AsthmaPhase 3NCT02301975
An Efficacy and Safety Study of Fluticasone Furoate/Vilanterol 100/25 Microgram (mcg) Inhalation Powder, Fluticasone Propionate/Salmeterol 250/50 mcg Inhalation Powder, and Fluticasone Propionate 250 mcg Inhalation Powder in Adults and Adolescents With Persistent Asthma
A Phase 3 study testing Fluticasone Furoate/Vilanterol 100/25 mcg via ELLIPTA inhaler, Fluticasone Propionate/Salmeterol 250/50 mcg via ACCUHALER/DISKUS inhaler and Fluticasone Propionate 250 mcg via ACCUHALER/DISKUS inhaler in people with Asthma, run by GlaxoSmithKline at 179 sites in 12 countries.
Trial summary
This study is a randomized, double-blind, double-dummy, parallel group, multicenter, non-inferiority study. The study will enroll adult and adolescent asthmatic subjects who are currently receiving mid dose inhaled corticosteroids (ICS) plus long-acting beta2-agonist (LABA) (equivalent to fluticasone propionate… 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 100/25 mcg via ELLIPTA inhaler, Fluticasone Propionate/Salmeterol 250/50 mcg via ACCUHALER/DISKUS inhaler and Fluticasone Propionate 250 mcg via ACCUHALER/DISKUS inhaler
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,526 participants
- Where
- 179 sitesin 12 countries
- Study dates
- 1 Mar 2015to 25 Nov 2016
- 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
- Subjects must give their signed and dated written informed consent to participate prior to commencing any study related activities.
- Subjects must be outpatients >=12 years of age at Visit 1 who have had a diagnosis of asthma, as defined by the National Institutes of Health, for at least 12 weeks prior to Visit 1 (Note: Countries with local restrictions prohibiting enrollment of adolescents will enroll subjects >=18 years of age only).
- Subjects may be male or an eligible female. An eligible female is defined as having non-childbearing potential or having childbearing potential and a negative urine pregnancy test at Screening and agrees to use an acceptable method of birth control consistently and correctly.
- Subjects must have a FEV1 of >=80% of the predicted normal value.
- Subjects are eligible if they have received mid dose ICS plus LABA (equivalent to FP/salmeterol 250/50 twice daily or an equivalent combination via separate inhalers) for at least the 12 weeks immediately preceding Visit 1.
- All subjects must be able to replace their current SABA treatment with albuterol/salbutamol aerosol inhaler at Visit 1 for use, as needed, for the duration of the study. Subjects must be able to withhold albuterol/salbutamol for at least 6 hours prior to study visits.
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- If in the opinion of the investigator the subject's asthma is well controlled. Exclusion Criteria
- History of Life-Threatening Asthma, defined for this protocol as an asthma episode that required intubation and/or associated with hypercapnea, respiratory arrest or hypoxic seizures within the last 5 years.
- Culture-documented or suspected bacterial or viral infection of the upper or lower respiratory tract, sinus or middle ear that is not resolved within 4 weeks of Visit 1 and led to a change in asthma management or in the opinion of the Investigator, expected to affect the subject's asthma status or the subject's ability to participate in the study.
- Any asthma exacerbation requiring oral corticosteroids within 12 weeks of Visit 1 or resulting in an overnight hospitalization requiring additional treatment for asthma within 6 months prior to Visit 1.
- A subject must not have current evidence of Atlectasis, Bronchopulmonary dysplasia, Chronic bronchitis, Chronic obstructive pulmonary disease, Pneumonia, Pneumothorax, Interstitial lung disease, or any evidence of concurrent respiratory disease other than asthma
- A subject must not have any clinically significant, uncontrolled condition or disease state that, in the opinion of the investigator, would put the safety of the subject at risk through study participation or would confound the interpretation of the results if the condition/disease exacerbated during the study.
- A subject must not have used any investigational drug within 30 days prior to Visit 1 or within five half-lives (t½) of the prior investigational study, whichever is longer of the two.
- Any adverse reaction including immediate or delayed hypersensitivity to any beta2-agonist, sympathomimetic drug, or any intranasal, inhaled, or systemic corticosteroid therapy. Known or suspected sensitivity to the constituents of RELVAR™ ELLIPTA inhaler, SERETIDE™ ACCUHALER/DISKUS inhaler or FP 250.
- History of severe milk protein allergy.
- Administration of prescription or non-prescription medication that would significantly affect the course of asthma, or interact with study drug.
- A subject must not be using or require the use of immunosuppressive medications during the study.
