AsthmaPhase 3NCT02924688
A Phase III Parallel Group Study, Comparing the Efficacy, Safety and Tolerability of the Fixed Dose Combination (FDC) of Fluticasone Furoate+Umeclidinium Bromide+Vilanterol (FF/UMEC/VI) With the FDC of FF/VI in Subjects With Inadequately Controlled Asthma
A Phase 3 study testing FF/UMEC/VI (100/31.25/25) mcg, FF/UMEC/VI (100/62.5/25) mcg and FF/UMEC/VI (200/31.25/25) mcg in people with Asthma, run by GlaxoSmithKline at 409 sites in 15 countries.
Trial summary
A once-daily 'closed' triple FDC therapy of FF/UMEC/VI via a single ELLIPTA® dry powder inhaler (DPI) is being developed by GlaxoSmithKline (GSK) with the aim of providing a new treatment option for the management of asthma by improving lung function, health-related quality of life (HRQoL) and symptom control over… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Asthma
- What is being tested?
- FF/UMEC/VI (100/31.25/25) mcg, FF/UMEC/VI (100/62.5/25) mcg and FF/UMEC/VI (200/31.25/25) mcg
- Type of treatment
- Pill or oral medicine, Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2,436 participants
- Where
- 409 sitesin 15 countries
- Study dates
- 13 Oct 2016to 22 Feb 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age: 18 years of age or older at the time of signing the informed consent.
- Diagnosis: Subjects with a diagnosis of asthma as defined by the National Institutes of Health at least one year prior to Visit 0.
- Symptomatic: Subjects with inadequately controlled asthma (ACQ-6 score >=1.5) despite ICS/LABA maintenance therapy at Visit 1.
- Asthma Control: In the 1 year prior to Visit 1
- A documented healthcare contact for acute asthma symptoms or
- A documented temporary change in asthma therapy for acute asthma symptoms, according to a pre-specified asthma action plan (or equivalent)
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- Current Asthma Maintenance Therapy: Subjects are eligible if they have required daily ICS/LABA for at least 12 weeks prior to Visit 0 with no changes to maintenance asthma medications during the 6 weeks immediately prior to Visit 0 (including no changes to a stable total dose of ICS of >250 mcg/day fluticasone proprionate [FP, or equivalent]).
- Spirometry: A best pre-bronchodilator morning (ante meridian [AM]) FEV1 >=30% and <85% of the predicted normal value at Visit 1. Predicted values will be based upon the European Respiratory Society (ERS) Global Lung Function Initiative.
- Reversibility of Disease: airway reversibility defined as >=12% and >=200 milliliter (mL) increase in FEV1 between 20 and 60 minutes following 4 inhalations of albuterol/salbutamol aerosol at Visit 1.
- If the subject does not meet the above reversibility criteria at Visit 1 then the reversibility assessment may be repeated once within 7 days of Visit 1 if either criteria a) or b) are met: a) >=9% increase in FEV1 between 20 and 60 minutes following 4 inhalations of albuterol/salbutamol aerosol at Visit 1. b) Documented evidence of a reversibility assessment within 1 year prior to Visit 1 which demonstrated a post-bronchodilator increase in FEV1 of >=12% and >=200 mL.
- Should the subject successfully demonstrate airway reversibility (defined as >=12% and >=200 mL increase in FEV1 between 20 and 60 minutes following 4 inhalations of albuterol/salbutamol aerosol) at the second attempt then, provided that all other eligibility criteria assessed at Visit 1 are met, the subject may enter the 3-week run-in period.
- Short-Acting beta2 Agonists (SABAs): All subjects must be able to replace their current SABA inhaler with albuterol/salbutamol aerosol inhaler at Visit 1 as needed for the duration of the study. Subjects must be judged capable of withholding albuterol/salbutamol for at least 6 hours prior to study visits.
- Male or eligible Female, defined as having documentation of non-reproductive potential or reproductive potential as follows:
- A female subject is eligible to participate if she is not pregnant (as confirmed by a negative serum human chorionic gonadotrophin (hCG) test), not lactating, is not planning on becoming pregnant during the study and at least one of the following conditions applies: Non-reproductive potential defined as pre-menopausal females with documented tubal ligation or documented hysteroscopic tubal occlusion procedure with follow-up confirmation of bilateral tubal occlusion or hysterectomy or documented bilateral oophorectomy; Postmenopausal defined as 12 months of spontaneous amenorrhea with an appropriate clinical profile (e.g., age appropriate, >45 years, in the absence of hormone replacement therapy). In questionable cases for women <60 years of age, a blood sample with simultaneous follicle stimulating hormone and estradiol falling into the central laboratory's postmenopausal reference range is confirmatory. Females under 60 years of age, who are on hormone replacement therapy (HRT) and whose menopausal status is in doubt, are required to use a highly effective method to avoid pregnancy if they wish to continue their HRT during the study. Otherwise, they must discontinue HRT to allow confirmation of post-menopausal status prior to study enrolment. For most forms of HRT, at least 2 to 4 weeks will elapse between the cessation of therapy and the blood draw; this interval depends on the type and dosage of HRT. Following confirmation of their post-menopausal status, subjects can resume use of HRT during the study without use of a highly effective method to avoid pregnancy; Reproductive potential and agrees to follow one of the options listed in the Modified List of Highly Effective Methods for Avoiding Pregnancy in Females of Reproductive Potential (FRP) from the screening visit until after the last dose of study medication and completion of the follow-up visit. The Investigator is responsible for ensuring that subjects understand how to properly use these methods of contraception.
- Informed Consent: Able to give written informed consent prior to participation in the study, which will include the ability to comply with the requirements and restrictions listed in the consent form and in this protocol. Subjects must be able to read, comprehend, and write at a level sufficient to complete study related materials.
- Inadequately controlled asthma: Subjects with inadequately controlled asthma (ACQ-6 score >=1.5) at Visit 2.
- Percent-predicted FEV1: A best pre-bronchodilator morning (AM) FEV1 >=30% and <90% of the predicted normal value at Visit 2. Predicted values will be based upon the ERS Global Lung Function Initiative
- Liver function tests at Visit 1: alanine aminotransferase (ALT) <2 x upper limit of normal (ULN); alkaline phosphatase <=1.5xULN; bilirubin <=1.5xULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%)
- Compliance with completion of the Daily eDiary reporting defined as completion of all questions/assessments on >=4 of the last 7 days during the run-in period.
- Compliance with completion of the Daily eDiary reporting defined as completion of all questions/assessments on >=4 of the last 7 days during the stabilization period.
Who cannot join
- Pneumonia: Chest X-ray documented pneumonia in the 6 weeks prior to Visit 1.
- Asthma Exacerbation: Any asthma exacerbation requiring a change in maintenance asthma therapy in the 6 weeks prior to Visit 1. Note: Subjects requiring a temporary change in asthma therapy (e.g., oral corticosteroids or increased dose of ICS) to treat an exacerbation in the 6 weeks prior to Visit 1 are not explicitly excluded at Visit 1 provided that, at the Investigator's discretion, the subject's condition is stable after they have resumed their pre-exacerbation maintenance asthma therapy (without modification) and they are considered appropriate for enrolment into this study of up to 12 month's duration.
- Chronic Obstructive Pulmonary Disease: Subjects with the diagnosis of chronic obstructive pulmonary disease, as per Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines, including history of exposure to risk factors (i.e., especially tobacco smoke, occupational dusts and chemicals, smoke from home cooking and heating fuels) and a post-albuterol/salbutamol FEV1/Forced Vital Capacity (FVC) ratio of <0.70 and a post-albuterol/salbutamol FEV1 of =<70% of predicted normal values and onset of disease >=40 years of age.
- Concurrent respiratory disorders: Subjects with current evidence of pneumonia, active tuberculosis, lung cancer, significant bronchiectasis, sarcoidosis, lung fibrosis, pulmonary hypertension, interstitial lung diseases or other active pulmonary diseases or abnormalities other than asthma.
- Risk Factors for Pneumonia: Immune suppression (e.g., human immunodeficiency virus, Lupus) or other risk factors for pneumonia (e.g., neurological disorders affecting control of the upper airway, such as Parkinson's Disease, Myasthenia Gravis).
- Patients at potentially high risk (e.g., very low body mass index (BMI), severely malnourished, or very low FEV1) will only be included at the discretion of the Investigator.
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- Other diseases/abnormalities: Subjects with historical or current evidence of clinically significant cardiovascular, neurological, psychiatric, renal, hepatic, immunological, gastrointestinal, urogenital, nervous system, musculoskeletal, skin, sensory, endocrine (including uncontrolled diabetes or thyroid disease) or hematological abnormalities that are uncontrolled. Significant is defined as any disease that, in the opinion of the Investigator, would put the safety of the subject at risk through participation, or which would affect the efficacy or safety analysis if the disease/condition exacerbated during the study.
- Unstable liver disease as defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices or persistent jaundice, cirrhosis, known biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones). Note: Chronic stable hepatitis B and C are acceptable if the subject otherwise meets entry criteria.
- Clinically significant Electrocardiogram abnormality: Evidence of a clinically significant abnormality in the 12-lead ECG performed during screening. The Investigator will determine the clinical significance of each abnormal ECG finding in relation to the subject's medical history and exclude subjects who would be at undue risk by participating in the trial. An abnormal and clinically significant finding is defined as a 12-lead tracing that is interpreted as, but not limited to, any of the following: Atrial fibrillation (AF) with rapid ventricular rate >120 Beats Per Minute (BPM); sustained or non-sustained ventricular tachycardia (VT); Second degree heart block Mobitz type II and third degree heart block (unless pacemaker or defibrillator had been inserted); QT interval corrected for heart rate by Fridericia's formula (QTcF) >=500 milliseconds (msec) in subjects with QRS <120 msec and QTcF >=530 msec in subjects with QRS >=120 msec.
- Unstable or life threatening cardiac disease: Subjects with any of the following at Screening (Visit 1) would be excluded: Myocardial infarction or unstable angina in the last 6 months; Unstable or life threatening cardiac arrhythmia requiring intervention in the last 3 months; New York Heart Association (NYHA) Class IV Heart failure.
