Trial Outcomes & Findings for Safety and Tolerability of Indacaterol Maleate/Mometasone Furoate Delivered Via the Twisthaler® Device After 14 Days Treatment in Patients With Mild to Moderate Asthma (NCT NCT00605306)

NCT ID: NCT00605306

Last Updated: 2013-04-22

Results Overview

An adverse event (AE) is the appearance or worsening of any undesirable sign, symptom, or medical condition occurring after starting the study drug even if the event is not considered to be related to study drug. Abnormal laboratory values or test results constitute adverse events only if they induce clinical signs or symptoms, are considered clinically significant, or require intervention. A serious adverse event (SAE) is defined as an event which is fatal or life-threatening, results in persistent or significant disability/incapacity, constitutes a congenital anomaly/birth defect, requires inpatient hospitalization or prolongation of existing hospitalization, or is medically significant, i.e., defined as an event that jeopardizes the participant or may require medical or surgical intervention to prevent one of the outcomes listed above.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

28 participants

Primary outcome timeframe

15 days

Results posted on

2013-04-22

Participant Flow

Participant milestones

Participant milestones
Measure
Indacaterol Maleate/Mometasone Furoate
Participants received 2 inhalations of indacaterol maleate / mometasone furoate 250/400 μg once daily in the evening (full dose 500/800 μg) delivered via the Twisthaler device for 14 days.
Placebo
Participants received 2 inhalations of placebo to indacaterol maleate / mometasone furoate once daily in the evening delivered via the Twisthaler device for 14 days.
Overall Study
STARTED
14
14
Overall Study
COMPLETED
14
13
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Indacaterol Maleate/Mometasone Furoate
Participants received 2 inhalations of indacaterol maleate / mometasone furoate 250/400 μg once daily in the evening (full dose 500/800 μg) delivered via the Twisthaler device for 14 days.
Placebo
Participants received 2 inhalations of placebo to indacaterol maleate / mometasone furoate once daily in the evening delivered via the Twisthaler device for 14 days.
Overall Study
Adverse Event
0
1

Baseline Characteristics

Safety and Tolerability of Indacaterol Maleate/Mometasone Furoate Delivered Via the Twisthaler® Device After 14 Days Treatment in Patients With Mild to Moderate Asthma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Indacaterol Maleate/Mometasone Furoate
n=14 Participants
Participants received 2 inhalations of indacaterol maleate / mometasone furoate 250/400 μg once daily in the evening (full dose 500/800 μg) delivered via the Twisthaler device for 14 days.
Placebo
n=14 Participants
Participants received 2 inhalations of placebo to indacaterol maleate / mometasone furoate once daily in the evening delivered via the Twisthaler device for 14 days.
Total
n=28 Participants
Total of all reporting groups
Age Continuous
31.0 years
STANDARD_DEVIATION 7.18 • n=5 Participants
33.9 years
STANDARD_DEVIATION 13.35 • n=7 Participants
32.4 years
STANDARD_DEVIATION 10.62 • n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
6 Participants
n=7 Participants
13 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
8 Participants
n=7 Participants
15 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 15 days

Population: All participants

An adverse event (AE) is the appearance or worsening of any undesirable sign, symptom, or medical condition occurring after starting the study drug even if the event is not considered to be related to study drug. Abnormal laboratory values or test results constitute adverse events only if they induce clinical signs or symptoms, are considered clinically significant, or require intervention. A serious adverse event (SAE) is defined as an event which is fatal or life-threatening, results in persistent or significant disability/incapacity, constitutes a congenital anomaly/birth defect, requires inpatient hospitalization or prolongation of existing hospitalization, or is medically significant, i.e., defined as an event that jeopardizes the participant or may require medical or surgical intervention to prevent one of the outcomes listed above.

