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AsthmaPhase 3NCT05776927

A Study to Evaluate the Efficacy and Safety of QVM149 (Indacaterol Acetate / Glycopyrronium Bromide / Mometasone Furoate) Versus Salmeterol Xinafoate/Fluticasone Propionate in Children From 12 Years to Less Than 18 Years of Age With Asthma.

A Phase 3 study testing QVM149 and Salmeterol Xinafoate / Fluticasone Propionate in people with Asthma, run by Novartis Pharmaceuticals at 22 sites in 9 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The purpose of this study is to evaluate the efficacy and safety of indacaterol acetate / glycopyrronium bromide / mometasone furoate (QVM149) compared to salmeterol xinafoate / fluticasone propionate in children from 12 to less than 18 years of age with asthma with pre-bronchodilator FEV1 ≥ 50 % of the predicted… Read more about this study

Who is it for?
Ages 12 to 17 years
Conditions the study is for
Asthma
What is being tested?
QVM149 and Salmeterol Xinafoate / Fluticasone Propionate
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
188 participants
Where
22 sitesin 9 countries
Study dates
4 Aug 2026to 30 Jan 2029
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Male and female adolescent participants aged from ≥ 12 years old to less than 18 years old at screening visit
  • Participants with a documented diagnosis of persistent asthma (according to Global Initiative for Asthma GINA 2024) for a period of at least 1 year prior to screening.
  • Participants who have used medium or high dose ICS with LABA in combination (GINA 2024) for asthma for at least 3 months and at stable doses for at least 1 month prior to screening
  • Participants must be symptomatic / inadequately controlled according to the Investigator's opinion despite treatment with medium or high stable doses of ICS with LABA in combination (GINA 2024) before screening
  • Participants who demonstrate an increase in FEV1 of ≥ 12% within 15 to 30 minutes after administration of 200-400 μg salbutamol/180-360 μg albuterol at run-in visit
  • Pre-bronchodilator FEV1 ≥ 50% of the predicted normal value for the participant according to American Thoracic Society/European Respiratory Society (ATS/ERS) 2019 criteria at both run-in and before randomization

Who cannot join

  • Participants who have had a severe asthma attack/exacerbation requiring systemic steroids OR hospitalization (> 24 hours) OR emergency room (ER) visit (≤ 24 hours) within 6 weeks of screening. If participants experience an asthma attack/exacerbation requiring systemic steroids or emergency room visit between screening and end of run-in they may be re-screened 6 weeks after recovery from the exacerbation
  • Participants who have ever required intubation for a severe asthma attack/exacerbation
  • Participants with a history of chronic lung diseases other than asthma, including (but not limited to) sarcoidosis, interstitial lung disease, cystic fibrosis, clinically significant bronchiectasis and active tuberculosis
  • Participants with Type I diabetes or uncontrolled Type II diabetes
  • Participants who have a clinically significant laboratory abnormality as per investigator judgement before the end of run-in
  • Participants with a history of myocardial infarction (this should be confirmed clinically by the Investigator) within the previous 12 months
Show all 10Show fewer
  • Participants with a history of long QT syndrome or a family history of a first degree relative with sudden cardiac death under the age of 50 years, or participants whose QTc measured at run-in or at baseline (prior to randomization) (Fridericia method) is prolonged (> 450 msec for males and > 460 msec for females) and confirmed by a central assessor or the inability to determine the QT interval corrected by Fridericia's formula (QTcF) interval (these participants should not be re-screened)
  • Female participants of childbearing potential defined as all females physiologically capable of becoming pregnant (e.g. are menstruating) who do not agree to abstinence or, if sexually active, do not agree to the use of contraception as defined in the exclusion criteria
  • Use of long-acting muscarinic antagonist (LAMA) within 3 months prior to screening
  • Other protocol-defined inclusion/exclusion criteria may apply.

Trial locations and contacts

22 sites in 9 countries. Contact the study team or a site near you to ask about taking part.

