Pulmonary Disease, Chronic ObstructivePhase 3NCT02105974
Study Evaluating the Efficacy and Safety of Fluticasone Furoate/Vilanterol Inhalation Powder (FF/VI) Compared With Vilanterol Inhalation Powder (VI) in Subjects With Chronic Obstructive Pulmonary Disease (COPD)
A Phase 3 study testing Fluticasone Furoate/Vilanterol and Vilanterol in people with Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 237 sites in 11 countries.
Trial summary
This is a Phase IIIa, multicenter, randomized, stratified (reversibility status), double-blind, parallel-group study to evaluate the efficacy and safety of FF/VI 100/25 micrograms (mcg) once daily (QD) compared with VI 25 mcg QD, administered in the morning via the ELLIPTA™ inhaler. Read more about this study
- Who is it for?
- Ages 40 years and older
- Conditions the study is for
- Pulmonary Disease, Chronic Obstructive
- What is being tested?
- Fluticasone Furoate/Vilanterol and Vilanterol
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,621 participants
- Where
- 237 sitesin 11 countries
- Study dates
- 7 Apr 2014to 8 Jul 2015
- 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 40 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Type of subject: Outpatient
- Informed consent: Subjects must give their signed and dated written informed consent to participate
- Gender: Male subjects or female subjects. Female subjects must be post-menopausal or using a highly effective method for avoidance of pregnancy. The decision to include or exclude women of childbearing potential may be made at the discretion of the investigator in accordance with local practice in relation to adequate contraception.
- Age: >=40 years of age at Screening (Visit 1)
- COPD diagnosis: Subjects with a clinical history of COPD in accordance with the definition by the American Thoracic Society/European Respiratory Society: COPD is a preventable and treatable disease characterized by airflow limitation that is not fully reversible. The airflow limitation is usually progressive and is associated with an abnormal inflammatory response of the lungs to noxious particles or gases, primarily caused by cigarette smoking. Although COPD affects the lungs, it is also associated with significant systemic consequences.
- Severity of disease: Subjects with a measured post-albuterol (salbutamol) FEV1/ Forced Vital Capacity (FVC) ratio of <=0.70 and FEV1 >=30 to <=70 percent of predicted normal values using Global Lung Function Initiative 2012 reference equations at Screening (Visit 1).
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- Tobacco use: Subjects with a current or prior history of >=10 pack-years of cigarette smoking at Screening (Visit 1). Former smokers are defined as those who have stopped smoking for at least 6 months prior to Visit 1.
- History of COPD exacerbation: A documented history (e.g., medical record verification) of at least one COPD exacerbation in the 12 months prior to Screening (Visit 1) that required either systemic/oral corticosteroids, antibiotics and/or hospitalization.
- Current symptoms of COPD: A Subject Diary combined symptom score (combination of breathlessness, cough, sputum, and night time awakenings requiring treatment with albuterol [salbutamol]) of >=4 on at least 5 of the 7 days immediately preceding Visit 2 (Randomization)
- QTc Criteria: QTc <450 msec or QTc <480 msec for patients with bundle branch block.
Who cannot join
- Pregnancy: Women who are pregnant or lactating or are planning on becoming pregnant during the study.
- Asthma: Subjects with a current diagnosis of asthma. (Subjects with a prior history of asthma are eligible if they have a current diagnosis of COPD).
- Other respiratory disorders: Subjects with alpha1-antitrypsin deficiency as the underlying cause of COPD as the underlying cause of COPD, active tuberculosis, lung cancer, bronchiectasis (Note: focal bronchiectasis is not exclusionary), sarcoidosis, pulmonary fibrosis (Note: focal fibrotic pulmonary lesions are not exclusionary), primary pulmonary hypertension, interstitial lung diseases, or other active pulmonary diseases.
- Lung resection: Subjects with lung volume reduction surgery within the 12 months prior to Screening (Visit 1).
- Chest X-ray (or computed tomography [CT] scan): Subjects with a chest X-ray (or CT scan) that reveals evidence of clinically significant abnormalities not believed to be due to the presence of COPD. A chest X-ray must be taken at Screening (Visit 1) if a chest X-ray or CT scan is not available within 1 year prior to Screening (Visit 1).
- Hospitalization: Subjects who are hospitalized due to poorly controlled COPD that has not resolved at least 4 weeks prior to Screening (Visit 1) and at least 6 weeks following the last dose of systemic corticosteroids.
