children Not Controlled By Inhaled Corticosteroids

A Phase 4 study testing Fluticasone propionate and Fluticasone propionate/salmeterol in people with Asthma, run by GlaxoSmithKline at 65 sites in 12 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study will compare two treatment strategies (doubling the dose of inhaled steroids or adding a long acting beta2 agonist to the inhaled steroid at the same dose) in children not controlled by inhaled steroid alone at medium dose. Read more about this study

Who is it for?
Ages 4 to 11 years
Conditions the study is for
Asthma
What is being tested?
Fluticasone propionate and Fluticasone propionate/salmeterol
Could I receive a placebo?
No, everyone receives an active treatment
How many people
506 participants
Where
65 sitesin 12 countries
Study dates
18 Nov 2005to 26 Oct 2006
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 4 to 11 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • A documented clinical history of asthma for a period of at least 6 months.
  • A documented history (within 12 months of Visit 1) of airway reversibility of = 15% based either on Forced expiratory volume (FEV1) or PEF measured pre and post inhalation of 200 mcg salbutamol. (If no documented history of reversibility exists, patients must demonstrate a =15% reversibility at Visit 1).
  • Receiving an inhaled corticosteroid at a medium dose (beclomethasone dipropionate HydroFluoroAlkane (HFA) non fine particle = 400-500 mcg/day or beclomethasone HFA fine particle = 200mcg/day, or budesonide =400 mcg/day or fluticasone = 200 mcg/day (or fluticasone 250mcg/day if subject is taking a 125mcg MDI rather than the 100mcg Diskus), for at least 3 months prior to Visit 1 and at a stable dose for at least 4 weeks prior to Visit 1.
  • Able to use the Mini-Wright peak flow meter and subject or parent/guardian had to be able to record the subject's maximum PEF correctly.
  • Able to perform FEV1 correctly.
  • Subject's guardian/parent able to complete an eDRC on behalf of the subject. The eDRC should be completed by the guardian/parent.
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  • Able to use a DISKUS™ correctly.
  • At least one parent(s)/guardian(s) has to give written informed consent to participate in the study.
  • At the end of the run-in period (Visit 2), subjects must still meet the criteria for entry into the run-in period and also have:
  • not achieved the criteria for the 'Well-controlled' asthma during two or more of the 4 weeks prior to Visit 2.

Who cannot join

  • Female subjects who have reached menarche.
  • Received any investigational study medication in the 4 weeks prior to Visit 1.
  • Experienced a respiratory tract infection in the 4 weeks prior to Visit 1.
  • Experienced an acute asthma exacerbation requiring emergency room treatment within 4 weeks or hospitalisation within 12 weeks of Visit 1.
  • Any use of oral/parenteral or depot corticosteroid within 12 weeks of Visit 1.
  • Any use of long-acting inhaled beta2-agonists or oral beta2-agonists within 4 weeks of Visit 1.
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  • Any use of leukotriene antagonists or theophyllines within 4 weeks of Visit 1.
  • Any known clinical or laboratory evidence of a serious uncontrolled disease (including serious psychological disorders) which is, in the opinion of the investigator, likely to interfere with the study.
  • Subjects with a known or suspected hypersensitivity to inhaled corticosteroids, beta2-agonists, or any components of the formulations (e.g. lactose)
  • A relative of any of the site staff, including the investigator or study co-coordinator.
  • Has previously been entered into this study.
  • Subjects will be excluded from participating in the treatment period of the study if the following occurred during the run-in period:
  • Pre-bronchodilator FEV1 <60% (assuming that measurement was correctly performed).
  • Any change in asthma medication (excluding use of prophylactic study specific salbutamol for prevention of asthma symptoms due to exercise).
  • Respiratory tract infection or asthma exacerbation.
  • Use of oral, parenteral or depot corticosteroids.
  • Emergency visit due to asthma.
  • Non-compliance with the completion of the eDRC (i.e. during the 4 week period between visits, non compliance is defined as less than 5 days of completed data within any one week for four weeks - subjects must complete at least 5 days a week for the entire run-in period).

Trial locations and contacts

65 sites in 12 countries.

