Last updated: 07/17/2024 15:42:44
An Effectiveness Study Comparing fluticasone furoate (FF, GW685698)/vilanterol (VI, GW642444) with Standard Treatment in Asthma
EudraCT ID
EU CT Number
Not applicable
Trial status
Completed
Completed
Trial overview
Official title: A 12-month, open label, randomised, effectiveness study to evaluate fluticasone furoate (FF, GW685698)/vilanterol (VI, GW642444) Inhalation Powder delivered once daily via a Novel Dry Powder Inhaler compared with usual maintenance therapy in subjects with Asthma
Trial description: This study is designed to compare the effectiveness and safety of Fluticasone Furoate/Vilanterol Inhalation Powder (100mcg Fluticasone Furoate ((FF), GW685698)/25mcg Vilanterol ((VI), GW642444) or 200mcg Fluticasone Furoate ((FF), GW685698)/25mcg Vilanterol ((VI), GW642444) ) delivered once daily via a Novel Dry Powder Inhaler (NDPI) compared with the existing asthma maintenance therapy over twelve months in subjects diagnosed with asthma. This is a Phase III multi-centre, randomised open label study. Subjects who meet the eligibility criteria are randomised and will enter a 12 month treatment period.
Primary purpose:
Treatment
Trial design:
Parallel Assignment
Masking:
None (Open Label)
Allocation:
Randomized
Primary outcomes:
Percentage of participants who have either an Asthma Control Test (ACT) total score of >=20 or an increase from Baseline of >=3 in ACT total score at Week 24.
Timeframe: Baseline (Day 0) and Week 24
Secondary outcomes:
Percentage of participants who have either an ACT total score of >=20 or an increase from Baseline of >=3 in ACT total score at Weeks 12, 40 and 52.
Timeframe: Baseline (Day 0) and Weeks 12, 40 and 52
Percentage of participants with asthma control (ACT total score >=20) at Weeks 12, 24, 40 and 52.
Timeframe: Weeks 12, 24, 40 and 52
Percentage of participants who have an increase from Baseline of >=3 in ACT total score at Weeks 12, 24, 40 and 52.
Timeframe: Baseline (Day 0) and Weeks 12, 24, 40 and 52
Mean change from Baseline in ACT total score at Weeks 12, 24, 40 and 52.
Timeframe: Baseline (Day 0) and Weeks 12, 24, 40 and 52
Percentage of participants in each ACT total score category (>=20, 16 to 19, <=15) at Weeks 12, 24, 40 and 52.
Timeframe: Weeks 12, 24, 40 and 52
Annual rate of asthma-related secondary care contacts
Timeframe: Up to Week 52
Annual rate of asthma-related primary care contacts
Timeframe: Up to Week 52
Number of participants with time to first asthma-related primary care contact
Timeframe: Up to Week 52
Annual rate of all on-treatment secondary care contacts
Timeframe: Up to Week 52
Annual rate of all on-treatment primary care contacts
Timeframe: Up to Week 52
Number of participants with time to first primary care contact
Timeframe: Up to Week 52
Mean annual rate of severe asthma exacerbations
Timeframe: Up to Week 52
Time to first severe asthma exacerbation.
Timeframe: Up to Week 52
Mean number of salbutamol inhalers prescribed for each participant over the 12 month treatment period.
Timeframe: Up to 12 months
Time to modification of initial therapy
Timeframe: Up to Week 52
Percentage of participants who have an increase from Baseline of >=0.5 in Standardized Asthma Quality of Life Questionnaire [AQLQ(S)] total score at Week 52.
Timeframe: Baseline (Day 0) and Week 52
Percentage of participants who have an increase from Baseline of >=0.5 in AQLQ(S) environmental stimuli domain score at Week 52.