- A subject will not be eligible if he/she or his/her parent or legal guardian has any infirmity, disability, disease, or geographical location which seems likely (in the opinion of the Investigator) to impair compliance with any aspect of this study protocol, including visit schedule and completion of the daily diaries.
- Current tobacco smoker or has a smoking history of 10 pack-years (20 cigarettes/day for 10 years). A subject may not have used inhaled tobacco products or inhaled marijuana within the past 3 months (e.g., cigarettes, cigars, electronic cigarettes, or pipe tobacco).
- A subject will not be eligible for this study if he/she is an immediate family member of the participating investigator, sub-investigator, study coordinator, or employee of the participating investigator.
Who cannot join
None listed.
Trial locations and contacts
179 sites in 12 countries.
179 sites in 12 countries
United States34 sites
GSK Investigational Site
Albany, Georgia, 31707
GSK Investigational Site
Austin, Texas, 78750
GSK Investigational Site
Baltimore, Maryland, 21236
GSK Investigational Site
Bellevue, Nebraska, 68123-4303
GSK Investigational Site
Bethlehem, Pennsylvania, 18020
GSK Investigational Site
Canton, Ohio, 44718
GSK Investigational Site
Charlotte, North Carolina, 28277
GSK Investigational Site
Cincinnati, Ohio, 45231
GSK Investigational Site
Columbia, Maryland, 21044
GSK Investigational Site
Columbia, Missouri, 65203
GSK Investigational Site
Denver, Colorado, 80230
GSK Investigational Site
Gastonia, North Carolina, 28054
GSK Investigational Site
Greenfield, Wisconsin, 53228
GSK Investigational Site
Greenville, South Carolina, 29615
GSK Investigational Site
Hendersonville, North Carolina, 28739
GSK Investigational Site
Huntersville, North Carolina, 28078
GSK Investigational Site
Huntington Beach, California, 92647
GSK Investigational Site
Lewisville, Texas, 75067
GSK Investigational Site
Medford, Oregon, 97504
GSK Investigational Site
Miami, Florida, 33165
GSK Investigational Site
Miami, Florida, 33174
GSK Investigational Site
Middleburg Heights, Ohio, 44130
GSK Investigational Site
Minneapolis, Minnesota, 55402
GSK Investigational Site
Orangeburg, South Carolina, 29118
GSK Investigational Site
Plymouth, Minnesota, 55441
GSK Investigational Site
Richmond, Virginia, 23225
GSK Investigational Site
Riverside, California, 92506
GSK Investigational Site
Rock Hill, South Carolina, 29732
GSK Investigational Site
Rolla, Missouri, 65401
GSK Investigational Site
Rolling Hills Estates, California, 90274
GSK Investigational Site
San Diego, California, 92103
GSK Investigational Site
Spartanburg, South Carolina, 29303
GSK Investigational Site
Upland, California, 91786
GSK Investigational Site
Waco, Texas, 76712
Germany34 sites
GSK Investigational Site
Bamberg, Bavaria, 96049
GSK Investigational Site
Berlin, 10119
GSK Investigational Site
Berlin, 10367
GSK Investigational Site
Berlin, 10717
GSK Investigational Site
Berlin, 10787
GSK Investigational Site
Berlin, 10969
GSK Investigational Site
Berlin, 12203
GSK Investigational Site
Berlin, 13156
GSK Investigational Site
Delitzsch, Saxony, 04509
GSK Investigational Site
Essen, North Rhine-Westphalia, 45355
GSK Investigational Site
Essen, North Rhine-Westphalia, 45359
GSK Investigational Site
Frankfurt am Main, Hesse, 60389
GSK Investigational Site
Frankfurt am Main, Hesse, 60596
GSK Investigational Site
Geesthacht, Schleswig-Holstein, 21502
GSK Investigational Site
Hamburg, 22299
GSK Investigational Site
Hanover, Lower Saxony, 30173
GSK Investigational Site
Koblenz, Rhineland-Palatinate, 56068
GSK Investigational Site
Leipzg, Saxony, 04109
GSK Investigational Site
Leipzig, Saxony, 04207
GSK Investigational Site
Leipzig, Saxony, 04275
GSK Investigational Site
Leipzig, Saxony, 04357
GSK Investigational Site
Lübeck, Schleswig-Holstein, 23552
GSK Investigational Site
Marburg, Hesse, 35037
GSK Investigational Site
Munich, Bavaria, 80339
