Trial Outcomes & Findings for A Study of the Effectiveness and Safety of Different Doses of Fluticasone Propionate Taken From a Dry Powder Inhaler in Adolescents and Adults Who Have Asthma That is Not Controlled by Asthma Medications Not Containing Steroids (NCT NCT01479621)
NCT ID: NCT01479621
Last Updated: 2017-06-05
Results Overview
Trough FEV1 was measured electronically by spirometry at morning (AM) investigational site visits, before administration of the AM dose of study drug and before albuterol/salbutamol administration. The highest FEV1 value from 3 acceptable and 2 reproducible maneuvers was used. All FEV1 data were submitted to a central reading center for evaluation. The p-values for the treatment comparisons to placebo are from an MMRM model excluding FLOVENT DISKUS data: change from baseline = baseline FEV1 + sex + age + treatment + visit + treatment\*visit with an unstructured covariance matrix assumed.
COMPLETED
PHASE2
909 participants
Baseline (Day 1, pre-dose), During Study (Days 7, 14, 28, 56 and 84 pre-dose)
2017-06-05
Participant Flow
A total of 1903 subjects with asthma were screened for enrollment into this study. Of the 994 subjects who were not enrolled, 983 were excluded on the basis of inclusion/exclusion criteria and 6 subjects withdrew consent, and for 5 the reason given was "other".
909 subjects at 188 centers met entry criteria and were considered to be eligible for enrollment into the run-in period of the study.
Participant milestones
| Measure |
Placebo MDPI (Run-In)
Upon enrollment, participants used current asthma medications and 1 inhalation of placebo multidose dry powder inhaler (MDPI), single-blind, twice daily for 14-day (±2 days).
|
Fp MDPI 12.5 mcg
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 25 mcg
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 50 mcg
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 100 mcg
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Placebo MDPI
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner. During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Flovent Diskus 100mcg
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
|---|---|---|---|---|---|---|---|
|
Pre-Assignment Period (Run-In Placebo)
STARTED
|
909
|
0
|
0
|
0
|
0
|
0
|
0
|
|
Pre-Assignment Period (Run-In Placebo)
COMPLETED
|
622
|
0
|
0
|
0
|
0
|
0
|
0
|
|
Pre-Assignment Period (Run-In Placebo)
NOT COMPLETED
|
287
|
0
|
0
|
0
|
0
|
0
|
0
|
|
Treatment Period
STARTED
|
0
|
103
|
104
|
104
|
103
|
104
|
104
|
|
Treatment Period
Safety Population
|
0
|
103
|
104
|
104
|
103
|
104
|
104
|
|
Treatment Period
Full Analysis Set
|
0
|
102
|
101
|
102
|
102
|
102
|
102
|
|
Treatment Period
COMPLETED
|
0
|
79
|
83
|
92
|
82
|
63
|
84
|
|
Treatment Period
NOT COMPLETED
|
0
|
24
|
21
|
12
|
21
|
41
|
20
|
Reasons for withdrawal
| Measure |
Placebo MDPI (Run-In)
Upon enrollment, participants used current asthma medications and 1 inhalation of placebo multidose dry powder inhaler (MDPI), single-blind, twice daily for 14-day (±2 days).
|
Fp MDPI 12.5 mcg
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 25 mcg
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 50 mcg
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 100 mcg
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Placebo MDPI
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner. During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Flovent Diskus 100mcg
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
|---|---|---|---|---|---|---|---|
|
Pre-Assignment Period (Run-In Placebo)
Inclusion/exclusion criteria
|
93
|
0
|
0
|
0
|
0
|
0
|
0
|
|
Pre-Assignment Period (Run-In Placebo)
Withdrawal by Subject
|
19
|
0
|
0
|
0
|
0
|
0
|
0
|
|
Pre-Assignment Period (Run-In Placebo)
Randomization criteria not met
|
153
|
0
|
0
|
0
|
0
|
0
|
0
|
|
Pre-Assignment Period (Run-In Placebo)
Lost to Follow-up
|
7
|
0
|
0
|
0
|
0
|
0
|
0
|
|
Pre-Assignment Period (Run-In Placebo)
Other
|
15
|
0
|
0
|
0
|
0
|
0
|
0
|
|
Treatment Period
Adverse Event
|
0
|
0
|
0
|
0
|
1
|
2
|
2
|
|
Treatment Period
Withdrawal by Subject
|
0
|
4
|
2
|
2
|
5
|
5
|
1
|
|
Treatment Period
Physician Decision
|
0
|
0
|
0
|
0
|
1
|
1
|
0
|
|
Treatment Period
Non-compliance to study drug
|
0
|
1
|
0
|
0
|
0
|
0
|
1
|
|
Treatment Period
Protocol Violation
|
0
|
9
|
6
|
5
|
2
|
10
|
6
