AsthmaPhase 3NCT02554786
A Multicenter Randomized 52 Week Treatment Double-blind, Triple Dummy Parallel Group Study to Assess the Efficacy and Safety of QMF149 Compared to Mometasone Furoate in Participants With Asthma
A Phase 3 study testing Indacaterol acetate/Mometasone furoate, Mometasone furoate and Salmeterol xinafoate/fluticasone propionate in people with Asthma, run by Novartis Pharmaceuticals at 388 sites in 24 countries.
Trial summary
The purpose of the trial is to evaluate the efficacy and safety of two different doses of QMF149 (QMF149 150/160 µg and QMF149 150/320 µg via Concept1) over two respective MF doses (MF 400 µg and MF 800 µg via Twisthaler® (total daily dose)) in poorly controlled asthmatic participants as determined by pulmonary… Read more about this study
- Who is it for?
- Ages 12 to 75 years
- Conditions the study is for
- Asthma
- What is being tested?
- Indacaterol acetate/Mometasone furoate, Mometasone furoate and Salmeterol xinafoate/fluticasone propionate
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2,216 participants
- Where
- 388 sitesin 24 countries
- Study dates
- 29 Dec 2015to 28 Jun 2019
- 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 to 75 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Participants with a diagnosis of asthma, for a period of at least 1 year prior to Visit 1 (Screening)
- Participants who have used medium or high dose inhaled corticosteroids (ICS) or low dose of long acting beta-2 agonist (LABA)/ICS combinations for asthma for at least 3 months and at stable doses for at least 1 month prior to Visit 1
- Participants must have ACQ-7 score ≥ 1.5 at Visit 101 and at Visit 102 (prior to double-blind treatment) and qualify for treatment with medium or high dose LABA/ICS
- Pre-bronchodilator ≥ 50% Forced expiratory volume in 1 second (FEV1) of < 85 % of the predicted normal value for the participants after withholding bronchodilators at both Visit 101 and 102, according to American Thoracic Society/European Respiratory Society (ATS/ERS) criteria.
- Withholding period of bronchodilators prior to spirometry: short acting beta-2 agonist (SABA) for ≥ 6 hours and FDC or free combinations of ICS/LABA for ≥ 48 hours, short acting anticholinergics (SAMA) for ≥ 8 hours, xanthines >=07 days
- A one-time repeat/re-testing of percent predicted FEV1 (prebronchodilator FEV1) is allowed at Visit 101 and at Visit 102.
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- Spacer devices are permitted for reversibility testing only.
- -Participants who demonstrate an increase in FEV1 of 12% and 200 mL within 30 minutes after administration of 400 µg salbutamol/360 µg albuterol (or equivalent dose) at Visit 101 All participants must perform a reversibility test at Visit 101
- If reversibility is not demonstrated at Visit 101:
- Reversibility should be repeated once-
- Participants may be permitted to enter the study with historical evidence of reversibility that was performed according to ATS/ERS guidelines within 2 years prior to Visit 1
- Alternatively, participants may be permitted to enter the study with a historical positive bronchoprovocation test that was performed within 2 years prior to Visit 1.
Who cannot join
- Participants who have smoked or inhaled tobacco products within the 6 month period prior to Visit 1, or who have a smoking history of greater than 10 pack years. This includes use of nicotine inhalers such as e-cigarettes at the time of Visit 1
- Participants who have had an asthma attack/exacerbation requiring systemic steroids or hospitalization or emergency room visit within 6 weeks of Visit 1 (Screening)
- Participants who have ever required intubation for a severe asthma attack/exacerbation.
- Participants who have a clinical condition which is likely to be worsened by ICS administration (e.g. glaucoma, cataract and fragility fractures) who are according to investigator's medical judgment at risk participating in the study).
- Participants who have had a respiratory tract infection or asthma worsening as determined by the investigator within 4 weeks prior to Visit 1 (Screening) or between Visit 1 and Visit 102. Participants may be re-screened 4 weeks after recovery from their respiratory tract infection or asthma worsening.
- Participants with a history of chronic lung diseases other than asthma, including (but not limited to) Chronic Obstructive Pulmonary Disease (COPD), sarcoidosis, interstitial lung disease, cystic fibrosis, clinically significant bronchiectasis and active tuberculosis.
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- Participants with severe narcolepsy and/or insomnia.
- Participants who have a clinically significant electrocardiogram (ECG) abnormality at Visit 101 (Start of Run- In epoch) and at any time between Visit 101 and Visit 102 (including unscheduled ECG). ECG evidence of myocardial infarction at Visit 101 (via central reader) should be clinically assessed by the investigator with supportivedocumentation
- Participants with a history of hypersensitivity to lactose, any of the study drugs or to similar drugs within the class including untoward reactions to sympathomimetic amines or inhaled medication or any component thereof
- Participants who have not achieved an acceptable spirometry results at Visit 101 in accordance with ATS/ERS criteria for acceptability and repeatability (rescreening allowed only once).
- Repeat spirometry may be allowed once in an ad-hoc visit if the spirometry did not qualify due to ATS/ERS criteria. If the participant fails the repeat assessment, the participant may be rescreened once
- Participants on Maintenance Immunotherapy (desensitization) for allergies or less than 3 months prior to Visit 101 or participants on Maintenance Immunotherapy for more than 3 months prior to Visit 101 but expected to change throughout the course of the study.
- Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during dosing of study treatment and for 30 days after stopping of study treatment.
- Long acting muscarinic antagonist (LAMA) use within 3 months prior to Visit 101
Trial locations and contacts
388 sites in 24 countries.