GSK Investigational Site
Munich, Bavaria, 80539
GSK Investigational Site
Neu-Isenburg, Hesse, 63263
GSK Investigational Site
Peine, Lower Saxony, 31224
GSK Investigational Site
Potsdam, Brandenburg, 14469
GSK Investigational Site
Schleswig, Schleswig-Holstein, 24837
GSK Investigational Site
Schmölln, Thuringia, 04626
GSK Investigational Site
Stuttgart, Baden-Wurttemberg, 70378
GSK Investigational Site
Teuchern, Saxony-Anhalt, 6682
GSK Investigational Site
Warendorf, North Rhine-Westphalia, 48231
GSK Investigational Site
Witten, North Rhine-Westphalia, 58452
Russia26 sites
GSK Investigational Site
Barnaul, 656 045
GSK Investigational Site
Blagoveshchensk, 675000
GSK Investigational Site
Irkutsk, 664043
GSK Investigational Site
Kemerovo, 650000
GSK Investigational Site
Kemerovo, 650002
GSK Investigational Site
Krasnodar, 350012
GSK Investigational Site
Moscow, 115201
GSK Investigational Site
Moscow, 115478
GSK Investigational Site
Moscow, 123 182
GSK Investigational Site
Moscow, 125315
GSK Investigational Site
Omsk, 644112
GSK Investigational Site
Pyatigorsk, 357538
GSK Investigational Site
Saint Petersburg, 194354
GSK Investigational Site
Saint Petersburg, 194356
GSK Investigational Site
Saint Petersburg, 196240
GSK Investigational Site
Saint Petesburg, 195030
GSK Investigational Site
Saratov, 410028
GSK Investigational Site
St'Petersburg, 197706
GSK Investigational Site
Stavropol, 355017
GSK Investigational Site
Tomsk, 634009
GSK Investigational Site
Tomsk, 634033
GSK Investigational Site
Ufa, 450071
GSK Investigational Site
Ulyanovsk, 432063
GSK Investigational Site
Vladimir, 600023
GSK Investigational Site
Volgodonsk, 347381
GSK Investigational Site
Voronezh, 394018
Argentina14 sites
GSK Investigational Site
Buenos Aires, C1121ABE
GSK Investigational Site
Buenos Aires, C1424BSF
GSK Investigational Site
Buenos Aires, C1425BEN
GSK Investigational Site
Buenos Aires, C1426ABP
GSK Investigational Site
Florida, Buenos Aires, 1602
GSK Investigational Site
La Plata, Buenos Aires, 1900
GSK Investigational Site
Mar del Plata, Buenos Aires, 7600
GSK Investigational Site
Mar del Plata, B7600FYK
GSK Investigational Site
Mendoza, 5500
GSK Investigational Site
Mendoza, M5500CCG
GSK Investigational Site
Quilmes, Buenos Aires, B1878FNR
GSK Investigational Site
Rosario, Santa Fe Province, S2000DBS
GSK Investigational Site
Rosario, Santa Fe Province, S2000JKR
GSK Investigational Site
San Miguel de Tucumán, 4000
Romania14 sites
GSK Investigational Site
Bacau, 600114
GSK Investigational Site
Bacau, 600252
GSK Investigational Site
Brasov, 500112
GSK Investigational Site
Bucharest, 020125
GSK Investigational Site
Bucharest, 022102
GSK Investigational Site
Bucharest, 030317
GSK Investigational Site
Bucharest, 050159
GSK Investigational Site
Cluj-Napoca, 400371
GSK Investigational Site
Codlea, 505100
GSK Investigational Site
Craiova, 200345
GSK Investigational Site
Deva, 330182
GSK Investigational Site
Piteşti, 110084
GSK Investigational Site
Suceava, 720284
GSK Investigational Site
Timișoara, 300310
Czechia11 sites
GSK Investigational Site
Česká Lípa, 470 01
GSK Investigational Site
Hlučín, 748 01
GSK Investigational Site
Hradec Králové, 500 02
GSK Investigational Site
Kutná Hora, 284 01
GSK Investigational Site
Lovosice, 410 02
GSK Investigational Site
Olomouc, 772 00
GSK Investigational Site
Ostrava - Poruba, 70868
GSK Investigational Site
Rokycany, 337 01
GSK Investigational Site
Tábor, 390 01
GSK Investigational Site
Teplice, 415 10
GSK Investigational Site
Varnsdorf, 407 47
Netherlands11 sites
GSK Investigational Site
Almelo, 7609 PP
GSK Investigational Site
Almere Stad, 1311 RL
GSK Investigational Site
Almere Stad, 1315 RC
GSK Investigational Site
Breda, 4818 CK
GSK Investigational Site
Breda, 4819 EV
GSK Investigational Site
Eindhoven, 5623 EJ
GSK Investigational Site
Harderwijk, 3844 DG
GSK Investigational Site
Hoorn, 1624 NP
GSK Investigational Site
