Trial | Phase | Enrollment | Study Type | Start Date | Status |
A Randomised, Placebo-controlled, Four-way Crossover Repeat Dose Study to Evaluate the Effect of the Inhaled Fluticasone Furoate (FF)/GW642444M Combination on Electrocardiographic Parameters, With Moxifloxacin as a Positive Control, in Healthy Subjects [NCT01209026] | Phase 1 | 85 participants (Actual) | Interventional | 2010-06-23 | Completed |
A Multicentre, Randomised, Double-blind, Double Dummy, Parallel Group Study to Compare the Salmeterol/Fluticasone Propionate Combination (SeretideTM) at a Dose of 50/100µg Twice Daily and Fluticasone Propionate (FlixotideTM) at a Dose of 200µg Twice Daily [NCT00353873] | Phase 4 | 506 participants (Actual) | Interventional | 2005-11-18 | Completed |
Comparing Treatment Efficacy With High and Medium Dose of Fluticasone in Combination With Salmeterol in COPD Patients [NCT01131806] | Phase 4 | 124 participants (Anticipated) | Interventional | 2009-12-31 | Recruiting |
The Effect of Once-daily Fluticasone Furoate on Methacholine-induced Bronchoconstriction in Mild Asthmatics [NCT03898466] | Phase 4 | 14 participants (Actual) | Interventional | 2018-10-30 | Completed |
Post-Marketing Observational Study to Evaluate Safety Profile of Flixotide 50 μg pMDI Treatment in Chinese Subjects With Asthma Aged 1-<4 Years [NCT03273946] | | 158 participants (Actual) | Observational | 2018-01-09 | Completed |
A Phase III, Randomized, Open-label, Non-inferiority Study Comparative of Formoterol/Fluticasone Eurofarma 12/250 µg, Foraseq® 12/400 µg and Fluticasone 500 µg in Asthma Patients [NCT01202084] | Phase 3 | 222 participants (Actual) | Interventional | 2012-01-31 | Completed |
"Clinical Evaluation of GW815SF for Chronic Obstructive Pulmonary Disease (Chronic Bronchitis, Emphysema) A Long-term Treatment Study of GW815SF50/500µg in Chronic Obstructive Pulmonary Disease -" [NCT00269087] | Phase 3 | 122 participants (Actual) | Interventional | 2005-01-28 | Completed |
A Randomized Placebo-controlled Trial of Swallowed Fluticasone in Treatment of Eosinophilic Esophagitis [NCT00275561] | Phase 2 | 42 participants (Actual) | Interventional | 2005-11-30 | Completed |
A 1-Year Safety Study of Medium and High Doses of Mometasone Furoate/Formoterol Combination Formulation and Medium and High Doses of Fluticasone/Salmeterol in Persistent Asthmatics Previously Treated With Medium to High Doses of Inhaled Glucocorticosteroi [NCT00379288] | Phase 3 | 404 participants (Actual) | Interventional | 2006-06-30 | Completed |
A Randomized, Open-labelled Bronchoscopy Study to Assess the Effects of Inhaled Corticosteroids (ICS) on Adult Healthy Volunteers [NCT02476825] | Phase 4 | 30 participants (Actual) | Interventional | 2016-01-20 | Active, not recruiting |
A Comparison of the Clinical Effectiveness of Inhaled Triple Therapy (Fluticasone Furoate / Umeclidinium Bromide / Vilanterol) in a Single Inhaler (TRELEGY™ ELLIPTA™) With Inhaled Non-ELLIPTA™ Multiple Inhaler Triple Therapies in COPD Patients in the US W [NCT03949842] | Phase 4 | 0 participants (Actual) | Interventional | 2019-06-27 | Withdrawn(stopped due to The decision to end the study was based on a change in GSK strategy. No subjects were enrolled into the study.) |
Sub-Sensitivity to Long-Acting Bronchodilators (LABA) [NCT01117116] | | 21 participants (Actual) | Interventional | 2010-03-31 | Completed |
Drug Use Investigation for ALLERMIST [NCT01376206] | | 2,000 participants (Actual) | Observational | 2009-12-31 | Completed |
Phase 3, Multicenter, Randomized, Parallel-Group, Open-Label, Comparative Non-Inferiority Fixed-Dose Combination Formoterol 6 mcg/Fluticasone 125 mcg Versus Alenia® (Formoterol 6 mcg/Budesonide 200 mcg) in the Treatment of Moderate Asthma [NCT05735431] | Phase 3 | 132 participants (Anticipated) | Interventional | 2024-07-30 | Not yet recruiting |
Retrospective, Real-life Evaluation of the Effectiveness, Cost-effectiveness and Direct Healthcare Costs of Qvar Pressurised Metered-dose Inhaler (pMDI) Compared With Beclometasone Dipropionate pMDI and Fluticasone pMDI in the Management of Chronic Obstru [NCT01141452] | | 815,377 participants (Actual) | Observational | 2001-01-31 | Completed |
An Open-label, Non-randomised, Three-way Crossover, Single Dose Study to Determine the Absolute Bioavailability of Fluticasone Furoate (FF)/GW642444 Inhalation Powder, in Healthy Subjects [NCT01299558] | Phase 1 | 16 participants (Actual) | Interventional | 2010-05-17 | Completed |
Randomized Controlled Trial Comparing Fluticasone Plus Omeprazole With Fluticasone Alone for Eosinophilic Esophagitis [NCT03781596] | Phase 4 | 100 participants (Anticipated) | Interventional | 2018-10-02 | Recruiting |
A Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Study Under Fasting Conditions to Examine the Bioequivalence Between Fluticasone Propionate 500 mcg and Salmeterol Xinafoate 50 mcg Inhalation Powder/Respirent Pharm [NCT03751202] | Phase 1 | 34 participants (Actual) | Interventional | 2018-11-20 | Completed |
Effect of Health Promotion on Allergic Rhinitis by Infrared-C Ray Irradiation [NCT03673384] | | 50 participants (Actual) | Interventional | 2015-03-02 | Completed |
Special Drug Use Investigation for ADOAIR Metered-dose Inhaler (Pediatric) [NCT01332422] | | 300 participants (Actual) | Observational | 2009-11-30 | Completed |
Nebulized Corticosteroid for Post Extubation Stridor in Children: A Randomized Double Blind Controlled Trial [NCT02523820] | Phase 3 | 144 participants (Actual) | Interventional | 2015-01-31 | Completed |
Double Blind Randomised Placebo and Active Controlled, Proof of Activity Study of UR-63325 in Allergic Rhinitis Induced by Nasal Challenge to Allergic Patients Otherwise Healthy [NCT01260753] | Phase 2 | 24 participants (Anticipated) | Interventional | 2010-12-31 | Completed |
A Randomized, Blinded, Parallel Group, Placebo-Controlled, Multiple Dose, Multicenter Study to Compare the Therapeutic Equivalence of Fluticasone Propionate Pressurized Metered Dose Inhaler, 110 mcg, to Flovent® HFA 110 mcg, in Adult Subjects With Asthma [NCT03879837] | Phase 3 | 1,902 participants (Actual) | Interventional | 2019-03-25 | Completed |
Retrospective, Real-life Observational Evaluation of the Effectiveness and Cost-effectiveness of Extra-fine Hydrofluoroalkane (HFA) Beclometasone (BDP) Compared With Fluticasone Propionate (FP) in the Management of Asthma in a Representative Population in [NCT01287351] | | 82,903 participants (Actual) | Observational | 2004-01-31 | Completed |
Effect of High Dose Inhaled Budesonide and Fluticasone on Adrenal Function in Patients With Moderate to Severe COPD [NCT01186653] | Phase 4 | 22 participants (Actual) | Interventional | 2007-10-31 | Completed |
A Comparison of Patients on AVAMYS ® Versus NASONEX (A Trade Mark of Schering Corporation) and FLIXONASE ® on Key Health Outcome Measures [NCT01199757] | | 540 participants (Actual) | Observational | 2009-07-10 | Completed |
A PHASE III, RANDOMIZED, OPEN-LABEL, NON-INFERIORITY COMPARATIVE STUDY BETWEEN SERETIDE® 50/250 µG AND SALMETEROL/FLUTICASONE SINGLE INHALATION CAPSULE 50/250 µG EUROFARMA IN PATIENTS WITH ASTHMA [NCT01202097] | Phase 3 | 334 participants (Anticipated) | Interventional | 2011-08-31 | Completed |
Clinical Trial to Assess Onset of Action of Azelastine Hydrochloride and Fluticasone Propionate Nasal Spray Delivered in a Single Spray (MP-AzeFlu) in the Treatment of Allergen-Induced Allergic Rhinitis Symptoms in Comparison to Placebo and Free Combinati [NCT03004131] | Phase 4 | 82 participants (Actual) | Interventional | 2017-01-07 | Completed |
Personalized Treatment Algorithms for Difficult-to-treat Asthma: Bench to Community [NCT04179461] | Phase 2 | 21 participants (Actual) | Interventional | 2018-03-16 | Completed |
Single Dose Pharmacokinetics of Intranasal Fluticasone Delivered by a Fixed Combination With Azelastine (MP29 02) in Comparison to Two Different Fluticasone Nasal Sprays Single-centre, Randomised, Open-label, Three-period, Six-sequence Cross-over Trial (W [NCT01194622] | Phase 1 | 30 participants (Actual) | Interventional | 2010-08-31 | Completed |
Arnuity Ellipta Drug Use Investigation [NCT03184480] | | 336 participants (Actual) | Observational | 2017-08-19 | Completed |
Effect of Acupuncture on Patients With Chronic Obstructive Pulmonary Disease: a Multi-center, Randomized, Controlled Trial [NCT03169504] | Phase 3 | 150 participants (Anticipated) | Interventional | 2017-05-31 | Not yet recruiting |
Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Assess the Efficacy, Safety, and Tolerability of SAR231893/REGN668 Administered Subcutaneously Once Weekly for 12 Weeks in Patients With Persistent Moderate to Severe Eosinophilic Asthm [NCT01312961] | Phase 2 | 104 participants (Actual) | Interventional | 2011-03-31 | Completed |
A Randomized, Double-blind, Placebo-controlled, Parallel-group, 12-week Proof-of-Concept (PoC) Study to Assess the Efficacy, Safety, and Tolerability of SAR440340 and the Coadministration of SAR440340 and Dupilumab in Patients With Moderate-to-Severe Asth [NCT03387852] | Phase 2 | 296 participants (Actual) | Interventional | 2018-03-12 | Completed |
An Exploratory, Double-blind, Placebo-controlled Study of the Effects of Dupilumab on Airway Inflammation of Adults With Persistent Asthma [NCT02573233] | Phase 2 | 42 participants (Actual) | Interventional | 2016-01-27 | Completed |
Double-Blinded, Placebo-Controlled, Randomized, 2 Period, Crossover Phase 1/2a Study Testing Safety/Efficacy of Advair HFA (Salmeterol, Fluticasone) in Resting & Exercising Healthy & High Altitude Pulmonary Edema (HAPE) Predisposed Subjects [NCT06040268] | Phase 1/Phase 2 | 60 participants (Anticipated) | Interventional | 2023-12-12 | Recruiting |
A Double-dummy, Double-blind, Randomized, Parallel-group, Active Controlled Study to Evaluate the Efficacy and Safety of QVM149 (Indacaterol Acetate / Glycopyrronium Bromide / Mometasone Furoate) Compared to Salmeterol Xinafoate/Fluticasone Propionate in [NCT05776927] | Phase 3 | 304 participants (Anticipated) | Interventional | 2024-12-23 | Not yet recruiting |
A Randomized, Double-blind, Placebo-controlled, Active Comparator, One-Week, Cross-Over, Multicenter Study to Evaluate the Efficacy and Patient Preference of Nasal Spray Characteristics of Once-Daily, Intranasal Administration of 110mcg Fluticasone Furoat [NCT00519636] | Phase 4 | 360 participants (Actual) | Interventional | 2007-08-31 | Completed |
Study HZA114971, A Multicentre Randomised, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Effects of a One-Year Regimen of Orally Inhaled Fluticasone Furoate 50 mcg Once Daily on Growth Velocity in Prepubertal, Paediatric Subjects [NCT02889809] | Phase 4 | 477 participants (Actual) | Interventional | 2016-10-20 | Completed |
A Phase III, Randomized, Double-blind, Active Controlled, Parallel Group Study, Comparing the Efficacy, Safety and Tolerability of the Fixed Dose Combination FF/UMEC/VI With the Fixed Dose Dual Combination of FF/VI, Administered Once-daily Via a Dry Powde [NCT02924688] | Phase 3 | 2,436 participants (Actual) | Interventional | 2016-10-13 | Completed |
A Randomized, Double-blind, Double-dummy, Active-controlled, Multi-center, Parallel Group Study to Show the Superiority in Lung Function of 12 Weeks Once Daily Treatment With Orally Inhaled Tiotropium+Olodaterol Fixed Dose Combination Delivered by the Res [NCT03240575] | Phase 4 | 302 participants (Actual) | Interventional | 2017-08-14 | Completed |
Special Drug Use Investigation for ADOAIR DISKUS COPD (Salmeterol and Fluticasone) [NCT01332409] | | 2,000 participants (Actual) | Observational | 2009-08-31 | Completed |
Phase I Single Blind, Randomised, Cross-over Pharmacodynamic Dose Response Study in Healthy Volunteers of Two Pressurized Metered Dose Inhalers (pMDIs) That Deliver Salmeterol and Fluticasone Propionate [NCT02232087] | Phase 1 | 52 participants (Actual) | Interventional | 2014-07-31 | Completed |
A Single-dose, Randomised, Crossover, Placebo-controlled, Double-dummy, Pharmacodynamic Clinical Trial Assessing Two Fixed Dose Combinations of Long-acting Beta-agonist (LABA) and Inhaled Corticosteroid (ICS) [NCT02094274] | Phase 1 | 30 participants (Actual) | Interventional | 2013-11-30 | Completed |
A Multicenter, Partially-Blinded, Randomized, 24-Week, Parallel-Group, Non-Inferiority, Open-Label Active Controlled Study to Compare the Efficacy and Safety of QVM149 With a Free Triple Combination of Salmeterol/Fluticasone + Tiotropium in Patients With [NCT03158311] | Phase 3 | 1,426 participants (Actual) | Interventional | 2018-02-05 | Completed |
Prospective Observational Study of Concomitant Allergic Rhinitis Treatment Patterns Among Patients Starting on Fluticasone Furoate Nasal Spray in a Retail Pharmacy Setting [NCT01337323] | | 3 participants (Actual) | Observational | 2010-09-30 | Terminated(stopped due to Insufficient number of patient records met inclusion criteria) |
Effects of Treated and Untreated Allergic Rhinitis on Mood, Cognitive Functions and Actual Driving Performance [NCT01318681] | | 22 participants (Actual) | Interventional | 2011-01-31 | Completed |
Comparative Study of the Effect of Two Doses of Mometasone Furoate Dry Powder Inhaler 200 mcg and 400 mcg QD PM, Fluticasone Propionate 250 mcg BID, and Montelukast 10 mg QD PM, on Bone Mineral Density in Adults With Asthma [NCT00394355] | Phase 4 | 566 participants (Actual) | Interventional | 2006-09-30 | Completed |
A 24-week Study to Evaluate the Effect of Fluticasone Furoate/Vilanterol 100/25 mcg Inhalation Powder Delivered Once-daily Via a Novel Dry Powder Inhaler on Arterial Stiffness Compared With Placebo and Vilanterol in Subjects With Chronic Obstructive Pulmo [NCT01336608] | Phase 3 | 446 participants (Actual) | Interventional | 2011-03-04 | Completed |
A Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Study Under Fasting Conditions to Examine the Bioequivalence Between Fluticasone Propionate 100 mcg and Salmeterol Xinafoate 50 mcg Inhalation Powder/Respirent Pharm [NCT05697003] | Phase 1 | 34 participants (Anticipated) | Interventional | 2023-02-17 | Active, not recruiting |
A Randomized, Double-Blind (3rd Party Open), Placebo-Controlled, 2-Way Crossover Study To Determine The Effects Of A Single Inhaled Dose Of 500 MCG Fluticasone Propionate On Induced Sputum Neutrophils Following Inhaled Lipopolysaccharide (LPS) Challenge I [NCT01364519] | Phase 1 | 17 participants (Actual) | Interventional | 2011-07-31 | Completed |
A Proof Of Concept Study to Investigate the Clinical, Histological And Molecular Predictors of Response to Oral and Intranasal Corticosteroid in Nasal Polyposis [NCT00788749] | Phase 4 | 60 participants (Actual) | Interventional | 2004-05-31 | Completed |
A Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Study to Examine the Bioequivalence Between Fluticasone Propionate 250 mcg and Salmeterol Xinafoate 50 mcg Inhalation Powder/Respirent Pharmaceuticals vs. SERETIDE D [NCT03894280] | Phase 1 | 36 participants (Actual) | Interventional | 2019-03-12 | Completed |
Hypertonic Versus Isotonic Saline Irrigations for Chronic Rhinosinusitis [NCT04242368] | Phase 2/Phase 3 | 0 participants (Actual) | Interventional | 2020-07-01 | Withdrawn(stopped due to COVID-19 pandemic, unable to recruit and conduct study procedures per state, local, and university policies.) |
A Multicenter, Double-Blind, Randomized, Placebo-Controlled, Parallel-Group Study Evaluating the Efficacy and Safety of Grass (Phleum Pratense) Sublingual Tablet (SCH 697243) in Adult Subjects With a History of Grass Pollen Induced Rhinoconjunctivitis Wit [NCT00562159] | Phase 3 | 439 participants (Actual) | Interventional | 2007-11-30 | Completed |
A Stratified, Multicenter, Randomized, Double-Blind, Parallel Group, 4-Week Comparison of Fluticasone Propionate/Salmeterol DISKUS Combination Product 100/50mcg BID Versus Fluticasone Propionate DISKUS 100mcg BID in Pediatric and Adolescent Subjects With [NCT00118716] | Phase 4 | 248 participants (Actual) | Interventional | 2003-12-23 | Completed |
A Multicenter, Double-Blind, Randomized, Crossover Design Study to Evaluate the Effect of Montelukast Vs. Salmeterol on the Inhibition of Exercise-Induced Bronchoconstriction in Asthmatic Patients Aged 6-14 Years [NCT00127166] | Phase 3 | 154 participants (Actual) | Interventional | 2005-12-31 | Completed |
Urine Concentrations of Vilanterol After Inhaled Administration of Vilanterol/Fluticasone Furoate: Defining a Urine Threshold and Decision Limit for Vilanterol in Doping Control Analysis [NCT03739294] | Phase 2 | 26 participants (Actual) | Interventional | 2019-02-08 | Completed |
Clinical Trial to Assess Onset of Action of Azelastine Hydrochloride and Fluticasone Propionate Nasal Spray Delivered in a Single Spray (Dymista) in the Treatment of Allergen-Induced Allergic Rhinitis Symptoms in Comparison to Placebo in an Environmental [NCT04652245] | Phase 4 | 216 participants (Actual) | Interventional | 2020-12-14 | Completed |
Effectiveness of Cycling of Topical Steroid Therapy in Maintaining Clinical and Histologic Remission in Eosinophilic Esophagitis [NCT05444543] | Phase 4 | 30 participants (Anticipated) | Interventional | 2021-11-17 | Recruiting |
A Single-blind, Randomized, Active-controlled, Multi-center and Phase IV Study to Evaluate the Small Airway Parameters of Fluticasone/Formoterol (Flutiform®) Compared to Fluticasone/Salmeterol in Asthma Patients [NCT02491970] | Phase 4 | 15 participants (Actual) | Interventional | 2015-08-31 | Terminated(stopped due to Difficulty of patients enrollments) |
Randomised, Double-blind, Triple Dummy, Partial Cross-over (Each Active Treatment With Placebo) Study Using an Environmental Challenge Chamber (ECC) to Assess the Safety and Efficacy of 2 Weeks of Oral BI 671800 ED 50, 200 or 400 mg Bid, Compared to Monte [NCT01007721] | Phase 2 | 146 participants (Actual) | Interventional | 2009-10-31 | Completed |
A Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Study Under Fasting Conditions to Examine the Bioequivalence Between Fluticasone Propionate 250 mcg/Blister Oral Inhalation Powder/Respirent Pharmaceuticals vs. FLOV [NCT05397834] | Phase 1 | 36 participants (Actual) | Interventional | 2022-05-11 | Active, not recruiting |
A Multicenter Randomized 52 Week Treatment Double-blind, Triple Dummy Parallel Group Study to Assess the Efficacy and Safety of QMF149 Compared to Mometasone Furoate in Patients With Asthma [NCT02554786] | Phase 3 | 2,216 participants (Actual) | Interventional | 2015-12-29 | Completed |
Efficacy of Intermittent Tiotropium in Early Childhood Wheezing [NCT03199976] | Phase 4 | 80 participants (Actual) | Interventional | 2016-04-20 | Completed |
Single Dose Pharmacokinetics of Intranasal Azelastine Delivered by a Fixed Combination With Fluticasone in Comparison to Azelastine Nasal Sprays Single-centre, Randomised, Open-label, Three-period, Six-sequence Cross-over Trial (William's Design) [NCT01190852] | Phase 1 | 30 participants (Actual) | Interventional | 2010-08-31 | Completed |
Is Adenosine Monophosphate Superior to Histamine for Bronchial Provocation Test in Evaluation of Asthma? [NCT02318043] | | 84 participants (Actual) | Interventional | 2007-01-31 | Completed |
A Phase IIb, 24 Week, Randomized, Double-blind, 3 Arm Parallel Group Study, Comparing the Efficacy, Safety and Tolerability of Two Doses of Umeclidinium Bromide Administered Once-daily Via a Dry Powder Inhaler, Versus Placebo, in Participants With Asthma [NCT03012061] | Phase 2 | 425 participants (Actual) | Interventional | 2017-01-25 | Completed |
An Escalating Dose, Randomized, Placebo-controlled, Incomplete-block, 2-period Cross-over Study to Assess the Dose Response for Topical Efficacy Via Airway Responsiveness to Adenosine-5'-Monophosphate (AMP) Challenge and the Dose Response for Systemic Act [NCT02991859] | Phase 2 | 56 participants (Actual) | Interventional | 2017-02-09 | Completed |
A 12-Week, Randomized, Double-Blind, Placebo-Controlled, Efficacy and Safety Study of Fluticasone Propionate Multidose Dry Powder Inhaler Compared With Fluticasone Propionate/Salmeterol Multidose Dry Powder Inhaler in Patients Aged 4 Through 11 Years With [NCT02980133] | Phase 3 | 841 participants (Actual) | Interventional | 2016-12-28 | Completed |
A Multicenter, Randomized, Parallel-group, Placebo-controlled, 4-week Clinical Endpoint Bioequivalence Study Comparing Fluticasone Propionate/Salmeterol 100/50 µg Inhalation Powder With Advair® Diskus 100/50 µg in Asthma Patients [NCT03394989] | Phase 3 | 1,366 participants (Actual) | Interventional | 2018-10-17 | Completed |
A Phase III, Randomized, Multicenter, Parallel-group Clinical Trial for Examining the Therapeutic Equivalence Between Fluticasone Propionate 100 mcg and Salmeterol 50 mcg Inhalation Powder/Respirent Pharmaceuticals vs. ADVAIR DISKUS® 100/50 mcg Inhalation [NCT03676413] | Phase 3 | 451 participants (Actual) | Interventional | 2018-10-02 | Completed |
An Open Label, Randomised, Six-way Crossover, Single Dose Study to Determine the Pharmacokinetics of GSK961081 and Fluticasone Furoate When Administered Alone or in Combination [NCT02064504] | Phase 1 | 48 participants (Actual) | Interventional | 2014-02-19 | Completed |
As Needed Versus Regular Use of Intranasal Corticosteroid in Children With Perennial Allergic Rhinitis: A Randomized Controlled Trial [NCT05299086] | | 68 participants (Anticipated) | Interventional | 2022-04-04 | Recruiting |
Comparison of Exacerbation Risk and Health Outcomes in Maintenance Treatment naïve Chronic Obstructive Pulmonary Disease (COPD) Patients Using Stiolto Versus Trelegy, a Real-World Study [NCT05169424] | | 9,117 participants (Actual) | Observational | 2021-12-17 | Completed |
A 12-week Randomized, Multiple-Dose, Double-Blind, Placebo-Controlled, Parallel-Group Trial to Assess the Pharmacodynamic Response of Fluticasone Propionate in Fixed-Dose Combination With Formoterol Fumarate in Subjects With COPD [NCT01168310] | Phase 2 | 468 participants (Actual) | Interventional | 2010-08-31 | Completed |
A Randomized, Placebo-controlled, Double-blind, Six-way Crossover, Single-dose Exposure Study to Compare the Safety and Efficacy of Fluticasone and Formoterol Combination (FlutiForm™100/10μg and 250/10μg) in a Single Inhaler (SkyePharma HFA MDI) With the [NCT00830102] | Phase 2 | 64 participants (Actual) | Interventional | 2004-10-31 | Completed |
A Phase IV, Open Label, Multicentre, Randomised, 2-way Cross-over Exploratory Clinical Trial Comparing TRIMBOW® pMDI and RELVAR® ELLIPTA® DPI on Lung Stiffness Reduction Assessed Through Area Under the Reactance Curve (AX) in COPD. [NCT04671355] | Phase 4 | 0 participants (Actual) | Interventional | 2021-10-04 | Withdrawn(stopped due to Continuing delays due to COVID-19 pandemic) |
Inhaled Corticosteroids do Not Modify the Systemic Inflammation Induced by Exercise in Patients With Chronic Obstructive Pulmonary Disease [NCT02209974] | Phase 4 | 23 participants (Actual) | Interventional | 2004-02-29 | Completed |
A 12-week Randomized, Multiple-Dose, Double-Blind, Placebo-Controlled, Parallel-Group Study to Replicate Efficacy of Nebulized Fluticasone Propionate (FP) in Adult Subjects With Partly Controlled and Uncontrolled Asthma [NCT01516086] | Phase 2 | 498 participants (Actual) | Interventional | 2012-03-31 | Completed |
A Phase 3, Multicenter, Open-label Continuation Study in Moderate to Severe Asthmatic Subjects Who Completed FlutiForm HFA pMDI Study SKY2028-3-005, Incorporating Amendment 1 and 2 [NCT00747318] | Phase 3 | 280 participants (Actual) | Interventional | 2008-09-30 | Completed |
A Single (Assessor)-Blind, Randomised, Three-period, Cross-over Study to Compare the Safety of Flutiform pMDI, Fluticasone pMDI, and Beclometasone Autohaler in Paediatric Subjects Aged 5 to Less Than 12 Years With Mild Persistent Asthma by Means of Knemom [NCT02063139] | Phase 2 | 48 participants (Actual) | Interventional | 2014-02-28 | Completed |
A Randomized, Placebo-controlled, Double-blind, Crossover, Single-dose Exposure Study to Evaluate the Early Bronchodilating Effect of FlutiForm 100/10 µg HFA pMDI and FlutiForm 250/10 µg HFA pMDI, Compared to Placebo in Adult Subjects With Mild to Moderat [NCT00734292] | Phase 2 | 39 participants (Anticipated) | Interventional | 2008-09-30 | Completed |
"A 12 Week Multicenter, Open-Label, Randomized, Observational Study Comparing Singulair® 10 Mg As Controller Monotherapy In Adults With Mild Asthma To Low Dose Inhaled Corticosteroid Treatment" [NCT00545324] | Phase 4 | 399 participants (Actual) | Interventional | 2002-09-30 | Completed |
Six Food vs One Food Eosinophilic Esophagitis Elimination Diet (SOFEED) Followed by Swallowed Glucocorticoid Trial [NCT02778867] | Phase 2/Phase 3 | 129 participants (Actual) | Interventional | 2016-05-20 | Completed |
A Pilot Study Evaluating the Onset of Action of Fluticasone Furoate Nasal Spray and Olopatadine Nasal Spray Compared to Placebo Nasal Spray in Reducing Nasal Allergic Symptoms Following Ragweed Exposure in the Allergen BioCube (ABC) [NCT01076439] | Phase 4 | 0 participants (Actual) | Interventional | | Withdrawn |
A Randomized, Parallel-Group, Placebo-Controlled, Clinical Endpoint Bioequivalence Study of Generic Fluticasone Propionate 100 μg and Salmeterol Xinafoate 50 μg Inhalation Powder Compared With Advair Diskus® 100/50 in Subjects With Asthma [NCT03535870] | | 1,556 participants (Actual) | Interventional | 2018-04-26 | Completed |
A 1 Year, Randomized, Double-blind, Parallel-group, Placebo-controlled, Multicenter Evaluation of Efficacy, Safety, Pharmacokinetics, and Pharmacodynamics of Omalizumab in Children (6 - < 12 Years) With Moderate-severe, Persistent, Inadequately Controlled [NCT00079937] | Phase 3 | 628 participants (Actual) | Interventional | 2004-04-30 | Completed |
A Randomized, Double-blind, Placebo and Calibrator Controlled Study to Assess the Safety, Tolerability and Pharmacokinetics of Multiple Intravenous Doses of VAK694 in Subjects With Seasonal Rhinitis During Natural Exposure to Allergen [NCT00929968] | Phase 2 | 35 participants (Actual) | Interventional | 2009-06-30 | Completed |
Comparison of Healthcare Utilization and Costs in Patients With Asthma Who Fluticasone/Salmeterol Inhalation Powder Versus Other Inhaled Corticosteroid(s) in Typical Clinical Practice Using Health Insurance Claims Data. [NCT01332344] | | 5,180 participants (Actual) | Observational | 2009-06-30 | Completed |
An 8 Day, Randomised, Double Blind, 3-way Crossover Trial of Repeat Doses of Intranasal GSK256066 and Fluticasone Propionate in the Vienna Challenge Chamber in Subjects With Seasonal Allergic Rhinitis (SAR) [NCT00612820] | Phase 2 | 55 participants (Actual) | Interventional | 2008-01-31 | Completed |
A Randomised, Phase II, Double-Blind, Double-Dummy, Four-period Crossover Efficacy and Safety Comparison of 4-Week Treatment Periods of Blinded Fluticasone (500 mcg Bid, MDI), Ciclesonide (400 mcg qd, MDI), Ciclesonide (800 mcg qd, MDI) or Placebo in Free [NCT00535366] | Phase 2 | 103 participants (Actual) | Interventional | 2007-10-31 | Completed |
A Randomized, Double-blind, Placebo-controlled, Parallel Group, Stratified, Multi-center, 12-Week Study Comparing the Safety and Efficacy of Fluticasone and Formoterol Combination (FlutiForm(tm) 100/10 µg or 250/10 µg Twice Daily) in a Single Inhaler (Sky [NCT00393952] | Phase 3 | 557 participants (Actual) | Interventional | 2006-06-30 | Completed |
Effect of an Inhaled Glucocorticoid-long-acting Beta Adrenergic Agonist on Endothelial Function in COPD [NCT01209715] | Phase 2 | 0 participants (Actual) | Interventional | 2010-10-31 | Withdrawn(stopped due to Due to the ubiquitous use of ICS in the treatment of COPD in 2012, it was hard to find the study population.) |
Long-term Effects of Inhaled Corticosteroids (ICS) Treatment on Sputum Bacterial and Viral Loads in Chronic Obstructive Pulmonary Disease (COPD) Patients [NCT01213693] | | 60 participants (Actual) | Interventional | 2009-05-31 | Completed |
An Open-label, Randomised, 3-way Crossover Single Dose Study to Demonstrate Dose Proportionality of Fluticasone Furoate (FF) and Equivalence of Vilanterol (VI) When Administered as FF/VI Inhalation Powder From the Novel Dry Powder Inhaler in Healthy Subje [NCT01213849] | Phase 1 | 24 participants (Actual) | Interventional | 2010-10-04 | Completed |
A Pivotal, Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Study Under Fasting Conditions to Examine the Bioequivalence Between Fluticasone Propionate 250 mcg and Salmeterol Xinafoate 50 mcg Inhalation Powder/Respir [NCT04466176] | Phase 1 | 34 participants (Actual) | Interventional | 2020-07-01 | Completed |
A Pilot Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Study Under Fasting Conditions to Examine the Bioequivalence Between Fluticasone Propionate 250 mcg and Salmeterol Xinafoate 50 mcg Inhalation Powder/Respirent [NCT04462822] | Phase 1 | 14 participants (Actual) | Interventional | 2020-08-24 | Completed |
A Retrospective Evaluation of the Effectiveness of Fixed-dose Combination Inhaled Corticosteroid /. Long-acting Beta Agonist (ICS/LABA) Therapy in the Management of Asthma in a Representative UK Primary Care Population [NCT01141465] | | 815,377 participants (Actual) | Observational | 2001-01-31 | Completed |
Randomized, Double-Blind Trial of MP29-02 Nasal Spray Compared to Placebo, Azelastine Hydrochloride Nasal Spray, and Fluticasone Propionate Nasal Spray in the Treatment of Patients With Seasonal Allergic Rhinitis [NCT00651118] | Phase 3 | 832 participants (Actual) | Interventional | 2008-03-31 | Completed |
Effects on Small Airways Obstruction of Two Long-term Treatments With Extrafine Beclomethasone/Formoterol vs Fluticasone/Salmeterol in Asthma [NCT01255579] | Phase 4 | 10 participants (Actual) | Interventional | 2007-07-31 | Completed |
A Randomized, Multiple-Dose, Blinded, Placebo-Controlled, Parallel-Design, Multiple-Center, Clinical Study to Evaluate the Therapeutic Equivalence of Fluticasone Propionate and Salmeterol Inhalation Powder, 100 mcg/50 mcg to ADVAIR DISKUS® 100/50 (Flutica [NCT03756883] | Phase 3 | 999 participants (Actual) | Interventional | 2018-12-03 | Completed |
A Multi-centre, Randomized, Double-blind, Placebo-controlled Phase III Study to Evaluate the Efficacy and Safety of Anti-IgE Monoclonal Antibody to Treat Allergic Asthma Patients Not Adequately Controlled Despite Med/High ICS/LABA. [NCT03468790] | Phase 3 | 393 participants (Actual) | Interventional | 2018-05-09 | Completed |
A Retrospective Evaluation of the Effectiveness and Cost-effectiveness of HFA-BDP MDI (Qvar®) Compared With CFC-BDP MDI and FP MDI Used in the Management of Asthma in a Representative UK UK Primary Care Population [NCT01141439] | | 815,377 participants (Actual) | Observational | 2001-01-31 | Completed |
Comparison of Bronchodilator Efficacy of Tiotropium/Salmeterol/Fluticasone 9/50/500 mcg Combination Treatment Administered Via Discair® With Original Products Seretide Diskus 500 mcg Inhalation Powder Plus Spiriva 18 mcg Inhalation Powder Treatment in Pat [NCT03395002] | Phase 4 | 58 participants (Actual) | Interventional | 2018-03-22 | Completed |
A Randomized, Double-blind, Double-dummy, Active-controlled, 3-period Complete Cross-over Study to Assess the Bronchodilator Effect and Safety of Two Doses of QVM149 Compared to a Fixed Dose Combination of Salmeterol/Fluticasone in Patients With Asthma [NCT03063086] | Phase 2 | 116 participants (Actual) | Interventional | 2017-01-21 | Completed |
A Multi-center, Open-label, Randomized, Controlled Study to Evaluate the Effectiveness of Yong Chong Cao Capsule on Outcomes in Patients With Mild to Severe COPD [NCT03745261] | Phase 3 | 240 participants (Anticipated) | Interventional | 2018-06-20 | Recruiting |
A Randomized, Double-blind, Parallel Group, Multicenter, Stratified Study Evaluating the Efficacy and Safety of Repeat Doses of GSK3772847 Compared With Placebo in Participants With Moderately Severe Asthma [NCT03207243] | Phase 2 | 165 participants (Actual) | Interventional | 2017-09-14 | Completed |
An Exploratory, Randomised, Double-blind, Double-dummy, Active-controlled, Two Period Cross-over Study to Investigate the Effect of 6 Weeks Treatment of Orally Inhaled Tiotropium + Olodaterol Fixed Dose Combination (FDC) Delivered by the Respimat® Inhaler [NCT03055988] | Phase 4 | 76 participants (Actual) | Interventional | 2017-03-29 | Completed |
"CONNected Electronic Inhalers Asthma Control Trial 2 (CONNECT 2), a 24-Week Treatment, Multicenter, Open-Label, Randomized, Parallel Group Comparison, Feasibility Study of Standard of Care Treatment Versus the eMDPI Digital System, to Optimize Outcomes i [NCT04677959] | Phase 4 | 427 participants (Actual) | Interventional | 2021-02-16 | Completed |
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Single Center Study to Compare the Effects of Fluticasone Furoate Nasal Spray vs Placebo in Patients With Nasal Polypoid Disease [NCT01013701] | Phase 4 | 7 participants (Actual) | Interventional | 2009-11-30 | Terminated(stopped due to Terminated based on mutual agreement between PI and sponsor (Glaxo Smith Kline)) |
A Clinical Outcomes Study to Compare the Effect of Fluticasone Furoate/Vilanterol Inhalation Powder 100/25mcg With Placebo on Survival in Subjects With Moderate Chronic Obstructive Pulmonary Disease (COPD) and a History of or at Increased Risk for Cardiov [NCT01313676] | Phase 3 | 16,568 participants (Actual) | Interventional | 2011-01-25 | Completed |
A Randomized, Double-Blind, Double Dummy, Active Comparator, Parallel Group, Multicenter Study to Evaluate the Safety of Once-Daily Fluticasone Furoate/GW642444 Inhalation Powder for 52 Weeks in Adolescent and Adult Subjects With Asthma [NCT01018186] | Phase 3 | 503 participants (Actual) | Interventional | 2009-10-19 | Completed |
A Long-term Study to Evaluate the Safety and Tolerability of Fluticasone Furoate (FF)/GW642444 Inhalation Powder in Japanese Subjects With Chronic Obstructive Pulmonary Disease (COPD) [NCT01192191] | Phase 3 | 187 participants (Actual) | Interventional | 2010-08-31 | Completed |
Changes in the Lung Clearance Index as Measured by Multiple-breath Washout, in Pediatric Patients With Asthma After Challenge With Inhaled Steroids and Short-acting Bronchodilator [NCT02678949] | | 105 participants (Anticipated) | Interventional | 2016-03-31 | Not yet recruiting |
Effect of Salmeterol on Brain-Derived Neurotrophic Factor (BDNF) Concentrations in Asthma [NCT00736801] | | 35 participants (Actual) | Interventional | 2005-09-30 | Completed |
A Pilot, Randomised, Double-blind, Placebo-controlled, Parallel-group, Multicentre Study to Evaluate the Efficacy and Safety of Once-daily Intranasal Administration of Fluticasone Furoate Nasal Spray 110 mcg for 4 Weeks in Adults and Adolescents With Irri [NCT00730756] | Phase 2 | 102 participants (Actual) | Interventional | 2008-03-31 | Completed |
A Randomized Double Blind Study of the Dose Response Effects of Fluticasone Propionate on Hypertonic-saline Induced Bronchoconstriction in Asthmatic Subjects [NCT00606242] | Phase 4 | 44 participants (Actual) | Interventional | 2000-01-31 | Completed |
A 2-year Observational Study to Evaluate Safety of Seretide 50/500μg Twice Daily Administered by DISKUS, in Patients With COPD [NCT00662805] | | 762 participants (Actual) | Observational | 2004-06-30 | Completed |
Pilot Study to Examine the Post-Dose Changes in Exhaled Nitric Oxide (eNO) Following Treatment With Fluticasone Propionate (FP)/Salmeterol (SAL) Combination Product Advair [NCT00927758] | Phase 2 | 105 participants (Actual) | Interventional | 2009-06-30 | Completed |
Comparative, Multicentre, Randomized, Double-blind Study to Assess the Efficacy of Tacrolimus 0.1% Ointment Versus Fluticasone 0.005% Ointment in Adult Patients Suffering From Moderate to Severe Atopic Dermatitis and Presenting With So-called 'Red Face' L [NCT00690105] | Phase 4 | 577 participants (Actual) | Interventional | 2004-02-29 | Completed |
A Preference Evaluation of Nasonex® Nasal Spray (Unscented) vs. Flonase® Nasal Spray (Scented) in Subjects With Symptomatic Allergic Rhinitis (AR) - Single-Dose Cross-over [NCT00783458] | Phase 4 | 100 participants (Actual) | Interventional | 2004-12-01 | Completed |
A Double Blind (3rd Party Open), 3-Way Crossover Study To Explore The Reproducibility Of Inflammatory Markers After Nasal Allergen Challenge In Subjects With Seasonal Allergic Rhinitis (Out Of Season) And The Effect Of A Single Dose Of Ibuprofen Or Flutic [NCT01064726] | Phase 1 | 18 participants (Actual) | Interventional | 2009-10-31 | Completed |
Effect of Novel Exhalational Delivery System With Fluticasone (EDS-FLU) on Eustachian Tube Dysfunction (ETD) in a Multi-center, Double-Blinded, Placebo-controlled Trial [NCT05275686] | Phase 2 | 80 participants (Anticipated) | Interventional | 2022-04-20 | Recruiting |
An Open-Label, 2-Part, Randomized, Crossover Study to Compare the Bioavailability of Intranasal Administration of 200 and 400 µg of OPTINOSE™ FLUTICASONE With 400 µg of Flonase® (Fluticasone Propionate) Nasal Spray (Part 1), and Intranasal Administration [NCT02266927] | Phase 1 | 28 participants (Actual) | Interventional | 2014-09-30 | Completed |
A Randomized, Double-blind, Placebo-controlled, Parallel, Stratified, Multi-center, 12-Week Study Comparing the Safety & Efficacy of Fluticasone and Formoterol Combination (FlutiForm(tm)100/10 µg Twice Daily) in a Single Inhaler (SkyePharma HFA pMDI)With [NCT00393991] | Phase 3 | 475 participants (Actual) | Interventional | 2006-07-31 | Completed |
The Causal Relation of Nasal Nitric Oxide Levels to the Severity of Chronic Rhinosinusitis and Its Inflammatory Phenotype [NCT04171167] | | 88 participants (Actual) | Interventional | 2017-04-04 | Active, not recruiting |
201832: A Randomised, Double-Blind, Double-Dummy, Crossover Comparison of Fluticasone Furoate/Vilanterol 100/25 mcg Once Daily Versus Fluticasone Propionate 250 mcg Twice Daily in Adolescent and Adult Subjects With Asthma and Exercise-Induced Bronchoconst [NCT02730351] | Phase 4 | 75 participants (Actual) | Interventional | 2016-05-25 | Completed |
AZE/FLU Nasal Spray on Symptom Control, Nasal Mediators and Nasal Hyperresponsiveness in Allergic Rhinitis (AR) [NCT02238353] | Phase 4 | 45 participants (Anticipated) | Interventional | 2014-10-31 | Recruiting |
An Open-Label, Crossover Study to Determine the Pharmacokinetic Profile and Tolerability of Single Doses of High Strength Fluticasone Propionate Multidose Dry Powder Inhaler and Fluticasone Propionate/Salmeterol Multidose Dry Powder Inhaler Compared to Hi [NCT02437604] | Phase 1 | 43 participants (Actual) | Interventional | 2015-05-31 | Completed |
Evaluation of Clinical Efficacy of HFA-Propelled Beclomethasone Dipropionate Metered-Dose Inhaler Versus Fluticasone Propionate Multidose Dry Powder Inhaler on Small Airways in Poorly Controlled Asthmatic Adolescent and Adult Patients [NCT00071552] | Phase 4 | 49 participants (Actual) | Interventional | 2004-01-31 | Terminated(stopped due to Very poor enrollment) |
Effectiveness of Single Inhaler Maintenance and Reliever Therapy With Spiromax® Budesonide/Formoterol (SMART) Versus Fixed Dose Treatment With Diskus® Fluticasone/Salmeterol in Patients With a Chronic Obstructive Pulmonary Disease (COPD) [NCT02477397] | Phase 3 | 201 participants (Actual) | Interventional | 2015-05-01 | Active, not recruiting |
Effects of the Direct Interaction Between Streptococcus Salivarius 24SMBc and Streptococcus Oralis 89a With the Respiratory Epithelium in Children Affected by Allergic Rhinoconjunctivitis [NCT03449836] | Phase 3 | 60 participants (Anticipated) | Interventional | 2018-03-01 | Not yet recruiting |
Pharmacokinetic Study Comparing Salmeterol/Fluticasone Easyhaler Products and Seretide Diskus 50/500 µg/Inhalation: A Randomised, Open, Single Centre, Single Dose, Crossover Study in Healthy Subjects [NCT03060044] | Phase 1 | 64 participants (Actual) | Interventional | 2016-07-31 | Completed |
Phase IV Study; Strategy for Early Treatment of Exacerbations in COPD: Standing Prescriptions of Advair With a Written Action Plan in the Event of an Exacerbation [NCT02136875] | Phase 4 | 37 participants (Actual) | Interventional | 2008-07-31 | Completed |
Pharmacokinetic Study Comparing Salmeterol/Fluticasone Easyhaler Products and Seretide Diskus 50/500 µG/Inhalation; A Randomised, Open, Single Centre, Single Dose, Crossover Study in Healthy Subjects [NCT02162485] | Phase 1 | 129 participants (Actual) | Interventional | 2014-06-30 | Completed |
Effects of Hypertonic Saline and Fluticasone Nasal Sprays on Radiologic Scoring of Patients With Chronic Sinusitis and Nasal Polyps [NCT03174483] | | 60 participants (Anticipated) | Interventional | 2017-06-30 | Recruiting |
Randomized Controlled Trial Evaluating Combination Rupatadine and Fluticasone Propionate Compared to Azelastine Hydrochloride and Fluticasone Propionate in Treating Allergic Rhinitis [NCT04601324] | Phase 4 | 0 participants (Actual) | Interventional | 2020-12-15 | Withdrawn(stopped due to PI did not pursue this study) |
201546, A Repeat-dose Study of Batefenterol/FF (GSK961081/GW685698) Compared With Placebo in the Treatment of COPD [NCT02573870] | Phase 2 | 63 participants (Actual) | Interventional | 2015-12-01 | Completed |
Evaluation of the Effects of Varying Doses of Inhaled Corticosteroids on Suppression of Total Exhaled, Bronchial, and Alveolar Nitric Oxide as Markers of Endogenous Inflammation in Patients With Moderate-to-severe COPD [NCT00568347] | | 39 participants (Actual) | Observational | 2006-01-31 | Completed |
Effect of Extra- Fine Versus Coarse-Particle Inhaled Corticosteroids (ICS) on Ventilation Heterogeneity in Children With Poorly Controlled Asthma [NCT02577497] | Phase 4 | 31 participants (Actual) | Interventional | 2016-06-30 | Completed |
Seretide 100 DK vs Flixotide 100 DK in IMT in Moderate Asthma in Adults on Static Lung Volumes (Mechanistic Study) [NCT00461500] | Phase 4 | 81 participants (Actual) | Interventional | 2007-03-31 | Completed |
A Six-Week, Randomised, Double-Blind, Triple-Dummy, Parallel Group, Multiple Dose, Pilot Study Comparing Tiotropium Inhalation Capsules to Salmeterol Inhalation Aerosol Combined With Fluticasone Inhalation Aerosol in Patients With Chronic Obstructive Pulm [NCT00239499] | Phase 4 | 107 participants | Interventional | 2003-09-30 | Completed |
The Impact of Salmeterol-Fluticasone on Sleep in Patients With COPD (Advair and Quality of Sleep in COPD) [NCT00741767] | | 0 participants (Actual) | Interventional | 2008-08-31 | Withdrawn(stopped due to Study subject enrollment difficulties) |
A Multi-Center, Open-Label Study to Evaluate the Effect of ALTANA Inc's Cutivate (Fluticasone Propionate) Lotion 0.05% on the Hypothalmic Pituitary Adrenal (HPA) Axis in the Treatment of Atopic Dermatitis in a Pediatric Population [NCT00546000] | Phase 4 | 56 participants (Actual) | Interventional | 2007-07-31 | Completed |
A Double-blind, Randomised, Cross-over, Multi-centre Study, to Evaluate Onset of Effect in the Morning in Patients With Severe Chronic Obstructive Pulmonary Disease (COPD) Treated With Symbicort®Turbuhaler® 320/9 μg, Compared With Seretide® Diskus® 50/500 [NCT00542880] | Phase 4 | 442 participants (Actual) | Interventional | 2007-09-30 | Completed |
A Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Multicenter, Two-Year Study to Evaluate the Ocular Safety of Once-Daily, Fluticasone Furoate Nasal Spray 110mcg in Adults and Adolescents 12 Years of Age and Older With Perennial Allergic Rhi [NCT00682643] | Phase 4 | 550 participants (Actual) | Interventional | 2008-06-30 | Completed |
A Randomized, Double-blind, Placebo-controlled, Active Comparator, One-Week, Cross-Over, Multicenter Study to Evaluate the Efficacy and Patient Preference of Nasal Spray Characteristics of Once-Daily, Intranasal Administration of 110mcg Fluticasone Furoat [NCT00539006] | Phase 4 | 377 participants (Actual) | Interventional | 2007-08-31 | Completed |
A Phase III, Randomized, Double-blind, Triple-dummy, Placebo Controlled, Multicenter, 5-period, Single-dose Complete Block Crossover Study to Determine the Onset of Action of Indacaterol (150 and 300 μg) in Patients With Moderate to Severe COPD Using Salb [NCT00669617] | Phase 3 | 89 participants (Actual) | Interventional | 2008-04-30 | Completed |
Bioequivalence of Two Fluticasone Propionate 0.05% Topical Creams [NCT00803465] | | 115 participants (Actual) | Observational | 2003-04-30 | Completed |
An Open Label, Multi-centre, Non-interventional Post-marketing Surveillance (PMS) to Monitor the Safety and Effectiveness of Avamys® Administered in Korean Patients According to the Prescribing Information [NCT01001130] | | 3,244 participants (Actual) | Observational | 2010-05-31 | Completed |
A Randomized, Double-blind, Parallel Group Study Evaluating the Safety of Fluticasone Propionate/Salmeterol 100/50mcg HFA (2 Inhalations of 50/25mcg) Twice Daily Compared With Fluticasone Propionate 100mcg HFA (2 Inhalations of 50mcg) Twice Daily in Subje [NCT00441441] | Phase 3 | 351 participants (Actual) | Interventional | 2007-02-28 | Completed |
A Comparison of Fluticasone Furoate Nasal Spray Versus Oral Fexofenadine in the Treatment of Seasonal Allergic Rhinitis [NCT00435461] | Phase 4 | 1,000 participants (Actual) | Interventional | 2006-12-20 | Completed |
Fractional Laser Abrasion in Combination With UVB Therapy in Vitiligo Patients: a Randomized Controlled Study. [NCT02290717] | | 0 participants (Actual) | Interventional | 2015-05-31 | Withdrawn(stopped due to Difficulty including patients) |
A Two-arm, Randomised, Assessor-blind, Parallel Group Study to Evaluate the Effect of Fluticasone/Formoterol Breath Actuated Inhaler (BAI) and Relvar® Ellipta® DPI on Ventilation Heterogeneity in Subjects With Partially Controlled or Uncontrolled Asthma [NCT02753712] | Phase 3 | 105 participants (Actual) | Interventional | 2016-06-15 | Completed |
Impact Of Montelukast On Allergic Rhinitis And Its Inflammatory Makers [NCT05381207] | Early Phase 1 | 60 participants (Anticipated) | Interventional | 2022-10-31 | Not yet recruiting |
Efficacy and Safety of Fluticasone Furoate/Vilanterol vs. Umeclidinium/Vilanterol in Patients With COPD-asthma Phenotype vs. Emphysema Phenotype. A Controled Clinical Trial. [NCT05342558] | Phase 4 | 133 participants (Actual) | Interventional | 2017-09-19 | Completed |
Prospective, Randomized, Investigator-Blind, Controlled, Pilot Study Comparing Effect of Epiceram™ Device vs Standard of Care Therapy of Mid-Strength Topical Steroid (Fluticasone Propionate 0.05%) in Treatment of Atopic Dermatitis in Pediatric Subjects [NCT00616538] | Phase 4 | 121 participants (Actual) | Interventional | 2006-12-31 | Completed |
Ciclesonide vs Fluticasone Propionate Nasal Sprays in Patients With Nasal Poplyposis; a Randomized Clinical Trial [NCT02665806] | Phase 3 | 32 participants (Anticipated) | Interventional | 2016-01-31 | Not yet recruiting |
A Randomized, Multicenter, Placebo and Active-Controlled, Single-Dose, 4-Period, Crossover Study to Evaluate the Bronchodilating Effect of SYMBICORT pMDI Versus Advair Diskus and Ventolin HFA. [NCT00646620] | Phase 3 | 48 participants (Actual) | Interventional | 2003-04-30 | Completed |
Utility of Versican and Hyaluronan Measurement in Induced Sputum as Biomarker of Asthma [NCT00980707] | Phase 4 | 10 participants (Actual) | Interventional | 2009-08-31 | Completed |
STUDY NUMBER: PMC-101-APT Usability and Adherence of Spiromax® Inhaler Device, Turbohaler® and Diskus® Inhaler Devices for Fixed Combination of Corticosteroid/Long-acting beta2- Agonist, in Adults With Asthma or COPD [NCT02757209] | | 84 participants (Actual) | Interventional | 2016-04-30 | Completed |
A 12 Month Open-label Randomized Parallel Group Study to Investigate the Influence of Salmeterol Xinafoate/Fluticasone Propionate Either in Fixed Combination or Separately Via Diskus Inhalers on the Course of the Disease and Frequency of Exacerbations in [NCT00527826] | Phase 4 | 214 participants (Actual) | Interventional | 2007-11-30 | Completed |
Onset of Action of Advair HFA 115/21 in Comparison to Symbicort pMDI 160/4.5 Measured by Impulse Oscillometry, IOS. [NCT00867737] | Phase 4 | 30 participants (Anticipated) | Interventional | 2008-09-30 | Recruiting |
A Randomized, Double-Blind, Parallel-Group Clinical Trial Evaluating the Effect of the Fluticasone Propionate/Salmeterol Combination Product 250/50mcg Twice Daily Via DISKUS® Inhaler Versus Salmeterol 50mcg Twice Daily Via DISKUS® Inhaler on Bone Mineral [NCT00355342] | Phase 4 | 186 participants (Actual) | Interventional | 2004-04-28 | Completed |
A Proof Of Concept Study To Assess The Steroid Sparing Effect Of Combined Nasal And Inhaled Corticosteroid In Patients With Asthma And Persistent Rhinitis [NCT00903227] | Phase 4 | 25 participants (Actual) | Interventional | 2006-12-31 | Completed |
A Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Study Under Fasting Conditions to Examine the Bioequivalence Between Fluticasone Propionate 100 mcg and Salmeterol Xinafoate 50 mcg Inhalation Powder/Respirent Pharm [NCT03975166] | Phase 1 | 34 participants (Actual) | Interventional | 2019-05-21 | Completed |
Effect of Charcoal on Gastrointestinal Absorption of Salmeterol and Fluticasone Propionate. [NCT01564199] | Phase 1 | 20 participants (Actual) | Interventional | 2012-04-30 | Completed |
The Addition of Montelukast to Fluticasone in the Treatment of Perennial Allergic Rhinitis [NCT00119015] | Phase 4 | 102 participants (Actual) | Interventional | 2005-07-31 | Terminated(stopped due to Difficulty in recruitment) |
A Comparison of Olopatadine Versus Fluticasone Nasal Spray in the Prevention of the Signs and Symptoms of Allergic Conjunctivitis [NCT00655109] | Phase 4 | 60 participants (Actual) | Interventional | 2008-02-29 | Completed |
A Randomized, Double-Blind, Parallel-Group, 24-Week Study to Evaluate the Efficacy and Safety of ADVAIR DISKUS (Fluticasone Propionate/Salmeterol Combination Product 250/50mcg Inhalation Powder) BID Plus Spiriva HandiHaler (Tiotropium Bromide Inhalation P [NCT00784550] | Phase 4 | 342 participants (Actual) | Interventional | 2008-12-31 | Completed |
Comparative Study of Mometasone Furoate Nasal Spray and Fluticasone Propionate Nasal Spray in Patients With Perennial Allergic Rhinitis [NCT00783224] | Phase 3 | 351 participants (Actual) | Interventional | 2005-09-30 | Completed |
Bioequivalence of Two Fluticasone Propionate 0.005% Topical Ointments [NCT00803218] | | 56 participants (Actual) | Observational | 2002-11-30 | Completed |
Randomized, Double-Blind Trial of MP29-02 Nasal Spray Compared to Placebo, Azelastine Hydrochloride Nasal Spray, and Fluticasone Propionate Nasal Spray in the Treatment of Patients With Seasonal Allergic Rhinitis. [NCT00740792] | Phase 3 | 776 participants (Actual) | Interventional | 2008-08-31 | Completed |
A Study to Compare GW815SF HFA MDI With Concomitant Treatment With Salmeterol Xinafoate DPI Plus Fluticasone Propionate DPI and to Assess Long-term Safety of GW815SF HFA MDI [NCT00448435] | Phase 3 | 51 participants (Actual) | Interventional | 2007-04-30 | Completed |
Randomized, Double-blind, Two Way Cross-over, Proof of Concept Study to Compare Efficacy, Safety, Pharmacokinetics & Pharmacodynamics of QAV680 Versus Placebo, With an Extended Open-label Corticosteroid Period, in Steroid-free, Mild to Moderate Persistent [NCT00814216] | Phase 2 | 37 participants (Actual) | Interventional | 2008-12-31 | Completed |
SERETIDE vs FLIXOTIDE in Mild Persistent Asthma (GINAII) [NCT00455923] | Phase 4 | 100 participants (Actual) | Interventional | 2005-05-03 | Completed |
A Randomized, Double-blind, Two-way Cross-over Study Evaluating Systemic Bioavailability and Airway Clearance of SymbicortTurbuhaler 320/9mcg vs SeretideDiskus 50/500mcg After Single Inhalations in Patients With COPD and Healthy Volunteers [NCT00379028] | Phase 4 | 54 participants (Actual) | Interventional | 2006-09-30 | Completed |
Effect of Veramyst and Olopatadine 0.2% Opthalmic Solution Alone and In Combination on the Nasal and Ocular Symptoms of the Early Reaction to Nasal Challenge With Allergen. [NCT01007253] | Phase 4 | 21 participants (Actual) | Interventional | 2009-11-30 | Completed |
Yiqi Huoxue Huatan Granule for Reducing Mortality in COPD With Chronic Respiratory Failure: A Randomized, Double-blind, Placebo Controlled Trial [NCT04208581] | Phase 3 | 372 participants (Anticipated) | Interventional | 2019-10-08 | Enrolling by invitation |
A Randomised, Double-blind, Double-dummy, Parallel-group Multicentre Study to Assess Efficacy and Safety of Fluticasone Furoate/GW642444 Inhalation Powder and Fluticasone Propionate/Salmeterol Inhalation Powder in the Treatment of Persistent Asthma in Adu [NCT01147848] | Phase 3 | 810 participants (Actual) | Interventional | 2010-06-30 | Completed |
HZA106829: A Randomised, Double-blind, Parallel Group, Multicentre Study of Fluticasone Furoate/GW642444 Inhalation Powder, Fluticasone Furoate Inhalation Powder Alone, and Fluticasone Propionate Alone in the Treatment of Persistent Asthma in Adults and A [NCT01134042] | Phase 3 | 587 participants (Actual) | Interventional | 2010-06-30 | Completed |
A Randomized, Multicenter, Placebo and Active-controlled, Single-dose, 4-period, Crossover Study to Evaluate the Bronchodilating Effect of SYMBICORT pMDI Versus Advair Diskus and Ventolin HFA. [NCT00646009] | Phase 3 | 48 participants (Anticipated) | Interventional | 2003-03-31 | Completed |
A Double Blind, Double Dummy, Randomised, Multicentre, Four Arm Parallel Group Study to Assess the Efficacy and Safety of FlutiForm® pMDI 250/10µg (2 Puffs Bid) vs Fluticasone pMDI 250µg (2 Puffs Bid) Plus Formoterol pMDI 12µg (2 Puffs Bid) Administered C [NCT00734318] | Phase 3 | 1,667 participants (Actual) | Interventional | 2008-09-30 | Completed |
Investigator Initiated, Placebo Controlled, Randomized Pilot Trial on the Influence of Fluticasone and Salmeterol on Airway Dendritic Cells (DCs) in Smokers With COPD Stage GOLD 0 or 1. [NCT00908362] | Phase 1 | 45 participants (Anticipated) | Interventional | 2009-05-31 | Completed |
A Randomized, Double-Blind, Parallel Group Study of ADVAIR™ DISKUS™ 100/50 and FLOVENT™DISKUS™ 100, Both Twice Daily, in a Pediatric Population During the Fall Viral Season. [NCT01192178] | Phase 4 | 339 participants (Actual) | Interventional | 2010-08-31 | Completed |
A Long-Term, Randomized, Double-Blind, Parallel Group Study of Fluticasone Furoate/GW642444 Inhalation Powder Once-Daily and Fluticasone Furoate Inhalation Powder Once-Daily in Subjects With Asthma [NCT01086384] | Phase 3 | 2,020 participants (Actual) | Interventional | 2010-02-22 | Completed |
A Phase III, 4-week, Randomized, Double-blind Study to Compare 'Closed' Triple Therapy (FF/UMEC/VI), 'Open' Triple Therapy (FF/VI + UMEC) and Dual Therapy (FF/VI) in Subjects With Chronic Obstructive Pulmonary Disease (COPD) [NCT02731846] | Phase 3 | 0 participants (Actual) | Interventional | 2016-06-30 | Withdrawn(stopped due to It has been determined on June 10th that the 205165 study will not progress. This decision has been made prior to study start, no patients were screened.) |
A Proof of Concept Study to Evaluate the Additive Effects of HFA-BDP (Qvar) to Fluticasone/Salmeterol (Seretide) on Surrogate Markers of Small and Large Airway Inflammation in Refractory Asthma [NCT00829257] | Phase 4 | 15 participants (Actual) | Interventional | 2009-01-31 | Completed |
A Randomized, Double-Blind, Cross-Over Study to Demonstrate Superiority of Fluticasone/Salmeterol Over Double the Dose of Fluticasone on Methacholine Hyper-Reactivity in Patients With Persistent, Mild to Moderate Asthma [NCT00830505] | Phase 4 | 38 participants (Actual) | Interventional | 2009-04-30 | Completed |
The Treatment Effect of Inhaled Corticosteroid and Long-acting beta2 Agonist Combination Versus Long-acting Anti-cholinergic Agent on Stratified COPD Patients Based on the Levels of Exhaled Nitric Oxide [NCT02546349] | Phase 4 | 143 participants (Anticipated) | Interventional | 2014-07-31 | Active, not recruiting |
A Two Stage Randomized, Open-Label, Parallel Group, Phase III, Multicenter, 7 Month Study to Assess the Efficacy & Safety of SYMBICORT pMDI Adminstered Either as Fixed or as an Adjustable Regimen Versus a Fixed Regimen of Advair in Subjects 12 Yrs of Age [NCT00646594] | Phase 3 | 1,200 participants (Anticipated) | Interventional | 2003-11-30 | Completed |
A Randomized, Parallel-Group, Placebo-Controlled, Clinical Endpoint Bioequivalence Study of Generic Fluticasone Propionate 100 µg and Salmeterol Xinafoate 50 µg Inhalation Powder Compared With Advair Diskus® 100/50 in Subjects With Asthma [NCT02649478] | | 1,430 participants (Actual) | Interventional | 2014-08-31 | Completed |
Arg/Arg Genotype and Long Acting Beta Agonists in Asthma. Improved Quality of Care for Patients With Asthma. [NCT00521222] | | 90 participants (Actual) | Interventional | 2007-06-30 | Completed |
Multi-centre, DB, R and Stratified Parallel Group Study to Compare the Efficacy and Safety of FP 500mcg Bid vs. SRT 50/250mcg Via Diskus in COPD Pts With Partial Reversible Obstruction [NCT00549146] | Phase 3 | 290 participants (Actual) | Interventional | 2003-11-30 | Completed |
HZA106827: A Randomised, Double-blind, Placebo-controlled (With Rescue Medication), Parallel Group Multicentre Study of Fluticasone Furoate/GW642444 Inhalation Powder and Fluticasone Furoate Inhalation Powder Alone in the Treatment of Persistent Asthma in [NCT01165138] | Phase 3 | 612 participants (Actual) | Interventional | 2010-08-20 | Completed |
A Randomized, Double-Blind, Double-Dummy, Placebo Controlled, 3-Way Crossover Study To Determine The Effects Of Inhaled Doses Of PF-03526299 On Allergen-Induced Airway Responses In Mild Asthmatic Subjects. [NCT00877539] | Phase 1 | 29 participants (Actual) | Interventional | 2009-06-30 | Completed |
A Proof of Concept Study to Evaluate Effects of Intranasal Salmeterol and Fluticasone Given Alone and in Combination in Allergic Rhinitis [NCT01388595] | Phase 4 | 23 participants (Actual) | Interventional | 2006-11-30 | Completed |
Multicenter, Phase III, Randomized, Open Label Study to Evaluate the Efficacy and Safety of a Fixed-dose Combination of Formoterol/Fluticasone and Salmeterol/Fluticasone in Patients With Moderate-to-severe Chronic Obstructive Pulmonary Disease (COPD). [NCT01393145] | Phase 3 | 0 participants (Actual) | Interventional | 2011-08-31 | Withdrawn |
Drug Use Investigation for ADOAIR (Fluticasone/Salmeterol) [NCT01395849] | | 2,116 participants (Actual) | Observational | 2007-10-31 | Completed |
Outcomes for Chronic Obstructive Pulmonary Disease Moderate Exacerbators Initiating Treatment [NCT01395875] | | 2,849 participants (Actual) | Observational | 2011-03-31 | Completed |
A Randomized, Open Label, Multicenter, Phase 4 Study for the Comparison of Efficacy of Tiotropium Plus Salmeterol/ Fluticasone Propionate Compared With Tiotropium Alone in COPD Patients [NCT00864812] | Phase 4 | 509 participants (Actual) | Interventional | 2009-03-31 | Completed |
Data Analysis for Drug Repurposing for Effective Alzheimer's Medicines (DREAM) - Montelukast vs Fluticasone [NCT05457855] | | 75,678 participants (Actual) | Observational | 2022-02-01 | Active, not recruiting |
A Methodological Pilot Study to Assess the Suitability of a Low Dose LPS Inhalation as a Challenge Model in Early Translational Drug Development [NCT01400568] | | 12 participants (Anticipated) | Interventional | 2011-08-31 | Completed |
A Phase 1, Open-Label Study to Investigate the Effect of Albuterol (Salbutamol) and Fluticasone on the Pharmacokinetics of Inhaled Technosphere® Insulin Inhalation Powder in Healthy Subjects [NCT00674050] | Phase 1 | 13 participants (Actual) | Interventional | 2008-05-31 | Completed |
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multi-Center Study to Evaluate the Effects of a One-Year Course of Fluticasone Furoate Nasal Spray 110mcg QD on Growth in Pre-Pubescent, Pediatric Subjects With Perennial Allergic Rhinitis [NCT00570492] | Phase 4 | 474 participants (Actual) | Interventional | 2007-11-26 | Completed |
The Effect of Intranasal Corticosteroid on the Immune Response Following Nasal Allergen Challenge in Patients Suffering From Seasonal Allergic Rhinitis [NCT00755066] | | 48 participants (Actual) | Interventional | | Completed |
A Preference Evaluation of Nasonex® Nasal Spray (Unscented) vs. Flonase® Nasal Spray (Scented) in Subjects With Symptomatic Allergic Rhinitis (AR) - Single-Dose Cross-over [NCT00817050] | Phase 4 | 100 participants (Actual) | Interventional | 2004-12-01 | Completed |
A Double-blind, Randomised, Incomplete Block, Crossover, Placebo-controlled, Dose-response Study to Assess Bronchial Hyperresponsiveness and Airway Inflammation Effects of FlutiForm® pMDI Low and High Dose in Adult Subjects With Mild to Moderate Asthma [NCT00995800] | Phase 2 | 46 participants (Actual) | Interventional | 2009-10-31 | Completed |
A Randomised, Single Blind, Cross-over Study to Compare a Fixed Dose Combination of Fluticasone Propionate / Formoterol Fumarate (Breath Actuated Inhaler (BAI)) With a Fixed Dose Combination of Indacaterol Maleate / Glycopyrronium Bromide (Ultibro® Breezh [NCT02693769] | Phase 2/Phase 3 | 2 participants (Actual) | Interventional | 2016-07-31 | Terminated(stopped due to Recruitment issues) |
Effect of Inhalation of a Free Combination of Tiotropium Once Daily 18 Mcg and Salmeterol Twice Daily 50 Mcg Versus a Fixed Combination of Fluticasone and Salmeterol Twice Daily (500/50 Mcg) on Static Lung Volumes and Exercise Tolerance in COPD Patients ( [NCT00530842] | Phase 4 | 344 participants (Actual) | Interventional | 2007-09-30 | Completed |
A Randomised, Placebo-controlled, 4-period, Incomplete Block, Crossover Study of 7 Days Dosing of Intranasal GW784568X (100mcg, 200mcg and 400mcg od), Fluticasone Propionate (200mcg od) and Placebo (Blinded for GW784568X vs Placebo) to Evaluate the Effica [NCT00404586] | Phase 1 | 45 participants (Actual) | Interventional | 2006-09-11 | Completed |
Acute Respiratory Infections and Asthma in U-5 Children: Improved Treatment to Reduce Morbidity and Mortality in Uganda, A Randomized Controlled Trial [NCT01868113] | Phase 3 | 1,010 participants (Actual) | Interventional | 2012-12-31 | Completed |
A Multicenter, Randomized, Double-Blind, Triple-Dummy, Placebo-Controlled, Parallel Group, Four-Week Study Assessing the Efficacy of Fluticasone Propionate Aqueous Nasal Spray 200mcg QD Versus Montelukast 10mg QD in Adolescent and Adult Subjects With Asth [NCT00296491] | Phase 4 | 725 participants (Actual) | Interventional | 2005-09-30 | Completed |
Prospective, Comparative, Double-blind, Parallel, Multicentric, Randomized Study Between Two Brands of Fluticasone Propionate Nasal Topic in The Control of Perene Allergic Rhinithis Symptoms [NCT04332978] | Phase 3 | 566 participants (Actual) | Interventional | 2014-07-04 | Completed |
A Proof of Concept Study to Evaluate Comparative Efficacy of an Azelastine/Fluticasone Combination Nasal Spray vs. Twice the Dose of Fluticasone in Persistent Allergic Rhinitis [NCT00845598] | Phase 4 | 0 participants (Actual) | Interventional | 2010-08-31 | Withdrawn(stopped due to Could not get IMP) |
Investigating the Mechanism of Inhaled Corticosteroids Associated Pneumonia by Longitudinal Characterisation of the Airway Microbiome in Patients With Severe COPD [NCT02972476] | Phase 4 | 158 participants (Actual) | Interventional | 2016-12-31 | Completed |
Bronchiectasis in COPD Patients : Role of Prophylaxis With Inhaled Steroids and Antibiotic on the Natural History of the Disease [NCT00524095] | Phase 2 | 210 participants (Actual) | Interventional | 2006-09-30 | Terminated(stopped due to we decided not to go on treatment phase) |
A Combination of Intranasal Steroid/Oxymetazoline Leads to Faster Relief of Nasal Congestion Without Inducing Rhinitis Medicamentosa [NCT00584987] | Phase 4 | 64 participants (Actual) | Interventional | 2007-06-30 | Completed |
Comparison of Stepwise Treatment of Asthmatic Children With Salmeterol/Fluticasone Propionate Combination Product (Seretide®) and/or Fluticasone Propionate (Flixotide®) Based on PD20 Methacholine and Symptoms or Based on Symptoms Only (Children Asthma The [NCT00158834] | Phase 3 | 200 participants | Interventional | 1999-11-30 | Completed |
Dose Response of FENO to Inhaled Steroids in Mild-to-moderate Asthma [NCT00995657] | Phase 4 | 21 participants (Actual) | Interventional | 2009-10-31 | Completed |
Efficacy and Safety of Mometasone Furoate Aqueous Nasal Spray vs Placebo and Flonase® (Fluticasone Propionate) in Seasonal Allergic Rhinitis Patients (I94-001) [NCT03882047] | Phase 3 | 313 participants (Actual) | Interventional | 1994-08-11 | Completed |
A 52-Week Efficacy and Safety Non-Inferiority Study of Fluticasone Propionate/Salmeterol 250/50mcg BID Delivered by Dry Powder Inhaler (Diskus) Versus Mometasone Furoate/Formoterol Fumarate 200/10mcg BID Delivered by Pressurized Metered-Dose Inhaler in Pe [NCT00424008] | Phase 3 | 722 participants (Actual) | Interventional | 2007-04-30 | Completed |
A 52-week, Randomized, Double-Blind, Parallel-Group Study of Fluticasone Propionate/Salmeterol DISKUS Combination Product (FSC) 250/50 mcg BID and Fluticasone Propionate (FP) DISKUS 250 mcg BID in Treatment of Subjects With Asthma [NCT00452348] | Phase 4 | 628 participants (Actual) | Interventional | 2007-05-31 | Completed |
Childhood Asthma Research and Education (CARE) Network Trial - Best Add-On Therapy Giving Effective Response (BADGER) [NCT00395304] | Phase 3 | 182 participants (Actual) | Interventional | 2007-03-31 | Completed |
Asthma Control Assessment Via ACT and DRC in Asthmatics Treated With Seretide (50/250) Over 12 Weeks [NCT00363480] | Phase 4 | 221 participants (Actual) | Interventional | 2006-05-17 | Completed |
An Exploratory Study to Evaluate the Response of Salmeterol Plus Fluticasone vs Fluticasone Alone to Experimental Nasal Inoculation With Rhinovirus [NCT00503009] | Phase 4 | 16 participants (Actual) | Interventional | 2007-10-31 | Terminated(stopped due to lack of data) |
A Comparison of Fluticasone Furoate Nasal Spray Versus Oral Fexofenadine in the Treatment of Seasonal Allergic Rhinitis [NCT00502775] | Phase 4 | 680 participants (Actual) | Interventional | 2007-08-31 | Completed |
The Leukotriene Modifier Or Corticosteroid or Corticosteroid-Salmeterol Trial [NCT00156819] | Phase 4 | 500 participants (Actual) | Interventional | 2003-06-30 | Completed |
Fluticasone Propionate Nasal Spray (Flixonase) Safety in Patients With Allergic Rhinitis Registered in the UK General Practice Research Database [NCT01077609] | | 1 participants (Actual) | Observational | 2008-01-31 | Completed |
A Multicenter, Randomized, Double-Blind, Parallel-Group 6-Month Study to Evaluate the Efficacy and Safety of Oral Montelukast Sodium, Fluticasone Propionate and Placebo in Patients With Chronic Asthma Who Smoke Cigarettes [NCT00284856] | Phase 3 | 1,640 participants (Actual) | Interventional | 2006-05-31 | Completed |
Inhaled Corticosteroids After a Pediatric Emergency Visit for Asthma [NCT00294398] | | 152 participants (Actual) | Interventional | 2006-03-31 | Completed |
A 52-week, Randomized, Double-Blind, Parallel-Group Study of Fluticasone Propionate/Salmeterol DISKUS Combination Product (FSC) 250/50 mcg BID and Fluticasone Propionate (FP) DISKUS 250 mcg BID in Treatment of Subjects With Asthma [NCT00452699] | Phase 4 | 621 participants (Actual) | Interventional | 2007-05-31 | Completed |
Comparative Effectiveness of Extrafine Hydrofluoroalkane Beclometasone Versus Fluticasone in Paediatric Patients - a Retrospective, Real-life Observational Study in a uk Primary Care Asthma Population [NCT01877954] | | 2,654 participants (Actual) | Observational | 2011-02-28 | Completed |
Efficacy and Safety of Symbicort ®Turbuhaler® 160/4.5 µg/Inhalation, Two Inhalations Twice Daily Plus As-needed Compared With Seretide™ Diskus™ 50/500 µg/Inhalation, One Inhalation Twice Daily Plus Terbutaline Turbuhaler 0.4 mg/Inhalation As-needed - a 6- [NCT00242775] | Phase 3 | 2,100 participants | Interventional | 2005-05-31 | Completed |
Cystic Fibrosis Withdrawal of Inhaled Steroids Evaluation Study (CF WISE Study) [NCT00220259] | | 240 participants | Interventional | 2001-05-31 | Completed |
Open, Randomised, Parallel Group Multicentre Study to Compare the Efficacy & Safety of Flutiform® pMDI vs Fluticasone pMDI Plus Formoterol DPI in Adolescent & Adult Subjects With Mild to Moderate-severe Persistent, Reversible Asthma [NCT00563056] | Phase 3 | 227 participants (Actual) | Interventional | 2007-09-30 | Completed |
Evaluation of the Sensitivity of Pharmacokinetics to Differences in the Aerodynamic Particle Size Distribution of Three Different Formulations of Fluticasone Propionate Dry Powder Inhalers [NCT01966692] | Phase 1 | 41 participants (Actual) | Interventional | 2016-11-30 | Completed |
A Pilot Study to Assess the Incidence of Local Oropharyngeal and Laryngeal Adverse Effects of Advair DISKUS 250/50 Mcg BID as Assessed by the Development of Laryngitis and Oropharyngeal Candidiasis in Adults With Mild Persistent Asthma [NCT00235053] | Phase 4 | 13 participants | Interventional | 2005-08-31 | Active, not recruiting |
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multi-Center Study to Evaluate the Efficacy and Safety of Fluticasone Furoate Nasal Spray for 2 Weeks in Chinese Adult and Adolescent Subjects With Allergic Rhinitis [NCT01231464] | Phase 3 | 365 participants (Actual) | Interventional | 2009-09-30 | Completed |
Respiratory Function in Infants With Persistent Wheezing [NCT00301171] | | 54 participants (Anticipated) | Interventional | 2003-09-30 | Completed |
A Randomised, Double-blind, Double-dummy, Placebo Controlled (With Rescue Medication), Multicenter Study to Evaluate the Efficacy and Safety of Fluticasone Furoate Inhalation Powder in the Treatment of Persistent Asthma in Adults and Adolescents. [NCT01159912] | Phase 3 | 350 participants (Actual) | Interventional | 2010-06-30 | Completed |
Outcomes and Costs Associated With Initiating Maintenance Treatment With Fluticasone Propionate 250mcg/Salmeterol Xinafoate 50mcg Combination (FSC) Versus Anticholinergics Including Tiotropium (TIO) in Patients With Chronic Obstructive Pulmonary Disease ( [NCT01331694] | | 76,130 participants (Actual) | Observational | 2009-07-31 | Completed |
A Randomised Double-Blind, Double-Dummy, Placebo-Controlled, Stratified, Parallel-Group, Multicentre, Dose Ranging Study to Evaluate the Efficacy and Safety of GSK2190915 Tablets Administered Once Daily, Fluticasone Propionate Inhalation Powder 100mcg Twi [NCT01147744] | Phase 2 | 700 participants (Actual) | Interventional | 2010-06-28 | Completed |
A Multicentre, Randomised, Double-blind, Parallel Group Study to Compare the Efficacy and Safety of Salmeterol/Fluticasone Propionate Combination Product (Seretide®) 50/100 mcg With Fluticasone Propionate (Flixotide® ) 200 mcg, Both Delivered Twice Daily [NCT00197106] | Phase 4 | 176 participants (Actual) | Interventional | 2005-06-30 | Completed |
Open Label Two -Treatment Half Side Comparative Study to Analyse Difference in Bioavailability Between MP29-02 and Fluticasoen Propionate [NCT02883439] | | 0 participants (Actual) | Interventional | 2016-08-31 | Withdrawn(stopped due to no available patients) |
Study HZA106851: A Study of the Effects of Inhaled Fluticasone Furoate/GW642444 Versus Placebo on the HPA Axis of Adolescent and Adult Asthmatics [NCT01086410] | Phase 3 | 185 participants (Actual) | Interventional | 2010-03-31 | Completed |
A Randomised, Double-blind, Placebo-controlled, Four-way Crossover, Repeat Dose Study Comparing the Effect of Inhaled Fluticasone Furoate/GW642444M Combination, GW642444M and Fluticasone Furoate on the Allergen-induced Asthmatic Response in Subjects With [NCT01128595] | Phase 2 | 27 participants (Actual) | Interventional | 2010-05-31 | Completed |
A Study of Fluticasone Propionate/Salmeterol DISKUS Combination Product 250/50 mcg Twice Daily Plus Tiotropium 18 mcg Daily Versus Placebo DISKUS Twice Daily Plus Tiotropium 18 mcg Daily on Exercise Time and Physiological Parameters in Subjects With Chron [NCT01124422] | Phase 4 | 255 participants (Actual) | Interventional | 2010-07-19 | Completed |
A Pilot, Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Study Under Fasting Conditions to Examine the Bioequivalence Between Fluticasone Propionate 500 mcg and Salmeterol Xinafoate 50 mcg Inhalation Powder/Respiren [NCT04546256] | Phase 1 | 14 participants (Actual) | Interventional | 2020-09-01 | Completed |
An Adolescent Sub-study Within FLUTE-2: A Randomized, Double-blind, Placebo-Controlled Study of APT-1011 (Fluticasone Propionate Oral Dispersible Tablet Formulation), With an Open-label Extension, in Adolescent Subjects With Eosinophilic Esophagitis [NCT05083312] | Phase 3 | 6 participants (Actual) | Interventional | 2021-09-30 | Completed |
WEUSRTP4850: Phase II: Asthma Treatment in Pregnancy and the Frequency of Adverse Pregnancy Outcomes [NCT01681979] | | 1 participants (Actual) | Observational | 2012-07-31 | Completed |
A Multi-center, Randomized, Double-blind, Controlled Study to Evaluate the Effectiveness of on Severe / Very Severe COPD Patients [NCT02270424] | Phase 3 | 564 participants (Anticipated) | Interventional | 2014-10-31 | Not yet recruiting |
A 12-week Study to Evaluate the 24 Hour Pulmonary Function of Fluticasone Furoate (FF)/Vilanterol Inhalation Powder (FF/VI Inhalation Powder) Once Daily Compared With Salmeterol/Fluticasone Propionate (FP) Inhalation Powder Twice Daily in Subjects With Ch [NCT01342913] | Phase 3 | 528 participants (Actual) | Interventional | 2011-02-01 | Completed |
A 12-week Study to Evaluate the 24-hour Pulmonary Function Profile of Fluticasone Furoate/Vilanterol (FF/VI) Inhalation Powder 100/25 mcg Once Daily Compared With Fluticasone Propionate/Salmeterol Inhalation Powder 250/50 mcg Twice Daily in Subjects With [NCT01323621] | Phase 3 | 512 participants (Actual) | Interventional | 2011-03-18 | Completed |
Hyperpolarized Xenon-129 MRI: a New Multi-dimensional Biomarker to Determine Pulmonary Physiologic Responses to COPD Therapeutics [NCT03002389] | Phase 2 | 95 participants (Anticipated) | Interventional | 2017-11-05 | Recruiting |
The Effects of Montelukast on Sputum Cells and Inflammatory Markers in Smokers With Asthma [NCT00712335] | Phase 4 | 105 participants (Actual) | Interventional | 2007-02-28 | Completed |
A Randomized Clinical Trial to Assess the Effects of Inhaled Fluticasone on Sputum Neutrophils After Low-dose Inhaled Endotoxin Challenge in Healthy Subjects [NCT00869596] | Phase 1 | 22 participants (Actual) | Interventional | 2009-03-31 | Completed |
Comparative, Multicentre, Randomised, Double-blind Study to Assess the Efficacy of Tacrolimus 0.03% Ointment Versus Fluticasone 0.005% Ointment in Children Aged 2 Years or Over Suffering From Moderate to Severe Atopic Dermatitis. [NCT00689832] | Phase 4 | 487 participants (Actual) | Interventional | 2004-02-29 | Completed |
An Open-label, Randomised, Two-way Crossover Study, to Evaluate and Compare the Pharmacokinetics of Fluticasone Furoate, Administered From a Novel Dry Powder Device (Repeat Dose) and Intravenously (Single Dose), in Healthy Caucasian, Japanese, Korean and [NCT01000597] | Phase 1 | 80 participants (Actual) | Interventional | 2009-09-17 | Completed |
Repeated High-dose Inhaled Corticosteroids for Asthma [NCT00695604] | Phase 2 | 0 participants (Actual) | Interventional | 2008-05-31 | Withdrawn(stopped due to Study was not able to be completed, no results analyzed.) |
Does Inhaled Fluticasone REsult in Obstructive Sleep Apnea? DREAM-A Pilot Study [NCT01184118] | | 36 participants (Actual) | Interventional | 2009-03-31 | Completed |
A Randomised, Double-blind, Active-controlled Study to Evaluate the Impact of Stepwise Withdrawal of Inhaled Corticosteroid Treatment in Patients With Severe to Very Severe Chronic Obstructive Pulmonary Disease (COPD) on Optimized Bronchodilator Therapy [NCT00975195] | Phase 4 | 2,488 participants (Actual) | Interventional | 2009-02-28 | Completed |
ACTIV-6: COVID-19 Outpatient Randomized Trial to Evaluate Efficacy of Repurposed Medications [NCT05736874] | Phase 3 | 1,407 participants (Actual) | Interventional | 2021-08-06 | Completed |
APT-1011 (Fluticasone ODT) Expanded Access Protocol for Patients With Eosinophilic Esophagitis [NCT05095116] | | 0 participants | Expanded Access | | Available |
A Study to Investigate the Differential Effects of Inhaled Symbicort and Advair on Lung Microbiota [NCT02833480] | Phase 2 | 69 participants (Anticipated) | Interventional | 2015-02-28 | Recruiting |
A Randomised, Double-blind, Placebo-controlled, Three-way Crossover, Repeat Dose Pilot Study Comparing the Effect of Inhaled Fluticasone Furoate/GW642444M Combination and Fluticasone Furoate on the Allergen-induced Early Asthmatic Response in Subjects Wit [NCT01128569] | Phase 2 | 52 participants (Actual) | Interventional | 2010-01-31 | Completed |
A Multi-Center, Double-Blind, Randomized, Placebo-Controlled, Parallel-group, Phase IIIb Study to Assess the Efficacy, Safety & Product Attributes of Rhinocort Aqua(Budesonide) Versus Placebo and FluticasonePropionate as an Active Comparator in Patients 1 [NCT00641680] | Phase 3 | 750 participants (Anticipated) | Interventional | 2003-04-30 | Completed |
A Multi-Centre, Randomized, Double-Blind, Placebo-Controlled, Repeat-Dose Study to Evaluate the Efficacy and Safety of Intravenous GSK679586 in Patients With Severe Asthma [NCT00843193] | Phase 2 | 198 participants (Actual) | Interventional | 2008-12-09 | Completed |
A Randomised, Double Blind, Placebo Controlled, 4 Period, Incomplete Block, Crossover Study to Assess the Dose-response Curve of Intranasal Fluticasone Propionate (25, 50, 100 and 200 μg, Once Daily for 8 Days) in the Vienna Challenge Chamber for the Purp [NCT00848965] | Phase 4 | 59 participants (Actual) | Interventional | 2007-10-31 | Completed |
Management of Asthma in School-age Children on Therapy [NCT01526161] | Phase 4 | 229 participants (Actual) | Interventional | 2009-04-30 | Completed |
Prospective, Single-Blinded, Randomized Controlled Trial With Sham Comparing Standard Therapy With or Without Esophageal Dilatation in Patients With Eosinophilic Esophagitis [NCT00880906] | | 50 participants (Actual) | Interventional | 2008-08-31 | Completed |
Role of Lung Function, Airway Inflammation and Bronchial Hyper Reactivity for Exercise Capacity in Well-trained Individuals [NCT06077019] | | 60 participants (Anticipated) | Interventional | 2023-10-05 | Recruiting |
A Randomised, Double-blind, Placebo-controlled, Four-way Crossover Study to Compare the Pharmacodynamics and Pharmacokinetics of GW685698X and GW642444M When Administered Separately and in Combination as a Single Dose From a Novel Dry Powder Device in Hea [NCT00625196] | Phase 1 | 16 participants (Actual) | Interventional | 2008-02-27 | Completed |
A Three-way Incomplete Block Crossover Study to Investigate the 24-hour Pulmonary Function of Three Dosage Strengths of Fluticasone Furoate (FF)/GW642444 Inhalation Powder vs. Placebo, in Subjects With Chronic Obstructive Pulmonary Disease (COPD) [NCT01072149] | Phase 3 | 54 participants (Actual) | Interventional | 2010-01-01 | Completed |
Dose-ranging Study of the Safety and Efficacy of Fluticasone Propionate and Salmeterol Xinafoate in Healthy Patients With Abdominal Contour Defects [NCT01712451] | Phase 2 | 200 participants (Actual) | Interventional | 2011-08-31 | Completed |
A Randomised Controlled Open-Label Phase IV Mono Centre Study to Compare the Response Profiles of Montelukast Versus Fluticasone in Children With Pre-School Asthma [NCT00543686] | Phase 2 | 100 participants (Anticipated) | Interventional | 2007-08-31 | Completed |
Special Drug Use Investigation for ADOAIR (Fluticasone/Salmeterol) [NCT01395862] | | 1,001 participants (Actual) | Observational | 2007-11-30 | Completed |
Randomised, Double-blind, Double-dummy, Parallel-group, Comparative Study of Salmeterol/FP 50/100mcg bd Inhalation Powder Via Diskus With Oral Montelukast (5mg QD) Chewable Tablets in Children 6-14 Years [NCT00328718] | Phase 3 | 526 participants | Interventional | 2005-10-31 | Completed |
Special Drug Use Investigation for ALLERMIST (Long Term) [NCT01420822] | | 500 participants (Actual) | Observational | 2010-12-31 | Completed |
Observed Outcomes Associated With Fluticasone Propionate/Salmeterol Xinafoate or Inhaled Corticosteroids in Asthma Patients [NCT01431924] | | 7,779 participants (Actual) | Observational | 2010-10-31 | Completed |
A Randomized, Double-Blind, Double-Dummy, Crossover Comparison of Fluticasone Furoate/Vilanterol 100/25 mcg Once Daily Versus Fluticasone Propionate 250 mcg Twice Daily in Asthmatic Adolescent and Adult Subjects With Exercise-Induced Bronchoconstriction [NCT01435902] | Phase 3 | 0 participants (Actual) | Interventional | 2012-01-31 | Withdrawn(stopped due to Study was cancelled prior to enrolling any subjects) |
The Influence of Fluticasone Inhalation on Intermediate Markers of Carcinogenesis in the Bronchial Epithelium of a High Risk Population : A Double Blind Placebo-Controlled Randomised Phase II Study [NCT00407264] | Phase 2 | 90 participants | Interventional | 2002-02-28 | Completed |
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter Study to Evaluate the Efficacy and Safety of Once-Daily Intranasal Administration of Fluticasone Furoate Nasal Spray 110mcg in Adult and Adolescent Subjects 12 Years of Age and Ol [NCT00609674] | Phase 4 | 315 participants (Actual) | Interventional | 2008-01-31 | Completed |
Effects of Fluticasone On Systemic Markers of Inflammation in Chronic Obstructive Pulmonary Disease [NCT00175565] | Phase 4 | 50 participants | Interventional | 2002-01-31 | Completed |
Single Dose Bioequivalence Study of Azelastine Hydrochloride/Fluticasone Propionate 137microgram/50 Microgram Nasal Spray and DYMISTA Nasal Spray in Healthy Adult Human Subjects [NCT06180083] | Phase 1 | 56 participants (Actual) | Interventional | 2023-03-24 | Completed |
A Randomized, Double-blind, Parallel-group Study of Fluticasone Propionate/Salmeterol Combination (FSC 250/50mcg) Twice Daily and Salmeterol (SAL 50mcg) Twice Daily to Validate a New Shortness of Breath Questionnaire in Patients With Chronic Obstructive P [NCT00411372] | Phase 3 | 0 participants (Actual) | Interventional | 2006-11-30 | Withdrawn(stopped due to No subjects enrolled. Study was canceled before active) |
Modification of Disease Outcome in COPD. Shortterm Versus Longterm Treatment With Inhaled Corticosteroids, Either or Not Combined With a Long-Acting Beta2-Agonist. [NCT00158847] | Phase 4 | 200 participants | Interventional | 2000-04-30 | Terminated |
Assessment of the Effects of Multiple Nasal Antigen Challenges With Dust Mite Allergen on Local and Systemic Allergic Inflammation and Bronchoreactivity in Subjects With Allergic Rhinitis Sensitive to House Dust Mite - a Feasibility and Site Evaluation St [NCT00513487] | | 18 participants (Anticipated) | Interventional | 2007-07-31 | Completed |
Effect of an Inhaled Corticosteroid on Airway Gene Expression in Asthma [NCT00187499] | | 0 participants | Interventional | 2002-10-31 | Completed |
A 12-week Treatment, Multi-center, Randomized, Double-blind, Double-dummy, Parallel-group Study to Assess the Efficacy, Safety and Tolerability of QVA149 Compared to Fluticasone/Salmeterol in COPD Patients With Moderate to Severe Airflow Limitation [NCT01860066] | Phase 3 | 0 participants (Actual) | Interventional | 2013-12-31 | Withdrawn |
Comparison of Esomeprazole to Aerosolized, Swallowed Fluticasone for Eosinophilic Esophagitis [NCT00123656] | Phase 2 | 30 participants (Actual) | Interventional | 2004-08-31 | Completed |
A Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Study Under Fasting Conditions to Examine the Bioequivalence Between Fluticasone Propionate 500 mcg and Salmeterol Xinafoate 50 mcg Inhalation Powder/Respirent Pharm [NCT06025214] | Phase 1 | 34 participants (Anticipated) | Interventional | 2023-08-22 | Recruiting |
A Randomized, Open-labeled, Multicenter Clinical Trial to Compare the Efficacy and Safety of On-demand and Continuous Administration of Nasal Spray in the Treatment of Moderate-to-severe Persistent Allergic Rhinitis [NCT05080322] | Phase 4 | 150 participants (Anticipated) | Interventional | 2023-02-10 | Recruiting |
A Randomized, Double-Blind, Double-Dummy, Parallel Group 12-Week Comparison of the Efficacy and Safety of Fluticasone Propionate/Salmeterol Hydrofluoroalkane 134a Metered-Dose-Inhaler 230/42mcg Twice-daily With Fluticasone Propionate/Salmeterol DISKUS 250 [NCT00633217] | Phase 4 | 247 participants (Actual) | Interventional | 2008-03-31 | Completed |
Randomized Study of Early Treatment With Inhaled Corticosteroids Versus Observation for Patients Who Have Decreased Lung Function Status Post Allogeneic Stem Cell Transplantation [NCT00656916] | Phase 2 | 1 participants (Actual) | Interventional | 2008-03-31 | Terminated(stopped due to Terminated due to slow accrual.) |
Does a Lipophilic Steroid Inhaled After an Early Allergic Reaction Affect the Late Reaction? [NCT00716963] | Phase 4 | 7 participants (Actual) | Interventional | 2008-07-31 | Completed |
INvestigating COPD Outcomes, Genomics and Neutrophilic Inflammation With Tiotropium and Olodaterol [NCT03152149] | Phase 4 | 80 participants (Actual) | Interventional | 2017-06-01 | Completed |
[NCT00476073] | Phase 3 | 228 participants (Actual) | Interventional | 2007-04-30 | Completed |
Phase 4 Withdrawal of Inhaled Corticosteroids in Patients With Chronic Obstructive Pulmonary Disease in Primary Care: a Randomised Controlled Trial [NCT00440687] | Phase 4 | 256 participants | Interventional | 2001-01-31 | Completed |
Randomised, Double-blind, Double-dummy, 52-week, Parallel Group Study of a Standard Dosing Regimen With Salmeterol/Fluticasone propionate50/250 Twice Daily Diskus Versus a Symptom-driven, Variable Dosing Regimen With Formoterol/Budesonide Combination 4.5/ [NCT00479739] | Phase 4 | 700 participants (Actual) | Interventional | 2002-11-30 | Completed |
Retrospective, Real-life Observational, Matched Cohort Evaluation of the Effectiveness of BDP/FOR (Fostair® 100/6) and FP/SAL (Seretide® 125) in Patients Switching From Seretide to Fostair in UK Primary Care Asthma Management [NCT01242098] | | 137 participants (Actual) | Observational | 2008-01-31 | Completed |
A Proof of Concept Study to Evaluate Differential Tachyphylaxis of Alpha 1 and Alpha 2 Adrenoreceptor Mediated Decongestant Response to Oxymetazoline and Its Acute Reversal by Corticosteroid in Healthy Volunteers [NCT00487032] | Phase 4 | 19 participants (Actual) | Interventional | 2008-05-31 | Completed |
A Randomized, Open-label, Parallel-group, 6 Week Treatment, Multi-center, Phase III Study to Investigate the Efficacy and Safety of 100ug and 200ug Twice Daily of Budesonide Turbuhaler® and 50ug and 100umg Twice Daily of Fluticasone Diskus® in Japanese Ch [NCT00504062] | Phase 3 | 240 participants (Actual) | Interventional | 2006-10-31 | Completed |
Proof of Concept Study to Assess Downstream Effects of Using Combined Intranasal Fluticasone Propionate Plus Azelastine Nasal Spray on Asthmatic Inflammation in Patients With Persistent Asthma and Allergic Rhinitis [NCT02953106] | Phase 4 | 7 participants (Actual) | Interventional | 2017-01-20 | Terminated(stopped due to The company providing study IMP was unable to supply further batches of IMP.) |
A Phase III, Randomized, Multicenter, Parallel-group Clinical Trial for Examining the Therapeutic Equivalence Between Fluticasone Propionate 100 mcg/Blister Oral Inhalation Powder/Respirent Pharmaceuticals vs. FLOVENT DISKUS® 100 mcg/Blister Oral Inhalati [NCT04665895] | Phase 3 | 451 participants (Actual) | Interventional | 2020-12-09 | Completed |
Effect of Veramyst on the Nasal and Ocular Symptoms of the Early Reaction to Nasal Challenge With Allergen [NCT00791973] | Phase 4 | 15 participants (Actual) | Interventional | 2008-11-30 | Completed |
A Randomised, Double-blind, Double-dummy, Placebo-controlled, Parallel-group Study to Assess and Compare Efficacy and Safety of an 8-week Treatment With BI 54903 at Doses of 45.5, 90.9 and 181.8 mcg b.i.d. Administered Via Respimat® Inhaler and Fluticason [NCT01397201] | Phase 2 | 30 participants (Actual) | Interventional | 2011-07-01 | Terminated |
A Multicenter, Open-label, Randomized Controlled Trial to Evaluate the Efficacy of Fluticasone Propionate MDI Added to Standard Care at Early Stage of COVID-19 in Reducing the Incidence of Adverse Outcomes in Symptomatic Patients Either From 18 to 49 Year [NCT05054322] | Phase 2/Phase 3 | 500 participants (Anticipated) | Interventional | 2021-09-22 | Recruiting |
The Effect of Salmeterol on Eosinophil (EOS) Function [NCT00214019] | | 36 participants (Actual) | Interventional | 2003-11-30 | Completed |
An Open-label, Randomised, Replicate, Six-way Crossover, Single Dose Study to Determine the Bioequivalence of Fluticasone Furoate (FF) Inhalation Powder (Single Strip Configuration) Compared With FF Inhalation Powder (Two Strip Configuration) and Compared [NCT01485445] | Phase 1 | 30 participants (Actual) | Interventional | 2011-12-21 | Completed |
A Double-Blind, Randomized, Placebo-Controlled, Parallel-Group, Multi-Site Study to Evaluate the Therapeutic Equivalence of Azelastine Hydrochloride and Fluticasone Propionate, 137/50 mcg Nasal Spray, to Dymista™ Nasal Spray [NCT02249663] | Phase 3 | 1,535 participants (Anticipated) | Interventional | 2014-08-31 | Recruiting |
Multicenter Randomised Controlled Trial of Episodic Fluticasone Versus Placebo in Viral-induced Asthma in Children [NCT00238927] | Phase 4 | 150 participants | Interventional | 1999-11-30 | Completed |
Randomized, Double-Blind Comparison of Advair 100/50 BID vs Salmeterol BID vs Albuterol QID in Subjects With ARG/ARG Genotype 12 Years of Age and Older With Presistent Asthma on Short-Acting Beta2-Agonists Alone [NCT00102882] | Phase 4 | 547 participants (Actual) | Interventional | 2004-10-31 | Completed |
A Randomised, Double Blind, Placebo Controlled, 2-way Crossover, 3 Phase Study, to Investigate the Trial Models, Vienna Challenge Chamber, in and Out of Season, and Park Study in Season and the Clinical Efficacy of Rpt Doses of Fluticasone Propionate in S [NCT00400998] | Phase 2 | 41 participants (Actual) | Interventional | 2006-03-31 | Completed |
A 12-week Treatment, Multi-center, Randomized, Double-blind, Double-dummy, Parallel Group Study to Assess the Efficacy and Safety of Switching From Salmeterol/Fluticasone to QVA149 (Indacaterol Maleate/Glycopyrronium Bromide) in Symptomatic COPD Patients [NCT02516592] | Phase 4 | 500 participants (Actual) | Interventional | 2015-10-13 | Completed |
Effect of Swallowed Fluticasone Propionate on Eosinophilic Esophagitis; A Prospective, Randomized, Placebo-Controlled Trial [NCT00266578] | Phase 3 | 30 participants (Actual) | Interventional | 2002-10-31 | Completed |
A 13-week, Double-blind, Parallel Group, Multi-centre Study to Compare the Bronchial Anti-inflammatory Activity of the Combination of Salmeterol/Fluticasone Propionate 50/500mcg Twice Daily Compared With Placebo Twice Daily in Patients With Chronic Obstru [NCT00268177] | Phase 3 | 130 participants | Interventional | 2002-10-31 | Completed |
A Multicentre, Randomised, Double-blind, Parallel Group, Placebo-controlled Study to Investigate the Long-term Effects of Salmeterol/Fluticasone Propionate (Seretide tm) 50/500mcg BD, Salmeterol 50mcg BD and Fluticasone Propionate 500mcg BD, All Delivered [NCT00268216] | Phase 3 | 6,228 participants (Actual) | Interventional | 2000-09-30 | Completed |
A Multicentre, Stratified, Randomised, Double Blind, Parallel Group Trial to Evaluate Whether a Treatment Strategy Based on Aiming for Total Control Results in Better AHR Than a Treatment Strategy Based on Maintaining Well Control [NCT00291382] | Phase 4 | 150 participants (Actual) | Interventional | 2005-11-30 | Completed |
A Multicenter, Randomized, Double-Blind, Parallel Group, 52-Week Comparison of Asthma Control and Measures of Airway Inflammation in Subjects of African Descent Receiving Fluticasone Propionate/Salmeterol 100/50mcg DISKUS® BID or Fluticasone Propionate 10 [NCT00102765] | Phase 4 | 479 participants (Actual) | Interventional | 2004-11-30 | Completed |
Advair - CRP Study [NCT00120978] | Phase 4 | 250 participants | Interventional | 2004-12-31 | Recruiting |
The Anti-Inflammatory Effect of Extrafine HFA-Beclometasone Versus HFA-Fluticasone, by Means of Exhaled Nitric Oxide, Inflammatory Markers in Exhaled Breath Condensate and Conventional Parameters [NCT00402207] | | 33 participants | Interventional | 2005-08-31 | Completed |
A Multicenter, Randomized, Double-Blind, Triple-Dummy, Placebo-Controlled, Parallel Group, Four-Week Study Assessing the Efficacy of Fluticasone Propionate Aqueous Nasal Spray 200mcg QD Versus Montelukast 10mg QD in Adolescent and Adult Subjects With Asth [NCT00296530] | Phase 4 | 600 participants (Actual) | Interventional | 2005-09-30 | Completed |
ACTIV-6: COVID-19 Outpatient Randomized Trial to Evaluate Efficacy of Repurposed Medications [NCT04885530] | Phase 3 | 15,000 participants (Anticipated) | Interventional | 2021-06-08 | Active, not recruiting |
Open Randomized Low Interventional Clinical Trial to Compare Efficiency in Control Symptoms Between Fluticasone Propionate/Formoterol K-haler (Medium Strength) vs High Strength ICS/LABA in the Treatment of Patients With Persistent Asthma [NCT04271839] | Phase 4 | 0 participants (Actual) | Interventional | 2020-06-11 | Withdrawn(stopped due to The trial has been terminated early due to the SARS-CoV-2 pandemic.) |
Nebulizer Trial: Evaluation of the Influence of Particle Size of Aerosolized AMP on Bronchial Responsiveness in Patients With Asthma and the Effects of Treatment With Ciclesonide Versus Fluticasone. [NCT00306163] | Phase 3 | 37 participants (Actual) | Interventional | 2006-05-31 | Completed |
FLUTicasone in Eosinophilic Esophagitis (FLUTE): A Randomized, Double-blind, Placebo-controlled, Dose-ranging, and Maintenance Study of APT-1011 in Subjects With Eosinophilic Esophagitis [NCT03191864] | Phase 2 | 106 participants (Actual) | Interventional | 2017-06-22 | Completed |
A Study to Investigate the Effect of Inhaled Fluticasone Propionate on the Bronchial Responsiveness to Leukotriene D4 in Asthmatics Patients [NCT00453778] | Phase 4 | 14 participants | Interventional | 2002-11-30 | Completed |
Rationale for Therapy With Low Dose Steroids Combined With Long-acting beta2-agonists in Patients With Allergic Asthma: Redirecting Innate Immune Responses by Long-term Treatment With High Doses of Inhaled Steroids [NCT00456313] | Phase 4 | 0 participants (Actual) | Interventional | 2007-12-31 | Withdrawn(stopped due to lack of data) |
A Study to Validate Key Therapeutic Targets and Biomarkers During Allergen Exposure in Subjects With Allergic Rhinitis [NCT00348361] | Phase 1 | 48 participants | Interventional | 2005-04-30 | Completed |
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multi-Center Study to Evaluate the Efficacy and Safety of Once-Daily, Intranasal Administration of GW685698X Aqueous Nasal Spray 100mcg for 14 Days in Adult and Adolescent Subjects With Seaso [NCT00115622] | Phase 3 | 304 participants (Actual) | Interventional | 2004-12-31 | Completed |
A Pilot Study of the Mechanism of Synergism Between Fluticasone (FP) and Salmeterol in Preventing Chronic Obstructive Pulmonary Disease (COPD) Exacerbations [NCT00116402] | Phase 1 | 15 participants (Actual) | Interventional | 2005-01-31 | Completed |
[NCT00475813] | Phase 3 | 211 participants (Actual) | Interventional | 2007-03-31 | Completed |
SUccessful Control and Clinical Effectiveness of SERETIDE Study in aSthma, a Randomised Controlled Study to Investigate the Clinical Effectiveness and Health Outcome of SERETIDE in Patients With Moderate and Severe Persistent Asthma in Korea [NCT00480649] | Phase 4 | 424 participants (Actual) | Interventional | 2004-01-31 | Completed |
A Randomised, Double-blind, Double-dummy, Placebo-controlled, Parallel-group Study to Assess and Compare Efficacy and Safety of an 8-week Treatment With BI 54903 at Doses of 22.7, 45.5 and 90.9 Doses b.i.d. Administered Via Respimat® Inhaler and Fluticaso [NCT01397162] | Phase 2 | 29 participants (Actual) | Interventional | 2011-07-21 | Terminated |
Effect of Fluticasone Proprionate 0.05% Cream on Narrow Band UV-B Phototherapy in Active Vitiligo: a Randomised Single Blinded Controlled Trial [NCT01246921] | Phase 4 | 50 participants (Anticipated) | Interventional | 2009-09-30 | Recruiting |
An Open Label, Multicentre Study to Evaluate Patient Satisfaction With Fluticasone/Salmeterol HFA MDI With Counter in Adult Subjects (18 Years of Age and Older) With Asthma or COPD. [NCT00404261] | Phase 4 | 132 participants (Actual) | Interventional | 2007-01-31 | Completed |
A Multicenter, Double-Blind Placebo-Controlled Crossover Study to Investigate the Effects of an Inhaled Corticosteroid on Cardiopulmonary Exercise Parameters in Patients With Chronic Obstructive Pulmonary Disease [NCT00387036] | Phase 2 | 12 participants (Actual) | Interventional | 2006-12-31 | Terminated(stopped due to Termininated for business reasons) |
Clinical Assessment of GW815SF Salmeterol/Fluticasone Propionate (HFA MDI) in Pediatric Patients With Bronchial Asthma -A Long Term (24-week) Study- [NCT00449046] | Phase 3 | 40 participants (Actual) | Interventional | 2007-03-31 | Completed |
A Randomized, Assessor-blind, Placebo Controlled, Multicenter, Clinical Endpoint Bioequivalence Study to Compare the Efficacy and Safety of Generic Fluticasone Propionate Inhalation Aerosol USP 44 mcg (Glenmark Pharmaceuticals Ltd) to Flovent HFA (Flutica [NCT05363202] | Phase 3 | 790 participants (Anticipated) | Interventional | 2022-04-15 | Recruiting |
Genotype Stratified Treatment With Anticholinergic vs. Beta-agonist (Long Acting) and Exacerbations (GABLE) [NCT00706446] | | 255 participants (Actual) | Interventional | 2008-06-30 | Terminated(stopped due to Funding was terminated) |
A Double Blind, Placebo Controlled Randomized Trial Evaluating the Effects of Fluticasone Nasal Spray in Subjects With Seasonal Allergic Rhinitis and a History of Sleep Disturbance on Cognitive Performance and Daytime Sleepiness [NCT00997620] | Phase 4 | 40 participants (Actual) | Interventional | 2010-03-31 | Completed |
The Addition of Vitamin D to Fluticasone Propionate in the Management of Seasonal Allergic Rhinitis [NCT01103934] | Phase 4 | 35 participants (Actual) | Interventional | 2010-06-30 | Completed |
Interactive Acute Smooth Muscle Effects of Salmeterol and Fluticasone in the Airway [NCT01231230] | | 14 participants (Actual) | Interventional | 2007-05-31 | Completed |
Comparison of Asthma-related Outcomes and Costs in Pediatric Subjects That Received Fluticasone Propionate, Budesonide or Montelukast in a Large Managed Care Population [NCT01328964] | | 9,906 participants (Actual) | Observational | 2009-06-30 | Completed |
Outcomes for Medicare Asthma Patients Taking Fluticasone Propionate/Salmeterol Xinafoate Combination Versus Inhaled Corticosteroids or Other Combination Therapy [NCT01347060] | | 17,448 participants (Actual) | Observational | 2009-07-31 | Completed |
A Randomized, Cross Over Study Evaluating the Effect of Flovent Discus 100 mcg BID vs QVAR 80 mcg BID vs Pulmicort Flexhaler 180 mcg BID on Short Term Growth in Pediatric Subjects With Asthma [NCT01520688] | Phase 4 | 32 participants (Actual) | Interventional | 2012-02-29 | Completed |
A Randomized, Double-Blind, Parallel Group, 52-Week Study to Compare the Effect of Fluticasone Propionate/Salmeterol DISKUS® Inhaler Combination Product 250/50mcg Twice Daily With Salmeterol DISKUS® Inhaler 50mcg Twice Daily on the Annual Rate of Moderate [NCT00144911] | Phase 4 | 740 participants (Actual) | Interventional | 2004-10-31 | Completed |
A Double-blind Placebo-controlled Trial Comparing the Efficacy and Cost-effectiveness of Inhaled Fluticason Propionate Versus Oral N-acetylcysteine in the Treatment of Patients With COPD in General Practice [NCT00184977] | Phase 4 | 270 participants | Interventional | 1998-12-31 | Completed |
A Six-Week, Randomized, Double-Blind, Quadruple-Dummy Parallel Group Multiple Dose Study Comparing the Efficacy and Safety of Tiotropium Inhalation Capsules Plus Formoterol Inhalation Capsules to Salmeterol Inhalation Aerosol Plus Fluticasone Inhalation A [NCT00239421] | Phase 4 | 605 participants | Interventional | 2003-11-30 | Completed |
A 6-week Randomized, Double-blind, Placebo-controlled, Crossover Study to Assess the Effect of Fluticasone 250μg/Salmeterol 50μg Combination (FSC 250/50) on Exertional Dyspnea in Patients With Symptomatic Mild COPD [NCT00559312] | | 18 participants (Actual) | Interventional | 2007-12-31 | Completed |
Early Anti-inflammatory Treatment of Asymptomatic or Mildly Symptomatic Airway Hyperresponsiveness [NCT00567463] | | 83 participants (Actual) | Interventional | 1998-12-31 | Terminated(stopped due to Completed) |
A Multi-Center, Randomized, Double-Blind, Parallel-Group, Dose-Finding Trial to Evaluate the Safety and Efficacy of Fluticasone Propionate Combined With Formoterol Fumarate in Patients With Chronic Obstructive Pulmonary Disease [NCT00403286] | Phase 2 | 457 participants (Actual) | Interventional | 2006-11-30 | Completed |
A Randomized, Open Label Comparative Study to Determine the Proportion of Asthma Patients on SERETIDE Diskus 50/250 mcg b.i.d. Achieving Total Control When Given Medication and Compliance Enhancement Training Compared to Those Receiving Medication Only [NCT00351143] | Phase 4 | 274 participants (Actual) | Interventional | 2005-07-26 | Completed |
Intranasal Steroids Prevent Antigen-Induced Hyperresponsiveness of the Nasal Ocular Response [NCT00473915] | Phase 4 | 20 participants (Anticipated) | Interventional | 2007-04-30 | Completed |
Efficacy and Safety of Salmeterol/Fluticasone Propionate vs Ipratropium/Albuterolin Chinese Patients With Moderate-to-severe COPD. [NCT01243788] | Phase 4 | 450 participants (Anticipated) | Interventional | 2009-07-31 | Recruiting |
A 12-week Study to Evaluate the 24-hour Pulmonary Function Profile of Fluticasone Furoate/Vilanterol (FF/VI) Inhalation Powder 100/25 mcg Once Daily Compared With Fluticasone Propionate/Salmeterol Inhalation Powder 250/50 mcg Twice Daily in Subjects With [NCT01323634] | Phase 3 | 519 participants (Actual) | Interventional | 2011-03-18 | Completed |
A 26-week Treatment, Multi-center, Randomized, Doubleblind, Double Dummy, Parallel-group Study to Assess the Efficacy, Safety and Tolerability of QVA149 Compared to Fluticasone/Salmeterol in Patients With Moderate to Severe Chronic Obstructive Pulmonary D [NCT01315249] | Phase 3 | 523 participants (Actual) | Interventional | 2011-03-31 | Completed |
