AsthmaPhase 3NCT01147848
HZA113091 Efficacy and Safety of Fluticasone Furoate/Vilanterol (GW642444) in Adults and Adolescents
A Phase 3 study testing Fluticasone furoate/Vilanterol Inhalation Powder and Fluticasone propionate/salmeterol Inhalation Powder in people with Asthma, run by GlaxoSmithKline at 63 sites in 6 countries.
Trial summary
The purpose of the study is to compare the efficacy and safety of fluticasone furoate/vilanterol (GW642444) inhalation powder administered once daily with fluticasone propionate/salmeterol administered twice daily in adolescent and adult subjects 12 years of age and older with persistent bronchial asthma over a… Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- Asthma
- What is being tested?
- Fluticasone furoate/Vilanterol Inhalation Powder and Fluticasone propionate/salmeterol Inhalation Powder
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 810 participants
- Where
- 63 sitesin 6 countries
- Study dates
- Jun 2010to Jul 2011
- Phase
- Phase 3
- 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 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Clinical diagnosis of asthma
- Reversibility of at least 12% and at least 200mLs within 10-40 minutes following 2-4 inhalations of albuterol
- FEV1 of 40-85% predicted normal
- Currently using inhaled corticosteroid therapy
Who cannot join
- History of life-threatening asthma within previous 5 years (requiring intubation and/or was associated with hypercapnoea, respiratory arrest or hypoxic seizures)
- Respiratory infection or oral candidiasis
- Asthma exacerbation requiring oral corticosteroids or that resulted in overnight hospitalisation requiring additional asthma treatment
- Uncontrolled disease or clinical abnormality
- Allergies
- Taking another investigational medication or prohibited medication
- Night shift workers
- Current smokers or subjects with smoking history of at least 10 pack years
Trial locations and contacts
63 sites in 6 countries.
63 sites in 6 countries
United States25 sites
GSK Investigational Site
Austin, Texas, 78750
GSK Investigational Site
Bethesda, Maryland, 20814
GSK Investigational Site
Centennial, Colorado, 80112
GSK Investigational Site
Cherry Hill, New Jersey, 08003
GSK Investigational Site
Cincinnati, Ohio, 45231
GSK Investigational Site
Cocoa, Florida, 32927
GSK Investigational Site
Denver, Colorado, 80230
GSK Investigational Site
Greenville, South Carolina, 29615
GSK Investigational Site
Huntington Beach, California, 92647
GSK Investigational Site
Los Angeles, California, 90025
GSK Investigational Site
Los Angeles, California, 90048
GSK Investigational Site
Medford, Oregon, 97504
GSK Investigational Site
Oklahoma City, Oklahoma, 73103
GSK Investigational Site
Orangeburg, South Carolina, 29118
GSK Investigational Site
Raleigh, North Carolina, 27607
GSK Investigational Site
Riverside, California, 92506
GSK Investigational Site
Rolla, Missouri, 65401
GSK Investigational Site
Rolling Hills Estates, California, 90274
GSK Investigational Site
San Antonio, Texas, 78229
GSK Investigational Site
San Diego, California, 92117
GSK Investigational Site
Skillman, New Jersey, 08558
GSK Investigational Site
Spartanburg, South Carolina, 29303
GSK Investigational Site
St Louis, Missouri, 63141
GSK Investigational Site
Waco, Texas, 76712
GSK Investigational Site
Wheaton, Maryland, 20902
Argentina10 sites
GSK Investigational Site
Buenos Aires, Buenos Aires, 1425
GSK Investigational Site
Buenos Aires, Buenos Aires, C1424BSF
GSK Investigational Site
Buenos Aires, C1425BEN
GSK Investigational Site
Buenos Aires, C1426ABP
GSK Investigational Site
Mendoza, Mendoza Province, M5500CCG
GSK Investigational Site
Paraná, Entre Ríos Province, E3100BHK
GSK Investigational Site
Quilmes, Buenos Aires, B1878FNR
GSK Investigational Site
Rosario, Santa Fe Province, S2000DSR
GSK Investigational Site
Rosario, Santa Fe Province, S2000JKR
GSK Investigational Site
San Miguel de Tucumán, 4000
Netherlands8 sites
GSK Investigational Site
Almelo, 7609 PP
GSK Investigational Site
Breda, 4819 EV