Kloosterhaar, 7694 AC
GSK Investigational Site
Nijverdal, 7442 LS
GSK Investigational Site
Zutphen, 7207 AE
Spain11 sites
GSK Investigational Site
Alicante, 03004
GSK Investigational Site
Alzira/Valencia, 46600
GSK Investigational Site
Badalona, 08916
GSK Investigational Site
Barcelona, 08016
GSK Investigational Site
Barcelona, 08035
GSK Investigational Site
Centelles (Barcelona), 08540
GSK Investigational Site
Madrid, 28009
GSK Investigational Site
Pozuelo de Alarcón/Madrid, 28223
GSK Investigational Site
Santander, 39008
GSK Investigational Site
Santiago de Compostela, 15706
GSK Investigational Site
Valencia, 46015
Chile7 sites
GSK Investigational Site
Concepción, Región Del Biobio, 4070038
GSK Investigational Site
Santiago, Región Metro de Santiago, 7500692
GSK Investigational Site
Santiago, Región Metro de Santiago, 7500710
GSK Investigational Site
Santiago, Región Metro de Santiago, 7510186
GSK Investigational Site
Santiago, 7500698
GSK Investigational Site
Valparaíso, Valparaiso, 2341131
GSK Investigational Site
Viña del Mar, 2520594
Mexico6 sites
GSK Investigational Site
Mexico City, 01710
GSK Investigational Site
Monterrey NL, Nuevo León, 64718
GSK Investigational Site
Morelia, Michoacán, 58070
GSK Investigational Site
Villahermosa, Tabasco, 86035
GSK Investigational Site
Zapopan, Jalisco, 45030
GSK Investigational Site
Zapopan, Jalisco, 45070
South Korea6 sites
GSK Investigational Site
Cheongju-si, Chungcheongbuk-do, 361-763
GSK Investigational Site
Incheon, 403-720
GSK Investigational Site
Seoul, 110-744
GSK Investigational Site
Seoul, 135-710
GSK Investigational Site
Seoul, 138-736
GSK Investigational Site
Suwon-si, Gyeonggi-do, 16499
Brazil5 sites
GSK Investigational Site
Goiânia, Goiás, 74110 030
GSK Investigational Site
Porto Alegre, Rio Grande do Sul, 90610-000
GSK Investigational Site
Salvador, Estado de Bahia, 41940455
GSK Investigational Site
São Paulo, 01323903
GSK Investigational Site
São Paulo, 04266-010
About this study
Official title: A Randomized, Double-blind, Double-dummy, Parallel Group, Multicenter Study of Once Daily Fluticasone Furoate/Vilanterol 100/25 mcg Inhalation Powder, Twice Daily Fluticasone Propionate/Salmeterol 250/50 mcg Inhalation Powder, and Twice Daily Fluticasone Propionate 250 mcg Inhalation Powder in the Treatment of Persistent Asthma in Adults and Adolescents Already Adequately Controlled on Twice-daily Inhaled Corticosteroid and Long-acting beta2 Agonist
This study is a randomized, double-blind, double-dummy, parallel group, multicenter, non-inferiority study. The study will enroll adult and adolescent asthmatic subjects who are currently receiving mid dose inhaled corticosteroids (ICS) plus long-acting beta2-agonist (LABA) (equivalent to fluticasone propionate [FP]/salmeterol 250/50 microgram [mcg]twice daily [BD]), either via a fixed dose combination product or through separate inhalers. The study consists of a LABA washout period of 5 days and a run-in period of 4 weeks, followed by a treatment period of 24 weeks, and a follow up contact period of one week. The total duration of the study is 30 weeks. Approximately 1461 subjects will be randomized to one of the following three treatments (487 per treatment): fluticasone furoate (FF)/vilanterol (VI) 100/25 mcg once daily (OD) in the evening (PM) via ELLIPTA™ inhaler plus placebo BD via ACCUHALER™/DISKUS™; FP/salmeterol 250/50 mcg BD via ACCUHALER/DISKUS inhaler plus placebo OD (PM) via ELLIPTA inhaler; FP 250 mcg BD via ACCUHALER/DISKUS inhaler plus placebo OD (PM) via ELLIPTA inhaler. In addition, all subjects will be supplied with albuterol/salbutamol inhalation aerosol to use as needed to treat acute asthma symptoms. This study will determine if FF/VI 100/25 mcg OD via ELLIPTA inhaler is non-inferior to FP/salmeterol 250/50 mcg BD via ACCUHALER/DISKUS inhaler in adult and adolescent asthmatic subjects already adequately controlled on a twice-daily ICS/LABA.
