Trial Outcomes & Findings for A Study To Assess The Safety And Tolerability Of GW642444 In Subjects With Chronic Obstructive Pulmonary Disease (COPD) (NCT NCT00372112)

NCT ID: NCT00372112

Last Updated: 2018-04-02

Results Overview

An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect, may jeopardize the participant or may require medical or surgical intervention to prevent one of the other outcomes listed in this definition.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

68 participants

Primary outcome timeframe

Up to Follow-up (17 days)

Results posted on

2018-04-02

Participant Flow

The study was planned on 80 male or female participants with moderate chronic obstructive pulmonary disease (COPD), aged 40 years or older from 03 November 2006 to 10 May 2007, across 14 centers of 6 countries (10 centers in Europe, 2 centers in Australia and 2 centers in New Zealand).

Out of 145 participants screened, 77 were screen failures and remaining 68 participants were randomized in the study to receive placebo, GW642444H (100 microgram \[mcg\] or 400 mcg once daily or Salmeterol 50 mcg twice daily (BD) via the DISKUS® dry powder inhaler (DPI).

Participant milestones

Participant milestones
Measure
Placebo
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Overall Study
STARTED
17
16
17
18
Overall Study
COMPLETED
16
15
13
14
Overall Study
NOT COMPLETED
1
1
4
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Overall Study
Adverse Event
0
1
1
1
Overall Study
Withdrawal by Subject
0
0
2
1
Overall Study
Exacerbation
0
0
0
1
Overall Study
PR >240 at Visit 3
0
0
0
1
Overall Study
Hepatitis B
1
0
0
0
Overall Study
Other-protocol violation
0
0
1
0

Baseline Characteristics

A Study To Assess The Safety And Tolerability Of GW642444 In Subjects With Chronic Obstructive Pulmonary Disease (COPD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Total
n=68 Participants
Total of all reporting groups
Age, Continuous
61.4 Years
STANDARD_DEVIATION 8.79 • n=5 Participants
65.8 Years
STANDARD_DEVIATION 9.06 • n=7 Participants
66.6 Years
STANDARD_DEVIATION 9.16 • n=5 Participants
60.2 Years
STANDARD_DEVIATION 7.37 • n=4 Participants
63.4 Years
STANDARD_DEVIATION 8.86 • n=21 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
6 Participants
n=7 Participants
5 Participants
n=5 Participants
9 Participants
n=4 Participants
24 Participants
n=21 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
10 Participants
n=7 Participants
12 Participants
n=5 Participants
9 Participants
n=4 Participants
44 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
White
16 Participants
n=5 Participants
15 Participants
n=7 Participants
17 Participants
n=5 Participants
18 Participants
n=4 Participants
66 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Up to Follow-up (17 days)

Population: Safety Population comprised of all participants who were randomized and received at least one dose of study medication.

An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect, may jeopardize the participant or may require medical or surgical intervention to prevent one of the other outcomes listed in this definition.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Number of Participants With Any Adverse Event (AE) or Serious Adverse Event (SAE)
Any AE
4 Participants
5 Participants
7 Participants
6 Participants
Number of Participants With Any Adverse Event (AE) or Serious Adverse Event (SAE)
Any SAE
0 Participants
0 Participants
1 Participants
1 Participants

SECONDARY outcome

Timeframe: Baseline (Day 1, pre-dose) up to Day 14

Population: Safety Population. Only those participants available at the specified time points were analyzed.

HR was measured using 28.5h ABPM on Day 1, Day 7 and Day 14. Baseline was defined as the pre-dose weighted mean of Day 1. Weighted mean was calculated by calculating the area under curve (AUC) of measurements made pre-dose on each day, and then dividing by the relevant time interval. AUC was calculated using the trapezoidal rule. The weighted mean change from Baseline was the average AUC minus Baseline (AAUCMB).

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Change From Baseline in Pre-dose Weighted Mean Heart Rate (HR) Derived From 28.5 Hour (h) Ambulatory Blood Pressure Monitoring (ABPM) at Day 7 and 14
Day 14
1.13 Beats per minute (bpm)
Standard Deviation 7.151
-1.31 Beats per minute (bpm)
Standard Deviation 9.724
4.29 Beats per minute (bpm)
Standard Deviation 9.646
-0.22 Beats per minute (bpm)
Standard Deviation 7.345
Change From Baseline in Pre-dose Weighted Mean Heart Rate (HR) Derived From 28.5 Hour (h) Ambulatory Blood Pressure Monitoring (ABPM) at Day 7 and 14
Day 7
4.60 Beats per minute (bpm)
Standard Deviation 5.689
0.18 Beats per minute (bpm)
Standard Deviation 7.253
0.17 Beats per minute (bpm)
Standard Deviation 6.443
0.95 Beats per minute (bpm)
Standard Deviation 8.793

SECONDARY outcome

Timeframe: Baseline (Day 1, pre-dose) up to Day 15

Population: Safety Population. Only those participants available at the specified time points were analyzed.

HR was measured using 28.5 h ABPM on Day 1 (continued till Day 2), Day 7 (continued till Day 8) and Day 14 (continued till Day 15). Baseline was defined as the pre-dose weighted mean of Day 1. Weighted mean was calculated by calculating the AUC of measurements made 0-4 h post-dose on Day 1, 2, 7, 8, 14 and 15 and then dividing by the relevant time interval. AUC was calculated using the trapezoidal rule. The weighted mean change from Baseline was the AAUCMB.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Change From Baseline in 0-4 h Weighted Mean HR Derived From 28.5 h ABPM at Day 1, 2, 7, 8, 14 and 15
Day 1
2.14 bpm
Standard Error 2.134
4.25 bpm
Standard Error 1.848
7.47 bpm
Standard Error 1.993
4.63 bpm
Standard Error 2.020
Change From Baseline in 0-4 h Weighted Mean HR Derived From 28.5 h ABPM at Day 1, 2, 7, 8, 14 and 15
Day 2
1.01 bpm
Standard Error 2.208
0.63 bpm
Standard Error 1.838
5.37 bpm
Standard Error 1.987
5.61 bpm
Standard Error 2.138
Change From Baseline in 0-4 h Weighted Mean HR Derived From 28.5 h ABPM at Day 1, 2, 7, 8, 14 and 15
Day 7
8.21 bpm
Standard Error 2.357
3.95 bpm
Standard Error 2.051
7.76 bpm
Standard Error 2.403
6.75 bpm
Standard Error 2.324
Change From Baseline in 0-4 h Weighted Mean HR Derived From 28.5 h ABPM at Day 1, 2, 7, 8, 14 and 15
Day 8
1.11 bpm
Standard Error 2.341
1.27 bpm
Standard Error 2.046
9.41 bpm
Standard Error 2.377
4.94 bpm
Standard Error 2.317
Change From Baseline in 0-4 h Weighted Mean HR Derived From 28.5 h ABPM at Day 1, 2, 7, 8, 14 and 15
Day 14
3.64 bpm
Standard Error 2.307
2.54 bpm
Standard Error 2.037
10.42 bpm
Standard Error 2.528
6.92 bpm
Standard Error 2.476
Change From Baseline in 0-4 h Weighted Mean HR Derived From 28.5 h ABPM at Day 1, 2, 7, 8, 14 and 15
Day 15
2.17 bpm
Standard Error 2.460
1.04 bpm
Standard Error 2.138
5.76 bpm
Standard Error 2.666
4.28 bpm
Standard Error 2.440

SECONDARY outcome

Timeframe: Baseline (Day 1, pre-dose) up to Day 15

Population: Safety Population. Only those participants available at the specified time points were analyzed.

HR was measured using 28.5 h ABPM on Day 1, Day 7 and Day 14. Baseline was defined as the pre-dose weighted mean of Day 1. Weighted mean was calculated by calculating the AUC of measurements made 0-24 h post-dose on Day 7 and 14, and then dividing by the relevant time interval. AUC was calculated using the trapezoidal rule. The weighted mean change from Baseline was the AAUCMB.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Change From Baseline in 0-24 h Weighted Mean HR Derived From 28.5 ABPM at Day 7 and 14
Day 14
2.77 bpm
Standard Deviation 7.495
1.84 bpm
Standard Deviation 7.389
9.23 bpm
Standard Deviation 8.173
5.87 bpm
Standard Deviation 6.420
Change From Baseline in 0-24 h Weighted Mean HR Derived From 28.5 ABPM at Day 7 and 14
Day 7
6.50 bpm
Standard Deviation 6.696
3.07 bpm
Standard Deviation 7.261
7.16 bpm
Standard Deviation 6.567
6.47 bpm
Standard Deviation 6.885

SECONDARY outcome

Timeframe: Baseline (Day 1, pre-dose) up to Day 15

Population: Safety Population. Only those participants available at the specified time points were analyzed.

HR was measured using 28.5 h ABPM on Day 1 (continued till Day 2), Day 7 (continued till Day 8) and Day 14 (continued till Day 15). For the calculation of 0-4 h maximum change from Baseline, measurements post-dose up to 6 h (actual time) was included. Baseline was defined as the pre-dose weighted mean of Day 1. Maximum change from Baseline was calculated by subtracting the Baseline value (weighted mean pre-dose Day 1) from the maximum assessment value (during 0-4 h) of the individual post-Baseline time points.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Change From Baseline in Maximum HR During 0-4 h Derived From 28.5 h ABPM at Day 1, 2, 7, 8, 14 and 15
Day 1
20.6 bpm
Standard Error 3.71
22.7 bpm
Standard Error 3.35
23.5 bpm
Standard Error 3.61
20.5 bpm
Standard Error 3.51
Change From Baseline in Maximum HR During 0-4 h Derived From 28.5 h ABPM at Day 1, 2, 7, 8, 14 and 15
Day 2
9.7 bpm
Standard Error 3.17
11.9 bpm
Standard Error 2.66
15.5 bpm
Standard Error 2.88
11.3 bpm
Standard Error 2.90
Change From Baseline in Maximum HR During 0-4 h Derived From 28.5 h ABPM at Day 1, 2, 7, 8, 14 and 15
Day 7
26.8 bpm
Standard Error 4.21
21.9 bpm
Standard Error 3.68
25.0 bpm
Standard Error 4.37
22.0 bpm
Standard Error 4.36
Change From Baseline in Maximum HR During 0-4 h Derived From 28.5 h ABPM at Day 1, 2, 7, 8, 14 and 15
Day 8
9.0 bpm
Standard Error 2.85
12.4 bpm
Standard Error 2.49
19.8 bpm
Standard Error 2.96
12.1 bpm
Standard Error 2.95
Change From Baseline in Maximum HR During 0-4 h Derived From 28.5 h ABPM at Day 1, 2, 7, 8, 14 and 15
Day 14
26.1 bpm
Standard Error 3.73
19.0 bpm
Standard Error 3.25
31.5 bpm
Standard Error 4.29
23.2 bpm
Standard Error 3.86
Change From Baseline in Maximum HR During 0-4 h Derived From 28.5 h ABPM at Day 1, 2, 7, 8, 14 and 15
Day 15
10.2 bpm
Standard Error 3.04
10.5 bpm
Standard Error 2.65
17.0 bpm
Standard Error 3.27
14.6 bpm
Standard Error 3.13

SECONDARY outcome

Timeframe: Day 1 up to Day 15

Population: Safety Population. Only those participants available at the specified time points were analyzed.

HR was measured using 28.5 h ABPM. Weighted mean HR at 0-4 h was obtained from measurements made over 0-4 h post-dose on Day 1, 2, 7, 8, 14 and 15. Weighted mean HR at 0-24 h was obtained from measurements made 0-24 h post-dose on Day 1, 7 and 14. Maximum HR at 0-4 h was obtained from measurements made over 0-4 h post-dose on Day 1, 2, 7, 8, 14 and 15. Baseline was defined as the pre-dose weighted mean of Day 1.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Mean Weighted Mean HR at 0-4 h, Weighted Mean HR at 0-24 h and Maximum HR at 0-4 h Derived From 28.5 h ABPM
Weighted mean HR 0-4, Day 14
76.49 bpm
Standard Deviation 12.635
71.14 bpm
Standard Deviation 11.771
73.74 bpm
Standard Deviation 11.469
80.39 bpm
Standard Deviation 10.801
Mean Weighted Mean HR at 0-4 h, Weighted Mean HR at 0-24 h and Maximum HR at 0-4 h Derived From 28.5 h ABPM
Weighted mean HR 0-4, Day 15
75.64 bpm
Standard Deviation 18.666
68.82 bpm
Standard Deviation 12.980
73.00 bpm
Standard Deviation 11.033
77.60 bpm
Standard Deviation 10.298
Mean Weighted Mean HR at 0-4 h, Weighted Mean HR at 0-24 h and Maximum HR at 0-4 h Derived From 28.5 h ABPM
Maximum HR 0-4 h, Day 7
97.9 bpm
Standard Deviation 13.76
90.5 bpm
Standard Deviation 18.85
88.7 bpm
Standard Deviation 17.07
94.6 bpm
Standard Deviation 14.86
Mean Weighted Mean HR at 0-4 h, Weighted Mean HR at 0-24 h and Maximum HR at 0-4 h Derived From 28.5 h ABPM
Maximum HR 0-4 h, Day 8
82.2 bpm
Standard Deviation 19.23
80.6 bpm
Standard Deviation 18.06
82.0 bpm
Standard Deviation 16.14
86.9 bpm
Standard Deviation 14.31
Mean Weighted Mean HR at 0-4 h, Weighted Mean HR at 0-24 h and Maximum HR at 0-4 h Derived From 28.5 h ABPM
Weighted mean HR 0-4, Day 1
70.08 bpm
Standard Deviation 10.722
72.23 bpm
Standard Deviation 12.766
73.03 bpm
Standard Deviation 13.251
77.50 bpm
Standard Deviation 10.092
Mean Weighted Mean HR at 0-4 h, Weighted Mean HR at 0-24 h and Maximum HR at 0-4 h Derived From 28.5 h ABPM
Weighted mean HR 0-4, Day 2
71.07 bpm
Standard Deviation 14.743
68.24 bpm
Standard Deviation 10.081
70.47 bpm
Standard Deviation 11.771
77.12 bpm
Standard Deviation 11.461
Mean Weighted Mean HR at 0-4 h, Weighted Mean HR at 0-24 h and Maximum HR at 0-4 h Derived From 28.5 h ABPM
Weighted mean HR 0-4, Day 7
78.69 bpm
Standard Deviation 12.493
73.01 bpm
Standard Deviation 12.943
73.63 bpm
Standard Deviation 10.354
78.44 bpm
Standard Deviation 13.191
Mean Weighted Mean HR at 0-4 h, Weighted Mean HR at 0-24 h and Maximum HR at 0-4 h Derived From 28.5 h ABPM
Weighted mean HR 0-4, Day 8
73.82 bpm
Standard Deviation 15.927
70.17 bpm
Standard Deviation 11.353
73.20 bpm
Standard Deviation 13.379
77.76 bpm
Standard Deviation 13.003
Mean Weighted Mean HR at 0-4 h, Weighted Mean HR at 0-24 h and Maximum HR at 0-4 h Derived From 28.5 h ABPM
Weighted mean HR 0-24, Day 14
75.72 bpm
Standard Deviation 11.473
70.45 bpm
Standard Deviation 10.977
72.42 bpm
Standard Deviation 10.097
78.93 bpm
Standard Deviation 8.054
Mean Weighted Mean HR at 0-4 h, Weighted Mean HR at 0-24 h and Maximum HR at 0-4 h Derived From 28.5 h ABPM
Maximum HR 0-4 h, Day 1
94.9 bpm
Standard Deviation 18.38
90.3 bpm
Standard Deviation 17.72
88.6 bpm
Standard Deviation 13.91
92.7 bpm
Standard Deviation 13.90
Mean Weighted Mean HR at 0-4 h, Weighted Mean HR at 0-24 h and Maximum HR at 0-4 h Derived From 28.5 h ABPM
Maximum HR 0-4 h, Day 2
82.4 bpm
Standard Deviation 17.80
79.4 bpm
Standard Deviation 15.90
79.5 bpm
Standard Deviation 16.07
86.3 bpm
Standard Deviation 14.03
Mean Weighted Mean HR at 0-4 h, Weighted Mean HR at 0-24 h and Maximum HR at 0-4 h Derived From 28.5 h ABPM
Maximum HR 0-4 h, Day 14
95.2 bpm
Standard Deviation 12.16
87.0 bpm
Standard Deviation 14.68
92.9 bpm
Standard Deviation 20.08
96.2 bpm
Standard Deviation 12.21
Mean Weighted Mean HR at 0-4 h, Weighted Mean HR at 0-24 h and Maximum HR at 0-4 h Derived From 28.5 h ABPM
Maximum HR 0-4 h, Day 15
84.8 bpm
Standard Deviation 19.24
78.7 bpm
Standard Deviation 16.37
82.6 bpm
Standard Deviation 10.95
88.7 bpm
Standard Deviation 13.90
Mean Weighted Mean HR at 0-4 h, Weighted Mean HR at 0-24 h and Maximum HR at 0-4 h Derived From 28.5 h ABPM
Weighted mean HR 0-24, Day 1
70.07 bpm
Standard Deviation 10.079
72.33 bpm
Standard Deviation 11.592
71.83 bpm
Standard Deviation 11.772
78.53 bpm
Standard Deviation 8.525
Mean Weighted Mean HR at 0-4 h, Weighted Mean HR at 0-24 h and Maximum HR at 0-4 h Derived From 28.5 h ABPM
Weighted mean HR 0-24, Day 7
75.83 bpm
Standard Deviation 11.085
72.35 bpm
Standard Deviation 11.046
74.05 bpm
Standard Deviation 11.298
78.18 bpm
Standard Deviation 9.649

SECONDARY outcome

Timeframe: Day 1 up to Day 14

Population: Safety Population. Only those participants available at the specified time points were analyzed.