388 sites in 24 countries
Germany56 sites
Novartis Investigative Site
Ahlen, 59229
Novartis Investigative Site
Bamberg, 96049
Novartis Investigative Site
Berlin, 10119
Novartis Investigative Site
Berlin, 10247
Novartis Investigative Site
Berlin, 10367
Novartis Investigative Site
Berlin, 10717
Novartis Investigative Site
Berlin, 10787
Novartis Investigative Site
Berlin, 10969
Novartis Investigative Site
Berlin, 12157
Novartis Investigative Site
Berlin, 12159
Novartis Investigative Site
Berlin, 12203
Novartis Investigative Site
Berlin, 12627
Novartis Investigative Site
Berlin, 13057
Novartis Investigative Site
Berlin, 13086
Novartis Investigative Site
Berlin, 13156
Novartis Investigative Site
Berlin, 13187
Novartis Investigative Site
Bochum, D-44787
Novartis Investigative Site
Böhlen, 04564
Novartis Investigative Site
Bonn, 53119
Novartis Investigative Site
Delitzsch, 04509
Novartis Investigative Site
Dresden, 01069
Novartis Investigative Site
Düren, 52349
Novartis Investigative Site
Düsseldorf, 40211
Novartis Investigative Site
Erlangen, 91052
Novartis Investigative Site
Frankfurt, 60313
Novartis Investigative Site
Frankfurt, 60389
Novartis Investigative Site
Fürstenwalde, 15517
Novartis Investigative Site
Halle, 06108
Novartis Investigative Site
Hamburg, 20354
Novartis Investigative Site
Hamburg, 22143
Novartis Investigative Site
Hamburg, 22299
Novartis Investigative Site
Hamburg, 22335
Novartis Investigative Site
Hanover, 30173
Novartis Investigative Site
Hochstadt, 91315
Novartis Investigative Site
Kassel, 34121
Novartis Investigative Site
Koblenz, Rhineland-Palatinate, 56068
Novartis Investigative Site
Leipzig, 04103
Novartis Investigative Site
Leipzig, 04109
Novartis Investigative Site
Leipzig, 04207
Novartis Investigative Site
Leipzig, 04275
Novartis Investigative Site
Lübeck, 23552
Novartis Investigative Site
Ludwigsburg, 71640
Novartis Investigative Site
Marburg, D-35037
Novartis Investigative Site
Mittweida, 09648
Novartis Investigative Site
München, 81377
Novartis Investigative Site
Neu-Isenburg, 63263
Novartis Investigative Site
Neuss, 41462
Novartis Investigative Site
Peine, Lower Saxony, 31224
Novartis Investigative Site
Potsdam, 14467
Novartis Investigative Site
Potsdam, 14469
Novartis Investigative Site
Rheine, 48431
Novartis Investigative Site
Rüdersdorf, 15562
Novartis Investigative Site
Schleswig, 24837
Novartis Investigative Site
Schwedt, 16303
Novartis Investigative Site
Weinheim, 69469
Novartis Investigative Site
Witten, 58452
Russia36 sites
Novartis Investigative Site
Chelyabinsk, 454021
Novartis Investigative Site
Chelyabinsk, 454076
Novartis Investigative Site
Kazan', 420012
Novartis Investigative Site
Krasnoyarsk, 660022
Novartis Investigative Site
Moscow, 105275
Novartis Investigative Site
Moscow, 119192
Novartis Investigative Site
N.Novgorod, 603126
Novartis Investigative Site
Novosibirsk, 630047
Novartis Investigative Site
Novosibirsk, 630099
Novartis Investigative Site
Penza, 440067
Novartis Investigative Site
Petrozavodsk, 185019
Novartis Investigative Site
Pyatigorsk, 357538
Novartis Investigative Site
Ryazan, 390026
Novartis Investigative Site
Ryazan, 390039
Novartis Investigative Site
Saint Petersburg, 190044
Novartis Investigative Site
Saint Petersburg, 191015
Novartis Investigative Site
Saint Petersburg, 191123
Novartis Investigative Site
Saint Petersburg, 191180
Novartis Investigative Site
Saint Petersburg, 192257
Novartis Investigative Site
Saint Petersburg, 193312
Novartis Investigative Site
Saint Petersburg, 194223
Novartis Investigative Site
Saint Petersburg, 194291
Novartis Investigative Site
Saint Petersburg, 194354
Novartis Investigative Site
Saint Petersburg, 196240
Novartis Investigative Site
Saratov, 410012
Novartis Investigative Site
Saratov, 410053
Novartis Investigative Site
Smolensk, 214006
Novartis Investigative Site
Smolensk, 214031
Novartis Investigative Site
Stavropol, 355000
Novartis Investigative Site
Volgograd, 400120
Novartis Investigative Site
Vologodonsk, 347382
Novartis Investigative Site
Yaroslavl, Russian Federation, 150023
Novartis Investigative Site
Yaroslavl, 150000
Novartis Investigative Site
Yaroslavl, 150003
Novartis Investigative Site
Yaroslavl, 150040
Novartis Investigative Site
Yekaterinburg, 620137
China33 sites
Novartis Investigative Site
Beijing, Beijing Municipality, 100044
Novartis Investigative Site
Beijing, Beijing Municipality, 100730
Novartis Investigative Site
Beijing, 100029
Novartis Investigative Site
Beijing, 100191
Novartis Investigative Site
Beijing, 100730
Novartis Investigative Site
Changchun, Jilin, 130021
Novartis Investigative Site
Changsha, Hunan, 410011
Novartis Investigative Site
Chengdu, Sichuan, 610041
Novartis Investigative Site
Chengdu, 610083
Novartis Investigative Site
Chongqing, 400038
Novartis Investigative Site
Fuzhou, Fujian, 350025
Novartis Investigative Site
Guangzhou, Guangdong, 510120
Novartis Investigative Site
Guangzhou, 510000
Novartis Investigative Site
Guangzhou, 510080
Novartis Investigative Site
Guangzhou, 510180
Novartis Investigative Site
Haikou, Hainan, 570311
Novartis Investigative Site
Hangzhou, Zhejiang, 310006
Novartis Investigative Site
Hangzhou, Zhejiang, 310014
Novartis Investigative Site
Nanchang, 330006
Novartis Investigative Site
Nanjing, Jiangsu, 210006
Novartis Investigative Site
Nanjing, Jiangsu, 210009
Novartis Investigative Site
Nanjing, Jiangsu, 210029
Novartis Investigative Site
Shanghai, Shanghai Municipality, 200032
Novartis Investigative Site
Shanghai, 200092
Novartis Investigative Site
Shanghai, 200433
Novartis Investigative Site
Shenyang, Liaoning, 110000
Novartis Investigative Site
Shenyang, Liaoning, 110003
Novartis Investigative Site
Shenyang, Liaoning, 110011
Novartis Investigative Site
Shijiazhuang, Hebei, 050000
Novartis Investigative Site
Suzhou, Jiangsu, 215006
Novartis Investigative Site
Tianjin, 300052
Novartis Investigative Site
Wuhan, Hubei, 430030
Novartis Investigative Site
Xian, Shanxi, 710061
Japan31 sites
Novartis Investigative Site
Atsugi, Kanagawa, 243-0034
Novartis Investigative Site
