Clinical Study Evaluating Safety and Efficacy of Fluticasone Furoate in People With Asthma
A Randomised, Double-blind, Placebo-controlled (With Rescue Medication), Multi-centre Study to Evaluate the Efficacy and Safety of Inhaled Fluticasone Furoate in the Treatment of Persistent Asthma in Adults and Adolescents Not Currently Receiving Inhaled Corticosteroids
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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Klin, Den Russiske Føderation, 141600
- GSK Investigational Site
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Moscow, Den Russiske Føderation, 115446
- GSK Investigational Site
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Saratov, Den Russiske Føderation, 410028
- GSK Investigational Site
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St. Petersburg, Den Russiske Føderation, 194356
- GSK Investigational Site
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Voronezh, Den Russiske Føderation, 394066
- GSK Investigational Site
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Yaroslavl, Den Russiske Føderation, 150003
- GSK Investigational Site
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California
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Long Beach, California, Forenede Stater, 90808
- GSK Investigational Site
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Los Angeles, California, Forenede Stater, 90025
- GSK Investigational Site
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Newport Beach, California, Forenede Stater, 92663
- GSK Investigational Site
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Georgia
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Albany, Georgia, Forenede Stater, 31707
- GSK Investigational Site
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Missouri
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Columbia, Missouri, Forenede Stater, 65203
- GSK Investigational Site
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Oklahoma
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Oklahoma City, Oklahoma, Forenede Stater, 73103
- GSK Investigational Site
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South Carolina
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Orangeburg, South Carolina, Forenede Stater, 29118
- GSK Investigational Site
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Spartanburg, South Carolina, Forenede Stater, 29303
- GSK Investigational Site
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Texas
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Corsicana, Texas, Forenede Stater, 75110
- GSK Investigational Site
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Waco, Texas, Forenede Stater, 76712
- GSK Investigational Site
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Jalisco
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Zapopan, Jalisco, Mexico, 45040
- GSK Investigational Site
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Michoacán
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Morelia, Michoacán, Mexico, 58070
- GSK Investigational Site
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Tabasco
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Villahermosa, Tabasco, Mexico, 86100
- GSK Investigational Site
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Lima, Peru, Lima 1
- GSK Investigational Site
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Lima, Peru, Lima 27
- GSK Investigational Site
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Lima
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Lima 18, Lima, Peru
- GSK Investigational Site
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San Borja, Lima, Peru, Lima 41
- GSK Investigational Site
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San Miguel, Lima, Peru, Lima 32
- GSK Investigational Site
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Signed informed consent
- Outpatient at least 12 years of age with diagnosis of asthma at least 12 weeks before first visit
- Both genders; females of child bearing potential must be willing to use appropriate contraception during the study
- Pre-bronchodilator FEV1 of at least 60% predicted
- FEV1 reversibility of at least 12% and 200mls
- Current asthma therapy that includes a non-corticosteroid controller and/or short-acting beta agonist
Exclusion Criteria:
- History of life-threatening asthma exacerbation within the past 10 years
- Asthma exacerbation requiring treatment with oral corticosteroids within the last 3 months or that required overnight hospital stay within 6 months
- Current or recent respiratory infection or current oral candida infection
- Presence of another significant respiratory disease or medical condition that is not controlled or that could affect subject safety or study outcome
- Known or suspected allergy to study drug or materials
- Taking another investigational medication or prohibited medication during the study
- Previous treatment with inhaled fluticasone furoate in a phase II or III study
- Current smokers or former smokers with significant tobacco exposure
- Children in Care
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Fluticasone furoate 50mcg
Inhalation powder delivered by Novel Dry Powder Inhaler
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Inhalation powder delivered by Novel Dry Powder Inhaler
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Placebo komparator: Placebo
Inhalation powder delivered by Novel Dry Powder Inhaler
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Inhalation powder delivered by Novel Dry Powder Inhaler
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Change From Baseline in Clinic Visit Evening (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at the End of the 12-week Treatment Period
Tidsramme: Baseline and Week 12
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FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second.
Evening clinic visit FEV1 is defined as the clinic visit (pre-bronchodilator and pre-dose) FEV1 measurement taken at the Week 12 clinic visit.
Pre-dose and pre-rescue albuterol/salbutamol trough FEV1 were measured electronically by spirometry in the evening at the Baseline through Week 12 clinic visits.
The highest of 3 technically acceptable measurements was recorded.
Baseline was the pre-dose value obtained at Visit 2. Change from Baseline was calculated as the Week 12 value minus the Baseline value.
Analysis was performed using analysis of covariance (ANCOVA) with covariates of Baseline, region, sex, age, and treatment.
The last observation carried forward (LOCF) method was used to impute missing data, in which the last non-missing, pre-dose, post-Baseline on-treatment measurement at scheduled clinic visits was used to impute the missing value.
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Baseline and Week 12
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Change From Baseline in the Percentage of Rescue-free 24-hour (hr) Periods Over the 12-week Treatment Period
Tidsramme: From Baseline up to Week 12
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The number of inhalations of rescue bronchodilator, albuterol/salbutamol inhalation aerosol, used during the day and night was recorded by the participants in a daily electronic diary (eDiary).