HR was measured using 28.5 h ABPM. The assessments were analyzed hourly as 0-1 h, 1-2 h, 2-3 h, 3-4 h, 4-5 h, 5-6 h, 6-7 h, 7-8 h, 8-9 h, 9-10 h, 10-11 h, 11-12 h, 12-13 h, 13-14 h, 14-15 h, 15-16 h, 16-17 h, 17-18 h, 18-19 h, 19-20 h, 20-21 h, 21-22 h, 22-23 h and 23-24 h at Day 1, Day 7 and Day 14.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 7-8 h
90.93 bpm
Standard Deviation 16.769
74.63 bpm
Standard Deviation 12.662
74.56 bpm
Standard Deviation 13.507
81.15 bpm
Standard Deviation 13.423
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 21-22 h
81.25 bpm
Standard Deviation 17.242
70.39 bpm
Standard Deviation 14.987
75.08 bpm
Standard Deviation 18.779
81.10 bpm
Standard Deviation 18.165
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 0-1 h
72.58 bpm
Standard Deviation 13.911
69.26 bpm
Standard Deviation 12.264
71.43 bpm
Standard Deviation 12.365
71.31 bpm
Standard Deviation 11.094
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 1-2 h
70.73 bpm
Standard Deviation 12.767
67.31 bpm
Standard Deviation 10.363
73.09 bpm
Standard Deviation 14.935
79.42 bpm
Standard Deviation 14.377
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 2-3 h
69.30 bpm
Standard Deviation 15.013
69.00 bpm
Standard Deviation 13.952
73.79 bpm
Standard Deviation 15.563
80.38 bpm
Standard Deviation 11.531
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 3-4 h
74.81 bpm
Standard Deviation 16.120
69.70 bpm
Standard Deviation 11.730
72.72 bpm
Standard Deviation 11.496
77.95 bpm
Standard Deviation 10.489
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 4-5 h
83.09 bpm
Standard Deviation 18.120
76.30 bpm
Standard Deviation 15.787
77.08 bpm
Standard Deviation 12.802
81.46 bpm
Standard Deviation 13.089
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 9-10 h
77.38 bpm
Standard Deviation 14.157
80.21 bpm
Standard Deviation 18.824
77.65 bpm
Standard Deviation 16.831
82.89 bpm
Standard Deviation 7.669
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 11-12 h
78.78 bpm
Standard Deviation 12.658
74.60 bpm
Standard Deviation 11.558
76.65 bpm
Standard Deviation 14.867
79.75 bpm
Standard Deviation 8.512
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 12-13 h
76.53 bpm
Standard Deviation 12.925
71.40 bpm
Standard Deviation 14.023
73.85 bpm
Standard Deviation 12.556
80.54 bpm
Standard Deviation 8.434
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 17-18 h
69.53 bpm
Standard Deviation 12.929
63.87 bpm
Standard Deviation 12.354
72.96 bpm
Standard Deviation 11.684
72.46 bpm
Standard Deviation 8.439
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 18-19 h
66.72 bpm
Standard Deviation 10.807
64.60 bpm
Standard Deviation 12.689
69.83 bpm
Standard Deviation 12.394
71.43 bpm
Standard Deviation 8.408
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 21-22 h
79.67 bpm
Standard Deviation 17.424
70.73 bpm
Standard Deviation 13.157
79.31 bpm
Standard Deviation 17.590
77.92 bpm
Standard Deviation 12.715
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 22-23 h
77.15 bpm
Standard Deviation 14.389
71.67 bpm
Standard Deviation 14.608
75.58 bpm
Standard Deviation 10.004
78.46 bpm
Standard Deviation 9.268
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 23-24 h
79.06 bpm
Standard Deviation 16.986
67.82 bpm
Standard Deviation 11.478
70.23 bpm
Standard Deviation 10.633
78.39 bpm
Standard Deviation 16.352
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 0-1 h
68.20 bpm
Standard Deviation 12.487
68.38 bpm
Standard Deviation 11.616
72.51 bpm
Standard Deviation 14.025
73.48 bpm
Standard Deviation 10.304
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 1-2 h
68.84 bpm
Standard Deviation 14.022
69.89 bpm
Standard Deviation 13.158
73.50 bpm
Standard Deviation 14.366
72.88 bpm
Standard Deviation 10.279
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 2-3 h
72.87 bpm
Standard Deviation 18.200
66.83 bpm
Standard Deviation 14.839
70.09 bpm
Standard Deviation 16.775
76.29 bpm
Standard Deviation 11.530
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 3-4 h
68.69 bpm
Standard Deviation 14.133
72.29 bpm
Standard Deviation 15.321
70.43 bpm
Standard Deviation 12.784
75.09 bpm
Standard Deviation 10.270
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 4-5 h
80.07 bpm
Standard Deviation 22.088
74.82 bpm
Standard Deviation 17.671
77.72 bpm
Standard Deviation 13.937
83.50 bpm
Standard Deviation 12.022
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 5-6 h
90.46 bpm
Standard Deviation 17.075
79.68 bpm
Standard Deviation 16.218
83.83 bpm
Standard Deviation 11.544
84.77 bpm
Standard Deviation 16.272
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 6-7 h
85.64 bpm
Standard Deviation 16.974
78.23 bpm
Standard Deviation 17.370
76.54 bpm
Standard Deviation 12.801
81.46 bpm
Standard Deviation 11.896
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 7-8 h
81.67 bpm
Standard Deviation 16.306
78.28 bpm
Standard Deviation 15.727
78.14 bpm
Standard Deviation 15.623
81.40 bpm
Standard Deviation 11.960
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 8-9 h
81.07 bpm
Standard Deviation 15.185
81.41 bpm
Standard Deviation 17.908
77.97 bpm
Standard Deviation 12.859
82.38 bpm
Standard Deviation 11.944
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 9-10 h
79.38 bpm
Standard Deviation 16.201
79.31 bpm
Standard Deviation 16.239
75.53 bpm
Standard Deviation 14.272
82.94 bpm
Standard Deviation 11.000
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 10-11 h
76.54 bpm
Standard Deviation 19.338
76.03 bpm
Standard Deviation 15.206
72.33 bpm
Standard Deviation 11.083
81.88 bpm
Standard Deviation 10.888
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 11-12 h
74.33 bpm
Standard Deviation 17.192
74.16 bpm
Standard Deviation 14.162
69.25 bpm
Standard Deviation 10.907
79.76 bpm
Standard Deviation 9.416
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 12-13 h
74.70 bpm
Standard Deviation 16.493
71.53 bpm
Standard Deviation 16.620
71.16 bpm
Standard Deviation 13.766
80.17 bpm
Standard Deviation 11.182
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 13-14 h
70.17 bpm
Standard Deviation 16.547
71.00 bpm
Standard Deviation 13.837
70.50 bpm
Standard Deviation 11.540
79.26 bpm
Standard Deviation 9.203
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 14-15 h
68.47 bpm
Standard Deviation 15.015
69.41 bpm
Standard Deviation 14.053
70.19 bpm
Standard Deviation 11.542
77.41 bpm
Standard Deviation 7.912
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 15-16 h
67.30 bpm
Standard Deviation 13.618
66.69 bpm
Standard Deviation 14.791
68.27 bpm
Standard Deviation 13.843
75.00 bpm
Standard Deviation 8.828
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 16-17 h
65.75 bpm
Standard Deviation 12.667
65.75 bpm
Standard Deviation 12.031
67.87 bpm
Standard Deviation 11.999
73.84 bpm
Standard Deviation 8.408
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 17-18 h
64.20 bpm
Standard Deviation 12.078
66.50 bpm
Standard Deviation 12.102
65.37 bpm
Standard Deviation 11.592
72.00 bpm
Standard Deviation 8.823
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 18-19 h
63.34 bpm
Standard Deviation 11.705
66.53 bpm
Standard Deviation 10.848
67.82 bpm
Standard Deviation 17.133
72.35 bpm
Standard Deviation 6.451
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 19-20 h
63.58 bpm
Standard Deviation 11.302
63.31 bpm
Standard Deviation 9.889
70.86 bpm
Standard Deviation 19.586
74.17 bpm
Standard Deviation 11.231
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 20-21 h
68.81 bpm
Standard Deviation 13.465
66.88 bpm
Standard Deviation 14.906
70.82 bpm
Standard Deviation 17.638
76.72 bpm
Standard Deviation 11.240
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 21-22 h
75.23 bpm
Standard Deviation 14.859
78.79 bpm
Standard Deviation 17.327
71.47 bpm
Standard Deviation 18.402
82.03 bpm
Standard Deviation 13.237
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 22-23 h
75.08 bpm
Standard Deviation 15.643
74.10 bpm
Standard Deviation 11.235
70.37 bpm
Standard Deviation 10.167
80.55 bpm
Standard Deviation 13.168
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 23-24 h
70.21 bpm
Standard Deviation 13.674
70.51 bpm
Standard Deviation 12.439
69.63 bpm
Standard Deviation 12.911
76.94 bpm
Standard Deviation 12.137
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 0-1 h
73.97 bpm
Standard Deviation 12.115
68.25 bpm
Standard Deviation 12.667
69.79 bpm
Standard Deviation 10.700
75.07 bpm
Standard Deviation 13.723
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 1-2 h
76.66 bpm
Standard Deviation 16.264
70.17 bpm
Standard Deviation 13.754
72.63 bpm
Standard Deviation 12.989
74.05 bpm
Standard Deviation 12.343
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 2-3 h
74.21 bpm
Standard Deviation 16.735
65.96 bpm
Standard Deviation 13.524
69.89 bpm
Standard Deviation 14.077
76.96 bpm
Standard Deviation 14.353
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 3-4 h
75.30 bpm
Standard Deviation 15.794
71.35 bpm
Standard Deviation 16.210
69.30 bpm
Standard Deviation 11.496
77.71 bpm
Standard Deviation 14.097
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 4-5 h
83.21 bpm
Standard Deviation 12.349
80.61 bpm
Standard Deviation 14.581
78.96 bpm
Standard Deviation 12.857
85.25 bpm
Standard Deviation 16.055
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 5-6 h
90.63 bpm
Standard Deviation 11.828
79.65 bpm
Standard Deviation 17.860
79.12 bpm
Standard Deviation 15.687
86.54 bpm
Standard Deviation 15.224
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 6-7 h
90.50 bpm
Standard Deviation 17.096
78.07 bpm
Standard Deviation 13.867
74.69 bpm
Standard Deviation 14.010
81.28 bpm
Standard Deviation 11.328
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 8-9 h
85.50 bpm
Standard Deviation 12.923
76.53 bpm
Standard Deviation 14.341
76.40 bpm
Standard Deviation 14.970
81.57 bpm
Standard Deviation 15.587
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 9-10 h
78.60 bpm
Standard Deviation 12.900
75.73 bpm
Standard Deviation 14.007
76.88 bpm
Standard Deviation 12.395
88.00 bpm
Standard Deviation 14.735
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 10-11 h
78.80 bpm
Standard Deviation 12.846
75.83 bpm
Standard Deviation 15.496
79.63 bpm
Standard Deviation 15.493
82.17 bpm
Standard Deviation 12.757
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 11-12 h
77.17 bpm
Standard Deviation 12.349
73.61 bpm
Standard Deviation 12.435
75.55 bpm
Standard Deviation 13.549
82.03 bpm
Standard Deviation 9.553
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 12-13 h
74.47 bpm
Standard Deviation 16.722
72.23 bpm
Standard Deviation 13.522
75.23 bpm
Standard Deviation 12.760
81.47 bpm
Standard Deviation 9.021
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 13-14 h
73.90 bpm
Standard Deviation 16.245
70.10 bpm
Standard Deviation 13.925
73.26 bpm
Standard Deviation 13.101
80.37 bpm
Standard Deviation 8.423
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 14-15 h
67.97 bpm
Standard Deviation 14.851
70.10 bpm
Standard Deviation 13.288
72.50 bpm
Standard Deviation 11.970
80.37 bpm
Standard Deviation 8.943
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 15-16 h
69.00 bpm
Standard Deviation 14.210
66.70 bpm
Standard Deviation 11.188
71.98 bpm
Standard Deviation 10.818
75.80 bpm
Standard Deviation 8.988
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 16-17 h
66.47 bpm
Standard Deviation 13.970
65.60 bpm
Standard Deviation 10.524
70.83 bpm
Standard Deviation 10.822
74.73 bpm
Standard Deviation 9.243
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 17-18 h
66.60 bpm
Standard Deviation 13.494
65.57 bpm
Standard Deviation 10.962
70.75 bpm
Standard Deviation 12.194
74.23 bpm
Standard Deviation 8.542
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 18-19 h
65.27 bpm
Standard Deviation 14.732
66.64 bpm
Standard Deviation 9.976
69.07 bpm
Standard Deviation 10.887
74.10 bpm
Standard Deviation 10.369
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 19-20 h
67.89 bpm
Standard Deviation 15.134
67.17 bpm
Standard Deviation 11.047
68.86 bpm
Standard Deviation 13.388
73.47 bpm
Standard Deviation 9.066
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 20-21 h
69.75 bpm
Standard Deviation 15.978
67.35 bpm
Standard Deviation 15.498
68.39 bpm
Standard Deviation 14.531
75.12 bpm
Standard Deviation 13.670
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 22-23 h
78.27 bpm
Standard Deviation 17.026
71.85 bpm
Standard Deviation 22.724
72.96 bpm
Standard Deviation 13.181
83.00 bpm
Standard Deviation 16.501
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 23-24 h
73.90 bpm
Standard Deviation 16.937
69.51 bpm
Standard Deviation 10.521
71.79 bpm
Standard Deviation 12.076
76.50 bpm
Standard Deviation 12.890
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 5-6 h
87.17 bpm
Standard Deviation 13.308
76.63 bpm
Standard Deviation 13.348
81.53 bpm
Standard Deviation 11.850
89.15 bpm
Standard Deviation 14.899
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 6-7 h
81.62 bpm
Standard Deviation 11.162
75.29 bpm
Standard Deviation 12.525
77.92 bpm
Standard Deviation 15.697
87.79 bpm
Standard Deviation 16.734
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 7-8 h
79.77 bpm
Standard Deviation 14.674
77.10 bpm
Standard Deviation 15.826
76.32 bpm
Standard Deviation 15.363
77.67 bpm
Standard Deviation 13.774
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 8-9 h
79.97 bpm
Standard Deviation 13.840
77.03 bpm
Standard Deviation 13.345
76.77 bpm
Standard Deviation 12.882
81.17 bpm
Standard Deviation 10.069
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 10-11 h
81.14 bpm
Standard Deviation 11.396
74.27 bpm
Standard Deviation 15.734
78.85 bpm
Standard Deviation 18.580
80.71 bpm
Standard Deviation 7.844
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 13-14 h
74.09 bpm
Standard Deviation 13.790
71.33 bpm
Standard Deviation 13.282
74.96 bpm
Standard Deviation 14.060
77.43 bpm
Standard Deviation 8.216
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 14-15 h
71.41 bpm
Standard Deviation 14.672
69.73 bpm
Standard Deviation 11.654
74.78 bpm
Standard Deviation 13.677
78.18 bpm
Standard Deviation 10.622
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 15-16 h
70.72 bpm
Standard Deviation 12.920
68.87 bpm
Standard Deviation 12.238
71.62 bpm
Standard Deviation 12.805
76.21 bpm
Standard Deviation 7.300
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 16-17 h
69.16 bpm
Standard Deviation 11.226
65.10 bpm
Standard Deviation 11.382
73.65 bpm
Standard Deviation 11.067
74.79 bpm
Standard Deviation 8.937
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 19-20 h
66.25 bpm
Standard Deviation 11.703
65.33 bpm
Standard Deviation 13.591
67.59 bpm
Standard Deviation 11.334
72.04 bpm
Standard Deviation 8.734
Mean Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 20-21 h
72.56 bpm
Standard Deviation 16.361
68.31 bpm
Standard Deviation 16.095
71.17 bpm
Standard Deviation 15.336
70.63 bpm
Standard Deviation 9.163

SECONDARY outcome

Timeframe: Day 1 up to Day 14

Population: Safety Population. Only those participants available at the specified time points were analyzed.

