Trial Outcomes & Findings for A Randomized Study, Comparing Fluticasone Furoate/Umeclidinium/Vilanterol (FF/UMEC/VI) Single Inhaler Triple Therapy, Versus Multiple Inhaler Therapy (Budesonide/Formoterol Plus Tiotropium) in Subjects With Chronic Obstructive Pulmonary Disease (COPD) (NCT NCT03478683)

NCT ID: NCT03478683

Last Updated: 2020-10-28

Results Overview

FEV1 is an important measure of pulmonary function and is the maximum amount of air that can be forced out in one second after taking a deep breath. FEV1 was measured using spirometry. Serial FEV1 assessments were performed at multiple time points (-30 and -5 minutes pre-dose, and 5 minutes, 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 12 hours, 15 hours, 21 hours, 23 hours and 24 hours post-dose) over 24-hour period at Week 12. Weighted mean change from Baseline at week 12 was calculated by subtracting weighted mean FEV1 at week 12 from Baseline FEV1, where Baseline FEV1 is the average of the two FEV1 measurements made at 30 minutes and 5 minutes pre-dose on Day 1. The weighted mean was derived by calculating the area under the FEV1 time curve (AUC) over the actual time of assessment relative to the time of dosing (over 24-hour period) using the trapezoidal rule, and then dividing the value by the time interval (24-hour) over which the AUC was calculated.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

729 participants

Primary outcome timeframe

Baseline and Week 12

Results posted on

2020-10-28

Participant Flow

This was a randomized, multicenter, parallel group study where participants with chronic obstructive pulmonary disease (COPD) were randomized to receive either fluticasone furoate/umeclidinium/vilanterol or budesonide/formoterol plus tiotropium in a 1:1 ratio. The study was conducted across 65 centers in 4 countries.

A total of 1036 participants were screened in the study, of which 215 failed during screening. Of the 821 participants who entered the run-in period, 92 were run-in failures. A total of 729 participants were randomized in the study, of which one participant was randomized in error. A total of 728 participants received randomized treatment.

Participant milestones

Participant milestones
Measure
Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg
Participants received fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) 100/62.5/25 microgram (mcg) via the ELLIPTA (once daily in the morning) plus placebo to match budesonide/formoterol (BUD/FOR) via metered dose inhaler (MDI) (two inhalations twice daily) plus placebo to match tiotropium (TIO) via HandiHaler (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg
Participants received two inhalations of budesonide/formoterol 160/4.5 mcg via MDI in the morning and two inhalations in the evening (total dose of 320/9 mcg twice daily) plus tiotropium 18 mcg via HandiHaler (once daily in the morning) plus placebo to match fluticasone furoate/umeclidinium/vilanterol via the ELLIPTA (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Overall Study
STARTED
363
365
Overall Study
COMPLETED
350
347
Overall Study
NOT COMPLETED
13
18

Reasons for withdrawal

Reasons for withdrawal
Measure
Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg
Participants received fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) 100/62.5/25 microgram (mcg) via the ELLIPTA (once daily in the morning) plus placebo to match budesonide/formoterol (BUD/FOR) via metered dose inhaler (MDI) (two inhalations twice daily) plus placebo to match tiotropium (TIO) via HandiHaler (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg
Participants received two inhalations of budesonide/formoterol 160/4.5 mcg via MDI in the morning and two inhalations in the evening (total dose of 320/9 mcg twice daily) plus tiotropium 18 mcg via HandiHaler (once daily in the morning) plus placebo to match fluticasone furoate/umeclidinium/vilanterol via the ELLIPTA (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Overall Study
Adverse Event
5
3
Overall Study
Lost to Follow-up
0
5
Overall Study
Physician Decision
1
3
Overall Study
Withdrawal by Subject
7
7