A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no use of rescue medication was considered to be rescue free.
A 24-hour period was considered as missing if both day time and night time values were missing or if one of the day time or night time values were missing and the other value indicated no use of rescue medication.
The Baseline value is the average of the values over the last 7 days of the daily eDiary prior to the randomization of the participant.
Change from Baseline was calculated as the averaged value during the 24-week Treatment Period minus the Baseline value.
Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment.
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From Baseline up to Week 12
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Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 12-week Treatment Period
Tidsramme: From Baseline up to Week 12
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PEF is a measure of lung function and is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated.
PEF was measured by the participants using a hand-held electronic peak flow meter each morning and evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use.
Change from Baseline (defined as the average of the values of the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily trough PM PEF over the 12-week Treatment Period minus the Baseline value.
Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment.
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From Baseline up to Week 12
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Change From Baseline in Daily Morning (AM) PEF Averaged Over the 12-week Treatment Period
Tidsramme: From Baseline up to Week 12
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PEF is a measure of lung function and is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated.
PEF was measured by the participants using a hand-held electronic peak flow meter each morning and evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use.
Change from Baseline (defined as the average of the values of the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily AM PEF over the 12-week Treatment Period minus the Baseline value.
Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment.
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From Baseline up to Week 12
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Change From Baseline in the Percentage of Symptom-free 24-hour (hr) Periods Over the 12-week Treatment Period
Tidsramme: From Baseline up to Week 12
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Asthma symptoms were recorded in a daily eDairy by the participants every day in the morning and evening before taking any rescue or study medication and before the peak expiratory flow measurement.
A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no symptoms was considered to be symptom free.
A 24-hour period was considered as missing if both the day time and night time data were missing or if one was symptom-free but the other was missing.
The Baseline value was the average of the values of the last 7 days of the daily eDiary prior to the randomization of the participant.
Change from Baseline was calculated as the averaged value during the 12-week Treatment Period minus the Baseline value.
Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment.
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From Baseline up to Week 12
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Number of Participants Who Withdrew Due to a Lack of Efficacy During the 12-week Treatment Period
Tidsramme: From the first dose of the study medication until Week 12/Early Withdrawal
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The reason for withdrawal was lack of efficacy if a participant was withdrawn due to: clinic FEV1 falling below the FEV1 stability limit; participant experiencing at least 4 days of AM or PM PEF falling below the PEF stability limit and/or at least 3 days of >=12 inhalations/day of albuterol/salbutamol usage during the 7 days immediately preceding any contact; or the occurrence of an asthma exacerbation, defined as the deterioration of asthma requiring the use of systemic (oral, parenteral, or depot) corticosteroids for at least 3 days or an in-patient hospitalization or emergency department visit due to asthma that required systemic corticosteroids.
The FEV1 stability limit was calculated as the best pre-salbutamol/albuterol FEV1 at Visit 2 * 80%.
The PEF stability limit was calculated as the mean AM PEF from the available 7 consecutive days preceding Visit 2 * 80%.
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From the first dose of the study medication until Week 12/Early Withdrawal
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
Generelle publikationer
- 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.
- O'Byrne PM, Woodcock A, Bleecker ER, Bateman ED, Lotvall J, Forth R, Medley H, Jacques L, Busse WW. Efficacy and safety of once-daily fluticasone furoate 50 mcg in adults with persistent asthma: a 12-week randomized trial. Respir Res. 2014 Aug 11;15(1):88. doi: 10.1186/s12931-014-0088-z.
- Svedsater H, Jacques L, Goldfrad C, Bleecker ER. Ease of use of the ELLIPTA dry powder inhaler: data from three randomised controlled trials in patients with asthma. NPJ Prim Care Respir Med. 2014 Jun 26;24:14019. doi: 10.1038/npjpcrm.2014.19. No abstract available.
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Luftvejssygdomme
- Sygdomme i immunsystemet
- Lungesygdomme
- Overfølsomhed, Øjeblikkelig
- Bronchiale sygdomme
- Lungesygdomme, obstruktiv
- Respiratorisk overfølsomhed
- Overfølsomhed
- Astma
- Lægemidlers fysiologiske virkninger
- Autonome agenter
- Agenter fra det perifere nervesystem
- Anti-inflammatoriske midler
- Dermatologiske midler
- Bronkodilatatorer
- Anti-astmatiske midler
- Respiratoriske midler
- Anti-allergiske midler
- Fluticason
- Xhance
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 115283
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Studiedata/dokumenter
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Statistisk analyseplan
Informations-id: 115283Oplysningskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
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Datasætspecifikation
Informations-id: 115283Oplysningskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
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Studieprotokol
Informations-id: 115283Oplysningskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
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Klinisk undersøgelsesrapport
Informations-id: 115283Oplysningskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
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Formular til informeret samtykke
Informations-id: 115283Oplysningskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
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Individuelt deltagerdatasæt
Informations-id: 115283Oplysningskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
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Annoteret sagsbetænkningsformular
Informations-id: 115283Oplysningskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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