GSK Investigational Site
Dordrecht, 3318 AT
GSK Investigational Site
Eindhoven, 5623 EJ
GSK Investigational Site
Harderwijk, 3844 DG
GSK Investigational Site
Heerlen, 6419 PC
GSK Investigational Site
Hoorn, 1624 NP
GSK Investigational Site
Veldhoven, 5504 DB
Chile7 sites
GSK Investigational Site
Puente Alto - Santiago, Región Metro de Santiago, 8207257
GSK Investigational Site
Rancagua, Reg Del Libert Bern Ohiggins, 2841959
GSK Investigational Site
Santiago, Región Metro de Santiago, 7500691
GSK Investigational Site
Santiago, Región Metro de Santiago, 7601003
GSK Investigational Site
Santiago, Región Metro de Santiago
GSK Investigational Site
Valparaíso, Valparaiso, 2341131
GSK Investigational Site
Viña del Mar, Valparaiso
South Korea7 sites
GSK Investigational Site
Cheongju, Chungcheongbuk-do, 361-711
GSK Investigational Site
Incheon, 400-711
GSK Investigational Site
Kangwon-do, 220-701
GSK Investigational Site
Seoul, 110-744
GSK Investigational Site
Seoul, 135-710
GSK Investigational Site
Seoul, 138-736
GSK Investigational Site
Suwon, Kyonggi-do, 443-721
Philippines6 sites
GSK Investigational Site
Cabanatuan City, Nueva Ecija, 3100
GSK Investigational Site
Cebu City, 6000
GSK Investigational Site
Dasmariñas, Cavite, 4114
GSK Investigational Site
Manila, 1000
GSK Investigational Site
Marilao, Bulacan, 3019
GSK Investigational Site
Quezon City, 1100
About this study
Official title: A Randomised, Double-blind, Double-dummy, Parallel-group Multicentre Study to Assess Efficacy and Safety of Fluticasone Furoate/GW642444 Inhalation Powder and Fluticasone Propionate/Salmeterol Inhalation Powder in the Treatment of Persistent Asthma in Adults and Adolescents
The purpose of the study is to compare the efficacy and safety of fluticasone furoate/vilanterol (GW642444) inhalation powder administered once daily with fluticasone propionate/salmeterol administered twice daily in adolescent and adult subjects 12 years of age and older with persistent bronchial asthma over a 24-week period.
- Conditions
- Asthma
- Being tested
- Fluticasone furoate/Vilanterol Inhalation Powder, Fluticasone propionate/salmeterol Inhalation Powder, Placebo (1), Placebo (2)
- Keywords
- Salmeterol, fluticasone furoate, Vilanterol, fluticasone propionate, GW642444
- Medical subject headings
- Asthma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Fluticasone furoate/Vilanterol Inhalation PowderDrug
Fluticasone furoate/Vilanterol Inhalation Powder inhaled orally once daily for 24 weeks
Fluticasone propionate/salmeterol Inhalation PowderDrug
Fluticasone propionate/salmeterol Inhalation Powder inhaled orally twice daily for 24 weeks
Placebo (1)Drug
Inhalation powder inhaled orally once daily for 24 weeks
Placebo (2)Drug
Inhalation powder inhaled orally twice daily for 24 weeks
| Study group | Role | What they receive |
|---|---|---|
| Fluticasone furoate/Vilanterol (GW642444) | Experimental | Fluticasone furoate/vilanterol inhalation powder once daily + placebo inhalation powder twice daily for 24 weeks Receives: Drug: Fluticasone furoate/Vilanterol Inhalation Powder; Drug: Placebo (2) |
| Fluticasone propionate/salmeterol | Active comparator | Fluticasone propionate/salmeterol inhalation powder twice daily + placebo inhalation powder once daily for 24 weeks Receives: Drug: Fluticasone propionate/salmeterol Inhalation Powder; Drug: Placebo (1) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Weighted-mean 24 Hour Serial FEV1 on Day 168/Week 24
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. The weighted mean was calculated from the pre-dose FEV1 and post-dose FEV1 measurements at 5, 15, and 30 minutes (min) and at 1, 2, 3, 4, 11, 12, 12.5, 13, 14, 16, 20, 23, and 24 hours, respectively, on Day 168/Week 24. Change from Baseline was calculated as the weighted mean of the 24-hour serial FEV1 measures on Day 168/Week 24 minus the Baseline value. Baseline was the pre-dose measurement on Day 1. Analysis was performed using analysis of covariance (ANCOVA) with covariates of Baseline FEV1, region, sex, age, and treatment.