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- Poorly controlled COPD: Subjects with poorly controlled COPD, defined as the occurrence of any of the following in the 6 weeks prior to Screening (Visit 1): Acute worsening of COPD that is managed by subject with systemic corticosteroids or antibiotics or that requires treatment prescribed by a physician.
- Lower respiratory tract infection: Subjects with lower respiratory tract infection that required the use of antibiotics within 6 weeks prior to Screening (Visit 1).
- COPD exacerbation/lower respiratory tract infection during the Run-In Period: Subjects who experience a moderate/severe COPD exacerbation (As per definition of "COPD Exacerbations and Pneumonia" in protocol) and/or a lower respiratory tract infection (including pneumonia) during the Run-In Period.
- Abnormal, clinically significant laboratory finding: Subjects who have an abnormal clinical significant finding in any liver chemistry test at Screening (Visit 1) or upon repeat prior to randomization.
- Abnormal, clinically significant 12-lead ECG at Screening (Visit 1): Subjects who have an abnormal, clinically significant 12-Lead electrocardiogram (ECG) finding at Screening (Visit 1) or upon repeat prior to randomization.
- Other diseases/abnormalities: Subjects with historical or current evidence of clinically significant and unstable disease such as cardiovascular (e.g., patients requiring implantable cardioverter-defibrillators (ICD), pacemaker requiring a rate set >60 beats per minute (bpm), uncontrolled hypertension, New Your Heart Association Class IV, known left ventricular ejection fraction <30 percent) neurological, psychiatric, renal, hepatic, immunological, endocrine (including uncontrolled diabetes or thyroid disease), peptic ulcer disease, or hematological abnormalities.
- Liver disease: Subjects who have unstable liver disease (as defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminaemia, oesophageal or gastric varices or persistent jaundice), cirrhosis, known biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones). Note: Subjects with chronic stable hepatitis B and C are eligible if the subject otherwise meets entry criteria (e.g., presence of hepatitis B surface antigen or positive hepatitis C test result within 3 months of screening). However, subjects with chronic stable hepatitis B are excluded if significant immunosuppressive or cytotoxic agents are administered, due to risk of hepatitis B reactivation, unless the hepatitis B antivirals are administered as outlined in the Chronic Hepatitis B American Association for the Study of Liver Diseases' (AASLD) Practice Guidelines.
- Cancer: Subjects with carcinoma that has not been in complete remission for at least 5 years. Carcinoma in situ of the cervix, squamous cell carcinoma and basal cell carcinoma of the skin would not be excluded if the subject has been considered cured within 5 years since diagnosis.
- Contraindications: Subjects with a history of allergy or hypersensitivity to any of the study medications (e.g. beta-agonists, corticosteroids) or components of the inhalation powder (e.g., lactose, magnesium stearate). In addition, subjects with a history of severe milk protein allergy that, in the opinion of the investigator, contraindicates the subject's participation will also be excluded.
- Drug/alcohol abuse: Subjects with a known or suspected history of alcohol or drug abuse within the last 2 years
- Medication prior to spirometry: Subjects who are medically unable to withhold their albuterol (salbutamol) or their ipratropium bromide for the 4-hour period required prior to spirometry testing at each study visit.
- Additional medication: Use of certain medications such as bronchodilators and corticosteroids for the protocol-specific times prior to Visit 1 (the Investigator will discuss the specific medications)"
- Oxygen therapy: Subjects receiving treatment with long-term oxygen therapy (LTOT) or nocturnal oxygen therapy required for greater than 12 hours a day. Oxygen as needed (prn) use (i.e., <=12 hours per day) is not exclusionary.
- Sleep apnea: Subjects with clinically significant sleep apnea who require use of continuous positive airway pressure (CPAP) device or non-invasive positive pressure ventilation (NIPPV).
- Pulmonary rehabilitation: Subjects who have participated in the acute phase of a Pulmonary Rehabilitation Program within 4 weeks prior to Screening (Visit 1) or who will enter the acute phase of a Pulmonary Rehabilitation Program during the study. Subjects who are in the maintenance phase of a Pulmonary Rehabilitation Program are not excluded.
- Non-Compliance during Run-In Period: Failure to demonstrate adequate compliance defined as completion of Diary Card (completed all diary entries on at least 5 of the last 7 consecutive days), the ability to withhold anti-COPD medications and to keep clinic visit appointments. In addition, subjects must have recorded the Run-In study medication use on at least 5 of the last 7, consecutive days of the Run-In period to continue in the study.