- Antimuscarinic effects: Subjects with a medical condition such as narrow-angle glaucoma, urinary retention, prostatic hypertrophy or bladder neck obstruction should only be included if in the opinion of the Investigator the benefit outweighs the risk and that the condition would not contraindicate study participation.
- Cancer: Subjects with carcinoma that has not been in complete remission for at least 5 years. Subjects who have had carcinoma in situ of the cervix, squamous cell carcinoma and basal cell carcinoma of the skin would not be excluded based on the 5 year waiting period if the subject has been considered cured by treatment.
- Questionable validity of consent: Subjects with a history of psychiatric disease, intellectual deficiency, poor motivation or other conditions that will limit the validity of informed consent to participate in the study.
- Medication prior to spirometry: Subjects who are medically unable to withhold their albuterol/salbutamol for the 6-hour period required prior to spirometry testing at each study visit.
- Tobacco Use: Subjects who are: Current smokers (defined as subjects who have used inhaled tobacco products within the 12 months prior to Visit 1 [i.e., cigarettes, e-cigarettes/vaping, cigars or pipe tobacco]) or former smokers with a smoking history of >=10 pack years (e.g., >=20 cigarettes/day for 10 years).
- Drug/alcohol abuse: Subjects with a known or suspected history of alcohol or drug abuse within the last 2 years.
- Allergy or Hypersensitivity: A history of allergy or hypersensitivity to any corticosteroid, anticholinergic/muscarinic receptor antagonist, beta2-agonist, lactose/milk protein or magnesium stearate.
- Non-compliance: Subjects at risk of non-compliance, or unable to comply with the study procedures. Any infirmity, disability, or geographic location that would limit compliance for scheduled visits.
- Affiliation with Investigator site: Study Investigators, sub-Investigators, study coordinators, employees of a participating Investigator or study site, or immediate family members of the aforementioned that is involved with this study.
- Inability to read: In the opinion of the Investigator, any subject who is unable to read and/or would not be able to complete study related materials.
- Respiratory Infection: Occurrence of a culture-documented or suspected bacterial or viral infection of the upper or lower respiratory tract, sinus or middle ear during the run-in period that led to a change in asthma management or, in the opinion of the Investigator, is expected to affect the subject's asthma status or the subject's ability to participate in the study.
- Severe asthma exacerbation: Evidence of a severe exacerbation during screening or the run-in period, defined as deterioration of asthma requiring the use of systemic corticosteroids (tablets, suspension, or injection) for at least 3 days or an in-patient hospitalization or emergency department visit due to asthma that required systemic corticosteroids.
- Asthma medication: Changes in asthma medication (excluding run-in medication and albuterol/salbutamol inhalation aerosol provided at Visit 1).
- Laboratory test abnormalities: Evidence of clinically significant abnormal laboratory tests during screening or run-in which are still abnormal upon repeat analysis and are not believed to be due to disease(s) present. Each Investigator will use his/her own discretion in determining the clinical significance of the abnormality.
- Respiratory Infection: Occurrence of a culture-documented or suspected bacterial or viral infection of the upper or lower respiratory tract, sinus or middle ear during the stabilization period that led to a change in asthma management or, in the opinion of the Investigator, is expected to affect the subject's asthma status or the subject's ability to participate in the study.
- Severe asthma exacerbation: Evidence of a severe exacerbation during enrolment or the stabilization period, defined as deterioration of asthma requiring the use of systemic corticosteroids (tablets, suspension, or injection) for at least 3 days or an inpatient hospitalization or emergency department visit due to asthma that required systemic corticosteroids.
- Asthma medication: Changes in asthma medication (excluding stabilization period medication provided at Visit 2 and albuterol/salbutamol inhalation aerosol provided at Visit 1).
Trial locations and contacts
409 sites in 15 countries.
409 sites in 15 countries
United States99 sites
GSK Investigational Site
Abingdon, Virginia, 24210
GSK Investigational Site
Adairsville, Georgia, 30103
GSK Investigational Site
Anderson, South Carolina, 29621
GSK Investigational Site
Asheville, North Carolina, 28801
GSK Investigational Site
Aurora, Colorado, 80045
GSK Investigational Site
Austin, Texas, 78726
GSK Investigational Site
Aventura, Florida, 33180
GSK Investigational Site
Baltimore, Maryland, 21236
GSK Investigational Site
Birmingham, Alabama, 35243
GSK Investigational Site
Brandon, Florida, 33511
GSK Investigational Site
Buffalo, New York, 14215-1199
GSK Investigational Site
Canton, California, 44718
GSK Investigational Site
Charleston, South Carolina, 29414
GSK Investigational Site
Charlotte, North Carolina, 28277
GSK Investigational Site
Chevy Chase, Maryland, 20815
GSK Investigational Site
Cincinnati, Ohio, 45231
GSK Investigational Site
Cincinnati, Ohio, 45242
GSK Investigational Site
Colorado Springs, Colorado, 80907
GSK Investigational Site
Columbia, Maryland, 21044
GSK Investigational Site
Columbus, Georgia, 31904
GSK Investigational Site
Dallas, Texas, 75225
GSK Investigational Site
Dallas, Texas, 75246
GSK Investigational Site
Dayton, Ohio, 45419
GSK Investigational Site
Denver, Colorado, 80230
GSK Investigational Site
Dublin, Ohio, 43016
GSK Investigational Site
El Paso, Texas, 79903
GSK Investigational Site
Encinitas, California, 92024
GSK Investigational Site
Escondico, California, 92025
GSK Investigational Site
Gastonia, North Carolina, 28054
GSK Investigational Site
Gilbert, Arizona, 85234
GSK Investigational Site
Greenville, South Carolina, 29615
GSK Investigational Site
Hendersonville, Tennessee, 37075
GSK Investigational Site
High Point, North Carolina, 27262
GSK Investigational Site
Hollywood, Florida, 33024
GSK Investigational Site
Houston, Texas, 77030
GSK Investigational Site
Houston, Texas, 77058
GSK Investigational Site
Huntersville, North Carolina, 28078
GSK Investigational Site
Huntington Beach, California, 92647
GSK Investigational Site
Huntington Beach, California, 92648
GSK Investigational Site
Jefferson Hills, Pennsylvania, 15025
GSK Investigational Site
Jupiter, Florida, 33458
GSK Investigational Site
Killeen, Texas, 76542
GSK Investigational Site
La Jolla, California, 92093
GSK Investigational Site
Lafayette, Colorado, 80026
GSK Investigational Site
Lampasas, Texas, 76550
GSK Investigational Site
Lincoln, Nebraska, 68505
GSK Investigational Site
Little Rock, Arkansas, 72205
GSK Investigational Site
Live Oak, Texas, 78233
GSK Investigational Site
Long Beach, California, 90808
GSK Investigational Site
Los Angeles, California, 90025
GSK Investigational Site
Louisville, Kentucky, 40215
GSK Investigational Site
McKinney, Texas, 75069
GSK Investigational Site
Medford, Oregon, 97504
GSK Investigational Site
Miami, Florida, 33173
GSK Investigational Site
Michigan City, Indiana, 46360
GSK Investigational Site
Minneapolis, Minnesota, 55402
GSK Investigational Site
Missouri City, Texas, 77459
GSK Investigational Site
Mobile, Alabama, 36608
GSK Investigational Site
Montgomery, Alabama, 36106
GSK Investigational Site
New York, New York, 10016
GSK Investigational Site
Normal, Illinois, 61761
GSK Investigational Site
Ocean City, New Jersey, 07712
GSK Investigational Site
Ocoee, Florida, 34761
GSK Investigational Site
Oklahoma City, Oklahoma, 73120
GSK Investigational Site
Orangeburg, South Carolina, 29118
GSK Investigational Site
Owensboro, Kentucky, 42301
GSK Investigational Site
Oxnard, California, 93030
GSK Investigational Site
Pharr, Texas, 78577
GSK Investigational Site
Pittsburgh, Pennsylvania, 15241
GSK Investigational Site
Plano, Texas, 75093
GSK Investigational Site
Portland, Oregon, 97202
GSK Investigational Site
Portland, Oregon, 97223
GSK Investigational Site
Raleigh, North Carolina, 27607
GSK Investigational Site
Richmond, Virginia, 23225
GSK Investigational Site
River Forest, Illinois, 60305
GSK Investigational Site
Rochester, Michigan, 48307
GSK Investigational Site
Rolling Hills Estates, California, 90274
GSK Investigational Site
Roseville, California, 95661
GSK Investigational Site
Saint Charles, Missouri, 63301
GSK Investigational Site
San Antonio, Texas, 78258
GSK Investigational Site
San Diego, California, 92103-8415
GSK Investigational Site
San Diego, California, 92123
GSK Investigational Site
San Jose, California, 95117