Measured: Baseline and Day 168/Week 24
Secondary outcomes (6)
Serial FEV1 (0-24 Hours)
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second . The pre-dose FEV1 assessment and the individual serial FEV1 assessments at Day 168/Week 24 at the indicated time points (pre-dose, 5 minutes, 15 minutes, 30 minutes, 1 hour, 2 hours, 3 hours, 4 hours, 11 hours, 12 hours, 12.5 hours, 13 hours, 14 hours, 16 hours, 20 hours, 23 hours, and 24 hour s) were summarized.
Measured: Day 168
Number of Participants With the Indicated Time to Onset of Bronchodilator Effect at Day 1
Time to onset of bronchodilator effect at Day 1 is defined as the actual time during the 4-hour serial FEV1 (the maximal amount of air that can be forcefully exhaled in one second) measurements that the participant first meets or exceeds a 12% and 200 mL increase over Baseline and was derived at Day 1 only. Time to onset was calculated over 0 to 4 hours (5 minutes, 15 minutes, 30 minutes, 1 hour, 2 hours, 3 hours, and 4 hours) post-dose. Participants who never exceeded a 12% and 200 mL increase over Baseline were censored at the actual time of their last FEV1 measurement.
Measured: Baseline to Day 1
Change From Baseline in Weighted Mean Serial FEV1 Over 0-4 Hours Post First Dose (at Randomization)
The weighted mean serial FEV1 (the maximal amount of air that can be forcefully exhaled in one second) over 0-4 hours post-dose at Baseline was derived using actual times and using the pre-dose assessment as the 0 hour measurement. Change from Baseline was calculated as the weighted mean of the 4-hour serial FEV1 measures on Day 1 minus the Baseline value. Baseline was the pre-dose measurement on Day 1. Analysis was performed using ANCOVA with covariates of Baseline FEV1, region, sex, age, and treatment.
Measured: Baseline and Randomization
Change From Baseline in Weighted Mean Serial FEV1 Over 0-4 Hours at Day 168
The weighted mean serial FEV1 (the maximal amount of air that can be forcefully exhaled in one second) over 0-4 hours post-dose at Baseline and Day 168 was derived using actual times and using the pre-dose assessment as the 0 hour measurement. Change from Baseline was calculated as the weighted mean of the 4-hour serial FEV1 measures on Day 168/Week 24 minus the Baseline value. Baseline was the pre-dose measurement on Day 1. Analysis was performed using ANCOVA with covariates of Baseline FEV1, region, sex, age, and treatment.
Measured: Baseline and Day 168
Number of Participants Obtaining a >=12% and >=200 mL Increase From Baseline in FEV1
The number of participants obtaining a >=12% and >=200 mL increase from Baseline in FEV1 (the maximal amount of air that can be forcefully exhaled in one second) was evaluated at 12-hours post-dose and at 24-hours post-dose on Day 168.