- Potential of non-compliance: Subjects at risk of non-compliance, or unable to comply with the study procedures. Any infirmity, disability, or geographic location that would limit compliance for scheduled visits.
- Questionable validity of consent: Subjects with a history of psychiatric disease, intellectual deficiency, poor motivation or other conditions that will limit the validity of informed consent to participate in the study.
- Prior use of study medication/other investigational drugs: Subjects who have received an investigational drug within 30 days of entry into this study (Screening), or within 5 drug half-lives of the investigational drug, whichever is longer. Note: Subjects who participated in a previously completed study and/or were excluded/ withdrawn from an ongoing study that included/includes FF/VI and/or VI are eligible to participate in the current study, if they have not received investigational study medication within 30 days of Screening (Visit 1).
- Affiliation with investigator site: Study investigators, sub-investigators, study coordinators, employees of a participating investigator or immediate family members of the aforementioned are excluded from participating in this study.
Trial locations and contacts
237 sites in 11 countries.
237 sites in 11 countries
Japan121 sites
GSK Investigational Site
Aichi, 454-8502
GSK Investigational Site
Aichi, 455-8510
GSK Investigational Site
Aichi, 457-8511
GSK Investigational Site
Aichi, 460-0001
GSK Investigational Site
Aichi, 471-8513
GSK Investigational Site
Aichi, 489-8642
GSK Investigational Site
Chiba, 278-0004
GSK Investigational Site
Chiba, 296-8602
GSK Investigational Site
Ehime, 791-0281
GSK Investigational Site
Fukuoka, 802-0052
GSK Investigational Site
Fukuoka, 802-0083
GSK Investigational Site
Fukuoka, 811-1394
GSK Investigational Site
Fukuoka, 815-8588
GSK Investigational Site
Fukuoka, 816-0813
GSK Investigational Site
Fukuoka, 820-8505
GSK Investigational Site
Fukuoka, 832-0059
GSK Investigational Site
Gifu, 500-8523
GSK Investigational Site
Gifu, 500-8717
GSK Investigational Site
Gifu, 506-8550
GSK Investigational Site
Gifu, 509-6134
GSK Investigational Site
Gunma, 372-0831
GSK Investigational Site
Hiroshima, 722-8503
GSK Investigational Site
Hiroshima, 732-0052
GSK Investigational Site
Hiroshima, 734-8530
GSK Investigational Site
Hiroshima, 735-8585
GSK Investigational Site
Hokkaido, 001-0901
GSK Investigational Site
Hokkaido, 040-8611
GSK Investigational Site
Hokkaido, 053-8506
GSK Investigational Site
Hokkaido, 060-0033
GSK Investigational Site
Hokkaido, 062-8618
GSK Investigational Site
Hokkaido, 063-0005
GSK Investigational Site
Hokkaido, 064-0801
GSK Investigational Site
Hokkaido, 064-0915
GSK Investigational Site
Hokkaido, 070-8644
GSK Investigational Site
Hokkaido, 071-8132
GSK Investigational Site
Hokkaido, 080-0013
GSK Investigational Site
Hokkaido, 080-0805
GSK Investigational Site
Hyōgo, 650-0047
GSK Investigational Site
Hyōgo, 664-8540
GSK Investigational Site
Hyōgo, 672-8064
GSK Investigational Site
Hyōgo, 675-8611
GSK Investigational Site
Hyōgo, 678-0239
GSK Investigational Site
Ibaraki, 310-0015
GSK Investigational Site
Ibaraki, 317-0077
GSK Investigational Site
Ibaraki, 319-1113
GSK Investigational Site
Ishikawa, 920-8530
GSK Investigational Site
Ishikawa, 920-8610
GSK Investigational Site
Ishikawa, 920-8650
GSK Investigational Site
Ishikawa, 921-8105
GSK Investigational Site
Ishikawa, 923-8560
GSK Investigational Site
Kagawa, 760-0018
GSK Investigational Site
Kagawa, 760-8538
GSK Investigational Site
Kagawa, 761-8073
GSK Investigational Site
Kagawa, 762-8550
GSK Investigational Site
Kanagawa, 232-0024
GSK Investigational Site
Kanagawa, 232-0066
GSK Investigational Site