HR was measured using 28.5 h ABPM. The assessments for maximum HR were analyzed hourly as 0-1 h, 1-2 h, 2-3 h, 3-4 h, 4-5 h, 5-6 h, 6-7 h, 7-8 h, 8-9 h, 9-10 h, 10-11 h, 11-12 h, 12-13 h, 13-14 h, 14-15 h, 15-16 h, 16-17 h, 17-18 h, 18-19 h, 19-20 h, 20-21 h, 21-22 h, 22-23 h and 23-24 h at Day 1, Day 7 and Day 14.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 18-19 h
66.3 bpm
Standard Deviation 14.80
68.9 bpm
Standard Deviation 9.86
72.5 bpm
Standard Deviation 12.40
76.3 bpm
Standard Deviation 11.03
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 19-20 h
71.7 bpm
Standard Deviation 18.46
69.9 bpm
Standard Deviation 12.47
71.2 bpm
Standard Deviation 13.45
75.3 bpm
Standard Deviation 9.36
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 23-24 h
81.2 bpm
Standard Deviation 17.96
70.1 bpm
Standard Deviation 11.82
71.5 bpm
Standard Deviation 10.64
83.2 bpm
Standard Deviation 22.59
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 11-12 h
75.9 bpm
Standard Deviation 17.39
75.9 bpm
Standard Deviation 14.90
71.3 bpm
Standard Deviation 12.00
82.0 bpm
Standard Deviation 9.87
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 12-13 h
77.3 bpm
Standard Deviation 17.59
73.4 bpm
Standard Deviation 17.79
74.3 bpm
Standard Deviation 17.66
83.0 bpm
Standard Deviation 12.34
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 0-1 h
70.6 bpm
Standard Deviation 13.01
71.1 bpm
Standard Deviation 12.33
74.4 bpm
Standard Deviation 15.08
76.6 bpm
Standard Deviation 10.98
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 2-3 h
75.8 bpm
Standard Deviation 19.33
70.1 bpm
Standard Deviation 17.21
71.8 bpm
Standard Deviation 17.31
78.6 bpm
Standard Deviation 12.08
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 3-4 h
71.2 bpm
Standard Deviation 14.27
74.4 bpm
Standard Deviation 15.90
72.8 bpm
Standard Deviation 12.69
78.2 bpm
Standard Deviation 11.11
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 6-7 h
89.6 bpm
Standard Deviation 18.90
80.5 bpm
Standard Deviation 17.73
78.9 bpm
Standard Deviation 13.44
83.1 bpm
Standard Deviation 12.07
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 7-8 h
84.9 bpm
Standard Deviation 17.74
84.5 bpm
Standard Deviation 19.89
80.2 bpm
Standard Deviation 16.38
84.4 bpm
Standard Deviation 13.92
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 8-9 h
85.0 bpm
Standard Deviation 17.26
84.2 bpm
Standard Deviation 19.19
81.1 bpm
Standard Deviation 13.49
85.1 bpm
Standard Deviation 13.11
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 9-10 h
82.4 bpm
Standard Deviation 15.48
82.2 bpm
Standard Deviation 15.71
77.3 bpm
Standard Deviation 14.85
84.6 bpm
Standard Deviation 11.70
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 13-14 h
71.5 bpm
Standard Deviation 16.84
72.4 bpm
Standard Deviation 14.33
72.7 bpm
Standard Deviation 12.04
81.4 bpm
Standard Deviation 10.35
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 14-15 h
69.7 bpm
Standard Deviation 14.69
70.8 bpm
Standard Deviation 14.61
71.8 bpm
Standard Deviation 12.41
79.8 bpm
Standard Deviation 7.82
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 20-21 h
71.7 bpm
Standard Deviation 14.17
71.3 bpm
Standard Deviation 17.68
72.6 bpm
Standard Deviation 18.91
79.9 bpm
Standard Deviation 12.54
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 1-2 h
78.9 bpm
Standard Deviation 16.88
73.0 bpm
Standard Deviation 15.46
75.5 bpm
Standard Deviation 13.53
74.8 bpm
Standard Deviation 12.30
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 5-6 h
94.0 bpm
Standard Deviation 13.05
82.1 bpm
Standard Deviation 17.81
80.7 bpm
Standard Deviation 16.52
88.8 bpm
Standard Deviation 16.11
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 6-7 h
92.5 bpm
Standard Deviation 16.78
85.4 bpm
Standard Deviation 15.58
76.6 bpm
Standard Deviation 13.91
83.8 bpm
Standard Deviation 12.81
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 7-8 h
96.7 bpm
Standard Deviation 20.74
77.9 bpm
Standard Deviation 13.02
77.6 bpm
Standard Deviation 16.31
83.9 bpm
Standard Deviation 14.41
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 8-9 h
89.2 bpm
Standard Deviation 12.96
78.5 bpm
Standard Deviation 15.27
77.8 bpm
Standard Deviation 15.41
84.1 bpm
Standard Deviation 17.28
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 9-10 h
81.9 bpm
Standard Deviation 14.09
77.5 bpm
Standard Deviation 13.84
80.0 bpm
Standard Deviation 13.27
91.2 bpm
Standard Deviation 16.05
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 10-11 h
83.2 bpm
Standard Deviation 13.12
78.5 bpm
Standard Deviation 17.13
83.1 bpm
Standard Deviation 16.04
84.6 bpm
Standard Deviation 13.56
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 11-12 h
81.2 bpm
Standard Deviation 12.64
75.3 bpm
Standard Deviation 12.58
77.2 bpm
Standard Deviation 14.04
83.6 bpm
Standard Deviation 9.63
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 12-13 h
77.2 bpm
Standard Deviation 17.63
74.5 bpm
Standard Deviation 13.51
77.3 bpm
Standard Deviation 13.33
83.4 bpm
Standard Deviation 8.86
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 13-14 h
76.5 bpm
Standard Deviation 16.76
71.7 bpm
Standard Deviation 14.67
75.6 bpm
Standard Deviation 14.16
82.1 bpm
Standard Deviation 9.38
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 14-15 h
69.4 bpm
Standard Deviation 15.55
72.6 bpm
Standard Deviation 13.56
74.4 bpm
Standard Deviation 12.64
83.2 bpm
Standard Deviation 10.35
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 15-16 h
71.3 bpm
Standard Deviation 15.41
68.5 bpm
Standard Deviation 11.80
74.0 bpm
Standard Deviation 11.31
77.1 bpm
Standard Deviation 8.83
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 16-17 h
68.3 bpm
Standard Deviation 15.42
67.3 bpm
Standard Deviation 11.30
73.4 bpm
Standard Deviation 11.95
76.7 bpm
Standard Deviation 8.67
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 17-18 h
68.9 bpm
Standard Deviation 14.09
67.1 bpm
Standard Deviation 11.08
72.7 bpm
Standard Deviation 13.78
75.7 bpm
Standard Deviation 9.43
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 20-21 h
77.1 bpm
Standard Deviation 16.13
69.6 bpm
Standard Deviation 17.11
70.9 bpm
Standard Deviation 15.08
76.5 bpm
Standard Deviation 13.96
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 21-22 h
88.0 bpm
Standard Deviation 20.26
72.0 bpm
Standard Deviation 15.09
79.1 bpm
Standard Deviation 22.11
83.5 bpm
Standard Deviation 17.91
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 22-23 h
79.9 bpm
Standard Deviation 18.30
77.2 bpm
Standard Deviation 30.30
74.9 bpm
Standard Deviation 13.45
86.2 bpm
Standard Deviation 16.30
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 23-24 h
77.0 bpm
Standard Deviation 17.25
72.1 bpm
Standard Deviation 11.53
73.8 bpm
Standard Deviation 11.45
78.0 bpm
Standard Deviation 13.19
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 0-1 h
75.9 bpm
Standard Deviation 15.22
73.1 bpm
Standard Deviation 14.62
72.8 bpm
Standard Deviation 13.24
74.2 bpm
Standard Deviation 9.69
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 1-2 h
73.3 bpm
Standard Deviation 12.25
69.8 bpm
Standard Deviation 10.50
77.6 bpm
Standard Deviation 16.51
81.7 bpm
Standard Deviation 15.38
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 2-3 h
71.5 bpm
Standard Deviation 15.13
70.8 bpm
Standard Deviation 15.09
75.8 bpm
Standard Deviation 17.29
81.6 bpm
Standard Deviation 11.05
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 3-4 h
78.0 bpm
Standard Deviation 17.88
72.9 bpm
Standard Deviation 13.43
75.4 bpm
Standard Deviation 11.35
79.1 bpm
Standard Deviation 11.09
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 4-5 h
87.1 bpm
Standard Deviation 16.80
78.6 bpm
Standard Deviation 17.84
81.5 bpm
Standard Deviation 22.85
83.9 bpm
Standard Deviation 13.79
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 5-6 h
90.1 bpm
Standard Deviation 13.99
81.1 bpm
Standard Deviation 12.15
84.3 bpm
Standard Deviation 11.71
91.7 bpm
Standard Deviation 14.65
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 6-7 h
84.8 bpm
Standard Deviation 9.97
77.8 bpm
Standard Deviation 12.97
79.6 bpm
Standard Deviation 16.19
88.8 bpm
Standard Deviation 16.61
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 7-8 h
82.9 bpm
Standard Deviation 14.36
81.5 bpm
Standard Deviation 17.22
79.1 bpm
Standard Deviation 16.53
80.2 bpm
Standard Deviation 14.88
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 8-9 h
82.5 bpm
Standard Deviation 14.33
78.6 bpm
Standard Deviation 14.21
78.8 bpm
Standard Deviation 13.74
82.4 bpm
Standard Deviation 9.98
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 9-10 h
80.0 bpm
Standard Deviation 15.11
83.6 bpm
Standard Deviation 19.68
80.2 bpm
Standard Deviation 16.58
85.5 bpm
Standard Deviation 8.06
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 10-11 h
84.4 bpm
Standard Deviation 11.60
76.3 bpm
Standard Deviation 15.94
81.2 bpm
Standard Deviation 19.62
82.8 bpm
Standard Deviation 7.90
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 11-112 h
81.6 bpm
Standard Deviation 12.96
75.9 bpm
Standard Deviation 12.31
78.6 bpm
Standard Deviation 15.41
81.5 bpm
Standard Deviation 8.69
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 12-13 h
79.8 bpm
Standard Deviation 15.21
74.7 bpm
Standard Deviation 14.00
76.5 bpm
Standard Deviation 13.40
82.6 bpm
Standard Deviation 9.41
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 13-14 h
76.3 bpm
Standard Deviation 14.07
73.3 bpm
Standard Deviation 14.41
77.1 bpm
Standard Deviation 16.06
80.0 bpm
Standard Deviation 7.62
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 14-15 h
73.3 bpm
Standard Deviation 14.92
71.9 bpm
Standard Deviation 11.68
77.1 bpm
Standard Deviation 14.58
79.9 bpm
Standard Deviation 11.16
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 15-16 h
72.9 bpm
Standard Deviation 13.94
70.7 bpm
Standard Deviation 13.11
74.1 bpm
Standard Deviation 14.21
78.0 bpm
Standard Deviation 7.81
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 16-17 h
70.8 bpm
Standard Deviation 11.48
66.3 bpm
Standard Deviation 11.78
76.1 bpm
Standard Deviation 11.97
77.4 bpm
Standard Deviation 10.28
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 17-18 h
72.8 bpm
Standard Deviation 15.25
65.4 bpm
Standard Deviation 12.55
75.4 bpm
Standard Deviation 12.27
73.8 bpm
Standard Deviation 8.49
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 18-19 h
69.1 bpm
Standard Deviation 11.03
67.1 bpm
Standard Deviation 14.08
71.6 bpm
Standard Deviation 12.67
73.5 bpm
Standard Deviation 8.92
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 19-20 h
68.5 bpm
Standard Deviation 12.76
66.9 bpm
Standard Deviation 14.52
68.8 bpm
Standard Deviation 11.45
73.9 bpm
Standard Deviation 8.53
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 20-21 h
75.1 bpm
Standard Deviation 17.38
72.5 bpm
Standard Deviation 20.28
73.3 bpm
Standard Deviation 14.81
72.8 bpm
Standard Deviation 10.21
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 21-22 h
82.0 bpm
Standard Deviation 19.41
72.9 bpm
Standard Deviation 13.44
81.8 bpm
Standard Deviation 17.49
81.4 bpm
Standard Deviation 15.05
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 14, 22-23 h
79.8 bpm
Standard Deviation 14.88
74.0 bpm
Standard Deviation 14.39
79.8 bpm
Standard Deviation 8.92
81.4 bpm
Standard Deviation 10.13
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 1-2 h
72.2 bpm
Standard Deviation 15.32
72.8 bpm
Standard Deviation 16.72
76.4 bpm
Standard Deviation 16.21
74.1 bpm
Standard Deviation 10.19
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 4-5 h
84.6 bpm
Standard Deviation 22.67
78.0 bpm
Standard Deviation 18.81
81.6 bpm
Standard Deviation 14.40
86.4 bpm
Standard Deviation 12.91
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 5-6 h
94.2 bpm
Standard Deviation 18.14
82.3 bpm
Standard Deviation 16.45
86.4 bpm
Standard Deviation 11.38
88.5 bpm
Standard Deviation 18.88
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 21-22 h
77.6 bpm
Standard Deviation 15.88
85.0 bpm
Standard Deviation 25.45
72.7 bpm
Standard Deviation 19.60
84.3 bpm
Standard Deviation 14.31
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 10-11 h
78.7 bpm
Standard Deviation 19.80
78.9 bpm
Standard Deviation 17.02
74.1 bpm
Standard Deviation 11.79
84.4 bpm
Standard Deviation 12.47
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 15-16 h
68.9 bpm
Standard Deviation 13.69
68.9 bpm
Standard Deviation 17.61
69.2 bpm
Standard Deviation 13.96
76.1 bpm
Standard Deviation 8.84
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 16-17 h
68.1 bpm
Standard Deviation 13.32
67.6 bpm
Standard Deviation 12.10
70.9 bpm
Standard Deviation 13.24
76.2 bpm
Standard Deviation 9.06
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 17-18 h
65.6 bpm
Standard Deviation 11.67
68.9 bpm
Standard Deviation 13.30
67.0 bpm
Standard Deviation 11.47
74.2 bpm
Standard Deviation 9.28
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 18-19 h
64.9 bpm
Standard Deviation 11.94
70.9 bpm
Standard Deviation 13.15
70.4 bpm
Standard Deviation 17.35
75.7 bpm
Standard Deviation 7.54
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 19-20 h
65.5 bpm
Standard Deviation 12.14
64.7 bpm
Standard Deviation 10.82
73.8 bpm
Standard Deviation 19.57
77.2 bpm
Standard Deviation 13.61
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 22-23 h
77.1 bpm
Standard Deviation 15.50
79.5 bpm
Standard Deviation 15.12
71.9 bpm
Standard Deviation 10.79
82.9 bpm
Standard Deviation 14.73
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 1, 23-24 h
72.6 bpm
Standard Deviation 12.87
72.1 bpm
Standard Deviation 12.83
71.7 bpm
Standard Deviation 12.59
79.1 bpm
Standard Deviation 12.78
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 0-1 h
78.4 bpm
Standard Deviation 12.21
71.4 bpm
Standard Deviation 13.82
73.2 bpm
Standard Deviation 12.13
77.2 bpm
Standard Deviation 14.04
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 2-3 h
75.5 bpm
Standard Deviation 16.70
67.2 bpm
Standard Deviation 13.83
71.4 bpm
Standard Deviation 14.32
77.9 bpm
Standard Deviation 14.93
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 3-4 h
77.5 bpm
Standard Deviation 15.32
73.3 bpm
Standard Deviation 17.38
71.0 bpm
Standard Deviation 11.78
80.0 bpm
Standard Deviation 14.22
Mean Maximum Hourly HR 0-24 h at Day 1, 7 and 14
Day 7, 4-5 h
88.8 bpm
Standard Deviation 13.85
87.8 bpm
Standard Deviation 18.56
83.1 bpm
Standard Deviation 18.52
88.8 bpm
Standard Deviation 15.42

SECONDARY outcome

Timeframe: Baseline (Day 1, pre-dose) up to Day 15

Population: Safety Population. Only those participants available at the specified time points were analyzed.

BP was measured using 28.5 h ABPM. Weighted mean SBP and DBP at 0-4 h post-dose was obtained on Day 1, 2, 7, 8, 14 and 15. Weighted mean SBP and DBP at 0-24 h post-dose was obtained on Day 1, 7 and 14. Weighted mean was calculated by calculating the AUC, and then dividing by the relevant time interval. AUC was calculated using the trapezoidal rule. Baseline was defined as the weighted mean SBP and DBP on pre-dose Day 1. The weighted mean change from Baseline was the AAUCMB. Data is reported for change from Baseline in weighted mean pre-dose values at Day 7 and Day 14; change from Baseline in weighted mean over 0-4 h at Day 1, 2, 7, 8, 14 and 15; and change from Baseline in weighted mean over 0-24 h at Day 1, 7 and 14.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
SBP, Day 14, pre-dose
-6.17 Millimeter of mercury (mmHg)
Standard Deviation 9.602
-4.15 Millimeter of mercury (mmHg)
Standard Deviation 17.991
-1.39 Millimeter of mercury (mmHg)
Standard Deviation 10.228
-12.06 Millimeter of mercury (mmHg)
Standard Deviation 14.143
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
SBP, Day 7, 0-4 h
-8.98 Millimeter of mercury (mmHg)
Standard Deviation 9.838
-7.86 Millimeter of mercury (mmHg)
Standard Deviation 10.724
-2.43 Millimeter of mercury (mmHg)
Standard Deviation 8.855
-8.34 Millimeter of mercury (mmHg)
Standard Deviation 11.266
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
SBP, Day 15, 0-4 h
-7.96 Millimeter of mercury (mmHg)
Standard Deviation 9.639
-11.86 Millimeter of mercury (mmHg)
Standard Deviation 13.264
-11.27 Millimeter of mercury (mmHg)
Standard Deviation 11.249
-14.97 Millimeter of mercury (mmHg)
Standard Deviation 11.794
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
SBP, Day 7, 0-24 h
-13.76 Millimeter of mercury (mmHg)
Standard Deviation 10.592
-15.34 Millimeter of mercury (mmHg)
Standard Deviation 11.591
-7.75 Millimeter of mercury (mmHg)
Standard Deviation 7.552
-14.82 Millimeter of mercury (mmHg)
Standard Deviation 10.810
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
DBP, Day 7, pre-dose
-0.60 Millimeter of mercury (mmHg)
Standard Deviation 8.011
0.21 Millimeter of mercury (mmHg)
Standard Deviation 9.021
-0.33 Millimeter of mercury (mmHg)
Standard Deviation 5.888
-5.59 Millimeter of mercury (mmHg)
Standard Deviation 7.151
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
DBP, Day 14, pre-dose
-0.71 Millimeter of mercury (mmHg)
Standard Deviation 7.733
-0.88 Millimeter of mercury (mmHg)
Standard Deviation 8.530
-0.17 Millimeter of mercury (mmHg)
Standard Deviation 8.108
-6.89 Millimeter of mercury (mmHg)
Standard Deviation 9.168
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
DBP, Day 7, 0-4 h
0.90 Millimeter of mercury (mmHg)
Standard Deviation 6.246
-1.39 Millimeter of mercury (mmHg)
Standard Deviation 5.360
-1.39 Millimeter of mercury (mmHg)
Standard Deviation 4.325
-7.13 Millimeter of mercury (mmHg)
Standard Deviation 8.469
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
DBP, Day 8, 0-4 h
-1.13 Millimeter of mercury (mmHg)
Standard Deviation 7.097
-3.64 Millimeter of mercury (mmHg)
Standard Deviation 5.083
-0.97 Millimeter of mercury (mmHg)
Standard Deviation 6.468
-10.18 Millimeter of mercury (mmHg)
Standard Deviation 10.093
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
DBP, Day 1, 0-4 h
2.72 Millimeter of mercury (mmHg)
Standard Deviation 5.654
-1.49 Millimeter of mercury (mmHg)
Standard Deviation 5.611
0.95 Millimeter of mercury (mmHg)
Standard Deviation 7.894
-5.04 Millimeter of mercury (mmHg)
Standard Deviation 4.220
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
DBP, Day 2, 0-4 h
-0.11 Millimeter of mercury (mmHg)
Standard Deviation 5.750
-5.02 Millimeter of mercury (mmHg)
Standard Deviation 6.872
-2.24 Millimeter of mercury (mmHg)
Standard Deviation 4.980
-5.29 Millimeter of mercury (mmHg)
Standard Deviation 3.166
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
DBP, Day 14, 0-4 h
-2.62 Millimeter of mercury (mmHg)
Standard Deviation 7.857
-2.89 Millimeter of mercury (mmHg)
Standard Deviation 5.849
-3.20 Millimeter of mercury (mmHg)
Standard Deviation 7.134
-7.43 Millimeter of mercury (mmHg)
Standard Deviation 10.323
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
DBP, Day 15, 0-4 h
-1.26 Millimeter of mercury (mmHg)
Standard Deviation 4.685
-2.78 Millimeter of mercury (mmHg)
Standard Deviation 4.980
-4.76 Millimeter of mercury (mmHg)
Standard Deviation 5.665
-9.34 Millimeter of mercury (mmHg)
Standard Deviation 10.566
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
DBP, Day 7, 0-24 h
-5.46 Millimeter of mercury (mmHg)
Standard Deviation 7.290
-7.28 Millimeter of mercury (mmHg)
Standard Deviation 5.863
-4.50 Millimeter of mercury (mmHg)
Standard Deviation 4.737
-13.97 Millimeter of mercury (mmHg)
Standard Deviation 7.610
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
DBP, Day 14, 0-24 h
-7.75 Millimeter of mercury (mmHg)
Standard Deviation 7.996
-7.95 Millimeter of mercury (mmHg)
Standard Deviation 6.409
-5.91 Millimeter of mercury (mmHg)
Standard Deviation 6.979
-12.53 Millimeter of mercury (mmHg)
Standard Deviation 8.622
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
SBP, Day 7, pre-dose
-7.21 Millimeter of mercury (mmHg)
Standard Deviation 10.073
-4.54 Millimeter of mercury (mmHg)
Standard Deviation 16.602
-1.67 Millimeter of mercury (mmHg)
Standard Deviation 9.823
-6.55 Millimeter of mercury (mmHg)
Standard Deviation 8.572
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
SBP, Day 1, 0-4 h
-3.99 Millimeter of mercury (mmHg)
Standard Deviation 7.343
-6.18 Millimeter of mercury (mmHg)
Standard Deviation 7.152
-3.23 Millimeter of mercury (mmHg)
Standard Deviation 10.613
-4.27 Millimeter of mercury (mmHg)
Standard Deviation 8.566
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
SBP, Day 2, 0-4 h
-8.96 Millimeter of mercury (mmHg)
Standard Deviation 12.423
-11.76 Millimeter of mercury (mmHg)
Standard Deviation 11.715
-5.73 Millimeter of mercury (mmHg)
Standard Deviation 7.883
-7.12 Millimeter of mercury (mmHg)
Standard Deviation 8.388
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
SBP, Day 8, 0-4 h
-11.11 Millimeter of mercury (mmHg)
Standard Deviation 11.261
-10.67 Millimeter of mercury (mmHg)
Standard Deviation 10.713
-6.14 Millimeter of mercury (mmHg)
Standard Deviation 14.561
-13.42 Millimeter of mercury (mmHg)
Standard Deviation 13.907
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
SBP, Day 14, 0-4 h
-8.82 Millimeter of mercury (mmHg)
Standard Deviation 12.338
-8.14 Millimeter of mercury (mmHg)
Standard Deviation 9.324
-9.36 Millimeter of mercury (mmHg)
Standard Deviation 10.142
-11.06 Millimeter of mercury (mmHg)
Standard Deviation 13.844
Change From Baseline in Weighted Mean Systolic and Diastolic Blood Pressure (SBP and DBP) Derived From 28.5 h ABPM Over Time
SBP, Day 14, 0-24 h
-14.29 Millimeter of mercury (mmHg)
Standard Deviation 12.265
-14.13 Millimeter of mercury (mmHg)
Standard Deviation 11.422
-12.79 Millimeter of mercury (mmHg)
Standard Deviation 10.319
-14.34 Millimeter of mercury (mmHg)
Standard Deviation 10.636

SECONDARY outcome

Timeframe: Baseline (Day 1, pre-dose) up to Day 15

Population: Safety Population. Only those participants available at the specified time points were analyzed.

