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AsthmaPhase 2NCT01836471

A Study to Assess the Effect of QAW039 in Non-atopic Asthmatic Patients

A Phase 2 study testing QAW039, Fluticasone 250 mcg and Fluticasone 100 mcg in people with Asthma, run by Novartis Pharmaceuticals at 76 sites in 10 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

The purpose of the study was to assess the clinical effect of QAW039 in non-atopic asthmatics taking low dose Inhaled Corticosteroid (ICS) as background therapy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Asthma
What is being tested?
QAW039, Fluticasone 250 mcg and Fluticasone 100 mcg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
345 participants
Where
76 sitesin 10 countries
Study dates
May 2013to Feb 2016
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Written informed consent must be obtained before any assessment is performed
  • Patients with a diagnosis of persistent asthma (according to Global Initiative for Asthma 2011) for a period of at least 6 months prior to screening
  • Patients with a pre-bronchodilator Forced Expiratory Volume In One Second (FEV1) value of 40% to 80% of individual predicted value at screening and prior to treatment
  • An Asthma Control Questionnaire score ≥ 1.5 prior to treatment
  • Demonstration of reversible airway obstruction

Who cannot join

  • Pregnant or nursing (lactating) women
  • Acute illness other than asthma at the start of the study
  • Patients with clinically significant laboratory abnormalities at screening
  • Patients with clinically significant condition which may compromise subject safety or interfere with study evaluation
  • Use of other investigational drugs at the time of enrollment

Trial locations and contacts

76 sites in 10 countries.