Kanagawa, 239-0821
GSK Investigational Site
Kanagawa, 251-8550
GSK Investigational Site
Kanagawa, 254-8502
GSK Investigational Site
Kochi, 780-8077
GSK Investigational Site
Kochi, 783-8505
GSK Investigational Site
Kumamoto, 861-1196
GSK Investigational Site
Kumamoto, 862-0954
GSK Investigational Site
Kyoto, 601-1495
GSK Investigational Site
Kyoto, 601-8206
GSK Investigational Site
Kyoto, 607-8062
GSK Investigational Site
Kyoto, 612-0026
GSK Investigational Site
Kyoto, 615-8087
GSK Investigational Site
Mie, 514-1101
GSK Investigational Site
Mie, 515-8544
GSK Investigational Site
Miyagi, 980-8574
GSK Investigational Site
Miyagi, 981-8563
GSK Investigational Site
Miyagi, 983-8520
GSK Investigational Site
Miyagi, 984-8560
GSK Investigational Site
Miyagi, 986-8522
GSK Investigational Site
Miyagi, 989-1253
GSK Investigational Site
Nagano, 390-0872
GSK Investigational Site
Niigata, 950-2085
GSK Investigational Site
Numakunai, 024-8506
GSK Investigational Site
Ōita, 870-0921
GSK Investigational Site
Ōita, 876-0813
GSK Investigational Site
Okayama, 702-8055
GSK Investigational Site
Okayama, 711-0921
GSK Investigational Site
Okinawa, 901-0243
GSK Investigational Site
Okinawa, 901-2121
GSK Investigational Site
Okinawa, 901-2132
GSK Investigational Site
Okinawa, 904-2143
GSK Investigational Site
Okinawa, 904-2293
GSK Investigational Site
Osaka, 530-0001
GSK Investigational Site
Osaka, 530-8480
GSK Investigational Site
Osaka, 533-0024
GSK Investigational Site
Osaka, 564-0013
GSK Investigational Site
Osaka, 570-8540
GSK Investigational Site
Osaka, 573-0153
GSK Investigational Site
Osaka, 576-0041
GSK Investigational Site
Osaka, 591-8037
GSK Investigational Site
Osaka, 591-8555
GSK Investigational Site
Osaka, 596-8501
GSK Investigational Site
Saitama, 349-1105
GSK Investigational Site
Shizuoka, 430-8525
GSK Investigational Site
Shizuoka, 434-8511
GSK Investigational Site
Tokyo, 103-0027
GSK Investigational Site
Tokyo, 103-0028
GSK Investigational Site
Tokyo, 104-8560
GSK Investigational Site
Tokyo, 134-0083
GSK Investigational Site
Tokyo, 140-0011
GSK Investigational Site
Tokyo, 140-0013
GSK Investigational Site
Tokyo, 153-0051
GSK Investigational Site
Tokyo, 158-8531
GSK Investigational Site
Tokyo, 171-0014
GSK Investigational Site
Tokyo, 187-0002
GSK Investigational Site
Tokyo, 190-0014
GSK Investigational Site
Tokyo, 194-0023
GSK Investigational Site
Tokyo, 198-0042
GSK Investigational Site
Tokyo, 204-8522
GSK Investigational Site
Toyama, 930-0982
GSK Investigational Site
Toyama, 931-8553
GSK Investigational Site
Toyama, 937-0042
GSK Investigational Site
Toyama, 938-8502
GSK Investigational Site
Toyama, 939-8511
GSK Investigational Site
Yamaguchi, 755-0241
Germany20 sites
GSK Investigational Site
Aschaffenburg, Bavaria, 63739
GSK Investigational Site
Berlin, 10367
GSK Investigational Site
Berlin, 10717
GSK Investigational Site
Berlin, 10787
GSK Investigational Site
Berlin, 12203
GSK Investigational Site
Delitzsch, Saxony, 04509
GSK Investigational Site
Essen, North Rhine-Westphalia, 45359
GSK Investigational Site
Frankfurt am Main, Hesse, 60596
GSK Investigational Site
Geesthacht, Schleswig-Holstein, 21502
GSK Investigational Site
Goch, North Rhine-Westphalia, 47574
GSK Investigational Site
Hanover, Lower Saxony, 30159
GSK Investigational Site
Hanover, Lower Saxony, 30173
GSK Investigational Site
Leipzg, Saxony, 04109
GSK Investigational Site
Leipzig, Saxony, 04275
GSK Investigational Site
Lübeck, Schleswig-Holstein, 23552
GSK Investigational Site
Magdeburg, Saxony-Anhalt, 39112
GSK Investigational Site
Munich, Bavaria, 80339
GSK Investigational Site
Munich, Bavaria, 80539
GSK Investigational Site
Osnabrück, Lower Saxony, 49074
GSK Investigational Site
Rüdersdorf, Brandenburg, 15562