Prospective, Randomised, Open-label, Multicentre, Active Drug Controlled, Parallel Group Design Clinical Trial of the Efficacy and Safety of Beclomethasone Dipropionate 400 mcg + Formoterol 24 mcg pMDI Via HFA-134a (Foster™) vs. Fluticasone Propionate 500 [NCT00497237] | Phase 3 | 382 participants (Anticipated) | Interventional | 2007-04-30 | Completed |
A Long-term Study to Evaluate the Safety and Tolerability of Fluticasone Furoate (FF)/GW642444 Inhalation Powder and FF Inhalation Powder in Japanese Subjects With Asthma [NCT01244984] | Phase 3 | 243 participants (Actual) | Interventional | 2010-07-31 | Completed |
Effects of Intranasal Corticosteroid and Montelukast On Nasal Allergen Challenges* [NCT01240889] | | 60 participants (Actual) | Interventional | 2010-11-30 | Completed |
A Proof of Concept Study to Evaluate the Dose Response for the Systemic Benefit Risk Ratio of Inhaled Fluticasone Propionate in Chronic Obstructive Pulmonary Disease [NCT00995475] | Phase 4 | 18 participants (Actual) | Interventional | 2006-10-31 | Completed |
An Open-label, Randomized, Parallel-Group, Multi-Site Study to Evaluate the Efficacy and Safety of Azelastine HCl-Fluticasone Propionate Nasal Spray 137-50 mcg/Spray in Perennial Allergic Rhinitis Patients [NCT06051786] | Phase 2 | 136 participants (Actual) | Interventional | 2020-08-20 | Completed |
A Randomised, Double-blind, Placebo-controlled, Incomplete Block, 4-period Crossover, Study to Investigate the Effects of 5-day Repeat Inhaled Doses of Fluticasone Propionate (BID, 50-2000 mcg) on Airway Responsiveness to Adenosine 5-monophosphate (AMP) C [NCT00400855] | Phase 2 | 49 participants (Actual) | Interventional | 2005-01-31 | Completed |
A Randomized, Double-Blind, Parallel Group, 52-Week Study to Compare the Effect of Fluticasone Propionate/Salmeterol Diskus Combination Product 250/50mcg BID With Salmeterol Diskus 50mcg BID on the Annual Rate of Moderate/Severe Exacerbations in Subjects [NCT00115492] | Phase 4 | 797 participants (Actual) | Interventional | 2004-12-31 | Completed |
A Stratified, Multicenter, Randomized, Double-Blind, Parallel Group, 4-Week Comparison of Fluticasone Propionate/Salmeterol DISKUS Combination Product 100/50mcg BID Versus Fluticasone Propionate DISKUS 100mcg BID in Pediatric and Adolescent Subjects With [NCT00118690] | Phase 4 | 227 participants (Actual) | Interventional | 2003-12-31 | Completed |
A Multi-Center, Randomized, Double-Masked, Placebo-Controlled, Dose-Escalation, Phase 2 Study Evaluating the Safety and Tolerability of NCX 4251 (Fluticasone Propionate Nanocrystal) Ophthalmic Suspension, 0.1% QD and BID for the Treatment of Acute Exacerb [NCT03926026] | Phase 2 | 36 participants (Actual) | Interventional | 2019-03-18 | Completed |
DOUBLE BLIND, MULTINATIONAL, MULTICENTRE, PARALLEL-GROUP DESIGN CLINICAL TRIAL OF THE EFFICACY AND TOLERABILITY OF CHF 1535 (BECLOMETHASONE DIPROPIONATE 100 µg + FORMOTEROL 6 µg) pMDI VIA HFA-134a vs. FLUTICASONE 125 µg + SALMETEROL 25 µg pMDI (SERETIDE®) [NCT00394368] | Phase 3 | 180 participants | Interventional | 2004-11-30 | Completed |
A Proof of Concept Study to Evaluate if Concomitant Topical Intranasal Steroid Prevents Tolerance and Rebound Congestion Due to Regular Oxymetazoline in Persistent Allergic Rhinitis. [NCT00846326] | Phase 4 | 0 participants (Actual) | Interventional | | Withdrawn(stopped due to The suppliers were unable to provide the investigational medicinal product (IMP)) |
Evaluation of Mechanism(s)Limiting Expiratory Airflow in Chronic, Stable Asthmatics Who Are Non-smokers [NCT00576069] | | 60 participants (Anticipated) | Observational | 2007-10-25 | Recruiting |
A 12-Week Dose-ranging Study to Evaluate the Efficacy and Safety of Fp Spiromax® (Fluticasone Propionate Inhalation Powder) Administered Twice Daily Compared With Placebo in Adolescent and Adult Subjects With Severe Persistent Asthma Uncontrolled on High [NCT01576718] | Phase 2 | 889 participants (Actual) | Interventional | 2012-04-30 | Completed |
Randomised, Double-blind Parallel Group Study to Assess the Bronchodilative and Bronchoprotective Properties of SERETIDE DISKUS ® Inhlaer 50/100mcg Twice Daily vs. FLIXOTIDE® Inhaler 200mcg Twice Daily. [NCT00169546] | Phase 4 | 64 participants (Actual) | Interventional | 2003-01-31 | Completed |
Inhaled Fluticasone Propionate: Effect on Parameters of Bone Metabolism in Patients With Mild to Moderate Asthma [NCT00409630] | | 0 participants (Actual) | Interventional | | Withdrawn(stopped due to Sponsor decided against going forward with the study.) |
A Randomised, Double-blind, Multi-centre Study to Evaluate the Efficacy and Safety of Inhaled Fluticasone Furoate in the Treatment of Persistent Asthma in Adults and Adolescents Currently Receiving Mid to High Strength Inhaled Corticosteroids. [NCT01431950] | Phase 3 | 238 participants (Actual) | Interventional | 2011-09-30 | Completed |
A Double Blinded, Randomized Trial of Swallowed 1760mcg Fluticasone Propionate Versus Placebo in the Treatment of Eosinophilic Esophagitis [NCT00426283] | Phase 2 | 42 participants (Actual) | Interventional | 2007-01-31 | Completed |
Fluticasone Furate/Vilaterol in Exercising Asthmatic Adolescents: a Randomized and Open Label Trial [NCT04750603] | Phase 4 | 92 participants (Actual) | Interventional | 2018-12-01 | Completed |
Should Non-eosinophilic Asthmatic Subjects be Treated With Inhaled Corticosteroids? [NCT00509197] | | 12 participants (Actual) | Interventional | 2007-10-31 | Terminated(stopped due to Inability to complete the recruitment.) |
Randomized, Double-Blind Trial of MP29-02 Nasal Spray Compared to Placebo, Astelin Nasal Spray, and Fluticasone Propionate Nasal Spray in the Treatment of Patients With Seasonal Allergic Rhinitis [NCT00660517] | Phase 3 | 607 participants (Actual) | Interventional | 2007-12-31 | Completed |
Enhancement of In-vitro GC Function in Patients With COPD. A Randomised, Double Blind, Placebo Controlled, Parallel-group Study to Investigate the Effect of Theophylline and Fluticasone on Induced Sputum Cells Obtained Form COPD Patients [NCT00241631] | Phase 2 | 49 participants (Actual) | Interventional | 2006-04-30 | Completed |
A 12-week Treatment, Multi-center, Randomized, Double-blind, Double-dummy, Parallel-group Study to Assess the Efficacy, Safety and Tolerability of QVA149 Compared to Fluticasone/Salmeterol in COPD Patients With Moderate to Severe Airflow Limitation [NCT01834885] | Phase 3 | 0 participants (Actual) | Interventional | 2013-12-31 | Withdrawn |
The Role of Perioperative Systemic Steroids in Patients With Chronic Rhinosinusitis Without Polyps (CRSsNP) [NCT02748070] | | 81 participants (Actual) | Interventional | 2015-08-31 | Completed |
A Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Study Under Fasting Conditions to Examine the Bioequivalence Between Fluticasone Propionate 250 mcg and Salmeterol Xinafoate 50 mcg Inhalation Powder/Respirent Pharm [NCT05982990] | Phase 1 | 34 participants (Actual) | Interventional | 2023-08-01 | Active, not recruiting |
Dose-response of Salmeterol Delivered by Advair Diskus in Children: Bioassay by Methacholine Challenge Using Oscillometry as the Endpoint [NCT01907334] | Phase 4 | 10 participants (Actual) | Interventional | 2013-08-31 | Completed |
A Randomized, Double-Blind, Parallel Group, Multicenter Study of Fluticasone Furoate/Vilanterol 200/25 mcg Inhalation Powder, Fluticasone Furoate/Vilanterol 100/25 mcg Inhalation Powder, and Fluticasone Furoate 100 mcg Inhalation Powder in the Treatment o [NCT01686633] | Phase 3 | 1,040 participants (Actual) | Interventional | 2012-09-20 | Completed |
A Pivotal, Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Study Under Fasting Conditions to Examine the Bioequivalence Between Fluticasone Propionate 500 mcg and Salmeterol Xinafoate 50 mcg Inhalation Powder/Respir [NCT04564456] | Phase 1 | 34 participants (Actual) | Interventional | 2020-09-22 | Completed |
Expression of Inflammatory Mediators in Induced Sputum: A Potential Biomarker of Drug Response in COPD [NCT00233051] | | 20 participants (Actual) | Interventional | 2003-04-30 | Terminated |
A Randomized, Double-blind, Placebo-controlled,Parallel-group Study Comparing the Bioequivalence of Azelastine Hydrochloride and Fluticasone Propionate Nasal Spray (Apotex, Inc.) to That of Dymista™ Nasal Spray (Meda Pharmaceuticals, Inc. )in the Treatmen [NCT02279563] | Phase 2 | 595 participants (Actual) | Interventional | 2013-12-31 | Enrolling by invitation |
A Randomised, Two Treatment, Four-Way Cross-Over (Replicate Design), Two Sequence, Repeat Dose Study in Patients With Moderate Asthma to Compare Pharmacokinetics and Pharmacodynamic Effects of Fluticasone Propionate and Salmeterol Delivered Via the Low Ai [NCT02218762] | Phase 1 | 0 participants (Actual) | Interventional | 2014-10-31 | Withdrawn(stopped due to It was decided that data from this study are no longer required and therefore it is not necessary to expose patients to the study medication) |
A Comparison of Symbicort Single Inhaler Therapy (Symbicort Turbuhaler 160/4.5 µg, 1 Inhalation b.i.d. Plus as Needed) and Conventional Best Practice for the Treatment of Persistent Asthma in Adults - a 26-Week, Randomised, Open-Label, Parallel-Group, Mul [NCT00252863] | Phase 3 | 1,600 participants | Interventional | 2004-12-31 | Completed |
A Double-Blind, Randomized, Placebo Controlled, Parallel Group, Multi-Site Study to Compare the Clinical Equivalence of Fluticasone Furoate Nasal Spray (Lek Pharmaceuticals) With Veramyst® Nasal Spray (GlaxoSmithKline) in the Relief of the Signs and Sympt [NCT01279057] | Phase 3 | 727 participants (Actual) | Interventional | 2010-12-27 | Completed |
A Randomized, Double-blind, Placebo-controlled, Two-way Crossover 14-day Study to Investigate the Safety, Tolerability, Pharmacodynamics and Pharmacokinetics of Repeat Dose Inhaled Fluticasone Furoate 100ug (Micrograms) in Children Aged 5-11 Years With Pe [NCT01332292] | Phase 2 | 27 participants (Actual) | Interventional | 2010-05-31 | Completed |
See Detailed Description [NCT00269126] | Phase 3 | 150 participants (Actual) | Interventional | 2005-02-28 | Completed |
An Open-label, Multi-centre, Randomized, Parallel Group Clinical Effectiveness Study to Determine the Level of Asthma Control in Adolescent and Adult Patients With ADVAIR Versus Usual Care for 24 Weeks. [NCT00273026] | Phase 4 | 680 participants | Interventional | 2004-11-08 | Terminated |
Steroid-sparing Management of the Salmeterol/Fluticasone 50/100µg b.i.d. Combination Compared to Fluticasone 200µg b.i.d. in Children and Adolescents With Moderate Asthma [NCT00315744] | Phase 4 | 285 participants (Actual) | Interventional | 2004-11-04 | Completed |
[NCT00280358] | Phase 1 | 30 participants | Interventional | | Completed |
Relative Potency of Inhaled Corticosteroids: Validation of a Clinical Model [NCT00292838] | Phase 4 | 40 participants | Interventional | 2001-01-31 | Completed |
A Randomised, Double-blind, Double Dummy, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy and Safety of GW685698X 100mcg Administered Once Daily Either in the Morning or the Evening and GW685698X 250mcg Administered Once Daily in the Eve [NCT01499446] | Phase 2 | 669 participants (Actual) | Interventional | 2003-09-30 | Completed |
A Double-blind, Double Dummy, Randomised, Parallel Group, Multicentre Study to Compare the Efficacy and Safety of Flutiform pMDI With Fluticasone pMDI and With Seretide pMDI in Paediatric Subjects Aged 5 to Less Than 12 Years With Moderate to Severe Persi [NCT01511367] | Phase 3 | 498 participants (Anticipated) | Interventional | 2012-03-31 | Completed |
[NCT01624129] | | 20 participants (Anticipated) | Observational | 2011-01-31 | Recruiting |
[NCT01657487] | Phase 4 | 120 participants (Anticipated) | Interventional | 2010-04-30 | Recruiting |
A Randomized, Open-label, Comparative Study to Evaluate an Intermittent Dosing Regimen of Fluticasone Propionate 0.05% Cream (Twice Per Week) in Reducing the Risk of Relapse When Added to Regular Daily Moisturization Using PHYSIOGEL Lotion in Paediatric S [NCT01915914] | Phase 4 | 107 participants (Actual) | Interventional | 2013-12-23 | Completed |
Eosinophilic Esophagitis Treatment: Montelukast vs Fluticasone [NCT01702701] | Phase 3 | 0 participants (Actual) | Interventional | 2012-01-31 | Withdrawn |
A Randomized, Double-blind, Placebo-controlled, Four-way Crossover Study to Evaluate and Compare the Pharmacodynamics and Pharmacokinetics of Fluticasone Furoate /Vilanterol in Different Dose Combination (50/25mcg, 100/25mcg and 200/25mcg) After Single an [NCT01711463] | Phase 1 | 16 participants (Actual) | Interventional | 2012-12-05 | Completed |
A Single-Dose, Randomized, Open-Label, Crossover, Pivotal, Comparative Bioavailability Study of Synflutide HFA 250/25 Inhaler and SeretideTM 250 EvohalerTM in Healthy Volunteers Without Charcoal Block [NCT02466347] | Phase 1 | 45 participants (Actual) | Interventional | 2014-06-30 | Completed |
A Phase II, Monocentric, Open, Randomized, 6-way Cross-over Clinical Pharmacology Study to Evaluate the Lung Bioavailability of BDP/B17MP and Formoterol and the Total Systemic Exposure Across Two Different Strengths of CHF 1535 NEXThaler Dry Powder Inhale [NCT01738087] | Phase 2 | 30 participants (Actual) | Interventional | 2012-11-30 | Completed |
Effects Of Extra-fine Particle HFA-becLomethasone (HFA-QVAR) Versus Course Particle Treatment In Smokers and Ex-smokers With Asthma [NCT01741285] | Phase 4 | 40 participants (Actual) | Interventional | 2013-04-30 | Completed |
A 12-week Randomized, Multiple-Dose, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate Nebulized Fluticasone Propionate (FP) Dose Response in Adult Subjects With Partly Controlled and Uncontrolled Asthma [NCT01516073] | Phase 2 | 629 participants (Actual) | Interventional | 2012-03-31 | Completed |
WEUSKOP6416: Evaluating Serious Pneumonia in Subjects With Chronic Obstructive Pulmonary Disease (COPD) to Inform Risk Minimization: A Retrospective Observational Study [NCT01763463] | | 1 participants (Actual) | Observational | 2012-07-31 | Completed |
Randomised Controlled, Double Blind Trial of Topical Twice Weekly Fluticasone Propionate Maintenance Treatment to Reduce Risk of Relapse in Mild or Moderate Atopic Dermatitis in Children [NCT01772056] | Phase 3 | 54 participants (Actual) | Interventional | 2009-12-31 | Terminated(stopped due to Patient recruitment is very slow, economic grant has ended and the number of patients is enough according to sample size (22 children/ arm).) |
A Phase III Double-Blind, Randomized, Placebo-Controlled Clinical Trial to Prospectively Evaluate Efficacy of Montelukast in Patients Aged 6 Months to 5 Years With Chronic Asthma [NCT00540839] | Phase 3 | 0 participants (Actual) | Interventional | 2007-11-30 | Withdrawn(stopped due to Based on input from regulatory agencies, it is not necessary to conduct this study. An ongoing study was sufficient for regulatory purposes.) |
A Randomized, Double-blind, Active-controlled, Parallel Group, Stratified, Multi-center, 12-week Study Comparing the Safety & Efficacy of Fluticasone and Formoterol Combination (FlutiForm(tm) 100/10 µg Twice Daily) in a Single Inhaler (SkyePharma HFA pMDI [NCT00394199] | Phase 3 | 357 participants (Actual) | Interventional | 2006-06-30 | Completed |
Long-term Open-label Safety Study With SkyePharma FlutiForm HFA pMDI (100/10 µg and 250/10 µg) in Adult and Adolescent Patients With Asthma [NCT00394121] | Phase 3 | 400 participants (Anticipated) | Interventional | 2006-03-31 | Completed |
A Randomised, Double-blind, Two-way Crossover Study to Investigate the Effect of Inhaled Fluticasone Furoate on Short-term Growth in Paediatric Subjects With Asthma [NCT02502734] | Phase 3 | 60 participants (Actual) | Interventional | 2015-09-07 | Completed |
COMPARISON OF TREATMENT FOR PEDIATRIC EOSINOPHILIC ESOPHAGITIS: A RANDOMIZED CLINICAL TRIAL (DIETETIC Versus TOPICAL STEROIDS) [NCT01846962] | Phase 4 | 64 participants (Actual) | Interventional | 2012-11-30 | Completed |
A Patient Preference Evaluation Study of Fluticasone Furoate Nasal Spray and Fluticasone Propionate Aqueous Nasal Spray in Subject With Allergic Rhinitis [NCT00398476] | Phase 3 | 127 participants (Actual) | Interventional | 2006-12-01 | Completed |
Chronic Obstructive Pulmonary Disease (COPD)-Related Outcomes and Costs for Patients on Combination Fluticasone Propionate-Salmeterol Xinafoate 250/50mcg Versus Anticholinergics in a Comorbid COPD-Depression/Anxiety Population [NCT01337336] | | 1 participants (Actual) | Observational | 2010-10-31 | Completed |
Fluticasone Propionate, Azithromycin, and Montelukast Sodium in Treating Patients With Bronchiolitis Obliterans Who Previously Underwent Stem Cell Transplant [NCT01307462] | Phase 2 | 36 participants (Actual) | Interventional | 2011-06-30 | Completed |
Open Label, Three-Way Study to Assess the Absorption and Tolerability of Intranasal Ketorolac Tromethamine and to Assess the Effects of a Single Dose of Oxymetazoline Hydrochloride and Multiple Doses of Fluticasone Propionate on the Absorption and Tolerab [NCT01365650] | Phase 1 | 24 participants (Actual) | Interventional | 2007-12-31 | Completed |
Environmental Control as Add-on Therapy in Childhood Asthma [NCT02251379] | Phase 2 | 155 participants (Actual) | Interventional | 2014-10-01 | Completed |
Outcomes From Initial Maintenance Therapy With Fluticasone Propionate 250/Salmeterol 50 (FSC) or Tiotropium in Chronic Obstructive Pulmonary Disease [NCT01387178] | | 22,223 participants (Actual) | Observational | 2008-07-31 | Completed |
A Randomized, Double Blind, Placebo-controlled Three-way Crossover Study in Mild Asthmatics to Evaluate the Effect of Smoking Status on the Attenuation by Inhaled Corticosteroids of the Allergen-induced Asthmatic Response. [NCT01400906] | Phase 2 | 36 participants (Actual) | Interventional | 2011-07-20 | Completed |
An Exploratory, Multi-centre, Double-blind, Placebocontrolled Crossover Study, to Investigate the Bronchodilatory Efficacy of a Single Dose of Indacaterol in Fixed Combination With Mometasone Furoate Delivered Via a MDDPI (Twisthaler®) in Adult Patients W [NCT00556673] | Phase 2 | 31 participants (Actual) | Interventional | 2007-10-31 | Completed |
Asthma Clinical Research Network (ACRN) Trial - Macrolides in Asthma (MIA) [NCT00318708] | Phase 3 | 92 participants (Actual) | Interventional | 2006-06-30 | Completed |
A Randomised, Open Label, Five-way Crossover Study to Assess the Systemic Exposure of Fluticasone Propionate and Salmeterol From SERETIDE/ADVAIR 250HFA MDI Alone and With AeroChamber-Max Spacer and VOLUMATIC Both in Their Washed and Unwashed States in Adu [NCT00369993] | Phase 2 | 20 participants (Actual) | Interventional | 2005-03-31 | Completed |
Inhaled Fluticasone Effects on Upper Airway Patency in Obstructive Lung Disease [NCT01554488] | Phase 4 | 25 participants (Actual) | Interventional | 2013-03-12 | Terminated(stopped due to Low subject accrual) |
[NCT01578278] | Phase 2 | 606 participants (Actual) | Interventional | 2011-12-31 | Completed |
Effects of Broccoli Sprout Extract on Allergic Rhinitis [NCT02885025] | Phase 2 | 47 participants (Actual) | Interventional | 2016-10-01 | Completed |
Randomized, Double-Blind Trial of the Safety and Efficacy of Dymista Nasal Spray Compared to Placebo Nasal Spray in the Treatment of Children Ages >4 Years to <12 Years With Seasonal Allergic Rhinitis [NCT01915823] | Phase 3 | 348 participants (Actual) | Interventional | 2013-07-31 | Completed |
A Randomised, Open-label, 2-group PK (3-period) and PD (5-period) Crossover Study to Compare Systemic Exposure and Pharmacodynamic Effects of Fluticasone/Formoterol BAI and pMDI in Healthy Volunteers [NCT02403713] | Phase 1 | 125 participants (Anticipated) | Interventional | 2014-08-31 | Completed |
A 1-year Multi-center, Prospective, Cohort Study in Patients With Chronic Obstructive Pulmonary Disease Treated With Long-acting Bronchodilator [NCT01794780] | Phase 4 | 2,229 participants (Actual) | Interventional | 2013-02-05 | Completed |
The Effect of Inhaled Corticosteroids on Intraocular Pressure in Patients With Ocular Hypertension or Controlled Glaucoma. [NCT02338362] | Phase 4 | 22 participants (Actual) | Interventional | 2014-09-30 | Completed |
A Multicentre, Randomized, Double-blind, Double-dummy, Active-controlled, Parallel-group Study to Determine the Efficacy and Safety of Nebulized Fluticasone Propionate 1mg Twice Daily Compared With Oral Prednisone Administered for 7 Days to Chinese Pediat [NCT01687296] | Phase 3 | 261 participants (Actual) | Interventional | 2012-11-12 | Completed |
A Double-Blind, Randomized, Placebo-Controlled, Parallel-Group Study Evaluating the Efficacy and Safety of Sublingual Immunotherapy With SCH 697243 (Phleum Pratense) in Children 5 to <18 Years of Age With a History of Grass Pollen Induced Rhinoconjunctivi [NCT00550550] | Phase 3 | 345 participants (Actual) | Interventional | 2007-11-30 | Completed |
A Randomised, Double-blind, Double-dummy, Active-controlled, Parallel-group Study to Assess and Compare Efficacy and Safety of an 8-week Treatment With BI 54903 at Doses of 90.9, 181.8 and 363.6 µg b.i.d. Administered Via Respimat® Inhaler and Fluticasone [NCT01396278] | Phase 2 | 9 participants (Actual) | Interventional | 2011-07-01 | Terminated |
A 12 Week Study to Evaluate the Effect of Fluticasone Furoate (FF, GW685698)/Vilanterol (VI, GW642444) 100/25 mcg Inhalation Powder Delivered Once Daily Via a Novel Dry Powder Inhaler (NDPI) on Arterial Stiffness Compared With Tiotropium Bromide 18 mcg De [NCT01395888] | Phase 3 | 260 participants (Actual) | Interventional | 2011-06-30 | Completed |
A Randomised, Double-blind, Double-dummy, Single Dose, Four Way Cross-over Study to Compare the Pharmacokinetics and Pharmacodynamics of GSK961081 and Fluticasone Propionate When Administered Alone, Concurrently and as a Combination Blend in Healthy Subje [NCT01449799] | Phase 1 | 24 participants (Actual) | Interventional | 2011-07-13 | Completed |
Replication of the INSPIRE Trial in Healthcare Claims Data [NCT05179512] | | 98,278 participants (Actual) | Observational | 2020-09-22 | Completed |
Once-Daily Single-Inhaler Triple Versus Dual Therapy in Patients With COPD (IMPACT Trial) [NCT05062304] | | 17,281 participants (Actual) | Observational | 2020-12-13 | Completed |
Multicentre, Randomised, Double-Blind, Double Dummy, Parallel Group, 104-week Study to Compare the Effect of the Salmeterol/Fluticasone Propionate Combination Product (SERETIDE*) 50/500mcg Delivered Twice Daily Via the DISKUS*/ACCUHALER* Inhaler With Tiot [NCT00361959] | Phase 4 | 1,270 participants (Actual) | Interventional | 2003-06-30 | Completed |
Early Detection and Management of Bronchiolitis Obliterans Syndrome Following Pediatric Hematopoietic Stem Cell Transplantation [NCT03072849] | | 40 participants (Anticipated) | Observational | 2015-04-30 | Recruiting |
A Randomized, Placebo-controlled, Parallel Group Study to Assess the Efficacy, Safety, and Pharmacokinetics of QAW039 in Steroid-free Patients With Mild to Moderate Persistent Asthma [NCT01253603] | Phase 2 | 170 participants (Actual) | Interventional | 2010-11-30 | Completed |
TITLE: Double-blinded, Double-dummy, Study Comparing Fluticasone-salmeterol to Placebo in Patients With COPD and Associated Poor Sleep or Daytime Somnolence. [NCT00731770] | Phase 4 | 10 participants (Actual) | Interventional | 2009-01-31 | Completed |
A Randomized, Double Blind, Placebo and Active Controlled, Parallel Group Study to Evaluate the Safety and Efficacy of 6-week Treatment With Oral Doses of 50 mg b.i.d., 200 mg b.i.d., and 400 mg b.i.d. BI 671800 ED in Steroid-naïve Patients With Persisten [NCT01092143] | Phase 2 | 389 participants (Actual) | Interventional | 2010-03-18 | Completed |
Effect of an Inhaled Glucocorticosteroid (ICS) on Endothelial Dysfunction in Cigarette Smokers [NCT01216735] | | 32 participants (Actual) | Interventional | 2008-09-30 | Completed |
A Randomised, Double-blind, Placebo-controlled, Parallel Group, Multicentre Study to Evaluate the Efficacy and Safety of Fluticasone Furoate/Vilanterol Trifenatate (FF/VI) Inhalation Powder Delivered Once Daily for 12 Weeks in the Treatment of Asthma in A [NCT01498679] | Phase 3 | 311 participants (Actual) | Interventional | 2012-01-31 | Completed |
Fluticasone Propionate-salmeterol Combination Adherence in Patients With Chronic Obstructive Pulmonary Disease (COPD) [NCT01381471] | | 11,060 participants (Actual) | Observational | 2009-08-31 | Completed |
A Single-Center, Randomized, Double-Masked, Placebo-Controlled Evaluation of the Efficacy of Flonase (Fluticasone Propionate Nasal Spray) Compared to Placebo Nasal Spray in the Allergen BioCube (ABC) Model [NCT01439815] | Phase 4 | 22 participants (Actual) | Interventional | 2011-09-30 | Completed |
A Pilot Randomised Controlled Superiority Trial of Fluticasone-Vilanterol Once Daily Dose for the Treatment of Mild Asthma in Adults [NCT04265105] | Phase 2/Phase 3 | 18 participants (Actual) | Interventional | 2021-12-22 | Completed |
Use of Fluticasone Propionate/Salmeterol Combination Post Emergency Department Visit [NCT01332357] | | 6,139 participants (Actual) | Observational | 2009-06-30 | Completed |
Validation of a New Shortness of Breath With Daily Activities Questionnaire in Patients With Chronic Obstructive Pulmonary Disease [NCT00984659] | Phase 4 | 366 participants (Actual) | Interventional | 2009-10-29 | Completed |
Eosinophilic Esophagitis (EoE) Intervention Trial-Randomized 1 Food Elimination vs. 4 Food Elimination Diet Followed by Swallowed Glucocorticoids [NCT02610816] | Phase 2/Phase 3 | 67 participants (Actual) | Interventional | 2016-03-21 | Completed |
An Open-Label, Randomised, Two Treatment, Four-Way Cross-Over (Replicate Design), Two Sequence, Repeat Dose, Single Centre Study in Healthy Volunteers to Compare the Pharmacokinetics of Fluticasone Propionate/Salmeterol (100/50 mcg) Delivered Via the Low [NCT01890863] | Phase 1 | 36 participants (Actual) | Interventional | 2013-08-05 | Completed |
Pooled Analysis of Individual Subjects' Data After Combining the Data From the Bioequivalence Studies Conducted for Fluticasone Propionate 250 mcg and Salmeterol Xinafoate 50 mcg Inhalation Powder/Respirent Pharmaceuticals (Test, T) vs ADVAIR DISKUS® 250/ [NCT04790838] | | 82 participants (Actual) | Observational | 2019-06-02 | Completed |
Randomized Trial of the Safety of Dymista Nasal Spray and Fluticasone Propionate Nasal Spray in Children Ages >4 Years to <12 Years With Allergic Rhinitis [NCT01794741] | Phase 3 | 405 participants (Actual) | Interventional | 2013-02-28 | Completed |
A Multicenter, Randomized, 52-week, Double-blind, Parallelgroup, Active Controlled Study to Compare the Efficacy and Safety of QVM149 With QMF149 in Patients With Asthma [NCT02571777] | Phase 3 | 3,092 participants (Actual) | Interventional | 2015-12-08 | Completed |
A Randomised, Double-Blind, Placebo-Controlled, Cross-Over, Single-Centre Study to Investigate the Acute Lung Deflation Effects of Fluticasone Furoate/Vilanterol Inhalation Powder 100/25mcg Once Daily on Cardiac Biventricular Function and Arterial Stiffne [NCT01691885] | Phase 3 | 45 participants (Actual) | Interventional | 2012-11-30 | Completed |
A Dose-ranging Study of Fluticasone Furoate (FF) Inhalation Powder in Children Aged 5-11 Years With Asthma [NCT01563029] | Phase 2 | 597 participants (Actual) | Interventional | 2012-03-28 | Completed |
Effectiveness of Montelukast Versus Intranasal Fluticasone Propionate in the Management of Allergic Rhinitis Among Children 02 to 05 Years of Age [NCT04957927] | Phase 4 | 60 participants (Anticipated) | Interventional | 2020-12-12 | Recruiting |
A Multicenter, Randomized, Single Blind, Active Controlled, Parallel Group Study to Determine Efficacy and Safety of Nebulized Fluticasone Propionate 1mg BID Compared With Nebulized Budesonide 2mg BID Administered for 12 Weeks in Chinese Adult and Adolesc [NCT01687283] | Phase 3 | 316 participants (Actual) | Interventional | 2012-09-27 | Completed |
A Randomized, Double-blind, Double-dummy, Parallel Group, Multicenter Study of Once Daily Fluticasone Furoate/Vilanterol 100/25 mcg Inhalation Powder, Twice Daily Fluticasone Propionate/Salmeterol 250/50 mcg Inhalation Powder, and Twice Daily Fluticasone [NCT02301975] | Phase 3 | 1,526 participants (Actual) | Interventional | 2015-03-01 | Completed |
Comparison of Aerosolized Swallowed Fluticasone to Esomeprazole for the Treatment of Eosinophilic Esophagitis [NCT00895817] | | 42 participants (Actual) | Interventional | 2008-04-30 | Completed |
A Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Study to Examine the Bioequivalence Between Fluticasone Propionate 100 mcg and Salmeterol Xinafoate 50 mcg Inhalation Powder/Respirent Pharmaceuticals vs. SERETIDE D [NCT04124094] | Phase 1 | 36 participants (Actual) | Interventional | 2019-10-01 | Completed |
A Phase 2A, Single-Center, Randomized, Placebo-Controlled, Double-Blind Study to Assess the Efficacy of an Anti-Inflammatory Agent in Patients With Sinusitis [NCT02874144] | Phase 2 | 43 participants (Actual) | Interventional | 2016-06-20 | Completed |
A Randomized, Double-Blind, Parallel-Group, 12-Week Study to Evaluate the Anti-Inflammatory Effect of Fluticasone Propionate/Salmeterol DISKUS 250/50mcg BID Compared With Salmeterol DISKUS 50mcg Twice Daily in Subjects With Chronic Obstructive Pulmonary D [NCT00346749] | Phase 4 | 180 participants | Interventional | 2006-12-31 | Terminated(stopped due to The study was terminated due to difficulties with finding sites and subjects willing to participate.) |
A Single-Center, Randomized, Double-Masked, Parallel Study Comparing the Efficacy of Pataday® Once Daily Relief Extra Strength to Flonase® Allergy Relief in Reducing Ocular Itching in Subjects With Allergic Conjunctivitis [NCT05314621] | Phase 4 | 61 participants (Actual) | Interventional | 2021-12-31 | Completed |
A Phase III, Randomized, Multicenter, Parallel-group Clinical Trial for Examining the Therapeutic Equivalence Between Fluticasone Propionate 100 mcg and Salmeterol 50 mcg Inhalation Powder/Respirent Pharmaceuticals vs. ADVAIR DISKUS® 100/50 mcg Inhalation [NCT05664061] | Phase 3 | 451 participants (Anticipated) | Interventional | 2023-01-30 | Recruiting |
A 26-Week Open-Label Study to Assess the Long-Term Safety of Fluticasone Propionate Multidose Dry Powder Inhaler and Fluticasone Propionate/Salmeterol Multidose Dry Powder Inhaler in Patients 12 Years of Age and Older With Persistent Asthma [NCT02175771] | Phase 3 | 758 participants (Actual) | Interventional | 2014-07-31 | Completed |
A 16-Week Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter Study Evaluating the Efficacy and Safety of Intranasal Administration of 100, 200, and 400 μg of Fluticasone Propionate Twice a Day (Bid) Using a Novel Bi-directional Devi [NCT01624662] | Phase 3 | 323 participants (Actual) | Interventional | 2013-10-30 | Completed |
A Six-Period Crossover, Dose-Ranging Study to Evaluate the Efficacy and Safety of Four Doses of FS Spiromax (Fluticasone Propionate/Salmeterol Xinafoate Inhalation Powder) Administered as Single Doses Compared With Single Doses of Fluticasone Propionate S [NCT01772368] | Phase 2 | 72 participants (Actual) | Interventional | 2013-01-31 | Completed |
A Multicenter, Randomized, Double-blind, Parallel-group Study to Evaluate the Efficacy and Safety of the Addition of Umeclidinium Bromide (62.5mcg) Once-daily to Fluticasone Propionate/Salmeterol (250/50mcg) Twice-daily, Umeclidinium Bromide (125mcg) Once [NCT01772134] | Phase 3 | 617 participants (Actual) | Interventional | 2013-01-01 | Completed |
Individualized Therapy For Asthma in Toddlers [NCT01606306] | Phase 3 | 300 participants (Actual) | Interventional | 2013-02-28 | Completed |
A Randomised, Placebo-controlled, Double-blind, Two Period Crossover Study to Characterise the Exhaled Nitric Oxide Time Profile as a Biomarker of Airway Inflammation in Adult Asthma Patients Following Repeat Administration of Inhaled Fluticasone Furoate [NCT02712047] | Phase 2 | 28 participants (Actual) | Interventional | 2016-04-29 | Completed |
PD of Hydrofluoroalkane Propellant of Inhaled Fluticasone Propionate Following Administration in Pediatric Subjects 6-12 Months of Age With Asthma [NCT00370097] | Phase 1 | 16 participants (Actual) | Interventional | 2006-08-30 | Completed |
Budesonide Versus Fluticasone for Treatment of Eosinophilic Esophagitis [NCT02019758] | Phase 4 | 129 participants (Actual) | Interventional | 2015-01-01 | Completed |
Uncontrolled Lower Respiratory Symptoms in the World Trade Center Survivor Program [NCT02024204] | | 60 participants (Actual) | Interventional | 2014-04-09 | Completed |
A Randomized, Double-blind Placebo-controlled Study of Treatments With Salmeterol, Fluticasone Propionate and Their Combination to Evaluate Novel Endpoints in Patients With Chronic Obstructive Pulmonary Disease [NCT00358358] | Phase 4 | 163 participants (Actual) | Interventional | 2006-03-31 | Completed |
An Open-Label, Phase 2 Study to Evaluate the Activity of Belumosudil in Subjects With New Onset and Incipient Bronchiolitis Obliterans Syndrome Following Allogeneic Hematopoietic Cell Transplantation [NCT05922761] | Phase 2 | 45 participants (Anticipated) | Interventional | 2023-12-31 | Not yet recruiting |
A Repeat Dose, Randomised, Double Blind, 2-way Crossover Study to Assess the Safety and Systemic Exposure of an Investigational Formulation Compared to Concurrent Administration of Individual Fluticasone Propionate 50 and Salmeterol 50 DISKUS Inhalers in [NCT00364442] | Phase 1 | 12 participants (Actual) | Interventional | 2005-01-28 | Completed |
Randomised, Double Blind, Parallel Group Study to Assess the Bronchodilative and Bronchoprotective Properties of SERETIDE DISKUS® Inhaler 50/100 mcg Twice Daily vs FLIXOTIDE® Inhaler 200 mcg Twice Daily [NCT00370591] | Phase 4 | 48 participants (Actual) | Interventional | 2002-12-31 | Completed |
Biomarkers of Irritant-Induced and Allergic Asthma [NCT02740543] | Phase 2 | 18 participants (Actual) | Interventional | 2013-12-31 | Completed |
A Comparison of Budesonide Nasal Irrigation in Different Head Positions and Fluticasone Nasal Spray in Post-operative Functional Endoscopic Sinus Surgery Patients With Chronic Rhinosinusitis With Nasal Polyposis [NCT02194062] | | 32 participants (Actual) | Interventional | 2015-01-31 | Completed |
Mechanisms of Adverse Effects of Long-Acting Beta-Agonists in Asthma [NCT04503460] | Phase 4 | 24 participants (Anticipated) | Interventional | 2021-07-23 | Recruiting |
A 24-Week Open-Label Study Evaluating the Efficacy and Safety of OPN-375 186 μg Twice a Day (BID) in Adults With Bilateral Nasal Polyps Using Nasoendoscopic Video [NCT03591068] | Phase 3 | 11 participants (Actual) | Interventional | 2018-06-07 | Completed |
Airway Microbiome in Asthma: Relationships to Asthma Phenotype and Inhaled Corticosteroid Treatment [NCT01537133] | | 84 participants (Actual) | Interventional | 2012-10-31 | Completed |
SEAL (Stopping Eczema and ALlergy) Study: Prevent the Allergic March by Enhancing the Skin Barrier [NCT03742414] | Phase 2 | 875 participants (Anticipated) | Interventional | 2021-06-30 | Recruiting |
Evaluation of Mechanism(s)Limiting Expiratory Airflow in Chronic, Stable Asthmatics Who Are Non-smokers [NCT01225913] | Phase 4 | 50 participants (Anticipated) | Interventional | 2007-10-31 | Recruiting |
A Randomized, Double-blind, Parallel-group, Multicenter, Phase III Prospective Non-inferiority Clinical Trial to Assess Efficacy and Safety of Nasacort® Nasal Spray (Triamcinolone, 55µg) in Comparison With Flixonase® Nasal Spray (Fluticasone, 50 µg) in Ad [NCT03317015] | Phase 3 | 260 participants (Actual) | Interventional | 2016-11-30 | Completed |
MethaCholine Bronchoprovocation - Influence of High Potency Inhaled corticoSteroids in Asthma (MeCIS) Study [NCT00705341] | Phase 4 | 219 participants (Actual) | Interventional | 2009-01-31 | Completed |
A Single-Dose, Randomized, Open-Label, Crossover, Pivotal, Comparative Bioavailability Study of Synflutide HFA 250/25 Inhaler and SeretideTM 250 EvohalerTM in Healthy Volunteers With Charcoal Block [NCT02466503] | Phase 1 | 45 participants (Actual) | Interventional | 2014-08-31 | Completed |
A Comparative Study on the Efficacy of Different Stepping-down Therapy for Childhood Asthma [NCT04953741] | Phase 4 | 90 participants (Anticipated) | Interventional | 2021-08-01 | Not yet recruiting |
A 12-Week Study to Evaluate the Efficacy and Safety of Fluticasone Furoate/Vilanterol Inhalation Powder (FF/VI) 100/25 mcg Once Daily Compared With Vilanterol Inhalation Powder (VI) 25 mcg Once Daily in Subjects With Chronic Obstructive Pulmonary Disease [NCT02105974] | Phase 3 | 1,621 participants (Actual) | Interventional | 2014-04-07 | Completed |
A 12-Week, Double-Blind, Placebo-Controlled, Efficacy and Safety Study of Fluticasone Propionate Multidose Dry Powder Inhaler Compared With Fluticasone/Salmeterol Multidose Dry Powder Inhaler in Adolescent and Adult Patients With Persistent Asthma Symptom [NCT02141854] | Phase 3 | 882 participants (Actual) | Interventional | 2014-06-30 | Completed |
12-Month OL Evaluating the Safety of Intranasal Administration Fluticasone BID Using OptiNose Device in Subjects With CS With or Without Nasal Polyps [NCT01623310] | Phase 3 | 223 participants (Actual) | Interventional | 2013-09-30 | Completed |
Effect of Inhaled Mometasone/Formoterol Versus Inhaled Fluticasone/Salmeterol on Peripheral Airway Function in Asthma Patients [NCT02415179] | | 52 participants (Actual) | Interventional | 2015-05-31 | Completed |
The Role of Doxycycline in Management of Moderate to Severe Chronic Rhinosinusitis With Nasal Polyps [NCT02569437] | Phase 2 | 49 participants (Actual) | Interventional | 2014-09-30 | Terminated(stopped due to A high percentage of patients were dropping out of the study and were not able to complete the protocol.) |
Use of Mobile Devices and the Internet to Streamline an Asthma Clinical Trial [NCT02061280] | Phase 4 | 108 participants (Actual) | Interventional | 2013-10-31 | Completed |
Evaluating Factors Involved in Dymista's Superior Clinical Efficacy to Fluticasone Propionate in the Treatment of Seasonal Allergic Rhinitis [NCT02402465] | Phase 4 | 20 participants (Anticipated) | Interventional | 2015-02-28 | Recruiting |
24-week Study to Evaluate Efficacy and Safety of the Combination Budesonide / Indacaterol vs Fluticasone / Salmeterol in Patients With COPD [NCT02055352] | Phase 4 | 222 participants (Actual) | Interventional | 2014-05-30 | Completed |
A Randomized, Placebo-controlled, Parallel Panel Study to Assess the Effects of REGN3500, Dupilumab, and Combination of REGN3500 Plus Dupilumab on Markers of Inflammation After Bronchial Allergen Challenge in Patients With Allergic Asthma [NCT03112577] | Phase 1 | 32 participants (Actual) | Interventional | 2017-06-15 | Completed |
A Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Bioequivalence Study With Pharmacokinetic Endpoints Under Fasting Conditions to Examine the Bioequivalence Between Fluticasone Propionate 250 mcg and Salmeterol Xina [NCT05085587] | Phase 1 | 18 participants (Anticipated) | Interventional | 2021-10-01 | Active, not recruiting |
A Guideline Approach to Therapy Step-down Utilising Flutiform Change and Step-down [NCT02388373] | Phase 4 | 225 participants (Actual) | Interventional | 2014-07-31 | Completed |
Fluticasone Propionate Oral Dispersible Tablet Formulation in Eosinophilic Esophagitis: A Two-Part, Randomized, Double-blind, Placebo-Controlled Study of APT-1011 With an Open-label Extension, in Adult Subjects With Eosinophilic Esophagitis [NCT04281108] | Phase 3 | 143 participants (Actual) | Interventional | 2020-01-30 | Completed |
Multi-centre, Randomized, Double-blind, Parallel-group Study Evaluating the Effect of Fluticasone Furoate/ Vilanterol (FF/VI) Inhalation Powder Once Daily Compared With Vilanterol (VI) Inhalation Powder Once Daily on Bone Mineral Density (BMD) in Subjects [NCT01957150] | Phase 4 | 283 participants (Actual) | Interventional | 2014-01-28 | Completed |
Elocon vs Fluticasone in Localized Psoriasis [NCT00763529] | Phase 4 | 245 participants (Actual) | Interventional | 2003-01-01 | Completed |
The Effect of Inhaled Corticosteroids on Vocal Fold Nodules in Children: A Pilot Study [NCT03040596] | Phase 1 | 12 participants (Anticipated) | Interventional | 2017-03-01 | Recruiting |
Long-acting Beta Agonist Step Down Study [NCT01437995] | Phase 4 | 459 participants (Actual) | Interventional | 2012-03-31 | Completed |
A Randomised, Double-blind, Placebo-controlled (With Rescue Medication), Multi-centre Study to Evaluate the Efficacy and Safety of Inhaled Fluticasone Furoate in the Treatment of Persistent Asthma in Adults and Adolescents Not Currently Receiving Inhaled [NCT01436071] | Phase 3 | 248 participants (Actual) | Interventional | 2011-09-30 | Completed |
A Double-masked, Randomized, Parallel Group, Comparison of Olopatadine 0.6% and Fluticasone Proprionate 50mcg Nasal Sprays in a Two Week Seasonal Allergic Rhinitis Trial [NCT00691665] | Phase 4 | 130 participants (Actual) | Interventional | 2008-05-31 | Completed |
Multicentre, Randomized, Double-blind, Parallel Group Phase III Study to Assess Efficacy and Safety of Dymista® Compared to Azep® and Flixonase® Nasal Sprays in the Treatment of Chinese Patients With Allergic Rhinitis/Rhinoconjunctivitis [NCT03599791] | Phase 3 | 900 participants (Actual) | Interventional | 2018-06-29 | Completed |
Chronic Obstructive Pulmonary Disease (COPD)-Related Healthcare Utilization and Costs After Discharge From a Hospitalization or Emergency Department Visit on a Regimen of Fluticasone Propionate-Salmeterol Combination Versus Other Maintenance Therapies [NCT01332461] | | 5,677 participants (Actual) | Observational | 2009-11-30 | Completed |
A 3-Month Open-Label Multicenter Study Evaluating the Safety of Intranasal Administration of 400 μg of Fluticasone Propionate Twice a Day (BID) Using a Novel Bi-Directional Device in Subjects With Chronic Sinusitis With or Without Nasal Polyps [NCT01623323] | Phase 3 | 705 participants (Actual) | Interventional | 2013-09-30 | Completed |
An Open Label, Multi-centre, Post Marketing Surveillance to Observe the Safety and Effectiveness of ARNUITY Administered in Patients With Asthma in Usual Practice [NCT03595930] | | 668 participants (Actual) | Observational [Patient Registry] | 2018-09-21 | Completed |
Periostin-guided Withdrawal of Inhaled Corticosteroids in Patients With Non-eosinophilic Asthma [NCT03141424] | Phase 4 | 110 participants (Anticipated) | Interventional | 2022-06-01 | Recruiting |
A Dose-ranging Study of Vilanterol (VI) Inhalation Powder in Children Aged 5-11 Years With Asthma on a Background of Inhaled Corticosteroid Therapy [NCT01573767] | Phase 2 | 463 participants (Actual) | Interventional | 2012-04-30 | Completed |
A Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Study Under Fasting Conditions to Examine the Bioequivalence Between Fluticasone Propionate 250 mcg and Salmeterol Xinafoate 50 mcg Inhalation Powder/Respirent Pharm [NCT03820180] | Phase 1 | 34 participants (Actual) | Interventional | 2019-01-23 | Completed |
A Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Study Under Fasting Conditions to Examine the Bioequivalence Between Fluticasone Propionate 250 mcg and Salmeterol Xinafoate 50 mcg Inhalation Powder/Respirent Pharm [NCT04746040] | Phase 1 | 50 participants (Actual) | Interventional | 2021-01-18 | Active, not recruiting |
A 12-Week Dose-ranging Study to Evaluate the Efficacy and Safety of Fluticasone Propionate DPI Administered Twice Daily Compared With Placebo in Adolescent and Adult Subjects With Persistent Asthma Uncontrolled on Non-steroidal Therapy [NCT01479621] | Phase 2 | 909 participants (Actual) | Interventional | 2012-01-31 | Completed |
SAS115359, a Safety and Efficacy Study of Inhaled Fluticasone Propionate/Salmeterol Combination Versus Inhaled Fluticasone Propionate in the Treatment of Adolescent and Adult Subjects With Asthma [NCT01475721] | Phase 4 | 11,751 participants (Actual) | Interventional | 2011-11-18 | Completed |
An Exploratory Double-blind, Randomized, Vehicle-controlled, Paired Study to Evaluate the Efficacy and Safety of Concomitant Use of Elidel Cream 1% and Cutivate Cream 0.05% in Patients With Severe Lesions of Atopic Dermatitis (AD) [NCT00119158] | Phase 4 | 90 participants (Actual) | Interventional | 2004-10-31 | Completed |
A Randomized, Double-blind, Repeat Dose, Two Period Crossover Study to Evaluate the Safety and Tolerability, Pharmacokinetics, and Pharmacodynamics of Inhaled Fluticasone Furoate/Vilanterol 100/25 Micrograms in Children Aged 5 to 11 Years With Persistent [NCT01453023] | Phase 2 | 26 participants (Actual) | Interventional | 2011-10-31 | Completed |
Preventative Omalizumab or Step-up Therapy for Severe Fall Exacerbations (ICAC-20) [NCT01430403] | Phase 4 | 478 participants (Actual) | Interventional | 2011-09-30 | Completed |
Management of Recurrent Croup: Comparison Between Inhaled Fluticasone and Oral Prednisolone [NCT01748162] | Phase 3 | 10 participants (Actual) | Interventional | 2012-09-30 | Terminated |
A 26 Week, Randomized, Active-controlled Safety Study of Double-blind Formoterol Fumarate in Free Combination With an Inhaled Corticosteroid Versus an Inhaled Corticosteroid in Adolescent and Adult Patients With Persistent Asthma. [NCT01845025] | Phase 4 | 827 participants (Actual) | Interventional | 2013-05-31 | Terminated(stopped due to Due to the action to withdraw the Foradil Aerolizer NDA in US; study was discontinued. This was a commercial reason and not due to any change in benefit-risk.) |
A Double-Blind, Randomized, Double-Dummy, Multicenter Study to Evaluate and Compare Oral Montelukast and Inhaled Fluticasone in the Control of Asthma for 6- to 14-Year-Olds With Mild Persistent Asthma [NCT00489346] | Phase 3 | 994 participants (Actual) | Interventional | 2001-10-31 | Completed |
A Randomised, Double-blind, Double Dummy, 3 Way Cross-over Study Evaluating the Effects of ADOAIR 50/250mcg Twice Daily Plus Tiotropium Bromide 18mcg Once Daily Compared With the Individual Treatments (Tiotropium Bromide 18mcg Alone and ADOAIR 50/250mcg A [NCT01751113] | Phase 4 | 53 participants (Actual) | Interventional | 2013-02-28 | Completed |
A Phase III, 52 Week, Randomized, Double-blind, 3-arm Parallel Group Study, Comparing the Efficacy, Safety and Tolerability of the Fixed Dose Triple Combination FF/UMEC/VI With the Fixed Dose Dual Combinations of FF/VI and UMEC/VI, All Administered Once-d [NCT02164513] | Phase 3 | 10,355 participants (Actual) | Interventional | 2014-06-30 | Completed |
Randomized, Double-blind, Double-dummy, Active-controlled, 4 Period Complete Cross-over Study to Compare the Effect on Lung Function of 6 Weeks Once Daily Treatment With Orally Inhaled Tiotropium+Olodaterol Fixed Dose Combination Delivered by the Respimat [NCT01969721] | Phase 3 | 229 participants (Actual) | Interventional | 2013-10-31 | Completed |
Comparison of the Effect of Fluticasone Furoate Nasal Spray Versus Placebo on Allergic Mediators in the Tears of Subjects With Tree or Grass Pollen Allergy [NCT00891436] | Phase 4 | 20 participants (Actual) | Interventional | 2009-04-30 | Completed |
Randomized, Double-Blind Trial of MP29-02 Nasal Spray Compared to Placebo, Azelastine Hydrochloride Nasal Spray and Fluticasone Propionate Nasal Spray in the Treatment of Patients With Seasonal Allergic Rhinitis [NCT00883168] | Phase 3 | 1,791 participants (Actual) | Interventional | 2009-04-30 | Completed |
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 [NCT01706198] | Phase 3 | 4,233 participants (Actual) | Interventional | 2012-11-01 | Completed |
Comparison of Conventional Medicine, TCM Treatment and Combination of Both Conventional Medicine and TCM Treatment for Patients With Chronic Obstructive Pulmonary Disease: A Randomized Comparative Effectiveness Research Trial [NCT01836016] | Phase 3 | 360 participants (Anticipated) | Interventional | 2013-05-31 | Not yet recruiting |
SAPS:Smoking Asthmatics Pilot Study: [NCT01696214] | Phase 4 | 20 participants (Actual) | Interventional | 2012-10-31 | Completed |
The Effect of Vilanterol Against Methacholine-induced Bronchoconstriction in Mild Asthmatics [NCT03315000] | Phase 4 | 17 participants (Actual) | Interventional | 2017-10-13 | Completed |
DB2116134: A Randomized, Multi-center, Double-blind, Double-dummy, Parallel Group Study to Evaluate the Efficacy and Safety of Umeclidinium Bromide/Vilanterol Compared With Fluticasone Propionate/Salmeterol Over 12 Weeks in Subjects With COPD [NCT01822899] | Phase 3 | 717 participants (Actual) | Interventional | 2013-04-04 | Completed |
A Multi-center, Randomized, Double-blind, Double Dummy, Placebo and Active Controlled Crossover Study, to Investigate the 24 Hour FEV1 Profile of a Single Dose of QMF TWISTHALER Device in Adult Patients With Persistent Asthma [NCT00557440] | Phase 2 | 37 participants (Actual) | Interventional | 2007-11-30 | Completed |
A Double-blind, Placebo-controlled, Study Examining the Effect of Orally Administered QAW039 (450 mg QD) on FEV1 and ACQ in Non-atopic, Asthmatic Patients With a Baseline, Pre-bronchodilator FEV1 of 40-80% Predicted, Inadequately Controlled With Low Dose [NCT01836471] | Phase 2 | 345 participants (Actual) | Interventional | 2013-05-31 | Completed |
A Double-Blind (Incorporating an Open Label Comparator), 3-Period, Crossover Study to Determine the Pharmacokinetic Profile and Tolerability of Single Doses of Fluticasone Propionate Multidose Dry Powder Inhaler and Fluticasone Propionate/Salmeterol Multi [NCT02680561] | Phase 1 | 20 participants (Actual) | Interventional | 2016-04-30 | Completed |
A 26-week, Randomized, Double Blind, Parallel-group Multicenter Study to Assess the Efficacy and Safety of QVA149 (110/50 μg o.d.) vs Tiotropium (18 µg o.d.) + Salmeterol/Fluticasone Propionate FDC (50/500 µg b.i.d.) in Patients With Moderate to Severe CO [NCT02603393] | Phase 4 | 1,053 participants (Actual) | Interventional | 2015-11-20 | Completed |
A Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Study Under Fasting Conditions to Examine the Bioequivalence Between Fluticasone Propionate 100 mcg/Blister Oral Inhalation Powder/Respirent Pharmaceuticals vs. FLOV [NCT05021887] | Phase 1 | 50 participants (Anticipated) | Interventional | 2021-08-13 | Recruiting |
Evaluating the Control of COPD Symptoms in Patients Treated With Tiotropium Bromide 18mcg Once Daily Alone, ADOAIR 50/250mcg Twice Daily Alone or ADOAIR 50/250mcg Plus Tiotropium Bromide 18mcg [NCT01762800] | Phase 4 | 407 participants (Actual) | Interventional | 2013-02-28 | Completed |
A Double-Blind, Randomized, Placebo-Controlled, Parallel Group, Multi-Site Study to Compare the Therapeutic Equivalence of Fluticasone Propionate Nasal Spray, 50 mcg With Flonase® Nasal Spray in the Relief of the Signs and Symptoms of Seasonal Allergic Rh [NCT02246920] | Phase 3 | 1,474 participants (Actual) | Interventional | 2014-03-01 | Terminated(stopped due to Development Halted) |
Role of Montelukast in the Management of Chronic Rhinosinusitis With Nasal Polyps. [NCT05143502] | Phase 1/Phase 2 | 60 participants (Anticipated) | Interventional | 2022-01-01 | Active, not recruiting |
A Double Blind, Double Dummy, Randomized, Two Way Cross-over Study to Compare the Effects of Seretide® Evohaler (Supplied by Allen & Hanburys, UK) and a Generic Salmeterol/Fluticasone HFA pMDI (Manufactured by Cipla Ltd, India) on Functional Respiratory I [NCT01795664] | Phase 3 | 16 participants (Actual) | Interventional | 2013-03-31 | Completed |
A Randomized, Placebo-Controlled, Crossover Study to Assess the Effects of Inhaled Fluticasone on Markers of Inflammation After Allergen Challenge in Patients With Allergic Asthma [NCT00623714] | Phase 1 | 13 participants (Actual) | Interventional | 2008-01-31 | Completed |
The Pharmacokinetics of Inhaled Fluticasone Propionate Delivered as Monodisperse Aerosols [NCT00692978] | Phase 4 | 30 participants (Actual) | Interventional | 2008-08-31 | Completed |
Mechanism of Action of Fluticasone Furoate in Childhood Obstructive Sleep Apnea Syndrome [NCT00603044] | Phase 4 | 24 participants (Actual) | Interventional | 2008-01-31 | Completed |
Open Label Study to Assess the Pharmacokinetics of Intranasal Ketorolac Tromethamine Following Multiple Doses of Fluticasone Propionate in Healthy Subjects [NCT01365611] | Phase 1 | 36 participants (Actual) | Interventional | 2007-02-28 | Completed |
Study FFR116365, an Open-label Study of GW685698X in Paediatric Subjects With Perennial Allergic Rhinitis [NCT01622231] | Phase 3 | 61 participants (Actual) | Interventional | 2012-06-30 | Completed |
A Randomised, Double-blind, Double-dummy, Placebo Controlled Multi-centre Study to Evaluate the Efficacy and Safety of Fluticasone Furoate Inhalation Powder and Fluticasone Propionate Inhalation Powder in the Treatment of Asthma in Adults and Adolescents [NCT01436110] | Phase 3 | 351 participants (Actual) | Interventional | 2011-09-30 | Completed |
A Randomised, Double-blind, Double-dummy, Active-controlled Study Evaluating the Efficacy, Safety and Tolerability of Twice-daily Aclidinium Bromide/Formoterol Fumarate Compared With Twice-daily Salmeterol/Fluticasone Propionate for 24 Weeks Treatment in [NCT01908140] | Phase 3 | 933 participants (Actual) | Interventional | 2013-09-30 | Completed |
[NCT02230696] | Phase 3 | 951 participants (Actual) | Interventional | 2014-08-31 | Completed |
A Randomized, Double-blind, Double Dummy, Parallel Group Study to Determine the Local Equivalence of Multiple Doses of MGR001 to Advair Diskus Administered Via Oral Inhalation in Adult Asthma Patients [NCT02245672] | Phase 3 | 1,128 participants (Actual) | Interventional | 2014-10-31 | Completed |
A Randomised, Repeat-dose, Placebo-controlled, Three-way Crossover, Double Dummy Study to Evaluate and Compare the Efficacy of Fluticasone Furoate Inhalation Powder Delivered Via the Single Strip Dry Powder Inhaler When Administered Either in the Morning [NCT01808339] | Phase 2 | 28 participants (Actual) | Interventional | 2013-03-31 | Completed |
A Multicenter, Randomized, Double-blind, Parallelgroup Study to Evaluate the Efficacy and Safety of the Addition of Umeclidinium Bromide Inhalation Powder (62.5mcg) Once-daily to Fluticasone Propionate/Salmeterol (250/50mcg) Twice-daily, Umeclidinium Brom [NCT01772147] | Phase 3 | 608 participants (Actual) | Interventional | 2013-01-31 | Completed |
Optimizing Discharge After Emergency Department Visits for Children With Uncontrolled Asthma [NCT01881412] | | 118 participants (Actual) | Interventional | 2012-08-31 | Terminated(stopped due to Funding complete) |
Salmeterol Xinafoate and Fluticasone Propinate Powder for Inhalation for Asthma: A Randomized, Double-blind, Double-dummy, Positive-controlled, Parallel-group Trail [NCT03461627] | Phase 3 | 300 participants (Anticipated) | Interventional | 2017-04-01 | Recruiting |
Individualized Dosing Schedule of Inhaled Bronchodilator for Endotracheally Intubated Chronic Obstructive Pulmonary Disease Patients [NCT01933984] | | 51 participants (Actual) | Interventional | 2013-08-31 | Completed |
A 24-week Study to Evaluate the Efficacy and Safety of Fluticasone Furoate/Vilanterol Inhalation Powder Delivered Once Daily Via a Dry Powder Inhaler Compared With Placebo in Subjects of Asian Ancestry With Chronic Obstructive Pulmonary Disease [NCT01376245] | Phase 3 | 646 participants (Actual) | Interventional | 2011-04-30 | Completed |
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multi-Center Study to Assess the Efficacy of Once-Daily Fluticasone Propionate Aqueous Nasal Spray 200mcg for 14 Days on Ocular Symptoms Associated With Seasonal Allergic Rhinitis [NCT01817790] | Phase 3 | 626 participants (Actual) | Interventional | 2012-12-31 | Completed |
A 12-Week Study to Evaluate the 24-Hour Pulmonary Function Profile of Fluticasone Furoate/Vilanterol (FF/VI) Inhalation Powder 100/25 mcg Once Daily Compared With Fluticasone Propionate/Salmeterol Inhalation Powder 250/50 mcg Twice Daily in Subjects With [NCT01706328] | Phase 3 | 828 participants (Actual) | Interventional | 2012-10-15 | Completed |
A 6-month Safety and Benefit Study of Inhaled Fluticasone Propionate/ Salmeterol Combination Versus Inhaled Fluticasone Propionate in the Treatment of 6,200 Pediatric Subjects 4-11 Years Old With Persistent Asthma [NCT01462344] | Phase 4 | 6,250 participants (Actual) | Interventional | 2011-11-17 | Completed |
A Randomized, Multiple-Dose,Double-Blind,Crossover Trial to Assess the Systemic Exposure of Fluticasone Propionate (FP)/Formoterol Fumarate (FF) Fixed-Dose Combination in Subjects With Chronic Obstructive Pulmonary Disease (COPD) [NCT00774761] | Phase 2 | 97 participants (Actual) | Interventional | 2008-11-30 | Completed |
A Randomized, Double-blind, Active-controlled, Parallel Group, Stratified, Multi-center, 12-Week Study Comparing the Safety and Efficacy of Fluticasone and Formoterol Combination (FlutiForm™ 250/10ug Twice Daily) in a Single Inhaler (SkyePharma HFA pMDI) [NCT00649025] | Phase 3 | 438 participants (Actual) | Interventional | 2008-03-31 | Completed |
Clinical Endpoint Study of Salmeterol Xinafoate/Fluticasone Propionate Combination for Comparison of a Test and Reference Product in Patients With Asthma [NCT02260492] | Phase 1 | 879 participants (Actual) | Interventional | 2014-09-30 | Completed |
A 6-month, Open Label, Randomised, Efficacy Study to Evaluate Fluticasone Furoate (FF, GW685698)/Vilanterol (VI, GW642444) Inhalation Powder Delivered Once Daily Via the Dry Powder Inhaler ELLIPTA™ Compared With Usual ICS/LABA Maintenance Therapy Delivere [NCT02446418] | Phase 3 | 423 participants (Actual) | Interventional | 2015-07-09 | Completed |
A Pilot Study to Investigate Pharmacokinetic Characteristics After Co-administration of HCP0910 and HGP1011 [NCT02441114] | Phase 1 | 10 participants (Actual) | Interventional | 2015-07-31 | Completed |
A Double-Blind Placebo-Controlled Crossover Study to Evaluate Objective Changes in Nasal Airflow of Loratadine/Pseudoephedrine Tablet and Fluticasone Propionate Nasal Spray in Subjects Following Allergen Exposure in an Environmental Exposure Unit [NCT03443843] | Phase 4 | 82 participants (Actual) | Interventional | 2018-02-21 | Completed |
A Double Blind, Double Dummy, Randomised, Multicentre, Two Arm Parallel Group Study to Assess the Efficacy and Safety of FLUTIFORM® pMDI (2 Puffs Bid) vs Seretide® pMDI (2 Puffs Bid) in Subjects Aged ≥12 Years With Moderate to Severe Persistent, Reversibl [NCT03387241] | Phase 3 | 330 participants (Anticipated) | Interventional | 2017-06-02 | Recruiting |
The Use of Topical Nasal Steroids for Skin Reactions to Continuous Glucose Monitoring System, Among Children and Youth With Type 1 Diabetes Mellitus: Case Series [NCT03594565] | Early Phase 1 | 13 participants (Actual) | Interventional | 2016-03-31 | Completed |
A 12-Week, Double-Blind, Placebo-Controlled, Efficacy and Safety Study of Fluticasone Propionate Multidose Dry Powder Inhaler Compared With Fluticasone/Salmeterol Multidose Dry Powder Inhaler in Adolescent and Adult Patients With Persistent Asthma Symptom [NCT02139644] | Phase 3 | 787 participants (Actual) | Interventional | 2014-06-30 | Completed |
201135 : A Randomised, Double-blind, Multicenter, Parallel-group Study to Compare the Efficacy and Safety of Fluticasone Furoate (FF) 100 mcg Once Daily With Fluticasone Propionate (FP) 250 mcg Twice Daily (BD) and FP 100 mcg BD in Well-controlled Asthmat [NCT02094937] | Phase 3 | 430 participants (Actual) | Interventional | 2014-03-27 | Completed |
A 16-Week Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter Study Evaluating the Efficacy and Safety of Intranasal Administration of 100, 200, and 400 μg of Fluticasone Propionate Twice a Day (BID) Using a Novel Bi Directional Devi [NCT01622569] | Phase 3 | 323 participants (Actual) | Interventional | 2013-11-19 | Completed |
Biologics and Blistering - Using a Contact Dermatitis Model With Biologic Medications to Study Skin Inflammation Through Suction Blistering [NCT05535738] | Phase 2/Phase 3 | 45 participants (Anticipated) | Interventional | 2022-11-15 | Recruiting |
Airway and Pulmonary Vascular Endothelial Function in Healthy Smokers: Effect of Inhaled Glucocorticosteroid Treatment [NCT02141633] | | 31 participants (Actual) | Interventional | 2013-04-30 | Completed |
Best African American Response to Asthma Drugs [NCT01967173] | Phase 3 | 574 participants (Actual) | Interventional | 2014-02-28 | Completed |
Step-up Yellow Zone Inhaled Corticosteroids to Prevent Exacerbations [NCT02066129] | Phase 3 | 254 participants (Actual) | Interventional | 2014-07-31 | Completed |
Randomized, Parallel, Placebo-controlled, Multiple Dose, Multicenter Study to Compare the Efficacy of Fluticasone/Salmeterol (Test) to Advair® Diskus (GSK) in Adult Asthma Patients [NCT02496715] | Phase 3 | 0 participants (Actual) | Interventional | 2015-09-30 | Withdrawn(stopped due to Development terminated.) |
A Randomised, Double-blind, Parallel Group, Multicentre Study to Compare the Efficacy of Fluticasone Furoate/Vilanterol 100/25mcg Versus Fluticasone Furoate 100mcg on Asthma Control in Patients With Uncontrolled Asthma [NCT03363191] | Phase 4 | 0 participants (Actual) | Interventional | 2018-03-07 | Withdrawn(stopped due to The study was withdrawn due to an internal decision.) |
Comparison of Efficacy and Safety of Salmeterol/Fluticasone 50/500 mcg Inhalation Powder Treatment Administered Via Capsair and Original Product Seretide Diskus 500 mcg Inhalation Powder Treatment in Patients With Moderate-severe Chronic Obstructive Pulmo [NCT03363503] | Phase 4 | 64 participants (Actual) | Interventional | 2018-04-13 | Terminated(stopped due to Adequate number of patients could not be reached in the relevant centers.) |
Physiological Response to U-LABA/ICS With Emphasis on Exercise Performance, Vilanterol [NCT06066606] | | 30 participants (Anticipated) | Interventional | 2023-10-05 | Recruiting |
Pharmacokinetic Study Comparing Salmeterol/Fluticasone Easyhaler 50/250 µg/Dose Products and Seretide Diskus 50/250 µg/Dose in Healthy Subjects [NCT03238482] | Phase 1 | 64 participants (Actual) | Interventional | 2017-08-16 | Completed |
A 26-week Treatment Randomized, Double-blind, Double Dummy, Parallel-group Study to Assess the Efficacy and Safety of QVA149 (Indacaterol / Glycopyrronium Bromide) Compared to Fluticasone/Salmeterol in Patients With Moderate to Severe COPD [NCT01709903] | Phase 3 | 744 participants (Actual) | Interventional | 2012-11-30 | Completed |
DB2114930: A Randomized, Multi-center, Double-blind, Double-dummy, Parallel Group Study to Evaluate the Efficacy and Safety of Umeclidinium/Vilanterol Compared With Fluticasone Propionate/Salmeterol Over 12 Weeks in Subjects With COPD [NCT01817764] | Phase 3 | 707 participants (Actual) | Interventional | 2013-03-01 | Completed |
Medical vs Surgical Treatment Decision in Pediatric Obstructive Sleep Apnea Using Sleep Questionnaire [NCT05651750] | Phase 4 | 90 participants (Anticipated) | Interventional | 2022-11-15 | Recruiting |
Study FFR116364, a Double-blind, Placebo-controlled Study of GW685698X in Paediatric Subjects With Perennial Allergic Rhinitis [NCT01630135] | Phase 3 | 261 participants (Actual) | Interventional | 2012-06-30 | Completed |
A 12-Week Study to Evaluate the 24-Hour Pulmonary Function Profile of Fluticasone Furoate /Vilanterol (FF/VI) Inhalation Powder 100/25mcg Once-Daily Via a Novel Dry Powder Inhaler Compared With Tiotropium Bromide Inhalation Powder 18mcg Delivered Once-Dai [NCT01627327] | Phase 3 | 623 participants (Actual) | Interventional | 2012-04-01 | Completed |
Utility of Nasal Steroids for Treatment of Childhood Obstructive Sleep Apnea [NCT02180672] | Phase 3 | 211 participants (Actual) | Interventional | 2014-09-30 | Completed |
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Trial | Outcome |
NCT00079937 (6) [back to overview] | Change in Mean Nocturnal Asthma Symptom Score From Baseline to the End (Last 4 Weeks) of the 24-week Fixed-dose Steroid Treatment Period |
NCT00079937 (6) [back to overview] | Change in Mean Daily Number of Puffs of Asthma Rescue Medication From Baseline to the End (Last 4 Weeks) of the 24-week Fixed-dose Steroid Treatment Period |
NCT00079937 (6) [back to overview] | Percentage of Participants With at Least 1 Adverse Event |
NCT00079937 (6) [back to overview] | Rate of Clinically Significant Asthma Exacerbations Per Patient in the 24-week Fixed-dose Steroid Treatment Period |
NCT00079937 (6) [back to overview] | Rate of Clinically Significant Asthma Exacerbations Per Patient in the 52-week Treatment Period |
NCT00079937 (6) [back to overview] | Change in Pediatric Asthma Quality of Life Questionnaire (Standardized) [PAQLQ(S)] Scores From Baseline to the End of the 24-week Fixed-dose Steroid Treatment Period (Week 24) |
NCT00118716 (7) [back to overview] | Percent of Symptom-free Days |
NCT00118716 (7) [back to overview] | Four-hour Serial Post-dose FEV1 Area Under the Curve (AUC) on Treatment Day 1 |
NCT00118716 (7) [back to overview] | Percent of Rescue-free Days |
NCT00118716 (7) [back to overview] | Maximal Percent Change in Forced Expiratory Volume in 1 Second (FEV1) Following Exercise Challenge at Week 4 |
NCT00118716 (7) [back to overview] | Change From Baseline in Morning Peak Expiratory Flow (AM PEF) |
NCT00118716 (7) [back to overview] | Change From Baseline in Evening (PM) PEF |
NCT00118716 (7) [back to overview] | Change From Baseline in Pediatric Asthma Quality of Life Questionnaire (PAQLQ) |
NCT00119015 (5) [back to overview] | Change From Baseline in Total Nasal Symptom Score (TNSS) Over 2 Week Randomized Treatment Period |
NCT00119015 (5) [back to overview] | Change From Baseline in Sneezing Symptom Score Over 2 Week Randomized Treatment Period |
NCT00119015 (5) [back to overview] | Change From Baseline in Runny Nose Symptom Score Over 2 Week Randomized Treatment Period |
NCT00119015 (5) [back to overview] | Change From Baseline in Other Symptom Score Over 2 Week Randomized Treatment Period |
NCT00119015 (5) [back to overview] | Change From Baseline in Stuffy Nose Symptom Score Over 2 Week Randomized Treatment Period |
NCT00119158 (2) [back to overview] | The Time to Clearance of the Disease |
NCT00119158 (2) [back to overview] | Change From Baseline in the m-EASI (Eczema Area Severity Index) Score. |
NCT00127166 (5) [back to overview] | Maximum Post-exercise Percent (%) Fall in FEV1 |
NCT00127166 (5) [back to overview] | Time to Recovery to Within 5% of Baseline FEV1 |
NCT00127166 (5) [back to overview] | Maximum FEV1 % Predicted Following First Beta-agonist Use |
NCT00127166 (5) [back to overview] | Average (Avg) %-Change in FEV1 After First Beta (β)-Agonist Use and Prior to Second β-agonist Use |
NCT00127166 (5) [back to overview] | Area Under the Curve for %-Change From Pre-exercise Baseline FEV1 in Liters (L), From 0 to 20 Minutes (AUC(0-20)) |
NCT00156819 (1) [back to overview] | Treatment Failure |
NCT00197106 (9) [back to overview] | Mean Change From Baseline in Percentage Predicted Forced Expiratory Volume in One Second (FEV1) at Week 26 |
NCT00197106 (9) [back to overview] | Percentage of Symptom-free Days During the Entire Treatment Period |
NCT00197106 (9) [back to overview] | Percentage of Symptom-free Days During the Last 10 Weeks of the Treatment Period |
NCT00197106 (9) [back to overview] | Percent Change From Baseline in RINT Measurements at Week 26 |
NCT00197106 (9) [back to overview] | Mean Change From Baseline in Provocation Dose (PD20) Causing a 20% Fall in FEV1 at Week 26 |
NCT00197106 (9) [back to overview] | Geometric Means of Nitric Oxide (NO) at Week 26 |
NCT00197106 (9) [back to overview] | Mean Change From Baseline in Forced Vital Capacity (FVC) at Week 26 |
NCT00197106 (9) [back to overview] | Number of Asthma Exacerbations Per Treatment Group at Week 26 |
NCT00197106 (9) [back to overview] | Mean Change From Baseline in Midexpiratory Flow (MEF 50) at Week 26 |
NCT00214019 (1) [back to overview] | Sputum Eosinophils (EOS) 24 Hours Post Antigen Challenge |
NCT00241631 (3) [back to overview] | Interleukin 8 (IL8) |
NCT00241631 (3) [back to overview] | Sputum Inflammatory Cell Counts |
NCT00241631 (3) [back to overview] | Total Sputum Eosinophils |
NCT00269087 (25) [back to overview] | Mean Change From Baseline in Pulse Rate |
NCT00269087 (25) [back to overview] | Mean Change From Baseline in Peak Expiratory Flow (PEF) |
NCT00269087 (25) [back to overview] | Mean Area Under the Plasma Concentration-time Curve From Zero up to the Last Quantifiable Plasma Concentration [AUC (0-t)] of Salmeterol |
NCT00269087 (25) [back to overview] | Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) |
NCT00269087 (25) [back to overview] | Number of Participants With Any Adverse Events (AEs) and Serious AEs (SAEs) |
NCT00269087 (25) [back to overview] | Number of Participants With Abnormal Oropharyngeal Examination Findings |
NCT00269087 (25) [back to overview] | Number of Participants With Abnormal (Outliers From the Normal Range) Clinical Chemistry Parameters |
NCT00269087 (25) [back to overview] | Number of Participants With Abnormal (Shift From Baseline) Urinalysis Parameters |
NCT00269087 (25) [back to overview] | Number of Participants With Abnormal (Outliers From the Normal Range) Hematology Parameters |
NCT00269087 (25) [back to overview] | Number of Participants With Abnormal (Clinically Significant) Ophthalmological Examinations Findings |
NCT00269087 (25) [back to overview] | Number of Participants With Abnormal (Clinically Significant) Electrocardiogram (ECG) Findings |
NCT00269087 (25) [back to overview] | Mean Level of Plasma Cortisol 2 |
NCT00269087 (25) [back to overview] | Mean Change From Baseline in Weight |
NCT00269087 (25) [back to overview] | Mean Change From Baseline in Maximal Expiratory Flow Rate at 25% (V25) and 50% (V50) of Vital Capacity |
NCT00269087 (25) [back to overview] | Mean Change From Baseline in Level of Plasma Cortisol 1 |
NCT00269087 (25) [back to overview] | Mean Change From Baseline in Forced Vital Capacity (FVC) |
NCT00269087 (25) [back to overview] | Mean Change From Baseline in Bone Mineral Density (BMD) |
NCT00269087 (25) [back to overview] | Change From Baseline in Symptom Score With Respect to Breathlessness, Cough, Sputum and Nighttime Awakenings |
NCT00269087 (25) [back to overview] | Median Tmax of Salmeterol |
NCT00269087 (25) [back to overview] | Median Time of Observed Maximum Plasma Concentration (Tmax) of FP |
NCT00269087 (25) [back to overview] | Mean Observed Maximum Plasma Concentration (Cmax) of Fluticasone Propionate (FP) |
NCT00269087 (25) [back to overview] | Mean Frequency of Moderate and Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbations |
NCT00269087 (25) [back to overview] | Mean Cmax of Salmeterol |
NCT00269087 (25) [back to overview] | Mean Change From Baseline in Percent of Days Without Use of Rescue Medication |
NCT00269087 (25) [back to overview] | Mean Area Under the Plasma Concentration-time Curve Over a Dosing Interval [AUC(0-tau)] of FP |
NCT00275561 (3) [back to overview] | Number of Participants With Partial or Complete Response to Dysphagia |
NCT00275561 (3) [back to overview] | Number of Participants With Complete Response to Dysphagia |
NCT00275561 (3) [back to overview] | Number of Participants With Complete Histologic Response |
NCT00284856 (3) [back to overview] | Change From Baseline in Mean Daytime Symptom Score Over a 6-month Treatment Period |
NCT00284856 (3) [back to overview] | Change From Baseline in Average Morning (AM) PEFR (Peak Expiratory Flow Rate) Over a 6-month Treatment Period |
NCT00284856 (3) [back to overview] | Percentage of Asthma-control Days Over the 6-month Treatment Period |
NCT00294398 (2) [back to overview] | Number of Inhaled Corticosteroid (ICS) Prescriptions Refilled (Confirmed by Primary Care Physician) |
NCT00294398 (2) [back to overview] | Asthma-related Quality of Life |
NCT00296491 (10) [back to overview] | Asthma: Mean Change From Baseline at Endpoint in Predose Morning Forced Expiratory Volume (FEV1) for Intent-to-Treat Population |
NCT00296491 (10) [back to overview] | Asthma: Mean Change From Baseline at Endpoint in Percentage of Asthma Symptom-Free Days for Per Protocol Population |
NCT00296491 (10) [back to overview] | Asthma: Mean Change From Baseline at Endpoint in Percentage of Albuterol/Salbutamol-Free Days for Per Protocol Population |
NCT00296491 (10) [back to overview] | Asthma: Mean Change From Baseline at Endpoint in Percentage of Albuterol-Salbutamol Free Days for Intent-to-Treat Population |
NCT00296491 (10) [back to overview] | Asthma: Mean Change From Baseline at Endpoint in Percentage of Asthma Symptom-Free Days for Intent-to-Treat Population |
NCT00296491 (10) [back to overview] | Rhinitis: Mean Change From Baseline at 1-2 Weeks in Nightime Total Nasal Symptom Scores (N-TNSS) |
NCT00296491 (10) [back to overview] | Rhinitis: Mean Change From Baseline at 1-2 Weeks in Daytime Total Nasal Symptom Scores (D-TNNS). |
NCT00296491 (10) [back to overview] | Mean Change From Baseline at Endpoint in Morning Peak Expiratory Flow (PEF) for Per Protocol Population |
NCT00296491 (10) [back to overview] | Mean Change From Baseline at Endpoint in Morning Peak Expiration Flow (PEF) for Intent-to-Treat Population |
NCT00296491 (10) [back to overview] | Asthma: Mean Change From Baseline at Endpoint in Predose Morning Forced Expiratory Volume (FEV1) for Per Protocol Population |
NCT00306163 (1) [back to overview] | PC20 AMP (Post-treatment Compared to Baseline) |
NCT00318708 (7) [back to overview] | AM Peak Expiratory Flow (PEF) |
NCT00318708 (7) [back to overview] | Methacholine Provocative Concentration (PC20) |
NCT00318708 (7) [back to overview] | Juniper Asthma Control Questionnaire (ACQ) Results |
NCT00318708 (7) [back to overview] | Forced Expiratory Volume in One Second (FEV1) |
NCT00318708 (7) [back to overview] | Exhaled Nitric Oxide (eNO) |
NCT00318708 (7) [back to overview] | Asthma Rescue Medication Use |
NCT00318708 (7) [back to overview] | Asthma Quality of Life Questionnaire (AQLQ) |
NCT00353873 (4) [back to overview] | Mean Change From Baseline in Morning PEF Over 12 Weeks in Per Protocol (PP) Population |
NCT00353873 (4) [back to overview] | Number of Participants Who Achieved 'Totally Controlled' (TC) Asthma |
NCT00353873 (4) [back to overview] | Number of Participants Who Achieved WC Asthma |
NCT00353873 (4) [back to overview] | Mean Change From Baseline in Morning Peak Expiratory Flow (PEF) Over 12 Weeks in Intent-to-treat (ITT) Population |
NCT00355342 (2) [back to overview] | Percent Change From Baseline in BMD at the Total Hip |
NCT00355342 (2) [back to overview] | Percent Change From Baseline in Bone Mineral Density (BMD) at the Lumbar Spine L1-L4 |
NCT00363480 (17) [back to overview] | Assessment of Tolerability by Number of Participants With at Least One Treatment Emergent Serious and, Non-serious AE |
NCT00363480 (17) [back to overview] | Change From Baseline in Number of Additional Usage of Salbutamol at Week 12 |
NCT00363480 (17) [back to overview] | Change From Baseline in Percentage of Participants With ACT Score of 20-25 at Week 12 |
NCT00363480 (17) [back to overview] | Number of Participants With Emergency Visits Due to Asthma |
NCT00363480 (17) [back to overview] | Number of Participants With Well Controlled and Totally Controlled Asthma at Week 12 |
NCT00363480 (17) [back to overview] | Percentage of Well Controlled Participants as Per Gaining Optimal Asthma Control (GOAL) Criteria After 12 Week Compared to Percentage of Participants With Asthma Control Test (ACT) Score of 20-25 for Week 9 to Week 12 |
NCT00363480 (17) [back to overview] | Correlation of Change in AQLQ Score and Change in ACT Score |
NCT00363480 (17) [back to overview] | Number of Participants With Occurrence of (Near-) Incidents Associated With Peak Flow Measurements |
NCT00363480 (17) [back to overview] | Percent Change From Baseline in Number of Nights With no Nocturnal Awakening at Week 12 |
NCT00363480 (17) [back to overview] | Assessment of Tolerability by Change From Baseline of Pulse Rate |
NCT00363480 (17) [back to overview] | Change From Baseline in Quality of Life Using the Asthma Quality of Life Questionnaire (AQLQ) |
NCT00363480 (17) [back to overview] | Change From Baseline in Mean Morning Percent Predicted Peak Expiratory Flow (PEF) at Week 12 |
NCT00363480 (17) [back to overview] | Change From Baseline in Mean ACT Score at Visit 6 |
NCT00363480 (17) [back to overview] | Change From Baseline in Mean 24-hour Symptom Score at Week 12 |
NCT00363480 (17) [back to overview] | Assessment of Tolerability by Change From Baseline of Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) |
NCT00363480 (17) [back to overview] | Change From Baseline in Forced Expiratory Volume (FEV1) to Week 12 |
NCT00363480 (17) [back to overview] | Number of Participants With Adverse Events (AE) Leading to a Change in Asthma Treatment |
NCT00379288 (1) [back to overview] | The Number of All Randomized Subjects Reporting Adverse Events (AEs). |
NCT00387036 (2) [back to overview] | Standardized Dyspnea Score at Isotime During Exercise |
NCT00387036 (2) [back to overview] | Exercise Endurance Time |
NCT00394355 (4) [back to overview] | Mean Percent Change in the Femoral Neck BMD From the Averaged Baseline Value to the Averaged Value at the Endpoint of Treatment Time Point |
NCT00394355 (4) [back to overview] | Mean Percent Change in the Left Total Femur From the Averaged Baseline Value to the Averaged Value at the Endpoint of Treatment Time Point |
NCT00394355 (4) [back to overview] | Summary of Change From Baseline to Endpoint in FEV1 (Forced Expiratory Volume in One Second). |
NCT00394355 (4) [back to overview] | Mean Percent Change in Lumbar Spine Bone Mineral Density (BMD) From the Averaged Baseline Value to the Endpoint of Treatment Time Point |
NCT00395304 (14) [back to overview] | Change From Baseline in the Logarithm Base 2 of the Methacholine PC20 |
NCT00395304 (14) [back to overview] | Change From Baseline in the Asthma Control Test (ACT) |
NCT00395304 (14) [back to overview] | Change From Baseline in the Impulse Oscillometry Resistance at 5 Hertz |
NCT00395304 (14) [back to overview] | Change From Baseline in the Evening Peak Expiratory Flow Rate (PEFR) % Predicted |
NCT00395304 (14) [back to overview] | Number of Participants With Asthma Exacerbations |
NCT00395304 (14) [back to overview] | Change From Baseline in the Pre-bronchodilator Forced Expiratory Volume in One Second (FEV1) % Predicted |
NCT00395304 (14) [back to overview] | Change From Baseline in the Pre-bronchodilator FEV1/FVC Ratio |
NCT00395304 (14) [back to overview] | Change From Baseline in Asthma Quality of Life |
NCT00395304 (14) [back to overview] | Change From Baseline in the Pre-bronchodilator Forced Vital Capacity (FVC) % Predicted |
NCT00395304 (14) [back to overview] | The Number of Participants With a Differential Response to the Three Step-up Therapies Based on Fixed Threshold Criteria for the Following Three Asthma Control Measures: Use of Oral Prednisone for Acute Asthma Exacerbations, Asthma Control Days and FEV1. |
NCT00395304 (14) [back to overview] | Change From Baseline in the Post-bronchodilator FEV1 Percent Predicted |
NCT00395304 (14) [back to overview] | Change From Baseline in the Peak Expiratory Flow Rate (PEFR) Variability |
NCT00395304 (14) [back to overview] | Change From Baseline in the Natural Logarithm of Exhaled Nitric Oxide (eNO) |
NCT00395304 (14) [back to overview] | Change From Baseline in the Morning Peak Expiratory Flow Rate (PEFR) % Predicted |
NCT00398476 (18) [back to overview] | Number of Participants With Preference for Satisfaction With Scent/Odor in DAQ |
NCT00398476 (18) [back to overview] | Number of Participants Satisfied With Product in DAQ |
NCT00398476 (18) [back to overview] | Number of Participants Who Satisfied Not to Have Scent/Odor in IAQ |
NCT00398476 (18) [back to overview] | Number of Participants Satisfied With an After Taste in DAQ |
NCT00398476 (18) [back to overview] | Number of Participants Reported Product Make Want to Sneeze in IAQ |
NCT00398476 (18) [back to overview] | Number of Participants Reported Product Have an Immediate Taste in IAQ |
NCT00398476 (18) [back to overview] | Number of Participants Reported Product Have an After Taste in DAQ |
NCT00398476 (18) [back to overview] | Number of Participants Satisfied With an Immediate Taste in IAQ |
NCT00398476 (18) [back to overview] | Overall Participants Preference for Nasal Spray Based on Selected Product Attributes at the End of Crossover Dosing |
NCT00398476 (18) [back to overview] | Number of Participants With Preference for Scent/Odor in IAQ and DAQ |
NCT00398476 (18) [back to overview] | Number of Participants With Preference for Satisfaction With Scent/Odor in IAQ |
NCT00398476 (18) [back to overview] | Number of Participants Reported Nasal Irritation in DAQ |
NCT00398476 (18) [back to overview] | Number of Participants Reported Nasal Irritation Bothersome in DAQ |
NCT00398476 (18) [back to overview] | Number of Participants Reported Medicine Run Out of Nose in IAQ and DAQ |
NCT00398476 (18) [back to overview] | Number of Participants Who Satisfied Not to Have Scent/Odor in DAQ |
NCT00398476 (18) [back to overview] | Number of Participants Reported Medicine Run Down Throat in IAQ and DAQ |
NCT00398476 (18) [back to overview] | Number of Participants Comply With Product if Prescribed in DAQ |
NCT00398476 (18) [back to overview] | Number of Participants Reported Product Feel Soothing in IAQ and DAQ |
NCT00424008 (4) [back to overview] | Onset-of-action Based on Change From Baseline FEV1 at the 5 Min Pulmonary Function Test (PFT) Assessment on Day 1 |
NCT00424008 (4) [back to overview] | Change From Baseline in Asthma Control Questionnaire (ACQ) Total Score at Week 12 Endpoint |
NCT00424008 (4) [back to overview] | The Area Under the Curve From 0 to 12 Hours [AUC](0-12 hr) of the Change From Baseline to the Week 12 Endpoint in Forced Expiratory Volume in One Second (FEV1) |
NCT00424008 (4) [back to overview] | The Proportion of Symptom-free Days and Nights (Combined) Over the 12-week Treatment Period. |
NCT00426283 (6) [back to overview] | Percentage of Participants Who Attained Remission. |
NCT00426283 (6) [back to overview] | Percent of Participants With Decreased Cortisol Levels After 3 Months |
NCT00426283 (6) [back to overview] | Association of Subject Age, Body Mass Index Z-score, and Allergic Status to Response to Flovent |
NCT00426283 (6) [back to overview] | Association of Compliance With Therapy and Response to Flovent |
NCT00426283 (6) [back to overview] | EoE Score After 3 Months |
NCT00426283 (6) [back to overview] | Percent of Participants With Abdominal Pain After Therapy |
NCT00435461 (10) [back to overview] | Mean Change From Baseline Over the Two-week Treatment Period in Nighttime Symptoms Score (NSS) |
NCT00435461 (10) [back to overview] | Mean Change From Baseline Over the Two-week Treatment Period in Pre-dose Instantaneous Total Nasal Symptom Score (Pre-dose iTNSS) and Pre-dose Instantaneous Total Ocular Symptom Scores (Pre-dose iTOSS) |
NCT00435461 (10) [back to overview] | Mean Change From Baseline Over the Two-week Treatment Period in Peak NasalIinspiratory Flow (PNIF) |
NCT00435461 (10) [back to overview] | Mean Change From Baseline Over the Two-week Treatment Period in Nighttime Reflective Total Ocular Symptom Scores (N-rTOSS) |
NCT00435461 (10) [back to overview] | Mean Change From Baseline Over the Two-week Treatment Period in Nighttime Reflective Total Nasal Symptom Scores (N-rTNSS) and Component Nasal Symptoms Score |
NCT00435461 (10) [back to overview] | Mean Change From Baseline Over the Two-week Treatment Period in Daytime Reflective Total Ocular Symptom Scores (D-rTOSS) |
NCT00435461 (10) [back to overview] | Mean Change From Baseline Over the Two-week Treatment Period in D-rTNSS |
NCT00435461 (10) [back to overview] | Mean Change From Baseline Over the Two-week Treatment Period in 24-hour Reflective Total Ocular Symptom Scores (24-hour rTOSS) |
NCT00435461 (10) [back to overview] | Mean Change From Baseline Over the Two-week Treatment Period in 24-hour Reflective Total Nasal Symptom Scores (24-hour rTNSS) and Component Nasal Score |
NCT00435461 (10) [back to overview] | Mean Change From Baseline for Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ) |
NCT00441441 (24) [back to overview] | Albuterol Use |
NCT00441441 (24) [back to overview] | AM Peak Expiratory Flow |
NCT00441441 (24) [back to overview] | Asthma Exacerbations: Worsening of Asthma Requiring Emergency Intervention, Hospitalization, or Treatment With Asthma Medications Prohibited by the Protocols |
NCT00441441 (24) [back to overview] | Asthma Symptom Scores |
NCT00441441 (24) [back to overview] | Cardiovascular Adverse Events Reported During the Post-Treatment Period |
NCT00441441 (24) [back to overview] | Cardiovascular Adverse Events Reported During Treatment Period |
NCT00441441 (24) [back to overview] | Clinic Morning (AM) Forced Expiratory Volume in Participants 6-11 Years |
NCT00441441 (24) [back to overview] | Clinically Significant Unfavorable ECGs at Week 12 |
NCT00441441 (24) [back to overview] | Possible Drug-Related Adverse Events |
NCT00441441 (24) [back to overview] | ECG Measures - Heart Rate |
NCT00441441 (24) [back to overview] | Percentage of Symptom Free Days |
NCT00441441 (24) [back to overview] | Percent of Albuterol-free Days |
NCT00441441 (24) [back to overview] | Number of Participants With the Indicated Levels of 24-hour Urinary Cortisol Excretion |
NCT00441441 (24) [back to overview] | Number of Participants With the Indicated Levels of 24 Hour Urinary Cortisol Excretion by Spacer Use |
NCT00441441 (24) [back to overview] | Investigator Evaluations of Electrocardiogram (ECG) Results |
NCT00441441 (24) [back to overview] | Geometric Mean Values of 24-hour Urinary Cortisol Excretion by Spacer Use Excluding Participants With Abnormal Urinary Cortisol Excretion Values at Baseline From the Cortisol Population at Baseline and Week 12 |
NCT00441441 (24) [back to overview] | Geometric Mean Values of 24-hour Urinary Cortisol Excretion at Baseline and Week 12 |
NCT00441441 (24) [back to overview] | Geometric Mean Values of 24-hour Urinary Cortisol Excretion at Baseline and Week 12 |
NCT00441441 (24) [back to overview] | Geometric Mean Values of 24 Hour Urinary Cortisol Excretion by Spacer Use at Baseline and Week 12 |
NCT00441441 (24) [back to overview] | ECG Measures - QT Interval |
NCT00441441 (24) [back to overview] | Geometric Mean Ratio for Baseline: Week 12 24-hour Urinary Cortisol Excretion by Spacer Use Excluding Participants With Abnormal Urinary Cortisol Excretion Values at Baseline From the Cortisol Population |
NCT00441441 (24) [back to overview] | Geometric Mean Ratio for Baseline:Week12 24-hour Urinary Cortisol Excretion |
NCT00441441 (24) [back to overview] | Geometric Mean Ratio for Week12: Baseline for 24 Hour Urinary Cortisol Excretion by Spacer Use |
NCT00441441 (24) [back to overview] | Geometric Mean Ratio for Week12:Baseline for 24-hour Urinary Cortisol Excretion |
NCT00448435 (14) [back to overview] | Percentage of Subjects With Symptom-Free Nights & Days After 20 Weeks of Treatment |
NCT00448435 (14) [back to overview] | Adjusted Mean Change From Baseline in Percent Personal Best Morning PEF(%) During the 20-week Extension Treatment Period |
NCT00448435 (14) [back to overview] | Adjusted Mean Change From Baseline in Morning PEF During the 20-week Extension Treatment Period |
NCT00448435 (14) [back to overview] | Adjusted Mean Change From Baseline in Morning PEF (Peak Expiratory Flow) During the 4-week Treatment Periods |
NCT00448435 (14) [back to overview] | Adjusted Mean Change From Baseline in Evening PEF During the 4-week Treatment Periods |
NCT00448435 (14) [back to overview] | Adjusted Mean Change From Baseline in Evening PEF During the 20-week Extension Treatment Period |
NCT00448435 (14) [back to overview] | Percentage of Subjects With Rescue Medication-Free Nights & Days After 20 Weeks of Treatment |
NCT00448435 (14) [back to overview] | Percentage of Subjects With Symptom-Free Nights & Days |
NCT00448435 (14) [back to overview] | Percentage of Subjects With Rescue Medication-Free Nights and Days |
NCT00448435 (14) [back to overview] | Adjusted Mean Change From Baseline of Circadian Variation in PEF(%) During the 20-Week Extension Treatment Period |
NCT00448435 (14) [back to overview] | Adjusted Mean Change From Baseline of Circadian Variation in Morning PEF(%) During the 4-week Treatment Periods |
NCT00448435 (14) [back to overview] | Adjusted Mean Change From Baseline in Percent Predicted Morning PEF(%) During the 4-week Treatment Periods |
NCT00448435 (14) [back to overview] | Adjusted Mean Change From Baseline in Percent Predicted Morning PEF(%) During the 20-Week Extension Treatment Period |
NCT00448435 (14) [back to overview] | Adjusted Mean Change From Baseline in Percent Personal Best Morning PEF(%) During the 4-week Treatment Periods |
NCT00449046 (8) [back to overview] | Change From Baseline in Evening Peak Expiratory Flow (PEF) During Weeks 1-24 |
NCT00449046 (8) [back to overview] | Change From Baseline in Circadian Variation in Peak Expiratory Flow (PEF) During Weeks 1-24 |
NCT00449046 (8) [back to overview] | Change From Baseline in Morning Peak Expiratory Flow (PEF) During Weeks 1-24 |
NCT00449046 (8) [back to overview] | Change From Baseline in Percent Predicted Morning Peak Expiratory Flow (PEF) During Weeks 1-24 |
NCT00449046 (8) [back to overview] | Serious Adverse Events (SAEs) - On Therapy |
NCT00449046 (8) [back to overview] | Most Frequent Adverse Events - On Therapy |
NCT00449046 (8) [back to overview] | Number of Participants With Rescue Medication-Free Nights and Days |
NCT00449046 (8) [back to overview] | Number of Participants With Symptom-Free Nights and Days |
NCT00452348 (4) [back to overview] | Mean Change From Baseline in Pre-dose FEV1 Over Weeks 1-52 |
NCT00452348 (4) [back to overview] | Rate of Asthma Attacks Per Participant Per Year |
NCT00452348 (4) [back to overview] | Mean Change From Baseline in the Percentage of Symptom-free Days Over Weeks 1-52 |
NCT00452348 (4) [back to overview] | Mean Change From Baseline in AM PEF Over Weeks 1-52 |
NCT00452699 (4) [back to overview] | Rate of Asthma Attacks Per Participant Per Year |
NCT00452699 (4) [back to overview] | Mean Change From Baseline in AM PEF Over Weeks 1-52 |
NCT00452699 (4) [back to overview] | Mean Change From Baseline in the Percentage of Symptom-free Days Over Weeks 1-52 |
NCT00452699 (4) [back to overview] | Mean Change From Baseline in Pre-dose FEV1 Over Weeks 1-52 |
NCT00455923 (2) [back to overview] | Number of Exacerbations: in Total and by Degree of Severity |
NCT00455923 (2) [back to overview] | Number of Participants in Each Arm With a Need for an Increase in Study Medication |
NCT00461500 (13) [back to overview] | Change From Baseline in Pre-dose (Percent Predicted) FEV1 Through Week 12 (Using Last Observation Carried Forward [LOCF] Approach) |
NCT00461500 (13) [back to overview] | Change From Baseline in Asthma Control Test (ACT) Score at Week 12 |
NCT00461500 (13) [back to overview] | Change From Baseline in FEV1 Reversibility Through Week 12 (Using Last Observation Carried Forward [LOCF] Approach) |
NCT00461500 (13) [back to overview] | Change From Baseline in Mean Morning Peak Expiratory Flow (PEF) Over Weeks 5-12 |
NCT00461500 (13) [back to overview] | Change From Baseline in Overall Asthma Quality of Life Questionnaire (AQLQ) Score at Week 12 |
NCT00461500 (13) [back to overview] | Number of Participants Who Achieved Well-Controlled Asthma During Weeks 5-12 |
NCT00461500 (13) [back to overview] | Change From Baseline in Pre-dose FEV1 (Forced Expiratory Volume in One Second) Through Week 12 (Using Last Observation Carried Forward [LOCF] Approach) |
NCT00461500 (13) [back to overview] | Median Number of Weeks to First Achieve Well-Controlled Asthma During Weeks 5-12 |
NCT00461500 (13) [back to overview] | ACT Score in Classes at Week 12 |
NCT00461500 (13) [back to overview] | Number of Participants Who Achieved Total-controlled Asthma During Weeks 5-12 |
NCT00461500 (13) [back to overview] | Change From Baseline (BL) in Pre-dose FEF 25-75% (Forced Expiratory Flow) Through Week 12 (Using Last Observation Carried Forward [LOCF] Approach) |
NCT00461500 (13) [back to overview] | Number of Participants With at Least One Exacerbation During 12-Week Treatment Period |
NCT00461500 (13) [back to overview] | Change From Baseline in Pre-dose Forced Expiratory Vital Capacity (FVC) Through Week 12 (Using Last Observation Carried Forward [LOCF] Approach) |
NCT00502775 (12) [back to overview] | Mean Change From Baseline in Daytime Reflective Total Ocular Symptom Score (D-rTOSS) |
NCT00502775 (12) [back to overview] | Mean Change From Baseline in Evening Peak Nasal Inspiratory Flow (PNIF) |
NCT00502775 (12) [back to overview] | Mean Change From Baseline in Morning Peak Nasal Inspiratory Flow (PNIF) |
NCT00502775 (12) [back to overview] | Mean Change From Baseline in Nighttime Reflective Total Nasal Symptom Score (N-rTNSS) |
NCT00502775 (12) [back to overview] | Mean Change From Baseline in Nighttime Reflective Total Ocular Symptom Score (N-rTOSS) |
NCT00502775 (12) [back to overview] | Mean Change From Baseline in Pre-Dose Instantaneous Total Nasal Symptom Score (iTNSS) |
NCT00502775 (12) [back to overview] | Mean Change From Baseline in Pre-Dose Instantaneous Total Ocular Symptom Score (iTOSS) |
NCT00502775 (12) [back to overview] | Mean Change From Baseline in the Nighttime Symptom Score (NSS) |
NCT00502775 (12) [back to overview] | Mean Change From Baseline in 24 Hour Reflective Total Nasal Symptom Score (24 Hour rTNSS) |
NCT00502775 (12) [back to overview] | Mean Change From Baseline at Day 15 for Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ) |
NCT00502775 (12) [back to overview] | Mean Change From Baseline in 24 Hour Reflective Total Ocular Symptoms Score (rTOSS) |
NCT00502775 (12) [back to overview] | Mean Change From Baseline in Daytime Reflective Total Nasal Symptom Score (D-rTNSS) |
NCT00509197 (4) [back to overview] | Change in Forced Expiratory Volume in One Second (FEV1) |
NCT00509197 (4) [back to overview] | Asthma Control Questionnaire (ACQ) Score After 4 Weeks of Treatment With Inhaled Corticosteroids (ICS) or Placebo |
NCT00509197 (4) [back to overview] | Change in Provocative Concentration of Methacholine Inducing a 20% Fall in FEV1 (PC20) |
NCT00509197 (4) [back to overview] | Asthma Quality of Life Questionnaire (AQLQ) Score After 4 Weeks of Treatment |
NCT00519636 (7) [back to overview] | Comparation of Mean Change From Baseline Over Each Treatment Period in Daytime Reflective Total Nasal Symptom Scores (D r-TNSS) for Active Drug Nasal Sprays Versus Placebos |
NCT00519636 (7) [back to overview] | Comparison of Mean Change From Baseline in Daily Reflective Total Nasal Symptom Score (rTNSS) Over Each Treatment Period of Active Drug Nasal Sprays Versus Placebos |
NCT00519636 (7) [back to overview] | Subject Preference of Fluticasone Furoate Nasal Spray (FFNS) Versus Fluticasone Propionate Nasal Spray (FPNS) Based on Scent/Odor |
NCT00519636 (7) [back to overview] | Comparision of Mean Change From Baseline Over Each Treatment Period in Nighttime Reflective Total Nasal Symptom Scores (N-rTNSS) for Active Drug Nasal Sprays Versus Placebos |
NCT00519636 (7) [back to overview] | Subject Preference of Fluticasone Furoate Nasal Spray (FFNS) Versus Fluticasone Propionate Nasal Spray (FPNS) on Preference for: Gentleness of Mist |
NCT00519636 (7) [back to overview] | Subject Preference of Fluticasone Furoate Nasal Spray (FFNS) Versus Fluticasone Propionate Nasal Spray (FPNS) on Preference for: Ease of Use |
NCT00519636 (7) [back to overview] | Subject Preference of Fluticasone Furoate Nasal Spray (FFNS) Versus Fluticasone Propionate Nasal Spray (FPNS) on Preference for: Leaking Out of Nose/Down Throat |
NCT00521222 (5) [back to overview] | Absolute Change in Morning Peak Flow |
NCT00521222 (5) [back to overview] | Change in Asthma Symptom Score |
NCT00521222 (5) [back to overview] | Change in Forced Expiratory Volume in 1 Second (FEV1) Post-Bronchodilator |
NCT00521222 (5) [back to overview] | Change in Forced Expiratory Volume in 1 Second (FEV1) Pre-Bronchodilator |
NCT00521222 (5) [back to overview] | Change in Forced Expiratory Volume in 1 Second (FEV1) Percent Predicted Pre-Bronchodilator |
NCT00527826 (15) [back to overview] | Mean Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) at Week 52 |
NCT00527826 (15) [back to overview] | Mean Change From Baseline in Inspiratory Vital Capacity (IVC) at Week 52 |
NCT00527826 (15) [back to overview] | Mean Change From Baseline in the Activity Score of the St. George's Respiratory Questionnaire (SGRQ) at Week 52 |
NCT00527826 (15) [back to overview] | Mean Change From Baseline in the Impact Score of the St. George's Respiratory Questionnaire (SGRQ) at Week 52 |
NCT00527826 (15) [back to overview] | Mean Change From Baseline in the Symptom Score of the St. George's Respiratory Questionnaire (SGRQ) at Week 52 |
NCT00527826 (15) [back to overview] | Mean Change From Baseline in the Tiffeaneau Index at Week 52 |
NCT00527826 (15) [back to overview] | Number of Participants With the Indicated Number of Days at the Intensive Care Unit (ICU) |
NCT00527826 (15) [back to overview] | Mean Change From Baseline in the Total Score of the St. George's Respiratory Questionnaire (SGRQ) at Week 52 |
NCT00527826 (15) [back to overview] | Mean Number of Exacerbations Per Year: Poisson Model |
NCT00527826 (15) [back to overview] | Mean Number of Days Rescue Medication Was Used |
NCT00527826 (15) [back to overview] | Mean Total Costs (Related to COPD) Per Participant |
NCT00527826 (15) [back to overview] | Mean Number of Exacerbations Per Year: Negative Binomial Model |
NCT00527826 (15) [back to overview] | Mean Number of COPD-related Visits at/by Physician |
NCT00527826 (15) [back to overview] | Compliance and Adherence to Study Medication |
NCT00527826 (15) [back to overview] | Number of Participants With the Indicated Number of Hospital Stays |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Static Lung Volumes (Percent) |
NCT00530842 (59) [back to overview] | Static Lung Volumes (Percent) |
NCT00530842 (59) [back to overview] | Symptom Intensity During Exercise |
NCT00530842 (59) [back to overview] | Symptom Intensity During Exercise |
NCT00530842 (59) [back to overview] | Symptom Intensity During Exercise |
NCT00530842 (59) [back to overview] | Symptom Intensity During Exercise |
NCT00530842 (59) [back to overview] | Locus of Symptom Limitation at Peak Exercise During Exercise |
NCT00530842 (59) [back to overview] | Locus of Symptom Limitation at Peak Exercise During Exercise |
NCT00530842 (59) [back to overview] | Locus of Symptom Limitation at Peak Exercise During Exercise |
NCT00530842 (59) [back to overview] | Static Lung Volumes (Percent) |
NCT00530842 (59) [back to overview] | Forced Vital Capacity (FVC) |
NCT00530842 (59) [back to overview] | Static Lung Volumes |
NCT00530842 (59) [back to overview] | Slow Vital Capacity (SVC) |
NCT00530842 (59) [back to overview] | Slow Vital Capacity (SVC) |
NCT00530842 (59) [back to overview] | Slow Vital Capacity (SVC) |
NCT00530842 (59) [back to overview] | Slow Vital Capacity (SVC) |
NCT00530842 (59) [back to overview] | Post-dose TGV(FRC) (After 8 Weeks) |
NCT00530842 (59) [back to overview] | Post-dose TGV(FRC) (After 4 Weeks) |
NCT00530842 (59) [back to overview] | Forced Vital Capacity (FVC) |
NCT00530842 (59) [back to overview] | Static Lung Volumes (Percent) |
NCT00530842 (59) [back to overview] | Forced Vital Capacity (FVC) |
NCT00530842 (59) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) |
NCT00530842 (59) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) |
NCT00530842 (59) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) |
NCT00530842 (59) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) |
NCT00530842 (59) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) |
NCT00530842 (59) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) |
NCT00530842 (59) [back to overview] | Forced Vital Capacity (FVC) |
NCT00530842 (59) [back to overview] | Static Lung Volumes (Percent) |
NCT00530842 (59) [back to overview] | Static Lung Volumes (Percent) |
NCT00530842 (59) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) |
NCT00530842 (59) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) |
NCT00530842 (59) [back to overview] | FEV1 Over FVC (Percent) |
NCT00530842 (59) [back to overview] | FEV1 Over FVC (Percent) |
NCT00530842 (59) [back to overview] | FEV1 Over FVC (Percent) |
NCT00530842 (59) [back to overview] | FEV1 Over FVC (Percent) |
NCT00530842 (59) [back to overview] | Endurance Time (After 8 Weeks) |
NCT00530842 (59) [back to overview] | Endurance Time (After 4 Weeks) |
NCT00530842 (59) [back to overview] | Dyspnea and Leg Discomfort |
NCT00530842 (59) [back to overview] | Dyspnea and Leg Discomfort |
NCT00530842 (59) [back to overview] | Static Lung Volumes (Percent) |
NCT00530842 (59) [back to overview] | Static Lung Volumes (Percent) |
NCT00539006 (7) [back to overview] | Participant Preference of Fluticasone Furoate Nasal Spray (FFNS) Versus Fluticasone Propionate Nasal Spray (FPNS) Based on Scent/Odor |
NCT00539006 (7) [back to overview] | Participant Preference of Fluticasone Furoate Nasal Spray (FFNS) Versus Fluticasone Propionate Nasal Spray (FPNS) Based on Leaking Out of Nose/Down Throat |
NCT00539006 (7) [back to overview] | Participant Preference of Fluticasone Furoate Nasal Spray (FFNS) Versus Fluticasone Propionate Nasal Spray (FPNS) Based on Gentleness of Mist |
NCT00539006 (7) [back to overview] | Participant Preference of Fluticasone Furoate Nasal Spray (FFNS) Versus Fluticasone Propionate Nasal Spray (FPNS) Based on Ease of Use |
NCT00539006 (7) [back to overview] | Comparision of Mean Change From Baseline Over Treatment Periods in Daytime Reflective Total Nasal Symptom Scores (D r-TNSS) for Active Drug Nasal Sprays Versus Placebos |
NCT00539006 (7) [back to overview] | Comparision of Mean Change From Baseline Over Treatment Periods in Nighttime Reflective Total Nasal Symptom Scores (N-rTNSS) for Active Drug Nasal Sprays Versus Placebos |
NCT00539006 (7) [back to overview] | Comparison of Mean Change From Baseline in Daily Reflective Total Nasal Symptom Score (rTNSS) Over Treatment Periods of Active Drug Nasal Sprays Versus Placebos |
NCT00542880 (16) [back to overview] | FEV1 Before Evening Dose |
NCT00542880 (16) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) Before Morning Dose |
NCT00542880 (16) [back to overview] | Peak Expiratory Flow (PEF) 5 Minutes After Morning Dose |
NCT00542880 (16) [back to overview] | PEF 15 Minutes After Morning Dose |