Measured: Baseline and Day 168
Change From Baseline in Trough FEV1 at Day 168
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second . Trough FEV1 is defined as the pre-dose measurement on Day 168/Week 24. Any missing data at Day 168/Week 24 was imputed using the last observation carried forward (LOCF). Baseline was the pre-dose measurement on Day 1. Change from Baseline was calculated as the pre-dose measurement on Day 168/Week 24 minus the Baseline value.
Measured: Baseline and Day 168
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jun 2010 (estimated)
- Study startJun 2010
- Primary completionJul 2011
- Study completionJul 2011
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 (2)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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 810 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
- NCT01147848
- Sponsor's protocol ID
- 113091
- Status last verified
- Nov 2016
- First submitted
- 27 May 2010
- Last updated
- 18 Jan 2017
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Oba Y, Anwer S, Maduke T, Patel T, Dias S. Effectiveness and tolerability of dual and triple combination inhaler therapies compared with each other and varying doses of inhaled corticosteroids in adolescents and adults with asthma: a systematic review and network meta-analysis. Cochrane Database Syst Rev. 2022 Dec 6;12(12):CD013799. doi: 10.1002/14651858.CD013799.pub2.
PubMed 36472162Woodcock A, Bleecker ER, Lotvall J, O'Byrne PM, Bateman ED, Medley H, Ellsworth A, Jacques L, Busse WW. Efficacy and safety of fluticasone furoate/vilanterol compared with fluticasone propionate/salmeterol combination in adult and adolescent patients with persistent asthma: a randomized trial. Chest. 2013 Oct;144(4):1222-1229. doi: 10.1378/chest.13-0178.
PubMed 23846316
Study at a glance
From the registry record, last updated by the sponsor on 18 Jan 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised, Double-blind, Double-dummy, Parallel-group Multicentre Study to Assess Efficacy and Safety of Fluticasone Furoate/GW642444 Inhalation Powder and Fluticasone Propionate/Salmeterol Inhalation Powder in the Treatment of Persistent Asthma in Adults and Adolescents
- ClinicalTrials.gov ID
- NCT01147848
- Acronym / sponsor ID
- 113091
- Conditions
- Asthma
- Keywords
- Salmeterol, fluticasone furoate, Vilanterol, fluticasone propionate, GW642444
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 810 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- Jun 2010
- Primary completion
- Jul 2011 (actual)
- Study completion
- Jul 2011 (actual)
- First posted
- 22 Jun 2010 (estimated)
- Results
- Posted 5 Sep 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to compare the efficacy and safety of fluticasone furoate/vilanterol (GW642444) inhalation powder administered once daily with fluticasone propionate/salmeterol administered twice daily in adolescent and adult subjects 12 years of age and older with persistent bronchial asthma over a 24-week period.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Fluticasone furoate/Vilanterol (GW642444) | Experimental | Drug: Fluticasone furoate/Vilanterol Inhalation Powder, Drug: Placebo (2)Fluticasone furoate/vilanterol inhalation powder once daily + placebo inhalation powder twice daily for 24 weeks |
| Fluticasone propionate/salmeterol | Active comparator | Drug: Fluticasone propionate/salmeterol Inhalation Powder, Drug: Placebo (1)Fluticasone propionate/salmeterol inhalation powder twice daily + placebo inhalation powder once daily for 24 weeks |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (4 listed)
- Clinical diagnosis of asthma
- Reversibility of at least 12% and at least 200mLs within 10-40 minutes following 2-4 inhalations of albuterol
- FEV1 of 40-85% predicted normal
- Currently using inhaled corticosteroid therapy
Key exclusion criteria (8 listed)
- History of life-threatening asthma within previous 5 years (requiring intubation and/or was associated with hypercapnoea, respiratory arrest or hypoxic seizures)