United States17 sites
GSK Investigational Site
Bristol, Tennessee, 37620
GSK Investigational Site
Charlotte, North Carolina, 28207
GSK Investigational Site
Cincinnati, Ohio, 45231
GSK Investigational Site
Easley, South Carolina, 29640
GSK Investigational Site
Erie, Pennsylvania, 16508
GSK Investigational Site
Gaffney, South Carolina, 29340
GSK Investigational Site
Greenville, South Carolina, 29615
GSK Investigational Site
Johnson City, Tennessee, 37601
GSK Investigational Site
Medford, Oregon, 97504
GSK Investigational Site
Morgantown, West Virginia, 26505
GSK Investigational Site
Riverside, California, 92506
GSK Investigational Site
Saint Charles, Missouri, 63301
GSK Investigational Site
Seneca, South Carolina, 29678
GSK Investigational Site
Spartanburg, South Carolina, 29303
GSK Investigational Site
Sunset, Louisiana, 70584
GSK Investigational Site
Union, South Carolina, 29379
GSK Investigational Site
Wilmington, North Carolina, 28401
Russia15 sites
GSK Investigational Site
Chelyabinsk, 454106
GSK Investigational Site
Izhevsk, 426063
GSK Investigational Site
Kemerovo, 650000
GSK Investigational Site
Kemerovo, 650002
GSK Investigational Site
Khantymansiysk, 628012
GSK Investigational Site
Moscow, 115 280
GSK Investigational Site
Moscow, 125315
GSK Investigational Site
Novosibirsk, 630089
GSK Investigational Site
Novosibirsk, 630099
GSK Investigational Site
Novosibirsk, 630102
GSK Investigational Site
Saint Petersburg, 194356
GSK Investigational Site
Saint Petersburg, 195271
GSK Investigational Site
Saint Petersburg, 198216
GSK Investigational Site
Saint Petersburg, 198260
GSK Investigational Site
Saint Petesburg, 195030
South Africa11 sites
GSK Investigational Site
Bellville, 7530
GSK Investigational Site
Bloemfontein, 9301
GSK Investigational Site
Cape Town, 7572
GSK Investigational Site
Durban, 4001
GSK Investigational Site
Gatesville, 7764
GSK Investigational Site
Meyerspark, Gauteng, 0184
GSK Investigational Site
Mowbray, 7700
GSK Investigational Site
Port Elizabeth, Eastern Cape, 6014
GSK Investigational Site
Pretoria, Gauteng, 0183
GSK Investigational Site
Tygerberg, 7505
GSK Investigational Site
Welkom, Free State, 9460
Ukraine11 sites
GSK Investigational Site
Dnipropetrovsk, 49051
GSK Investigational Site
Kharkiv, 61002
GSK Investigational Site
Kharkiv, 61035
GSK Investigational Site
Kiev, 03680
GSK Investigational Site
Kremenchuk, 39617
GSK Investigational Site
Kyiv, 02232
GSK Investigational Site
Kyiv, 03038
GSK Investigational Site
Kyiv, 03049
GSK Investigational Site
Mykolayiv, 54003
GSK Investigational Site
Odesa, 65025
GSK Investigational Site
Vinnytsia, 21029
Romania10 sites
GSK Investigational Site
Bacau, 600252
GSK Investigational Site
Brăila, 810003
GSK Investigational Site
Brasov, 500118
GSK Investigational Site
Cluj-Napoca, 400371
GSK Investigational Site
Comuna Alexandru Cel Bun, 617507
GSK Investigational Site
Craiova, 200515
GSK Investigational Site
Iași, 700115
GSK Investigational Site
Ploieşti, 100184
GSK Investigational Site
Ploieşti, 100379
GSK Investigational Site
Suceava, 720284
South Korea10 sites
GSK Investigational Site
Bucheon-si, 420-717
GSK Investigational Site
Daegu, 705-717
GSK Investigational Site
Incheon, 403-720
GSK Investigational Site
Kangwon-do, 220-701
GSK Investigational Site
Seoul, 100-032
GSK Investigational Site
Seoul, 130-709
GSK Investigational Site
Seoul, 136-705
GSK Investigational Site
Seoul, 140-743
GSK Investigational Site
Seoul, 150-713
GSK Investigational Site
Seoul, 156-755
Bulgaria8 sites
GSK Investigational Site
Dimitrovgrad, 6400
GSK Investigational Site
Pleven, 5800
GSK Investigational Site
Plovdiv, 4000
GSK Investigational Site
Rousse, 7000
GSK Investigational Site
Sofia, 1202
GSK Investigational Site