NCT00542880 (16) [back to overview] | PEF Before Evening Dose |
NCT00542880 (16) [back to overview] | PEF Before Morning Dose |
NCT00542880 (16) [back to overview] | The Clinical Chronic Obstructive Pulmonary Disease (COPD) Questionnaire (Change From Pre to End of Treatment) |
NCT00542880 (16) [back to overview] | Change in Forced Vital Capacity (FVC) From Before Dose to5 Minutes After Dose at the Clinic |
NCT00542880 (16) [back to overview] | Change in PEF From Before Dose to 15 Minutes After Dose in the Morning |
NCT00542880 (16) [back to overview] | Change in FEV1from Before Dose to 5 Minutes After Dose in the Morning |
NCT00542880 (16) [back to overview] | Change in FEV1 From Before Dose to 5 Minutes After Dose at the Clinic |
NCT00542880 (16) [back to overview] | Capacity of Daily Living in the Morning (CDLM) (Change From Pre to End of Treatment) |
NCT00542880 (16) [back to overview] | Change in FEV1 From Before Dose to 15 Minutes After Dose in the Morning |
NCT00542880 (16) [back to overview] | Change in PEF From Before Dose to 5 Minutes After Dose in the Morning |
NCT00542880 (16) [back to overview] | Difficulty in Getting Out From Bed (MASQ) (Change From Pre to End of Treatment) |
NCT00542880 (16) [back to overview] | FEV1 15 Minutes After Morning Dose |
NCT00546000 (2) [back to overview] | Record Skin Atrophy, Pigmentation Change, Hematological and Chemistry Assessments, and Changes in Atopic Dermatitis Severity |
NCT00546000 (2) [back to overview] | Post Treatment Serum Cortisol Values Will be Compared. |
NCT00550550 (4) [back to overview] | Participant Average Rhinoconjunctivitis Daily Symptom Scores (DSS) Over the Entire GPS |
NCT00550550 (4) [back to overview] | Participant Average Weekly Rhinoconjunctivitis Quality-of-Life Questionnaire (RQLQ) Total Score Over the Entire GPS |
NCT00550550 (4) [back to overview] | Participant Total Combined Symptom (TCS) Score Over the Entire Grass Pollen Season (GPS) |
NCT00550550 (4) [back to overview] | Participant Average Rhinoconjunctivitis Daily Medication Score (DMS) Over the Entire GPS |
NCT00556673 (15) [back to overview] | Maximum (Peak) Plasma Concentration (Cmax) of Mometasone Furoate |
NCT00556673 (15) [back to overview] | Maximum (Peak) Plasma Concentration (Cmax) of Indacaterol |
NCT00556673 (15) [back to overview] | Change From Period Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) |
NCT00556673 (15) [back to overview] | Change From Period Baseline in Trough Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) |
NCT00556673 (15) [back to overview] | Change From Period Baseline in Trough Forced Vital Capacity (FVC) |
NCT00556673 (15) [back to overview] | Change From Period Baseline in Trough FEV1/FVC Ratio |
NCT00556673 (15) [back to overview] | Change From Period Baseline in Peak Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) |
NCT00556673 (15) [back to overview] | Change From Period Baseline in Peak Forced Vital Capacity (FVC) |
NCT00556673 (15) [back to overview] | Change From Period Baseline in Peak FEV1/FVC Ratio |
NCT00556673 (15) [back to overview] | Change From Baseline in Peak Forced Expiratory Volume in One Second (FEV1) |
NCT00556673 (15) [back to overview] | Area Under the Concentration-time Curve From Time 0 to 24 Hours Post-dose for Mometasone Furoate |
NCT00556673 (15) [back to overview] | Area Under the Concentration-time Curve From Time 0 to 24 Hours Post-dose for Indacaterol |
NCT00556673 (15) [back to overview] | Area Under the Concentration-time Curve From Time 0 to 12 Hours Post-dose for Mometasone Furoate |
NCT00556673 (15) [back to overview] | Time to Reach Peak or Maximum Concentration Following Drug Administration for Mometasone Furoate |
NCT00556673 (15) [back to overview] | Time to Reach Peak or Maximum Concentration Following Drug Administration for Indacaterol |
NCT00557440 (5) [back to overview] | Change From Period Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) |
NCT00557440 (5) [back to overview] | Time to Peak Forced Expiratory Volume in 1 Second (FEV1) |
NCT00557440 (5) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) at Single Time Points |
NCT00557440 (5) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) Standardized Area Under the Curve (AUC) Between Baseline (Pre-dose) and 24 Hours Post-dose |
NCT00557440 (5) [back to overview] | Forced Vital Capacity (FVC) at Single Time Points |
NCT00562159 (4) [back to overview] | Participant Total Combined Symptom (TCS) Score Over the Entire Grass Pollen Season (GPS) |
NCT00562159 (4) [back to overview] | Participant Average Weekly Rhinoconjunctivitis Quality-of-Life Questionnaire With Standardized Activities (RQLQ(S)) Total Score Over the Entire GPS |
NCT00562159 (4) [back to overview] | Participant Average Rhinoconjunctivitis Daily Symptom Score (DSS) Over the Entire GPS |
NCT00562159 (4) [back to overview] | Participant Average Rhinoconjunctivitis Daily Medication Score (DMS) Over the Entire GPS |
NCT00570492 (17) [back to overview] | Change From Baseline in the Growth Velocity of Pre-pubescent Pediatric Participants to the End of the 52-week Double-blind (DB) Treatment Period |
NCT00570492 (17) [back to overview] | Mean Values for the Laboratory Parameters of Total Bilirubin and Creatinine |
NCT00570492 (17) [back to overview] | Mean 24-hour Urinary Free Cortisol Excretion |
NCT00570492 (17) [back to overview] | Mean Values for Urine pH |
NCT00570492 (17) [back to overview] | Mean Hematology Values for Basophil, Eosinophil, Lymphocyte, White Blood Cell (WBC), Monocyte, Segmented Neutrophil (Neu), and Platelet Counts |
NCT00570492 (17) [back to overview] | Mean Hematology Values for Red Blood Cells (RBCs) |
NCT00570492 (17) [back to overview] | Mean Values for Hematocrit |
NCT00570492 (17) [back to overview] | Mean Values for Hemoglobin |
NCT00570492 (17) [back to overview] | Mean Values for the Laboratory Parameters if Albumin and Total Protein |
NCT00570492 (17) [back to overview] | Mean Values for the Laboratory Parameters of Alkaline (Alk) Phosphatase (P), Alanine Aminotransferase (ALT), and Aspartate Aminotransferase (AST) |
NCT00570492 (17) [back to overview] | Mean Values for the Laboratory Parameters of Glucose, Calcium, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) |
NCT00570492 (17) [back to overview] | Number of Participants With the Indicated Urinalysis Results for Urine Occult Blood (OB) and the Urine Leukocyte Esterase Test (LET) |
NCT00570492 (17) [back to overview] | Number of Participants With the Indicated Urinalysis Results for Urine Glucose, Urine Ketones, and Urine Proteins |
NCT00570492 (17) [back to overview] | Number of Participants With the Indicated Urinalysis Results for Urine Bilirubin and Urine Nitrite |
NCT00570492 (17) [back to overview] | Number of Participants With the Indicated Urinalysis Results for Urine Appearance (App.)/Clarity and Color |
NCT00570492 (17) [back to overview] | Number of Participants With the Indicated Shifts From Baseline in Nasal Examination (NE) Results |
NCT00570492 (17) [back to overview] | Mean Values for Urine Specific Gravity |
NCT00584987 (6) [back to overview] | RQLQ Score [4 Weeks] |
NCT00584987 (6) [back to overview] | RQLQ Score [Baseline] |
NCT00584987 (6) [back to overview] | Total Nasal Congestion Symptom Score |
NCT00584987 (6) [back to overview] | Total NPIF |
NCT00584987 (6) [back to overview] | RQLQ Score [6 Weeks] |
NCT00584987 (6) [back to overview] | RQLQ Score [2 Weeks] |
NCT00603044 (6) [back to overview] | IL-10 Staining Intensity |
NCT00603044 (6) [back to overview] | Amount of TGF Secreted by Adenoid Cells After PHA Stimulation |
NCT00603044 (6) [back to overview] | Amount of IL-10 Secreted by Adenoid Cells After PHA Stimulation |
NCT00603044 (6) [back to overview] | Adjusted Volume of the Removed Adenoids |
NCT00603044 (6) [back to overview] | Number of CD4 Pos/FOXP3 Positive Cells |
NCT00603044 (6) [back to overview] | Number of CD25 Pos/FoxP3 Positive Cells |
NCT00609674 (15) [back to overview] | Mean Change From Baseline Over the Entire Treatment Period in Both the Individual AM Reflective and PM Reflective Ocular Symptom Scores for Eyes Itching/Burning, Eyes Tearing/Watering, and Eye Redness |
NCT00609674 (15) [back to overview] | Total Ocular Symptoms: Mean Percent Change From Baseline Over the Entire Treatment Period in Both the Daily rTOSS and the AM, Pre-dose iTOSS |
NCT00609674 (15) [back to overview] | Individual Nasal Symptoms: Mean Change From Baseline Over the Entire Treatment Period in Individual Daily Reflective Nasal Symptom Scores and AM, Pre-dose Instantaneous Nasal Symptom Scores for Rhinorrhea, Nasal Congestion, Nasal Itching, and Sneezing |
NCT00609674 (15) [back to overview] | Total Ocular Symptoms: Mean Change From Baseline Over the Entire Treatment Period in Both the AM Reflective Total Ocular Symptom Scores (rTOSS) and PM rTOSS |
NCT00609674 (15) [back to overview] | Total Nasal Symptoms: Mean Percent Change From Baseline Over the Entire Treatment Period in Daily rTNSS and AM, Pre-dose iTNSS |
NCT00609674 (15) [back to overview] | Peak Nasal Inspiratory Flow (PNIF): Mean Change From Baseline in Daily, AM, and PM PNIF |
NCT00609674 (15) [back to overview] | Mean Change From Baseline Over the Entire Treatment Period in Both Individual AM Reflective and PM Reflective Nasal Symptom Scores for Rhinorrhea, Nasal Congestion, Nasal Itching, and Sneezing. |
NCT00609674 (15) [back to overview] | Individual Ocular Symptoms: Mean Change From Baseline Over the Entire Treatment Period in Both the Individual, Daily Reflective and the AM, Pre-dose Instantaneous Ocular Symptom Scores for Eyes Itching/Burning, Eyes Tearing/Watering, and Eye Redness. |
NCT00609674 (15) [back to overview] | Total Ocular Symptoms: Mean Change From Baseline Over the Entire Treatment Period in AM, Pre-dose Instantaneous Total Ocular Symptom Scores (iTOSS) |
NCT00609674 (15) [back to overview] | Total Nasal Symptoms: Mean Change From Baseline Over the Entire Treatment Period in PM rTNSS |
NCT00609674 (15) [back to overview] | Total Nasal Symptoms: Mean Change From Baseline Over the Entire Treatment Period in AM rTNSS |
NCT00609674 (15) [back to overview] | Mean Change From Baseline to Endpoint in the Rhinoconjunctivitis Quality of Life Questionnaire With Standardised Activities (RQLQ[S]) |
NCT00609674 (15) [back to overview] | Mean Change From Baseline Over the Entire Treatment Period in Morning (AM), Pre-dose Instantaneous Total Nasal Symptom Score (iTNSS) |
NCT00609674 (15) [back to overview] | Mean Change From Baseline Over the Entire Treatment Period in Daily Reflective Total Ocular Symptom Scores (rTOSS) |
NCT00609674 (15) [back to overview] | Mean Change From Baseline Over the Entire Treatment Period in Daily Reflective Total Nasal Symptom Scores (rTNSS) |
NCT00623714 (2) [back to overview] | Hour 24 Fold Change From Period Baseline in Interleukin-5 (IL-5) Protein Concentration (pg/mL) |
NCT00623714 (2) [back to overview] | Hour 24 Fold Change From Period Baseline in Interleukin-13 (IL-13) Protein Concentration (pg/mL) |
NCT00633217 (3) [back to overview] | Mean Change From Baseline in AM Pre-dose FEV1 |
NCT00633217 (3) [back to overview] | Mean Change From Baseline in Peak Expiratory Flow |
NCT00633217 (3) [back to overview] | Mean Change From Baseline in Forced Expiratory Volume in One Second (FEV1) 2 Hours Post-dose of Blinded Study Drug |
NCT00651118 (3) [back to overview] | Change From Baseline in 12 Hour Instantaneous Total Nasal Symptom Score (iTNSS) |
NCT00651118 (3) [back to overview] | Change From Baseline in 12-hour Reflective Total Nasal Symptom Score (rTNSS) |
NCT00651118 (3) [back to overview] | Change From Baseline in Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ)at the End of 14 Days |
NCT00660517 (3) [back to overview] | Change From Baseline in Adult ( Greater Than 18 Years of Age) Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ)at the End of 14 Days |
NCT00660517 (3) [back to overview] | Change From Baseline in 12 Hour Reflective Total Nasal Symptom Score (rTNSS) |
NCT00660517 (3) [back to overview] | Change From Baseline in 12 Hour Instantaneous Total Nasal Symptom Score (iTNSS) |
NCT00669617 (1) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) at 5 Minutes Post-dose |
NCT00682643 (14) [back to overview] | Cumulative Proportion of Participants, as Measured as a Percentage, With an Intraocular Pressure (IOP) Event |
NCT00682643 (14) [back to overview] | Change From Baseline in LOCS III Cortical Opacity (C) at Week 52 and Week 104 |
NCT00682643 (14) [back to overview] | Percent Change From Baseline in the Funduscopic Horizontal Cup-to-disc Ratio at Week 104 |
NCT00682643 (14) [back to overview] | Number of Participants With the Indicated Change From Baseline in LOCS III Posterior Subcapsular Opacity by Increments of 0.1 at Weeks 52 and 104 |
NCT00682643 (14) [back to overview] | Number of Participants With the Indicated Change From Baseline in Intraocular Pressure (IOP) by Increments of 1 mm Hg at Week 52 |
NCT00682643 (14) [back to overview] | Number of Participants With the Indicated Change From Baseline in Intraocular Pressure (IOP) by Increments of 1 mm Hg at Week 104 |
NCT00682643 (14) [back to overview] | Number of Participants With the Indicated Change From Baseline in Cortical Opacity by Increment Categories of >=0.3, >=0.5, and >=1.0 at Weeks 52 and 104 |
NCT00682643 (14) [back to overview] | Cumulative Proportion (CU) of Participants (Par.) With an Event, as Measured as a Percentage, for Posterior Subcapsular Opacity (P) |
NCT00682643 (14) [back to overview] | Change From Baseline in the Daily Reflective Total Nasal Symptom Score (rTNSS) for the Indicated Study Periods |
NCT00682643 (14) [back to overview] | Change From Baseline in Nuclear Color (NC) at Week 52 and Week 104 |
NCT00682643 (14) [back to overview] | Change From Baseline in Logarithm of the Minimum Angle of Resolution (LogMAR) Visual Acuity (VA) Using Early Treatment Diabetic Retinopathy Study (ETDRS) Charts at Week 52 and Week 104 |
NCT00682643 (14) [back to overview] | Change From Baseline in LOCS III Posterior Subcapsular Opacity at Week 52 and Week 104 |
NCT00682643 (14) [back to overview] | Change From Baseline in LOCS III Nuclear Opacity (NO) at Week 52 and Week 104 |
NCT00682643 (14) [back to overview] | Change From Baseline in Intraocular Pressure (IOP) at Weeks 52 and 104 |
NCT00691665 (4) [back to overview] | Mean Percent Change in Instantaneous Total Ocular Symptom Scores (iTOSS) From Baseline |
NCT00691665 (4) [back to overview] | Mean Percent Change in Reflective Total Ocular Symptom Scores (rTOSS) From Baseline |
NCT00691665 (4) [back to overview] | Mean Percent Change in Instantaneous Total Nasal Symptom Score (iTNSS) From Baseline |
NCT00691665 (4) [back to overview] | Mean Percent Change in Reflective Total Nasal Symptom Score (rTNSS) From Baseline |
NCT00692978 (1) [back to overview] | AUC Fluticasone Propionate (FP) |
NCT00705341 (2) [back to overview] | Methacholine Challenge Test Result for Phase 2 |
NCT00705341 (2) [back to overview] | Predictive Value of Methacholine Challenge Test for Phase 1 |
NCT00706446 (1) [back to overview] | Number of Patients With Asthma Exacerbation |
NCT00712335 (7) [back to overview] | Sputum RANTES Levels |
NCT00712335 (7) [back to overview] | Sputum GM-CSF Levels |
NCT00712335 (7) [back to overview] | Sputum IFN-gamma/IL-5 Ratios |
NCT00712335 (7) [back to overview] | Sputum IL-8 Levels |
NCT00712335 (7) [back to overview] | Sputum Eosinophil Percentages |
NCT00712335 (7) [back to overview] | Sputum Eotaxin Levels |
NCT00712335 (7) [back to overview] | Sputum Neutrophil Percentages |
NCT00716963 (2) [back to overview] | The Magnitude of the Late Asthmatic Response, Expressed as a Percentage Change in FEV1. |
NCT00716963 (2) [back to overview] | The Magnitude of the Early Asthmatic Response, Expressed as a Percentage Change in FEV1. |
NCT00730756 (9) [back to overview] | Mean Change From Baseline in AM and PM Reflective Individual Ocular Symptoms Over the Entire Treatment Period (28 Days) |
NCT00730756 (9) [back to overview] | Mean Change From Baseline in AM and PM Reflective Individual Nasal Symptoms Over the Entire Treatment Period (28 Days) |
NCT00730756 (9) [back to overview] | Mean Change From Baseline in Daily rTNSS Over the Entire Treatment Period (28 Days) |
NCT00730756 (9) [back to overview] | Mean Change From Baseline in AM Pre-dose Instantaneous Individual Ocular Symptoms Over the Entire Treatment Period (28 Days) |
NCT00730756 (9) [back to overview] | Mean Change From Baseline in Total Ocular Symptoms Over the Entire Treatment Period (28 Days) |
NCT00730756 (9) [back to overview] | Mean Change From Baseline in Daily Reflective Individual Ocular Symptoms Over the Entire Treatment Period (28 Days) |
NCT00730756 (9) [back to overview] | Mean Change From Baseline in Daily Reflective Individual Nasal Symptoms Score Over the Entire Treatment Period (28 Days) |
NCT00730756 (9) [back to overview] | Mean Change From Baseline in AM rTNSS, PM rTNSS, and AM Pre-dose iTNSS Over the Entire Treatment Period (28 Days) |
NCT00730756 (9) [back to overview] | Mean Change From Baseline in AM Pre-dose Instantaneous Individual Nasal Symptoms Over the Entire Treatment Period (28 Days) |
NCT00740792 (3) [back to overview] | Change From Baseline in 12 Hour Reflective Total Nasal Symptom Score (rTNSS) |
NCT00740792 (3) [back to overview] | Change From Baseline in Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) |
NCT00740792 (3) [back to overview] | Change From Baseline in 12 Hour Instantaneous Total Nasal Symptom Score (iTNSS) |
NCT00783224 (1) [back to overview] | Change in 4 Nasal Symptom Score (Sneezing Attack, Rhinorrhea, Nasal Congestion, and Nasal Itching) After 2 Weeks |
NCT00784550 (6) [back to overview] | Mean Change From Baseline in 2 Hour Post-dose FEV1 at Endpoint |
NCT00784550 (6) [back to overview] | Mean Change From Baseline in 2 Hour Post-dose FVC at Endpoint |
NCT00784550 (6) [back to overview] | Mean Change From Baseline in AM (Morning, Approximately 6-9 AM) Pre-dose Forced Expiratory Volume in One Second (FEV1) at Endpoint |
NCT00784550 (6) [back to overview] | Mean Change From Baseline in AM (Morning, Approximately 6-9 AM) Pre-dose Forced Vital Capacity (FVC) at Endpoint |
NCT00784550 (6) [back to overview] | Mean Change From Baseline in AM (Morning, Approximately 6-9 AM) Pre-Dose Inspiratory Capacity (IC) at Endpoint |
NCT00784550 (6) [back to overview] | Mean Change From Baseline in Scores on the Chronic Respiratory Disease Questionnaire-Self-Administered Standardized (CRQ-SAS) at Endpoint |
NCT00791973 (2) [back to overview] | Total Eye Symptom Scores After Antigen Challenge |
NCT00791973 (2) [back to overview] | Change in Tryptase Level From Baseline to Post-antigen Challenge |
NCT00843193 (17) [back to overview] | PK Parameter: Volume of Distribution |
NCT00843193 (17) [back to overview] | Number of Participants With Abnormal Urinanalysis Parameters of Potential Clinical Importance |
NCT00843193 (17) [back to overview] | Number of Participants With Confirmed Positive Anti-GSK679586 Antibody Results After Initiation of Study Treatment |
NCT00843193 (17) [back to overview] | Change From Baseline in ACQ-7 Over 16 Weeks and 24 Weeks |
NCT00843193 (17) [back to overview] | Percentage of Participants Who Demonstrated a Clinically Meaningful Increase in FEV1 Over the 12 Week Assessment Period |
NCT00843193 (17) [back to overview] | Pharmacokinetic (PK) Parameter: Area Under the Concentration-time Curve Over the Dosing Interval (AUC (0-τ)). |
NCT00843193 (17) [back to overview] | Change From Baseline in Asthma Control Questionnaire (ACQ-7) Over 12 Weeks |
NCT00843193 (17) [back to overview] | Change From Baseline in FEV1 Over 16 Weeks and 24 Weeks |
NCT00843193 (17) [back to overview] | Change From Baseline in Forced Expiratory Volume (FEV1) Over 12 Weeks. |
NCT00843193 (17) [back to overview] | Number of Participants Who Demonstrated a Clinically Meaningful Change in ACQ-7 Over the 12 Weeks Assessment Period. |
NCT00843193 (17) [back to overview] | Number of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical Importance |
NCT00843193 (17) [back to overview] | PK Parameter: Systemic Clearance of Parent Drug |
NCT00843193 (17) [back to overview] | PK Parameter:Maximum Observed Concentration (Cmax) |
NCT00843193 (17) [back to overview] | Number of Participants With Abnormal Vital Signs of Potential Clinical Importance: Systolic and Distolic Blood Pressure and Heart Rate. |
NCT00843193 (17) [back to overview] | Number of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs) |
NCT00843193 (17) [back to overview] | Number of Participants With Clinically Significant Abnormality in 12-lead Electrocardiogram (ECG) |
NCT00843193 (17) [back to overview] | Number of Participants With Abnormal Hematological Parameters of Potential Clinical Importance |
NCT00848965 (7) [back to overview] | Weighted Mean Nasal Airflow at 2-5 Hours Post-dose (1-4 Hours Post-start of Challenge) |
NCT00848965 (7) [back to overview] | Weighted Mean Nasal Secretion at 2-5 Hours Post-dose (1-4 Hours Post-start of Challenge) |
NCT00848965 (7) [back to overview] | Weighted Mean Total Nasal Symptom Score (TNSS) at 2-5 Hours Post-dose (1-4 Hours Post-start of Challenge [PSC]) in the Vienna Challenge Chamber (VCC) |
NCT00848965 (7) [back to overview] | Glucocorticoid (GC) Receptor Biomarker Levels in Nasal Epithelial Scraping Samples: 18S, B-actin, DUSP_1_T1, FKBP5, GAPDH, GILZ, PLAU, PTGS2, and RGS2 |
NCT00848965 (7) [back to overview] | Glucocorticoid (GC) Receptor Biomarker Levels in Nasal Epithelial Scraping Samples: CCL2 |
NCT00848965 (7) [back to overview] | Weighted Mean Global Symptom Score (GSS) at 5 Hours Post-dose (1-4 Hours Post-start of Challenge) |
NCT00848965 (7) [back to overview] | Weighted Mean Eye Symptom Score at 2-5 Hours Post-dose (1-4 Hours Post-start of Challenge) |
NCT00880906 (1) [back to overview] | Percent Change From Baseline in Dysphagia Score in Patients With Eosinophilic Esophagitis (EE) |
NCT00883168 (3) [back to overview] | Change From Baseline in 12 Hour Reflective Total Nasal Symptom Score (rTNSS) |
NCT00883168 (3) [back to overview] | Change From Baseline in 12 Hour Instantaneous Total Nasal Symptom Score (iTNSS) |
NCT00883168 (3) [back to overview] | Change From Baseline in Adult Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) |
NCT00891436 (1) [back to overview] | Histamine Content in the Tears Was Measured. |
NCT00895817 (1) [back to overview] | Number of Participants Who Responded |
NCT00927758 (1) [back to overview] | Percentage Change From Baseline (for Each Treatment Cycle) in Exhaled Nitric Oxide (eNO) |
NCT00975195 (27) [back to overview] | Time to First On-treatment COPD Exacerbation |
NCT00975195 (27) [back to overview] | Time to First Moderate or Severe On-treatment COPD Exacerbation |
NCT00975195 (27) [back to overview] | Proportion of Patients With at Least One Severe On-treatment COPD Exacerbation. |
NCT00975195 (27) [back to overview] | Proportion of Patients With at Least One On-treatment COPD Exacerbation |
NCT00975195 (27) [back to overview] | Proportion of Patients With ≥1 Moderate or Severe On-treatment COPD Exacerbation |
NCT00975195 (27) [back to overview] | Number of Severe On-treatment COPD Exacerbations |
NCT00975195 (27) [back to overview] | Number of On-treatment COPD Exacerbations |
NCT00975195 (27) [back to overview] | Number of Moderate or Severe On-treatment COPD Exacerbations |
NCT00975195 (27) [back to overview] | Change in On-treatment Exercise Capacity Measured by Six-minute Walk Test (6-MWT) |
NCT00975195 (27) [back to overview] | Change in On-treatment St Georges Respiratory Questionnaire (SGRQ) Scores: Impact Domain |
NCT00975195 (27) [back to overview] | Change in On-treatment St Georges Respiratory Questionnaire (SGRQ) Scores: Activity Domain |
NCT00975195 (27) [back to overview] | Change in On-treatment Physician Global Evaluation |
NCT00975195 (27) [back to overview] | Change in On-treatment PEFR as Measured by Home Based Spirometry |
NCT00975195 (27) [back to overview] | Change in On-treatment Lung Function as Measured by Trough FEV1 |
NCT00975195 (27) [back to overview] | Change in On-treatment FVC as Measured by Home Based Spirometry |
NCT00975195 (27) [back to overview] | Change in On-treatment FEV1 as Measured by Home Based Spirometry |
NCT00975195 (27) [back to overview] | Change in On-treatment Cough and Expectoration as Measured by the CASA-Q: Sputum Symptoms Domain |
NCT00975195 (27) [back to overview] | Change in On-treatment Cough and Expectoration as Measured by the CASA-Q: Sputum Impact Domain |
NCT00975195 (27) [back to overview] | Change in On-treatment Cough and Expectoration as Measured by the CASA-Q: Cough Symptoms Domain |
NCT00975195 (27) [back to overview] | Change in On-treatment Cough and Expectoration as Measured by the CASA-Q: Cough Impact Domain |
NCT00975195 (27) [back to overview] | Change in On-treatment BODE Index |
NCT00975195 (27) [back to overview] | Time to First Severe On-treatment COPD Exacerbation |
NCT00975195 (27) [back to overview] | Change in On-treatment Physical Health Status as Determined by Body Mass Index (BMI) |
NCT00975195 (27) [back to overview] | Severity of On-treatment COPD Exacerbations |
NCT00975195 (27) [back to overview] | Changes in On-treatment Dyspnoea as Measured by the Modified Medical Research Council (MMRC) Dyspnoea Scale |
NCT00975195 (27) [back to overview] | Change in On-treatment St Georges Respiratory Questionnaire (SGRQ) Scores: Total Score |
NCT00975195 (27) [back to overview] | Change in On-treatment St Georges Respiratory Questionnaire (SGRQ) Scores: Symptoms Domain |
NCT00984659 (20) [back to overview] | Known Group Validity for the SOBDA Questionnaire Measured as the Comparison of the Baseline SOBDA Score in the Indicated Categories of the Participant-completed (ParC) mMRC Score at Visit 2 |
NCT00984659 (20) [back to overview] | "SOBDA Threshold for Response as Assessed by Mean Change From Baseline to the Last Treatment Week in the SOBDA Score Based on a CRQ-SAS Dyspnea Domain (DD) Response Rated as Better" |
NCT00984659 (20) [back to overview] | "SOBDA Threshold for Response as Assessed by Mean Change From Baseline to the Last Treatment Week in the SOBDA Score Based on a CGI-C Response Rated as Better" |
NCT00984659 (20) [back to overview] | Number of Participants Classified as Responders and Non-responders by Clinician Global Impression of Change Question (CGI-C) Response at Visit 3/PD |
NCT00984659 (20) [back to overview] | Known Group Validity for the SOBDA Questionnaire Measured as the Comparison of the Baseline SOBDA Score in the Indicated Categories of the Physician-completed (PyC) mMRC Score at Visit 2 |
NCT00984659 (20) [back to overview] | Known Group Validity (KGV) for the SOBDA Questionnaire Measured as the Comparison of the Baseline SOBDA Score in the Indicated Categories of CGI-S Scores at Visit 2 |
NCT00984659 (20) [back to overview] | Convergent Validity for the SOBDA Questionnaire Measured as Correlations of the Baseline SOBDA Score With Participant-completed Modified Medical Research Council (mMRC) and Physician-completed mMRC Scores at Visit 2 |
NCT00984659 (20) [back to overview] | Change From the Previous Week to the Current Week's SOBDA Score by Participant-completed PGAC Response at Days 8, 15, 22, 29, 36, and 43 and at Visit 3/PD (End of the 6-week Treatment Period or PD) |
NCT00984659 (20) [back to overview] | Change From Baseline to Last Treatment Week in the SOBDA Score by Physician-completed mMRC and Participant-completed mMRC Responses at Visit 3/PD |
NCT00984659 (20) [back to overview] | Change From Baseline to Last Treatment Week in the SOBDA Score by CRQ-SAS Dyspnea Domain (DD) Responses at Visit 3/PD |
NCT00984659 (20) [back to overview] | Change From Baseline to Last Treatment Week in the SOBDA Score by CGI-C Responses at Visit 3/PD |
NCT00984659 (20) [back to overview] | "SOBDA Threshold for Response Assessed as Mean Change From the Previous Week's SOBDA Score Based on a Participant-completed PGAC Score Rated of Better" |
NCT00984659 (20) [back to overview] | Test-retest Reliability (T-RR) of SOBDA Scores Measured as the Difference in the SOBDA Weekly Score Between Week 1 and Week 2 of the 2-week Run-in Period |
NCT00984659 (20) [back to overview] | SOBDA Threshold for Response Assessed as Mean Change From Baseline to Last Treatment Week in the SOBDA Score Based on Forced Expiratory Volume in One Second (FEV1) Change From Baseline of 50 Milliliters (mL) to <100 mL |
NCT00984659 (20) [back to overview] | Internal Consistency (IC) of the Shortness of Breath With Daily Activities (SOBDA) Questionnaire in Participants With Chronic Obstructive Pulmonary Disease (COPD) Assessed as Cronbach's Alpha Value |
NCT00984659 (20) [back to overview] | Convergent Validity for the SOBDA Questionnaire Measured as the Correlation of the Baseline SOBDA Score With the Clinician Global Assessment of Dyspnea Severity (CGI-S) Score at Visit 2 |
NCT00984659 (20) [back to overview] | Convergent Validity (CV) for the SOBDA Questionnaire Measured as the Correlation of the Baseline SOBDA Score With the Chronic Respiratory Disease Questionnaire-Self-Administered Standardized (CRQ-SAS) Dyspnea Domain Score at Visit 2 |
NCT00984659 (20) [back to overview] | Participants (Par.) Classified as Responders/Non-responders According to the Patient Global Assessment of Change (PGAC) Response at Days 8, 15, 22, 29, 36, and 43 and at Visit 3/Premature Discontinuation (PD) (the End of the 6-week Treatment Period or PD) |
NCT00984659 (20) [back to overview] | Number of Participants Classified as Responders and Non-responders by Physician-completed and Participant-completed mMRC Response at Visit 3/PD |
NCT00984659 (20) [back to overview] | Number of Participants Classified as Responders and Non-responders by CRQ-SAS Dyspnea Domain Response at Visit 3/PD |
NCT00995475 (3) [back to overview] | Alveolar Nitric Oxide |
NCT00995475 (3) [back to overview] | OUCC |
NCT00995475 (3) [back to overview] | CRP |
NCT00997620 (6) [back to overview] | Performance on Test of Variables of Attention (TOVA) - a Standardized Test of Cognitive Performance, Response Time for Targets. |
NCT00997620 (6) [back to overview] | Performance on Test of Variables of Attention (TOVA) - a Standardized Test of Cognitive Performance, Errors of Commission. |
NCT00997620 (6) [back to overview] | Performance on Test of Variables of Attention (TOVA) - a Standardized Test of Cognitive Performance |
NCT00997620 (6) [back to overview] | Nasal Symptom Scores |
NCT00997620 (6) [back to overview] | Change in Epworth Sleep Scale |
NCT00997620 (6) [back to overview] | Change From Baseline in Nocturnal Rhinoconjunctivitis Quality of Life Questionaire |
NCT01007253 (6) [back to overview] | Total Number of Eosinophils |
NCT01007253 (6) [back to overview] | Change in Histamine Level (Across Nasal Challenges) |
NCT01007253 (6) [back to overview] | Change in Tryptase Level (Across Nasal Challenges) |
NCT01007253 (6) [back to overview] | Total Eye Symptoms Score Difference |
NCT01007253 (6) [back to overview] | Total Nasal Symptoms Score Difference |
NCT01007253 (6) [back to overview] | Total Number of Sneezes |
NCT01018186 (27) [back to overview] | Change From Baseline in Albumin and Total Protein at Week 12, Week 28, and Week 52/Early Withdrawal |
NCT01018186 (27) [back to overview] | Change From Baseline in Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase (CK), and Gamma Glutamyltransferase (GGT) at Week 12, Week 28, and Week 52/Early Withdrawal |
NCT01018186 (27) [back to overview] | Change From Baseline in Chloride, Carbon Dioxide Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) at Week 12, Week 28, and Week 52/Early Withdrawal |
NCT01018186 (27) [back to overview] | Change From Baseline in Direct Bilirubin, Indirect Bilirubin, Total Bilirubin, and Creatinine at Week 12, Week 28, and Week 52/Early Withdrawal |
NCT01018186 (27) [back to overview] | Change From Baseline in Eosinophil Count, Total Absolute Neutrophil Count (ANC), Platelet Count, and White Blood Cell (WBC) Count at Week 12, Week 28, and Week 52/Early Withdrawal |
NCT01018186 (27) [back to overview] | Change From Baseline in Hemoglobin at Week 12, Week 28, and Week 52/Early Withdrawal |
NCT01018186 (27) [back to overview] | Change From Baseline in Hematocrit at Week 12, Week 28, and Week 52/Early Withdrawal |
NCT01018186 (27) [back to overview] | Number of Participants With the Indicated Shift From Baseline to High, Normal or no Change, and Low Post-Baseline Values for Urinary Cortisol Excretion |
NCT01018186 (27) [back to overview] | Number of Participants With the Indicated Change From Baseline in Lens Opacities Classification System, Version III (LOCS III) Posterior Subcapsular Opacity (P) at Week 28 and Week 52 |
NCT01018186 (27) [back to overview] | Ratio of 24-hour Urinary Cortisol Excretion at Week 52 to Baseline |
NCT01018186 (27) [back to overview] | Change From Baseline in the Logarithm of the Minimum Angle of Resolution (LogMAR) Visual Acuity at Week 28 and Week 52 |
NCT01018186 (27) [back to overview] | Change From Baseline in Horizontal Cup-to-disc Ratio at Week 28 and Week 52 |
NCT01018186 (27) [back to overview] | Maximum Change From Baseline in Pulse Rate |
NCT01018186 (27) [back to overview] | Number of Participants With the Indicated Change From Baseline in Lens Opacities Classification System, Version III (LOCS III) Cortical Opacity (C) at Week 28 and Week 52 |
NCT01018186 (27) [back to overview] | Number of Participants With the Indicated Change From Baseline in Intraocular Pressure (IOP) at Week 28 and Week 52 |
NCT01018186 (27) [back to overview] | Number of Participants With Evidence of Oral Candidiasis at Any Time Post-Baseline |
NCT01018186 (27) [back to overview] | Number of Participants With Any Adverse Event (AE) or Serious Adverse Event (SAE) During the Treatment Period |
NCT01018186 (27) [back to overview] | Mean 24 Hour Holter Heart Rate for Participants With at Least 16 Hours of Recorded Data |
NCT01018186 (27) [back to overview] | Maximum Change From Baseline in the QT Interval Using Bazett's Correction (QTcB) and QT Interval Using Fridericia's Correction (QTcF) |
NCT01018186 (27) [back to overview] | Maximum Change From Baseline in Systolic Blood Pressure (SBP) and Minimum Change From Baseline in Diastolic Blood Pressure (DBP) |
NCT01018186 (27) [back to overview] | Maximum 24 Hour Holter Heart Rate for Participants With at Least 16 Hours of Recorded Data |
NCT01018186 (27) [back to overview] | Change From Baseline in the Percentage of Basophils, Eosinophils, Hematocrit, Lymphocytes, Monocytes, and Segmented Neutrophils in the Blood at Week 12, Week 28, and Week 52/Early Withdrawal |
NCT01018186 (27) [back to overview] | Change From Baseline in Lens Opacities Classification System, Version III (LOCS III) Nuclear Opalescence (NO) at Week 28 and Week 52 |
NCT01018186 (27) [back to overview] | Change From Baseline in Lens Opacities Classification System, Version III (LOCS III) Nuclear Color (NC) at Week 28 and Week 52 |
NCT01018186 (27) [back to overview] | Number of Participants With Severe Asthma Exacerbations During the Treatment Period |
NCT01018186 (27) [back to overview] | Ratio of 24-hour Urinary Cortisol Excretion at Week 12 to Baseline |
NCT01018186 (27) [back to overview] | Ratio of 24-hour Urinary Cortisol Excretion at Week 28 to Baseline |
NCT01072149 (3) [back to overview] | Change From Period Baseline in Clinic Visit Trough FEV1 at the End of Each 28-day Treatment Period |
NCT01072149 (3) [back to overview] | Time-adjusted Area Under the Curve (AUC) (i.e., Weighted Mean) for 24-hour Serial Forced Expiratory Volume in One Second (FEV1) at the End of Each 28-day Treatment Period |
NCT01072149 (3) [back to overview] | Change From Period Baseline in 25-hour Serial FEV1 at the End of Each 28 Day-treatment Period |
NCT01086384 (3) [back to overview] | Change From Baseline in Evening Pre-dose Trough FEV1 at Week 36 |
NCT01086384 (3) [back to overview] | Number of Severe Asthma Exacerbations |
NCT01086384 (3) [back to overview] | Number of Participants With 1 or More Severe Asthma Exacerbations |
NCT01086410 (22) [back to overview] | Tmax and Tlast of FF at Day 42 |
NCT01086410 (22) [back to overview] | Number of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE) During the Treatment Period |
NCT01086410 (22) [back to overview] | Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Days 14, 28, 42, and Maximum Post-Baseline |
NCT01086410 (22) [back to overview] | Change From Baseline in Pulse Rate at Days 14, 28, 42, and Maximum Post-Baseline |
NCT01086410 (22) [back to overview] | Change From Baseline in Hemoglobin Values at Day 42/EW |
NCT01086410 (22) [back to overview] | Change From Baseline in Hematocrit Values at Day 42/EW |
NCT01086410 (22) [back to overview] | Change From Baseline in Direct Bilirubin, Indirect Bilirubin, Total Bilirubin, and Creatinine Values at Day 42/EW |
NCT01086410 (22) [back to overview] | AUC(0-t) for VI on Day 42 |
NCT01086410 (22) [back to overview] | Cmax for FF on Day 42 |
NCT01086410 (22) [back to overview] | Cmax for VI on Day 42 |
NCT01086410 (22) [back to overview] | Ratio From Baseline of 0-24 Hour Urinary Free Cortisol Excretion on Day -1/1 (Baseline) and Day 42 |
NCT01086410 (22) [back to overview] | Ratio From Baseline of Serum Cortisol Trough (0-24 Hours) at Day -1/1 (Baseline) and Day 42 |
NCT01086410 (22) [back to overview] | Change From Baseline in Eosinophil, Total Neutrophil, Platelet, and White Blood Cell (WBC) Count Values at Day 42/EW |
NCT01086410 (22) [back to overview] | Tmax and Tlast of VI at Day 42 |
NCT01086410 (22) [back to overview] | Plasma FF and VI Pharmacokinetic (PK) Concentration |
NCT01086410 (22) [back to overview] | Change From Baseline in Albumin and Total Protein Values at Day 42/EW |
NCT01086410 (22) [back to overview] | Change From Baseline in Basophil, Eosinophil, Lymphocyte, Monocyte, and Segmented Neutrophil Values at Day 42/Early Withdrawal (EW) |
NCT01086410 (22) [back to overview] | Change From Baseline in Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 42/EW |
NCT01086410 (22) [back to overview] | Ratio From Baseline of the Serum Cortisol Area Under the Concentration-time Curve (AUC) (0-24 Hour) on Day -1/1 (Baseline) and Day 42 |
NCT01086410 (22) [back to overview] | Ratio From Baseline of the Serum Cortisol Weighted Mean (0-24 Hours) on Day -1/1 (Baseline) and Day 42 |
NCT01086410 (22) [back to overview] | AUC(0-t) and AUC(0-24) for FF on Day 42 |
NCT01086410 (22) [back to overview] | Change From Baseline in Alanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), Creatine Kinase (CK), and Gamma Glutamyl Transferase (GGT) Values at Day 42/EW |
NCT01092143 (2) [back to overview] | Asthma Control Questionnaire (ACQ) Mean Score Change From Baseline After Six Weeks of Treatment |
NCT01092143 (2) [back to overview] | Forced Expiratory Volume in One Second (FEV1) % Predicted Trough Change From Baseline (Mean Observed in the 2 Weeks Prior to Treatment) After Six Weeks of Treatment |
NCT01103934 (2) [back to overview] | Change From Baseline in Daytime Nasal Symptom Score (DNSS) Over 2 Week Randomized Treatment Period |
NCT01103934 (2) [back to overview] | Change From Baseline in Total Nasal Symptom Score (TNSS) Over 2 Week Randomized Treatment Period |
NCT01124422 (19) [back to overview] | Mean Change in Tidal Volume (VT) at Isotime During the Course of the ESWT From Baseline to Week 8 |
NCT01124422 (19) [back to overview] | Mean Change in Tidal Volume (VT) Per Time Slope During the Course of the ESWT From Baseline to Week 8 |
NCT01124422 (19) [back to overview] | Mean Change in Pre-dose and Post-dose Resting Inspiratory Capacity (IC) From Baseline (Week 4) to Week 8 |
NCT01124422 (19) [back to overview] | Mean Change in Scores on the Chronic Respiratory Disease Questionnaire Self-Administered Standardized (CRQ-SAS) Questionnaire From Week 4 to Week 8 |
NCT01124422 (19) [back to overview] | Mean Change in EIC at 2 to 3.5 Minutes During the Exercise Period From Baseline (Week 3) to Week 8 |
NCT01124422 (19) [back to overview] | Baseline Dyspnea Index (BDI) at Week 4 and Transition Dyspnea Index (TDI) at Week 8 |
NCT01124422 (19) [back to overview] | Mean Change in EDS at Isotime From Baseline (Week 3) to Week 8 |
NCT01124422 (19) [back to overview] | Mean Change in Exercise Endurance Time (EET) From Baseline (Week 3) to Week 8 |
NCT01124422 (19) [back to overview] | Mean Change in Exercise Inspiratory Capacity (EIC) at the End of Exercise From Baseline (Week 3) to Week 8 |
NCT01124422 (19) [back to overview] | Mean Change in Flow of Carbon Dioxide (V'CO2) Per Time Slope During the Course of the ESWT From Baseline (Week 3) to Week 8 |
NCT01124422 (19) [back to overview] | Mean Change in Flow of Oxygen (V'O2) Per Time Slope During the Course of the ESWT From Baseline (Week 3) to Week 8 |
NCT01124422 (19) [back to overview] | Mean Change in Heart Rate (HR) Per Time Slope During the Course of the ESWT From Baseline (Week 3) to Week 8 |
NCT01124422 (19) [back to overview] | Mean Change in HR Per Time Slope During the Course of the ESWT Using Pulse Oximetry From Baseline to Week 8 (Non-OMS Subgroup) |
NCT01124422 (19) [back to overview] | Mean Change in Minute Ventilation (V'E) Per Time Slope During the Course of the ESWT From Baseline (Week 3) to Week 8 |
NCT01124422 (19) [back to overview] | Mean Change in Ratio of Respiratory Rate (RR) to Tidal Volume (VT) or RR/VT at Isotime During the Course of the ESWT From Baseline to Week 8 |
NCT01124422 (19) [back to overview] | Mean Change in Respiratory Exchange Ratio (RER) Per Time Slope During the Course of the ESWT From Baseline to Week 8 |
NCT01124422 (19) [back to overview] | Mean Change in Respiratory Rate (RR) at Isotime During the Course of the ESWT From Baseline to Week 8 |
NCT01124422 (19) [back to overview] | Mean Change in Respiratory Rate (RR) Per Time Slope During the Course of the ESWT From Baseline (Week 3) to Week 8 |
NCT01124422 (19) [back to overview] | Mean Change in Scores on the Exercise Dyspnea Scale (EDS) From Baseline (Week 3) to Week 8 |
NCT01128569 (4) [back to overview] | Maximum Percent Decrease From Baseline in FEV1 Between 0 2 Hour, Following the 22-23 Hour Post-treatment Allergen Challenge on Day 29 of Each Treatment Period |
NCT01128569 (4) [back to overview] | Weighted Mean Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Between 0-2 Hours, Following the 22-23 Hour Post-treatment Allergen Challenge on Day 29 of Each Treatment Period |
NCT01128569 (4) [back to overview] | Number of Participants With Treatment-emergent Adverse Events (AEs) |
NCT01128569 (4) [back to overview] | Minimum FEV1 Absolute Change From Baseline Between 0-2 Hour, Following the 22-23 Hour Post-treatment Allergen Challenge on Day 29 of Each Treatment Period |
NCT01128595 (6) [back to overview] | EAR: Absolute Change From Saline in Weighted Mean FEV1 Between 0-2 Hrs Following the 1-hr Post-treatment Allergen Challenge on Day 21 of Each Treatment Period |
NCT01128595 (6) [back to overview] | Provocative Concentration of Methacholine Estimated to Result in a 20% Reduction in FEV1 (PC20) on Day 22 of Each Treatment Period |
NCT01128595 (6) [back to overview] | Maximum Percent Change From Saline in FEV1 Between 0-2 Hrs, Following the 1-hr Post-treatment Allergen Challenge on Day 21 of Each Treatment Period |
NCT01128595 (6) [back to overview] | Late Asthmatic Response (LAR): Absolute Change From Saline in Minimum FEV1 Between 4-10 Hours (Hrs) Following the 1-hr Post-treatment Allergen Challenge on Day 21 of Each Treatment Period |
NCT01128595 (6) [back to overview] | LAR: Absolute Change From Saline in Weighted Mean (WM) FEV1 Between 4-10 Hrs Following the 1-hr Post-treatment Allergen Challenge on Day 21 of Each Treatment Period |
NCT01128595 (6) [back to overview] | Early Asthmatic Response (EAR): Absolute Change From Saline in Minimum FEV1 Between 0-2 Hrs Following the 1-hr Post-treatment Allergen Challenge on Day 21 of Each Treatment Period |
NCT01134042 (11) [back to overview] | The Number of Participants Who Withdrew Due to Lack of Efficacy During the 24-week Treatment Period |
NCT01134042 (11) [back to overview] | Change From Baseline in the Asthma Control Test (ACT) Scores at Week 12 and Week 24 |
NCT01134042 (11) [back to overview] | Change From Baseline in the Percentage of Rescue-free and Symptom-free 24-hour Periods at the End of the 24-week Treatment Period |
NCT01134042 (11) [back to overview] | Clinic Visit 12-hour Post-dose FEV1at Week 24 |
NCT01134042 (11) [back to overview] | Mean Change From Baseline in Daily Morning Trough (AM) and Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the First 12 Weeks and 24 Weeks of the 24-week Treatment Period |
NCT01134042 (11) [back to overview] | Number of the Indicated Unscheduled Asthma-related Healthcare Visits During the Treatment Period |
NCT01134042 (11) [back to overview] | Number of Participants With the Indicated Global Assessment of Change Questionnaire Responses at Weeks 4, 12, and 24 |
NCT01134042 (11) [back to overview] | Change From Baseline in Weighted Mean Serial FEV1 Over 0 to 4 Hours Post-dose at Week 24 |
NCT01134042 (11) [back to overview] | Change From Baseline in the Total Asthma Quality of Life Questionnaire (AQLQ) (+12) Score at Week 12 and Week 24/Early Withdrawal |
NCT01134042 (11) [back to overview] | Change From Baseline in Clinic Visit Trough (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at the End of the 24-week Treatment Period |
NCT01134042 (11) [back to overview] | Change From Baseline in Weighted Mean Serial FEV1 Over 0-24 Hours Post-dose at Week 24 |
NCT01147744 (12) [back to overview] | Mean Change From Baseline to the End of the 8-Week Treatment Period in Trough Forced Expiratory Volume in One Second (FEV1) |
NCT01147744 (12) [back to overview] | Mean Change From Baseline in Daily Trough AM PEF Averaged Over the 8-Week Treatment Period |
NCT01147744 (12) [back to overview] | Mean Change From Baseline in Day-time Asthma Symptom Score Over the 8-Week Treatment Period |
NCT01147744 (12) [back to overview] | Number of Participants Who Withdrew Due to Lack of Efficacy During the 8-Week Treatment Period |
NCT01147744 (12) [back to overview] | Mean Change From Baseline in the Percentage of Symptom-free Nights Averaged Over the 8-Week Treatment Period |
NCT01147744 (12) [back to overview] | Mean Change From Baseline in the Percentage of Symptom-free Days Averaged Over the 8-Week Treatment Period |
NCT01147744 (12) [back to overview] | Mean Change From Baseline in the Percentage of Rescue-free Nights Averaged Over the 8-Week Treatment Period |
NCT01147744 (12) [back to overview] | Mean Change From Baseline in the Percentage of Rescue-free Days Averaged Over the 8-Week Treatment Period |
NCT01147744 (12) [back to overview] | Mean Change From Baseline in Night-time Rescue SABA Usage Over the 8-Week Treatment Period |
NCT01147744 (12) [back to overview] | Mean Change From Baseline in Night-time Asthma Symptom Score Over the 8-Week Treatment Period |
NCT01147744 (12) [back to overview] | Mean Change From Baseline in Day-time Rescue Short Acting beta2-agonist (SABA) Usage Over the 8-Week Treatment Period |
NCT01147744 (12) [back to overview] | Mean Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 8-Week Treatment Period |
NCT01147848 (13) [back to overview] | Change From Baseline in Asthma Quality of Life Questionnaire (AQLQ) Total Score for Participants 12 Years of Age and Older (AQLQ + 12) |
NCT01147848 (13) [back to overview] | Change From Baseline in Weighted Mean Serial FEV1 Over 0-4 Hours at Day 168 |
NCT01147848 (13) [back to overview] | Change From Baseline in Asthma Control Test (ACT) Scores at Day 168 |
NCT01147848 (13) [back to overview] | Number of Participants Obtaining a >=12% and >=200 mL Increase From Baseline in FEV1 |
NCT01147848 (13) [back to overview] | Serial FEV1 (0-24 Hours) |
NCT01147848 (13) [back to overview] | Number of Participants With the Indicated Time to Onset of Bronchodilator Effect at Day 1 |
NCT01147848 (13) [back to overview] | Number of Healthcare Contacts Related to Asthma or the Treatment of Asthma From Baseline to Day 168 |
NCT01147848 (13) [back to overview] | Baseline FEV1 by Completion Status |
NCT01147848 (13) [back to overview] | Change From Baseline in Trough FEV1 at Day 168 |
NCT01147848 (13) [back to overview] | "Percentage of Participants With No Problems in the EQ-5D Descriptive System Dimensions at Day 168/Week 24" |
NCT01147848 (13) [back to overview] | Change From Baseline in EQ-5D Visual Analog Scale (VAS) Score at Day 168 |
NCT01147848 (13) [back to overview] | Change From Baseline in Weighted-mean 24 Hour Serial FEV1 on Day 168/Week 24 |
NCT01147848 (13) [back to overview] | Change From Baseline in Weighted Mean Serial FEV1 Over 0-4 Hours Post First Dose (at Randomization) |
NCT01159912 (6) [back to overview] | Mean Change From Baseline in Daily Morning (AM) PEF Averaged Over the First 12 Weeks and 24 Weeks of the 24-week Treatment Period |
NCT01159912 (6) [back to overview] | Change From Baseline in the Total Asthma Quality of Life Questionnaire (AQLQ) (+12) Score at Week 12 and Week 24 |
NCT01159912 (6) [back to overview] | Mean Change From Baseline in Clinic Visit Trough Evening (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at the End of the 24 Week Treatment Period |
NCT01159912 (6) [back to overview] | Change From Baseline in the Percentage of Symptom-free 24-hour (hr) Periods at the End of the 24-week Treatment Period |
NCT01159912 (6) [back to overview] | Change From Baseline in the Percentage of Rescue-free 24-hour (hr) Periods at the End of the 24-week Treatment Period |
NCT01159912 (6) [back to overview] | Mean Change From Baseline in Daily Trough Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the First 12 Weeks and 24 Weeks of the 24-week Treatment Period |
NCT01165138 (18) [back to overview] | Mean Change From Baseline in Daily Evening (PM) PEF Averaged Over the 12-week Treatment Period |
NCT01165138 (18) [back to overview] | Mean Change From Baseline in Clinic Visit Trough (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at Week 12 |
NCT01165138 (18) [back to overview] | Clinic Visit 12-hour Post-dose FEV1 at Week 12 |
NCT01165138 (18) [back to overview] | Mean Change From Baseline in the Percentage of Rescue-free 24-hour (hr) Periods During the 12-week Treatment Period |
NCT01165138 (18) [back to overview] | Number of Participants Who Used the Inhaler Correctly or Incorrectly at Baseline, Week 2, and Week 4 |
NCT01165138 (18) [back to overview] | Number of Participants With the Indicated Reason for Incorrect Inhaler Use and Who Required Additional Instruction the Indicated Number of Times at Baseline, Week 2, and Week 4 |
NCT01165138 (18) [back to overview] | Serial FEV1 Over 0-1 Hour Post-dose at Randomization |
NCT01165138 (18) [back to overview] | Weighted Mean Serial FEV1 Over 0-4 Hours Post-dose at Baseline and Week 12 |
NCT01165138 (18) [back to overview] | Mean Change From Baseline in Daily Morning (AM) Peak Expiratory Flow (PEF) Averaged Over the 12-week Treatment Period |
NCT01165138 (18) [back to overview] | Number of Participants With the Indicated Global Assessment of Change Responses at Week 4, Week 8, and Week 12/Early Withdrawal |
NCT01165138 (18) [back to overview] | Number of the Indicated Unscheduled Asthma-related Healthcare Visits During the Treatment Period |
NCT01165138 (18) [back to overview] | Change From Baseline in the Total Asthma Quality of Life Questionnaire (AQLQ) (+12) Score at Week 12/Early Withdrawal |
NCT01165138 (18) [back to overview] | Change From Baseline in the Percentage of Symptom-free 24-hour (hr) Periods During the 12-week Treatment Period |
NCT01165138 (18) [back to overview] | Change From Baseline in the Asthma Control Test (ACT) Score at Week 12 |
NCT01165138 (18) [back to overview] | Number of Participants Who Withdrew Due to Lack of Efficacy During the 12-week Treatment Period |
NCT01165138 (18) [back to overview] | Number of Participants With Bronchodilator Effect |
NCT01165138 (18) [back to overview] | Weighted Mean Serial FEV1 Over 0-24 Hours Post-dose at Baseline |
NCT01165138 (18) [back to overview] | Change From Baseline in Weighted Mean Serial FEV1 Over 0-24 Hours Post-dose at Week 12 |
NCT01184118 (3) [back to overview] | Number of Participants With Improved, Unchanged, and Worsened Anterior Tongue Strength (KPa) From Baseline With 16-week of High Dose Inhaled FP Treatment. |
NCT01184118 (3) [back to overview] | Number of Participants With Improved, Unchanged, and Worsened Critical Closing Pressure (Pcrit) From Baseline With 16-week of High Dose Inhaled FP Treatment. |
NCT01184118 (3) [back to overview] | Number of Participants With Improved, Unchanged, and Worsened Sleep Disorders Questionnaire (SA-SDQ) From Baseline With 16-week of High Dose Inhaled FP Treatment. |
NCT01192178 (8) [back to overview] | Mean Percentage of Rescue-free Days |
NCT01192178 (8) [back to overview] | Mean Percentage of Episode-free (EF) Days |
NCT01192178 (8) [back to overview] | Mean Percentage of Asthma-control Days |
NCT01192178 (8) [back to overview] | Mean Duration of Worsening Asthma Symptoms Associated With the Presence of Moderate or Severe URTS or a Confirmed RV Infection |
NCT01192178 (8) [back to overview] | Mean Percentage of Symptom-free Days |
NCT01192178 (8) [back to overview] | Number of Asthma Exacerbations Associated With the Presence of Moderate or Severe URTS or a Confirmed RV Infection During the Peak Viral Period |
NCT01192178 (8) [back to overview] | Total Number of Asthma Exacerbations Reported During the Treatment Period |
NCT01192178 (8) [back to overview] | Mean Asthma Symptom Scores, as an Indicator of Severity, Associated With the Presence of Moderate or Severe Upper Respiratory Tract Symptoms (URTS) or a Confirmed Rhinovirus (RV) Infection at Baseline and During the Peak Viral Period |
NCT01192191 (10) [back to overview] | Number of Participants for the Indicated Hematological Parameters Who Experienced Low, Normal, and High Levels at Baseline (BL) and Week 52/Withdrawal (WD) |
NCT01192191 (10) [back to overview] | Number of Participants for the Indicated Clinical Chemistry and Urinalysis Parameters Who Experienced a Low, Normal, and High Levels at Baseline (BL) and Week 52/Withdrawal (WD) |
NCT01192191 (10) [back to overview] | Change From Baseline in Heart Rate (HR) at Weeks 4, 8, 12, 16, 24, 32, 40, and 52; Week 24/WD; and Week 52/WD |
NCT01192191 (10) [back to overview] | Change From Baseline in Blood Pressure at Weeks 4, 8, 12, 16, 24, 32, 40, and 52; Week 24/WD; and Week 52/WD |
NCT01192191 (10) [back to overview] | Number of Participants With Pneumonia During the Treatment Period |
NCT01192191 (10) [back to overview] | Number of Participants With Any Non-serious Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Treatment Period |
NCT01192191 (10) [back to overview] | Number of Participants With Any Drug-related AE and Any Drug-related SAE Throughout the Treatment Period |
NCT01192191 (10) [back to overview] | Number of Participants With Abnormal 12-lead Electrocardiogram (ECG) Findings |
NCT01192191 (10) [back to overview] | Change From Baseline in 24-hour Urinary Cortisol Excretion at Weeks 24 and 52/Withdrawal (WD) |
NCT01192191 (10) [back to overview] | Number of Participants for the Indicated Urinalysis Parameters Tested by Dipstick at Baseline (BL) and Week 52/Withdrawal (WD) |
NCT01216735 (2) [back to overview] | Flow-mediated Brachial Vasodilation (FMD% Peak Delta) |
NCT01216735 (2) [back to overview] | Albuterol Induced Change in Qaw Before and After Fluticasone or Placebo |
NCT01231230 (1) [back to overview] | Maximum Change From Baseline in Airway Blood Flow (Qaw) |
NCT01231464 (3) [back to overview] | Mean Change From Baseline Over the Entire Treatment Period in the Daily Reflective Total Nasal Symptom Score (rTNSS) |
NCT01231464 (3) [back to overview] | Mean Change From Baseline (Visit 2) to the End of Study (Visit 4/Early Withdrawal) in Nasal Finding Score by Rhinoscopy |
NCT01231464 (3) [back to overview] | Mean Change From Baseline (Visit 2) to the End of Study (Visit 4/Early Withdrawal) in Severity of Overall Interference in Activities of Daily Living |
NCT01244984 (23) [back to overview] | Laboratory Parameter of Hemoglobin at Baseline (Week -2), Week 12,Week 24, and Week 52/WD |
NCT01244984 (23) [back to overview] | Change From Baseline in Asthma Symptom Score During the Study Treatment |
NCT01244984 (23) [back to overview] | Number of Participants With Severe Asthma Exacerbation During the Study Treatment |
NCT01244984 (23) [back to overview] | Laboratory Parameter of Albumin and Total Protein (TP) at Baseline (Week -2), Week 12, Week 24, and Week 52/WD |
NCT01244984 (23) [back to overview] | Laboratory Parameters of Eosinophils, Platelet Count, White Blood Cell (WBC), and Total Neutrophils at Baseline (Week -2), Week 12, Week 24, and Week 52/WD |
NCT01244984 (23) [back to overview] | Laboratory Parameter of Bilirubin (Direct [BD], Indirect [BI], Total [BT], Creatinine, and Uric Acid at Baseline (Week -2), Week 12, Week 24, and Week 52/WD |
NCT01244984 (23) [back to overview] | Change From Baseline in the Percentage of Symptom-free 24-hour Periods During the Study Treatment |
NCT01244984 (23) [back to overview] | Laboratory Parameter of Urine Specific Gravity (USG) at Baseline (Week -2), Week 12, Week 24, and Week 52/WD |
NCT01244984 (23) [back to overview] | Laboratory Parameters of Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils at Baseline (Week -2), Week 12, Week 24, and Week 52/WD |
NCT01244984 (23) [back to overview] | Laboratory Parameter of Chloride, Carbon Dioxide Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) at Baseline (Week -2), Week 12, Week 24, and Week 52/WD |
NCT01244984 (23) [back to overview] | Number of Participants With Abnormal 12-lead Electrocardiogram (ECG) Findings |
NCT01244984 (23) [back to overview] | Number of Participants With Any Non-serious Adverse Event (AE) and Any Serious Adverse Event (SAE) |
NCT01244984 (23) [back to overview] | Number of Rescue Medication Inhalations |
NCT01244984 (23) [back to overview] | Laboratory Parameter of Hematocrit at Baseline (Week -2), Week 12, Week 24, and Week 52/WD |
NCT01244984 (23) [back to overview] | Laboratory Parameter of Alkaline Phosphatase (AP), Alanine Amino Transferase (ALT), Aspartate Amino Transferase (AST), Creatine Kinase, Gamma Glutamyl Transferase (GGT), and Lactate Dehydrogenase (LDH) at BL (Week -2), Week 12, Week 24, and Week 52/WD |
NCT01244984 (23) [back to overview] | Laboratory Parameter of Red Blood Cell Count at Baseline (Week -2), Week 12, Week 24, and Week 52/WD |
NCT01244984 (23) [back to overview] | Laboratory Parameter of Urine Potential of Hydrogen (pH) at Baseline (Week -2), Week 12, Week 24, and Week 52/WD |
NCT01244984 (23) [back to overview] | Change From Baseline in the Percentage of Rescue-free 24-hour Periods |
NCT01244984 (23) [back to overview] | Change From Baseline in the 24-hour Urinary Cortisol Excretion |
NCT01244984 (23) [back to overview] | Change From Baseline in Heart Rate (HR) |
NCT01244984 (23) [back to overview] | Change From Baseline in Diary Data - Morning (AM) Peak Expiratory Flow (PEF) and Evening (PM) PEF During the Study Treatment |
NCT01244984 (23) [back to overview] | Change From Baseline in Blood Pressure |
NCT01244984 (23) [back to overview] | Number of Participants for the Indicated Uninalysis Parameters Tested by Dipstick at Baseline (BL), Week 12, Week 24, and Week 52/WD |
NCT01279057 (8) [back to overview] | PRIMARY: Mean Change From Baseline in Reflective Total Nasal Symptom Score (rTNSS) (Superiority: Intent-to-Treat Population) |
NCT01279057 (8) [back to overview] | PRIMARY: Mean Change From Baseline in Reflective Total Nasal Symptom Score (rTNSS) (Equivalence: Per-Protocol Population) |
NCT01279057 (8) [back to overview] | Mean Change From Baseline in Instantaneous Total Ocular Symptom Score (iTOSS) (Superiority: Intent-to-Treat Population) |
NCT01279057 (8) [back to overview] | Mean Change From Baseline in Instantaneous Total Ocular Symptom Score (iTOSS) (Equivalence: Per-Protocol Population) |
NCT01279057 (8) [back to overview] | Mean Change From Baseline in Reflective Total Ocular Symptom Score (rTOSS) (Equivalence: Per-Protocol Population) |
NCT01279057 (8) [back to overview] | Mean Change From Baseline in Reflective Total Ocular Symptom Score (rTOSS) (Superiority: Intent-to-Treat Population) |
NCT01279057 (8) [back to overview] | Mean Change From Baseline in Instantaneous Total Nasal Symptom Score (iTNSS) (Equivalence: Per-Protocol Population) |
NCT01279057 (8) [back to overview] | Mean Change From Baseline in Instantaneous Total Nasal Symptom Score (iTNSS) (Superiority: Intent-to-Treat Population) |
NCT01307462 (9) [back to overview] | Number of Subjects Were Able to Reduce Their Systemic Steroid Exposure by >=50% |
NCT01307462 (9) [back to overview] | Number of Subjects Who Experienced Statistically Significant Changes in FVC, TLC, RV, DLCO |
NCT01307462 (9) [back to overview] | Number of Subjects Who Failed Treatment |
NCT01307462 (9) [back to overview] | Number of Subjects With Improvements in Other Chronic GVHD Characteristics |
NCT01307462 (9) [back to overview] | Changes in Symptoms as Measured by Patient Self-report--Functional Assessment of Chronic Illness Therapy (FACT) |
NCT01307462 (9) [back to overview] | Changes in Symptoms as Measured by Patient Self-report--Human Activities Profile (HAP) |
NCT01307462 (9) [back to overview] | Changes in Symptoms as Measured by Patient Self-report--Lee Chronic GVHD Symptom Scale |
NCT01307462 (9) [back to overview] | Changes in Symptoms as Measured by Patient Self-report--Short Form-36 (SF-36) |
NCT01307462 (9) [back to overview] | Number of Subjects Who Experienced Grade 3-5 SAEs Attributable to FAM and Number of Subjects Who Stopped FAM as a Result |
NCT01312961 (11) [back to overview] | Time to First Asthma Exacerbation: Kaplan-Meier Estimates at Week 4, Week 8 and Week 12 |
NCT01312961 (11) [back to overview] | Change From Baseline in 22-item Sinonasal Outcome Test (SNOT-22) Score to Week 12 |
NCT01312961 (11) [back to overview] | Change From Baseline in Asthma Control Questionnaire (5-question Version [ACQ-5]) to Week 12 |
NCT01312961 (11) [back to overview] | Change From Baseline in Evening Asthma Symptom Scores to Week 12 |
NCT01312961 (11) [back to overview] | Change From Baseline in Forced Expiratory Flow in One Second (FEV1) to Week 12 |
NCT01312961 (11) [back to overview] | Change From Baseline in Morning Asthma Symptom Scores to Week 12 |
NCT01312961 (11) [back to overview] | Change From Baseline in Number of Inhalations Per Day of Albuterol or Levalbuterol to Week 12 |
NCT01312961 (11) [back to overview] | Change From Baseline in Number of Nocturnal Awakenings Per Day to Week 12 |
NCT01312961 (11) [back to overview] | Percentage of Participants With Composite Asthma Events |
NCT01312961 (11) [back to overview] | Change From Baseline in Peak Expiratory Flow (PEF) to Week 12 |
NCT01312961 (11) [back to overview] | Percentage of Participants With Asthma Exacerbation |
NCT01313676 (3) [back to overview] | Decline in Forced Expiratory Volume in 1 Second (FEV1) |
NCT01313676 (3) [back to overview] | Number of Participants With Death (Both on and Off Treatment) Due to Any Cause, Time up to or on the Pre-determined Common End Date |
NCT01313676 (3) [back to overview] | Number of Participants With First On-treatment Cardiovascular (CV) Composite Events Occured on or Before Common End Date |
NCT01315249 (11) [back to overview] | Inspiratory Capacity (IC) at All-time Points (26 Weeks) |
NCT01315249 (11) [back to overview] | Mean Change From Baseline in Daily Number of Puffs of Rescue Medication |
NCT01315249 (11) [back to overview] | Number of Participants With Adverse Events |
NCT01315249 (11) [back to overview] | Focal Score of the Transitional Dyspnea Index (TDI) |
NCT01315249 (11) [back to overview] | Total Score of the St. George's Respiratory Questionnaire (SGRQ-C) |
NCT01315249 (11) [back to overview] | Forced Vital Capacity at All-time Points (Week 26) |
NCT01315249 (11) [back to overview] | Forced Vital Capacity at All-time Points (Week 12) |
NCT01315249 (11) [back to overview] | Forced Expiratory Volume in 1 Second Area Under the Curve (FEV1 AUC) 0-12 |
NCT01315249 (11) [back to overview] | Inspiratory Capacity (IC) at All-time Points (12 Weeks) |
NCT01315249 (11) [back to overview] | Standardized Forced Expiratory Volume in 1 Second Area Under the Curve (FEV1 AUC) 0-12 Hours |
NCT01315249 (11) [back to overview] | Change From Baseline in Symptom Scores Reported Using the Ediary |
NCT01323621 (2) [back to overview] | Change From Baseline Trough in 24-Hour Weighted Mean FEV1 on Treatment Day 84 |
NCT01323621 (2) [back to overview] | Time to Onset on Treatment Day 1 |
NCT01323634 (2) [back to overview] | Time to Onset on Treatment Day 1 |
NCT01323634 (2) [back to overview] | Change From Baseline Trough in 24-hour Weighted-mean FEV1 on Treatment Day 84 |
NCT01328964 (3) [back to overview] | Mean Monthly Asthma-related Costs (Pharmacy and Medical) During the Post-index Period |
NCT01328964 (3) [back to overview] | Number of Asthma-related Hospitalizations, Asthma-related Emergency Department (ED) Visits, and Combined Hospitalizations/ED Visits Represented Per 100 Person Years |
NCT01328964 (3) [back to overview] | Number of Asthma-related Hospitalizations, Asthma-related Emergency Department (ED) Visits, and Combined Hospitalizations/ED Visits Represented Per 100 Person Years |
NCT01331694 (2) [back to overview] | Time to First Chronic Obstructive Pulmonary Disease (COPD) Event |
NCT01331694 (2) [back to overview] | Average Annual Adjusted Post-Index COPD-Related Costs |
NCT01332292 (28) [back to overview] | Oropharyngeal Volume on Days 1 and 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | AUC(0-t) on Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Hemoglobin and Mean Corpuscle Hemoglobin Concentration (MCHC) Values at Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Heart Rate at Baseline and Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Inhaled Volume on Days 1 and 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Number of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE) During the Treatment Period |
NCT01332292 (28) [back to overview] | Peak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Peak Pressure Drop on Days 1 and 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Reticulocyte and Red Blood Cell (RBC) Values at Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Total Emitted Dose (TED) on Days 1 and 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Hematocrit Values at Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Cmax on Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Mean Corpuscle Hemoglobin (MCH) Values at Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Ex-throat Dose (ETD) and ETD <2 Microns on Days 1 and 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Total Bilirubin, Creatinine, and Uric Acid Values at Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Tmax and t at Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Calcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Basophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Average Oropharyngeal Cross-sectional Area on Days 1 and 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Average Flow Rate and Peak Inspiratory Flow Rate (PIFR) on Days 1 and 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Alanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), and Gamma Glutamyl Transferase (GGT) Values at Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Serum Cortisol Weighted Mean (0-12 Hours) on Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Mean Corpuscle Volume (MCV) Value at Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Inhalation Time on Days 1 and 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Albumin and Total Protein Values at Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Change From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment Period |
NCT01332292 (28) [back to overview] | Distance of Assessment on Days 1 and 14 of the Respective Treatment Period |
NCT01332357 (1) [back to overview] | Number of Participants With an Asthma-related Event Occurring Between 1 and 6 Months Following the Index Event |
NCT01332461 (3) [back to overview] | Number of Participants Having a COPD-related Event Related to Chronic Obstructive Pulmonary Disease (COPD) Represented Per 100 Person-years |
NCT01332461 (3) [back to overview] | Number of Participants Having a Hospitalization or Emergency Room (ER) Visit Related to Chronic Obstructive Pulmonary Disease (COPD) Represented Per 100 Person-years |
NCT01332461 (3) [back to overview] | Mean Monthly COPD-related Costs Per Participant |
NCT01336608 (3) [back to overview] | Mean Change From Baseline (BL) in Aortic Pulse Wave Velocity (aPWV) at the End of the 24-week Treatment Period (Day 168) |
NCT01336608 (3) [back to overview] | Change From BL in Clinic Visit Trough (Pre-bronchodilator and Pre-dose) FEV1 at Day 168 |
NCT01336608 (3) [back to overview] | Mean Number of Occasions Rescue Medication [Albuterol (Salbutamol)] Used During a 24-hour Period Averaged Over the Entire 24-week Treatment Period |
NCT01337336 (4) [back to overview] | Number of Participants With Any Chronic Obstructive Pulmonary Disease (COPD)-Related Exacerbation |
NCT01337336 (4) [back to overview] | Mean Annual COPD-related Costs Per Participant |
NCT01337336 (4) [back to overview] | Number of Participants With the Indicated COPD-related Exacerbations |
NCT01337336 (4) [back to overview] | Number of the Indicated COPD-related Exacerbations |
NCT01342913 (3) [back to overview] | Time to Onset on Treatment Day 1 |
NCT01342913 (3) [back to overview] | Change From Baseline Trough in 24-hour Weighted-mean FEV1 on Treatment Day 84 |
NCT01342913 (3) [back to overview] | Change From Baseline in Trough FEV1 on Treatment Day 85 |
NCT01347060 (3) [back to overview] | Mean Number of Post-index Asthma-related Events Measured Using Medical and Pharmacy Claims |
NCT01347060 (3) [back to overview] | Mean Asthma-related Costs in the Post-index Period |
NCT01347060 (3) [back to overview] | Mean Number of Albuterol (Short-acting β-Agonists) Canisters Dispensed Per Pharmacy Claim Per Participant |
NCT01365611 (6) [back to overview] | AUC 0-t (the Area Under the Plasma Concentration-time Curve (AUC) From Time Zero to the Last Quantifiable Time Point Post-dose of Ketorolac Tromethamine). |
NCT01365611 (6) [back to overview] | t1/2z (the Terminal Half-life of Ketorolac Tromethamine, Where Possible) |
NCT01365611 (6) [back to overview] | Tmax (the Time to Maximum Concentration of Ketorolac Tromethamine) |
NCT01365611 (6) [back to overview] | AUC Inf (the AUC From Time Zero to Infinity, Where Possible) |
NCT01365611 (6) [back to overview] | MRT (the Mean Residence Time of Ketorolac Tromethamine, Where Possible) |
NCT01365611 (6) [back to overview] | Cmax (the Maximum Observed Plasma Concentration of Ketorolac Tromethamine) |
NCT01365650 (6) [back to overview] | Tmax (the Time to Maximum Concentration) |
NCT01365650 (6) [back to overview] | t1/2z (the Terminal Half-life, Where Possible) |
NCT01365650 (6) [back to overview] | AUC 0-∞ (the AUC From Time Zero to Infinity, Where Possible) |
NCT01365650 (6) [back to overview] | AUC 0-t (the Area Under the Plasma Concentration-time Curve (AUC) From Time Zero to the Last Quantifiable Time Point Post-dose) |
NCT01365650 (6) [back to overview] | Cmax (the Maximum Observed Plasma Concentration) |
NCT01365650 (6) [back to overview] | MRT (the Mean Residence Time) |
NCT01376245 (2) [back to overview] | Mean Change From Baseline in Clinic Visit Pre-dose Trough FEV1 at Day 169 |
NCT01376245 (2) [back to overview] | Mean Change From Baseline in Chronic Respiratory Disease Questionnaire Self-administered Standardized (CRQ-SAS) Dyspnea Domain Score at Day 168 |
NCT01381471 (2) [back to overview] | Mean Number of Pharmacy Claims by Participants During the Post-Index Period |
NCT01381471 (2) [back to overview] | Mean Number of Healthcare Encounters Incurred by Participants During the Post-Index Period |
NCT01387178 (3) [back to overview] | Number of COPD-related Healthcare Encounters |
NCT01387178 (3) [back to overview] | Mean Number of COPD Exacerbations |
NCT01387178 (3) [back to overview] | Post-index Period COPD-related, Unadjusted Costs |
NCT01395888 (1) [back to overview] | Mean Change From Baseline (BL) in Aortic Pulse Wave Velocity (aPWV) at the End of the 12-week Treatment Period (Day 84) |
NCT01400906 (9) [back to overview] | Concentration of Exhaled Nitric Oxide (eNO) on Day 6 and Day 7 of Each Treatment Period |
NCT01400906 (9) [back to overview] | LAR - Smokers: Absolute Change From Saline in Weighted Mean (WM) FEV1 Between 4-10 Hrs Following Post-treatment Allergen Challenge on Day 6 of Each Treatment Period |
NCT01400906 (9) [back to overview] | Provocative Concentration of Methacholine Resulting in a 20% Reduction in FEV1 (PC20) on Day 7 of Each Treatment Period |
NCT01400906 (9) [back to overview] | Early Asthmatic Response (EAR): Absolute Change From Saline in Minimum FEV1 and WM FEV1 Between 0-2 Hours (Hrs) After Allergen Challenge on Day 6 of Each Treatment Period |
NCT01400906 (9) [back to overview] | Neutrophil and Eosinophil Cell Counts in Induced Sputum on Day 7 of Each Treatment Period |
NCT01400906 (9) [back to overview] | Late Asthmatic Response (LAR) - Smokers: Absolute Change From Saline in Minimum Forced Expiratory Volume in One Second (FEV1) Between 4-10 Hours (Hrs) After Allergen Challenge on Day 6 of Each Treatment Period |
NCT01400906 (9) [back to overview] | Absolute Change From Baseline in FEV1 Post-dose on Day 1, Day 6 (Prior to Allergen Challenge), and Day 7 |
NCT01400906 (9) [back to overview] | LAR - Non-smokers: Absolute Change From Saline in Minimum FEV1 Between 4-10 Hours (Hrs) After Allergen Challenge on Day 6 of Each Treatment Period |
NCT01400906 (9) [back to overview] | LAR - Non-smokers: Absolute Change From Saline in WM FEV1 Between 4-10 Hrs Following Post-treatment Allergen Challenge on Day 6 of Each Treatment Period |
NCT01430403 (22) [back to overview] | School Absences (Percent), Treatment Steps 2-5:Omalizumab vs. Placebo |
NCT01430403 (22) [back to overview] | Spirometry Measurements: FEV1:FVCx100, Treatment Steps 2-4: Omalizumab vs. ICS |
NCT01430403 (22) [back to overview] | Number of Exacerbations Evaluated Monthly With Viral Respiratory Infections: Omalizumab vs. Placebo |
NCT01430403 (22) [back to overview] | Spirometry Measurements: FEV1:FVCx100, Treatment Steps 2-5: Omalizumab vs. Placebo |
NCT01430403 (22) [back to overview] | Occurrence of One or More Asthma Exacerbations (All Treatment Steps [Steps 2-5]) |
NCT01430403 (22) [back to overview] | Spirometry Measurements: Forced Expiratory Volume in 1 Second (FEV1) % Predicted , Treatment Steps 2-4: Omalizumab vs. ICS |
NCT01430403 (22) [back to overview] | Severity of Asthma Symptoms Associated With a Viral Infection:Omalizumab vs. Placebo |
NCT01430403 (22) [back to overview] | Spirometry Measurements: Forced Expiratory Volume in 1 Second (FEV1) % Predicted, Treatment Steps 2-5:Omalizumab vs. Placebo |
NCT01430403 (22) [back to overview] | Virus-induced Exacerbations as Measured by an Exacerbation That is Associated With a Virus Detected Using the Nasal Mucus Samples |
NCT01430403 (22) [back to overview] | Work Disruptions Due to Child's Asthma, Treatment Steps 2-4: Omalizumab vs. ICS |
NCT01430403 (22) [back to overview] | Work Disruptions Due to Child's Asthma, Treatment Steps 2-5: Omalizumab vs. Placebo |
NCT01430403 (22) [back to overview] | Comparison of Home Allergen (Cockroach) Exposure and Asthma Exacerbations: Omalizumab Versus Placebo |
NCT01430403 (22) [back to overview] | Occurrence of One or More Asthma Exacerbations (Treatment Steps 2-4) |
NCT01430403 (22) [back to overview] | Percent Adherence to Asthma Medication, Treatment Steps 2-4: Omalizumab vs. ICS |
NCT01430403 (22) [back to overview] | Percent Adherence to Asthma Medication, Treatment Steps 2-5: Omalizumab vs. Placebo |
NCT01430403 (22) [back to overview] | School Absences (Percent), Treatment Steps 2-4: Omalizumab vs. ICS |
NCT01430403 (22) [back to overview] | Asthma Control Test Score: Child Asthma Control Test (C-ACT), Treatment Steps 2-4: Omalizumab vs. ICS |
NCT01430403 (22) [back to overview] | Asthma Control Test Score: Child Asthma Control Test (C-ACT), Treatment Steps 2-5: Omalizumab vs. Placebo |
NCT01430403 (22) [back to overview] | Asthma Control Test Scores: Asthma Control Test (ACT), Treatment Steps 2-5: Omalizumab vs. Placebo |
NCT01430403 (22) [back to overview] | Asthma Control Test Scores: Asthma Control Test (ACT), Treatment Steps 2-4: Omalizumab vs. ICS |
NCT01430403 (22) [back to overview] | Composite Asthma Severity Index (CASI), Treatment Steps 2-4: Omalizumab vs. ICS |
NCT01430403 (22) [back to overview] | Composite Asthma Severity Index (CASI), Treatment Steps 2-5: Omalizumab vs. Placebo |
NCT01431950 (5) [back to overview] | Change From Baseline in Daily Morning (AM) PEF Averaged Over the 24-week Treatment Period |
NCT01431950 (5) [back to overview] | Change From Baseline in the Percentage of Rescue-free 24-hour (hr) Periods Over the 24-week Treatment Period |
NCT01431950 (5) [back to overview] | Change From Baseline in the Percentage of Symptom-free 24-hour (hr) Periods Over the 24-week Treatment Period |
NCT01431950 (5) [back to overview] | Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 24-week Treatment Period |
NCT01431950 (5) [back to overview] | Change From Baseline in Clinic Visit Evening (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at the End of the 24-week Treatment Period |
NCT01436071 (6) [back to overview] | Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 12-week Treatment Period |
NCT01436071 (6) [back to overview] | Change From Baseline in Daily Morning (AM) PEF Averaged Over the 12-week Treatment Period |
NCT01436071 (6) [back to overview] | Change From Baseline in the Percentage of Rescue-free 24-hour (hr) Periods Over the 12-week Treatment Period |
NCT01436071 (6) [back to overview] | Change From Baseline in the Percentage of Symptom-free 24-hour (hr) Periods Over the 12-week Treatment Period |
NCT01436071 (6) [back to overview] | Number of Participants Who Withdrew Due to a Lack of Efficacy During the 12-week Treatment Period |
NCT01436071 (6) [back to overview] | Change From Baseline in Clinic Visit Evening (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at the End of the 12-week Treatment Period |
NCT01436110 (6) [back to overview] | Change From Baseline in Daily Morning (AM) PEF Averaged Over the 24-week Treatment Period |
NCT01436110 (6) [back to overview] | Change From Baseline in Clinic Visit Evening (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at the End of the 24-week Treatment Period |
NCT01436110 (6) [back to overview] | Change From Baseline in the Percentage of Rescue-free 24-hour (hr) Periods Over the 24-week Treatment Period |
NCT01436110 (6) [back to overview] | Change From Baseline in the Percentage of Symptom-free 24-hour (hr) Periods During the 24-week Treatment Period |
NCT01436110 (6) [back to overview] | Number of Participants Who Withdrew Due to Lack of Efficacy During the 24-week Treatment Period |
NCT01436110 (6) [back to overview] | Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 24-week Treatment Period |
NCT01437995 (5) [back to overview] | Pulmonary Function: Change in FEV1/FVC Ratio |
NCT01437995 (5) [back to overview] | Rate of Episodes of Poor Asthma Control |
NCT01437995 (5) [back to overview] | Treatment Failure |
NCT01437995 (5) [back to overview] | Change in Pulmonary Function: FEV1 and FVC |
NCT01437995 (5) [back to overview] | Pulmonary Function- Change in Peak Expiratory Flow |
NCT01439815 (5) [back to overview] | Change in Baseline Nasal Congestion Score on Day 0 to Average Nasal Congestion Score on Day 16 |
NCT01439815 (5) [back to overview] | Change in Baseline Nasal Itching Score on Day 0 to Average Nasal Itching Score on Day 16 |
NCT01439815 (5) [back to overview] | Change in Baseline Rhinorrhea Score on Day 0 to Average Rhinorrhea Score on Day 16 |
NCT01439815 (5) [back to overview] | Change in Total Nasal Signs and Symptoms Score From Baseline (Day 0) to Visit 5 (Day 16) |
NCT01439815 (5) [back to overview] | Change in Baseline Sneezing Score on Day 0 to Average Sneezing Score on Day 16 |
NCT01453023 (32) [back to overview] | Ex-throat Dose (ETD) and ETD <2 Microns on Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Day 1 and Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Distance of Assessment on Day 1 and Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Hemoglobin and Mean Corpuscle Hemoglobin Concentration (MCHC) Values at Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Inhaled Volume on Days 1 and 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Maximum QTcF at Day 1 and Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Number of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE) During the Treatment Period |
NCT01453023 (32) [back to overview] | Oropharyngeal Volume on Day 1 and Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Peak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Inhalation Time on Days 1 and 14 of of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Total Emitted Dose (TED) on Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Total Bilirubin, Direct Bilirubin, Creatinine, and Uric Acid Values at Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Tmax and Tlast of VI on Day 1 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Tmax and Tlast of FF on Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Reticulocyte and Red Blood Cell (RBC) Values at Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | AUC(0-t) and AUC(0-4) of FF on Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Cmax of FF on Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Cmax of VI on Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Hematocrit Values at Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Mean Corpuscle Hemoglobin (MCH) Values at Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Mean Corpuscle Volume (MCV) Value at Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Serum Cortisol (SC) Weighted Mean (0-12 Hours) on Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Alanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), and Gamma Glutamyl Transferase (GGT) Values at Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Albumin and Total Protein Values at Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Peak Pressure Drop on Days 1 and 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | AUC(0-t) and AUC(0-4) of VI on Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Average Flow Rate and Peak Inspiratory Flow Rate (PIFR) on Day 1 and Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Average Oropharyngeal Cross-sectional Area on Day 1 and Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Basophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Blood Glucose and Potassium Values on Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Calcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment Period |
NCT01453023 (32) [back to overview] | Change From Baseline in Heart Rate at Day1 and Day 14 of the Respective Treatment Period |
NCT01462344 (8) [back to overview] | Number of Participants Experiencing Asthma-related Hospitalizations Over the 6-month Study Treatment Period |
NCT01462344 (8) [back to overview] | Percentage of Asthma Control Days Over the 6-month Study Treatment Period |
NCT01462344 (8) [back to overview] | Number of Participants Experiencing Asthma-related Endotracheal Intubations Over the 6-month Study Treatment Period |
NCT01462344 (8) [back to overview] | Number of Participants Experiencing Asthma-related Deaths Over the 6-month Study Treatment Period. |
NCT01462344 (8) [back to overview] | Number of Participants Experiencing an Event in the Composite Safety Endpoint of Serious Asthma Outcomes ( Asthma-related Hospitalization, Asthma-related Endotracheal Intubation, or Asthma-related Death) |
NCT01462344 (8) [back to overview] | Number of Participants Withdrawn From Study Treatment Due to Asthma Exacerbation Over the 6-month Study Treatment Period |
NCT01462344 (8) [back to overview] | Number of Participants With at Least One Asthma Exacerbation Over the 6-month Study Treatment Period |
NCT01462344 (8) [back to overview] | Percentage of Rescue-free Days Over the 6-month Study Treatment Period |
NCT01475721 (5) [back to overview] | Number of Participants Experiencing at Least One Asthma Exacerbation |
NCT01475721 (5) [back to overview] | Number of Participant Withdrawals From Study Treatment Due to Asthma Exacerbation |
NCT01475721 (5) [back to overview] | Number of Participants Experiencing at Least One Asthma Related Hospitalization , Endotracheal Intubation and Death |
NCT01475721 (5) [back to overview] | Mean Rescue Medication (Albuterol/Salbutamol) Use as Puffs Per 24 Hours |
NCT01475721 (5) [back to overview] | Number of Participants Experiencing an Event in the Composite Safety Endpoint of Serious Asthma Outcomes ( Asthma-related Hospitalization, Asthma-related Endotracheal Intubation, or Asthma-related Death) |
NCT01479621 (13) [back to overview] | Kaplan-Meier Estimate of Probability of Remaining in the Study at Week 12 |
NCT01479621 (13) [back to overview] | 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 |
NCT01479621 (13) [back to overview] | 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 |
NCT01479621 (13) [back to overview] | Change From Baseline In Weekly Average Of Daily Evening Peak Expiratory Flow (PEF) Over The 12-Week Treatment Period |
NCT01479621 (13) [back to overview] | 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 |
NCT01479621 (13) [back to overview] | Change From Baseline In Trough (Morning Predose And Pre-Rescue Bronchodilator) Forced Expiratory Volume In 1 Second (FEV1) Over The 12-Week Treatment Period |
NCT01479621 (13) [back to overview] | Change From Baseline in the Percentage of Rescue-Free 24-hour Periods During the 12-Week Treatment Period |
NCT01479621 (13) [back to overview] | Change From Baseline In Weekly Average Of Daily Evening Peak Expiratory Flow (PEF) Over The 12-Week Treatment Period Inclusive of Flovent Diskus Data |
NCT01479621 (13) [back to overview] | Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period |
NCT01479621 (13) [back to overview] | Area Under The Curve From Time 0 Until The Last Measurable Concentration (AUC0-t) of Fp |
NCT01479621 (13) [back to overview] | Oropharyngeal Exam Findings at Each Study Visit |
NCT01479621 (13) [back to overview] | Time of Maximum Concentration (Tmax) of Fp |
NCT01479621 (13) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of Fp |
NCT01498679 (5) [back to overview] | Mean Change From Baseline in the Percentage of Rescue-free 24- Hour (hr) Periods During the 12-week Treatment Period |
NCT01498679 (5) [back to overview] | Mean Change From Baseline in Daily Morning (AM) PEF Averaged Over the 12-week Treatment Period |
NCT01498679 (5) [back to overview] | Mean Change From Baseline (BL) in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 12-week Treatment Period |
NCT01498679 (5) [back to overview] | Change From Baseline in Total Asthma Quality of Life Questionnaire (AQLQ) Score at Week 12 |
NCT01498679 (5) [back to overview] | Mean Change From Baseline in the Percentage of Symptom-free 24- Hour (hr) Periods During the 12-week Treatment Period |
NCT01520688 (2) [back to overview] | Short-term Lower Leg Growth During Treatment With Flovent Diskus 100 mcg BID or Pulmicort Flexhaler 180 mcg BID. |
NCT01520688 (2) [back to overview] | Short-term Lower Leg Growth During Treatment With Flovent Discus 100 mcg BID or QVAR 80 mcg BID. |
NCT01537133 (3) [back to overview] | Microbial Community Evenness |
NCT01537133 (3) [back to overview] | Microbial Community Richness |
NCT01537133 (3) [back to overview] | Microbial Community Diversity |
NCT01554488 (9) [back to overview] | Percentage Fat Content (Fat Fraction) of Pharyngeal Upper Airway Surrounding Structures at Week 16 |
NCT01554488 (9) [back to overview] | Volume of Pharyngeal Upper Airway Surrounding Structures at Week 16 |
NCT01554488 (9) [back to overview] | Tongue Fatigability at Anterior Location at Week 16 |
NCT01554488 (9) [back to overview] | Percentage Fat Content (Fat Fraction) of the Tongue at Week 16 |
NCT01554488 (9) [back to overview] | Tongue Fatigability of Posterior Location at Week 16 |
NCT01554488 (9) [back to overview] | Tongue Volume at Week 16 |
NCT01554488 (9) [back to overview] | Upper Airway Critical Closing Pressure (Pcrit) at Week 16 |
NCT01554488 (9) [back to overview] | Tongue Strength at Anterior Location at Week 16 |
NCT01554488 (9) [back to overview] | Tongue Strength at Posterior Location at Week 16 |
NCT01563029 (8) [back to overview] | Change From Baseline in PM PEF Over the Last 7 Days of the Treatment Period (Week 12) |
NCT01563029 (8) [back to overview] | Number of Withdrawals Due to Lack of Efficacy Throughout the 12-week Treatment Period |
NCT01563029 (8) [back to overview] | Change From Baseline in the Percentage of Symptom-free 24-hour Periods During the 12-week Treatment Period |
NCT01563029 (8) [back to overview] | Change From Baseline in the Percentage of Rescue-free 24-hour Periods During the 12-week Treatment Period |
NCT01563029 (8) [back to overview] | Change From Baseline in AM PEF Over the Last 7 Days of the Treatment Period (Week 12) |
NCT01563029 (8) [back to overview] | Change From Baseline in Evening Clinic Visit Trough (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at the End of the 12-week Treatment Period in Children Who Could Perform the Maneuver |
NCT01563029 (8) [back to overview] | Change From Baseline in Daily Evening (PM) PEF Averaged Over the 12-week Treatment Period |
NCT01563029 (8) [back to overview] | Change From Baseline in Daily Pre-dose Morning (AM) Peak Expiratory Flow (PEF) From Participant Electronic Daily Diary Averaged Over the 12-week Treatment Period |
NCT01573767 (7) [back to overview] | Change From Baseline in the Percentage of Rescue-free 24-hour Periods During the 4-week Treatment Period |
NCT01573767 (7) [back to overview] | Change From Baseline in the Percentage of Symptom-free 24-hour Periods During the 4-week Treatment Period |
NCT01573767 (7) [back to overview] | Change From Baseline in Daily Pre-dose Evening (PM) Peak Expiratory Flow (PEF) From Participant Electronic Daily Diary Averaged Over the 4-week Treatment Period |
NCT01573767 (7) [back to overview] | Change From Baseline in Daily Morning (AM) PEF Averaged Over the 4-week Treatment Period |
NCT01573767 (7) [back to overview] | Change From Baseline in AM PEF Over the Last 7 Days of the Treatment Period (Week 4) |
NCT01573767 (7) [back to overview] | Change From Baseline in Evening Clinic Visit Trough (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at the End of the 4-week Treatment Period in Children Who Could Perform the Maneuver |
NCT01573767 (7) [back to overview] | Change From Baseline in Evening (PM) PEF Over the Last 7 Days of the Treatment Period (Week 4) |
NCT01576718 (14) [back to overview] | Time Of Maximum Observed Plasma Concentration (Tmax) |
NCT01576718 (14) [back to overview] | 24-Hour Urinary Cortisol Excretion at Baseline, Week 12 and Endpoint |
NCT01576718 (14) [back to overview] | Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period |
NCT01576718 (14) [back to overview] | Area Under The Plasma Concentration-Time Curve From Time Zero To The Time Of The Last Measurable Concentration (AUC0-t) |
NCT01576718 (14) [back to overview] | Change From Baseline In The Percentage Of Rescue-Free 24-Hour Periods |
NCT01576718 (14) [back to overview] | Change From Baseline In Trough (Morning Predose And Pre-Rescue Bronchodilator) Forced Expiratory Volume In 1 Second (FEV1) Over The 12-Week Treatment Period |
NCT01576718 (14) [back to overview] | Change From Baseline In Trough (Morning Predose And Pre-Rescue Bronchodilator) Forced Expiratory Volume In 1 Second (FEV1) Over The 12-Week Treatment Period (Including the Flovent Diskus Treatment Arm) |
NCT01576718 (14) [back to overview] | Change From Baseline In Weekly Average Of Daily Trough (Predose And Pre-Rescue Bronchodilator) Evening Peak Expiratory Flow (PEF) Over The 12-Week Treatment Period |
NCT01576718 (14) [back to overview] | Change From Baseline In Weekly Average Of Daily Trough (Predose And Pre-Rescue Bronchodilator) Evening Peak Expiratory Flow (PEF) Over The 12-Week Treatment Period (Including the Flovent Diskus Treatment Arm) |
NCT01576718 (14) [back to overview] | 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 |
NCT01576718 (14) [back to overview] | 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 (Including the Flovent Diskus Treatment Arm) |
NCT01576718 (14) [back to overview] | Maximum Observed Plasma Concentration (Cmax) |
NCT01576718 (14) [back to overview] | The Kaplan-Meier Estimate Of The Probability Of Remaining In The Study At Week 12 |
NCT01576718 (14) [back to overview] | Patients With Positive Swab Test Results for Oral Candidiasis |
NCT01578278 (1) [back to overview] | Mean Change From Baseline (Pre-Dose) in Morning and Evening Averaged Subject-rated Reflective TNSS |
NCT01606306 (1) [back to overview] | Differential Response to the Three Therapies Based on Fixed Threshold Criteria for the Following Asthma Control Measures: Use of Oral Prednisone for Acute Asthma Exacerbations and Asthma Control Days. |
NCT01622231 (25) [back to overview] | Number of Participants With the Indicated Overall Response to Therapy, as Assessed by the Investigator |
NCT01622231 (25) [back to overview] | Number of Participants With Any Non-serious Adverse Event (AE) and Any Serious Adverse Event (SAE) |
NCT01622231 (25) [back to overview] | Mean Percent Change From Baseline in the Total Ocular Symptom Score (TOSS) Over the Entire Treatment Period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12 |
NCT01622231 (25) [back to overview] | Mean Percent Change From Baseline in the 4 Total Nasal Symptom Score (4TNSS) Over the Entire Treatment Period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12 |
NCT01622231 (25) [back to overview] | Mean Percent Change From Baseline in the 3 Total Nasal Symptom Score (3TNSS) Over the Entire Treatment Period, Week 1to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12 |
NCT01622231 (25) [back to overview] | Mean Change From Baseline in the Total Ocular Symptom Score (TOSS) Over the Entire Treatment Period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12 |
NCT01622231 (25) [back to overview] | Mean Change From Baseline in the Score of Troubles With Daily Life Over the Entire Treatment Period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12 |
NCT01622231 (25) [back to overview] | Mean Change From Baseline in the 4 Total Nasal Symptom Score (4TNSS) Over the Entire Treatment Period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12 |
NCT01622231 (25) [back to overview] | Mean Change From Baseline in the 3 Total Nasal Symptom Score (3TNSS) Over the Entire Treatment Period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12 |
NCT01622231 (25) [back to overview] | Mean Change From Baseline in Sneezing, Rhinorrhea, Nasal Congestion, and Nasal Itching Over the Entire Treatment Period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12 |
NCT01622231 (25) [back to overview] | Mean Change From Baseline in Eye Itching, Tearing, and Redness Over the Entire Treatment Period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12 |
NCT01622231 (25) [back to overview] | Mean Change From Baseline (BL) in Daily Variation of the 3 Total Nasal Symptom Score (3TNSS) |
NCT01622231 (25) [back to overview] | Change From Baseline in Red Blood Cell (RBC) Count at Week 4 and Week 12/Early Withdrawal |
NCT01622231 (25) [back to overview] | Change From Baseline in Platelet Count and White Blood Cell (WBC) Count at Week 4 and Week 12/Early Withdrawal |
NCT01622231 (25) [back to overview] | Change From Baseline in Hemoglobin at Week 4 and Week 12/Early Withdrawal |
NCT01622231 (25) [back to overview] | Change From Baseline in Hematocrit at Week 4 and Week 12/Early Withdrawal |
NCT01622231 (25) [back to overview] | Change From Baseline in Direct Bilirubin, Total Bilirubin, and Creatinine at Week 4 and Week 12/Early Withdrawal |
NCT01622231 (25) [back to overview] | Change From Baseline in Calcium, Chloride, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) at Week 4 and Week 12/Early Withdrawal |
NCT01622231 (25) [back to overview] | Change From Baseline in Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), and Gamma Glutamyltransferase (GGT) at Week 4 and Week 12/Early Withdrawal |
NCT01622231 (25) [back to overview] | Change From Baseline in Albumin and Total Protein at Week 4 and Week 12/Early Withdrawal |
NCT01622231 (25) [back to overview] | Change From Baseline in Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophil Count at Week 4 and Week 12/Early Withdrawal |
NCT01622231 (25) [back to overview] | Number of Participants With the Indicated Scores for Rhinoscopy Findings (Swelling of Inferior Turbinate Mucosa, Color of Inferior Turbinate Mucosa, Quantity of Nasal Discharge, and Quality of Nasal Discharge) |
NCT01622231 (25) [back to overview] | Number of Participants With the Indicated Plasma Concentration of GW685698X for Participants Aged >=6 to <15 Years |
NCT01622231 (25) [back to overview] | Number of Participants With the Indicated Plasma Concentration of GW685698X for Participants Aged >=2 to <6 Years |
NCT01622231 (25) [back to overview] | Number of Participants With the Indicated Overall Response to Therapy, as Assessed by the Participant's Parent/Guardian or the Participant |
NCT01622569 (15) [back to overview] | Nasal Polyp Surgery Eligilbilty |
NCT01622569 (15) [back to overview] | Patient Global Impression of Change (PGIC) Score |
NCT01622569 (15) [back to overview] | Peak Nasal Inspiratory Flow (PNIF) |
NCT01622569 (15) [back to overview] | Sinonasal Outcome Test 22 (SNOT-22) Total Score |
NCT01622569 (15) [back to overview] | Change in Rhinorrhea Score (7-day Instantaneous Morning) |
NCT01622569 (15) [back to overview] | Hyposmia Score (7-day Instantaneous Morning) |
NCT01622569 (15) [back to overview] | Rhinosinusitis Disability Index (RSDI) Total Score |
NCT01622569 (15) [back to overview] | Change in Total Polyp Grade |
NCT01622569 (15) [back to overview] | Congestion/Obstruction Scores (7-day Instantaneous Morning) |
NCT01622569 (15) [back to overview] | MOS Sleep-R Score |
NCT01622569 (15) [back to overview] | Facial Pain or Pressure Score (7-day Instantaneous Morning) |
NCT01622569 (15) [back to overview] | Change in 7-day Average Instantaneous Morning Diary Congestion/Obstruction Symptoms |
NCT01622569 (15) [back to overview] | Polyp Grade of 0 in at Least One Nostril |
NCT01622569 (15) [back to overview] | SF-36v2 - Mental Component |
NCT01622569 (15) [back to overview] | SF-36v2 - Physical Component |
NCT01623310 (6) [back to overview] | Nasal Polyp Surgery Eligibility |
NCT01623310 (6) [back to overview] | Patient Global Impression of Change (PGIC) |
NCT01623310 (6) [back to overview] | Sinonasal Outcome Test 22 (SNOT-22) Total Score |
NCT01623310 (6) [back to overview] | Adverse Events |
NCT01623310 (6) [back to overview] | Summed Bilateral Nasal Polyp Grading Scale Score |
NCT01623310 (6) [back to overview] | Lund-Mackay Total Score |
NCT01623323 (1) [back to overview] | Adverse Events |
NCT01624662 (16) [back to overview] | Nasal Congestion/Obstruction Score (7-day Instantaneous Morning) |
NCT01624662 (16) [back to overview] | Rhinosinusitis Disability Index (RSDI) Total Score |
NCT01624662 (16) [back to overview] | Number of Participants Eligible for Nasal Polyp Surgery |
NCT01624662 (16) [back to overview] | Peak Nasal Inspiratory Flow (PNIF) |
NCT01624662 (16) [back to overview] | Polyp Grade of 0 in at Least One Nostril |
NCT01624662 (16) [back to overview] | SF-36v2 - Mental Component |
NCT01624662 (16) [back to overview] | SF-36v2 - Physical Component |
NCT01624662 (16) [back to overview] | Sinonasal Outcome Test 22 (SNOT-22) Total Score |
NCT01624662 (16) [back to overview] | Number of Participants in Each Category of PGIC |
NCT01624662 (16) [back to overview] | Facial Pain or Pressure Score (7-day Instantaneous Morning) |
NCT01624662 (16) [back to overview] | Change in Total Polyp Grade |
NCT01624662 (16) [back to overview] | Change in Total Nasal Polyp Score |
NCT01624662 (16) [back to overview] | Change in Rhinorrhea Score (7-day Instantaneous Morning) |
NCT01624662 (16) [back to overview] | Change in 7-day Average Instantaneous Morning Diary Congestion/Obstruction Symptoms |
NCT01624662 (16) [back to overview] | MOS Sleep-R Score |
NCT01624662 (16) [back to overview] | Hyposmia Score (7-day Instantaneous Morning) |
NCT01627327 (3) [back to overview] | Time to Onset on Treatment Day 1 |
NCT01627327 (3) [back to overview] | Change From Baseline Trough in 24-hour Weighted Mean FEV1 on Treatment Day 84 |
NCT01627327 (3) [back to overview] | Change From Baseline in Trough FEV1 at Treatment Day 84 |
NCT01630135 (16) [back to overview] | Mean Change From Baseline in the Individual Ocular Symptom Scores (Eye Itching, Tearing, and Redness) Over the Entire Treatment Period, at Week 1, and at Week 2 |
NCT01630135 (16) [back to overview] | Mean Change From Baseline in the Score of Troubles With Daily Life Over the Entire Treatment Period, at Week 1, and at Week 2 |
NCT01630135 (16) [back to overview] | Mean Change From Baseline in the Total Ocular Symptom Score (TOSS) Over the Entire Treatment Period, at Week 1, and at Week 2 |
NCT01630135 (16) [back to overview] | Mean Percent Change From Baseline (BL) in the TOSS for the Baseline TOSS >0 Over the Entire Treatment Period, at Week 1, and at Week 2 |
NCT01630135 (16) [back to overview] | Mean Percent Change From Baseline (BL) in the TOSS Over the Entire Treatment Period, at Week 1, and at Week 2 |
NCT01630135 (16) [back to overview] | Mean Percent Change From Baseline in the 4TNSS Over the Entire Treatment Period, at Week 1, and at Week 2 |
NCT01630135 (16) [back to overview] | Number of Participants With the Indicated Overall Response to Therapy, as Assessed by the Investigator |
NCT01630135 (16) [back to overview] | Number of Participants With the Indicated Overall Response to Therapy, as Assessed by the Participant's Parent/Guardian or the Participant |
NCT01630135 (16) [back to overview] | Number of Participants With the Indicated Scores for Rhinoscopy Findings (Swelling of Inferior Turbinate Mucosa, Color of Inferior Turbinate Mucosa, Quantity of Nasal Discharge, and Quality of Nasal Discharge) at Baseline, Week 1, and Week 2/EW |