Timeframe: Baseline (Day 0) and Week 52
Percentage of participants with serious adverse event (SAE) of pneumonia
Timeframe: Up to Week 52
Time to first SAE of pneumonia
Timeframe: Up to Week 52
Number of participants with fatal SAEs of pneumonia
Timeframe: Up to Week 52
Number of participants with SAEs
Timeframe: Up to Week 52
Number of participants with adverse drug reactions (ADRs)
Timeframe: Up to Week 52
Interventions:
Drug: fluticasone furoate + vilanterol
Drug: inhaled corticosteroid with or without a long acting beta2-agonist
Enrollment:
4233
Observational study model:
Not applicable
Primary completion date:
2016-16-12
Time perspective:
Not applicable
Clinical publications:
Ashley Woodcock, Jørgen Vestbo,Nawar Diar Bakerly, John New, J. Martin Gibson, Sheila McCorkindale, Rupert Jones, Susan Collier, James Lay-Flurrie, Lucy Frith, Loretta Jacques, Joanne L. Fletcher, Catherine Harvey, Henrik Svedsater, David Leather, on behalf of the Salford Lung Study Investigators. Effectiveness of fluticasone furoate plus vilanterol on asthma control in clinical practice: an open-label, parallel group, randomised controlled trial. Lancet. 2017;390(10109):p2247–2255
Henrik Svedsater, Rupert Jones, Nick Bosanquet, Loretta Jacques, James Lay-Flurrie, David A. Leather, Jørgen Vestbo, Susan Collier, Ashley Woodcock.EPC: Patient-reported outcomes with initiation of fluticasone furoate/vilanterol versus continuing usual care in the Asthma Salford Lung Study.Respir Med.2018;141:198-206
DOI: 10.1016/j.rmed.2018.06.003
PMID: 30053967
Medical condition
Asthma
Product
fluticasone furoate, fluticasone furoate/vilanterol, fluticasone propionate, salmeterol, vilanterol
Collaborators
Not applicable
Study date(s)
November 2012 to December 2016
Type
Interventional
Phase
3
Participation criteria
Sex
Female & Male
Age
18+ years
Accepts healthy volunteers
No
- Subjects eligible for enrolment in the study must meet all of the following criteria:
- 1. Informed consent: Subjects must be able to provide informed consent, have their consent signed and dated.
- Subjects meeting any of the following criteria must not be enrolled in the study:
- 1. Recent history of Life-threatening asthma: Defined for this protocol as an asthma episode that required intubation and/or was associated with hypercapnea, respiratory arrest or hypoxic seizures within the last 6 months.
Inclusion and exclusion criteria
Inclusion criteria:
- Subjects eligible for enrolment in the study must meet all of the following criteria: 1. Informed consent: Subjects must be able to provide informed consent, have their consent signed and dated. 2. Type of subject: Subjects with documented GP diagnosis of asthma as their primary respiratory disease. 3. Current Anti-Asthma Therapy: All subjects must be prescribed maintenance therapy and receiving ICS with or without LABA (either a fixed combination or via separate inhalers), and for at least 4 weeks prior to Visit 2.
- Other background asthma medication such as anti-leukotrienes are permitted 4. All subjects on ICS monotherapy or ICS/LABA combination (this can be a fixed dose combination or an ICS alone or LABA alone in separate inhalers) must have had symptoms in the past week prior to Visit 2. Symptoms are defined by daytime symptoms more than twice per week, use of short-acting beta2-agonist bronchodilator more than twice per week, any limitation of activities, or any nocturnal symptoms/awakening. (The symptoms are based on subject’s recall and are consistent with the GINA and in principal with the BTS/SIGN guidelines). 5. Subject questionnaires: Subjects must be able to complete the electronic subject questionnaires as well as those questionnaires that are completed by phone or provide a proxy e.g. a partner/relative/a friend who can do so on their behalf 6. Gender and Age: Male or female subjects aged ≥18 years of age at Visit 1. A female is eligible to enter and participate in the study if she is of: -Non-child bearing potential (i.e. physiologically incapable of becoming pregnant, including any female who is post-menopausal or surgically sterile). Surgically sterile females are defined as those with a documented hysterectomy and/or bilateral oophorectomy or tubal ligation. Post-menopausal females are defined as being amenorrhoeic for greater than 1 year with an appropriate clinical profile, e.g. age appropriate, history of vasomotor symptoms. However in questionable cases, a blood sample with FSH > 40MIU/ml and estradiol <40pg/ml (<147 pmol/L) is confirmatory. OR Child bearing potential has a negative urine pregnancy test at Visit 2, and agrees to one of the highly effective and acceptable contraceptive methods used consistently and correctly (i.e. in accordance with the approved product label and the instructions of the physician for the duration of the study – Visit 2 to the end of the study).