65 sites in 12 countries

France13 sites
  • GSK Investigational Site

    Essey-lès-Nancy, 54270

  • GSK Investigational Site

    Grasse, 06130

  • GSK Investigational Site

    Laon, 02000

  • GSK Investigational Site

    Nîmes, 30900

  • GSK Investigational Site

    Oyonnax, 01100

  • GSK Investigational Site

    Paris, 75019

  • GSK Investigational Site

    Paris, 75730

  • GSK Investigational Site

    Rouen, 76000

  • GSK Investigational Site

    Rouen, 76031

  • GSK Investigational Site

    Saint-Michel, 16470

  • GSK Investigational Site

    Tours, 37000

  • GSK Investigational Site

    Vaux En Velin, 69120

  • GSK Investigational Site

    Villejuif, 94800

Other trials in France

Netherlands10 sites
  • GSK Investigational Site

    Almere Stad, 1315 RA

  • GSK Investigational Site

    Beek en Donk, 5741 CG

  • GSK Investigational Site

    Deurne, 5751 XJ

  • GSK Investigational Site

    Emmen, 7824 AA

  • GSK Investigational Site

    Ermelo, 3851 EX

  • GSK Investigational Site

    Nieuwegein, 3435 CM

  • GSK Investigational Site

    Spijkenisse, 3207 NB

  • GSK Investigational Site

    The Hague, 2517 EW

  • GSK Investigational Site

    Tiel, 4002 WP

  • GSK Investigational Site

    Woerden, 3447 GN

Other trials in Netherlands

Russia9 sites
  • GSK Investigational Site

    Krasnoyarsk, 660022

  • GSK Investigational Site

    Moscow, 115446

  • GSK Investigational Site

    Moscow, 119435

  • GSK Investigational Site

    Moscow, 119991

  • GSK Investigational Site

    Novokuznetsk, 654063

  • GSK Investigational Site

    Novosibirsk, 630099

  • GSK Investigational Site

    St'Petersburg, 191144

  • GSK Investigational Site

    Syktyvkar, 167011

  • GSK Investigational Site

    Tomsk, 634 050

Other trials in Russia

Spain6 sites
  • GSK Investigational Site

    Almería, 04009

  • GSK Investigational Site

    Barcelona, 08035

  • GSK Investigational Site

    Madrid, 28006

  • GSK Investigational Site

    Madrid, 28009

  • GSK Investigational Site

    San Sebastián, 20014

  • GSK Investigational Site

    Seville, 41071

Other trials in Spain

Belgium5 sites
  • GSK Investigational Site

    Bruges, 8000

  • GSK Investigational Site

    Brussels, 1090

  • GSK Investigational Site

    Edegem, 2650

  • GSK Investigational Site

    Ghent, 9000

  • GSK Investigational Site

    Leuven, 3000

Other trials in Belgium

Italy4 sites
  • GSK Investigational Site

    Foggia, Apulia, 71100

  • GSK Investigational Site

    Naples, Campania, 80138

  • GSK Investigational Site

    Palermo, Sicily, 90127

  • GSK Investigational Site

    Perugia, Umbria, 06122

Other trials in Italy

Poland4 sites
  • GSK Investigational Site

    Bialystok, 15-274

  • GSK Investigational Site

    Krakow, 31-159

  • GSK Investigational Site

    Lodz, 93-513

  • GSK Investigational Site

    Lublin, 20-093

Other trials in Poland

Latvia3 sites
  • GSK Investigational Site

    Daugavpils, LV5403

  • GSK Investigational Site

    Riga, LV 1004

  • GSK Investigational Site

    Riga, LV 1064

Other trials in Latvia

Lithuania3 sites
  • GSK Investigational Site

    Kaunas, LT-50425

  • GSK Investigational Site

    Tauragė, LT-72214

  • GSK Investigational Site

    Vilnius, LT-10207

Other trials in Lithuania

Norway3 sites
  • GSK Investigational Site

    Drammen, N-3018

  • GSK Investigational Site

    Kongsvinger, N-2226

  • GSK Investigational Site

    Oslo, N-0855

Other trials in Norway

Sweden3 sites
  • GSK Investigational Site

    Sollentuna, SE-191 24

  • GSK Investigational Site

    Stockholm, SE-141 86

  • GSK Investigational Site

    Stockholm, SE-171 76

Other trials in Sweden

Denmark2 sites
  • GSK Investigational Site

    Aalborg, 9000

  • GSK Investigational Site

    Odense, 5000 Odense C

Other trials in Denmark

About this study

Official title: A Multicentre, Randomised, Double-blind, Double Dummy, Parallel Group Study to Compare the Salmeterol/Fluticasone Propionate Combination (SeretideTM) at a Dose of 50/100µg Twice Daily and Fluticasone Propionate (FlixotideTM) at a Dose of 200µg Twice Daily, Both Delivered Via a Dry Powder Inhaler (DiskusTM) for 12 Weeks in Asthma in Children Aged 4-11 Years Not Controlled by Inhaled Corticosteroids Alone at Medium Dose

This study will compare two treatment strategies (doubling the dose of inhaled steroids or adding a long acting beta2 agonist to the inhaled steroid at the same dose) in children not controlled by inhaled steroid alone at medium dose. The fixed combination SERETIDE 100/50 one inhalation twice daily will be compared to FLIXOTIDE 100 two inhalations twice daily.

Read the detailed description

A multicentre, randomised, double-blind, double dummy, parallel group study to compare the salmeterol/fluticasone propionate combination (SERETIDE™) at a dose of 50/100mcg twice daily and fluticasone propionate (FLIXOTIDE™) at a dose of 200mcg twice daily, both delivered via a dry powder inhaler (DISKUS™) for 12 weeks in asthma in children aged 4-11 years not controlled by inhaled corticosteroids alone at medium dose

Conditions
Asthma
Being tested
Fluticasone propionate, Fluticasone propionate/salmeterol
Keywords
FLIXOTIDE, asthmatics children 4-11 years, SERETIDE, asthma-control
Medical subject headings
Asthma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Fluticasone propionateDrug