NCT01630135 (16) [back to overview] | Mean Change From Baseline in the 3 Total Nasal Symptom Score (3TNSS) Over the Entire Treatment Period |
NCT01630135 (16) [back to overview] | Mean Percent Change From Baseline in 3TNSS Over the Entire Treatment Period, at Week 1, and at Week 2 |
NCT01630135 (16) [back to overview] | Mean Change From Baseline (BL) in the Total Ocular Symptom Score (TOSS) for the Baseline TOSS >0 Over the Entire Treatment Period, at Week 1, and at Week 2 |
NCT01630135 (16) [back to overview] | Mean Change From Baseline in 3TNSS at the Indicated Days |
NCT01630135 (16) [back to overview] | Mean Change From Baseline in 3TNSS at Week 1 and Week 2 |
NCT01630135 (16) [back to overview] | Mean Change From Baseline in Rhinorrhea, Nasal Congestion, Sneezing, and Nasal Itching Over the Entire Treatment Period (ETP), at Week 1, and at Week 2 |
NCT01630135 (16) [back to overview] | Mean Change From Baseline in the 4 Total Nasal Symptom Score (4TNSS) Over the Entire Treatment Period, at Week 1, and at Week 2 |
NCT01686633 (6) [back to overview] | Change From Baseline in the Percentage of Rescue-free 24-hour (hr) Periods During the 12-week Treatment Period |
NCT01686633 (6) [back to overview] | Change From Baseline in Clinic Visit Trough FEV1 at the End of the 12-week Treatment Period |
NCT01686633 (6) [back to overview] | Change From Baseline in Daily Evening (PM) PEF Averaged Over the 12-week Treatment Period |
NCT01686633 (6) [back to overview] | Change From Baseline in Daily Morning (AM) Peak Expiratory Flow (PEF) Averaged Over the 12-week Treatment Period |
NCT01686633 (6) [back to overview] | Change From Baseline in Weighted Mean Forced Expiratory Volume in One Second (FEV1) Over 0 to 24 Hours Post-dose at the End of the 12-week Treatment Period |
NCT01686633 (6) [back to overview] | Change From Baseline in the Percentage of Symptom-free 24-hour (hr) Periods During the 12-week Treatment Period |
NCT01687283 (11) [back to overview] | Change From Baseline (Day 1 of Trt Period/Visit 2) in AM PEF Over 12 Weeks in Per Protocol Population |
NCT01687283 (11) [back to overview] | Steady-state Plasma Pharmacokinetics of Fluticasone Propionate Inhalation Solution-maximum Observed Plasma Concentration (Cmax) |
NCT01687283 (11) [back to overview] | Mean Change in Percentage of Rescue-free 24-hour Periods From Baseline Over 12 Weeks |
NCT01687283 (11) [back to overview] | Mean Change of Evening PEF From Baseline Over 12 Weeks |
NCT01687283 (11) [back to overview] | Median Number of Times Rescue Medication Use Over 12 Weeks |
NCT01687283 (11) [back to overview] | Steady-state Plasma Pharmacokinetics of Fluticasone Propionate Inhalation Solution- Time to Maximum Observed Plasma Concentration (Tmax) |
NCT01687283 (11) [back to overview] | Steady-state Plasma Pharmacokinetics of Fluticasone Propionate Inhalation Solution-area Under the Plasma Concentration-time Curve for the Dose Interval [AUC (0-τ)] |
NCT01687283 (11) [back to overview] | Median Day-time and Night-time Symptom Scores Per Participant Over 12 Weeks |
NCT01687283 (11) [back to overview] | Change of Clinical Lung Function Measurement Forced Expiratory Volume in One Second (FEV1) From Baseline Over 12 Weeks |
NCT01687283 (11) [back to overview] | Mean Change in Percentage of Symptom-free 24-hour Periods From Baseline Over 12 Weeks |
NCT01687283 (11) [back to overview] | Change From Baseline (Day 1 of Treatment Period/Visit 2) in Morning Peak Expiratory Flow (AM PEF) Over 12 Weeks in Intent-to-treat Population |
NCT01687296 (8) [back to overview] | Clinical Assessment of Lung Function of Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) During the Treatment Period |
NCT01687296 (8) [back to overview] | Median Day-time and Night-time Symptom Scores Over the Treatment Assessment Period |
NCT01687296 (8) [back to overview] | Mean Global Evaluation for Efficacy by Participant/Parent and Investigator |
NCT01687296 (8) [back to overview] | Mean Evening PEF on Diary Card Over the Treatment Assessment Period |
NCT01687296 (8) [back to overview] | Mean Change From Baseline in Clinical Scoring Index at Day 5 and Day 8 |
NCT01687296 (8) [back to overview] | Mean Morning Peak Expiratory Flow (AM PEF) on Diary Card Over the Treatment Assessment Period in Intent-to-Treat (ITT) Population |
NCT01687296 (8) [back to overview] | Mean Morning PEF on Diary Card Over the Treatment Assessment Period in Per Protocol (PP) Population |
NCT01687296 (8) [back to overview] | Median Number of Use of Rescue Medications During Day and Night Over the Treatment Assessment Period |
NCT01691885 (1) [back to overview] | Mean Change From Baseline in Right Ventricular End Diastolic Volume Index (RVEDVI) at the End of the Overall Treatment Period |
NCT01696214 (3) [back to overview] | The Asthma Symptom Utility Index (ASUI) |
NCT01696214 (3) [back to overview] | Asthma Control Test |
NCT01696214 (3) [back to overview] | Percent (%) Perdicted FEV1 Changes |
NCT01706198 (23) [back to overview] | Annual Rate of Asthma-related Secondary Care Contacts |
NCT01706198 (23) [back to overview] | Mean Annual Rate of Severe Asthma Exacerbations |
NCT01706198 (23) [back to overview] | Mean Number of Salbutamol Inhalers Prescribed for Each Participant Over the 12 Month Treatment Period. |
NCT01706198 (23) [back to overview] | Number of Participants With Adverse Drug Reactions (ADRs) |
NCT01706198 (23) [back to overview] | Number of Participants With SAEs |
NCT01706198 (23) [back to overview] | Percentage of Participants Who Have an Increase From Baseline of >=0.5 in AQLQ(S) Environmental Stimuli Domain Score at Week 52. |
NCT01706198 (23) [back to overview] | 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. |
NCT01706198 (23) [back to overview] | 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. |
NCT01706198 (23) [back to overview] | Number of Participants With Fatal SAEs of Pneumonia |
NCT01706198 (23) [back to overview] | Percentage of Participants in Each ACT Total Score Category (>=20, 16 to 19, <=15) at Weeks 12, 24, 40 and 52. |
NCT01706198 (23) [back to overview] | Number of Participants With Time to First Asthma-related Primary Care Contact |
NCT01706198 (23) [back to overview] | Mean Change From Baseline in ACT Total Score at Weeks 12, 24, 40 and 52. |
NCT01706198 (23) [back to overview] | Time to Modification of Initial Therapy |
NCT01706198 (23) [back to overview] | Percentage of Participants With Asthma Control (ACT Total Score >=20) at Weeks 12, 24, 40 and 52. |
NCT01706198 (23) [back to overview] | 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. |
NCT01706198 (23) [back to overview] | Percentage of Participants Who Have an Increase From Baseline of >=3 in ACT Total Score at Weeks 12, 24, 40 and 52. |
NCT01706198 (23) [back to overview] | Time to First Severe Asthma Exacerbation. |
NCT01706198 (23) [back to overview] | Time to First SAE of Pneumonia |
NCT01706198 (23) [back to overview] | Number of Participants With Time to First Primary Care Contact |
NCT01706198 (23) [back to overview] | Annual Rate of All On-treatment Primary Care Contacts |
NCT01706198 (23) [back to overview] | Annual Rate of All On-treatment Secondary Care Contacts |
NCT01706198 (23) [back to overview] | Annual Rate of Asthma-related Primary Care Contacts |
NCT01706198 (23) [back to overview] | Percentage of Participants With Serious Adverse Event (SAE) of Pneumonia |
NCT01706328 (3) [back to overview] | Time to Onset on Treatment Day 1 |
NCT01706328 (3) [back to overview] | Change From Baseline Trough in Weighted-mean 24-hour Serial Forced Expiratory Volume in One Second (FEV1) on Treatment Day 84 |
NCT01706328 (3) [back to overview] | Change From Baseline in Trough FEV1 on Treatment Day 85 |
NCT01709903 (9) [back to overview] | Analysis of Trough FVC (L) Over the Whole Treatment Period |
NCT01709903 (9) [back to overview] | Rescue Medication Use: Summary of the Mean Daily, Daytime and Nighttime Number of Puffs of Rescue Medication, by 4 Weekly Intervals |
NCT01709903 (9) [back to overview] | Trough Forced Expiratory Volume in One Second (FEV1) Following 26 Weeks of Treatment to Demonstrate the Superiority of QVA 110/50μg o.d. to Fluticasone/Salmeterol 500/50 μg b.i.d |
NCT01709903 (9) [back to overview] | Analysis of FEV1 (L) Trough Response (Pre-dose) Over the Whole Treatment Period |
NCT01709903 (9) [back to overview] | Analysis of the TDI Focal Score Over the Whole Treatment Period |
NCT01709903 (9) [back to overview] | Standardized Forced Expiratory Volume in One Second (FEV1) Area Under the Curve (AUC) 0-4 Hours |
NCT01709903 (9) [back to overview] | Health Related Quality of Life Analysis of SGRQ Total Score After 26 Weeks of Treatment |
NCT01709903 (9) [back to overview] | Trough Forced Expiratory Volume in One Second (FEV1) Following 26 Weeks of Treatment to Demonstrate the Non-inferiority of QVA149 110/50 μg o.d. to Fluticasone/Salmeterol 500/50 μg b.i.d |
NCT01709903 (9) [back to overview] | Symptoms Reported Using E-diary Over 12 and 26 Weeks of Treatment |
NCT01751113 (11) [back to overview] | Use of Rescue Medication (Number of Occasions Per 24-hour Period) as Recorded in the Daily Record Card at Day 28 of Each Treatment Period |
NCT01751113 (11) [back to overview] | Trough sRaw Measured at Each Clinic Visit Prior to the Morning Dose and Before the Use of Rescue Medication at Day 28 of Each Treatment Period |
NCT01751113 (11) [back to overview] | Trough sGaw Measured at Each Clinic Visit Prior to the Morning Dose and Before the Use of Rescue Medication at Day 28 of Each Treatment Period |
NCT01751113 (11) [back to overview] | Trough FEV1/FVC Ratio, at Each Clinic Visit Prior to the Morning Dose and Before the Use of Rescue Medication at Day 28 of Each Treatment Period |
NCT01751113 (11) [back to overview] | Post-dose FEV1/FVC Ratio (Measured at Trough) at Day 28 of Each Treatment Period |
NCT01751113 (11) [back to overview] | AUC (0-4hr) Specific Airway Resistance (sRaw) After the Morning Dose of Each Study Medication at Day 28 of Each Treatment Period |
NCT01751113 (11) [back to overview] | Area Under the Curve Calculated From 0 to 4 Hours (AUC[0-4hr]) Specific Conductance (sGaw) After the Morning Dose of Study Medication at Day 28 of Each Treatment Period |
NCT01751113 (11) [back to overview] | Post-dose sRaw at 30, 75, 120 and 240 Minutes Post Dose at Day 28 of Each Treatment Period |
NCT01751113 (11) [back to overview] | Post-dose sGaw at 30, 75, 120 and 240 Minutes Post Dose at Day 28 of Each Treatment Period |
NCT01751113 (11) [back to overview] | Trough Forced Expiratory Volume in One Second (FEV1), Forced Vital Capacity (FVC), Inspiratory Capacity (IC), RV, TLC, and TGV at Each Clinic Visit Prior to the Morning Dose and Before the Use of Rescue Medication at Day 28 of Each Treatment Period |
NCT01751113 (11) [back to overview] | Post-dose FEV1, FVC, IC, RV, TLC and TGV (Measured at Trough) at Day 28 of Each Treatment Period |
NCT01762800 (21) [back to overview] | Comparison of Number of Exacerbations Between Two Detection Methods: EXACT and Physician Diagnosis |
NCT01762800 (21) [back to overview] | Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) Total Score |
NCT01762800 (21) [back to overview] | Change From Baseline in FEV1 |
NCT01762800 (21) [back to overview] | Change From Baseline in CAT Total Score |
NCT01762800 (21) [back to overview] | Time to First Switching to TRIPLE Therapy |
NCT01762800 (21) [back to overview] | Time to First Exacerbation by Physician's Diagnosis |
NCT01762800 (21) [back to overview] | Time to First Exacerbation by EXAcerbations of Chronic Pulmonary Disease Tool (EXACT) |
NCT01762800 (21) [back to overview] | Percentage of Participants Who Were Able to Remain on the Randomized Treatment |
NCT01762800 (21) [back to overview] | Percentage of Participants Who Used Relief Medication (Salbutamol) |
NCT01762800 (21) [back to overview] | Forced Expiratory Volume in One Second (FEV1) |
NCT01762800 (21) [back to overview] | Number of Participants in Each Treatment Efficacy Grade Evaluated by Participants |
NCT01762800 (21) [back to overview] | Number of Participants in Each Treatment Efficacy Grade Evaluated by Physician |
NCT01762800 (21) [back to overview] | Percentage of Participants Who Switched to TRIPLE Therapy |
NCT01762800 (21) [back to overview] | Percentage of Participants Who Stepped Down From TRIPLE Therapy to Initial Randomized Treatment |
NCT01762800 (21) [back to overview] | Percentage of Participants Who Required Additional Treatment to TRIPLE Therapy |
NCT01762800 (21) [back to overview] | Percentage of Participants Who Dropped Out |
NCT01762800 (21) [back to overview] | Percentage of Participants Managed by TRIPLE Therapy |
NCT01762800 (21) [back to overview] | Continuation Percentage of Participants Managed by Randomized Treatment Plus TRIPLE Therapy |
NCT01762800 (21) [back to overview] | E-RS Subscale Score |
NCT01762800 (21) [back to overview] | EXACT Respiratory Symptoms (E-RS) Total Score |
NCT01762800 (21) [back to overview] | EXACT Total Score. |
NCT01772134 (4) [back to overview] | Change From Baseline in Weighted Mean 0-6 Hour FEV1 Obtained Post-dose at Day 84 |
NCT01772134 (4) [back to overview] | Change From Baseline in the Mean Number of Puffs Per Day of Rescue Albuterol/Salbutamol Over Weeks 1-12 |
NCT01772134 (4) [back to overview] | Change From Baseline in the Mean Percentage of Rescue-free Days Over Weeks 1-12 |
NCT01772134 (4) [back to overview] | Change From Baseline in the Trough Forced Expiratory Volume in One Second (FEV1) on Day 85 |
NCT01772147 (4) [back to overview] | Change From Baseline in the Mean Percentage of Rescue-free Days Over Weeks 1-12 |
NCT01772147 (4) [back to overview] | Change From Baseline in the Trough Forced Expiratory Volume in One Second (FEV1) on Day 85 |
NCT01772147 (4) [back to overview] | Change From Baseline in the Mean Number of Puffs Per Day of Rescue Albuterol/Salbutamol Over Weeks 1-12 |
NCT01772147 (4) [back to overview] | Change From Baseline in Weighted Mean 0-6 Hour FEV1 Obtained Post-dose at Day 84 |
NCT01772368 (6) [back to overview] | Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Measurable Concentration (AUC0-t) of Salmeterol |
NCT01772368 (6) [back to overview] | Time of Maximum Observed Plasma Concentration (Tmax) of Salmeterol |
NCT01772368 (6) [back to overview] | Standardized Baseline-Adjusted Area Under the Curve For Forced Expiratory Volume In 1 Second Over 12 Hours Post-dose (FEV1 AUC0-12) |
NCT01772368 (6) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of Salmeterol |
NCT01772368 (6) [back to overview] | Change From Baseline at 12 Hours Post-Dose in Forced Expiratory Volume in One Second (FEV1) By Treatment |
NCT01772368 (6) [back to overview] | Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period |
NCT01794741 (1) [back to overview] | Adverse Events Report |
NCT01794780 (6) [back to overview] | COPD Exacerbation |
NCT01794780 (6) [back to overview] | Change in Health Status Questionnaire MMRC |
NCT01794780 (6) [back to overview] | Change From Baseline Questionnaire Transition Dyspnea Index (TDI) Score |
NCT01794780 (6) [back to overview] | Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) |
NCT01794780 (6) [back to overview] | Change From Baseline in Questionnaire COPD Assessment Test (CAT) Score |
NCT01794780 (6) [back to overview] | Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) |
NCT01808339 (3) [back to overview] | Pre-treatment AM and PM Trough FEV1 on Day 14 of Each Treatment Period |
NCT01808339 (3) [back to overview] | Number of Participants With Any Adverse Event (AE) |
NCT01808339 (3) [back to overview] | Weighted Mean Forced Expiratory Volume in 1 Second (FEV1) Measured Over 24 Hours at Day 14 of Each Treatment Period |
NCT01817764 (2) [back to overview] | Change From Baseline in 24-hour Weighted-mean Serial FEV1 on Treatment Day 84 |
NCT01817764 (2) [back to overview] | Change From Baseline in Trough FEV1 on Day 85 |
NCT01817790 (19) [back to overview] | Mean Changes From Baseline in Individual MiniRQLQ Scores: Domain - Other Symptoms |
NCT01817790 (19) [back to overview] | Mean Changes From Baseline in Individual MiniRQLQ Scores: Domain - Nose Symptoms |
NCT01817790 (19) [back to overview] | Mean Change From Baseline in Individual AM Reflective Ocular Symptom Scores for Eye Itching/Burning |
NCT01817790 (19) [back to overview] | Mean Change From Baseline in AM Pre-dose Instantaneous Total Ocular Symptom Scores (iTOSS) |
NCT01817790 (19) [back to overview] | Mean Change From Baseline in AM rTOSS |
NCT01817790 (19) [back to overview] | Mean Change in Objective Assessment of Conjunctival Redness |
NCT01817790 (19) [back to overview] | Mean Change From Baseline in Reflective Total Ocular Symptom Score (rTOSS) |
NCT01817790 (19) [back to overview] | Mean Change From Baseline in Reflective Nasal Congestion Symptom Score (rNCSS) |
NCT01817790 (19) [back to overview] | Mean Change From Baseline in PM rTOSS |
NCT01817790 (19) [back to overview] | Mean Change From Baseline in Individual PM Reflective Ocular Symptom Scores for Eye Tearing/Watering |
NCT01817790 (19) [back to overview] | Mean Change From Baseline in Individual AM Reflective Ocular Symptom Scores for Eye Redness |
NCT01817790 (19) [back to overview] | Mean Changes From Baseline in Mini Rhinoconjunctivitis Quality of Life Questionnaire (MiniRQLQ) Scores |
NCT01817790 (19) [back to overview] | Mean Change From Baseline in Individual AM Reflective Ocular Symptom Scores for Eye Tearing/Watering |
NCT01817790 (19) [back to overview] | Mean Changes From Baseline in Individual MiniRQLQ Scores: Domain - Practical Problems |
NCT01817790 (19) [back to overview] | Mean Change From Baseline in Individual PM Reflective Ocular Symptom Scores for Eye Itching/Burning |
NCT01817790 (19) [back to overview] | Mean Changes From Baseline in Individual MiniRQLQ Scores: Domain - Activities |
NCT01817790 (19) [back to overview] | Mean Changes From Baseline in Individual MiniRQLQ Scores: Domain - Eye Symptoms |
NCT01817790 (19) [back to overview] | End-of-treatment Assessment of Response to Therapy for Ocular Symptoms |
NCT01817790 (19) [back to overview] | Mean Change From Baseline in Individual PM Reflective Ocular Symptom Scores for Eye Redness |
NCT01822899 (2) [back to overview] | Change From Baseline (BL) in Trough Forced Expiratory Volume in One Second (FEV1) at Day 85 |
NCT01822899 (2) [back to overview] | Change From Baseline (BL) in 0 to 24 Hour Weighted Mean Serial Forced Expiratory Volume in One Second (FEV1) at Day 84 |
NCT01836471 (5) [back to overview] | Change From Baseline in ACQ-6 Score at Week 12 Non-atopic Compared to Atopic Patients at Week 12 - Full Analysis Set |
NCT01836471 (5) [back to overview] | Change From Baseline in ACQ-6 Score at Week 12 Non-atopic and Atopic Patients at Week 12 - Full Analysis Set |
NCT01836471 (5) [back to overview] | Change From Baseline in Trough FEV1 (L) in Atopic Patients at Week 12 - Full Analysis Set |
NCT01836471 (5) [back to overview] | Change From Baseline in Trough FEV1 (L) in Non-atopic Compared to Atopic Patients at Week 12 - Full Analysis Set |
NCT01836471 (5) [back to overview] | Change From Baseline in Trough FEV1 (L) in Non-atopic Patients at Week 12 - Full Analysis Set |
NCT01845025 (9) [back to overview] | Unplanned Healthcare Utilization at Visit 3 (Week 4), Visit 4 (Week 12) and Visit 5 (Week 26) |
NCT01845025 (9) [back to overview] | Percentage of Days of School/Work Missed at 26 Weeks |
NCT01845025 (9) [back to overview] | Percentage of Days With no Symptoms at 26 Weeks |
NCT01845025 (9) [back to overview] | Percentage of Days With no Rescue Medication Use at 26 Weeks |
NCT01845025 (9) [back to overview] | Percentage of Days With Nighttime Awakenings at 26 Weeks |
NCT01845025 (9) [back to overview] | Change From Baseline in Asthma Control Questionnaire (ACQ - 6) Total Score at Week 26 |
NCT01845025 (9) [back to overview] | Percentage of Days With Limited Ability to Perform Normal Daily Activities at 26 Weeks |
NCT01845025 (9) [back to overview] | Number of First Occurrence(s) of Any Composite Endpoint Including Asthma-related Hospitalizations, Intubations and Deaths During the Study at 26 Weeks |
NCT01845025 (9) [back to overview] | Number of Asthma Exacerbations at 26 Weeks |
NCT01881412 (6) [back to overview] | ED Visits for Asthma |
NCT01881412 (6) [back to overview] | Unscheduled Primary Care Visits |
NCT01881412 (6) [back to overview] | Quality-of-life Using the Integrated Therapeutics Group Child Asthma Short Form |
NCT01881412 (6) [back to overview] | Primary Care Visits for Well Checks |
NCT01881412 (6) [back to overview] | Oral Steroid Courses |
NCT01881412 (6) [back to overview] | Hospitalizations for Asthma |
NCT01907334 (1) [back to overview] | Total Airway Resistance Increase |
NCT01908140 (2) [back to overview] | Transition Dyspnoea Index (TDI) Focal Score at Week 24 |
NCT01908140 (2) [back to overview] | Peak Forced Expiratory Volume in One Second (FEV1) at Week 24 |
NCT01915823 (3) [back to overview] | Pediatric Rhinoconjunctivitis Quality of Life Questionnaire (PRQLQ) |
NCT01915823 (3) [back to overview] | Primary Efficacy |
NCT01915823 (3) [back to overview] | Safety |
NCT01915914 (12) [back to overview] | Median Time to the First Relapse of AD During the Maintenance Phase and Follow-up Phase |
NCT01915914 (12) [back to overview] | Number of Participants With Post-study Assessment of Lotion Qualities (1) Using Questionnaire |
NCT01915914 (12) [back to overview] | Number of Participants With Post-study Assessment of Lotion Qualities (2) Using Questionnaire |
NCT01915914 (12) [back to overview] | Change From Baseline in Cutaneous Atrophy Sign Score, Epidermal Thickening /Lichenification Sign Score and Abnormal Pigmentation Score Using Visual Analogue Scale (VAS) at the End of the Maintenance Phase and Follow-up Phase |
NCT01915914 (12) [back to overview] | Numbers of Recurrent Participants at the End of the Follow-up Phase (Week 32) |
NCT01915914 (12) [back to overview] | "Number of Participants With Treatment Success During the Acute Phase" |
NCT01915914 (12) [back to overview] | Number of Participants With Post-study Assessment of Skin Emollients Using Questionnaire |
NCT01915914 (12) [back to overview] | Time to the First Relapse of AD During the Maintenance Phase |
NCT01915914 (12) [back to overview] | Change From Baseline in Cutaneous Atrophy Sign Score, Epidermal Thickening /Lichenification Sign Score and Abnormal Pigmentation Score Using Visual Analogue Scale (VAS) at the End of the Acute Phase |
NCT01915914 (12) [back to overview] | Change From Baseline in QoL at the End of the Follow-up Phase |
NCT01915914 (12) [back to overview] | Numbers of Recurrent Participants at the End of the Maintenance Phase (Week 20) |
NCT01915914 (12) [back to overview] | Change From Baseline in Quality of Life (QoL) at the End of the Maintenance Phase |
NCT01933984 (8) [back to overview] | Number of Episode of Nosocomial Pneumonia |
NCT01933984 (8) [back to overview] | Mortality Rate |
NCT01933984 (8) [back to overview] | ∆Raw (the Difference Between Measured and Target Airway Resistance) |
NCT01933984 (8) [back to overview] | Ventilator-free Days From Day 1 to 28 |
NCT01933984 (8) [back to overview] | The Participants of Breathing Without Assistance by Day 28 |
NCT01933984 (8) [back to overview] | Rapidity of ∆Raw Change |
NCT01933984 (8) [back to overview] | Numbers of Episode of Drug-related Adverse Effect |
NCT01933984 (8) [back to overview] | Number of Total Puff of Rescue Short-acting Bronchodilator |
NCT01957150 (6) [back to overview] | Percentage Change From Baseline in BMD Measurements at Lumbar Spine (L1 to L4) by Gender (Male Participants) |
NCT01957150 (6) [back to overview] | Percentage Change From Baseline in BMD Measurements at Total Hip by Gender (Female Participants) |
NCT01957150 (6) [back to overview] | Percentage Change From Baseline in Bone Mineral Density (BMD) Measured at Total Hip |
NCT01957150 (6) [back to overview] | Percentage Change From Baseline in BMD Measurements at Lumbar Spine (L1 to L4) by Gender (Female Participants) |
NCT01957150 (6) [back to overview] | Percentage Change From Baseline in BMD Measurements at Lumbar Spine (L1 to L4) |
NCT01957150 (6) [back to overview] | Percentage Change From Baseline in BMD Measurements at Total Hip by Gender (Male Participants) |
NCT01967173 (2) [back to overview] | The Primary Outcome is a Composite Measure That Uses Exacerbations, Asthma Control Days During the Last 12 of 14 Weeks of a Treatment Regimen, and Percent Predicted FEV1 at the End of a Treatment Regimen. |
NCT01967173 (2) [back to overview] | The Primary Outcome is a Composite Measure That Uses Exacerbations, Asthma Control Days During the Last 12 of 14 Weeks of a Treatment Regimen, and Percent Predicted FEV1 at the End of a Treatment Regimen. |
NCT01969721 (5) [back to overview] | Trough FEV1 Change From Patient Baseline After 6 Weeks of Treatment |
NCT01969721 (5) [back to overview] | FEV1 Peak (0-3h) Change From Patient Baseline After 6 Weeks of Treatment |
NCT01969721 (5) [back to overview] | FEV1 AUC (0-24h) Change From Patient Baseline After 6 Weeks of Treatment |
NCT01969721 (5) [back to overview] | FEV1 AUC (12-24h) Change From Patient Baseline After 6 Weeks of Treatment |
NCT01969721 (5) [back to overview] | FEV1 AUC (0-12h) Change From Patient Baseline After 6 Weeks of Treatment |
NCT02019758 (10) [back to overview] | Percentage of Participants With Histologic Response of <15 Eos/Hpf |
NCT02019758 (10) [back to overview] | Number of Subjects With Histologic Recurrence, Defined as ≥15 Eosinophils Per High-power Field, at Follow-up Endoscopy. |
NCT02019758 (10) [back to overview] | Median Number of Days Until Symptom Recurrence (Aim 2) |
NCT02019758 (10) [back to overview] | Mean Peak Eosinophil Count (Aim 2) |
NCT02019758 (10) [back to overview] | Mean Endoscopic Severity Score at Recurrence (Aim 2) |
NCT02019758 (10) [back to overview] | Post-treatment Dysphagia Score (Aim 1) |
NCT02019758 (10) [back to overview] | Post-treatment Endoscopic Severity (Aim 1) |
NCT02019758 (10) [back to overview] | Post-Treatment Maximum Eosinophil Count (Aim 1) |
NCT02019758 (10) [back to overview] | Post-treatment Medication Compliance (Aim 1) |
NCT02019758 (10) [back to overview] | Post-treatment Symptom Severity (Aim 1) |
NCT02024204 (10) [back to overview] | Number of Participants With Positive Level of Bronchial Hyperreactivity (BHR) |
NCT02024204 (10) [back to overview] | Forced Oscillation Technique (FOT) Measures |
NCT02024204 (10) [back to overview] | Total IgE (Immunoglobulin E) Levels |
NCT02024204 (10) [back to overview] | Total EoS (Eosinophil) Counts |
NCT02024204 (10) [back to overview] | Number of Participants With Positive Level of Paradoxical Vocal Fold Movement (PVFM) |
NCT02024204 (10) [back to overview] | Rhinosinusitis Score on International Classification of Sleep Disorders (ICSD) |
NCT02024204 (10) [back to overview] | Score on Leicester Cough Questionnaire (LCQ) |
NCT02024204 (10) [back to overview] | Levels of Fractional Exhaled Nitric Oxide (FeNO) |
NCT02024204 (10) [back to overview] | Spirometry Measures |
NCT02024204 (10) [back to overview] | Score on Voice Handicap Index 10 (VHI-10) |
NCT02055352 (5) [back to overview] | Change in Health Status - mMRC |
NCT02055352 (5) [back to overview] | Change in Health Status - SGRQ-C |
NCT02055352 (5) [back to overview] | Change From Baseline in Trough Forced Expiratory Volume in 1 Second at Week 24 (Analysis of Superiority) |
NCT02055352 (5) [back to overview] | Change From Baseline in Trough Forced Expiratory Volume in 1 Second (Non-inferiority Analysis). |
NCT02055352 (5) [back to overview] | Change From Baseline in Mean Daily Number of Puffs of Rescue Medication Used Over the 24 Week Treatment |
NCT02061280 (7) [back to overview] | Caregiver Research Participant Assessment Score at Study End (Visit 6, Week 12) |
NCT02061280 (7) [back to overview] | Spirometry Quality Control Grade |
NCT02061280 (7) [back to overview] | Adolescent Research Participant Assessment Score at Study End (Visit 6, Week 12) |
NCT02061280 (7) [back to overview] | Asthma Control Test Score at Final Visit (Visit 6, Week12) |
NCT02061280 (7) [back to overview] | Asthma Control Test Scores at Screening (Visit 1, Week -8) |
NCT02061280 (7) [back to overview] | Caregiver Research Participant Assessment Score at Screening (Visit 1, Week -8) |
NCT02061280 (7) [back to overview] | Adolescent Research Participant Assessment Score at Screening (Visit 1, Week -8) |
NCT02066129 (5) [back to overview] | Number of Participants Hospitalized for Asthma |
NCT02066129 (5) [back to overview] | Asthma Exacerbations |
NCT02066129 (5) [back to overview] | Yellow Zone Albuterol Use |
NCT02066129 (5) [back to overview] | Yellow Zone Asthma Symptoms |
NCT02066129 (5) [back to overview] | Unscheduled Emergency Department (ED) or Urgent Care Visits for Asthma |
NCT02094937 (8) [back to overview] | Least Squares Mean Change From Baseline in Daily Morning (AM) and Evening (PM) PEF Averaged During Period 2 |
NCT02094937 (8) [back to overview] | Percentage of Participants With 'Well-controlled Asthma' at the End of Period 2 |
NCT02094937 (8) [back to overview] | Proportion of Subjects With ACT Score >= 20 at Visit 11 (Week 20) |
NCT02094937 (8) [back to overview] | "Percentage of Participants (Par) Withdrawn From the Study Due to Poorly-controlled Asthma During Period 2" |
NCT02094937 (8) [back to overview] | Least Squares Mean Change From Baseline in Asthma Control Test (ACT) Score at the End of Period 2 |
NCT02094937 (8) [back to overview] | Least Squares Mean Change From Baseline in Clinic Visit Trough FEV1 at the End of Period 2 |
NCT02094937 (8) [back to overview] | Least Squares Mean Change From Baseline in the Percentage of Rescue Free 24 Hour (hr) Periods During Period 2 |
NCT02094937 (8) [back to overview] | Least Squares Mean Change From Baseline in the Percentage of Symptom Free 24 Hour Periods During Period 2 |
NCT02105974 (3) [back to overview] | Percentage of Rescue-free 24-hour Periods Over the Entire 12-week Treatment Period |
NCT02105974 (3) [back to overview] | Time to First On-treatment Occurrence of Moderate or Severe COPD Exacerbation |
NCT02105974 (3) [back to overview] | Mean Change From Baseline (BL) in Clinic Visit Trough (Pre-bronchodilator and Pre-dose) FEV1, on Treatment Day 84 |
NCT02139644 (9) [back to overview] | Kaplan-Meier Estimates for Time to 15% and 12% Improvement From Baseline in FEV1 Postdose on Day 1 |
NCT02139644 (9) [back to overview] | Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period |
NCT02139644 (9) [back to overview] | Change From Baseline in the Weekly Average of the Daily Morning Trough Peak Expiratory Flow (PEF) Over the 12 Week Treatment |
NCT02139644 (9) [back to overview] | Change From Baseline in the Weekly Average of the Total Daily (24-hour) Use of Albuterol/Salbutamol Inhalation Aerosol Over the 12-Week Treatment Period |
NCT02139644 (9) [back to overview] | Change From Baseline in the Weekly Average of the Total Daily Asthma Symptom Score Over the 12-Week Treatment Period |
NCT02139644 (9) [back to overview] | Kaplan-Meier Estimate of Probability of Remaining in Study At Week 12 |
NCT02139644 (9) [back to overview] | Standardized Baseline-Adjusted Forced Expiratory Volume in 1 Second (FEV1) Area Under the Effect Curve From Time Zero to 12 Hours Postdose (FEV1 AUEC0-12h) at Week 12 |
NCT02139644 (9) [back to overview] | Change From Baseline in Morning Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 12 |
NCT02139644 (9) [back to overview] | Change From Baseline in the Asthma Quality of Life Questionnaire With Standardized Activities (AQLQ(S)) Score at Endpoint for Patients >=18 Years Old |
NCT02141633 (2) [back to overview] | Airway Blood Flow |
NCT02141633 (2) [back to overview] | Echocardiogram |
NCT02141854 (9) [back to overview] | Change From Baseline in the Weekly Average of the Total Daily Asthma Symptom Score Over the 12-Week Treatment Period |
NCT02141854 (9) [back to overview] | Kaplan-Meier Estimate of Probability of Remaining in Study At Week 12 |
NCT02141854 (9) [back to overview] | Change From Baseline in the Weekly Average of the Daily Morning Trough Peak Expiratory Flow (PEF) Over the 12 Week Treatment |
NCT02141854 (9) [back to overview] | Change From Baseline in the Weekly Average of the Total Daily (24-hour) Use of Albuterol/Salbutamol Inhalation Aerosol Over the 12-Week Treatment Period |
NCT02141854 (9) [back to overview] | Change From Baseline in Morning Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 12 |
NCT02141854 (9) [back to overview] | Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period |
NCT02141854 (9) [back to overview] | Kaplan-Meier Estimates for Time to 15% and 12% Improvement From Baseline in FEV1 Postdose on Day 1 |
NCT02141854 (9) [back to overview] | Standardized Baseline-Adjusted Forced Expiratory Volume in 1 Second (FEV1) Area Under the Effect Curve From Time Zero to 12 Hours PostDose (FEV1 AUEC0-12) at Week 12 |
NCT02141854 (9) [back to overview] | Change From Baseline in the Asthma Quality of Life Questionnaire With Standardized Activities (AQLQ(S)) Score at Endpoint for Patients >=18 Years Old |
NCT02164513 (7) [back to overview] | Annual Rate of On-treatment Severe Exacerbations Comparing FF/UMEC/VI With FF/VI and With UMEC/VI |
NCT02164513 (7) [back to overview] | Time to First On-treatment Moderate/Severe Exacerbation Comparing FF/UMEC/VI With UMEC/VI in the Subset of Particpants With a Blood Eosinophil Count >=150 Cells Per Microliter at Baseline |
NCT02164513 (7) [back to overview] | Change From Baseline in St. George's Respiratory Questionnaire for (SGRQ) Total Score at Week 52 Comparing FF/UMEC/VI With FF/VI |
NCT02164513 (7) [back to overview] | Annual Rate of On-treatment Moderate/Severe Exacerbations Comparing FF/UMEC/VI With UMEC/VI and FF/VI |
NCT02164513 (7) [back to overview] | Annual Rate of On-treatment Moderate/Severe Exacerbations Comparing FF/UMEC/VI With UMEC/VI in the Subset of Participants With a Blood Eosinophil Count >=150 Cells Per Microliter |
NCT02164513 (7) [back to overview] | Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1), at Week 52 Comparing FF/UMEC/VI With FF/VI |
NCT02164513 (7) [back to overview] | Time to First On-treatment Moderate/Severe Exacerbation Comparing FF/UMEC/VI With FF/VI and With UMEC/VI |
NCT02175771 (6) [back to overview] | Participants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment Period |
NCT02175771 (6) [back to overview] | Shifts From Baseline to Endpoint in Electrocardiogram (ECG) Findings |
NCT02175771 (6) [back to overview] | Analysis of 24-Hour Urine Cortisol Free Over the 26-Week Treatment Period |
NCT02175771 (6) [back to overview] | Change From Baseline in Trough Forced Expiratory Volume in 1 Minute (FEV1) Over the 26-Week Treatment Period |
NCT02175771 (6) [back to overview] | Participants With Positive Swab Test Results for Oral Candidiasis |
NCT02175771 (6) [back to overview] | Participants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period |
NCT02180672 (10) [back to overview] | Child Behavior Checklist |
NCT02180672 (10) [back to overview] | Purdue Peg Board |
NCT02180672 (10) [back to overview] | Pediatric Quality of Life Inventory (PedsQL) |
NCT02180672 (10) [back to overview] | The Epworth Sleepiness Scale |
NCT02180672 (10) [back to overview] | Obstructive Apnea Hypopnea Index |
NCT02180672 (10) [back to overview] | OAHI |
NCT02180672 (10) [back to overview] | Nasal Obstruction Symptom Evaluation (NOSE) |
NCT02180672 (10) [back to overview] | Conners Continuous Performance Test (CPT) |
NCT02180672 (10) [back to overview] | Behavior Rating Inventory of Executive Function (BRIEF) |
NCT02180672 (10) [back to overview] | Conners Abbreviated Symptom Questionnaire |
NCT02194062 (2) [back to overview] | SNOT-22 Scores |
NCT02194062 (2) [back to overview] | Lund-Kennedy Scoring for Nasal Endoscopy |
NCT02230696 (3) [back to overview] | Mean Change From Baseline in the Mean Instantaneous Total Nasal Symptom Score (iTNSS) |
NCT02230696 (3) [back to overview] | Mean Change From Baseline for Mean Reflective Total Nasal Symptom Score (rTNSS) |
NCT02230696 (3) [back to overview] | Change From Baseline iTNSS Scores on Day 1 Post First Randomized Dose |
NCT02232087 (6) [back to overview] | Max QTcB |
NCT02232087 (6) [back to overview] | Max Heart Rate |
NCT02232087 (6) [back to overview] | Max Plasma Glucose Level |
NCT02232087 (6) [back to overview] | Relative Potency QTcB Interval |
NCT02232087 (6) [back to overview] | Relative Potency Max Heart Rate |
NCT02232087 (6) [back to overview] | Plasma Potassium Level |
NCT02245672 (4) [back to overview] | FEV1 Trough Value (Bioequivalence) |
NCT02245672 (4) [back to overview] | Forced Exhaled Volume in 1 Sec (FEV1) Area Under the Effect Curve on Day 1 (Bioequivalence) |
NCT02245672 (4) [back to overview] | Forced Exhaled Volume in 1 Sec (FEV1) Area Under the Effect Curve on Day 1 (Assay Sensitivity) |
NCT02245672 (4) [back to overview] | FEV1 Trough Value (Assay Sensitivity) |
NCT02246920 (3) [back to overview] | Change From Baseline in Average AM/PM Reflective Total Nasal Symptom Score (rTNSS) Over Days 1 to 14. |
NCT02246920 (3) [back to overview] | Superiority to Placebo |
NCT02246920 (3) [back to overview] | Change From Baseline in Average Instantaneous Total Nasal Symptom Score (iTNSS) Over Days 1 to 14. |
NCT02251379 (6) [back to overview] | Number of Asthma Exacerbations |
NCT02251379 (6) [back to overview] | FEV1/FVC |
NCT02251379 (6) [back to overview] | Exhaled Nitric Oxide |
NCT02251379 (6) [back to overview] | Daily Inhaled Corticosteroid Dose |
NCT02251379 (6) [back to overview] | Number of Asthma Symptom Days |
NCT02251379 (6) [back to overview] | The Medication Treatment Step Assigned |
NCT02260492 (3) [back to overview] | FEV1 Trough |
NCT02260492 (3) [back to overview] | Number of Participants With Adverse Events |
NCT02260492 (3) [back to overview] | Area Under the Serial FEV1-time Curve (AUC 0-12h) |
NCT02301975 (7) [back to overview] | Percentage of Participants With Asthma Control Test (ACT) Score Greater Than or Equal to 20 |
NCT02301975 (7) [back to overview] | Change From Baseline in the Percentage of Symptom-free 24-hour Periods |
NCT02301975 (7) [back to overview] | Change From Baseline in the Percentage of Rescue-free 24-hour Periods |
NCT02301975 (7) [back to overview] | Change From Baseline in PM FEV1 Using Per Protocol (PP) Population |
NCT02301975 (7) [back to overview] | Change From Baseline in Morning (Ante Meridiem [AM]) Peak Expiratory Flow (PEF) |
NCT02301975 (7) [back to overview] | Change From Baseline in Evening (Post Meridiem [PM]) Forced Expiratory Volume in One Second (FEV1) Using Intent-to-Treat (ITT) Population |
NCT02301975 (7) [back to overview] | Change From Baseline in PM PEF |
NCT02338362 (5) [back to overview] | Adherence |
NCT02338362 (5) [back to overview] | Mean Intraocular Pressure |
NCT02338362 (5) [back to overview] | Mean Visual Acuity |
NCT02338362 (5) [back to overview] | Intraocular Pressure Elevation >20% From Baseline |
NCT02338362 (5) [back to overview] | Side Effects |
NCT02441114 (3) [back to overview] | Time to Maximum Concentration (Tmax) |
NCT02441114 (3) [back to overview] | Maximum Observed Concentration (Cmax) |
NCT02441114 (3) [back to overview] | Area Under the Concentration Versus Time Curve (AUClast) |
NCT02446418 (3) [back to overview] | Change From Baseline in ACT Total Score at Week 24 |
NCT02446418 (3) [back to overview] | Percentage of Participants With Correct Use of Device, Defined as Not Making Any Critical or Non-critical Errors, at Week 12, and at Week 24 Independently of the Use at Week 12 |
NCT02446418 (3) [back to overview] | Change From Baseline in Asthma Control Test (ACT) Total Score at Week 12 |
NCT02502734 (2) [back to overview] | Mean Growth Rate in Lower-leg Growth, as Determined by Knemometry. |
NCT02502734 (2) [back to overview] | Number of Participants With Any Adverse Events (AE) and Any Serious Adverse Event (SAE). |
NCT02516592 (5) [back to overview] | Change From Baseline in FVC (Forced Vital Capacity) |
NCT02516592 (5) [back to overview] | Change From Baseline in Total Symptom Score- CAT (COPD Assessment Test) |
NCT02516592 (5) [back to overview] | Transitional Dyspnea Index (TDI) Focal Score |
NCT02516592 (5) [back to overview] | Change From Baseline in Mean Daily Use of Rescue Medication |
NCT02516592 (5) [back to overview] | Change From Baseline in Trough Pre-dose FEV1 in Both Arms |
NCT02554786 (27) [back to overview] | Time in Days to Permanent Discontinuation of Study Medication Due to Asthma Exacerbations |
NCT02554786 (27) [back to overview] | Percentage of Participants With Composite Endpoint of Serious Asthma Outcomes |
NCT02554786 (27) [back to overview] | Rescue Medication Usage |
NCT02554786 (27) [back to overview] | Post Dose FEV1 (5 Minutes-1 Hour) |
NCT02554786 (27) [back to overview] | Percentage of Participants Who Permanently Discontinued Study Medication Due to Asthma Exacerbations |
NCT02554786 (27) [back to overview] | Percentage of Participants With at Least One Asthma Exacerbation by Exacerbation Category |
NCT02554786 (27) [back to overview] | Percentage of Participants With Adverse Events (AE) and Serious Adverse Events (SAE) |
NCT02554786 (27) [back to overview] | Change Form Baseline in Percentage of Days With no Daytime Symptoms |
NCT02554786 (27) [back to overview] | Percentage of Participants Achieving the Minimal Important Difference (MID) ACQ ≥ 0.5 at Weeks 26 and 52 |
NCT02554786 (27) [back to overview] | Change From Baseline in Percentage of Nights With no Night-time Awakenings |
NCT02554786 (27) [back to overview] | Change From Baseline in Percentage of Asthma Symptoms Free Days |
NCT02554786 (27) [back to overview] | Change Form Baseline in Percentage of Mornings With no Symptoms on Awakening |
NCT02554786 (27) [back to overview] | Annual Rate of Asthma Exacerbations by Exacerbation Category |
NCT02554786 (27) [back to overview] | Duration in Days of Asthma Exacerbations by Exacerbation Category |
NCT02554786 (27) [back to overview] | Pre-dose FEV1 at Weeks 4 and 12 |
NCT02554786 (27) [back to overview] | Time to First Asthma Exacerbation by Exacerbation Category |
NCT02554786 (27) [back to overview] | Trough Forced Expiratory Flow (FEF)Between 25% and 75% of FVC (FEF25-75) |
NCT02554786 (27) [back to overview] | Trough Forced Vital Capacity (FVC) |
NCT02554786 (27) [back to overview] | Asthma Quality of Life Questionnaire (AQLQ) |
NCT02554786 (27) [back to overview] | Change From Baseline in Morning and Evening Peak Expiratory Flow Rate (PEF) Over 26 and 52 Weeks of Treatment |
NCT02554786 (27) [back to overview] | Asthma Control Questionnaire (ACQ-7) at Weeks 4, 12, 26 and 52 |
NCT02554786 (27) [back to overview] | Change From Baseline in Percentage of Rescue Medication Free Days |
NCT02554786 (27) [back to overview] | Time to First Hospitalization for Asthma Exacerbation |
NCT02554786 (27) [back to overview] | Total Amounts of Systemic Corticosteroids (in Doses) Used to Treat Asthma Exacerbations |
NCT02554786 (27) [back to overview] | Trough FEV1 at Week 52 |
NCT02554786 (27) [back to overview] | Trough FEV1 Measured After 26 Weeks of Treatment |
NCT02554786 (27) [back to overview] | Trough Forced Expiratory Volume in One Second (Trough FEV1) at Week 26 |
NCT02569437 (5) [back to overview] | Subjective Symptom Composite Scoring |
NCT02569437 (5) [back to overview] | Endoscopic Nasal Polyp Score |
NCT02569437 (5) [back to overview] | Sino-nasal Outcome Test (SNOT 22) |
NCT02569437 (5) [back to overview] | Visual Analog Scale |
NCT02569437 (5) [back to overview] | Middle Meatus Culture |
NCT02571777 (24) [back to overview] | Percentage of Participants With at Least One Asthma Exacerbation by Exacerbation Category |
NCT02571777 (24) [back to overview] | Duration in Days of Asthma Exacerbations by Exacerbation Category |
NCT02571777 (24) [back to overview] | Change From Baseline in Percentage of Rescue Medication Free Days Over 26 and 52 Weeks |
NCT02571777 (24) [back to overview] | Change From Baseline in Percentage of Days Without Rescue Medication Use Over 26 and 52 Weeks |
NCT02571777 (24) [back to overview] | Change From Baseline in Morning and Evening Peak Expiratory Flow Rate (PEF) Over 26 and 52 Weeks of Treatment |
NCT02571777 (24) [back to overview] | Asthma Control Questionnaire (ACQ-7) at Week 26 and Week 52 |
NCT02571777 (24) [back to overview] | Annual Rate of Asthma Exacerbations by Exacerbation Category |
NCT02571777 (24) [back to overview] | Trough Forced Expiratory Volume in 1 Second (Trough FEV1) of QVM149 Versus Salmeterol/Fluticasone at Week 26 |
NCT02571777 (24) [back to overview] | Trough Forced Expiratory Flow (FEF) Between 25% and 75% of FVC (FEF25-75) at 52 Weeks |
NCT02571777 (24) [back to overview] | Total Amount of Oral Corticosteroid Used (in Prednisone-equivalent mg Doses) to Treat Asthma Exacerbations |
NCT02571777 (24) [back to overview] | Time to First Hospitalization for Asthma Exacerbation |
NCT02571777 (24) [back to overview] | Time in Days to Permanent Discontinuation of Study Medication Due to Asthma Exacerbation |
NCT02571777 (24) [back to overview] | Percentage of Participants With Composite Endpoint of Serious Asthma Outcomes |
NCT02571777 (24) [back to overview] | Change From Baseline in Percentage of Nights With no Night-time Awakenings Over 52 Weeks |
NCT02571777 (24) [back to overview] | Change From Baseline in Percentage of Mornings With no Symptoms on Rising Over 52 Weeks |
NCT02571777 (24) [back to overview] | Pre-dose Forced Vital Capacity (FVC) at Week 4 and Week 12 |
NCT02571777 (24) [back to overview] | Trough FEV1 at Week 52 |
NCT02571777 (24) [back to overview] | Change From Baseline in Percentage of Asthma Symptom-free Days Over 52 Weeks |
NCT02571777 (24) [back to overview] | Asthma Quality of Life Questionnaire (AQLQ) at Week 52 |
NCT02571777 (24) [back to overview] | Time to First Asthma Exacerbation by Exacerbation Category |
NCT02571777 (24) [back to overview] | Trough Forced Expiratory Volume in 1 Second (Trough FEV1) of QVM149 Versus QMF149 at Week 26 |
NCT02571777 (24) [back to overview] | Pre-dose FEV1 at Weeks 4 and 12 |
NCT02571777 (24) [back to overview] | Percentage of Patients Achieving the Minimal Clinically Important Difference (MCID) ACQ ≥ 0.5 at Week 26 and Week 52 |
NCT02571777 (24) [back to overview] | Change From Baseline in Percentage of Days With no Daytime Symptoms Over 52 Weeks |
NCT02573233 (11) [back to overview] | Change From Baseline in Mucin-Stained Area in the Bronchial Submucosa at Week 12 |
NCT02573233 (11) [back to overview] | Change From Baseline in Mast Cells Count (Chymase Positive) in the Bronchial Submucosa at Week 12 |
NCT02573233 (11) [back to overview] | Change From Baseline in Eosinophils Cells Count in the Bronchial Submucosa at Week 12 |
NCT02573233 (11) [back to overview] | Change From Baseline in Mast Cells Count (Tryptase Positive) in the Bronchial Submucosa at Week 12 |
NCT02573233 (11) [back to overview] | Change From Baseline in Fractional Exhaled Nitric Oxide (FeNO) at Week 12 |
NCT02573233 (11) [back to overview] | Average Change in Fractional Exhaled Nitric Oxide (FeNO) From Baseline to Week 6 Through Week 12 |
NCT02573233 (11) [back to overview] | Pharmacokinetics (PK) Assessment: Serum Functional Dupilumab Concentration |
NCT02573233 (11) [back to overview] | Number of Participants With Treatment Emergent Adverse Events (TEAEs) |
NCT02573233 (11) [back to overview] | Number of Participants With Antidrug Antibodies (ADA) |
NCT02573233 (11) [back to overview] | Change From Baseline in T-Lymphocytes Count in the Bronchial Submucosa at Week 12 |
NCT02573233 (11) [back to overview] | Change From Baseline in T-Helper Lymphocytes Count in the Bronchial Submucosa at Week 12 |
NCT02573870 (1) [back to overview] | Change From Baseline in 0 to 4 Hours Post-dose Weighted Mean Heart Rate at Day 42, Derived From Electrocardiograms (ECGs) |
NCT02603393 (11) [back to overview] | Mean Change From Baseline in St. George's Respiratory Questionnaire |
NCT02603393 (11) [back to overview] | Transition Dyspnea Index (TDI) Score |
NCT02603393 (11) [back to overview] | Transition Dyspnea Index (TDI) Score |
NCT02603393 (11) [back to overview] | Annualized Rate of COPD Exacerbations Requiring Hospitalisation |
NCT02603393 (11) [back to overview] | Annualized Rate of COPD Exacerbations Requiring Treatment With Systemic Glucocorticosteroids and/or Antibiotics, Moderate Exacerbations Only |
NCT02603393 (11) [back to overview] | Annualized Rate of Moderate or Severe COPD Exacerbations |
NCT02603393 (11) [back to overview] | Change From Baseline in the Mean Daily Number of Puffs of Rescue Medication |
NCT02603393 (11) [back to overview] | Mean Change From Baseline in Forced Vital Capacity (FVC) |
NCT02603393 (11) [back to overview] | Mean Change From Baseline in Post-dose Trough FEV1 |
NCT02603393 (11) [back to overview] | Mean Change From Baseline in St. George's Respiratory Questionnaire |
NCT02603393 (11) [back to overview] | Mean Change From Baseline in Pre-dose Trough FEV1 |
NCT02610816 (9) [back to overview] | Change From Baseline in Pediatric Quality of Life Inventory Version 4.0 (PedsQL 4.0) Generic Core Scales at 12 Weeks |
NCT02610816 (9) [back to overview] | Percent of 1FED Non-responders on 4FED in Histologic Remission (<15 Eos/Hpf) at 12 Weeks in Phase 2 |
NCT02610816 (9) [back to overview] | Percent of Participants in Histologic Remission (<15 Eosinophils Per High Power Field) at 12 Weeks |
NCT02610816 (9) [back to overview] | Change From Baseline in Pediatric Quality of Life Inventory Version 3.0 EoE Module (PedsQL 3.0 EoE) at 12 Weeks |
NCT02610816 (9) [back to overview] | Percent of Participants With Positive and Negative Milk Skin Prick Tests Responding to 1FED |
NCT02610816 (9) [back to overview] | Within-group Comparisons (Baseline v. Week 12) of PEESS V2.0 Scores |
NCT02610816 (9) [back to overview] | Percent of Participants on Swallowed Glucocorticoids (SGC) in Histologic Remission (<15 Eos/Hpf) at 12 Weeks in Phase 2 |
NCT02610816 (9) [back to overview] | Change From Baseline in Pediatric EoE Symptom Score Version 2.0 (PEESS V2.0) at 12 Weeks |
NCT02610816 (9) [back to overview] | Change From Baseline in Endoscopic Reference Score at 12 Weeks |
NCT02712047 (7) [back to overview] | Change From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VI |
NCT02712047 (7) [back to overview] | Change From Baseline in FeNO Over the FF/VI Treatment Period |
NCT02712047 (7) [back to overview] | Change From Baseline in FeNO Over the FF/VI Treatment Period |
NCT02712047 (7) [back to overview] | Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VI |
NCT02712047 (7) [back to overview] | Change From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VI |
NCT02712047 (7) [back to overview] | Change From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VI |
NCT02712047 (7) [back to overview] | Change From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VI |
NCT02730351 (4) [back to overview] | Maximal Percent Decrease in FEV1 Following Exercise Challenge at 23 Hrs Post Evening Dose From Pre-exercise FEV1. |
NCT02730351 (4) [back to overview] | Maximal Percent Decrease in Forced Expiratory Volume in One Second (FEV1) Following Exercise Challenge at 12 Hours (Hrs) Post Evening Dose From Pre-exercise FEV1. |
NCT02730351 (4) [back to overview] | Proportion of Participants With a 30 Min Post-challenge FEV1 no More Than 5 Percent Lower Than Pre-exercise FEV1 Following the Exercise Challenge at 12 Hrs and 23 Hrs Post Evening Dose. |
NCT02730351 (4) [back to overview] | Weighted Mean 0-60 Min for Percentage Decrease From Pre-exercise FEV1 Following Exercise Challenge at 12 Hrs and 23 Hrs Post Evening Dose. |
NCT02740543 (1) [back to overview] | Change in TSLP Gene Expression |
NCT02748070 (2) [back to overview] | Lund Kennedy Endoscopy Score Over Time |
NCT02748070 (2) [back to overview] | Sino-nasal Outcome Test (SNOT-22) Over Time |
NCT02778867 (7) [back to overview] | Percent of Participants Following 6FED in Histologic Remission in Phase 2 |
NCT02778867 (7) [back to overview] | Percent of Participants in Complete and Partial Histologic Remission |
NCT02778867 (7) [back to overview] | Percent of Participants in Histologic Remission (<15 Eos/Hpf) |
NCT02778867 (7) [back to overview] | Change From Baseline in Total Endoscopic Reference Score |
NCT02778867 (7) [back to overview] | Change From Baseline in Total Histology Scoring System |
NCT02778867 (7) [back to overview] | Percent of Participants Following SGC in Histologic Remission in Phase 2 |
NCT02778867 (7) [back to overview] | Change From Baseline in Peak Eosinophil Count |
NCT02874144 (5) [back to overview] | BSIT (Brief Smell Identification Test) |
NCT02874144 (5) [back to overview] | Sinus CT Scan Scores by Lund-Mackay Scores |
NCT02874144 (5) [back to overview] | SNOT-22 (Sino-Nasal Outcome Test-22) Score |
NCT02874144 (5) [back to overview] | Visual Analog Scale (VAS) |
NCT02874144 (5) [back to overview] | TOTAL POLYP SCORE (TPS) |
NCT02885025 (8) [back to overview] | Peak Nasal Inspiratory Flow (PNIF) Change From Baseline to 3 Weeks of Randomly Assigned Treatment |
NCT02885025 (8) [back to overview] | Interleukin 4 (IL4) |
NCT02885025 (8) [back to overview] | Interleukin 1 Beta (IL1b) |
NCT02885025 (8) [back to overview] | Total Nasal Symptom Score (TNSS) Change From Baseline to 3 Weeks of Randomly Assigned Treatment |
NCT02885025 (8) [back to overview] | Interleukin 8 (IL8) |
NCT02885025 (8) [back to overview] | Interleukin 6 (IL6) |
NCT02885025 (8) [back to overview] | Interleukin 5 (IL5) |
NCT02885025 (8) [back to overview] | Interleukin 13 (IL13) |
NCT02889809 (7) [back to overview] | Number of Participants With Non-serious Adverse Events (AEs) and Serious Adverse Events (SAEs) |
NCT02889809 (7) [back to overview] | Growth Velocity Over the First 12 Weeks of Double-blind Treatment Period |
NCT02889809 (7) [back to overview] | Number of Participants With On-treatment Asthma Exacerbations Over Double-blind Treatment Period |
NCT02889809 (7) [back to overview] | Change in Height Standard Deviation Scores (SDS) From Baseline to Endpoint |
NCT02889809 (7) [back to overview] | Percentage of Participants Below the Third Percentile of Growth Velocity During Double-blind Treatment Period |
NCT02889809 (7) [back to overview] | Percentage of Participants With Change in Growth Velocity Quartiles From Baseline to Endpoint |
NCT02889809 (7) [back to overview] | Growth Velocity (Centimeter Per Year) Over the Double-blind Treatment Period, as Determined by Stadiometry |
NCT02924688 (12) [back to overview] | Number of Participants With Any Serious Adverse Event (SAE) and Common (>=3%) Non-SAE |
NCT02924688 (12) [back to overview] | Number of Participants With Abnormal Hematology Values |
NCT02924688 (12) [back to overview] | Number of Participants With Abnormal Clinical Chemistry Values |
NCT02924688 (12) [back to overview] | Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Week 24 |
NCT02924688 (12) [back to overview] | Mean Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 24 |
NCT02924688 (12) [back to overview] | Annualized Rate of Moderate and Severe Asthma Exacerbations |
NCT02924688 (12) [back to overview] | Mean Change From Baseline in Asthma Control Questionnaire-7 (ACQ-7) Total Score at Week 24 |
NCT02924688 (12) [back to overview] | Mean Change From Baseline in Clinic FEV1 at 3 Hours Post Study Treatment at Week 24 |
NCT02924688 (12) [back to overview] | Mean Change From Baseline in Evaluating Respiratory Symptoms (E-RS) Total Score Over Weeks 21 to 24 (Inclusive) of the Treatment Period |
NCT02924688 (12) [back to overview] | Mean Change From Baseline in Pulse Rate at Week 24 |
NCT02924688 (12) [back to overview] | Mean Change From Baseline in Saint George's Respiratory Questionnaire (SGRQ) Total Score at Week 24 |
NCT02924688 (12) [back to overview] | Number of Participants With Abnormal Electrocardiogram (ECG) Findings |
NCT02980133 (8) [back to overview] | Change From Baseline in Asthma Control (Measured by Childhood Asthma Control Test [C-ACT] Score) Over the 12 Week Treatment Period |
NCT02980133 (8) [back to overview] | For FS MDPI Versus Fp MDPI: Change From Baseline in 1-Hour Postdose Percent Predicted Morning Forced Expiratory Volume in 1 Second (FEV1) at Week 12 |
NCT02980133 (8) [back to overview] | Time to First Onset of Effect |
NCT02980133 (8) [back to overview] | Percentage of Participants Who Discontinued From Investigational Medicinal Product (IMP) for Asthma Exacerbation During the 12 Week Treatment Period |
NCT02980133 (8) [back to overview] | For Fp MDPI Versus Placebo: Change From Baseline in Weekly Average of the Percent Predicted Trough Morning FEV1 at Week 12 |
NCT02980133 (8) [back to overview] | Change From Baseline in the Weekly Average of Total Daily (24 Hour) Use of Albuterol/Salbutamol Inhalation Aerosol (Number of Inhalations) Over Weeks 1 Through 12 |
NCT02980133 (8) [back to overview] | Change From Baseline in the Weekly Average of the Total Daily Asthma Symptom Score Over Weeks 1 Through 12 |
NCT02980133 (8) [back to overview] | Change From Baseline in the Weekly Average of Daily Trough Morning (Predose and Pre-Rescue Bronchodilator) Peak Expiratory Flow (PEF) Over the 12 Week Treatment Period |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 3200 mcg in Period 2 |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 400 mcg in Period 1 |
NCT02991859 (45) [back to overview] | Number of Participants With Clinically Significant Abnormal Chemistry Parameters |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 800 mcg in Period 1 |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 800 mcg in Period 2 |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for FP 1000 mcg in Period 1 |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for FP 1000 mcg in Period 2 |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for FP 2000 mcg in Period 1 |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for FP 2000 mcg in Period 2 |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for FP 500 mcg in Period 1 |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for FP 500 mcg in Period 2 |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability of Placebo in Period 1 |
NCT02991859 (45) [back to overview] | PEFR as a Measure of Safety and Tolerability for FF 100 mcg in Period 1 |
NCT02991859 (45) [back to overview] | PEFR as a Measure of Safety and Tolerability for FF 100 mcg in Period 2 |
NCT02991859 (45) [back to overview] | PEFR as a Measure of Safety and Tolerability for FF 200 mcg in Period 1 |
NCT02991859 (45) [back to overview] | PEFR as a Measure of Safety and Tolerability for FF 200 mcg in Period 2 |
NCT02991859 (45) [back to overview] | PEFR as a Measure of Safety and Tolerability for FF 25 mcg in Period 1 |
NCT02991859 (45) [back to overview] | PEFR as a Measure of Safety and Tolerability for FF 25 mcg in Period 2 |
NCT02991859 (45) [back to overview] | PEFR as a Measure of Safety and Tolerability for FF 400 mcg in Period 1 |
NCT02991859 (45) [back to overview] | PEFR as a Measure of Safety and Tolerability for FF 400 mcg in Period 2 |
NCT02991859 (45) [back to overview] | PEFR as a Measure of Safety and Tolerability for FF 800 mcg in Period 1 |
NCT02991859 (45) [back to overview] | PEFR as a Measure of Safety and Tolerability for FF 800 mcg in Period 2 |
NCT02991859 (45) [back to overview] | PEFR as a Measure of Safety and Tolerability for FP 200 mcg in Period 1 |
NCT02991859 (45) [back to overview] | PEFR as a Measure of Safety and Tolerability for FP 200 mcg in Period 2 |
NCT02991859 (45) [back to overview] | PEFR as a Measure of Safety and Tolerability for FP 50 mcg in Period 1 |
NCT02991859 (45) [back to overview] | PEFR as a Measure of Safety and Tolerability for FP 50 mcg in Period 2 |
NCT02991859 (45) [back to overview] | PEFR as a Measure of Safety and Tolerability of Placebo in Period 2 |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 400 mcg in Period 2 |
NCT02991859 (45) [back to overview] | Forced Expiratory Volume in 1 Second (FEV 1) in Period 1 |
NCT02991859 (45) [back to overview] | Cortisol Suppression 0-24 Hours Weighted Mean-Dose Response Analysis |
NCT02991859 (45) [back to overview] | Forced Expiratory Volume in 1 Second (FEV 1) in Period 2 |
NCT02991859 (45) [back to overview] | Forced Vital Capacity (FVC) in Period 1 |
NCT02991859 (45) [back to overview] | Forced Vital Capacity (FVC) in Period 2 |
NCT02991859 (45) [back to overview] | Number of Participants With Clinically Significant Abnormal Hematology Parameters |
NCT02991859 (45) [back to overview] | Number of Participants With Clinically Significant Abnormal Urinalysis Parameters |
NCT02991859 (45) [back to overview] | Provocative Concentration (PC) of Adenosine 5' Monophosphate (AMP) Causing a 20 Percent (%) Reduction in Forced Expiratory Volume in 1 Second (FEV1) (AMP PC20)- Dose Response Analysis |
NCT02991859 (45) [back to overview] | Theraputic Index of BUD |
NCT02991859 (45) [back to overview] | Theraputic Index of FF |
NCT02991859 (45) [back to overview] | Theraputic Index of FP |
NCT02991859 (45) [back to overview] | Number of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 100 mcg in Period 1 |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 100 mcg in Period 2 |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 1600 mcg in Period 1 |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 1600 mcg in Period 2 |
NCT02991859 (45) [back to overview] | Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 3200 mcg in Period 1 |
NCT03012061 (6) [back to overview] | Mean Change From Baseline in Clinic FEV1 at 3 Hours Post Dose at Week 24 |
NCT03012061 (6) [back to overview] | Number of Participants With On-treatment Adverse Events (AE), Non-serious Adverse Events (Non-SAE) |
NCT03012061 (6) [back to overview] | Mean Change From Baseline in Clinic Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 24 |
NCT03012061 (6) [back to overview] | Mean Change From Baseline in On-treatment Pulse Rate |
NCT03012061 (6) [back to overview] | Mean Change From Baseline in On-treatment Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) |
NCT03012061 (6) [back to overview] | Number of Participants With On-treatment Abnormal Electrocardiograms (ECG) Findings |
NCT03055988 (9) [back to overview] | Change From Baseline in Aortic Distensibility After 6 Weeks of Treatment |
NCT03055988 (9) [back to overview] | Change From Baseline in Aortic Augmentation Index After 6 Weeks of Treatment |
NCT03055988 (9) [back to overview] | Change From Baseline in 1.5 Hour Post Dose Forced Vital Capacity (FVC) After 6 Weeks of Treatment |
NCT03055988 (9) [back to overview] | Change From Baseline in 1.5 Hour Post Dose Forced Expiratory Volume in 1st Second (FEV1) After 6 Weeks of Treatment |
NCT03055988 (9) [back to overview] | Change From Baseline in Central Systolic Pressure After 6 Weeks of Treatment |
NCT03055988 (9) [back to overview] | Change From Baseline in Pulse Pressure After 6 Weeks of Treatment |
NCT03055988 (9) [back to overview] | Change From Baseline in Pulmonary Artery Pulsatility After 6 Weeks of Treatment |
NCT03055988 (9) [back to overview] | Change From Baseline in Left Ventricular End Diastolic Volume Index (LVEDVI) in the 6th Week of Treatment |
NCT03055988 (9) [back to overview] | Change From Baseline in Functional Residual Capacity Body Plethysmography (FRCpleth) % Predicted After 6 Weeks of Treatment |
NCT03063086 (6) [back to overview] | FVC Over 24 h After 21 Days of Treatment in Relation to Evening Dose |
NCT03063086 (6) [back to overview] | FEV1/FVC Ratio Over 24 h After 21 Days of Treatment in Relation to Evening Dose |
NCT03063086 (6) [back to overview] | FEV1 Over 24 h After 21 Days of Treatment in Relation to Evening Dose |
NCT03063086 (6) [back to overview] | FEV1 AUC 5 Min - 1 h (Day 21) FEV1 AUC 5 Min - 4 h (Day 21) and FEV1 AUC 5 Min - 23 h 45 Min (Day 21) |
NCT03063086 (6) [back to overview] | Trough FEV1 After 21 Days of Treatment |
NCT03063086 (6) [back to overview] | Peak FEV1 (L) Defined as the Highest Bronchodilatory Effect on FEV1 During a Period of 5 Min to 4 h After the Last Evening Dose of Each Treatment Period |
NCT03158311 (8) [back to overview] | Change From Baseline in Forced Vital Capacity (FVC) |
NCT03158311 (8) [back to overview] | Change From Baseline in Forced Expiratory Flow Between 25% and 75% of Forced Vital Capacity (FEF25-75) |
NCT03158311 (8) [back to overview] | Change From Baseline in Asthma Control Questionnaire (ACQ-7) Total Score |
NCT03158311 (8) [back to overview] | Percentage of Patients Achieving the Minimally Clinically Important Difference (MCID) Decrease From Baseline ACQ-7 ≥ 0.5 |
NCT03158311 (8) [back to overview] | Percentage of Patients Achieving the Minimally Clinically Important Difference (MCID) Change From Baseline AQLQ ≥ 0.5 |
NCT03158311 (8) [back to overview] | Change From Baseline in Asthma Quality of Life Questionnaire (AQLQ) Total Score |
NCT03158311 (8) [back to overview] | Change From Baseline in AQLQ Total Score |
NCT03158311 (8) [back to overview] | Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) |
NCT03191864 (28) [back to overview] | Percentage of Subjects With Mean 7-day EEsAI Total Score <20 |
NCT03191864 (28) [back to overview] | Percentage of Subjects With Mean 7-day EEsAI Total Score <20 |
NCT03191864 (28) [back to overview] | Percentage of Subjects With a Peak Eosinophils/HPF Number <1 and <15 |
NCT03191864 (28) [back to overview] | Percentage of Subjects With ≤6 Peak Eosinophils/High-power Field (HPF) |
NCT03191864 (28) [back to overview] | Percentage of Subjects Who Met the Primary Endpoint at Week 12 and Maintained the Primary Endpoint at Weeks 26 and 52 |
NCT03191864 (28) [back to overview] | Percentage of Subjects Requiring Emergency Endoscopic Food Dis-impaction |
NCT03191864 (28) [back to overview] | Percentage of Histologic Non-responders by Dose at Weeks 12, 26, and 52 |
NCT03191864 (28) [back to overview] | Number of Subjects With Oral and Esophageal Candidiasis |
NCT03191864 (28) [back to overview] | Change in the Number of Dysphagia Episodes |
NCT03191864 (28) [back to overview] | Change in the Number of Dysphagia Episodes |
NCT03191864 (28) [back to overview] | Change From Baseline Global EoE Symptom Score |
NCT03191864 (28) [back to overview] | Change From Baseline Global EoE Symptom Score |
NCT03191864 (28) [back to overview] | Change From Baseline Eosinophilic Esophagitis Endoscopic Reference Score (EREFs) at Week 12, 26, and 52 |
NCT03191864 (28) [back to overview] | Number of Subjects Discontinuing Due to HPA Axis Suppression |
NCT03191864 (28) [back to overview] | Change From Baseline 7-Day Eosinophilic Esophagitis Activity Index (EEsAI) Total Score |
NCT03191864 (28) [back to overview] | Change From Baseline 7-Day Eosinophilic Esophagitis Activity Index (EEsAI) Total Score |
NCT03191864 (28) [back to overview] | Number of Subjects With Treatment-Emergent Adverse Events Leading to Study Discontinuation in Part 1 |
NCT03191864 (28) [back to overview] | Number of Subjects With Treatment-Emergent Adverse Events Leading to Study Discontinuation in Part 2 |
NCT03191864 (28) [back to overview] | Change From Baseline PGIS for Difficulty With Food or Pills Going Down as Assessed Prior to Randomization Post-Baseline Visit |
NCT03191864 (28) [back to overview] | Change From Baseline PGIC of Difficulty With Food or Pills as Assessed Prior to Randomization Post-Baseline Visit |
NCT03191864 (28) [back to overview] | Change From Baseline Eosinophilic Esophagitis Endoscopic Reference Score (EREFs) at Week 12, 26, and 52 |
NCT03191864 (28) [back to overview] | Change From Baseline 7-Day Eosinophilic Esophagitis Activity Index (EEsAI) Subscores |
NCT03191864 (28) [back to overview] | Percentage of Subjects Requiring Esophageal Dilation |
NCT03191864 (28) [back to overview] | Percentage of Subjects With a Peak Eosinophils/HPF Number <1 and <15 |
NCT03191864 (28) [back to overview] | Change From Baseline Patient Global Impression of Severity (PGIS) for EoE Symptoms as Assessed Prior to Randomization Post-Baseline Visit |
NCT03191864 (28) [back to overview] | Change From Baseline Patient Global Impression of Change (PGIC) for EoE Symptoms as Assessed Prior to Randomization Post-Baseline Visit |
NCT03191864 (28) [back to overview] | Percentage of Subjects With Serum Cortisol Level ≤5 μg/dL or Abnormal Adrenocorticotropic Hormone (ACTH) Stimulation Test |
NCT03191864 (28) [back to overview] | Change From Baseline 7-Day Eosinophilic Esophagitis Activity Index (EEsAI) Subscores |
NCT03207243 (52) [back to overview] | Change Between Pre-dose and Post-dose of QRS Axis |
NCT03207243 (52) [back to overview] | Change From Baseline Between Post-dose and Pre-dose in DBP and SBP |
NCT03207243 (52) [back to overview] | Change From Baseline Between Post-dose and Pre-dose in Pulse Rate |
NCT03207243 (52) [back to overview] | Change From Baseline in Asthma Control Questionnaire (ACQ-5) Total Score |
NCT03207243 (52) [back to overview] | Change From Baseline in Cardiac Marker: Cardiac Troponin I |
NCT03207243 (52) [back to overview] | Change From Baseline in Cardiac Marker: N-Terminal ProB-type Natriuretic Peptide |
NCT03207243 (52) [back to overview] | Change From Baseline in Clinical Chemistry Parameter: Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (ALP), Gamma- Glutamyl Transferase (GGT) and Creatine Kinase (CK) |
NCT03207243 (52) [back to overview] | Change From Baseline in Clinical Chemistry Parameters: Creatinine, Total Bilirubin and Direct Bilirubin |
NCT03207243 (52) [back to overview] | Change From Baseline in Clinical Chemistry Parameters: Glucose, Potassium, Sodium, Calcium, Phosphate, Chloride, Urea and Carbon Dioxide (CO2) |
NCT03207243 (52) [back to overview] | Change From Baseline in Clinical Chemistry Parameters: Total Protein and Albumin |
NCT03207243 (52) [back to overview] | Change From Baseline in Diastolic Blood Pressure (DBP) and Systolic Blood Pressure (SBP) |
NCT03207243 (52) [back to overview] | Change From Baseline in ECG Heart Rate |
NCT03207243 (52) [back to overview] | Change From Baseline in Hematology Parameter: Erythrocyte Mean Corpuscular Volume |
NCT03207243 (52) [back to overview] | Change From Baseline in Hematology Parameter: Erythrocytes |
NCT03207243 (52) [back to overview] | Change From Baseline in Hematology Parameter: Erythrocytes Distribution Width (%) |
NCT03207243 (52) [back to overview] | Change From Baseline in Hematology Parameter: Hematocrit Level |
NCT03207243 (52) [back to overview] | Change From Baseline in Hematology Parameter: Hemoglobin |
NCT03207243 (52) [back to overview] | Change From Baseline in Hematology Parameter: Mean Corpuscular Hemoglobin |
NCT03207243 (52) [back to overview] | Change From Baseline in Hematology Parameter: Mean Corpuscular Hemoglobin Concentration |
NCT03207243 (52) [back to overview] | Change From Baseline in Hematology Parameters: Basophil, Eosinophils, Leukocytes, Lymphocytes, Neutrophils, Monocytes, and Platelets |
NCT03207243 (52) [back to overview] | Change From Baseline in Maximum, Minimum and Average Changes in Heart Rate |
NCT03207243 (52) [back to overview] | Change From Baseline in Mean Daily Rescue Medication Use (Albuterol/Salbutamol) |
NCT03207243 (52) [back to overview] | Change From Baseline in Mean Daytime Asthma Symptom Score Over Each Four Weeks of the 16 Week Treatment Period |
NCT03207243 (52) [back to overview] | Change From Baseline in Mean Morning Peak Expiratory Flow (PEF) and Mean Evening PEF |
NCT03207243 (52) [back to overview] | Change From Baseline in Percent Night-time Awakenings Due to Asthma Symptoms Requiring Rescue Medication Use |
NCT03207243 (52) [back to overview] | Change From Baseline in PR Interval, QRS Duration, Uncorrected QT Interval, QT Corrected Interval-Fredericia [QTcF] Interval and RR Interval |
NCT03207243 (52) [back to overview] | Change From Baseline in Pre-bronchodilator Forced Expiratory Volume in One Second (FEV1) |
NCT03207243 (52) [back to overview] | Change From Baseline in Pulse Rate (PR) |
NCT03207243 (52) [back to overview] | Change From Baseline in QRS Axis |
NCT03207243 (52) [back to overview] | Change From Baseline in St George's Respiratory Questionnaire (SGRQ) Total Score |
NCT03207243 (52) [back to overview] | Change From Baseline in Supraventricular Couplets, Supraventricular Ectopics, Supraventricular Runs, Supraventricular Singles, Ventricular Couplets, Ventricular Ectopics, Ventricular Runs, Ventricular Singles |
NCT03207243 (52) [back to overview] | Number of Hospitalizations or Emergency Room Visits Per Participants |
NCT03207243 (52) [back to overview] | Number of Participants Reporting Serious Adverse Events (SAEs) and Non-Serious Adverse Events (Non-SAEs) |
NCT03207243 (52) [back to overview] | Number of Participants With Incidence and Titres of Anti- GSK3772847 Antibodies |
NCT03207243 (52) [back to overview] | Percent Change From Baseline in Fractional Exhaled Nitric Oxide (FeNO) |
NCT03207243 (52) [back to overview] | Percent Change From Baseline in Free Soluble Suppressor of Tumorigenicity 2 (ST2) Concentration |
NCT03207243 (52) [back to overview] | Percent Change From Baseline in Total Soluble ST2 Concentration |
NCT03207243 (52) [back to overview] | Percentage of Participants With <=-0.5 Point ACQ-5 Score Decrease From Baseline (Responder) |
NCT03207243 (52) [back to overview] | Percentage of Participants With at Least a 4 Units Improvement From Baseline of St. George's Respiratory Questionnaire (SGRQ) |
NCT03207243 (52) [back to overview] | Serum Concentrations of GSK3772847 |
NCT03207243 (52) [back to overview] | Percentage of Participants With Inability to Titrate Inhaled Corticosteroids (ICS) |
NCT03207243 (52) [back to overview] | Number of Participants Experiencing Asthma Related Hospitalization During the Study Period |
NCT03207243 (52) [back to overview] | Percentage of Participants Who Have Pre-bronchodilator FEV1 Decrease From Baseline >7.5 % |
NCT03207243 (52) [back to overview] | Percentage of Participants With >=0.5 Point Asthma Control Questionnaire (ACQ-5) Score Increase From Baseline |
NCT03207243 (52) [back to overview] | Percentage of Participants With Clinically Significant Asthma Exacerbation |
NCT03207243 (52) [back to overview] | Percentage of Participants With Clinically Significant Asthma Exacerbation or Inability to Titrate |
NCT03207243 (52) [back to overview] | Percentage of Participants With Loss of Asthma Control Over Weeks 0-16 |
NCT03207243 (52) [back to overview] | Percentage of Participants With Loss of Asthma Control Over Weeks 0-6 |
NCT03207243 (52) [back to overview] | Rate Per 1000 Person-years of Participants With Hospitalization |
NCT03207243 (52) [back to overview] | Time to Loss of Asthma Control |
NCT03207243 (52) [back to overview] | Change Between Pre-dose and Post-dose of Heart Rate |
NCT03207243 (52) [back to overview] | Change Between Pre-dose and Post-dose of PR Interval, QRS Duration, Uncorrected QT Interval, QTcF Interval and RR Interval |
NCT03240575 (4) [back to overview] | Forced Expiratory Volume in One Second (FEV1) Area Under the Curve From 0 to 24 Hours (AUC0-24) Response (Change From Baseline) [L] After 12 Weeks of Treatment |
NCT03240575 (4) [back to overview] | Trough Forced Expiratory Volume in One Second (FEV1) Response (Change From Baseline) [L] After 12 Weeks Treatment |
NCT03240575 (4) [back to overview] | Peak 0-3 Hours Forced Expiratory Volume in One Second (FEV1) Response (Change From Baseline) [L] After 12 Weeks Treatment |
NCT03240575 (4) [back to overview] | Forced Expiratory Volume in One Second (FEV1) Area Under the Curve From 0 to 12 Hours (AUC0-12) Response (Change From Baseline) [L] After 12 Weeks of Treatment |
NCT03273946 (3) [back to overview] | Number of Participants With Any New, Unexpected AE or Safety Signal |
NCT03273946 (3) [back to overview] | Number of Participants With Any Serious Adverse Event (SAE) or Non-SAE |
NCT03273946 (3) [back to overview] | Number of Participants With Any Adverse Event (AE) or Adverse Drug Reaction (ADR) |
NCT03387852 (3) [back to overview] | Change From Baseline at Week 12 in Post-bronchodilator Forced Expiratory Volume in 1 Second |
NCT03387852 (3) [back to overview] | Percentage of Participants With Loss of Asthma Control |
NCT03387852 (3) [back to overview] | Change From Baseline at Week 12 in Pre-bronchodilator Forced Expiratory Volume in 1 Second (FEV1) |
NCT03591068 (12) [back to overview] | Number of Participants With a PGIC Score of Minimally/Much/Very Much Improved |
NCT03591068 (12) [back to overview] | Assessment for Safety Through Nasal Examination |
NCT03591068 (12) [back to overview] | Number of Subjects With a Change of Greater Than or Equal to 1 Point in Bilateral Polyp Grade |
NCT03591068 (12) [back to overview] | Number of Subjects With a Polyp Grade of 0 on at Least One Side of the Nose at Each Visit |
NCT03591068 (12) [back to overview] | Assessment for Safety From the Collection of Information for Concomitant Medications Usage |
NCT03591068 (12) [back to overview] | Assessment for Safety by Recording Adverse Events and Adverse Events of Special Interests |
NCT03591068 (12) [back to overview] | Assessment for Safety From Recording Vital Sign - Blood Pressure |
NCT03591068 (12) [back to overview] | Assessment for Safety From Recording Vital Sign - Pulse |
NCT03591068 (12) [back to overview] | Change From Visit 1 at End of Study in Bilateral Nasal Polyp Grade Using Endoscopic Video |
NCT03591068 (12) [back to overview] | Sinonasal Outcome Test 22 (SNOT-22) Total Score |
NCT03591068 (12) [back to overview] | Sniffin' Sticks N-butanol Test |
NCT03591068 (12) [back to overview] | Total Polyp Grading Score (Sum of Scores From Both Nasal Cavities) |
NCT03756883 (4) [back to overview] | Baseline-adjusted Area Under the Serial FEV1-time Curve Calculated From Time Zero to 12 Hours (AUC0-12h) on Day 1 of Treatment |
NCT03756883 (4) [back to overview] | Baseline-adjusted Pre-dose FEV1 Measured in the Morning Following 28 Days of Treatment. |
NCT03756883 (4) [back to overview] | Statistical Superiority of Test and Reference Over Placebo Treatment in Baseline-adjusted Area Under the Serial FEV1-time Curve |
NCT03756883 (4) [back to overview] | Statistical Superiority of Test and Reference Over Placebo Treatment in Baseline-adjusted Pre-dose FEV1 Measured in the Morning Following 28 Days of Treatment |
NCT03882047 (11) [back to overview] | Response to Therapy at Day 4 (Physician Evaluation) |
NCT03882047 (11) [back to overview] | Response to Therapy at Day 15 (Physician Evaluation) |
NCT03882047 (11) [back to overview] | Change From Baseline in Overall Condition of Seasonal Allergic Rhinitis at Day 15 (Participant Evaluation) |
NCT03882047 (11) [back to overview] | Change From Baseline in Overall Condition of Seasonal Allergic Rhinitis at Day 15 (Physician Evaluation) |
NCT03882047 (11) [back to overview] | Change From Baseline in Overall Condition of Seasonal Allergic Rhinitis at Day 4 (Participant Evaluation) |
NCT03882047 (11) [back to overview] | Change From Baseline in Overall Condition of Seasonal Allergic Rhinitis at Day 4 (Physician Evaluation) |
NCT03882047 (11) [back to overview] | Change From Baseline in the Total Nasal Symptom Score at Day 15 (Physician Evaluation) |
NCT03882047 (11) [back to overview] | Change From Baseline in the Total Nasal Symptom Score at Day 4 (Physician Evaluation) |
NCT03882047 (11) [back to overview] | Change From Baseline in Total Nasal Symptom Score Averaged Over Day 1 Through Day 15 (Based on Participant Diaries) |
NCT03882047 (11) [back to overview] | Response to Therapy at Day 15 (Participant Evaluation) |
NCT03882047 (11) [back to overview] | Response to Therapy at Day 4 (Participant Evaluation) |
NCT03926026 (3) [back to overview] | COHORT 1: Mean Change From Baseline to Day 14 in the Composite (Sum) Score of Signs & Symptoms of Blepharitis |
NCT03926026 (3) [back to overview] | COHORT 1 and 2 COMBINED: Mean Change From Baseline to Day 14 in the Composite (Sum) Score of Signs & Symptoms of Blepharitis |
NCT03926026 (3) [back to overview] | COHORT 2: Mean Change From Baseline to Day 14 in the Composite (Sum) Score of Signs & Symptoms of Blepharitis |
NCT04179461 (4) [back to overview] | Change in Composite Asthma Severity Index (CASI) |
NCT04179461 (4) [back to overview] | Asthma Control Test (ACT) |
NCT04179461 (4) [back to overview] | Adherence of Asthma Controller Medication |
NCT04179461 (4) [back to overview] | Pulmonary Function Measured by Spirometry: Forced Expiratory Volume in 1 Second (FEV1) / Forced Vital Capacity (FVC) |
NCT04652245 (2) [back to overview] | Change in Patient-assessed Instantaneous Total Nasal Symptom Score (TNSS) From Baseline Compared to Placebo |
NCT04652245 (2) [back to overview] | Change in Patient-assessed Instantaneous Total Ocular Symptom Score (TOSS) From Baseline Compared to Placebo |
NCT04677959 (13) [back to overview] | System Usability Scale (SUS) Overall Score for DS Group |
NCT04677959 (13) [back to overview] | Change From Baseline in BIPQ Cognitive Subscale Score at Week 24 |
NCT04677959 (13) [back to overview] | Change From Baseline in Adherence to Maintenance Treatment (FS eMDPI) at Week 24 for the DS Group |
NCT04677959 (13) [back to overview] | Change From Baseline in Beliefs About Medicines Questionnaire (BMQ) Concern Subscale Score at Week 24 |
NCT04677959 (13) [back to overview] | Change From Baseline in BIPQ Emotional Representations Subscale Score at Week 24 |
NCT04677959 (13) [back to overview] | Change From Baseline in BMQ Necessity Subscale Score at Week 24 |
NCT04677959 (13) [back to overview] | Change From Baseline in Brief Illness Perception Questionnaire (BIPQ) Illness Comprehensibility Subscale Score at Week 24 |
NCT04677959 (13) [back to overview] | Change From Baseline in Mean Weekly SABA Usage at Week 24 for the DS Group |
NCT04677959 (13) [back to overview] | Change From Baseline in the Number of SABA-free Days at Week 24 for the DS Group |
NCT04677959 (13) [back to overview] | Number of Decreased Doses of Inhaled Medication |
NCT04677959 (13) [back to overview] | Number of Participants Achieving Well-Controlled Asthma or Reaching Clinically Important Improvement in Asthma Control |
NCT04677959 (13) [back to overview] | Change From Baseline in Work Productivity and Activity Impairment (WPAI) Asthma Questionnaire Score at Week 24 |
NCT04677959 (13) [back to overview] | Number of Participants With Adverse Events (AEs) |
NCT05169424 (13) [back to overview] | Total Costs of COPD-related HCRU |
NCT05169424 (13) [back to overview] | Incidence Rate of Pneumonia Hospitalization (Diagnosis in Any Position) |
NCT05169424 (13) [back to overview] | Total Costs of COPD or Pneumonia-related Health Care Cost and Resource Utilization (HCRU) |
NCT05169424 (13) [back to overview] | Total Costs of COPD or Pneumonia Attributable HCRU |
NCT05169424 (13) [back to overview] | Total Costs of All-cause HCRU |
NCT05169424 (13) [back to overview] | Incidence Rate of Pneumonia Hospitalization (Diagnosis in Any Position) - Among Patients With no Baseline Exacerbation |
NCT05169424 (13) [back to overview] | Incidence Rate of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation After Cohort Entry - Among Patients With 2 or More Baseline Exacerbations |
NCT05169424 (13) [back to overview] | Incidence Rate of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation After Cohort Entry - Among Patients With 0 or 1 Baseline Exacerbation |
NCT05169424 (13) [back to overview] | Incidence Rate of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation After Cohort Entry |
NCT05169424 (13) [back to overview] | Incidence Rate of Pneumonia Hospitalization (Diagnosis in Any Position) - Among Patients With 2 or More Baseline Exacerbations |
NCT05169424 (13) [back to overview] | Incidence Rate of Pneumonia Hospitalization (Diagnosis in Any Position) - Among Patients With 0 or 1 Baseline Exacerbation |
NCT05169424 (13) [back to overview] | Total Costs of Pneumonia-related HCRU |
NCT05169424 (13) [back to overview] | Incidence Rate of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation After Cohort Entry - Among Patients With no Baseline Exacerbation |
NCT05736874 (13) [back to overview] | Quality of Life (QOL) as Measured by the PROMIS-29 - Sleep |
NCT05736874 (13) [back to overview] | Quality of Life (QOL) as Measured by the PROMIS-29 - Physical Function |
NCT05736874 (13) [back to overview] | Mean Days Benefit as Measured by the Symptom and Clinical Event Scale |
NCT05736874 (13) [back to overview] | Quality of Life (QOL) as Measured by the PROMIS-29 - Pain |
NCT05736874 (13) [back to overview] | Quality of Life (QOL) as Measured by the PROMIS-29 - Fatigue |
NCT05736874 (13) [back to overview] | Quality of Life (QOL) as Measured by the PROMIS-29 - Social |
NCT05736874 (13) [back to overview] | Quality of Life (QOL) as Measured by the PROMIS-29 - Depression |
NCT05736874 (13) [back to overview] | Quality of Life (QOL) as Measured by the PROMIS-29 - Anxiety |
NCT05736874 (13) [back to overview] | Time Unwell in Days as Measured by the Symptom and Clinical Event Scale |
NCT05736874 (13) [back to overview] | Time to Sustained Recovery in Days |
NCT05736874 (13) [back to overview] | Number of Participants With Mortality |
NCT05736874 (13) [back to overview] | Number of Participants With Hospitalization, Urgent Care, Emergency Room Visit, or Death |
NCT05736874 (13) [back to overview] | Number of Participants With Hospitalization or Death |
Change in Mean Nocturnal Asthma Symptom Score From Baseline to the End (Last 4 Weeks) of the 24-week Fixed-dose Steroid Treatment Period
"Nocturnal asthma symptom was measured daily on a scale of 0 to 4 in response to the question How did you sleep last night?, with 0 as the best response and 4 as the worst response. The mean of the last 4 weeks of the 24-week fixed-dose steroid treatment period was calculated; for patients who discontinued prematurely, the mean of the last 28 days before discontinuation was calculated. A negative change in mean score indicated improvement." (NCT00079937)
Timeframe: Baseline to the end (last 4 weeks) of the 24-week fixed-dose steroid treatment period
Intervention | Units on a scale (Mean) |
---|
Omalizumab | -0.63 |
Placebo | -0.50 |
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Change in Mean Daily Number of Puffs of Asthma Rescue Medication From Baseline to the End (Last 4 Weeks) of the 24-week Fixed-dose Steroid Treatment Period
Patients were instructed to record the number of puffs of rescue medication they took twice daily in a diary. The mean daily number of puffs during the last 4 weeks of the 24-week fixed-dose steroid treatment period was calculated; for patients who discontinued prematurely, the mean of the last 28 days before discontinuation was calculated. A negative change in mean daily number of puffs indicated reduced use of rescue medication. (NCT00079937)
Timeframe: Baseline to the end (last 4 weeks) of the 24-week fixed-dose steroid treatment period
Intervention | Puffs (Mean) |
---|
Omalizumab | -1.3 |
Placebo | -1.0 |
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Percentage of Participants With at Least 1 Adverse Event
See Adverse Events module for details. (NCT00079937)
Timeframe: Baseline to end of the study (Week 68)
Intervention | Percentage of participants (Number) |
---|
Omalizumab | 90.3 |
Placebo | 93.7 |
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Rate of Clinically Significant Asthma Exacerbations Per Patient in the 24-week Fixed-dose Steroid Treatment Period
A clinically significant asthma exacerbation was defined as a worsening of asthma symptoms, as judged clinically by the investigator, requiring doubling of the baseline inhaled corticosteroid dose and/or treatment with systemic rescue corticosteroids for at least 3 days. The exacerbations rate per patient was derived using Poisson model adjusted by time at risk and the following covariates: country, exacerbation history, and dose schedule. A patient's person-days at risk was taken as the total amount of time (in days) he/she spent in the 24-week fixed-dose steroid treatment period. (NCT00079937)
Timeframe: Baseline to end of the fixed-dose steroid treatment period (Week 24)
Intervention | Exacerbations per patient per 24-weeks (Mean) |
---|
Omalizumab | 0.45 |
Placebo | 0.64 |
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Rate of Clinically Significant Asthma Exacerbations Per Patient in the 52-week Treatment Period
A clinically significant asthma exacerbation was defined as a worsening of asthma symptoms, as judged clinically by the investigator, requiring doubling of the baseline inhaled corticosteroid dose and/or treatment with systemic rescue corticosteroids for at least 3 days. The exacerbations rate per patient was derived using Poisson model adjusted by time at risk and the following covariates: country, exacerbation history, and dose schedule. A patient's person-days at risk was taken as the total amount of time (in days) he/she spent in the 52-week treatment period. (NCT00079937)
Timeframe: Baseline to end of the treatment period (Week 52)
Intervention | Exacerbations per patient per year (Mean) |
---|
Omalizumab | 0.78 |
Placebo | 1.36 |
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Change in Pediatric Asthma Quality of Life Questionnaire (Standardized) [PAQLQ(S)] Scores From Baseline to the End of the 24-week Fixed-dose Steroid Treatment Period (Week 24)
PAQLQ measures functional problems that are most troublesome to children with asthma. PAQLQ has 23 questions in 3 domains (activity limitation=5, emotional function=8, symptoms=10). Patients responded to each question on a 7-point Likert scale. Overall PAQLQ score is mean of 23 questions; each domain score is mean of questions in that domain. Minimum possible value is 1 (maximum impairment); maximum possible value is 7 (no impairment). Positive change indicated improvement. The analysis included country, baseline PAQLQ value, and dosing schedule (2-weekly/4-weekly) as factors and covariates. (NCT00079937)
Timeframe: Baseline to the end of the 24-week fixed-dose steroid treatment period (Week 24)
Intervention | Units on a scale (Least Squares Mean) |
---|
| Activity limitation | Emotional function | Symptoms | Overall (total) |
---|
Omalizumab | 0.85 | 0.89 | 0.99 | 0.92 |
,Placebo | 0.76 | 0.91 | 0.93 | 0.89 |
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Percent of Symptom-free Days
A symptom-free day was defined as a day with no symptoms (i.e., a score of 0, indicating no asthma symptoms during the day or previous night, recorded in the daily diary). Percent of symptom-free days was calculated as the number of symptom-free days, divided by the total number of days in the treatment period, multiplied by 100 for each participant. (NCT00118716)
Timeframe: Up to Week 4
Intervention | Percentage of days (Mean) |
---|
FSC 100/50mcg BID | 27.3 |
FP 100mcg BID | 28.6 |
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Four-hour Serial Post-dose FEV1 Area Under the Curve (AUC) on Treatment Day 1
FEV1 AUC is mean AUC compared between treatment groups at Treatment Day 1. Baseline was defined as the pre-dose FEV1 measure from treatment Day 1. FEV1 AUC was calculated as the area of a trapezoid (calculated as the sum of the bases (top + bottom) divided by 2, then multiplied by width) above the baseline FEV1 area. For participants not completing a serial FEV1 measurement, the last observed post-dose FEV1 measurement was carried forward. (NCT00118716)
Timeframe: Immediately prior to dosing (0 time point), 30 minutes post-dose and 1, 2, 3, 4 hour post-dose on Day 1
Intervention | Liters*hour (Mean) |
---|
FSC 100/50mcg BID | 0.70 |
FP 100mcg BID | 0.30 |
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Percent of Rescue-free Days
A rescue-free day was defined as a day when no supplemental albuterol was taken (i.e., 0 puffs recorded for both AM and PM assessments of albuterol use in the daily diary). Percent of rescue-free days was calculated as the number of rescue-free days, divided by the total number of days in the treatment period, multiplied by 100 for each participant. (NCT00118716)
Timeframe: Up to Week 4
Intervention | Percentage of days (Mean) |
---|
FSC 100/50mcg BID | 59.4 |
FP 100mcg BID | 54.7 |
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Maximal Percent Change in Forced Expiratory Volume in 1 Second (FEV1) Following Exercise Challenge at Week 4
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Maximal percent change in FEV1 following exercise challenge was defined as the percent change from pre-exercise baseline FEV1 to the minimum FEV1 collected within one hour following exercise challenge. Maximal percent change in FEV1 following exercise challenge was mean maximal percent change from pre-exercise baseline compared between treatment groups at Treatment Week 4. FEV1 was measured 5, 10, 15, 30, and 60 minutes post-exercise. The minimum FEV1 measured across these time points, regardless of any missing time points, will be used for the calculation of maximal percent change. (NCT00118716)
Timeframe: Baseline and Week 4
Intervention | Percent change (Mean) |
---|
FSC 100/50mcg BID | -9.5 |
FP 100mcg BID | -12.7 |
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Change From Baseline in Morning Peak Expiratory Flow (AM PEF)
PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each morning prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Each participant was instructed to perform triplicate PEF measurements in the morning. Change from baseline was calculated as the endpoint value minus the baseline value. For AM PEF, baseline was defined as the average of the AM PEF values recorded on the day of Visit 2 (7-14 [+ or -4] days after Visit1) plus the 6 preceding days since AM PEF was measured in the morning. (NCT00118716)
Timeframe: Baseline and Up to Week 4
Intervention | Liters/minute (L/min) (Mean) |
---|
FSC 100/50mcg BID | 16.3 |
FP 100mcg BID | 9.1 |
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Change From Baseline in Evening (PM) PEF
PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each evening prior to the dose of study medication after the symptom measurement and any rescue albuterol/salbutamol inhalation aerosol use. Each participant was instructed to perform triplicate PEF measurements in the evening. Change from baseline was calculated as the endpoint value minus the baseline value. Baseline was defined as the average of the values from the 7 days preceding Visit 2 (7-14 [+ or -4] days after Visit1) since these measures were derived from data collected in the evening. (NCT00118716)
Timeframe: Baseline and up to Week 4
Intervention | L/min (Mean) |
---|
FSC 100/50mcg BID | 10.8 |
FP 100mcg BID | 7.6 |
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Change From Baseline in Pediatric Asthma Quality of Life Questionnaire (PAQLQ)
PAQLQ measures functional problems that are most troublesome to children with asthma. PAQLQ has 23 questions in 3 domains (activity limitation=5, emotional function=8, symptoms=10). Participants responded to each question on a 7-point scale (7= not bothered at all and 1= extremely bothered). The overall PAQLQ score is the mean of all 23 responses (minimum score 1= 5+8+10/23 and maximum score 7= 35+56+70/23) and the individual domain scores are the means of the items in those domains (minimum: 5/5, 8/8, 10/10 and maximum: 35/5, 56/8, 70/10). Minimum possible value is 1 (maximum impairment); maximum possible value is 7 (no impairment). Endpoint was defined from the last questionnaire collected during the double-blind treatment period or discontinuation visit (up to Week 4). (NCT00118716)
Timeframe: Baseline (Week 0) and up to Week 4
Intervention | Scores on a scale (Mean) |
---|
| Activity limitation week 2 | Activity limitation week 4 | Activity limitation endpoint | Emotional function Week 2 | Emotional function Week 4 | Emotional function endpoint | Symptoms Week 2 | Symptoms Week 4 | Symptoms Endpoint | Overall score Week 2 | Overall score Week 4 | Overall score Endpoint |
---|
FP 100mcg BID | 0.63 | 0.75 | 0.67 | 0.48 | 0.47 | 0.42 | 0.49 | 0.55 | 0.51 | 0.52 | 0.57 | 0.51 |
,FSC 100/50mcg BID | 0.78 | 0.93 | 0.89 | 0.44 | 0.56 | 0.53 | 0.39 | 0.52 | 0.48 | 0.49 | 0.62 | 0.59 |
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Change From Baseline in Total Nasal Symptom Score (TNSS) Over 2 Week Randomized Treatment Period
"Patients recorded the severity of sneezing, runny nose, stuffy nose, and other symptoms (itchy nose/eyes and post-nasal drip) twice a day on a scale from 0 to 3 (0 = no symptoms, 1 = mild, 2 = moderate, and 3 = severe). The TNSS was calculated as the sum of all scores for morning and evening recordings with a range of 0 to 24.~The baseline TNSS used in the analysis was the average of the symptom scores from the last 5 days of fluticasone propionate therapy prior to randomized treatment period.~The change from baseline for each subsequent day of treatment was then calculated for each subject. So that each subject only had one observation, the average of these changes was calculated for each subject, and this summary measure was used in the analysis comparing the two treatment groups. We report the median and full range of these average changes for each group.~A negative value indicates an improvement in symptoms." (NCT00119015)
Timeframe: Baseline and 2 weeks
Intervention | units on a scale (Median) |
---|
Fluticasone Propionate + Montelukast | -1.66 |
Fluticasone Propionate + Placebo | -2.21 |
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Change From Baseline in Sneezing Symptom Score Over 2 Week Randomized Treatment Period
"Patients recorded the severity of sneezing twice a day on a scale from 0 to 3 (0 = no symptoms, 1 = mild, 2 = moderate, and 3 = severe). The sneezing symptom score was calculated as the sum of all scores for morning and evening recordings with a range of 0 to 6.~The baseline symptom score used in the analysis was the average of the symptom scores from the last 5 days of fluticasone propionate therapy prior to randomized treatment period.~The change from baseline for each subsequent day of treatment was then calculated for each subject. So that each subject only had one observation, the average of these changes was calculated for each subject, and this summary measure was used in the analysis comparing the two treatment groups. We report the median and full range of these average changes for each group.~A negative value indicates an improvement in symptoms." (NCT00119015)
Timeframe: Baseline and 2 weeks
Intervention | units on a scale (Median) |
---|
Fluticasone Propionate + Montelukast | -0.22 |
Fluticasone Propionate + Placebo | -0.25 |
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Change From Baseline in Runny Nose Symptom Score Over 2 Week Randomized Treatment Period
"Patients recorded the severity of runny nose twice a day on a scale from 0 to 3 (0 = no symptoms, 1 = mild, 2 = moderate, and 3 = severe). The runny nose symptom score was calculated as the sum of all scores for morning and evening recordings with a range of 0 to 6.~The baseline symptom score used in the analysis was the average of the symptom scores from the last 5 days of fluticasone propionate therapy prior to randomized treatment period.~The change from baseline for each subsequent day of treatment was then calculated for each subject. So that each subject only had one observation, the average of these changes was calculated for each subject, and this summary measure was used in the analysis comparing the two treatment groups. We report the median and full range of these average changes for each group.~A negative value indicates an improvement in symptoms." (NCT00119015)
Timeframe: Baseline and 2 weeks
Intervention | units on a scale (Median) |
---|
Fluticasone Propionate + Montelukast | -0.52 |
Fluticasone Propionate + Placebo | -0.29 |
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Change From Baseline in Other Symptom Score Over 2 Week Randomized Treatment Period
"Patients recorded the severity of other symptoms, including itchy nose/eyes and post-nasal drip, twice a day on a scale from 0 to 3 (0 = no symptoms, 1 = mild, 2 = moderate, and 3 = severe). The other symptom score was calculated as the sum of all scores for morning and evening recordings with a range of 0 to 6.~The baseline symptom score used in the analysis was the average of the symptom scores from the last 5 days of fluticasone propionate therapy prior to randomized treatment period.~The change from baseline for each subsequent day of treatment was then calculated for each subject. So that each subject only had one observation, the average of these changes was calculated for each subject, and this summary measure was used in the analysis comparing the two treatment groups. We report the median and full range of these average changes for each group.~A negative value indicates an improvement in symptoms." (NCT00119015)
Timeframe: Baseline and 2 weeks
Intervention | units on a scale (Median) |
---|
Fluticasone Propionate + Montelukast | -0.24 |
Fluticasone Propionate + Placebo | -0.14 |
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Change From Baseline in Stuffy Nose Symptom Score Over 2 Week Randomized Treatment Period
"Patients recorded the severity of stuffy nose twice a day on a scale from 0 to 3 (0 = no symptoms, 1 = mild, 2 = moderate, and 3 = severe). The stuffy nose symptom score was calculated as the sum of all scores for morning and evening recordings with a range of 0 to 6.~The baseline symptom score used in the analysis was the average of the symptom scores from the last 5 days of fluticasone propionate therapy prior to randomized treatment period.~The change from baseline for each subsequent day of treatment was then calculated for each subject. So that each subject only had one observation, the average of these changes was calculated for each subject, and this summary measure was used in the analysis comparing the two treatment groups. We report the median and full range of these average changes for each group.~A negative value indicates an improvement in symptoms." (NCT00119015)
Timeframe: Baseline and 2 weeks
Intervention | units on a scale (Median) |
---|
Fluticasone Propionate + Montelukast | -0.41 |
Fluticasone Propionate + Placebo | -0.47 |
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The Time to Clearance of the Disease
The time to clearance of eczema measured in days (NCT00119158)
Timeframe: assessed up to 30 days following drug application
Intervention | days (Mean) |
---|
Active Therapy | 9.22 |
Placebo Arm | 7.88 |
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Change From Baseline in the m-EASI (Eczema Area Severity Index) Score.
