AsthmaPhase 4NCT00479739
CONCEPT: A 1-Year Comparison Of A Stable Dose Of SERETIDE® Inhaler With An Adjustable Maintenance Dose Of SYMBICORT® Inhaler. SERETIDE® Inhaler is a Trademark of GSK Group of Companies. SYMBICORT® Inhaler is a Trademark of Astra Zeneca.
A Phase 4 study testing Salmeterol/fluticasone propionate or formoterol/budesonide in people with Asthma, run by GlaxoSmithKline at 106 sites in 15 countries.
Trial summary
To compare a stable dose of salmeterol/fluticasone propionate with a variable dose of formoterol/budesonide where the dose is adjusted according to a physician-guided self-management plan Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Asthma
- What is being tested?
- Salmeterol/fluticasone propionate or formoterol/budesonide
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 700 participants
- Where
- 106 sitesin 15 countries
- Study dates
- Nov 2002to Jul 2004
- Phase
- Phase 4
- Are there results?
- None posted in the registry
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 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Documented clinical history of asthma
- Forced expiratory volume in 1 second between 60% and 90% of predicted
- Using an inhaled corticosteroid (ICS)at a dose equivalent to 200 to 500 mcg daily of beclomethasone (BDP)or equivalent combined with a long-acting beta-2-agonist or an ICS alone at a dose equivalent to >500 to 1000mcg daily of BDP daily
Who cannot join
- Lower respiratory tract infection within 1 month of study entry
- Use of systemic corticosteroids within 1 month of study entry
- Smoking history of 10 pack years or more Changes in regular asthma therapy within 12 weeks of study entry
- Any significant disorder that in the investigator's opinion might put the patient at risk or influence the study outcomes
Trial locations and contacts
106 sites in 15 countries.
106 sites in 15 countries
Canada13 sites
GSK Investigational Site
Brampton, Ontario, L6Y 2E6
GSK Investigational Site
Calgary, Alberta, T2N 4N1
GSK Investigational Site
Hamilton, Ontario, L8N 3Z5
GSK Investigational Site
Maple Ridge, British Columbia, V2X 2L5
GSK Investigational Site
Mississauga, Ontario, L5A 1N1
GSK Investigational Site
Mississauga, Ontario, L5M 2V8
GSK Investigational Site
Montreal, Quebec, H3G 1A4
GSK Investigational Site
Montreal, Quebec, H4J 1C5
GSK Investigational Site
Peterborough, Ontario, K9J 7B3
GSK Investigational Site
Saint John, New Brunswick, E2M 3W5
GSK Investigational Site
Sainte-Foy, Quebec, G1V 4G5
GSK Investigational Site
Vancouver, British Columbia, V5Z 3J5
GSK Investigational Site
Winnipeg, Manitoba, R2H 2A6
Netherlands13 sites
GSK Investigational Site
's-Hertogenbosch, 5211 NL
GSK Investigational Site
Almelo, 7609 PP
GSK Investigational Site
Bennebroek, 2121 BB
GSK Investigational Site
Eindhoven, 5623 EJ
GSK Investigational Site
Geldermalsen, 4191 AH
GSK Investigational Site
Heerlen, 6419 PC
GSK Investigational Site
Helmond, 5707 HA
GSK Investigational Site
Losser, 7581 BV
GSK Investigational Site
Made, 4921 BC
GSK Investigational Site
Rotterdam, 3015 GD
GSK Investigational Site
Spijkenisse, 3207 NB
GSK Investigational Site
Utrecht, 2584 CX
GSK Investigational Site
Voerendaal, 6367 ED
Germany12 sites
GSK Investigational Site
Augsburg, Bavaria, 86150
GSK Investigational Site
Berlin, State of Berlin, 10178
GSK Investigational Site
Berlin, State of Berlin, 10717
GSK Investigational Site
Berlin, State of Berlin, 13086