    200μg twice daily

  • Fluticasone propionate/salmeterolDrug

    Also called Fluticasone propionate

    50/100μg twice daily

Study groups in NCT00353873
Study groupRoleWhat they receive
Fluticasone propionate (FLIXOTIDE™)Active comparatorFluticasone propionate (FLIXOTIDE™) at a dose of 200μg twice daily
Receives: Drug: Fluticasone propionate
Fluticasone propionate/salmeterol (SERETIDE™)ExperimentalSalmeterol/fluticasone propionate combination (SERETIDE™) at a dose of 50/100μg twice daily
Receives: Drug: Fluticasone propionate/salmeterol

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean Change From Baseline in Morning Peak Expiratory Flow (PEF) Over 12 Weeks in Intent-to-treat (ITT) Population

    PEF is the maximum flow generated during expiration, as measured with a peak flow meter and recorded in electronic diary record card (eDRC), performed with maximal force and started after a full inspiration. The mean morning PEF measurement was constructed by calculating a simple mean for each participant over the interval Weeks 1 to 12. All PEF measurements were converted to the Wright/McKerow peak flow meter scale for the purposes of analyses. The change from Baseline is then calculated by subtracting the Baseline PEF values from the individual on-treatment values. Baseline was calculated as the mean of the values recorded on the seven days preceding randomization. The analysis was done using analysis of covariance (ANCOVA) adjusted for baseline PEF, country amalgamation, age, sex and treatment.

    Measured: Baseline; Week 1 up to Week 12

  2. Mean Change From Baseline in Morning PEF Over 12 Weeks in Per Protocol (PP) Population

    PEF is the maximum flow generated during expiration, as measured with a peak flow meter and recorded in eDRC, performed with maximal force and started after a full inspiration. The mean morning PEF measurement was constructed by calculating a simple mean for each participant over the interval Weeks 1 to 12. All PEF measurements were converted to the Wright/McKerow peak flow meter scale for the purposes of analyses. The change from Baseline is then calculated by subtracting the Baseline PEF values from the individual on-treatment values. Baseline was calculated as the mean of the values recorded on the seven days preceding randomization. The analysis was done using ANCOVA adjusted for baseline PEF, country amalgamation, age, sex and treatment.

    Measured: Baseline; Week 1 up to Week 12

Secondary outcomes (2)
  1. Number of Participants Who Achieved 'Totally Controlled' (TC) Asthma

    TC asthma is defined as no daily symptoms, no night-time wakening due to asthma, no exacerbations, no rescue salbutamol/albuterol use, no emergency visits, >=80% predicted morning PEF, and no treatment related adverse events enforcing a change in asthma therapy over 7 consecutive days. Number of participants/group who achieved the status of at least TC during the last 8 weeks (wks) of treatment was analyzed using logistic regression, including covariates for sex, age, treatment group, country amalgamation and baseline pre-bronchodilator Forced Expiratory Volume in one second (FEV1). Asthma control was assessed each week for the last 8 wks of treatment period. Each week was classified as 'TC', 'Well Controlled' (WC), 'Not Controlled' or 'Unevaluable'. A participant was considered to have TC asthma if they achieved 4/4, 5/5, 6/6, 6/7, 7/8 or 8/8 wks that were TC. 'Unevaluable' classification included participants with less than 4 wks of data during the assessment period.

    Measured: Week 5 up to Week 12

  2. Number of Participants Who Achieved WC Asthma

    WC asthma is defined as two or more of symptom score >1 only allowed on <=2 days/week, rescue salbutamol/albuterol use on <=2 days/week and up to a maximum of 4 times per week, >=80% predicted morning PEF daily assessed for 7 consecutive days and all the following criteria: no night-time awakening due to asthma, no exacerbations, no emergency visits, no treatment related adverse events enforcing a change in any asthma therapy. Number of participants/group who achieved the status of at least WC during the last 8 wks of treatment was analyzed using logistic regression, including covariates for sex, age, treatment group, country amalgamation and baseline prebronchodilator FEV1. Each week was classified as 'WC', 'Not Controlled' or 'Unevaluable'. A participant was considered to have WC asthma if they achieved 4/4, 5/5, 6/6, 6/7, 7/8 or 8/8 wks that were WC. 'Unevaluable' classification included participants with less than 4 wks of data during the assessment period.

    Measured: Week 5 up to Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Jul 2006 (estimated)
  2. Study start18 Nov 2005
  3. Primary completion26 Oct 2006
  4. Study completion26 Oct 2006

Resources

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
506 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00353873
Sponsor's protocol ID
SAM104926
Status last verified
Mar 2018
First submitted
18 Jul 2006
Last updated
29 May 2018
Data monitoring committee
No
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.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Fluticasone propionate and Fluticasone propionate/salmeterol in people with Asthma, run by GlaxoSmithKline at 65 sites in 12 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 10 inclusion and 18 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 29 May 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 65 sites in France, Netherlands, Russia, Spain, Belgium and 7 more countries. 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 24 Apr 2017). 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 in Morning Peak Expiratory Flow (PEF) Over 12 Weeks in Intent-to-treat (ITT) Population (time frame: Baseline; Week 1 up to Week 12). 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?
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 29 May 2018.

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