Safety and Efficacy of GW685698X an Inhaled Corticosteroid Once Daily and Twice Daily for the Treatment of Asthma
A Multi-Centre, Randomized, Double Blind Cross-over Study to Assess the Non-inferiority of GW685698X 200mcg Once Daily and 100mcg Twice Daily in Adult and Adolescent Patients With Asthma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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California
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Long Beach, California, United States, 90808
- GSK Investigational Site
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Long Beach, California, United States, 90806
- GSK Investigational Site
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Torrance, California, United States, 90505
- GSK Investigational Site
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Florida
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Cocoa, Florida, United States, 32927
- GSK Investigational Site
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Tallahassee, Florida, United States, 32308
- GSK Investigational Site
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Maryland
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Bethesda, Maryland, United States, 20814
- GSK Investigational Site
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Missouri
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Columbia, Missouri, United States, 65203
- GSK Investigational Site
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Rolla, Missouri, United States, 65401
- GSK Investigational Site
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North Carolina
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Raleigh, North Carolina, United States, 27607
- GSK Investigational Site
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Ohio
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Canton, Ohio, United States, 44718
- GSK Investigational Site
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Oregon
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Medford, Oregon, United States, 97504
- GSK Investigational Site
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South Carolina
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Orangeburg, South Carolina, United States, 29118
- GSK Investigational Site
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Texas
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Austin, Texas, United States, 78750
- GSK Investigational Site
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Boerne, Texas, United States, 78006
- GSK Investigational Site
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San Antonio, Texas, United States, 78229
- GSK Investigational Site
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Waco, Texas, United States, 76712
- GSK Investigational Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Key Inclusion Criteria:
- Clinical diagnosis of Asthma
- Reversibility ≥ 12% and ≥200mls reversibility of FEV1 within approximately 30-minutes following 2 to 4 puffs of albuterol
- FEV1 between 40-85% predicted
- Currently on short acting beta2 agonist therapy
Key Exclusion Criteria:
- History of life threatening asthma
- Respiratory Infection or oropharyngeal candidiasis
- Asthma exacerbation
- Uncontrolled disease or clinical abnormality
- Allergies
- Taking another Investigational medications or other prohibited medications
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: GW685698X
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Inhaled Corticosteroid
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Trough Forced Expiratory Volume in One Second (FEV1) at Day 28 of the Relevant Treatment Period
Time Frame: Day 28 of the relevant treatment period (up to Study Day 112)
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Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second.
FEV1 was measured electronically by spirometry.
Trough FEV1 was the evening pre-dose, pre-rescue bronchodilator FEV1 measurement taken on Day 28 of the relevant treatment period.
The analysis was performed using mixed model analysis of covarience (ANCOVA) with fixed effects of treatment, period, sex, and age.
Participants were fitted as a random effect, and the period Baseline measurement was included as part of a bivariate response.
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Day 28 of the relevant treatment period (up to Study Day 112)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Three 28-day Treatment Periods
Time Frame: From the first dose of the study medication up to Week 16/Early Withdrawal
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An AE is defined as 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.
An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect.
Medical or scientific judgment was exercised in deciding whether reporting was appropriate in other situations.
Refer to the general AE/SAE module for a list of AEs (occuring at a frequency threshold >=3%) and SAEs.
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From the first dose of the study medication up to Week 16/Early Withdrawal
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24-hour Urinary Cortisol Excretion at Day 28 of the Relevant Treatment Period
Time Frame: Day 28 of the relevant treatment period (up to Study Day 112)
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A 24-hour urine sample was collected, and the 24-hour urinary cortisol excretion was analyzed at Day 28 of the relevant treatment period.
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Day 28 of the relevant treatment period (up to Study Day 112)
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Number of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment Period
Time Frame: Day 0 and Day 28 of the relevant treatment period (up to Study Day 112)
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Detailed oropharyngeal examination for visual evidence of oropharyngeal candidiasis was performed at Day 0 (clinic visits 2, 4, and 6) and Day 28 (clinic visits 3, 5, and 7) of the relevant treatment period.
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Day 0 and Day 28 of the relevant treatment period (up to Study Day 112)
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Systolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment Period
Time Frame: Day 0 and Day 28 of the relevant treatment period (up to Study Day 112)
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Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured at Day 0 (clinic visits 2, 4, and 6) and Day 28 (clinic visits 3, 5, and 7) of the relevant treatment period.
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Day 0 and Day 28 of the relevant treatment period (up to Study Day 112)
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Heart Rate at Day 0 and Day 28 of the Relevant Treatment Period
Time Frame: Day 0 and Day 28 of the relevant treatment period (up to Study Day 112)
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Heart rate was measured at Day 0 (clinic visits 2, 4, and 6) and Day 28 (clinic visits 3, 5, and 7) of the relevant treatment period.
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Day 0 and Day 28 of the relevant treatment period (up to Study Day 112)
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Number of Participants Who Withdrew Due to Worsening of Asthma During the Three Treatment Periods
Time Frame: From the first dose of the study medication up to Week 16/Early Withdrawal
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Participants were withdrawn from the study due to worsening of asthma (lack of efficacy) if they experienced a clinical asthma exacerbation or if clinic FEV1 fell below the FEV1 stability limit, or if during the 7 days immediately preceeding a visit the participant experienced either four or more days in which the PEF had fallen below the PEF stability limit or three or more days in which >=12 inhalations/day of albuterol/salbutamol were used.
A clinical asthma exacerbation is defined as the worsening of asthma requiring emergency room visits, hospitalization, or treatment with an asthma medication (inhaled or systemic corticosteroids) other than study medication or rescue salbutamol/albuterol.
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From the first dose of the study medication up to Week 16/Early Withdrawal
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- O'Byrne PM, Jacques L, Goldfrad C, Kwon N, Perrio M, Yates LJ, Busse WW. Integrated safety and efficacy analysis of once-daily fluticasone furoate for the treatment of asthma. Respir Res. 2016 Nov 24;17(1):157. doi: 10.1186/s12931-016-0473-x.
- Woodcock A, Bleecker ER, Busse WW, Lotvall J, Snowise NG, Frith L, Jacques L, Haumann B, Bateman ED. Fluticasone furoate: once-daily evening treatment versus twice-daily treatment in moderate asthma. Respir Res. 2011 Dec 21;12(1):160. doi: 10.1186/1465-9921-12-160.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 112202
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Study Data/Documents
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Annotated Case Report Form
Information identifier: 112202Information comments: For additional information about this study please refer to the GSK Clinical Study Register
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Dataset Specification
Information identifier: 112202Information comments: For additional information about this study please refer to the GSK Clinical Study Register
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Study Protocol
Information identifier: 112202Information comments: For additional information about this study please refer to the GSK Clinical Study Register
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Informed Consent Form
Information identifier: 112202Information comments: For additional information about this study please refer to the GSK Clinical Study Register
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Statistical Analysis Plan
Information identifier: 112202Information comments: For additional information about this study please refer to the GSK Clinical Study Register
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Clinical Study Report
Information identifier: 112202Information comments: For additional information about this study please refer to the GSK Clinical Study Register
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Individual Participant Data Set
Information identifier: 112202Information comments: For additional information about this study please refer to the GSK Clinical Study Register
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