|
|
Treatment Period
Pregnancy
|
0
|
0
|
2
|
0
|
0
|
0
|
0
|
|
Treatment Period
Sponsor request subject to be withdrawn
|
0
|
2
|
3
|
1
|
1
|
1
|
3
|
|
Treatment Period
Lost to Follow-up
|
0
|
0
|
1
|
0
|
2
|
2
|
1
|
|
Treatment Period
Met stopping criteria
|
0
|
8
|
7
|
4
|
9
|
20
|
6
|
Baseline Characteristics
A Study of the Effectiveness and Safety of Different Doses of Fluticasone Propionate Taken From a Dry Powder Inhaler in Adolescents and Adults Who Have Asthma That is Not Controlled by Asthma Medications Not Containing Steroids
Baseline characteristics by cohort
| Measure |
Fp MDPI 12.5 mcg
n=103 Participants
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 25 mcg
n=104 Participants
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 50 mcg
n=104 Participants
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 100 mcg
n=103 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Placebo MDPI
n=104 Participants
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner. During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Flovent Diskus 100mcg
n=104 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Total
n=622 Participants
Total of all reporting groups
|
|---|---|---|---|---|---|---|---|
|
Age, Continuous
|
41.0 years
STANDARD_DEVIATION 16.94 • n=5 Participants
|
42.4 years
STANDARD_DEVIATION 16.02 • n=7 Participants
|
39.1 years
STANDARD_DEVIATION 16.06 • n=5 Participants
|
36.9 years
STANDARD_DEVIATION 15.34 • n=4 Participants
|
39.7 years
STANDARD_DEVIATION 15.28 • n=21 Participants
|
40.0 years
STANDARD_DEVIATION 15.34 • n=8 Participants
|
39.9 years
STANDARD_DEVIATION 15.87 • n=8 Participants
|
|
Age, Customized
12-17 years
|
10 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
14 Participants
n=5 Participants
|
9 Participants
n=4 Participants
|
5 Participants
n=21 Participants
|
7 Participants
n=8 Participants
|
52 Participants
n=8 Participants
|
|
Age, Customized
Adults (18-64 years)
|
85 Participants
n=5 Participants
|
90 Participants
n=7 Participants
|
86 Participants
n=5 Participants
|
88 Participants
n=4 Participants
|
93 Participants
n=21 Participants
|
93 Participants
n=8 Participants
|
535 Participants
n=8 Participants
|
|
Age, Customized
Adults (65+ years)
|
8 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
4 Participants
n=5 Participants
|
6 Participants
n=4 Participants
|
6 Participants
n=21 Participants
|
4 Participants
n=8 Participants
|
35 Participants
n=8 Participants
|
|
Sex: Female, Male
Female
|
57 Participants
n=5 Participants
|
63 Participants
n=7 Participants
|
60 Participants
n=5 Participants
|
60 Participants
n=4 Participants
|
55 Participants
n=21 Participants
|
63 Participants
n=8 Participants
|
358 Participants
n=8 Participants
|
|
Sex: Female, Male
Male
|
46 Participants
n=5 Participants
|
41 Participants
n=7 Participants
|
44 Participants
n=5 Participants
|
43 Participants
n=4 Participants
|
49 Participants
n=21 Participants
|
41 Participants
n=8 Participants
|
264 Participants
n=8 Participants
|
|
Race/Ethnicity, Customized
White
|
91 Participants
n=5 Participants
|
91 Participants
n=7 Participants
|
90 Participants
n=5 Participants
|
85 Participants
n=4 Participants
|
85 Participants
n=21 Participants
|
85 Participants
n=8 Participants
|
527 Participants
n=8 Participants
|
|
Race/Ethnicity, Customized
Black
|
10 Participants
n=5 Participants
|
11 Participants
n=7 Participants
|
12 Participants
n=5 Participants
|
14 Participants
n=4 Participants
|
17 Participants
n=21 Participants
|
17 Participants
n=8 Participants
|
81 Participants
n=8 Participants
|
|
Race/Ethnicity, Customized
Asian
|
1 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
4 Participants
n=4 Participants
|
0 Participants
n=21 Participants
|
1 Participants
n=8 Participants
|
10 Participants
n=8 Participants
|
|
Race/Ethnicity, Customized
American Indian or Alaskan Native
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
1 Participants
n=21 Participants
|
0 Participants
n=8 Participants
|
2 Participants
n=8 Participants
|
|
Race/Ethnicity, Customized
Pacific Islander
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
1 Participants
n=21 Participants
|
0 Participants
n=8 Participants
|
1 Participants
n=8 Participants
|
|
Weight
|
82.0 kg
STANDARD_DEVIATION 23.29 • n=5 Participants
|
80.4 kg
STANDARD_DEVIATION 19.62 • n=7 Participants