Baseline Characteristics

A Randomized Study, Comparing Fluticasone Furoate/Umeclidinium/Vilanterol (FF/UMEC/VI) Single Inhaler Triple Therapy, Versus Multiple Inhaler Therapy (Budesonide/Formoterol Plus Tiotropium) in Subjects With Chronic Obstructive Pulmonary Disease (COPD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg
n=363 Participants
Participants received fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) 100/62.5/25 microgram (mcg) via the ELLIPTA (once daily in the morning) plus placebo to match budesonide/formoterol (BUD/FOR) via metered dose inhaler (MDI) (two inhalations twice daily) plus placebo to match tiotropium (TIO) via HandiHaler (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg
n=365 Participants
Participants received two inhalations of budesonide/formoterol 160/4.5 mcg via MDI in the morning and two inhalations in the evening (total dose of 320/9 mcg twice daily) plus tiotropium 18 mcg via HandiHaler (once daily in the morning) plus placebo to match fluticasone furoate/umeclidinium/vilanterol via the ELLIPTA (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Total
n=728 Participants
Total of all reporting groups
Age, Continuous
65.4 Years
STANDARD_DEVIATION 7.90 • n=93 Participants
64.9 Years
STANDARD_DEVIATION 8.06 • n=4 Participants
65.2 Years
STANDARD_DEVIATION 7.98 • n=27 Participants
Sex: Female, Male
Female
180 Participants
n=93 Participants
164 Participants
n=4 Participants
344 Participants
n=27 Participants
Sex: Female, Male
Male
183 Participants
n=93 Participants
201 Participants
n=4 Participants
384 Participants
n=27 Participants
Race/Ethnicity, Customized
African American/African Heritage
34 Participants
n=93 Participants
33 Participants
n=4 Participants
67 Participants
n=27 Participants
Race/Ethnicity, Customized
American Indian Or Alaska Native
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
Race/Ethnicity, Customized
Asian - Central/South Asian Heritage
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
Race/Ethnicity, Customized
Asian - South East Asian Heritage
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
Race/Ethnicity, Customized
White - Arabic/North African Heritage
0 Participants
n=93 Participants
2 Participants
n=4 Participants
2 Participants
n=27 Participants
Race/Ethnicity, Customized
White - White/Caucasian/European
327 Participants
n=93 Participants
328 Participants
n=4 Participants
655 Participants
n=27 Participants
Race/Ethnicity, Customized
Multiple
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants

PRIMARY outcome

Timeframe: Baseline and Week 12

Population: mPP Population comprised of all participants in the ITT population who do not have a protocol deviation of not meeting eligibility criteria or not meeting randomization criteria. Only those participants with data available at the specified time points were analyzed.

FEV1 is an important measure of pulmonary function and is the maximum amount of air that can be forced out in one second after taking a deep breath. FEV1 was measured using spirometry. Serial FEV1 assessments were performed at multiple time points (-30 and -5 minutes pre-dose, and 5 minutes, 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 12 hours, 15 hours, 21 hours, 23 hours and 24 hours post-dose) over 24-hour period at Week 12. Weighted mean change from Baseline at week 12 was calculated by subtracting weighted mean FEV1 at week 12 from Baseline FEV1, where Baseline FEV1 is the average of the two FEV1 measurements made at 30 minutes and 5 minutes pre-dose on Day 1. The weighted mean was derived by calculating the area under the FEV1 time curve (AUC) over the actual time of assessment relative to the time of dosing (over 24-hour period) using the trapezoidal rule, and then dividing the value by the time interval (24-hour) over which the AUC was calculated.

Outcome measures

Outcome measures
Measure
Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg
n=282 Participants
Participants received fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) 100/62.5/25 microgram (mcg) via the ELLIPTA (once daily in the morning) plus placebo to match budesonide/formoterol (BUD/FOR) via metered dose inhaler (MDI) (two inhalations twice daily) plus placebo to match tiotropium (TIO) via HandiHaler (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg
n=272 Participants
Participants received two inhalations of budesonide/formoterol 160/4.5 mcg via MDI in the morning and two inhalations in the evening (total dose of 320/9 mcg twice daily) plus tiotropium 18 mcg via HandiHaler (once daily in the morning) plus placebo to match fluticasone furoate/umeclidinium/vilanterol via the ELLIPTA (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Weighted Mean Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) Over 0-24 Hours at Week 12 for Modified Per Protocol (mPP) Population
0.045 Liters
Standard Error 0.0101
0.030 Liters
Standard Error 0.0101

PRIMARY outcome

Timeframe: Baseline and Week 12

Population: ITT Population comprised of all randomized participants, excluding those who were randomized in error. Only those participants with data available at the specified time points were analyzed.

FEV1 is an important measure of pulmonary function and is the maximum amount of air that can be forced out in one second after taking a deep breath. FEV1 was measured using spirometry. Serial FEV1 assessments were performed at multiple time points (-30 and -5 minutes pre-dose, and 5 minutes, 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 12 hours, 15 hours, 21 hours, 23 hours and 24 hours post-dose) over 24-hour period at Week 12. Weighted mean change from Baseline at week 12 was calculated by subtracting weighted mean FEV1 at week 12 from Baseline FEV1, where Baseline FEV1 is the average of the two FEV1 measurements made at 30 minutes and 5 minutes pre-dose on Day 1. The weighted mean was derived by calculating the area under the FEV1 time curve (AUC) over the actual time of assessment relative to the time of dosing (over 24-hour period) using the trapezoidal rule, and then dividing the value by the time interval (24-hour) over which the AUC was calculated.

Outcome measures

Outcome measures
Measure
Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg
n=336 Participants
Participants received fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) 100/62.5/25 microgram (mcg) via the ELLIPTA (once daily in the morning) plus placebo to match budesonide/formoterol (BUD/FOR) via metered dose inhaler (MDI) (two inhalations twice daily) plus placebo to match tiotropium (TIO) via HandiHaler (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg
n=332 Participants
Participants received two inhalations of budesonide/formoterol 160/4.5 mcg via MDI in the morning and two inhalations in the evening (total dose of 320/9 mcg twice daily) plus tiotropium 18 mcg via HandiHaler (once daily in the morning) plus placebo to match fluticasone furoate/umeclidinium/vilanterol via the ELLIPTA (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Weighted Mean Change From Baseline in FEV1 Over 0-24 Hours at Week 12 for ITT Population
0.046 Liters
Standard Error 0.0097
0.032 Liters
Standard Error 0.0098

SECONDARY outcome

Timeframe: Baseline, Days 2, 28, 84 and 85

Population: ITT Population. Only those participants with data available at the specified time points were analyzed (represented by n= X in the category titles).

FEV1 is an important measure of pulmonary function and is the maximum amount of air that can be forced out in one second after taking a deep breath. FEV1 was measured using spirometry. For Day 2 and Day 85, trough FEV1 was defined as the mean of the 23-hour and 24-hour serial spirometry FEV1 measurements. For Day 28 and Day 84, trough FEV1 was defined as the average of the pre-dose FEV1 measurements recorded before the morning dose of randomized study treatment. Change from Baseline in trough FEV1 was calculated by subtracting post-dose trough FEV1 value from Baseline FEV1, where Baseline FEV1 is the average of the two FEV1 measurements made at 30 minutes and 5 minutes pre-dose on Day 1. The treatment effect to be estimated for trough FEV1 was hypothetical effect if all participants stayed on their randomized study treatment. Only on treatment data was included in analysis.

Outcome measures

Outcome measures
Measure
Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg
n=358 Participants
Participants received fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) 100/62.5/25 microgram (mcg) via the ELLIPTA (once daily in the morning) plus placebo to match budesonide/formoterol (BUD/FOR) via metered dose inhaler (MDI) (two inhalations twice daily) plus placebo to match tiotropium (TIO) via HandiHaler (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg
n=359 Participants
Participants received two inhalations of budesonide/formoterol 160/4.5 mcg via MDI in the morning and two inhalations in the evening (total dose of 320/9 mcg twice daily) plus tiotropium 18 mcg via HandiHaler (once daily in the morning) plus placebo to match fluticasone furoate/umeclidinium/vilanterol via the ELLIPTA (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Change From Baseline in Trough FEV1 on Day 2, Day 28, Day 84 and Day 85
Day 84, n=344,340
0.040 Liters
Standard Error 0.0094
-0.018 Liters
Standard Error 0.0094
Change From Baseline in Trough FEV1 on Day 2, Day 28, Day 84 and Day 85
Day 2, n=358,359
0.008 Liters
Standard Error 0.0098
0.018 Liters
Standard Error 0.0098
Change From Baseline in Trough FEV1 on Day 2, Day 28, Day 84 and Day 85
Day 28, n=355,353
0.046 Liters
Standard Error 0.0088
-0.015 Liters
Standard Error 0.0088
Change From Baseline in Trough FEV1 on Day 2, Day 28, Day 84 and Day 85
Day 85, n=341,337
0.026 Liters
Standard Error 0.0099
-0.012 Liters
Standard Error 0.0099

SECONDARY outcome

Timeframe: Baseline and Day 1

Population: ITT Population. Only those participants with data available at the specified time points were analyzed.

FEV1 is an important measure of pulmonary function and is the maximum amount of air that can be forced out in one second after taking a deep breath. FEV1 was measured using spirometry. Serial FEV1 assessments were performed at multiple time points (-30 and -5 minutes pre-dose, and 5 minutes, 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 12 hours, 15 hours, 21 hours, 23 hours and 24 hours post-dose) over 24-hour period on Day 1. Weighted mean change from Baseline on Day 1 was calculated by subtracting weighted mean FEV1 on Day 1 from Baseline FEV1, where Baseline FEV1 is the average of the two FEV1 measurements made at 30 minutes and 5 minutes pre-dose on Day 1. The weighted mean was derived by calculating the area under the FEV1 time curve (AUC) over the actual time of assessment relative to the time of dosing (over 24-hour period) using the trapezoidal rule, and then dividing the value by the time interval (24-hour) over which the AUC was calculated.