Chuo Ku, Tokyo, 103 0027
Novartis Investigative Site
Chuou-ku, Tokyo, 103-0028
Novartis Investigative Site
Fukuoka, Fukuoka, 819-8555
Novartis Investigative Site
Himeji, Hyōgo, 671-0102
Novartis Investigative Site
Himeji, Hyōgo, 672-8064
Novartis Investigative Site
Ichihara, Chiba, 299-0111
Novartis Investigative Site
Itabashi-ku, Tokyo, 173-8610
Novartis Investigative Site
Kasuga, Fukuoka, 816-0813
Novartis Investigative Site
Kawasaki, Kanagawa, 255
Novartis Investigative Site
Kishiwada, Osaka, 596-8501
Novartis Investigative Site
Koshigaya, Saitama, 343-8555
Novartis Investigative Site
Naka-gun, Ibaraki, 319-1113
Novartis Investigative Site
Obihiro, Hokkaido, 080-0013
Novartis Investigative Site
Okayama, Okayama-ken, 702-8055
Novartis Investigative Site
Osaka, Osaka, 530 0001
Novartis Investigative Site
Sendai, Miyagi, 980-0871
Novartis Investigative Site
Setagaya-Ku, Tokyo, 157-0072
Novartis Investigative Site
Shinjuku-ku, Tokyo, 162-0053
Novartis Investigative Site
Shinjuku-ku, Tokyo, 169-0073
Novartis Investigative Site
Takatsuki, Osaka, 569-1192
Novartis Investigative Site
Tokyo, Shibuya Ku, 150 0013
Novartis Investigative Site
Toshima Ku, Tokyo, 170 0003
Novartis Investigative Site
Toshima-ku, Tokyo, 171-0014
Novartis Investigative Site
Toyonaka, Osaka
Novartis Investigative Site
Yanagawa, Fukuoka, 832-0059
Novartis Investigative Site
Yao, Osaka, 581-0011
Novartis Investigative Site
Yokohama, Kanagawa, 223-0059
Novartis Investigative Site
Yokohama, Kanagawa, 231-8682
Novartis Investigative Site
Yokohama, Kanagawa, 232-0064
Novartis Investigative Site
Yokohama, Kanagawa, 236-0004
United States29 sites
Novartis Investigative Site
Baltimore, Maryland, 21236
Novartis Investigative Site
Bellevue, Nebraska, 68123
Novartis Investigative Site
Birmingham, Alabama, 35244
Novartis Investigative Site
Boerne, Texas, 78006
Novartis Investigative Site
Cortland, New York, 13045
Novartis Investigative Site
Denver, Colorado, 80230
Novartis Investigative Site
El Paso, Texas, 79903
Novartis Investigative Site
Greenfield, Wisconsin, 53228
Novartis Investigative Site
Las Vegas, Nevada, 89119
Novartis Investigative Site
Los Angeles, California, 90025
Novartis Investigative Site
Medford, Oregon, 97504
Novartis Investigative Site
Miami, Florida, 33144
Novartis Investigative Site
North Charleston, South Carolina, 29407
Novartis Investigative Site
North Dartmouth, Massachusetts, 02747-3322
Novartis Investigative Site
Oklahoma City, Oklahoma, 73120
Novartis Investigative Site
Orange, California, 92868
Novartis Investigative Site
Pittsburgh, Pennsylvania, 15241
Novartis Investigative Site
Portland, Oregon, 97213
Novartis Investigative Site
Riverside, California, 92506
Novartis Investigative Site
San Diego, California, 92117
Novartis Investigative Site
San Jose, California, 95117
Novartis Investigative Site
Skillman, New Jersey, 08558
Novartis Investigative Site
St Louis, Missouri, 63141
Novartis Investigative Site
Stockton, California, 95207
Novartis Investigative Site
Tallahassee, Florida, 32308
Novartis Investigative Site
Tulsa, Oklahoma, 74136
Novartis Investigative Site
Waldorf, Maryland, 20602
Novartis Investigative Site
Westminster, California, 92683
Novartis Investigative Site
Winter Park, Florida, 32789
Slovakia28 sites
Novartis Investigative Site
Bardejov, Slovak Republic, 085 01
Novartis Investigative Site
Bardejov, 085 01
Novartis Investigative Site
Bojnice, Slovak Republic, 972 01
Novartis Investigative Site
Bratislava, Slovak Republic, 83103
Novartis Investigative Site
Bratislava, 85101
Novartis Investigative Site
Čadca, 022 01
Novartis Investigative Site
Humenné, Slovak Republic, 066 01
Novartis Investigative Site
Ilava, 1901
Novartis Investigative Site
Komárno, 945 01
Novartis Investigative Site
Košice, Slovak Republic, 040 01
Novartis Investigative Site
Košice, 040 01
Novartis Investigative Site
Košice, 04001
Novartis Investigative Site
Kráľovský Chlmec, 077 01
Novartis Investigative Site
Levice, 034 01
Novartis Investigative Site
Liptovský Mikuláš, 031 23
Novartis Investigative Site
Námestovo, Slovensko, 02901
Novartis Investigative Site
Nitra, Slovak Republic, 949 01
Novartis Investigative Site
Poprad, SVK, 058 01
Novartis Investigative Site
Prešov, 080 01
Novartis Investigative Site
Prievidza, 97101
Novartis Investigative Site
Skalica, Slovak Republic, 90901
Novartis Investigative Site
Spišská Nová Ves, Slovak Republic, 052 01
Novartis Investigative Site
Stropkov, Slovak Republic, 09101
Novartis Investigative Site
Šurany, Slovak Republic, 942 01
Novartis Investigative Site
Topoľčany, 95501
Novartis Investigative Site
Veľký Meder, Slovak Republic, 94201
Novartis Investigative Site
Žilina, 010 01
Novartis Investigative Site
Žilina, 01001
Hungary26 sites
Novartis Investigative Site
Balassagyarmat, 2660
Novartis Investigative Site
Budapest, HUN, 1037
Novartis Investigative Site
Budapest, HUN, 1089
Novartis Investigative Site
Budapest, HUN, 1117
Novartis Investigative Site
Budapest, HUN, 1204
Novartis Investigative Site
Budapest, 1106
Novartis Investigative Site
Budapest, 1134
Novartis Investigative Site
Cegléd, 2700
Novartis Investigative Site
Csorna, H-9300
Novartis Investigative Site
Dombóvár, 7200
Novartis Investigative Site
Gödöllő, 2100
Novartis Investigative Site
Győr, HUN, 9024
Novartis Investigative Site
Hajdúnánás, HUN, 4080
Novartis Investigative Site
Hatvan, 3000
Novartis Investigative Site
Komárom, 2900
Novartis Investigative Site
Makó, HUN, 6900
Novartis Investigative Site
Miskolc, HUN, 3529
Novartis Investigative Site
Miskolc, 3526
Novartis Investigative Site
Mosdós, 7257
Novartis Investigative Site
Püspökladány, HUN, 4150
Novartis Investigative Site
Szarvas, 5540
Novartis Investigative Site
Százhalombatta, HUN, 2440
Novartis Investigative Site
Szeged, 6720
Novartis Investigative Site
Szeged, 6722
Novartis Investigative Site
Szigetvár, 7900
Novartis Investigative Site
Szombathely, 9700
Romania24 sites
Novartis Investigative Site
Arad, 310013
Novartis Investigative Site
Bacau, 600114
Novartis Investigative Site
Bragadiru, 077025