SERETIDE, ELLIPTA, ACCUHALER, RELVAR, and DISKUS are trademarks of the GlaxoSmithKline Group of Companies.
- Conditions
- Asthma
- Being tested
- Fluticasone Furoate/Vilanterol 100/25 mcg via ELLIPTA inhaler, Placebo inhalation powders via ELLIPTA inhaler, Fluticasone Propionate/Salmeterol 250/50 mcg via ACCUHALER/DISKUS inhaler, Placebo inhalation powder via ACCUHALER/DISKUS inhaler, Fluticasone Propionate 250 mcg via ACCUHALER/DISKUS inhaler
- Keywords
- Adult, asthma, Fluticasone Propionate, Adolescents, Salmeterol, Vilanterol, ELLIPTA, ACCUHALER/DISKUS, Non-inferior, Fluticasone Furoate
- 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 100/25 mcg via ELLIPTA inhalerDrug
FF/Vilanterol 100/25 mcg inhalation powders administered once daily via ELLIPTA inhaler. 30 doses per device and 100/25 mcg per actuation.
Placebo inhalation powders via ELLIPTA inhalerDrug
Placebo inhalation powders administered once daily via ELLIPTA inhaler. 30 doses per device.
Fluticasone Propionate/Salmeterol 250/50 mcg via ACCUHALER/DISKUS inhalerDrug
FP/Salmeterol 250/50 mcg inhalation powder administered twice daily via ACCUHALER/DISKUS inhaler. 60 doses per device and 250/50 mcg per actuation.
Placebo inhalation powder via ACCUHALER/DISKUS inhalerDrug
Placebo inhalation powder administered twice daily via ACCUHALER/DISKUS inhaler. 60 doses per device.
Fluticasone Propionate 250 mcg via ACCUHALER/DISKUS inhalerDrug
FP 250 mcg inhalation powder administered twice daily via ACCUHALER/DISKUS inhaler. 60 doses per device and 250 mcg per actuation.
| Study group | Role | What they receive |
|---|---|---|
| Fluticasone Furoate/Vilanterol 100/25 mcg | Experimental | FF/VI 100/25 mcg by inhalation OD (PM) via ELLIPTA plus placebo by inhalation BD (AM and PM) via ACCUHALER/DISKUS for 24 weeks. Receives: Drug: Fluticasone Furoate/Vilanterol 100/25 mcg via ELLIPTA inhaler; Drug: Placebo inhalation powder via ACCUHALER/DISKUS inhaler |
| Fluticasone Propionate/Salmeterol 250/50 mcg | Experimental | FP/Salmeterol 250/50 mcg by inhalation BD (AM and PM) via ACCUHALER/DISKUS plus placebo by inhalation OD (PM) via ELLIPTA for 24 weeks. Receives: Drug: Placebo inhalation powders via ELLIPTA inhaler; Drug: Fluticasone Propionate/Salmeterol 250/50 mcg via ACCUHALER/DISKUS inhaler |
| Fluticasone Propionate 250 mcg | Experimental | FP 250 mcg by inhalation BD (AM and PM) via ACCUHALER/DISKUS plus placebo by inhalation OD (PM) via ELLIPTA for 24 weeks. Receives: Drug: Placebo inhalation powders via ELLIPTA inhaler; Drug: Fluticasone Propionate 250 mcg via ACCUHALER/DISKUS inhaler |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Evening (Post Meridiem [PM]) Forced Expiratory Volume in One Second (FEV1) Using Intent-to-Treat (ITT) Population
FEV1 was defined as the volume of air that can be forced out in one second after taking a deep breath. FEV1 (pre-bronchodilator and pre-dose) was measured at Baseline up to Week 24 at evening using spirometry. Repeated Measures analysis was adjusted for Baseline, region, sex, age, treatment, visit, visit by Baseline interaction and visit by treatment interaction. Visit 3 values were taken as Baseline value and change from Baseline was defined as the difference between the value of the endpoint at the time point of interest and the Baseline value. Statistical analysis was performed using the mixed model repeated measures (MMRM) model and least square mean and standard error were calculated. The analysis was performed on ITT Population which comprised of all participants randomized to treatment and who received at least one dose of study medication.