"Eczema Area severity index (EASI) is a composition of scores based on area of eczema involved, (0 = mild to 3 = severe) for four separate Atopic Dermatitis (AD) symptoms: erythema,infiltration ⁄population, excoriation and ichenification.~Total score 0-12" (NCT00119158)
Timeframe: up to 15 days
Intervention | units of a 0-12 scale (Mean) |
---|
Active Therapy | 5.04 |
Placebo Arm | 4.77 |
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Maximum Post-exercise Percent (%) Fall in FEV1
The effect of four weeks of treatment with oral montelukast plus inhaled fluticasone, and inhaled salmeterol plus inhaled fluticasone on EIB as measured by the maximum post-exercise percent fall (relative to pre-exercise baseline) in FEV1. (NCT00127166)
Timeframe: 4 weeks (Weeks 0 to 4 or Weeks 6 to 10)
Intervention | Percent change from baseline (Least Squares Mean) |
---|
Montelukast | 10.57 |
Salmeterol | 13.82 |
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Time to Recovery to Within 5% of Baseline FEV1
The effect of a four-week treatment course of oral montelukast plus inhaled fluticasone, compared to inhaled salmeterol plus inhaled fluticasone, on the extent and severity of EIB as measured by the time to recovery (to within 5 percent of the pre-exercise baseline FEV1) following a standardized exercise challenge. (NCT00127166)
Timeframe: 4 weeks (Weeks 0 to 4 or Weeks 6 to 10)
Intervention | minutes (Median) |
---|
Montelukast | 5.9 |
Salmeterol | 11.1 |
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Maximum FEV1 % Predicted Following First Beta-agonist Use
The effect of a four-week treatment course of oral montelukast plus inhaled fluticasone, compared to inhaled salmeterol plus inhaled fluticasone, on short-acting β-agonist bronchodilation as measured by the maximum FEV1 percent predicted following first β-agonist use. (NCT00127166)
Timeframe: 4 weeks (Weeks 0 to 4 or Weeks 6 to 10)
Intervention | Percent of predicted value (Least Squares Mean) |
---|
Montelukast | 104.03 |
Salmeterol | 99.92 |
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Average (Avg) %-Change in FEV1 After First Beta (β)-Agonist Use and Prior to Second β-agonist Use
The effect of a four-week treatment course of oral montelukast plus inhaled fluticasone, compared to inhaled salmeterol plus inhaled fluticasone, on the extent and severity of EIB as measured by the average percent change in FEV1 after first β-agonist intake and prior to second β-agonist use. (NCT00127166)
Timeframe: 4 weeks (Weeks 0 to 4 or Weeks 6 to 10)
Intervention | Percent change from baseline (Least Squares Mean) |
---|
Montelukast | 6.51 |
Salmeterol | 2.72 |
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Area Under the Curve for %-Change From Pre-exercise Baseline FEV1 in Liters (L), From 0 to 20 Minutes (AUC(0-20))
The effect of a four-week treatment course of oral montelukast plus inhaled fluticasone, compared to inhaled salmeterol plus inhaled fluticasone, on the extent and severity of EIB as measured by the area under the curve from 0 to 20 minutes (AUC0-20) for FEV1 percent change from pre-exercise baseline. (NCT00127166)
Timeframe: 4 weeks (Weeks 0 to 4 or Weeks 6 to 10)
Intervention | Percent times Minutes (Least Squares Mean) |
---|
Montelukast | 116.04 |
Salmeterol | 168.75 |
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Treatment Failure
The primary outcome measure was treatment failure, defined as the occurrence of any one of the following events: hospitalization or an urgent medical visit for asthma initiated by the patient or physician; use of systemic corticosteroids for asthma or need for open-label use of inhaled corticosteroids for asthma, as determined by the study physician or an asthma care provider; a decrease in prebronchodilator forced expiratory volume in 1 second (FEV1) to more than 20% below the baseline value measured at randomization; a decrease in the morning peak expiratory flow rate to more than 35% below the baseline value (the mean over the final 2 weeks of the run-in period) on 2 consecutive days; use of 10 puffs or more per day of rescue beta-agonist for 2 consecutive days (except as medication before exercise); refusal of the patient to continue because of lack of satisfaction with treatment; or judgment by a physician that the patient should stop treatment for reasons of safety. (NCT00156819)
Timeframe: 16 weeks
Intervention | participants (Number) |
---|
Fluticasone | 34 |
Montelukast | 50 |
Fluticasone Plus Salmeterol | 33 |
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Mean Change From Baseline in Percentage Predicted Forced Expiratory Volume in One Second (FEV1) at Week 26
Change from Baseline was calculated as the Week 26 value minus the Baseline value. The percentage predicted FEV1 is defined as the volume of air that can be forced out in one second after taking a deep breath and is corrected for the FEV1 value corresponding with the same age. (NCT00197106)
Timeframe: Baseline and Week 26
Intervention | percent predicted change (Mean) |
---|
Salmeterol/FP 50/100 mcg Plus Placebo | 102.5 |
FP 200 mcg | 103.0 |
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Percentage of Symptom-free Days During the Entire Treatment Period
Asthma symptom-free days are defined as days (24 hour period) with no symptoms, as recorded in the participant's diary (NCT00197106)
Timeframe: Baseline to Week 26
Intervention | percentage of days (Mean) |
---|
| Baseline | 0-6 weeks | 6-16 weeks | 16-26 weeks |
---|
FP 200 mcg | 23.06 | 31.50 | 45.24 | 49.75 |
,Salmeterol/FP 50/100 mcg Plus Placebo | 22.78 | 31.58 | 44.60 | 50.45 |
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Percentage of Symptom-free Days During the Last 10 Weeks of the Treatment Period
Asthma symptom-free days are defined as days (24 hour period) with no symptoms, as recorded in the participant's diary. (NCT00197106)
Timeframe: Last 10 weeks of the treatment period (Weeks 16-26)
Intervention | percentage of days (Mean) |
---|
Salmeterol/FP 50/100 mcg Plus Placebo | 50.45 |
FP 200 mcg | 49.75 |
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Percent Change From Baseline in RINT Measurements at Week 26
Change from Baseline was calculated as the Week 26 value minus the Baseline value. Interrupter respiratory resistance (RINT) measurements were calculated by a combined analysis for relation between change from baseline and occurrence of the endpoint. RINT is a technique that is used for evaluating lung function in poorly collaborating patients (e.g., small children). The measurement is performed during tidal breathing (normal breathing) instead of during maximal expiration, as is done by a spirometry test. (NCT00197106)
Timeframe: Baseline and Week 26
Intervention | percent (Number) |
---|
Salmeterol/FP 50/100 mcg Plus Placebo | -9.1 |
FP 200 mcg | -9.9 |
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Mean Change From Baseline in Provocation Dose (PD20) Causing a 20% Fall in FEV1 at Week 26
PD20 was calculated by using increasing dosages of methacholine. The dosage that caused a 20% fall in FEV1 was used for analysis. The presented data are ratios (month 6/Baseline) of geometric mean PD20 values. (NCT00197106)
Timeframe: Baseline and Week 26
Intervention | ratio (Log Mean) |
---|
Salmeterol/FP 50/100 mcg Plus Placebo | 2.7 |
FP 200 mcg | 1.5 |
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Geometric Means of Nitric Oxide (NO) at Week 26
Geometric mean values of NO at week 26 were compared using ANCOVA with adjustment for baseline value of NO, age, gender and center. Analysis of covariance (ANCOVA) is a general linear model with one continuous outcome variable (quantitative) and one or more factor variables. (NCT00197106)
Timeframe: Baseline and Week 26
Intervention | parts per billion (Geometric Mean) |
---|
Salmeterol/FP 50/100 mcg Plus Placebo | 8.6 |
FP 200 mcg | 10.0 |
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Mean Change From Baseline in Forced Vital Capacity (FVC) at Week 26
Change from Baseline was calculated as the Week 26 value minus the Baseline value. Forced vital capacity is defined as the maximum volume of air that can be forcibly expired from the lungs and is calculated by use of spirometry. The spirometry test is performed by using a device called a spirometer, which measures the amount of air one can blow out maximally. Generally, the participant is asked to take the deepest breath they can, and then exhale into the sensor as hard as possible, for as long as possible. The test is normally repeated three times to ensure reproducibility. (NCT00197106)
Timeframe: Baseline and Week 26
Intervention | liters (Mean) |
---|
Salmeterol/FP 50/100 mcg Plus Placebo | 2.28 |
FP 200 mcg | 2.28 |
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Number of Asthma Exacerbations Per Treatment Group at Week 26
An exacerbation is defined as a worsening of the asthma complaints (commonly referred to as an asthma attack) and is reported by the participant experiencing the event. An exacerbation was verified by the use of asthma rescue medication. (NCT00197106)
Timeframe: Week 26
Intervention | number of exacerbations (Number) |
---|
Salmeterol/FP 50/100 mcg Plus Placebo | 10 |
FP 200 mcg | 7 |
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Mean Change From Baseline in Midexpiratory Flow (MEF 50) at Week 26
Change from Baseline was calculated as the Week 26 value minus the Baseline value. MEF 50 is defined as maximum expiratory flow rate at 50% of vital capacity. Vital capacity is the maximum amount of air that a person can expel from the lungs after first filling the lungs to their maximum extent. Midexpiratory flow was calculated by use of spirometry. The test is normally repeated at least three times in order to ensure reproducibility. (NCT00197106)
Timeframe: Baseline and Week 26
Intervention | liters/second (Mean) |
---|
Salmeterol/FP 50/100 mcg Plus Placebo | 2.28 |
FP 200 mcg | 2.19 |
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Sputum Eosinophils (EOS) 24 Hours Post Antigen Challenge
Sputum samples were collected from the participants. Cell counts were made from these samples after treatment with 0.1% dithiothreitol. Percentage of eosinophils were reported. Time frame measurement was 24 hours after the subject had an antigen challenge. (NCT00214019)
Timeframe: Eosinophils are measured 24 hours after the subject has an antigen challenge
Intervention | Eosinophil percentage (Mean) |
---|
Placebo/Placebo | 3.5 |
Placebo/Salmeterol | 2.4 |
Placebo/fFuticasone | 0.54 |
Salmeterol/Fluticasone | 2.4 |
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Interleukin 8 (IL8)
Interleukin 8 (IL8) assessed from sputum (NCT00241631)
Timeframe: 10 weeks
Intervention | ng/mL (Mean) |
---|
Placebo | 33.3 |
Steroid | 28.3 |
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Sputum Inflammatory Cell Counts
Supernatant collect, cell pellets count on slides (NCT00241631)
Timeframe: 10 weeks
Intervention | millions cells/ ml (Mean) |
---|
Placebo | 5.42 |
Steroid | 3.89 |
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Total Sputum Eosinophils
Total eosinophils cells assessed from sputum (NCT00241631)
Timeframe: 10 weeks
Intervention | millions cells/ml (Mean) |
---|
Placebo | 0.132 |
Steroid | 0.053 |
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Mean Change From Baseline in Pulse Rate
Pulse rate was measured in sitting position. Baseline value was the measurement taken at the start of run-in or the treatment period. Change from Baseline was any post Baseline value minus value at Baseline. (NCT00269087)
Timeframe: Baseline and up to Week 56
Intervention | beats per min (Mean) |
---|
| Week 4 | Week 8 | Week 12 | Week 16 | Week 20 | Week 24 | Week 28 | Week 32 | Week 36 | Week 40 | Week 44 | Week 48 | Week 52 / withdrawal |
---|
GW815SF 50/500 µg | -1.5 | -1.6 | -0.4 | 1.0 | 1.1 | 1.4 | 1.2 | 0.4 | 0.9 | 0.7 | 0.4 | -0.2 | 0.8 |
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Mean Change From Baseline in Peak Expiratory Flow (PEF)
PEF was the maximum speed of expiration measured using spirometer. A participant took rest just before the measurement. At each time of measurement, a participant expired for at least 6 seconds wherever possible. At each time of measurement, at least 3 readings were obtained, and three readings which were obtained in an appropriate manner were stored. Baseline value was the value measured at visit 2. However, when the value at Visit 2 was missing, the value at Visit 1 was used as Baseline. Change from Baseline was any post Baseline value minus Baseline value. (NCT00269087)
Timeframe: Baseline and up to Week 52
Intervention | Liters per second (Mean) |
---|
| Week 4 | Week 8 | Week 12 | Week 16 | Week 20 | Week 24 | Week 28 | Week 32 | Week 36 | Week 40 | Week 44 | Week 48 | Week 52 | Week 52/ withdrawal |
---|
GW815SF 50/500 µg | 0.315 | 0.446 | 0.394 | 0.357 | 0.309 | 0.328 | 0.334 | 0.269 | 0.350 | 0.277 | 0.307 | 0.314 | 0.296 | 0.229 |
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Mean Area Under the Plasma Concentration-time Curve From Zero up to the Last Quantifiable Plasma Concentration [AUC (0-t)] of Salmeterol
For analysis of PK parameters for salmeterol, blood samples were taken just before dosing (within one hour prior to dosing), 5, 15, 30, 45 minutes, 1, 2, 3 and 4 hours after dosing to determine plasma drug concentrations. The investigational product was taken in fasting condition just before each blood sampling. Parameters were calculated by a model-independent method with the plasma concentration-time profile data in individual participants. (NCT00269087)
Timeframe: Within one hour prior to dosing, 5, 15, 30, 45 minutes, 1, 2, 3 and 4 hours
Intervention | Hours*picogram per milliliter (Mean) |
---|
GW815SF 50/500 µg | 158.16 |
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Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Systolic and diastolic BP was measured in sitting position. Baseline value was the measurement taken at the start of run-in or the treatment period. Change from Baseline was any post Baseline value minus value at Baseline. (NCT00269087)
Timeframe: Baseline and up to Week 56
Intervention | Millimeter of mercury (mmHg) (Mean) |
---|
| SBP, Week 4 | SBP, Week 8 | SBP, Week 12 | SBP, Week 16 | SBP, Week 20 | SBP, Week 24 | SBP, Week 28 | SBP, Week 32 | SBP, Week 36 | SBP, Week 40 | SBP, Week 44 | SBP, Week 48 | SBP, Week 52 / withdrawal | DBP, Week 4 | DBP, Week 8 | DBP, Week 12 | DBP, Week 16 | DBP, Week 20 | DBP, Week 24 | DBP, Week 28 | DBP, Week 32 | DBP, Week 36 | DBP, Week 40 | DBP, Week 44 | DBP, Week 48 | DBP, Week 52 / withdrawal |
---|
GW815SF 50/500 µg | 0.5 | -0.1 | 0.6 | 0.7 | -0.8 | 0.2 | -0.4 | -1.8 | 1.1 | 0.4 | -3.1 | -4.1 | 0.3 | -0.7 | -1.2 | 0.3 | 0.3 | -1.4 | 0.6 | -0.6 | -1.4 | 0.0 | -1.3 | -2.1 | -2.9 | -0.1 |
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Number of Participants With Any Adverse Events (AEs) and Serious AEs (SAEs)
AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE include adverse events that result in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect. Important medical events that may not result in death, be life-threatening, or require hospitalization may be considered serious when, based upon appropriate medical judgment, they may jeopardize the participant and may require medical or surgical intervention to prevent one of the outcomes listed in this definition. (NCT00269087)
Timeframe: Up to Week 56
Intervention | Participants (Count of Participants) |
---|
| Any AEs | Any SAEs |
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GW815SF 50/500 µg | 120 | 27 |
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Number of Participants With Abnormal Oropharyngeal Examination Findings
Oropharyngeal examination was performed in participants with suspected oral infection (candidiasis). (NCT00269087)
Timeframe: Up to Week 56
Intervention | Participants (Count of Participants) |
---|
| Week -2 | Week 0 | Week 4 | Week 8 | Week 12 | Week 16 | Week 20 | Week 24 | Week 28 | Week 32 | Week 36 | Week 40 | Week 44 | Week 48 | Week52 / withdrawal |
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GW815SF 50/500 µg | 1 | 1 | 3 | 7 | 7 | 9 | 9 | 9 | 6 | 7 | 7 | 7 | 4 | 4 | 8 |
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Number of Participants With Abnormal (Outliers From the Normal Range) Clinical Chemistry Parameters
Clinical chemistry parameters: Total bilirubin (TB), Alkaline phosphatase (Al-P), Alanine aminotransferase (ALT), Asparate aminotransferase (AST), Gamma-glutamyl transpeptidase (GTP), Lactate dehydrogenase (LDH), Total cholesterol (TC), Glucose, Creatinine, Blood urea nitrogen (BUN), Uric acid (UA), Sodium (Na), Potassium (K), Chloride (Cl) and Calcium (Ca) were presented as the outliers from the normal range as > upper limit and < lower limit. Only number of participants with clinical chemistry values outside normal range were presented. (NCT00269087)
Timeframe: Up to Week 56
Intervention | Participants (Count of Participants) |
---|
| TB, Baseline, > upper limit | TB, Week 4, > upper limit | TB, Week 12, > upper limit | TB, Week 12, < lower limit | TB, Week 24, > upper limit | TB, Week 36, > upper limit | TB, Week 36, < lower limit | TB, Week 52/ withdrawal, > upper limit | AL-P, Baseline, > upper limit | AL-P, Week 4, > upper limit | AL-P, Week 12, > upper limit | AL-P, Week 24, > upper limit | AL-P, Week 24, < lower limit | AL-P, Week 36, > upper limit | AL-P, Week 52/ withdrawal, > upper limit | ALT, Baseline, > upper limit | ALT, Week 4, > upper limit | ALT, Week 12, > upper limit | ALT, Week 24, > upper limit | ALT, Week 36, > upper limit | ALT, Week 52/ withdrawal, > upper limit | AST, Baseline, > upper limit | AST, Week 4, > upper limit | AST, Week 12, > upper limit | AST, Week 24, > upper limit | AST, Week 36, > upper limit | AST, Week 52/ withdrawal, > upper limit | Gamma GTP, Baseline, > upper limit | Gamma GTP, Baseline, < lower limit | Gamma GTP, Week 4, > upper limit | Gamma GTP, Week 4, < lower limit | Gamma GTP, Week 12, > upper limit | Gamma GTP, Week 12, < lower limit | Gamma GTP, Week 24, > upper limit | Gamma GTP, Week 24, < lower limit | Gamma GTP, Week 36, > upper limit | Gamma GTP, Week 36, < lower limit | Gamma GTP,Week 52/withdrawal, > upper limit | Gamma GTP,Week 52/withdrawal, < lower limit | LDH, Baseline, > upper limit | LDH, Week 4, > upper limit | LDH, Week 12, > upper limit | LDH, Week 24, > upper limit | LDH, Week 36, > upper limit | LDH, Week 36, < lower limit | LDH, Week 52/ withdrawal, > upper limit | TC, Baseline, > upper limit | TC, Baseline, < lower limit | TC, Week 4, > upper limit | TC, Week 4, < lower limit | TC, Week 12, > upper limit | TC, Week 12, < lower limit | TC, Week 24, > upper limit | TC, Week 24, < lower limit | TC, Week 36, > upper limit | TC, Week 36, < lower limit | TC, Week 52/ withdrawal, > upper limit | TC, Week 52/ withdrawal, < lower limit | Glucose, Baseline, > upper limit | Glucose, Baseline, < lower limit | Glucose, Week 4, > upper limit | Glucose, Week 4, < lower limit | Glucose, Week 12, > upper limit | Glucose, Week 12, < lower limit | Glucose, Week 24, > upper limit | Glucose, Week 24, < lower limit | Glucose, Week 36, > upper limit | Glucose, Week 36, < lower limit | Glucose, Week 52/ withdrawal, > upper limit | Glucose, Week 52/ withdrawal, < lower limit | Creatinine, Baseline, > upper limit | Creatinine, Baseline, < lower limit | Creatinine, Week 4, > upper limit | Creatinine, Week 4, < lower limit | Creatinine, Week 12, > upper limit | Creatinine, Week 12, < lower limit | Creatinine, Week 24, > upper limit | Creatinine, Week 24, < lower limit | Creatinine, Week 36, > upper limit | Creatinine, Week 36, < lower limit | Creatinine,Week 52/withdrawal, >upper limit | Creatinine,Week 52/withdrawal, BUN, Baseline, > upper limit | BUN, Baseline, < lower limit | BUN, Week 4, > upper limit | BUN, Week 4, < lower limit | BUN, Week 12, > upper limit | BUN, Week 12, < lower limit | BUN, Week 24, > upper limit | BUN, Week 36, > upper limit | BUN, Week 52/ withdrawal, > upper limit | BUN, Week 52/ withdrawal, < lower limit | UA, Baseline, > upper limit | UA, Week 4, > upper limit | UA, Week 12, > upper limit | UA, Week 24, > upper limit | UA, Week 36, > upper limit | UA, Week 52/ withdrawal, > upper limit | Na, Baseline, > upper limit | Na, Week 4, > upper limit | Na, Week 4, < lower limit | Na, Week 12, > upper limit | Na, Week 24, > upper limit | Na, Week 36, > upper limit | Na, Week 52/ withdrawal, < lower limit | K, Baseline, > upper limit | K, Baseline, < lower limit | K, Week 4, > upper limit | K, Week 12, > upper limit | K, Week 12, < lower limit | K, Week 24, > upper limit | K, Week 24, < lower limit | K, Week 36, > upper limit | K, Week 52/ withdrawal, > upper limit | K, Week 52/ withdrawal, < lower limit | Cl, Baseline, > upper limit | Cl, Baseline, < lower limit | Cl, Week 4, > upper limit | Cl, Week 4, < lower limit | Cl, Week 12, > upper limit | Cl, Week 12, < lower limit | Cl, Week 24, > upper limit | Cl, Week 24, < lower limit | Cl, Week 36, > upper limit | Cl, Week 52/ withdrawal, > upper limit | Cl, Week 52/ withdrawal, < lower limit | Ca, Baseline, > upper limit | Ca, Baseline, < lower limit | Ca, Week 4, > upper limit | Ca, Week 4, < lower limit | Ca, Week 12, > upper limit | Ca, Week 12, < lower limit | Ca, Week 24, > upper limit | Ca, Week 36, > upper limit | Ca, Week 52/ withdrawal, > upper limit | Ca, Week 52/ withdrawal, < lower limit | |
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GW815SF 50/500 µg | 1 | 2 | 3 | 1 | 5 | 2 | 1 | 4 | 18 | 15 | 15 | 18 | 1 | 12 | 13 | 5 | 4 | 7 | 6 | 3 | 4 | 9 | 6 | 6 | 9 | 4 | 5 | 15 | 9 | 17 | 10 | 14 | 8 | 12 | 8 | 12 | 8 | 15 | 10 | 10 | 11 | 8 | 14 | 10 | 1 | 9 | 17 | 13 | 19 | 16 | 21 | 8 | 20 | 10 | 22 | 10 | 27 | 10 | 40 | 2 | 42 | 4 | 42 | 4 | 31 | 3 | 34 | 5 | 45 | 3 | 8 | 8 | 9 | 8 | 8 | 1 | 9 | 4 | 9 | 3 | 7 | 6 | 31 | 1 | 16 | 1 | 23 | 1 | 18 | 21 | 22 | 1 | 35 | 31 | 29 | 19 | 21 | 32 | 2 | 2 | 1 | 2 | 6 | 2 | 3 | 2 | 1 | 2 | 4 | 2 | 3 | 2 | 7 | 3 | 2 | 1 | 1 | 4 | 1 | 2 | 2 | 3 | 2 | 3 | 1 | 3 | 3 | 2 | 3 | 1 | 3 | 1 | 7 | 4 | 3 | 1 |
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Number of Participants With Abnormal (Shift From Baseline) Urinalysis Parameters
Urinalysis parameters: Urine protein, Glucose and Urobilinogen were presented as shift from Baseline. Only number of participants with urinalysis values more than Baseline values were presented. The plus sign increases with a higher level of glucose and proteins in the urine: 1+: slightly positive, 2+: positive, 3+: high positive and 4+: strongly positive. (NCT00269087)
Timeframe: Up to Week 56
Intervention | Participants (Count of Participants) |
---|
| Urine protein, Week 4, 1+ to 3+ | Glucose, Week 4, 3+ to 4+ | Urine protein, Week 12, 1+ to 2+ | Urine protein, Week 12, 1+ to 3+ | Glucose, Week 12, 2+ to 4+ | Glucose, Week 12, 3+ to 4+ | Urine protein, Week 24, 1+ to 2+ | Urine protein, Week 24, 1+ to 3+ | Glucose, Week 24, 1+ to 2+ | Glucose, Week 24, 1+ to 4+ | Glucose, Week 24, 2+ to 4+ | Urine protein, Week 36, 1+ to 2+ | Urine protein, Week 36, 1+ to 3+ | Glucose, Week 36, 1+ to 4+ | Glucose, Week 36, 2+ to 4+ | Glucose, Week 36, 3+ to 4+ | Urine protein, Week 52/withdrawal, 1+ to 3+ | Glucose, Week 52/withdrawal, 1+ to 2+ | Glucose, Week 52/withdrawal, 1+ to 4+ | Glucose, Week 52/withdrawal, 2+ to 4+ |
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GW815SF 50/500 µg | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 1 | 2 | 1 | 1 | 2 | 1 | 1 |
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Number of Participants With Abnormal (Outliers From the Normal Range) Hematology Parameters
Hematology parameters: Red blood cells (RBC), Hemoglobin (Hb), Hematocrit, Platelet count (PC), White blood cells (WBC), Basophils, Eosinophils, Neutrophils, Lymphocytes and Monocytes were presented as the outliers from the normal range as > upper limit and < lower limit. Only number of participants with hematology values outside normal range were presented. (NCT00269087)
Timeframe: Up to Week 56
Intervention | Participants (Count of Participants) |
---|
| RBC, Baseline, < lower limit | RBC, Week 4, < lower limit | RBC, Week 12, < lower limit | RBC, Week 24, > upper limit | RBC, Week 24, < lower limit | RBC, Week 36, > upper limit | RBC, Week 36, < lower limit | RBC, Week 52/Withdrawal, > upper limit | RBC, Week 52/Withdrawal, < lower limit | Hb, Baseline, > upper limit | Hb, Baseline, < lower limit | Hb, Week 4, < lower limit | Hb, Week 12, < lower limit | Hb, Week 24, < lower limit | Hb, Week 36, < lower limit | Hb, Week 52/Withdrawal, Hematocrit, Baseline, > upper limit | Hematocrit, Baseline, < lower limit | Hematocrit, Week 4, > upper limit | Hematocrit, Week 4, < lower limit | Hematocrit, Week 12, > upper limit | Hematocrit, Week 12, < lower limit | Hematocrit, Week 24, > upper limit | Hematocrit, Week 24, < lower limit | Hematocrit, Week 36, < lower limit | Hematocrit,Week 52/Withdrawal,< lower limit | PC, Baseline, > upper limit | PC, Baseline, < lower limit | PC, Week 4, > upper limit | PC, Week 4, < lower limit | PC, Week 12, > upper limit | PC, Week 12, < lower limit | PC, Week 24, > upper limit | PC, Week 24, < lower limit | PC, Week 36, > upper limit | PC, Week 36, < lower limit | PC, Week 52/Withdrawal, > upper limit | PC, Week 52/Withdrawal, < lower limit | WBC, Baseline, > upper limit | WBC, Baseline, < lower limit | WBC, Week 4, > upper limit | WBC, Week 4, < lower limit | WBC, Week 12, > upper limit | WBC, Week 24, > upper limit | WBC, Week 24, < lower limit | WBC, Week 36, > upper limit | WBC, Week 36, < lower limit | WBC, Week 52/Withdrawal, > upper limit | Basophils, Baseline, > upper limit | Basophils, Week 4, > upper limit | Basophils, Week 12, > upper limit | Basophils, Week 36, > upper limit | Basophils, Week 52/Withdrawal, > upper limit | Eosinophils, Baseline, > upper limit | Eosinophils, Week 4, > upper limit | Eosinophils, Week 12, > upper limit | Eosinophils, Week 24, > upper limit | Eosinophils, Week 36, > upper limit | Eosinophils,Week 52/Withdrawal,> upper limit | Neutrophils, Baseline, > upper limit | Neutrophils, Baseline, < lower limit | Neutrophils, Week 4, > upper limit | Neutrophils, Week 4, < lower limit | Neutrophils, Week 12, > upper limit | Neutrophils, Week 24, > upper limit | Neutrophils, Week 36, > upper limit | Neutrophils, Week 36, < lower limit | Neutrophils,Week 52/Withdrawal,>upper limit | Neutrophils,Week 52/Withdrawal,< lower limit | Lymphocytes, Baseline, > upper limit | Lymphocytes, Baseline, < lower limit | Lymphocytes, Week 4, < lower limit | Lymphocytes, Week 12, < lower limit | Lymphocytes, Week 24, < lower limit | Lymphocytes, Week 36, < lower limit | Lymphocytes,Week 52/Withdrawal,< lower limit | Monocytes, Baseline, > upper limit | Monocytes, Week 4, > upper limit | Monocytes, Week 12, > upper limit | Monocytes, Week 24, > upper limit | Monocytes, Week 36, > upper limit | Monocytes, wEEK 52/Withdrawal,> upper limit | |
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GW815SF 50/500 µg | 30 | 36 | 36 | 1 | 21 | 1 | 22 | 1 | 33 | 1 | 15 | 20 | 20 | 13 | 14 | 27 | 4 | 10 | 1 | 13 | 1 | 13 | 1 | 9 | 12 | 17 | 3 | 8 | 1 | 7 | 7 | 6 | 5 | 4 | 2 | 6 | 4 | 2 | 4 | 2 | 3 | 3 | 2 | 5 | 1 | 5 | 2 | 7 | 1 | 1 | 4 | 1 | 2 | 17 | 10 | 10 | 8 | 8 | 10 | 5 | 5 | 7 | 3 | 6 | 15 | 9 | 2 | 11 | 1 | 2 | 10 | 16 | 17 | 25 | 16 | 19 | 31 | 47 | 37 | 25 | 28 | 14 |
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Number of Participants With Abnormal (Clinically Significant) Ophthalmological Examinations Findings
On each assessment day at Week 24, 52 and follow up, ophthalmological examinations (vision, cornea, lens, intraocular pressure, fundus oculi) were performed to determine the presence or absence of glaucoma and cataract. (NCT00269087)
Timeframe: Up to Week 56
Intervention | Participants (Count of Participants) |
---|
| Cataract, Baseline | Cataract, Week 24 | Cataract, Withdrawal | Glaucoma, Baseline | Glucoma, Week 24 | Glucoma, Withdrawal |
---|
GW815SF 50/500 µg | 3 | 2 | 3 | 4 | 4 | 4 |
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Number of Participants With Abnormal (Clinically Significant) Electrocardiogram (ECG) Findings
On each assessment day at Week 24, 52 and follow up 12-lead ECG was performed. Additional measurements were taken at follow up visit, if the measurements made at Week 52 revealed any abnormalities of clinical significance. (NCT00269087)
Timeframe: Up to Week 56
Intervention | Participants (Count of Participants) |
---|
| Baseline | Week 24 | Withdrawal |
---|
GW815SF 50/500 µg | 2 | 3 | 4 |
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Mean Level of Plasma Cortisol 2
On each assessment day at Week 24, 52 and follow up, adrenal cortical function tests were performed between 8:00-10:00 in the morning. Additional measurements were taken at follow up visit, if the measurements made at Week 52 revealed any abnormalities of clinical significance. Blood samples were taken from participants at rest before undergoing spirometry. (NCT00269087)
Timeframe: Up to Week 56
Intervention | µg/dL (Geometric Mean) |
---|
| Baseline | Week 24 | Week 52/Withdrawal |
---|
GW815SF 50/500 µg | 9.41 | 10.08 | 8.49 |
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Mean Change From Baseline in Weight
Body weight was measured during run-in period, at Week 24 and 52. (NCT00269087)
Timeframe: Baseline and up to Week 56
Intervention | Kilograms (Mean) |
---|
| Week 24 | Withdrawal |
---|
GW815SF 50/500 µg | 0.17 | -0.51 |
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Mean Change From Baseline in Maximal Expiratory Flow Rate at 25% (V25) and 50% (V50) of Vital Capacity
V25 and V 50 were measured using spirometer. A participant took rest just before the measurement. At each time of measurement, a participant expired for at least 6 seconds wherever possible. At each time of measurement, at least 3 readings were obtained, and three readings which were obtained in an appropriate manner were stored. Baseline value was the value measured at visit 2. However, when the value at Visit 2 was missing, the value at Visit 1 was used as baseline. Change from Baseline was any post Baseline value minus Baseline value. (NCT00269087)
Timeframe: Baseline and up to Week 52
Intervention | Liter per second (Mean) |
---|
| V25, Baseline | V25, Week 8 | V25, Week 12 | V25, Week 16 | V25, Week 20 | V25, Week 24 | V25, Week 28 | V25, Week 32 | V25, Week 36 | V25, Week 40 | V25, Week 44 | V25, Week 48 | V25, Week 52 | V25, Week 52/ withdrawal | V50, Week 4 | V50, Week 8 | V50, Week 12 | V50, Week 16 | V50, Week 20 | V50, Week 24 | V50, Week 28 | V50, Week 32 | V50, Week 36 | V50, Week 40 | V50, Week 44 | V50, Week 48 | V50, Week 52 | V50, Week 52/ withdrawal |
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GW815SF 50/500 µg | 0.018 | 0.021 | 0.015 | 0.016 | 0.012 | 0.017 | 0.012 | 0.009 | 0.018 | 0.022 | 0.015 | 0.010 | 0.017 | 0.012 | 0.044 | 0.076 | 0.054 | 0.060 | 0.040 | 0.047 | 0.049 | 0.053 | 0.046 | 0.053 | 0.046 | 0.038 | 0.059 | 0.045 |
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Mean Change From Baseline in Level of Plasma Cortisol 1
On each assessment day at Week 24 and 52, adrenal cortical function tests were performed between 8:00-10:00 in the morning. Additional measurements were taken at follow up visit, if the measurements made at Week 52 revealed any abnormalities of clinical significance. Blood samples were taken from participants at rest before undergoing spirometry. Baseline value was the measurement taken at the start of run-in or the treatment period. Change from Baseline was any post Baseline value minus value at Baseline. (NCT00269087)
Timeframe: Baseline and Week 24 and 52
Intervention | Micrograms per decilitre (µg/dL) (Mean) |
---|
| Week 24 | Week 52/Withdrawal |
---|
GW815SF 50/500 µg | 0.86 | -0.62 |
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Mean Change From Baseline in Forced Vital Capacity (FVC)
FVC was the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible measured using spirometer. A participant took rest just before the measurement. At each time of measurement, a participant expired for at least 6 seconds wherever possible. At each time of measurement, at least 3 readings were obtained, and three readings which were obtained in an appropriate manner were stored. Baseline value was the value measured at visit 2. However, when the value at Visit 2 was missing, the value at Visit 1 was used as Baseline. Change from Baseline was any post Baseline value minus Baseline value. (NCT00269087)
Timeframe: Baseline and up to Week 52
Intervention | Liters (Mean) |
---|
| Week 4 | Week 8 | Week 12 | Week 16 | Week 20 | Week 24 | Week 28 | Week 32 | Week 36 | Week 40 | Week 44 | Week 48 | Week 52 | Week 52/ withdrawal |
---|
GW815SF 50/500 µg | 0.128 | 0.156 | 0.142 | 0.140 | 0.106 | 0.127 | 0.149 | 0.142 | 0.147 | 0.148 | 0.156 | 0.147 | 0.170 | 0.096 |
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Mean Change From Baseline in Bone Mineral Density (BMD)
On each assessment day at Week 52 and follow up, lumber (L1-L4) BMD was determined with a BMD meter by the dual energy X-ray absorption (DEXA) method. Baseline value was the measurement taken during run-in period. Change from Baseline was any value post Baseline minus value at Baseline. (NCT00269087)
Timeframe: Baseline and up to Week 56
Intervention | Grams per centimeter square (Mean) |
---|
GW815SF 50/500 µg | -0.014 |
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Change From Baseline in Symptom Score With Respect to Breathlessness, Cough, Sputum and Nighttime Awakenings
A participant recorded scores on the scale of 0 to 4 for breathlessness and nighttime awakenings, where 0 indicated no symptoms and 4 indicated severe symptoms; on the scale of 0 to 3 for cough and sputum production, where 0 indicated no symptoms and 3 indicated severe symptoms, in the 24 hours prior to each entry in the COPD diary. Baseline was mean value of the consecutive 7 days just before Visit2. Change from Baseline was any post Baseline value minus Baseline value. (NCT00269087)
Timeframe: Baseline and up to Week 52
Intervention | Scores on a scale (Mean) |
---|
| Breathlessness, treatment period | Cough, treatment period | Sputum, treatment period | Nighttime awakenings, treatment period |
---|
GW815SF 50/500 µg | -0.2 | 0.0 | 0.0 | -0.1 |
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Mean Observed Maximum Plasma Concentration (Cmax) of Fluticasone Propionate (FP)
For analysis of pharmacokinetic (PK) parameters for FP, blood samples were taken just before dosing (within one hour prior to dosing), 30, 45 minutes, 1, 2, 3, 4, 6, 8 and 12 hours after dosing to determine plasma drug concentrations. The investigational product was taken in fasting condition just before each blood sampling. Parameters were calculated by a model-independent method with the plasma concentration-time profile data in individual participants. (NCT00269087)
Timeframe: Within one hour prior to dosing, 30, 45 minutes, 1, 2, 3, 4, 6, 8 and 12 hours
Intervention | Picograms per milliliter (pg/mL) (Mean) |
---|
GW815SF 50/500 µg | 124.63 |
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Mean Frequency of Moderate and Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbations
An exacerbation was defined as worsening of the participant's symptoms of cough, sputum production and breathlessness requiring a change in medication. When a moderate or severe COPD exacerbation was observed, details (date of onset, outcome, date of resolution/death, severity, medications provided for treatment, whether the COPD exacerbation required hospitalization, whether the COPD exacerbation required participant withdrawal from the study) were recorded. (NCT00269087)
Timeframe: Up to Week 56
Intervention | Number of exacerbations (Mean) |
---|
GW815SF 50/500 µg | 0.456 |
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Mean Cmax of Salmeterol
For analysis of PK parameters for salmeterol, blood samples were taken just before dosing (within one hour prior to dosing), 5, 15, 30, 45 minutes, 1, 2, 3 and 4 hours after dosing to determine plasma drug concentrations. The investigational product was taken in fasting condition just before each blood sampling. Parameters were calculated by a model-independent method with the plasma concentration-time profile data in individual participants. (NCT00269087)
Timeframe: Within one hour prior to dosing, 5, 15, 30, 45 minutes, 1, 2, 3 and 4 hours
Intervention | pg/mL (Mean) |
---|
GW815SF 50/500 µg | 66.04 |
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Mean Change From Baseline in Percent of Days Without Use of Rescue Medication
Rescue medication (salbutamol sulfate aerosol provided as an investigational product) was issued to a participant and, when necessary, a spacer at the start of the run-in period. At each time of entry in the Chronic Obstructive Pulmonary Disease (COPD) diary, a participant recorded the number of occasions of rescue medication inhaled in the previous 24 hours in the COPD diary. Baseline was mean value of the consecutive 7 days just before Visit 2. Change from Baseline was any post Baseline value minus Baseline value. (NCT00269087)
Timeframe: Baseline and up to Week 52
Intervention | Percentage of days (Mean) |
---|
GW815SF 50/500 µg | 15.6 |
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Mean Area Under the Plasma Concentration-time Curve Over a Dosing Interval [AUC(0-tau)] of FP
For analysis of PK parameters for FP, blood samples were taken just before dosing (within one hour prior to dosing), 30, 45 minutes, 1, 2, 3, 4, 6, 8 and 12 hours after dosing to determine plasma drug concentrations. The investigational product was taken in fasting condition just before each blood sampling. Parameters were calculated by a model-independent method with the plasma concentration-time profile data in individual participants. (NCT00269087)
Timeframe: Within one hour prior to dosing, 30, 45 minutes, 1, 2, 3, 4, 6, 8 and 12 hours
Intervention | Hours*picogram per milliliter (Mean) |
---|
GW815SF 50/500 µg | 903.48 |
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Number of Participants With Partial or Complete Response to Dysphagia
"Measured by the Mayo Dysphagia Questionnaire, a validated 28 item instrument; 0=no dysphagia, higher levels indicate greater dysphagia severity. A complete symptom response was defined as an answer of no to the question In the past 2 weeks, have you had trouble swallowing, not associated with other cold symptoms (such as strep throat or mono)? A partial symptom response was defined as an answer of yes to the above question and a decrease in severity of at least 2 levels, or a decrease in frequency of at least 1 level." (NCT00275561)
Timeframe: 2 weeks
Intervention | participants (Number) |
---|
Fluticasone | 12 |
Placebo | 7 |
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Number of Participants With Complete Response to Dysphagia
"Measured by the Mayo Dysphagia Questionnaire, a validated 28 item instrument; 0=no dysphagia, higher levels indicate greater dysphagia severity. A complete symptom response was defined as an answer of no to the question In the past 2 weeks, have you had trouble swallowing, not associated with other cold symptoms (such as strep throat or mono)?" (NCT00275561)
Timeframe: 2 weeks
Intervention | participants (Number) |
---|
Fluticasone | 9 |
Placebo | 6 |
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Number of Participants With Complete Histologic Response
A complete histologic response was defined as >90% decrease in mean eosinophil count/high powered field (NCT00275561)
Timeframe: 2 weeks
Intervention | participants (Number) |
---|
Fluticasone | 13 |
Placebo | 0 |
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Change From Baseline in Mean Daytime Symptom Score Over a 6-month Treatment Period
4 daytime symptoms were evaluated daily on a 7-point scale from 0 (best)- 6 (worst). The on-treatment daytime symptom score was computed by averaging over Period II the mean of the 4 daily symptom scores recorded daily in the diary while the baseline daytime symptom score was obtained by averaging the mean of the 4 daily symptom scores across the daily diary entries of the Baseline period (Period I). The change from baseline in mean daytime symptom score is computed as the difference between the mean on-treatment daytime symptom score & the mean baseline daytime symptom score. (NCT00284856)
Timeframe: Baseline and 6 months
Intervention | Score on a scale (Mean) |
---|
| Baseline | Average Change from Baseline During Period II |
---|
Fluticasone | 1.78 | -0.44 |
,Montelukast | 1.82 | -0.41 |
,Placebo | 1.90 | -0.27 |
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Change From Baseline in Average Morning (AM) PEFR (Peak Expiratory Flow Rate) Over a 6-month Treatment Period
PEFR measurements were performed daily, in the morning before using any medication. The on-treatment AM PEFR was computed by averaging over Period II (treatment period) the AM PEFR recorded daily in the diary, while the baseline AM PEFR was obtained by averaging the AM PEFR across the daily diary entries of the Baseline Period or Period I (placebo run-in period). The change from baseline in average AM PEFR is computed as the difference between mean on-treatment AM PEFR and mean baseline AM PEFR. (NCT00284856)
Timeframe: Baseline and 6 months
Intervention | Liters/minute (Mean) |
---|
| Baseline | Average Change from Baseline During Period II |
---|
Fluticasone | 354.28 | 19.31 |
,Montelukast | 363.75 | 12.84 |
,Placebo | 347.98 | 8.27 |
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Percentage of Asthma-control Days Over the 6-month Treatment Period
An asthma-control day, computed from daily diaries, was any day with no unscheduled visit for asthma care, no use of > than 2 puffs of β-agonist, no use of other asthma rescue medication, and no nocturnal awakening. The percentage of asthma-control days was the number of days with asthma-control divided by the total number of days with non-missing values for this endpoint. The patient diary had questions concerning daytime and nighttime symptoms, morning (AM) and evening (PM) peak expiratory flow rate (PEFR), β-agonist use, asthma attacks and smoking activity. (NCT00284856)
Timeframe: 6 months
Intervention | Percentage of days (Mean) |
---|
Montelukast | 50.70 |
Fluticasone | 53.30 |
Placebo | 43.84 |
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Number of Inhaled Corticosteroid (ICS) Prescriptions Refilled (Confirmed by Primary Care Physician)
Verification of a filled prescription for an ICS was completed 2 months after emergency department (ED) visit via telephone call to the pharmacy. Individual informed consent forms were faxed to the pharmacy to obtain verification that a prescription was filled. The number of subjects who filled a prescription for an ICS after the ED visit was compared between the two groups. (NCT00294398)
Timeframe: 2 months
Intervention | Participants (Number) |
---|
Standard Asthma ED Discharge Therapy | 18 |
ICS Prescription + Standard Asthma ED Discharge Therapy: | 32 |
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Asthma: Mean Change From Baseline at Endpoint in Predose Morning Forced Expiratory Volume (FEV1) for Intent-to-Treat Population
Endpoint was defined as the average of the last week's worth of evaluable data. The volume of air that can be forced out taking a deep breath, an important measure of pulmonary function. FEV1 is forced expiratory volume in one second. (NCT00296491)
Timeframe: Baseline to Endpoint (weeks 3-4)
Intervention | L/sec (Mean) |
---|
Fluticasone Propionate/Salmeterol (FSC) | 0.15 |
Montelukast (MON) | 0.04 |
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Asthma: Mean Change From Baseline at Endpoint in Percentage of Asthma Symptom-Free Days for Per Protocol Population
Asthma symptom score:0=no symptoms,1=symptoms 1 short period,2=symptoms 2 or more short periods,3=symptoms most of day not affect activities,4=symptoms most of day did affect activities,5=symptoms severe.Overall satisfaction score:0=very dissatisfied,1=dissatisfied,2=slightly dissatisfied,3=neutral,4=slightly satisfied,5=satisfied 6=very satisfied (NCT00296491)
Timeframe: Baseline to Endpoint (weeks 3-4)
Intervention | Percentage of asthma symptom-free days (Mean) |
---|
Fluticasone Propionate/Salmeterol/Montelukast (FSC+MON) | 34.8 |
Fluticasone Propionate/Salmeterol (FSC) | 37.1 |
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Asthma: Mean Change From Baseline at Endpoint in Percentage of Albuterol/Salbutamol-Free Days for Per Protocol Population
Endpoint was defined as the average of the data reported from the last week of treatment. Albuterol/salbutamol use (related to percentage of asthma rescue-free days). (NCT00296491)
Timeframe: Baseline to Endpoint (weeks 3-4)
Intervention | Percentage of rescue-free days (Mean) |
---|
Fluticasone Propionate + Salmeterol & Montelukast (FSC+MON) | 41.2 |
Fluticasone Propionate/Salmeterol (FSC) | 42.9 |
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Asthma: Mean Change From Baseline at Endpoint in Percentage of Albuterol-Salbutamol Free Days for Intent-to-Treat Population
Endpoint was defined as the average of the data reported from the last week of treatment. Albuterol/salbutamol use (related to percentage of asthma rescue-free days). (NCT00296491)
Timeframe: Baseline to Endpoint (weeks 3-4)
Intervention | Percentage of rescue-free days (Mean) |
---|
Fluticasone Propionate/Salmeterol (FSC) | 37.5 |
Montelukast (MON) | 26.7 |
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Asthma: Mean Change From Baseline at Endpoint in Percentage of Asthma Symptom-Free Days for Intent-to-Treat Population
Endpoint was defined as the average of the data reported from the last week of treatment.Asthma symptom scores and the subject-rated overall satisfaction with treatment, related to the percentage of asthma symptom-free days. Same scale used as in outcome 8. (NCT00296491)
Timeframe: Baseline to Endpoint (weeks 3-4)
Intervention | Percentage of asthma symptom-free days (Mean) |
---|
Fluticasone Propionate/Salmeterol (FSC) | 34.8 |
Montelukast (MON) | 26.1 |
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Rhinitis: Mean Change From Baseline at 1-2 Weeks in Nightime Total Nasal Symptom Scores (N-TNSS)
The scores of 3 nighttime symptoms (nasal congestion upon awakening, difficulty going to sleep due to nasal symptoms, nighttime awakenings due to nasal symptoms). Scale: 0=not noticeable, 1=noticeable but not bothersome, 2=noticeable and bothersome some of the time, 3=bothersome most of the time and/or very bothersome some of the time. (NCT00296491)
Timeframe: Baseline To 1-2 Weeks
Intervention | Points on a Scale (Mean) |
---|
Flut Prop/Salmeterol/Flut Nasal Spray (FSC+FPANS) | -2.0 |
Fluticasone Propionate/Salmeterol/Montelukast (FSC+MON) | 1.7 |
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Rhinitis: Mean Change From Baseline at 1-2 Weeks in Daytime Total Nasal Symptom Scores (D-TNNS).
The sum of scores of each of the four daytime symptoms (nasal congestion, itching, rhinorrhea, and sneezing). Scale: 0=none (no sign/symptom evident)1=mild (sign/symptom clearly present; easily tolerated)2=moderate (definite awareness of sign/symptom that is bothersome but tolerable)3=severe (sign/symptom is hard to tolerate) (NCT00296491)
Timeframe: Baseline to 1-2 Weeks
Intervention | Points on a Scale (Mean) |
---|
Fluticasone Prop/Salmeterol/Montelukast (FSC+MON) | -2.3 |
Fluticasone Prop/Salmeterol/Flut Nasal Spray (FSC+FPANS) | -3.0 |
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Mean Change From Baseline at Endpoint in Morning Peak Expiratory Flow (PEF) for Per Protocol Population
Endpoint was defined as the average of the data reported from the last week of treatment. Data collected by patient throughout the treatment period between visits. The peak expiratory flow rate measures how fast a person can breathe out (exhale) air. It is one of many tests that measure how well your airways work. (NCT00296491)
Timeframe: Baseline to Endpoint (weeks 3-4)
Intervention | L/min (Mean) |
---|
Flut Prop/Salmeterol/Montelukast (FSC+MON) | 30.9 |
Fluticasone Propionate/Salmeterol (FSC) | 35.2 |
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Mean Change From Baseline at Endpoint in Morning Peak Expiration Flow (PEF) for Intent-to-Treat Population
Endpoint was defined as the average of the data reported from the last week of treatment. Data collected by patient throughout the treatment period between visits. The peak expiratory flow rate measures how fast a person can breathe out (exhale) air. It is one of many tests that measure how well your airways work. (NCT00296491)
Timeframe: Baseline to Endpoint (weeks 3-4)
Intervention | L/min (Mean) |
---|
Fluticasone Prop/Salmeterol (FSC) | 26.4 |
Montelukast (MON) | 3.6 |
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Asthma: Mean Change From Baseline at Endpoint in Predose Morning Forced Expiratory Volume (FEV1) for Per Protocol Population
Endpoint was defined as the average of the last week's worth of evaluable data. The volume of air that can be forced out taking a deep breath, an important measure of pulmonary function. FEV1 is forced expiratory volume in one second. (NCT00296491)
Timeframe: Baseline to Endpoint (weeks 3-4)
Intervention | L/sec (Mean) |
---|
Fluticasone Propionate/Salmeterol/Montelukast (FSC+MON) | 0.27 |
Fluticasone Propionate/Salmeterol (FSC) | 0.13 |
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PC20 AMP (Post-treatment Compared to Baseline)
Mean change of Provocative concentration of Adenosine-5'-monophosphate (PC20 AMP) leading to a 20 percent decrease in Forced expiratory volume in one second (FEV1) between post-treatment and baseline using two different particle sizes. - Small particles = Mass mean aerodynamic diameter (MMAD) of approximately 1.04-1.08 micron - Large particles = MMAD of approximately 9.9-10.6 micron (NCT00306163)
Timeframe: Baseline and 5 weeks
Intervention | Logarithm (mg/mL) (Mean) |
---|
| Baseline PC20 small-particle AMP | Baseline PC20 large-particle AMP | Post-Treatment PC20 small-particle AMP | Post-Treatment PC20 large-particle AMP |
---|
Ciclesonide | 4.9 | 3.7 | 6.6 | 4.5 |
,Fluticasone | 5.2 | 3.0 | 6.0 | 4.3 |
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AM Peak Expiratory Flow (PEF)
daily AM peak expiratory flow (PEF) measured in liters per minute (NCT00318708)
Timeframe: the week-16 average minus the baseline-week average
Intervention | liters per minute (Least Squares Mean) |
---|
Clarithromycin + Fluticasone | 8.31 |
Placebo + Fluticasone | 11.69 |
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Methacholine Provocative Concentration (PC20)
Logarithm-base 2 transformed Methacholine provocative concentration (PC20) based on FEV1 (NCT00318708)
Timeframe: the week-16 value minus the baseline-value
Intervention | logarithm-base 2 of mg/mL (Least Squares Mean) |
---|
Clarithromycin + Fluticasone | 1.39 |
Placebo + Fluticasone | 0.41 |
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Juniper Asthma Control Questionnaire (ACQ) Results
The Juniper asthma control questionnaire (ACQ) consists of six questions answered by the asthma patient with respect to symptoms, rescue medication use, and night-time awakenings due to asthma. A seventh item in the ACQ is the percent predicted FEV1. Each of the seven items is scored from from 0 (best) to 6 (worst), and then the seven items are averaged to yield a number from 0 (best) to 6 (worst). Asthma patients needed to display an ACQ greater than or equal to 1.25 in order to be eligible for randomization. A reduction of 0.5 units or more in the ACQ over the 16 weeks of treatment is considered to be clinically significant. (NCT00318708)
Timeframe: Measured every four weeks during the 16-week treatment period, with the change (week 16 minus baseline) as the primary outcome
Intervention | units on a scale (Least Squares Mean) |
---|
Clarithromycin + Fluticasone | -0.15 |
Placebo + Fluticasone | -0.38 |
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Forced Expiratory Volume in One Second (FEV1)
Forced expiratory volume in one second (FEV1) from spirometry (NCT00318708)
Timeframe: the week-16 value minus the baseline-value
Intervention | Liters (Least Squares Mean) |
---|
Clarithromycin + Fluticasone | -0.08 |
Placebo + Fluticasone | -0.06 |
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Exhaled Nitric Oxide (eNO)
Exhaled nitric oxide (eNO) measured in parts per billion (NCT00318708)
Timeframe: the week-16 value minus the baseline-value
Intervention | parts per billion (Least Squares Mean) |
---|
Clarithromycin + Fluticasone | -0.33 |
Placebo + Fluticasone | 3.04 |
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Asthma Rescue Medication Use
number of rescue puffs per day (NCT00318708)
Timeframe: the week-16 average minus the baseline-week average
Intervention | rescue puffs per day (Least Squares Mean) |
---|
Clarithromycin + Fluticasone | -0.71 |
Placebo + Fluticasone | -0.14 |
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Asthma Quality of Life Questionnaire (AQLQ)
The Asthma Quality of Life Questionnaire (AQLQ) consists of 32 questions, with each question ranging from 1 (worst) to 7 (best). The 32 questions are averaged to yield an overall score, which is reported here. Therefore, a positive change between the 16-week score and the baseline score represents improvement. (NCT00318708)
Timeframe: the week-16 value minus the baseline-value
Intervention | units on a scale (1 through 7) (Least Squares Mean) |
---|
Clarithromycin + Fluticasone | 0.41 |
Placebo + Fluticasone | 0.59 |
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Mean Change From Baseline in Morning PEF Over 12 Weeks in Per Protocol (PP) Population
PEF is the maximum flow generated during expiration, as measured with a peak flow meter and recorded in eDRC, performed with maximal force and started after a full inspiration. The mean morning PEF measurement was constructed by calculating a simple mean for each participant over the interval Weeks 1 to 12. All PEF measurements were converted to the Wright/McKerow peak flow meter scale for the purposes of analyses. The change from Baseline is then calculated by subtracting the Baseline PEF values from the individual on-treatment values. Baseline was calculated as the mean of the values recorded on the seven days preceding randomization. The analysis was done using ANCOVA adjusted for baseline PEF, country amalgamation, age, sex and treatment. (NCT00353873)
Timeframe: Baseline; Week 1 up to Week 12
Intervention | L/min (Least Squares Mean) |
---|
FP 200 mcg BD | 18.4 |
SFC 50/100 mcg BD | 27.7 |
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Number of Participants Who Achieved 'Totally Controlled' (TC) Asthma
TC asthma is defined as no daily symptoms, no night-time wakening due to asthma, no exacerbations, no rescue salbutamol/albuterol use, no emergency visits, >=80% predicted morning PEF, and no treatment related adverse events enforcing a change in asthma therapy over 7 consecutive days. Number of participants/group who achieved the status of at least TC during the last 8 weeks (wks) of treatment was analyzed using logistic regression, including covariates for sex, age, treatment group, country amalgamation and baseline pre-bronchodilator Forced Expiratory Volume in one second (FEV1). Asthma control was assessed each week for the last 8 wks of treatment period. Each week was classified as 'TC', 'Well Controlled' (WC), 'Not Controlled' or 'Unevaluable'. A participant was considered to have TC asthma if they achieved 4/4, 5/5, 6/6, 6/7, 7/8 or 8/8 wks that were TC. 'Unevaluable' classification included participants with less than 4 wks of data during the assessment period. (NCT00353873)
Timeframe: Week 5 up to Week 12
Intervention | Participants (Number) |
---|
FP 200 mcg BD | 23 |
SFC 50/100 mcg BD | 28 |
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Number of Participants Who Achieved WC Asthma
WC asthma is defined as two or more of symptom score >1 only allowed on <=2 days/week, rescue salbutamol/albuterol use on <=2 days/week and up to a maximum of 4 times per week, >=80% predicted morning PEF daily assessed for 7 consecutive days and all the following criteria: no night-time awakening due to asthma, no exacerbations, no emergency visits, no treatment related adverse events enforcing a change in any asthma therapy. Number of participants/group who achieved the status of at least WC during the last 8 wks of treatment was analyzed using logistic regression, including covariates for sex, age, treatment group, country amalgamation and baseline prebronchodilator FEV1. Each week was classified as 'WC', 'Not Controlled' or 'Unevaluable'. A participant was considered to have WC asthma if they achieved 4/4, 5/5, 6/6, 6/7, 7/8 or 8/8 wks that were WC. 'Unevaluable' classification included participants with less than 4 wks of data during the assessment period. (NCT00353873)
Timeframe: Week 5 up to Week 12
Intervention | Participants (Number) |
---|
FP 200 mcg BD | 61 |
SFC 50/100 mcg BD | 65 |
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Mean Change From Baseline in Morning Peak Expiratory Flow (PEF) Over 12 Weeks in Intent-to-treat (ITT) Population
PEF is the maximum flow generated during expiration, as measured with a peak flow meter and recorded in electronic diary record card (eDRC), performed with maximal force and started after a full inspiration. The mean morning PEF measurement was constructed by calculating a simple mean for each participant over the interval Weeks 1 to 12. All PEF measurements were converted to the Wright/McKerow peak flow meter scale for the purposes of analyses. The change from Baseline is then calculated by subtracting the Baseline PEF values from the individual on-treatment values. Baseline was calculated as the mean of the values recorded on the seven days preceding randomization. The analysis was done using analysis of covariance (ANCOVA) adjusted for baseline PEF, country amalgamation, age, sex and treatment. (NCT00353873)
Timeframe: Baseline; Week 1 up to Week 12
Intervention | Liters/Minute (L/min) (Least Squares Mean) |
---|
FP 200 mcg BD | 19.3 |
SFC 50/100 mcg BD | 26.9 |
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Percent Change From Baseline in BMD at the Total Hip
BMD, a measure of bone density, reflecting the strength of bones as represented by calcium content. The BMD test detects osteopenia (mild bone loss) and osteoporosis (more severe bone loss, which may cause symptoms).BMD at the total hip was measured via dual energy x-ray absorptiometry (DEXA) (using DEXA equipment) scans at Baseline and every 26 weeks during the study. Acceptable DEXA measurements must be conducted prior to the first dose of randomized study medication. Baseline was defined as the collections taken on day 1 of treatment period. Change from Baseline was calculated by subtracting the Baseline value from indicated time point value. (NCT00355342)
Timeframe: Baseline and Week 26, 52, 78, 104, 130, and 156
Intervention | Percent Change (Mean) |
---|
| Week 26 | Week 52 | Week 78 | Week 104 | Week 130 | Week 156 |
---|
Fluticasone Propionate/Salmeterol 250/50 mcg BID | -0.4 | -1.4 | -2.1 | -2.6 | -2.7 | -2.9 |
,Salmeterol 50 mcg BID | -0.3 | -0.5 | -0.8 | -1.1 | -1.7 | -1.8 |
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Percent Change From Baseline in Bone Mineral Density (BMD) at the Lumbar Spine L1-L4
BMD, a measure of bone density, reflecting the strength of bones as represented by calcium content. The BMD test detects osteopenia (mild bone loss) and osteoporosis (more severe bone loss, which may cause symptoms). BMD at the lumber spine (L1-L4) was measured via dual energy x-ray absorptiometry (DEXA) (using DEXA equipment) scans at Baseline and every 26 weeks during the study. Acceptable DEXA measurements must be conducted prior to the first dose of randomized study medication. Baseline was defined as the collections taken on Day 1 of treatment period. Change from Baseline was calculated by subtracting the Baseline value from indicated time point value. (NCT00355342)
Timeframe: Baseline and Week 26, 52, 78, 104, 130, and 156
Intervention | Percent Change (Mean) |
---|
| Week 26 | Week 52 | Week 78 | Week 104 | Week 130 | Week 156 |
---|
Fluticasone Propionate/Salmeterol 250/50 mcg BID | 0.2 | 1.3 | 1.0 | 0.8 | 1.0 | 1.9 |
,Salmeterol 50 mcg BID | 0.5 | 0.8 | 1.3 | 0.9 | 0.3 | 0.3 |
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Assessment of Tolerability by Number of Participants With at Least One Treatment Emergent Serious and, Non-serious AE
An AE is any untoward medical occurrence in a participant or clinical AE was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which did not necessarily have a causal relationship with the treatment. Number of participants with at least one treatment emergent serious and, non-serious AE were reported. (NCT00363480)
Timeframe: Up to Week 12
Intervention | Participants (Number) |
---|
| Any Non-Serious AE | Any Serious AE |
---|
SFC 50/250 mcg | 76 | 1 |
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Change From Baseline in Number of Additional Usage of Salbutamol at Week 12
Salbutamol was given as a rescue medicine, used on <= 2 days and at most 4 occasions per week. Change from baseline value was calculated by subtracting the baseline value from week 12 value. The assessments recorded at Visit 3 were considered as Baseline assessments. (NCT00363480)
Timeframe: Baseline (Visit 3) and week 12
Intervention | Number of occassions (Mean) |
---|
SFC 50/250 mcg | -0.933 |
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Change From Baseline in Percentage of Participants With ACT Score of 20-25 at Week 12
The total ACT score is based on a range of 5 to 25. Higher score indicates better asthma control. A score of 19 or less may be a sign that asthma symptoms are not under control. In order to derive the total ACT score, all 5 questions needed to be answered. Change from baseline value was calculated by subtracting baseline value from week 12 value. The assessments recorded at Visit 3 were considered as Baseline assessments. (NCT00363480)
Timeframe: Baseline (Visit 3) and Week 12
Intervention | Participants (Number) |
---|
| Baseline | Week 12 |
---|
SFC 50/250 mcg | 32 | 139 |
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Number of Participants With Emergency Visits Due to Asthma
Frequencies of emergency visits per participant were recorded during treatment period. Only the participants at risk were considered when calculating the incidence rates. (NCT00363480)
Timeframe: Up to week 12
Intervention | Participants (Number) |
---|
| At least 1 day | 1 day | 2 days | 3-4 days | 5-9 days |
---|
SFC 50/250 mcg | 13 | 10 | 2 | 1 | 0 |
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Number of Participants With Well Controlled and Totally Controlled Asthma at Week 12
Well controlled or totally controlled asthma assessments were done according to the GOAL criteria. A week with well controlled asthma, when two or more of the criteria were fulfilled (diary entries): At most 2 days per week with 24-hour symptom score >1(Range: 0= None to 5= severe), rescue salbutamol use on <= 2 days and at most 4 occasions per week, and morning peak flow >= 80% of the predicted value on each day per week. All of the criteria which included no night-time awakenings due to asthma (diary entry),no emergency visits (diary entry), no exacerbations and no treatment-related adverse events leading to treatment change were fulfilled. The total ACT score was based on a range of 5 to 25. Higher score indicates better asthma control. A score of 19 or less may be a sign that asthma symptoms are not under control. Change from baseline value was calculated by subtracting baseline value from week 12 value. The assessments recorded at Visit 3 were considered as Baseline assessments. (NCT00363480)
Timeframe: Week 12
Intervention | Participants (Number) |
---|
| Well Controlled | Totally Controlled |
---|
SFC 50/250 mcg | 65 | 29 |
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Percentage of Well Controlled Participants as Per Gaining Optimal Asthma Control (GOAL) Criteria After 12 Week Compared to Percentage of Participants With Asthma Control Test (ACT) Score of 20-25 for Week 9 to Week 12
A week with well controlled asthma, when two or more of the criteria were fulfilled (diary entries): At most 2 days per week with 24-hour symptom score >1 (Range: 0= None to 5= severe), rescue salbutamol use on <= 2 days and at most 4 occasions per week, and a morning peak flow >= 80% of the predicted value on each day per week. All of the criteria which includes no night-time awakenings due to asthma (diary entry), no emergency visits (diary entry), no exacerbations and no treatment-related adverse events leading to treatment change are fulfilled. The total ACT score is based on a range of 5 to 25. Higher score indicates better asthma control. A score of 19 or less may be a sign that asthma symptoms are not under control. (NCT00363480)
Timeframe: Week 9 to Week 12
Intervention | Percentage (Number) |
---|
| GOAL | ACT |
---|
SFC 50/250 mcg | 33.5 | 64.1 |
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Correlation of Change in AQLQ Score and Change in ACT Score
Correlation between change in the AQLQ and ACT score was tabulated using the Pearson coefficient of correlation (linear correlation). The AQLQ contained 32 items in 4 domains: activity limitation, symptoms, emotional function and environmental stimuli. Scores for the domains as well as the overall score were scaled within a range of 1 (worst) to 7 (best). (NCT00363480)
Timeframe: Week 12
Intervention | participants (Number) |
---|
SFC 50/250 mcg | 0.522 |
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Number of Participants With Occurrence of (Near-) Incidents Associated With Peak Flow Measurements
Frequencies of participants with at least one (near-) incident associated with peak flow measurements were recorded. analysis was done on safety population. (NCT00363480)
Timeframe: Up to Week 12
Intervention | participants (Number) |
---|
SFC 50/250 mcg | 0 |
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Percent Change From Baseline in Number of Nights With no Nocturnal Awakening at Week 12
Number of nights with no night time awakening were recorded at Week 12. Baseline was the last corresponding time period immediately prior to Visit 3. (NCT00363480)
Timeframe: Baseline (Visit 3) and week 12
Intervention | Percent Change (Mean) |
---|
SFC 50/250 mcg | 7.228 |
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Assessment of Tolerability by Change From Baseline of Pulse Rate
Pulse rate was recorded over time (Visit 1, 3, 4, 5, and 6). Baseline was the measurement at Visit 3. Change from baseline value was calculated by subtracting baseline value from week 12 value. (NCT00363480)
Timeframe: Baseline (Visit 3) up to Week 12
Intervention | Beats per minute (bpm) (Mean) |
---|
| Week 4 | Week 8 | Week 12 |
---|
SFC 50/250 mcg | 1.0 | -0.2 | 0.6 |
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Change From Baseline in Quality of Life Using the Asthma Quality of Life Questionnaire (AQLQ)
For the level of asthma control, baseline values were derived taking the last 8 weeks during the pre-treatment period prior to Visit 3 into consideration. Regarding derived variables based on the asthma diary, data from the last week prior to Visit 3 was taken. Visit 3, regarded as baseline. AQLQ has 32 questions regarding activities, emotions, symptoms, and environmental triggers. Each item values range from 1 (maximum impairment) to 7 (no impairment). A positive change from baseline score indicates improvement. (NCT00363480)
Timeframe: Baseline (Visit 3) up to Week 12
Intervention | Score on Scale (Mean) |
---|
SFC 50/250 mcg | 0.83 |
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Change From Baseline in Mean Morning Percent Predicted Peak Expiratory Flow (PEF) at Week 12
PEF, a person's maximum speed of expiration, as measured with a peak flow meter, a small, hand-held device used to monitor a person's ability to breathe out air. The mean morning PEF evaluated by means of the data documented in the asthma diaries. Change from baseline value was calculated by subtracting baseline value from week 12 value. The assessments recorded at Visit 3 were considered as Baseline assessments. (NCT00363480)
Timeframe: Baseline (Visit 3) and Week 12
Intervention | Percentage (Mean) |
---|
SFC 50/250 mcg | 7.798 |
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Change From Baseline in Mean ACT Score at Visit 6
The total ACT score is based on a range of 5 to 25. Higher score indicates better asthma control. A score of 19 or less may be a sign that asthma symptoms not under control. In order to derive the total ACT score, all 5 questions had to be answered. Change from baseline value was calculated by subtracting baseline value from week 12 value. The assessments recorded at Visit 3 were considered as Baseline assessments. (NCT00363480)
Timeframe: Baseline (Viait 3) and Week 12
Intervention | Score on a scale (Mean) |
---|
SFC 50/250 mcg | 5.0 |
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Change From Baseline in Mean 24-hour Symptom Score at Week 12
The various symptoms like wheezing, shortness of breath, coughing and chest tightness were assessed by the participants every morning using a symptom score scale which ranged from 0 (no symptoms during the past 24 hours) to 5 (symptoms so severe that participant could not go to work or carry out other normal daily activities). Change from baseline value was calculated by subtracting baseline value from week 12 value. The assessments recorded at Visit 3 were considered as Baseline assessments. (NCT00363480)
Timeframe: Baseline (Visit 3) and Week 12
Intervention | Score on Scale (Mean) |
---|
SFC 50/250 mcg | -0.590 |
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Assessment of Tolerability by Change From Baseline of Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
SBP and DBP were recorded over time (Visit 1, 3, 4, 5, and 6). Baseline was the measurement at Visit 3. Change from baseline value was calculated by subtracting baseline value from week 12 value. (NCT00363480)
Timeframe: Baseline (Visit 3) up to Week 12
Intervention | millimeters of mercury (mmHg) (Mean) |
---|
| SBP, Week 4 | SBP, Week 8 | SBP, Week 12 | DBP, Week 4 | DBP, Week 8 | DBP, Week 12 |
---|
SFC 50/250 mcg | 0.8 | -0.7 | 0.2 | 0.2 | -0.2 | 0.6 |
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Change From Baseline in Forced Expiratory Volume (FEV1) to Week 12
FEV1, an amount of air exhaled by a person during a forced breath in one second. FEV1 assessed at Visit 1 and at Visits 3, 4, 5, 6. Baseline was the measurement at Visit 3. Change from baseline value was calculated by subtracting baseline value from week 12 value. (NCT00363480)
Timeframe: Baseline (Visit 3) up to Week 12
Intervention | Litre/second (L/Sec) (Mean) |
---|
| Week 4 | Week 8 | Week 12 |
---|
SFC 50/250 mcg | 0.133 | 0.212 | 0.181 |
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Number of Participants With Adverse Events (AE) Leading to a Change in Asthma Treatment
AE was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which did not necessarily have a causal relationship with the treatment. Number of participants with AE who lead to change in asthma treatment were reported. (NCT00363480)
Timeframe: Up to Week 12
Intervention | Participants (Number) |
---|
SFC 50/250 mcg | 4 |
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The Number of All Randomized Subjects Reporting Adverse Events (AEs).
AEs that are considered Related, Severe, and Serious, as determined by the investigator and using specific criteria defined in the protocol, are included in the primary results. (NCT00379288)
Timeframe: 1 year
Intervention | participants (Number) |
---|
| Treatment-Emergent Adverse Events (TEAE) | Related Adverse Events | Severe Adverse Events | Serious Adverse Events |
---|
F/SC 250/50 mcg BID | 56 | 16 | 4 | 4 |
,F/SC 500/50 mcg BID | 50 | 13 | 4 | 2 |
,MF/F 200/10 mcg BID | 109 | 40 | 8 | 7 |
,MF/F 400/10 mcg BID | 103 | 30 | 5 | 8 |
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Standardized Dyspnea Score at Isotime During Exercise
"Difference in standardized dyspnea rating at isotime during constant load exercise in patients with COPD between Fluticasone Propionate treatment and placebo treatment at the end of the treatment period.~Isotime is the duration of the shortest exercise test on all treatment days (or the longest exercise time point common to all constant-load exercise tests). The standardized dyspnea score will be measured with the modified 10-point Borg Scale (0 [Best] - 10 [Worst] )." (NCT00387036)
Timeframe: 2 Weeks
Intervention | Units on a Scale (Mean) |
---|
Fluticasone Propionate | 3.58 |
Placebo | 4.50 |
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Exercise Endurance Time
Difference in exercise endurance time between Fluticasone Propionate treatment and placebo treatment at the end of the treatment period. (NCT00387036)
Timeframe: 2 Weeks
Intervention | Minutes (Mean) |
---|
Fluticasone Propionate | 12.92 |
Placebo | 9.75 |
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Mean Percent Change in the Femoral Neck BMD From the Averaged Baseline Value to the Averaged Value at the Endpoint of Treatment Time Point
The averaged baseline value is the average of the two scan results prior to treatment. The endpoint of treatment time point is the average of the last two valid post baseline BMD scans during the treatment period carried forward. (NCT00394355)
Timeframe: Baseline and up to ~ one year of treatment
Intervention | percentage of BMD (Mean) |
---|
MF DPI 200 mcg QD PM | -0.2 |
MF DPI 400 mcg QD PM | 0.4 |
FP MDI 250 mcg BID | -0.4 |
ML 10 mg QD PM | -0.2 |
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Mean Percent Change in the Left Total Femur From the Averaged Baseline Value to the Averaged Value at the Endpoint of Treatment Time Point
The averaged baseline value is the average of the two scan results prior to treatment. The endpoint of treatment time point is the average of the last two valid post baseline BMD scans during the treatment period carried forward. (NCT00394355)
Timeframe: Baseline and up to ~ one year of treatment
Intervention | percentage of BMD (Mean) |
---|
MF DPI 200 mcg QD PM | 0.3 |
MF DPI 400 mcg QD PM | 0.2 |
FP MDI 250 mcg BID | 0.2 |
ML 10 mg QD PM | 0.5 |
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Summary of Change From Baseline to Endpoint in FEV1 (Forced Expiratory Volume in One Second).
Mean percent change from Baseline (the last non-missing value prior to treatment) in pulmonary function test FEV1 from in-office visits and at Endpoint (last non-missing postbaseline value carried forward) (NCT00394355)
Timeframe: Baseline and up to ~ one year of treatment
Intervention | percentage of FEV1 (Mean) |
---|
MF DPI 200 mcg QD PM | 0.29 |
MF DPI 400 mcg QD PM | 0.38 |
FP MDI 250 mcg BID | 0.31 |
ML 10 mg QD PM | 0.19 |
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Mean Percent Change in Lumbar Spine Bone Mineral Density (BMD) From the Averaged Baseline Value to the Endpoint of Treatment Time Point
The averaged baseline value is the average of the two scan results prior to treatment. The endpoint of treatment time point is the average of the last two valid post baseline BMD scans during the treatment period carried forward. (NCT00394355)
Timeframe: Baseline and up to ~ one year of treatment
Intervention | percentage of BMD (Mean) |
---|
MF DPI 200 mcg QD PM | 0.7 |
MF DPI 400 mcg QD PM | 0.9 |
FP MDI 250 mcg BID | 1.1 |
ML 10 mg QD PM | 1.2 |
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Change From Baseline in the Logarithm Base 2 of the Methacholine PC20
The methacholine PC20 is the concentration of methacholine that causes a 20% decrease in the pre-bronchodilator FEV1. The logarithm base 2 transformation converts the PC20 into doubling dilutions. (NCT00395304)
Timeframe: Measured during the last 12 weeks of each 16-week treatment period
Intervention | doubling dilutions (Mean) |
---|
2xICS | 1.11 |
1xICS + LABA | 1.20 |
1xICS + LTRA | 1.00 |
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Change From Baseline in the Asthma Control Test (ACT)
The ACT consists of five items, each scored as 1 (worst) to 5 (best). The five items are averaged. (NCT00395304)
Timeframe: Measured during the last 12 weeks of each 16-week treatment period
Intervention | units on a scale (Mean) |
---|
2xICS | 1.49 |
1xICS + LABA | 1.87 |
1xICS + LTRA | 1.69 |
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Change From Baseline in the Impulse Oscillometry Resistance at 5 Hertz
Change from baseline in the impulse oscillometry resistance at 5 Hertz, measured in kiloPascals per liters per second (NCT00395304)
Timeframe: Measured during the last 12 weeks of each 16-week treatment period
Intervention | kiloPascals per liters per second (Mean) |
---|
2xICS | -0.08 |
1xICS + LABA | -0.09 |
1xICS + LTRA | -0.06 |
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Change From Baseline in the Evening Peak Expiratory Flow Rate (PEFR) % Predicted
(NCT00395304)
Timeframe: Measured during the last 12 weeks of each 16-week treatment period
Intervention | percentage points (Mean) |
---|
2xICS | 2.84 |
1xICS + LABA | 4.87 |
1xICS + LTRA | 2.29 |
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Number of Participants With Asthma Exacerbations
An asthma exacerbation was defined as the administration of a course of oral/systemic prednisone for the treatment of asthma. (NCT00395304)
Timeframe: Measured during the last 12 weeks of each 16-week treatment period
Intervention | Participants (Count of Participants) |
---|
2xICS | 49 |
1xICS + LABA | 35 |
1xICS + LTRA | 37 |
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Change From Baseline in the Pre-bronchodilator Forced Expiratory Volume in One Second (FEV1) % Predicted
(NCT00395304)
Timeframe: Measured during the last 12 weeks of each 16-week treatment period
Intervention | percentage points (Mean) |
---|
2xICS | 0.26 |
1xICS + LABA | 1.07 |
1xICS + LTRA | -0.84 |
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Change From Baseline in the Pre-bronchodilator FEV1/FVC Ratio
(NCT00395304)
Timeframe: Measured during the last 12 weeks of each 16-week treatment period
Intervention | ratio (Mean) |
---|
2xICS | 0.98 |
1xICS + LABA | 2.13 |
1xICS + LTRA | 0.55 |
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Change From Baseline in Asthma Quality of Life
Asthma quality of life is measured as the average of 23 questions, each of which is scored from 1 (worse) to 7 (best) (NCT00395304)
Timeframe: Measured during the last 12 weeks of each 16-week treatment period
Intervention | units on a scale (Mean) |
---|
2xICS | 0.2 |
1xICS + LABA | 0.3 |
1xICS + LTRA | 0.3 |
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Change From Baseline in the Pre-bronchodilator Forced Vital Capacity (FVC) % Predicted
(NCT00395304)
Timeframe: Measured during the last 12 weeks of each 16-week treatment period
Intervention | percentage points (Mean) |
---|
2xICS | -1.00 |
1xICS + LABA | -1.58 |
1xICS + LTRA | -1.56 |
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The Number of Participants With a Differential Response to the Three Step-up Therapies Based on Fixed Threshold Criteria for the Following Three Asthma Control Measures: Use of Oral Prednisone for Acute Asthma Exacerbations, Asthma Control Days and FEV1.
One treatment period was ranked as better than another if the total amount of prednisone received during the period was at least 180 mg less, if the number of annualized asthma-control days during the final 12 weeks of the period was increased by at least 31 days, or if the FEV1 at the end of the period was at least 5% higher. If the prednisone threshold was met, then we ignored the number of asthmacontrol days and the FEV1. If the threshold for asthma-control days was met, then we ignored the FEV1. Otherwise, the order of response was determined by the FEV1. (NCT00395304)
Timeframe: Measured during the last 12 weeks of each 16-week treatment period
Intervention | Participants (Number) |
---|
All Participants | 161 |
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Change From Baseline in the Post-bronchodilator FEV1 Percent Predicted
(NCT00395304)
Timeframe: Measured during the last 12 weeks of each 16-week treatment period
Intervention | percentage points (Mean) |
---|
2xICS | -0.2 |
1xICS + LABA | -1.2 |
1xICS + LTRA | -0.8 |
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Change From Baseline in the Peak Expiratory Flow Rate (PEFR) Variability
PEFR variability is calculated as 100% times the difference between the evening and morning PEFR values, divided by the average of the evening and morning PEFR values, i.e., PEFR variability = 100% x (morning PEFR - evening PEFR)/((morning PEFR + evening PEFR)/2) (NCT00395304)
Timeframe: Measured during the last 12 weeks of each 16-week treatment period
Intervention | percentage points (Mean) |
---|
2xICS | 2.09 |
1xICS + LABA | 1.61 |
1xICS + LTRA | 1.72 |
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Change From Baseline in the Natural Logarithm of Exhaled Nitric Oxide (eNO)
(NCT00395304)
Timeframe: Measured during the last 12 weeks of each 16-week treatment period
Intervention | natural logarithm of parts per billion (Mean) |
---|
2xICS | -0.04 |
1xICS + LABA | -0.05 |
1xICS + LTRA | -0.02 |
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Change From Baseline in the Morning Peak Expiratory Flow Rate (PEFR) % Predicted
(NCT00395304)
Timeframe: Measured during the last 12 weeks of each 16-week treatment period
Intervention | percentage points (Mean) |
---|
2xICS | 4.44 |
1xICS + LABA | 6.26 |
1xICS + LTRA | 4.04 |
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Number of Participants With Preference for Satisfaction With Scent/Odor in DAQ
Participant preference for Satisfaction scent/odor at the end of crossover dosing with FF 110 µg and FP 200 µg was evaluated using IAQ and DAQ having question: How satisfied with scent/odor?. Participants specified their responses on a 6-point scale: 0: very satisfied; 1: moderately satisfied; 2: somewhat satisfied; 3: neither satisfied nor dissatisfied; 4: somewhat dissatisfied; 5; moderately dissatisfied; 6: very dissatisfied. (NCT00398476)
Timeframe: Day 1
Intervention | Participants (Count of Participants) |
---|
| DAQ, Very satisfied | DAQ, Moderately satisfied | DAQ, Somewhat satisfied | DAQ, Neither satisfied nor dissatisfied | DAQ, Somewhat dissatisfied | DAQ, Moderately dissatisfied | DAQ, Very dissatisfied |
---|
FF 110 µg | 14 | 11 | 12 | 10 | 5 | 0 | 1 |
,FP 200 µg | 19 | 21 | 20 | 22 | 16 | 6 | 2 |
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Number of Participants Satisfied With Product in DAQ
Number of participants responding to product satisfaction with delayed attributes questionnaire, Question: How satisfied with product?. Participants specified their responses on a 6-point scale: 0: very satisfied; 1: moderately satisfied; 2: somewhat satisfied; 3: neither satisfied nor dissatisfied; 4: somewhat dissatisfied; 5; moderately dissatisfied; 6: very dissatisfied. (NCT00398476)
Timeframe: Day 1
Intervention | Participants (Number) |
---|
| Very satisfied | Moderately satisfied | Somewhat satisfied | Neither satisfied nor dissatisfied | Somewhat dissatisfied | Moderately dissatisfied | Very dissatisfied |
---|
FF 110 µg | 44 | 27 | 17 | 19 | 7 | 5 | 2 |
,FP 200 µg | 34 | 23 | 27 | 21 | 8 | 7 | 0 |
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Number of Participants Who Satisfied Not to Have Scent/Odor in IAQ
Participant preference for participants who satisfied not to have scent/odor at the end of crossover dosing with FF 110 µg and FP 200 µg was evaluated using IAQ having question: How satisfied not to have scent/odor?. Participants specified their responses on a 6-point scale: 0: very satisfied; 1: moderately satisfied; 2: somewhat satisfied; 3: neither satisfied nor dissatisfied; 4: somewhat dissatisfied; 5; moderately dissatisfied; 6: very dissatisfied. (NCT00398476)
Timeframe: Day 1
Intervention | Participants (Count of Participants) |
---|
| IAQ, Very satisfied | IAQ, Moderately satisfied | IAQ, Somewhat satisfied | IAQ, Neither satisfied nor dissatisfied | IAQ, Somewhat dissatisfied | IAQ, Moderately dissatisfied | IAQ, Very dissatisfied |
---|
FF 110 µg | 46 | 7 | 1 | 6 | 2 | 0 | 1 |
,FP 200 µg | 10 | 2 | 0 | 1 | 0 | 0 | 1 |
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Number of Participants Satisfied With an After Taste in DAQ
Participant response for satisfaction with an after taste at the end of crossover dosing with FF 110 µg and FP 200 µg was evaluated using DAQ having question: How satisfied with aftertaste? Participants specified their responses on a 6-point scale: 0: Very satisfied; 1: Moderately satisfied; 2: Somewhat satisfied; 3: Neither satisfied nor dissatisfied; 4: Somewhat dissatisfied; 5: Moderately dissatisfied; 6: Very dissatisfied. (NCT00398476)
Timeframe: Day 1
Intervention | Participants (Number) |
---|
| Very satisfied | Moderately satisfied | Somewhat satisfied | Neither satisfied nor dissatisfied | Somewhat dissatisfied | Moderately dissatisfied | Very dissatisfied |
---|
FF 110 µg | 7 | 8 | 3 | 11 | 3 | 2 | 0 |
,FP 200 µg | 12 | 9 | 7 | 15 | 9 | 2 | 0 |
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Number of Participants Reported Product Make Want to Sneeze in IAQ
Participant response regarding sneezing effect at the end of crossover dosing with FF 110 µg and FP 200 µg was evaluated using IAQ having question: Did product make want to sneeze?. Participants specified their responses on a 6-point scale: 0: No urgency; 1: Very slight urgency; 2: slight urgency; 3: Neither slight nor moderate urgency; 4: Moderate urgency; 5; Marked urgency; 6: Very marked urgency. (NCT00398476)
Timeframe: Day 1
Intervention | Participants (Number) |
---|
| No urgency | Very slight urgency | Slight urgency | Neither slight nor moderate urgency | Moderate urgency | Marked urgency | Very marked urgency |
---|
FF 110 µg | 87 | 17 | 8 | 2 | 2 | 3 | 2 |
,FP 200 µg | 93 | 12 | 10 | 2 | 2 | 2 | 0 |
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Number of Participants Reported Product Have an After Taste in DAQ
Participant response for an after taste at the end of crossover dosing with FF 110 µg and FP 200 µg was evaluated using DAQ having question: Did product have an aftertaste?. Participants specified their responses on a 6-point scale: 0: No aftertaste; 1: Very mild; 2: Mild; 3: Neither mild nor strong; 4: Slightly strong; 5: Moderately strong; 6: Very strong. (NCT00398476)
Timeframe: Day 1
Intervention | Participants (Number) |
---|
| No aftertaste | Very mild aftertaste | Mild aftertaste | Neither mild nor strong aftertaste | Slightly strong aftertaste | Moderately strong aftertaste | Very strong aftertaste |
---|
FF 110 µg | 90 | 22 | 7 | 0 | 2 | 0 | 0 |
,FP 200 µg | 66 | 33 | 10 | 3 | 6 | 3 | 0 |
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Overall Participants Preference for Nasal Spray Based on Selected Product Attributes at the End of Crossover Dosing
An overall preference questionnaire (OPQ) was used to evaluate participant's preference for nasal spray therapy for the given treatments. OPQ allows the responder three options, based on products attributes, i.e. preference for product 1 (FF 110 µg); preference for product 2 (FP 200 µg) and no preference. Three participant-related questionnaires were completed during the course of the study, including two attributes questionnaires : Immediate attributes questionnaire (IAQ) and delayed attributes questionnaire (DAQ). An OPQ was completed upon completion of the crossover dosing. (NCT00398476)
Timeframe: Day 1
Intervention | Participants (Number) |
---|
| Overall, FF 110 µg | Overall, FP 200 µg | Overall, No preference | Scent/odor, FF 110 µg | Scent/odor, FP 200 µg | Scent/odor, No preference | Immediate taste, FF 110 µg | Immediate taste, FP 200 µg | Immediate taste, No preference | After-taste, FF 110 µg | After-taste, FP 200 µg | After-taste, No preference | Less drip down throat, FF 110 µg | Less drip down throat, FP 200 µg | Less drip down throat, No preference | Less run out nose, FF 110 µg | Less run out nose, FP 200 µg | Less run out nose, No preference | More soothing, FF 110 µg | More soothing, FP 200 µg | More soothing, No preference | Less irritating, FF 110 µg | Less irritating, FP 200 µg | Less irritating, No preference | Urge to sneeze, FF 110 µg | Urge to sneeze, FP 200 µg | Urge to sneeze, No preference |
---|
Overall Study Arm | 72 | 39 | 9 | 77 | 35 | 8 | 56 | 25 | 39 | 53 | 26 | 41 | 52 | 32 | 36 | 59 | 23 | 38 | 45 | 38 | 37 | 41 | 26 | 53 | 25 | 21 | 74 |
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Number of Participants With Preference for Scent/Odor in IAQ and DAQ
Participant preference for scent/odor at the end of crossover dosing with FF 110 µg and FP 200 µg was evaluated using IAQ and DAQ having question: Did product have a scent/odor?. Participants specified their responses on a 6-point scale: 0: none; 1: very mild; 2: mild; 3: neither mild nor strong; 4: slightly strong; 5; moderately strong; 6: very strong. Higher score indicated strong odor. (NCT00398476)
Timeframe: Day 1
Intervention | Participants (Number) |
---|
| IAQ, None | DAQ, None | IAQ, Very mild | DAQ, Very mild | IAQ, Mild | DAQ, Mild | IAQ, Neither mild nor strong | DAQ, Neither mild nor strong | IAQ, Slightly strong | DAQ, Slightly strong | IAQ, Moderately strong | DAQ, Moderately strong | IAQ, Very strong | DAQ, Very strong |
---|
FF 110 µg | 62 | 71 | 27 | 21 | 19 | 16 | 2 | 4 | 6 | 6 | 4 | 2 | 1 | 1 |
,FP 200 µg | 12 | 16 | 22 | 39 | 35 | 29 | 7 | 4 | 20 | 20 | 19 | 10 | 5 | 3 |
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Number of Participants With Preference for Satisfaction With Scent/Odor in IAQ
Participant preference for Satisfaction scent/odor at the end of crossover dosing with FF 110 µg and FP 200 µg was evaluated using IAQ having question: How satisfied with scent/odor?. Participants specified their responses on a 6-point scale: 0: very satisfied; 1: moderately satisfied; 2: somewhat satisfied; 3: neither satisfied nor dissatisfied; 4: somewhat dissatisfied; 5; moderately dissatisfied; 6: very dissatisfied. (NCT00398476)
Timeframe: Day 1
Intervention | Participants (Count of Participants) |
---|
| IAQ, Very satisfied | IAQ, Moderately satisfied | IAQ, Somewhat satisfied | IAQ, Neither satisfied nor dissatisfied | IAQ, Somewhat dissatisfied | IAQ, Moderately dissatisfied | IAQ, Very dissatisfied |
---|
FF 110 µg | 11 | 12 | 13 | 16 | 6 | 1 | 2 |
,FP 200 µg | 16 | 20 | 25 | 17 | 23 | 5 | 3 |
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Number of Participants Reported Nasal Irritation in DAQ
Participant response regarding nasal irritation at the end of crossover dosing with FF 110 µg and FP 200 µg was evaluated using DAQ having question: Did product cause nasal irritation?. Participants specified their responses on a 6-point scale: 0: none; 1: very slight; 2: slight; 3: neither slight nor moderate; 4: moderate; 5; marked; 6: very marked. (NCT00398476)
Timeframe: Day 1
Intervention | Participants (Number) |
---|
| None | Very slight | Slight | Neither slight nor moderate | Moderate | Marked | Very marked |
---|
FF 110 µg | 89 | 18 | 6 | 2 | 3 | 2 | 1 |
,FP 200 µg | 78 | 21 | 10 | 3 | 7 | 1 | 1 |
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Number of Participants Reported Nasal Irritation Bothersome in DAQ
Participant response regarding bothersome of nasal irritation at the end of crossover dosing with FF 110 µg and FP 200 µg was evaluated using DAQ having question: How bothersome was nasal irritation?. Participants specified their responses on a 6-point scale: 0: none; 1: very slightly; 2: slightly; 3: neither slightly nor moderately; 4: moderately; 5; markedly; 6: very markedly. (NCT00398476)
Timeframe: Day 1
Intervention | Participants (Number) |
---|
| None | Very slightly | Slightly | Neither slightly nor moderately | Moderately | Markedly | Very markedly |
---|
FF 110 µg | 7 | 15 | 9 | 2 | 4 | 0 | 1 |
,FP 200 µg | 7 | 22 | 8 | 2 | 6 | 1 | 2 |
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Number of Participants Reported Medicine Run Out of Nose in IAQ and DAQ
Participant response regarding did the medicine run out of nose at the end of crossover dosing with FF 110 µg and FP 200 µg was evaluated using IAQ and DAQ having question: Did medicine run out of nose? Participants specified their responses on a 6-point scale: 0: none; 1: very slightly; 2: slightly; 3: neither slightly nor moderately; 4: moderately; 5; markedly; 6: very markedly. (NCT00398476)
Timeframe: Day 1
Intervention | Participants (Number) |
---|
| IAQ, None | DAQ, None | IAQ, Very slightly | DAQ, Very slightly | IAQ, Slightly | DAQ, Slightly | IAQ, Neither slightly nor moderately | DAQ, Neither slightly nor moderately | IAQ, Moderately | DAQ, Moderately | IAQ, Markedly | DAQ, Markedly | IAQ, Very markedly | DAQ, Very markedly |
---|
FF 110 µg | 61 | 63 | 42 | 40 | 11 | 10 | 2 | 1 | 5 | 7 | 0 | 0 | 0 | 0 |
,FP 200 µg | 38 | 46 | 38 | 39 | 28 | 24 | 1 | 1 | 11 | 4 | 4 | 4 | 1 | 3 |
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Number of Participants Who Satisfied Not to Have Scent/Odor in DAQ
Participant preference for participants who satisfied not to have scent/odor at the end of crossover dosing with FF 110 µg and FP 200 µg was evaluated using IAQ and DAQ having question: How satisfied not to have scent/odor?. Participants specified their responses on a 6-point scale: 0: very satisfied; 1: moderately satisfied; 2: somewhat satisfied; 3: neither satisfied nor dissatisfied; 4: somewhat dissatisfied; 5; moderately dissatisfied; 6: very dissatisfied. (NCT00398476)
Timeframe: Day 1
Intervention | Participants (Count of Participants) |
---|
| DAQ, Very satisfied | DAQ, Moderately satisfied | DAQ, Somewhat satisfied | DAQ, Neither satisfied nor dissatisfied | DAQ, Somewhat dissatisfied | DAQ, Moderately dissatisfied | DAQ, Very dissatisfied |
---|
FF 110 µg | 56 | 2 | 4 | 8 | 3 | 0 | 1 |
,FP 200 µg | 14 | 1 | 0 | 1 | 0 | 0 | 0 |
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Number of Participants Reported Medicine Run Down Throat in IAQ and DAQ
Participant response regarding did the medicine run down throat at the end of crossover dosing with FF 110 µg and FP 200 µg was evaluated using IAQ and DAQ having question: Did medicine run down throat? Participants specified their responses on a 6-point scale: 0: None; 1: Very slightly; 2: Slightly; 3: Neither slightly nor moderately; 4: Moderately; 5: Markedly; 6: Very markedly. (NCT00398476)
Timeframe: Day 1
Intervention | Participants (Number) |
---|
| IAQ, None | DAQ, None | IAQ, Very slightly | DAQ, Very slightly | IAQ, Slightly | DAQ, Slightly | IAQ, Neither slightly nor moderately | DAQ, Neither slightly nor moderately | IAQ, Moderately | DAQ, Moderately | IAQ, Markedly | DAQ, Markedly | IAQ, Very markedly | DAQ, Very markedly |
---|
FF 110 µg | 74 | 64 | 28 | 36 | 11 | 12 | 3 | 1 | 3 | 5 | 1 | 3 | 1 | 0 |
,FP 200 µg | 69 | 55 | 29 | 37 | 15 | 17 | 5 | 3 | 3 | 6 | 0 | 1 | 0 | 1 |
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Number of Participants Comply With Product if Prescribed in DAQ
Number of participants responding to product attributes using delayed attributes questionnaire, Question: How likely to comply if prescribed?. Participants specified their responses on a 6-point scale: 0: very likely; 1: moderately likely; 2: somewhat likely; 3: neither likely nor unlikely; 4: somewhat unlikely; 5; moderately unlikely; 6: very unlikely. (NCT00398476)
Timeframe: Day 1
Intervention | Participants (Number) |
---|
| Very likely | Moderately likely | Somewhat likely | Neither likely nor unlikely | Slightly unlikely | Moderately unlikely | Very unlikely |
---|
FF 110 µg | 63 | 19 | 18 | 7 | 4 | 4 | 6 |
,FP 200 µg | 45 | 26 | 16 | 10 | 12 | 7 | 4 |
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Number of Participants Reported Product Feel Soothing in IAQ and DAQ
Participant response for soothing feel at the end of crossover dosing with FF 110 µg and FP 200 µg was evaluated using IAQ and DAQ having question: Did product feel soothing?. Participants specified their responses on a 6-point scale: 0: none; 1: very slightly; 2: slightly; 3: neither slightly nor moderately; 4: moderately; 5; markedly; 6: very markedly. (NCT00398476)
Timeframe: Day 1
Intervention | Participants (Number) |
---|
| IAQ, None | DAQ, None | IAQ, Very slight | DAQ, Very slight | IAQ, Slight | DAQ, Slight | IAQ, Neither slight nor moderate | DAQ, Neither slight nor moderate | IAQ, Moderate | DAQ, Moderate | IAQ, Marked | DAQ, Marked | IAQ, Very marked | DAQ, Very marked |
---|
FF 110 µg | 28 | 26 | 28 | 34 | 25 | 25 | 17 | 15 | 15 | 11 | 4 | 5 | 4 | 4 |
,FP 200 µg | 24 | 25 | 31 | 31 | 27 | 29 | 16 | 11 | 16 | 19 | 5 | 6 | 2 | 0 |
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Onset-of-action Based on Change From Baseline FEV1 at the 5 Min Pulmonary Function Test (PFT) Assessment on Day 1
PFTs, including FEV1, were done on Day 1. Evaluations included 30 min before and immediately before the first dose, the mean of which was Baseline, and at intervals from 5 min to 12 hrs postdose. Onset of action was defined as statistically significant improvement of MF/F over F/SC in Change from Baseline FEV1 at the 5-min postdose evaluation on Day 1. The same series of PFTs were done at Week 12. Change from Baseline to Week 12 evaluations were calculated using the same Day 1 predose scores for Baseline. The Week-12 evaluation consisted of AUC FEV1 scores across the 12-hour postdose interval. (NCT00424008)
Timeframe: Baseline to 5 minutes post-dose on Day 1
Intervention | Liters (Least Squares Mean) |
---|
MF/F MDI 200/10 mcg BID | 0.20 |
F/SC DPI 250/50 mcg BID | 0.09 |
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Change From Baseline in Asthma Control Questionnaire (ACQ) Total Score at Week 12 Endpoint
The Asthma Control Questionnaire (ACQ) by Juniper et al. is a mean of 7 equally weighted composite scores; each scaled from 0=best case scenario to 6=worst case scenario on an integer scale. Composites include the following: How Often Woken by Asthma, How Bad Were Asthma Symptoms When You Woke, Activity Limitations, Shortness of Breath, Wheezing, Average Daily Short-Acting Beta 2-Agonist (SABA) Puffs, and physician-evaluated lung function. With the exception of physician-evaluated lung function collected at the visit, evaluations were over the last week recall period. (NCT00424008)
Timeframe: Baseline to Week 12
Intervention | Scores on a scale (Least Squares Mean) |
---|
MF/F MDI 200/10 mcg BID | -0.65 |
F/SC DPI 250/50 mcg BID | -0.65 |
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The Area Under the Curve From 0 to 12 Hours [AUC](0-12 hr) of the Change From Baseline to the Week 12 Endpoint in Forced Expiratory Volume in One Second (FEV1)
(NCT00424008)
Timeframe: Baseline to Week 12
Intervention | Liter x hour (Least Squares Mean) |
---|
MF/F MDI 200/10 mcg BID | 3.43 |
F/SC DPI 250/50 mcg BID | 3.24 |
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The Proportion of Symptom-free Days and Nights (Combined) Over the 12-week Treatment Period.