Sofia, 1431
GSK Investigational Site
Varna, 9000
GSK Investigational Site
Vidin, 3700
Poland8 sites
GSK Investigational Site
Bialystok, 15-044
GSK Investigational Site
Gdynia, 81-384
GSK Investigational Site
Krakow, 31-011
GSK Investigational Site
Krakow, 31-024
GSK Investigational Site
Lodz, 90-242
GSK Investigational Site
Skierniewice, 96-100
GSK Investigational Site
Warsaw, 01-192
GSK Investigational Site
Wroclaw, 50-088
Taiwan6 sites
GSK Investigational Site
Keelung, 20401
GSK Investigational Site
New Taipei City, 23148
GSK Investigational Site
Taichung, 404
GSK Investigational Site
Taichung, 40705
GSK Investigational Site
Taichung, 407
GSK Investigational Site
Taichung, 427
About this study
Official title: A 12-Week Study to Evaluate the Efficacy and Safety of Fluticasone Furoate/Vilanterol Inhalation Powder (FF/VI) 100/25 mcg Once Daily Compared With Vilanterol Inhalation Powder (VI) 25 mcg Once Daily in Subjects With Chronic Obstructive Pulmonary Disease (COPD)
This is a Phase IIIa, multicenter, randomized, stratified (reversibility status), double-blind, parallel-group study to evaluate the efficacy and safety of FF/VI 100/25 micrograms (mcg) once daily (QD) compared with VI 25 mcg QD, administered in the morning via the ELLIPTA™ inhaler. The primary objective of this study is to evaluate the contribution on lung function (as measured by trough forced expiratory volume in one second [FEV1]) of FF 100 mcg to the FF/VI 100/25 mcg QD combination by comparison of the latter with VI 25 mcg QD and the safety of FF/VI 100/25 mcg over a 12-week treatment period in subjects with COPD. ELLIPTA™ is a registered trademark of GlaxoSmithKline.
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Being tested
- Fluticasone Furoate/Vilanterol, Vilanterol
- Keywords
- COPD, Fluticasone Furoate (FF), Vilanterol (VI), Dry Powder Inhaler
- Medical subject headings
- Pulmonary Disease, Chronic Obstructive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Fluticasone Furoate/VilanterolDrug
100 mcg FF micronized drug blended with lactose per blister in one strip and 25 mcg VI micronized drug blended with lactose and magnesium stearate per blister in another strip, administered together by ELLIPTA™ inhaler
VilanterolDrug
25 mcg of Vilanterol micronized drug (as the 'M' salt triphenylacetate) blended with lactose and magnesium stearate per blister in one strip and lactose in another strip, administered together by ELLIPTA™ inhaler
| Study group | Role | What they receive |
|---|---|---|
| Fluticasone Furoate/Vilanterol 100/25 Inhalation Powder | Experimental | Inhaled corticosteroid (ICS)/long-acting beta2-agonist (LABA) Receives: Drug: Fluticasone Furoate/Vilanterol |
| Vilanterol 25 Inhalation Powder | Experimental | Long-acting beta2-agonist (LABA) Receives: Drug: Vilanterol |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Change From Baseline (BL) in Clinic Visit Trough (Pre-bronchodilator and Pre-dose) FEV1, on Treatment Day 84
Pulmonary function was measured by forced expiratory volume in one second (FEV1), defined as the maximal amount of air that can be forcefully exhaled from the lungs in one second. Trough FEV1 measurements were taken electronically by spirometry on Days 2, 14, 28, 56 and 84. BL was defined as the mean of the assessments made 30 minutes pre-dose and immediately pre-dose on Treatment Day 1.Trough FEV1 was defined as the mean of the FEV1 values obtained 23 and 24 hours after previous morning's dosing. Change from BL was calculated as the average at each visit minus the BL value. Analysis was performed using a repeated measures model with covariates of treatment, reversibility status (stratum), BL, region, day, day by BL and day by treatment interactions.