Outcome measures

Outcome measures
Measure
Indacaterol Maleate/Mometasone Furoate
n=14 Participants
Participants received 2 inhalations of indacaterol maleate / mometasone furoate 250/400 μg once daily in the evening (full dose 500/800 μg) delivered via the Twisthaler device for 14 days.
Placebo
n=14 Participants
Participants received 2 inhalations of placebo to indacaterol maleate / mometasone furoate once daily in the evening delivered via the Twisthaler device for 14 days.
Participants With Adverse Events
Any adverse event
9 participants
12 participants
Participants With Adverse Events
Serious adverse event
0 participants
0 participants
Participants With Adverse Events
AE resulting in discontinuation
0 participants
1 participants

SECONDARY outcome

Timeframe: Baseline; Days 1 and 14 at pre-dose, 0.25, 0.5, 1, 2, 4 hours post-dose; 12 and 24 hours post-dose (Day 2); study completion (5-9 days after last dose, Day 19-23).

Population: All participants

At the specified time-points, blood samples were collected for measurement of serum potassium and the samples analyzed by a central laboratory. The end of study visit was conducted approximately 5-9 days after the last dose.

Outcome measures

Outcome measures
Measure
Indacaterol Maleate/Mometasone Furoate
n=14 Participants
Participants received 2 inhalations of indacaterol maleate / mometasone furoate 250/400 μg once daily in the evening (full dose 500/800 μg) delivered via the Twisthaler device for 14 days.
Placebo
n=14 Participants
Participants received 2 inhalations of placebo to indacaterol maleate / mometasone furoate once daily in the evening delivered via the Twisthaler device for 14 days.
Levels of Serum Potassium Over Time
Baseline (N=14, 14)
4.271 mmol/L
Standard Deviation 0.2867
4.336 mmol/L
Standard Deviation 0.3388
Levels of Serum Potassium Over Time
Day 1, pre-dose (N=14, 14)
4.264 mmol/L
Standard Deviation 0.2240
4.279 mmol/L
Standard Deviation 0.3446
Levels of Serum Potassium Over Time
Day 1, 0.25 hours post-dose (N=14, 14)
4.293 mmol/L
Standard Deviation 0.3583
4.314 mmol/L
Standard Deviation 0.5803
Levels of Serum Potassium Over Time
Day 1, 0.5 hours post-dose (N=14, 14)
4.150 mmol/L
Standard Deviation 0.2442
4.179 mmol/L
Standard Deviation 0.3093
Levels of Serum Potassium Over Time
Day 1, 1 hour post-dose (N=14, 14)
4.143 mmol/L
Standard Deviation 0.2174
4.171 mmol/L
Standard Deviation 0.2614
Levels of Serum Potassium Over Time
Day 1, 2 hours post-dose (N=14, 14)
4.157 mmol/L
Standard Deviation 0.2709
4.093 mmol/L
Standard Deviation 0.2200
Levels of Serum Potassium Over Time
Day 1, 4 hours post-dose (N=14, 14)
3.979 mmol/L
Standard Deviation 0.2486
3.929 mmol/L
Standard Deviation 0.2494
Levels of Serum Potassium Over Time
Day 2, 12 hours post-dose (N=14, 14)
4.436 mmol/L
Standard Deviation 0.2530
4.500 mmol/L
Standard Deviation 0.2961
Levels of Serum Potassium Over Time
Day 2, 24 hours post-dose (N=14, 14)
4.293 mmol/L
Standard Deviation 0.2786
4.386 mmol/L
Standard Deviation 0.4753
Levels of Serum Potassium Over Time
Day 14, pre-dose (N=14, 14)
4.150 mmol/L
Standard Deviation 0.3205
4.136 mmol/L
Standard Deviation 0.3079
Levels of Serum Potassium Over Time
Day 14, 0.25 hours post-dose (N=14, 13)
4.064 mmol/L
Standard Deviation 0.3522
4.092 mmol/L
Standard Deviation 0.3353
Levels of Serum Potassium Over Time
Day 14, 0.5 hours post-dose (N=14, 13)
3.986 mmol/L
Standard Deviation 0.3325
4.092 mmol/L
Standard Deviation 0.3378
Levels of Serum Potassium Over Time
Day 14, 1 hour post-dose (N=14, 13)
3.986 mmol/L
Standard Deviation 0.3880
4.038 mmol/L
Standard Deviation 0.4426
Levels of Serum Potassium Over Time
Day 14, 2 hours post-dose (N=14, 13)
3.986 mmol/L
Standard Deviation 0.2627
4.038 mmol/L
Standard Deviation 0.3927
Levels of Serum Potassium Over Time
Day 14, 4 hours post-dose (N=14, 13)
3.800 mmol/L
Standard Deviation 0.3397
3.792 mmol/L
Standard Deviation 0.2397
Levels of Serum Potassium Over Time
End of study (N=14, 14)
4.364 mmol/L
Standard Deviation 0.2373
4.429 mmol/L
Standard Deviation 0.4103

SECONDARY outcome

Timeframe: Baseline; Days 1 and 14 at pre-dose, 0.25, 0.5, 1, 2, 4 hours post-dose; 12 and 24 hours post dose (Day 2); study completion (5-9 days after last dose, Day 19-23).