Exclusion criteria:
- Subjects meeting any of the following criteria must not be enrolled in the study: 1. Recent history of Life-threatening asthma: Defined for this protocol as an asthma episode that required intubation and/or was associated with hypercapnea, respiratory arrest or hypoxic seizures within the last 6 months. 2. COPD Respiratory Disease: A subject must not have current evidence or GP diagnosis of chronic obstructive pulmonary disease. 3. Other diseases/abnormalities: Subjects with historical or current evidence of uncontrolled or clinically significant disease. Significant is defined as any disease that, in the opinion of the GP/ Investigator, would put the safety of the subject at risk through participation, or which would affect the efficacy or safety analysis if the disease/condition exacerbated during the study. 4. Drug/food allergy: Subjects with a history of hypersensitivity to any of the study medications (e.g., beta2-agonists, corticosteroid) or components of the inhalation powder (e.g., lactose, magnesium stearate). In addition, subjects with a history of severe milk protein allergy that, in the opinion of the GP/ Investigator, contraindicates the subject’s participation will also be excluded. 5. Investigational Medications: A subject must not have used any investigational drug within 30 days prior to Visit 2 or within five half-lives (t½) of the prior investigational study (whichever is longer of the two), (if unsure discuss with the medical monitor prior to screening) 6. Chronic user of systemic corticosteroids: A subject who, in the opinion of the GP/Investigator, is considered to be a chronic user of systemic corticosteroids for respiratory or other indications (if unsure discuss with the medical monitor prior to screening) 7. Subjects who are using LABA without an ICS as asthma maintenance therapy. 8. Subjects who plan to move away from the geographical area where the study is being conducted during the study period and/or if subjects have not consented to their medical records being part of the electronic medical records database that is operational in the Salford area.
Trial location(s)
Location
GSK Investigational Site
Altrincham, Cheshire, United Kingdom, WA14 2NW
Status
Study Complete
Location
GSK Investigational Site
Altrincham, Cheshire, United Kingdom, WA14 5PF
Status
Study Complete
Location
GSK Investigational Site
Altrincham, Greater Manchester, United Kingdom, WA15 6PH
Status
Study Complete
Location
GSK Investigational Site
Eccles, Manchester, United Kingdom, M30 0NU
Status
Study Complete
Location
GSK Investigational Site
Eccles, Manchester, United Kingdom, M30 0TU
Status
Study Complete
Location
GSK Investigational Site
Eccles, Manchester, United Kingdom, M30 8AR
Status
Study Complete
Location
GSK Investigational Site
Eccles, Manchester, United Kingdom, M30 8QD
Status
Study Complete
Location
GSK Investigational Site
Irlam, Greater Manchester, United Kingdom, M44 5LH
Status
Study Complete
Location
GSK Investigational Site
Irlam, Manchester, United Kingdom, M44 5LH
Status
Study Complete
Location
GSK Investigational Site
Irlam, Manchester, United Kingdom, M44 6FE
Status
Study Complete
Location
GSK Investigational Site
Irlam, Salford, United Kingdom, M44 6ZS
Status
Study Complete
Location
GSK Investigational Site
Little Hulton, Manchester, United Kingdom, M28 0AY
Status
Study Complete
Location
GSK Investigational Site
Little Hulton, Manchester, United Kingdom, M38 9LQ
Status
Study Complete
Location
GSK Investigational Site
Little Hulton, Manchester, United Kingdom, M38 9RS
Status
Study Complete
Location
GSK Investigational Site
Manchester, Greater Manchester, United Kingdom, M20 1EB
Status
Study Complete
Location
GSK Investigational Site
Manchester, Greater Manchester, United Kingdom, M20 2RN
Status
Study Complete
Location
GSK Investigational Site
Manchester, Greater Manchester, United Kingdom, M22 4DH
Status
Study Complete