For each day of the evaluation period, symptoms were collected in the morning for the night's evaluation, and in the evening for the day's evaluation. Symptoms included coughing, wheezing, and difficulty breathing, each integer-scaled from 0=none to 3=severe. A symptom-free Day/Night is defined as a combined score of 0 across the morning and evening evaluations. The proportion of 0 scores across the Baseline period, and across the 12-week treatment period, is calculated to determine the overall proportion of symptom-free Days/Nights for each of these periods. (NCT00424008)
Timeframe: Baseline to Week 12
Intervention | Proportion of symptom-free days/nights (Least Squares Mean) |
---|
| Baseline (over the last week prior to first dose) | Actual proportion over the 12-wk treatment period | Change from Baseline to over the 12-wk tx period |
---|
F/SC DPI 250/50 mcg BID | 0.18 | 0.43 | 0.25 |
,MF/F MDI 200/10 mcg BID | 0.19 | 0.42 | 0.24 |
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Percentage of Participants Who Attained Remission.
Remission is considered achieved when the highest eosinophil count per high power field (hpf) in all esophageal biopsies is = 1 eosinophil/hpf after 3 months of therapy. (NCT00426283)
Timeframe: 3 months
Intervention | percentage of participants (Number) |
---|
Flovent 1760 mcg | 65.2 |
Placebo | 0 |
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Percent of Participants With Decreased Cortisol Levels After 3 Months
"Blood and saliva cortisol was measured and compared to reference range at 3 months. Participants with measures below the reference range were considered decreased." (NCT00426283)
Timeframe: 3 months
Intervention | percentage of participants (Number) |
---|
Flovent 1760 mcg | 17.4 |
Placebo | 0 |
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Association of Subject Age, Body Mass Index Z-score, and Allergic Status to Response to Flovent
Strength of the association (odds ratio) of age, body mass index (BMI) z-score , and allergic status with response to Flovent. Allergic status is defined as a history of allergic disease (allergic rhinitis, hay fever, atopic dermatitis, eczema, food anaphylaxis, asthma, or positive skin prick tests). Response is defined as <= 1 eosinophil/high power field in esophageal biopsies. (NCT00426283)
Timeframe: 3 months
Intervention | Odds Ratio (Number) |
---|
| Odds Ratio for Age | Odds Ratio for BMI Z-Score | Odds Ratio for Allergic Status |
---|
Flovent 1760 mcg | 0.907 | 0.541 | 0.572 |
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Association of Compliance With Therapy and Response to Flovent
Odds ratio was determined to show the strength of the association between compliance with the drug therapy and response to the drug therapy (NCT00426283)
Timeframe: 3 months
Intervention | Odds Ratio (Number) |
---|
Flovent 1760 mcg | 1.037 |
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EoE Score After 3 Months
The gene expression profile is associated with an EoE score algorithm reflecting disease status and severity in a quantifiable number - called the EoE score, based on a core set of 77 diagnostic genes. The EoE score was calculated for Flovent responders and placebo. Higher scores indicate normalization of genes associated with inflammation and fibrosis (disease severity). Therefore higher scores mean a better outcome. The minimum score is zero. There is no maximum score. (NCT00426283)
Timeframe: 3 months
Intervention | score on a scale (Mean) |
---|
Flovent 1760 mcg Responders | 382 |
Placebo | 152 |
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Percent of Participants With Abdominal Pain After Therapy
"Percent of participants responding that they experienced abdominal pain (i.e. they did not respond never) after therapy. Responses were dichotomized into Never and sometimes." (NCT00426283)
Timeframe: 3 months
Intervention | percentage of participants (Number) |
---|
Flovent 1760 mcg | 63 |
Placebo | 50 |
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Mean Change From Baseline Over the Two-week Treatment Period in Nighttime Symptoms Score (NSS)
The NSS is a three-item questionnaire which assesses three aspects of allergic rhinitis symptoms at night which were rated using three 4-point scales, the sum of which comprises NSS. The total score ranged from 0 (best) to 9 (worst). The symptoms were: PM nasal congestion upon awakening (PMNCA) (0- None, 1- Mild, 2- Moderate, 3- Severe), difficulty in going to sleep due to nasal symptoms (DSNS) (0- Not at all, 1- Little, 2- Moderately, 3- Very), and nighttime awakenings due to nasal symptoms (NANS) (0- Not at all, 1- Once, 2- More than once, 3- I felt like I was awake all night). Each participant's Baseline NSS was defined as the average of the NSS calculated for the day of randomization and the three highest NSS scores calculated during the six days immediately prior to the day of randomization. Each participant's average change from Baseline NSS for Weeks 1-2 was the participant's average NSS over the treatment period minus the participant's Baseline NSS. (NCT00435461)
Timeframe: Baseline (Day 1) and up to 2 Weeks
Intervention | Scores on a scale (Mean) |
---|
| NSS, Week 1-2 | PMNCA, Week 1-2 | NANS, Week 1-2 | DSNS, Week 1-2 |
---|
Fex 180 mg | -2.0 | -0.6 | -0.7 | -0.8 |
,FFNS 110 mcg | -2.9 | -0.9 | -1.0 | -1.1 |
,Placebo | -1.9 | -0.6 | -0.7 | -0.7 |
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Mean Change From Baseline Over the Two-week Treatment Period in Pre-dose Instantaneous Total Nasal Symptom Score (Pre-dose iTNSS) and Pre-dose Instantaneous Total Ocular Symptom Scores (Pre-dose iTOSS)
Participants were instructed to score and document their symptoms in an instantaneous manner on a diary card. The instantaneous rating was performed once daily just prior to administering their morning dose. The scores of each of the instantaneous nasal symptoms (nasal congestion, itching, rhinorrhea, and sneezing) and ocular symptoms (tearing/watering, itching/burning, and redness) were summed for each participant to create a iTNSS and iTOSS, respectively using a 4-point scale, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). Total score ranged from 0 (best) to 12 (worst) for iTNSS and 0 (best) to 9 (worst) for iTOSS. Each participant's average change from Baseline iTNSS and iTOSS was participant's average iTNSS and iTOSS total score over the treatment period minus the participant's Baseline score. (NCT00435461)
Timeframe: Baseline (Day 1) and up to 2 Weeks
Intervention | Score on a scale (Mean) |
---|
| TNSS | Pre-dose iTNSS, Nasal congestion | Pre-dose iTNSS, Itchy nose | Pre-dose iTNSS, Runny nose | Pre-dose iTNSS, Sneezing | TOSS | Pre-dose iTOSS, Eye tearing | Pre-dose iTOSS, Eye itching | Pre-dose iTOSS, Eye redness |
---|
Fex 180 mg | -2.6 | -0.6 | -0.7 | -0.6 | -0.7 | -2.2 | -0.8 | -0.8 | -0.7 |
,FFNS 110 mcg | -3.6 | -0.8 | -1.0 | -0.9 | -1.0 | -2.4 | -0.9 | -0.9 | -0.8 |
,Placebo | -2.3 | -0.6 | -0.7 | -0.6 | -0.7 | -1.9 | -0.7 | -0.7 | -0.6 |
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Mean Change From Baseline Over the Two-week Treatment Period in Peak NasalIinspiratory Flow (PNIF)
PNIF was measured by participants using an In-Check Nasal portable hand-held inspiratory flow meter and face mask. Participants recorded PNIF twice daily (in the morning prior to taking their study medication and in the evening). Three measurements were taken on each occasion and the highest measurement recorded on the electronic diary. Each participant's average change from Baseline PNIF was the participant's average PNIF over the treatment period minus the participant's baseline PNIF. (NCT00435461)
Timeframe: Baseline (Day 1) and up to 2 Weeks
Intervention | Liter(L)/minute (min) (Mean) |
---|
| Morning PNIF | Evening PNIF |
---|
Fex 180 mg | 1.4 | 1.3 |
,FFNS 110 mcg | 9.9 | 7.1 |
,Placebo | 1.7 | 0.2 |
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Mean Change From Baseline Over the Two-week Treatment Period in Nighttime Reflective Total Ocular Symptom Scores (N-rTOSS)
The nighttime reflective assessments were recorded each morning and assessed 3 ocular symptoms (tearing/watering, itching/burning, and redness) at evening and night using a 4-point scale, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). Scores of each of 3 Nighttime symptoms were summed for each participant to create a N-rTOSS for each day. The total score ranged from 0 (best) to 9 (worst). Each participants Baseline total score was average of nighttime total symptom score on day of randomization and the 3 highest scores calculated for 6 days immediately prior to the day of randomization. Each participant's average change from Baseline nighttime total symptom score for Weeks 1-2 was the participant's average Nighttime total symptom score over treatment period minus the participant's Baseline score. (NCT00435461)
Timeframe: Baseline (Day 1) and up to 2 Weeks
Intervention | Scores on a scale (Mean) |
---|
| TOSS | Eye tearing | Eye itching | Eye redness |
---|
Fex 180 mg | -2.2 | -0.8 | -0.8 | -0.7 |
,FFNS 110 mcg | -2.5 | -0.9 | -0.9 | -0.8 |
,Placebo | -2 | -0.7 | -0.7 | -0.6 |
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Mean Change From Baseline Over the Two-week Treatment Period in Nighttime Reflective Total Nasal Symptom Scores (N-rTNSS) and Component Nasal Symptoms Score
The nighttime reflective assessments were recorded each morning and assessed 4 nasal symptoms (rhinorrhea, nasal congestion, nasal itching, sneezing) at evening and night using a 4-point scale, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). Scores of each of the 4 symptoms were summed for each participant to create a N-rTNSS for each day. The total score ranged from 0 (best) to 12 (worst). Each participant's Baseline total score was average of nighttime total symptom score on day of randomization and 3 highest scores calculated for 6 days immediately prior to day of randomization. Each participant's average change from Baseline nighttime total symptom score for Weeks 1-2 was the participant's average Nighttime total symptom score over the treatment period minus the participant's Baseline score. (NCT00435461)
Timeframe: Baseline (Day 1) and up to 2 Weeks
Intervention | Scores on a scale (Mean) |
---|
| TNSS | Nasal congestion | Itchy nose | Runny nose | Sneezing |
---|
Fex 180 mg | -2.7 | -0.7 | -0.7 | -0.7 | -0.7 |
,FFNS 110 mcg | -3.7 | -0.9 | -0.9 | -0.9 | -1.0 |
,Placebo | -2.5 | -0.6 | -0.7 | -0.6 | -0.7 |
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Mean Change From Baseline Over the Two-week Treatment Period in Daytime Reflective Total Ocular Symptom Scores (D-rTOSS)
The Daytime reflective assessments were recorded each evening and assessed the 3 nasal symptoms (tearing/watering, itching/burning, and redness) at evening and night using a 4-point scale where, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). The scores of each of the three Daytime symptoms were summed for each participant to create a D-rTOSS for each day. The total score ranged from 0 (best) to 9 (worst). Each participants Baseline total symptom score was the average of the four highest total symptom score calculated for the seven days immediately prior to the day of randomization. Each participant's average change from Baseline Daytime total symptom score for Weeks 1-2 was the participant's average Daytime total symptom score over the treatment period minus the participant's Baseline score. (NCT00435461)
Timeframe: Baseline (Day 1) and up to 2 Weeks
Intervention | Scores on a scale (Mean) |
---|
| TOSS | Eye tearing | Eye itching | Eye redness |
---|
Fex 180 mg | -2.4 | -0.8 | -0.9 | -0.7 |
,FFNS 110 mcg | -2.6 | -0.9 | -0.9 | -0.8 |
,Placebo | -2.2 | -0.8 | -0.8 | -0.7 |
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Mean Change From Baseline Over the Two-week Treatment Period in D-rTNSS
The Daytime reflective assessments were recorded each evening and assessed 4 nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing) at evening and night using a 4-point scale, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). The scores of each of the four Daytime symptoms were summed for each participant to create a D-rTNSS for each day. The total score ranged from 0 (best) to 12 (worst). Each participant's Baseline total symptom score was the average of the four highest total symptom score calculated for the seven days immediately prior to the day of randomization. Each participant's average change from Baseline Daytime total symptom score for Weeks 1-2 was the participant's average Daytime total symptom score over the treatment period minus the participants Baseline score. (NCT00435461)
Timeframe: Baseline (Day 1) and up to 2 Weeks
Intervention | Scores on a scale (Mean) |
---|
| TNSS | Nasal congestion | Itchy nose | Runny nose | Sneezing |
---|
Fex 180 mg | -3.0 | -0.8 | -0.8 | -0.7 | -0.9 |
,FFNS 110 mcg | -3.7 | -0.9 | -1.0 | -0.9 | -1.1 |
,Placebo | -2.6 | -0.7 | -0.7 | -0.6 | -0.7 |
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Mean Change From Baseline Over the Two-week Treatment Period in 24-hour Reflective Total Ocular Symptom Scores (24-hour rTOSS)
Daily 24-hour rTOSS was calculated as the average of the corresponding N-rTOSS and D-rTOSS using a 4-point scale, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). The total score ranged from 0 (best) to 9 (worst). The 24-hour total symptom score for a Day is the average of the daytime total symptom score for that Day and the nighttime score for (D+1). If either component of a given date's 24-hour total symptom score was missing, then the 24-hour total symptom score itself was to be set to missing. Each participant's average change from Baseline 24-hour total symptom score for Weeks 1-2 was the participant's average 24-hour total symptom score over the treatment period minus the participant's Baseline score. Baseline is the 4 highest scores calculated for the 7 days prior to Day 1. (NCT00435461)
Timeframe: Baseline (Day 1) and up to 2 Weeks
Intervention | Scores on a scale (Mean) |
---|
| TOSS | Eye tearing | Eye itching | Eye redness |
---|
Fex 180 mg | -2.2 | -0.8 | -0.8 | -0.7 |
,FFNS 110 mcg | -2.5 | -0.9 | -0.9 | -0.8 |
,Placebo | -2.0 | -0.7 | -0.7 | -0.7 |
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Mean Change From Baseline Over the Two-week Treatment Period in 24-hour Reflective Total Nasal Symptom Scores (24-hour rTNSS) and Component Nasal Score
Daily 24-hour rTNSS was calculated as the average of the corresponding N-rTNSS and D-rTNSS using a 4-point scale where, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). The total score ranged from 0 (best) to 12 (worst). The 24-hour total symptom score for a Day is the average of the daytime total symptom score for that Day and the nighttime score for (D+1). If either component of a given date's 24-hour total symptom score was missing, then the 24-hour total symptom score itself were to be set to missing. Each participant's average change from Baseline 24-hour total symptom score for Weeks 1-2 was the participants average 24-hour total symptom score over the treatment period minus the participant's Baseline score. (NCT00435461)
Timeframe: Baseline (Day 1) and up to 2 Weeks
Intervention | Scores on a scale (Mean) |
---|
| TNSS | Nasal congestion | Itchy nose | Runny nose | Sneezing |
---|
Fex 180 mg | -2.8 | -0.7 | -0.8 | -0.7 | -0.8 |
,FFNS 110 mcg | -3.6 | -0.9 | -0.9 | -0.9 | -1.0 |
,Placebo | -2.5 | -0.6 | -0.7 | -0.6 | -0.7 |
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Mean Change From Baseline for Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ)
The NRQLQ is a paper instrument administered on the day of randomization and at Visit 4/Early Withdrawal to assess nocturnal rhinitis-related quality of life. The NRQLQ is a 16-item, self-administered, disease-specific (allergic rhinitis), and quality of life instrument that measures the functional problems most troublesome to patients with nocturnal allergy symptoms over a one-week interval. Each question is scored from 0 to 6 with higher scores indicating more nocturnal impairment. Items are grouped into four domains: Sleep problems, Sleep time problems, Symptoms on waking in the morning and Practical problems. An overall score was calculated from the mean score of all items. Each participant's average change from Baseline NRQLQ score was the participant's average NRQLQ score over the treatment period minus the participant's baseline score. (NCT00435461)
Timeframe: Baseline (Day 1) and Day 15
Intervention | Scores on a scale (Mean) |
---|
| Overall score | Sleep problems | Sleep time problems | Symptoms on waking | Practical problems |
---|
Fex 180 mg | -1.5 | -1.5 | -1.5 | -1.5 | -1.6 |
,FFNS 110 mcg | -1.9 | -1.9 | -1.9 | -2 | -1.9 |
,Placebo | -1.3 | -1.2 | -1.3 | -1.4 | -1.2 |
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Albuterol Use
Albuterol inhalation aerosol was used as a rescue or prophylactic and recorded daily by subject or caregiver. The number of puffs of albuterol over the previous 24 hour period prior to dosing was recorded. (NCT00441441)
Timeframe: Baseline and 12-Week Treatment Period
Intervention | Number of puffs per 24 hours (Mean) |
---|
| Baseline - Mean number of puffs | Weeks 1-12 - Mean number of puffs | Weeks 1-12 - Mean change from baseline | Last 7 Days on Treatment - Mean number of puffs | Last 7 Days on Treat. - Mean change from baseline |
---|
Fluticasone Propionate HFA | 1.8 | 0.9 | -1.0 | 0.7 | -1.2 |
,Fluticasone Propionate/Salmeterol HFA | 1.5 | 1.0 | -0.6 | 0.7 | 0.15 |
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AM Peak Expiratory Flow
The peak expiratory flow (PEF) rate measures how fast a person can exhale air. It is used to compare to normal flow rates to predict obstruction and disease. The average PEF for a child or adolescent whose height is 43 inches is 147 Liters/minute (L/min), whose height is 66 inches is 454 L/min. Triplicate measurements taken for the best effort recorded. (NCT00441441)
Timeframe: Baseline and 12-Week Treatment Period
Intervention | Liters/minute (L/min) (Mean) |
---|
| Baseline - Mean AM PEF | Weeks 1-12 - Mean AM PEF | Weeks 1-12 - Mean Change from Baseline | Last 7 Days on Treatment - Mean AM PEF | Last 7 Days on Treatment-Mean Change from Baseline |
---|
Fluticasone Propionate HFA | 203 | 220 | 17.4 | 226 | 23.3 |
,Fluticasone Propionate/Salmeterol HFA | 213 | 233 | 20.2 | 238 | 25.3 |
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Asthma Exacerbations: Worsening of Asthma Requiring Emergency Intervention, Hospitalization, or Treatment With Asthma Medications Prohibited by the Protocols
The Primary Investigator determined the severity of the exacerbation based on the participant's clinical presentation and the investigator's understanding of the disease, the participant, and his or her clinical experiences. The severity of the exacerbation was not defined in the protocol. Mild: Usually treated at home. Prompt relief with inhaled short-acting beta2 agonist. Possible short course of oral systemic corticosteroids. Moderate: Usually requires office or emergency department visit. Relief with frequent inhaled short-acting beta2 agonist. Oral systemic corticosteroids; some symptoms last for 1-2 days after treatment begins. Severe: Usually requires emergency department visit and likely hospitalization. Partial relief with frequent inhaled short-acting beta2 agonist. Oral systemic corticosteroids; some symptoms last for more than 3 days after treatment begins. Adjunctive therapies are helpful. (NCT00441441)
Timeframe: Treatment period (weeks 1-12)
Intervention | participants (Number) |
---|
| Participants with any asthma exacerbation | Severity - Mild | Severity - Moderate/Severe | Withdrawal due to Asthma Exacerbation |
---|
Fluticasone Propionate HFA | 3 | 2 | 1 | 2 |
,Fluticasone Propionate/Salmeterol HFA | 1 | 1 | 0 | 1 |
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Asthma Symptom Scores
Each morning prior dosing or PEF, self-scored based on past 24 hours: 0=No symptoms, 1=Symptoms for one short period, 2=Symptoms for two or more short periods, 3=Frequent Symptoms which did not affect activities of daily living (ADL), 4=Frequent. (NCT00441441)
Timeframe: Baseline and 12-Week Treatment Period
Intervention | Score in scale (Mean) |
---|
| Baseline - Mean Score | Weeks 1-12 - Mean Score | Weeks 1-12 - Mean change from baseline | Last 7 Days on Treatment - Mean Score | Last 7 Days on Treat. - Mean change from baseline |
---|
Fluticasone Propionate HFA | 1.4 | 0.8 | -0.6 | 0.8 | -0.6 |
,Fluticasone Propionate/Salmeterol HFA | 1.3 | 0.9 | -0.4 | 0.8 | -0.5 |
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Cardiovascular Adverse Events Reported During the Post-Treatment Period
Cardiovascular Adverse Events, as categorized by the Medical Dictionary for Regulatory Activities (MeDRA), reported during Post-treatment period, defined as 1 day after last dose of study drug. The Adverse Events were identified in any ECG interpretation by a central reader (Cardiologist) for any ECG obtained after the first treatment dose and were then reported by the Primary Investigator as an Adverse Event. (NCT00441441)
Timeframe: 5 Days after Week 12
Intervention | participants (Number) |
---|
| Participants with Any Event | ECG QTc interval prolonged | QT interval prolonged | ECG QT interval Abnormal | Defect Conduction Intraventricular | Conduction disorder | Sinus Tachycardia | Supraventricular Ectopics |
---|
Fluticasone Propionate HFA | 19 | 5 | 2 | 0 | 7 | 1 | 0 | 1 |
,Fluticasone Propionate/Salmeterol HFA | 19 | 11 | 1 | 1 | 2 | 1 | 1 | 0 |
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Cardiovascular Adverse Events Reported During Treatment Period
Cardiovascular Adverse Events, as categorized by the Medical Dictionary for Regulatory Activities (MeDRA), reported during Treatment Period. The Adverse Events were identified in any ECG interpretation by a central reader (Cardiologist) for any ECG obtained after the first treatment dose and were then reported by the Primary Investigator as an Adverse Event. Please see the category titles for a list of candidate cardiovascular adverse events. (NCT00441441)
Timeframe: 12-Week Treatment Period
Intervention | participants (Number) |
---|
| Participants with Any Event | Electrocardiogram (ECG) Change | ECG QTc Interval Prolonged | ECG Abnormal | ECG QT Borderline Prolonged | Defect Conduction Intraventricular | Cardiac Arrhythmia | Premature Atrial Contraction |
---|
Fluticasone Propionate HFA | 103 | 2 | 1 | 1 | 0 | 3 | 0 | 0 |
,Fluticasone Propionate/Salmeterol HFA | 98 | 3 | 2 | 1 | 1 | 4 | 1 | 1 |
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Clinic Morning (AM) Forced Expiratory Volume in Participants 6-11 Years
"FEV1 (Forced Expiratory Volume in 1 second) is the volume of air that can be forced out in one second, after taking a deep breath. FEV1 is measured using a spirometer and obtaining best effort from 3 to 8 measurements. Week 12 is the measure taken at Week 12." (NCT00441441)
Timeframe: Baseline and week 12
Intervention | Liters per second (L/sec) (Mean) |
---|
| Baseline - Mean FEV1 | Week 12 - Mean FEV1 | Week 12 - Mean Change from baseline | Premature discontinuation - Mean FEV1 | Premature discontin. - Mean Change from baseline |
---|
Fluticasone Propionate HFA | 1.64 | 1.82 | 0.18 | 1.70 | -0.07 |
,Fluticasone Propionate/Salmeterol HFA | 1.67 | 1.91 | 0.24 | 1.81 | 0.03 |
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Clinically Significant Unfavorable ECGs at Week 12
Post-randomization ECGs categorized by the primary investigator as no change, significant change (favorable), significant change (unfavorable) from the ECG performed at Visit 1 (Baseline) are presented. Significant change (favorable) includes any ECG that improved from baseline, whereas significant change (unfavorable) includes any ECG that worsened from baseline. Clinical significance is determined by the primary investigator. (NCT00441441)
Timeframe: Baseline, Week 12
Intervention | participants (Number) |
---|
| Clinically significant unfavorable change | AEs Reported for ECG findings | Clinically significant unfavorable ECGs repeated | Repeated ECGs w/ no change or insignificant change |
---|
Fluticasone Propionate HFA | 18 | 18 | 11 | 5 |
,Fluticasone Propionate/Salmeterol HFA | 24 | 22 | 11 | 6 |
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ECG Measures - Heart Rate
The range of heart rates for this study was between 49-144 beats per minute (NCT00441441)
Timeframe: Baseline and Week 12
Intervention | beats per minute (Mean) |
---|
| Mean Heart Rate - Baseline | Mean Heart Rate - Week 12 | Mean Heart Rate - Premature Discontinuation |
---|
Fluticasone Propionate HFA | 82.6 | 81.9 | 92.4 |
,Fluticasone Propionate/Salmeterol HFA | 84 | 85.5 | 73.1 |
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Percentage of Symptom Free Days
Percentage of number of days without asthma symptoms based on Asthma Symptom Scores. Each morning prior to dosing or PEF, asthma symptoms were self-scored based on the past 24 hours: 0=no symptoms, 1=symptoms for one short period, 2=symptoms for two or more short periods, 3=frequent symptoms that did not affect activities of daily living (ADL), 4=frequent . (NCT00441441)
Timeframe: Baseline and 12-Week Treatment Period
Intervention | Percentage of days (Mean) |
---|
| Baseline - Mean Percent | Weeks 1-12 - Mean Percent | Weeks 1-12 - Mean change from baseline | Last 7 Days on Treatment - Mean Percent | Last 7 Days on Treat. - Mean change from baseline |
---|
Fluticasone Propionate HFA | 18.4 | 48.7 | 30.5 | 53.4 | 34.9 |
,Fluticasone Propionate/Salmeterol HFA | 20.0 | 46.7 | 26.8 | 51.9 | 32.1 |
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Percent of Albuterol-free Days
Percentage of days when Albuterol use was unnecessary based on daily record and symptom free days. (NCT00441441)
Timeframe: Baseline and 12-Week Treatment Period
Intervention | Percentage of days (Mean) |
---|
| Baseline - Mean percent rescue free | Weeks 1-12 - Mean percent rescue free | Weeks 1-12 - Mean change from baseline | Last 7 Days on Treat. - Mean percent rescue free | Last 7 Days on Treat. - Mean change from baseline |
---|
Fluticasone Propionate HFA | 42.5 | 70.0 | 28.3 | 75.8 | 32.8 |
,Fluticasone Propionate/Salmeterol HFA | 43.7 | 67.1 | 23.6 | 75.4 | 30.4 |
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Number of Participants With the Indicated Levels of 24-hour Urinary Cortisol Excretion
"Abnormal high cortisol excretion and Abnormal low cortisol excretion are defined as above the upper limit of normal and below the lower limit of normal, respectively. The normal range for cortisol levels vary by age and gender. An abnormality is defined as a value of 24-hour urinary cortisol excretion that is outside the normal range. The normal range for 24-hour urinary cortisol excretion was provided by the central laboratory." (NCT00441441)
Timeframe: Baseline and week 12
Intervention | participants (Number) |
---|
| Baseline - Abnormal high cortisol excretion, n | Baseline - Abnormal low cortisol excretion, n | Week 12 - Abnormal high cortisol excretion, n | Week 12 - Abnormal low cortisol excretion, n |
---|
Fluticasone Propionate HFA | 17 | 0 | 8 | 0 |
,Fluticasone Propionate/Salmeterol HFA | 13 | 1 | 13 | 2 |
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Number of Participants With the Indicated Levels of 24 Hour Urinary Cortisol Excretion by Spacer Use
"AeroChamber Plus spacers were provided for participants who demonstrated the inability to coordinate the use of an Meter Dose Inhaler at Visit 1. AeroChamber Plus spacer delivers 22% more medication than the original AeroChamber and is available in three mask sizes and without a mask. Abnormal high cortisol excretion and Abnormal low cortisol excretion are defined as above the upper limit of normal and below the lower limit of normal, respectively. An abnormality is defined as a value of 24-hour urinary cortisol excretion that is outside the normal range. The normal range for 24-hour urinary cortisol excretion was provided by the central laboratory." (NCT00441441)
Timeframe: Baseline and Week 12
Intervention | participants (Number) |
---|
| Baseline - Abnormal high cortisol excretion | Baseline - Abnormal low cortisol excretion | Week 12 - Abnormal high cortisol excretion | Week 12 - Abnormal low cortisol excretion |
---|
Fluticasone Propionate HFA - No Spacer | 3 | 0 | 1 | 0 |
,Fluticasone Propionate HFA - Spacer | 14 | 0 | 7 | 0 |
,Fluticasone Propionate/Salmeterol HFA - No Spacer | 1 | 1 | 3 | 0 |
,Fluticasone Propionate/Salmeterol HFA - Spacer | 12 | 0 | 10 | 2 |
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Investigator Evaluations of Electrocardiogram (ECG) Results
ECGs were transmitted to an independent cardiologist who was responsible for providing interpretation of the ECG as either normal or abnormal (based on personal assessment). The investigator was then responsible for determining the clinical significance of the abnormal ECG in the context of the participants' history and clinical presentation. An abnormal, clinically significant ECG included, but was not limited to: prolonged QT interval, ischemic changes, ventricular hypertrophy, intraventricular conduction abnormalities, and clinically significant arrhythmias. PD, premature discontinuation. (NCT00441441)
Timeframe: Baseline and Week 12
Intervention | participants (Number) |
---|
| Baseline - Normal | Baseline - Abnormal: Not Clinically Significant | Baseline - Abnormal: Clinically Significant | Week 12-No Change or insignificant Change | Week 12-Clinically Significant Change-Favorable | Week 12-Clinically Significant Change-Unfavorable | PD-No Change or insignificant Change | PD-Clinically Significant Change-Favorable | PD-Clinically Significant Change-Unfavorable |
---|
Fluticasone Propionate HFA | 155 | 21 | 0 | 142 | 0 | 18 | 9 | 1 | 1 |
,Fluticasone Propionate/Salmeterol HFA | 145 | 27 | 1 | 136 | 2 | 24 | 7 | 0 | 0 |
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Geometric Mean Values of 24-hour Urinary Cortisol Excretion by Spacer Use Excluding Participants With Abnormal Urinary Cortisol Excretion Values at Baseline From the Cortisol Population at Baseline and Week 12
AeroChamber Plus spacers were provided for participants who demonstrated the inability to coordinate the use of an Meter Dose Inhaler at Visit 1. AeroChamber Plus spacer delivers 22% more medication than the original AeroChamber and is available in three mask sizes and without a mask. Geometric mean is the product of the values taken to the Nth root, where N is the number of values in the set of values. (NCT00441441)
Timeframe: Baseline and Week 12
Intervention | Nanomoles per 24 hr (nmoles/24 hr) (Geometric Mean) |
---|
| Baseline - Geometric Mean | Week 12 - Geometric Mean |
---|
No Spacer | 31.88 | 27.85 |
,Spacer | 27.08 | 22.38 |
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Geometric Mean Values of 24-hour Urinary Cortisol Excretion at Baseline and Week 12
Normal range for Cortisol levels vary by age and gender. Geometric mean is the product of the values taken to the Nth root, where N is the number of values in the set of values. (NCT00441441)
Timeframe: Baseline and Week 12
Intervention | Nanomoles per 24 hours (nmol/24 hrs) (Geometric Mean) |
---|
| Baseline - Geometric Mean | Week 12 - Geometric Mean |
---|
Fluticasone Propionate HFA | 30.88 | 23.17 |
,Fluticasone Propionate/Salmeterol HFA | 32.71 | 25.03 |
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Geometric Mean Values of 24-hour Urinary Cortisol Excretion at Baseline and Week 12
A post-hoc analysis excluding participants with urine cortisol baseline values of >200 nanomoles/24 hours. Geometric mean is the product of the values taken to the Nth root, where N is the number of values in the set of values. (NCT00441441)
Timeframe: Baseline and Week 12
Intervention | Nanamoles per 24 hours (nmol/24 hrs) (Geometric Mean) |
---|
| Baseline - Geometric Mean | Week 12 - Geometric Mean |
---|
Fluticasone Propionate HFA | 28.39 | 22.80 |
,Fluticasone Propionate/Salmeterol HFA | 32.71 | 25.03 |
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Geometric Mean Values of 24 Hour Urinary Cortisol Excretion by Spacer Use at Baseline and Week 12
AeroChamber Plus spacers were provided for participants who demonstrated the inability to coordinate the use of an Meter Dose Inhaler at Visit 1. AeroChamber Plus spacer delivers 22% more medication than the original AeroChamber and is available in three mask sizes and without a mask. Geometric mean is the product of the values taken to the Nth root, where N is the number of values in the set of values. (NCT00441441)
Timeframe: Baseline and Week 12
Intervention | Nanomoles per 24 hours (nmol/24 hrs) (Geometric Mean) |
---|
| Baseline - Geometric Mean | Week 12 - Geometric Mean |
---|
Fluticasone Propionate HFA - No Spacer | 31.89 | 23.06 |
,Fluticasone Propionate HFA - Spacer | 30.61 | 23.20 |
,Fluticasone Propionate/Salmeterol HFA - No Spacer | 35.84 | 32.05 |
,Fluticasone Propionate/Salmeterol HFA - Spacer | 31.89 | 23.37 |
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ECG Measures - QT Interval
Fridericia's formula QTc interval=QT interval/cubed root of the R-R interval. The Bazett's formula QTc=QT/squared root of the R-R interval. (NCT00441441)
Timeframe: Baseline and Week 12
Intervention | milliseconds (Mean) |
---|
| Mean QTc Interval (Fridericia)- Baseline | Mean QTc Interval (Fridericia) - Week 12 | Premature Discontinuation (Fridericia) | Mean QTc Interval (Bazett) - Baseline | Mean QTc Interval (Bazett) - Week 12 | Premature Discontinuation (Bazett) |
---|
Fluticasone Propionate HFA | 390.8 | 393.6 | 394.8 | 411.4 | 413.7 | 422.7 |
,Fluticasone Propionate/Salmeterol HFA | 394.5 | 397.5 | 392 | 416.3 | 420.8 | 403.3 |
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Geometric Mean Ratio for Baseline: Week 12 24-hour Urinary Cortisol Excretion by Spacer Use Excluding Participants With Abnormal Urinary Cortisol Excretion Values at Baseline From the Cortisol Population
AeroChamber Plus spacers were provided for participants who demonstrated the inability to coordinate the use of an Meter Dose Inhaler at Visit 1. AeroChamber Plus spacer delivers 22% more medication than the original AeroChamber and is available in three mask sizes and without a mask. The data provided are a direct calculation of the Week 12 geometric mean divided by the baseline value,nanomoles per 24 hours (nmol/24 hrs) . (NCT00441441)
Timeframe: Baseline and Week 12
Intervention | ratio (Number) |
---|
Spacer | 0.87 |
No Spacer | 0.83 |
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Geometric Mean Ratio for Baseline:Week12 24-hour Urinary Cortisol Excretion
A post-hoc analysis excluding participants with urine cortisol baseline values of >200 nmol/24 hrs. The data provided are a direct calculation of the Week 12 geometric mean divided by the baseline value, nanomoles per 24 hours (nmol/24 hrs) . (NCT00441441)
Timeframe: Baseline and Week 12
Intervention | ratio (Number) |
---|
Fluticasone Propionate/Salmeterol HFA | 0.77 |
Fluticasone Propionate HFA | 0.80 |
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Geometric Mean Ratio for Week12: Baseline for 24 Hour Urinary Cortisol Excretion by Spacer Use
AeroChamber Plus spacers were provided for participants who demonstrated the inability to coordinate the use of an Meter Dose Inhaler at Visit 1. AeroChamber Plus spacer delivers 22% more medication than the original AeroChamber and is available in three mask sizes and without a mask. The data provided are a direct calculation of the Week 12 geometric mean divided by the baseline value, nanomoles per 24 hours (nmol/24 hrs). (NCT00441441)
Timeframe: Baseline and Week 12
Intervention | ratio (Number) |
---|
Fluticasone Propionate/Salmeterol HFA - Spacer | 0.73 |
Fluticasone Propionate/Salmeterol HFA - No Spacer | 0.89 |
Fluticasone Propionate HFA - Spacer | 0.76 |
Fluticasone Propionate HFA - No Spacer | 0.72 |
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Geometric Mean Ratio for Week12:Baseline for 24-hour Urinary Cortisol Excretion
Normal range for Cortisol levels vary by age and gender. The data provided are a direct calculation of the Week 12 geometric mean divided by the baseline value, nanomoles per 24 hours (nmol/24 hrs). (NCT00441441)
Timeframe: Baseline and Week 12
Intervention | ratio (Number) |
---|
Fluticasone Propionate/Salmeterol HFA | 0.77 |
Fluticasone Propionate HFA | 0.75 |
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Percentage of Subjects With Symptom-Free Nights & Days After 20 Weeks of Treatment
Percentage of subjects with Symptom Free Nights & Days after 20 weeks of Treatment (at week 30). (NCT00448435)
Timeframe: Extension Period Weeks 11-30
Intervention | Percentage of participants (Number) |
---|
| Baseline | After 20 weeks of treatment (at week 30) |
---|
SFC 50/100 Mcg/Day | 84.0 | 84.8 |
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Adjusted Mean Change From Baseline in Percent Personal Best Morning PEF(%) During the 20-week Extension Treatment Period
Mean change from baseline = value at assessment period (mean of the values obtained at assessment period [Weeks 11-30]) minus baseline value. Baseline: Mean of the daily values over the last 7 days prior to the day of starting the Extension period (Weeks 11-30). (NCT00448435)
Timeframe: Extension Period weeks 11-30
Intervention | Percentage of personal best value (Mean) |
---|
SFC 50/100 Mcg/Day | 1.29 |
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Adjusted Mean Change From Baseline in Morning PEF During the 20-week Extension Treatment Period
Mean change from baseline = value at assessment period (mean of the values obtained at assessment period (Weeks 11-30).) minus baseline value. Baseline: Mean of the daily values over the last 7 days prior to the day of starting of the Extension period (Weeks 11-30). (NCT00448435)
Timeframe: Extension Period Weeks 11-30
Intervention | L/min (Mean) |
---|
SFC 50/100 Mcg/Day | 3.0 |
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Adjusted Mean Change From Baseline in Morning PEF (Peak Expiratory Flow) During the 4-week Treatment Periods
Mean change from baseline = value at each assessment period (mean of the values obtained at each assessment period [Weeks 1-4/Weeks 7-10]) minus baseline value. Baseline: Mean of the daily values over the last 7 days of the 2-week run-in/wash-out (i.e., the last 7 days prior to the day of starting treatment period [Weeks 1-4/Weeks 7-10]). (NCT00448435)
Timeframe: Crossover Period Weeks 1-4, and 7-10
Intervention | Liters/minute (Mean) |
---|
SFC 50/100 Mcg/Day | 14.3 |
SLM 50 Mcg + FP 100 Mcg/Day | 17.1 |
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Adjusted Mean Change From Baseline in Evening PEF During the 4-week Treatment Periods
Mean change from baseline = value at each assessment period (mean of the values obtained at each assessment period [Weeks 1-4/Weeks 7-10]) minus baseline value. Baseline: Mean of the daily values over the last 7 days of the 2-week run-in/wash-out. (NCT00448435)
Timeframe: Crossover Period weeks 1-4, 7-10
Intervention | L/min (Mean) |
---|
SFC 50/100 Mcg/Day | 16.3 |
SLM 50 Mcg + FP 100 Mcg/Day | 15.8 |
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Adjusted Mean Change From Baseline in Evening PEF During the 20-week Extension Treatment Period
Mean change from baseline = value at assessment period (mean of the values obtained at assessment period [Weeks 11-30]) minus baseline value. Baseline: Mean of the daily values over the last 7 days prior to the day of starting the Extension period (Weeks 11-30). (NCT00448435)
Timeframe: Extension Period weeks 11-30
Intervention | L/Min (Mean) |
---|
SFC 50/100 Mcg/Day | 2.7 |
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Percentage of Subjects With Rescue Medication-Free Nights & Days After 20 Weeks of Treatment
Percentage of subjects with Rescue Medication Free Nights & Days after 20 weeks of Treatment (at week 30). (NCT00448435)
Timeframe: Extension Period Weeks 11-30
Intervention | Percentage of participants (Number) |
---|
| Baseline | After 20 weeks of treatment (at week 30) |
---|
SFC 50/100 Mcg/Day | 90.0 | 89.1 |
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Percentage of Subjects With Symptom-Free Nights & Days
Percentage of subjects with Symptom Free Nights & Days after 4 weeks of Treatment (NCT00448435)
Timeframe: Crossover Period Week 1-4, 7-10
Intervention | Percent of participants (Number) |
---|
| Baseline | After 4 Weeks of Treatment |
---|
SFC 50/100 Mcg/Day | 72.9 | 91.7 |
,SLM 50 Mcg + FP 100 Mcg/Day | 81.3 | 81.3 |
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Percentage of Subjects With Rescue Medication-Free Nights and Days
Percentage of subjects with Rescue Medication Free Nights & Days after 4 weeks of Treatment (NCT00448435)
Timeframe: Crossover Period Weeks 1-4, 7-10
Intervention | Percentage of participants (Number) |
---|
| Baseline | After 4 Weeks of Treatment |
---|
SFC 50/100 Mcg/Day | 87.5 | 93.8 |
,SLM 50 Mcg + FP 100 Mcg/Day | 87.5 | 87.5 |
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Adjusted Mean Change From Baseline of Circadian Variation in PEF(%) During the 20-Week Extension Treatment Period
Mean change from baseline = value at assessment period (mean of the values obtained at assessment period [Weeks 11-30]) minus baseline value. Baseline: Mean of the daily values over the last 7 days prior to the day of starting the Extension period (Weeks 11-30). (NCT00448435)
Timeframe: Extension Period weeks 11-30
Intervention | Percentage of circadian variation (Mean) |
---|
SFC 50/100 Mcg/Day | -0.37 |
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Adjusted Mean Change From Baseline of Circadian Variation in Morning PEF(%) During the 4-week Treatment Periods
Mean change from baseline = value at each assessment period (mean of the values obtained at each assessment period [Weeks 1-4/Weeks 7-10]) minus baseline value. Baseline: Mean of the daily values over the last 7 days of the 2-week run-in/wash-out. (NCT00448435)
Timeframe: Crossover Period Weeks 1-4, 7-10
Intervention | Percentage of circadian variation (Mean) |
---|
SFC 50/100 Mcg/Day | 0.06 |
SLM 50 Mcg + FP 100 Mcg/Day | -0.08 |
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Adjusted Mean Change From Baseline in Percent Predicted Morning PEF(%) During the 4-week Treatment Periods
Mean change from baseline = value at each assessment period (mean of the values obtained at each assessment period [Weeks 1-4/Weeks 7-10]) minus baseline value. Baseline: Mean of the daily values over the last 7 days of the 2-week run-in/wash-out. (NCT00448435)
Timeframe: Crossover Period Weeks 1-4, 7-10
Intervention | Percentage of predicted value (Mean) |
---|
SFC 50/100 Mcg/Day | 5.38 |
SLM 50 Mcg + FP 100 Mcg/Day | 6.73 |
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Adjusted Mean Change From Baseline in Percent Predicted Morning PEF(%) During the 20-Week Extension Treatment Period
Mean change from baseline = value at assessment period (mean of the values obtained at assessment period [Weeks 11-30]) minus baseline value. Baseline: Mean of the daily values over the last 7 days prior to the day of starting the Extension period (Weeks 11-30). (NCT00448435)
Timeframe: Extension Period weeks 11-30
Intervention | Percentage of predicted value (Mean) |
---|
SFC 50/100 Mcg/Day | 1.46 |
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Adjusted Mean Change From Baseline in Percent Personal Best Morning PEF(%) During the 4-week Treatment Periods
Mean change from baseline = value at each assessment period (mean of the values obtained at each assessment period [Weeks 1-4/Weeks 7-10]) minus baseline value. Baseline: Mean of the daily values over the last 7 days of the 2-week run-in/wash-out. (NCT00448435)
Timeframe: Crossover Period weeks 1-4, 7-10
Intervention | Percentage of personal best value (Mean) |
---|
SFC 50/100 Mcg/Day | 5.01 |
SLM 50mcg + FP 100 Mcg/Day | 6.46 |
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Change From Baseline in Evening Peak Expiratory Flow (PEF) During Weeks 1-24
"The peak expiratory flow rate measures how fast a person can (exhale) air. Then compares it to normal flow rates to predict obstruction and disease. The average PEF for a child or adolescent whose height is 43 is 147 L/min, whose height is 66 is 454 L/min." (NCT00449046)
Timeframe: Baseline and during Weeks 1-24
Intervention | L/min (Mean) |
---|
Salmeterol/Fluticasone Propionate | 31.2 |
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Change From Baseline in Circadian Variation in Peak Expiratory Flow (PEF) During Weeks 1-24
"Circadian Variation means the various changes in a day. The peak expiratory flow rate measures how fast a person can (exhale) air using a mini-Wright peak flow meter. The average PEF for a child or adolescent whose height is 43 is 147 L/min, whose height is 66 is 454 L/min." (NCT00449046)
Timeframe: Baseline and during Weeks 1-24
Intervention | Percent Change (Mean) |
---|
Salmeterol/Fluticasone Propionate | -1.62 |
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Change From Baseline in Morning Peak Expiratory Flow (PEF) During Weeks 1-24
"PEF taken daily and average used for week 1-24 value. The peak expiratory flow rate measures how fast a person can (exhale) air. Then, compares it to normal flow rates to predict obstruction and disease. The average PEF for a child or adolescent whose height is 43 is 147 L/min, whose height is 66 is 454 L/min." (NCT00449046)
Timeframe: Baseline and during Weeks 1-24
Intervention | L/min (Mean) |
---|
Salmeterol/Fluticasone Propionate | 32.9 |
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Change From Baseline in Percent Predicted Morning Peak Expiratory Flow (PEF) During Weeks 1-24
Percent Predicted Morning Peak Expiratory flow were the percent of patients that were predicted to have their Peak expiratory flow in the morning. (NCT00449046)
Timeframe: Baseline and during Weeks 1-24
Intervention | Percent Change (Mean) |
---|
Salmeterol/Fluticasone Propionate | 12.50 |
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Serious Adverse Events (SAEs) - On Therapy
"Number of participants considered by the investigator to be related to study medication.~Adverse events, Clinical laboratory tests, Adrenocortical function test, Physical examinations, 12-lead ECG, Oropharyngeal examination were included. Frequency threshold of reported SAE's is 0%(100% reported)" (NCT00449046)
Timeframe: Baseline to Week 24
Intervention | Participants (Number) |
---|
Salmeterol/Fluticasone Propionate | 1 |
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Most Frequent Adverse Events - On Therapy
Adverse events, Clinical laboratory tests, Adrenocortical function test, Physical examinations, 12-lead electrocardiogram (ECG), Oropharyngeal examination were included. (NCT00449046)
Timeframe: Baseline to Week 24
Intervention | Participants (Number) |
---|
| Laryngopharyngitis | Bronchitis | Nasopharyngitis | Asthma | Pharyngitis | Pyrexia | Otitis media | Pharyngotonsillitis | Laryngotracheo bronchitis | Molluscum contagiosum | Stomatitis |
---|
Salmeterol/Fluticasone Propionate | 8 | 8 | 8 | 8 | 6 | 5 | 4 | 3 | 3 | 3 | 3 |
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Number of Participants With Rescue Medication-Free Nights and Days
Rescue free means without the use of other medication. (NCT00449046)
Timeframe: Baseline and Week 24
Intervention | Participants (Number) |
---|
| Baseline | Week 24 |
---|
Salmeterol/Fluticasone Propionate | 33 | 32 |
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Number of Participants With Symptom-Free Nights and Days
(NCT00449046)
Timeframe: Baseline and Week 24
Intervention | Participants (Number) |
---|
| Baseline | Week 24 |
---|
Salmeterol/Fluticasone Propionate | 29 | 31 |
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Mean Change From Baseline in Pre-dose FEV1 Over Weeks 1-52
Pulmonary function was measured by forced expiratory volume in one second (FEV1), which is the volume of air exhaled from the lungs in one second. Change from baseline was calculated as the average of the Week 1 through Week 52 values minus the baseline value. (NCT00452348)
Timeframe: Baseline and Week 1 through Week 52
Intervention | Liters (Mean) |
---|
FSC DISKUS 250/50 mcg BID | 0.16 |
FP DISKUS 250 mcg BID for 52 Weeks | 0.12 |
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Rate of Asthma Attacks Per Participant Per Year
The rate of asthma attacks was defined as the mean number of attacks per participant per year. An asthma attack was defined as a >=20% decrease in AM PEF, a >=70% increase in albuterol use, or the occurrence of an asthma exacerbation requiring oral steroids or hospitalization. (NCT00452348)
Timeframe: Week 1 through Week 52
Intervention | attacks per participant per year (Mean) |
---|
FSC DISKUS 250/50 mcg BID | 2.63 |
FP DISKUS 250 mcg BID for 52 Weeks | 2.73 |
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Mean Change From Baseline in the Percentage of Symptom-free Days Over Weeks 1-52
A symptom-free day was defined as a day without asthma symptoms, as measured via the daily asthma symptom score (measuring symptoms during the day and previous night) on a 6-point scale (ranging from 0 to 5). A symptom score of 0=no symptoms, 1=symptoms for one short period, 2=symptoms for two or more short periods, 3=symptoms that did not affect normal daily activities, 4=symptoms that did affect normal daily activities, 5=symptoms so severe that daily activities could not be performed. Change from baseline was calculated as the average of the Week 1-Week 52 values minus the baseline value. (NCT00452348)
Timeframe: Baseline and Week 1 through Week 52
Intervention | Percentage of symptom-free days (Mean) |
---|
FSC DISKUS 250/50 mcg BID | 37.4 |
FP DISKUS 250 mcg BID for 52 Weeks | 28.9 |
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Mean Change From Baseline in AM PEF Over Weeks 1-52
Morning (AM) peak expiratory flow (PEF) is defined as the maximum volume of air exhaled in liters per minute. Change from baseline was calculated as the average of the Week 1 through Week 52 values minus the baseline value. (NCT00452348)
Timeframe: Baseline and Week 1 through Week 52
Intervention | Liters/minute (L/min) (Mean) |
---|
FSC DISKUS 250/50 mcg BID | 27.7 |
FP DISKUS 250 mcg BID for 52 Weeks | 14.6 |
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Rate of Asthma Attacks Per Participant Per Year
The rate of asthma attacks was defined as the mean number of attacks per participant per year. An asthma attack was defined as a 20% decrease in AM PEF, a 70% increase in albuterol use, or the occurrence of an asthma exacerbation requiring oral steroids or hospitalization. (NCT00452699)
Timeframe: Week 1 through Week 52
Intervention | attacks per participant per year (Mean) |
---|
FSC DISKUS 250/50 mcg BID for 52 Weeks | 1.87 |
FP DISKUS 250 mcg BID for 52 Weeks | 2.14 |
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Mean Change From Baseline in AM PEF Over Weeks 1-52
Morning (AM) peak expiratory flow (PEF) is defined as the maximum volume of air exhaled in liters per minute. Change from baseline was calculated as the average of the Week 1 through Week 52 values minus the baseline value. (NCT00452699)
Timeframe: Baseline and Week 1 through Week 52
Intervention | Liters/minute (L/min) (Mean) |
---|
FSC DISKUS 250/50 mcg BID for 52 Weeks | 23.6 |
FP DISKUS 250 mcg BID for 52 Weeks | 9.8 |
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Mean Change From Baseline in the Percentage of Symptom-free Days Over Weeks 1-52
A symptom-free day was defined as a day without asthma symptoms, as measured via the daily asthma symptom score (measuring symptoms during the day and previous night) on a 6-point scale (ranging from 0 to 5). A symptom score of 0=no symptoms, 1=symptoms for one short period, 2=symptoms for two or more short periods, 3=symptoms that did not affect normal daily activities, 4=symptoms that did affect normal daily activities, 5=symptoms so severe that daily activities could not be performed. Change from baseline was calculated as the average of the Week 1-Week 52 values minus the baseline value. (NCT00452699)
Timeframe: Baseline and Week 1 through Week 52
Intervention | Percentage of symptom-free days (Mean) |
---|
FSC DISKUS 250/50 mcg BID for 52 Weeks | 37.1 |
FP DISKUS 250 mcg BID for 52 Weeks | 28.5 |
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Mean Change From Baseline in Pre-dose FEV1 Over Weeks 1-52
Pulmonary function was measured by forced expiratory volume in one second (FEV1), which is the volume of air exhaled from the lungs in one second. Change from baseline was calculated as the average of the Week 1 through Week 52 values minus the baseline value. (NCT00452699)
Timeframe: Baseline and Week 1 through Week 52
Intervention | Liters (Mean) |
---|
FSC DISKUS 250/50 mcg BID for 52 Weeks | 0.20 |
FP DISKUS 250 mcg BID for 52 Weeks | 0.09 |
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Number of Exacerbations: in Total and by Degree of Severity
Severe exacerbation: needed hospitalization/emergency unit visit. Moderate exacerbation: Needed oral cortico-steroid or adding inhaled Flixotide to maintenance study medicine; decrease in morning or evening peak expiratory flow (PEF) > 30% during ≥ 2 following days from Baseline (Day 0). Mild exacerbation: any night symptoms ≥ 3 consecutive, or night symptoms ≥ 2 consecutive nights in case symptoms have been scored ≥ 2 during at least one night, Day symptoms scored ≥ 2 during ≥ 4 following days, or Day symptoms scored ≥ 3 during ≥ 3 following days, or Day symptoms scored ≥ 4 during ≥ 2 following days, or rescue medication use ≥ 2 occasions per day for ≥ 4 following days, or rescue medication use ≥ 3 occasions per day for ≥ 3 following days, or rescue medication use ≥ 4 occasions per day for ≥ 2 following days, or decrease in morning/evening PEF >20% during ≥ 2 following days from Baseline (Day 0). Number of total exacerbations and severe, moderate and mild exacerbations are presented. (NCT00455923)
Timeframe: Up to 18 months
Intervention | Exacerbations (Number) |
---|
| Total exacerbations | Severe exacerbations | Moderate exacerbations | Mild exacerbations |
---|
Flixotide | 74 | 1 | 21 | 52 |
,Seretide | 42 | 0 | 12 | 30 |
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Number of Participants in Each Arm With a Need for an Increase in Study Medication
During the first 6 months, when the asthma was unstable/uncontrolled, dose of Seretide (Sal/FP) was increased from 50/100 mcg in a stepwise fashion to 50/250 mcg and 50/500 mcg (if still unstable). Also, dose of Flixotide (FP only), was increased from 100 mcg to 250 mcg and 500 mcg (if still unstable). After the initial 6 months, the treatment was fixed without further changes. The total treatment period was 18 months. Number of participants in each arm with a need for an increase in study medication are presented. (NCT00455923)
Timeframe: Up to 18 months
Intervention | Participants (Count of Participants) |
---|
Seretide | 29 |
Flixotide | 29 |
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Change From Baseline in Pre-dose (Percent Predicted) FEV1 Through Week 12 (Using Last Observation Carried Forward [LOCF] Approach)
Percent predicted is based on tables of normal values that use variables such as age, gender, and weight as a method of standardization. Spirometry results are expressed as a percentage, and are generally considered abnormal if less than 80 percent of the normal predicted value. Change from baseline could have been measured at any time during the study (up to Week 12), using the LOCF. In the LOCF approach, for each individual, missing values are replaced by the last observed value of that variable. (NCT00461500)
Timeframe: Baseline through Week 12
Intervention | Percentage predicted of FEV1 (Mean) |
---|
SFC 100: Salmeterol Xinafoate/Fluticasone Propionate Combined | 7.46 |
FP 100: Fluticasone Propionate | 4.97 |
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Change From Baseline in Asthma Control Test (ACT) Score at Week 12
5 question test with various responses rating frequency of asthma events over 4-week period. Questions include occurrence of asthma affecting work/school; causing shortness of breath; symptoms (wheezing, coughing, shortness of breath, chest tightness, pain) wake you up at night; causing need for rescue medication; asthma control. Scale: 1=all of time, 2=most of time, 3=some of the time, 4=a little of the time, 5=none of the time. Possible ACT scores range from 5 to 25. (NCT00461500)
Timeframe: Baseline, Week 12
Intervention | Score on a scale (Mean) |
---|
SFC 100: Salmeterol Xinafoate/Fluticasone Propionate Combined | 5.64 |
FP 100: Fluticasone Propionate | 5.90 |
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Change From Baseline in FEV1 Reversibility Through Week 12 (Using Last Observation Carried Forward [LOCF] Approach)
Reversibility is calculated as the percentage improvement of FEV1 from baseline. Change from baseline could have been measured at any time during the study (up to Week 12), using the LOCF. In the LOCF approach, for each individual, missing values are replaced by the last observed value of that variable. Percent reversibility of FEV1 was calculated as follows: (Post-bronchodilator FEV1 - pre-bronchodilator FEV1)/pre-bronchodilator FEV1 x 100. A negative difference indicates less reversibility. (NCT00461500)
Timeframe: Baseline through Week 12
Intervention | Percent change (Mean) |
---|
SFC 100: Salmeterol Xinafoate/Fluticasone Propionate Combined | -9.46 |
FP 100: Fluticasone Propionate | -4.05 |
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Change From Baseline in Mean Morning Peak Expiratory Flow (PEF) Over Weeks 5-12
Mini Wright Peak Flow Meter used to allow patients to monitor their asthma - Peak Flow (or PEF - peak expiratory flow) is a measurement of how fast you can blow out. When someone is well, their PEF is higher - when the airways are narrow (as in asthma), PEF is lower. Readings based on age, height and gender. (NCT00461500)
Timeframe: Baseline, Weeks 5-12
Intervention | Liters per minute (L/min) (Mean) |
---|
SFC 100: Salmeterol Xinafoate/Fluticasone Propionate Combined | 59.21 |
FP 100: Fluticasone Propionate | 50.98 |
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Change From Baseline in Overall Asthma Quality of Life Questionnaire (AQLQ) Score at Week 12
7-point scale where 1=total impairment and 7=no impairment. Questions contain 32 items in four domains. Domains include Activity Limitation (11 items), Symptoms (12 items), Emotional Function (5 items), and Environmental Stimuli (4 items). 32 items produce one overall quality of life score. The 7 points scoring are different and depend on the item : they are the translation in French of the original questionnaire from Juniper. Possible AQLQ scores range from 1 to 7 (the mean of all the questions). (NCT00461500)
Timeframe: Baseline, Week 12
Intervention | Score on a scale (Mean) |
---|
SFC 100: Salmeterol Xinafoate/Fluticasone Propionate Combined | 0.99 |
FP 100: Fluticasone Propionate | 1.11 |
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Number of Participants Who Achieved Well-Controlled Asthma During Weeks 5-12
"Well-controlled asthma is defined as 2 or more of the following: symptoms on no more than 2 days with symptom score of >1; no more than 2 days of rescue meds (maximum of 4 per week); >=80% predicted morning PEF. And no night time awakenings, exacerbations, emergency room visits, and treatment related adverse effects requiring a change to therapy. The number of participants who achieved well-controlled asthma at any time during Week 5-12 of the study period will be summarized by treatment groups. The difference between treatment groups will be assessed using logistic regression." (NCT00461500)
Timeframe: Weeks 5 -12
Intervention | Participants (Number) |
---|
| Yes | No |
---|
FP 100: Fluticasone Propionate | 11 | 24 |
,SFC 100: Salmeterol Xinafoate/Fluticasone Propionate Combined | 13 | 16 |
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Change From Baseline in Pre-dose FEV1 (Forced Expiratory Volume in One Second) Through Week 12 (Using Last Observation Carried Forward [LOCF] Approach)
FEV1 is the amount of air (in liters) you can blow out within one second. A spirometer is the device used to measure FEV1. With normal lungs and airways you can normally blow out most of the air from your lungs within one second. Age, height and gender is used to determine what is normal. Change from baseline could have been measured at any time during the study (up to Week 12), using the LOCF. In the LOCF approach, for each individual, missing values are replaced by the last observed value of that variable. (NCT00461500)
Timeframe: Baseline through Week 12
Intervention | Liters (Mean) |
---|
SFC 100: Salmeterol Xinafoate/Fluticasone Propionate Combined | 0.25 |
FP 100: Fluticasone Propionate | 0.11 |
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ACT Score in Classes at Week 12
Score is ranged from 5 (poor control) to 25 (complete control). (NCT00461500)
Timeframe: Week 12
Intervention | Particpants (Number) |
---|
| < 15 score | 15-19 score | >=20 score |
---|
FP 100: Fluticasone Propionate | 2 | 15 | 25 |
,SFC 100: Salmeterol Xinafoate/Fluticasone Propionate Combined | 5 | 12 | 16 |
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Number of Participants Who Achieved Total-controlled Asthma During Weeks 5-12
"Totally-controlled asthma is defined as no daily symptoms, no night-time awakenings, no exacerbations, no rescue medication, no emergency visits, no treatment related adverse events resulting in change in asthma therapy, >=80% predicted PEF. The number of subjects who achieved total-controlled asthma at any time during Week 5-12 of the study period will be summarized by treatment groups. The difference between treatment groups will be assessed using logistic regression." (NCT00461500)
Timeframe: Weeks 5 - 12
Intervention | Participants (Number) |
---|
| Yes | No |
---|
FP 100: Fluticasone Propionate | 1 | 35 |
,SFC 100: Salmeterol Xinafoate/Fluticasone Propionate Combined | 1 | 28 |
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Change From Baseline (BL) in Pre-dose FEF 25-75% (Forced Expiratory Flow) Through Week 12 (Using Last Observation Carried Forward [LOCF] Approach)
Forced Expiratory Flow 25-75% (measured by a spirometer) is the average flow (or speed) of air coming out of the lung during the middle portion of the expiration. Age, height, and gender is used to determine what is normal. Change from BL could have been measured at any time during the study (up to Week 12), using the LOCF (for each individual, missing values are replaced by the last observed value of that variable). Change from BL is measured as percentage of predicted value, with height, gender, age, and race as variables (percentage of predicted value at endpoint minus value at BL). (NCT00461500)
Timeframe: Baseline through Week 12
Intervention | Percentage of predicted value (Mean) |
---|
SFC 100: Salmeterol Xinafoate/Fluticasone Propionate Combined | 7.24 |
FP 100: Fluticasone Propionate | 4.28 |
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Number of Participants With at Least One Exacerbation During 12-Week Treatment Period
Subjects will record exacerbations (defined as temporary PEF decrease, increase in salbutamol use) in a Daily Record Card (DRC). The number of events are categorized as those that showed a deterioration in asthma requiring administration of oral corticosteroids and/or a deterioration in asthma requiring emergency room visit and/or hospitalization (hosp.). (NCT00461500)
Timeframe: 12-Week Treatment Period (Week 1 through Week 12)
Intervention | Participants (Number) |
---|
| Any exacerbation (Exac.) | Exac. needing oral corticosteroids and/or hosp. |
---|
FP 100: Fluticasone Propionate | 5 | 0 |
,SFC 100: Salmeterol Xinafoate/Fluticasone Propionate Combined | 1 | 0 |
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Change From Baseline in Pre-dose Forced Expiratory Vital Capacity (FVC) Through Week 12 (Using Last Observation Carried Forward [LOCF] Approach)
FVC is the total amount of air that can forcibly be blown out after full inspiration, measured in liters. A spirometer is the device used to measure FVC. Age, height and gender is used to determine what is normal. Change from baseline could have been measured at any time during the study (up to Week 12), using the LOCF. In the LOCF approach, for each individual, missing values are replaced by the last observed value of that variable. (NCT00461500)
Timeframe: Baseline through Week 12
Intervention | Liters (Mean) |
---|
SFC 100: Salmeterol Xinafoate/Fluticasone Propionate Combined | 0.18 |
FP 100: Fluticasone Propionate | 0.14 |
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Mean Change From Baseline in Daytime Reflective Total Ocular Symptom Score (D-rTOSS)
Subjects assessed three ocular symptoms (itching/ burning eyes, tearing/watering eyes, and eye redness). The sum of the 3 ocular symptoms comprised the total ocular symptom score (TOSS). Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe. (NCT00502775)
Timeframe: Baseline and Weeks 1-2
Intervention | Score on a Scale (Mean) |
---|
Placebo | -2.5 |
Fluticasone Furoate 110mcg | -2.9 |
Fexofenadine 180 mg | -2.4 |
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Mean Change From Baseline in Evening Peak Nasal Inspiratory Flow (PNIF)
Subjects used a portable hand-held inspiratory flow meter to measure and record PNIF in the evening. Three measurements were taken and the highest measurement was recorded in the electronic diary. A positive change signifies improved nasal air flow. (NCT00502775)
Timeframe: Baseline and Weeks 1-2
Intervention | Score on a Scale (Mean) |
---|
Placebo | 2.3 |
Fluticasone Furoate 110mcg | 9.7 |
Fexofenadine 180 mg | 0.3 |
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Mean Change From Baseline in Morning Peak Nasal Inspiratory Flow (PNIF)
Subjects used a portable hand-held inspiratory flow meter to measure and record PNIF in the morning prior to taking the study medication. Three measurements were taken and the highest measurement was recorded in the electronic diary. A positive change signifies improved nasal air flow. (NCT00502775)
Timeframe: Baseline and Weeks 1-2
Intervention | Score on a Scale (Mean) |
---|
Placebo | 4.8 |
Fluticasone Furoate 110mcg | 13.0 |
Fexofenadine 180 mg | 2.2 |
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Mean Change From Baseline in Nighttime Reflective Total Nasal Symptom Score (N-rTNSS)
Subjects assessed four nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing). The sum of the four nasal symptoms comprised the total nasal symptom score (TNSS). Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe. (NCT00502775)
Timeframe: Baseline and Weeks 1-2
Intervention | Score on a Scale (Mean) |
---|
Placebo | -2.9 |
Fluticasone Furoate 110mcg | -4.1 |
Fexofenadine 180 mg | -2.9 |
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Mean Change From Baseline in Nighttime Reflective Total Ocular Symptom Score (N-rTOSS)
Subjects assessed three ocular symptoms (itching/ burning eyes, tearing/watering eyes, and eye redness). The sum of the 3 ocular symptoms comprised the total ocular symptom score (TOSS). Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe. (NCT00502775)
Timeframe: Baseline and Weeks 1-2
Intervention | Score on a Scale (Mean) |
---|
Placebo | -2.3 |
Fluticasone Furoate 110mcg | -2.7 |
Fexofenadine 180 mg | -2.2 |
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Mean Change From Baseline in Pre-Dose Instantaneous Total Nasal Symptom Score (iTNSS)
Subjects assessed four nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing). The sum of the four nasal symptoms comprised the total nasal symptom score (TNSS).Instantaneous rating represented symptoms at the time of the assessment. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe. (NCT00502775)
Timeframe: Baseline and Weeks 1-2
Intervention | Score on a Scale (Mean) |
---|
Placebo | -2.8 |
Fluticasone Furoate 110mcg | -4.1 |
Fexofenadine 180 mg | -2.7 |
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Mean Change From Baseline in Pre-Dose Instantaneous Total Ocular Symptom Score (iTOSS)
Subjects assessed three ocular symptoms (itching/ burning eyes, tearing/watering eyes, and eye redness). The sum of the four ocular symptoms comprised the total nasal symptom score (TOSS).Instantaneous rating represented symptoms at the time of the assessment. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe. (NCT00502775)
Timeframe: Baseline and Weeks 1-2
Intervention | Score on a Scale (Mean) |
---|
Placebo | -2.2 |
Fluticasone Furoate 110mcg | -2.7 |
Fexofenadine 180 mg | -2.2 |
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Mean Change From Baseline in the Nighttime Symptom Score (NSS)
Questions include: 1. Nasal congestion on awakening (Score: 0=none, 1=mild, 2=moderate, 3=severe); 2. Difficulty going to sleep (Score: 0=not at all, 1=little, 2=moderately, 3=very); 3. Nighttime awakenings (Score: 0=not at all, 1=once, 2=more than once, 3=felt like awake all night). The sum of the ratings for the three items comprises the NSS. (NCT00502775)
Timeframe: Baseline and Weeks 1-2
Intervention | Score on a Scale (Mean) |
---|
Placebo | -2.3 |
Fluticasone Furoate 110mcg | -3.1 |
Fexofenadine 180 mg | -2.2 |
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Mean Change From Baseline in 24 Hour Reflective Total Nasal Symptom Score (24 Hour rTNSS)
Subjects assessed four nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing). The sum of the four nasal symptoms comprised the total nasal symptom score (TNSS).Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe. (NCT00502775)
Timeframe: Baseline and Weeks 1-2
Intervention | Score on a Scale (Mean) |
---|
Placebo | -2.8 |
Fluticasone Furoate 110mcg | -4.1 |
Fexofenadine 180 mg | -2.8 |
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Mean Change From Baseline at Day 15 for Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ)
Subjects completed the 16-item Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ)to assess nocturnal rhinitis-related quality of life. The NRQLQ measures the functional problems most troublesome to patients with nocturnal allergy symptoms. Each question scored from 0-6 with higher scores indicating more nocturnal impairment. (NCT00502775)
Timeframe: Baseline, Day 15 or if Early Withdrawal Day
Intervention | Score on a Scale (Mean) |
---|
Placebo | -1.4 |
Fluticasone Furoate 110mcg | -2.0 |
Fexofenadine 180 mg | -1.4 |
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Mean Change From Baseline in 24 Hour Reflective Total Ocular Symptoms Score (rTOSS)
Subjects assessed three ocular symptoms (itching/ burning eyes, tearing/watering eyes, and eye redness). The sum of the 3 ocular symptoms comprised the total ocular symptom score (TOSS). Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe. (NCT00502775)
Timeframe: Baseline and Weeks 1-2
Intervention | Score on a Scale (Mean) |
---|
Placebo | -2.3 |
Fluticasone Furoate 110mcg | -2.7 |
Fexofenadine 180 mg | -2.2 |
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Mean Change From Baseline in Daytime Reflective Total Nasal Symptom Score (D-rTNSS)
Subjects assessed four nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing). The sum of the four nasal symptoms comprised the total nasal symptom score (TNSS). Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe. (NCT00502775)
Timeframe: Baseline and Weeks 1-2
Intervention | Score on a Scale (Mean) |
---|
Placebo | -3.0 |
Fluticasone Furoate 110mcg | -4.2 |
Fexofenadine 180 mg | -2.9 |
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Change in Forced Expiratory Volume in One Second (FEV1)
Change in forced expiratory volume in one second (FEV1) after fluticasone or placebo treatment. (NCT00509197)
Timeframe: Four weeks
Intervention | L (Mean) |
---|
Fluticasone | 0.04 |
Placebo | -0.2 |
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Asthma Control Questionnaire (ACQ) Score After 4 Weeks of Treatment With Inhaled Corticosteroids (ICS) or Placebo
Validated questionnaire assessing asthma control after 4 weeks of treatment with ICS or placebo. The ACQ has 7 questions (the top scoring 5 symptoms, FEV1% pred. and daily rescue bronchodilator use). Patients are asked to recall how their asthma has been during the previous week and to respond to the symptom and bronchodilator use questions on a 7-point scale (0=no impairment, 6= maximum impairment). The ACQ score is the mean of 7 items and thus ranges between 0 (well controlled) and 6 (extremely poorly controlled) to yield a mean score out of 6. The higher the score, the worst asthma control is. (NCT00509197)
Timeframe: Four weeks
Intervention | units on a scale (Mean) |
---|
Fluticasone | 1.4 |
Placebo | 2.2 |
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Change in Provocative Concentration of Methacholine Inducing a 20% Fall in FEV1 (PC20)
Change in provocative concentration of methacholine inducing a 20% fall in FEV1 (PC20) after fluticasone or placebo treatment (NCT00509197)
Timeframe: Four weeks
Intervention | mg/ml (Mean) |
---|
Fluticasone | 3.4 |
Placebo | 2.1 |
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Asthma Quality of Life Questionnaire (AQLQ) Score After 4 Weeks of Treatment
Validated questionnaire assessing quality of life related to asthma after 4 weeks of treatment. The AQLQ is composed of 32 questions in 4 domains (symptoms, activity limitation, emotional function and environmental stimuli). The activity domain contains 5 'patient-specific' questions. This allows patients to select 5 activities in which they are most limited and these activities will be assessed at each follow-up. Patients are asked to think about how they have been during the previous two weeks and to respond to each of the 32 questions on a 7-point scale (7 = not impaired at all - 1 = severely impaired). The AQLQ score is rated on a 7-point scale (1=maximal impairment, 7=no impairment) to yield a mean score out of 7. The worse the quality of life is , the lower the score is. (NCT00509197)
Timeframe: Four weeks
Intervention | units on a scale (Mean) |
---|
Fluticasone | 5.5 |
Placebo | 4.8 |
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Comparation of Mean Change From Baseline Over Each Treatment Period in Daytime Reflective Total Nasal Symptom Scores (D r-TNSS) for Active Drug Nasal Sprays Versus Placebos
Reflective Total Nasal Symptom scores (rTNSS) symptoms of rhinorrhea, nasal congestion, nasal itching, sneezing using scale of: 0=none, 1=mild, 2=moderate, 3=severe. (NCT00519636)
Timeframe: Baseline, Treatment Period 1 (Days 1-7), Treatment Period 2 (Days 15-21)
Intervention | Scores on a scale (Mean) |
---|
| Change from Baseline- Treatment Period 1 | Change from Baseline- Treatment Period 2 |
---|
Fluticasone Furoate NS/Fluticasone Propionate NS | -2.9 | -2.7 |
,Fluticasone Propionate NS/Fluticasone Furoate NS | -2.4 | -2.4 |
,Placebo FF/FP | -1.6 | -2.2 |
,Placebo FP/FF | -1.7 | -1.9 |
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Comparison of Mean Change From Baseline in Daily Reflective Total Nasal Symptom Score (rTNSS) Over Each Treatment Period of Active Drug Nasal Sprays Versus Placebos
Reflective Total Nasal Symptom scores (rTNSS) symptoms of rhinorrhea, nasal congestion, nasal itching, sneezing using scale of: 0=none, 1=mild, 2=moderate, 3=severe; maximum score=12. The mean of AM and PM scores were used. (NCT00519636)
Timeframe: Baseline, Treatment Period 1 (Days 1-7), Treatment Period 2 (Days 15-21)
Intervention | Scores on a scale (Mean) |
---|
| Change from Baseline Treatment Period 1 | Change from Baseline Treatment Period 2 |
---|
Fluticasone Furoate NS/Fluticasone Propionate NS | -2.7 | -2.7 |
,Fluticasone Propionate NS/Fluticasone Furoate NS | -2.2 | -2.3 |
,Placebo FF/FP | -1.7 | -2.1 |
,Placebo FP/FF | -1.5 | -1.7 |
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Subject Preference of Fluticasone Furoate Nasal Spray (FFNS) Versus Fluticasone Propionate Nasal Spray (FPNS) Based on Scent/Odor
"Subjects assessed preference of scent/odor for the nasal sprays used during the treatment periods by answering I prefer product 1 for spray used during Treatment Period 1 or I prefer product 2 for spray used during Treatment Period 2. Subject could also choose I have no preference." (NCT00519636)
Timeframe: End of Crossover Period (Day 22)
Intervention | Participants (Number) |
---|
| Perferred - Fluticasone Furoate Nasal Spray | Perferred - Fluticasone Propionate Nasal Spray | No Preference |
---|
Fluticasone Furoate NS/Fluticasone Propionate NS | 41 | 18 | 9 |
,Fluticasone Propionate NS/Fluticasone Furoate NS | 41 | 20 | 13 |
,Total | 82 | 38 | 22 |
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Comparision of Mean Change From Baseline Over Each Treatment Period in Nighttime Reflective Total Nasal Symptom Scores (N-rTNSS) for Active Drug Nasal Sprays Versus Placebos
Reflective Total Nasal Symptom scores (rTNSS) symptoms of rhinorrhea, nasal congestion, nasal itching, sneezing using scale of: 0=none, 1=mild, 2=moderate, 3=severe; maximum score=12. (NCT00519636)
Timeframe: Baseline, Treatment Period 1 (Days 1-7), Treatment Period 2 (Days 15-21)
Intervention | Scores on a scale (Mean) |
---|
| Change from Baseline- Treatment Period 1 | Change from Baseline- Treatment Period 2 |
---|
Fluticasone Furoate NS/Fluticasone Propionate NS | -2.7 | -2.7 |
,Fluticasone Propionate NS/Fluticasone Furoate NS | -2.1 | -2.2 |
,Placebo FF/FP | -1.7 | -2.0 |
,Placebo FP/FF | -1.4 | -1.6 |
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Subject Preference of Fluticasone Furoate Nasal Spray (FFNS) Versus Fluticasone Propionate Nasal Spray (FPNS) on Preference for: Gentleness of Mist
"Subjects assessed preference over gentleness of mist for the nasal sprays used during the treatment periods by answering I prefer product 1 for spray used during Treatment Period 1 or I prefer product 2 for spray used during Treatment Period 2. Subject could also choose I have no preference." (NCT00519636)
Timeframe: End of Crossover Period (Day 22)
Intervention | Participants (Number) |
---|
| Preferred - Fluticasone Furoate Nasal Spray | Preferred - Fluticasone Propionate Nasal Spray | No Preference |
---|
Fluticasone Furoate NS/Fluticasone Propionate NS | 38 | 17 | 14 |
,Fluticasone Propionate NS/Fluticasone Furoate NS | 44 | 20 | 10 |
,Total | 82 | 37 | 24 |
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Subject Preference of Fluticasone Furoate Nasal Spray (FFNS) Versus Fluticasone Propionate Nasal Spray (FPNS) on Preference for: Ease of Use
"Subjects assessed preference over ease of use for the nasal sprays used during the treatment periods by answering I prefer product 1 for spray used during Treatment Period 1 or I prefer product 2 for spray used during Treatment Period 2. Subject could also choose I have no preference." (NCT00519636)
Timeframe: End of Crossover Period (Day 22)
Intervention | Participants (Number) |
---|
| Preferred - Fluticasone Furoate Nasal Spray | Preferred - Fluticasone Propionate Nasal Spray | No Preference |
---|
Fluticasone Furoate NS/Fluticasone Propionate NS | 28 | 22 | 19 |
,Fluticasone Propionate NS/Fluticasone Furoate NS | 30 | 32 | 12 |
,Total | 58 | 54 | 31 |
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Subject Preference of Fluticasone Furoate Nasal Spray (FFNS) Versus Fluticasone Propionate Nasal Spray (FPNS) on Preference for: Leaking Out of Nose/Down Throat
"Subjects assessed preference over leaking out of nose/down throat for the nasal sprays used during the treatment periods by answering I prefer product 1 for spray used during Treatment Period 1 or I prefer product 2 for spray used during Treatment Period 2. Subject could also choose I have no preference." (NCT00519636)
Timeframe: End of Crossover Period (Day 22)
Intervention | Participants (Number) |
---|
| Preferred - Fluticasone Furoate Nasal Spray | Preferred - Fluticasone Propionate Nasal Spray | No Preference |
---|
Fluticasone Furoate NS/Fluticasone Propionate NS | 45 | 16 | 8 |
,Fluticasone Propionate NS/Fluticasone Furoate NS | 39 | 14 | 20 |
,Total | 84 | 30 | 28 |
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Absolute Change in Morning Peak Flow
Absolute change in morning peak flow at the end of the 16-week study period compared with baseline (last two weeks of run-in). Peak flow measurement is a test to measure air flowing out of the lung. (NCT00521222)
Timeframe: Up to 16 weeks from baseline
Intervention | L/min (Mean) |
---|
Arg/Arg Genotype on Advair (Fluticasone With Salmeterol) HFA | -15.7 |
Gly/Gly Genotype on Advair (Fluticasone With Salmeterol) HFA | 8.4 |
Arg/Arg Genotype on Fluticasone HFA | -5.6 |
Gly/Gly Genotype on Fluticasone HFA | -14.4 |
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Change in Asthma Symptom Score
Asthma symptom score measures asthma symptoms on a scale from 0 to 3. 0 = No asthma symptoms; 1 = 1-3 asthma episodes each lasting 2 hours or less, all mild; 2= 4 or more asthma episodes that interfered with activity, play, school, or sleep for less than 2 hours; 3= 1 or more asthma episodes lasting longer than 2 hours, or resulting in shortening normal activity, or seeing a doctor, or going to a hospital. A higher score indicates a worse outcome. (NCT00521222)
Timeframe: Up to 16 weeks from baseline
Intervention | score on a scale (Mean) |
---|
Arg/Arg Genotype on Advair (Fluticasone With Salmeterol) HFA | 0.3 |
Gly/Gly Genotype on Advair (Fluticasone With Salmeterol) HFA | -1.2 |
Arg/Arg Genotype on Fluticasone HFA | 0.4 |
Gly/Gly Genotype on Fluticasone HFA | 0.5 |
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Change in Forced Expiratory Volume in 1 Second (FEV1) Post-Bronchodilator
Change in Forced Expiratory Volume in 1 Second (FEV1) Post-Bronchodilator as measured by spirometry (NCT00521222)
Timeframe: Up to 16 weeks from baseline
Intervention | Liter (Mean) |
---|
Arg/Arg Genotype on Advair (Fluticasone With Salmeterol) HFA | 0.02 |
Gly/Gly Genotype on Advair (Fluticasone With Salmeterol) HFA | -0.07 |
Arg/Arg Genotype on Fluticasone HFA | -0.11 |
Gly/Gly Genotype on Fluticasone HFA | -0.07 |
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Change in Forced Expiratory Volume in 1 Second (FEV1) Pre-Bronchodilator
Change in Forced Expiratory Volume in 1 Second (FEV1) Pre-Bronchodilator as measured by spirometry (NCT00521222)
Timeframe: Up to 16 weeks from baseline
Intervention | Liter (Mean) |
---|
Arg/Arg Genotype on Advair (Fluticasone With Salmeterol) HFA | -0.03 |
Gly/Gly Genotype on Advair (Fluticasone With Salmeterol) HFA | -0.08 |
Arg/Arg Genotype on Fluticasone HFA | -0.12 |
Gly/Gly Genotype on Fluticasone HFA | -0.11 |
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Change in Forced Expiratory Volume in 1 Second (FEV1) Percent Predicted Pre-Bronchodilator
Change in Forced Expiratory Volume in 1 Second (FEV1) Percent Predicted Pre-Bronchodilator as measured by spirometry (NCT00521222)
Timeframe: Up to 16 weeks from baseline
Intervention | Percent Predicted (Mean) |
---|
Arg/Arg Genotype on Advair (Fluticasone With Salmeterol) HFA | -1.0 |
Gly/Gly Genotype on Advair (Fluticasone With Salmeterol) HFA | -2.5 |
Arg/Arg Genotype on Fluticasone HFA | -3.8 |
Gly/Gly Genotype on Fluticasone HFA | -3.3 |
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Mean Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) at Week 52
Change from baseline was calculated as the FEV1 percent predicted value at Week 52 minus the percent predicted value at baseline. The post-bronchodilator lung function test was performed to measure FEV1 30 minutes after inhaling salbutamol. The most reliable result of three different consecutive measurements was documented. (NCT00527826)
Timeframe: Baseline and Week 52
Intervention | percent of predicted value (Mean) |
---|
| Baseline | Week 52 | Mean change from baseline |
---|
Salmeterol Xinafoate/FP in Fixed Combination (SFC) 50/500 µg | 36.82 | 38.98 | 2.17 |
,Salmeterol Xinafoate/FP Separately (Sal/FP) 50/500 µg | 38.15 | 41.22 | 3.08 |
,Total | 37.47 | 40.09 | 2.62 |
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Mean Change From Baseline in Inspiratory Vital Capacity (IVC) at Week 52
Change from baseline was measured as the IVC value at Week 52 minus the value at baseline. The post-bronchodilator lung function test was performed to measure IVC 30 minutes after inhaling salbutamol. The most reliable result of three different, consecutive measurements was documented. (NCT00527826)
Timeframe: Baseline and Week 52
Intervention | liters (Mean) |
---|
| Baseline | Week 52 | Mean change from baseline |
---|
Salmeterol Xinafoate/FP in Fixed Combination (SFC) 50/500 µg | 2.17 | 2.14 | -0.02 |
,Salmeterol Xinafoate/FP Separately (Sal/FP) 50/500 µg | 2.29 | 2.27 | -0.02 |
,Total | 2.23 | 2.21 | -0.02 |
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Mean Change From Baseline in the Activity Score of the St. George's Respiratory Questionnaire (SGRQ) at Week 52
Change from baseline is calculated as the activity score at Week 52 minus the score at baseline. The SGRQ (a self-administered questionnaire) subscale activity score ranges from 0 to 100% and is concerned with activities that cause or are limited by breathlessness (summed weights of 2 questions). A score of 0 indicates the best possible status. (NCT00527826)
Timeframe: Baseline and Week 52
Intervention | percent (Mean) |
---|
| Baseline | Week 52 | Mean change from baseline |
---|
Salmeterol Xinafoate/FP in Fixed Combination (SFC) 50/500 µg | 72.80 | 71.17 | -1.63 |
,Salmeterol Xinafoate/FP Separately (Sal/FP) 50/500 µg | 70.64 | 68.53 | -2.11 |
,Total | 71.73 | 69.86 | -1.87 |
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Mean Change From Baseline in the Impact Score of the St. George's Respiratory Questionnaire (SGRQ) at Week 52
Change from baseline was calculated as the impact score at Week 52 minus the score at baseline. The SGRQ (a self-administered questionnaire) subscale impact score ranges from 0 to 100% and is concerned with social functioning and psychological disturbances (summed weights of 5 questions). A score of 0 indicates the best possible status. (NCT00527826)
Timeframe: Baseline and Week 52
Intervention | percent (Mean) |
---|
| Baseline | Week 52 | Mean change from baseline |
---|
Salmeterol Xinafoate/FP in Fixed Combination (SFC) 50/500 µg | 46.03 | 44.66 | -1.37 |
,Salmeterol Xinafoate/FP Separately (Sal/FP) 50/500 µg | 43.58 | 41.26 | -2.32 |
,Total | 44.82 | 42.98 | -1.84 |
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Mean Change From Baseline in the Symptom Score of the St. George's Respiratory Questionnaire (SGRQ) at Week 52
Change from baseline is calculated as the symptom score at Week 52 minus the symptom score at baseline. The SGRQ (a self-administered questionnaire) subscale symptom score ranges from 0 to 100% and measures the effect of respiratory symptoms, frequency, and severity on quality of life (summed weights of 8 questions). A score of 0 indicates the best possible status. (NCT00527826)
Timeframe: Baseline and Week 52
Intervention | percent (Mean) |
---|
| Baseline | Week 52 | Mean change from baseline |
---|
Salmeterol Xinafoate/FP in Fixed Combination (SFC) 50/500 µg | 68.80 | 65.42 | -3.38 |
,Salmeterol Xinafoate/FP Separately (Sal/FP) 50/500 µg | 68.95 | 63.77 | -5.18 |
,Total | 68.88 | 64.61 | -4.27 |
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Mean Change From Baseline in the Tiffeaneau Index at Week 52
The Tiffeneau index is defined as the FEV1 divided by the IVC (i.e., forced expiratory volume in one second relative to the inspiratory capacity) in percent. Change from baseline is calculated as the FEV1/IVC value at Week 52 minus the value at baseline. (NCT00527826)
Timeframe: Baseline and Week 52
Intervention | percent of IVC (Mean) |
---|
| Baseline | Week 52 | Mean change from baseline |
---|
Salmeterol Xinafoate/FP in Fixed Combination (SFC) 50/500 µg | 48.90 | 50.82 | 1.92 |
,Salmeterol Xinafoate/FP Separately (Sal/FP) 50/500 µg | 49.05 | 52.83 | 3.78 |
,Total | 48.98 | 51.81 | 2.84 |
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Number of Participants With the Indicated Number of Days at the Intensive Care Unit (ICU)
The number participants with the indicated number of days at the ICU was recorded. (NCT00527826)
Timeframe: Baseline through Week 52
Intervention | participants (Number) |
---|
| 0 days | 1-5 days | 6-10 days | 11-30 days | >30 days |
---|
Salmeterol Xinafoate/FP in Fixed Combination (SFC) 50/500 µg | 19 | 4 | 1 | 0 | 1 |
,Salmeterol Xinafoate/FP Separately (Sal/FP) 50/500 µg | 13 | 2 | 1 | 0 | 0 |
,Total | 32 | 6 | 2 | 0 | 1 |
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Mean Change From Baseline in the Total Score of the St. George's Respiratory Questionnaire (SGRQ) at Week 52
Change from baseline was calculated as the total score at Week 52 minus the score at baseline. The SGRQ (a self-administered questionnaire) total score ranges from 0 to 100% and summarizes the impact of COPD on overall health status (summed weights of 15 questions). A total score of 0 indicates the best possible status. (NCT00527826)
Timeframe: Baseline and Week 52
Intervention | percent (Mean) |
---|
| Baseline | Week 52 | Mean change from baseline |
---|
Salmeterol Xinafoate/FP in Fixed Combination (SFC) 50/500 µg | 57.82 | 56.02 | -1.80 |
,Salmeterol Xinafoate/FP Separately (Sal/FP) 50/500 µg | 55.89 | 53.25 | -2.64 |
,Total | 56.87 | 54.65 | -2.22 |
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Mean Number of Exacerbations Per Year: Poisson Model
During regular visits, participants were asked whether they experienced any exacerbation since last contact. Between visits, COPD participants were contacted by phone by the staff and asked about exacerbation details. Exacerbations were defined according to Rodriguez-Roisin: moderate (grade II) exacerbations include a worsening of COPD symptoms that require both a change of respiratory medication (increased dose of prescribed or addition of new drugs) and medical assistance; severe (grade III) exacerbations include deterioration in COPD resulting in hospitalization or emergency room treatment. (NCT00527826)
Timeframe: Baseline through Week 52
Intervention | Number of exacerbations per year (Least Squares Mean) |
---|
Salmeterol Xinafoate/FP in Fixed Combination (SFC) 50/500 µg | 0.863 |
Salmeterol Xinafoate/FP Separately (Sal/FP) 50/500 µg | 0.830 |
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Mean Number of Days Rescue Medication Was Used
Participants were asked for the number of days they used rescue medication within the 7 days before Week 8 and Week 52. (NCT00527826)
Timeframe: The 7 days before baseline (=Visit 2 [Week 8]) and the last 7 days of study (=Visit 6 [Week 52])
Intervention | number of days (Mean) |
---|
| Visit 2 (Week 8) | Final visit (Week 52) |
---|
Salmeterol Xinafoate/FP in Fixed Combination (SFC) 50/500 µg | 4.73 | 5.03 |
,Salmeterol Xinafoate/FP Separately (Sal/FP) 50/500 µg | 4.11 | 4.69 |
,Total | 4.43 | 4.86 |
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Mean Number of Exacerbations Per Year: Negative Binomial Model
During regular visits, participants were asked whether they experienced any exacerbation since last contact. Between visits, COPD participants were contacted by phone by the staff and asked about exacerbation details. Exacerbations were defined according to Rodriguez-Roisin: moderate (grade II) exacerbations include a worsening of COPD symptoms that require both a change of respiratory medication (increased dose of prescribed or addition of new drugs) and medical assistance; severe (grade III) exacerbations include deterioration in COPD resulting in hospitalization or emergency room treatment. (NCT00527826)
Timeframe: Baseline through Week 52
Intervention | Number of exacerbations per year (Least Squares Mean) |
---|
Salmeterol Xinafoate/FP in Fixed Combination (SFC) 50/500 µg | 0.864 |
Salmeterol Xinafoate/FP Separately (Sal/FP) 50/500 µg | 0.862 |
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Compliance and Adherence to Study Medication
Compliance is calculated as the ratio (in percent) between the number of actual doses taken during the total treatment period divided by the number of doses that should have been taken during the total treatment period. (NCT00527826)
Timeframe: Baseline through Week 52
Intervention | percentage of doses (Mean) |
---|
Salmeterol Xinafoate/FP in Fixed Combination (SFC) 50/500 µg | 97.08 |
Sal 50 µg | 98.44 |
FP 500 µg | 98.33 |
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Number of Participants With the Indicated Number of Hospital Stays
The number of participants with the indicated number of hospitalizations was recorded. (NCT00527826)
Timeframe: Baseline through Week 52
Intervention | participants (Number) |
---|
| 0 hospital stays | 1 hospital stay | 2 hospital stays | 3 hospital stays | 4 hospital stays | 5 or more hospital stays |
---|
Salmeterol Xinafoate/FP in Fixed Combination (SFC) 50/500 µg | 82 | 11 | 9 | 4 | 0 | 1 |
,Salmeterol Xinafoate/FP Separately (Sal/FP) 50/500 µg | 87 | 13 | 3 | 1 | 1 | 0 |
,Total | 169 | 24 | 12 | 5 | 1 | 1 |
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Static Lung Volumes
Trough TLC (Total Lung Capacity) after 8 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 8 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 7.47 |
Fluticasone + Salmeterol | 7.39 |
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Static Lung Volumes
Trough TLC (Total Lung Capacity) after 4 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 4 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 7.52 |
Fluticasone + Salmeterol | 7.51 |
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Static Lung Volumes
Trough TGV(FRC) (Thoracic Gas Volume) after 8 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 8 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 5.24 |
Fluticasone + Salmeterol | 5.25 |
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Static Lung Volumes
Trough TGV(FRC) (Thoracic Gas Volume) after 4 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 4 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 5.32 |
Fluticasone + Salmeterol | 5.34 |
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Static Lung Volumes
Trough RV (Residual Volume) after 8 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 8 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 4.23 |
Fluticasone + Salmeterol | 4.25 |
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Static Lung Volumes
Trough RV (Residual Volume) after 4 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 4 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 4.28 |
Fluticasone + Salmeterol | 4.35 |
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Static Lung Volumes
Trough IRV (Inspiratory Reserve Volume) after 8 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 8 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 1.48 |
Fluticasone + Salmeterol | 1.41 |
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Static Lung Volumes
Trough IRV (Inspiratory Reserve Volume) after 4 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 4 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 1.47 |
Fluticasone + Salmeterol | 1.42 |
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Static Lung Volumes
Trough IC (Inspiratory Capacity) after 8 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 8 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 2.33 |
Fluticasone + Salmeterol | 2.23 |
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Static Lung Volumes
Trough IC (Inspiratory Capacity) after 4 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 4 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 2.28 |
Fluticasone + Salmeterol | 2.23 |
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Static Lung Volumes
Post-dose TLC (Total Lung Capacity) after 8 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 8 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 7.36 |
Fluticasone + Salmeterol | 7.36 |
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Static Lung Volumes
Post-dose TLC (Total Lung Capacity) after 4 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 4 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 7.33 |
Fluticasone + Salmeterol | 7.47 |
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Static Lung Volumes
Post-dose RV (Residual Volume) after 8 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 8 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 3.92 |
Fluticasone + Salmeterol | 4.07 |
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Static Lung Volumes
Post-dose RV (Residual Volume) after 4 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 4 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 3.91 |
Fluticasone + Salmeterol | 4.14 |
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Static Lung Volumes
Post-dose IRV (Inspiratory Reserve Volume) after 8 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 8 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 1.62 |
Fluticasone + Salmeterol | 1.55 |
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Static Lung Volumes
Post-dose IRV (Inspiratory Reserve Volume) after 4 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 4 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 1.62 |
Fluticasone + Salmeterol | 1.55 |
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Static Lung Volumes
Post-dose IC (Inspiratory Capacity) after 8 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 8 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 2.47 |
Fluticasone + Salmeterol | 2.35 |
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Static Lung Volumes (Percent)
Trough TGV/TLC (Thoracic Gas Volume over Total Lung Capacity) after 4 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 4 weeks
Intervention | Percent of TGV over TLC (Mean) |
---|
Tiotropium + Salmeterol | 70.59 |
Fluticasone + Salmeterol | 70.99 |
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Static Lung Volumes (Percent)
Trough TGV/TLC (Thoracic Gas Volume over Total Lung Capacity) after 8 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 8 weeks
Intervention | Percent of TGV over TLC (Mean) |
---|
Tiotropium + Salmeterol | 69.87 |
Fluticasone + Salmeterol | 70.94 |
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Symptom Intensity During Exercise
Isotime Borg dyspnea scale after 4 weeks, Unit on a Scale (min. 0, max. 10), 0 = no dyspnea, 10 = worst imaginable dyspnea (NCT00530842)
Timeframe: 4 weeks
Intervention | Unit on a Scale (Mean) |
---|
Tiotropium + Salmeterol | 4.80 |
Fluticasone + Salmeterol | 5.02 |
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Symptom Intensity During Exercise
Isotime Borg dyspnea scale after 8 weeks, Unit on a Scale (min. 0, max 10), 0 = no dyspnea, 10 = worst imaginable dyspnea (NCT00530842)
Timeframe: 8 weeks
Intervention | Unit on a Scale (Mean) |
---|
Tiotropium + Salmeterol | 4.77 |
Fluticasone + Salmeterol | 4.98 |
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Symptom Intensity During Exercise
Isotime Borg leg discomfort scale after 4 weeks, Unit on a Scale (min. 0, max. 10), 0 = no leg dyscomfort, 10 = worst imaginable leg dyscomfort (NCT00530842)
Timeframe: 4 weeks
Intervention | Unit on a Scale (Mean) |
---|
Tiotropium + Salmeterol | 4.63 |
Fluticasone + Salmeterol | 4.63 |
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Symptom Intensity During Exercise
Isotime Borg leg discomfort scale after 8 weeks, Unit on a Scale (min. 0, max. 10), 0 = no leg dyscomfort, 10 = worst imaginable leg dyscomfort (NCT00530842)
Timeframe: 8 weeks
Intervention | Unit on a Scale (Mean) |
---|
Tiotropium + Salmeterol | 4.64 |
Fluticasone + Salmeterol | 4.53 |
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Locus of Symptom Limitation at Peak Exercise During Exercise
Reason for stopping exercise after 4 weeks (leg discomfort, breathing discomfort, both or none) (NCT00530842)
Timeframe: 4 weeks
Intervention | Participants (Number) |
---|
| Leg discomfort | Breathing discomfort | Both (leg and breathing discomfort) | None |
---|
Fluticasone + Salmeterol | 72 | 119 | 78 | 40 |
,Tiotropium + Salmeterol | 89 | 104 | 78 | 38 |
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Locus of Symptom Limitation at Peak Exercise During Exercise
Reason for stopping exercise after 8 weeks (leg discomfort, breathing discomfort, both or none) (NCT00530842)
Timeframe: 8 weeks
Intervention | Participants (Number) |
---|
| Leg discomfort | Breathing discomfort | Both (leg and breathing discomfort) | None |
---|
Fluticasone + Salmeterol | 72 | 131 | 78 | 28 |
,Tiotropium + Salmeterol | 88 | 112 | 82 | 27 |
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Locus of Symptom Limitation at Peak Exercise During Exercise
Reason for stopping exercise at baseline (leg discomfort, breathing discomfort, both or none) (NCT00530842)
Timeframe: baseline
Intervention | Participants (Number) |
---|
| Leg discomfort | Breathing discomfort | Both (leg and breathing discomfort) | None |
---|
Fluticasone + Salmeterol | 53 | 132 | 92 | 32 |
,Tiotropium + Salmeterol | 53 | 132 | 92 | 32 |
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Static Lung Volumes (Percent)
Post-dose TGV/TLC (Thoracic Gas Volume over Total Lung Capacity) after 8 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 8 weeks
Intervention | Percent of TGV over TLC (Mean) |
---|
Tiotropium + Salmeterol | 67.65 |
Fluticasone + Salmeterol | 68.85 |
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Forced Vital Capacity (FVC)
Post-dose FVC (Forced Vital Capacity) after 8 weeks (measured by spirometry) (NCT00530842)
Timeframe: 8 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 3.26 |
Fluticasone + Salmeterol | 3.11 |
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Static Lung Volumes
Post-dose IC (Inspiratory Capacity) after 4 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 4 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 2.46 |
Fluticasone + Salmeterol | 2.37 |
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Slow Vital Capacity (SVC)
Trough SVC (Slow Vital Capacity) after 8 weeks (measured by spirometry) (NCT00530842)
Timeframe: 8 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 3.22 |
Fluticasone + Salmeterol | 3.12 |
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Slow Vital Capacity (SVC)
Trough SVC (Slow Vital Capacity) after 4 weeks (measured by spirometry) (NCT00530842)
Timeframe: 4 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 3.19 |
Fluticasone + Salmeterol | 3.12 |
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Slow Vital Capacity (SVC)
Post-dose SVC (Slow Vital Capacity) after 8 weeks (measured by spirometry) (NCT00530842)
Timeframe: 8 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 3.42 |
Fluticasone + Salmeterol | 3.28 |
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Slow Vital Capacity (SVC)
Post-dose SVC (Slow Vital Capacity) after 4 weeks (measured by spirometry) (NCT00530842)
Timeframe: 4 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 3.39 |
Fluticasone + Salmeterol | 3.27 |
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Post-dose TGV(FRC) (After 8 Weeks)
Post-dose TGV(FRC) (Thoracic Gas Volume; co-primary endpoint) after 8 weeks (NCT00530842)
Timeframe: 8 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 4.99 |
Fluticasone + Salmeterol | 5.07 |
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Post-dose TGV(FRC) (After 4 Weeks)
Post-dose TGV(FRC) (Thoracic Gas Volume) after 4 weeks (NCT00530842)
Timeframe: 4 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 5.00 |
Fluticasone + Salmeterol | 5.19 |
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Forced Vital Capacity (FVC)
Trough FVC (Forced Vital Capacity) after 8 weeks (measured by spirometry) (NCT00530842)
Timeframe: 8 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 3.06 |
Fluticasone + Salmeterol | 2.94 |
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Static Lung Volumes (Percent)
Trough RV/TLC (Residual Volume over Total Lung Capacity) after 4 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 4 weeks
Intervention | Percent of RV over TLC (Mean) |
---|
Tiotropium + Salmeterol | 56.57 |
Fluticasone + Salmeterol | 57.47 |
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Forced Vital Capacity (FVC)
Post-dose FVC (Forced Vital Capacity) after 4 weeks (measured by spirometry) (NCT00530842)
Timeframe: 4 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 3.25 |
Fluticasone + Salmeterol | 3.11 |
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Forced Expiratory Volume in 1 Second (FEV1)
Trough percent predicted FEV1 (Forced Expiratory Volume in 1 second) according to ECCS after 8 weeks (measured by spirometry) (NCT00530842)
Timeframe: 8 weeks
Intervention | Percent of predicted FEV1 (Mean) |
---|
Tiotropium + Salmeterol | 50.27 |
Fluticasone + Salmeterol | 49.12 |
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Forced Expiratory Volume in 1 Second (FEV1)
Trough percent predicted FEV1 (Forced Expiratory Volume in 1 second) according to ECCS after 4 weeks (measured by spirometry) (NCT00530842)
Timeframe: 4 weeks
Intervention | Percent of predicted FEV1 (Mean) |
---|
Tiotropium + Salmeterol | 50.40 |
Fluticasone + Salmeterol | 49.26 |
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Forced Expiratory Volume in 1 Second (FEV1)
Trough FEV1 (Forced Expiratory Volume in 1 second) after 8 weeks (measured by spirometry) (NCT00530842)
Timeframe: 8 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 1.48 |
Fluticasone + Salmeterol | 1.44 |
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Forced Expiratory Volume in 1 Second (FEV1)
Trough FEV1 (Forced Expiratory Volume in 1 second) after 4 weeks (measured by spirometry) (NCT00530842)
Timeframe: 4 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 1.48 |
Fluticasone + Salmeterol | 1.45 |
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Forced Expiratory Volume in 1 Second (FEV1)
Post-dose percent predicted FEV1 (Forced Expiratory Volume in 1 second) according to ECCS after 8 weeks (measured by spirometry) (NCT00530842)
Timeframe: 8 weeks
Intervention | Percent of predicted FEV1 (Mean) |
---|
Tiotropium + Salmeterol | 54.99 |
Fluticasone + Salmeterol | 52.59 |
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Forced Expiratory Volume in 1 Second (FEV1)
Post-dose percent predicted FEV1 (Forced Expiratory Volume in 1 second) according to ECCS after 4 weeks (measured by spirometry) (NCT00530842)
Timeframe: 4 weeks
Intervention | Percent of predicted FEV1 (Mean) |
---|
Tiotropium + Salmeterol | 54.96 |
Fluticasone + Salmeterol | 52.64 |
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Forced Vital Capacity (FVC)
Trough FVC (Forced Vital Capacity) after 4 weeks (measured by spirometry) (NCT00530842)
Timeframe: 4 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 3.04 |
Fluticasone + Salmeterol | 2.93 |
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Static Lung Volumes (Percent)
Post-dose TGV/TLC (Thoracic Gas Volume over Total Lung Capacity) after 4 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 4 weeks
Intervention | Percent of TGV over TLC (Mean) |
---|
Tiotropium + Salmeterol | 68.43 |
Fluticasone + Salmeterol | 69.22 |
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Static Lung Volumes (Percent)
Post-dose RV/TLC (Residual Volume over Total Lung Capacity) after 8 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 8 weeks
Intervention | Percent of RV over TLC (Mean) |
---|
Tiotropium + Salmeterol | 52.79 |
Fluticasone + Salmeterol | 55.02 |
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Forced Expiratory Volume in 1 Second (FEV1)
Post-dose FEV1 (Forced Expiratory Volume in 1 second) after 8 weeks (measured by spirometry) (NCT00530842)
Timeframe: 8 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 1.62 |
Fluticasone + Salmeterol | 1.55 |
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Forced Expiratory Volume in 1 Second (FEV1)
Post-dose FEV1 (Forced Expiratory Volume in 1 second) after 4 weeks (measured by spirometry) (NCT00530842)
Timeframe: 4 weeks
Intervention | Litres (Mean) |
---|
Tiotropium + Salmeterol | 1.62 |
Fluticasone + Salmeterol | 1.55 |
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FEV1 Over FVC (Percent)
Trough FEV1 (Forced Expiratory Volume in 1 second) over FVC (Forced Vital Capacity) after 8 weeks (measured by spirometry) (NCT00530842)
Timeframe: 8 weeks
Intervention | Percent of FEV1 over FVC (Mean) |
---|
Tiotropium + Salmeterol | 49.16 |
Fluticasone + Salmeterol | 49.67 |
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FEV1 Over FVC (Percent)
Trough FEV1 (Forced Expiratory Volume in 1 second) over FVC (Forced Vital Capacity) after 4 weeks (measured by spirometry) (NCT00530842)
Timeframe: 4 weeks
Intervention | Percent of FEV1 over FVC (Mean) |
---|
Tiotropium + Salmeterol | 49.74 |
Fluticasone + Salmeterol | 50.62 |
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FEV1 Over FVC (Percent)
Post-dose FEV1 (Forced Expiratory Volume in 1 second) over FVC (Forced Vital Capacity) after 8 weeks (measured by spirometry) (NCT00530842)
Timeframe: 8 weeks
Intervention | Percent of FEV1 over FVC (Mean) |
---|
Tiotropium + Salmeterol | 50.77 |
Fluticasone + Salmeterol | 50.66 |
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FEV1 Over FVC (Percent)
Post-dose FEV1 (Forced Expiratory Volume in 1 second) over FVC (Forced Vital Capacity) after 4 weeks (measured by spirometry) (NCT00530842)
Timeframe: 4 weeks
Intervention | Percent of FEV1 over FVC (Mean) |
---|
Tiotropium + Salmeterol | 50.90 |
Fluticasone + Salmeterol | 50.91 |
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Endurance Time (After 8 Weeks)
Endurance time to the point of symptom limitation after 8 weeks during a constant work rate exercise test at 75% Wcap (co-primary endpoint) (NCT00530842)
Timeframe: 8 weeks
Intervention | Seconds (Median) |
---|
Tiotropium + Salmeterol | 463 |
Fluticasone + Salmeterol | 453 |
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Endurance Time (After 4 Weeks)
Endurance time to the point of symptom limitation after 4 weeks during a constant work rate exercise test at 75% Wcap (co-primary endpoint) (NCT00530842)
Timeframe: 4 weeks
Intervention | Seconds (Median) |
---|
Tiotropium + Salmeterol | 458 |
Fluticasone + Salmeterol | 450 |
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Dyspnea and Leg Discomfort
Peak Borg leg discomfort scale after 8 weeks, Unit on a Scale (min. 0, max 10) (NCT00530842)
Timeframe: 8 weeks
Intervention | Unit on a Scale (Mean) |
---|
Tiotropium + Salmeterol | 6.10 |
Fluticasone + Salmeterol | 5.86 |
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Dyspnea and Leg Discomfort
Peak Borg dyspnea scale after 8 weeks, Unit on a Scale (min. 0, max 10) (NCT00530842)
Timeframe: 8 weeks
Intervention | Unit on a Scale (Mean) |
---|
Tiotropium + Salmeterol | 6.52 |
Fluticasone + Salmeterol | 6.61 |
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Static Lung Volumes (Percent)
Post-dose RV/TLC (Residual Volume over Total Lung Capacity) after 4 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 4 weeks
Intervention | Percent of RV over TLC (Mean) |
---|
Tiotropium + Salmeterol | 53.09 |
Fluticasone + Salmeterol | 55.07 |
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Static Lung Volumes (Percent)
Trough RV/TLC (Residual Volume over Total Lung Capacity) after 8 weeks (measured by bodyphlethysmography) (NCT00530842)
Timeframe: 8 weeks
Intervention | Percent of RV over TLC (Mean) |
---|
Tiotropium + Salmeterol | 56.10 |
Fluticasone + Salmeterol | 57.18 |
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Participant Preference of Fluticasone Furoate Nasal Spray (FFNS) Versus Fluticasone Propionate Nasal Spray (FPNS) Based on Scent/Odor
"Participants assessed preference of scent/odor for the nasal sprays used during the treatment periods by answering I prefer product 1 for spray used during Treatment Period 1 or I prefer product 2 for spray used during Treatment Period 2. Participant could also choose I have no preference." (NCT00539006)
Timeframe: End of Crossover Period (Day 22)
Intervention | Participants (Number) |
---|
| Preferred - Fluticasone Furoate Nasal Spray | Preferred - Fluticasone Propionate Nasal Spray | No Preference |
---|
Fluticasone Furoate NS/Fluticasone Propionate NS | 43 | 21 | 13 |
,Fluticasone Propionate NS/Fluticasone Furoate NS | 41 | 17 | 19 |
,Total | 84 | 38 | 32 |
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Participant Preference of Fluticasone Furoate Nasal Spray (FFNS) Versus Fluticasone Propionate Nasal Spray (FPNS) Based on Leaking Out of Nose/Down Throat
"Participants assessed preference over leaking out of nose/down throat for the nasal sprays used during the treatment periods by answering I prefer product 1 for spray used during Treatment Period 1 or I prefer product 2 for spray used during Treatment Period 2. Participant could also choose I have no preference." (NCT00539006)
Timeframe: End of Crossover Period (Day 22)
Intervention | Participants (Number) |
---|
| Preferred - Fluticasone Furoate Nasal Spray | Preferred - Fluticasone Propionate Nasal Spray | No Preference |
---|
Fluticasone Furoate NS/Fluticasone Propionate NS | 43 | 15 | 19 |
,Fluticasone Propionate NS/Fluticasone Furoate NS | 46 | 17 | 14 |
,Total | 89 | 32 | 33 |
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Participant Preference of Fluticasone Furoate Nasal Spray (FFNS) Versus Fluticasone Propionate Nasal Spray (FPNS) Based on Gentleness of Mist
Participants assessed preference over gentleness of mist for the nasal sprays used during the 2 treatment periods (NCT00539006)
Timeframe: End of Crossover Period (Day 22)
Intervention | Participants (Number) |
---|
| Preferred - Fluticasone Furoate Nasal Spray | Preferred - Fluticasone Propionate Nasal Spray | No Preference |
---|
Fluticasone Furoate NS/Fluticasone Propionate NS | 37 | 17 | 23 |
,Fluticasone Propionate NS/Fluticasone Furoate NS | 49 | 14 | 14 |
,Total | 86 | 31 | 37 |
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Participant Preference of Fluticasone Furoate Nasal Spray (FFNS) Versus Fluticasone Propionate Nasal Spray (FPNS) Based on Ease of Use
"Participants assessed preference over ease of use for the nasal sprays used during the treatment periods by answering I prefer product 1 for spray used during Treatment Period 1 or I prefer product 2 for spray used during Treatment Period 2. Participant could also choose I have no preference." (NCT00539006)
Timeframe: End of Crossover Period (Day 22)
Intervention | Participants (Number) |
---|
| Preferred - Fluticasone Furoate Nasal Spray | Preferred - Fluticasone Propionate Nasal Spray | No Preference |
---|
Fluticasone Furoate NS/Fluticasone Propionate NS | 19 | 42 | 16 |
,Fluticasone Propionate NS/Fluticasone Furoate NS | 28 | 37 | 12 |
,Total | 47 | 79 | 28 |
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Comparision of Mean Change From Baseline Over Treatment Periods in Daytime Reflective Total Nasal Symptom Scores (D r-TNSS) for Active Drug Nasal Sprays Versus Placebos
Reflective Total Nasal Symptom scores (rTNSS) symptoms of rhinorrhea, nasal congestion, nasal itching, sneezing using scale of: 0=none, 1=mild, 2=moderate, 3=severe. (NCT00539006)
Timeframe: Baseline, Treatment Period 1 (Days 1-7), Treatment Period 2 (Days 15-21)
Intervention | Scores on a scale (Mean) |
---|
| Change from Baseline Treatment Period One | Change from Baseline Treatment Period Two |
---|
Fluticasone Furoate NS/Fluticasone Propionate NS | -2.8 | -2.6 |
,Fluticasone Propionate NS/Fluticasone Furoate NS | -2.6 | -2.8 |
,Placebo - FF/FP | -1.6 | -2.0 |
,Placebo - FP/FF | -1.7 | -1.9 |
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Comparision of Mean Change From Baseline Over Treatment Periods in Nighttime Reflective Total Nasal Symptom Scores (N-rTNSS) for Active Drug Nasal Sprays Versus Placebos
Reflective Total Nasal Symptom scores (rTNSS) symptoms of rhinorrhea, nasal congestion, nasal itching, sneezing using scale of: 0=none, 1=mild, 2=moderate, 3=severe; maximum score=12. (NCT00539006)
Timeframe: Baseline, Treatment Period 1 (Days 1-7), Treatment Period 2 (Days 15-21)
Intervention | Scores on a scale (Mean) |
---|
| Change From Baseline Treatment Period One | Change From Baseline Treatment Period Two |
---|
Fluticasone Furoate NS/Fluticasone Propionate NS | -2.5 | -2.4 |
,Fluticasone Propionate NS/Fluticasone Furoate NS | -2.4 | -2.6 |
,Placebo - FF/FP | -1.3 | -1.9 |
,Placebo - FP/FF | -1.6 | -1.6 |
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Comparison of Mean Change From Baseline in Daily Reflective Total Nasal Symptom Score (rTNSS) Over Treatment Periods of Active Drug Nasal Sprays Versus Placebos
Reflective Total Nasal Symptom scores (rTNSS) symptoms of rhinorrhea, nasal congestion, nasal itching, sneezing using scale of: 0=none, 1=mild, 2=moderate, 3=severe; maximum score=12. The mean of AM and PM scores were used. (NCT00539006)
Timeframe: Baseline, Treatment Period 1 (Days 1-7), Treatment Period 2 (Days 15-21)
Intervention | Scores on a scale (Mean) |
---|
| Change from Baseline Treatment Period One | Change from Baseline Treatment Period Two |
---|
Fluticasone Furoate NS/Fluticasone Propionate NS | -2.7 | -2.5 |
,Fluticasone Propionate NS/Fluticasone Furoate NS | -2.4 | -2.7 |
,Placebo - FF/FP | -1.5 | -1.9 |
,Placebo - FP/FF | -1.6 | -1.7 |
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FEV1 Before Evening Dose
The change from baseline was calculated using the average over baseline (the last 7 days of run-in and washout period respectively), and over all days of treatment, with baseline as covariate. (NCT00542880)
Timeframe: Baseline (daily records during run-in, and washout) and daily records during the treatment period of 7 days
Intervention | Liters (Mean) |
---|
Symbicort Turbuhaler | 0.1470 |
Seretide Diskus | 0.1060 |
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Forced Expiratory Volume in 1 Second (FEV1) Before Morning Dose
The change from baseline was calculated using the average over baseline (the last 7 days of run-in and washout period respectively), and over all days of treatment, with baseline as covariate. (NCT00542880)
Timeframe: Baseline (daily records during run-in, and washout) and daily records during the treatment period of 7 days
Intervention | Liters (Mean) |
---|
Symbicort Turbuhaler | 0.0310 |
Seretide Diskus | 0.0590 |
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Peak Expiratory Flow (PEF) 5 Minutes After Morning Dose
The change from baseline in PEF was calculated using the average over baseline (the last 7 days of run-in and washout period respectively), and all days of treatment, with baseline as covariate. (NCT00542880)
Timeframe: Baseline (daily records during run-in, and washout) and daily records during the treatment period of 7 days
Intervention | liters/minute (Mean) |
---|
Symbicort Turbuhaler | 15.1 |
Seretide Diskus | 13.4 |
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PEF 15 Minutes After Morning Dose
The change from baseline was calculated using the average over baseline (the last 7 days of run-in and washout period respectively), and over all days of treatment, with baseline as covariate. (NCT00542880)
Timeframe: Baseline (daily records during run-in, and washout) and daily records during the treatment period of 7 days
Intervention | Liters/minute (Mean) |
---|
Symbicort Turbuhaler | 19.9 |
Seretide Diskus | 16.7 |
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PEF Before Evening Dose
The change from baseline was calculated using the average over baseline (the last 7 days of run-in and washout period respectively), and over all days of treatment, with baseline as covariate. (NCT00542880)
Timeframe: Baseline (daily records during run-in, and washout) and daily records during the treatment period of 7 days
Intervention | Liters/minute (Mean) |
---|
Symbicort Turbuhaler | 4 |
Seretide Diskus | 1.8 |
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PEF Before Morning Dose
The change from baseline was calculated using the average over baseline (the last 7 days of run-in and washout period respectively), and over all days of treatment, with baseline as covariate. (NCT00542880)
Timeframe: Baseline (daily records during run-in, and washout) and daily records during the treatment period of 7 days
Intervention | Liters/minutes (Mean) |
---|
Symbicort Turbuhaler | 4.8 |
Seretide Diskus | 7.9 |
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The Clinical Chronic Obstructive Pulmonary Disease (COPD) Questionnaire (Change From Pre to End of Treatment)
The change from baseline was calculated using the average over baseline (the last 7 days of run-in and washout period respectively), and over all days of treatment, with baseline as covariate. Score scale 0 - 6 with 0=worst and 6 = best. (NCT00542880)
Timeframe: Baseline (daily records during run-in, and washout) and daily records during the treatment period of 7 days
Intervention | Units on a scale (Mean) |
---|
Symbicort Turbuhaler | 0.24 |
Seretide Diskus | 0.19 |
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Change in Forced Vital Capacity (FVC) From Before Dose to5 Minutes After Dose at the Clinic
The change from pre-dose was calculated using the pre-dose baseline value (run-in and washout period respectively), and pre-dose value at day 1, with pre-dose run-in/washout as covariate. (NCT00542880)
Timeframe: Baseline (run-in, and washout) and day 1 of treatment period
Intervention | Liters (Mean) |
---|
Symbicort Turbuhaler | 0.0950 |
Seretide Diskus | 0.0490 |
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Change in PEF From Before Dose to 15 Minutes After Dose in the Morning
The change from pre-dose was calculated using the average over baseline (the last 7 days of run-in and washout period respectively), and over all days of treatment, with mean pre-dose run-in/washout as covariate. (NCT00542880)
Timeframe: Baseline (daily records during run-in, and washout) and daily records during the treatment period of 7 days
Intervention | Liters/minute (Mean) |
---|
Symbicort Turbuhaler | 11.6 |
Seretide Diskus | 6.1 |
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Change in FEV1from Before Dose to 5 Minutes After Dose in the Morning
The change from pre-dose was calculated using the average over baseline (the last 7 days of run-in and washout period respectively), and over all days of treatment, with mean pre-dose run-in/washout as covariate. (NCT00542880)
Timeframe: Baseline (daily records during run-in, and washout) and daily records during the treatment period of 7 days
Intervention | Liters (Mean) |
---|
Symbicort Turbuhaler | 15.8 |
Seretide Diskus | 9.6 |
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Change in FEV1 From Before Dose to 5 Minutes After Dose at the Clinic
The change from pre-dose was calculated using the pre-dose baseline value (run-in and washout period respectively), and pre-dose value at day 1, with pre-dose run-in/washout as covariate. (NCT00542880)
Timeframe: Baseline (run-in, and washout) and day 1 of treatment period
Intervention | Liters (Mean) |
---|
Symbicort Turbuhaler | 0.1120 |
Seretide Diskus | 0.0440 |
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Capacity of Daily Living in the Morning (CDLM) (Change From Pre to End of Treatment)
The change from baseline was calculated using the average over baseline (the last 7 days of run-in and washout period respectively), and over all days of treatment, with baseline as covariate. Score scale 0 - 5 with 0=worst and 5 = best. (NCT00542880)
Timeframe: Baseline (daily records during run-in, and washout) and daily records during the treatment period of 7 days
Intervention | units on a scale (Mean) |
---|
Symbicort Turbuhaler | 0.1920 |
Seretide Diskus First | 0.1240 |
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Change in FEV1 From Before Dose to 15 Minutes After Dose in the Morning
The change from pre-dose was calculated using the average over baseline (the last 7 days of run-in and washout period respectively), and over all days of treatment, with mean pre-dose run-in/washout as covariate. (NCT00542880)
Timeframe: Baseline (daily records during run-in, and washout) and daily records during the treatment period of 7 days
Intervention | Liters (Mean) |
---|
Symbicort Turbuhaler | 0.0930 |
Seretide Diskus | 0.0280 |
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Change in PEF From Before Dose to 5 Minutes After Dose in the Morning
The change from pre-dose was calculated using the average over baseline (the last 7 days of run-in and washout period respectively), and over all days of treatment, with pre-dose run-in/washout as covariate. (NCT00542880)
Timeframe: Baseline (daily records during run-in, and washout) and daily records during the treatment period of 7 days
Intervention | Liters/minute (Mean) |
---|
Symbicort Turbuhaler | 0.0160 |
Seretide Diskus | 0.0030 |
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Difficulty in Getting Out From Bed (MASQ) (Change From Pre to End of Treatment)
The change from baseline was calculated using the average over baseline (the last 7 days of run-in and washout period respectively), and over all days of treatment, with baseline as covariate. Score scale 0 - 5 with 0=worst and 5 = best. (NCT00542880)
Timeframe: Baseline (daily records during run-in, and washout) and daily records during the treatment period of 7 days
Intervention | Units on a scale (Mean) |
---|
Symbicort Turbuhaler | 0.21 |
Seretide Diskus | 0.14 |
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FEV1 15 Minutes After Morning Dose
The change from baseline was calculated using the average over baseline (the last 7 days of run-in and washout period respectively), and over all days of treatment, with baseline as covariate. (NCT00542880)
Timeframe: Baseline (daily records during run-in, and washout) and daily records during the treatment period of 7 days
Intervention | Liters (Mean) |
---|
Symbicort Turbuhaler | 0.1220 |
Seretide Diskus | 0.1030 |
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Record Skin Atrophy, Pigmentation Change, Hematological and Chemistry Assessments, and Changes in Atopic Dermatitis Severity
The frequency distributions of the presence/absence of adverse events associated with signs of atrophy and pigmentation changes were summarized with frequency counts. Hematology and Chemistry Assessments were summarized in shift tables. Signs and symptoms of AD were summarized at each visit. (NCT00546000)
Timeframe: Over 5-6 visits following the baseline visit through the end of treatment between Day 22-29
Intervention | participants (Number) |
---|
| skin atrophy | pigmentation change |
---|
Experimental | 1 | 9 |
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Post Treatment Serum Cortisol Values Will be Compared.