Population: All participants

At the specified time-points, blood samples were collected for measurement of plasma glucose and the samples analyzed by a central laboratory. The end of study visit was conducted approximately 5-9 days after the last dose.

Outcome measures

Outcome measures
Measure
Indacaterol Maleate/Mometasone Furoate
n=14 Participants
Participants received 2 inhalations of indacaterol maleate / mometasone furoate 250/400 μg once daily in the evening (full dose 500/800 μg) delivered via the Twisthaler device for 14 days.
Placebo
n=14 Participants
Participants received 2 inhalations of placebo to indacaterol maleate / mometasone furoate once daily in the evening delivered via the Twisthaler device for 14 days.
Levels of Plasma Glucose Over Time
Baseline (N=14, 14)
5.079 mmol/L
Standard Deviation 0.3239
5.157 mmol/L
Standard Deviation 0.4415
Levels of Plasma Glucose Over Time
Day 1, pre-dose (N=14, 14)
5.057 mmol/L
Standard Deviation 0.2533
5.236 mmol/L
Standard Deviation 0.3855
Levels of Plasma Glucose Over Time
Day 1, 0.25 hours post-dose (N=14, 14)
5.007 mmol/L
Standard Deviation 0.2786
5.264 mmol/L
Standard Deviation 0.4069
Levels of Plasma Glucose Over Time
Day 1, 0.5 hours post-dose (N=14, 14)
4.950 mmol/L
Standard Deviation 0.2279
5.207 mmol/L
Standard Deviation 0.3385
Levels of Plasma Glucose Over Time
Day 1, 1 hour post-dose (N=14, 14)
5.036 mmol/L
Standard Deviation 0.2620
5.193 mmol/L
Standard Deviation 0.3316
Levels of Plasma Glucose Over Time
Day 1, 2 hours post-dose (N=14, 14)
5.057 mmol/L
Standard Deviation 0.2377
5.179 mmol/L
Standard Deviation 0.3142
Levels of Plasma Glucose Over Time
Day 1, 4 hours post-dose (N=14, 14)
7.064 mmol/L
Standard Deviation 1.4532
6.793 mmol/L
Standard Deviation 1.2344
Levels of Plasma Glucose Over Time
Day 2, 12 hours post-dose (N=14, 14)
5.221 mmol/L
Standard Deviation 0.2326
5.286 mmol/L
Standard Deviation 0.3009
Levels of Plasma Glucose Over Time
Day 2, 24 hours post-dose (N=14, 14)
5.293 mmol/L
Standard Deviation 0.4463
5.321 mmol/L
Standard Deviation 0.5767
Levels of Plasma Glucose Over Time
Day 14, pre-dose (N=14, 14)
5.129 mmol/L
Standard Deviation 0.4681
5.221 mmol/L
Standard Deviation 0.3534
Levels of Plasma Glucose Over Time
Day 14, 0.25 hours post-dose (N=14, 13)
5.136 mmol/L
Standard Deviation 0.4986
4.900 mmol/L
Standard Deviation 0.4301
Levels of Plasma Glucose Over Time
Day 14, 0.5 hours post-dose (N=14, 13)
5.157 mmol/L
Standard Deviation 0.4767
4.946 mmol/L
Standard Deviation 0.4409
Levels of Plasma Glucose Over Time
Day 14, 1 hour post-dose (N=14, 13)
5.136 mmol/L
Standard Deviation 0.4448
4.962 mmol/L
Standard Deviation 0.3841
Levels of Plasma Glucose Over Time
Day 14, 2 hours post-dose (N=14, 13)
5.093 mmol/L
Standard Deviation 0.3269
4.908 mmol/L
Standard Deviation 0.4173
Levels of Plasma Glucose Over Time
Day 14, 4 hours post-dose (N=14, 13)
6.929 mmol/L
Standard Deviation 1.3176
7.408 mmol/L
Standard Deviation 1.0649
Levels of Plasma Glucose Over Time
End of study (N=14, 13)
5.257 mmol/L
Standard Deviation 0.2821
5.731 mmol/L
Standard Deviation 1.0160

SECONDARY outcome

Timeframe: Baseline; Days 1 and 14 at pre-dose, 0.25, 0.5, 1, 2, 4, 11, 12, 13 hours post-dose; 24 hours post dose (Day 2); study completion (5-9 days after last dose, Day 19-23).

Population: All participants

At the specified time-points, blood samples were collected for measurement of serum cortisol and the samples analyzed by a central laboratory. The end of study visit was conducted approximately 5-9 days after the last dose.

Outcome measures

Outcome measures
Measure
Indacaterol Maleate/Mometasone Furoate
n=14 Participants
Participants received 2 inhalations of indacaterol maleate / mometasone furoate 250/400 μg once daily in the evening (full dose 500/800 μg) delivered via the Twisthaler device for 14 days.
Placebo
n=14 Participants
Participants received 2 inhalations of placebo to indacaterol maleate / mometasone furoate once daily in the evening delivered via the Twisthaler device for 14 days.
Levels of Serum Cortisol Over Time
Baseline (N=14, 14)
466.214 mmol/L
Standard Deviation 178.2311
441.143 mmol/L
Standard Deviation 97.5365
Levels of Serum Cortisol Over Time
Day 1, pre-dose (N=14, 14)
159.643 mmol/L
Standard Deviation 100.4533
140.714 mmol/L
Standard Deviation 47.2024
Levels of Serum Cortisol Over Time
Day 1, 0.25 hours post-dose (N=14, 14)
153.786 mmol/L
Standard Deviation 87.5313
151.000 mmol/L
Standard Deviation 91.2798
Levels of Serum Cortisol Over Time
Day 1, 0.5 hours post-dose (N=14, 14)
130.143 mmol/L
Standard Deviation 74.2375
130.571 mmol/L
Standard Deviation 63.6779
Levels of Serum Cortisol Over Time
Day 1, 1 hour post-dose (N=14, 14)
99.143 mmol/L
Standard Deviation 54.5412
131.929 mmol/L
Standard Deviation 51.4923
Levels of Serum Cortisol Over Time
Day 1, 2 hours post-dose (N=14, 14)
65.357 mmol/L
Standard Deviation 33.1143
84.286 mmol/L
Standard Deviation 27.1220
Levels of Serum Cortisol Over Time
Day 1, 4 hours post-dose (N=14, 14)
55.929 mmol/L
Standard Deviation 24.6716
102.071 mmol/L
Standard Deviation 54.8248
Levels of Serum Cortisol Over Time
Day 2, 11 hours post-dose (N=14, 14)
362.500 mmol/L
Standard Deviation 159.3891
478.214 mmol/L
Standard Deviation 121.2272
Levels of Serum Cortisol Over Time
Day 2, 12 hours post-dose (N=14, 14)
289.929 mmol/L
Standard Deviation 96.3906
404.214 mmol/L
Standard Deviation 123.4623
Levels of Serum Cortisol Over Time
Day 2, 13 hours post-dose (N=14, 14)
335.214 mmol/L
Standard Deviation 150.7811
370.071 mmol/L
Standard Deviation 105.2451
Levels of Serum Cortisol Over Time
Day 2, 24 hours post-dose (N=14, 14)
136.857 mmol/L
Standard Deviation 75.4442
193.500 mmol/L
Standard Deviation 87.5238
Levels of Serum Cortisol Over Time
Day 14, pre-dose (N=14, 14)
126.071 mmol/L
Standard Deviation 65.6546
122.857 mmol/L
Standard Deviation 71.5379
Levels of Serum Cortisol Over Time
Day 14, 0.25 hours post-dose (N=14, 13)
111.500 mmol/L
Standard Deviation 82.9001
127.231 mmol/L
Standard Deviation 104.5834
Levels of Serum Cortisol Over Time
Day 14, 0.5 hours post-dose (N=14, 13)
99.500 mmol/L
Standard Deviation 68.5608
121.154 mmol/L
Standard Deviation 112.2726
Levels of Serum Cortisol Over Time
Day 14, 1 hour post-dose (N=14, 13)
82.786 mmol/L
Standard Deviation 57.7663
106.385 mmol/L
Standard Deviation 118.7936
Levels of Serum Cortisol Over Time
Day 14, 2 hours post-dose (N=14, 13)
62.071 mmol/L
Standard Deviation 44.5861
94.154 mmol/L
Standard Deviation 133.8300
Levels of Serum Cortisol Over Time
Day 14, 4 hours post-dose (N=14, 13)
48.214 mmol/L
Standard Deviation 34.5280
102.154 mmol/L
Standard Deviation 80.7051
Levels of Serum Cortisol Over Time
Day 15, 11 hours post-dose (N=14, 14)
242.143 mmol/L
Standard Deviation 177.3739
417.000 mmol/L
Standard Deviation 100.8312
Levels of Serum Cortisol Over Time
Day 15, 12 hours post-dose (N=14, 13)
255.500 mmol/L
Standard Deviation 154.1442
388.769 mmol/L
Standard Deviation 104.6885
Levels of Serum Cortisol Over Time
Day 15, 13 hours post-dose (N=14, 13)
324.857 mmol/L
Standard Deviation 179.8713
385.769 mmol/L
Standard Deviation 126.2301
Levels of Serum Cortisol Over Time
End of study (N=14, 14)
495.286 mmol/L
Standard Deviation 259.2054
417.786 mmol/L
Standard Deviation 164.1046

Adverse Events

Indacaterol Maleate/Mometasone Furoate

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Indacaterol Maleate/Mometasone Furoate
n=14 participants at risk
Participants received 2 inhalations of indacaterol maleate / mometasone furoate 250/400 μg once daily in the evening (full dose 500/800 μg) delivered via the Twisthaler device for 14 days.
Placebo
n=14 participants at risk
Participants received 2 inhalations of placebo to indacaterol maleate / mometasone furoate once daily in the evening delivered via the Twisthaler device for 14 days.
Eye disorders
Blepharitis
0.00%
0/14
7.1%
1/14
Eye disorders
Conjunctivitis
0.00%
0/14
7.1%
1/14
General disorders
Chest discomfort
0.00%
0/14
14.3%
2/14
General disorders
Chills
0.00%
0/14
7.1%
1/14
Infections and infestations
Bronchitis
14.3%
2/14
0.00%
0/14
Infections and infestations
Nasopharyngitis
7.1%
1/14
0.00%
0/14
Infections and infestations
Rhinitis
14.3%
2/14
14.3%
2/14
Infections and infestations
Tracheitis
7.1%
1/14
0.00%
0/14
Investigations
Peak expiratory flow rate decreased
0.00%
0/14
7.1%
1/14
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/14
7.1%
1/14
Musculoskeletal and connective tissue disorders
Myalgia
7.1%
1/14
0.00%
0/14
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/14
7.1%
1/14
Nervous system disorders
Aphonia
7.1%
1/14
0.00%
0/14
Nervous system disorders
Headache
35.7%
5/14
14.3%
2/14
Nervous system disorders
Syncope vasovagal
0.00%
0/14
7.1%
1/14
Nervous system disorders
Tremor
0.00%
0/14
7.1%
1/14
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/14
14.3%
2/14
Respiratory, thoracic and mediastinal disorders
Asthmatic crisis
0.00%
0/14
21.4%
3/14
Respiratory, thoracic and mediastinal disorders
Cough
35.7%
5/14
14.3%
2/14
Respiratory, thoracic and mediastinal disorders
Dyspnoea
7.1%
1/14
28.6%
4/14
Respiratory, thoracic and mediastinal disorders
Painful respiration
0.00%
0/14
7.1%
1/14
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
7.1%
1/14
0.00%
0/14
Respiratory, thoracic and mediastinal disorders
Wheezing
0.00%
0/14
7.1%
1/14

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862-778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER