Mode
Text Size
Log in / Sign up
Phase 2 Completed N=909 Randomized Quadruple-blind Treatment

A Study of the Effectiveness and Safety of Different Doses of Fluticasone Propionate Taken From a Dry Powder Inhaler in Adolescents and Adults Who Have Asthma That is Not Controlled by Asthma Medications Not Containing Steroids

Source: ClinicalTrials.gov NCT01479621 ↗
Enrolled (actual)
909
Serious AEs
1.1%
Results posted
Apr 2017
Primary outcomePrimary: Change From Baseline In Trough (Morning Predose And Pre-Rescue Bronchodilator) Forced Expiratory Volume In 1 Second (FEV1) Over The 12-Week Treatment Period — 0.170; 0.229; 0.243; 0.267 liters — p=0.0001

Summary

This is a randomized, double-blind, placebo- and open-label active controlled, parallel-group, multicenter, dose ranging study in male or female subjects ages 12 years and older with persistent asthma who are uncontrolled on non-steroidal therapy. The primary objective of this study is to evaluate the dose response, efficacy and safety of 4 different doses of fluticasone propionate delivered as Fluticasone Propionate DPI (Dry Powder Inhaler) when administered twice daily.

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline In Trough (Morning Predose And Pre-Rescue Bronchodilator) Forced Expiratory Volume In 1 Second (FEV1) Over The 12-Week Treatment Period
0.170; 0.229; 0.243; 0.267; 0.118 0.0001 sig
SECONDARY
Change From Baseline In Weekly Average Of Daily Trough (Predose And Pre-Rescue Bronchodilator) Morning Peak Expiratory Flow (PEF) Over The 12-Week Treatment Period
30.99; 21.01; 29.58; 27.55; 9.26 0.0017 sig
SECONDARY
Change From Baseline In Weekly Average Of Daily Evening Peak Expiratory Flow (PEF) Over The 12-Week Treatment Period
27.65; 18.69; 22.20; 20.48; 9.42 0.0434 sig
SECONDARY
Change From Baseline in the Percentage of Rescue-Free 24-hour Periods During the 12-Week Treatment Period
34.08; 31.76; 28.06; 24.07; 21.30; 29.82 0.66685
SECONDARY
Kaplan-Meier Estimate of Probability of Remaining in the Study at Week 12
0.8041; 0.7895; 0.9077; 0.7657; 0.5655; 0.8272 0.2841
SECONDARY
Area Under The Curve From Time 0 Until The Last Measurable Concentration (AUC0-t) of Fp
21.6; 42.0; 63.2; 153.8; 10.4
SECONDARY
Maximum Observed Plasma Concentration (Cmax) of Fp
5.4; 10.0; 12.9; 33.6; 23.4
SECONDARY
Time of Maximum Concentration (Tmax) of Fp
1.2; 1.4; 1.7; 1.1; 1.7
SECONDARY
Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period
31; 32; 36; 37; 31; 32
SECONDARY
Oropharyngeal Exam Findings at Each Study Visit
0; 0; 0; 0; 0; 0

Eligibility Criteria

Inclusion Criteria

  • Written informed consent/assent signed and dated by the subject and/or parent /legal guardian before conducting any study related procedure.
  • Male or female 12 years and older, as of the Screening Visit. Male or female 18 years and older, as of the Screening Visit, in countries where local regulations or the regulatory status of study medication permit enrollment of adults only.
  • General good health, and free of any concomitant conditions or treatment that could interfere with study conduct, influence the interpretation of study observations/results, or put the subject at increased risk during the study.
  • Asthma Diagnosis: Asthma as defined by the National Institutes of Health (NIH).
  • Severity of Disease: A best forced expiratory volume in one second (FEV1) of 40%-85% of the predicted normal value during the Screening Visit. NHANES III predicted values will be used for subjects aged ≥12 years and adjustments to predicted values will be made for African American subjects.
  • Reversibility of Disease: Demonstrated a ≥15% reversibility of FEV1 within 30 minutes following 2 inhalations of albuterol/salbutamol inhalation aerosol (if required, spacers are permitted for reversibility testing only) at the Screening Visit. If a subject fails to demonstrate an increase in FEV1 ≥15%, then the subject is not eligible for the study and will not be allowed to re-screen.
  • Current Asthma Therapy: Subjects must be on a short-acting β2-agonist alone or a non-corticosteroid maintenance medication (with or without a short-acting β2-agonist) for ≥ 3 months preceding the Screening Visit. Subjects must not have used an inhaled corticosteroid for at least 6 weeks preceding the Screening Visit.

Exception: Based upon the investigator's judgment that there is no inherent harm in changing the subject's current ICS therapy and the subject provides consent, subjects on low dose ICS (100mcg Fp BID or equivalent) may be switched to a short-acting β2 agonist alone at a Pre-screening Visit. The subject will be required to return to the clinic to complete the Screening Visit once the 2-week washout period has been completed.

  • Short-Acting β2-Agonists: All subjects must be able to replace their current short-acting β2-agonists with albuterol/salbutamol inhalation aerosol at the Screening Visit for use as needed for the duration of the study. The use of spacer devices with the metered dose inhaler (MDI) will not be allowed during the study with exception of its use during reversibility testing at the Screening Visit. Nebulized albuterol/salbutamol will not be allowed at any time during the study. Subjects must be able to withhold all inhaled short-acting beta sympathomimetic bronchodilators for at least 6 hours prior to all study visits.
  • If female, is currently not pregnant, breast feeding, or attempting to become pregnant, has a negative serum pregnancy test, and is of
  • Non-childbearing potential, defined as:
  • Before menarche or > or =1 year post-menopausal or
  • Surgically sterile (tubal ligation, bilateral oophorectomy, or hysterectomy) or
  • Congenital sterility or
  • Diagnosed as infertile and not undergoing treatment to reverse infertility or is of
  • Child-bearing potential, willing to commit to using a consistent and acceptable method of birth control as defined below for the duration of the study:
  • Systemic contraception used for > or = 1 month prior to screening, including birth control pills, transdermal patch (Ortho Evra®), vaginal ring (NuvaRing®), levonorgesterel (Norplant®), or injectable progesterone (Depo-Provera®) or
  • Double barrier methods (condoms, cervical cap, diaphragm, and vaginal contraceptive film with spermicide) or
  • Intrauterine device (IUD) or is of
  • Child-bearing potential and not sexually active, willing to commit to using a consistent and acceptable method of birth control as defined above for the duration of the study, in the event the subject becomes sexually active.
  • Capable of
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01479621). 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.

Back to search