Novartis Investigative Site
Brăila, 810003
Novartis Investigative Site
Brasov, 500051
Novartis Investigative Site
Bucharest, ROM, 12071
Novartis Investigative Site
Bucharest, 012363
Novartis Investigative Site
Bucharest, 020125
Novartis Investigative Site
Bucharest, 050554
Novartis Investigative Site
Cluj-Napoca, 400275
Novartis Investigative Site
Cluj-Napoca, 400371
Novartis Investigative Site
Codlea, 505100
Novartis Investigative Site
Constanța, Jud. Constanta, 900002
Novartis Investigative Site
Craiova, Jud.Dolj, 200341
Novartis Investigative Site
Craiova, ROM, 000000
Novartis Investigative Site
Craiova, ROM, 200712
Novartis Investigative Site
Craiova, 200515
Novartis Investigative Site
Deva, ROM, 330084
Novartis Investigative Site
Iași, Jud Iasi, 700732
Novartis Investigative Site
Râmnicu Vâlcea, 240564
Novartis Investigative Site
Suceava, 720284
Novartis Investigative Site
Târgu Mureş, 540072
Novartis Investigative Site
Timișoara, ROM, 300298
Novartis Investigative Site
Timișoara, Timiș County, 300310
Czechia19 sites
Novartis Investigative Site
Beroun, Czech Republic, 266 01
Novartis Investigative Site
Boskovice, Czech Republic, 680 01
Novartis Investigative Site
Břeclav, 690 02
Novartis Investigative Site
Český Krumlov, 381 01
Novartis Investigative Site
Jablonec nad Nisou, Czech Republic, 466 01
Novartis Investigative Site
Jindřichův Hradec, Czech Republic, 377 01
Novartis Investigative Site
Kuřim, Czech Republic, 66434
Novartis Investigative Site
Kutná Hora, 28401
Novartis Investigative Site
Nový Bor, 47301
Novartis Investigative Site
Ostrava, CZE, 709 00
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Pilsen, CZE, 301 00
Novartis Investigative Site
Pilsen, 323 00
Novartis Investigative Site
Prague, Czech Republic, 14800
Novartis Investigative Site
Prague, 182 00
Novartis Investigative Site
Rokycany, 337 22
Novartis Investigative Site
Tábor, 390 01
Novartis Investigative Site
Teplice, Czech Republic, 415 01
Novartis Investigative Site
Teplice, CZE, 415 01
Novartis Investigative Site
Varnsdorf, Czech Republic, 40747
India19 sites
Novartis Investigative Site
Ahmedabad, Gujarat, 380 008
Novartis Investigative Site
Ahmedabad, Gujarat, 380016
Novartis Investigative Site
Hyderabad, Telangana, 500082
Novartis Investigative Site
Jaipur, Rajasthan, 302001
Novartis Investigative Site
Jaipur, Rajasthan, 302013
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Jaipur, Rajasthan, 302020
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Jaipur, Rajasthan, 302023
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Kozhikode, Kerala, 673008
Novartis Investigative Site
Lucknow, Uttar Pradesh, 226003
Novartis Investigative Site
Mohali, Punjab, 160 062
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Mumbai, Maharashtra, 400601
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Mysore, Karnataka, 570001
Novartis Investigative Site
Nagpur, Maharashtra, 440010
Novartis Investigative Site
Nagpur, Maharashtra, 440012
Novartis Investigative Site
Nagpur, Maharashtra, 440019
Novartis Investigative Site
New Delhi, National Capital Territory of Delhi, 110007
Novartis Investigative Site
New Delhi, 110029
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Pune, Maharashtra, 411007
Novartis Investigative Site
Vadodara, Gujarat, 390021
Poland14 sites
Novartis Investigative Site
Aleksandrow Odzki, Poland, 95-070
Novartis Investigative Site
Biaystok, Poland, 15-430
Novartis Investigative Site
Bielsko-Biala, 43-300
Novartis Investigative Site
Elblag, 82-300
Novartis Investigative Site
Inowrocław, 88-100
Novartis Investigative Site
Katowice, 40 085
Novartis Investigative Site
Krakow, 30033
Novartis Investigative Site
Lodz, POL, 91-110
Novartis Investigative Site
Lodz, 90-302
Novartis Investigative Site
Ostrów Wielkopolski, 63-400
Novartis Investigative Site
Sopot, 81-741
Novartis Investigative Site
Warsaw, 01518
Novartis Investigative Site
Wejherowo, POL, 84-200
Novartis Investigative Site
Zawadzkie, 47-120
United Kingdom12 sites
Novartis Investigative Site
Blackpool, FY5 3LF
Novartis Investigative Site
Bristol, South Gloucestershire, BS37 4AX
Novartis Investigative Site
Denbighshire, LL181DA
Novartis Investigative Site
Faringdon, Oxfordshire, SN7 7YU
Novartis Investigative Site
Fowey, Cornwall, PL23 1DT
Novartis Investigative Site
Glasgow, G20 0XA
Novartis Investigative Site
Liskeard, Cornwall, PL14 3XA
Novartis Investigative Site
London, EC14 7BE
Novartis Investigative Site
London, SE5 8AD
Novartis Investigative Site
Rotherham, S65 1DA
Novartis Investigative Site
Torpoint, Cornwall, PL11 2TB
Novartis Investigative Site
Wiltshire, SN15 2SB
Bulgaria11 sites
Novartis Investigative Site
Pleven, 5800
Novartis Investigative Site
Plovdiv, BGR, 4000
Novartis Investigative Site
Plovdiv, 4002
Novartis Investigative Site
Rousse, 7002
Novartis Investigative Site
Sofia, 1407
Novartis Investigative Site
Sofia, 1431
Novartis Investigative Site
Sofia
Novartis Investigative Site
Stara Zagora, 6000
Novartis Investigative Site
Troyan Municipality, 5600
Novartis Investigative Site
Varna, BGR, 9000
Novartis Investigative Site
Vidin, BGR, 3703
South Korea8 sites
Novartis Investigative Site
Bucheon-si, Gyeonggi-do, 14584
Novartis Investigative Site
Bundang Gu, Gyeonggi-do, 13620
Novartis Investigative Site
Cheongju-si, North Chungcheong, 28644
Novartis Investigative Site
Incheon, 403-720
Novartis Investigative Site
Seoul, Korea, 03312
Novartis Investigative Site
Seoul, Korea, 08308
Novartis Investigative Site
Seoul, Seocho Gu, 06591
Novartis Investigative Site
Wŏnju, Gangwon-do, 26427
Croatia6 sites
Novartis Investigative Site
Petrinja, 44250
Novartis Investigative Site
Rijeka, 51000
Novartis Investigative Site
Varaždin, HRV, 42000
Novartis Investigative Site
Zadar, 23000
Novartis Investigative Site
Zagreb, HRV, 10 000
Novartis Investigative Site
Zagreb, 10000
Guatemala6 sites
Novartis Investigative Site
Ciudad, Gautemala, 01010
Novartis Investigative Site
Guatemala City, GTM, 01010
Novartis Investigative Site
Guatemala City, GTM, 01011
Novartis Investigative Site
Guatemala City, 01010
Novartis Investigative Site
Guatemala City, 01011
Novartis Investigative Site
Guatemala City, 01057
South Africa6 sites
Novartis Investigative Site
Belleville, South Africa, 7530
Novartis Investigative Site
Berea, Durban, 4001
Novartis Investigative Site
Cape Town, 7531
Novartis Investigative Site
Cape Town, 7700
Novartis Investigative Site
Cape Town, 7925
Novartis Investigative Site
Panorama, Western Cape, 7500
Lithuania5 sites
Novartis Investigative Site
Kaunas, LTU, LT-48259
Novartis Investigative Site
Kaunas, LT-49449
Novartis Investigative Site
Šiauliai, LT-76231
Novartis Investigative Site
Utena, LT-28151
Novartis Investigative Site
Vilnius, LT-09108
Serbia5 sites
Novartis Investigative Site
Belgrade, Serbia, 11000
Novartis Investigative Site
Belgrade, 11000
Novartis Investigative Site
Kamenitz, 21204
Novartis Investigative Site
Kragujevac, 34000
Novartis Investigative Site
Niš, 18000
Latvia4 sites
Novartis Investigative Site
Daugavpils, LV-5401
Novartis Investigative Site
Riga, LV, 1011
Novartis Investigative Site
Riga, LV 1002
Novartis Investigative Site
Riga, LV-1001
Mexico4 sites
Novartis Investigative Site
Mexicali, Estado de Baja California, 21100
Novartis Investigative Site
México, 07760
Novartis Investigative Site
Mexico City, Mexico City, 06700
Novartis Investigative Site
Mexico City, Mexico City, 14050
Ireland3 sites
Novartis Investigative Site
County Limerick, V94 F858
Novartis Investigative Site
Dublin, DUBLIN 8
Novartis Investigative Site
Wilton, Cork
Estonia2 sites
Novartis Investigative Site
Tallinn, 13619
Novartis Investigative Site
Tartu, 51014
About this study
Official title: A Multicenter Randomized 52 Week Treatment Double-blind, Triple Dummy Parallel Group Study to Assess the Efficacy and Safety of QMF149 Compared to Mometasone Furoate in Patients With Asthma
The purpose of the trial is to evaluate the efficacy and safety of two different doses of QMF149 (QMF149 150/160 µg and QMF149 150/320 µg via Concept1) over two respective MF doses (MF 400 µg and MF 800 µg via Twisthaler® (total daily dose)) in poorly controlled asthmatic participants as determined by pulmonary function testing, and effects on asthma control
- Conditions
- Asthma
- Being tested
- Indacaterol acetate/Mometasone furoate, Mometasone furoate, Salmeterol xinafoate/fluticasone propionate
- Keywords
- QMF149, Mometasone furoate (MF), asthma
- Medical subject headings
- Asthma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Indacaterol acetate/Mometasone furoateDrug
Also called QMF149
Mometasone furoateDrug
Salmeterol xinafoate/fluticasone propionateDrug
| Study group | Role | What they receive |
|---|---|---|
| QMF149 150/160 µg | Experimental | QMF149 (Indacaterol acetate/Mometasone furoate) 150/160 μg was delivered once daily (o.d) via Concept1 inhaler in the evening. Receives: Drug: Indacaterol acetate/Mometasone furoate |
| QMF149 150/320 µg | Experimental | QMF149 (Indacaterol acetate/Mometasone furoate) 150/320 μg was delivered o.d via Concept1 inhaler in the evening. Receives: Drug: Indacaterol acetate/Mometasone furoate |
| MF 400 µg | Active comparator | Mometasone furoate (MF) 400 μg was delivered o.d via Twisthaler® in the evening Receives: Drug: Mometasone furoate |
| Salmeterol /fluticasone 50/500 μg | Active comparator | Salmeterol xinafoate/fluticasone propionate 50/500 μg was delivered twice daily (in the morning and in the evening) via Accuhaler®. Receives: Drug: Salmeterol xinafoate/fluticasone propionate |
| MF 800 μg | Active comparator | MF 800 μg of total daily dose (400 μg twice daily, in the morning and in the evening) was delivered via Twisthaler®. Receives: Drug: Mometasone furoate |
What is being measured
The primary outcome is the main question the study is designed to answer.
Trough Forced Expiratory Volume in One Second (Trough FEV1) at Week 26
Trough FEV1 was assessed by performing spirometric assessment. It is defined as average of the two FEV1 measurements taken 23 hr 15 min and 23 hr 45 min post-evening dose. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing.
Measured: 26 weeks
Secondary outcomes (26)
Asthma Control Questionnaire (ACQ-7) at Weeks 4, 12, 26 and 52
The ACQ-7 measured asthma symptom control and consists of 7 items: 5 on symptom assessment, 1 on rescue bronchodilator use and 1 on airway calibre (FEV1 % predicted). All 7 questions of the ACQ-7 were equally weighted. Items 1-5 were scored along a 7-point response scale, where 0 = totally controlled and 6 = severely uncontrolled. Item 6 is scored between 0 = no rescue medication and 6 = More than 16 puffs/inhalations most days. The 7th item was scored by the investigator based on the FEV1 % predicted from the masterscope at the site (i.e., Score = 0 means > 95% of predicted FEV1, 1 = 90 - 95%, 2 = 80 - 89%, 3 = 70 - 79%, 4 = 60 - 69%, 5 = 50 - 59%, and Score = 6 means < 50% of predicted FEV1). The total score was calculated as the mean of all questions.
Measured: Weeks 4, 12, 26 and 52
Trough FEV1 at Week 52
Trough FEV1 was assessed by performing spirometric assessment. It is defined as average of the two FEV1 measurements taken 23 hr 15 min and 23 hr 45 min post-evening dose. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing.
Measured: Week 52
Pre-dose FEV1 at Weeks 4 and 12
Pre-dose trough FEV1 is defined as average of the two FEV1 measurements taken 45 min and 15 min pre evening dose. It was assessed by performing spirometric assessment. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing.
Measured: Weeks 4 (Day 30) and 12 (Day 86)
Post Dose FEV1 (5 Minutes-1 Hour)
Post-dose FEV1 measurements were analyzed at 5 minutes, 15 minutes, 30 minutes and 1 hour. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing.
Measured: Up to Week 52 (Day 364)
Trough Forced Vital Capacity (FVC)
FVC is the total amount of air exhaled during the FEV test. Trough FVC is defined as average of the two FVC measurements taken 23 hr 15 min and 23 hr 45 min post-evening dose. It was assessed by performing spirometric assessment.
