Study of Safety of Foradil in Patients With Persistent Asthma

NCT ID: NCT01845025

Last Updated: 2017-03-21

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

827 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-05-31

Study Completion Date

2016-05-31

Brief Summary

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The purpose of this study was to assess whether the risk of serious asthma-related events (asthma-related hospitalizations, asthma related intubations, and asthma related deaths) in adolescents and adults (12 years of age and older) taking inhaled formoterol fumarate/fluticasone propionate combination was the same as those taking inhaled fluticasone propionate alone.

Detailed Description

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This was a 26 week, double blind, randomized, active-controlled safety study of Foradil in free combination with inhaled corticosteroid versus an inhaled corticosteroid alone in adults and adolescent patients with persistent asthma. The primary objective of the study was to demonstrate that the addition of formoterol fumarate to fluticasone propionate is non-inferior to fluticasone propionate alone in terms of the risk of composite serious asthma related events (asthma-related hospitalization, asthma-related intubation, and asthma-related death). The individual components of the composite primary endpoint (i.e., asthma-related hospitalization, asthma-related intubation and asthma-related death) will be assessed as a secondary safety endpoints.

The efficacy assessment is the secondary objective.

Conditions

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Persistent Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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FOM 12 mcg + FP

Formoterol 12 mcg + fluticasone propionate 100 mcg, 250 mcg or 500 mcg for inhalation

Group Type EXPERIMENTAL

Formoterol 12 mcg

Intervention Type DRUG

Formoterol 12 mcg one inhalation twice daily, via dry powder inhaler

Fluticasone propionate 100 mcg

Intervention Type DRUG

Fluticasone propionate 100 mcg one inhalation twice daily via dry powder inhaler

Fluticasone propionate 250 mcg

Intervention Type DRUG

Fluticasone propionate 250 mcg one inhalation twice daily via dry powder inhaler

Fluticasone propionate 500 mcg

Intervention Type DRUG

Fluticasone propionate 500 mcg, one inhalation twice daily via dry powder inhaler

fluticasone propionate (FP)

fluticasone propionate 100 mcg, 250 mcg or 500 mcg + Placebo to Match Formoterol 12 mcg for inhalation

Group Type ACTIVE_COMPARATOR

Fluticasone propionate 100 mcg

Intervention Type DRUG

Fluticasone propionate 100 mcg one inhalation twice daily via dry powder inhaler

Fluticasone propionate 250 mcg

Intervention Type DRUG

Fluticasone propionate 250 mcg one inhalation twice daily via dry powder inhaler

Fluticasone propionate 500 mcg

Intervention Type DRUG

Fluticasone propionate 500 mcg, one inhalation twice daily via dry powder inhaler

Placebo

Intervention Type DRUG

Placebo to match formoterol one inhalation twice daily via dry powder inhaler

Interventions

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Formoterol 12 mcg

Formoterol 12 mcg one inhalation twice daily, via dry powder inhaler

Intervention Type DRUG

Fluticasone propionate 100 mcg

Fluticasone propionate 100 mcg one inhalation twice daily via dry powder inhaler

Intervention Type DRUG

Fluticasone propionate 250 mcg

Fluticasone propionate 250 mcg one inhalation twice daily via dry powder inhaler

Intervention Type DRUG

Fluticasone propionate 500 mcg

Fluticasone propionate 500 mcg, one inhalation twice daily via dry powder inhaler

Intervention Type DRUG

Placebo

Placebo to match formoterol one inhalation twice daily via dry powder inhaler

Intervention Type DRUG

Other Intervention Names

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FOR258

Eligibility Criteria

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Inclusion Criteria

1. Written informed consent, and assent if applicable, must be obtained before any assessment is performed.
2. Male or female patients 12 years of age and older
3. Confirmed diagnosis of persistent asthma, as defined by national and international asthma guidelines (e.g., GINA; NIH; etc.) for at least 1 year prior to study enrollment.
4. PEF≥50% of predicted normal value.
5. Current and appropriate use of one of the treatments listed in the protocol for asthma.
6. Recent asthma exacerbation between 30 days and 12 months prior to randomization that either:

* required treatment with systemic corticosteroids (tablets, suspension, or injection) or
* required hospitalization (defined as an inpatient stay or \>24-hour stay in an observation area in an emergency room or other equivalent facility)