BP was measured using 28.5 h ABPM. Maximum SBP and minimum DBP at 0-4 h post-dose was obtained on Day 1, 2, 7, 8, 14 and 15. For the calculation of 0-4 h maximum/minimum change from Baseline, measurements post-dose up to 6 h (actual time) was included. Baseline was defined as the pre-dose weighted mean of Day 1 for SBP and DBP. Maximum/minimum change from Baseline was calculated by subtracting the Baseline value (weighted mean pre-dose Day 1 for SBP and DBP) from the maximum/minimum assessment value (during 0-4 h) of the individual post-Baseline time points.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Change From Baseline in Maximum SBP and Minimum DBP Derived From 28.5 h ABPM Over Time
Maximum SBP, Day 1
11.2 mmHg
Standard Deviation 9.46
11.8 mmHg
Standard Deviation 6.77
14.5 mmHg
Standard Deviation 11.26
9.3 mmHg
Standard Deviation 9.56
Change From Baseline in Maximum SBP and Minimum DBP Derived From 28.5 h ABPM Over Time
Maximum SBP, Day 2
2.8 mmHg
Standard Deviation 14.31
2.8 mmHg
Standard Deviation 12.34
10.2 mmHg
Standard Deviation 11.49
4.4 mmHg
Standard Deviation 9.38
Change From Baseline in Maximum SBP and Minimum DBP Derived From 28.5 h ABPM Over Time
Maximum SBP, Day 7
6.9 mmHg
Standard Deviation 10.06
8.8 mmHg
Standard Deviation 13.91
14.5 mmHg
Standard Deviation 8.55
2.8 mmHg
Standard Deviation 13.80
Change From Baseline in Maximum SBP and Minimum DBP Derived From 28.5 h ABPM Over Time
Maximum SBP, Day 8
2.1 mmHg
Standard Deviation 11.92
4.2 mmHg
Standard Deviation 15.20
7.2 mmHg
Standard Deviation 17.17
-1.2 mmHg
Standard Deviation 16.82
Change From Baseline in Maximum SBP and Minimum DBP Derived From 28.5 h ABPM Over Time
Maximum SBP, Day 14
9.1 mmHg
Standard Deviation 10.25
9.4 mmHg
Standard Deviation 12.89
8.1 mmHg
Standard Deviation 9.44
2.9 mmHg
Standard Deviation 14.52
Change From Baseline in Maximum SBP and Minimum DBP Derived From 28.5 h ABPM Over Time
Maximum SBP, Day 15
5.7 mmHg
Standard Deviation 15.38
-2.5 mmHg
Standard Deviation 13.39
3.3 mmHg
Standard Deviation 12.11
-3.3 mmHg
Standard Deviation 12.07
Change From Baseline in Maximum SBP and Minimum DBP Derived From 28.5 h ABPM Over Time
Minimum, DBP, Day 1
-8.3 mmHg
Standard Deviation 5.79
-12.7 mmHg
Standard Deviation 7.93
-11.5 mmHg
Standard Deviation 9.07
-14.5 mmHg
Standard Deviation 4.88
Change From Baseline in Maximum SBP and Minimum DBP Derived From 28.5 h ABPM Over Time
Minimum, DBP, Day 2
-8.8 mmHg
Standard Deviation 7.83
-14.0 mmHg
Standard Deviation 9.59
-12.5 mmHg
Standard Deviation 7.21
-15.0 mmHg
Standard Deviation 5.19
Change From Baseline in Maximum SBP and Minimum DBP Derived From 28.5 h ABPM Over Time
Minimum, DBP, Day 7
-9.3 mmHg
Standard Deviation 7.84
-15.4 mmHg
Standard Deviation 9.69
-12.2 mmHg
Standard Deviation 8.60
-14.7 mmHg
Standard Deviation 9.33
Change From Baseline in Maximum SBP and Minimum DBP Derived From 28.5 h ABPM Over Time
Minimum, DBP, Day 8
-8.0 mmHg
Standard Deviation 9.67
-13.4 mmHg
Standard Deviation 9.22
-10.4 mmHg
Standard Deviation 8.31
-19.2 mmHg
Standard Deviation 11.90
Change From Baseline in Maximum SBP and Minimum DBP Derived From 28.5 h ABPM Over Time
Minimum, DBP, Day 14
-17.0 mmHg
Standard Deviation 12.93
-15.8 mmHg
Standard Deviation 9.62
-16.5 mmHg
Standard Deviation 12.85
-14.3 mmHg
Standard Deviation 10.72
Change From Baseline in Maximum SBP and Minimum DBP Derived From 28.5 h ABPM Over Time
Minimum, DBP, Day 15
-10.2 mmHg
Standard Deviation 6.95
-12.2 mmHg
Standard Deviation 7.13
-14.3 mmHg
Standard Deviation 12.37
-17.3 mmHg
Standard Deviation 12.12

SECONDARY outcome

Timeframe: Day 1 up to Day 15

Population: Safety Population. Only those participants available at the specified time points were analyzed.

BP was measured using 28.5 h ABPM. Weighted mean SBP and DBP at 0-4 h post-dose was obtained on Day 1, 2, 7, 8, 14 and 15. Weighted mean SBP and DBP at 0-24 h post-dose was obtained on Day 1, 7 and 14. Maximum SBP and minimum DBP at 0-4 h post-dose was obtained on Day 1, 2, 7, 8, 14 and 15. Baseline was defined as the pre-dose weighted mean of Day 1.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean SBP 0-4, Day 1
130.55 mmHg
Standard Deviation 15.052
128.47 mmHg
Standard Deviation 11.670
130.66 mmHg
Standard Deviation 16.508
126.05 mmHg
Standard Deviation 14.111
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean SBP 0-4, Day 2
128.15 mmHg
Standard Deviation 18.616
122.90 mmHg
Standard Deviation 13.129
129.23 mmHg
Standard Deviation 16.139
124.03 mmHg
Standard Deviation 16.147
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean SBP 0-4, Day 7
129.32 mmHg
Standard Deviation 16.655
126.46 mmHg
Standard Deviation 15.897
130.52 mmHg
Standard Deviation 13.432
123.10 mmHg
Standard Deviation 12.523
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean SBP 0-4, Day 8
128.54 mmHg
Standard Deviation 16.817
123.65 mmHg
Standard Deviation 15.120
127.55 mmHg
Standard Deviation 13.141
117.26 mmHg
Standard Deviation 11.281
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean SBP 0-4, Day 14
130.71 mmHg
Standard Deviation 17.527
124.59 mmHg
Standard Deviation 9.640
124.86 mmHg
Standard Deviation 13.833
122.94 mmHg
Standard Deviation 11.670
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean SBP 0-4, Day 15
128.84 mmHg
Standard Deviation 17.647
120.74 mmHg
Standard Deviation 14.472
124.68 mmHg
Standard Deviation 14.886
118.52 mmHg
Standard Deviation 14.773
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean SBP 0-24, Day 1
122.64 mmHg
Standard Deviation 16.675
117.48 mmHg
Standard Deviation 11.246
124.41 mmHg
Standard Deviation 13.961
117.94 mmHg
Standard Deviation 11.565
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean SBP 0-24, Day 7
124.22 mmHg
Standard Deviation 16.893
118.98 mmHg
Standard Deviation 11.587
124.60 mmHg
Standard Deviation 12.774
116.34 mmHg
Standard Deviation 11.150
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean SBP 0-24, Day 14
125.45 mmHg
Standard Deviation 16.546
118.60 mmHg
Standard Deviation 8.748
122.71 mmHg
Standard Deviation 16.117
119.11 mmHg
Standard Deviation 9.109
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Maximum SBP 0-4 h, Day 1
150.0 mmHg
Standard Deviation 18.72
146.4 mmHg
Standard Deviation 15.61
147.6 mmHg
Standard Deviation 18.78
141.3 mmHg
Standard Deviation 15.03
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Maximum SBP 0-4 h, Day 2
140.0 mmHg
Standard Deviation 19.98
137.4 mmHg
Standard Deviation 15.78
145.9 mmHg
Standard Deviation 21.48
136.0 mmHg
Standard Deviation 16.71
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Maximum SBP 0-4 h, Day 7
143.9 mmHg
Standard Deviation 20.10
142.7 mmHg
Standard Deviation 20.02
148.4 mmHg
Standard Deviation 18.60
135.5 mmHg
Standard Deviation 15.97
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Maximum SBP 0-4 h, Day 8
141.1 mmHg
Standard Deviation 17.13
138.1 mmHg
Standard Deviation 19.26
141.8 mmHg
Standard Deviation 17.64
129.4 mmHg
Standard Deviation 14.06
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Maximum SBP 0-4 h, Day 14
148.4 mmHg
Standard Deviation 20.04
143.3 mmHg
Standard Deviation 14.06
141.3 mmHg
Standard Deviation 14.43
135.1 mmHg
Standard Deviation 12.94
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Maximum SBP 0-4 h, Day 15
142.8 mmHg
Standard Deviation 21.83
131.4 mmHg
Standard Deviation 16.91
138.4 mmHg
Standard Deviation 13.08
129.8 mmHg
Standard Deviation 15.02
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean DBP 0-4, Day 1
82.48 mmHg
Standard Deviation 9.817
77.54 mmHg
Standard Deviation 8.200
77.46 mmHg
Standard Deviation 11.603
78.14 mmHg
Standard Deviation 10.879
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean DBP 0-4, Day 2
80.81 mmHg
Standard Deviation 9.182
74.01 mmHg
Standard Deviation 7.959
74.67 mmHg
Standard Deviation 12.607
77.07 mmHg
Standard Deviation 12.058
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean DBP 0-4, Day 7
82.83 mmHg
Standard Deviation 10.367
78.07 mmHg
Standard Deviation 8.744
74.87 mmHg
Standard Deviation 11.216
74.63 mmHg
Standard Deviation 8.888
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean DBP 0-4, Day 8
81.88 mmHg
Standard Deviation 11.151
75.82 mmHg
Standard Deviation 9.090
74.77 mmHg
Standard Deviation 10.137
71.24 mmHg
Standard Deviation 10.305
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean DBP 0-4, Day 14
81.49 mmHg
Standard Deviation 10.037
76.31 mmHg
Standard Deviation 4.101
72.14 mmHg
Standard Deviation 10.218
76.10 mmHg
Standard Deviation 8.595
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean DBP 0-4, Day 15
79.25 mmHg
Standard Deviation 9.154
75.25 mmHg
Standard Deviation 7.330
71.94 mmHg
Standard Deviation 11.908
73.61 mmHg
Standard Deviation 12.810
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean DBP 0-24, Day 1
74.44 mmHg
Standard Deviation 8.758
70.53 mmHg
Standard Deviation 7.941
71.58 mmHg
Standard Deviation 10.670
70.49 mmHg
Standard Deviation 10.530
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean DBP 0-24, Day 7
76.20 mmHg
Standard Deviation 9.831
72.18 mmHg
Standard Deviation 6.598
71.10 mmHg
Standard Deviation 10.471
67.46 mmHg
Standard Deviation 7.075
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Weighted mean DBP 0-24, Day 14
76.07 mmHg
Standard Deviation 9.443
71.24 mmHg
Standard Deviation 5.775
69.95 mmHg
Standard Deviation 11.156
71.00 mmHg
Standard Deviation 7.793
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Minimum DBP 0-4 h, Day 1
73.1 mmHg
Standard Deviation 9.14
66.4 mmHg
Standard Deviation 9.73
65.4 mmHg
Standard Deviation 12.03
69.3 mmHg
Standard Deviation 9.99
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Minimum DBP 0-4 h, Day 2
73.6 mmHg
Standard Deviation 11.43
65.1 mmHg
Standard Deviation 9.74
63.4 mmHg
Standard Deviation 12.27
68.1 mmHg
Standard Deviation 12.84
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Minimum DBP 0-4 h, Day 7
72.6 mmHg
Standard Deviation 10.55
63.3 mmHg
Standard Deviation 12.12
63.9 mmHg
Standard Deviation 11.53
67.1 mmHg
Standard Deviation 8.07
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Minimum DBP 0-4 h, Day 8
74.1 mmHg
Standard Deviation 10.49
65.2 mmHg
Standard Deviation 11.95
65.1 mmHg
Standard Deviation 11.10
62.6 mmHg
Standard Deviation 12.38
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Minimum DBP 0-4 h, Day 14
65.8 mmHg
Standard Deviation 14.53
62.8 mmHg
Standard Deviation 7.75
59.3 mmHg
Standard Deviation 13.32
67.4 mmHg
Standard Deviation 10.67
Mean Weighted Mean SBP and DBP at 0-4 h, Weighted Mean SBP and DBP at 0-24 h and Maximum SBP and Minimum DBP at 0-4 h Derived From 28.5 h ABPM
Minimum DBP 0-4 h, Day 15
70.6 mmHg
Standard Deviation 9.17
66.4 mmHg
Standard Deviation 8.60
64.0 mmHg
Standard Deviation 15.06
65.6 mmHg
Standard Deviation 13.92

SECONDARY outcome

Timeframe: Baseline (Day 1, pre-dose) up to Day 15

Population: Safety Population. Only those participants available at the specified time points were analyzed.

A 12-lead ECG was recorded on Day 1, 2, 7, 8, 14 and 15 with the participant in a supine position having rested in that position for at least 5 min before each reading. A total of 3 measurements separated by at least 1 min was taken at each visit and the mean recorded. The Baseline for pre-dose QTcF and QTcB measurements was the pre-dose assessment on Day 1. Weighted mean at 0-4 h for QTcF and QTcB was calculated by calculating the AUC, and then dividing by the relevant time interval. AUC was calculated using the trapezoidal rule. The weighted mean change from Baseline was the AAUCMB. The change from Baseline in maximum QTcF and QTcB at 0-4 h was calculated by subtracting the Baseline (pre-dose Day 1) value from the individual post-Baseline values.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcF, Maximum 0-4 h, Day 14
7.713 Millisecond (msec)
Standard Deviation 14.0810
6.651 Millisecond (msec)
Standard Deviation 8.6838
16.715 Millisecond (msec)
Standard Deviation 9.8480
-0.394 Millisecond (msec)
Standard Deviation 13.4669
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcB, Weighted mean 0-4 h, Day 2
-0.8322 Millisecond (msec)
Standard Deviation 11.91468
4.5011 Millisecond (msec)
Standard Deviation 12.15813
12.1052 Millisecond (msec)
Standard Deviation 24.42441
0.4464 Millisecond (msec)
Standard Deviation 10.89990
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcB, Weighted mean 0-4 h, Day 8
-2.1592 Millisecond (msec)
Standard Deviation 13.74186
-2.5879 Millisecond (msec)
Standard Deviation 12.83153
12.5741 Millisecond (msec)
Standard Deviation 22.22059
-3.9026 Millisecond (msec)
Standard Deviation 16.69124
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcF, Day 7, pre-dose
2.548 Millisecond (msec)
Standard Deviation 14.3648
4.166 Millisecond (msec)
Standard Deviation 10.8863
4.557 Millisecond (msec)
Standard Deviation 12.5535
-1.622 Millisecond (msec)
Standard Deviation 14.8225
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcF, Day 14, pre-dose
2.445 Millisecond (msec)
Standard Deviation 14.8051
-2.215 Millisecond (msec)
Standard Deviation 8.8487
1.450 Millisecond (msec)
Standard Deviation 11.8828
-5.803 Millisecond (msec)
Standard Deviation 12.6960
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcF, Weighted mean 0-4 h, Day 1
1.5102 Millisecond (msec)
Standard Deviation 9.80314
1.2546 Millisecond (msec)
Standard Deviation 7.47433
5.1325 Millisecond (msec)
Standard Deviation 9.99564
-0.2457 Millisecond (msec)
Standard Deviation 6.77374
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcF, Weighted mean 0-4 h, Day 2
1.4515 Millisecond (msec)
Standard Deviation 9.95165
4.3733 Millisecond (msec)
Standard Deviation 7.91878
10.5957 Millisecond (msec)
Standard Deviation 16.92211
-1.0685 Millisecond (msec)
Standard Deviation 8.45786
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcF, Weighted mean 0-4 h, Day 7
0.5278 Millisecond (msec)
Standard Deviation 11.61138
3.4646 Millisecond (msec)
Standard Deviation 10.28713
8.8287 Millisecond (msec)
Standard Deviation 10.77947
-2.6011 Millisecond (msec)
Standard Deviation 14.22194
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcF, Weighted mean 0-4 h, Day 8
-0.2753 Millisecond (msec)
Standard Deviation 13.37615
-1.5941 Millisecond (msec)
Standard Deviation 9.79215
8.7690 Millisecond (msec)
Standard Deviation 14.91393
-5.8609 Millisecond (msec)
Standard Deviation 15.48314
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcF, Weighted mean 0-4 h, Day 14
3.8254 Millisecond (msec)
Standard Deviation 14.80602
0.8731 Millisecond (msec)
Standard Deviation 8.87134
9.0192 Millisecond (msec)
Standard Deviation 10.65315
-3.7270 Millisecond (msec)
Standard Deviation 14.27827
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcF, Weighted mean 0-4 h, Day 15
0.2258 Millisecond (msec)
Standard Deviation 15.48959
-2.3710 Millisecond (msec)
Standard Deviation 9.06406
9.3434 Millisecond (msec)
Standard Deviation 10.40650
-7.9229 Millisecond (msec)
Standard Deviation 9.51166
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcF, Maximum 0-4 h, Day 1
6.138 Millisecond (msec)
Standard Deviation 8.3179
8.099 Millisecond (msec)
Standard Deviation 9.3911
11.169 Millisecond (msec)
Standard Deviation 9.4879
6.334 Millisecond (msec)
Standard Deviation 7.0411
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcF, Maximum 0-4 h, Day 2
7.238 Millisecond (msec)
Standard Deviation 9.8912
8.860 Millisecond (msec)
Standard Deviation 7.1928
16.650 Millisecond (msec)
Standard Deviation 18.1579
3.940 Millisecond (msec)
Standard Deviation 8.4250
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcF, Maximum 0-4 h, Day 7
7.422 Millisecond (msec)
Standard Deviation 10.5173
8.586 Millisecond (msec)
Standard Deviation 11.5664
14.866 Millisecond (msec)
Standard Deviation 11.4977
2.146 Millisecond (msec)
Standard Deviation 13.5782
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcF, Maximum 0-4 h, Day 8
4.765 Millisecond (msec)
Standard Deviation 14.1015
3.434 Millisecond (msec)
Standard Deviation 8.9030
15.425 Millisecond (msec)
Standard Deviation 14.2054
-0.707 Millisecond (msec)
Standard Deviation 16.9799
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcF, Maximum 0-4 h, Day 15
5.690 Millisecond (msec)
Standard Deviation 15.6489
1.254 Millisecond (msec)
Standard Deviation 7.5156
15.698 Millisecond (msec)
Standard Deviation 11.7395
0.585 Millisecond (msec)
Standard Deviation 13.3811
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcB, Weighted mean 0-4 h, Day 14
1.5770 Millisecond (msec)
Standard Deviation 16.69052
1.1100 Millisecond (msec)
Standard Deviation 12.02700
11.8220 Millisecond (msec)
Standard Deviation 16.58898
-1.9538 Millisecond (msec)
Standard Deviation 15.99966
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcB, Weighted mean 0-4 h, Day 15
0.2536 Millisecond (msec)
Standard Deviation 13.32367
-2.1912 Millisecond (msec)
Standard Deviation 13.19232
11.8730 Millisecond (msec)
Standard Deviation 19.06660
-5.4291 Millisecond (msec)
Standard Deviation 11.64105
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcB, Maximum 0-4 h, Day 1
4.600 Millisecond (msec)
Standard Deviation 9.0150
9.902 Millisecond (msec)
Standard Deviation 12.1193
15.314 Millisecond (msec)
Standard Deviation 12.8527
8.448 Millisecond (msec)
Standard Deviation 9.0077
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcB, Maximum 0-4 h, Day 2
5.130 Millisecond (msec)
Standard Deviation 12.9391
10.797 Millisecond (msec)
Standard Deviation 11.0215
19.846 Millisecond (msec)
Standard Deviation 26.4494
6.038 Millisecond (msec)
Standard Deviation 10.0240
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcB, Maximum 0-4 h, Day 7
9.599 Millisecond (msec)
Standard Deviation 15.2443
9.884 Millisecond (msec)
Standard Deviation 10.8668
19.748 Millisecond (msec)
Standard Deviation 18.6338
5.125 Millisecond (msec)
Standard Deviation 15.1542
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcB, Maximum 0-4 h, Day 8
4.930 Millisecond (msec)
Standard Deviation 15.4632
3.308 Millisecond (msec)
Standard Deviation 10.8675
22.344 Millisecond (msec)
Standard Deviation 21.0882
2.949 Millisecond (msec)
Standard Deviation 17.3141
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcB, Maximum 0-4 h, Day 14
6.941 Millisecond (msec)
Standard Deviation 16.7794
7.250 Millisecond (msec)
Standard Deviation 12.2421
20.698 Millisecond (msec)
Standard Deviation 14.3145
1.685 Millisecond (msec)
Standard Deviation 15.2440
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcB, Maximum 0-4 h, Day 15
6.646 Millisecond (msec)
Standard Deviation 14.1139
3.569 Millisecond (msec)
Standard Deviation 10.9642
19.933 Millisecond (msec)
Standard Deviation 19.5949
3.343 Millisecond (msec)
Standard Deviation 14.0019
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcB, Day 7, pre-dose
3.490 Millisecond (msec)
Standard Deviation 14.8170
4.033 Millisecond (msec)
Standard Deviation 11.4412
3.491 Millisecond (msec)
Standard Deviation 17.2891
-0.982 Millisecond (msec)
Standard Deviation 18.2505
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcB, Day 14, pre-dose
2.236 Millisecond (msec)
Standard Deviation 18.0863
-2.150 Millisecond (msec)
Standard Deviation 12.5311
0.364 Millisecond (msec)
Standard Deviation 13.4871
-6.254 Millisecond (msec)
Standard Deviation 14.4987
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcB, Weighted mean 0-4 h, Day 1
-1.4368 Millisecond (msec)
Standard Deviation 10.48286
1.9240 Millisecond (msec)
Standard Deviation 9.38964
7.2528 Millisecond (msec)
Standard Deviation 14.91350
0.4135 Millisecond (msec)
Standard Deviation 7.78546
Change From Baseline in QTc by Federicia's Method (F) and QTc Bazett's Method (B) Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead Electrocardiogram (ECG) Over Time
QTcB, Weighted mean 0-4 h, Day 7
0.6551 Millisecond (msec)
Standard Deviation 14.84890
3.1554 Millisecond (msec)
Standard Deviation 11.81255
10.6108 Millisecond (msec)
Standard Deviation 16.58029
-1.1323 Millisecond (msec)
Standard Deviation 16.11649

SECONDARY outcome

Timeframe: Day 1 up to Day 15

Population: Safety Population. Only those participants available at the specified time points were analyzed.

A 12-lead ECG was recorded on Day 1, 2, 7, 8, 14 and 15 with the participant in a supine position having rested in that position for at least 5 min before each reading. A total of 3 measurements separated by at least 1 min was taken at each visit and the mean recorded. The pre-dose QTcF and QTcB assessment was done at Day 1, 7 and 14. Weighted mean at 0-4 h for QTcF and QTcB at Day 1, 2, 7, 8, 14 and 15 was calculated by calculating the AUC, and then dividing by the relevant time interval. AUC was calculated using the trapezoidal rule. The maximum QTcF and QTcB at 0-4 h was obtained at Day 1, 2, 7, 8, 14 and 15.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcB, Day 14, pre-dose
409.909 msec
Standard Deviation 19.5835
402.505 msec
Standard Deviation 25.5206
398.524 msec
Standard Deviation 21.6747
403.905 msec
Standard Deviation 15.6393
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcF, Maximum 0-4 h, Day 14
405.360 msec
Standard Deviation 13.6156
406.050 msec
Standard Deviation 20.5479
407.790 msec
Standard Deviation 20.6278
398.931 msec
Standard Deviation 18.9056
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcF, Maximum 0-4 h, Day 15
403.337 msec
Standard Deviation 16.9640
400.653 msec
Standard Deviation 18.6693
406.773 msec
Standard Deviation 19.4447
399.910 msec
Standard Deviation 17.1580
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcF, Day 1, pre-dose
396.518 msec
Standard Deviation 18.9384
397.667 msec
Standard Deviation 17.9057
391.300 msec
Standard Deviation 23.3733
396.361 msec
Standard Deviation 16.7847
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcF, Day 7, pre-dose
398.828 msec
Standard Deviation 14.5763
403.565 msec
Standard Deviation 23.5668
396.804 msec
Standard Deviation 19.9587
396.897 msec
Standard Deviation 16.8340
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcF, Day 14, pre-dose
399.599 msec
Standard Deviation 14.8681
397.184 msec
Standard Deviation 20.8546
392.524 msec
Standard Deviation 24.7455
393.522 msec
Standard Deviation 15.5437
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcF, Weighted mean 0-4 h, Day 1
399.1571 msec
Standard Deviation 20.93784
398.9213 msec
Standard Deviation 18.95805
396.4321 msec
Standard Deviation 23.12234
396.6588 msec
Standard Deviation 18.71828
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcF, Weighted mean 0-4 h, Day 2
399.0984 msec
Standard Deviation 20.76430
402.0399 msec
Standard Deviation 18.98919
401.8953 msec
Standard Deviation 23.15689
397.3482 msec
Standard Deviation 17.29841
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcF, Weighted mean 0-4 h, Day 7
397.6228 msec
Standard Deviation 13.80395
402.8639 msec
Standard Deviation 23.36556
401.0754 msec
Standard Deviation 24.39809
395.9180 msec
Standard Deviation 19.47963
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcF, Weighted mean 0-4 h, Day 8
397.3716 msec
Standard Deviation 18.94814
396.6669 msec
Standard Deviation 19.88573
401.0157 msec
Standard Deviation 22.80350
393.4643 msec
Standard Deviation 19.93914
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcF, Weighted mean 0-4 h, Day 14
399.8488 msec
Standard Deviation 13.18337
400.2724 msec
Standard Deviation 19.00353
400.0939 msec
Standard Deviation 20.11137
395.5983 msec
Standard Deviation 19.45327
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcF, Weighted mean 0-4 h, Day 15
397.8727 msec
Standard Deviation 16.14803
397.0283 msec
Standard Deviation 20.64521
400.4180 msec
Standard Deviation 19.18469
392.3686 msec
Standard Deviation 16.99407
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcF, Maximum 0-4 h, Day 1
402.656 msec
Standard Deviation 20.3503
405.766 msec
Standard Deviation 20.3313
402.468 msec
Standard Deviation 22.2225
402.696 msec
Standard Deviation 16.6072
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcF, Maximum 0-4 h, Day 2
404.885 msec
Standard Deviation 21.1074
406.526 msec
Standard Deviation 19.2241
407.950 msec
Standard Deviation 23.4527
400.844 msec
Standard Deviation 18.8346
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcF, Maximum 0-4 h, Day 7
405.069 msec
Standard Deviation 16.2300
407.985 msec
Standard Deviation 24.5587
407.113 msec
Standard Deviation 24.2679
400.665 msec
Standard Deviation 18.8396
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcF, Maximum 0-4 h, Day 8
402.412 msec
Standard Deviation 17.9804
402.833 msec
Standard Deviation 19.0273
407.671 msec
Standard Deviation 21.7779
398.618 msec
Standard Deviation 20.0406
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcB, Day 1, pre-dose
405.222 msec
Standard Deviation 20.8892
402.023 msec
Standard Deviation 22.2404
396.975 msec
Standard Deviation 24.1244
406.463 msec
Standard Deviation 21.3658
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcB, Day 7, pre-dose
407.380 msec
Standard Deviation 17.7924
408.688 msec
Standard Deviation 24.8189
401.221 msec
Standard Deviation 16.6437
409.064 msec
Standard Deviation 19.5591
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcB, Weighted mean 0-4 h, Day 1
405.1192 msec
Standard Deviation 22.72290
403.9471 msec
Standard Deviation 22.10540
404.2282 msec
Standard Deviation 23.22646
408.8990 msec
Standard Deviation 21.51019
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcB, Weighted mean 0-4 h, Day 2
405.7239 msec
Standard Deviation 21.67872
406.5243 msec
Standard Deviation 19.43633
409.0807 msec
Standard Deviation 23.78119
411.1034 msec
Standard Deviation 18.99910
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcB, Weighted mean 0-4 h, Day 7
405.1001 msec
Standard Deviation 14.32210
407.8107 msec
Standard Deviation 24.03156
408.3410 msec
Standard Deviation 20.23969
408.9141 msec
Standard Deviation 21.56424
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcB, Weighted mean 0-4 h, Day 8
404.3968 msec
Standard Deviation 22.29983
401.5862 msec
Standard Deviation 24.75626
410.3044 msec
Standard Deviation 20.92796
406.2555 msec
Standard Deviation 20.30000
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcB, Weighted mean 0-4 h, Day 14
409.5049 msec
Standard Deviation 18.03324
405.7653 msec
Standard Deviation 22.29165
409.9818 msec
Standard Deviation 19.36717
408.2043 msec
Standard Deviation 20.49320
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcB, Weighted mean 0-4 h, Day 15
406.8096 msec
Standard Deviation 20.18685
402.4642 msec
Standard Deviation 25.07009
410.0328 msec
Standard Deviation 18.49302
406.7532 msec
Standard Deviation 16.53736
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcB, Maximum 0-4 h, Day 1
409.821 msec
Standard Deviation 20.9888
411.925 msec
Standard Deviation 22.5302
412.289 msec
Standard Deviation 22.9219
414.910 msec
Standard Deviation 20.9889
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcB, Maximum 0-4 h, Day 2
411.686 msec
Standard Deviation 21.7606
412.820 msec
Standard Deviation 20.3513
416.821 msec
Standard Deviation 24.7489
414.524 msec
Standard Deviation 21.3863
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcB, Maximum 0-4 h, Day 7
416.155 msec
Standard Deviation 18.5802
414.540 msec
Standard Deviation 22.8711
417.478 msec
Standard Deviation 21.5061
415.172 msec
Standard Deviation 20.2556
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcB, Maximum 0-4 h, Day 8
411.486 msec
Standard Deviation 23.2760
407.963 msec
Standard Deviation 22.5265
420.074 msec
Standard Deviation 17.7199
413.107 msec
Standard Deviation 18.3979
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcB, Maximum 0-4 h, Day 14
413.498 msec
Standard Deviation 16.8864
411.906 msec
Standard Deviation 22.0750
418.858 msec
Standard Deviation 20.5848
411.843 msec
Standard Deviation 18.6525
Mean QTcF and QTcB Values at Pre-dose, Weighted Mean 0-4 h and Maximum 0-4 h Derived From 12-lead ECG Over Time
QTcB, Maximum 0-4 h, Day 15
413.202 msec
Standard Deviation 22.3810
408.224 msec
Standard Deviation 23.3075
418.093 msec
Standard Deviation 18.7721
413.501 msec
Standard Deviation 14.6549

SECONDARY outcome

Timeframe: Day 1 up to Day 14

Population: Safety Population. Only those participants available at the specified time points were analyzed.

A holter monitor is a machine that continuously records the heart's electrical activity. A 3-lead holter ECG monitoring device was used. The monitor was worn for 24 h during normal activity to record the ECG intervals. The assesmment for hourly maximums QTcF and QTcB was done on Day 1, Day 7 and Day 14. For each h of holter monitoring the maximum QTcF for that h was calculated using the maximum QT and mean HR of that given h as Maximum QT divided by (60/Mean HR)\^1/3. For each h of holter monitoring the maximum QTcB for that h was calculated using the maximum QT and mean HR of that given h as Maximum QT divided by (60/Mean HR)\^1/2.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Mean of Hourly Maximums QTcF and QTcB Derived From 24 h 3-lead Holter ECG Monitoring Over Time
Day 1, QTcF
474.2567 msec
Standard Deviation 26.91319
470.3755 msec
Standard Deviation 21.52200
468.4990 msec
Standard Deviation 28.95477
470.6075 msec
Standard Deviation 20.80669
Mean of Hourly Maximums QTcF and QTcB Derived From 24 h 3-lead Holter ECG Monitoring Over Time
Day 7, QTcF
471.3443 msec
Standard Deviation 17.96397
470.9166 msec
Standard Deviation 18.10351
471.2125 msec
Standard Deviation 30.75404
469.7194 msec
Standard Deviation 17.22701
Mean of Hourly Maximums QTcF and QTcB Derived From 24 h 3-lead Holter ECG Monitoring Over Time
Day 14, QTcF
471.3571 msec
Standard Deviation 14.87705
478.8226 msec
Standard Deviation 20.29032
461.4473 msec
Standard Deviation 32.41893
462.4090 msec
Standard Deviation 18.50928
Mean of Hourly Maximums QTcF and QTcB Derived From 24 h 3-lead Holter ECG Monitoring Over Time
Day 1, QTcB
491.2731 msec
Standard Deviation 32.55948
486.3962 msec
Standard Deviation 21.76741
484.1421 msec
Standard Deviation 31.72641
493.5255 msec
Standard Deviation 21.80365
Mean of Hourly Maximums QTcF and QTcB Derived From 24 h 3-lead Holter ECG Monitoring Over Time
Day 7, QTcB
491.1749 msec
Standard Deviation 21.97287
486.1238 msec
Standard Deviation 22.36925
488.0985 msec
Standard Deviation 33.52830
493.4279 msec
Standard Deviation 19.59523
Mean of Hourly Maximums QTcF and QTcB Derived From 24 h 3-lead Holter ECG Monitoring Over Time
Day 14, QTcB
489.5294 msec
Standard Deviation 18.51699
494.0542 msec
Standard Deviation 23.18669
479.8827 msec
Standard Deviation 36.11264
484.5300 msec
Standard Deviation 16.67519

SECONDARY outcome

Timeframe: Day 1 up to Day 14

Population: Safety Population. Only those participants available at the specified time points were analyzed.

A holter monitor is a machine that continuously records the heart's electrical activity. A 3-lead holter ECG monitoring device was used. The monitor was worn for 24 h during normal activity to record the heart's rhythm. The assessment for the events of supra ventricular ectopics, ventricular ectopics and ventricular runs per 24 h was done on Day 1, Day 7 and Day 14.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Number of Events of Supra Ventricular Ectopics, Ventricular Ectopics and Ventricular Runs Per 24 h Derived From 3-lead Holter ECG Monitoring Over Time
Day 1, Ventricular ectopics
0.0 Number of events
Standard Deviation 0.00
0.8 Number of events
Standard Deviation 1.65
3.6 Number of events
Standard Deviation 10.80
0.3 Number of events
Standard Deviation 1.00
Number of Events of Supra Ventricular Ectopics, Ventricular Ectopics and Ventricular Runs Per 24 h Derived From 3-lead Holter ECG Monitoring Over Time
Day 1, Ventricular runs
0.0 Number of events
Standard Deviation 0.00
0.2 Number of events
Standard Deviation 0.40
1.0 Number of events
Standard Deviation 3.16
0.1 Number of events
Standard Deviation 0.25
Number of Events of Supra Ventricular Ectopics, Ventricular Ectopics and Ventricular Runs Per 24 h Derived From 3-lead Holter ECG Monitoring Over Time
Day 1, Supra ventricular ectopics
107.2 Number of events
Standard Deviation 259.78
397.3 Number of events
Standard Deviation 982.72
134.9 Number of events
Standard Deviation 249.35
61.9 Number of events
Standard Deviation 128.69
Number of Events of Supra Ventricular Ectopics, Ventricular Ectopics and Ventricular Runs Per 24 h Derived From 3-lead Holter ECG Monitoring Over Time
Day 7, Supra ventricular ectopics
97.8 Number of events
Standard Deviation 220.23
321.4 Number of events
Standard Deviation 985.25
442.5 Number of events
Standard Deviation 900.98
73.0 Number of events
Standard Deviation 120.87
Number of Events of Supra Ventricular Ectopics, Ventricular Ectopics and Ventricular Runs Per 24 h Derived From 3-lead Holter ECG Monitoring Over Time
Day 7, Ventricular ectopics
1.0 Number of events
Standard Deviation 4.00
0.2 Number of events
Standard Deviation 0.77
0.2 Number of events
Standard Deviation 0.80
0.0 Number of events
Standard Deviation 0.00
Number of Events of Supra Ventricular Ectopics, Ventricular Ectopics and Ventricular Runs Per 24 h Derived From 3-lead Holter ECG Monitoring Over Time
Day 7, Ventricular runs
0.1 Number of events
Standard Deviation 0.25
0.1 Number of events
Standard Deviation 0.26
0.1 Number of events
Standard Deviation 0.27
0.0 Number of events
Standard Deviation 0.00
Number of Events of Supra Ventricular Ectopics, Ventricular Ectopics and Ventricular Runs Per 24 h Derived From 3-lead Holter ECG Monitoring Over Time
Day 14, Supra ventricular ectopics
27.5 Number of events
Standard Deviation 42.17
398.1 Number of events
Standard Deviation 1005.29
333.5 Number of events
Standard Deviation 821.98
93.3 Number of events
Standard Deviation 121.83
Number of Events of Supra Ventricular Ectopics, Ventricular Ectopics and Ventricular Runs Per 24 h Derived From 3-lead Holter ECG Monitoring Over Time
Day 14, Ventricular ectopics
0.5 Number of events
Standard Deviation 1.87
0.4 Number of events
Standard Deviation 1.55
0.0 Number of events
Standard Deviation 0.00
0.0 Number of events
Standard Deviation 0.00
Number of Events of Supra Ventricular Ectopics, Ventricular Ectopics and Ventricular Runs Per 24 h Derived From 3-lead Holter ECG Monitoring Over Time
Day 14, Ventricular runs
0.1 Number of events
Standard Deviation 0.27
0.1 Number of events
Standard Deviation 0.52
0.0 Number of events
Standard Deviation 0.00
0.0 Number of events
Standard Deviation 0.00

SECONDARY outcome

Timeframe: Baseline (Day 1) up to Day 14

Population: Safety Population. Only those participants available at the specified time points were analyzed.

The parameters of biochemistry with their normal range included: alanine amino transferase (\[ALT\] 0-48 international units per liter \[IU/L\]), albumin (32-50 gram \[g\]/L), alkaline phosphatase (\[ALP\] 20-125 IU/L), aspartate amino transferase (\[AST\] 0-42 IU/L), calcium (2.12-2.56 millimole \[mmol\]/L, chloride (95-108 mmol/L), creatine kinase (\[CK\] 0-235 IU/L), creatinine (44-124 micromole \[µmol\]/L), direct bilirubin (0-6 µmol/L), gamma glutamyl transferase (\[GGT\] 0-65 IU/L), glucose (3.9-6.9 mmol/L), lactate dehydrogenase (\[LDH\] 0-250 IU/L), potassium (3.5-5.3 mmol/L), sodium (135-146 mmol/L), total bilirubin (0-22 µmol/L), total protein (60-85 g/L), urea (2.5-9 mmol/L) and uric acid (250-510 µmol/L). The assessments were performed on Day 1, Day 7 and Day 14. Baseline was defined as the assessment done on Day 1. Only those parameters for which at least one value of abnormality (to low or to high) change from Baseline, relative to normal ranges were reported are summarized.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Total Protein, change to low, Day 7
1 Participants
0 Participants
1 Participants
0 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
ALT, change to high, Day 7
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
AST, change to high, Day 7
1 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
AST, change to high, Day 14
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Calcium, change to low, Day 14
0 Participants
1 Participants
0 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Chloride, change to low, Day 7
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Chloride, change to high, Day 7
1 Participants
1 Participants
0 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Chloride, change to high, Day 14
1 Participants
1 Participants
0 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
CK, change to high, Day 14
0 Participants
0 Participants
1 Participants
0 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Direct Bilirubin, change to high, Day 7
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
GGT, change to high, Day 7
0 Participants
1 Participants
0 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
GGT, change to high, Day 14
0 Participants
1 Participants
0 Participants
2 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Glucose, change to high, Day 7
0 Participants
2 Participants
1 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Glucose, change to low, Day 14
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Glucose, change to high, Day 14
1 Participants
1 Participants
2 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
LDH, change to high, Day 7
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
LDH, change to high, Day 14
1 Participants
1 Participants
0 Participants
0 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Potassium, change to high, Day 14
0 Participants
0 Participants
1 Participants
0 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Sodium, change to low, Day 7
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Sodium, change to high, Day 7
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Sodium, change to high, Day 14
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Total Bilirubin, change to high, Day 7
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Total Protein, change to low, Day 14
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Urea, change to high, Day 7
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Urea, change to low, Day 14
0 Participants
1 Participants
0 Participants
1 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Uric acid, change to low, Day 14
0 Participants
0 Participants
3 Participants
0 Participants
Number of Participants With Biochemistry Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Uric acid, change to high, Day 14
0 Participants
1 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline (Day 1) up to Day 14

Population: Safety Population. Only those participants available at the specified time points were analyzed.