GSK Investigational Site
Scottsdale, Arizona, 85251
GSK Investigational Site
Seattle, Washington, 98115
GSK Investigational Site
Shelby, North Carolina, 28150
GSK Investigational Site
South Bend, Indiana, 46617
GSK Investigational Site
Spartanburg, South Carolina, 29301
GSK Investigational Site
Spartanburg, South Carolina, 29303
GSK Investigational Site
St. Petersburg, Florida, 33709
GSK Investigational Site
Sunset, Louisiana, 70584
GSK Investigational Site
Tallahassee, Florida, 32308
GSK Investigational Site
Topeka, Kansas, 66606
GSK Investigational Site
Tucson, Arizona, 85712
GSK Investigational Site
Waco, Texas, 76712
GSK Investigational Site
Warwick, Rhode Island, 02886
GSK Investigational Site
Williamsburg, Virginia, 23188
GSK Investigational Site
Wilmington, North Carolina, 28401
GSK Investigational Site
Winston-Salem, North Carolina, 27104
Japan94 sites
GSK Investigational Site
Aichi, 471-8513
GSK Investigational Site
Aichi, 488-8585
GSK Investigational Site
Chiba, 278-0004
GSK Investigational Site
Fukui, 910-1193
GSK Investigational Site
Fukui, 910-8526
GSK Investigational Site
Fukuoka, 802-0052
GSK Investigational Site
Fukuoka, 802-0083
GSK Investigational Site
Fukuoka, 805-8508
GSK Investigational Site
Fukuoka, 811-1394
GSK Investigational Site
Fukuoka, 814-0180
GSK Investigational Site
Fukuoka, 816-0813
GSK Investigational Site
Fukuoka, 832-0059
GSK Investigational Site
Gifu, 509-6134
GSK Investigational Site
Hiroshima, 720-0001
GSK Investigational Site
Hiroshima, 732-0052
GSK Investigational Site
Hiroshima, 734-8530
GSK Investigational Site
Hiroshima, 735-8585
GSK Investigational Site
Hiroshima, 737-0193
GSK Investigational Site
Hokkaido, 001-0901
GSK Investigational Site
Hokkaido, 005-0841
GSK Investigational Site
Hokkaido, 006-0811
GSK Investigational Site
Hokkaido, 040-8611
GSK Investigational Site
Hokkaido, 060-0033
GSK Investigational Site
Hokkaido, 060-0061
GSK Investigational Site
Hokkaido, 062-8618
GSK Investigational Site
Hokkaido, 064-0801
GSK Investigational Site
Hokkaido, 080-0024
GSK Investigational Site
Hyōgo, 650-0047
GSK Investigational Site
Hyōgo, 664-8540
GSK Investigational Site
Hyōgo, 672-8064
GSK Investigational Site
Hyōgo, 675-8611
GSK Investigational Site
Ibaraki, 305-8576
GSK Investigational Site
Ibaraki, 310-0015
GSK Investigational Site
Ibaraki, 311-3193
GSK Investigational Site
Ibaraki, 317-0077
GSK Investigational Site
Ibaraki, 319-1113
GSK Investigational Site
Kagawa, 761-8073
GSK Investigational Site
Kagawa, 761-8538
GSK Investigational Site
Kagawa, 762-8550
GSK Investigational Site
Kanagawa, 210-0822
GSK Investigational Site
Kanagawa, 224-8503
GSK Investigational Site
Kanagawa, 231-8682
GSK Investigational Site
Kanagawa, 232-0066
GSK Investigational Site
Kanagawa, 236-0004
GSK Investigational Site
Kanagawa, 252-0392
GSK Investigational Site
Kyoto, 607-8062
GSK Investigational Site
Kyoto, 610-0113
GSK Investigational Site
Kyoto, 612-0026
GSK Investigational Site
Kyoto, 615-8087
GSK Investigational Site
Mie, 515-8544
GSK Investigational Site
Miyagi, 983-0833
GSK Investigational Site
Miyagi, 983-8520
GSK Investigational Site
Miyagi, 984-8560
GSK Investigational Site
Miyagi, 986-8522
GSK Investigational Site
Miyagi, 989-1253
GSK Investigational Site
Nagano, 386-8610
GSK Investigational Site
Nagasaki, 850-0003
GSK Investigational Site
Nara, 632-8552
GSK Investigational Site
Ōita, 874-0011
GSK Investigational Site
Okayama, 701-0304
GSK Investigational Site
Okinawa, 901-2121
GSK Investigational Site
Okinawa, 901-2214
GSK Investigational Site
Osaka, 536-0001
GSK Investigational Site
Osaka, 545-8586
GSK Investigational Site
Osaka, 550-0006
GSK Investigational Site
Osaka, 583-8588
GSK Investigational Site
Osaka, 591-8037
GSK Investigational Site
Osaka, 591-8555
GSK Investigational Site
Osaka, 593-8304
GSK Investigational Site
Osaka, 596-8501
GSK Investigational Site
Saga, 843-0393
GSK Investigational Site
Saitama, 333-0833
GSK Investigational Site
Saitama, 351-0102
GSK Investigational Site
Shimane, 690-8556
GSK Investigational Site
Shizuoka, 421-0193
GSK Investigational Site
Shizuoka, 438-8550
GSK Investigational Site
Tokyo, 103-0027
GSK Investigational Site
Tokyo, 103-0028
GSK Investigational Site
Tokyo, 104-8560
GSK Investigational Site
Tokyo, 105-0003
GSK Investigational Site
Tokyo, 142-8666
GSK Investigational Site
Tokyo, 145-0063
GSK Investigational Site
Tokyo, 145-0071
GSK Investigational Site
Tokyo, 157-0066
GSK Investigational Site
Tokyo, 158-0097
GSK Investigational Site
Tokyo, 164-0012
GSK Investigational Site
Tokyo, 169-0073
GSK Investigational Site
Tokyo, 171-0014
GSK Investigational Site
Tokyo, 187-0024
GSK Investigational Site
Toyama, 937-0042
GSK Investigational Site
Yamagata, 990-8533
GSK Investigational Site
Yamagata, 992-0045
GSK Investigational Site
Yamaguchi, 755-0241
GSK Investigational Site
Yamanashi, 400-0031
Russia36 sites
GSK Investigational Site
Arkhangelsk, 163000
GSK Investigational Site
Belgorod, 308007
GSK Investigational Site
Blagoveshchensk, 675000
GSK Investigational Site
Chelyabinsk, 454006
GSK Investigational Site
Chita, 672000
GSK Investigational Site
Irkutsk, 664043
GSK Investigational Site
Ivanovo, 153462
GSK Investigational Site
Izhevsk, 426063
GSK Investigational Site
Kazan', 420008
GSK Investigational Site
Kemerovo, 650000
GSK Investigational Site
Kemerovo, 650002
GSK Investigational Site
Khantymansiysk, 628012
GSK Investigational Site
Krasnodar, 350012
GSK Investigational Site
Krasnoyarsk, 660022
GSK Investigational Site
Moscow, 115 280
GSK Investigational Site
Orenburg, 460040
GSK Investigational Site
Perm, 614109
GSK Investigational Site
Petrozavodsk, 185019
GSK Investigational Site
Saint Petersburg, 193231
GSK Investigational Site
Saint Petersburg, 194354
GSK Investigational Site
Saint Petersburg, 195030
GSK Investigational Site
Saint Petersburg, 196240
GSK Investigational Site
Saint Petersburg, 197022
GSK Investigational Site
Saint Petersburg, 198328
GSK Investigational Site
Samara, 443068
GSK Investigational Site
Saratov, 410028
GSK Investigational Site
Saratov, 410053
GSK Investigational Site
Tomsk, 634 050
GSK Investigational Site
Tomsk, 634028
GSK Investigational Site
Tver', 170036
GSK Investigational Site
Ufa, 450071
GSK Investigational Site
Ulan-Ude, 670031
GSK Investigational Site
Ulyanovsk, 432063
GSK Investigational Site
Yaroslavl, 150003
GSK Investigational Site
Yaroslavl, 150047
GSK Investigational Site
Yekaterinburg, 620137
Romania23 sites
GSK Investigational Site
Bacau, 600114
GSK Investigational Site
Brasov, 500051
GSK Investigational Site
Brasov, 500091
GSK Investigational Site
Bucharest, 012363
GSK Investigational Site
Bucharest, 014452
GSK Investigational Site
Bucharest, 020125
GSK Investigational Site
Bucharest, 030317
GSK Investigational Site
Bucharest, 040069
GSK Investigational Site
Bucharest, 050159
GSK Investigational Site
Cluj-Napoca, 400015
GSK Investigational Site
Cluj-Napoca, 400162
GSK Investigational Site
Cluj-Napoca, 400371
GSK Investigational Site
Craiova, 200486
GSK Investigational Site
Deva, 330084
GSK Investigational Site
Galati, 800189
GSK Investigational Site
Iași, 700115
GSK Investigational Site
Oradea, 410176
GSK Investigational Site
Piteşti, 110117
GSK Investigational Site
Slobozia, 920013
GSK Investigational Site
Suceava, 720284
GSK Investigational Site
Târgu Mureş, 540156
GSK Investigational Site
Timișoara, 300134
GSK Investigational Site
Timișoara, 300310
Argentina19 sites
GSK Investigational Site
Berazategui, 1884
GSK Investigational Site
Buenos Aires, C1121ABE
GSK Investigational Site
Buenos Aires, C1128AAF
GSK Investigational Site
Buenos Aires, C1424BSF
GSK Investigational Site
Buenos Aires, C1425BEN
GSK Investigational Site
Ciudad Autonoma de Buenos Aires, Buenos Aires, C1414AIF
GSK Investigational Site
Córdoba, Córdoba Province, X5003DCE
GSK Investigational Site
Córdoba, 5000
GSK Investigational Site
Florida, Buenos Aires, 1602
GSK Investigational Site
Mar del Plata, Buenos Aires, 7600
GSK Investigational Site
Mendoza, 5500
GSK Investigational Site
Mendoza, M5500CCG
GSK Investigational Site
Paraná, Buenos Aires, E3100BHK
GSK Investigational Site
Rosario, Santa Fe Province, 2000
GSK Investigational Site
Rosario, Santa Fe Province, S2000DBS
GSK Investigational Site
Rosario, Santa Fe Province, S2000JKR
GSK Investigational Site
San Miguel de Tucumán, 4000
GSK Investigational Site
San Rafael, Mendoza Province, 5600
GSK Investigational Site
Santa Fe, 3000
Canada19 sites
GSK Investigational Site
Ajax, Ontario, L1S 2J5
GSK Investigational Site
Brampton, Ontario, L6T 0G1
GSK Investigational Site
Burlington, Ontario, L7N 3V2
GSK Investigational Site
Hamilton, Ontario, L8L 5G8
GSK Investigational Site
London, Ontario, N5W 6A2
GSK Investigational Site
Mississauga, Ontario, L4V 1P1
GSK Investigational Site
Montreal, Quebec, H4J 1C5
GSK Investigational Site
Québec, G1V 4G5
GSK Investigational Site
Saint-Charles-Borromée, Quebec, J6E 2B4
GSK Investigational Site
Sarnia, Ontario, N7T 4X3
GSK Investigational Site
St. John's, Newfoundland and Labrador, A1A 3R5
GSK Investigational Site
Toronto, Ontario, M3J 2C5
GSK Investigational Site
Toronto, Ontario, M5T 3A9
GSK Investigational Site
Toronto, Ontario, M9V 4B4
GSK Investigational Site
Trois-Rivières, Quebec, G8T 7A1
GSK Investigational Site
Victoriaville, Quebec, G6P 6P6
GSK Investigational Site
Waterloo, Ontario, N2J1C4
GSK Investigational Site
Windsor, Ontario, N8X 1T3
GSK Investigational Site
Windsor, Ontario, N8X 2G1
Germany18 sites
GSK Investigational Site
Berlin, 10367
GSK Investigational Site
Berlin, 10717
GSK Investigational Site
Berlin, 10787
GSK Investigational Site
Berlin, 12203
GSK Investigational Site
Berlin, 13156
GSK Investigational Site
Darmstadt, Hesse, 64283
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
Gelsenkirchen, North Rhine-Westphalia, 45879
GSK Investigational Site
Hamburg, 22299
GSK Investigational Site
Koblenz, Rhineland-Palatinate, 56068
GSK Investigational Site
Leipzg, Saxony, 04109
GSK Investigational Site
Leipzig, Saxony, 04157
GSK Investigational Site
Lübeck, Schleswig-Holstein, 23552
GSK Investigational Site
Neu-Isenburg, Hesse, 63263
GSK Investigational Site
Rheine, North Rhine-Westphalia, 48431
GSK Investigational Site
Schleswig, Schleswig-Holstein, 24837
Spain17 sites
GSK Investigational Site
Alcobendas, Madrid, 28100
GSK Investigational Site
Badalona, 08916
GSK Investigational Site
Barcelona, 08003
GSK Investigational Site
Barcelona, 08006
GSK Investigational Site
Barcelona, 08036
GSK Investigational Site
Burgos, 09006
GSK Investigational Site
Centelles, 8540
GSK Investigational Site
Girona, 17005
GSK Investigational Site
L'Hospitalet de Llobregat, 08907
GSK Investigational Site
Las Palmas, 35012
GSK Investigational Site
Loja/ Granada, 18300
GSK Investigational Site
Pozuelo de Alarcón/Madrid, 28223
GSK Investigational Site
Salamanca, 37007
GSK Investigational Site
Santander, 39008
GSK Investigational Site
Santiago de Compostela, 15706
GSK Investigational Site
Valladolid, 47012
GSK Investigational Site
Zaragoza, 50009
Poland16 sites
GSK Investigational Site
Bialystok, 15-183
GSK Investigational Site
Bydgoszcz, 85-681
GSK Investigational Site
Grudziądz, 86-300
GSK Investigational Site
Kościan, 64-000
GSK Investigational Site
Krakow, 31-209
GSK Investigational Site
Krakow, 31-637
GSK Investigational Site
Lodz, 90-302
GSK Investigational Site
Lublin, 20-089
GSK Investigational Site
Ostrowiec Świętokrzyski, 27-400
GSK Investigational Site
Poznan, 60-823
GSK Investigational Site
Rzeszów, 35-051
GSK Investigational Site
Słupsk, 76-200
GSK Investigational Site
Sopot, 81-741
GSK Investigational Site
Szczecin, 71-124
GSK Investigational Site
Tarnów, 33-100
GSK Investigational Site
Zgierz, 95-100
South Korea13 sites
GSK Investigational Site
Busan, 602-715
GSK Investigational Site
Cheongju-si, Chungcheongbuk-do, 28644
GSK Investigational Site
Daegu, 41944
GSK Investigational Site
Daegu, 705-703
GSK Investigational Site
Daejeon, 35365
GSK Investigational Site
Gwangju, 61469
GSK Investigational Site
Seoul, 05505
GSK Investigational Site
Seoul, 06591
GSK Investigational Site
Seoul, 110-744
GSK Investigational Site
Seoul, 130-709
GSK Investigational Site
Seoul, 140-887
GSK Investigational Site
Suwon-si, Gyeonggi-do, 443-380
GSK Investigational Site
Wonju-si, Kanwon-do, 220-701
Italy12 sites
GSK Investigational Site
Bari, Apulia, 70124
GSK Investigational Site
Civitanova Marche (MC), The Marches, 62012
GSK Investigational Site
Eboli (SA), Campania, 84025
GSK Investigational Site
Milan, Lombardy, 20162
GSK Investigational Site
Orbassano (TO), Piedmont, 10043
GSK Investigational Site
Palermo, Sicily, 90146
GSK Investigational Site
Parma, Emilia-Romagna, 43125
GSK Investigational Site
Pavia, Lombardy, 27100
GSK Investigational Site
Pisa, Tuscany, 56124
GSK Investigational Site
Rome, Lazio, 00168
GSK Investigational Site
Rome, Lazio, 00189
GSK Investigational Site
Tradate (VA), Lombardy, 21049
United Kingdom12 sites
GSK Investigational Site
Aberdeen, Aberdeenshire, AB25 2ZG
GSK Investigational Site
Bexhill-on-Sea, Sussex East, TN40 1JJ
GSK Investigational Site
Blackpool, Lancashire, FY3 7EN
GSK Investigational Site
Bradford, BD9 6RJ
GSK Investigational Site
Corby, Northamptonshire, NN17 2UR
GSK Investigational Site
Edgbaston, B15 2GW
GSK Investigational Site
Liverpool, L7 8XP
GSK Investigational Site
Northwood, Middlesex, HA6 2RN
GSK Investigational Site
Romford, Essex, RM1 3PJ
GSK Investigational Site
Sidcup, Kent, DA14 6LT
GSK Investigational Site
Trowbridge, BA14 9AR
GSK Investigational Site
Wishaw, Lanarkshire, ML2 0DP
Netherlands11 sites
GSK Investigational Site
Alkmaar, 1815 JD
GSK Investigational Site
Almere Stad, 1311 RL
GSK Investigational Site
Beek, 6191 JW
GSK Investigational Site
Breda, 4818 CK
GSK Investigational Site
Eindhoven, 5623 EJ
GSK Investigational Site
Hengelo, 7555 DL
GSK Investigational Site
Leiden, 2333 ZA
GSK Investigational Site
Rotterdam, 3051 GV
GSK Investigational Site
Rotterdam, 3067 GJ
GSK Investigational Site
Rotterdam, 3083 AN
GSK Investigational Site
Utrecht, 3511 NH
South Africa11 sites
GSK Investigational Site
Bellville, 7530
GSK Investigational Site
Bloemfontein, 9301
GSK Investigational Site
Cape Town, 7764
GSK Investigational Site
Durban, 4001
GSK Investigational Site
Middelburg, Mpumalanga, 1055
GSK Investigational Site
Mowbray, 7700
GSK Investigational Site
Panorama, 7500
GSK Investigational Site
Pretoria West, 0183
GSK Investigational Site
Reiger Park, 1459
GSK Investigational Site
Somerset West, 7130
GSK Investigational Site
Tygerberg, 7500
Australia9 sites
GSK Investigational Site
Bedford Park, South Australia, 5042
GSK Investigational Site
Clayton, Victoria, 3169
GSK Investigational Site
Coffs Harbour, New South Wales, 2450
GSK Investigational Site
Golden Beach, 4551
GSK Investigational Site
Melbourne, Victoria, 3004
GSK Investigational Site
Murdoch, Western Australia, 6150
GSK Investigational Site
Randwick, New South Wales, 2031
GSK Investigational Site
Sherwood, Queensland, 4075
GSK Investigational Site
Westmead, New South Wales, 2145
About this study
Official title: A Phase III, Randomized, Double-blind, Active Controlled, Parallel Group Study, Comparing the Efficacy, Safety and Tolerability of the Fixed Dose Combination FF/UMEC/VI With the Fixed Dose Dual Combination of FF/VI, Administered Once-daily Via a Dry Powder Inhaler in Subjects With Inadequately Controlled Asthma
A once-daily 'closed' triple FDC therapy of FF/UMEC/VI via a single ELLIPTA® dry powder inhaler (DPI) is being developed by GlaxoSmithKline (GSK) with the aim of providing a new treatment option for the management of asthma by improving lung function, health-related quality of life (HRQoL) and symptom control over established combination therapies. This is a phase III, multi-center, active-controlled, double-blind, parallel-group study to compare the efficacy, safety and tolerability of the FDC of FF/UMEC/VI with the FDC of FF/VI. This study has 5 phases: Pre-Screening (Visit 0), Screening/Run-in, Enrolment/Stabilization, Randomization/Treatment, and Follow up. At Visit 1 (Screening), subjects meeting all protocol defined inclusion/exclusion criteria will enter a 3-week run-in period and will receive fixed dose inhaled corticosteroid/long-acting beta agonist (ICS/LABA) (fluticasone/salmeterol, 250/50 micrograms (mcg), via the DISKUS® DPI) one inhalation twice a day. At Visit 2 (Enrolment), eligible subjects will be enrolled into the 2-week stabilization period to receive FF/VI (100/25 mcg via the ELLIPTA DPI once a day, in the morning). At the conclusion of the stabilization period (Visit 3), all subjects who meet the pre-defined randomization criteria will be randomized 1:1:1:1:1:1 during the treatment period to receive either FF/UMEC/VI (100/62.5/25 mcg; 200/62.5/25 mcg; 100/31.25/25 mcg; 200/31.25/25 mcg) or FF/VI (100/25 mcg; 200/25 mcg) via the ELLIPTA DPI once daily in the morning. The duration of the treatment period is variable but will be a minimum of 24 weeks and a maximum of 52 weeks. Subjects will have up to 6 on-treatment clinic visits scheduled at Visits 3, 4, 5, 6, 7 and 8/End of Study (EOS) (Weeks 0, 4, 12, 24, 36 and 52, respectively). A follow-up visit will be conducted approximately 7 days after the end of treatment period or, if applicable, after the early withdrawal visit. Subjects will be provided with short acting albuterol/salbutamol to be used on an as-needed basis (rescue medication) throughout the study. Approximately 2250 subjects will be randomized, with approximately 375 subjects randomized to each of the 6 double-blind treatment arms to ensure approximately 337 evaluable subjects per treatment arm. DISKUS and ELLIPTA are registered trademarks of GSK groups of companies.
