Last updated: 10/31/2025 12:20:25
Comparison of clinical outcomes of participants with asthma on fluticasone furoate/vilanterol and beclometasone dipropionate/formoterol fumarate treatment
Clinicaltrials.gov ID
Not applicable
EudraCT ID
Not applicable
EU CT Number
Not applicable
Trial status
Study complete
Study complete
Trial overview
Official title: A comparison of clinical outcomes in patients with asthma between patients on fluticasone furoate/vilanterol (Relvar) and beclometasone dipropionate/formoterol fumarate (Fostair) as routine clinical practice in England
Trial description: The study aimed to compare the real-world effectiveness of fluticasone furoate/vilanterol (FF/VI) versus beclometasone dipropionate/formoterol fumarate (BDP/FOR) in management and healthcare resource utilization (HCRU) outcomes in participants with asthma, utilizing linked Clinical Practice Research Data link Aurum and Hospital Episode Statistics (HES) datasets in the England. Relvar® Ellipta™ is a registered trademark of the GlaxoSmithKline group of companies.
Primary purpose:
Not applicable
Trial design:
Not applicable
Masking:
Not applicable
Allocation:
Not applicable
Primary outcomes:
Rates of overall asthma exacerbations
Timeframe: Up to 12 months
Secondary outcomes:
Time to first asthma exacerbation
Timeframe: Up to 12 months
Rate of severe asthma exacerbation
Timeframe: Up to 12 months
Number of asthma exacerbations for dose group: Low-medium dose FF/VI and low dose BDP/FOR
Timeframe: Up to 12 months
Number of asthma exacerbations for dose group: Low-medium dose FF/VI and medium dose BPD/FOR
Timeframe: Up to 12 months
Number of asthma exacerbations for dose group: Low-medium dose FF/VI and low-medium dose BDP/FOR
Timeframe: Up to 12 months
Number of asthma exacerbations for dose group: High dose FF/VI and high dose BDP/ FOR
Timeframe: Up to 12 months
Number of Short-acting beta-agonist (SABA) canisters per participant year
Timeframe: Up to 12 months
Total all cause and Total asthma related health care resource utilizations.
Timeframe: Up to 12 months
Duration of Oral corticosteroid (OCS) use
Timeframe: Up to 12 months
Treatment persistence and adherence
Timeframe: Up to 12 months
Time to first non-persistence of indexed therapy
Timeframe: Up to 12 months
Interventions:
Not applicable
Enrollment:
0
Primary completion date:
2024-26-11
Observational study model:
Not applicable
Time perspective:
Not applicable
Clinical publications:
Ashley Woodcock, John Blakey, Arnaud Bourdin, Giorgio Walter Canonica, Christian Domingo, Alexander Ford, Rosie Hulme, Theo Tritton, Ines Palomares, Sanchayita Sadhu, Arunangshu Biswas, Manish Verma. Real-World Comparative Effectiveness Study in Patients with Asthma Initiating Fluticasone Furoate/Vilanterol or Beclometasone Dipropionate/Formoterol Fumarate in General Practice in England. Advances in Therapy. 2025-9-25; doi:10.1007/s12325-025-03349-7 https://doi.org/10.1007/s12325-025-03349-7
PMID: 40996636
DOI: 10.1007/s12325-025-03349-7
- At least one prescription of either single device FF/VI or BDP/FOR inhaler within the index period. The first/earliest such prescription within the index period will define the index date.
- At least one diagnosis of asthma at any time in the participant history prior to and including the index date.
- More than one fixed-dose Inhaled corticosteroid (ICS)/ Long-acting beta-agonist (LABA) therapy prescribed on the index date.
- One or more prescriptions for any fixed-dose ICS/LABA therapy within the Baseline period.
Inclusion and exclusion criteria
Inclusion criteria:
- At least one prescription of either single device FF/VI or BDP/FOR inhaler within the index period. The first/earliest such prescription within the index period will define the index date.
- At least one diagnosis of asthma at any time in the participant history prior to and including the index date.
- At least one prescription for a SABA inhaler in the 6 months prior to and including the index date.
- 18 years of age or older at index date.
- Continuously registered with a general practitioner practice for a minimum of 12 months prior to the index date and a minimum of 12 months following the index date.
- Participants record eligible for linkage to HES and Index of Multiple Deprivation.
Exclusion criteria:
- More than one fixed-dose Inhaled corticosteroid (ICS)/ Long-acting beta-agonist (LABA) therapy prescribed on the index date.
- One or more prescriptions for any fixed-dose ICS/LABA therapy within the Baseline period.
- One or more separate prescriptions of ICS and one or more separate prescription of LABA within the Baseline period.
- One or more prescriptions of ICS/ Long-acting muscarinic antagonist (LAMA)/LABA single inhaler triple therapy within the Baseline period.
- At least one diagnostic code for Chronic obstructive pulmonary disease (COPD) at any time prior to index.
- At least one diagnostic code of any medical conditions incompatible with an asthma diagnosis at any time in the participant’s medical history, i.e. i Conditions that are related to lung or bronchial developmental anomalies and degenerative processes such as bronchiolitis obliterans, cystic fibrosis, pulmonary fibrosis (not pulmonary hypertension), pulmonary resection. ii Other significant respiratory disorders other than asthma that can interfere with clinical asthma diagnosis or substantially change the natural history of the disease including chronic obstructive pulmonary diseases and acute respiratory failure.
- One or more prescriptions of a biologic therapy within the Baseline or follow up period.
Trial location(s)
This study does not involve prospective enrollment of participants.
Study documents
Study report synopsis
Available language(s): English
Protocol
Available language(s): English
Statistical analysis plan
Available language(s): English
Scientific result summary
Available language(s): English
If you wish to request for full study report, please contact - [email protected]
Results overview
Refer to study documents
Recruitment status
Study complete
Actual primary completion date
2024-26-11
Actual study completion date
2024-28-11
Plain language summaries
Not applicable. GSK’s transparency policy provides for Plain Language Summaries for Interventional studies.
Additional information about the trial
Not applicable
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