Outcome measures

Outcome measures
Measure
Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg
n=354 Participants
Participants received fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) 100/62.5/25 microgram (mcg) via the ELLIPTA (once daily in the morning) plus placebo to match budesonide/formoterol (BUD/FOR) via metered dose inhaler (MDI) (two inhalations twice daily) plus placebo to match tiotropium (TIO) via HandiHaler (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg
n=355 Participants
Participants received two inhalations of budesonide/formoterol 160/4.5 mcg via MDI in the morning and two inhalations in the evening (total dose of 320/9 mcg twice daily) plus tiotropium 18 mcg via HandiHaler (once daily in the morning) plus placebo to match fluticasone furoate/umeclidinium/vilanterol via the ELLIPTA (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Weighted Mean Change From Baseline in FEV1 Over 0-24 Hours on Day 1
0.054 Liters
Standard Error 0.0078
0.063 Liters
Standard Error 0.0077

Adverse Events

Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg

Serious events: 29 serious events
Other events: 18 other events
Deaths: 0 deaths

Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg

Serious events: 16 serious events
Other events: 12 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg
n=363 participants at risk
Participants received fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) 100/62.5/25 microgram (mcg) via the ELLIPTA (once daily in the morning) plus placebo to match budesonide/formoterol (BUD/FOR) via metered dose inhaler (MDI) (two inhalations twice daily) plus placebo to match tiotropium (TIO) via HandiHaler (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg
n=365 participants at risk
Participants received two inhalations of budesonide/formoterol 160/4.5 mcg via MDI in the morning and two inhalations in the evening (total dose of 320/9 mcg twice daily) plus tiotropium 18 mcg via HandiHaler (once daily in the morning) plus placebo to match fluticasone furoate/umeclidinium/vilanterol via the ELLIPTA (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Cardiac disorders
Acute coronary syndrome
0.00%
0/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.27%
1/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Cardiac disorders
Acute myocardial infarction
0.00%
0/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.55%
2/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Cardiac disorders
Cardiac failure acute
0.00%
0/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.27%
1/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Cardiac disorders
Cardiac failure congestive
0.28%
1/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.00%
0/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Cardiac disorders
Coronary artery disease
0.28%
1/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.00%
0/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Cardiac disorders
Myocardial infarction
0.28%
1/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.00%
0/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
General disorders
Chest pain
0.00%
0/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.27%
1/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Hepatobiliary disorders
Cholelithiasis
0.28%
1/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.00%
0/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Infections and infestations
Cellulitis
0.55%
2/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.00%
0/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Infections and infestations
Influenza
0.28%
1/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.00%
0/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Infections and infestations
Pneumonia
1.1%
4/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.55%
2/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Infections and infestations
Pneumonia bacterial
0.00%
0/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.27%
1/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Infections and infestations
Psoas abscess
0.00%
0/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.27%
1/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Infections and infestations
Sepsis
0.55%
2/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.27%
1/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Injury, poisoning and procedural complications
Femur fracture
0.28%
1/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.27%
1/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Injury, poisoning and procedural complications
Lumbar vertebral fracture
0.28%
1/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.00%
0/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Injury, poisoning and procedural complications
Rib fracture
0.00%
0/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.27%
1/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.27%
1/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.28%
1/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.00%
0/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Nervous system disorders
Cerebrovascular accident
0.55%
2/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.00%
0/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Nervous system disorders
Seizure
0.00%
0/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.27%
1/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
0.55%
2/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.00%
0/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
4.1%
15/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.82%
3/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.28%
1/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.00%
0/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.00%
0/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.27%
1/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
0.00%
0/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.27%
1/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.55%
2/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.00%
0/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Skin and subcutaneous tissue disorders
Angioedema
0.28%
1/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.00%
0/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
Vascular disorders
Superior vena cava syndrome
0.00%
0/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
0.27%
1/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.

Other adverse events

Other adverse events
Measure
Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg
n=363 participants at risk
Participants received fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) 100/62.5/25 microgram (mcg) via the ELLIPTA (once daily in the morning) plus placebo to match budesonide/formoterol (BUD/FOR) via metered dose inhaler (MDI) (two inhalations twice daily) plus placebo to match tiotropium (TIO) via HandiHaler (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg
n=365 participants at risk
Participants received two inhalations of budesonide/formoterol 160/4.5 mcg via MDI in the morning and two inhalations in the evening (total dose of 320/9 mcg twice daily) plus tiotropium 18 mcg via HandiHaler (once daily in the morning) plus placebo to match fluticasone furoate/umeclidinium/vilanterol via the ELLIPTA (once daily in the morning) for 84 days. Participants received albuterol/salbutamol as rescue medication during conduct of the study, if required.
Infections and infestations
Nasopharyngitis
5.0%
18/363 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.
3.3%
12/365 • Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13
Non-SAEs and SAEs were reported for ITT Population. Adverse events were presented treatment-wise.

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

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

Restriction type: OTHER