Measured: Baseline and Week 24
Change From Baseline in PM FEV1 Using Per Protocol (PP) Population
FEV1 was defined as the volume of air that can be forced out in one second after taking a deep breath. FEV1 (pre-bronchodilator and pre-dose) was measured at Baseline up to Week 24 at evening using spirometry. Repeated Measures analysis was adjusted for Baseline, region, sex, age, treatment, visit, visit by Baseline interaction and visit by treatment interaction. Visit 3 values were taken as Baseline value and change from Baseline was defined as the difference between the value of the endpoint at the time point of interest and the Baseline value. Statistical analysis was performed using the MMRM models and least square mean and standard error were calculated. The analysis was performed on PP Population which comprised of all participants in the ITT Population who did not had any full protocol deviations.
Measured: Baseline and Week 24
Secondary outcomes (5)
Change From Baseline in the Percentage of Rescue-free 24-hour Periods
The number of inhalations of rescue medication used during the day and night were recorded by participants using an electronic diary (e-diary). A 24-hour (hr) period in which a participant's responses to both the morning and evening assessments indicated no use of rescue medication was considered to be rescue free. The Baseline value was derived from the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 24-week treatment period minus the Baseline value. Statistical analysis was performed using an Analysis of Covariance (ANCOVA) model with covariates of Baseline, region, sex, age and treatment and least square mean and standard error were calculated.
Measured: Baseline and Weeks 1-24
Change From Baseline in the Percentage of Symptom-free 24-hour Periods
Change from Baseline in the percentage of symptom-free 24 hour period was evaluated. A 24-hour (hr) period in which a participant's responses to both the morning and evening assessments indicated no symptoms was considered to be symptom free. The Baseline value was derived from the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 24-week treatment period minus the Baseline value.Statistical analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age and treatment and least square mean and standard error were calculated.
Measured: Baseline and Weeks 1-24
Change From Baseline in Morning (Ante Meridiem [AM]) Peak Expiratory Flow (PEF)
PEF was measured using an electric flow meter each morning. Change from Baseline (defined as the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily AM PEF over the 24-week treatment period minus the Baseline value. Statistical analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age and treatment and least square mean and standard error were calculated.
Measured: Baseline and Weeks 1-24
Percentage of Participants With Asthma Control Test (ACT) Score Greater Than or Equal to 20
The ACT was a five-item questionnaire developed as a measure of participant's asthma control. The percentage of participants controlled, defined as having ACT score greater than or equal to 20 at the end of Week 24 were analyzed using logistic regression model with covariates of Baseline ACT score, region, sex, age and treatment group.
Measured: Week 24
Change From Baseline in PM PEF
PEF was measured using an electric flow meter each evening. Change from Baseline (defined as the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily PM PEF over the 24-week treatment period minus the Baseline value. Statistical analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age and treatment and least square mean and standard error were calculated.
Measured: Baseline and Weeks 1-24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Nov 2014 (estimated)
- Study start1 Mar 2015
- Primary completion1 Nov 2016
- Study completion25 Nov 2016
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
- 1,526 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
- NCT02301975
- Sponsor's protocol ID
- 201378
- Status last verified
- Aug 2018
- First submitted
- 24 Nov 2014
- Last updated
- 6 Aug 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
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 36472162Bernstein D, Andersen L, Forth R, Jacques L, Yates L. Once-daily fluticasone furoate/vilanterol versus twice-daily fluticasone propionate/salmeterol in patients with asthma well controlled on ICS/LABA. J Asthma. 2018 Sep;55(9):984-993. doi: 10.1080/02770903.2017.1386214. Epub 2018 Apr 13.