76 sites in 10 countries

United States30 sites
  • Novartis Investigative Site

    Charleston, South Carolina, 29407

  • Novartis Investigative Site

    Charlotte, North Carolina, 28207

  • Novartis Investigative Site

    Cincinnati, Ohio, 45231

  • Novartis Investigative Site

    Colorado Springs, Colorado, 80907

  • Novartis Investigative Site

    Denver, Colorado, 80206

  • Novartis Investigative Site

    Denver, Colorado, 80230

  • Novartis Investigative Site

    Encinitas, California, 92024

  • Novartis Investigative Site

    Huntington Beach, California, 92647

  • Novartis Investigative Site

    Lincoln, Rhode Island, 02865

  • Novartis Investigative Site

    Los Angeles, California, 90025

  • Novartis Investigative Site

    Los Angeles, California, 90048

  • Novartis Investigative Site

    Medford, Oregon, 97504-8741

  • Novartis Investigative Site

    Minneapolis, Minnesota, 55402

  • Novartis Investigative Site

    Mission Viejo, California, 92691

  • Novartis Investigative Site

    North Dartmouth, Massachusetts, 02747

  • Novartis Investigative Site

    Orange, California, 92868

  • Novartis Investigative Site

    Owensboro, Kentucky, 42301

  • Novartis Investigative Site

    Palmdale, California, 93551

  • Novartis Investigative Site

    Papillion, Nebraska, 68046

  • Novartis Investigative Site

    Portland, Oregon, 97213

  • Novartis Investigative Site

    Riverside, California, 92506

  • Novartis Investigative Site

    Rolling Hills Estates, California, 90274

  • Novartis Investigative Site

    San Diego, California, 92123

  • Novartis Investigative Site

    San Jose, California, 95117

  • Novartis Investigative Site

    Sarasota, Florida, 34233

  • Novartis Investigative Site

    Seattle, Washington, 98104

  • Novartis Investigative Site

    Skillman, New Jersey, 08558

  • Novartis Investigative Site

    St Louis, Missouri, 63128

  • Novartis Investigative Site

    St Louis, Missouri, 63141

  • Novartis Investigative Site

    Stockton, California, 95207

Other trials in United States

Romania8 sites
  • Novartis Investigative Site

    Arad, 310013

  • Novartis Investigative Site

    Bucharest, District 1, 10457

  • Novartis Investigative Site

    Bucharest, District 3, 030303

  • Novartis Investigative Site

    Bucharest, District 3, 030317

  • Novartis Investigative Site

    Craiova, Dolj, 200515

  • Novartis Investigative Site

    Craiova, 200515

  • Novartis Investigative Site

    Deva, 330162

  • Novartis Investigative Site

    Timișoara, Romania, 300736

Other trials in Romania

Germany7 sites
  • Novartis Investigative Site

    Berlin, 10717

  • Novartis Investigative Site

    Frankfurt, 60596

  • Novartis Investigative Site

    Leipzig, 04357

  • Novartis Investigative Site

    Lübeck, 23552

  • Novartis Investigative Site

    Marburg, Germany, D-35037

  • Novartis Investigative Site

    Wiesbaden, Germany, 65187

  • Novartis Investigative Site

    Witten, 58452

Other trials in Germany

South Africa7 sites
  • Novartis Investigative Site

    Cape Town, 7500

  • Novartis Investigative Site

    Cape Town, 7531

  • Novartis Investigative Site

    Cape Town, 7925

  • Novartis Investigative Site

    Cape Town, 8001

  • Novartis Investigative Site

    Durban, South Africa, 4001

  • Novartis Investigative Site

    Gatesville, 7764

  • Novartis Investigative Site

    Pretoria, 0181

Other trials in South Africa

India5 sites
  • Novartis Investigative Site

    Coimbatore, Tamil Nadu, 641 045

  • Novartis Investigative Site

    Hyderabad, Andhra Pradesh, 500 068

  • Novartis Investigative Site

    Nagpur, Maharashtra, 400 012

  • Novartis Investigative Site

    Nagpur, Maharashtra, 440010

  • Novartis Investigative Site

    Panjim, Goa, 403 002

Other trials in India

South Korea5 sites
  • Novartis Investigative Site

    Bucheon-si, Gyeonggi-do, 14584

  • Novartis Investigative Site

    Cheongju-si, North Chungcheong, 28644

  • Novartis Investigative Site

    Gwangju, Gwangju, 501-757

  • Novartis Investigative Site

    Seoul, Korea, 06591

  • Novartis Investigative Site

    Suwon, Gyeonggi-do, 443-721

Other trials in South Korea

Colombia4 sites
  • Novartis Investigative Site

    Barranquilla, Atlántico

  • Novartis Investigative Site

    Barranquilla

  • Novartis Investigative Site

    Bogotá, Cundinamarca

  • Novartis Investigative Site

    Medellín

Other trials in Colombia

Czechia4 sites
  • Novartis Investigative Site

    Hradec Králové, CZE, 500 05

  • Novartis Investigative Site

    Karlovy Vary-Stara Rokle, CZE, 360 17

  • Novartis Investigative Site

    Teplice, CZE, 415 01

  • Novartis Investigative Site

    Trutnov, Czech Republic, 541 01

Other trials in Czechia

Poland4 sites
  • Novartis Investigative Site

    Bialystok, 15-010

  • Novartis Investigative Site

    Bialystok, 15-044

  • Novartis Investigative Site

    Lodz, 90-153

  • Novartis Investigative Site

    Wroclaw, 50-349

Other trials in Poland

Belgium2 sites
  • Novartis Investigative Site

    Erpent, 5100

  • Novartis Investigative Site

    Liège, 4000

Other trials in Belgium

About this study

Official title: A Double-blind, Placebo-controlled, Study Examining the Effect of Orally Administered QAW039 (450 mg QD) on FEV1 and ACQ in Non-atopic, Asthmatic Patients With a Baseline, Pre-bronchodilator FEV1 of 40-80% Predicted, Inadequately Controlled With Low Dose ICS Therapy

The purpose of the study was to assess the clinical effect of QAW039 in non-atopic asthmatics taking low dose Inhaled Corticosteroid (ICS) as background therapy.

Read the detailed description

This was a multi-centre, randomised, placebo-controlled, double blind, 3-arm study designed to compare the efficacy and safety of a once daily dose of QAW039 with placebo in non-atopic and atopic asthmatics both inadequately controlled despite receiving a low dose ICS background therapy, over a 12 week treatment period. Efficacy and safety of a once daily dose of QAW039 was also compared with an increased dose of ICS in atopic asthmatics taking low dose ICS as background therapy.

Conditions
Asthma
Being tested
QAW039, Placebo QAW039, Fluticasone 250 mcg, Fluticasone 100 mcg
Medical subject headings
Asthma

What participants receive

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

  • QAW039Drug

    QAW039 supplied as hard gelatin capsule in unit dose strength of 150 mg. Patient took 450 mg once daily (3 capsules taken with food in the morning) for the approximate period of the study (12 weeks)

  • Placebo QAW039Drug

    Matching placebo for QAW039 supplied as hard gelatin capsule were identical in appearance to their active counterparts. Patients took 3 QAW039 matching placebo capsules once a day ( taken with food in the morning) for the approximate period of the study (12 weeks)

  • Fluticasone 250 mcgDrug

    Fluticasone was supplied in inhalers with dose strength of 250 mcg. Patients took 250 mcg bid (morning and evening approximately 12 hours between doses) for a total dose of 500 mcg daily for the approximate period of the study (12 weeks).

  • Fluticasone 100 mcgDrug

    Background therapy - fluticasone was supplied in inhalers with dose strength of 100 mcg. All patients in the study other than the Atopic Fluticasone 150 mcg arm were given the 100 mcg dose strength inhalers and took fluticasone 100 mcg bid (taken morning and evening with approximately 12 hours between doses) as background therapy for the approximate period of the study (12 weeks).

Study groups in NCT01836471
Study groupRoleWhat they receive
QAW039 450 mg qd Non-atopicExperimentalQAW039 450 mg (3 capsules of QAW039 150 mg) qd combined with background ICS (100 μg fluticasone, bid). Non-atopic patients randomized in ratio of approximately 1:1.
Receives: Drug: QAW039; Drug: Fluticasone 100 mcg
Placebo Non-atopicPlacebo comparatorPlacebo to QAW039 (3 capsules of Placebo of QAW039 150 mg) combined with background ICS (100 μg fluticasone, bid). Non-atopic randomized in ratio of approximately 1:1.
Receives: Drug: Placebo QAW039; Drug: Fluticasone 100 mcg
QAW039 450 mg qd AtopicExperimentalQAW039 450 mg (3 capsules of QAW039 150 mg) qd combined with background ICS (100 μg fluticasone, bid). Atopic patients randomized in a ratio of approximate 1:1:1
Receives: Drug: QAW039; Drug: Fluticasone 100 mcg
Fluticasone 150 mcg bid AtopicActive comparatorPlacebo to QAW039 (3 capsules of Placebo of QAW039 150 mg) combined with 150 μg ICS and with background ICS (100 μg fluticasone, bid). As a consequence total ICS was 250 μg fluticasone bid. Atopic patients randomized in ratio of approximately 1:1:1
Receives: Drug: Placebo QAW039; Drug: Fluticasone 250 mcg
Placebo AtopicPlacebo comparatorPlacebo to QAW039 (3 capsules of Placebo of QAW039 150 mg) combined with background ICS (100 μg fluticasone, bid). Atopic patients andomized in ratio of approximately 1:1:1
Receives: Drug: Placebo QAW039; Drug: Fluticasone 100 mcg

What is being measured

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

  1. Change From Baseline in Trough FEV1 (L) in Non-atopic Patients at Week 12 - Full Analysis Set

    Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Baseline is defined as the last available FEV1 measurement taken prior to the first dose of randomized study drug.

    Data within 6 hr of rescue medication use is excluded from this analysis. For subjects with missing trough FEV1 (L) at Week 12, the last post baseline observation were used (LOCF).

    Estimates are from a mixed effects model with treatment, subject population (non-atopic vs. atopic), treatment by subject population interaction, baseline trough FEV1 and region as fixed effects and center nested within region as random effects. Full analysis set included all randomized subjects who received at least one dose of study drug.

    Measured: baseline,12 weeks

Secondary outcomes (4)
  1. Change From Baseline in Trough FEV1 (L) in Atopic Patients at Week 12 - Full Analysis Set

    Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Baseline is defined as the FEV1 measurement taken prior to the first dose of randomized study drug.