Measured: Up to Week 52 (Day 365)
Trough Forced Expiratory Flow (FEF)Between 25% and 75% of FVC (FEF25-75)
FEF is the flow (or speed) of air coming out of the lung during the middle portion of a forced expiration. Trough FEF25-75% is defined as average of the two FEF25-75% measurements taken 23 hr 15 min and 23 hr 45 min post-evening dose. It was assessed by performing spirometric assessment.
Measured: Up to Week 52 (Day 365)
Change From Baseline in Morning and Evening Peak Expiratory Flow Rate (PEF) Over 26 and 52 Weeks of Treatment
PEF is a person's maximum speed of expiration. All the participants were instructed to record PEF twice daily using a mini Peak Flow Meter device, once in the morning (before taking the morning dose) and once approximately 12 h later in the evening (before taking the evening dose). At each timepoint, the participant was instructed to perform 3 consecutive manoeuvres within 10 minutes. These PEF values were captured in the e-PEF/diary. The best of 3 values were used.
Measured: Up to Weeks 26 and 52
Percentage of Participants Achieving the Minimal Important Difference (MID) ACQ ≥ 0.5 at Weeks 26 and 52
Change from baseline in ACQ-7 scores of ≤ 0.5 was defined as minimal clinically important difference and were considered clinically meaningful. The ACQ-7 measured asthma symptom control and consists of 7 items: 5 on symptom assessment, 1 on rescue bronchodilator use and 1 on airway calibre (FEV1 % predicted). All 7 questions of the ACQ-7 were equally weighted. Items 1-5 were scored along a 7-point response scale, where 0 = totally controlled and 6 = severely uncontrolled. Item 6 is scored between 0 = no rescue medication and 6 = More than 16 puffs/inhalations most days. The 7th item was scored by the investigator based on the FEV1 % predicted from the masterscope at the site (i.e., Score = 0 means > 95% of predicted FEV1, 1 = 90 - 95%, 2 = 80 - 89%, 3 = 70 - 79%, 4 = 60 - 69%, 5 = 50 - 59%, and Score = 6 means < 50% of predicted FEV1). The total score was calculated as the mean of all questions
Measured: Weeks 26 (Day 183) and 52 (Day 364)
Change From Baseline in Percentage of Asthma Symptoms Free Days
All participants were provided with an electronic diary (e-Diary) to record clinical symptoms. They were instructed to routinely complete the e-Diary twice daily at the same time each morning and again approximately 12 hours later in the evening. The e-Diary was reviewed at each visit until study completion. Asthma symptoms free days are days with no daytime symptoms, no night-time awakenings and no symptoms on awakening. The daytime asthma symptom score was based on the daily e-diary recordings by participants with respect to shortness of breath, wheeze, cough, chest tightness, and impact on usual daily activities due to symptoms.
Measured: Up to Week 52
Change Form Baseline in Percentage of Days With no Daytime Symptoms
All participants were provided with an electronic diary (e-Diary) to record clinical symptoms. They were instructed to routinely complete the e-Diary twice daily at the same time each morning and again approximately 12 hours later in the evening. The e-Diary was reviewed at each visit until study completion. For days with no daytime symptoms, all 5 evening questions must have a score = 0 with respect to shortness of breath, wheeze, cough, chest tightness and impact on usual daily activities due to symptoms, each with scores from 0 (no problems) to 4 (very severe problems).
Measured: Up to Week 52
Change From Baseline in Percentage of Nights With no Night-time Awakenings
All participants were provided with an electronic diary (e-Diary) to record clinical symptoms. They were instructed to routinely complete the e-Diary twice daily at the same time each morning and again approximately 12 hours later in the evening. The e-Diary was reviewed at each visit until study completion. The question asked for nights with no night-time awakenings was "How did you sleep last night?" had to be answered with "I did not wake up because of any breathing problems" with scores from 0 (no problem)-4 (very severe problems).
Measured: Up to Week 52
Change Form Baseline in Percentage of Mornings With no Symptoms on Awakening
All participants were provided with an electronic diary (e-Diary) to record clinical symptoms. They were instructed to routinely complete the e-Diary twice daily at the same time each morning and again approximately 12 hours later in the evening. The e-Diary was reviewed at each visit until study completion. The question asked for mornings with no symptoms on awakening was "Did you have asthma symptoms upon awakening in the morning?" to be answered with "None" with scores from 0 (no problem)-4 (very severe problems).
Measured: Up to Week 52
Rescue Medication Usage
All participants were given salbutamol/albuterol to use as rescue medication throughout the study along with e-Diary to record rescue medication use. The number of puffs of rescue medication during the past 12 hours is recorded twice (morning/evening) by the participant prior to taking study medication. The mean daily number of puffs of rescue medication use will be calculated for each participant, done separately for morning (night-time), evening (daytime), and daily (night-time plus daytime) rescue medication use
Measured: Up to Weeks 26 and 52
Time to First Asthma Exacerbation by Exacerbation Category
The exacerbation categories were: All (mild, moderate and severe) and combination of moderate or severe and severe.
Measured: Up to Week 52
Time to First Hospitalization for Asthma Exacerbation
The exacerbation categories were: All (mild, moderate and severe) and combination of moderate or severe and severe.
Measured: Up to Week 52
Annual Rate of Asthma Exacerbations by Exacerbation Category
The exacerbation categories were: All (mild, moderate and severe) and combination of moderate or severe and severe.
Measured: Up to Week 52
Duration in Days of Asthma Exacerbations by Exacerbation Category
The exacerbation categories were: All (mild, moderate and severe) and combination of moderate or severe and severe.
Measured: Up to Week 52
Percentage of Participants With at Least One Asthma Exacerbation by Exacerbation Category
The exacerbation categories were: All (mild, moderate and severe) and combination of moderate or severe and severe.
Measured: Up to Week 52
Time in Days to Permanent Discontinuation of Study Medication Due to Asthma Exacerbations
The exacerbation categories were: All (mild, moderate and severe) and combination of moderate or severe and severe.
Measured: Up to Week 52
Percentage of Participants Who Permanently Discontinued Study Medication Due to Asthma Exacerbations
Measured: Up to Week 52
Total Amounts of Systemic Corticosteroids (in Doses) Used to Treat Asthma Exacerbations
The treatment of asthma exacerbations including the initiation of systemic corticosteroids were done according to investigator's or treating physician's medical judgement and in line with national and international recommendations. If systemic corticosteroids were required, a participant could return to the study after successfully completing a taper of approximately 7-10 days.
Measured: Up to Week 52
Change From Baseline in Percentage of Rescue Medication Free Days
All participants were given salbutamol/albuterol to use as rescue medication throughout the study along with e-Diary to record rescue medication use. Rescue medication free days is defined as any day where the participant did not use any puffs of rescue medication during daytime and night-time.