PubMed 28961020
Study at a glance
From the registry record, last updated by the sponsor on 6 Aug 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Double-dummy, Parallel Group, Multicenter Study of Once Daily Fluticasone Furoate/Vilanterol 100/25 mcg Inhalation Powder, Twice Daily Fluticasone Propionate/Salmeterol 250/50 mcg Inhalation Powder, and Twice Daily Fluticasone Propionate 250 mcg Inhalation Powder in the Treatment of Persistent Asthma in Adults and Adolescents Already Adequately Controlled on Twice-daily Inhaled Corticosteroid and Long-acting beta2 Agonist
- ClinicalTrials.gov ID
- NCT02301975
- Acronym / sponsor ID
- 201378
- Conditions
- Asthma
- Keywords
- Adult, asthma, Fluticasone Propionate, Adolescents, Salmeterol, Vilanterol, ELLIPTA, ACCUHALER/DISKUS
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,526 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 1 Mar 2015
- Primary completion
- 1 Nov 2016 (actual)
- Study completion
- 25 Nov 2016 (actual)
- First posted
- 26 Nov 2014 (estimated)
- Results
- Posted 12 Jun 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is a randomized, double-blind, double-dummy, parallel group, multicenter, non-inferiority study. The study will enroll adult and adolescent asthmatic subjects who are currently receiving mid dose inhaled corticosteroids (ICS) plus long-acting beta2-agonist (LABA) (equivalent to fluticasone propionate [FP]/salmeterol 250/50 microgram [mcg]twice daily [BD]), either via a fixed dose combination product or through separate inhalers. The study consists of a LABA washout period of 5 days and a run-in period of 4 weeks, followed by a treatment period of 24 weeks, and a follow up contact period of one week. The total duration of the study is 30 weeks. Approximately 1461 subjects will be randomized to one of the following three treatments (487 per treatment): fluticasone furoate (FF)/vilanterol (VI) 100/25 mcg once daily (OD) in the evening (PM) via ELLIPTA™ inhaler plus placebo BD via ACCUHALER™/DISKUS™; FP/salmeterol 250/50 mcg BD via ACCUHALER/DISKUS inhaler plus placebo OD (PM) via ELLIPTA inhaler; FP 250 mcg BD via ACCUHALER/DISKUS inhaler plus placebo OD (PM) via ELLIPTA inhaler. In addition, all subjects will be supplied with albuterol/salbutamol inhalation aerosol to use as needed to treat acute asthma symptoms. This study will determine if FF/VI 100/25 mcg OD via ELLIPTA inhaler is non-inferior to FP/salmeterol 250/50 mcg BD via ACCUHALER/DISKUS inhaler in adult and adolescent asthmatic subjects already adequately controlled on a twice-daily ICS/LABA.
SERETIDE, ELLIPTA, ACCUHALER, RELVAR, and DISKUS are trademarks of the GlaxoSmithKline Group of Companies.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Fluticasone Furoate/Vilanterol 100/25 mcg | Experimental | Drug: Fluticasone Furoate/Vilanterol 100/25 mcg via ELLIPTA inhaler, Drug: Placebo inhalation powder via ACCUHALER/DISKUS inhalerFF/VI 100/25 mcg by inhalation OD (PM) via ELLIPTA plus placebo by inhalation BD (AM and PM) via ACCUHALER/DISKUS for 24 weeks. |
| Fluticasone Propionate/Salmeterol 250/50 mcg | Experimental | Drug: Placebo inhalation powders via ELLIPTA inhaler, Drug: Fluticasone Propionate/Salmeterol 250/50 mcg via ACCUHALER/DISKUS inhalerFP/Salmeterol 250/50 mcg by inhalation BD (AM and PM) via ACCUHALER/DISKUS plus placebo by inhalation OD (PM) via ELLIPTA for 24 weeks. |
| Fluticasone Propionate 250 mcg | Experimental | Drug: Placebo inhalation powders via ELLIPTA inhaler, Drug: Fluticasone Propionate 250 mcg via ACCUHALER/DISKUS inhalerFP 250 mcg by inhalation BD (AM and PM) via ACCUHALER/DISKUS plus placebo by inhalation OD (PM) via ELLIPTA 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 (20 listed)
- Subjects must give their signed and dated written informed consent to participate prior to commencing any study related activities.
- Subjects must be outpatients >=12 years of age at Visit 1 who have had a diagnosis of asthma, as defined by the National Institutes of Health, for at least 12 weeks prior to Visit 1 (Note: Countries with local restrictions prohibiting enrollment of adolescents will enroll subjects >=18 years of age only).
- Subjects may be male or an eligible female. An eligible female is defined as having non-childbearing potential or having childbearing potential and a negative urine pregnancy test at Screening and agrees to use an acceptable method of birth control consistently and correctly.
- Subjects must have a FEV1 of >=80% of the predicted normal value.
- Subjects are eligible if they have received mid dose ICS plus LABA (equivalent to FP/salmeterol 250/50 twice daily or an equivalent combination via separate inhalers) for at least the 12 weeks immediately preceding Visit 1.
