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Phase 2 Completed N=31 Randomized Quadruple-blind Treatment

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

OutcomeResultp-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.

View full record on ClinicalTrials.gov →

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.

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