Measured: Baseline to Day 84
Secondary outcomes (2)
Percentage of Rescue-free 24-hour Periods Over the Entire 12-week Treatment Period
Participants were given daily record cards for daily completion from BL (Week -1) through Week 12 (Visit 7) each morning and prior prior to taking study medication (i.e., single-blind and double-blind study medication), supplemental medication (albuterol [salbutamol] if received). Participants recorded number of occasions supplemental albuterol/salbutamol (MDI and/or nebules) or oxitropium bromide (applicable sites in Japan) used over the previous 24 hours and any medical problems that they had experienced and any medication used to treat these medical problems over the previous 24 hours. Rescue-free 24-hour periods are defined as the 24-hour periods in which the rescue medication (albuterol [salbutamol]) was not used. The percentage of 24-hour periods are summarized for the entire treatment period (12 weeks). Analysis was performed using an analysis of covariance (ANCOVA) model with covariates of treatment, reversibility status (stratum), baseline (week -1) and region.
Measured: BL (Week -1), Week 1 to Week 12
Time to First On-treatment Occurrence of Moderate or Severe COPD Exacerbation
Time to first on-treatment exacerbation was analysed using a Cox proportional hazards model with terms for treatment, reversibility status and percent predicted FEV1 at screening. Exacerbation of COPD is defined by a worsening of symptoms requiring additional treatment. Moderate COPD exacerbation is worsening symptoms of COPD that require treatment with antibiotics and/or systemic corticosteroids. Severe COPD exacerbation is worsening symptoms of COPD that require treatment with in-patient hospitalization. The number of participants with On-Treatment moderate or severe COPD exacerbations are presented.
Measured: From the start of double blind study medication until visit 7 (week 12)/Early withdrawal
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Apr 2014 (estimated)
- Study start7 Apr 2014
- Primary completion8 Jul 2015
- Study completion8 Jul 2015
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 (1)Papers the sponsor has linked to this study.
- Other trials for Pulmonary Disease, Chronic ObstructiveStudies 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
- 1,621 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
- NCT02105974
- Sponsor's protocol ID
- 200820
- Status last verified
- Jan 2018
- First submitted
- 3 Apr 2014
- Last updated
- 24 Jan 2018
- 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
Siler TM, Nagai A, Scott-Wilson CA, Midwinter DA, Crim C. A randomised, phase III trial of once-daily fluticasone furoate/vilanterol 100/25 mug versus once-daily vilanterol 25 mug to evaluate the contribution on lung function of fluticasone furoate in the combination in patients with COPD. Respir Med. 2017 Feb;123:8-17. doi: 10.1016/j.rmed.2016.12.001. Epub 2016 Dec 2.
PubMed 28137501
Study at a glance
From the registry record, last updated by the sponsor on 24 Jan 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 12-Week Study to Evaluate the Efficacy and Safety of Fluticasone Furoate/Vilanterol Inhalation Powder (FF/VI) 100/25 mcg Once Daily Compared With Vilanterol Inhalation Powder (VI) 25 mcg Once Daily in Subjects With Chronic Obstructive Pulmonary Disease (COPD)
- ClinicalTrials.gov ID
- NCT02105974
- Acronym / sponsor ID
- 200820
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Keywords
- COPD, Fluticasone Furoate (FF), Vilanterol (VI), Dry Powder Inhaler
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,621 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 7 Apr 2014 (actual)
- Primary completion
- 8 Jul 2015 (actual)
- Study completion
- 8 Jul 2015 (actual)
- First posted
- 7 Apr 2014 (estimated)
- Results
- Posted 13 Apr 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase IIIa, multicenter, randomized, stratified (reversibility status), double-blind, parallel-group study to evaluate the efficacy and safety of FF/VI 100/25 micrograms (mcg) once daily (QD) compared with VI 25 mcg QD, administered in the morning via the ELLIPTA™ inhaler. The primary objective of this study is to evaluate the contribution on lung function (as measured by trough forced expiratory volume in one second [FEV1]) of FF 100 mcg to the FF/VI 100/25 mcg QD combination by comparison of the latter with VI 25 mcg QD and the safety of FF/VI 100/25 mcg over a 12-week treatment period in subjects with COPD. ELLIPTA™ is a registered trademark of GlaxoSmithKline.
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 100/25 Inhalation Powder | Experimental | Drug: Fluticasone Furoate/VilanterolInhaled corticosteroid (ICS)/long-acting beta2-agonist (LABA) |
| Vilanterol 25 Inhalation Powder | Experimental | Drug: VilanterolLong-acting beta2-agonist (LABA) |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Type of subject: Outpatient
- Informed consent: Subjects must give their signed and dated written informed consent to participate
- Gender: Male subjects or female subjects. Female subjects must be post-menopausal or using a highly effective method for avoidance of pregnancy. The decision to include or exclude women of childbearing potential may be made at the discretion of the investigator in accordance with local practice in relation to adequate contraception.