|
78.7 kg
STANDARD_DEVIATION 23.08 • n=5 Participants
|
84.6 kg
STANDARD_DEVIATION 23.51 • n=4 Participants
|
80.5 kg
STANDARD_DEVIATION 20.00 • n=21 Participants
|
81.5 kg
STANDARD_DEVIATION 23.53 • n=8 Participants
|
81.3 kg
STANDARD_DEVIATION 22.22 • n=8 Participants
|
|
Race/Ethnicity, Customized
Other
|
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
|
1 Participants
n=8 Participants
|
1 Participants
n=8 Participants
|
|
Race/Ethnicity, Customized
Hispanic or Latino
|
9 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
7 Participants
n=5 Participants
|
13 Participants
n=4 Participants
|
11 Participants
n=21 Participants
|
6 Participants
n=8 Participants
|
50 Participants
n=8 Participants
|
|
Race/Ethnicity, Customized
Not Hispanic or Latino
|
94 Participants
n=5 Participants
|
100 Participants
n=7 Participants
|
97 Participants
n=5 Participants
|
90 Participants
n=4 Participants
|
93 Participants
n=21 Participants
|
98 Participants
n=8 Participants
|
572 Participants
n=8 Participants
|
|
Height
|
168.8 cm
STANDARD_DEVIATION 10.54 • n=5 Participants
|
169.2 cm
STANDARD_DEVIATION 8.89 • n=7 Participants
|
168.6 cm
STANDARD_DEVIATION 10.33 • n=5 Participants
|
168.7 cm
STANDARD_DEVIATION 10.94 • n=4 Participants
|
169.5 cm
STANDARD_DEVIATION 9.25 • n=21 Participants
|
169.0 cm
STANDARD_DEVIATION 9.39 • n=8 Participants
|
169.0 cm
STANDARD_DEVIATION 9.88 • n=8 Participants
|
|
Body Mass Index
|
28.7 kg/m^2
STANDARD_DEVIATION 7.43 • n=5 Participants
|
28.1 kg/m^2
STANDARD_DEVIATION 6.47 • n=7 Participants
|
27.5 kg/m^2
STANDARD_DEVIATION 6.78 • n=5 Participants
|
29.6 kg/m^2
STANDARD_DEVIATION 7.54 • n=4 Participants
|
28.0 kg/m^2
STANDARD_DEVIATION 6.61 • n=21 Participants
|
28.4 kg/m^2
STANDARD_DEVIATION 7.31 • n=8 Participants
|
28.4 kg/m^2
STANDARD_DEVIATION 7.04 • n=8 Participants
|
|
Forced Expiratory Volume in 1 Second (FEV1)
|
2.3 liters
STANDARD_DEVIATION 0.69 • n=5 Participants
|
2.2 liters
STANDARD_DEVIATION 0.59 • n=7 Participants
|
2.2 liters
STANDARD_DEVIATION 0.63 • n=5 Participants
|
2.3 liters
STANDARD_DEVIATION 0.66 • n=4 Participants
|
2.3 liters
STANDARD_DEVIATION 0.62 • n=21 Participants
|
2.2 liters
STANDARD_DEVIATION 0.66 • n=8 Participants
|
2.2 liters
STANDARD_DEVIATION 0.64 • n=8 Participants
|
|
% Predicted Expiratory Volume In 1 Second
|
66.6 percent predicted FEV1
STANDARD_DEVIATION 11.80 • n=5 Participants
|
67.5 percent predicted FEV1
STANDARD_DEVIATION 10.50 • n=7 Participants
|
66.3 percent predicted FEV1
STANDARD_DEVIATION 11.15 • n=5 Participants
|
66.4 percent predicted FEV1
STANDARD_DEVIATION 11.61 • n=4 Participants
|
66.4 percent predicted FEV1
STANDARD_DEVIATION 11.14 • n=21 Participants
|
65.3 percent predicted FEV1
STANDARD_DEVIATION 11.74 • n=8 Participants
|
66.4 percent predicted FEV1
STANDARD_DEVIATION 11.30 • n=8 Participants
|
|
Qualifying Airway Reversibility
|
26.7 percentage increase in FEV1
STANDARD_DEVIATION 12.01 • n=5 Participants
|
26.0 percentage increase in FEV1
STANDARD_DEVIATION 11.86 • n=7 Participants
|
24.3 percentage increase in FEV1
STANDARD_DEVIATION 10.63 • n=5 Participants
|
27.6 percentage increase in FEV1
STANDARD_DEVIATION 12.92 • n=4 Participants
|
30.6 percentage increase in FEV1
STANDARD_DEVIATION 17.84 • n=21 Participants
|
26.2 percentage increase in FEV1
STANDARD_DEVIATION 12.50 • n=8 Participants
|
26.9 percentage increase in FEV1
STANDARD_DEVIATION 13.25 • n=8 Participants
|
PRIMARY outcome
Timeframe: Baseline (Day 1, pre-dose), During Study (Days 7, 14, 28, 56 and 84 pre-dose)Population: Full analysis set, (participants who contributed \>=1 to the analysis). Data from one site omitted due to GCP concerns. Flovent Diskus data was used for confirmatory and exploratory endpoints (see outcome #11).
Trough FEV1 was measured electronically by spirometry at morning (AM) investigational site visits, before administration of the AM dose of study drug and before albuterol/salbutamol administration. The highest FEV1 value from 3 acceptable and 2 reproducible maneuvers was used. All FEV1 data were submitted to a central reading center for evaluation. The p-values for the treatment comparisons to placebo are from an MMRM model excluding FLOVENT DISKUS data: change from baseline = baseline FEV1 + sex + age + treatment + visit + treatment\*visit with an unstructured covariance matrix assumed.
