Phase 2
Completed N=739
Safety and Efficacy of Mometasone Furoate Delivered Via Concept1 Device or Twisthaler® Device in Adult and Adolescent Patients With Persistent Asthma
Source: ClinicalTrials.gov NCT01555151 ↗Enrolled (actual)
739
Serious AEs
0.1%
Results posted
Aug 2014
Primary outcomePrimary: Trough Forced Expiratory Volume in 1 Second (FEV1) — 2.139; 2.071; 2.187; 2.162 Liters
Summary
The purpose of this study is to compare the efficacy, safety and pharmacokinetics of Mometasone furoate delivered via Concept1 device or Twisthaler® device in adult and adolescent patients with persistent asthma.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Trough Forced Expiratory Volume in 1 Second (FEV1) |
2.139; 2.071; 2.187; 2.162 | — |
| SECONDARY Trough Forced Expiratory Volume in 1 Second (FEV1) After Days 8, 15 and 22 of Treatment |
2.069; 2.057; 2.113; 2.111; 2.095; 2.048 | — |
| SECONDARY Forced Vital Capacity (FVC) at All Time Points |
2.892; 2.893; 2.861; 2.897; 2.930; 2.913 | — |
| SECONDARY Forced Expiratory Flow Between 25% and 75% (FEF25-75%) at All Time Points |
1.308; 1.300; 1.309; 1.308; 1.337; 1.327 | — |
| SECONDARY Forced Expiratory Volume in 1 Second Forced Vital Capacity (FEV1/FVC) Percent at All Time Points |
65.043; 64.898; 65.184; 64.898; 65.177; 64.833 | — |
| SECONDARY Change From Baseline in Mean Morning and Evening Peak Expiratory Flow Rate (PEFR) Over 4 Weeks of Treatment |
-4.952; 3.955; 2.785; 1.606; 1.354; 0.293 | — |
| SECONDARY Change From Baseline in Asthma Control Questionnaire (ACQ-5) by Visit |
-0.662; -0.730; -0.908; -0.890; -0.899; -0.908 | — |
| SECONDARY Change From Baseline in Mean Daily Number of Puffs of Rescue Medication Over 4 Weeks of Treatment |
-0.456; -0.391; -0.600; -0.677 | — |
| SECONDARY Percentage of Days With no Rescue Medication Use Over 4 Weeks of Treatment |
74.148; 75.236; 75.157; 80.578 | — |
| SECONDARY Fractional Exhaled Nitric Oxide (FeNO) |
25.286; 26.762; 19.098; 21.017; 23.777; 27.055 | — |
| SECONDARY Plasma Cortisol Concentrations |
150.040; 143.132; 143.791; 150.108; 118.130; 106.965 | — |
Eligibility Criteria
Inclusion Criteria
- Males or females who were ≥ 12 years old at the time informed consent was obtained
- Patients with persistent asthma, diagnosed according to GINA 2010 guideline and who additionally met the following criteria
- Patients who were receiving ICS treatment up to the maximum dose per day as indicated in the corresponding package leaflet and also a stable ICS regimen for at least 4 weeks prior to screening (Visit 2).
- Patients whose level of asthma control according to GINA 2010 guideline was "Partly Controlled" or "Uncontrolled" at screening (Visit 2).
- Patients with a pre-bronchodilator FEV1 value of ≤ 80% of predicted normal value at screening (Visit 2).
- Patients who demonstrated an increase of ≥ 12% and 200 mL in FEV1 over prebronchodilator value within 30 minutes after inhalation of 400 μg of salbutamol (360 μg of albuterol) at Visit 2 or between Visit 2 and Visit 5.
- Patients who were confirmed as "ICS sensitive" by ACQ-5 and FEV1 at Visit 5.
Key exclusion criteria included:
- Patients diagnosed with COPD as defined by the Global Initiative for Chronic Obstructive Lung Disease, updated 2010.
- Patients with concomitant pulmonary disease, pulmonary tuberculosis (unless confirmed by chest X-ray to be no longer active), or clinically significant bronchiectasis.
- Patients with any chronic conditions affecting the respiratory tract (e.g., chronic sinusitis) or chronic lung diseases, which in the opinion of the investigator may interfere with the study evaluation or optimal participation in the study.
- Patients with seasonal allergy which is likely to deteriorate his/her asthma condition during the study period judged by the investigator.
- Patients who have had a severe asthma attack/exacerbation requiring hospitalization in the 6 months prior to Visit 1 or any time between Visit 1 and Visit 5 must discontinue from the trial (screening failure).
- Patients who have had an emergency room visit for an asthma attack/exacerbation within 4 weeks prior to Visit 1 or any time between Visit 1 and Visit 5 must discontinue from the trial (screening failure).
- Patients who have ever required intubation for a severe asthma attack/exacerbation.
- Patients who have had a respiratory tract infection within 6 weeks prior to Visit 1, or any time between Visit 1 and Visit 5 must discontinue from the trial (screening failure).
Other protocol-defined inclusion/exclusion criteria may apply
Data sourced from ClinicalTrials.gov (NCT01555151). 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.