- Age: >=40 years of age at Screening (Visit 1)
- COPD diagnosis: Subjects with a clinical history of COPD in accordance with the definition by the American Thoracic Society/European Respiratory Society: COPD is a preventable and treatable disease characterized by airflow limitation that is not fully reversible. The airflow limitation is usually progressive and is associated with an abnormal inflammatory response of the lungs to noxious particles or gases, primarily caused by cigarette smoking. Although COPD affects the lungs, it is also associated with significant systemic consequences.
Key exclusion criteria (26 listed)
- Pregnancy: Women who are pregnant or lactating or are planning on becoming pregnant during the study.
- Asthma: Subjects with a current diagnosis of asthma. (Subjects with a prior history of asthma are eligible if they have a current diagnosis of COPD).
- Other respiratory disorders: Subjects with alpha1-antitrypsin deficiency as the underlying cause of COPD as the underlying cause of COPD, active tuberculosis, lung cancer, bronchiectasis (Note: focal bronchiectasis is not exclusionary), sarcoidosis, pulmonary fibrosis (Note: focal fibrotic pulmonary lesions are not exclusionary), primary pulmonary hypertension, interstitial lung diseases, or other active pulmonary diseases.
- Lung resection: Subjects with lung volume reduction surgery within the 12 months prior to Screening (Visit 1).
- Chest X-ray (or computed tomography [CT] scan): Subjects with a chest X-ray (or CT scan) that reveals evidence of clinically significant abnormalities not believed to be due to the presence of COPD. A chest X-ray must be taken at Screening (Visit 1) if a chest X-ray or CT scan is not available within 1 year prior to Screening (Visit 1).
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/Vilanterol100 mcg FF micronized drug blended with lactose per blister in one strip and 25 mcg VI micronized drug blended with lactose and magnesium stearate per blister in another strip, administered together by ELLIPTA™ inhaler | Drug | Fluticasone Furoate/Vilanterol 100/25 Inhalation Powder |
| Vilanterol25 mcg of Vilanterol micronized drug (as the 'M' salt triphenylacetate) blended with lactose and magnesium stearate per blister in one strip and lactose in another strip, administered together by ELLIPTA™ inhaler | Drug | Vilanterol 25 Inhalation Powder |
Primary outcome
Mean Change From Baseline (BL) in Clinic Visit Trough (Pre-bronchodilator and Pre-dose) FEV1, on Treatment Day 84
Time frame: Baseline to Day 84
Pulmonary function was measured by forced expiratory volume in one second (FEV1), defined as the maximal amount of air that can be forcefully exhaled from the lungs in one second. Trough FEV1 measurements were taken electronically by spirometry on Days 2, 14, 28, 56 and 84. BL was defined as the mean of the assessments made 30 minutes pre-dose and immediately pre-dose on Treatment Day 1.Trough FEV1 was defined as the mean of the FEV1 values obtained 23 and 24 hours after previous morning's dosing. Change from BL was calculated as the average at each visit minus the BL value. Analysis was performed using a repeated measures model with covariates of treatment, reversibility status (stratum), BL, region, day, day by BL and day by treatment interactions.
2 secondary outcomes
Percentage of Rescue-free 24-hour Periods Over the Entire 12-week Treatment Period
Time frame: BL (Week -1), Week 1 to Week 12
Time to First On-treatment Occurrence of Moderate or Severe COPD Exacerbation
Time frame: From the start of double blind study medication until visit 7 (week 12)/Early withdrawal
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Jan 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 28137501Siler TM, Nagai A, Scott-Wilson CA, Midwinter DA, Crim C. A randomised, phase III trial of once-daily fluticasone furoate/vilanterol 100/25 mug versus once-daily vilanterol 25 mug to evaluate the contribution on lung function of fluticasone furoate in the combination in patients with COPD. Respir Med. 2017 Feb;123:8-17. doi: 10.1016/j.rmed.2016.12.001. Epub 2016 Dec 2.
- 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
237 sites in 11 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 and Vilanterol in people with Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 237 sites in 11 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 26 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 24 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 237 sites in Japan, Germany, United States, Russia, South Africa and 6 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 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 13 Apr 2016). 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 (BL) in Clinic Visit Trough (Pre-bronchodilator and Pre-dose) FEV1, on Treatment Day 84 (time frame: Baseline to Day 84). 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 NCT02105974, 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 24 Jan 2018.