    Data within 6 hr of rescue medication use is excluded from this analysis. For subjects with missing trough FEV1 (L) at Week 12, the last post baseline observation were used (LOCF).

    Estimates are from a mixed effects model with treatment, subject population (non-atopic vs. atopic), treatment by subject population interaction, baseline trough FEV1 and region as fixed effects and center nested within region as random effects. Full analysis set included all randomized subjects who received at least one dose of study drug.

    Measured: baseline,12 weeks

  2. Change From Baseline in Trough FEV1 (L) in Non-atopic Compared to Atopic Patients at Week 12 - Full Analysis Set

    Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Baseline is defined as the FEV1 measurement taken prior to the first dose of randomized study drug.

    Data within 6 hr of rescue medication use is excluded from this analysis. For subjects with missing trough FEV1 (L) at Week 12, the last post baseline observation were used (LOCF).

    Estimates are from a mixed effects model with treatment, subject population, treatment by subject population interaction, baseline trough FEV1 and region as fixed effects and center nested within region as random effects. Full analysis set included all randomized subjects who received at least one dose of study drug.

    Measured: baseline,12 weeks

  3. Change From Baseline in ACQ-6 Score at Week 12 Non-atopic and Atopic Patients at Week 12 - Full Analysis Set

    ACQ-6 consists of:5 items on symptoms, 1 item on rescue bronchodilator use, and 1 item on airway caliber (FEV1 % predicted). The ACQ was fully validated, including a minimal important difference (MID) or smallest change that could be considered clinically important (0.5). The ACQ was self-administered at the clinic and patients scored each item on a 7-point response scale: 0 = 'totally controlled' and 6 = 'severely uncontrolled.' Study staff scored question 7 based on % predicted FEV1 (ideally pre-bronchodilator). The total score=average of first 6 questions. Baseline=the ACQ-6 measurement taken prior to first dose of randomized study drug. The single missing score was interpolated by utilizing prior or subsequent completions of the questionnaire. Estimates were from a mixed effects model with treatment, subject population (non-atopic vs. atopic), treatment by subject population interaction, baseline ACQ-6 and region as fixed effects and center nested within region as random effects.

    Measured: baseline,12 weeks

  4. Change From Baseline in ACQ-6 Score at Week 12 Non-atopic Compared to Atopic Patients at Week 12 - Full Analysis Set

    ACQ-6 consists of:5 items on symptoms, 1 item on rescue bronchodilator use, and 1 item on airway caliber (FEV1 % predicted). The ACQ was fully validated, including a minimal important difference (MID) or smallest change that could be considered clinically important (0.5). The ACQ was self-administered at the clinic and patients scored each item on a 7-point response scale: 0 = 'totally controlled' and 6 = 'severely uncontrolled.' Study staff scored question 7 based on % predicted FEV1 (ideally pre-bronchodilator). The total score=average of first 6 questions. Baseline=the ACQ-6 measurement taken prior to first dose of randomized study drug. The single missing score was interpolated by utilizing prior or subsequent completions of the questionnaire. Estimates were from a mixed effects model with treatment, subject population (non-atopic vs. atopic), treatment by subject population interaction, baseline ACQ-6 and region as fixed effects and center nested within region as random effects.

    Measured: baseline,12 weeks

Timeline

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

  1. First posted22 Apr 2013 (estimated)
  2. Study startMay 2013
  3. Primary completionFeb 2016
  4. Study completionFeb 2016

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
345 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01836471
Sponsor's protocol ID
CQAW039A2214
Other IDs
2012-003995-38
Status last verified
Jan 2017
First submitted
17 Apr 2013
Last updated
20 Mar 2017
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing QAW039, Fluticasone 250 mcg and Fluticasone 100 mcg in people with Asthma, run by Novartis Pharmaceuticals at 76 sites in 10 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 5 inclusion and 5 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 20 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 76 sites in United States, Romania, Germany, South Africa, India and 5 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. Some participants in this study may receive a placebo. 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 20 Mar 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?

Change From Baseline in Trough FEV1 (L) in Non-atopic Patients at Week 12 - Full Analysis Set (time frame: baseline,12 weeks). 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 20 Mar 2017.

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