Exclusion Criteria

1. History of life-threatening asthma episode that required intubation and/or was associated with hypercapnia requiring non-invasive ventilatory support.
2. Current evidence of pneumonia, pneumothorax, atelectasis, pulmonary fibrotic disease, allergic bronchopulmonary aspergillosis, cystic fibrosis, bronchopulmonary dysplasia, or other respiratory abnormalities other than asthma.
3. Current evidence of, or past physician assessment of, chronic bronchitis, emphysema, or chronic obstructive pulmonary disease.
4. History of smoking ≥ 10 pack years.
5. Exercise induced asthma (as the only asthma-related diagnosis) not requiring daily asthma control medicine.
6. Suspected or documented bacterial or viral infection of the upper or lower respiratory tract, sinus or middle ear that is not resolved at randomization.
7. Worsening/Unstable asthma within 7 days prior to randomization.
8. Any asthma exacerbation requiring systemic corticosteroids within 30 days of randomization or more than 4 separate exacerbations in the 12 months preceding randomization.
9. Two or more hospitalizations for greater than 24 hours duration for treatment of asthma in the 12 months preceding randomization.
10. History of hypersensitivity to any beta2-agonist, sympathomimetic drug, inhaled corticosteroids, or systemic corticosteroid therapy or any component of the possible study treatments in this trial, including severe milk protein hypersensitivity.
11. Use of anti-IgE (e.g., omalizumab) or any other monoclonal antibody, in the 6 months prior to randomization.
12. Use of (Beta) β-blockers within 1 day prior to first dose of study medication.
13. Use of ICS, LABA, ICS+LABA, LTRAs, leukotriene modifiers, anticholinergics, or theophylline must be discontinued prior to the first dose of investigational treatment.
14. Use of a potent CYP3A4 inhibitor within 4 weeks of randomization (e.g., ritonavir, atazanavir, clarithromycin, indinavir, itraconazole, nefazodone, nelfinavir, saquinavir, ketoconazole, telithromycin).
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Chrsitopher Compton

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Novartis Investigative Site

Avondale, Arizona, United States

Site Status

Novartis Investigative Site

North Hollywood, California, United States

Site Status

Novartis Investigative Site

Bradenton, Florida, United States

Site Status

Novartis Investigative Site

Miami, Florida, United States

Site Status

Novartis Investigative Site

Miami, Florida, United States

Site Status

Novartis Investigative Site

Conyers, Georgia, United States

Site Status

Novartis Investigative Site

Stone Mountain, Georgia, United States

Site Status

Novartis Investigative Site

Louisville, Kentucky, United States

Site Status

Novartis Investigative Site

Louisville, Kentucky, United States

Site Status

Novartis Investigative Site

Covington, Louisiana, United States

Site Status

Novartis Investigative Site

Baltimore, Maryland, United States

Site Status

Novartis Investigative Site

Gaithersburg, Maryland, United States

Site Status

Novartis Investigative Site

Picayune, Mississippi, United States

Site Status

Novartis Investigative Site

St Louis, Missouri, United States

Site Status

Novartis Investigative Site

St Louis, Missouri, United States

Site Status

Novartis Investigative Site

North Massapequa, New York, United States

Site Status

Novartis Investigative Site

Elizabeth City, North Carolina, United States

Site Status

Novartis Investigative Site

Winston-Salem, North Carolina, United States

Site Status

Novartis Investigative Site

Cleveland, Ohio, United States

Site Status

Novartis Investigative Site

Oaks, Pennsylvania, United States

Site Status

Novartis Investigative Site

East Greenwich, Rhode Island, United States

Site Status

Novartis Investigative Site

Mt. Pleasant, South Carolina, United States

Site Status

Novartis Investigative Site

Memphis, Tennessee, United States

Site Status

Novartis Investigative Site

Dallas, Texas, United States

Site Status

Novartis Investigative Site

St. George, Utah, United States

Site Status

Novartis Investigative Site

Mequon, Wisconsin, United States

Site Status

Novartis Investigative Site

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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2012-004854-27

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CFOR258D2416

Identifier Type: -

Identifier Source: org_study_id

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