The parameters of biochemistry with their normal range included: basophils (0-0.2 giga cells \[GI\]/L), eosinophils (0.05-0.55 GI/L), haematocrit (0.41-0.5 ratio), hemoglobin (138-172 g/L), lymphocytes (0.85-4.1 GI/L), mean corpuscle hemoglobin (\[MCH\] 27-33 picogram \[pg\]), mean corpuscle hemoglobin concentration (\[MCHC\] 320-360 g/L), mean corpuscle volume (\[MCV\] 80-100 femtoliter \[fl\]), monocytes (0.2-1.1 GI/L), segmented neutrophils (1.8-8 GI/L), total neutrophils (1.8-8 GI/L), platelet count (130-400 GI/L), red blood cell (\[RBC\] 4.4-5.8 trillion cells \[TI\]/L) count and white blood cell (\[WBC\] 3.8-10.8 GI/L) count. The assessments were performed on Day 1, Day 7 and Day 14. Baseline was defined as the assessment done on Day 1. Only those parameters for which at least one value of abnormality (to low or to high) change from Baseline, relative to normal ranges were reported are summarized.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Eosinophils, change to low, Day 7
0 Participants
0 Participants
1 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Eosinophils, change to high, Day 7
0 Participants
1 Participants
0 Participants
1 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Eosinophils, change to high, Day 14
0 Participants
0 Participants
1 Participants
1 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Hematocrit, change to low, Day 7
0 Participants
0 Participants
1 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Hematocrit, change to high, Day 7
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Hematocrit, change to low, Day 14
1 Participants
0 Participants
1 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Hemoglobin, change to low, Day 7
0 Participants
0 Participants
2 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Hemoglobin, change to low, Day 14
0 Participants
0 Participants
2 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Lymphocytes, change to low, Day 7
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Lymphocytes, change to high, Day 7
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Lymphocytes, change to low, Day 14
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
MCH, change to high, Day 7
0 Participants
0 Participants
1 Participants
1 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
MCH, change to high, Day 14
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
MCV, change to high, Day 7
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
MCV, change to high, Day 14
0 Participants
0 Participants
1 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Monocytes, change to low, Day 7
1 Participants
0 Participants
1 Participants
1 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Monocytes, change to high, Day 7
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Monocytes, change to low, Day 14
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Monocytes, change to high, Day 14
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Platelet count, change to high, Day 14
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
RBC count, change to low, Day 7
0 Participants
1 Participants
1 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
RBC count, change to low, Day 14
0 Participants
1 Participants
1 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Segmented Neutrophils, change to low, Day 7
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Segmented Neutrophils, change to high, Day 7
1 Participants
1 Participants
0 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Segmented Neutrophils, change to low, Day 14
0 Participants
0 Participants
1 Participants
1 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Segmented Neutrophils, change to high, Day 14
1 Participants
0 Participants
1 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Total Neutrophils, change to low, Day 7
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Total Neutrophils, change to high, Day 7
1 Participants
1 Participants
0 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Total Neutrophils, change to low, Day 14
0 Participants
0 Participants
1 Participants
1 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
Total Neutrophils, change to high, Day 14
1 Participants
0 Participants
1 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
WBC count, change to low, Day 7
2 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
WBC count, change to high, Day 7
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
WBC count, change to low, Day 14
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Hematology Abnormal Change From Baseline Values Relative to the Normal Range at Day 7 and 14
WBC count, change to high, Day 14
1 Participants
0 Participants
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline (Day 1, pre-dose) up to Day 15

Population: Safety Population. Only those participants available at the specified time points were analyzed.

FEV1 is defined as the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. FEV1 was assessed pre-dose at Day 1, 2, 7, 8, 14 and 15. FEV1 was assessed post-dose at Day 1, 2, 7, 8 and 14. Lung function test of FEV1 was performed at the approximately same time at each visit in the morning and highest of the 3 measurements were recorded. Baseline was defined as the assessment done on pre-dose Day 1. The change from Baseline pre-dose was calculated by subtracting the Baseline value (pre-dose Day 1) from the individual post Baseline (Day 2, 7, 8, 14 and 15) values. Weighted mean was calculated by calculating the AUC, and then dividing by the relevant time interval. AUC was calculated using the trapezoidal rule. The weighted mean FEV1 0-4 h change from Baseline was the AAUCMB obtained at Day 1, 2, 7, 8, 14 and 15. The maximum FEV1 0-4 h change from Baseline was obtained at Day 1, Day 2, Day 7, Day 8, Day 14 and Day 15.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Pre-dose, Weighted Mean FEV1 at 0-4 h and Maximum FEV1 0-4 h Over Time
Weighted mean 0-4 h, Day 15
0.0339 Litres (L)
Standard Deviation 0.25474
0.2096 Litres (L)
Standard Deviation 0.10678
0.1973 Litres (L)
Standard Deviation 0.16988
0.1938 Litres (L)
Standard Deviation 0.28321
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Pre-dose, Weighted Mean FEV1 at 0-4 h and Maximum FEV1 0-4 h Over Time
Maximum 0-4 h, Day 7
0.137 Litres (L)
Standard Deviation 0.2752
0.251 Litres (L)
Standard Deviation 0.1196
0.317 Litres (L)
Standard Deviation 0.2080
0.283 Litres (L)
Standard Deviation 0.2459
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Pre-dose, Weighted Mean FEV1 at 0-4 h and Maximum FEV1 0-4 h Over Time
Day 7, Pre-dose
-0.019 Litres (L)
Standard Deviation 0.3068
0.139 Litres (L)
Standard Deviation 0.1159
0.149 Litres (L)
Standard Deviation 0.1934
0.181 Litres (L)
Standard Deviation 0.2584
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Pre-dose, Weighted Mean FEV1 at 0-4 h and Maximum FEV1 0-4 h Over Time
Day 14, Pre-dose
-0.006 Litres (L)
Standard Deviation 0.2975
0.155 Litres (L)
Standard Deviation 0.1449
0.183 Litres (L)
Standard Deviation 0.2502
0.055 Litres (L)
Standard Deviation 0.2349
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Pre-dose, Weighted Mean FEV1 at 0-4 h and Maximum FEV1 0-4 h Over Time
Weighted mean 0-4 h, Day 1
0.0513 Litres (L)
Standard Deviation 0.11220
0.1794 Litres (L)
Standard Deviation 0.10171
0.2099 Litres (L)
Standard Deviation 0.14168
0.2012 Litres (L)
Standard Deviation 0.12209
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Pre-dose, Weighted Mean FEV1 at 0-4 h and Maximum FEV1 0-4 h Over Time
Weighted mean 0-4 h, Day 2
0.0609 Litres (L)
Standard Deviation 0.17522
0.2427 Litres (L)
Standard Deviation 0.11735
0.2890 Litres (L)
Standard Deviation 0.17558
0.1829 Litres (L)
Standard Deviation 0.26427
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Pre-dose, Weighted Mean FEV1 at 0-4 h and Maximum FEV1 0-4 h Over Time
Weighted mean 0-4 h, Day 7
0.0480 Litres (L)
Standard Deviation 0.24623
0.2001 Litres (L)
Standard Deviation 0.12189
0.2463 Litres (L)
Standard Deviation 0.19308
0.2195 Litres (L)
Standard Deviation 0.23573
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Pre-dose, Weighted Mean FEV1 at 0-4 h and Maximum FEV1 0-4 h Over Time
Weighted mean 0-4 h, Day 8
0.0563 Litres (L)
Standard Deviation 0.25677
0.2313 Litres (L)
Standard Deviation 0.12148
0.2419 Litres (L)
Standard Deviation 0.17906
0.1542 Litres (L)
Standard Deviation 0.26356
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Pre-dose, Weighted Mean FEV1 at 0-4 h and Maximum FEV1 0-4 h Over Time
Weighted mean 0-4 h, Day 14
0.0557 Litres (L)
Standard Deviation 0.27371
0.1899 Litres (L)
Standard Deviation 0.13425
0.2798 Litres (L)
Standard Deviation 0.25865
0.1290 Litres (L)
Standard Deviation 0.29444
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Pre-dose, Weighted Mean FEV1 at 0-4 h and Maximum FEV1 0-4 h Over Time
Maximum 0-4 h, Day 1
0.125 Litres (L)
Standard Deviation 0.1348
0.241 Litres (L)
Standard Deviation 0.1191
0.276 Litres (L)
Standard Deviation 0.1587
0.272 Litres (L)
Standard Deviation 0.1500
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Pre-dose, Weighted Mean FEV1 at 0-4 h and Maximum FEV1 0-4 h Over Time
Maximum 0-4 h, Day 2
0.152 Litres (L)
Standard Deviation 0.1888
0.285 Litres (L)
Standard Deviation 0.1254
0.356 Litres (L)
Standard Deviation 0.1853
0.264 Litres (L)
Standard Deviation 0.2887
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Pre-dose, Weighted Mean FEV1 at 0-4 h and Maximum FEV1 0-4 h Over Time
Maximum 0-4 h, Day 8
0.133 Litres (L)
Standard Deviation 0.2888
0.277 Litres (L)
Standard Deviation 0.1150
0.295 Litres (L)
Standard Deviation 0.1852
0.224 Litres (L)
Standard Deviation 0.2524
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Pre-dose, Weighted Mean FEV1 at 0-4 h and Maximum FEV1 0-4 h Over Time
Maximum 0-4 h, Day 14
0.093 Litres (L)
Standard Deviation 0.2785
0.227 Litres (L)
Standard Deviation 0.1391
0.332 Litres (L)
Standard Deviation 0.2697
0.191 Litres (L)
Standard Deviation 0.2881
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Pre-dose, Weighted Mean FEV1 at 0-4 h and Maximum FEV1 0-4 h Over Time
Maximum 0-4 h, Day 15
0.121 Litres (L)
Standard Deviation 0.2500
0.245 Litres (L)
Standard Deviation 0.1445
0.289 Litres (L)
Standard Deviation 0.1721
0.283 Litres (L)
Standard Deviation 0.2909

SECONDARY outcome

Timeframe: Day 1 up to Day 15

Population: Safety Population. Only those participants available at the specified time points were analyzed.

FEV1 is defined as the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. FEV1 was assessed pre-dose and post-dose at Day 1, 2, 7, 8, 14 and 15. Lung function test of FEV1 was performed at the approximately same time at each visit in the morning and highest of the 3 measurements were recorded. Weighted mean was calculated by calculating the AUC, and then dividing by the relevant time interval. AUC was calculated using the trapezoidal rule. The weighted mean FEV1 0-4 h and maximum FEV1 0-4 h was obtained at Day 1, 2, 7, 8, 14 and 15.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Mean FEV1 Weighted Mean FEV1 at 0-4 h and Maximum FEV1 at 0-4 h Over Time
Maximum 0-4 h, Day 15
1.704 L
Standard Deviation 0.5020
1.587 L
Standard Deviation 0.5060
2.156 L
Standard Deviation 0.5717
1.745 L
Standard Deviation 0.5673
Mean FEV1 Weighted Mean FEV1 at 0-4 h and Maximum FEV1 at 0-4 h Over Time
Weighted mean 0-4, Day 1
1.6180 L
Standard Deviation 0.49986
1.5294 L
Standard Deviation 0.49878
2.0224 L
Standard Deviation 0.62567
1.6674 L
Standard Deviation 0.47398
Mean FEV1 Weighted Mean FEV1 at 0-4 h and Maximum FEV1 at 0-4 h Over Time
Weighted mean 0-4, Day 2
1.6498 L
Standard Deviation 0.44952
1.5796 L
Standard Deviation 0.52525
2.1015 L
Standard Deviation 0.62389
1.6480 L
Standard Deviation 0.53142
Mean FEV1 Weighted Mean FEV1 at 0-4 h and Maximum FEV1 at 0-4 h Over Time
Weighted mean 0-4, Day 7
1.6261 L
Standard Deviation 0.43336
1.5427 L
Standard Deviation 0.51959
2.0355 L
Standard Deviation 0.61827
1.7053 L
Standard Deviation 0.52221
Mean FEV1 Weighted Mean FEV1 at 0-4 h and Maximum FEV1 at 0-4 h Over Time
Weighted mean 0-4, Day 8
1.6375 L
Standard Deviation 0.53044
1.6027 L
Standard Deviation 0.51660
2.0637 L
Standard Deviation 0.61246
1.6599 L
Standard Deviation 0.51218
Mean FEV1 Weighted Mean FEV1 at 0-4 h and Maximum FEV1 at 0-4 h Over Time
Weighted mean 0-4, Day 14
1.6861 L
Standard Deviation 0.50464
1.5326 L
Standard Deviation 0.51142
2.1411 L
Standard Deviation 0.61845
1.6457 L
Standard Deviation 0.61933
Mean FEV1 Weighted Mean FEV1 at 0-4 h and Maximum FEV1 at 0-4 h Over Time
Weighted mean 0-4, Day 15
1.6155 L
Standard Deviation 0.49847
1.4719 L
Standard Deviation 0.47004
2.0638 L
Standard Deviation 0.53939
1.6611 L
Standard Deviation 0.51360
Mean FEV1 Weighted Mean FEV1 at 0-4 h and Maximum FEV1 at 0-4 h Over Time
Maximum 0-4 h, Day 1
1.698 L
Standard Deviation 0.4811
1.578 L
Standard Deviation 0.5034
2.089 L
Standard Deviation 0.6341
1.708 L
Standard Deviation 0.4848
Mean FEV1 Weighted Mean FEV1 at 0-4 h and Maximum FEV1 at 0-4 h Over Time
Maximum 0-4 h, Day 2
1.741 L
Standard Deviation 0.4597
1.622 L
Standard Deviation 0.5329
2.168 L
Standard Deviation 0.6217
1.726 L
Standard Deviation 0.5514
Mean FEV1 Weighted Mean FEV1 at 0-4 h and Maximum FEV1 at 0-4 h Over Time
Maximum 0-4 h, Day 7
1.712 L
Standard Deviation 0.4639
1.593 L
Standard Deviation 0.5196
2.104 L
Standard Deviation 0.6429
1.766 L
Standard Deviation 0.5245
Mean FEV1 Weighted Mean FEV1 at 0-4 h and Maximum FEV1 at 0-4 h Over Time
Maximum 0-4 h, Day 8
1.717 L
Standard Deviation 0.5510
1.620 L
Standard Deviation 0.5182
2.120 L
Standard Deviation 0.6170
1.729 L
Standard Deviation 0.5083
Mean FEV1 Weighted Mean FEV1 at 0-4 h and Maximum FEV1 at 0-4 h Over Time
Maximum 0-4 h, Day 14
1.684 L
Standard Deviation 0.5236
1.569 L
Standard Deviation 0.5193
2.203 L
Standard Deviation 0.6287
1.664 L
Standard Deviation 0.5901

SECONDARY outcome

Timeframe: Baseline (Day 1, pre-dose) up to Day 15

Population: Safety Population. Only those participants available at the specified time points were analyzed.

FEV1 is defined as the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Lung function test of FEV1 was performed at the approximately same time at each visit in the morning and highest of the 3 measurements were recorded. Weighted mean was calculated by calculating the AUC, and then dividing by the relevant time interval. AUC was calculated using the trapezoidal rule. The weighted mean FEV1 over 22-24 h was obtained at Day 1, Day 7 and Day 14 which was recorded up to Day 2, Day 8 and Day 15. Baseline was defined as the assessment on Day 1 pre-dose. Change from Baseline was calculated by subtracting the Baseline (Day 1, pre-dose) value from the individual post Baseline (Day 1, Day 7 and Day 14) values.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Change From Baseline in Weighted Mean FEV1 Over 22- 24 h on Days 1, 7 and 14
Day 1
0.0191 L
Standard Error 0.04224
0.1322 L
Standard Error 0.04171
0.1781 L
Standard Error 0.04194
0.0955 L
Standard Error 0.04043
Change From Baseline in Weighted Mean FEV1 Over 22- 24 h on Days 1, 7 and 14
Day 7
-0.0174 L
Standard Error 0.05640
0.1568 L
Standard Error 0.05818
0.1539 L
Standard Error 0.06073
0.1204 L
Standard Error 0.05723
Change From Baseline in Weighted Mean FEV1 Over 22- 24 h on Days 1, 7 and 14
Day 14
-0.0225 L
Standard Error 0.05719
0.1166 L
Standard Error 0.06178
0.1681 L
Standard Error 0.06615
0.0732 L
Standard Error 0.05827

SECONDARY outcome

Timeframe: Up to Follow-up (Day 17)

Population: Safety Population. Only those participants available at the specified time points were analyzed.

PEF is a measure of lung function and measures how fast a person can breathe out. It was measured using a peak flow meter by the participants and recorded on daily record cards each day in the morning and evening from Screening up to Follow-up. The morning measurements were performed prior to the participant taking the morning dose of study medication or rescue medication. The evening measurements were performed prior to the participant taking the evening dose of study medication or rescue medication. The highest of the 3 values of morning and evening PEF were recorded on the diary card. The mean of 7 days of each morning and evening measurements were reported for the Run-in Week, Week 1, Week 2 and Follow-up.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Mean Morning and Evening Peak Expiratory Flow Rate (PEFR) Over Time
Morning PEFR, Week 2
264.52 Liters per minute (L/min)
Standard Deviation 89.793
265.23 Liters per minute (L/min)
Standard Deviation 66.178
295.75 Liters per minute (L/min)
Standard Deviation 106.748
257.84 Liters per minute (L/min)
Standard Deviation 74.086
Mean Morning and Evening Peak Expiratory Flow Rate (PEFR) Over Time
Morning PEFR, Follow-up
270.16 Liters per minute (L/min)
Standard Deviation 95.536
262.83 Liters per minute (L/min)
Standard Deviation 55.709
297.69 Liters per minute (L/min)
Standard Deviation 111.329
264.64 Liters per minute (L/min)
Standard Deviation 83.106
Mean Morning and Evening Peak Expiratory Flow Rate (PEFR) Over Time
Morning PEFR, Run-in
268.20 Liters per minute (L/min)
Standard Deviation 85.986
249.99 Liters per minute (L/min)
Standard Deviation 78.848
276.45 Liters per minute (L/min)
Standard Deviation 95.245
244.44 Liters per minute (L/min)
Standard Deviation 52.722
Mean Morning and Evening Peak Expiratory Flow Rate (PEFR) Over Time
Morning PEFR, Week 1
271.37 Liters per minute (L/min)
Standard Deviation 85.186
266.22 Liters per minute (L/min)
Standard Deviation 61.112
299.22 Liters per minute (L/min)
Standard Deviation 99.017
254.39 Liters per minute (L/min)
Standard Deviation 63.273
Mean Morning and Evening Peak Expiratory Flow Rate (PEFR) Over Time
Evening PEFR, Run-in
266.76 Liters per minute (L/min)
Standard Deviation 79.352
251.85 Liters per minute (L/min)
Standard Deviation 63.927
270.10 Liters per minute (L/min)
Standard Deviation 93.699
252.64 Liters per minute (L/min)
Standard Deviation 66.592
Mean Morning and Evening Peak Expiratory Flow Rate (PEFR) Over Time
Evening PEFR, Week 1
273.45 Liters per minute (L/min)
Standard Deviation 82.356
278.80 Liters per minute (L/min)
Standard Deviation 65.325
311.46 Liters per minute (L/min)
Standard Deviation 99.984
264.45 Liters per minute (L/min)
Standard Deviation 78.755
Mean Morning and Evening Peak Expiratory Flow Rate (PEFR) Over Time
Evening PEFR, Week 2
274.13 Liters per minute (L/min)
Standard Deviation 84.622
275.12 Liters per minute (L/min)
Standard Deviation 59.122
302.04 Liters per minute (L/min)
Standard Deviation 110.097
263.01 Liters per minute (L/min)
Standard Deviation 88.672
Mean Morning and Evening Peak Expiratory Flow Rate (PEFR) Over Time
Evening PEFR, Follow-up
284.75 Liters per minute (L/min)
Standard Deviation 84.680
262.14 Liters per minute (L/min)
Standard Deviation 55.737
319.09 Liters per minute (L/min)
Standard Deviation 110.336
314.44 Liters per minute (L/min)
Standard Deviation 99.858

SECONDARY outcome

Timeframe: Up to Follow-up (Day 17)

Population: Safety Population. Only those participants available at the specified time points were analyzed.

Ipratropium bromide was provided as the rescue medication. The use of rescue medication was recorded by the participants on daily record cards each day in the morning and evening from Screening up to Follow-up. The mean of 7 days (puffs per 24 h) were reported for the Run-in Week, Week 1, Week 2 and Follow-up.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Mean Use of Rescue Medication Over Period
Run-in
3.12 Puffs per 24 h
Standard Deviation 2.525
2.46 Puffs per 24 h
Standard Deviation 2.464
1.38 Puffs per 24 h
Standard Deviation 1.554
1.66 Puffs per 24 h
Standard Deviation 1.363
Mean Use of Rescue Medication Over Period
Week 1
1.99 Puffs per 24 h
Standard Deviation 2.453
1.63 Puffs per 24 h
Standard Deviation 1.755
0.73 Puffs per 24 h
Standard Deviation 1.133
1.25 Puffs per 24 h
Standard Deviation 2.003
Mean Use of Rescue Medication Over Period
Week 2
2.24 Puffs per 24 h
Standard Deviation 3.053
1.61 Puffs per 24 h
Standard Deviation 2.021
0.79 Puffs per 24 h
Standard Deviation 1.159
0.93 Puffs per 24 h
Standard Deviation 0.962
Mean Use of Rescue Medication Over Period
Follow-up
2.17 Puffs per 24 h
Standard Deviation 2.552
1.38 Puffs per 24 h
Standard Deviation 1.502
1.11 Puffs per 24 h
Standard Deviation 1.364
0.86 Puffs per 24 h
Standard Deviation 1.574

SECONDARY outcome

Timeframe: Up to Follow-up (Day 17)

Population: Safety Population. Only those participants available at the specified time points were analyzed.