Measured: Up to Weeks 26 and 52
Asthma Quality of Life Questionnaire (AQLQ)
AQLQ is a 32-item disease specific questionnaire designed to measure functional impairments that are most important to patients with asthma, with a recall time of two weeks and each question to be answered on a 7-point scale (1-totally limited/problems all the time, 7-not at all limited/no problems). It consists of 4 domains:
- Symptoms = Mean of Items 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 29, 30 (12 items)
- Activity limitation = Mean of Items 1, 2, 3, 4, 5, 11, 19, 25, 28, 31, 32 (11 items)
- Emotional function = Mean of Items 7, 13, 15, 21, 27 (5 items)
- Environmental stimuli = Mean of Items 9, 17, 23, 26 (4 items)
- Overall Score = Mean of Items 1 to 32 (32 items)
Measured: Up to Week 52 (Day 364)
Trough FEV1 Measured After 26 Weeks of Treatment
Trough FEV1 was assessed by performing spirometric assessment. It is defined as average of the two FEV1 measurements taken 23 hr 15 min and 23 hr 45 min post-evening dose. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing.
Measured: Week 26
Percentage of Participants With Composite Endpoint of Serious Asthma Outcomes
A composite endpoint of serious asthma outcomes is defined as asthma-related hospitalization, asthma-related intubation, or asthma-related death and was reviewed by the Adjudication Committee.
Measured: Up to Week 52
Percentage of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)
An AE is any untoward medical occurrence (i.e., any unfavorable and unintended sign including abnormal laboratory findings, symptom or disease) in a participant or clinical investigation participant after providing written informed consent for participation in the study. An SAE is defined as any adverse event (appearance of (or worsening of any pre-existing) undesirable sign(s), symptom(s) or medical conditions(s) which meets any one of the following criteria: is fatal or life-threatening, results in persistent or significant disability/incapacity, constitutes a congenital anomaly/birth defect, requires inpatient hospitalization or prolongation of existing hospitalization or is medically significant, i.e. defined as an event that jeopardizes the participants or may require medical or surgical intervention.
Measured: Approximately up to 56 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Sep 2015 (estimated)
- Study start29 Dec 2015
- Primary completion21 Nov 2018
- Study completion28 Jun 2019
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 (3)Papers the sponsor has linked to this study.
- Other trials for AsthmaStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe 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
- 2,216 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02554786
- Sponsor's protocol ID
- CQVM149B2301
- Other IDs
- 2015-002529-21, 2015
- Status last verified
- Feb 2020
- First submitted
- 9 Sep 2015
- Last updated
- 5 Mar 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- 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 36472162Chapman K, van Zyl-Smit R, Maspero J, Kerstjens HAM, Gon Y, Hosoe M, Tanase AM, Pethe A, Shu X, D'Andrea P. One time a day mometasone/indacaterol fixed-dose combination versus two times a day fluticasone/salmeterol in patients with inadequately controlled asthma: pooled analysis from PALLADIUM and IRIDIUM studies. BMJ Open Respir Res. 2021 Aug;8(1):e000819. doi: 10.1136/bmjresp-2020-000819.
PubMed 34452934van Zyl-Smit RN, Krull M, Gessner C, Gon Y, Noga O, Richard A, de Los Reyes A, Shu X, Pethe A, Tanase AM, D'Andrea P; PALLADIUM trial investigators. Once-daily mometasone plus indacaterol versus mometasone or twice-daily fluticasone plus salmeterol in patients with inadequately controlled asthma (PALLADIUM): a randomised, double-blind, triple-dummy, controlled phase 3 study. Lancet Respir Med. 2020 Oct;8(10):987-999. doi: 10.1016/S2213-2600(20)30178-8. Epub 2020 Jul 9.
PubMed 32653075
Study at a glance
From the registry record, last updated by the sponsor on 5 Mar 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter Randomized 52 Week Treatment Double-blind, Triple Dummy Parallel Group Study to Assess the Efficacy and Safety of QMF149 Compared to Mometasone Furoate in Patients With Asthma
- ClinicalTrials.gov ID
- NCT02554786
- Acronym / sponsor ID
- CQVM149B2301
- Conditions
- Asthma
- Keywords
- QMF149, Mometasone furoate (MF), asthma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,216 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 29 Dec 2015 (actual)
- Primary completion
- 21 Nov 2018 (actual)
- Study completion
- 28 Jun 2019 (actual)
- First posted
- 18 Sep 2015 (estimated)
- Results
- Posted 5 Mar 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the trial is to evaluate the efficacy and safety of two different doses of QMF149 (QMF149 150/160 µg and QMF149 150/320 µg via Concept1) over two respective MF doses (MF 400 µg and MF 800 µg via Twisthaler® (total daily dose)) in poorly controlled asthmatic participants as determined by pulmonary function testing, and effects on asthma control
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| QMF149 150/160 µg | Experimental | Drug: Indacaterol acetate/Mometasone furoateQMF149 (Indacaterol acetate/Mometasone furoate) 150/160 μg was delivered once daily (o.d) via Concept1 inhaler in the evening. |
| QMF149 150/320 µg | Experimental | Drug: Indacaterol acetate/Mometasone furoateQMF149 (Indacaterol acetate/Mometasone furoate) 150/320 μg was delivered o.d via Concept1 inhaler in the evening. |
| MF 400 µg | Active comparator | Drug: Mometasone furoateMometasone furoate (MF) 400 μg was delivered o.d via Twisthaler® in the evening |
| Salmeterol /fluticasone 50/500 μg | Active comparator | Drug: Salmeterol xinafoate/fluticasone propionateSalmeterol xinafoate/fluticasone propionate 50/500 μg was delivered twice daily (in the morning and in the evening) via Accuhaler®. |
| MF 800 μg | Active comparator | Drug: Mometasone furoateMF 800 μg of total daily dose (400 μg twice daily, in the morning and in the evening) was delivered via Twisthaler®. |
Who may qualify
- Ages
- 12 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (12 listed)
- Participants with a diagnosis of asthma, for a period of at least 1 year prior to Visit 1 (Screening)
- Participants who have used medium or high dose inhaled corticosteroids (ICS) or low dose of long acting beta-2 agonist (LABA)/ICS combinations for asthma for at least 3 months and at stable doses for at least 1 month prior to Visit 1
- Participants must have ACQ-7 score ≥ 1.5 at Visit 101 and at Visit 102 (prior to double-blind treatment) and qualify for treatment with medium or high dose LABA/ICS
- Pre-bronchodilator ≥ 50% Forced expiratory volume in 1 second (FEV1) of < 85 % of the predicted normal value for the participants after withholding bronchodilators at both Visit 101 and 102, according to American Thoracic Society/European Respiratory Society (ATS/ERS) criteria.