Location
GSK Investigational Site
Manchester, Greater Manchester, United Kingdom, M22 5RX
Status
Study Complete
Location
GSK Investigational Site
Manchester, Greater Manchester, United Kingdom, M32 0DF
Status
Study Complete
Location
GSK Investigational Site
Manchester, Greater Manchester, United Kingdom, M32 0PA
Status
Study Complete
Location
GSK Investigational Site
Manchester, Greater Manchester, United Kingdom, M33 2TB
Status
Study Complete
Location
GSK Investigational Site
Manchester, Greater Manchester, United Kingdom, M41 7WJ
Status
Study Complete
Location
GSK Investigational Site
Manchester, Greater Manchester, United Kingdom, M41 8AA
Status
Study Complete
Location
GSK Investigational Site
Newall Green, Greater Manchester, United Kingdom, M23 2SY
Status
Study Complete
Location
GSK Investigational Site
Pendlebury, Manchester, United Kingdom, M27 6EW
Status
Study Complete
Location
GSK Investigational Site
Sale, Cheshire, United Kingdom, M33 2RH
Status
Study Complete
Location
GSK Investigational Site
Sale, Cheshire, United Kingdom, M33 4BR
Status
Study Complete
Location
GSK Investigational Site
Sale, Cheshire, United Kingdom, M33 7SS
Status
Study Complete
Location
GSK Investigational Site
Salford, Greater Manchester, United Kingdom, M6 7HL
Status
Study Complete
Location
GSK Investigational Site
Salford, Greater Manchester, United Kingdom, M7 1RD
Status
Study Complete
Location
GSK Investigational Site
Salford, Manchester, United Kingdom, M3 6AF
Status
Study Complete
Location
GSK Investigational Site
Salford, Manchester, United Kingdom, M5 5JR
Status
Study Complete
Location
GSK Investigational Site
Salford, Manchester, United Kingdom, M6 5WW
Status
Study Complete
Location
GSK Investigational Site
Salford, Manchester, United Kingdom, M6 8LE
Status
Study Complete
Location
GSK Investigational Site
Salford, Manchester, United Kingdom, M7 1RD
Status
Study Complete
Location
GSK Investigational Site
Salford, Manchester, Greater Manchester, United Kingdom, M6 6ES
Status
Study Complete
Location
GSK Investigational Site
Stockport, Cheshire, United Kingdom, SK3 9NX
Status
Study Complete
Location
GSK Investigational Site
Swinton, Manchester, United Kingdom, M27 0EW
Status
Study Complete
Location
GSK Investigational Site
Swinton, Manchester, United Kingdom, M27 0NA
Status
Study Complete
Location
GSK Investigational Site
Swinton, Manchester, United Kingdom, M27 4AF
Status
Study Complete
Location
GSK Investigational Site
Timperley, Greater Manchester, United Kingdom, WA15 6PH
Status
Study Complete
Location
GSK Investigational Site
Walkden, Manchester, United Kingdom, M28 3AT
Status
Study Complete
Location
GSK Investigational Site
Walkden, Manchester, United Kingdom, M28 3DR
Status
Study Complete
Location
GSK Investigational Site
Worsley, Manchester, United Kingdom, M28 1LZ
Status
Study Complete
Location
GSK Investigational Site
Worsley, Manchester, United Kingdom, M28 3AT
Status
Study Complete
Location
GSK Investigational Site
Wythenshawe, Greater Manchester, United Kingdom, M22 0EP
Status
Study Complete
Location
GSK Investigational Site
Wythenshawe, Greater Manchester, United Kingdom, M22 5RX
Status
Study Complete
Study documents
Protocol
Available language(s): English
Clinical study report
Available language(s): English
If you wish to request for full study report, please contact - [email protected]
Results overview
Results posted on ClinicalTrials.gov
Recruitment status
Completed
Actual primary completion date
2016-16-12
Actual study completion date
2016-16-12
Plain language summaries
Summary of results in plain language
Available language(s): English (UK)
To view plain language summaries on trialsummaries.com click here.
Additional information about the trial
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Additional information
IPD for this study will be made available via the Clinical Study Data Request site.
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