Ipratropium bromide was provided as the rescue medication. The use of rescue medication was recorded by the participants on daily record cards each day in the morning and evening from Screening up to Follow-up. The percentage of rescue free days during the Run-in week, Week 1, Week 2 and Follow-up Week were assessed. Data is reported for number of participants with \< 20%, \>=20 to \<40%, \>=40 to \<60%, \>=60 to \<80% and \>=80% rescue free days.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Number of Participants With Rescue Free Days
Run-in · < 20%
10 Participants
9 Participants
5 Participants
10 Participants
Number of Participants With Rescue Free Days
Run-in · >=20 to <40%
0 Participants
2 Participants
1 Participants
0 Participants
Number of Participants With Rescue Free Days
Run-in · >=80%
1 Participants
3 Participants
4 Participants
3 Participants
Number of Participants With Rescue Free Days
Run-in · >=40 to <60%
3 Participants
0 Participants
0 Participants
2 Participants
Number of Participants With Rescue Free Days
Run-in · >=60 to <80%
1 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Rescue Free Days
Week 1 · < 20%
7 Participants
5 Participants
3 Participants
4 Participants
Number of Participants With Rescue Free Days
Week 1 · >=20 to <40%
1 Participants
1 Participants
0 Participants
0 Participants
Number of Participants With Rescue Free Days
Week 1 · >=40 to <60%
2 Participants
1 Participants
3 Participants
1 Participants
Number of Participants With Rescue Free Days
Week 1 · >=60 to <80%
0 Participants
0 Participants
1 Participants
1 Participants
Number of Participants With Rescue Free Days
Week 1 · >=80%
6 Participants
5 Participants
6 Participants
6 Participants
Number of Participants With Rescue Free Days
Week 2 · < 20%
7 Participants
4 Participants
3 Participants
3 Participants
Number of Participants With Rescue Free Days
Week 2 · >=20 to <40%
1 Participants
1 Participants
1 Participants
0 Participants
Number of Participants With Rescue Free Days
Week 2 · >=40 to <60%
1 Participants
0 Participants
1 Participants
2 Participants
Number of Participants With Rescue Free Days
Week 2 · >=60 to <80%
1 Participants
1 Participants
2 Participants
2 Participants
Number of Participants With Rescue Free Days
Week 2 · >=80%
6 Participants
5 Participants
5 Participants
3 Participants
Number of Participants With Rescue Free Days
Follow-up · < 20%
9 Participants
8 Participants
5 Participants
2 Participants
Number of Participants With Rescue Free Days
Follow-up · >=20 to <40%
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Rescue Free Days
Follow-up · >=40 to <60%
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Rescue Free Days
Follow-up · >=60 to <80%
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Rescue Free Days
Follow-up · >=80%
3 Participants
5 Participants
4 Participants
5 Participants

SECONDARY outcome

Timeframe: Baseline (Day 1, pre-dose) up to Day 14

Population: Safety Population. Only those participants available at the specified time points were analyzed.

Blood samples were collected at pre-dose on Day 1, Day 7 and Day 14. Baseline was defined as the assessment done on pre-dose, Day 1. Change from Baseline was calculated by subtracting the Baseline (Day 1, pre-dose) value from the individual post Baseline (Day 7 and Day 14) values.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Change From Baseline in Pre-dose Fasting Glucose and Potassium at Day 7 and 14
Fasting Potassium, Day 14
0.00 Millimole (mmol)/L)
Standard Deviation 0.285
-0.16 Millimole (mmol)/L)
Standard Deviation 0.500
0.02 Millimole (mmol)/L)
Standard Deviation 0.354
0.33 Millimole (mmol)/L)
Standard Deviation 0.504
Change From Baseline in Pre-dose Fasting Glucose and Potassium at Day 7 and 14
Fasting Glucose, Day 7
-0.22 Millimole (mmol)/L)
Standard Deviation 0.742
0.61 Millimole (mmol)/L)
Standard Deviation 1.175
0.11 Millimole (mmol)/L)
Standard Deviation 0.673
0.22 Millimole (mmol)/L)
Standard Deviation 1.103
Change From Baseline in Pre-dose Fasting Glucose and Potassium at Day 7 and 14
Fasting Glucose, Day 14
0.08 Millimole (mmol)/L)
Standard Deviation 1.229
0.57 Millimole (mmol)/L)
Standard Deviation 0.856
0.19 Millimole (mmol)/L)
Standard Deviation 0.639
0.13 Millimole (mmol)/L)
Standard Deviation 1.040
Change From Baseline in Pre-dose Fasting Glucose and Potassium at Day 7 and 14
Fasting Potassium, Day 7
0.22 Millimole (mmol)/L)
Standard Deviation 0.328
-0.11 Millimole (mmol)/L)
Standard Deviation 0.436
0.03 Millimole (mmol)/L)
Standard Deviation 0.675
0.17 Millimole (mmol)/L)
Standard Deviation 0.737

SECONDARY outcome

Timeframe: Baseline (Day 1, pre-dose) up to Day 15

Population: Safety Population. Only those participants available at the specified time points were analyzed.

Blood samples were collected at pre-dose and 4 h post-dose on Day 1, Day 2, Day 7, Day 8, Day 14 and Day 15. Weighted mean was calculated by calculating the AUC, and then dividing by the relevant time interval. AUC was calculated using the trapezoidal rule. Baseline was defined as the assessment on Day 1 pre-dose. The weighted mean change from Baseline was the AAUCMB. Change from Baseline in maximum glucose 0-4 h and minimum potassium 0-4 h was calculated by subtracting the Baseline (Day 1, pre-dose) value from the individual post Baseline (Day 1 to Day 15) values.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Glucose 0-4 h, Day 8
-0.183 mmol/L
Standard Error 0.3111
0.061 mmol/L
Standard Error 0.3200
0.613 mmol/L
Standard Error 0.3614
-0.039 mmol/L
Standard Error 0.3097
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Potassium 0-4 h, Day 14
0.218 mmol/L
Standard Error 0.1140
-0.081 mmol/L
Standard Error 0.1233
-0.053 mmol/L
Standard Error 0.1325
0.123 mmol/L
Standard Error 0.1224
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Maximum Glucose 0-4 h, Day 2
0.21 mmol/L
Standard Error 0.363
0.61 mmol/L
Standard Error 0.357
0.89 mmol/L
Standard Error 0.350
0.44 mmol/L
Standard Error 0.337
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Minimum Potassium 0-4 h, Day 1
-0.12 mmol/L
Standard Error 0.094
-0.31 mmol/L
Standard Error 0.104
-0.35 mmol/L
Standard Error 0.095
-0.32 mmol/L
Standard Error 0.096
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Glucose 0-4 h, Day 1
0.048 mmol/L
Standard Error 0.2097
0.057 mmol/L
Standard Error 0.2061
0.285 mmol/L
Standard Error 0.2068
0.140 mmol/L
Standard Error 0.1946
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Glucose 0-4 h, Day 2
-0.137 mmol/L
Standard Error 0.2749
0.062 mmol/L
Standard Error 0.2689
0.497 mmol/L
Standard Error 0.2711
-0.072 mmol/L
Standard Error 0.2550
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Glucose 0-4 h, Day 7
-0.002 mmol/L
Standard Error 0.1978
0.095 mmol/L
Standard Error 0.1994
0.406 mmol/L
Standard Error 0.2349
0.078 mmol/L
Standard Error 0.1929
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Glucose 0-4 h, Day 14
0.193 mmol/L
Standard Error 0.2104
0.250 mmol/L
Standard Error 0.2046
0.055 mmol/L
Standard Error 0.2309
0.006 mmol/L
Standard Error 0.1956
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Glucose 0-4 h, Day 15
-0.100 mmol/L
Standard Error 0.2505
-0.006 mmol/L
Standard Error 0.2404
0.258 mmol/L
Standard Error 0.2737
0.078 mmol/L
Standard Error 0.2413
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Potassium 0-4 h, Day 1
0.183 mmol/L
Standard Error 0.0999
-0.110 mmol/L
Standard Error 0.1062
-0.188 mmol/L
Standard Error 0.1016
0.030 mmol/L
Standard Error 0.1063
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Potassium 0-4 h, Day 2
0.376 mmol/L
Standard Error 0.1575
0.160 mmol/L
Standard Error 0.1634
-0.160 mmol/L
Standard Error 0.1609
0.358 mmol/L
Standard Error 0.1576
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Potassium 0-4 h, Day 7
0.267 mmol/L
Standard Error 0.1318
-0.219 mmol/L
Standard Error 0.1421
-0.295 mmol/L
Standard Error 0.1664
0.077 mmol/L
Standard Error 0.1415
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Potassium 0-4 h, Day 8
0.247 mmol/L
Standard Error 0.1051
0.322 mmol/L
Standard Error 0.1115
-0.027 mmol/L
Standard Error 0.1311
0.350 mmol/L
Standard Error 0.1154
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Potassium 0-4 h, Day 15
0.155 mmol/L
Standard Error 0.1120
0.328 mmol/L
Standard Error 0.1197
-0.041 mmol/L
Standard Error 0.1276
0.293 mmol/L
Standard Error 0.1234
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Maximum Glucose 0-4 h, Day 1
0.65 mmol/L
Standard Error 0.361
0.51 mmol/L
Standard Error 0.365
0.94 mmol/L
Standard Error 0.357
0.48 mmol/L
Standard Error 0.336
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Maximum Glucose 0-4 h, Day 7
0.52 mmol/L
Standard Error 0.367
0.47 mmol/L
Standard Error 0.368
1.05 mmol/L
Standard Error 0.402
0.65 mmol/L
Standard Error 0.359
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Maximum Glucose 0-4 h, Day 8
0.28 mmol/L
Standard Error 0.431
0.53 mmol/L
Standard Error 0.425
1.13 mmol/L
Standard Error 0.464
0.60 mmol/L
Standard Error 0.429
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Maximum Glucose 0-4 h, Day 14
0.37 mmol/L
Standard Error 0.434
0.42 mmol/L
Standard Error 0.431
1.12 mmol/L
Standard Error 0.473
0.37 mmol/L
Standard Error 0.433
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Maximum Glucose 0-4 h, Day 15
0.21 mmol/L
Standard Error 0.348
0.43 mmol/L
Standard Error 0.345
1.05 mmol/L
Standard Error 0.392
0.70 mmol/L
Standard Error 0.346
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Minimum Potassium 0-4 h, Day 2
0.07 mmol/L
Standard Error 0.127
-0.03 mmol/L
Standard Error 0.135
-0.31 mmol/L
Standard Error 0.125
0.05 mmol/L
Standard Error 0.130
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Minimum Potassium 0-4 h, Day 7
0.07 mmol/L
Standard Error 0.143
-0.47 mmol/L
Standard Error 0.158
-0.47 mmol/L
Standard Error 0.161
-0.27 mmol/L
Standard Error 0.156
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Minimum Potassium 0-4 h, Day 8
0.09 mmol/L
Standard Error 0.099
0.13 mmol/L
Standard Error 0.109
-0.30 mmol/L
Standard Error 0.111
0.13 mmol/L
Standard Error 0.113
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Minimum Potassium 0-4 h, Day 14
-0.06 mmol/L
Standard Error 0.091
-0.21 mmol/L
Standard Error 0.100
-0.29 mmol/L
Standard Error 0.103
-0.12 mmol/L
Standard Error 0.103
Change From Baseline in Weighted Mean Glucose and Potassium 0-4 h, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Minimum Potassium 0-4 h, Day 15
-0.02 mmol/L
Standard Error 0.099
0.03 mmol/L
Standard Error 0.109
-0.37 mmol/L
Standard Error 0.117
0.02 mmol/L
Standard Error 0.113

SECONDARY outcome

Timeframe: Day 1 up to Day 15

Population: Safety Population. Only those participants available at the specified time points were analyzed.

Blood samples were collected at pre-dose and 4 h post-dose on Day 1, Day 2, Day 7, Day 8, Day 14 and Day 15. Weighted mean was calculated by calculating the AUC, and then dividing by the relevant time interval. AUC was calculated using the trapezoidal rule.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 Participants
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Glucose 0-4 h, Day 1
5.917 mmol/L
Standard Deviation 1.4350
5.202 mmol/L
Standard Deviation 0.6244
5.537 mmol/L
Standard Deviation 0.8241
5.744 mmol/L
Standard Deviation 1.0359
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Glucose 0-4 h, Day 2
5.913 mmol/L
Standard Deviation 1.4064
5.237 mmol/L
Standard Deviation 1.0555
5.763 mmol/L
Standard Deviation 1.1516
5.626 mmol/L
Standard Deviation 1.3748
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Glucose 0-4 h, Day 7
5.860 mmol/L
Standard Deviation 1.0459
5.271 mmol/L
Standard Deviation 0.6604
5.636 mmol/L
Standard Deviation 1.0571
5.649 mmol/L
Standard Deviation 1.2134
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Glucose 0-4 h, Day 8
5.679 mmol/L
Standard Deviation 1.4463
5.266 mmol/L
Standard Deviation 0.9408
5.839 mmol/L
Standard Deviation 1.5742
5.461 mmol/L
Standard Deviation 1.2427
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Glucose 0-4 h, Day 14
6.035 mmol/L
Standard Deviation 1.1987
5.406 mmol/L
Standard Deviation 0.4841
5.384 mmol/L
Standard Deviation 0.6367
5.460 mmol/L
Standard Deviation 0.8837
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Glucose 0-4 h, Day 15
5.927 mmol/L
Standard Deviation 1.3819
5.196 mmol/L
Standard Deviation 0.8684
5.599 mmol/L
Standard Deviation 1.1422
5.557 mmol/L
Standard Deviation 1.2105
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Potassium 0-4 h, Day 1
4.491 mmol/L
Standard Deviation 0.5698
4.271 mmol/L
Standard Deviation 0.6109
4.174 mmol/L
Standard Deviation 0.3005
4.352 mmol/L
Standard Deviation 0.3550
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Potassium 0-4 h, Day 2
4.645 mmol/L
Standard Deviation 0.5498
4.541 mmol/L
Standard Deviation 0.3952
4.220 mmol/L
Standard Deviation 0.2719
4.628 mmol/L
Standard Deviation 0.8501
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Potassium 0-4 h, Day 7
4.494 mmol/L
Standard Deviation 0.8933
4.212 mmol/L
Standard Deviation 0.4412
4.154 mmol/L
Standard Deviation 0.3908
4.258 mmol/L
Standard Deviation 0.4597
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Potassium 0-4 h, Day 8
4.525 mmol/L
Standard Deviation 0.4862
4.549 mmol/L
Standard Deviation 0.4950
4.240 mmol/L
Standard Deviation 0.3727
4.503 mmol/L
Standard Deviation 0.3247
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Potassium 0-4 h, Day 14
4.458 mmol/L
Standard Deviation 0.5101
4.298 mmol/L
Standard Deviation 0.5123
4.250 mmol/L
Standard Deviation 0.3694
4.321 mmol/L
Standard Deviation 0.2958
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Weighted Mean Potassium 0-4 h, Day 15
4.400 mmol/L
Standard Deviation 0.4552
4.582 mmol/L
Standard Deviation 0.3869
4.241 mmol/L
Standard Deviation 0.4811
4.466 mmol/L
Standard Deviation 0.2841
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Maximum Glucose 0-4 h, Day 1
6.62 mmol/L
Standard Deviation 2.434
5.54 mmol/L
Standard Deviation 0.801
6.11 mmol/L
Standard Deviation 1.582
6.12 mmol/L
Standard Deviation 1.235
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Maximum Glucose 0-4 h, Day 2
6.29 mmol/L
Standard Deviation 1.735
5.77 mmol/L
Standard Deviation 1.411
6.21 mmol/L
Standard Deviation 1.439
6.13 mmol/L
Standard Deviation 1.728
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Maximum Glucose 0-4 h, Day 7
6.49 mmol/L
Standard Deviation 1.539
5.60 mmol/L
Standard Deviation 0.967
6.24 mmol/L
Standard Deviation 2.103
6.28 mmol/L
Standard Deviation 1.560
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Maximum Glucose 0-4 h, Day 8
6.16 mmol/L
Standard Deviation 1.990
5.64 mmol/L
Standard Deviation 0.993
6.25 mmol/L
Standard Deviation 1.850
6.14 mmol/L
Standard Deviation 1.914
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Maximum Glucose 0-4 h, Day 14
6.30 mmol/L
Standard Deviation 1.477
5.67 mmol/L
Standard Deviation 0.976
6.50 mmol/L
Standard Deviation 2.724
5.86 mmol/L
Standard Deviation 1.241
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Maximum Glucose 0-4 h, Day 15
6.28 mmol/L
Standard Deviation 1.636
5.61 mmol/L
Standard Deviation 1.113
6.37 mmol/L
Standard Deviation 1.592
6.19 mmol/L
Standard Deviation 1.664
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Minimum Potassium 0-4 h, Day 1
4.18 mmol/L
Standard Deviation 0.427
4.05 mmol/L
Standard Deviation 0.584
4.02 mmol/L
Standard Deviation 0.307
3.94 mmol/L
Standard Deviation 0.341
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Minimum Potassium 0-4 h, Day 2
4.35 mmol/L
Standard Deviation 0.346
4.24 mmol/L
Standard Deviation 0.412
4.03 mmol/L
Standard Deviation 0.291
4.28 mmol/L
Standard Deviation 0.810
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Minimum Potassium 0-4 h, Day 7
4.28 mmol/L
Standard Deviation 0.835
3.91 mmol/L
Standard Deviation 0.501
3.89 mmol/L
Standard Deviation 0.355
3.91 mmol/L
Standard Deviation 0.535
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Minimum Potassium 0-4 h, Day 8
4.34 mmol/L
Standard Deviation 0.468
4.34 mmol/L
Standard Deviation 0.473
4.00 mmol/L
Standard Deviation 0.338
4.28 mmol/L
Standard Deviation 0.328
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Minimum Potassium 0-4 h, Day 14
4.20 mmol/L
Standard Deviation 0.388
4.15 mmol/L
Standard Deviation 0.467
4.00 mmol/L
Standard Deviation 0.163
4.08 mmol/L
Standard Deviation 0.376
Mean Weighted Mean 0-4 h of Glucose and Potassium, Maximum Glucose 0-4 h and Minimum Potassium 0-4 h Over Time
Minimum Potassium 0-4 h, Day 15
4.24 mmol/L
Standard Deviation 0.430
4.29 mmol/L
Standard Deviation 0.366
3.93 mmol/L
Standard Deviation 0.379
4.22 mmol/L
Standard Deviation 0.279

SECONDARY outcome

Timeframe: Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose)

Population: Pharmacokinetic (PK) Concentration Population comprised of those participants in the Safety Population for whom a PK sample was obtained and analyzed. Only those participants available at the specified time points were analyzed.