- Withholding period of bronchodilators prior to spirometry: short acting beta-2 agonist (SABA) for ≥ 6 hours and FDC or free combinations of ICS/LABA for ≥ 48 hours, short acting anticholinergics (SAMA) for ≥ 8 hours, xanthines >=07 days
Key exclusion criteria (14 listed)
- Participants who have smoked or inhaled tobacco products within the 6 month period prior to Visit 1, or who have a smoking history of greater than 10 pack years. This includes use of nicotine inhalers such as e-cigarettes at the time of Visit 1
- Participants who have had an asthma attack/exacerbation requiring systemic steroids or hospitalization or emergency room visit within 6 weeks of Visit 1 (Screening)
- Participants who have ever required intubation for a severe asthma attack/exacerbation.
- Participants who have a clinical condition which is likely to be worsened by ICS administration (e.g. glaucoma, cataract and fragility fractures) who are according to investigator's medical judgment at risk participating in the study).
- Participants who have had a respiratory tract infection or asthma worsening as determined by the investigator within 4 weeks prior to Visit 1 (Screening) or between Visit 1 and Visit 102. Participants may be re-screened 4 weeks after recovery from their respiratory tract infection or asthma worsening.
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 |
|---|---|---|
| Indacaterol acetate/Mometasone furoateAlso: QMF149 | Drug | QMF149 150/160 µg, QMF149 150/320 µg |
| Mometasone furoate | Drug | MF 400 µg, MF 800 μg |
| Salmeterol xinafoate/fluticasone propionate | Drug | Salmeterol /fluticasone 50/500 μg |
Primary outcome
Trough Forced Expiratory Volume in One Second (Trough FEV1) at Week 26
Time frame: 26 weeks
Trough FEV1 was assessed by performing spirometric assessment. It is defined as average of the two FEV1 measurements taken 23 hr 15 min and 23 hr 45 min post-evening dose. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing.
26 secondary outcomes
Asthma Control Questionnaire (ACQ-7) at Weeks 4, 12, 26 and 52
Time frame: Weeks 4, 12, 26 and 52
Trough FEV1 at Week 52
Time frame: Week 52
Pre-dose FEV1 at Weeks 4 and 12
Time frame: Weeks 4 (Day 30) and 12 (Day 86)
Post Dose FEV1 (5 Minutes-1 Hour)
Time frame: Up to Week 52 (Day 364)
Trough Forced Vital Capacity (FVC)
Time frame: Up to Week 52 (Day 365)
Trough Forced Expiratory Flow (FEF)Between 25% and 75% of FVC (FEF25-75)
Time frame: Up to Week 52 (Day 365)
Change From Baseline in Morning and Evening Peak Expiratory Flow Rate (PEF) Over 26 and 52 Weeks of Treatment
Time frame: Up to Weeks 26 and 52
Percentage of Participants Achieving the Minimal Important Difference (MID) ACQ ≥ 0.5 at Weeks 26 and 52
Time frame: Weeks 26 (Day 183) and 52 (Day 364)
Change From Baseline in Percentage of Asthma Symptoms Free Days
Time frame: Up to Week 52
Change Form Baseline in Percentage of Days With no Daytime Symptoms
Time frame: Up to Week 52
Change From Baseline in Percentage of Nights With no Night-time Awakenings
Time frame: Up to Week 52
Change Form Baseline in Percentage of Mornings With no Symptoms on Awakening
Time frame: Up to Week 52
Rescue Medication Usage
Time frame: Up to Weeks 26 and 52
Time to First Asthma Exacerbation by Exacerbation Category
Time frame: Up to Week 52
Time to First Hospitalization for Asthma Exacerbation
Time frame: Up to Week 52
Annual Rate of Asthma Exacerbations by Exacerbation Category
Time frame: Up to Week 52
Duration in Days of Asthma Exacerbations by Exacerbation Category
Time frame: Up to Week 52
Percentage of Participants With at Least One Asthma Exacerbation by Exacerbation Category
Time frame: Up to Week 52
Time in Days to Permanent Discontinuation of Study Medication Due to Asthma Exacerbations
Time frame: Up to Week 52
Percentage of Participants Who Permanently Discontinued Study Medication Due to Asthma Exacerbations
Time frame: Up to Week 52
Total Amounts of Systemic Corticosteroids (in Doses) Used to Treat Asthma Exacerbations
Time frame: Up to Week 52
Change From Baseline in Percentage of Rescue Medication Free Days
Time frame: Up to Weeks 26 and 52
Asthma Quality of Life Questionnaire (AQLQ)
Time frame: Up to Week 52 (Day 364)
Trough FEV1 Measured After 26 Weeks of Treatment
Time frame: Week 26
Percentage of Participants With Composite Endpoint of Serious Asthma Outcomes
Time frame: Up to Week 52
Percentage of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)
Time frame: Approximately up to 56 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Mar 2020.
- 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 34452934Chapman K, van Zyl-Smit R, Maspero J, Kerstjens HAM, Gon Y, Hosoe M, Tanase AM, Pethe A, Shu X, D'Andrea P. One time a day mometasone/indacaterol fixed-dose combination versus two times a day fluticasone/salmeterol in patients with inadequately controlled asthma: pooled analysis from PALLADIUM and IRIDIUM studies. BMJ Open Respir Res. 2021 Aug;8(1):e000819. doi: 10.1136/bmjresp-2020-000819.
- Derived from this study: PubMed 32653075van Zyl-Smit RN, Krull M, Gessner C, Gon Y, Noga O, Richard A, de Los Reyes A, Shu X, Pethe A, Tanase AM, D'Andrea P; PALLADIUM trial investigators. Once-daily mometasone plus indacaterol versus mometasone or twice-daily fluticasone plus salmeterol in patients with inadequately controlled asthma (PALLADIUM): a randomised, double-blind, triple-dummy, controlled phase 3 study. Lancet Respir Med. 2020 Oct;8(10):987-999. doi: 10.1016/S2213-2600(20)30178-8. Epub 2020 Jul 9.
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RecruitingObservational study
Swiss Severe Asthma Register
Severe Asthma
RecruitingPhase 3
A Study to Learn About the Study Medicine Called Tilrekimig in People With Severe Asthma
Asthma
RecruitingPhase 2
Dose Range Finding Study to Assess Efficacy and Safety of Tozorakimab in Adults With Uncontrolled Asthma on Medium-to-High Dose Inhaled Corticosteroids
Asthma
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.
The record lists no contact. Use the official record to reach the sponsor.
388 sites in 24 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Indacaterol acetate/Mometasone furoate, Mometasone furoate and Salmeterol xinafoate/fluticasone propionate in people with Asthma, run by Novartis Pharmaceuticals at 388 sites in 24 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 12 inclusion and 14 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 5 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 388 sites in Germany, Russia, China, Japan, United States and 19 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 5 Mar 2020). 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?
Trough Forced Expiratory Volume in One Second (Trough FEV1) at Week 26 (time frame: 26 weeks). 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 NCT02554786, which also lists 3 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 5 Mar 2020.