Novartis Pharmaceuticals contact

+41613241111

novartis.email@novartis.com

Novartis Pharmaceuticals contact

22 sites in 9 countries

Poland6 sites, 6 recruiting
  • Novartis Investigative Site

    Bialystok, 15-698

    Recruiting
  • Novartis Investigative Site

    Krakow, 31-625

    Recruiting
  • Novartis Investigative Site

    Lublin, 20-637

    Recruiting
  • Novartis Investigative Site

    Piaseczno, 05-500

    Recruiting
  • Novartis Investigative Site

    Tarnów, Poland, 33-100

    Recruiting
  • Novartis Investigative Site

    Torun, 87-100

    Recruiting

Other trials in Poland

South Africa6 sites, 6 recruiting
  • Novartis Investigative Site

    Cape Town, 7531

    Recruiting
  • Novartis Investigative Site

    East London, Eastern Cape, 5201

    Recruiting
  • Novartis Investigative Site

    Germiston, Gauteng, 1401

    Recruiting
  • Novartis Investigative Site

    Krugersdorp, Gauteng, 1739

    Recruiting
  • Novartis Investigative Site

    Lenasia, Gauteng, 1827

    Recruiting
  • Novartis Investigative Site

    Paarl, Western Cape, 7626

    Recruiting

Other trials in South Africa

Spain3 sites, 3 recruiting
  • Novartis Investigative Site

    Sabadell, Barcelona, 08208

    Recruiting
  • Novartis Investigative Site

    Santiago Compostela, A Coruna, 15706

    Recruiting
  • Novartis Investigative Site

    Seville, 41013

    Recruiting

Other trials in Spain

Slovakia2 sites, 2 recruiting
  • Novartis Investigative Site

    Bratislava, Mestska Cast Ruzinov, 821 08

    Recruiting
  • Novartis Investigative Site

    Košice, 040 22

    Recruiting

Other trials in Slovakia

Argentina1 site, 1 recruiting
  • Novartis Investigative Site

    Rosario, Santa Fe Province, S2000DIF

    Recruiting

Other trials in Argentina

France1 site, 1 recruiting
  • Novartis Investigative Site

    Strasbourg, 67091

    Recruiting

Other trials in France

Hungary1 site, 1 recruiting
  • Novartis Investigative Site

    Szeged, 6720

    Recruiting

Other trials in Hungary

Romania1 site, 1 recruiting
  • Novartis Investigative Site

    Bucharest, 050159

    Recruiting

Other trials in Romania

Taiwan1 site, 1 recruiting
  • Novartis Investigative Site

    Kaohsiung City, 833

    Recruiting

Other trials in Taiwan

About this study

Official title: A Double-dummy, Double-blind, Randomized, Active Controlled, Two-way Cross-over Study With 12 Week Treatment Duration Period, to Evaluate the Efficacy and Safety of QVM149 (Indacaterol Acetate / Glycopyrronium Bromide / Mometasone Furoate) Compared to Salmeterol Xinafoate/Fluticasone Propionate in Children From 12 Years to Less Than 18 Years of Age With Asthma.

The purpose of this study is to evaluate the efficacy and safety of indacaterol acetate / glycopyrronium bromide / mometasone furoate (QVM149) compared to salmeterol xinafoate / fluticasone propionate in children from 12 to less than 18 years of age with asthma with pre-bronchodilator FEV1 ≥ 50 % of the predicted normal value for the participant.

Read the detailed description

This is a double-dummy, double-blind, randomized, active controlled, two-way two-period treatment (12 weeks duration each) cross-over study.

The study duration of 36 weeks includes:

  • a screening period of up to 15 days (rescue medication: short acting β2-agonist (SABA) salbutamol 100 μg or albuterol 90 μg via a Metered-Dose Inhaler (MDI) to use as-needed throughout the study).
  • a run-in period of 14 days (run-in medication: salmeterol xinafoate 50 μg / fluticasone propionate 250μg bid delivered via Girohaler® or equivalent DPI device)
  • two treatment period of 12 weeks each (either QVM149 150/50/160 µg od and placebo to salmeterol xinafoate/fluticasone propionate 50/500 µg bid, or salmeterol xinafoate/fluticasone propionate 50/500 µg bid and placebo to QVM149 150/50/160 µg od, separated by a 3 week washout period (wash-out medication: salmeterol xinafoate/fluticasone propionate 50/250 µg bid)
  • a safety follow up period of 30 days during which the participant will be back on standard of care treatment as appropriate.
Conditions
Asthma
Being tested
QVM149, Salmeterol Xinafoate / Fluticasone Propionate, Placebo to QVM149, Placebo to salmeterol xinafoate / fluticasone propionate
Keywords
Asthma, Adolescent, QVM149, Pediatric, LABA, LAMA, ICS, Triple Combination
Medical subject headings
Asthma

What participants receive

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

  • QVM149Drug

    QVM149: Indacaterol as acetate 150 µg / glycopyrronium as bromide 50 µg / mometasone furoate 160 µg once daily delivered via Breezhaler®

  • Salmeterol Xinafoate / Fluticasone PropionateDrug

    Salmeterol xinafoate 50 μg / fluticasone propionate 500 μg twice daily delivered via Girohaler®