The primary safety parameter was the response to the CST at the end of treatment/final visit. Blood samples were collected prior to injection of cosyntropin and post-injection. Post-CST stimulation cortisol level ≤ 18micrograms/dL was considered as evidence of adrenal suppression. (NCT00546000)
Timeframe: Up to 29 days of treatment
Intervention | participants (Number) |
---|
Experimental | 1 |
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Participant Average Rhinoconjunctivitis Daily Symptom Scores (DSS) Over the Entire GPS
The DSS is composed of six rhinoconjunctivitis symptoms which were recorded daily including runny nose, blocked nose, sneezing, itchy nose, gritty feeling/red/itchy, and watery eyes, and the symptoms were measured on a scale of 0 (no symptom) to 3 (severe symptoms). A higher score indicated a higher level of symptoms and the total daily score could range from 0 (best) to 18 (worst). (NCT00550550)
Timeframe: Start of the GPS to the End of the GPS
Intervention | Units on a Scale (Mean) |
---|
SCH 697243 | 3.71 |
Placebo | 4.91 |
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Participant Average Weekly Rhinoconjunctivitis Quality-of-Life Questionnaire (RQLQ) Total Score Over the Entire GPS
The RQLQ has 28 questions and focusses on 7 domains that may be significantly impaired in participants with seasonal allergic rhinoconjunctivitis: sleep impairment, non-nasal symptoms, practical problems, nasal symptoms, eye symptoms, activity limitations, and emotional difficulty. The RQLQ score is the mean of all 28 responses and the individual domain scores are the means of the items in those domains. RQLQ scores range from 0 (best) to 6 (worst), with a higher score indicating more significant impairment. (NCT00550550)
Timeframe: Start of the GPS to the End of the GPS
Intervention | Units on a Scale (Mean) |
---|
SCH 697243 | 1.45 |
Placebo | 1.77 |
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Participant Total Combined Symptom (TCS) Score Over the Entire Grass Pollen Season (GPS)
The TCS is the sum of the rhinoconjunctivitis daily symptom score (DSS) and rhinoconjunctivitis daily medication score (DMS) averaged over the entire GPS. The TCS ranged from 0 (no symptoms and no rescue medication use) to 54 (most severe symptoms and maximum use of rescue medication), with increasing score indicating a higher level of symptom severity. The DSS is composed of 6 rhinoconjunctivitis symptoms with scores from 0 (best) to 18 (worst), with increasing score indicating increased severity. The DMS is composed of a sum of the scores associated with rescue medication use per day. The range for the DMS was 0 (no rescue medication use) to 36 (maximum use of rescue medication), with a lower score indicating less use of rescue medication. (NCT00550550)
Timeframe: From the Start of the GPS to the End of the GPS
Intervention | Units on a Scale (Mean) |
---|
SCH 697243 | 4.62 |
Placebo | 6.25 |
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Participant Average Rhinoconjunctivitis Daily Medication Score (DMS) Over the Entire GPS
The DMS is composed of a sum of the scores associated with rescue medication use per day. Rescue medications were implemented when a participant had a symptom score >= 4. Rescue medications for allergic rhinoconjunctivitis were to be utilized in a step-wise fashion: loratadine, olopatadine hydrochloride 0.1% opthalmic solution, mometasone, and prednisone, in that sequence. The score for the DMS ranged from 0 (no use of rescue medication) to 36 (maximum use of rescue medication). A lower medication score indicated less impact on symptoms and was suggestive of less use of rescue medication. (NCT00550550)
Timeframe: Start of the GPS to the End of the GPS
Intervention | Units on a Scale (Mean) |
---|
SCH 697243 | 0.91 |
Placebo | 1.33 |
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Maximum (Peak) Plasma Concentration (Cmax) of Indacaterol
(NCT00556673)
Timeframe: Samples were taken pre-dose and at 15 and 30 minutes and 1, 2, 4, 12 and 24 hours post-dose.
Intervention | pg/mL (Mean) |
---|
Indacaterol/Mometasone | 289 |
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Change From Period Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1)
FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Change from the period baseline to 24 hour post dose trough FEV1 after 1 day of treatment was modeled using a linear mixed effect model fitting treatment, sequence and period as fixed factors, patient within sequence as a random factor and pre-dose FEV1 as covariate. (NCT00556673)
Timeframe: Pre-dose for each Treatment Period (Days 1, 8 and 15) and 24-hours post-dose for each Treatment Period (Days 2, 9 and 16).
Intervention | liters (Least Squares Mean) |
---|
Indacaterol/Mometasone | 0.27 |
Placebo | -0.12 |
Fluticasone/Salmeterol | 0.37 |
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Change From Period Baseline in Trough Percent Predicted Forced Expiratory Volume in 1 Second (FEV1)
"Trough FEV1 was measured 24 hours post-dose. The FEV1 percent predicted expresses FEV1 as a percentage of the predicted values for participants of similar characteristics (height, age, sex, and sometimes race and weight). A positive change from baseline in FEV1 % predicted indicates improvement in lung function. Change from baseline in trough FEV1 % predicted was modeled using a linear mixed effect model fitting treatment, sequence and period as fixed factors, patient within sequence as a random factor and pre-dose value as covariate." (NCT00556673)
Timeframe: Pre-dose for each Treatment Period (Days 1, 8 and 15) and 24-hours post-dose for each Treatment Period (Days 2, 9 and 16).
Intervention | Percent of predicted (Least Squares Mean) |
---|
Indacaterol/Mometasone | 6.95 |
Placebo | -2.87 |
Fluticasone/Salmeterol | 9.85 |
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Change From Period Baseline in Trough Forced Vital Capacity (FVC)
Vital capacity is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. Trough FVC was measured 24 hours post-dose. Change form baseline in trough FVC was modeled using a linear mixed effect model fitting treatment, sequence and period as fixed factors, patient within sequence as a random factor and pre-dose value as covariate. (NCT00556673)
Timeframe: Pre-dose for each Treatment Period (Days 1, 8 and 15) and 24-hours post-dose for each Treatment Period (Days 2, 9 and 16).
Intervention | liters (Least Squares Mean) |
---|
Indacaterol/Mometasone | 0.22 |
Placebo | -0.14 |
Fluticasone/Salmeterol | 0.17 |
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Change From Period Baseline in Trough FEV1/FVC Ratio
The forced expiratory volume in one second (FEV1)/forced vital capacity (FVC) ratio represents the proportion of a person's vital capacity that they are able to expire in the first second of an expiration. Trough FEV1/FVC was calculated from measurements taken 24 hours post-dose. Change from baseline in trough FEV1/FVC ratio was modeled using a linear mixed effect model fitting treatment, sequence and period as fixed factors, patient within sequence as a random factor and pre-dose value as covariate. (NCT00556673)
Timeframe: Pre-dose for each Treatment Period (Days 1, 8 and 15) and 24-hours post-dose for each Treatment Period (Days 2, 9 and 16).
Intervention | ratio (Least Squares Mean) |
---|
Indacaterol/Mometasone | 2.50 |
Placebo | 2.15 |
Fluticasone/Salmeterol | 2.65 |
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Change From Period Baseline in Peak Percent Predicted Forced Expiratory Volume in 1 Second (FEV1)
"Peak FEV1 was defined as the peak FEV1 up to 4 hours post-dose. The FEV1 percent predicted expresses FEV1 as a percentage of the predicted values for participants of similar characteristics (height, age, sex, and sometimes race and weight). A positive change from baseline in FEV1 % predicted indicates improvement in lung function. Change from baseline in peak FEV1 % predicted was modeled using a linear mixed effect model fitting treatment, sequence and period as fixed factors, patient within sequence as a random factor and pre-dose value as covariate." (NCT00556673)
Timeframe: Days 1, 8 and 15, pre-dose (Baseline) and 5, 15, and 30 minutes, 1, 2, 3, and 4 hours post-dose.
Intervention | Percent of predicted (Least Squares Mean) |
---|
Indacaterol/Mometasone | 16.27 |
Placebo | 6.85 |
Fluticasone/Salmeterol | 16.49 |
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Change From Period Baseline in Peak Forced Vital Capacity (FVC)
Vital capacity is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. Peak FVC was measured up to 4 hours post-dose. Change from baseline in peak FVC was modeled using a linear mixed effect model fitting treatment, sequence and period as fixed factors, patient within sequence as a random factor and pre-dose value as covariate. (NCT00556673)
Timeframe: Days 1, 8 and 15, pre-dose (Baseline) and 5, 15, and 30 minutes, 1, 2, 3, and 4 hours post-dose.
Intervention | liters (Least Squares Mean) |
---|
Indacaterol/Mometasone | 0.47 |
Placebo | 0.20 |
Fluticasone/Salmeterol | 0.35 |
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Change From Period Baseline in Peak FEV1/FVC Ratio
The forced expiratory volume in one second (FEV1)/forced vital capacity (FVC) ratio represents the proportion of a person's vital capacity that they are able to expire in the first second of an expiration. Peak FEV1/FVC was calculated from spirometry measurements taken up to 4 hours post-dose. Change from baseline in peak FEV1/FVC ratio was modeled using a linear mixed effect model fitting treatment, sequence and period as fixed factors, patient within sequence as a random factor and pre-dose value as covariate. (NCT00556673)
Timeframe: Days 1, 8 and 15, pre-dose (Baseline) and 5, 15, and 30 minutes, 1, 2, 3, and 4 hours post-dose.
Intervention | ratio (Least Squares Mean) |
---|
Indacaterol/Mometasone | 2.86 |
Placebo | 2.53 |
Fluticasone/Salmeterol | 2.90 |
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Change From Baseline in Peak Forced Expiratory Volume in One Second (FEV1)
FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Peak FEV1 is defined as the peak FEV1 between 0 and 4 hours post-dose. The change from baseline in peak FEV1 was modeled using a linear mixed effect model fitting treatment, sequence and period as fixed factors, patient within sequence as a random factor and pre-dose FEV1 as covariate. (NCT00556673)
Timeframe: Days 1, 8 and 15, pre-dose (Baseline) and 5, 15, and 30 minutes, 1, 2, 3, and 4 hours post-dose.
Intervention | liters (Least Squares Mean) |
---|
Indacaterol/Mometasone | 0.64 |
Placebo | 0.26 |
Fluticasone/Salmeterol | 0.62 |
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Area Under the Concentration-time Curve From Time 0 to 24 Hours Post-dose for Mometasone Furoate
(NCT00556673)
Timeframe: Samples were taken pre-dose and at 15 and 30 minutes and 1, 2, 4, 12 and 24 hours post-dose.
Intervention | pg*h/mL (Mean) |
---|
Indacaterol/Mometasone | 389 |
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Area Under the Concentration-time Curve From Time 0 to 24 Hours Post-dose for Indacaterol
(NCT00556673)
Timeframe: Samples were taken pre-dose and at 15 and 30 minutes and 1, 2, 4, 12 and 24 hours post-dose.
Intervention | pg*h/mL (Mean) |
---|
Indacaterol/Mometasone | 1331 |
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Area Under the Concentration-time Curve From Time 0 to 12 Hours Post-dose for Mometasone Furoate
(NCT00556673)
Timeframe: Samples were taken pre-dose and at 15 and 30 minutes and 1, 2, 4, and 12 hours post-dose.
Intervention | pg*h/mL (Mean) |
---|
Indacaterol/Mometasone | 287 |
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Time to Reach Peak or Maximum Concentration Following Drug Administration for Indacaterol
(NCT00556673)
Timeframe: Samples were taken pre-dose and at 15 and 30 minutes and 1, 2, 4, 12 and 24 hours post-dose.
Intervention | hours (Median) |
---|
Indacaterol/Mometasone | 0.325 |
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Change From Period Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1)
FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Change from the period baseline to 24 hour post dose trough FEV1 after 1 day of treatment was analyzed using Analysis of Covariance (ANCOVA) adjusting for treatment, period, sequence and center with period baseline as a covariate and patient nested within sequence as a random effect. (NCT00557440)
Timeframe: Pre-dose for each Treatment Period (Days 1, 8 and 15) and 24-hours post-dose for each Treatment Period (Days 2, 9 and 16).
Intervention | liters (Least Squares Mean) |
---|
Indacaterol/Mometasone | 0.081 |
Fluticasone/Salmeterol | 0.049 |
Placebo | -0.083 |
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Time to Peak Forced Expiratory Volume in 1 Second (FEV1)
"FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Time to peak FEV1 is calculated in minutes from the time of inhalation of study drug to the time of the peak FEV1 during the first 4 hours post-dose.~Time to peak FEV1 is based on log-transformed analysis of variance adjusted for treatment, period, sequence and center, with patient nested within sequence as a random effect. Geometric Mean was obtained by taking anti-logs of the adjusted means from the model and standard error was calculated using the delta method." (NCT00557440)
Timeframe: Up to 4 hours post-dose
Intervention | minutes (Geometric Mean) |
---|
Indacaterol/Mometasone | 87.4 |
Fluticasone/Salmeterol | 67.7 |
Placebo | 22.3 |
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Forced Expiratory Volume in 1 Second (FEV1) at Single Time Points
FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. FEV1 was analyzed using Analysis of Covariance (ANCOVA) adjusting for treatment, period, sequence and center with period baseline as a covariate and patient nested within sequence as a random effect. (NCT00557440)
Timeframe: 5, 30 minutes, 1, 2, 3, 4 hours, 11 hours 10 minutes, 11 hours 45 minutes, 12 hours 30 minutes, 14, 16, 18, 20, 22 hours, 23 hours 10 minutes, and 23 hours 45 minutes post-dosing.
Intervention | liters (Least Squares Mean) |
---|
| 5 minutes [N=36, 36, 37] | 30 minutes [N=36, 36, 36] | 1 hour [N=36, 36, 36] | 2 hours [N=36, 36, 36] | 3 hours [N=36, 36, 36] | 4 hours [N=36, 36, 35] | 11 hours 10 minutes [N=36, 35, 34] | 11 hours 45 minutes [N=36, 35, 32] | 12 hours 30 minutes [N=36, 35, 32] | 14 hours [N=36, 35, 32] | 16 hours [N=36, 35, 31] | 18 hours [N=35, 36, 33] | 20 hours [N=35, 36, 34] | 22 hours [N=35, 36, 34] | 23 hours 10 minutes [N=35, 36, 35] | 23 hours 45 minutes [N=36, 36, 34] | 24 hours post-dose trough [N=36, 36, 35] |
---|
Fluticasone/Salmeterol | 2.632 | 2.719 | 2.771 | 2.734 | 2.724 | 2.669 | 2.570 | 2.518 | 2.659 | 2.779 | 2.681 | 2.717 | 2.707 | 2.695 | 2.676 | 2.640 | 2.656 |
,Indacaterol/Mometasone | 2.713 | 2.754 | 2.760 | 2.754 | 2.728 | 2.705 | 2.685 | 2.628 | 2.667 | 2.766 | 2.720 | 2.729 | 2.725 | 2.674 | 2.696 | 2.686 | 2.689 |
,Placebo | 2.554 | 2.527 | 2.525 | 2.483 | 2.425 | 2.376 | 2.295 | 2.276 | 2.359 | 2.485 | 2.454 | 2.513 | 2.479 | 2.487 | 2.530 | 2.523 | 2.524 |
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Forced Expiratory Volume in 1 Second (FEV1) Standardized Area Under the Curve (AUC) Between Baseline (Pre-dose) and 24 Hours Post-dose
"FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. FEV1 was measured pre-dose and up to 24 hours post-dose. The FEV1 standardized area under the curve (AUC) was analyzed for four time intervals:~Baseline (pre-dose) to 4 hours (hr) post-dosing;~Baseline (pre-dose) to 23 hours, 45 minutes (min) post-dosing;~11 hours, 10 minutes to 12 hours, 30 minutes post-dosing;~11 hours, 10 minutes to 23 hours, 45 minutes post-dosing.~AUC for FEV1 was analyzed using Analysis of Covariance adjusting for treatment, period, sequence and center with period baseline as a covariate and patient nested within sequence as a random effect." (NCT00557440)
Timeframe: Pre-dose, 5, 30 minutes, 1, 2, 3, 4 hours, 11 hours 10 minutes, 11 hours 45 minutes, 12 hours 30 minutes, 14, 16, 18, 20, 22 hours, 23 hours 10 minutes, and 23 hours 45 minutes post-dosing.
Intervention | liters (Least Squares Mean) |
---|
| Baseline to 4 hours [N=36, 36, 37] | Baseline to 23 hours, 45 minutes [N=36, 36, 37] | 11 hr, 10 min to 12 hr, 30 min [N=36, 35, 34] | 11 hr, 10 min to 23 hr, 45min [N=36, 36, 36] |
---|
Fluticasone/Salmeterol | 2.713 | 2.679 | 2.585 | 2.696 |
,Indacaterol/Mometasone | 2.730 | 2.718 | 2.667 | 2.726 |
,Placebo | 2.469 | 2.430 | 2.314 | 2.470 |
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Forced Vital Capacity (FVC) at Single Time Points
"Vital capacity is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible.~FVC was analyzed using ANCOVA adjusting for treatment, period, sequence and center with period baseline as a covariate and patient nested within sequence as a random effect." (NCT00557440)
Timeframe: 5, 30 minutes, 1, 2, 3, 4 hours, 11 hours 10 minutes, 11 hours 45 minutes, 12 hours 30 minutes, 14, 16, 18, 20, 22 hours, 23 hours 10 minutes, and 23 hours 45 minutes post-dosing.
Intervention | liters (Least Squares Mean) |
---|
| 5 minutes [N= 36, 36, 37] | 30 minutes [N= 36, 36, 36] | 1 hour [N= 36, 36, 36] | 2 hours [N= 36, 36, 36] | 3 hours [N= 36, 36, 36] | 4 hours [N= 36, 36, 35] | 11 hours 10 minutes [N= 36, 35, 34] | 11 hours 45 minutes [N= 36, 35, 32] | 12 hours 30 minutes [N= 36, 35, 32] | 14 hours [N= 36, 35, 32] | 16 hours [N= 36, 35, 31] | 18 hours [N= 35, 36, 33] | 20 hours [N= 35, 36, 34] | 22 hours [N= 35, 36, 34] | 23 hours 10 minutes [N= 35, 36, 35] | 23 hours 45 minutes [N=36, 36, 34] |
---|
Fluticasone/Salmeterol | 3.880 | 3.933 | 3.955 | 3.899 | 3.923 | 3.861 | 3.828 | 3.736 | 3.841 | 3.894 | 3.787 | 3.866 | 3.848 | 3.906 | 3.866 | 3.825 |
,Indacaterol/Mometasone | 3.917 | 3.946 | 3.945 | 4.080 | 3.925 | 3.857 | 3.896 | 3.837 | 3.833 | 3.918 | 3.896 | 3.893 | 3.903 | 3.865 | 3.870 | 3.866 |
,Placebo | 3.830 | 3.839 | 3.808 | 3.742 | 3.708 | 3.665 | 3.632 | 3.607 | 3.680 | 3.759 | 3.737 | 3.784 | 3.764 | 3.764 | 3.808 | 3.817 |
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Participant Total Combined Symptom (TCS) Score Over the Entire Grass Pollen Season (GPS)
The TCS is the sum of the rhinoconjunctivitis daily symptom score (DSS) and rhinoconjunctivitis daily medication score (DMS) averaged over the entire GPS. The TCS ranged from 0-54, with increasing score indicating a higher level of symptom severity. The DSS is composed of 6 rhinoconjunctivitis symptoms with scores from 0-18, with increasing score indicating increased severity. The DMS is composed of a sum of the scores associated with rescue medication use per day. The range for the DMS was 0-36, with a lower score indicating less use of rescue medication. (NCT00562159)
Timeframe: Start of the GPS to End of the GPS
Intervention | Units on a Scale (Mean) |
---|
SCH 697243 | 5.08 |
Placebo | 6.39 |
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Participant Average Weekly Rhinoconjunctivitis Quality-of-Life Questionnaire With Standardized Activities (RQLQ(S)) Total Score Over the Entire GPS
The RQLQ(s) has 28 questions and focusses on 7 domains that may be significantly impaired in participants with seasonal allergic rhinoconjunctivitis: sleep impairment, non-nasal symptoms, practical problems, nasal symptoms, eye symptoms, activity limitations, and emotional difficulty. The RQLQ score is the mean of all 28 responses and the individual domain scores are the means of the items in those domains. RQLQ scores range from 0-6, with a higher score indicating more significant impairment. (NCT00562159)
Timeframe: Start of the GPS to End of the GPS
Intervention | Units on a Scale (Mean) |
---|
SCH 697243 | 1.30 |
Placebo | 1.57 |
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Participant Average Rhinoconjunctivitis Daily Symptom Score (DSS) Over the Entire GPS
The DSS is composed of six rhinoconjunctivitis symptoms which were recorded daily including runny nose, blocked nose, sneezing, itchy nose, gritty feeling/red/itchy, and watery eyes, and the symptoms were measured on a scale of 0 (no symptom) to 3 (severe symptoms). A higher score indicated a higher level of symptoms and the total daily score could range from 0 to 18. (NCT00562159)
Timeframe: Start of the GPS to End of the GPS
Intervention | Units on a Scale (Mean) |
---|
SCH 697243 | 3.83 |
Placebo | 4.69 |
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Participant Average Rhinoconjunctivitis Daily Medication Score (DMS) Over the Entire GPS
The DMS is composed of a sum of the scores associated with rescue medication use per day. Rescue medications were implemented when a participant had a symptom score >= 4. Rescue medications for allergic rhinoconjunctivitis were to be utilized in a step-wise fashion: loratadine, olopatadine hydrochloride 0.1% opthalmic solution, mometasone, and prednisone, in that sequence. The score for the DMS ranged from 0-36. A lower medication score indicated less impact on symptomology and was suggestive of less use of rescue medication. (NCT00562159)
Timeframe: Start of the GPS to End of the GPS
Intervention | Units on a Scale (Mean) |
---|
SCH 697243 | 1.25 |
Placebo | 1.70 |
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Change From Baseline in the Growth Velocity of Pre-pubescent Pediatric Participants to the End of the 52-week Double-blind (DB) Treatment Period
Height was measured (triplicate measurements) in pre-pubescent pediatric participants via stadiometry at each clinic visit during the entire 76-week study period (16-week Baseline Period, 52-week DB Treatment Period and 8-week Follow-up Period). Growth velocity was calculated by fitting a regression line to all height measurements recorded for the participant during the period and was determined by the slope of the fitted regression line. Change from Baseline was calculated as the value over the 52-week Treatment Period minus the value over the 16-week Baseline Period. (NCT00570492)
Timeframe: Baseline Period (Weeks -16 to 0) and DB Treatment Period (Weeks 1 to 52)
Intervention | Centimeters per year (cm/year) (Least Squares Mean) |
---|
Placebo | 5.46 |
FFNS 110 mcg | 5.19 |
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Mean Values for the Laboratory Parameters of Total Bilirubin and Creatinine
Participants in the study were evaluated for the following clinical laboratory parameters at the indicated time points: Total Bilirubin and Creatinine. (NCT00570492)
Timeframe: Baseline Period (Weeks -16 to 0), DB Treatment Period (Weeks 1 to 52), and Follow-up Period (Weeks 53 to 60)
Intervention | Micromoles (µmol)/L (Mean) |
---|
| Total Bilirubin, Baseline Period, n=231, 234 | Total Bilirubin, DB Treatment Period, n=184, 182 | Total Bilirubin, Follow-up Period, n=175, 175 | Creatinine, Baseline Period, n=231, 234 | Creatinine, DB Treatment Period, n=184, 182 | Creatinine, Follow-up Period, n=175, 175 |
---|
FFNS 110 mcg | 7.2 | 7.7 | 7.1 | 43.6 | 44.6 | 45.0 |
,Placebo | 6.9 | 7.2 | 7.0 | 43.3 | 45.0 | 44.5 |
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Mean 24-hour Urinary Free Cortisol Excretion
Hypothalamic-pitiutary-adrenal (HPA) axis function was assessed by the measurement of urinary free cortisol, using urine samples collected over the course of 24 hours by the parent/guardian in the participants' home on an out-patient basis within 7 days prior to the indicated time points. Detailed verbal instructions and a take-home instruction card on how to conduct the 24-hour urine collection were provided to the parent/guardian before each collection interval. (NCT00570492)
Timeframe: Randomization/end of 16-week Baseline Period (Week 0), End of 52-week DB Treatment Period (Week 52), and end of 8-week Follow-up Period (Week 60)
Intervention | Micrograms per 24 hours (mcg/24 hours) (Mean) |
---|
| End of 16-week Baseline Period, n=168, 172 | End of 52-week DB Treatment Period, n=163, 169 | End of 8-week Follow-up Period, n=161, 167 |
---|
FFNS 110 mcg | 9.242 | 11.125 | 10.311 |
,Placebo | 9.771 | 11.340 | 10.615 |
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Mean Values for Urine pH
Urine pH is an acid-base measurement. pH is measured on a numeric scale ranging from 0 to 14; values on the scale refer to the degree of alkalinity or acidity. A pH of 7 is neutral. A pH less than 7 is acidic, and a pH greater than 7 is basic. Normal urine has a slightly acid pH (5.0 - 6.0). (NCT00570492)
Timeframe: Baseline Period (Weeks -16 to 0), DB Treatment Period (Weeks 1 to 52), and Follow-up Period (Weeks 53 to 60)
Intervention | scores on a scale (Mean) |
---|
| Baseline Period, n=233, 229 | DB Treatment Period, n=182, 181 | Follow-up Period, n=180, 186 |
---|
FFNS 110 mcg | 6.00 | 6.05 | 6.05 |
,Placebo | 6.02 | 6.02 | 6.05 |
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Mean Hematology Values for Basophil, Eosinophil, Lymphocyte, White Blood Cell (WBC), Monocyte, Segmented Neutrophil (Neu), and Platelet Counts
Participants in the study were evaluated for the following hematology laboratory parameters at the indicated time points: Basophil, Eosinophil, Lymphocyte, White Blood Cell (WBC), Monocyte, Segmented Neutrophil (Neu), and Platelet counts. (NCT00570492)
Timeframe: Baseline Period (Weeks -16 to 0), DB Treatment Period (Weeks 1 to 52), and Follow-up Period (Weeks 53 to 60)
Intervention | Giga (10^9) cells (Gi)/L (Mean) |
---|
| Basophil, Baseline Period, n=228, 231 | Basophil, DB Treatment Period, n=186, 188 | Basophil, Follow-up Period, n=177, 179 | Eosinophil, Baseline Period, n=228, 231 | Eosinophil, DB Treatment Period, n=186, 188 | Eosinophil, Follow-up Period, n=177, 179 | Lymphocyte, Baseline Period, n=228, 231 | Lymphocyte, DB Treatment Period, n=177, 179 | Lymphocyte, Follow-up Period, n=169, 173 | WBC, Baseline Period, n=228, 231 | WBC, DB Treatment Period, n=186, 188 | WBC, Follow-up Period, n=177, 179 | Monocyte, Baseline Period, n=228, 231 | Monocyte, DB Treatment Period, n=186, 188 | Monocyte, Follow-up Period, n=177, 179 | Segmented Neu, Baseline Period, n=228, 231 | Segmented Neu, DB Treatment Period, n=186, 188 | Segmented Neu, Follow-up Period, n=177, 179 | Platelet, Baseline Period, n=230, 230 | Platelet, DB Treatment Period, n=187, 187 | Platelet, Follow-up Period, n=175, 180 |
---|
FFNS 110 mcg | 0.025 | 0.027 | 0.025 | 0.455 | 0.394 | 0.409 | 2.987 | 2.820 | 2.841 | 7.36 | 6.98 | 6.96 | 0.373 | 0.343 | 0.326 | 3.517 | 3.391 | 3.354 | 314.1 | 279.5 | 283.6 |
,Placebo | 0.026 | 0.026 | 0.026 | 0.395 | 0.442 | 0.419 | 3.046 | 2.779 | 2.871 | 7.71 | 7.14 | 7.18 | 0.348 | 0.320 | 0.334 | 3.892 | 3.572 | 3.572 | 313.8 | 278.6 | 276.4 |
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Mean Hematology Values for Red Blood Cells (RBCs)
RBCs was assessed in participants at the indicated time points. (NCT00570492)
Timeframe: Baseline Period (Weeks -16 to 0), DB Treatment Period (Weeks 1 to 52), and Follow-up Period (Weeks 53 to 60)
Intervention | Trillion (10^12) cells (Ti)/L (Mean) |
---|
| Baseline Period, n=231, 231 | DB Treatment Period, n=186, 188 | Follow-up Period, n=177, 180 |
---|
FFNS 110 mcg | 4.54 | 4.53 | 4.50 |
,Placebo | 4.59 | 4.56 | 4.57 |
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Mean Values for Hematocrit
Hematocrit was assessed in participants at indicated the time points. Hematocrit is the percentage of blood volume (BV) that is occupied by red blood cells (RBCs). (NCT00570492)
Timeframe: Baseline Period (Weeks -16 to 0), DB Treatment Period (Weeks 1 to 52), and Follow-up Period (Weeks 53 to 60)
Intervention | Percentage of BV occupied by RBCs (Mean) |
---|
| Baseline Period, n=231, 231 | DB Treatment Period, n=186, 188 | Follow-up Period, n=177, 180 |
---|
FFNS 110 mcg | 0.3783 | 0.3873 | 0.3844 |
,Placebo | 0.3823 | 0.3904 | 0.3906 |
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Mean Values for Hemoglobin
Hemoglobin was assessed in participants at the indicated time points. (NCT00570492)
Timeframe: Baseline Period (Weeks -16 to 0), DB Treatment Period (Weeks 1 to 52), and Follow-up Period (Weeks 53 to 60)
Intervention | g/L (Mean) |
---|
| Baseline Period, n=231, 231 | DB Treatment Period, n=186, 188 | Follow-up Period, n=177, 180 |
---|
FFNS 110 mcg | 128.4 | 130.8 | 130.0 |
,Placebo | 129.5 | 131.8 | 132.1 |
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Mean Values for the Laboratory Parameters if Albumin and Total Protein
Participants in the study were evaluated for the following clinical laboratory parameters at the indicated time points: Albumin and Total Protein. (NCT00570492)
Timeframe: Baseline Period (Weeks -16 to 0), DB Treatment Period (Weeks 1 to 52), and Follow-up Period (Weeks 53 to 60)
Intervention | Grams per liter (g/L) (Mean) |
---|
| Albumin, Baseline Period, n=231, 234 | Albumin, DB Treatment Period, n=184, 182 | Albumin, Follow-up Period, n=175, 175 | Total Protein, Baseline Period, n=231, 234 | Total Protein, DB Treatment Period, n=184, 182 | Total Protein, Follow-up Period, n=175, 175 |
---|
FFNS 110 mcg | 46.0 | 45.9 | 45.6 | 71.9 | 71.7 | 71.5 |
,Placebo | 45.8 | 45.7 | 45.8 | 72.0 | 71.7 | 71.5 |
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Mean Values for the Laboratory Parameters of Alkaline (Alk) Phosphatase (P), Alanine Aminotransferase (ALT), and Aspartate Aminotransferase (AST)
Participants in the study were evaluated for the following clinical laboratory parameters at the indicated time points: Alk P, ALT, and AST. (NCT00570492)
Timeframe: Baseline Period (Weeks -16 to 0), DB Treatment Period (Weeks 1 to 52), and Follow-up Period (Weeks 53 to 60)
Intervention | International Units per liter (IU/L) (Mean) |
---|
| Alk P, Baseline Period, n=231, 234 | Alk P, DB Treatment Period, n=184, 182 | Alk P, Follow-up Period, n=175, 174 | ALT, Baseline Period, n=231, 234 | ALT, DB Treatment Period, n=184, 182 | ALT, Follow-up Period, n=175, 174 | AST, Baseline Period, n=229, 232 | AST, DB Treatment Period, n=175, 179 | AST, Follow-up Period, n=169, 174 |
---|
FFNS 110 mcg | 249.8 | 262.9 | 264.6 | 15.1 | 15.8 | 17.2 | 28.1 | 27.6 | 28.3 |
,Placebo | 246.8 | 261.9 | 264.2 | 14.8 | 15.9 | 16.7 | 27.4 | 27.0 | 27.7 |
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Mean Values for the Laboratory Parameters of Glucose, Calcium, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN)
Participants in the study were evaluated for the following clinical laboratory parameters at the indicated time points: Glucose, Calcium, Potassium, Sodium, and Urea/BUN. (NCT00570492)
Timeframe: Baseline Period (Weeks -16 to 0), DB Treatment Period (Weeks 1 to 52), and Follow-up Period (Weeks 53 to 60)
Intervention | Millimoles (mmol)/L (Mean) |
---|
| Glucose, Baseline Period, n=230, 231 | Glucose, DB Treatment Period, n=184, 182 | Glucose, Follow-up Period, n=175, 175 | Calcium, Baseline Period, n=229, 232 | Calcium, DB Treatment Period, n=175, 179 | Calcium, Follow-up Period, n=169, 173 | Potassium, Baseline Period, n=229, 232 | Potassium, DB Treatment Period, n=175, 179 | Potassium, Follow-up Period, n=169, 173 | Sodium, Baseline Period, n=231, 234 | Sodium, DB Treatment Period, n=184, 182 | Sodium, Follow-up Period, n=175, 175 | Urea/BUN, Baseline Period, n=231, 235 | Urea/BUN, DB Treatment Period, n=184, 182 | Urea/BUN, Follow-up Period, n=175, 175 |
---|
FFNS 110 mcg | 4.86 | 4.78 | 4.85 | 2.435 | 2.440 | 2.436 | 4.31 | 4.30 | 4.32 | 139.3 | 139.2 | 139.4 | 4.77 | 4.82 | 4.75 |
,Placebo | 4.83 | 4.82 | 4.87 | 2.441 | 2.437 | 2.438 | 4.30 | 4.30 | 4.28 | 139.4 | 139.1 | 139.3 | 4.99 | 4.82 | 4.93 |
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Number of Participants With the Indicated Urinalysis Results for Urine Occult Blood (OB) and the Urine Leukocyte Esterase Test (LET)
Occult blood (OB) is blood that cannot be seen without a microscope. Normal urine does not contain any red blood cells. Leukocyte esterase is an enzyme and is not found in normal urine. In the dipstick (qualitative) test, the level of OB and leukocyte esterase in urine samples was recorded as negative (Neg), small, moderate, large, trace, 1+ (slightly positive), 2+ (positive), and 3+ (high positive). Participants were categorized as negative or positive based on the absence or presence, respectively, of OB and urine leukocyte esterase. (NCT00570492)
Timeframe: Baseline Period (Weeks -16 to 0), DB Treatment Period (Weeks 1 to 52), and Follow-up Period (Weeks 53 to 60)
Intervention | participants (Number) |
---|
| Urine OB-Neg, Baseline Period, n=233, 229 | Urine OB-Small, Baseline Period, n=233, 229 | Urine OB-Moderate, Baseline Period, n=233, 229 | Urine OB-Trace, Baseline Period, n=233, 229 | Urine OB-1+, Baseline Period, n=233, 229 | Urine OB-Neg, DB Treatment Period, n=182, 181 | Urine OB-Trace, DB Treatment Period, n=182, 181 | Urine OB-1+, DB Treatment Period, n=182, 181 | Urine OB-3+, DB Treatment Period, n=182, 181 | Urine OB-Neg, Follow-up Period, n=180, 186 | Urine OB-Trace, Follow-up Period, n=180, 186 | Urine OB-1+, Follow-up Period, n=180, 186 | Urine OB-2+, Follow-up Period, n=180, 186 | Urine LET-Neg, Baseline Period, n=233, 229 | Urine LET-Small, Baseline Period, n=233, 229 | Urine LET-Moderate, Baseline Period, n=233, 229 | Urine LET-Large, Baseline Period, n=233, 229 | Urine LET-Trace, Baseline Period, n=233, 229 | Urine LET-1+, Baseline Period, n=233, 229 | Urine LET-2+, Baseline Period, n=233, 229 | Urine LET-3+, Baseline Period, n=233, 229 | Urine LET-Neg, DB Treatment Period, n=182, 181 | Urine LET-Trace, DB Treatment Period, n=182, 181 | Urine LET-1+, DB Treatment Period, n=182, 181 | Urine LET-2+, DB Treatment Period, n=182, 181 | Urine LET-3+, DB Treatment Period, n=182, 181 | Urine LET-Neg, Follow-up Period, n=180, 186 | Urine LET-Trace, Follow-up Period, n=180, 186 | Urine LET-1+, Follow-up Period, n=180, 186 | Urine LET-2+, Follow-up Period, n=180, 186 | Urine LET-3+, Follow-up Period, n=180, 186 |
---|
FFNS 110 mcg | 226 | 0 | 0 | 3 | 0 | 178 | 1 | 1 | 1 | 184 | 1 | 0 | 1 | 219 | 2 | 1 | 1 | 0 | 2 | 2 | 2 | 163 | 4 | 6 | 7 | 1 | 167 | 5 | 8 | 4 | 2 |
,Placebo | 226 | 1 | 1 | 4 | 1 | 178 | 4 | 0 | 0 | 177 | 1 | 2 | 0 | 220 | 1 | 0 | 0 | 7 | 3 | 0 | 2 | 170 | 5 | 5 | 2 | 0 | 162 | 5 | 2 | 8 | 3 |
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Number of Participants With the Indicated Urinalysis Results for Urine Glucose, Urine Ketones, and Urine Proteins
Urine glucose, urine ketones, and urine proteins were measured in participants using a dipstick (qualitative) test at the indicated time points. In this dipstick test, the level of glucose, ketones, and protein in urine samples was recorded as negative (Neg), trace (tr), 1+, 2+, and 3+ (the plus sign increases with a higher level of glucose, ketones, or proteins in the urine: 1+=slightly positive, 2+=positive, 3+=high positive). Participants were categorized as negative or positive based on the absence or presence, respectively, of glucose, ketones, and proteins in the urine. (NCT00570492)
Timeframe: Baseline Period (Weeks -16 to 0), DB Treatment Period (Weeks 1 to 52), and Follow-up Period (Weeks 53 to 60)
Intervention | participants (Number) |
---|
| Urine Glucose-Neg, Baseline Period, n=233, 229 | Urine Glucose-Neg, DB Treatment Period, n=182, 181 | Urine Glucose-Tr, DB Treatment Period, n=182, 181 | Urine Glucose-Neg, Follow-up Period, n=180, 186 | Urine Glucose-1+, Follow-up Period, n=180, 186 | Urine Ketones-Neg, Baseline Period, n=233, 229 | Urine Ketones-Trace, Baseline Period, n=233, 229 | Urine Ketones-1+, Baseline Period, n=233, 229 | Urine Ketones-Neg, DB Treatment Period, n=182, 181 | Urine Ketones-Tr, DB Treatment Period, n=182, 181 | Urine Ketones-Neg, Follow-up Period, n=180, 186 | Urine Ketones-Trace, Follow-up Period, n=180, 186 | Urine Ketones-1+, Follow-up Period, n=180, 186 | Urine Protein-Neg, Baseline Period, n=233, 229 | Urine Protein-Trace, Baseline Period, n=233, 229 | Urine Protein-1+, Baseline Period, n=233, 229 | Urine Protein-2+, Baseline Period, n=233, 229 | Urine Protein-Neg, DB Treatment Period, n=182, 181 | Urine Protein-Tr, DB Treatment Period, n=182, 181 | Urine Protein-1+, DB Treatment Period, n=182, 181 | Urine Protein-2+, DB Treatment Period, n=182, 181 | Urine Protein-3+, DB Treatment Period, n=182, 181 | Urine Protein-Neg, Follow-up Period, n=180, 186 | Urine Protein-Trace, Follow-up Period, n=180, 186 | Urine Protein-1+, Follow-up Period, n=180, 186 | Urine Ketones-2+, Follow-up Period, n=180, 186 | Urine Ketones-3+, Follow-up Period, n=180, 186 |
---|
FFNS 110 mcg | 229 | 181 | 0 | 186 | 0 | 227 | 1 | 1 | 176 | 5 | 184 | 1 | 1 | 207 | 18 | 4 | 0 | 152 | 20 | 7 | 2 | 0 | 155 | 22 | 8 | 1 | 0 |
,Placebo | 233 | 181 | 1 | 179 | 1 | 231 | 0 | 2 | 179 | 3 | 180 | 0 | 0 | 218 | 11 | 2 | 2 | 145 | 20 | 14 | 2 | 1 | 156 | 16 | 6 | 1 | 1 |
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Number of Participants With the Indicated Urinalysis Results for Urine Bilirubin and Urine Nitrite
Bilirubin is a normal body by-product (bile), and nitrite is a by-product of bacterial growth. Participants were categorized as Negative (Neg.) or Positive (Pos.) based on the absence or presence, respectively, of urine bilirubin (UB) and urine nitrate. (NCT00570492)
Timeframe: Baseline Period (Weeks -16 to 0), DB Treatment Period (Weeks 1 to 52), and Follow-up Period (Weeks 53 to 60)
Intervention | participants (Number) |
---|
| UB-Neg, Baseline Period, n=233, 229 | UB-Pos, Baseline Period, n=233, 229 | UB-Neg, DB Treatment Period, n=182, 181 | UB-Pos, DB Treatment Period, n=182, 181 | UB-Neg, Follow-up Period, n=180, 186 | UB-Pos, Follow-up Period, n=180, 186 | Urine Nitrite-Neg, Baseline Period, n=233, 229 | Urine Nitrite-Pos, Baseline Period, n=233, 229 | Urine Nitrite-Neg, DB Treatment Period, n=182, 181 | Urine Nitrite-Pos, DB Treatment Period, n=182, 181 | Urine Nitrite-Neg, Follow-up Period, n=180, 186 | Urine Nitrite-Pos, Follow-up Period, n=180, 186 |
---|
FFNS 110 mcg | 229 | 0 | 181 | 0 | 186 | 0 | 228 | 1 | 176 | 5 | 183 | 3 |
,Placebo | 233 | 0 | 182 | 0 | 180 | 0 | 232 | 1 | 178 | 4 | 179 | 1 |
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Number of Participants With the Indicated Urinalysis Results for Urine Appearance (App.)/Clarity and Color
Participants were assessed for their urine appearance, which was categorized as clear (normal), cloudy (presence of crystals, blood cells, or bacteria), of turbid. Also, participants were categorized by the color of urine: straw, yellow (normal urine), and dark yellow (DY) (which may be the result of bile in the urine). (NCT00570492)
Timeframe: Baseline Period (Weeks -16 to 0), DB Treatment Period (Weeks 1 to 52), and Follow-up Period (Weeks 53 to 60)
Intervention | participants (Number) |
---|
| Urine App.-Clear, Baseline Period, n=233, 229 | Urine App.-Cloudy, Baseline Period, n=233, 229 | Urine App.-Turbid, Baseline Period, n=233, 229 | Urine App.-Clear, DB Treatment Period, n=182, 181 | Urine App.-Cloudy, DB Treatment Period, n=182, 181 | Urine App.-Turbid, DB Treatment Period, n=182, 181 | Urine App.-Clear, Follow-up Period, n=180, 186 | Urine App.-Cloudy, Follow-up Period, n=180, 186 | Urine App.-Turbid, Follow-up Period, n=180, 186 | Urine Color-Straw, Baseline Period, n=233, 229 | Urine Color-Yellow, Baseline Period, n=233, 229 | Urine Color-DY, Baseline Period, n=233, 229 | Urine Color-Straw, DB Treatment Period, n=182, 181 | Urine Color-Yellow, DB Treatment Period, n=182,181 | Urine Color-DY, DB Treatment Period, n=182, 181 | Urine Color-Straw, Follow-up Period, n=180, 186 | Urine Color-Yellow, Follow-up Period, n=180, 186 | Urine Color-DY, Follow-up Period, n=180, 186 |
---|
FFNS 110 mcg | 197 | 21 | 11 | 139 | 33 | 9 | 137 | 35 | 14 | 8 | 213 | 8 | 7 | 155 | 19 | 7 | 160 | 19 |
,Placebo | 188 | 23 | 22 | 134 | 31 | 17 | 139 | 25 | 16 | 8 | 214 | 11 | 6 | 154 | 22 | 6 | 156 | 18 |
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Number of Participants With the Indicated Shifts From Baseline in Nasal Examination (NE) Results
NE included the evaluation of the size of ulcers/polyps (of nasal turbinates/septa) and assessment for mucosal bleeding (MB) at all study visits. Polyps are non-cancerous growths; ulcers are breaks in the skin/mucous membrane with loss of surface tissue, disintegration, and necrosis of epithelial tissue. For MB, Improved=shift from present (>=1 nostril) to absent (both nostrils); Worsened=shift from absent (both nostrils) to present (>=1 nostril). For polyps/ulcers, Improved=shift from large to small or from small to none; Worsened=shift from none to small or from small to none (>=1 nostril). (NCT00570492)
Timeframe: Baseline Period (Weeks -16 to 0) and DB Treatment Period (Weeks 1 to 52)
Intervention | participants (Number) |
---|
| Mucosal Bleeding, Improved | Mucosal Bleeding, No Change | Mucosal Bleeding, Worsened | Ulcers, Improved | Ulcers, No Change | Ulcers, Worsened | Polyps, Improved | Polyps, No Change | Polyps, Worsened |
---|
FFNS 110 mcg | 0 | 187 | 1 | 0 | 188 | 0 | 0 | 188 | 0 |
,Placebo | 1 | 190 | 0 | 0 | 191 | 0 | 1 | 190 | 0 |
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Mean Values for Urine Specific Gravity
Specific gravity is a measure of the amount of material dissolved in the urine. Specific gravity is the ratio of the density (mass of a unit volume) of a substance to the density (mass of the same unit volume) of a reference substance. Normal urine has a specific gravity between 1.010 and 1.020. (NCT00570492)
Timeframe: Baseline Period (Weeks -16 to 0), DB Treatment Period (Weeks 1 to 52), and Follow-up Period (Weeks 53 to 60)
Intervention | ratio (Mean) |
---|
| Baseline Period, n=233, 229 | DB Treatment Period, n=182, 181 | Follow-up Period, n=180, 186 |
---|
FFNS 110 mcg | 1.0234 | 1.0234 | 1.0242 |
,Placebo | 1.0240 | 1.0244 | 1.0237 |
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RQLQ Score [4 Weeks]
The Rhinoconjunctivitis Quality-of-Life Questionnaire (RQLQ) has 28 questions and focusses on 7 domains that may be significantly impaired in participants with seasonal allergic rhinoconjunctivitis: sleep impairment, non-nasal symptoms, practical problems, nasal symptoms, eye symptoms, activity limitations, and emotional difficulty. The RQLQ score is the mean of all 28 responses and the individual domain scores are the means of the items in those domains. RQLQ scores range from 0-6, with a higher score indicating more significant impairment. (NCT00584987)
Timeframe: assessed 4 weeks after initiation of treatment regimen
Intervention | units on a scale (Mean) |
---|
Placebo FF + Placebo OXY | 1.75 |
FF + Placebo OXY | 1.37 |
Placebo FF + OXY | 1.85 |
FF + OXY | 1.26 |
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RQLQ Score [Baseline]
The Rhinoconjunctivitis Quality-of-Life Questionnaire (RQLQ) has 28 questions and focusses on 7 domains that may be significantly impaired in participants with seasonal allergic rhinoconjunctivitis: sleep impairment, non-nasal symptoms, practical problems, nasal symptoms, eye symptoms, activity limitations, and emotional difficulty. The RQLQ score is the mean of all 28 responses and the individual domain scores are the means of the items in those domains. RQLQ scores range from 0-6, with a higher score indicating more significant impairment. (NCT00584987)
Timeframe: assessed at baseline
Intervention | units on a scale (Mean) |
---|
Placebo FF + Placebo OXY | 3.07 |
FF + Placebo OXY | 3.25 |
Placebo FF + OXY | 2.99 |
FF + OXY | 2.60 |
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Total Nasal Congestion Symptom Score
The severity of nasal congestion was recorded in the morning (reflective of symptoms overnight) and evening (reflective of daytime symptoms) on a 0 to 3 scale. The total nasal congestion symptom score was obtained by adding the symptoms obtained on all 28 days of treatment. Values for this outcome are in the range of 0 to 168 (i.e., 6 x 28). Congestion scores increase with congestion severity (i.e., higher numbers correspond to worse congestion). (NCT00584987)
Timeframe: 28 days of treatment
Intervention | units on a scale (Median) |
---|
Placebo FF + Placebo OXY | 94 |
FF + Placebo OXY | 70 |
Placebo FF + OXY | 75 |
FF + OXY | 68 |
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Total NPIF
Nasal peak inspiratory flow (NPIF) is a physiological measure of nasal airflow which is particularly sensitive to nasal valve collapse. NPIF was measured objectively in liters per minute with an In-Check Peak Inspiratory FlowMeter (Ferraris Medical Inc, Orchard Park, NY). Subjects obtained 3 readings every morning and every evening and recorded the best flow measured. The morning and evening NPIF measurements were summed for days 2 through 28 of the treatment cycle, yielding the total NPIF outcome measure. NPIF scores increase with air flow quality (i.e., higher NPIF values are indicative of better nasal air flow). (NCT00584987)
Timeframe: days 2 through 28 of the treatment cycle
Intervention | liters per minute (Median) |
---|
Placebo FF + Placebo OXY | 5240 |
FF + Placebo OXY | 5680 |
Placebo FF + OXY | 4485.5 |
FF + OXY | 5520 |
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RQLQ Score [6 Weeks]
The Rhinoconjunctivitis Quality-of-Life Questionnaire (RQLQ) has 28 questions and focusses on 7 domains that may be significantly impaired in participants with seasonal allergic rhinoconjunctivitis: sleep impairment, non-nasal symptoms, practical problems, nasal symptoms, eye symptoms, activity limitations, and emotional difficulty. The RQLQ score is the mean of all 28 responses and the individual domain scores are the means of the items in those domains. RQLQ scores range from 0-6, with a higher score indicating more significant impairment. (NCT00584987)
Timeframe: assessed 6 weeks after initiation of treatment regimen
Intervention | units on a scale (Mean) |
---|
Placebo FF + Placebo OXY | 1.85 |
FF + Placebo OXY | 1.83 |
Placebo FF + OXY | 2.03 |
FF + OXY | 1.55 |
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RQLQ Score [2 Weeks]
The Rhinoconjunctivitis Quality-of-Life Questionnaire (RQLQ) has 28 questions and focusses on 7 domains that may be significantly impaired in participants with seasonal allergic rhinoconjunctivitis: sleep impairment, non-nasal symptoms, practical problems, nasal symptoms, eye symptoms, activity limitations, and emotional difficulty. The RQLQ score is the mean of all 28 responses and the individual domain scores are the means of the items in those domains. RQLQ scores range from 0-6, with a higher score indicating more significant impairment. (NCT00584987)
Timeframe: assessed 2 weeks after initiation of treatment regimen
Intervention | units on a scale (Mean) |
---|
Placebo FF + Placebo OXY | 2.20 |
FF + Placebo OXY | 2.03 |
Placebo FF + OXY | 2.11 |
FF + OXY | 1.62 |
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IL-10 Staining Intensity
IL-10 staining intensity on immunohistochemical staining of adenoid tissues. Units are Integrated optical density (IOD)/100 micrometer squared. (NCT00603044)
Timeframe: following adenoidectomy (2 weeks)
Intervention | IOD/100 micrometer squared (Mean) |
---|
Fluticasone Furoate | 437.4 |
No Treatment | 479.8 |
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Amount of TGF Secreted by Adenoid Cells After PHA Stimulation
Amount of TGF secreted by adenoid cells after PHA stimulation (NCT00603044)
Timeframe: following adenoidectomy (2 weeks)
Intervention | picogram per milliliter (pg/mL) (Median) |
---|
Fluticasone Furoate | 944 |
No Treatment | 906 |
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Amount of IL-10 Secreted by Adenoid Cells After PHA Stimulation
Amount of IL-10 secreted by adenoid cells after PHA stimulation (NCT00603044)
Timeframe: following adenoidectomy (2 weeks)
Intervention | picogram per milliliter (pg/mL) (Median) |
---|
Fluticasone Furoate | 115 |
No Treatment | 210 |
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Adjusted Volume of the Removed Adenoids
To adjust for different weights of the children, the volume of the adenoids, estimated by water displacement in the operating room in mL, was divided by the respective weights (kg) of the patients and multiplied by 100. (NCT00603044)
Timeframe: following adenoidectomy (2 weeks)
Intervention | mL/kg x100 (Mean) |
---|
Fluticasone Furoate | 13.0 |
No Treatment | 16.8 |
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Number of CD4 Pos/FOXP3 Positive Cells
The number of tissue T-regulatory cells, as determined by staining with FOXP3, CD4, and CD25 (NCT00603044)
Timeframe: following adenoidectomy (2 weeks)
Intervention | cells per High power field (HPF) (Median) |
---|
Fluticasone Furoate | 22.5 |
No Treatment | 21.4 |
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Number of CD25 Pos/FoxP3 Positive Cells
The number of tissue T-regulatory cells, as determined by staining with FOXP3, CD4, and CD25 (NCT00603044)
Timeframe: following adenoidectomy (2 weeks)
Intervention | cells per High power field (HPF) (Median) |
---|
Fluticasone Furoate | 12.7 |
No Treatment | 14.6 |
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Mean Change From Baseline Over the Entire Treatment Period in Both the Individual AM Reflective and PM Reflective Ocular Symptom Scores for Eyes Itching/Burning, Eyes Tearing/Watering, and Eye Redness
The rTOSS is a rating of the severity of symptoms over the previous 12 hrs. and was performed in the AM (AM rTOSS) and PM (PM rTOSS). Each symptom is scored on a scale of 0 (none) to 3 (severe), with a total possible score of 0 to 9. Change from baseline is calculated as the score at the end of study minus the score at baseline. (NCT00609674)
Timeframe: Daily; Baseline through End of Study (Week 4)
Intervention | Points on a scale (Least Squares Mean) |
---|
| AM reflective - eye itching/burning | AM reflective - eye tearing/watering | AM reflective - eye redness | PM reflective - eye itching/burning | PM reflective - eye tearing/watering | PM reflective - eye redness |
---|
Fluticasone Furoate 110 mcg | -0.74 | -0.74 | -0.72 | -0.77 | -0.79 | -0.73 |
,Placebo | -0.62 | -0.66 | -0.63 | -0.66 | -0.72 | -0.67 |
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Total Ocular Symptoms: Mean Percent Change From Baseline Over the Entire Treatment Period in Both the Daily rTOSS and the AM, Pre-dose iTOSS
The rTOSS is a rating of the severity of symptoms over the previous 12 hours and was performed in the AM (AM rTOSS) and PM (PM rTOSS). AM, pre-dose iTOSS: sum of the 3 individual ocular symptom scores (scored on a scale of 0 [none] to 3 [severe], with a total possible score of 0 to 9) for eyes itching/burning, eyes tearing/watering, and eye redness, performed immediately prior to taking the daily dose. Change from baseline is calculated as the score at the end of study minus the score at baseline. (NCT00609674)
Timeframe: Daily; Baseline through End of Study (Week 4)
Intervention | percent change (Least Squares Mean) |
---|
| Daily rTOSS | AM, pre-dose iTOSS |
---|
Fluticasone Furoate 110 mcg | -32.1 | -29.7 |
,Placebo | -29.1 | -27.1 |
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Individual Nasal Symptoms: Mean Change From Baseline Over the Entire Treatment Period in Individual Daily Reflective Nasal Symptom Scores and AM, Pre-dose Instantaneous Nasal Symptom Scores for Rhinorrhea, Nasal Congestion, Nasal Itching, and Sneezing
The rTNSS is a rating of the severity of symptoms over the previous 12 hours and was performed in the AM (AM rTNSS) and PM (PM rTNSS). The AM, pre-dose iTNSS is the sum of the 4 individual nasal symptom score assessments for rhinorrhea, nasal congestion, nasal itching, and sneezing performed immediately prior to taking the daily dose. Change from baseline is calculated as the score at the end of study minus the score at baseline. Each symptom is scored on a scale of 0 (none) to 3 (severe), with a total possible score of 0 to 12. (NCT00609674)
Timeframe: Daily; Baseline through End of Study (Week 4)
Intervention | Points on a scale (Least Squares Mean) |
---|
| rTNSS - rhinorrhea | rTNSS - nasal congestion | rTNSS - nasal itching | rTNSS - sneezing | iTNSS - rhinorrhea | iTNSS - nasal congestion | iTNSS - nasal itching | iTNSS - sneezing |
---|
Fluticasone Furoate 110 mcg | -0.73 | -0.80 | -0.82 | -0.84 | -0.68 | -0.71 | -0.81 | -0.77 |
,Placebo | -0.57 | -0.63 | -0.63 | -0.63 | -0.52 | -0.51 | -0.66 | -0.60 |
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Total Ocular Symptoms: Mean Change From Baseline Over the Entire Treatment Period in Both the AM Reflective Total Ocular Symptom Scores (rTOSS) and PM rTOSS
The rTOSS is a rating of the severity of symptoms over the previous 12 hours and was performed in the AM (AM rTOSS) and PM (PM rTOSS). Change from baseline is calculated as the score at the end of study minus the score at baseline. Each symptom is scored on a scale of 0 (none) to 3 (severe), with a total possible score of 0 to 9. (NCT00609674)
Timeframe: Daily; Baseline through End of Study (Week 4)
Intervention | Points on a scale (Least Squares Mean) |
---|
| AM rTOSS | PM rTOSS |
---|
Fluticasone Furoate 110 mcg | -2.19 | -2.28 |
,Placebo | -1.92 | -2.05 |
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Total Nasal Symptoms: Mean Percent Change From Baseline Over the Entire Treatment Period in Daily rTNSS and AM, Pre-dose iTNSS
The rTNSS is a rating of the severity of symptoms over the previous 12 hours and was performed in the AM (AM rTNSS) and PM (PM rTNSS). AM, pre-dose iTNSS: sum of the 4 individual nasal symptom score assessments for rhinorrhea, nasal congestion, nasal itching, and sneezing performed at the moment immediately prior to taking the daily dose. Each symptom is scored on a scale of 0 (none) to 3 (severe), with a total possible score range of 0 to 12. Change from baseline is calculated as the score at the end of study minus the score at baseline. (NCT00609674)
Timeframe: Daily; Baseline through End of Study (Week 4)
Intervention | percent change (Least Squares Mean) |
---|
| rTNSS | iTNSS |
---|
Fluticasone Furoate 110 mcg | -35.03 | -33.52 |
,Placebo | -26.39 | -24.87 |
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Peak Nasal Inspiratory Flow (PNIF): Mean Change From Baseline in Daily, AM, and PM PNIF
PNIF: Objective measure of nasal airway flow obstruction. (NCT00609674)
Timeframe: Daily; Baseline through End of Study (Week 4)
Intervention | Liters/minute (Least Squares Mean) |
---|
| PNIF: daily | PNIF: AM | PNIF: PM |
---|
Fluticasone Furoate 110 mcg | 19.98 | 19.67 | 20.05 |
,Placebo | 13.52 | 13.15 | 13.88 |
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Mean Change From Baseline Over the Entire Treatment Period in Both Individual AM Reflective and PM Reflective Nasal Symptom Scores for Rhinorrhea, Nasal Congestion, Nasal Itching, and Sneezing.
The rTNSS is a rating of the severity of symptoms over the previous 12 hours and was performed in the AM (AM rTNSS) and PM (PM rTNSS). Change from baseline is calculated as the score at the end of study minus the score at baseline. Each symptom is scored on a scale of 0 (none) to 3 (severe), with a total possible score of 0 to 12. (NCT00609674)
Timeframe: Daily; Baseline through End of Study (Week 4)
Intervention | Points on a scale (Least Squares Mean) |
---|
| AM reflective - rhinorrhea | AM reflective - nasal congestion | AM reflective - nasal itching | AM reflective - sneezing | PM reflective - rhinorrhea | PM reflective - nasal congestion | PM reflective - nasal itching | PM reflective - sneezing |
---|
Fluticasone Furoate 110 mcg | -0.75 | -0.80 | -0.80 | -0.81 | -0.73 | -0.82 | -0.85 | -0.87 |
,Placebo | -0.58 | -0.61 | -0.62 | -0.61 | -0.57 | -0.66 | -0.64 | -0.65 |
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Individual Ocular Symptoms: Mean Change From Baseline Over the Entire Treatment Period in Both the Individual, Daily Reflective and the AM, Pre-dose Instantaneous Ocular Symptom Scores for Eyes Itching/Burning, Eyes Tearing/Watering, and Eye Redness.
The rTOSS is a rating of the severity of symptoms over the previous 12 hrs. and was performed in the AM (AM rTOSS) and PM (PM rTOSS). The AM, pre-dose iTOSS is the sum of the 3 individual ocular symptom scores (scored on a scale of 0 [none] to 3 [severe], with a total possible score of 0 to 9) for eyes itching/burning, eyes tearing/watering, and eye redness, performed immediately prior to taking the daily dose. Change from baseline is calculated as the score at the end of study minus the score at baseline. (NCT00609674)
Timeframe: Daily; Baseline through End of Study (Week 4)
Intervention | Points on a scale (Least Squares Mean) |
---|
| Daily reflective - eye itching/burning | Daily reflective - eye tearing/watering | Daily reflective - eye redness | AM, pre-dose iTOSS - eye itching/burning | AM, pre-dose iTNSS - eye tearing/watering | AM, pre-dose iTNSS - eye redness |
---|
Fluticasone Furoate 110 mcg | -0.75 | -0.76 | -0.72 | -0.67 | -0.67 | -0.63 |
,Placebo | -0.64 | -0.69 | -0.65 | -0.58 | -0.63 | -0.59 |
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Total Ocular Symptoms: Mean Change From Baseline Over the Entire Treatment Period in AM, Pre-dose Instantaneous Total Ocular Symptom Scores (iTOSS)
The AM, pre-dose iTOSS is the sum of the 3 individual ocular symptom scores for eyes itching/burning, eyes tearing/watering, and eye redness, performed immediately prior to taking the daily dose; each symptom is scored on a scale of 0 (none) to 3 (severe), with a total possible score of 0 to 9. Change from baseline is calculated as the score at the end of study minus the score at baseline. (NCT00609674)
Timeframe: Daily; Baseline through End of Study (Week 4)
Intervention | Points on a scale (Least Squares Mean) |
---|
Placebo | -1.80 |
Fluticasone Furoate 110 mcg | -1.97 |
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Total Nasal Symptoms: Mean Change From Baseline Over the Entire Treatment Period in PM rTNSS
TNSS is the sum of symptom scores for rhinorrhea, nasal congestion, nasal itching, and sneezing (each scored on a scale of 0 [none] to 3 [severe]; total possible score of 0 to 12). The rTNSS (performed in the morning [AM] and evening [PM]) is a rating of the severity of symptoms over the previous 12 hours. Change from baseline is calculated as the score at the end of study minus the score at baseline. (NCT00609674)
Timeframe: Daily; Baseline through End of Study (Week 4)
Intervention | Points on a scale (Least Squares Mean) |
---|
Placebo | -2.51 |
Fluticasone Furoate 110 mcg | -3.26 |
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Total Nasal Symptoms: Mean Change From Baseline Over the Entire Treatment Period in AM rTNSS
TNSS = the sum of symptom scores for rhinorrhea, nasal congestion, nasal itching, and sneezing (each scored on a scale of 0 [none] to 3 [severe]; total possible score of 0 to 12). The rTNSS (performed in the morning [AM] and evening [PM]) is a rating of the severity of symptoms over the previous 12 hours. Change from baseline is calculated as the score at the end of study minus the score at baseline. (NCT00609674)
Timeframe: Daily; Baseline through End of Study (Week 4)
Intervention | Points on a scale (Least Squares Mean) |
---|
Placebo | -2.40 |
Fluticasone Furoate 110 mcg | -3.15 |
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Mean Change From Baseline to Endpoint in the Rhinoconjunctivitis Quality of Life Questionnaire With Standardised Activities (RQLQ[S])
RQLQ(S) is a 28-item, self-administered, disease-specific (allergic rhinitis), quality of life instrument that assesses quality of life over a 1-week interval. Each question is scored from 0 (not impaired at all) to 6 (severely impaired), with higher scores indicating more impairment on quality of life. RQLQ(S): Possible score ranges from 0 to 6. Change from baseline is calculated as the score at the endpoint minus the score at baseline. (NCT00609674)
Timeframe: Baseline and Week 4
Intervention | Points on a scale (Least Squares Mean) |
---|
Placebo | -1.22 |
Fluticasone Furoate 110 mcg | -1.76 |
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Mean Change From Baseline Over the Entire Treatment Period in Morning (AM), Pre-dose Instantaneous Total Nasal Symptom Score (iTNSS)
The AM, pre-dose iTNSS is the sum of the 4 individual nasal symptom score assessments for rhinorrhea, nasal congestion, nasal itching, and sneezing performed at the moment immediately prior to taking the daily dose; each symptom is scored on a scale of 0 (none) to 3 (severe). Change from baseline is calculated as the score over the entire treatment period minus the score at baseline. TNSS: Total possible score ranges from 0 to 12. (NCT00609674)
Timeframe: Daily; Baseline through End of Study (Week 4)
Intervention | Points on a scale (Least Squares Mean) |
---|
Placebo | -2.29 |
Fluticasone Furoate 110 mcg | -2.97 |
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Mean Change From Baseline Over the Entire Treatment Period in Daily Reflective Total Ocular Symptom Scores (rTOSS)
The TOSS is equal to the sum of the three individual ocular symptom scores for eye itching/burning, eye tearing/watering, and eye redness, where each symptom is scored on a scale of 0 (none) to 3 (severe); total possible score of 0 to 9. Change from baseline is calculated as the score at the end of study minus the score at baseline. (NCT00609674)
Timeframe: Daily; Baseline through End of Study (Week 4)
Intervention | Points on a scale (Least Squares Mean) |
---|
Placebo | -1.99 |
Fluticasone Furoate 110 mcg | -2.23 |
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Mean Change From Baseline Over the Entire Treatment Period in Daily Reflective Total Nasal Symptom Scores (rTNSS)
TNSS is the sum of symptom scores for rhinorrhea, nasal congestion, nasal itching, and sneezing (each scored on a scale of 0 [none] to 3 [severe]; total possible score of 0 to 12). The rTNSS (performed in the morning [AM] and evening [PM]) was a rating of the severity of symptoms over the previous 12 hours. The daily rTNSS was the average of the AM rTNSS and PM rTNSS assessments. Change from baseline is calculated as the score at the end of study minus the score at baseline. (NCT00609674)
Timeframe: Daily; Baseline through End of Study (Week 4)
Intervention | Points on a scale (Least Squares Mean) |
---|
Placebo | -2.45 |
Fluticasone Furoate 110 mcg | -3.19 |
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Hour 24 Fold Change From Period Baseline in Interleukin-5 (IL-5) Protein Concentration (pg/mL)
(NCT00623714)
Timeframe: Baseline and 24 hours post allergen challenge
Intervention | pg/mL (Geometric Mean) |
---|
Placebo | 2.57 |
Fluticasone | 0.87 |
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Hour 24 Fold Change From Period Baseline in Interleukin-13 (IL-13) Protein Concentration (pg/mL)
(NCT00623714)
Timeframe: Baseline and 24 hours post allergen challenge
Intervention | pg/mL (Geometric Mean) |
---|
Placebo | 2.11 |
Fluticasone | 0.85 |
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Mean Change From Baseline in AM Pre-dose FEV1
Change from baseline was calculated as the value at Endpoint minus the baseline value. AM pre-dose FEV1, which is assessed using spirometry, is the maximum amount of air you can forcefully exhale in one second prior to taking the morning dose of study drug. Endpoint was defined as the last scheduled observation for AM pre-dose FEV1 during the 12-week treatment period. (NCT00633217)
Timeframe: Measurement of FEV1 prior to study drug administration; Baseline through Week 12
Intervention | mL (Mean) |
---|
HFA MDI 230/42 mcg and Matching DISKUS Placebo | 74 |
DISKUS 250/50 mcg and Matching HFA MDI Placebo | 77 |
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Mean Change From Baseline in Peak Expiratory Flow
The peak expiratory flow is a measure of the amount of air that can be pushed through the airways in a single rapid exhalation. This is measured by a peak flow meter which is a hand held device. Change from baseline was calculated as the average value over Weeks 1-12 minus the baseline value. (NCT00633217)
Timeframe: Baseline through Week 12
Intervention | Liters/minute (L/min) (Mean) |
---|
HFA MDI 230/42 mcg and Matching DISKUS Placebo | 21.8 |
DISKUS 250/50 mcg and Matching HFA MDI Placebo | 18.7 |
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Mean Change From Baseline in Forced Expiratory Volume in One Second (FEV1) 2 Hours Post-dose of Blinded Study Drug
The primary efficacy analysis was mean change from baseline in 2-hour post-dose FEV1 compared between the two treatment groups at Endpoint. Change from baseline was calculated as the value at Endpoint minus the baseline value. FEV1, which is assessed using spirometry, is the maximal amount of air you can forcefully exhale in one second. Endpoint was defined as the last scheduled observation for 2 hour post-dose FEV1 during the 12-week treatment period. (NCT00633217)
Timeframe: 2 hours after administration of blinded study drug; Baseline through Week 12
Intervention | milliliters (mL) (Mean) |
---|
HFA MDI 230/42 mcg and Matching DISKUS Placebo | 155 |
DISKUS 250/50 mcg and Matching HFA MDI Placebo | 150 |
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Change From Baseline in 12 Hour Instantaneous Total Nasal Symptom Score (iTNSS)
"change from baseline in 12-hour instantaneous ( how do you feel now) total nasal symptom score (iTNSS)consisting of nasal congestion,runny nose, itchy nose and sneezing scored twice daily (AM and PM) in diary cards for the entire 14 day study period.~The measurement scale is 0 to 24.A reduction in symptom severity score is indicated by a negative value.The more negative the value the better the result." (NCT00651118)
Timeframe: day 1 to day 14
Intervention | units on a scale (Least Squares Mean) |
---|
MP29-02 | -5.2 |
Fluticasone Propionate | -4.5 |
Azelastine HCl | -4.0 |
Placebo | -2.6 |
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Change From Baseline in 12-hour Reflective Total Nasal Symptom Score (rTNSS)
"change from baseline in 12-hour reflective(how did you feel in the last 12 hours) total nasal symptom score (rTNSS)consisting of nasal congestion,runny nose, itchy nose and sneezing scored twice daily (AM and PM) in diary cards for the entire 14 day study period.~The measurement scale is 0 to 24.A reduction in symptom severity score is indicated by a negative value.The more negative value the better the result." (NCT00651118)
Timeframe: days 1 to 14
Intervention | units on a scale (Least Squares Mean) |
---|
MP29-02 | -5.6 |
Fluticasone Propionate | -4.7 |
Azelastine HCl | -4.2 |
Placebo | -2.9 |
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Change From Baseline in Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ)at the End of 14 Days
"adult Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) scored at day 1(baseline) and at day 14.~The scale is measured from a value of 0 to 24. A negative number corresponds to a change from baseline measurement.The more negative the value the better the result." (NCT00651118)
Timeframe: day 1 to day 14
Intervention | units on a scale (Least Squares Mean) |
---|
MP29-02 | -1.6 |
Fluticasone Propionate | -1.6 |
Azelastine HCl | -1.4 |
Placebo | -0.9 |
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Change From Baseline in Adult ( Greater Than 18 Years of Age) Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ)at the End of 14 Days
Change from Baseline in adult ( greater than 18 years of age) Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ)at the end of 14 days The measurement scale is 0 to 24. A reduction in symptom severity score is indicated by a negative value. (NCT00660517)
Timeframe: day 1 to day 14
Intervention | units on a scale (Least Squares Mean) |
---|
Azelastine HCl 548 Mcg / Fluticasone Propionate 200 Mcg | -1.6 |
Azelastine Hcl 548 Mcg | -1.2 |
Fluticasone Propionate 200 Mcg | -1.4 |
Placebo | -1.0 |
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Change From Baseline in 12 Hour Reflective Total Nasal Symptom Score (rTNSS)
change from baseline in the 12 hour reflective total nasal symptoms score(rTNSS) consisting of nasal congestion,runny nose,itchy nose and sneezing scored twice daily( AM and PM) in diary cards for the entire 14 day study period The measurement scale is 0 to 24.A reduction in symptom severity score is indicated by a negative value. (NCT00660517)
Timeframe: day 1 to day14
Intervention | units on a scale (Least Squares Mean) |
---|
Azelastine HCl 548 Mcg / Fluticasone Propionate 200 Mcg | -5.3 |
Azelastine Hcl 548 Mcg | -3.3 |
Fluticasone Propionate 200 Mcg | -3.8 |
Placebo | -2.2 |
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Change From Baseline in 12 Hour Instantaneous Total Nasal Symptom Score (iTNSS)
"change from baseline in the 12 hour instantaneous total nasal symptoms score(iTNSS) consisting of nasal congestion,runny nose,itchy nose and sneezing scored twice daily( AM and PM) in diary cards for the entire 14 day study period.~The measurement scale is 0 to 24.A reduction in symptom severity score is indicated by a negative value." (NCT00660517)
Timeframe: day 1 to day 14
Intervention | units on a scale (Least Squares Mean) |
---|
Azelastine HCl 548 Mcg / Fluticasone Propionate 200 Mcg | -4.4 |
Azelastine Hcl 548 Mcg | -3.0 |
Fluticasone Propionate 200 Mcg | -3.5 |
Placebo | -1.7 |
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Forced Expiratory Volume in 1 Second (FEV1) at 5 Minutes Post-dose
FEV1 was measured at 5 minutes after dosing with spirometry conducted according to internationally accepted standards. The time of dosing was defined as the time corresponding to the use of the first inhaler device. The primary variable was analyzed using a mixed model containing the period baseline FEV1 as covariate. The period baseline FEV1 was the average of the FEV1 value measured in the clinic at 50 and 15 min prior to the study drug administration in that period. (NCT00669617)
Timeframe: Five Minutes Post Dose
Intervention | Liters (Least Squares Mean) |
---|
Indacaterol 150 µg | 1.48 |
Indacaterol 300 µg | 1.50 |
Placebo | 1.38 |
Salmeterol/Fluticasone | 1.43 |
Salbutamol | 1.47 |
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Cumulative Proportion of Participants, as Measured as a Percentage, With an Intraocular Pressure (IOP) Event
An event for IOP is defined as an increase of 7 millimeters of mercury (mm Hg) or greater from baseline in IOP, in either eye, using Goldmann Applanation Tonometry (GAT). GAT is a commonly used method of determining approximate intraocular pressure. The data below represent the Kaplan-Meier estimate for the cumulative proportion of participants with an IOP event based on a lifetest table. (NCT00682643)
Timeframe: Baseline; Weeks 12, 24, 36, 52, 64, 76, 88, and 104
Intervention | percentage of participants (Number) |
---|
| Week 12 | Week 24 | Week 36 | Week 52 | Week 64 | Week 76 | Week 88 | Week 104 |
---|
FF 110 mcg QD | 0.00 | 0.32 | 0.32 | 0.71 | 1.12 | 1.98 | 1.98 | 2.96 |
,Placebo | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.84 | 0.84 |
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Change From Baseline in LOCS III Cortical Opacity (C) at Week 52 and Week 104
An event for C (an opacity starting at the outer edge of the lens and progressing toward the center) is defined as an increase of >=0.3 from baseline in LOCS III (system used for the grading and comparison of cataract severity and type based on standard color photographic transparencies) grade for C (range=0.1 [lens clear] to 5.9 [lens unclear]), in either eye. Change from baseline was calculated by subtracting the baseline value from the Week 52 and Week 104 value. (NCT00682643)
Timeframe: Baseline, Week 52, and Week 104
Intervention | scores on a scale (Mean) |
---|
| Left eye, Week 52; n=130, 251 | Left eye, Week 104; n=104, 198 | Right eye, Week 52; n=130, 251 | Right eye, Week 104; n=104, 198 |
---|
FF 110 mcg QD | 0.00 | 0.01 | 0.00 | 0.01 |
,Placebo | 0.01 | 0.02 | -0.01 | 0.02 |
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Percent Change From Baseline in the Funduscopic Horizontal Cup-to-disc Ratio at Week 104
"The funduscopic horizontal cup-to-risk ratio assesses the progression of glaucoma. Percent change from baseline in funduscopic horizontal cup-to-disc ratio at Week 104 was calculated by substracting the baseline value from the Week 104 value (both expressed as a percent). The cup-to-disc ratio compares the diameter of the cup portion of the optic disc with the total diameter of the optic disc. A large cup-to-disc ratio may imply glaucoma or other pathology." (NCT00682643)
Timeframe: Baseline and Week 104
Intervention | percent change (Mean) |
---|
| Left eye | Right eye |
---|
FF 110 mcg QD | 0.7 | 0.0 |
,Placebo | 0.0 | 0.0 |
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Number of Participants With the Indicated Change From Baseline in LOCS III Posterior Subcapsular Opacity by Increments of 0.1 at Weeks 52 and 104
An event for P is defined as an increase of >=0.3 from baseline in LOCS III (classification system based on standard color photographic transparencies) grade for P (range=0.1 [lens clear] to 5.9 [lens unclear]), in either eye. Change from baseline was calculated by subtracting the baseline value from the Week 52 and Week 104 value. (NCT00682643)
Timeframe: Baseline, Week 52, and Week 104
Intervention | participants (Number) |
---|
| Left eye, Week 52, <-0.3; n=130, 251 | Left eye, Week 52, -0.3; n=130, 251 | Left eye, Week 52, -0.2; n=130, 251 | Left eye, Week 52, -0.1; n=130, 251 | Left eye, Week 52, 0; n=130, 251 | Left eye, Week 52, 0.1; n=130, 251 | Left eye, Week 52, 0.2; n=130, 251 | Left eye, Week 52, 0.3; n=130, 251 | Left eye, Week 52, 0.4; n=130, 251 | Left eye, Week 52, 0.5; n=130, 251 | Left eye, Week 52, 0.6; n=130, 251 | Left eye, Week 52, 0.7; n=130, 251 | Left eye, Week 52, 0.8; n=130, 251 | Left eye, Week 52, >=0.9; n=130, 251 | Left eye, Week 52, >=0.3; n=130, 251 | Left eye, Week 52, >=0.5; n=130, 251 | Left eye, Week 52, >=1.0; n=130, 251 | Right eye, Week 52, <-0.3; n=130, 251 | Right eye, Week 52, -0.3; n=130, 251 | Right eye, Week 52, -0.2; n=130, 251 | Right eye, Week 52, -0.1; n=130, 251 | Right eye, Week 52, 0; n=130, 251 | Right eye, Week 52, 0.1; n=130, 251 | Right eye, Week 52, 0.2; n=130, 251 | Right eye, Week 52, 0.3; n=130, 251 | Right eye, Week 52, 0.4; n=130, 251 | Right eye, Week 52, 0.5; n=130, 251 | Right eye, Week 52, 0.6; n=130, 251 | Right eye, Week 52, 0.7; n=130, 251 | Right eye, Week 52, 0.8; n=130, 251 | Right eye, Week 52, >=0.9; n=130, 251 | Right eye, Week 52, >=0.3; n=130, 251 | Right eye, Week 52, >=0.5; n=130, 251 | Right eye, Week 52, >=1.0; n=130, 251 | Left eye, Week 104, <-0.3; n=104, 198 | Left eye, Week 104, -0.3; n=104, 198 | Left eye, Week 104, -0.2; n=104, 198 | Left eye, Week 104, -0.1; n=104, 198 | Left eye, Week 104, 0; n=104, 198 | Left eye, Week 104, 0.1; n=104, 198 | Left eye, Week 104, 0.2; n=104, 198 | Left eye, Week 104, 0.3; n=104, 198 | Left eye, Week 104, 0.4; n=104, 198 | Left eye, Week 104, 0.5; n=104, 198 | Left eye, Week 104, 0.6; n=104, 198 | Left eye, Week 104, 0.7; n=104, 198 | Left eye, Week 104, 0.8; n=104, 198 | Left eye, Week 104, >=0.9; n=104, 198 | Left eye, Week 104, >=0.3; n=104, 198 | Left eye, Week 104, >=0.5; n=104, 198 | Left eye, Week 104, >=1.0; n=104, 198 | Right eye, Week 104, <-0.3; n=104, 198 | Right eye, Week 104, -0.3; n=104, 198 | Right eye, Week 104, -0.2; n=104, 198 | Right eye, Week 104, -0.1; n=104, 198 | Right eye, Week 104, 0; n=104, 198 | Right eye, Week 104, 0.1; n=104, 198 | Right eye, Week 104, 0.2; n=104, 198 | Right eye, Week 104, 0.3; n=104, 198 | Right eye, Week 104, 0.4; n=104, 198 | Right eye, Week 104, 0.5; n=104, 198 | Right eye, Week 104, 0.6; n=104, 198 | Right eye, Week 104, 0.7; n=104, 198 | Right eye, Week 104, 0.8; n=104, 198 | Right eye, Week 104, >=0.9; n=104, 198 | Right eye, Week 104, >=0.3; n=104, 198 | Right eye, Week 104, >=0.5; n=104, 198 | Right eye, Week 104, >=1.0; n=104, 198 |
---|
FF 110 mcg QD | 0 | 0 | 5 | 13 | 218 | 12 | 0 | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 3 | 1 | 0 | 0 | 0 | 5 | 10 | 218 | 13 | 2 | 1 | 2 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 5 | 11 | 175 | 5 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 2 | 2 | 0 | 0 | 0 | 5 | 14 | 174 | 2 | 2 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 0 |
,Placebo | 0 | 0 | 2 | 3 | 121 | 3 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 122 | 4 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 2 | 3 | 94 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 2 | 97 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Number of Participants With the Indicated Change From Baseline in Intraocular Pressure (IOP) by Increments of 1 mm Hg at Week 52
An event for IOP is defined as an increase of 7 mm Hg or greater from baseline in IOP, in either eye, using Goldmann Applanation Tonometry. Participants without post-baseline ophthalmic exam data were censored at the randomization date. Change from baseline was calculated by subtracting the baseline value from the Week 52 value. (NCT00682643)
Timeframe: Baseline and Week 52
Intervention | participants (Number) |
---|
| Left eye, IOP = <-10 to -9 | Left eye, IOP = -8 | Left eye, IOP = -7 | Left eye, IOP = -6 | Left eye, IOP = -5 | Left eye, IOP = -4 | Left eye, IOP = -3 | Left eye, IOP = -2 | Left eye, IOP = -1 | Left eye, IOP = 0 | Left eye, IOP = 1 | Left eye, IOP = 2 | Left eye, IOP = 3 | Left eye, IOP = 4 | Left eye, IOP = 5 | Left eye, IOP = 6 | Left eye, IOP = 7 | Left eye, IOP = 8 | Left eye, IOP = 9 | Left eye, IOP >= 7 | Left eye, IOP >= 10 | Left eye, IOP >= 15 | Right eye, IOP = <-10 to -9 | Right eye, IOP = -8 | Right eye, IOP = -7 | Right eye, IOP = -6 | Right eye, IOP = -5 | Right eye, IOP = -4 | Right eye, IOP = -3 | Right eye, IOP = -2 | Right eye, IOP = -1 | Right eye, IOP = 0 | Right eye, IOP = 1 | Right eye, IOP = 2 | Right eye, IOP = 3 | Right eye, IOP = 4 | Right eye, IOP = 5 | Right eye, IOP = 6 | Right eye, IOP = 7 | Right eye, IOP = 8 | Right eye, IOP = 9 | Right eye, IOP >= 7 | Right eye, IOP >= 10 | Right eye, IOP >= 15 |
---|
FF 110 mcg QD | 0 | 0 | 2 | 0 | 3 | 12 | 19 | 40 | 40 | 50 | 30 | 24 | 19 | 7 | 3 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 4 | 14 | 23 | 43 | 34 | 46 | 31 | 27 | 14 | 8 | 2 | 3 | 0 | 0 | 0 | 0 | 0 | 0 |
,Placebo | 1 | 0 | 0 | 0 | 3 | 5 | 9 | 18 | 22 | 36 | 20 | 7 | 5 | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 2 | 7 | 9 | 25 | 22 | 28 | 16 | 13 | 3 | 2 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Number of Participants With the Indicated Change From Baseline in Intraocular Pressure (IOP) by Increments of 1 mm Hg at Week 104
An event for IOP is defined as an increase of 7 mm Hg or greater from baseline in IOP, in either eye, using Goldmann Applanation Tonometry. Participants without post-baseline ophthalmic exam data were censored at the randomization date. Change from baseline in IOP was calculated by subtracting the baseline value from the Week 104 value. (NCT00682643)
Timeframe: Baseline and Week 104
Intervention | participants (Number) |
---|
| Left eye, IOP = <-10 to -9 | Left eye, IOP = -8 | Left eye, IOP = -7 | Left eye, IOP = -6 | Left eye, IOP = -5 | Left eye, IOP = -4 | Left eye, IOP = -3 | Left eye, IOP = -2 | Left eye, IOP = -1 | Left eye, IOP = 0 | Left eye, IOP = 1 | Left eye, IOP = 2 | Left eye, IOP = 3 | Left eye, IOP = 4 | Left eye, IOP = 5 | Left eye, IOP = 6 | Left eye, IOP = 7 | Left eye, IOP = 8 | Left eye, IOP = 9 | Left eye, IOP >= 7 | Left eye, IOP >= 10 | Left eye, IOP >= 15 | Right eye, IOP = <-10 to -9 | Right eye, IOP = -8 | Right eye, IOP = -7 | Right eye, IOP = -6 | Right eye, IOP = -5 | Right eye, IOP = -4 | Right eye, IOP = -3 | Right eye, IOP = -2 | Right eye, IOP = -1 | Right eye, IOP = 0 | Right eye, IOP = 1 | Right eye, IOP = 2 | Right eye, IOP = 3 | Right eye, IOP = 4 | Right eye, IOP = 5 | Right eye, IOP = 6 | Right eye, IOP = 7 | Right eye, IOP = 8 | Right eye, IOP = 9 | Right eye, IOP >= 7 | Right eye, IOP >= 10 | Right eye, IOP >= 15 |
---|
FF 110 mcg QD | 0 | 1 | 0 | 3 | 7 | 10 | 19 | 31 | 32 | 32 | 30 | 16 | 7 | 6 | 2 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 2 | 1 | 7 | 15 | 17 | 32 | 22 | 46 | 23 | 13 | 8 | 5 | 2 | 2 | 2 | 0 | 0 | 2 | 0 | 0 |
,Placebo | 0 | 0 | 0 | 2 | 0 | 6 | 15 | 17 | 15 | 21 | 19 | 5 | 3 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 5 | 4 | 10 | 24 | 21 | 12 | 16 | 6 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
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Number of Participants With the Indicated Change From Baseline in Cortical Opacity by Increment Categories of >=0.3, >=0.5, and >=1.0 at Weeks 52 and 104
An event for C (an opacity starting at the outer edge of the lens and progressing toward the center) is defined as an increase of >=0.3 from baseline in LOCS III (system used for the grading and comparison of cataract severity and type based on standard color photographic transparencies) grade for C (range=0.1 [lens clear] to 5.9 [lens unclear]), in either eye. Change from baseline was calculated by subtracting the baseline value from the Week 52 and Week 104 value. (NCT00682643)
Timeframe: Baseline, Week 52, and Week 104
Intervention | participants (Number) |
---|
| Left eye, Week 52, >=0.3; n=130, 251 | Left eye, Week 52, >=0.5; n=130, 251 | Left eye, Week 52, >=1.0; n=130, 251 | Right eye, Week 52, >=0.3; n=130, 251 | Right eye, Week 52, >=0.5; n=130, 251 | Right eye, Week 52, >=1.0; n=130, 251 | Left eye, Week 104, >=0.3; n=104, 198 | Left eye, Week 104, >=0.5; n=104, 198 | Left eye, Week 104, >=1.0; n=104, 198 | Right eye, Week 104, >=0.3; n=104, 198 | Right eye, Week 104, >=0.5; n=104, 198 | Right eye, Week 104, >=1.0; n=104, 198 |
---|
FF 110 mcg QD | 4 | 0 | 0 | 8 | 2 | 0 | 10 | 4 | 1 | 10 | 4 | 2 |
,Placebo | 4 | 1 | 1 | 3 | 1 | 1 | 6 | 3 | 1 | 3 | 2 | 1 |
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Cumulative Proportion (CU) of Participants (Par.) With an Event, as Measured as a Percentage, for Posterior Subcapsular Opacity (P)
An event for P (opacity in the lens positioned just anterior to the posterior lens capsule and characterized by the posterior migration of lens epithelial cells from the lens bow) is defined as an increase of >=0.3 from baseline in Lens Opacities Classification System, Version III (LOCS III; system used for the grading and comparison of cataract severity and type based on standard color photographic transparencies) grade for P (range=0.1 [lens clear] to 5.9 [lens unclear]), in either eye. Data represent the Kaplan-Meier estimate for the CU of par. with an event of P based on a lifetest table. (NCT00682643)
Timeframe: Baseline; Weeks 12, 24, 36, 52, 64, 76, 88, and 104
Intervention | Percentage of participants (Number) |
---|
| Week 12 | Week 24 | Week 36 | Week 52 | Week 64 | Week 76 | Week 88 | Week 104 |
---|
FF 110 mcg QD | 0.88 | 1.84 | 2.56 | 3.72 | 3.72 | 3.72 | 4.59 | 5.09 |
,Placebo | 0.60 | 1.24 | 1.93 | 2.68 | 2.68 | 2.68 | 2.68 | 2.68 |
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Change From Baseline in the Daily Reflective Total Nasal Symptom Score (rTNSS) for the Indicated Study Periods
rTNSS was evaluated on a 4-point categorical scale (sum of the scores for rhinorrhea, nasal congestion, nasal itching, and sneezing; range=0-12). The data collected were used as a measure for treatment compliance. The scores on the scale were based on the severity of each nasal symptom: 0=none (symptom is not present); 1=mild (sign/symptom is clearly present but minimal awareness; easily tolerated); 2=moderate (definite awareness of sign/symptom that is bothersome but tolerable); 3=severe (sign/symptom is hard to tolerate; causes interference with activities of daily living and/or sleeping). (NCT00682643)
Timeframe: Baseline, Weeks 1 to 26, Weeks 27 to 52, Weeks 53 to 78, and Weeks 79 to 104
Intervention | scores on a scale (Least Squares Mean) |
---|
| Week 1 to 26 | Week 27 to 52 | Week 53 to 78 | Week 79 to 104 | Week 1 to 104 |
---|
FF 110 mcg QD | -3.19 | -3.86 | -3.89 | -4.10 | -3.45 |
,Placebo | -2.12 | -2.52 | -2.56 | -2.59 | -2.30 |
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Change From Baseline in Nuclear Color (NC) at Week 52 and Week 104
Nuclear color is associated with the force required to compress a lens to 75% of its original depth. The range for NC is 0.1 (no opacity) to 6.9 (maximum opacity). Change from baseline in NC was calculated by subtracting the baseline value from the Week 52 or Week 104 value. (NCT00682643)
Timeframe: Baseline, Week 52, and Week 104
Intervention | scores on a scale (Mean) |
---|
| Left eye, Week 52; n=130, 251 | Left eye, Week 104; n=104, 198 | Right eye, Week 52; n=130, 251 | Right eye, Week 104; n=104, 198 |
---|
FF 110 mcg QD | 0.09 | 0.13 | 0.09 | 0.13 |
,Placebo | 0.14 | 0.21 | 0.16 | 0.22 |
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Change From Baseline in Logarithm of the Minimum Angle of Resolution (LogMAR) Visual Acuity (VA) Using Early Treatment Diabetic Retinopathy Study (ETDRS) Charts at Week 52 and Week 104
ETDRS charts are used to measure VA (the ability to resolve fine image details). Participants must have had a best-corrected distance VA of =< 0.18 on the LogMAR scale using ETDRS charts in both eyes measured separately. The LogMAR scale (expressed as the [decadic] logarithm of the minimum angle of resolution [range from +1.00 to -0.30]) converts the geometric sequence of a traditional chart to a linear scale. It measures VA loss; positive values indicate vision loss, whereas negative values denote normal or better VA. A lower LogMAR value indicates better VA. (NCT00682643)
Timeframe: Baseline, Week 52, and Week 104
Intervention | scores on a scale (Mean) |
---|
| Left eye, Week 52; n=130, 251 | Left eye, Week 104; n=104, 198 | Right eye, Week 52; n=130, 251 | Right eye, Week 104; n=104, 198 |
---|
FF 110 mcg QD | -0.013 | -0.023 | -0.014 | -0.024 |
,Placebo | -0.027 | -0.035 | -0.023 | -0.025 |
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Change From Baseline in LOCS III Posterior Subcapsular Opacity at Week 52 and Week 104
An event for P (opacity in the lens positioned just anterior to the posterior lens capsule and characterized by the posterior migration of lens epithelial cells from the lens bow) is defined as an increase of >=0.3 from baseline in LOCS III (system used for the grading and comparison of cataract severity and type based on standard color photographic transparencies) grade for P (range=0.1 [lens clear] to 5.9 [lens unclear]), in either eye. Change from baseline was calculated by subtracting the baseline value from the Week 52 and Week 104 value. (NCT00682643)
Timeframe: Baseline, Week 52, and Week 104
Intervention | scores on a scale (Mean) |
---|
| Left eye, Week 52; n=130, 251 | Left eye, Week 104; n=104, 198 | Right eye, Week 52; n=130, 251 | Right eye, Week 104; n=104, 198 |
---|
FF 110 mcg QD | 0.00 | 0.00 | 0.00 | -0.01 |
,Placebo | 0.00 | 0.00 | 0.00 | 0.00 |
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Change From Baseline in LOCS III Nuclear Opacity (NO) at Week 52 and Week 104
Nuclear opacity refers to the opacity in the central nucleus of the eye.The range for NO is 0.1 (no opacity) to 6.9 (maximum opacity). Change from baseline in NO was calculated by subtracting the baseline value from the Week 52 or Week 104 value. (NCT00682643)
Timeframe: Baseline, Week 52, and Week 104
Intervention | scores on a scale (Mean) |
---|
| Left eye, Week 52; n=130, 251 | Left eye, Week 104; n=104, 198 | Right eye, Week 52; n=130, 251 | Right eye, Week 104; n=104, 198 |
---|
FF 110 mcg QD | 0.06 | 0.10 | 0.06 | 0.09 |
,Placebo | 0.12 | 0.21 | 0.12 | 0.21 |
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Change From Baseline in Intraocular Pressure (IOP) at Weeks 52 and 104
An event for IOP is defined as an increase of 7 mm Hg or greater from baseline in IOP, in either eye, using Goldmann Applanation Tonometry. Participants without post-baseline ophthalmic exam data were censored at the randomization date. Change from baseline was calculated by subtracting the baseline value from the Week 52 or Week 104 value. (NCT00682643)
Timeframe: Baseline, Week 52, and Week 104
Intervention | mm Hg (Mean) |
---|
| Left eye, Week 52; n=130, 251 | Left eye, Week 104; n=104, 198 | Right eye, Week 52; n=130, 251 | Right eye, Week 104; n=104, 198 |
---|
FF 110 mcg QD | -0.3 | -0.6 | -0.4 | -0.7 |
,Placebo | -0.5 | -0.8 | -0.7 | -1.0 |
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Mean Percent Change in Instantaneous Total Ocular Symptom Scores (iTOSS) From Baseline
Responses to patient-completed diaries for instantaneous Total Ocular Symptom Scores (iTOSS). TOSS is composed of 3 individual assessments of ocular symptoms (itching/burning, tearing/watering, redness) each of the 3 assessments were rated using a 4 point scale that ranged in whole units from 0 (none) to 3 (severe). All 3 assessments are then added together for a composite score (TOSS score), the maximum of which could be 9. Instantaneous scores were assessed at the time of daily dosing. (NCT00691665)
Timeframe: 14 Days minus baseline
Intervention | Percent change (Mean) |
---|
Olopatadine HCL Nasal Spray, 0.6% | -36.54 |
Fluticasone Propionate Nasal Spray, 50 Mcg | -41.63 |
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Mean Percent Change in Reflective Total Ocular Symptom Scores (rTOSS) From Baseline
Responses to patient-completed diaries for reflective Total Ocular Symptom Scores (rTOSS). TOSS is composed of 3 individual assessments of ocular symptoms (itching/burning, tearing/watering, redness) each of the 3 assessments were rated using a 4 point scale that ranged in whole units from 0 (none) to 3 (severe). All 3 assessments are then added together for a composite score (TOSS score), the maximum of which could be 9. Reflective scores were assessed from the hour since the last dose of study medication. (NCT00691665)
Timeframe: 14 Days minus baseline
Intervention | Percent change (Mean) |
---|
Olopatadine HCL Nasal Spray, 0.6% | -38.52 |
Fluticasone Propionate Nasal Spray, 50 Mcg | -40.59 |
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Mean Percent Change in Instantaneous Total Nasal Symptom Score (iTNSS) From Baseline
Responses to patient-completed diaries for instantaneous Total Nasal Symptom Scores (iTNSS). TNSS is composed of 4 individual assessments, which included runny nose, itchy nose, stuffy nose, and sneezing; each of the 4 assessments were rated using a 4 point scale that ranged in whole units from 0 (none) to 3 (severe). All 4 assessments are then added together for a composite score (TNSS score), the maximum of which could be 12. Instantaneous scores were assessed at the time of daily dosing. (NCT00691665)
Timeframe: 14 days minus baseline
Intervention | Percent change (Mean) |
---|
Olopatadine HCL Nasal Spray, 0.6% | -45.26 |
Fluticasone Propionate Nasal Spray, 50 Mcg | -48.8 |
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Mean Percent Change in Reflective Total Nasal Symptom Score (rTNSS) From Baseline
Responses to patient-completed diaries for reflective Total Nasal Symptom Scores (rTNSS). TNSS is composed of 4 individual assessments, which included runny nose, itchy nose, stuffy nose, and sneezing; each of the 4 assessments were rated using a 4 point scale that ranged in whole units from 0 (none) to 3 (severe). All 4 assessments are then added together for a composite score (TNSS score), the maximum of which could be 12. Reflective scores were assessed from the hour since the last dose of study medication. (NCT00691665)
Timeframe: 14 Days minus baseline
Intervention | Percent change (Mean) |
---|
Olopatadine HCL Nasal Spray, 0.6% | -45.37 |
Fluticasone Propionate Nasal Spray, 50 Mcg | -47.35 |
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AUC Fluticasone Propionate (FP)
The main outcome measure is the concentration of Fluticasone Propionate in blood following inhalation of the dose. This will be found by calculating the area under the curve of concentration versus time 0 and 12 hours. (NCT00692978)
Timeframe: 12 hours
Intervention | pg.h/ml (Median) |
---|
FP From Active 250 ug MDI Inhaler Asthma | 188.2 |
FP 50ug 1.5um Asthma | 756 |
FP 50ug 3um Asthma | 978 |
FP 50ug 6um Asthma | 380.5 |
FP From Active 250 ug MDI Inhaler HV | 172.3 |
FP 50ug 1.5um HV | 740 |
FP 50ug 3um HV | 934.6 |
FP 50ug 6um HV | 250.4 |
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Methacholine Challenge Test Result for Phase 2
Presence and degree of airway hyperresponsiveness assessed by methacholine challenge test post-diluent baseline (PC20) after medication holds; PC20 is the methacholine dose at which the amount of air expired in the first second during a forced expiratory maneuver is reduced by 20%; value represents change in baseline to 4 weeks (NCT00705341)
Timeframe: weeks 0, 4
Intervention | mg/ml (Geometric Mean) |
---|
4 Weeks of High Dose Fluticasone | 1.19 |
4 Weeks of Low Dose Fluticasone | 2.04 |
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Predictive Value of Methacholine Challenge Test for Phase 1
Predictive value of methacholine challenge test in phase 1 for asthmatics and nonasthmatic controls (NCT00705341)
Timeframe: one time
Intervention | % predictive value (Number) |
---|
Asthmatic Controls for Phase 1 | 96 |
Non Asthmatic Controls for Phase 1 | 75 |
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Number of Patients With Asthma Exacerbation
(NCT00706446)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
1 - Tiotropium Plus ICS in the Arg/Arg Genotype | 3 |
2 - Tiotropium Plus ICS in the Arg/Gly Genotype | 15 |
3 - Tiotropium Plus ICS in the Gly/Gly Genotype | 6 |
4 - Salmeterol or Formoterol Plus ICS in the Arg/Arg Genotype | 6 |
5 - Salmeterol or Formoterol Plus ICS in the Arg/Gly Genotype | 12 |
6 - Salmeterol or Formoterol Plus ICS in the Gly/Gly Genotype | 9 |
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Sputum RANTES Levels
Week 24 sputum RANTES levels in active treatment groups were measured. (NCT00712335)
Timeframe: 24 weeks
Intervention | pg/ml (Mean) |
---|
Asthmatic Smokers Treated With Combination Therapy | 42.79 |
Asthmatic Smoker Treated With Montelukast Only | 44.03 |
Non-smoking Asthmatic Treated With Combination Therapy | 41.78 |
Non-smoking Asthmatic Treated With Montelukast Only | 36.41 |
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Sputum GM-CSF Levels
Week 24 sputum GM-CSF levels in active treatment groups were measured. (NCT00712335)
Timeframe: 24 weeks
Intervention | pg/ml (Mean) |
---|
Asthmatic Smokers Treated With Combination Therapy | 17.60 |
Asthmatic Smoker Treated With Montelukast Only | 15.18 |
Non-smoking Asthmatic Treated With Combination Therapy | 13.92 |
Non-smoking Asthmatic Treated With Montelukast Only | 12.16 |
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Sputum IFN-gamma/IL-5 Ratios
Week 24 sputum IFN-gamma/IL-5 ratios were determined in active treatment groups. (NCT00712335)
Timeframe: 24 weeks
Intervention | ratio (Mean) |
---|
Asthmatic Smokers Treated With Combination Therapy | 627.4 |
Asthmatic Smoker Treated With Montelukast Only | 272.4 |
Non-smoking Asthmatic Treated With Combination Therapy | 183.8 |
Non-smoking Asthmatic Treated With Montelukast Only | 279.0 |
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Sputum IL-8 Levels
Week 24 sputum IL-8 levels in active treatment groups (NCT00712335)
Timeframe: 24 weeks
Intervention | pg/ml (Mean) |
---|
Asthmatic Smokers Treated With Combination Therapy | 334545 |
Asthmatic Smoker Treated With Montelukast Only | 26,300 |
Non-smoking Asthmatic Treated With Combination Therapy | 3602 |
Non-smoking Asthmatic Treated With Montelukast Only | 317778 |
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Sputum Eosinophil Percentages
Secondary endpoints of inflammatory markers (sputum eosinophil percentages at 24 weeks) were measured in active treatment groups (NCT00712335)
Timeframe: 24 weeks
Intervention | percentage of eosinophils (Mean) |
---|
Asthmatic Smokers Treated With Combination Therapy | 2.33 |
Asthmatic Smoker Treated With Montelukast Only | 3.60 |
Non-smoking Asthmatic Treated With Combination Therapy | 1.60 |
Non-smoking Asthmatic Treated With Montelukast Only | 3.26 |
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Sputum Eotaxin Levels
Week 24 sputum eotaxin levels in active treatment groups were measured. (NCT00712335)
Timeframe: 24 weeks
Intervention | pg/ml (Mean) |
---|
Asthmatic Smokers Treated With Combination Therapy | 47.13 |
Asthmatic Smoker Treated With Montelukast Only | 87.90 |
Non-smoking Asthmatic Treated With Combination Therapy | 65.14 |
Non-smoking Asthmatic Treated With Montelukast Only | 64.61 |
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Sputum Neutrophil Percentages
Week 24 sputum neutrophil percentages were measured in active treatment groups. (NCT00712335)
Timeframe: 24 weeks
Intervention | percentage of neutrophils (Mean) |
---|
Asthmatic Smokers Treated With Combination Therapy | 86.00 |
Asthmatic Smoker Treated With Montelukast Only | 72.53 |
Non-smoking Asthmatic Treated With Combination Therapy | 89.33 |
Non-smoking Asthmatic Treated With Montelukast Only | 79.84 |
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The Magnitude of the Late Asthmatic Response, Expressed as a Percentage Change in FEV1.