Outcome measures
| Measure |
Fp MDPI 12.5 mcg
n=94 Participants
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 25 mcg
n=97 Participants
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 50 mcg
n=100 Participants
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 100 mcg
n=94 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Placebo MDPI
n=94 Participants
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner. During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Flovent Diskus 100mcg
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
|---|---|---|---|---|---|---|
|
Change From Baseline In Trough (Morning Predose And Pre-Rescue Bronchodilator) Forced Expiratory Volume In 1 Second (FEV1) Over The 12-Week Treatment Period
|
0.170 liters
Standard Error 0.0300
|
0.229 liters
Standard Error 0.0295
|
0.243 liters
Standard Error 0.0288
|
0.267 liters
Standard Error 0.0300
|
0.118 liters
Standard Error 0.0302
|
—
|
SECONDARY outcome
Timeframe: Baseline (Days -7 to 1, am pre-dose), During Study (Days 2-84 am pre-dose)Population: Full analysis set, (participants who contributed \>=1 to the analysis). Data from one site omitted due to GCP concerns. Flovent Diskus data was used for confirmatory and exploratory endpoints (see outcome #12).
Peak expiratory flow was determined in the AM and in the PM, before administration of study or rescue medications using a handheld electronic peak flow meter. The highest value of triplicate measurements obtained was recorded by the subject's diary device. On mornings for which a treatment visit was scheduled (TV1 through TV9), the PEF was measured and recorded at the investigational site visit. Baseline trough AM PEF was defined as the average of recorded (non-missing) trough AM PEF assessments over the 7 days directly preceding first study drug intake. The p-values for the treatment comparisons to placebo are from an MMRM model excluding FLOVENT DISKUS data: change from baseline = baseline PEF + sex + age + treatment + visit + treatment\*visit with an unstructured covariance matrix assumed.
Outcome measures
| Measure |
Fp MDPI 12.5 mcg
n=94 Participants
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 25 mcg
n=97 Participants
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 50 mcg
n=99 Participants
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 100 mcg
n=94 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Placebo MDPI
n=92 Participants
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner. During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Flovent Diskus 100mcg
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
|---|---|---|---|---|---|---|
|
Change From Baseline In Weekly Average Of Daily Trough (Predose And Pre-Rescue Bronchodilator) Morning Peak Expiratory Flow (PEF) Over The 12-Week Treatment Period
|
30.99 liters/minute
Standard Error 4.600
|
21.01 liters/minute
Standard Error 4.521
|
29.58 liters/minute
Standard Error 4.396
|
27.55 liters/minute
Standard Error 4.610
|
9.26 liters/minute
Standard Error 4.755
|
—
|
SECONDARY outcome
Timeframe: Baseline (Days -7 to 1, am pre-dose), During Study (Days 2-84 am pre-dose)Population: Full analysis set, (participants who contributed \>=1 to the analysis). Data from one site omitted due to GCP concerns. Flovent Diskus data was used for confirmatory and exploratory endpoints (see outcome #13).
Peak expiratory flow was determined in the AM and in the PM, before administration of study or rescue medications using a handheld electronic peak flow meter. The highest value of triplicate measurements obtained was recorded by the subject's diary device. PM PEF baseline was defined as the average of recorded (nonmissing) PM PEF assessments over the 7 days directly preceding first study drug intake. The p-values for the treatment comparisons to placebo are from an MMRM model excluding FLOVENT DISKUS data: change from baseline = baseline PEF + sex + age + treatment + visit + treatment\*visit with an unstructured covariance matrix assumed.
Outcome measures
| Measure |
Fp MDPI 12.5 mcg
n=92 Participants
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 25 mcg
n=98 Participants
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 50 mcg
n=99 Participants
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 100 mcg
n=92 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Placebo MDPI
n=92 Participants
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner. During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Flovent Diskus 100mcg
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
|---|---|---|---|---|---|---|
|
Change From Baseline In Weekly Average Of Daily Evening Peak Expiratory Flow (PEF) Over The 12-Week Treatment Period
|
27.65 liters/minute
Standard Error 4.474
|
18.69 liters/minute
Standard Error 4.347
|
22.20 liters/minute
Standard Error 4.237
|
20.48 liters/minute
Standard Error 4.490
|
9.42 liters/minute
Standard Error 4.588
|
—
|
SECONDARY outcome
Timeframe: Baseline (Days -7 to -1), During Study (Days 1-84)Population: Full analysis set
The number of inhalations of rescue medication used each day and each night was recorded in the subject's diary device. Change from baseline in the percentage of rescue-free 24-hour periods was analyzed with a marginal (also called population averaged) logistic model. The model included 2 time points of measurement for each subject: the baseline and the treatment period. The model contained covariates for sex, age, and treatment. The model for the 2 time points was considered as an incomplete randomized block model, with each subject as a block, receiving the baseline level in 1 sub-block and either active treatment or placebo in the other sub-block. The generalized estimating equation (GEE) algorithm was used to fit the model, using a robust estimator for the variance which provided a proper adjustment for possible correlation between the 2 measurements on each subject. Measure type are estimated mean and measure of dispersion is the standard error of the estimated mean.
Outcome measures
| Measure |
Fp MDPI 12.5 mcg
n=102 Participants
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 25 mcg
n=101 Participants
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 50 mcg
n=102 Participants
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 100 mcg
n=102 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Placebo MDPI
n=102 Participants
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner. During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Flovent Diskus 100mcg
n=102 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
|---|---|---|---|---|---|---|
|
Change From Baseline in the Percentage of Rescue-Free 24-hour Periods During the 12-Week Treatment Period
|
34.08 percentage of total 24 hour periods
Standard Error 3.909
|
31.76 percentage of total 24 hour periods
Standard Error 4.229
|
28.06 percentage of total 24 hour periods
Standard Error 3.799
|
24.07 percentage of total 24 hour periods
Standard Error 4.283
|
21.30 percentage of total 24 hour periods
Standard Error 4.668
|
29.82 percentage of total 24 hour periods
Standard Error 4.191
|
SECONDARY outcome
Timeframe: Day 1 to Day 84Population: Full analysis set
The time to withdrawal due to stopping criteria was compared between the treatment groups with the log rank test. The Kaplan-Meier estimate of the probability of remaining in the study at week 12 with 95% CI was presented by treatment group. Subjects who completed the study were censored at the date of completion, subjects who withdrew for reasons other than stopping criteria were censored at the time of withdrawal. Stopping criteria were based on day subject first met stopping criteria, using subject's diary data and asthma exacerbations recorded in CRF.
Outcome measures
| Measure |
Fp MDPI 12.5 mcg
n=102 Participants
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 25 mcg
n=101 Participants
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 50 mcg
n=102 Participants
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 100 mcg
n=102 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Placebo MDPI
n=102 Participants
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner. During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Flovent Diskus 100mcg
n=102 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
|---|---|---|---|---|---|---|
|
Kaplan-Meier Estimate of Probability of Remaining in the Study at Week 12
|
0.8041 probability
Interval 0.7067 to 0.872
|
0.7895 probability
Interval 0.6927 to 0.8589
|
0.9077 probability
Interval 0.83 to 0.9509
|
0.7657 probability
Interval 0.666 to 0.8392
|
0.5655 probability
Interval 0.4528 to 0.6636
|
0.8272 probability
Interval 0.7332 to 0.8905
|
SECONDARY outcome
Timeframe: Day 1: predose (within 10 minutes of treatment administration), and 5, 10, 15, 30, and 45 minutes, 1 hour, 1 hour 15 minutes, 1 hour 30 minutes, and 2, 4, 8, and 12 hours postdosePopulation: Pharmacokinetics analysis set. Placebo samples not included in these results.
Approximately 20% of subjects randomized to the study and distributed across preselected study sites were to participate in fluticasone propionate pharmacokinetic assessments (the pharmacokinetic cohort). Subjects who had received fluticasone propionate in any form (orally, inhaled, or nasal) within 14 days of Day 1 were not permitted to participate in pharmacokinetic assessments.
Outcome measures
| Measure |
Fp MDPI 12.5 mcg
n=16 Participants
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 25 mcg
n=22 Participants
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 50 mcg
n=19 Participants
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 100 mcg
n=17 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Placebo MDPI
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner. During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Flovent Diskus 100mcg
n=21 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
|---|---|---|---|---|---|---|
|
Area Under The Curve From Time 0 Until The Last Measurable Concentration (AUC0-t) of Fp
|
21.6 pg*hr/mL
Standard Deviation 27.09
|
42.0 pg*hr/mL
Standard Deviation 23.21
|
63.2 pg*hr/mL
Standard Deviation 22.64
|
153.8 pg*hr/mL
Standard Deviation 91.42
|
—
|
10.4 pg*hr/mL
Standard Deviation 45.65
|
SECONDARY outcome
Timeframe: Day 1: predose (within 10 minutes of treatment administration), and 5, 10, 15, 30, and 45 minutes, 1 hour, 1 hour 15 minutes, 1 hour 30 minutes, and 2, 4, 8, and 12 hours postdosePopulation: Pharmacokinetics analysis set. Placebo samples not included in these results.
Approximately 20% of subjects randomized to the study and distributed across preselected study sites were to participate in fluticasone propionate pharmacokinetic assessments (the pharmacokinetic cohort). Subjects who had received fluticasone propionate in any form (orally, inhaled, or nasal) within 14 days of Day 1 were not permitted to participate in pharmacokinetic assessments.
Outcome measures
| Measure |
Fp MDPI 12.5 mcg
n=16 Participants
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 25 mcg
n=22 Participants
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 50 mcg
n=19 Participants
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 100 mcg
n=17 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Placebo MDPI
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner. During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Flovent Diskus 100mcg
n=21 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
|---|---|---|---|---|---|---|
|
Maximum Observed Plasma Concentration (Cmax) of Fp
|
5.4 pg/mL
Standard Deviation 4.23
|
10.0 pg/mL
Standard Deviation 5.35
|
12.9 pg/mL
Standard Deviation 5.13
|
33.6 pg/mL
Standard Deviation 15.49
|
—
|
23.4 pg/mL
Standard Deviation 10.73
|
SECONDARY outcome
Timeframe: Day 1: predose (within 10 minutes of treatment administration), and 5, 10, 15, 30, and 45 minutes, 1 hour, 1 hour 15 minutes, 1 hour 30 minutes, and 2, 4, 8, and 12 hours postdosePopulation: Pharmacokinetics analysis set. Placebo samples not included in these results.
Approximately 20% of subjects randomized to the study and distributed across preselected study sites were to participate in fluticasone propionate pharmacokinetic assessments (the pharmacokinetic cohort). Subjects who had received fluticasone propionate in any form (orally, inhaled, or nasal) within 14 days of Day 1 were not permitted to participate in pharmacokinetic assessments.
Outcome measures
| Measure |
Fp MDPI 12.5 mcg
n=16 Participants
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 25 mcg
n=22 Participants
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 50 mcg
n=19 Participants
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 100 mcg
n=17 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Placebo MDPI
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner. During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Flovent Diskus 100mcg
n=21 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
|---|---|---|---|---|---|---|
|
Time of Maximum Concentration (Tmax) of Fp
|
1.2 hours
Standard Deviation 0.97
|
1.4 hours
Standard Deviation 2.43
|
1.7 hours
Standard Deviation 2.55
|
1.1 hours
Standard Deviation 0.95
|
—
|
1.7 hours
Standard Deviation 2.61
|
SECONDARY outcome
Timeframe: Day 1 -84Population: Safety analysis set
An adverse event was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an AE which prevents normal daily activities. Relationship of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes.
Outcome measures
| Measure |
Fp MDPI 12.5 mcg
n=103 Participants
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 25 mcg
n=104 Participants
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 50 mcg
n=104 Participants
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 100 mcg
n=103 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Placebo MDPI
n=104 Participants
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner. During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Flovent Diskus 100mcg
n=104 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
|---|---|---|---|---|---|---|
|
Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period
Withdrawn from treatment due to AE
|
0 Participants
|
0 Participants
|
0 Participants
|
1 Participants
|
2 Participants
|
2 Participants
|
|
Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period
Any adverse event (AE)
|
31 Participants
|
32 Participants
|
36 Participants
|
37 Participants
|
31 Participants
|
32 Participants
|
|
Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period
Severe AE
|
0 Participants
|
0 Participants
|
3 Participants
|
2 Participants
|
3 Participants
|
3 Participants
|
|
Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period
Treatment-related AE
|
6 Participants
|
3 Participants
|
3 Participants
|
2 Participants
|
1 Participants
|
1 Participants
|
|
Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period
Deaths
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period
Other serious AE
|
0 Participants
|
0 Participants
|
1 Participants
|
2 Participants
|
2 Participants
|
2 Participants
|
SECONDARY outcome
Timeframe: Screening (week -3 to -2), Baseline (Week 0), Weeks 1, 2, 4, 8, 12Population: Safety population
Oropharyngeal examinations for visual evidence of oral candidiasis were conducted at all study visits. If the visual oropharyngeal examination was abnormal at the screening visit, the subject was excluded from entering the study and subjects with an abnormal oropharyngeal exam on Day 1 were not eligible for randomization. Any visual evidence of oral candidiasis during the treatment period of the study was evaluated by obtaining and analyzing a swab of the suspect area. Appropriate therapy was to be initiated immediately at the discretion of the investigator and was not to be delayed for culture confirmation. Subjects with a culture-positive infection could continue participation in the study on appropriate anti-infective therapy, provided this therapy was not prohibited by the protocol. If a subject required a protocol-prohibited medication for therapy, the subject was to be discontinued from the study. Data format: Time frame, \<signs of oral candidiasis?\> yes or no
Outcome measures
| Measure |
Fp MDPI 12.5 mcg
n=103 Participants
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 25 mcg
n=104 Participants
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 50 mcg
n=104 Participants
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 100 mcg
n=103 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Placebo MDPI
n=104 Participants
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner. During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Flovent Diskus 100mcg
n=104 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
|---|---|---|---|---|---|---|
|
Oropharyngeal Exam Findings at Each Study Visit
Screening - No
|
103 Participants
|
104 Participants
|
104 Participants
|
103 Participants
|
104 Participants
|
104 Participants
|
|
Oropharyngeal Exam Findings at Each Study Visit
Week 0 - Yes
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Oropharyngeal Exam Findings at Each Study Visit
Week 0 - No
|
103 Participants
|
104 Participants
|
104 Participants
|
103 Participants
|
104 Participants
|
104 Participants
|
|
Oropharyngeal Exam Findings at Each Study Visit
Week 1 - No
|
93 Participants
|
98 Participants
|
100 Participants
|
100 Participants
|
94 Participants
|
98 Participants
|
|
Oropharyngeal Exam Findings at Each Study Visit
Week 2 - Yes
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Oropharyngeal Exam Findings at Each Study Visit
Week 12 - Yes
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Oropharyngeal Exam Findings at Each Study Visit
Week 12 - No
|
102 Participants
|
102 Participants
|
103 Participants
|
100 Participants
|
97 Participants
|
101 Participants
|
|
Oropharyngeal Exam Findings at Each Study Visit
Screening - Yes
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Oropharyngeal Exam Findings at Each Study Visit
Week 1 - Yes
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Oropharyngeal Exam Findings at Each Study Visit
Week 2 - No
|
90 Participants
|
93 Participants
|
99 Participants
|
95 Participants
|
83 Participants
|
93 Participants
|
|
Oropharyngeal Exam Findings at Each Study Visit
Week 4 - Yes (positive culture)
|
0 Participants
|
1 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Oropharyngeal Exam Findings at Each Study Visit
Week 4 - No
|
88 Participants
|
89 Participants
|
97 Participants
|
91 Participants
|
75 Participants
|
90 Participants
|
|
Oropharyngeal Exam Findings at Each Study Visit
Week 8 - Yes
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Oropharyngeal Exam Findings at Each Study Visit
Week 8 - No
|
84 Participants
|
85 Participants
|
92 Participants
|
84 Participants
|
66 Participants
|
83 Participants
|
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline (Day 1, pre-dose), During Study (Days 7, 14, 28, 56 and 84 pre-dose)Population: Full analysis set, (participants who contributed \>=1 to the analysis). Data from one site omitted due to GCP concerns.
Trough FEV1 was measured electronically by spirometry at morning (AM) investigational site visits, before administration of the AM dose of study drug and before albuterol/salbutamol administration. The highest FEV1 value from 3 acceptable and 2 reproducible maneuvers was used. All FEV1 data were submitted to a central reading center for evaluation. The p-values for the treatment comparisons to placebo are from an MMRM model including data from all treatments: change from baseline = baseline FEV1 + sex + age + treatment + visit + treatment\*visit with an unstructured covariance matrix assumed.
Outcome measures
| Measure |
Fp MDPI 12.5 mcg
n=94 Participants
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 25 mcg
n=97 Participants
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 50 mcg
n=100 Participants
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 100 mcg
n=94 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Placebo MDPI
n=94 Participants
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner. During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Flovent Diskus 100mcg
n=96 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
|---|---|---|---|---|---|---|
|
Change From Baseline In Trough (Morning Predose And Pre-Rescue Bronchodilator) Forced Expiratory Volume In 1 Second (FEV1) Over The 12-Week Treatment Period Inclusive of Flovent Diskus Data
|
0.172 liters
Standard Error 0.0293
|
0.232 liters
Standard Error 0.0288
|
0.245 liters
Standard Error 0.0280
|
0.268 liters
Standard Error 0.0292
|
0.120 liters
Standard Error 0.0294
|
0.234 liters
Standard Error 0.0288
|
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline (Days -7 to 1, am pre-dose), During Study (Days 2-84 am pre-dose)Population: Full analysis set, (participants who contributed \>=1 to the analysis). Data from one site omitted due to GCP concerns.
Peak expiratory flow was determined in the AM and in the PM, before administration of study or rescue medications using a handheld electronic peak flow meter. The highest value of triplicate measurements obtained was recorded by the subject's diary device. On mornings for which a treatment visit was scheduled (TV1 through TV9), the PEF was measured and recorded at the investigational site visit. Baseline trough AM PEF was defined as the average of recorded (non-missing) trough AM PEF assessments over the 7 days directly preceding first study drug intake. The p-values for the treatment comparisons to placebo are from an MMRM model including all treatments: change from baseline = baseline PEF + sex + age + treatment + visit + treatment\*visit with an unstructured covariance matrix assumed.
Outcome measures
| Measure |
Fp MDPI 12.5 mcg
n=94 Participants
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 25 mcg
n=97 Participants
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 50 mcg
n=99 Participants
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 100 mcg
n=94 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Placebo MDPI
n=92 Participants
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner. During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Flovent Diskus 100mcg
n=96 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
|---|---|---|---|---|---|---|
|
Change From Baseline In Weekly Average Of Daily Trough (Predose And Pre-Rescue Bronchodilator) Morning Peak Expiratory Flow (PEF) Over The 12-Week Treatment Period Inclusive of Flovent Diskus Data
|
31.20 liters/minute
Standard Error 4.544
|
21.27 liters/minute
Standard Error 4.465
|
29.63 liters/minute
Standard Error 4.339
|
27.66 liters/minute
Standard Error 4.550
|
9.30 liters/minute
Standard Error 4.700
|
26.96 liters/minute
Standard Error 4.496
|
OTHER_PRE_SPECIFIED outcome
Timeframe: Baseline (Days -7 to 1, am pre-dose), During Study (Days 2-84 am pre-dose)Population: Full analysis set, (participants who contributed \>=1 to the analysis). Data from one site omitted due to GCP concerns.
Peak expiratory flow was determined in the AM and in the PM, before administration of study or rescue medications using a handheld electronic peak flow meter. The highest value of triplicate measurements obtained was recorded by the subject's diary device. PM PEF baseline was defined as the average of recorded (nonmissing) PM PEF assessments over the 7 days directly preceding first study drug intake. The p-values for the treatment comparisons to placebo are from an MMRM model including all treatment groups: change from baseline = baseline PEF + sex + age + treatment + visit + treatment\*visit with an unstructured covariance matrix assumed.
Outcome measures
| Measure |
Fp MDPI 12.5 mcg
n=92 Participants
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 25 mcg
n=98 Participants
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 50 mcg
n=99 Participants
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Fp MDPI 100 mcg
n=92 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Placebo MDPI
n=92 Participants
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner. During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
Flovent Diskus 100mcg
n=95 Participants
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
During the run-in and the treatment periods, all subjects replaced their current rescue medication with albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI) (90 mcg/actuation) for use on an as needed basis for the relief of asthma symptoms.
|
|---|---|---|---|---|---|---|
|
Change From Baseline In Weekly Average Of Daily Evening Peak Expiratory Flow (PEF) Over The 12-Week Treatment Period Inclusive of Flovent Diskus Data
|
28.00 liters/minute
Standard Error 4.442
|
18.97 liters/minute
Standard Error 4.315
|
22.27 liters/minute
Standard Error 4.206
|
20.47 liters/minute
Standard Error 4.453
|
9.70 liters/minute
Standard Error 4.557
|
24.95 liters/minute
Standard Error 4.356
|
Adverse Events
Flovent Diskus 100mcg
Fp MDPI 100 mcg
Fp MDPI 12.5 mcg
Fp MDPI 25 mcg
Fp MDPI 50 mcg
Placebo MDPI
Serious adverse events
| Measure |
Flovent Diskus 100mcg
n=104 participants at risk
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
|
Fp MDPI 100 mcg
n=103 participants at risk
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
|
Fp MDPI 12.5 mcg
n=103 participants at risk
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
|
Fp MDPI 25 mcg
n=104 participants at risk
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
|
Fp MDPI 50 mcg
n=104 participants at risk
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
|
Placebo MDPI
n=104 participants at risk
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
|
|---|---|---|---|---|---|---|
|
Blood and lymphatic system disorders
Anaemia
|
0.00%
0/104 • Day 1 to 84
|
0.97%
1/103 • Number of events 1 • Day 1 to 84
|
0.00%
0/103 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
|
Immune system disorders
Anaphylactic shock
|
0.96%
1/104 • Number of events 1 • Day 1 to 84
|
0.00%
0/103 • Day 1 to 84
|
0.00%
0/103 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
|
Infections and infestations
Groin abscess
|
0.96%
1/104 • Number of events 1 • Day 1 to 84
|
0.00%
0/103 • Day 1 to 84
|
0.00%
0/103 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
|
Metabolism and nutrition disorders
Hypovolaemia
|
0.00%
0/104 • Day 1 to 84
|
0.00%
0/103 • Day 1 to 84
|
0.00%
0/103 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
0.96%
1/104 • Number of events 1 • Day 1 to 84
|
|
Nervous system disorders
Migraine
|
0.00%
0/104 • Day 1 to 84
|
0.00%
0/103 • Day 1 to 84
|
0.00%
0/103 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
0.96%
1/104 • Number of events 1 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
|
Reproductive system and breast disorders
Uterine haemorrhage
|
0.00%
0/104 • Day 1 to 84
|
0.97%
1/103 • Number of events 1 • Day 1 to 84
|
0.00%
0/103 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
|
Respiratory, thoracic and mediastinal disorders
Asthma
|
0.00%
0/104 • Day 1 to 84
|
0.00%
0/103 • Day 1 to 84
|
0.00%
0/103 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
0.96%
1/104 • Number of events 1 • Day 1 to 84
|
|
Vascular disorders
Hypertension
|
0.00%
0/104 • Day 1 to 84
|
0.97%
1/103 • Number of events 1 • Day 1 to 84
|
0.00%
0/103 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
0.00%
0/104 • Day 1 to 84
|
Other adverse events
| Measure |
Flovent Diskus 100mcg
n=104 participants at risk
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in an open-label manner.
|
Fp MDPI 100 mcg
n=103 participants at risk
Fluticasone propionate (Fp) 100 mcg per dose twice a day (for a total daily dose of 200 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
|
Fp MDPI 12.5 mcg
n=103 participants at risk
Fluticasone propionate (Fp) 12.5 mcg per dose twice a day (for a total daily dose of 25 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
|
Fp MDPI 25 mcg
n=104 participants at risk
Fluticasone propionate (Fp) 25 mcg per dose twice a day (for a total daily dose of 50 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
|
Fp MDPI 50 mcg
n=104 participants at risk
Fluticasone propionate (Fp) 50 mcg per dose twice a day (for a total daily dose of 100 mcg) using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
|
Placebo MDPI
n=104 participants at risk
Placebo twice a day using a multidose dry powder inhaler (MDPI) for 12 weeks in a double-blind manner.
|
|---|---|---|---|---|---|---|
|
Infections and infestations
Nasopharyngitis
|
0.96%
1/104 • Number of events 3 • Day 1 to 84
|
2.9%
3/103 • Number of events 3 • Day 1 to 84
|
3.9%
4/103 • Number of events 4 • Day 1 to 84
|
4.8%
5/104 • Number of events 5 • Day 1 to 84
|
6.7%
7/104 • Number of events 7 • Day 1 to 84
|
4.8%
5/104 • Number of events 5 • Day 1 to 84
|
|
Infections and infestations
Upper respiratory tract infection
|
3.8%
4/104 • Number of events 4 • Day 1 to 84
|
4.9%
5/103 • Number of events 5 • Day 1 to 84
|
6.8%
7/103 • Number of events 7 • Day 1 to 84
|
1.9%
2/104 • Number of events 2 • Day 1 to 84
|
2.9%
3/104 • Number of events 3 • Day 1 to 84
|
2.9%
3/104 • Number of events 3 • Day 1 to 84
|
Additional Information
Director, Clinical Research
Teva Branded Pharmaceutical Products, R&D Inc.
Results disclosure agreements
- Principal investigator is a sponsor employee Sponsor has the right 60 days before submission for publication to review/provide comments. If the Sponsor's review shows that potentially patentable subject matter would be disclosed, publication or public disclosure shall be delayed for up to 90 additional days in order for the Sponsor, or Sponsor's designees, to file the necessary patent applications. In multicenter trials, each PI will postpone single center publications until after disclosure or publication of multicenter data.
- Publication restrictions are in place
Restriction type: OTHER