  • Placebo to QVM149Drug

    Placebo to QVM149 150/50/160 µg once daily delivered via Breezhaler®

  • Placebo to salmeterol xinafoate / fluticasone propionateDrug

    Placebo to salmeterol xinafoate/fluticasone propionate 50/500 μg twice daily delivered via Girohaler®

Study groups in NCT05776927
Study groupRoleWhat they receive
Arm 1: QVM149 first, then salmeterol xinafoate/fluticasone propionateExperimental* QVM149 150/50/160 µg od and placebo to salmeterol xinafoate/fluticasone propionate 50/500 μg bid during treatment period 1. * Then, after a 3-week washout period, salmeterol xinafoate/fluticasone propionate 50/500 μg bid and placebo to QVM149 150/50/160 µg od during treatment period 2.
Receives: Drug: QVM149; Drug: Salmeterol Xinafoate / Fluticasone Propionate; Drug: Placebo to QVM149; Drug: Placebo to salmeterol xinafoate / fluticasone propionate
Arm 2: Salmeterol xinafoate/fluticasone propionate first, then QVM149Experimental* Salmeterol xinafoate/fluticasone propionate 50/500 μg bid and placebo to QVM149 150/50/160 µg od during treatment period 1. * Then, after a 3-week washout period, QVM149 150/50/160 µg od and placebo to salmeterol xinafoate/fluticasone propionate 50/500 μg bid during treatment period 2.
Receives: Drug: QVM149; Drug: Salmeterol Xinafoate / Fluticasone Propionate; Drug: Placebo to QVM149; Drug: Placebo to salmeterol xinafoate / fluticasone propionate

What is being measured

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

  1. Change from Baseline in Trough FEV1

    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: Baseline, Week 12 of each treatment period.

Secondary outcomes (5)
  1. Change from Baseline in Asthma Control Questionnaire (ACQ-5) score

    The ACQ-5 is a five-item, self-completed questionnaire, which is used as a measure of asthma control of a participant. The five questions (concerning nocturnal awakening, waking in the morning, activity limitation, shortness of breath and wheeze) enquire about the frequency and/or severity of symptoms over the previous week. The response options for all these questions range from zero (no impairment/limitation) to six (total impairment/ limitation) scale. ACQ-5 score range from 0 to 6. Higher scores indicates worsening of condition.

    Measured: Baseline, Week 12 of each treatment period

  2. Change from Baseline in Pediatric Asthma Quality of Life Questionnaire (PAQLQ) total score

    Pediatric Asthma Quality of Life Questionnaire is a 23-item disease specific questionnaire designed to measure functional impairments that are most important to patients with asthma, with 7-point scale (7-not bothered at all, 1-extremely bothered). It consists of 3 domains: symptoms, activity limitation and emotional function. Higher scores indicate less impairment in HRQOL.

    The overall PAQLQ score is the mean of all 23 responses and the individual domain scores are the means of the items in those domains.

    Measured: Baseline, Week 12 of each treatment period

  3. Change from Baseline in average Rescue medication use (daily, daytime, and nighttime)

    Rescue medication use over 12 weeks of each treatment period.

    Measured: Baseline, Week 12 of each treatment period

  4. Number and severity of reported asthma exacerbations

    Asthma exacerbations over 12 weeks of each treatment period

    Measured: Baseline, Week 12 of each treatment period

  5. Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Number of participants with AEs and SAEs, including changes in vital signs, electrocardiograms (ECGs) and laboratory values qualifying and reported as AEs.

    Measured: From first dose up to 30 days after last dose (up to 31 weeks)

Timeline

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

  1. First posted20 Mar 2023
  2. Study start4 Aug 2026
  3. Primary completion30 Dec 2028 (estimated)
  4. Study completion30 Jan 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Model description
A double-dummy, double-blind, randomized, active controlled study.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
188 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05776927
Sponsor's protocol ID
CQVM149C2301
Other IDs
2022-502365-26
Status last verified
Oct 2026
First submitted
6 Mar 2023
Last updated
15 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing QVM149 and Salmeterol Xinafoate / Fluticasone Propionate in people with Asthma, run by Novartis Pharmaceuticals at 22 sites in 9 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 6 inclusion and 10 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: looking for participants now, as of the sponsor's last update on 15 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in Poland, South Africa, Spain, Slovakia, Argentina and 4 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Novartis Pharmaceuticals (+41613241111, novartis.email@novartis.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline in Trough FEV1 (time frame: Baseline, Week 12 of each treatment period.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Oct 2026.

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