- Conditions
- Asthma
- Being tested
- FF/UMEC/VI (100/31.25/25) mcg, FF/UMEC/VI (100/62.5/25) mcg, FF/UMEC/VI (200/31.25/25) mcg, FF/UMEC/VI (200/62.5/25) mcg, FF/VI (100/25) mcg
- Keywords
- umeclidinium bromide, fluticasone furoate, vilanterol, fixed dose combination, lung function, albuterol/salbutamol, asthma, closed triple therapy
- Medical subject headings
- Asthma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FF/UMEC/VI (100/31.25/25) mcgDrug
Dry white powder delivered via the ELLIPTA DPI (one inhalation once-daily [QD] in the morning). The ELLIPTA DPI holds 2 individual blister strips with 30 blisters on each strip: the first strip contains FF 100 mcg in each blister and the second strip contains UMEC 31.25 mcg and VI 25 mcg in each blister.
FF/UMEC/VI (100/62.5/25) mcgDrug
Dry white powder delivered via the ELLIPTA DPI (one inhalation, QD in the morning). The ELLIPTA DPI holds 2 individual blister strips with 30 blisters on each strip: the first strip contains FF 100 mcg in each blister and the second strip contains UMEC 62.5 mcg and VI 25 mcg in each blister.
FF/UMEC/VI (200/31.25/25) mcgDrug
Dry white powder delivered via the ELLIPTA DPI (one inhalation, QD in the morning). The ELLIPTA DPI holds 2 individual blister strips with 30 blisters on each strip: the first strip contains FF 200 mcg in each blister and the second strip contains UMEC 31.25 mcg and VI 25 mcg in each blister.
FF/UMEC/VI (200/62.5/25) mcgDrug
Dry white powder delivered via the ELLIPTA DPI (one inhalation, QD in the morning). The ELLIPTA DPI holds 2 individual blister strips with 30 blisters on each strip: the first strip contains FF 200 mcg in each blister and the second strip contains UMEC 62.5 mcg and VI 25 mcg in each blister.
FF/VI (100/25) mcgDrug
Dry white powder delivered via the ELLIPTA DPI (one inhalation, QD in the morning). The ELLIPTA DPI holds 2 individual blister strips with 30 blisters on each strip: the first strip contains FF 100 mcg in each blister and the second strip contains VI 25 mcg in each blister.
FF/VI (200/25) mcgDrug
Dry white powder delivered via the ELLIPTA DPI (one inhalation, QD in the morning). The ELLIPTA DPI holds 2 individual blister strips with 30 blisters on each strip: the first strip contains FF 200 mcg in each blister and the second strip contains VI 25 mcg in each blister.
Fluticasone/salmeterol (FSC)Drug
Dry white powder delivered via the DISKUS DPI (one inhalation twice daily: one in the morning and one in the evening). The DISKUS DPI holds a strip of 60 blisters; each blister contains FP 250 mcg and 50 mcg of salmeterol.
Albuterol/salbutamolDrug
This is a rescue medication administered via metered-dose inhaler (MDI) which will be used when needed during the study.
ELLIPTA DPIDevice
The ELLIPTA device will be used during the stabilization period and the treatment period. The ELLIPTA DPI is a moulded plastic two-sided device that can hold two individual blister strips which contain powder formulation for oral inhalation.
DISKUS DPIDevice
The DISKUS device will be used during the run-in period. The DISKUS DPI is a plastic inhalation delivery system containing a single-foil blister strip of a powder formulation of FSC for oral inhalation.
METERED-DOSE INHALER (MDI)Device
Albuterol/salbutamol (rescue medication) will be delivered via metered-dose inhaler (MDI) will be used for reversibility testing.
| Study group | Role | What they receive |
|---|---|---|
| FF/UMEC/VI (100/31.25/25) mcg closed triple therapy | Experimental | Subjects will receive FF/UMEC/VI (100/31.25/25) mcg inhalation powder via DPI, once daily in the morning. Subjects may receive albuterol/salbutamol as a rescue medication when needed during the treatment period. Receives: Drug: FF/UMEC/VI (100/31.25/25) mcg; Drug: FF/VI (100/25) mcg; Drug: Fluticasone/salmeterol (FSC); Drug: Albuterol/salbutamol; Device: ELLIPTA DPI; Device: DISKUS DPI; Device: METERED-DOSE INHALER (MDI) |
| FF/UMEC/VI (100/62.5/25) mcg closed triple therapy | Experimental | Subjects will receive FF/UMEC/VI (100/62.5/25) mcg inhalation powder via DPI, once daily in the morning. Subjects will also receive albuterol/salbutamol as a rescue medication when needed during the treatment period. Receives: Drug: FF/UMEC/VI (100/62.5/25) mcg; Drug: FF/VI (100/25) mcg; Drug: Fluticasone/salmeterol (FSC); Drug: Albuterol/salbutamol; Device: ELLIPTA DPI; Device: DISKUS DPI; Device: METERED-DOSE INHALER (MDI) |
| FF/UMEC/VI (200/31.25/25) mcg closed triple therapy | Experimental | Subjects will receive FF/UMEC/VI (200/31.25/25) mcg inhalation powder via DPI, once daily in the morning. Subjects may receive albuterol/salbutamol as a rescue medication when needed during the treatment period. Receives: Drug: FF/UMEC/VI (200/31.25/25) mcg; Drug: FF/VI (100/25) mcg; Drug: Fluticasone/salmeterol (FSC); Drug: Albuterol/salbutamol; Device: ELLIPTA DPI; Device: DISKUS DPI; Device: METERED-DOSE INHALER (MDI) |
| FF/UMEC/VI (200/62.5/25) mcg closed triple therapy | Experimental | Subjects may receive FF/UMEC/VI (200/62.5/25) mcg inhalation powder via DPI, once daily in the morning. Subjects may receive albuterol/salbutamol as a rescue medication when needed during the treatment period. Receives: Drug: FF/UMEC/VI (200/62.5/25) mcg; Drug: FF/VI (100/25) mcg; Drug: Fluticasone/salmeterol (FSC); Drug: Albuterol/salbutamol; Device: ELLIPTA DPI; Device: DISKUS DPI; Device: METERED-DOSE INHALER (MDI) |
| FF/VI (100/25) mcg dual combination therapy | Active comparator | Subjects will receive FF/VI (100/25) mcg inhalation powder via DPI, once daily in the morning. Subjects may receive albuterol/salbutamol as a rescue medication when needed during the treatment period. Receives: Drug: FF/VI (100/25) mcg; Drug: Fluticasone/salmeterol (FSC); Drug: Albuterol/salbutamol; Device: ELLIPTA DPI; Device: DISKUS DPI; Device: METERED-DOSE INHALER (MDI) |
| FF/VI (200/25) mcg dual combination therapy | Active comparator | Subjects will receive FF/VI (200/25) mcg inhalation powder via DPI, once daily in the morning. Subjects may receive albuterol/salbutamol as a rescue medication when needed during the treatment period. Receives: Drug: FF/VI (100/25) mcg; Drug: FF/VI (200/25) mcg; Drug: Fluticasone/salmeterol (FSC); Drug: Albuterol/salbutamol; Device: ELLIPTA DPI; Device: DISKUS DPI; Device: METERED-DOSE INHALER (MDI) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 24
FEV1 is a measure of lung function and is defined as the maximal volume of air that can be forcefully exhaled in one second. Trough FEV1 on treatment is defined as the highest FEV1 value obtained prior to the morning dose of investigational product. Baseline value is the last acceptable/borderline acceptable pre-dose FEV1 prior to randomized treatment start date (pre-dose at Day 1). Change from Baseline value is the value at Week 24 minus the Baseline value. Intent-to-Treat (ITT) Population comprised of all randomized participants, excluding those who were randomized in error, who did not receive the study drug. Treatment policy estimand was assessed, including all on- and post-treatment data. Different participants may have been analyzed at different time points; thus, overall number of participants analyzed reflects everyone in ITT Population without missing covariate information, with Baseline and at least one post-baseline measurement. Mixed Model Repeated Measures(MMRM) was used.
Measured: Baseline (pre-dose at Day 1) and Week 24
Secondary outcomes (11)
Annualized Rate of Moderate and Severe Asthma Exacerbations
A moderate asthma exacerbation is considered to be a deterioration in asthma symptoms or in lung function, or increased rescue bronchodilator use lasting for at least 2 days or more, but not be severe enough to warrant systemic corticosteroid use (or a doubling or more of the maintenance systemic corticosteroid dose, if applicable) for 3 days or more and/or hospitalization. It is an event that, when recognized, should result in a temporary change in treatment, to prevent it from becoming severe. A severe asthma exacerbation is defined as the deterioration of asthma requiring the use of systemic corticosteroids (tablets,suspension or injection), or an increase from a stable maintenance dose (For participants receiving maintenance systemic corticosteroids, at least double the maintenance systemic corticosteroid dose for at least 3 days is required), for at least 3 days or an inpatient hospitalization or emergency department visit because of asthma, requiring systemic corticosteroids.
Measured: Up to Week 52
Mean Change From Baseline in Clinic FEV1 at 3 Hours Post Study Treatment at Week 24
FEV1 is a measure of lung function and is defined as the maximal volume of air that can be forcefully exhaled in one second. Baseline value is the last acceptable/borderline acceptable pre-dose FEV1 prior to randomized treatment start date (pre-dose at Day 1). Change from Baseline value is the value at Week 24 (recorded at 3 hours post dose) minus the Baseline value.
Measured: Baseline (pre-dose at Day 1) and 3 hours post dose at Week 24
Mean Change From Baseline in Asthma Control Questionnaire-7 (ACQ-7) Total Score at Week 24
The ACQ-7 consists of 7 attributes of asthma control, of which 6 to be self-completed by participant in a 6-item questionnaire, enquire about frequency and/or severity of symptoms over the previous week on: nocturnal awakening, symptoms on waking in the morning, activity limitation, shortness of breath, wheeze, and rescue medication use. The seventh attribute measures the lung function, which was included via pre-bronchodilator FEV1 % predicted value. All 7 items of ACQ have response on 0-6 ordinal scale (0=no impairment/limitation, 6=total impairment/limitation). The total score is calculated as the average of all non-missing item responses, ranges from 0 to 6. Higher score indicates worst symptoms. Treatment policy estimand was assessed, including all on- and post-treatment data. Baseline value was at randomization visit (pre-dose,Day 1). Change from Baseline was defined as value at Week 24 minus Baseline value.
Measured: Baseline (pre-dose at Day 1) and Week 24
Mean Change From Baseline in Saint George's Respiratory Questionnaire (SGRQ) Total Score at Week 24
The SGRQ had 50 questions (scored from 0 to 100 where 0 indicates best and 100 indicates worst health) designed to measure quality of life (QoL) of participants with airway obstruction, measuring symptoms, impact, and activity. The questions are designed to be self-completed by the participant with a recall over the past 3 months. SGRQ total score was calculated by summing the pre-assigned weights of answers, dividing by the sum of the maximum weights for items in SGRQ and multiplying by 100. SGRQ total score ranges from 0 to 100 where 0 indicates best and 100 indicates worst health. A change of 4 points is considered a clinically relevant change. Treatment policy estimand was assessed, including all on- and post-treatment data. Baseline value was at randomization visit (pre-dose at Day 1). Change from Baseline value is the value at Week 24 minus the Baseline value.
Measured: Baseline (pre-dose at Day 1) and Week 24
Mean Change From Baseline in Evaluating Respiratory Symptoms (E-RS) Total Score Over Weeks 21 to 24 (Inclusive) of the Treatment Period
The E-RS in Chronic Obstructive Pulmonary Disease (COPD) consists of 11 items. E-RS captures information related to respiratory symptoms, i.e. breathlessness, cough, sputum production, chest congestion and chest tightness. The E-RS was completed daily and data was derived by 4-weekly intervals, requiring at least 50% of data to be present during a period. 7 items are scored from 0 (not at all) to 4 (extreme) and 4 items are scored from 0 (not at all) to 3 (extreme). The E-RS total score was calculated by taking sum of all the items. The E-RS total score has a scoring range of 0 to 40, with higher scores indicating more severe respiratory symptoms. Treatment policy estimand was assessed, including all on- and post-treatment data. Baseline value was the mean value of 14 days prior to randomization. Change from Baseline was calculated as post-baseline value (mean of daily E-RS total scores during Week 21 to 24 ) minus Baseline value.
Measured: Baseline (14 days prior to randomization) and Weeks 21 to 24
Number of Participants With Any Serious Adverse Event (SAE) and Common (>=3%) Non-SAE
Adverse event (AE) is any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, events associated with liver injury and impaired liver function, or any other situation according to medical or scientific judgment were categorized as SAE. Number of participants with any SAE and common (>=3%) non-SAEs are presented.
Measured: Up to Week 52
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
Twelve-lead ECGs were performed during the study using an automated ECG machine. All ECG measurements were made with the participant in a supine position having rested in this position for approximately 5 minutes before each reading. The number of participants with worst case post-Baseline abnormal ECG findings were reported.
Measured: Up to Week 52
Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Week 24
Blood pressure (systolic and diastolic) was measured in the sitting position after approximately 5 minutes rest. Baseline value is the last acceptable/borderline acceptable value prior to randomized treatment start date (pre-dose at Day 1). Change from Baseline value is the value at the clinic visit minus the Baseline value. Different participants may have been analyzed at different time points; thus, overall number of participants analyzed reflects everyone in ITT Population without missing covariate information, with Baseline and at least one post-baseline measurement.
Measured: Baseline (pre-dose at Day 1) and Week 24
Mean Change From Baseline in Pulse Rate at Week 24
Pulse Rate was measured in the sitting position after approximately 5 minutes rest. Baseline value is the last acceptable/borderline acceptable value prior to randomized treatment start date (pre-dose at Day 1). Change from Baseline value is the value at the clinic visit minus the Baseline value. Different participants may have been analyzed at different time points; thus, overall number of participants analyzed reflects everyone in ITT Population without missing covariate information, with Baseline and at least one post-baseline measurement.
Measured: Baseline (pre-dose at Day 1) and Week 24
Number of Participants With Abnormal Clinical Chemistry Values
Blood samples were collected for assessment of clinical chemistry parameters, which included albumin, alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), direct bilirubin, total bilirubin, calcium, creatinine, glucose, potassium, protein, sodium and urea. Abnormal laboratory results are categorized as high or low with respect to their normal ranges. Participants having High and Low values from normal ranges for any parameter at any time post-baseline visits are presented.
Measured: Up to Week 52
Number of Participants With Abnormal Hematology Values
Blood samples were collected for assessment of hematology parameters, which included Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils, Erythrocytes, Hematocrit, Hemoglobin, Leukocytes, Platelets, Mean Corpuscular Hemoglobin (MCH) and Mean Corpuscular Volume (MCV). Abnormal laboratory results are categorized as high or low with respect to their normal ranges. Participants having High and Low values from normal ranges for any parameter at any time post-baseline visits are presented.
Measured: Up to Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Oct 2016 (estimated)
- Study start13 Oct 2016
- Primary completion22 Feb 2019
- Study completion22 Feb 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 (7)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
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 2,436 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
- NCT02924688
- Sponsor's protocol ID
- 205715
- Other IDs
- 2016-001304-37, 2016
- Status last verified
- Feb 2021
- First submitted
- 12 Sep 2016
- Last updated
- 26 Mar 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Yes: IPD for this study is available via the Clinical Study Data Request site.
Publications
Oppenheimer J, Pavord ID, Corbridge T, Crawford J, Gould S, Hamouda M, Howarth P, Burrows E, Moore A, Noorduyn SG, Slade D, Weng S, Lugogo N. Evaluating Asthma Clinical Remission with Inhaled Therapy: Post Hoc Analyses of CAPTAIN. Adv Ther. 2026 Feb;43(2):729-749. doi: 10.1007/s12325-025-03442-x. Epub 2025 Dec 24.
PubMed 41442024Boulet LP, Abbott C, Brusselle G, Edwards D, Oppenheimer J, Pavord ID, Pizzichini E, Sagara H, Slade D, Wechsler ME, Gibson PG. Baseline Characteristics and ICS/LAMA/LABA Response in Asthma: Analyses From the CAPTAIN Study. J Allergy Clin Immunol Pract. 2024 May;12(5):1244-1253.e8. doi: 10.1016/j.jaip.2024.01.039. Epub 2024 Feb 1.
PubMed 38309696Oppenheimer J, Hanania NA, Chaudhuri R, Sagara H, Bailes Z, Fowler A, Peachey G, Pizzichini E, Slade D. Clinic vs Home Spirometry for Monitoring Lung Function in Patients With Asthma. Chest. 2023 Nov;164(5):1087-1096. doi: 10.1016/j.chest.2023.06.029. Epub 2023 Jun 27.
PubMed 37385337Oba 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 36472162Nakamura Y, Hozawa S, Sagara H, Ohbayashi H, Lee LA, Crawford J, Tamaoki J, Nishi T, Fowler A. Efficacy and safety of once-daily, single-inhaler fluticasone furoate/umeclidinium/vilanterol versus fluticasone furoate/vilanterol in Japanese patients with inadequately controlled asthma: the CAPTAIN study. Curr Med Res Opin. 2021 Sep;37(9):1657-1665. doi: 10.1080/03007995.2021.1944849. Epub 2021 Jul 14.
PubMed 34162298Yang S, Lee LA, Sule N, Fowler A, Peachey G. Population Pharmacokinetic Modeling of Fluticasone Furoate, Umeclidinium Bromide, and Vilanterol in Patients with Asthma, Using Data from a Phase IIIA Study (CAPTAIN). Clin Pharmacokinet. 2021 Jul;60(7):887-896. doi: 10.1007/s40262-021-00988-1. Epub 2021 Feb 18.
PubMed 33598874Lee LA, Bailes Z, Barnes N, Boulet LP, Edwards D, Fowler A, Hanania NA, Kerstjens HAM, Kerwin E, Nathan R, Oppenheimer J, Papi A, Pascoe S, Brusselle G, Peachey G, Sule N, Tabberer M, Pavord ID. Efficacy and safety of once-daily single-inhaler triple therapy (FF/UMEC/VI) versus FF/VI in patients with inadequately controlled asthma (CAPTAIN): a double-blind, randomised, phase 3A trial. Lancet Respir Med. 2021 Jan;9(1):69-84. doi: 10.1016/S2213-2600(20)30389-1. Epub 2020 Sep 9.
PubMed 32918892
Study at a glance
From the registry record, last updated by the sponsor on 26 Mar 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Randomized, Double-blind, Active Controlled, Parallel Group Study, Comparing the Efficacy, Safety and Tolerability of the Fixed Dose Combination FF/UMEC/VI With the Fixed Dose Dual Combination of FF/VI, Administered Once-daily Via a Dry Powder Inhaler in Subjects With Inadequately Controlled Asthma
- ClinicalTrials.gov ID
- NCT02924688
- Acronym / sponsor ID
- 205715
- Conditions
- Asthma
- Keywords
- umeclidinium bromide, fluticasone furoate, vilanterol, fixed dose combination, lung function, albuterol/salbutamol, asthma, closed triple therapy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,436 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 13 Oct 2016 (actual)
- Primary completion
- 22 Feb 2019 (actual)
- Study completion
- 22 Feb 2019 (actual)
- First posted
- 5 Oct 2016 (estimated)
- Results
- Posted 21 Feb 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A once-daily 'closed' triple FDC therapy of FF/UMEC/VI via a single ELLIPTA® dry powder inhaler (DPI) is being developed by GlaxoSmithKline (GSK) with the aim of providing a new treatment option for the management of asthma by improving lung function, health-related quality of life (HRQoL) and symptom control over established combination therapies. This is a phase III, multi-center, active-controlled, double-blind, parallel-group study to compare the efficacy, safety and tolerability of the FDC of FF/UMEC/VI with the FDC of FF/VI. This study has 5 phases: Pre-Screening (Visit 0), Screening/Run-in, Enrolment/Stabilization, Randomization/Treatment, and Follow up. At Visit 1 (Screening), subjects meeting all protocol defined inclusion/exclusion criteria will enter a 3-week run-in period and will receive fixed dose inhaled corticosteroid/long-acting beta agonist (ICS/LABA) (fluticasone/salmeterol, 250/50 micrograms (mcg), via the DISKUS® DPI) one inhalation twice a day. At Visit 2 (Enrolment), eligible subjects will be enrolled into the 2-week stabilization period to receive FF/VI (100/25 mcg via the ELLIPTA DPI once a day, in the morning). At the conclusion of the stabilization period (Visit 3), all subjects who meet the pre-defined randomization criteria will be randomized 1:1:1:1:1:1 during the treatment period to receive either FF/UMEC/VI (100/62.5/25 mcg; 200/62.5/25 mcg; 100/31.25/25 mcg; 200/31.25/25 mcg) or FF/VI (100/25 mcg; 200/25 mcg) via the ELLIPTA DPI once daily in the morning. The duration of the treatment period is variable but will be a minimum of 24 weeks and a maximum of 52 weeks. Subjects will have up to 6 on-treatment clinic visits scheduled at Visits 3, 4, 5, 6, 7 and 8/End of Study (EOS) (Weeks 0, 4, 12, 24, 36 and 52, respectively). A follow-up visit will be conducted approximately 7 days after the end of treatment period or, if applicable, after the early withdrawal visit. Subjects will be provided with short acting albuterol/salbutamol to be used on an as-needed basis (rescue medication) throughout the study. Approximately 2250 subjects will be randomized, with approximately 375 subjects randomized to each of the 6 double-blind treatment arms to ensure approximately 337 evaluable subjects per treatment arm. DISKUS and ELLIPTA are registered trademarks of GSK groups of companies.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| FF/UMEC/VI (100/31.25/25) mcg closed triple therapy | Experimental | Drug: FF/UMEC/VI (100/31.25/25) mcg, Drug: FF/VI (100/25) mcg, Drug: Fluticasone/salmeterol (FSC), Drug: Albuterol/salbutamol, Device: ELLIPTA DPI, Device: DISKUS DPI, Device: METERED-DOSE INHALER (MDI)Subjects will receive FF/UMEC/VI (100/31.25/25) mcg inhalation powder via DPI, once daily in the morning. Subjects may receive albuterol/salbutamol as a rescue medication when needed during the treatment period. |
| FF/UMEC/VI (100/62.5/25) mcg closed triple therapy | Experimental | Drug: FF/UMEC/VI (100/62.5/25) mcg, Drug: FF/VI (100/25) mcg, Drug: Fluticasone/salmeterol (FSC), Drug: Albuterol/salbutamol, Device: ELLIPTA DPI, Device: DISKUS DPI, Device: METERED-DOSE INHALER (MDI)Subjects will receive FF/UMEC/VI (100/62.5/25) mcg inhalation powder via DPI, once daily in the morning. Subjects will also receive albuterol/salbutamol as a rescue medication when needed during the treatment period. |
| FF/UMEC/VI (200/31.25/25) mcg closed triple therapy | Experimental | Drug: FF/UMEC/VI (200/31.25/25) mcg, Drug: FF/VI (100/25) mcg, Drug: Fluticasone/salmeterol (FSC), Drug: Albuterol/salbutamol, Device: ELLIPTA DPI, Device: DISKUS DPI, Device: METERED-DOSE INHALER (MDI)Subjects will receive FF/UMEC/VI (200/31.25/25) mcg inhalation powder via DPI, once daily in the morning. Subjects may receive albuterol/salbutamol as a rescue medication when needed during the treatment period. |
| FF/UMEC/VI (200/62.5/25) mcg closed triple therapy | Experimental | Drug: FF/UMEC/VI (200/62.5/25) mcg, Drug: FF/VI (100/25) mcg, Drug: Fluticasone/salmeterol (FSC), Drug: Albuterol/salbutamol, Device: ELLIPTA DPI, Device: DISKUS DPI, Device: METERED-DOSE INHALER (MDI)Subjects may receive FF/UMEC/VI (200/62.5/25) mcg inhalation powder via DPI, once daily in the morning. Subjects may receive albuterol/salbutamol as a rescue medication when needed during the treatment period. |
| FF/VI (100/25) mcg dual combination therapy | Active comparator | Drug: FF/VI (100/25) mcg, Drug: Fluticasone/salmeterol (FSC), Drug: Albuterol/salbutamol, Device: ELLIPTA DPI, Device: DISKUS DPI, Device: METERED-DOSE INHALER (MDI)Subjects will receive FF/VI (100/25) mcg inhalation powder via DPI, once daily in the morning. Subjects may receive albuterol/salbutamol as a rescue medication when needed during the treatment period. |
| FF/VI (200/25) mcg dual combination therapy | Active comparator | Drug: FF/VI (100/25) mcg, Drug: FF/VI (200/25) mcg, Drug: Fluticasone/salmeterol (FSC), Drug: Albuterol/salbutamol, Device: ELLIPTA DPI, Device: DISKUS DPI, Device: METERED-DOSE INHALER (MDI)Subjects will receive FF/VI (200/25) mcg inhalation powder via DPI, once daily in the morning. Subjects may receive albuterol/salbutamol as a rescue medication when needed during the treatment period. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (20 listed)
- Age: 18 years of age or older at the time of signing the informed consent.
- Diagnosis: Subjects with a diagnosis of asthma as defined by the National Institutes of Health at least one year prior to Visit 0.
- Symptomatic: Subjects with inadequately controlled asthma (ACQ-6 score >=1.5) despite ICS/LABA maintenance therapy at Visit 1.
- Asthma Control: In the 1 year prior to Visit 1
- Current Asthma Maintenance Therapy: Subjects are eligible if they have required daily ICS/LABA for at least 12 weeks prior to Visit 0 with no changes to maintenance asthma medications during the 6 weeks immediately prior to Visit 0 (including no changes to a stable total dose of ICS of >250 mcg/day fluticasone proprionate [FP, or equivalent]).
Key exclusion criteria (27 listed)
- Pneumonia: Chest X-ray documented pneumonia in the 6 weeks prior to Visit 1.
- Asthma Exacerbation: Any asthma exacerbation requiring a change in maintenance asthma therapy in the 6 weeks prior to Visit 1. Note: Subjects requiring a temporary change in asthma therapy (e.g., oral corticosteroids or increased dose of ICS) to treat an exacerbation in the 6 weeks prior to Visit 1 are not explicitly excluded at Visit 1 provided that, at the Investigator's discretion, the subject's condition is stable after they have resumed their pre-exacerbation maintenance asthma therapy (without modification) and they are considered appropriate for enrolment into this study of up to 12 month's duration.
- Chronic Obstructive Pulmonary Disease: Subjects with the diagnosis of chronic obstructive pulmonary disease, as per Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines, including history of exposure to risk factors (i.e., especially tobacco smoke, occupational dusts and chemicals, smoke from home cooking and heating fuels) and a post-albuterol/salbutamol FEV1/Forced Vital Capacity (FVC) ratio of <0.70 and a post-albuterol/salbutamol FEV1 of =<70% of predicted normal values and onset of disease >=40 years of age.
- Concurrent respiratory disorders: Subjects with current evidence of pneumonia, active tuberculosis, lung cancer, significant bronchiectasis, sarcoidosis, lung fibrosis, pulmonary hypertension, interstitial lung diseases or other active pulmonary diseases or abnormalities other than asthma.
- Risk Factors for Pneumonia: Immune suppression (e.g., human immunodeficiency virus, Lupus) or other risk factors for pneumonia (e.g., neurological disorders affecting control of the upper airway, such as Parkinson's Disease, Myasthenia Gravis).