Key exclusion criteria (0 listed)
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 100/25 mcg via ELLIPTA inhalerFF/Vilanterol 100/25 mcg inhalation powders administered once daily via ELLIPTA inhaler. 30 doses per device and 100/25 mcg per actuation. | Drug | Fluticasone Furoate/Vilanterol 100/25 mcg |
| Placebo inhalation powders via ELLIPTA inhalerPlacebo inhalation powders administered once daily via ELLIPTA inhaler. 30 doses per device. | Drug | Fluticasone Propionate 250 mcg, Fluticasone Propionate/Salmeterol 250/50 mcg |
| Fluticasone Propionate/Salmeterol 250/50 mcg via ACCUHALER/DISKUS inhalerFP/Salmeterol 250/50 mcg inhalation powder administered twice daily via ACCUHALER/DISKUS inhaler. 60 doses per device and 250/50 mcg per actuation. | Drug | Fluticasone Propionate/Salmeterol 250/50 mcg |
| Placebo inhalation powder via ACCUHALER/DISKUS inhalerPlacebo inhalation powder administered twice daily via ACCUHALER/DISKUS inhaler. 60 doses per device. | Drug | Fluticasone Furoate/Vilanterol 100/25 mcg |
| Fluticasone Propionate 250 mcg via ACCUHALER/DISKUS inhalerFP 250 mcg inhalation powder administered twice daily via ACCUHALER/DISKUS inhaler. 60 doses per device and 250 mcg per actuation. | Drug | Fluticasone Propionate 250 mcg |
Primary outcome
Change From Baseline in Evening (Post Meridiem [PM]) Forced Expiratory Volume in One Second (FEV1) Using Intent-to-Treat (ITT) Population
Time frame: Baseline and Week 24
FEV1 was defined as the volume of air that can be forced out in one second after taking a deep breath. FEV1 (pre-bronchodilator and pre-dose) was measured at Baseline up to Week 24 at evening using spirometry. Repeated Measures analysis was adjusted for Baseline, region, sex, age, treatment, visit, visit by Baseline interaction and visit by treatment interaction. Visit 3 values were taken as Baseline value and change from Baseline was defined as the difference between the value of the endpoint at the time point of interest and the Baseline value. Statistical analysis was performed using the mixed model repeated measures (MMRM) model and least square mean and standard error were calculated. The analysis was performed on ITT Population which comprised of all participants randomized to treatment and who received at least one dose of study medication.
Change From Baseline in PM FEV1 Using Per Protocol (PP) Population
Time frame: Baseline and Week 24
FEV1 was defined as the volume of air that can be forced out in one second after taking a deep breath. FEV1 (pre-bronchodilator and pre-dose) was measured at Baseline up to Week 24 at evening using spirometry. Repeated Measures analysis was adjusted for Baseline, region, sex, age, treatment, visit, visit by Baseline interaction and visit by treatment interaction. Visit 3 values were taken as Baseline value and change from Baseline was defined as the difference between the value of the endpoint at the time point of interest and the Baseline value. Statistical analysis was performed using the MMRM models and least square mean and standard error were calculated. The analysis was performed on PP Population which comprised of all participants in the ITT Population who did not had any full protocol deviations.
5 secondary outcomes
Change From Baseline in the Percentage of Rescue-free 24-hour Periods
Time frame: Baseline and Weeks 1-24
Change From Baseline in the Percentage of Symptom-free 24-hour Periods
Time frame: Baseline and Weeks 1-24
Change From Baseline in Morning (Ante Meridiem [AM]) Peak Expiratory Flow (PEF)
Time frame: Baseline and Weeks 1-24
Percentage of Participants With Asthma Control Test (ACT) Score Greater Than or Equal to 20
Time frame: Week 24
Change From Baseline in PM PEF
Time frame: Baseline and Weeks 1-24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Aug 2018.
- 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 28961020Bernstein D, Andersen L, Forth R, Jacques L, Yates L. Once-daily fluticasone furoate/vilanterol versus twice-daily fluticasone propionate/salmeterol in patients with asthma well controlled on ICS/LABA. J Asthma. 2018 Sep;55(9):984-993. doi: 10.1080/02770903.2017.1386214. Epub 2018 Apr 13.
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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
179 sites in 12 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 100/25 mcg via ELLIPTA inhaler, Fluticasone Propionate/Salmeterol 250/50 mcg via ACCUHALER/DISKUS inhaler and Fluticasone Propionate 250 mcg via ACCUHALER/DISKUS inhaler in people with Asthma, run by GlaxoSmithKline at 179 sites in 12 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 20 inclusion and 0 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 6 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 179 sites in United States, Germany, Russia, Argentina, Romania and 7 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 12 Jun 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 Evening (Post Meridiem [PM]) Forced Expiratory Volume in One Second (FEV1) Using Intent-to-Treat (ITT) Population (time frame: Baseline and Week 24). The study lists 2 primary outcomes in all. 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 NCT02301975, 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 6 Aug 2018.