- Respiratory infection or oral candidiasis
- Asthma exacerbation requiring oral corticosteroids or that resulted in overnight hospitalisation requiring additional asthma treatment
- Uncontrolled disease or clinical abnormality
- Allergies
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 furoate/Vilanterol Inhalation PowderFluticasone furoate/Vilanterol Inhalation Powder inhaled orally once daily for 24 weeks | Drug | Fluticasone furoate/Vilanterol (GW642444) |
| Fluticasone propionate/salmeterol Inhalation PowderFluticasone propionate/salmeterol Inhalation Powder inhaled orally twice daily for 24 weeks | Drug | Fluticasone propionate/salmeterol |
| Placebo (1)Inhalation powder inhaled orally once daily for 24 weeks | Drug | Fluticasone propionate/salmeterol |
| Placebo (2)Inhalation powder inhaled orally twice daily for 24 weeks | Drug | Fluticasone furoate/Vilanterol (GW642444) |
Primary outcome
Change From Baseline in Weighted-mean 24 Hour Serial FEV1 on Day 168/Week 24
Time frame: Baseline and Day 168/Week 24
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. The weighted mean was calculated from the pre-dose FEV1 and post-dose FEV1 measurements at 5, 15, and 30 minutes (min) and at 1, 2, 3, 4, 11, 12, 12.5, 13, 14, 16, 20, 23, and 24 hours, respectively, on Day 168/Week 24. Change from Baseline was calculated as the weighted mean of the 24-hour serial FEV1 measures on Day 168/Week 24 minus the Baseline value. Baseline was the pre-dose measurement on Day 1. Analysis was performed using analysis of covariance (ANCOVA) with covariates of Baseline FEV1, region, sex, age, and treatment.
6 secondary outcomes
Serial FEV1 (0-24 Hours)
Time frame: Day 168
Number of Participants With the Indicated Time to Onset of Bronchodilator Effect at Day 1
Time frame: Baseline to Day 1
Change From Baseline in Weighted Mean Serial FEV1 Over 0-4 Hours Post First Dose (at Randomization)
Time frame: Baseline and Randomization
Change From Baseline in Weighted Mean Serial FEV1 Over 0-4 Hours at Day 168
Time frame: Baseline and Day 168
Number of Participants Obtaining a >=12% and >=200 mL Increase From Baseline in FEV1
Time frame: Baseline and Day 168
Change From Baseline in Trough FEV1 at Day 168
Time frame: Baseline and Day 168
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Jan 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36472162Oba Y, Anwer S, Maduke T, Patel T, Dias S. Effectiveness and tolerability of dual and triple combination inhaler therapies compared with each other and varying doses of inhaled corticosteroids in adolescents and adults with asthma: a systematic review and network meta-analysis. Cochrane Database Syst Rev. 2022 Dec 6;12(12):CD013799. doi: 10.1002/14651858.CD013799.pub2.
- Derived from this study: PubMed 23846316Woodcock A, Bleecker ER, Lotvall J, O'Byrne PM, Bateman ED, Medley H, Ellsworth A, Jacques L, Busse WW. Efficacy and safety of fluticasone furoate/vilanterol compared with fluticasone propionate/salmeterol combination in adult and adolescent patients with persistent asthma: a randomized trial. Chest. 2013 Oct;144(4):1222-1229. doi: 10.1378/chest.13-0178.
- 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
63 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Fluticasone furoate/Vilanterol Inhalation Powder and Fluticasone propionate/salmeterol Inhalation Powder in people with Asthma, run by GlaxoSmithKline at 63 sites in 6 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 4 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 18 Jan 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 63 sites in United States, Argentina, Netherlands, Chile, South Korea and 1 more country. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 Sep 2013). 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?
Change From Baseline in Weighted-mean 24 Hour Serial FEV1 on Day 168/Week 24 (time frame: Baseline and Day 168/Week 24). 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 NCT01147848, which also lists 2 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 18 Jan 2017.