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 |
|---|---|---|
| FF/UMEC/VI (100/31.25/25) mcgDry white powder delivered via the ELLIPTA DPI (one inhalation once-daily [QD] in the morning). The ELLIPTA DPI holds 2 individual blister strips with 30 blisters on each strip: the first strip contains FF 100 mcg in each blister and the second strip contains UMEC 31.25 mcg and VI 25 mcg in each blister. | Drug | FF/UMEC/VI (100/31.25/25) mcg closed triple therapy |
| FF/UMEC/VI (100/62.5/25) mcgDry white powder delivered via the ELLIPTA DPI (one inhalation, QD in the morning). The ELLIPTA DPI holds 2 individual blister strips with 30 blisters on each strip: the first strip contains FF 100 mcg in each blister and the second strip contains UMEC 62.5 mcg and VI 25 mcg in each blister. | Drug | FF/UMEC/VI (100/62.5/25) mcg closed triple therapy |
| FF/UMEC/VI (200/31.25/25) mcgDry white powder delivered via the ELLIPTA DPI (one inhalation, QD in the morning). The ELLIPTA DPI holds 2 individual blister strips with 30 blisters on each strip: the first strip contains FF 200 mcg in each blister and the second strip contains UMEC 31.25 mcg and VI 25 mcg in each blister. | Drug | FF/UMEC/VI (200/31.25/25) mcg closed triple therapy |
| FF/UMEC/VI (200/62.5/25) mcgDry white powder delivered via the ELLIPTA DPI (one inhalation, QD in the morning). The ELLIPTA DPI holds 2 individual blister strips with 30 blisters on each strip: the first strip contains FF 200 mcg in each blister and the second strip contains UMEC 62.5 mcg and VI 25 mcg in each blister. | Drug | FF/UMEC/VI (200/62.5/25) mcg closed triple therapy |
| FF/VI (100/25) mcgDry white powder delivered via the ELLIPTA DPI (one inhalation, QD in the morning). The ELLIPTA DPI holds 2 individual blister strips with 30 blisters on each strip: the first strip contains FF 100 mcg in each blister and the second strip contains VI 25 mcg in each blister. | Drug | FF/UMEC/VI (100/31.25/25) mcg closed triple therapy, FF/UMEC/VI (100/62.5/25) mcg closed triple therapy, FF/UMEC/VI (200/31.25/25) mcg closed triple therapy, FF/UMEC/VI (200/62.5/25) mcg closed triple therapy, FF/VI (100/25) mcg dual combination therapy, FF/VI (200/25) mcg dual combination therapy |
| FF/VI (200/25) mcgDry white powder delivered via the ELLIPTA DPI (one inhalation, QD in the morning). The ELLIPTA DPI holds 2 individual blister strips with 30 blisters on each strip: the first strip contains FF 200 mcg in each blister and the second strip contains VI 25 mcg in each blister. | Drug | FF/VI (200/25) mcg dual combination therapy |
| Fluticasone/salmeterol (FSC)Dry white powder delivered via the DISKUS DPI (one inhalation twice daily: one in the morning and one in the evening). The DISKUS DPI holds a strip of 60 blisters; each blister contains FP 250 mcg and 50 mcg of salmeterol. | Drug | FF/UMEC/VI (100/31.25/25) mcg closed triple therapy, FF/UMEC/VI (100/62.5/25) mcg closed triple therapy, FF/UMEC/VI (200/31.25/25) mcg closed triple therapy, FF/UMEC/VI (200/62.5/25) mcg closed triple therapy, FF/VI (100/25) mcg dual combination therapy, FF/VI (200/25) mcg dual combination therapy |
| Albuterol/salbutamolThis is a rescue medication administered via metered-dose inhaler (MDI) which will be used when needed during the study. | Drug | FF/UMEC/VI (100/31.25/25) mcg closed triple therapy, FF/UMEC/VI (100/62.5/25) mcg closed triple therapy, FF/UMEC/VI (200/31.25/25) mcg closed triple therapy, FF/UMEC/VI (200/62.5/25) mcg closed triple therapy, FF/VI (100/25) mcg dual combination therapy, FF/VI (200/25) mcg dual combination therapy |
| ELLIPTA DPIThe ELLIPTA device will be used during the stabilization period and the treatment period. The ELLIPTA DPI is a moulded plastic two-sided device that can hold two individual blister strips which contain powder formulation for oral inhalation. | Device | FF/UMEC/VI (100/31.25/25) mcg closed triple therapy, FF/UMEC/VI (100/62.5/25) mcg closed triple therapy, FF/UMEC/VI (200/31.25/25) mcg closed triple therapy, FF/UMEC/VI (200/62.5/25) mcg closed triple therapy, FF/VI (100/25) mcg dual combination therapy, FF/VI (200/25) mcg dual combination therapy |
| DISKUS DPIThe DISKUS device will be used during the run-in period. The DISKUS DPI is a plastic inhalation delivery system containing a single-foil blister strip of a powder formulation of FSC for oral inhalation. | Device | FF/UMEC/VI (100/31.25/25) mcg closed triple therapy, FF/UMEC/VI (100/62.5/25) mcg closed triple therapy, FF/UMEC/VI (200/31.25/25) mcg closed triple therapy, FF/UMEC/VI (200/62.5/25) mcg closed triple therapy, FF/VI (100/25) mcg dual combination therapy, FF/VI (200/25) mcg dual combination therapy |
| METERED-DOSE INHALER (MDI)Albuterol/salbutamol (rescue medication) will be delivered via metered-dose inhaler (MDI) will be used for reversibility testing. | Device | FF/UMEC/VI (100/31.25/25) mcg closed triple therapy, FF/UMEC/VI (100/62.5/25) mcg closed triple therapy, FF/UMEC/VI (200/31.25/25) mcg closed triple therapy, FF/UMEC/VI (200/62.5/25) mcg closed triple therapy, FF/VI (100/25) mcg dual combination therapy, FF/VI (200/25) mcg dual combination therapy |
Primary outcome
Mean Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 24
Time frame: Baseline (pre-dose at Day 1) and Week 24
FEV1 is a measure of lung function and is defined as the maximal volume of air that can be forcefully exhaled in one second. Trough FEV1 on treatment is defined as the highest FEV1 value obtained prior to the morning dose of investigational product. Baseline value is the last acceptable/borderline acceptable pre-dose FEV1 prior to randomized treatment start date (pre-dose at Day 1). Change from Baseline value is the value at Week 24 minus the Baseline value. Intent-to-Treat (ITT) Population comprised of all randomized participants, excluding those who were randomized in error, who did not receive the study drug. Treatment policy estimand was assessed, including all on- and post-treatment data. Different participants may have been analyzed at different time points; thus, overall number of participants analyzed reflects everyone in ITT Population without missing covariate information, with Baseline and at least one post-baseline measurement. Mixed Model Repeated Measures(MMRM) was used.
11 secondary outcomes
Annualized Rate of Moderate and Severe Asthma Exacerbations
Time frame: Up to Week 52
Mean Change From Baseline in Clinic FEV1 at 3 Hours Post Study Treatment at Week 24
Time frame: Baseline (pre-dose at Day 1) and 3 hours post dose at Week 24
Mean Change From Baseline in Asthma Control Questionnaire-7 (ACQ-7) Total Score at Week 24
Time frame: Baseline (pre-dose at Day 1) and Week 24
Mean Change From Baseline in Saint George's Respiratory Questionnaire (SGRQ) Total Score at Week 24
Time frame: Baseline (pre-dose at Day 1) and Week 24
Mean Change From Baseline in Evaluating Respiratory Symptoms (E-RS) Total Score Over Weeks 21 to 24 (Inclusive) of the Treatment Period
Time frame: Baseline (14 days prior to randomization) and Weeks 21 to 24
Number of Participants With Any Serious Adverse Event (SAE) and Common (>=3%) Non-SAE
Time frame: Up to Week 52
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
Time frame: Up to Week 52
Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Week 24
Time frame: Baseline (pre-dose at Day 1) and Week 24
Mean Change From Baseline in Pulse Rate at Week 24
Time frame: Baseline (pre-dose at Day 1) and Week 24
Number of Participants With Abnormal Clinical Chemistry Values
Time frame: Up to Week 52
Number of Participants With Abnormal Hematology Values
Time frame: Up to Week 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Mar 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41442024Oppenheimer J, Pavord ID, Corbridge T, Crawford J, Gould S, Hamouda M, Howarth P, Burrows E, Moore A, Noorduyn SG, Slade D, Weng S, Lugogo N. Evaluating Asthma Clinical Remission with Inhaled Therapy: Post Hoc Analyses of CAPTAIN. Adv Ther. 2026 Feb;43(2):729-749. doi: 10.1007/s12325-025-03442-x. Epub 2025 Dec 24.
- Derived from this study: PubMed 38309696Boulet LP, Abbott C, Brusselle G, Edwards D, Oppenheimer J, Pavord ID, Pizzichini E, Sagara H, Slade D, Wechsler ME, Gibson PG. Baseline Characteristics and ICS/LAMA/LABA Response in Asthma: Analyses From the CAPTAIN Study. J Allergy Clin Immunol Pract. 2024 May;12(5):1244-1253.e8. doi: 10.1016/j.jaip.2024.01.039. Epub 2024 Feb 1.
- Derived from this study: PubMed 37385337Oppenheimer J, Hanania NA, Chaudhuri R, Sagara H, Bailes Z, Fowler A, Peachey G, Pizzichini E, Slade D. Clinic vs Home Spirometry for Monitoring Lung Function in Patients With Asthma. Chest. 2023 Nov;164(5):1087-1096. doi: 10.1016/j.chest.2023.06.029. Epub 2023 Jun 27.
- 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 34162298Nakamura Y, Hozawa S, Sagara H, Ohbayashi H, Lee LA, Crawford J, Tamaoki J, Nishi T, Fowler A. Efficacy and safety of once-daily, single-inhaler fluticasone furoate/umeclidinium/vilanterol versus fluticasone furoate/vilanterol in Japanese patients with inadequately controlled asthma: the CAPTAIN study. Curr Med Res Opin. 2021 Sep;37(9):1657-1665. doi: 10.1080/03007995.2021.1944849. Epub 2021 Jul 14.
- Derived from this study: PubMed 33598874Yang S, Lee LA, Sule N, Fowler A, Peachey G. Population Pharmacokinetic Modeling of Fluticasone Furoate, Umeclidinium Bromide, and Vilanterol in Patients with Asthma, Using Data from a Phase IIIA Study (CAPTAIN). Clin Pharmacokinet. 2021 Jul;60(7):887-896. doi: 10.1007/s40262-021-00988-1. Epub 2021 Feb 18.
- Derived from this study: PubMed 32918892Lee LA, Bailes Z, Barnes N, Boulet LP, Edwards D, Fowler A, Hanania NA, Kerstjens HAM, Kerwin E, Nathan R, Oppenheimer J, Papi A, Pascoe S, Brusselle G, Peachey G, Sule N, Tabberer M, Pavord ID. Efficacy and safety of once-daily single-inhaler triple therapy (FF/UMEC/VI) versus FF/VI in patients with inadequately controlled asthma (CAPTAIN): a double-blind, randomised, phase 3A trial. Lancet Respir Med. 2021 Jan;9(1):69-84. doi: 10.1016/S2213-2600(20)30389-1. Epub 2020 Sep 9.
- Individual participant dataSharing planned: Yes. IPD for this study is available via the Clinical Study Data Request site.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
409 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing FF/UMEC/VI (100/31.25/25) mcg, FF/UMEC/VI (100/62.5/25) mcg and FF/UMEC/VI (200/31.25/25) mcg in people with Asthma, run by GlaxoSmithKline at 409 sites in 15 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 27 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 26 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 409 sites in United States, Japan, Russia, Romania, Argentina and 10 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 21 Feb 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?
Mean Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 24 (time frame: Baseline (pre-dose at Day 1) and Week 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02924688, which also lists 7 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 26 Mar 2021.