GSK Investigational Site
Berlin, State of Berlin, 13187
GSK Investigational Site
Berlin, State of Berlin, 13353
GSK Investigational Site
Berlin, State of Berlin, 13597
GSK Investigational Site
Bruchsal, Baden-Wurttemberg, 76646
GSK Investigational Site
Erlangen, Bavaria, 91052
GSK Investigational Site
Lahr, Baden-Wurttemberg, 77933
GSK Investigational Site
Munich, Bavaria, 81677
GSK Investigational Site
Potsdam, Brandenburg, 14469
Spain11 sites
GSK Investigational Site
A Coruña, 15006
GSK Investigational Site
Alcorcón, 28922
GSK Investigational Site
Barcelona, 08003
GSK Investigational Site
Barcelona, 08221
GSK Investigational Site
Galdakano, 48960
GSK Investigational Site
Las Palmas, 35020
GSK Investigational Site
Lugo, 27004
GSK Investigational Site
Madrid, 28006
GSK Investigational Site
Madrid, 28041
GSK Investigational Site
Málaga, 29400
GSK Investigational Site
Valencia, 46017
United Kingdom10 sites
GSK Investigational Site
Barry, Glamorgan, CF63 4HP
GSK Investigational Site
Blackpool, Lancashire, FY1 6JW
GSK Investigational Site
Blackpool, Lancashire, FY4 3AD
GSK Investigational Site
Cambridge, Cambridgeshire, CB3 9HS
GSK Investigational Site
Cardiff, Glamorgan, CF14 9BB
GSK Investigational Site
Cardiff, Glamorgan, CF23 5SY
GSK Investigational Site
Fleetwood, FY7 6HD
GSK Investigational Site
Fleetwood, FY7 7DG
GSK Investigational Site
Manchester, Lancashire, M23 9GP
GSK Investigational Site
Saffron Walden, Essex, CB10 1EJ
Ireland9 sites
GSK Investigational Site
Blackpool, Cork
GSK Investigational Site
Dublin, 22
GSK Investigational Site
Dublin, 6
GSK Investigational Site
Dublin, 8
GSK Investigational Site
Dublin
GSK Investigational Site
Galway
GSK Investigational Site
Kilkenny
GSK Investigational Site
Lifford
GSK Investigational Site
Tallaght, Dublin, 24
Belgium8 sites
GSK Investigational Site
Aalst, 9300
GSK Investigational Site
Ath, 7800
GSK Investigational Site
Gilly, 6060
GSK Investigational Site
Hornu, 7301
GSK Investigational Site
Leopoldsburg, 3970
GSK Investigational Site
Oostham, 3945
GSK Investigational Site
Tessenderlo, 3980
GSK Investigational Site
Tienen, 3300
Finland6 sites
GSK Investigational Site
Jakobstad, 68600
GSK Investigational Site
Joensuu, 80100
GSK Investigational Site
Lahti, 15850
GSK Investigational Site
Raahe, 92100
GSK Investigational Site
Tampere, 33520
GSK Investigational Site
Varkaus, 78300
Australia4 sites
GSK Investigational Site
Balmain, New South Wales, 2041
GSK Investigational Site
Brisbane, Queensland, 4077
GSK Investigational Site
Kippa-Ring, Queensland, 4021
GSK Investigational Site
Toorak Gardens, South Australia, 5065
Austria4 sites
GSK Investigational Site
Linz, A-4020
GSK Investigational Site
Vienna, A-1030
GSK Investigational Site
Vienna, A-1120
GSK Investigational Site
Vienna, A-1210
Bulgaria4 sites
GSK Investigational Site
Plovdiv
GSK Investigational Site
Rousse, 7000
GSK Investigational Site
Sofia, 1606
GSK Investigational Site
Varna, 9010
Estonia4 sites
GSK Investigational Site
Kohtal-Jdrve, 31 025
GSK Investigational Site
Tallinn, 10120
GSK Investigational Site
Tallinn, 13419
GSK Investigational Site
Tartu, 51014
Latvia4 sites
GSK Investigational Site
Limbaži, LV 4000
GSK Investigational Site
Riga, LV 1002
GSK Investigational Site
Riga, LV 1035
GSK Investigational Site
Valmiera, LV 4201
New Zealand3 sites
GSK Investigational Site
Auckland, 1001
GSK Investigational Site
Auckland, 1701
GSK Investigational Site
Christchurch Hospital, 8001
About this study
Official title: Randomised, Double-blind, Double-dummy, 52-week, Parallel Group Study of a Standard Dosing Regimen With Salmeterol/Fluticasone propionate50/250 Twice Daily Diskus Versus a Symptom-driven, Variable Dosing Regimen With Formoterol/Budesonide Combination 4.5/160 in Adult Asthmatics
To compare a stable dose of salmeterol/fluticasone propionate with a variable dose of formoterol/budesonide where the dose is adjusted according to a physician-guided self-management plan
Read the detailed description
A randomised, double-blind, double-dummy, 52-week, parallel group study of a standard dosing regimen with salmeterol/fluticasone propionate combination 50/250mcg bid (via the DISKUS/ACCUHALER inhaler) versus a symptom-driven variable dosing regimen with formoterol/budesonide combination 6/200mcg (via a breath-actuated dry powder reservoir inhaler)in adults asthmatics
- Conditions
- Asthma
- Being tested
- Salmeterol/fluticasone propionate or formoterol/budesonide
- Keywords
- formoterol/budesonide, exacerbations, Salmeterol/fluticasone propionate, adjustable maintenance dosing, 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.
Salmeterol/fluticasone propionate or formoterol/budesonideDrug
| Study group | Role | What they receive |
|---|---|---|
| Arm 1 | Experimental | Not described Receives: Drug: Salmeterol/fluticasone propionate or formoterol/budesonide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean percentage of symptom-free days over a 52-week treatment period
Secondary outcomes (1)
Mean percentage of rescue-free days Daily asthma symptom scores Daily rescue usage Mean morning peak flow Percentage of nights awoken due to asthma Rate of exacerbations Airway hyper-responsiveness(PC20 AMP)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 May 2007 (estimated)
- Study startNov 2002
- Primary completionJul 2004
- Study completionJul 2004
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)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
- 700 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
- NCT00479739
- Sponsor's protocol ID
- SAM40056
- Status last verified
- Sep 2016
- First submitted
- 25 May 2007
- Last updated
- 15 Sep 2016
- Results posted
- No
- 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.
Publications
Boulet LP, Fitzgerald M, Pieters R. The CONCEPT study: comparative influence of two treatment strategies on airway response to AMP. European Respiratory Journal Supplement 2005; 26: 429.
FitzGerald JM, Boulet LP, Follows RM. The CONCEPT trial: a 1-year, multicenter, randomized,double-blind, double-dummy comparison of a stable dosing regimen of salmeterol/fluticasone propionate with an adjustable maintenance dosing regimen of formoterol/budesonide in adults with persistent asthma. Clin Ther. 2005 Apr;27(4):393-406. doi: 10.1016/j.clinthera.2005.03.006.
PubMed 15922813Fitzgerald M, Boulet LP, Pieters WR. Improved control of symptoms and exacerbations with stable dose treatment with salmeterol/fluticasone propionate compared with adjustable maintenance dosing with formoterol/budesonide. European Respiratory Journal Supplement 2005; 26: 429.
Price DB, Williams AE, Yoxall S. Salmeterol/fluticasone stable-dose treatment compared with formoterol/budesonide adjustable maintenance dosing: impact on health-related quality of life. Respir Res. 2007 Jul 4;8(1):46. doi: 10.1186/1465-9921-8-46.
