Phase 2
Completed N=31
Bronchodilatory Efficacy of a Single Dose QMF149 (Indacaterol Maleate/Mometasone Furoate) Via the Twisthaler® Device in Adult Patients With Asthma
Source: ClinicalTrials.gov NCT00556673 ↗Enrolled (actual)
31
Serious AEs
0.0%
Results posted
Apr 2013
Primary outcomePrimary: Change From Period Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) — 0.27; -0.12; 0.37 liters — p=< 0.0001
Summary
This study is designed to evaluate the bronchodilatory efficacy of indacaterol maleate 500 μg/mometasone furoate 400 μg via the Twisthaler® device in adult patients with persistent asthma.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Period Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) |
0.27; -0.12; 0.37 | < 0.0001 sig |
| SECONDARY Change From Baseline in Peak Forced Expiratory Volume in One Second (FEV1) |
0.64; 0.26; 0.62 | — |
| SECONDARY Change From Period Baseline in Trough Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) |
6.95; -2.87; 9.85 | — |
| SECONDARY Change From Period Baseline in Peak Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) |
16.27; 6.85; 16.49 | — |
| SECONDARY Change From Period Baseline in Trough Forced Vital Capacity (FVC) |
0.22; -0.14; 0.17 | — |
| SECONDARY Change From Period Baseline in Peak Forced Vital Capacity (FVC) |
0.47; 0.20; 0.35 | — |
| SECONDARY Change From Period Baseline in Trough FEV1/FVC Ratio |
2.50; 2.15; 2.65 | — |
| SECONDARY Change From Period Baseline in Peak FEV1/FVC Ratio |
2.86; 2.53; 2.90 | — |
| SECONDARY Area Under the Concentration-time Curve From Time 0 to 12 Hours Post-dose for Mometasone Furoate |
287 | — |
| SECONDARY Area Under the Concentration-time Curve From Time 0 to 24 Hours Post-dose for Mometasone Furoate |
389 | — |
| SECONDARY Area Under the Concentration-time Curve From Time 0 to 24 Hours Post-dose for Indacaterol |
1331 | — |
| SECONDARY Maximum (Peak) Plasma Concentration (Cmax) of Mometasone Furoate |
47.3 | — |
| SECONDARY Maximum (Peak) Plasma Concentration (Cmax) of Indacaterol |
289 | — |
| SECONDARY Time to Reach Peak or Maximum Concentration Following Drug Administration for Mometasone Furoate |
1.05 | — |
| SECONDARY Time to Reach Peak or Maximum Concentration Following Drug Administration for Indacaterol |
0.325 | — |
Eligibility Criteria
Inclusion Criteria
- Male and female adult patients aged 18-75 years with persistent asthma
- Patients with persistent asthma, diagnosed according to the Global Initiative for Asthma guidelines (GINA) and who additionally met the following criteria:
- Patients receiving daily treatment with inhaled corticosteroid up to the maximum dose per day indicated in the package leaflet, in a stable regimen for the month prior to Visit 1.
- Patients with a forced expiratory volume in 1 second (FEV1) at Visit 1 of ≥ 50% of the predicted normal value. This criterion for FEV1 had to be demonstrated after a washout period of at least 6 hours during which no short acting β2-agonist had been inhaled, and a minimum of 48 hours for a long acting β2-agonist.
- Patients who demonstrated an increase of ≥12% and ≥200 mL in FEV1 over their pre-bronchodilator value 30 minutes after inhaling a total of 200 μg of salbutamol (or albuterol) via metered dose inhaler (MDI) (the reversibility test). Reversibility had to be demonstrated after an appropriate washout period of at least 6 hrs prior to the evaluation for a shortacting β2-agonist. The administration of salbutamol (or albuterol) for the reversibility test was to be within 30 minutes after pre-bronchodilator spirometry. Reversibility had to be demonstrated at Visit 1 or between Visits 1 and 2, in order for patients to be included in the trial.
- For each patient, the smaller value of the Visit 1 FEV1 or the Visit 2 FEV1 pre-dose value had to be at least 85% of the larger value.
- Body mass index (BMI) between 18 and 32 kg/m^2 and weight >50 kg.
- patients using local contraception
Exclusion Criteria
- Pregnant or nursing women
- Recent use of tobacco or history of smoking > 10 pack years
- Patients diagnosed with chronic obstructive pulmonary disease (COPD)
- Patients with recent experience of severe asthma attack/exacerbation within 6-months of study start
- Patients with frequent rescue medication (>8 puffs/day for two consecutive days)
- Clinically relevant laboratory abnormality or a clinically significant condition
- Active cancer or a history of cancer with less than 5 years disease free survival time
- History of long QT syndrome or with long QTc interval prior to dosing
- History of hypersensitivity to the study drugs or to drugs with similar chemical structures
- Use of certain medications
- Use of other investigational drugs
- A positive Hepatitis B surface antigen (HBsAg) or Hepatitis C test result
- History of immunodeficiency diseases, including a positive human immumodeficiency virus (HIV) test result.
- History of drug or alcohol abuse or evidence of such abuse
Other protocol-defined inclusion/exclusion criteria may apply.
Data sourced from ClinicalTrials.gov (NCT00556673). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.