Blood samples were collected on Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose). The pre-dose sample was collected within 5 min prior to study medication administration. The AUC over 4 h as AUC from zero (pre-dose) to 2 h post-dose (AUC \[0-2\]), AUC from zero (pre-dose) to 4 h post-dose (AUC \[0-4\]) and AUC from zero (pre-dose) to time of last quantifiable concentration (AUC \[0-t\]) was determined using the linear trapezoidal rule for increasing concentrations and the logarithmic trapezoidal rule for decreasing concentrations.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
AUC of GW642444H Over 0 to 4 h (AUC [0-4]) on Day 1, 7 and 14
AUC (0-2), Day 1
151.067 Picogram (pg)*h/mL
Geometric Coefficient of Variation 39.92
NA Picogram (pg)*h/mL
Geometric Coefficient of Variation NA
AUC0-2 was not calculated for GW642444 400 mcg once daily.
AUC of GW642444H Over 0 to 4 h (AUC [0-4]) on Day 1, 7 and 14
AUC (0-2), Day 7
164.374 Picogram (pg)*h/mL
Geometric Coefficient of Variation 57.30
NA Picogram (pg)*h/mL
Geometric Coefficient of Variation NA
AUC0-2 was not calculated for GW642444 400 mcg once daily.
AUC of GW642444H Over 0 to 4 h (AUC [0-4]) on Day 1, 7 and 14
AUC (0-2), Day 14
166.055 Picogram (pg)*h/mL
Geometric Coefficient of Variation 40.98
NA Picogram (pg)*h/mL
Geometric Coefficient of Variation NA
AUC0-2 was not calculated for GW642444 400 mcg once daily.
AUC of GW642444H Over 0 to 4 h (AUC [0-4]) on Day 1, 7 and 14
AUC (0-4), Day 1
277.582 Picogram (pg)*h/mL
Geometric Coefficient of Variation 14.92
699.719 Picogram (pg)*h/mL
Geometric Coefficient of Variation 60.50
AUC of GW642444H Over 0 to 4 h (AUC [0-4]) on Day 1, 7 and 14
AUC (0-4), Day 7
412.496 Picogram (pg)*h/mL
Geometric Coefficient of Variation 31.95
945.893 Picogram (pg)*h/mL
Geometric Coefficient of Variation 58.35
AUC of GW642444H Over 0 to 4 h (AUC [0-4]) on Day 1, 7 and 14
AUC (0-4), Day 14
300.921 Picogram (pg)*h/mL
Geometric Coefficient of Variation 40.05
772.694 Picogram (pg)*h/mL
Geometric Coefficient of Variation 35.59
AUC of GW642444H Over 0 to 4 h (AUC [0-4]) on Day 1, 7 and 14
AUC (0-t), Day 1
192.799 Picogram (pg)*h/mL
Geometric Coefficient of Variation 51.42
702.937 Picogram (pg)*h/mL
Geometric Coefficient of Variation 60.22
AUC of GW642444H Over 0 to 4 h (AUC [0-4]) on Day 1, 7 and 14
AUC (0-t), Day 7
212.547 Picogram (pg)*h/mL
Geometric Coefficient of Variation 86.45
840.634 Picogram (pg)*h/mL
Geometric Coefficient of Variation 63.50
AUC of GW642444H Over 0 to 4 h (AUC [0-4]) on Day 1, 7 and 14
AUC (0-t), Day 14
275.621 Picogram (pg)*h/mL
Geometric Coefficient of Variation 49.02
736.842 Picogram (pg)*h/mL
Geometric Coefficient of Variation 40.06

SECONDARY outcome

Timeframe: Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose)

Population: PK Concentration Population. Only those participants available at the specified time points were analyzed.

Blood samples were collected on Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose). The pre-dose sample was collected within 5 min prior to study medication administration. The first occurrence of the Cmax was determined directly from the raw concentration-time data.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Maximum Concentration (Cmax) of GW642444H at Day 1, 7 and 14
Day 1
78.851 pg/mL
Geometric Coefficient of Variation 45.85
226.407 pg/mL
Geometric Coefficient of Variation 108.53
Maximum Concentration (Cmax) of GW642444H at Day 1, 7 and 14
Day 7
82.642 pg/mL
Geometric Coefficient of Variation 64.09
427.282 pg/mL
Geometric Coefficient of Variation 49.41
Maximum Concentration (Cmax) of GW642444H at Day 1, 7 and 14
Day 14
92.089 pg/mL
Geometric Coefficient of Variation 50.15
308.546 pg/mL
Geometric Coefficient of Variation 24.25

SECONDARY outcome

Timeframe: Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose)

Population: PK Concentration Population. Only those participants available at the specified time points were analyzed.

Blood samples were collected on Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose). The pre-dose sample was collected within 5 min prior to study medication administration. The time at which Cmax was observed and tlast was determined directly from the raw concentration-time data.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Time to Maximum Concentration (Tmax) and Time of Last Quantifiable Concentration (Tlast) of GW642444H at Day 1, 7 and 14
Tmax, Day 1
1.000 h
Interval 0.08 to 4.0
1.000 h
Interval 0.08 to 1.08
Time to Maximum Concentration (Tmax) and Time of Last Quantifiable Concentration (Tlast) of GW642444H at Day 1, 7 and 14
Tmax, Day 7
1.000 h
Interval 0.08 to 4.0
0.130 h
Interval 0.08 to 1.02
Time to Maximum Concentration (Tmax) and Time of Last Quantifiable Concentration (Tlast) of GW642444H at Day 1, 7 and 14
Tmax, Day 14
0.555 h
Interval 0.08 to 2.0
0.525 h
Interval 0.07 to 2.02
Time to Maximum Concentration (Tmax) and Time of Last Quantifiable Concentration (Tlast) of GW642444H at Day 1, 7 and 14
Tlast, Day 1
2.000 h
Interval 0.98 to 4.0
4.000 h
Interval 0.08 to 4.23
Time to Maximum Concentration (Tmax) and Time of Last Quantifiable Concentration (Tlast) of GW642444H at Day 1, 7 and 14
Tlast, Day 7
2.000 h
Interval 1.0 to 4.0
4.000 h
Interval 1.97 to 4.17
Time to Maximum Concentration (Tmax) and Time of Last Quantifiable Concentration (Tlast) of GW642444H at Day 1, 7 and 14
Tlast, Day 14
4.000 h
Interval 0.08 to 4.12
4.000 h
Interval 2.0 to 4.88

SECONDARY outcome

Timeframe: Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose)

Population: PK Concentration Population. Only those participants available at the specified time points were analyzed.

CCI2189 is a counterion of GW642444H. Blood samples were collected on Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose). The pre-dose sample was collected within 5 min prior to study medication administration. The AUC (0-4) was determined using the linear trapezoidal rule for increasing concentrations and the logarithmic trapezoidal rule for decreasing concentrations.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
AUC (0-4) of CCI2189 at Day 1, 7 and 14
Day 1
11.779 Nanogram (ng)*h/mL
Geometric Coefficient of Variation 34.10
45.664 Nanogram (ng)*h/mL
Geometric Coefficient of Variation 25.35
AUC (0-4) of CCI2189 at Day 1, 7 and 14
Day 7
12.155 Nanogram (ng)*h/mL
Geometric Coefficient of Variation 33.83
52.866 Nanogram (ng)*h/mL
Geometric Coefficient of Variation 41.09
AUC (0-4) of CCI2189 at Day 1, 7 and 14
Day 14
13.683 Nanogram (ng)*h/mL
Geometric Coefficient of Variation 34.35
48.348 Nanogram (ng)*h/mL
Geometric Coefficient of Variation 36.69

SECONDARY outcome

Timeframe: Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose)

Population: PK Concentration Population. Only those participants available at the specified time points were analyzed.

CCI2189 is a counterion of GW642444H. Blood samples were collected on Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose). The pre-dose sample was collected within 5 min prior to study medication administration. The first occurrence of the Cmax was determined directly from the raw concentration-time data.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Cmax of CCI2189 at Day 1, 7 and 14
Day 1
4.692 ng/mL
Geometric Coefficient of Variation 34.06
15.650 ng/mL
Geometric Coefficient of Variation 55.22
Cmax of CCI2189 at Day 1, 7 and 14
Day 7
4.578 ng/mL
Geometric Coefficient of Variation 27.23
21.293 ng/mL
Geometric Coefficient of Variation 37.74
Cmax of CCI2189 at Day 1, 7 and 14
Day 14
5.115 ng/mL
Geometric Coefficient of Variation 34.66
18.315 ng/mL
Geometric Coefficient of Variation 28.69

SECONDARY outcome

Timeframe: Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose)

Population: PK Concentration Population. Only those participants available at the specified time points were analyzed.

GW630200 and GSK932009 are metabolites of GW642444H. Blood samples were collected on Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose). The pre-dose sample was collected within 5 min prior to study medication administration. The AUC (0-4) was determined using the linear trapezoidal rule for increasing concentrations and the logarithmic trapezoidal rule for decreasing concentrations.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
AUC (0-4) of GW630200 and GSK932009 at Day 1, 7 and 14
GW630200, Day 7
NA pg*h/mL
Geometric Coefficient of Variation NA
Data was not quantifiable.
NA pg*h/mL
Geometric Coefficient of Variation NA
Data was not quantifiable.
AUC (0-4) of GW630200 and GSK932009 at Day 1, 7 and 14
GW630200, Day 1
NA pg*h/mL
Geometric Coefficient of Variation NA
Data was not quantifiable.
NA pg*h/mL
Geometric Coefficient of Variation NA
Data was not quantifiable.
AUC (0-4) of GW630200 and GSK932009 at Day 1, 7 and 14
GW630200, Day 14
NA pg*h/mL
Geometric Coefficient of Variation NA
Data was not quantifiable.
NA pg*h/mL
Geometric Coefficient of Variation NA
Data was not quantifiable.
AUC (0-4) of GW630200 and GSK932009 at Day 1, 7 and 14
GSK932009, Day 1
1222.771 pg*h/mL
Geometric Coefficient of Variation 19.18
AUC (0-4) of GW630200 and GSK932009 at Day 1, 7 and 14
GSK932009, Day 7
897.695 pg*h/mL
Geometric Coefficient of Variation NA
Only one participant was analyzed.
1866.738 pg*h/mL
Geometric Coefficient of Variation 58.04
AUC (0-4) of GW630200 and GSK932009 at Day 1, 7 and 14
GSK932009, Day 14
797.075 pg*h/mL
Geometric Coefficient of Variation NA
Only one participant was analyzed.
1527.671 pg*h/mL
Geometric Coefficient of Variation 20.22

SECONDARY outcome

Timeframe: Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose)

Population: PK Concentration Population. Only those participants available at the specified time points were analyzed.

GW630200 and GSK932009 are metabolites of GW642444H. Blood samples were collected on Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose). The pre-dose sample was collected within 5 min prior to study medication administration. The first occurrence of the Cmax was determined directly from the raw concentration-time data.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Cmax of GW630200 and GSK932009 at Day 1, 7 and 14
GW630200, Day 14
NA pg/mL
Geometric Coefficient of Variation NA
Data was not quantifiable.
NA pg/mL
Geometric Coefficient of Variation NA
Data was not quantifiable.
Cmax of GW630200 and GSK932009 at Day 1, 7 and 14
GW630200, Day 1
NA pg/mL
Geometric Coefficient of Variation NA
Data was not quantifiable.
NA pg/mL
Geometric Coefficient of Variation NA
Data was not quantifiable.
Cmax of GW630200 and GSK932009 at Day 1, 7 and 14
GW630200, Day 7
NA pg/mL
Geometric Coefficient of Variation NA
Data was not quantifiable.
NA pg/mL
Geometric Coefficient of Variation NA
Data was not quantifiable.
Cmax of GW630200 and GSK932009 at Day 1, 7 and 14
GSK932009, Day 1
311.740 pg/mL
Geometric Coefficient of Variation 36.96
Cmax of GW630200 and GSK932009 at Day 1, 7 and 14
GSK932009, Day 7
235.459 pg/mL
Geometric Coefficient of Variation 17.81
460.352 pg/mL
Geometric Coefficient of Variation 69.16
Cmax of GW630200 and GSK932009 at Day 1, 7 and 14
GSK932009, Day 14
228.419 pg/mL
Geometric Coefficient of Variation 19.25
391.680 pg/mL
Geometric Coefficient of Variation 37.49

SECONDARY outcome

Timeframe: Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose)

Population: PK Concentration Population. Only those participants available at the specified time points were analyzed.

GW630200 and GSK932009 are metabolites of GW642444H. CCI2189 is a counterion of GW642444H. Blood samples were collected on Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose). The pre-dose sample was collected within 5 min prior to study medication administration. The time at which Cmax was observed was determined directly from the raw concentration-time data.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 Participants
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Time to Maximum Concentration (Tmax) of CCI2189, GW630200 and GSK932009 at Day 1, 7 and 14
CC12189, Day 7
1.010 h
Interval 0.95 to 4.0
1.000 h
Interval 0.1 to 2.0
Time to Maximum Concentration (Tmax) of CCI2189, GW630200 and GSK932009 at Day 1, 7 and 14
CC12189, Day 14
1.000 h
Interval 0.08 to 4.0
1.000 h
Interval 0.07 to 4.0
Time to Maximum Concentration (Tmax) of CCI2189, GW630200 and GSK932009 at Day 1, 7 and 14
GW630200, Day 1
NA h
Data was not quantifiable.
NA h
Data was not quantifiable.
Time to Maximum Concentration (Tmax) of CCI2189, GW630200 and GSK932009 at Day 1, 7 and 14
CC12189, Day 1
1.285 h
Interval 0.93 to 4.0
1.000 h
Interval 0.08 to 4.0
Time to Maximum Concentration (Tmax) of CCI2189, GW630200 and GSK932009 at Day 1, 7 and 14
GW630200, Day 7
NA h
Data was not quantifiable.
NA h
Data was not quantifiable.
Time to Maximum Concentration (Tmax) of CCI2189, GW630200 and GSK932009 at Day 1, 7 and 14
GW630200, Day 14
NA h
Data was not quantifiable.
NA h
Data was not quantifiable.
Time to Maximum Concentration (Tmax) of CCI2189, GW630200 and GSK932009 at Day 1, 7 and 14
GSK932009, Day 1
2.050 h
Interval 1.0 to 4.23
Time to Maximum Concentration (Tmax) of CCI2189, GW630200 and GSK932009 at Day 1, 7 and 14
GSK932009, Day 7
2.500 h
Interval 1.0 to 4.0
2.000 h
Interval 1.0 to 4.0
Time to Maximum Concentration (Tmax) of CCI2189, GW630200 and GSK932009 at Day 1, 7 and 14
GSK932009, Day 14
1.500 h
Interval 1.0 to 2.0
2.000 h
Interval 1.0 to 4.0

SECONDARY outcome

Timeframe: Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose)

Population: PK Concentration Population. Only those participants available at the specified time points were analyzed.

Blood samples were collected on Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose). The pre-dose sample was collected within 5 min prior to study medication administration. The AUC (0-4) was determined using the linear trapezoidal rule for increasing concentrations and the logarithmic trapezoidal rule for decreasing concentrations.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
AUC (0-4) of Salmeterol at Day 1, 7 and 14
Day 1
225.334 pg*h/mL
Geometric Coefficient of Variation 14.83
AUC (0-4) of Salmeterol at Day 1, 7 and 14
Day 7
226.708 pg*h/mL
Geometric Coefficient of Variation 34.42
AUC (0-4) of Salmeterol at Day 1, 7 and 14
Day 14
178.656 pg*h/mL
Geometric Coefficient of Variation 33.47

SECONDARY outcome

Timeframe: Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose)

Population: PK Concentration Population. Only those participants available at the specified time points were analyzed.

Blood samples were collected on Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose). The pre-dose sample was collected within 5 min prior to study medication administration. The first occurrence of the Cmax was determined directly from the raw concentration-time data.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Cmax of Salmeterol at Day 1, 7 and 14
Day 1
50.218 pg*h/mL
Geometric Coefficient of Variation 45.71
Cmax of Salmeterol at Day 1, 7 and 14
Day 7
59.943 pg*h/mL
Geometric Coefficient of Variation 49.73
Cmax of Salmeterol at Day 1, 7 and 14
Day 14
51.983 pg*h/mL
Geometric Coefficient of Variation 29.13

SECONDARY outcome

Timeframe: Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose)

Population: PK Concentration Population. Only those participants available at the specified time points were analyzed.

Blood samples were collected on Day 1 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose), Day 7 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose) and Day 14 (pre-dose, 5 min, 1 h, 2 h and 4 h post-dose). The pre-dose sample was collected within 5 min prior to study medication administration. The time at which Cmax was observed was determined directly from the raw concentration-time data.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Tmax of Salmeterol at Day 1, 7 and 14
Day 1
1.000 h
Interval 0.08 to 2.0
Tmax of Salmeterol at Day 1, 7 and 14
Day 7
1.000 h
Interval 0.08 to 2.0
Tmax of Salmeterol at Day 1, 7 and 14
Day 14
1.000 h
Interval 0.08 to 4.05

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

GW642444 100 mcg Once Daily

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

GW642444 400 mcg Once Daily

Serious events: 1 serious events
Other events: 7 other events
Deaths: 0 deaths

Salmeterol 50 mcg BD

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=17 participants at risk
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 participants at risk
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 participants at risk
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 participants at risk
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Cardiac disorders
Ventricular extrasystoles
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.6%
1/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Injury, poisoning and procedural complications
Femoral neck fracture
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Injury, poisoning and procedural complications
Radius fracture
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.

Other adverse events

Other adverse events
Measure
Placebo
n=17 participants at risk
Participants received oral inhalations of matching placebo via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of placebo from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 100 mcg Once Daily
n=16 participants at risk
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
GW642444 400 mcg Once Daily
n=17 participants at risk
Participants received oral inhalations of GW642444 100 mcg via DISKUS DPI, once daily for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of GW642444 100 mcg from Inhaler A and 3 inhalations of GW642444 100 mcg (3 inhalations x GW642444 100 mcg) from Inhaler B and evening dose of 1 inhalation of placebo from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Salmeterol 50 mcg BD
n=18 participants at risk
Participants received oral inhalations of salmeterol 50 mcg via DISKUS DPI, BD for 2 weeks of treatment period. Participants were provided with 3 inhalers (Inhaler A, B and C) to maintain the blinding. Participants received morning dose of 1 inhalation of salmeterol 50 mcg from Inhaler A and 3 inhalations of placebo from Inhaler B and evening dose of 1 inhalation of salmeterol 50 mcg from Inhaler C. Inhaled short acting beta-agonists, ipratropium bromide was provided as rescue medication throughout the study.
Nervous system disorders
Dizziness
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
6.2%
1/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
11.1%
2/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Nervous system disorders
Dysgeusia
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
11.8%
2/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Nervous system disorders
Headache
11.8%
2/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
12.5%
2/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
23.5%
4/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
16.7%
3/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Nervous system disorders
Tension headache
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
6.2%
1/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Respiratory, thoracic and mediastinal disorders
Cough
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.6%
1/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
12.5%
2/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.6%
1/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Respiratory, thoracic and mediastinal disorders
Dry throat
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
6.2%
1/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Respiratory, thoracic and mediastinal disorders
Dysphonia
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Respiratory, thoracic and mediastinal disorders
Haemoptysis
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Respiratory, thoracic and mediastinal disorders
Sneezing
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Respiratory, thoracic and mediastinal disorders
Throat irritation
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Respiratory, thoracic and mediastinal disorders
Wheezing
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
6.2%
1/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Gastrointestinal disorders
Nausea
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.6%
1/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Gastrointestinal disorders
Crohn's disease
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Gastrointestinal disorders
Dry mouth
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Gastrointestinal disorders
Tongue coated
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
6.2%
1/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
General disorders
Chest discomfort
11.8%
2/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
General disorders
Chest pain
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.6%
1/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
General disorders
Application site rash
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
General disorders
Application site reaction
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Infections and infestations
Nasopharyngitis
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
6.2%
1/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Infections and infestations
Oral herpes
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Cardiac disorders
Extrasystoles
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
6.2%
1/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Cardiac disorders
Sinus arrest
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
6.2%
1/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Cardiac disorders
Supraventricular extrasystoles
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Skin and subcutaneous tissue disorders
Rash
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
6.2%
1/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Skin and subcutaneous tissue disorders
Skin reaction
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Eye disorders
Eye irritation
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
6.2%
1/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Injury, poisoning and procedural complications
Contusion
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Investigations
Blood pressure decreased
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
6.2%
1/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
Musculoskeletal and connective tissue disorders
Muscle spasms
0.00%
0/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/16 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
5.9%
1/17 • AEs were collected up to Follow-up (17 days)
Safety Population was used.
0.00%
0/18 • AEs were collected up to Follow-up (17 days)
Safety Population was used.

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER