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.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

909 participants

Primary outcome timeframe

Baseline (Day 1, pre-dose), During Study (Days 7, 14, 28, 56 and 84 pre-dose)

Results posted on

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

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

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

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

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

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

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

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 84

Population: 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

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 postdose

Population: 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

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 postdose

Population: 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

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 postdose

Population: 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

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 -84

Population: 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

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, 12

Population: 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

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

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

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

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

Serious events: 2 serious events
Other events: 5 other events
Deaths: 0 deaths

Fp MDPI 100 mcg

Serious events: 2 serious events
Other events: 8 other events
Deaths: 0 deaths

Fp MDPI 12.5 mcg

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Fp MDPI 25 mcg

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

Fp MDPI 50 mcg

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

Placebo MDPI

Serious events: 2 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

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

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.

Phone: 1-215-591-3000

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