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AsthmaPhase 2NCT00941798

Safety of QMF149 Twisthaler® in Adolescent and Adult Patients With Asthma

A Phase 2 study testing QMF149 Twisthaler® and Mometasone Twisthaler® in people with Asthma, run by Novartis Pharmaceuticals at 146 sites in 9 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

Study CQMF149A2210 evaluated the safety of QMF149 Twisthaler® 500/400 μg, a fixed dose combination of indacaterol 500 μg, a once daily β2 agonist, and mometasone furoate 400 μg, an inhaled corticosteroid (ICS) that is approved for use in the treatment of asthma. Read more about this study

Who is it for?
Ages 12 to 70 years
Conditions the study is for
Asthma
What is being tested?
QMF149 Twisthaler® and Mometasone Twisthaler®
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,283 participants
Where
146 sitesin 9 countries
Study dates
Jul 2009to May 2011
Phase
Phase 2
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 12 to 70 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Patients with a documented diagnosis of persistent asthma and who were currently treated with or qualified for treatment with both ICS and long-acting beta2-agonist (LABA) combination
  • Patients demonstrating an increase in forced expiration volume in 1 second (FEV1) of ≥ 12% or ≥ 200 mLs within 30 minutes after administration of short-acting beta2-agonist (SABA)
  • Patients with an FEV1 ≥ 50% of predicted normal

Who cannot join

  • Patients with a previous diagnosis of chronic obstructive pulmonary disease (COPD)
  • Patients who had an asthma attack/exacerbation requiring hospitalization/emergency room visit or respiratory tract infection within 1 month prior to randomization
  • Patients who had ever required ventilator support for respiratory failure
  • Patients with diabetes Type I or uncontrolled diabetes Type II
  • Patients with concomitant pulmonary disease
  • Patients with certain cardiovascular co-morbid conditions
  • Patients with any significant medical condition that might compromise patient safety, interfere with evaluation or preclude completion of the study
  • Other protocol-defined inclusion/exclusion criteria may apply

Trial locations and contacts

146 sites in 9 countries.

146 sites in 9 countries

United States92 sites
  • Novartis Investigative Site

    Abingdon, Virginia, 24210

  • Novartis Investigative Site

    Albany, Georgia, 31707

  • Novartis Investigator Site

    Albuquerque, New Mexico, 87108

  • Novartis Investigative Site

    Baltimore, Maryland, 21236

  • Novartis Investigative Site

    Baltimore, Maryland, 21237

  • Novartis Investigative Site

    Bangor, Maine, 04401

  • Novartis Investigator Site

    Bellevue, Nebraska, 68123

  • Novartis Investigator Site

    Birmingham, Alabama, 35209

  • Novartis Investigative Site

    Blue Bell, Pennsylvania, 19422

  • Novartis Investigative Site

    Brick, New Jersey, 08724

  • Novartis Investigator Site

    Buena Park, California, 90620

  • Novartis Investigator Site

    Canton, Ohio, 44718

  • Novartis Investigative Site

    Cedar Knolls, New Jersey, 07927

  • Novartis Investigator Site

    Chicago, Illinois, 60612

  • Novartis Investigator Site

    Clearwater, Florida, 33756

  • Novartis Investigator Site

    Clearwater, Florida, 33765

  • Novartis Investigative Site

    Columbus, Georgia, 31904

  • Novartis Investigator Site

    Columbus, Ohio, 43213

  • Novartis Investigator Site

    Couer D'Alene, Idaho, 83814

  • Novartis Investigator Site

    Dallas, Texas, 75230

  • Novartis Investigator Site

    Dallas, Texas, 75231

  • Novartis Investigator Site

    Denver, Colorado, 80230

  • Novartis Investigator Site

    Dickinson, Texas, 77539

  • Novartis Investigator Site

    El Paso, Texas, 79925

  • Novartis Investigator Site

    Encinitas, California, 92024

  • Novartis Investigator Site

    Engelwood, Colorado, 80112

  • Novartis Investigator Site

    Evansville, Indiana, 47713

  • Novartis Investigator Site

    Fort Worth, Texas, 76132

  • Novartis Investigator Site

    Fullerton, California, 92835

  • Novartis Investigative Site

    High Point, North Carolina, 27262

  • Novartis Investigative Site

    Houston, Texas, 77030

  • Novartis Investigator Site

    Houston, Texas, 77054

  • Novartis Investigator Site

    Indianapolis, Indiana, 46208

  • Novartis Investigator Site

    Iowa City, Iowa, 52240

  • Novartis Investigator Site

    Kingsport, Tennessee, 37660

  • Novartis Investigator Site

    Kirkland, Washington, 98034

  • Novartis Investigator Site

    Lakewood, Colorado, 80401

  • Novartis Investigator Site

    Lincoln, Rhode Island, 02865

  • Novartis Investigator Site

    Long Beach, California, 90808

  • Novartis Investigator Site

    Los Angeles, California, 90025

  • Novartis Investigator Site

    Marion, Ohio, 43302

  • Novartis Investigator Site

    Metarie, Louisiana, 70002

  • Novartis Investigative Site

    Miami, Florida, 33136

  • Novartis Investigative Site

    Miami, Florida, 33157

  • Novartis Investigator Site

    Milwaukee, Wisconsin, 53209

  • Novartis Investigative Site

    Mineola, New York, 11501

  • Novartis Investigator Site

    Minneapolis, Minnesota, 55402

  • Novartis Investigative Site

    Mt. Pleasant, South Carolina, 29464

  • Novartis Investigator Site

    New Braunfels, Texas, 78130

  • Novartis Investigative Site

    Newburgh, New York, 12550

  • Novartis Investigator Site

    Normal, Illinois, 61761

  • Novartis Investigative Site

    North Dartmouth, Massachusetts, 02747

  • Novartis Investigative Site

    Oklahoma City, Oklahoma, 73104

  • Novartis Investigator Site

    Oklahoma City, Oklahoma, 73112

  • Novartis Investigator Site

    Oklahoma City, Oklahoma, 73120

  • Novartis Investigator Site

    Omaha, Nebraska, 68130

  • Novartis Investigator Site

    Omaha, Nebraska, 68131

  • Novartis Investigator Site

    Orange, California, 92868

  • Novartis Investigator Site

    Owensboro, Kentucky, 42301

  • Novartis Investigator Site

    Ozark, Missouri, 65721

  • Novartis Investigative Site

    Philadelphia, Pennsylvania, 19115

  • Novartis Investigative site

    Philadelphia, Pennsylvania, 19140

  • Novartis Investigative Site

    Pittsburgh, Pennsylvania, 15221

  • Novartis Investigator Site

    Plymouth, Minnesota, 55441

  • Novartis Investigator Site

    Port Charlotte, Florida, 33952

  • Novartis Investigator Site

    Portland, Oregon, 97213

  • Novartis Investigative site

    Raleigh, North Carolina, 27607

  • Novartis Investigator Site

    River Forest, Illinois, 60305

  • Novartis Investigator Site

    Riverside, California, 92506

  • Novartis Investigative Site

    Rochester, New York, 14618-2638

  • Novartis Investigator Site

    Rolla, Missouri, 65401

  • Novartis Investigator Site

    San Antonio, Texas, 78229

  • Novartis Investigator Site

    San Diego, California, 92123

  • Novartis Investigator Site

    San Jose, California, 95117

  • Novartis Investigator Site

    San Mateo, California, 94401

  • Novartis Investigator Site

    Sarasota, Florida, 34233

  • Novartis Investigative Site

    Savannah, Georgia, 31406

  • Novartis Investigator Site

    Seattle, Washington, 98105

  • Novartis Investigative Site

    Skillman, New Jersey, 08558

  • Novartis Investigator Site

    Skokie, Illinois, 60076

  • Novartis Investigative Site

    South Burlington, Vermont, 05403

  • Novartis Investigative Site

    South Miami, Florida, 33143

  • Novartis Investigator Site

    Springfield, Illinois, 62703

  • Novartis Investigator Site

    St Louis, Missouri, 63141

  • Novartis Investigator Site

    Sylvania, Ohio, 43560

  • Novartis Investigator Site

    Tacoma, Washington, 98405

  • Novartis Investigator Site

    Tampa, Florida, 33603

  • Novartis Investigator Site

    Topeka, Kansas, 66606

  • Novartis Investigator Site

    Vista, California, 92083

  • Novartis Investigator Site

    Walnut Creek, California, 94598

  • Novartis Investigator Site

    Warrensburg, Missouri, 64093

  • Novartis Investigator Site

    Wheat Ridge, Colorado, 80033

Other trials in United States

Czechia15 sites
  • Novartis Investigator Site

    Boskovice

  • Novartis Investigator Site

    Břeclav

  • Novartis Investigator Site

    Brno

  • Novartis Investigator Site

    Brno-Bohunice

  • Novartis Investigator Site

    Hradec Králové

  • Novartis Investigator Site

    Jablonec nad Nisou

  • Novartis Investigator Site

    Kladno

  • Novartis Investigator Site

    Kutná Hora

  • Novartis Investigator Site

    Liberec

  • Novartis Investigator Site

    Most

  • Novartis Investigator Site

    Pilsen

  • Novartis Investigator Site

    Prague

  • Novartis Investigator Site

    Tábor

  • Novartis Investigator Site

    Teplice

  • Novartis Investigative Site

    Trutnov

Other trials in Czechia

Slovakia11 sites
  • Novartis Investigator Site

    Bardejov

  • Novartis Investigative Site

    Bojnice

  • Novartis Investigator Site

    Bratislava

  • Novartis Investigator Site

    Košice

  • Novartis Investigator Site

    Levice

  • Novartis Investigator Site

    Liptovský Hrádok

  • Novartis Investigator Site

    Michalovce

  • Novartis Investigative Site

    Nitra

  • Novartis Investigative Site

    Šurany

  • Novartis Investigator Site

    Trenčín

  • Novartis Investigator Site

    Vráble

Other trials in Slovakia

Hungary8 sites
  • Novartis Investigative Site

    Balassagyarmat

  • Novartis Investigative Site

    Debrecen

  • Novartis Investigator Site

    Deszk

  • Novartis Investigative Site

    Győr

  • Novartis Investigative Site

    Mosonmagyaróvár

  • Novartis Investigative Site

    Nyíregyháza

  • Novartis Investigative Site

    Tatabánya

  • Novartis Investigative Site

    Törökbálint

Other trials in Hungary

India8 sites
  • Novartis Investigator Site

    Chennai

  • Novartis Investigator Site

    Coimbatore

  • Novartis Investigator Site

    Hyderabaad

  • Novartis Investigator Site

    Indore

  • Novartis Investigator Site

    Mangalore

  • Novartis Investigator Site

    Mumbai

  • Novartis Investigator Site

    Nagpur

  • Novartis Investigator Site

    Panjim

Other trials in India

Brazil6 sites
  • Novartis Investigative Site

    Belo Horizonte

  • Novartis Investigative Site

    Florianópolis

  • Novartis Investigative Site

    Porto Alegre

  • Novartis Investigative Site

    Rio de Janeiro

  • Novartis Investigative Site

    Salvador

  • Novartis Investigative Site

    São Paulo

Other trials in Brazil

South Korea3 sites
  • Novartis Investigative Site

    Gwangju

  • Novartis Investigative SIte

    Seoul

  • Novartis Investigator Site

    Seoul

Other trials in South Korea

Colombia2 sites
  • Novartis Investigative Site

    Barranquilla

  • Novartis Investigative Site

    Bogotá

Other trials in Colombia

Peru1 site
  • Novartis Investigator Site

    Lima

Other trials in Peru

About this study

Official title: A Randomized, Multi-center, Parallel Group, Double Blind, Study to Assess the Safety of QMF Twisthaler® (500/400 µg) and Mometasone Furoate Twisthaler® (400 µg) in Adolescent and Adult Patients With Persistent Asthma

Study CQMF149A2210 evaluated the safety of QMF149 Twisthaler® 500/400 μg, a fixed dose combination of indacaterol 500 μg, a once daily β2 agonist, and mometasone furoate 400 μg, an inhaled corticosteroid (ICS) that is approved for use in the treatment of asthma. The objective of this safety trial was to assess the effect of treatment on the incidence of serious asthma exacerbations, defined as asthma related hospitalization and/or intubation and/or death. This was an event driven trial.

Conditions
Asthma
Being tested
QMF149 Twisthaler®, Mometasone Twisthaler®
Keywords
Asthma, LABA, Safety
Medical subject headings
Asthma

What participants receive

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

  • QMF149 Twisthaler®Drug

    Once daily via multi-dose dry-powder inhaler

  • Mometasone Twisthaler®Drug

    Once daily via multi-dose dry-powder inhaler

Study groups in NCT00941798
Study groupRoleWhat they receive
QMF149 Twisthaler® 500/400ExperimentalQMF149 Twisthaler® (indacaterol maleate 500 µg/mometasone furoate 400 µg), once daily (QD)
Receives: Drug: QMF149 Twisthaler®
Mometasone Twisthaler®Active comparatorMometasone Twisthaler®, 400 µg QD
Receives: Drug: Mometasone Twisthaler®

What is being measured

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

  1. Time to First Serious Asthma Exacerbation

    Defined as the number of days from start of treatment up to the first date when an asthma exacerbation becomes serious. A serious asthma exacerbation was one that resulted in hospitalization, intubation or death.

    Measured: Up to 21 months

Secondary outcomes (11)
  1. Cumulative Incidence of the First Serious Asthma Exacerbation Resulting in Hospitalization, Intubation or Death.

    The number of patients with at least one serious asthma exacerbation over the course of the study. A serious asthma exacerbation was one that resulted in hospitalization, intubation or death.

    Measured: up to 21 months

  2. Patients With Asthma Exacerbations That Required Treatment With Systemic Corticosteroids

    Number of patients requiring treatment with systemic corticosteroids (oral or parenteral) over the course of the study (up to 21 months).

    Measured: Up to 21 months

  3. Number of Patients With at Least One Asthma Worsening Post-baseline

    The criterion for asthma worsening were: decrease in peak expiratory flow (PEF) >= 20% from mean baseline on >= 3 consecutive days, nighttime symptom score >= 2 on >= 2 consecutive nights, decrease in forced expiration volume in 1 second (FEV1) >=20% from baseline at evening visits, daytime symptom score of 3 or 4 on >= 2 consecutive days, requiring an urgent unscheduled visit for medical care, 24 hour rescue medication use >= 8 puffs on >= 2 consecutive days, and any other clinically important symptoms (pre-specified MedDRA preferred terms).

    Measured: Up to 21 months

  4. Change From Baseline in Trough Forced Expiration Volume in 1 Second (FEV1) at Final Visit

    Spirometry was conducted according to internationally accepted standards. Trough FEV1 was measured 15 minutes before dosing; measurements within 6 hours of rescue medication use were set to missing. Repeated measures of analysis of covariance model: change from baseline to trough FEV1 = treatment + visit + treatment*visit interaction + baseline FEV1 + region + asthma related hospitalization in the last 12 months + asthma worsening in the last 12 months + African American patient.

    Measured: Baseline to the end of treatment (varying durations, up to 21 months)

  5. Change From Baseline in Forced Expiration Volume in 1 Second (FEV1) at Final Visit

    Spirometry was conducted according to internationally accepted standards. Change from baseline at final visit. FEV1 data taken within 6 hours of rescue medication was excluded from the analysis. Repeated measures of analysis of covariance model: change from baseline to final visit FEV1 = treatment + visit + treatment*visit interaction + baseline FEV1 + region + asthma related hospitalization in the last 12 months + asthma worsening in the last 12 months + African American patient.

    Measured: Baseline to the end of treatment (varying durations, up to 21 months). At the following timepoints: 5 minutes post-dose, 30 minutes post-dose, 1 hour post-dose and 2 hours post-dose

  6. Change From Baseline in Forced Vital Capacity (FVC) at Final Visit

    Spirometry was conducted according to internationally accepted standards. Change from baseline at final visit. FVC data taken within 6 hours of rescue medication was excluded from the analysis. Repeated measures of analysis of covariance model: change from baseline to final visit FVC = treatment + visit + treatment*visit interaction + baseline FVC + region + asthma related hospitalization in the last 12 months + asthma worsening in the last 12 months + African American patient.

    Measured: Baseline to the end of treatment (varying durations, up to 21 months). At the following timepoints: 5 minutes post-dose, 30 minutes post-dose, 1 hour post-dose and 2 hours post-dose

  7. Changes From Baseline in Morning Peak Expiratory Flow (PEF) and Trough Evening PEF Averaged Over the Entire Post-baseline Period

    PEF was performed every morning and evening prior to study medication use except evenings on the day of clinic visits.

    Baseline is average over the last 14 days prior to start of treatment. Analysis of covariance model: change from baseline in PEF = treatment + baseline PEF + region + history of asthma related hospitalization in the past 12 months + history of asthma worsening in the past 12 months + African American patient.

    Measured: Baseline to the end of treatment (varying durations, up to 21 months)

  8. Change From Baseline in Percentage of Days With no Asthma Symptoms During the Morning, Daytime and Nighttime

    Baseline = the last 14 days prior to start of treatment. Analysis of covariance model: Change from baseline = treatment + baseline value + region + history of asthma related hospitalization in past 12 months + history of asthma worsening in past 12 months + African American patient.

    Measured: Baseline to the end of treatment (varying durations, up to 21 months)

  9. Change From Baseline in Average Asthma Symptom Score Total, Daytime and Nighttime

    Total asthma symptom score = morning symptoms (0, 1) + daytime score (0-4) + nighttime score (0-4). The range is from 0 to 9. A lower number indicates improvement. Baseline = the last 14 days prior to start of treatment.

    Analysis of covariance model: Change from baseline = treatment + baseline value + region + history of asthma related hospitalization in past 12 months + history of asthma worsening in past 12 months + African American patient.

    Measured: Baseline to the end of treatment (varying durations, up to 21 months)

  10. Change From Baseline in Percentage of Days With no Rescue Medication Use During 24 Hours, Daytime and Nighttime

    24 hours consists of both 12 hour daytime and 12 hour nighttime. Baseline = the last 14 days prior to start of treatment. Analysis of covariance model: Change from baseline = treatment + baseline value + region + history of asthma related hospitalization in past 12 months + history of asthma worsening in past 12 months + African American patient.

    Measured: Baseline to the end of treatment (varying durations, up to 21 months)

  11. Change From Baseline in Asthma Control Questionnaire (ACQ) at Final Visit

    The Asthma Control Questionnaire score ranges from 0 (good control of asthma) to 6 (poor control of asthma). A negative change in score indicates improvement in asthma control.

    Repeated measures of analysis of covariance model: change from baseline in ACQ score = treatment + visit + treatment*visit interaction + baseline ACQ score + region + asthma related hospitalization in the last 12 months + asthma worsening in the last 12 months + African American patient.

    Measured: Baseline to the end of treatment (varying durations, up to 21 months)

Timeline

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

  1. First posted20 Jul 2009 (estimated)
  2. Study startJul 2009
  3. Primary completionMay 2011
  4. Study completionMay 2011

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
2,283 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00941798
Sponsor's protocol ID
CQMF149A2210
Other IDs
EudraCT number 2009-011539-10
Status last verified
Aug 2012
First submitted
14 Jul 2009
Last updated
31 Aug 2012

Publications

  • Beasley RW, Donohue JF, Mehta R, Nelson HS, Clay M, Moton A, Kim HJ, Hederer BM. Effect of once-daily indacaterol maleate/mometasone furoate on exacerbation risk in adolescent and adult asthma: a double-blind randomised controlled trial. BMJ Open. 2015 Feb 3;5(2):e006131. doi: 10.1136/bmjopen-2014-006131.

    PubMed 25649209

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing QMF149 Twisthaler® and Mometasone Twisthaler® in people with Asthma, run by Novartis Pharmaceuticals at 146 sites in 9 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 8 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 31 Aug 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 146 sites in United States, Czechia, Slovakia, Hungary, India and 4 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 5 Jun 2012). 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?

Time to First Serious Asthma Exacerbation (time frame: Up to 21 months). 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 NCT00941798, 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 31 Aug 2012.

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