PubMed 17610727
Study at a glance
From the registry record, last updated by the sponsor on 15 Sep 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomised, Double-blind, Double-dummy, 52-week, Parallel Group Study of a Standard Dosing Regimen With Salmeterol/Fluticasone propionate50/250 Twice Daily Diskus Versus a Symptom-driven, Variable Dosing Regimen With Formoterol/Budesonide Combination 4.5/160 in Adult Asthmatics
- ClinicalTrials.gov ID
- NCT00479739
- Acronym / sponsor ID
- SAM40056
- Conditions
- Asthma
- Keywords
- formoterol/budesonide, exacerbations, Salmeterol/fluticasone propionate, adjustable maintenance dosing, asthma control
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 700 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- Nov 2002
- Primary completion
- Jul 2004 (actual)
- Study completion
- Jul 2004 (actual)
- First posted
- 28 May 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To compare a stable dose of salmeterol/fluticasone propionate with a variable dose of formoterol/budesonide where the dose is adjusted according to a physician-guided self-management plan
Detailed description
A randomised, double-blind, double-dummy, 52-week, parallel group study of a standard dosing regimen with salmeterol/fluticasone propionate combination 50/250mcg bid (via the DISKUS/ACCUHALER inhaler) versus a symptom-driven variable dosing regimen with formoterol/budesonide combination 6/200mcg (via a breath-actuated dry powder reservoir inhaler)in adults asthmatics
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Arm 1 | Experimental | Drug: Salmeterol/fluticasone propionate or formoterol/budesonide |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Documented clinical history of asthma
- Forced expiratory volume in 1 second between 60% and 90% of predicted
- Using an inhaled corticosteroid (ICS)at a dose equivalent to 200 to 500 mcg daily of beclomethasone (BDP)or equivalent combined with a long-acting beta-2-agonist or an ICS alone at a dose equivalent to >500 to 1000mcg daily of BDP daily
Key exclusion criteria (4 listed)
- Lower respiratory tract infection within 1 month of study entry
- Use of systemic corticosteroids within 1 month of study entry
- Smoking history of 10 pack years or more Changes in regular asthma therapy within 12 weeks of study entry
- Any significant disorder that in the investigator's opinion might put the patient at risk or influence the study outcomes
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 |
|---|---|---|
| Salmeterol/fluticasone propionate or formoterol/budesonide | Drug | Arm 1 |
Primary outcome
Mean percentage of symptom-free days over a 52-week treatment period
1 secondary outcome
Mean percentage of rescue-free days Daily asthma symptom scores Daily rescue usage Mean morning peak flow Percentage of nights awoken due to asthma Rate of exacerbations Airway hyper-responsiveness(PC20 AMP)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Sep 2016.
- Results publicationBoulet LP, Fitzgerald M, Pieters R. The CONCEPT study: comparative influence of two treatment strategies on airway response to AMP. European Respiratory Journal Supplement 2005; 26: 429.
- Results publication: PubMed 15922813FitzGerald JM, Boulet LP, Follows RM. The CONCEPT trial: a 1-year, multicenter, randomized,double-blind, double-dummy comparison of a stable dosing regimen of salmeterol/fluticasone propionate with an adjustable maintenance dosing regimen of formoterol/budesonide in adults with persistent asthma. Clin Ther. 2005 Apr;27(4):393-406. doi: 10.1016/j.clinthera.2005.03.006.
- Results publicationFitzgerald M, Boulet LP, Pieters WR. Improved control of symptoms and exacerbations with stable dose treatment with salmeterol/fluticasone propionate compared with adjustable maintenance dosing with formoterol/budesonide. European Respiratory Journal Supplement 2005; 26: 429.
- Results publication: PubMed 17610727Price DB, Williams AE, Yoxall S. Salmeterol/fluticasone stable-dose treatment compared with formoterol/budesonide adjustable maintenance dosing: impact on health-related quality of life. Respir Res. 2007 Jul 4;8(1):46. doi: 10.1186/1465-9921-8-46.
- 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
106 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Salmeterol/fluticasone propionate or formoterol/budesonide in people with Asthma, run by GlaxoSmithKline at 106 sites in 15 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 3 inclusion and 4 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 15 Sep 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 106 sites in Canada, Netherlands, Germany, Spain, United Kingdom and 10 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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 percentage of symptom-free days over a 52-week treatment period. 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 NCT00479739, which also lists 4 linked publications.
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 15 Sep 2016.