(NCT00716963)
Timeframe: 7 hours after challenge
Intervention | percentage fall FEV1 (Mean) |
---|
Fluticasone Propionate (Flovent Diskus) 250 mcg | -11.6 |
Budesonide 400mcg | -14.7 |
Placebo | -24 |
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The Magnitude of the Early Asthmatic Response, Expressed as a Percentage Change in FEV1.
(NCT00716963)
Timeframe: Before inhalation 3 hours
Intervention | percentage fall FEV1 (Mean) |
---|
Fluticasone Propionate (Flovent Diskus) 250 mcg | -30.5 |
Budesonide 400mcg | -39.0 |
Placebo | -31.9 |
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Mean Change From Baseline in AM and PM Reflective Individual Ocular Symptoms Over the Entire Treatment Period (28 Days)
Mean change for the individual symptoms of eye itching/burning, eye tearing/watering, and eye redeness. Reflective ratings assessed the participant's symptoms over the preceding 12 hours. Reflective assessments were performed twice daily (AM and PM) and were evaluated on a 0 (none) to 3 (severe) scale. (NCT00730756)
Timeframe: Baseline through Week 4 (28 days)
Intervention | points on a scale (Least Squares Mean) |
---|
| AM, eye itching/burning | PM, eye itching/burning | AM, eye tearing/watering | PM, eye tearing/watering | AM, eye redness | PM, eye redness |
---|
FFNS 110 mcg | -0.42 | -0.48 | -0.29 | -0.33 | -0.23 | -0.31 |
,Placebo | -0.34 | -0.30 | -0.32 | -0.27 | -0.16 | -0.19 |
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Mean Change From Baseline in AM and PM Reflective Individual Nasal Symptoms Over the Entire Treatment Period (28 Days)
Mean change for the individual symptoms of rhinorrhea, nasal congestion, and post-nasal drip as measured in the morning and evening. Reflective rating represents the participant's symptoms over the preceding 12 hours. All symptoms were evaluated on a 0 (none) to 3 (severe) scale. (NCT00730756)
Timeframe: Baseline through Week 4 (28 days)
Intervention | points on a scale (Least Squares Mean) |
---|
| AM, rhinorrhea | PM, rhinorrhea | AM, nasal congestion | PM, nasal congestion | AM, post-nasal drip | PM, post-nasal drip |
---|
FFNS 110 mcg | -0.72 | -0.72 | -0.78 | -0.79 | -0.65 | -0.68 |
,Placebo | -0.65 | -0.63 | -0.75 | -0.76 | -0.73 | -0.69 |
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Mean Change From Baseline in Daily rTNSS Over the Entire Treatment Period (28 Days)
The Total Nasal Symptom Score (TNSS) is the sum (scale 0-9) of the individual nasal scores for rhinorrhea, nasal congestion, and post-nasal drip. All symptoms were evaluated using a scale of 0 (None), 1 (Mild), 2 (Moderate), or 3 (Severe). Reflective (r) assessments were performed in the morning (AM) and evening (PM) and assessed the participant's symptoms over the preceding 12 hours. The daily reflective Total Nasal Symptoms Score (daily rTNSS) is the average of the AM and PM rTNSS. Mean change from baseline was calculated as the participant's treatment period mean minus the baseline mean. (NCT00730756)
Timeframe: Baseline through Week 4 (28 days)
Intervention | points on a scale (Least Squares Mean) |
---|
Placebo | -2.10 |
FFNS 110 mcg | -2.17 |
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Mean Change From Baseline in AM Pre-dose Instantaneous Individual Ocular Symptoms Over the Entire Treatment Period (28 Days)
The AM pre-dose instantaneous assessment is performed in the morning prior to dosing and evaluates symptoms at that moment. The individual symptoms of eye itching/burning, eye tearing/watering, and eye redness were measured at this time. All three symptoms were evaluated using a 0 (none) to 3 (severe) scale. This assessment provides information on the duration of action of the treatment. (NCT00730756)
Timeframe: Baseline through Week 4 (28 days)
Intervention | points on a scale (Least Squares Mean) |
---|
| Eye itching/burning | Eye tearing/watering | Eye redness |
---|
FFNS 110 mcg | -0.37 | -0.33 | -0.27 |
,Placebo | -0.35 | -0.30 | -0.21 |
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Mean Change From Baseline in Total Ocular Symptoms Over the Entire Treatment Period (28 Days)
The Total Ocular Symptom Score (TOSS) is a sum (scale 0-9) of the individual ocular scores for eye itching/burning, eye tearing/watering, and eye redness. All 3 symptoms were evaluated using a scale of 0 (None), 1 (Mild), 2 (Moderate), or 2 (Severe). The daily reflective TOSS (daily rTOSS) is the average of the morning (AM) and evening (PM) rTOSS assessments that measure symptoms over the previous 12 hours. The AM pre-dose instantaneous (iTOSS) assessment is performed in the morning prior to dosing and evaluates symptoms at that moment, providing data on the duration of action of treatment. (NCT00730756)
Timeframe: Baseline through Week 4 (28 days)
Intervention | points on a scale (Least Squares Mean) |
---|
| Daily rTOSS | AM pre-dose iTOSS | AM rTOSS | PM rTOSS |
---|
FFNS 110 mcg | -1.04 | -0.98 | -0.96 | -1.13 |
,Placebo | -0.77 | -0.85 | -0.81 | -0.74 |
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Mean Change From Baseline in Daily Reflective Individual Ocular Symptoms Over the Entire Treatment Period (28 Days)
Mean change for the individual symptoms of eye itching/burning, eye tearing/watering, and eye redness. Reflective rating represents the participant's symptoms over the preceding 12 hours. Reflective assessments were performed twice daily (AM and PM). The average of the AM and PM reflective individual ocular symptoms is the daily reflective individual ocular symptoms. Reflective individual ocular symptoms were evaluated on a 0 (none) to 3 (severe) scale. (NCT00730756)
Timeframe: Baseline through Week 4 (28 days)
Intervention | points on a scale (Least Squares Mean) |
---|
| Eye itching/burning | Eye tearing/watering | Eye redness |
---|
FFNS 110 mcg | -0.45 | -0.31 | -0.28 |
,Placebo | -0.32 | -0.29 | -0.17 |
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Mean Change From Baseline in Daily Reflective Individual Nasal Symptoms Score Over the Entire Treatment Period (28 Days)
Mean change for the individual symptoms of rhinorrhea, nasal congestion, and post-nasal drip. Reflective rating represents the participant's symptoms over the preceding 12 hours. Reflective assessments were performed in the morning (AM) and evening (PM). The daily reflective individual nasal symptom score average of the AM and PM reflective individual nasal symptoms is the daily reflective individual nasal symptom score. All symptoms were evaluated on a 0 (none) to 3 (severe) scale. (NCT00730756)
Timeframe: Baseline through Week 4 (28 days)
Intervention | points on a scale (Least Squares Mean) |
---|
| Rhinorrhea | Nasal congestion | Post-nasal drip |
---|
FFNS 110 mcg | -0.72 | -0.79 | -0.67 |
,Placebo | -0.64 | -0.75 | -0.70 |
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Mean Change From Baseline in AM rTNSS, PM rTNSS, and AM Pre-dose iTNSS Over the Entire Treatment Period (28 Days)
The TNSS is the Total Nasal Symptom Score (scale 0-9), a sum of the individual nasal scores for (1) rhinorrhea, (2) nasal congestion, and (3) post-nasal drip. All 3 symptoms were evaluated using a scale of: 0 (None), 1 (Mild), 2 (Moderate), or 3 (Severe). Reflective (r) assessments were performed in the morning (AM) and evening (PM) and assessed the participant's symptoms over the preceding 12 hours (AM rTNSS, PM rTNSS). The AM pre-dose instantaneous assessment (AM pre-dose iTNSS) was performed in the morning just prior to dosing and assessed symptoms at that moment. (NCT00730756)
Timeframe: Baseline through Week 4 (28 days)
Intervention | points on a scale (Least Squares Mean) |
---|
| AM pre-dose iTNSS | AM rTNSS | PM rTNSS |
---|
FFNS 110 mcg | -1.90 | -2.15 | -2.19 |
,Placebo | -1.82 | -2.13 | -2.09 |
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Mean Change From Baseline in AM Pre-dose Instantaneous Individual Nasal Symptoms Over the Entire Treatment Period (28 Days)
The AM pre-dose instantaneous assessment is performed in the morning prior to dosing and evaluates symptoms at that moment. The individual symptoms of rhinorrhea, nasal congestion, and post-nasal drip were measured at this time. All three symptoms were evaluated using a 0 (none) to 3 (severe) scale. This assessment provides information on the duration of action of the treatment. (NCT00730756)
Timeframe: Baseline through Week 4 (28 days)
Intervention | points on a scale (Least Squares Mean) |
---|
| Rhinorrhea | Nasal congestion | Post-nasal drip |
---|
FFNS 110 mcg | -0.61 | -0.71 | -0.58 |
,Placebo | -0.52 | -0.64 | -0.66 |
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Change From Baseline in 12 Hour Reflective Total Nasal Symptom Score (rTNSS)
"change from baseline in 12-hour reflective(how you felt over the previous 12 hours) total nasal symptom score (rTNSS)consisting of nasal congestion,runny nose, itchy nose and sneezing scored twice daily (AM and PM) in diary cards for the entire 14 day study period.~The measurement scale is 0 to 24.A reduction in symptom severity score is indicated by a negative value.A greater negative score is suggestive of improvement." (NCT00740792)
Timeframe: day1 to 14 days
Intervention | units on a scale (Least Squares Mean) |
---|
MP29-02 | -5.5 |
Azelastine HCL | -4.5 |
Fluticasone Propionate | -4.6 |
Placebo | -3.0 |
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Change From Baseline in Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ)
adult Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) scored at day 1(baseline) and at day 14.The scale is measured from a value of 0 to 24. A negative number corresponds to a change from baseline measurement. An increased negative number is suggestive of improvement. (NCT00740792)
Timeframe: day 1 to day 14
Intervention | units on a scale (Least Squares Mean) |
---|
MP29-02 | -1.7 |
Azelastine HCL | -1.4 |
Fluticasone Propionate | -1.5 |
Placebo | -1.0 |
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Change From Baseline in 12 Hour Instantaneous Total Nasal Symptom Score (iTNSS)
"change from baseline in 12-hour instantaneous ( how do you feel now) total nasal symptom score (iTNSS)consisting of nasal congestion,runny nose, itchy nose and sneezing scored twice daily (AM and PM) in diary cards for the entire 14 day study period.~The measurement scale is 0 to 24.A reduction in symptom severity score is indicated by a negative value.A greater negative value is suggestive of improvement." (NCT00740792)
Timeframe: day 1 to14
Intervention | units on a scale (Least Squares Mean) |
---|
MP29-02 | -5.2 |
Azelastine HCL | -4.2 |
Fluticasone Propionate | -4.3 |
Placebo | -2.4 |
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Change in 4 Nasal Symptom Score (Sneezing Attack, Rhinorrhea, Nasal Congestion, and Nasal Itching) After 2 Weeks
The nasal symptoms (sneezing attacks, rhinorrhea, nasal congestion and itching) were rated in 4 grades (+++: 3 points, ++: 2 points, +: 1 point, -: 0 point) based on the evaluation criteria for nasal symptoms. Total possible best score is 0 points, total possible worst score is 12 points. (NCT00783224)
Timeframe: Baseline to 2 weeks of treatment
Intervention | Units on a scale (Least Squares Mean) |
---|
| Baseline | Two Weeks |
---|
Fluticasone Propionate (FP) | 8.29 | 3.69 |
,Fluticasone Propionate Placebo (PLAFP) | 8.41 | 1.74 |
,Mometasone Furoate (MF) | 8.27 | 3.90 |
,Mometasone Furoate Placebo (PLAMF) | 7.84 | 1.63 |
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Mean Change From Baseline in 2 Hour Post-dose FEV1 at Endpoint
Change from baseline was calculated as the Endpoint (defined as the last recorded measure of 2 hour post-dose FEV1 for each participant) value minus the baseline value. FEV1 is defined as the amount of air expelled from the lungs in one second after a full inspiration and is a measure of pulmonary function. (NCT00784550)
Timeframe: Baseline and Endpoint (defined as the last recorded measure [taken up to Week 24] of 2 hour post-dose FEV1 for each participant)
Intervention | ml (Mean) |
---|
FSC + Tio | 233 |
Tiotropium | 77 |
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Mean Change From Baseline in 2 Hour Post-dose FVC at Endpoint
Change from baseline was calculated as the Endpoint (defined as the last recorded measure of 2 hour post-dose FVC for each participant) value minus the baseline value. FVC is defined as the amount of air that can forcibly be blown out after a full inspiration (FVC). (NCT00784550)
Timeframe: Baseline and Endpoint (defined as the last recorded measure of 2 hour post-dose FVC [up to Week 24] for each participant)
Intervention | ml (Mean) |
---|
FSC + Tio | 265 |
Tiotropium | 87 |
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Mean Change From Baseline in AM (Morning, Approximately 6-9 AM) Pre-dose Forced Expiratory Volume in One Second (FEV1) at Endpoint
Change from baseline was calculated as the Endpoint (defined as the last recorded measure of AM pre-dose FEV1 for each participant) value minus the baseline value. FEV1 is defined as the amount of air expelled from the lungs in one second after a full inspiration and is a measure of pulmonary function. (NCT00784550)
Timeframe: Baseline and Endpoint (defined as the last recorded measure [taken up to Week 24] of AM pre-dose FEV1 for each participant)
Intervention | milliliters (ml) (Mean) |
---|
FSC + Tio | 101 |
Tiotropium | -16 |
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Mean Change From Baseline in AM (Morning, Approximately 6-9 AM) Pre-dose Forced Vital Capacity (FVC) at Endpoint
Change from baseline was calculated as the Endpoint (defined as the last recorded measure of AM pre-dose FVC fore each participant) value minus the baseline value. FVC is defined as the amount of air that can forcibly be blown out after a full inspiration. (NCT00784550)
Timeframe: Baseline and Endpoint (defined as the last recorded measure [up to Week 24] of AM pre-dose FVC for each participant)
Intervention | ml (Mean) |
---|
FSC + Tio | 95 |
Tiotropium | -28 |
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Mean Change From Baseline in AM (Morning, Approximately 6-9 AM) Pre-Dose Inspiratory Capacity (IC) at Endpoint
Change from baseline was calculated as the Endpoint (defined as the last recorded measure of AM pre-dose IC for each participant) value minus the baseline value. IC is defined as the amount of air that can be inhaled after a normal expiration. IC is a measure of pulmonary function. (NCT00784550)
Timeframe: Baseline and Endpoint (defined as the last recorded measure of AM pre-dose IC [up to Week 24] for each participant)
Intervention | ml (Mean) |
---|
FSC + Tio | 107 |
Tiotropium | -8 |
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Mean Change From Baseline in Scores on the Chronic Respiratory Disease Questionnaire-Self-Administered Standardized (CRQ-SAS) at Endpoint
The CRQ-SAS measures 4 domains of functioning of participants with COPD: mastery (amount of control the participant feels he/she has over COPD symptoms); fatigue (how tired the participant feels); emotional function (how anxious/depressed the participant feels); and dyspnea (how short of breath the participant feels during physical activities). Each domain is measured on a scale of 1-7 (1=maximum impairment; 7=no impairment). Each domain score is calculated separately. (NCT00784550)
Timeframe: Baseline and Endpoint (defined as the last recorded score [up to Week 24 or the early withdrawal visit] on each of the questions on this questionnaire)
Intervention | points on a scale (Mean) |
---|
| Mastery | Fatigue | Emotional Function | Dyspnea |
---|
FSC + Tio | 0.28 | 0.23 | 0.24 | 0.21 |
,Tiotropium | 0.04 | 0.17 | 0.16 | 0.19 |
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Total Eye Symptom Scores After Antigen Challenge
Watery and itchy eye symptoms will be scored based on the following scale: 0=no symptoms, 1= mild, 2= moderate, 3= severe (NCT00791973)
Timeframe: After one week of treatment wtih veramyst or placebo
Intervention | units on a scale (Median) |
---|
Veramyst | 3 |
Placebo | 3 |
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Change in Tryptase Level From Baseline to Post-antigen Challenge
Tryptase levels (mcg/L) were measured from nasal lavages (NCT00791973)
Timeframe: After one week of treatment wtih veramyst or placebo
Intervention | mcg/L (Median) |
---|
Veramyst | 0 |
Placebo | 2.31 |
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PK Parameter: Volume of Distribution
Plasma concentration-time data were well described by a 2-compartment model with first order elimination. Plasma concentrations of GSK679586 were determined at Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672 h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits. However, volume of distribution were determined only for the day of infusion administration. i.e. Day 1, Day 29 and Day 57. The volume of distribution at Day 1 indicates volume of distribution(0-1 h), Day 29 indicated volume of distribution (0-672 h) and Day 57 indicated volume of distribution (0-1344 h). Volume of distribution for each participant was reconstructed from sparse PK sampling using Bayesian prediction obtained from a population PK model using nonlinear mixed effects methods (NONMEM, version V). The 2-compartment model provided the data for volume of distribution of central compartment (V1) and volume distribution of peripheral compartment (V2). (NCT00843193)
Timeframe: Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672 h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits.
Intervention | L/Kg (Geometric Mean) |
---|
| V1, Day 1 | V1, Day 29 | V1, Day 57 | V2, Day 1 | V2, Day 29 | V2, Day 57 |
---|
GSK679586 10 mg/kg | 0.0356 | 0.0355 | 0.0354 | 0.0296 | 0.0296 | 0.0296 |
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Number of Participants With Abnormal Urinanalysis Parameters of Potential Clinical Importance
Samples were collected on each visit from Week 1 to Week 25 for urinalysis. Number of participants with any abnormal urinalysis parameters of potential clinical importance are summarized here. (NCT00843193)
Timeframe: Upto Week 25
Intervention | Participants (Count of Participants) |
---|
Placebo | 0 |
GSK679586 10 mg/kg | 0 |
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Number of Participants With Confirmed Positive Anti-GSK679586 Antibody Results After Initiation of Study Treatment
Serum samples were tested for presence of anti-GSK679586 antibodies. Blood samples were collected via an indwelling cannula or by direct venepuncture collected into a serum separator tube and allowed to clot for 1 to 2 hours. Samples were centrifuged and the resultant serum was transferred to 3 separate cryovials and stored at -80°C until shipped on dry ice to the central laboratory. Samples were analyzed in a tiered assay format. Number of participants with confirmed positive Anti-GSK679586 antibody results after initiation of study treatment were reported. (NCT00843193)
Timeframe: Up to Week 25
Intervention | Participants (Count of Participants) |
---|
Placebo | 4 |
GSK679586 10 mg/kg | 2 |
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Change From Baseline in ACQ-7 Over 16 Weeks and 24 Weeks
The ACQ-7 is a 7-item questionnaire that provides a measure of a participant's asthma control. Participant responses were recorded on a 7-point scale ranging from zero (no impairment/ limitation) to 6 (total impairment/ limitation). The values of Week 1 is considered as Baseline. The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. If either the Baseline or post-randomization value was missing, the change from Baseline was set to missing as well. Change from Baseline of Week 16 and Week 24 are incorporated here which are Follow up weeks. (NCT00843193)
Timeframe: Week 16 and Week 24
Intervention | Scores on Scale (Mean) |
---|
| Week 16 | Week 24 |
---|
GSK679586 10 mg/kg | -0.4 | -0.2 |
,Placebo | -0.3 | -0.3 |
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Percentage of Participants Who Demonstrated a Clinically Meaningful Increase in FEV1 Over the 12 Week Assessment Period
FEV1 is forced expiratory volume in 1 second.A participant is defined as a FEV1 responder if he/she achieves a change from baseline FEV1 of >=200ml. To evaluate whether the participant was a responder over 12 weeks, change from baseline FEV1 over 12 weeks was calculated by taking the mean of the changes at Visit 7, Visit 9 and Visit 11. A binary variable was created for each participant with 1 for the responder and 0 for the non-responder. If either Visit 9 or Visit 11 FEV1 data are missing, then the binary variable for the responder over 12 weeks was set to be missing. If Visit 7 data were missing, but Visit 9 and Visit 11 data were available, then the binary variable for the responder over 12 weeks was still calculated. (NCT00843193)
Timeframe: Upto 12 weeks
Intervention | Percentage of Participants (Number) |
---|
| Week 2 | Week 4 | Week 8 | Week 12 |
---|
GSK679586 10 mg/kg | 20 | 23 | 15 | 20 |
,Placebo | 16 | 22 | 25 | 34 |
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Pharmacokinetic (PK) Parameter: Area Under the Concentration-time Curve Over the Dosing Interval (AUC (0-τ)).
Plasma concentration-time data were well described by a 2-compartment model with first order elimination. Plasma concentrations of GSK679586 were determined at Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672 h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits. However, the derived PK parameters were determined only for the day of infusion administration. i.e. Day 1, Day 29 and Day 57. The AUC at Day 1 indicates AUC(0-1 h), Day 29 indicated AUC(0-672 h) and Day 57 indicated AUC(0-1344h). AUC(0-τ) for each participant was reconstructed from sparse PK sampling using Bayesian prediction obtained from a population PK model using nonlinear mixed effects methods (NONMEM, version V). (NCT00843193)
Timeframe: Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits.
Intervention | nanogram*hour/mL (Geometric Mean) |
---|
| Day 1 | Day 29 | Day 57 |
---|
GSK679586 10 mg/kg | 64787259 | 86256087 | 93710588 |
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Change From Baseline in Asthma Control Questionnaire (ACQ-7) Over 12 Weeks
The ACQ-7 consists of 7 questions scored between zero (no impairment/ limitation) to 6 (total impairment/ limitation). The values of Week 1 is considered as Baseline. ACQ-7 was calculated as the average of the 7 scores. If any one individual score was missing, the ACQ-7 was set to missing.The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. If either the Baseline or post-randomization value was missing, the change from Baseline was set to missing as well. (NCT00843193)
Timeframe: Baseline to Week 12
Intervention | Scores on Scale (Mean) |
---|
| Week 2 | Week 4 | Week 8 | Week 12 |
---|
GSK679586 10 mg/kg | -0.2 | -0.3 | -0.3 | -0.4 |
,Placebo | -0.1 | -0.1 | -0.2 | -0.3 |
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Change From Baseline in FEV1 Over 16 Weeks and 24 Weeks
FEV1 is forced expiratory volume in 1 second.Change from Baseline FEV1 was calculated for each of the following visit: Visit 6, Visit 7, Visit 9 and Visit 11. A binary variable was created for each participant with 1 for the responder and 0 for the non nonresponder at each visit. Week 1 was considered as the Baseline. The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. If either the Baseline or post-randomization value was missing, the change from Baseline was set to missing as well. Change from Baseline of Week 16 and Week 24 are incorporated here which are Follow up weeks. (NCT00843193)
Timeframe: Week 16 and 24
Intervention | mL (Mean) |
---|
| Week 16 | Week 24 |
---|
GSK679586 10 mg/kg | 0.010 | -0.021 |
,Placebo | 0.109 | 0.065 |
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Change From Baseline in Forced Expiratory Volume (FEV1) Over 12 Weeks.
FEV1 is forced expiratory volume in 1 second.Change from Baseline FEV1 was calculated for each of the following visit: Visit 6, Visit 7, Visit 9 and Visit 11. A binary variable was created for each participant with 1 for the responder and 0 for the non nonresponder at each visit. Week 1 was considered as the Baseline. The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. If either the Baseline or post-randomization value was missing, the change from Baseline was set to missing as well. (NCT00843193)
Timeframe: Baseline to Week 12
Intervention | Millilitre (mL) (Mean) |
---|
| Week 2 | Week 4 | Week 8 | Week 12 |
---|
GSK679586 10 mg/kg | 0.002 | 0.037 | -0.009 | -0.016 |
,Placebo | 0.009 | 0.033 | 0.035 | 0.078 |
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Number of Participants Who Demonstrated a Clinically Meaningful Change in ACQ-7 Over the 12 Weeks Assessment Period.
The ACQ-7 is a 7-item questionnaire that provides a measure of a participant's asthma control. Participant responses were recorded on a 7-point scale ranging from zero (no impairment/ limitation) to 6 (total impairment/ limitation). The percentage of participants who were classified as responders for ACQ-7, defined as a clinically meaningful decrease from baseline in ACQ-7 of at least 0.50, was generally similar between treatment groups at each visit and over the 12-week treatment period. (NCT00843193)
Timeframe: Upto 12 weeks
Intervention | Participants (Count of Participants) |
---|
| Week 2 | Week 4 | Week 8 | Week 12 |
---|
GSK679586 10 mg/kg | 20 | 29 | 26 | 36 |
,Placebo | 16 | 22 | 31 | 33 |
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Number of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical Importance
Blood samples were collected on each visit from Week 1 to Week 25 to assess the clinical chemistry parameters. Albumin, Calcium, Glucose, Pottasium, Sodium and Total Carbon Di-oxide were analyzed in clinical chemistry. Number of participants with any abnormal clinical chemistry parameters of potential clinical importance are summarized here. (NCT00843193)
Timeframe: Upto Week 25
Intervention | Participants (Count of Participants) |
---|
| Low total carbondioxide | High glucose | Low glucose | Increased total bilirubin | Increased AST | Increased ALT | Increased alkaline phosphatase | Increased serum potassium | Increased serum calcium |
---|
GSK679586 10 mg/kg | 17 | 17 | 3 | 2 | 2 | 1 | 0 | 2 | 0 |
,Placebo | 14 | 10 | 4 | 2 | 1 | 2 | 1 | 0 | 1 |
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PK Parameter: Systemic Clearance of Parent Drug
Plasma concentration-time data were well described by a 2-compartment model with first order elimination. Plasma concentrations of GSK679586 were determined at Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits. However, systemic clearance were determined only for the day of infusion administration. i.e. Day 1, Day 29 and Day 57. The systemic clearance at Day 1 indicates systemic clearance(0-1 h), Day 29 indicated systemic clearance(0-672 h) and Day 57 indicated systemic clearance(0-1344 h). Systemic clearance of parent drug for each participant was reconstructed from sparse PK sampling using Bayesian prediction obtained from a population PK model using nonlinear mixed effects methods (NONMEM, version V). (NCT00843193)
Timeframe: Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672 h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits.
Intervention | L/h/kg (Geometric Mean) |
---|
| Day 1 | Day 29 | Day 57 |
---|
GSK679586 10 mg/kg | 0.00010 | 0.00010 | 0.00010 |
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PK Parameter:Maximum Observed Concentration (Cmax)
Plasma concentration-time data were well described by a 2-compartment model with first order elimination. Plasma concentrations of GSK679586 were determined at Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits. However, Cmax were determined only for the day of infusion administration. i.e. Day 1, Day 29 and Day 57. The Cmax at Day 1 indicates Cmax(0-1 h), Day 29 indicated Cmax(0-672 h) and Day 57 indicated Cmax(0-1344 h). Cmax for each participant was reconstructed from sparse PK sampling using Bayesian prediction obtained from a population PK model using nonlinear mixed effects methods (NONMEM, version V). (NCT00843193)
Timeframe: Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672 h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits.
Intervention | nanogram (ng)/mL (Geometric Mean) |
---|
| Day 1 | Day 29 | Day 57 |
---|
GSK679586 10 mg/kg | 278610.6 | 332528.4 | 355177.0 |
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Number of Participants With Abnormal Vital Signs of Potential Clinical Importance: Systolic and Distolic Blood Pressure and Heart Rate.
Vital signs including systolic and diastolic blood pressure and heart rate taken at certain visits from screening to follow-up. Potential Clinical Importance Ranges were systolic blood pressure (<85 and >160millimeter of mercury [mmHg]), diastolic blood pressure (<45 and >100 mmHg) and heart rate (<40 and >110 beats per minute [BPM]). Number of participants with abnormal systolic blood pressure, diastolic blood pressure and heart rate values of potential clinical importance were summarized. (NCT00843193)
Timeframe: Screening, Day -28, 1, 15, 29, 50, 57 and 169 (follow-up 3)
Intervention | Participants (Count of Participants) |
---|
| Systolic Blood Pressure, High | Diastolic Blood Pressure, High | Heart Rate |
---|
GSK679586 10 mg/kg | 6 | 4 | 1 |
,Placebo | 6 | 8 | 0 |
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Number of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)
An AE is any untoward medical occurrence in a patient or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is any untoward medical occurrence that, at any dose results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. (NCT00843193)
Timeframe: Up to Week 25
Intervention | Participants (Count of Participants) |
---|
| Any AEs | Any SAEs |
---|
GSK679586 10 mg/kg | 52 | 8 |
,Placebo | 49 | 5 |
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Number of Participants With Clinically Significant Abnormality in 12-lead Electrocardiogram (ECG)
Single 12-lead ECGs were obtained at certain visits from screening to follow-up. ECG machine that automatically calculates the heart rate and measures PR, QRS, QT, and Corrected QT (QTc) intervals. Number of participants with clinically significant abnormality in 12-lead ECG readings were summarized. (NCT00843193)
Timeframe: Upto Week 25
Intervention | Participants (Count of Participants) |
---|
| Day 29, 1.5 hours | Day 29, 6 hours | Day 50 |
---|
GSK679586 10 mg/kg | 1 | 1 | 2 |
,Placebo | 0 | 0 | 0 |
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Number of Participants With Abnormal Hematological Parameters of Potential Clinical Importance
Blood samples were collected on each visit from Week 1 to Week 25 to assess the haematological parameters. White Blood Cells count, Neutrophils, Haemoglobin, Hematocrit, Count and Lymphocytes were analyzed in haematology. Number of participants with any abnormal hematological parameters of potential clinical importance are summarized here. (NCT00843193)
Timeframe: Upto Week 25
Intervention | Participants (Count of Participants) |
---|
| Low lymphocyte count | Increased white blood cell count | Low neutrophils count | Low platelet count |
---|
GSK679586 10 mg/kg | 3 | 1 | 4 | 1 |
,Placebo | 5 | 3 | 3 | 1 |
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Weighted Mean Nasal Airflow at 2-5 Hours Post-dose (1-4 Hours Post-start of Challenge)
Allergic rhinitis decreases the passage of air through the nose (nasal airflow) by increasing the nasal airway resistance. Rhinomanometry is used as an objective measurement of airway resistance. Nasal airflow was measured using active anterior rhinomanometry at pre-challenge, and then every 30 minutes from 0.5 to 4 hours post start of VCC. Weighted mean nasal airflow was calculated by dividing the value of the area under the response time curve between 1 and 4 hours (calculated by trapezoidal rule) by the time interval of available data. (NCT00848965)
Timeframe: Day 8 of each study period (Periods 1-4); up to Day 158
Intervention | Milliliters per second (mL/s) (Mean) |
---|
Placebo | 335.20 |
25 µg FP | 368.66 |
50 µg FP | 375.94 |
100 µg FP | 362.59 |
200 µg FP | 411.65 |
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Weighted Mean Nasal Secretion at 2-5 Hours Post-dose (1-4 Hours Post-start of Challenge)
Nasal secretion was measured by weighing tissues used by participants. Wet tissue weight assessments were made pre-challenge, and then every 30 minutes from 0.5 to 4 hours post start of challenge chamber throughout the study. Weighted mean nasal secretion was calculated by dividing the value of the area under the response time curve between 1 and 4 hours (calculated by trapezoidal rule) by the time interval of available data. (NCT00848965)
Timeframe: Day 8 of each study period (Periods 1-4); up to Day 158
Intervention | grams (g) (Mean) |
---|
Placebo | 2.43 |
25 µg FP | 1.63 |
50 µg FP | 1.43 |
100 µg FP | 1.26 |
200 µg FP | 1.02 |
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Weighted Mean Total Nasal Symptom Score (TNSS) at 2-5 Hours Post-dose (1-4 Hours Post-start of Challenge [PSC]) in the Vienna Challenge Chamber (VCC)
The TNSS (score of 0-12), defined as the sum of the symptom scores for nasal obstruction, rhinorrhea, nasal itch, and sneeze (each scored on 0-3 scale [0=none, 1=mild, 2=moderate, 3=severe]) was measured at pre-challenge, and then every 15 minutes from 0.25 to 4 hours PSC. In the VCC, aerosolized allergen is administered in a sealed chamber to evaluate the efficacy of antihistamines/other treatments. Weighted mean TNSS was calculated by dividing the value of the area under the response time curve between 1 and 4 hours (calculated by trapezoidal rule) by the time interval of available data. (NCT00848965)
Timeframe: Day 8 of each study period (Periods 1-4); up to Day 158
Intervention | scores on a scale (Mean) |
---|
Placebo | 7.17 |
25 µg FP | 5.54 |
50 µg FP | 5.66 |
100 µg FP | 5.29 |
200 µg FP | 4.77 |
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Glucocorticoid (GC) Receptor Biomarker Levels in Nasal Epithelial Scraping Samples: 18S, B-actin, DUSP_1_T1, FKBP5, GAPDH, GILZ, PLAU, PTGS2, and RGS2
AROS Applied Biotechnology (AB) analyzed the nasal epithelial scrapings of participants and generated TaqMan (type of chemistry developed by AB to detect polymerase chain reaction [PCR] products) messenger ribonucleic acid (mRNA) biomarker expression data for 7 steroid-responsive genes (DUSP_1_TI, FKBP5, GILZ, PLAU, CCL2, PTGS2, and RGS2) and 3 housekeeping reference genes (GAPDH, 18S, and b-actin). Preliminary analysis of the mRNA abundance data was performed by Discovery Statistics. mRNA abundance data were normalized to the scores of GAPDH and 18S housekeeping genes. B-actin was not used. (NCT00848965)
Timeframe: Day 1 (pre-dose) and Day 8 of each study period (Periods 1-4); up to Day 158
Intervention | RNA copies detected per 50 ng total RNA (Geometric Mean) |
---|
| 18S | B-actin | DUSP_1_T1 | FKBP5 | GAPDH | GILZ | PLAU | PTGS2 | RGS2 |
---|
100 µg FP | 6218835383 | 1630387.679 | 118158.2593 | 177935.1307 | 6008446.351 | 28832.53255 | 20918.214 | 38443.85612 | 50507.30739 |
,200 µg FP | 6222906532 | 1543748.32 | 113323.9632 | 151362.3934 | 5972472.493 | 27304.24721 | 21692.66346 | 33657.71928 | 50373.91657 |
,25 µg FP | 6109603485 | 1481307.983 | 104633.517 | 155791.0745 | 6143058.472 | 26629.75763 | 18550.2079 | 31120.01509 | 45255.7763 |
,50 µg FP | 5822423622 | 1629006.342 | 107031.4158 | 174963.5715 | 6451580.253 | 29304.22353 | 18810.56868 | 35049.7556 | 54186.44212 |
,Placebo | 6439292568 | 1978137.142 | 107004.8077 | 28739.3975 | 5776051.293 | 13601.9459 | 26364.53138 | 42479.35246 | 55084.11432 |
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Glucocorticoid (GC) Receptor Biomarker Levels in Nasal Epithelial Scraping Samples: CCL2
AROS Applied Biotechnology (AB) analyzed the nasal epithelial scrapings of participants and generated TaqMan (type of chemistry developed by AB to detect polymerase chain reaction [PCR] products) messenger ribonucleic acid (mRNA) biomarker expression data for CCL2, a steroid-responsive gene. Preliminary analysis of the mRNA abundance data was performed by Discovery Statistics. mRNA abundance data were normalized to the scores of GAPDH and 18S housekeeping genes. B-actin was not used. CCL2 data are presented by period to show the treatment-by-period interaction. ng, nanograms. (NCT00848965)
Timeframe: Day 1 (pre-dose) and Day 8 of each study period (Periods 1-4); up to Day 158
Intervention | Copies of RNA detected per 50ng of total (Geometric Mean) |
---|
| Period 1, n=12, 12, 12, 11, 11 | Period 2, n=11, 11, 11, 12, 11 | Period 3, n=11, 11, 11, 12, 12 | Period 4, n=12, 11, 11, 11, 12 |
---|
100 µg FP | 3340.460181 | 2342.488506 | 1229.316666 | 1917.918706 |
,200 µg FP | 3377.403394 | 2821.11204 | 2505.03196 | 1071.598621 |
,25 µg FP | 1377.248941 | 2192.232108 | 3612.444351 | 3523.276415 |
,50 µg FP | 1231.251053 | 1765.627412 | 2184.76185 | 2615.352938 |
,Placebo | 12396.08096 | 4206.320679 | 4135.167835 | 10111.38124 |
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Weighted Mean Global Symptom Score (GSS) at 5 Hours Post-dose (1-4 Hours Post-start of Challenge)
GSS (total score=0-30) is calculated as the sum of sneeze, nasal itch, rhinorrhea, nasal obstruction, cough, itchy throat, itchy ears, watery eyes, itchy eyes, and red eyes SSs, each of which was scored on a categorical scale from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), as was measured at pre-challenge, and then every 15 mins from 0.25 to 4 hours post-start of challenge chamber. Weighted mean global symptom score was evaluated by dividing the value of the area under the response time curve between 1 and 4 hours (calculated by trapezoidal rule) by the time interval of available data. (NCT00848965)
Timeframe: Day 8 of each study period (Periods 1-4); up to Day 158
Intervention | scores on a scale (Mean) |
---|
Placebo | 11.14 |
25 µg FP | 8.17 |
50 µg FP | 8.24 |
100 µg FP | 8.69 |
200 µg FP | 7.13 |
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Weighted Mean Eye Symptom Score at 2-5 Hours Post-dose (1-4 Hours Post-start of Challenge)
The eye symptom score (total score of 0 [none] to 9 [severe]) was calculated as the sum of the symptom scores for watery eyes, itchy eyes, and red eyes, each of which was scored on a categorical scale from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), and was measured at pre-challenge, and then every 15 minutes from 0.25 to 4 hours post-start of challenge chamber. Weighted mean eye symptom score was calculated by dividing the value of the area under the response time curve between 1 and 4 hours (calculated by trapezoidal rule) by the time interval of available data. (NCT00848965)
Timeframe: Day 8 of each study period (Periods 1-4); up to Day 158
Intervention | scores on a scale (Mean) |
---|
Placebo | 2.35 |
25 µg FP | 1.52 |
50 µg FP | 1.44 |
100 µg FP | 1.93 |
200 µg FP | 1.41 |
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Percent Change From Baseline in Dysphagia Score in Patients With Eosinophilic Esophagitis (EE)
"Dysphagia Scores:~0 = able to eat normal diet / no dysphagia.~= able to swallow some solid foods~= able to swallow only semi solid foods~= able to swallow liquids only~= unable to swallow anything / total dysphagia" (NCT00880906)
Timeframe: 60 days
Intervention | Percent Change (Number) |
---|
Group A Receives Routine Care and Esophageal Dilatation | 69 |
Group B Receives SOC Only | 79 |
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Change From Baseline in 12 Hour Reflective Total Nasal Symptom Score (rTNSS)
change from baseline in 12-hour reflective total nasal symptom score (rTNSS)consisting of nasal congestion,runny nose, itchy nose and sneezing scored twice daily (AM and PM) in diary cards for the entire 14 day study period.The measurement scale is 0 to 24.A reduction in symptom severity score is indicated by a negative value.An greater negative value is suggestive of improvement. (NCT00883168)
Timeframe: day 1 to day 14
Intervention | units on a scale (Least Squares Mean) |
---|
MP29-02 | -5.5 |
Azelastine Hcl | -4.8 |
Fluticasone Propionate | -4.9 |
Placebo | -3.4 |
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Change From Baseline in 12 Hour Instantaneous Total Nasal Symptom Score (iTNSS)
change from baseline in 12-hour instantaneous total nasal symptom score (iTNSS)consisting of nasal congestion,runny nose, itchy nose and sneezing scored twice daily (AM and PM) in diary cards for the entire 14 day study period.The measurement scale is 0 to 24.A reduction in symptom severity score is indicated by a negative value.A greater negative score is suggestive of improved condition. (NCT00883168)
Timeframe: day 1 to day 14
Intervention | units on a scale (Least Squares Mean) |
---|
MP29-02 | -5.0 |
Azelastine Hcl | -4.3 |
Fluticasone Propionate | -4.7 |
Placebo | -3.1 |
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Change From Baseline in Adult Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ)
adult Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) scored at day 1(baseline) and at day 14.The scale is measured from a value of 0 to 24. A negative number corresponds to a change from baseline measurement. An increased negative number is suggestive of improvement. (NCT00883168)
Timeframe: day 1 to day 14
Intervention | units on a scale (Least Squares Mean) |
---|
MP29-02 | -1.6 |
Azelastine Hcl | -1.4 |
Fluticasone Propionate | -1.6 |
Placebo | -1.0 |
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Histamine Content in the Tears Was Measured.
Tear samples were assayed for histamine by ELISA (NCT00891436)
Timeframe: Samples taken at initial visit & 2 week follow-up
Intervention | ng/ml (Mean) |
---|
Fluticasone Furoate Nasal Spray | 5.4 |
Placebo Nasal Spray | 5.1 |
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Number of Participants Who Responded
Histologic resolution of esophageal eosinophilia. Response is defined as achieving < 7 eosinophils/high power field in both the proximal and distal esophagus. (NCT00895817)
Timeframe: 8 weeks
Intervention | participants (Number) |
---|
Esomeprazole | 7 |
Swallowed Fluticasone | 4 |
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Percentage Change From Baseline (for Each Treatment Cycle) in Exhaled Nitric Oxide (eNO)
Percentage change in eNO was reported following treatment with inhaled Advair in subjects with chronic but stable asthma as defined in Global Initiative for Asthma (GINA) guidelines. eNO was calculated 3 times every day in a treatment cycle for 7 days. The maximum value of all 3 collected value were collected for each seven days of the individual treatment cycle. Out of the maximum values, the minimum was taken and used for calculating the percentage change from baseline. (NCT00927758)
Timeframe: Baseline to Day 7 of each treatment cycle (total duration about 8 - 10 weeks)
Intervention | Percentage change in eNO (Mean) |
---|
Flu/Sal- 100mcg/50mcg | 36.65 |
Flu/Sal- 250mcg/50mcg | 45.31 |
Flu/Sal- 500mcg/50mcg | 54.58 |
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Time to First On-treatment COPD Exacerbation
"Time to first on-treatment COPD exacerbation of any severity. The measure type displays the 25th percentile and its 95% confidence interval." (NCT00975195)
Timeframe: During randomised treatment, up to 488 days
Intervention | days (Number) |
---|
Fluticasone Maintenance | 365.0 |
Fluticasone Withdrawal | 346.0 |
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Time to First Moderate or Severe On-treatment COPD Exacerbation
"A Chronic Obstructive Pulmonary Disease (COPD) exacerbation was defined as an increase or new onset of ≥2 lower respiratory symptoms related to COPD, with ≥1 symptom lasting ≥3 days, requiring a change in treatment. Lower respiratory symptoms included shortness of breath, sputum production (volume), sputum purulence, cough, wheezing and chest tightness. A change in treatment included: hospitalisation/treatment in an urgent care unit, prescription of antibiotics and/or systemic steroids or a significant change of prescribed respiratory medication such as theophyllines, long-acting beta-agonists or inhaled corticosteroids. Exacerbations were considered severe if the patient was held and treated for an acute respiratory condition in an urgent care department or an observation unit for >6 hours, the patient was treated at home by a mobile urgent care team or the patient was admitted to hospital.The measure type displays the 25th percentile and its 95% confidence interval." (NCT00975195)
Timeframe: During randomised treatment, up to 488 days
Intervention | days (Number) |
---|
Fluticasone Maintenance | 107.0 |
Fluticasone Withdrawal | 110.0 |
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Proportion of Patients With at Least One Severe On-treatment COPD Exacerbation.
Presence (yes vs no) of at least one severe on-treatment COPD exacerbation, displayed as a percentage. Exacerbations were considered severe if the patient was held and treated for an acute respiratory condition in an urgent care department or an observation unit for >6 hours, the patient was treated at home by a mobile urgent care team or the patient was admitted to hospital. (NCT00975195)
Timeframe: During randomised treatment, up to 488 days
Intervention | percentage of participants (Number) |
---|
Fluticasone Maintenance | 13.4 |
Fluticasone Withdrawal | 15.2 |
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Proportion of Patients With at Least One On-treatment COPD Exacerbation
Presence (yes vs no) of at least one on-treatment COPD exacerbation of any severity, displayed as a percentage. (NCT00975195)
Timeframe: During randomised treatment, up to 488 days
Intervention | percentage of participants (Number) |
---|
Fluticasone Maintenance | 46.9 |
Fluticasone Withdrawal | 49.0 |
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Proportion of Patients With ≥1 Moderate or Severe On-treatment COPD Exacerbation
Presence (yes vs no) of at least one moderate or severe on-treatment COPD exacerbation, displayed as a percentage. Exacerbations were considered severe if the patient was held and treated for an acute respiratory condition in an urgent care department or an observation unit for >6 hours, the patient was treated at home by a mobile urgent care team or the patient was admitted to hospital. Exacerbations were considered moderate if they required prescription of antibiotics and/or systemic steroids. (NCT00975195)
Timeframe: During randomised treatment, up to 488 days
Intervention | percentage of participants (Number) |
---|
Fluticasone Maintenance | 44.2 |
Fluticasone Withdrawal | 46.7 |
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Number of Severe On-treatment COPD Exacerbations
"Number of severe on-treatment COPD exacerbations based on a 7-day gap rule: exacerbations where the onset date of the second exacerbation event was ≤7 days after the end date of the first exacerbation event were combined and counted as severe if ≥1 of the contributing exacerbation events was severe. Exacerbations were considered severe if the patient was held and treated for an acute respiratory condition in an urgent care department or an observation unit for >6 hours, the patient was treated at home by a mobile urgent care team or the patient was admitted to hospital.~Measured values show adjusted event rate." (NCT00975195)
Timeframe: During randomised treatment, up to 488 days
Intervention | exacerbations per patient-year (Mean) |
---|
Fluticasone Maintenance | 0.20 |
Fluticasone Withdrawal | 0.23 |
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Number of On-treatment COPD Exacerbations
"Number of on-treatment COPD exacerbations of any severity, based on a 7-day gap rule: exacerbations where the onset date of the second exacerbation event was ≤7 days after the end date of the first exacerbation event were combined.~Measured values show adjusted event rate." (NCT00975195)
Timeframe: During randomised treatment, up to 488 days
Intervention | exacerbations per patient-year (Mean) |
---|
Fluticasone Maintenance | 1.03 |
Fluticasone Withdrawal | 1.08 |
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Number of Moderate or Severe On-treatment COPD Exacerbations
"Number of moderate or severe on-treatment COPD exacerbations, based on a 7-day gap rule: exacerbations where the onset date of the second exacerbation event was ≤7 days after the end date of the first exacerbation event were combined and counted as moderate or severe if ≥1 of the contributing exacerbation events was moderate or severe. Exacerbations were considered severe if the patient was held and treated for an acute respiratory condition in an urgent care department or an observation unit for >6 hours, the patient was treated at home by a mobile urgent care team or the patient was admitted to hospital. Exacerbations were considered moderate if they required prescription of antibiotics and/or systemic steroids.~Measured values show adjusted mean event rate." (NCT00975195)
Timeframe: During randomised treatment, up to 488 days
Intervention | exacerbations per patient-year (Mean) |
---|
Fluticasone Maintenance | 0.91 |
Fluticasone Withdrawal | 0.95 |
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Change in On-treatment Exercise Capacity Measured by Six-minute Walk Test (6-MWT)
Change from baseline in on-treatment exercise capacity measured by six-minute walk test (6-MWT); change was calculated as week score minus baseline score. Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest. (NCT00975195)
Timeframe: Baseline and week 18 and 52 visits
Intervention | meters (Least Squares Mean) |
---|
| Week 18 visit (N=1111, 1110) | Week 52 visit (N=1013, 987) |
---|
Fluticasone Maintenance | 3.89 | 3.94 |
,Fluticasone Withdrawal | 1.94 | 0.42 |
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Change in On-treatment St Georges Respiratory Questionnaire (SGRQ) Scores: Impact Domain
"Change from baseline in on-treatment St Georges Respiratory Questionnaire (SGRQ) scores: Impact Domain. Scores range from 0 to 100, with higher scores indicating more limitations. Change was calculated as week score minus baseline score.~Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest." (NCT00975195)
Timeframe: Baseline and week 27 and 52 visits
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 27 visit (N=1004, 998) | Week 52 visit (N=946, 921) |
---|
Fluticasone Maintenance | -0.78 | -0.08 |
,Fluticasone Withdrawal | 0.35 | 1.27 |
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Change in On-treatment St Georges Respiratory Questionnaire (SGRQ) Scores: Activity Domain
"Change from baseline in on-treatment St Georges Respiratory Questionnaire (SGRQ) scores: Activity domain. Scores range from 0 to 100, with higher scores indicating more limitations. Change was calculated as week score minus baseline score.~Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest." (NCT00975195)
Timeframe: Baseline and week 27 and 52 visits
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 27 visit (N=1002, 988) | Week 52 visit (N=942, 916) |
---|
Fluticasone Maintenance | 0.09 | -0.19 |
,Fluticasone Withdrawal | 0.85 | 0.78 |
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Change in On-treatment Physician Global Evaluation
"Change from baseline in on-treatment physician global evaluation. The evaluation reflected the physician's opinion of the patient's overall condition and was based on the need for concomitant medication, the number and severity of exacerbations, the severity of cough, the ability to exercise, the amount of wheezing and any other relevant clinical observations. Patients were graded on a scale of 1 (poor) to 8 (excellent). Change was calculated as week score minus baseline score.~Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest." (NCT00975195)
Timeframe: Baseline and week 27 and 52 visits
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 27 visit (N=1113, 1093) | Week 52 visit (N=1041, 1014) |
---|
Fluticasone Maintenance | 0.10 | 0.19 |
,Fluticasone Withdrawal | 0.04 | 0.08 |
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Change in On-treatment PEFR as Measured by Home Based Spirometry
Change from baseline in on-treatment peak expiratory flow rate (PEFR) as measured by home based spirometry; change was calculated as week score minus baseline score. Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest. (NCT00975195)
Timeframe: Baseline and week 6, 12, 18, 27, 36, 45 and 52 visits
Intervention | Litres/sec (Least Squares Mean) |
---|
| Week 6 visit (N=893, 939) | Week 12 visit (N=910, 930) | Week 18 visit (N=913, 901) | Week 27 visit (N=863, 843) | Week 36 visit (N=854, 845) | Week 45 visit (N=830, 815) | Week 52 visit (N=785, 788) |
---|
Fluticasone Maintenance | -0.228 | -0.266 | -0.295 | -0.319 | -0.352 | -0.368 | -0.377 |
,Fluticasone Withdrawal | -0.230 | -0.290 | -0.435 | -0.430 | -0.473 | -0.490 | -0.538 |
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Change in On-treatment Lung Function as Measured by Trough FEV1
Change from baseline in on-treatment lung function as measured by trough forced expiratory volume in one second (FEV1); change was calculated as week score minus baseline score. Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest. (NCT00975195)
Timeframe: Baseline and week 6, 12, 18 and 52 visits
Intervention | Litres (Least Squares Mean) |
---|
| Week 6 visit (N=1135, 1135) | Week 12 visit (N=1114, 1092) | Week 18 visit (N=1077, 1058) | Week 52 visit (N=970, 935) |
---|
Fluticasone Maintenance | -0.009 | -0.011 | -0.011 | -0.016 |
,Fluticasone Withdrawal | -0.011 | -0.018 | -0.050 | -0.059 |
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Change in On-treatment FVC as Measured by Home Based Spirometry
Change from baseline in on-treatment forced vital capacity (FVC) as measured by home based spirometry. Change was calculated as week score minus baseline score. The weekly mean was defined as the mean of the measurements taken during the last 7 days prior to the visit date, and was calculated if ≥4 of the 7 days had non-missing measurements. Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest. (NCT00975195)
Timeframe: Baseline and week 6, 12, 18, 27, 36, 45 and 52 visits
Intervention | Litres (Least Squares Mean) |
---|
| Week 6 visit (N=893, 939) | Week 12 visit (N=910, 930) | Week 18 visit (N=913, 901) | Week 27 visit (N=863, 843) | Week 36 visit (N=854, 845) | Week 45 visit (N=830, 815) | Week 52 visit (N=785, 788) |
---|
Fluticasone Maintenance | -0.116 | -0.113 | -0.122 | -0.123 | -0.135 | -0.141 | -0.157 |
,Fluticasone Withdrawal | -0.089 | -0.105 | -0.124 | -0.147 | -0.158 | -0.168 | -0.201 |
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Change in On-treatment FEV1 as Measured by Home Based Spirometry
Change from baseline in on-treatment Forced Expiratory Volume in One Second (FEV1) as measured by home based spirometry. Change was calculated as week score minus baseline score. The weekly mean was defined as the mean of the measurements taken during the last 7 days prior to the visit date, and was calculated if ≥4 of the 7 days had non-missing measurements. Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest. (NCT00975195)
Timeframe: Baseline and week 6, 12, 18, 27, 36, 45 and 52 visits
Intervention | Litres (Least Squares Mean) |
---|
| Week 6 visit (N=893, 939) | Week 12 visit (N=910, 930) | Week 18 visit (N=913, 901) | Week 27 visit (N=863, 843) | Week 36 visit (N=854, 845) | Week 45 visit (N=830, 815) | Week 52 visit (N=785, 788) |
---|
Fluticasone Maintenance | -0.049 | -0.050 | -0.051 | -0.056 | -0.059 | -0.061 | -0.067 |
,Fluticasone Withdrawal | -0.053 | -0.056 | -0.093 | -0.092 | -0.099 | -0.103 | -0.115 |
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Change in On-treatment Cough and Expectoration as Measured by the CASA-Q: Sputum Symptoms Domain
"Change from baseline in on-treatment cough and expectoration as measured by the cough and sputum assessment questionnaire (CASA-Q) (selected sites only): Sputum symptoms domain. Change was calculated as week score minus baseline score. Response options for the items in this domain range from not at all/never to extremely/always on a five-point scale. Domain items were reverse scored, summed and transformed to a domain score ranging from 0 to 100 where a higher score is associated with less symptoms due to sputum.~Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest." (NCT00975195)
Timeframe: Baseline and week 12, 18 and 52 visits
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 12 visit (N=308, 317) | Week 18 visit (N=302, 311) | Week 52 visit (N=269, 268) |
---|
Fluticasone Maintenance | -1.36 | -2.71 | -5.10 |
,Fluticasone Withdrawal | -1.24 | -1.93 | -2.45 |
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Change in On-treatment Cough and Expectoration as Measured by the CASA-Q: Sputum Impact Domain
"Change from baseline in on-treatment cough and expectoration as measured by the cough and sputum assessment questionnaire (CASA-Q) (selected sites only): Sputum impact domain. Change was calculated as week score minus baseline score. Response options for the items in this domain range from not at all/never to a lot/always on a five-point scale. Domain items were reverse scored, summed and transformed to a domain score ranging from 0 to 100 where a higher score is associated with less impact due to sputum.~Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest." (NCT00975195)
Timeframe: Baseline and week 12, 18 and 52 visits
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 12 visit (N=308, 317) | Week 18 visit (N=303, 310) | Week 52 visit (N=267, 267) |
---|
Fluticasone Maintenance | -2.26 | -2.38 | -4.29 |
,Fluticasone Withdrawal | -1.63 | -3.31 | -4.15 |
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Change in On-treatment Cough and Expectoration as Measured by the CASA-Q: Cough Symptoms Domain
"Change from baseline in on-treatment cough and expectoration as measured by the cough and sputum assessment questionnaire (CASA-Q) (selected sites only): Cough symptoms domain. Change was calculated as week score minus baseline score. Response options for the items in this domain range from not at all/never to a lot/always on a five-point scale. Domain items were reverse scored, summed and transformed to a domain score ranging from 0 to 100 where a higher score is associated with less symptoms due to cough.~Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest." (NCT00975195)
Timeframe: Baseline and week 12, 18 and 52 visits
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 12 visit (N=309, 318) | Week 18 visit (N=305, 312) | Week 52 visit (N=270, 268) |
---|
Fluticasone Maintenance | -0.32 | -1.47 | -1.69 |
,Fluticasone Withdrawal | -0.85 | -3.34 | -3.26 |
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Change in On-treatment Cough and Expectoration as Measured by the CASA-Q: Cough Impact Domain
"Change from baseline in on-treatment cough and expectoration as measured by the cough and sputum assessment questionnaire (CASA-Q) (selected sites only): Cough impact domain. Change was calculated as week score minus baseline score. Response options for the items in this domain range from not at all/never to extremely/always on a five-point scale. Domain items were reverse scored, summed and transformed to a domain score ranging from 0 to 100 where a higher score is associated with less impact due to cough.~Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest." (NCT00975195)
Timeframe: Baseline and week 12, 18 and 52 visits
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 12 visit (N=307, 319) | Week 18 visit (N=302, 312) | Week 52 visit (N=268, 269) |
---|
Fluticasone Maintenance | -1.65 | -2.87 | -4.51 |
,Fluticasone Withdrawal | -1.24 | -3.71 | -5.54 |
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Change in On-treatment BODE Index
Change from baseline in on-treatment BODE index (Body mass index, airflow Obstruction, Dyspnea and Exercise capacity index), a composite score ranging from 0 (best) to 10 (worst); change was calculated as week score minus baseline score. Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest. (NCT00975195)
Timeframe: Baseline and week 18 and 52 visits
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 18 visit (N=1038, 1024) | Week 52 visit (N=931, 907) |
---|
Fluticasone Maintenance | -0.06 | -0.03 |
,Fluticasone Withdrawal | 0.06 | 0.14 |
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Time to First Severe On-treatment COPD Exacerbation
"Time to first severe on-treatment COPD exacerbation. Exacerbations were considered severe if the patient was held and treated for an acute respiratory condition in an urgent care department or an observation unit for >6 hours, the patient was treated at home by a mobile urgent care team or the patient was admitted to hospital.~The measure type displays the 25th percentile and its 95% confidence interval." (NCT00975195)
Timeframe: During randomised treatment, up to 488 days
Intervention | days (Number) |
---|
Fluticasone Maintenance | NA |
Fluticasone Withdrawal | 419.0 |
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Change in On-treatment Physical Health Status as Determined by Body Mass Index (BMI)
Change from baseline in on-treatment physical health status as determined by body mass index (BMI); change was calculated as week score minus baseline score. Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest. (NCT00975195)
Timeframe: Baseline and week 18 and 52 visits
Intervention | kg/m2 (Least Squares Mean) |
---|
| Week 18 visit (N=1143, 1146) | Week 52 visit (N=1047, 1021) |
---|
Fluticasone Maintenance | 0.030 | 0.004 |
,Fluticasone Withdrawal | 0.040 | -0.009 |
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Severity of On-treatment COPD Exacerbations
Severity of on-treatment COPD exacerbations: for each patient, the worst applicable category was taken (i.e. none, mild, moderate or severe) (NCT00975195)
Timeframe: During randomised treatment, up to 488 days
Intervention | percentage of participants (Number) |
---|
| None and patient completed randomised treatment | None and patient discontinued randomised treatment | Mild | Moderate | Severe |
---|
Fluticasone Maintenance | 42.9 | 10.2 | 2.7 | 30.8 | 13.4 |
,Fluticasone Withdrawal | 41.2 | 9.8 | 2.3 | 31.5 | 15.2 |
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Changes in On-treatment Dyspnoea as Measured by the Modified Medical Research Council (MMRC) Dyspnoea Scale
"Change from baseline in on-treatment dyspnoea as measured by the Modified Medical Research Council (MMRC) dyspnoea scale; change was calculated as week score minus baseline score. Negative changes from baseline indicate an improvement in health.~Scale from 0 to 4:~0 = not troubled by breathlessness, except during strenuous exercise~1 = short of breath when hurrying or walking up a slight hill~2 = walks slower than contemporaries on the same level because of breathlessness, or has to stop for breath when walking at own pace~3 = stops for breath after approximately 100 yards, or after a few minutes on the level~4 = too breathless to leave the house, or breathless when dressing or undressing~No breathlessness was given a score of -1~Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest." (NCT00975195)
Timeframe: Baseline and week 18 and 52 visits
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 18 visit (N=1140, 1143) | Week 52 visit (N=1043, 1019) |
---|
Fluticasone Maintenance | -0.030 | -0.028 |
,Fluticasone Withdrawal | -0.001 | 0.035 |
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Change in On-treatment St Georges Respiratory Questionnaire (SGRQ) Scores: Total Score
"Change from baseline in on-treatment St Georges Respiratory Questionnaire (SGRQ) scores: Total score. Scores range from 0 to 100, with higher scores indicating more limitations. Change was calculated as week score minus baseline score.~Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest." (NCT00975195)
Timeframe: Baseline and week 27 and 52 visits
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 27 visit (N=996, 986) | Week 52 visit (N=939, 913) |
---|
Fluticasone Maintenance | -0.42 | -0.07 |
,Fluticasone Withdrawal | 0.55 | 1.15 |
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Change in On-treatment St Georges Respiratory Questionnaire (SGRQ) Scores: Symptoms Domain
"Change from baseline in on-treatment St Georges Respiratory Questionnaire (SGRQ) scores: Symptoms domain. Scores range from 0 to 100, with higher scores indicating more limitations. Change was calculated as week score minus baseline score.~Statistical analysis results are presented only for the week 52 visit as this is the primary timepoint of interest." (NCT00975195)
Timeframe: Baseline and week 27 and 52 visits
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 27 visit (N=1010, 998) | Week 52 visit (N=955, 921) |
---|
Fluticasone Maintenance | 0.12 | 0.51 |
,Fluticasone Withdrawal | 0.62 | 1.11 |
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Known Group Validity for the SOBDA Questionnaire Measured as the Comparison of the Baseline SOBDA Score in the Indicated Categories of the Participant-completed (ParC) mMRC Score at Visit 2
SOBDA known group validity refers to the extent to which scores from the SOBDA questionnaire should differentiate participants with varying levels of dyspnea severity. It was assessed by comparing summary measures for the SOBDA score for each indicated level (0, 1, 2, 3, and 4) of the ParC mMRC. The participant rated the degree of his/her dyspnea on the 5-point mMRC scale: 0 (none) to 4 (very severe). Known group validity was confirmed if the SOBDA score increased with increasing values of ParC mMRC, both indicating increased levels of breathlessness. (NCT00984659)
Timeframe: Baseline (last week of the 2-week Run-in Period) and pre-treatment on Visit 2 (Day 1 of the 6-week Treatment Period)
Intervention | scores on a scale (Least Squares Mean) |
---|
| ParC mMRC: 0, n=12 | ParC mMRC: 1, n=103 | ParC mMRC: 2, n=138 | ParC mMRC: 3, n=65 | ParC mMRC: 4, n=22 |
---|
All Participants: 2-week Run-in Period | 1.92 | 1.94 | 2.20 | 2.26 | 2.73 |
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"SOBDA Threshold for Response as Assessed by Mean Change From Baseline to the Last Treatment Week in the SOBDA Score Based on a CRQ-SAS Dyspnea Domain (DD) Response Rated as Better"
"The threshold of response (TOR) is a score change in the SOBDA questionnaire that is demonstrated to have a perceivable benefit. The TOR was evaluated as the change from Baseline in the SOBDA score based on CRQ-SAS scores pre-specified as better or demonstrating meaningful improvement. The CRQ-SAS DD includes 5 questions (q.) scored 1 (maximum impairment) to 7 (no impairment). Individual q. were equally weighted, and domain scores (DSs) (range=1-7) were calculated as the mean across the non-missing items within each domain (DSs were calculated although an individual item score was missing)." (NCT00984659)
Timeframe: Baseline and Week Prior to Visit 3/PD (end of 6-week Treatment Period or earlier up to Week 8)
Intervention | Scores on a scale (Mean) |
---|
MITT Population: 6-Week Treatment Period | -0.13 |
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"SOBDA Threshold for Response as Assessed by Mean Change From Baseline to the Last Treatment Week in the SOBDA Score Based on a CGI-C Response Rated as Better"
"The threshold of response is a score change in the SOBDA questionnaire that is demonstrated to have a perceivable benefit for the participant. The threshold of response was evaluated as the change from Baseline in the SOBDA score based on CGI-C scores pre-specified as better or demonstrating meaningful improvement. The CGI-C is clinician completed on a 1 to 5 scale: 1, much worse, 2, worse; 3, no change; 4, better; 5, much better." (NCT00984659)
Timeframe: Baseline and Week Prior to Visit 3/PD (end of 6-week Treatment Period or earlier up to Week 8)
Intervention | Scores on a scale (Mean) |
---|
MITT Population: 6-Week Treatment Period | -0.25 |
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Number of Participants Classified as Responders and Non-responders by Clinician Global Impression of Change Question (CGI-C) Response at Visit 3/PD
"Clinicians were asked to provide their clinical impression regarding change in the participant's shortness of breath by CGI-C. This was evaluated on a 1-5 Likert scale: 1 (much worse) to 5 (much better), with 3 being no change. A CGI-C responder was defined as a participant who had a response of better (4) or much better (5), and a non-responder was defined as a participant who had a response of much worse (1), worse (2), or no change (3)." (NCT00984659)
Timeframe: Visit 3/PD (end of 6-week Treatment Period or earlier up to Week 8)
Intervention | participants (Number) |
---|
| Responders | Non-responders |
---|
MITT Population: 6-Week Treatment Period | 120 | 181 |
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Known Group Validity for the SOBDA Questionnaire Measured as the Comparison of the Baseline SOBDA Score in the Indicated Categories of the Physician-completed (PyC) mMRC Score at Visit 2
SOBDA known group validity refers to the extent to which scores from the SOBDA questionnaire should differentiate participants with varying levels of dyspnea severity. It was assessed by comparing summary measures for the SOBDA score for each indicated level (0, 1, 2, 3, and 4) of the PyC mMRC. The physician rated the degree of the participant's dyspnea on the 5-point mMRC scale: 0 (none) to 4 (very severe). Known group validity was confirmed if the SOBDA score increased with increasing values of PyC mMRC, both indicating increased levels of breathlessness. (NCT00984659)
Timeframe: Baseline (last week of the 2-week Run-in Period) and pre-treatment on Visit 2 (Day 1 of the 6-week Treatment Period)
Intervention | scores on a scale (Least Squares Mean) |
---|
| PyC mMRC: 0 to 1, n=12 | PyC mMRC: 2, n=200 | PyC mMRC: 3, n=117 | PyC mMRC: 4, n=10 |
---|
All Participants: 2-week Run-in Period | 1.78 | 2.08 | 2.28 | 2.73 |
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Known Group Validity (KGV) for the SOBDA Questionnaire Measured as the Comparison of the Baseline SOBDA Score in the Indicated Categories of CGI-S Scores at Visit 2
SOBDA KGV refers to the extent to which scores from the SOBDA questionnaire should differentiate participants with varying levels of dyspnea severity. It was assessed by comparing summary measures for the SOBDA score for each indicated level (0, 1, 2, 3, and 4) of the CGI-S score. Clinicians were asked to assess the severity of the participant's dyspnea on the CGI-S scale. This was evaluated on a 1-4 Likert scale: 1 (mild) to 4 (very severe). KGV was confirmed if the SOBDA score increased with increasing values of CGI-S, both indicating increased levels of breathlessness. (NCT00984659)
Timeframe: Baseline (last week of the 2-week Run-in Period) and pre-treatement on Visit 2 (Day 1 of the 6-week Treatment Period)
Intervention | scores on a scale (Least Squares Mean) |
---|
| CGI-S: 1, n=19 | CGI-S: 2, n=236 | CGI-S: 3, n=78 | CGI-S: 4, n=5 |
---|
All Participants: 2-week Run-in Period | 1.87 | 2.11 | 2.33 | 2.72 |
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Convergent Validity for the SOBDA Questionnaire Measured as Correlations of the Baseline SOBDA Score With Participant-completed Modified Medical Research Council (mMRC) and Physician-completed mMRC Scores at Visit 2
Convergent validity is defined as the ability of the SOBDA questionnaire to measure required information and was assessed by examining the relationship between the SOBDA score and the participant/physician-completed mMRC Dyspnea Scale assessments. The physician/participant rated the degree of the participant's dyspnea (trouble breathing) on the 5-point mMRC scale (0, none; 4, very severe). Spearman's rank correlation coefficient assesses if the relationship between two variables is monotone. A correlation of +1 or -1 will occur if one variable is a perfect monotone of the other. (NCT00984659)
Timeframe: Baseline (last week of the 2-week Run-in Period) and pre-treatment on Visit 2 (Day 1 of the 6-week Treatment Period)
Intervention | Spearman rank correlation coefficient (Number) |
---|
| Physician-completed mMRC, n=339 | Participant-completed mMRC, n=340 |
---|
All Participants: 2-week Run-in Period | 0.24 | 0.29 |
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Change From the Previous Week to the Current Week's SOBDA Score by Participant-completed PGAC Response at Days 8, 15, 22, 29, 36, and 43 and at Visit 3/PD (End of the 6-week Treatment Period or PD)
"Responsiveness reflects the ability of the SOBDA questionnaire to detect change under conditions of known change. Responders (Rs)=participants (par.) with a rating of better/much better (score of 4/5) on the PGAC (range; 1 [much worse] to 5 [much better]) at the relevant week; NRs=par. with a response of much worse, worse, or no change (score of 3). Mean difference between Rs and NRs in the change from the previous week to the current week's SOBDA score was calculated. For Visit 3/PD, the change from Baseline to the last treatment week's SOBDA score for Rs and NRs was calculated." (NCT00984659)
Timeframe: Baseline; Days 8, 15, 22, 29, 36, and 43 and Visit 3/PD (end of 6-week Treatment Period or earlier up to Week 8)
Intervention | scores on a scale (Mean) |
---|
| Baseline to Day 8, responders, n=105 | Baseline to Day 8, non-responders, n=188 | Day 8 to Day 15, responders, n=91 | Day 8 to Day 15, non-responders, n=212 | Day 15 to Day 22, responders, n=83 | Day 15 to Day 22, non-responders, n=216 | Day 22 to Day 29, responders, n=62 | Day 22 to Day 29, non-responders, n=223 | Day 29 to Day 36, responders, n=77 | Day 29 to Day 36, non-responders, n=200 | Day 36 to Day 43, responders, n=31 | Day 36 to Day 43, non-responders, n=88 | Baseline to Visit 3/PD, responders, n=45 | Baseline to Visit 3/PD, non-responders, n=106 |
---|
MITT Population: 6-Week Treatment Period | -0.26 | -0.01 | -0.10 | 0.01 | -0.08 | 0.02 | -0.09 | 0.01 | -0.07 | 0.03 | -0.04 | 0.02 | -0.21 | -0.14 |
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Change From Baseline to Last Treatment Week in the SOBDA Score by Physician-completed mMRC and Participant-completed mMRC Responses at Visit 3/PD
The responsiveness of the SOBDA questionnaire was assessed by comparing score changes between responders and non-responders. The mMRC ranges from 0 (no breathlessness except with strenous exercise) to 4 (too breathless to leave the house; breathless when dressing/undressing) and is completed by the clinician or the participant as indicated. Changes in mean SOBDA scores during the last week of treatment in responders and non-responders using definitions based on the Physician-completed (Ph-C) and Participant-completed (Pa-C) mMRC conducted at Visit 3/Premature Discontinuation were assessed. (NCT00984659)
Timeframe: Baseline (2-week Run-in Period) and Week Prior to Visit 3/PD (end of 6-week Treatment Period or earlier up to Week 8)
Intervention | Scores on a scale (Mean) |
---|
| Ph-C mMRC, responders, n=91 | Ph-C mMRC, non-responders, n=210 | Pa-C mMRC, responders, n=92 | Pa-C mMRC, non-responders, n=209 |
---|
MITT Population: 6-Week Treatment Period | -0.13 | -0.11 | -0.18 | -0.09 |
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Change From Baseline to Last Treatment Week in the SOBDA Score by CRQ-SAS Dyspnea Domain (DD) Responses at Visit 3/PD
The responsiveness of the SOBDA questionnaire was assessed by comparing score changes of responders (Rs) versus non-responders (NRs). The CRQ-SAS DD includes 5 questions (q.) scored 1 (maximum impairment) to 7 (no impairment). Individual q. were equally weighted, and domain scores (DSs) (range=1-7) were calculated as the mean across the non-missing items within each domain (DSs were calculated although an individual item score was missing). Changes in mean SOBDA scores during the last treatment week in Rs and NRs using definitions based on the CRQ-SAS DD conducted at Visit 3/PD were assessed. (NCT00984659)
Timeframe: Baseline (2-week Run-in Period) and Week Prior to Visit 3/PD (end of 6-week Treatment Period or earlier up to Week 8)
Intervention | Scores on a scale (Mean) |
---|
| Responders, n=117 | Non-responders, n=184 |
---|
MITT Population: 6-Week Treatment Period | -0.32 | 0.01 |
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Change From Baseline to Last Treatment Week in the SOBDA Score by CGI-C Responses at Visit 3/PD
The responsiveness of the SOBDA questionnaire was assessed by comparing score changes between responders and non-responders. The CGI-C is clinician completed on a 1 to 5 scale: 1, much worse; 2, worse; 3, no change; 4, better; 5, much better. Changes in mean SOBDA scores during the last week of treatment in responders and non-responders using definitions based on the CGI-C conducted at Visit 3/Premature Discontinuation were assessed. (NCT00984659)
Timeframe: Baseline (2-week Run-in Period) and Week Prior to Visit 3/PD (end of 6-week Treatment Period or earlier up to Week 8)
Intervention | scores on a scale (Mean) |
---|
| Responders, n=120 | Non-responders, n=181 |
---|
MITT Population: 6-Week Treatment Period | -0.25 | -0.03 |
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"SOBDA Threshold for Response Assessed as Mean Change From the Previous Week's SOBDA Score Based on a Participant-completed PGAC Score Rated of Better"
"Changes from Baseline in the SOBDA score for responders (Rs) and non-responders (NRs) (using the PGAC assessment; 1 [much worse] to 5 [much better]), together with the cumulative proportions of Rs and NRs, was used to establish the threshold for defining SOBDA questionnaire Rs. The threshold of response is a score change in the SOBDA questionnaire that is demonstrated to have a perceivable benefit for the participant. The threshold of response was evaluated as the change from Baseline in the SOBDA score based on PGAC scores pre-specified as better or demonstrating meaningful improvement." (NCT00984659)
Timeframe: Baseline (last week of the 2-week Run-in Period) and Weeks 1, 2, 3, 4, 5, and 6 (6-week Treatment Period)
Intervention | scores on a scale (Mean) |
---|
| Baseline to Week 1, n=97 | Week 1 to Week 2, n=82 | Week 2 to Week 3, n=70 | Week 3 to Week 4, n=49 | Week 4 to Week 5, n=66 | Week 5 to Week 6, n=26 |
---|
MITT Population: 6-Week Treatment Period | -0.26 | -0.08 | -0.08 | -0.10 | -0.08 | -0.05 |
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Test-retest Reliability (T-RR) of SOBDA Scores Measured as the Difference in the SOBDA Weekly Score Between Week 1 and Week 2 of the 2-week Run-in Period
T-RR=stability during repeat measures over time in a stable population. SOBDA score was determined by the 13-item (it.) scoring algorithm, assigning a weekly mean score of 1-4 (higher scores=more severe breathlessness with daily activities) based on the mean of 7 days of data (or >=4 days). Daily total score is computed from the mean of the participant's (par.) scores on the 13 it. (>=7 it. must have non-missing responses). Only scores of stable par. (indicating no change [score=3] on the par.-completed Patient Global Assessment of Change [PGAC]; 1 [ much worse] to 5 [much better]) were used. (NCT00984659)
Timeframe: Week 1 and Week 2 of the 2-week Run-in Period
Intervention | scores on a scale (Mean) |
---|
All Participants: 2-week Run-in Period | 0.01 |
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SOBDA Threshold for Response Assessed as Mean Change From Baseline to Last Treatment Week in the SOBDA Score Based on Forced Expiratory Volume in One Second (FEV1) Change From Baseline of 50 Milliliters (mL) to <100 mL
"FEV1 response was rated as 1=No change or worse (i.e., change of <50 mL); 2=Better (i.e., change of 50 to <100 mL); 3=Much better (i.e., change of >=100 mL). The threshold of response is a score change in the SOBDA questionnaire that is demonstrated to have a perceivable benefit for the participant. The threshold of response was evaluated as the change from Baseline in the SOBDA score based on study assessment (FEV1) scores pre-specified as better or demonstrating meaningful improvement." (NCT00984659)
Timeframe: Baseline and Week Prior to Visit 3/PD (end of 6-week Treatment Period or earlier up to Week 8)
Intervention | mL (Mean) |
---|
MITT Population: 6-Week Treatment Period | -0.16 |
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Internal Consistency (IC) of the Shortness of Breath With Daily Activities (SOBDA) Questionnaire in Participants With Chronic Obstructive Pulmonary Disease (COPD) Assessed as Cronbach's Alpha Value
Cronbach's alpha (CA) is a measure of the IC of the 13-item SOBDA questionnaire (completed via electronic diary by a sample of participants). It is the ratio of the variance (var.) of the sum of the individual scores and the var. of the total score. The var. of the sum of a group of independent variables is the sum of their var.; thus, if the variables are positively correlated, the var. of the sum will be increased. If the items making up the score are identical and so perfectly correlated, CA=1. If the items are independent, CA=0. Higher scores indicate a more reliable (precise) instrument. (NCT00984659)
Timeframe: Day 1 of the 2-week Run-in Period
Intervention | ratio of variance (Number) |
---|
All Participants: 2-week Run-in Period | 0.892 |
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Convergent Validity for the SOBDA Questionnaire Measured as the Correlation of the Baseline SOBDA Score With the Clinician Global Assessment of Dyspnea Severity (CGI-S) Score at Visit 2
Convergent validity is defined as the ability of the SOBDA questionnaire to measure the required information and was assessed by examining the relationship between the SOBDA score with the CGI-S score. Spearman's rank correlation coefficient assesses if the relationship between two variables is monotone. A correlation of +1 or -1 will occur if one variable is a perfect monotone of the other. Clinicians were asked to assess the severity of the participant's dyspnea on the CGI-S scale. This was evaluated on a 1-4 Likert scale: 1 (mild) to 4 (very severe). (NCT00984659)
Timeframe: Baseline (last week of the 2-week Run-in Period) and pre-treatment on Visit 2 (Day 1 of the 6-week Treatment Period)
Intervention | Spearman rank correlation coefficient (Number) |
---|
All Participants: 2-week Run-in Period | 0.24 |
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Convergent Validity (CV) for the SOBDA Questionnaire Measured as the Correlation of the Baseline SOBDA Score With the Chronic Respiratory Disease Questionnaire-Self-Administered Standardized (CRQ-SAS) Dyspnea Domain Score at Visit 2
Convergent validity is defined as the ability of the SOBDA questionnaire to measure required information and was assessed by examining the relationship between the SOBDA score and the CRQ-SAS dyspnea domain score. Pearson's correlation coefficient is a measure of the linear dependence between 2 variables. A correlation of +1 or -1 will occur if the data from the 2 variables lie exactly on a line. The CRQ is a 20-item instrument measuring 4 domains (each measured on a scale of 1 [maximum impairment] to 7 [no impairment]) of functioning: mastery, fatigue, emotional function, and dyspnea. (NCT00984659)
Timeframe: Baseline (last week of the 2-week Run-in Period) and pre-treatment on Visit 2 (Day 1 of the 6-week Treatment Period)
Intervention | Pearson's correlation coefficient (Number) |
---|
All Participants: 2-week Run-in Period | -0.68 |
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Participants (Par.) Classified as Responders/Non-responders According to the Patient Global Assessment of Change (PGAC) Response at Days 8, 15, 22, 29, 36, and 43 and at Visit 3/Premature Discontinuation (PD) (the End of the 6-week Treatment Period or PD)
"The PGAC is par. completed on a 1-5 scale: 1, much worse; 2, worse; 3, no change; 4, better; 5, much better. Responders were defined as par. with a rating of better or much better (score of 4 or 5) on the PGAC at the relevant week; non-responders were defined as par. with a response of much worse, worse, or no change on the PGAC. As pre-specified in the study protocol, results are presented independent of treatment allocation . The study objectives were to assess the measurement properties and validity of the SOBDA questionnaire independent of specific treatment effect." (NCT00984659)
Timeframe: Days 8, 15, 22, 29, 36, and 43 and Visit 3/PD (end of 6-week Treatment Period or earlier up to Week 8)
Intervention | participants (Number) |
---|
| Responders, Day 8 (Baseline to Week 1), n=293 | Non-responders, Day 8 (Baseline to Week 1), n=293 | Responders, Day 15 (Week 1 to Week 2), n=303 | Non-responders, Day 15 (Week 1 to Week 2), n=303 | Responders, Day 22 (Week 2 to Week 3), n=299 | Non-responders, Day 22 (Week 2 to Week 3), n=299 | Responders, Day 29 (Week 3 to Week 4), n=285 | Non-responders, Day 29 (Week 3 to Week 4), n=285 | Responders, Day 36 (Week 4 to Week 5), n=277 | Non-responders, Day 36 (Week 4 to Week 5), n=277 | Responders, Day 43 (Week 5 to Week 6), n=119 | Non-responders, Day 43 (Week 5 to Week 6), n=119 | Responders, Last Treatment Week, n=151 | Non-responders, Visit 3/PD, n=151 |
---|
MITT Population: 6-Week Treatment Period | 105 | 188 | 91 | 212 | 83 | 216 | 62 | 223 | 77 | 200 | 31 | 88 | 45 | 106 |
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Number of Participants Classified as Responders and Non-responders by Physician-completed and Participant-completed mMRC Response at Visit 3/PD
A Physician-completed and Participant-completed mMRC responder was defined as a participant who had a score decrease of one unit or more between Visit 2 and Visit 3/Premature Discontinuation. A non-responder was defined as a participant who had the same score or an increase in score. (NCT00984659)
Timeframe: Visit 3/PD (end of 6-week Treatment Period or earlier up to Week 8)
Intervention | participants (Number) |
---|
| Physician-completed mMRC responders | Physician-completed mMRC non-responders | Participant-completed mMRC responders | Participant-completed mMRC non-responders |
---|
MITT Population: 6-Week Treatment Period | 91 | 210 | 92 | 209 |
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Number of Participants Classified as Responders and Non-responders by CRQ-SAS Dyspnea Domain Response at Visit 3/PD
A CRQ-SAS dyspnea domain responder was defined as a participant who had a score increase of 0.5 units or more for the dyspnea domain of the CRQ-SAS between Visit 2 and Visit 3/Premature Discontinuation. A non-responder was defined as a participant who had a decrease in the score, or an increase of less than 0.5 units. (NCT00984659)
Timeframe: Visit 3/PD (end of 6-week Treatment Period or earlier up to Week 8)
Intervention | participants (Number) |
---|
| Responders | Non-responders |
---|
MITT Population: 6-Week Treatment Period | 117 | 184 |
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Alveolar Nitric Oxide
(NCT00995475)
Timeframe: 4 weeks
Intervention | ppb (Geometric Mean) |
---|
Inhaled Corticosteroid | 1.7 |
Placebo Control | 3.1 |
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OUCC
Overnight urinary cortisol creatinine ratio (NCT00995475)
Timeframe: 4 weeks
Intervention | nmol/mmol (Geometric Mean) |
---|
Inhaled Corticosteroid | 2.7 |
Placebo Control | 8.8 |
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CRP
C-reactive protein (NCT00995475)
Timeframe: 4 weeks
Intervention | mg/L (Geometric Mean) |
---|
Inhaled Corticosteroid | 2.9 |
Placebo Control | 2.0 |
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Nasal Symptom Scores
Total nasal symptom score was measured AM and PM. The reflective scale measures subjective symptoms over the previous 12 hours. Instantaneous symptoms measure how subjects felt at the present time. The score consists of subjective perception of nasal congestion, rhinorrhea, nasal itching and sneezing. The scale for each symptom is 0 - not present, 1- mild (present but minimal), 2 - moderate (symptoms are bothersome but tolerable), 3 - severe (symptoms are not tolerable). The baseline value was the mean of the 7 day placebo run-in for the combined scores. This was calculated for the placebo group and the fluticasone group for both the instantaneous and the reflective scores. The intervention time utilized the same combined AM and PM reflective and instantaneous scoring. The data was analyzed using two sample t test comparison of the placebo vs fluticasone furoate group. Low value, less symptoms. High value, more symptoms. Minimum score is 0. Maximum score is 24. (NCT00997620)
Timeframe: 2 weeks
Intervention | units on a scale (Mean) |
---|
| Instaneous Baseline | Instaneous Post 2 Weeks Therapy | Reflective Baseline | Reflective Post 2 Weeks Therapy |
---|
Fluticasone Furoate Nasal Spray | 12.88 | 10.84 | 12.99 | 11.19 |
,Placebo Nasal Spray | 12.65 | 13.74 | 13.53 | 14.02 |
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Change in Epworth Sleep Scale
The Epworth sleepiness scale measures is a validated test of daytime sleepiness which involved the subjects answering 8 questions. Each question is answered on a 0 - 3 scale with 3 being the most likely associated with drowsiness. The score is reported as a composite score of 8 questions, with a minimum score of 0 and a maximum score of 24. A higher composite score represents more likelihood of daytime sleepiness. It is administered between 1500 and 1700 daily. (NCT00997620)
Timeframe: Baseline and after 2 weeks intervention
Intervention | units on a scale (Mean) |
---|
| Baseline | After 2 weeks intervention |
---|
Fluticasone Furoate | 13.83 | 10.80 |
,Placebo | 13.28 | 12.80 |
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Change From Baseline in Nocturnal Rhinoconjunctivitis Quality of Life Questionaire
In nocturnal rhinoconjunctivitis quality of life questionnaire instrument to measure the effects of nasal disorder on nighttime sleep and awakening. It consists of 16 questions. The scale is from 0-6, 0 being not troubled and 6 reflecting extreme trouble. This survey is interpreted as a minimal clinically important difference of each question. A change of +/- 0.5 is a threshold of minimally important clinical difference. Higher value mean more disturbance. (NCT00997620)
Timeframe: 2 weeks
Intervention | units on a scale (Mean) |
---|
| Difficulty getting to sleep | Unable to get a good nights sleep | Restless (tossing and turning) | Having to get up because of stuffy nose. | Nasal congestion | Sinus pressure or pain | Runny nose | Post-nasal drip | Headache | Feel tired and unrefreshed | Nasal congestion or stuffy nose | Congestion in sinuses | time to clear nighttime drainage after waking | Need to rub nose or eyes | Have to take medication | Having to avoid symptom triggers |
---|
Fluticasone Furoate Nasal Spray | -0.67 | -0.904 | -0.90 | 1.49 | -0.76 | 1.569 | -0.429 | -1.333 | -1.3 | -0.286 | -0.857 | -1.048 | -1.190 | -1.4286 | -1.429 | -1.190 |
,Placebo Nasal Spray | -0.158 | -0.579 | -0.789 | -0.632 | -0.7894 | -0.738 | -0.895 | -1.2105 | -1.105 | -1.158 | -0.684 | 0.05 | -0.474 | -0.053 | -0.474 | -0.474 |
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Total Number of Eosinophils
The percentage of eosinophils among white blood cells was determined under light microscopy at 1000x magnification, and the total number of eosinophils in each lavage was then calculated. The specimens that had no eosinophils identified on differential counting despite adequate cells on the smear were assigned a number that corresponded to the lowest number of eosinophils on a slide where the number could be counted. That number was 33 total eosinophils. (NCT01007253)
Timeframe: 50 minutes [duration of 3 nasal challenges and 2 washout periods]
Intervention | eosinophils (Median) |
---|
PL/PL | 7883 |
FF/PL | 238 |
PL/OLO | 9606 |
FF/OLO | 311 |
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Change in Histamine Level (Across Nasal Challenges)
"Histamines are simple chemical substances produced by immune system cells when reacting to an antigen in response to foreign invaders like germs and bacteria.~Histamine in nasal lavages was measured using a histamine enzyme immunoassay kit market by SPI-BIo, Bertin Pharma (Montigny le Bretonneux, France). The limit of detection of the assay is 0.4 nM, and levels below the detection limit were arbitrarily assigned a value of 0.2 nM. Samples that yielded values above the upper detection limit of the assay were diluted and reassayed.~For each patient, histamine levels recorded after the diluent challenge were subtracted from histamine levels recorded after each of the three nasal challenges. These differences were added across challenges, yielding the total change in histamine level reported in this outcome for each patient." (NCT01007253)
Timeframe: 50 minutes [duration of 3 nasal challenges and 2 washout periods]
Intervention | nM (Median) |
---|
PL/PL | 5.9 |
FF/PL | 0.3 |
PL/OLO | 11.4 |
FF/OLO | 3.4 |
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Change in Tryptase Level (Across Nasal Challenges)
"Tryptase is an enzyme that is released, along with histamine and other chemicals, from mast cells when they are activated, often as part of an allergic immune response. Tryptase in nasal lavages was measured using the ImmunoCap tryptase assay, by Phadia (Uppsala, Sweden). The limit of detection of the assay is 1.0 ng/mL, and levels below this value were arbitrarily assigned a value of 0.5 ng/mL.~For each patient, tryptase levels recorded after the diluent challenge were subtracted from tryptase levels recorded after each of the three nasal challenges. These differences were added across challenges, yielding the total change in tryptase level reported in this outcome for each patient." (NCT01007253)
Timeframe: 50 minutes [duration of 3 nasal challenges and 2 washout periods]
Intervention | ng/mL (Median) |
---|
PL/PL | 5 |
FF/PL | 0 |
PL/OLO | 2 |
FF/OLO | 0 |
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Total Eye Symptoms Score Difference
After treatment, each participant was subjected to a diluent (control) challenge in one eye and was asked to rate 2 eye symptoms (watery and itchy) according to the following scale: 0=none, 1=mild, 2=moderate, 3=severe. The participant was then exposed to 3 doses of an antigen challenge and was asked to similarly rate severity of watery and itchy eye symptoms after each dose. Diluent challenge scores were subtracted from the scores recorded after each dose. This process was repeated in the other eye. The outcome is the total of the score differences (i.e. score after each dose subtracted by diluent challenge score) summed across doses, symptoms (watery and itchy), and eyes (left and right). Thus, each participant's total score is an integer value ranging from -36 to 36. (NCT01007253)
Timeframe: 50 minutes [duration of 3 nasal challenges and 2 washout periods]
Intervention | units on a scale (Median) |
---|
PL/PL | 6 |
FF/PL | 0 |
PL/OLO | 2.5 |
FF/OLO | 1.5 |
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Total Nasal Symptoms Score Difference
After treatment, each participant was subjected to a diluent (control) challenge in one nostril and was asked to rate nasal symptoms (congestion, rhinorrhea, and itchy nose/throat) according to the following scale: 0=none, 1=mild, 2=moderate, 3=severe. The participant was then exposed to 3 doses of an antigen challenge and was asked to similarly rate severity of nasal symptoms after each dose. Diluent challenge scores were subtracted from the scores recorded after each dose. This process was repeated in the other nostril. The outcome is the total number of score differences (i.e. score after each dose subtracted by diluent challenge score) summed across doses, symptoms (congestion, rhinorrhea, and itchy nose/throat), and nostrils (left and right). Thus, each participant's total score is an integer value ranging from -36 to 36. (NCT01007253)
Timeframe: 50 minutes [duration of 3 nasal challenges and 2 washout periods]
Intervention | units on a scale (Median) |
---|
PL/PL | 17 |
FF/PL | 10 |
PL/OLO | 9 |
FF/OLO | 9 |
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Total Number of Sneezes
(NCT01007253)
Timeframe: 50 minutes [duration of 3 nasal challenges and 2 washout periods]
Intervention | sneezes (Median) |
---|
PL/PL | 10 |
FF/PL | 2.5 |
PL/OLO | 2.5 |
FF/OLO | 1.0 |
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Change From Baseline in Albumin and Total Protein at Week 12, Week 28, and Week 52/Early Withdrawal
Blood samples were collected for the measurement of albumin and total protein values at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the most recent recorded value at Screening or prior to Day 1. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. (NCT01018186)
Timeframe: Baseline; Week 12, Week 28, and Week 52/Early Withdrawal
Intervention | Grams per liter (G/L) (Mean) |
---|
| Albumin, Week 12, n=172, 182, 87 | Albumin, Week 28, n=180, 176, 79 | Albumin, Week 52, n=157, 159, 67 | Total Protein, Week 12, n=172, 182, 87 | Total Protein, Week 28, n=180, 176, 79 | Total Protein, Week 52, n=157, 159, 67 |
---|
FF/VI 100/25 µg OD | 0.1 | -0.2 | -0.1 | -0.6 | -1.1 | -0.7 |
,FF/VI 200/25 µg OD | 0.2 | -0.3 | -0.8 | -0.1 | -1.0 | -1.4 |
,FP 500 µg BID | -0.5 | -0.4 | -0.5 | -0.6 | -0.5 | -1.0 |
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Change From Baseline in Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase (CK), and Gamma Glutamyltransferase (GGT) at Week 12, Week 28, and Week 52/Early Withdrawal
Blood samples were collected for the measurement of ALP, ALT, AST, CK, and GGT values at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the most recent recorded value at Screening or prior to Day 1. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. (NCT01018186)
Timeframe: Baseline; Week 12, Week 28, and Week 52/Early Withdrawal
Intervention | International units per liter (IU/L) (Mean) |
---|
| ALP, Week 12, n=158, 165, 84 | ALP, Week 28, n=180, 176, 79 | ALP, Week 52, n=157, 157, 67 | ALT, Week 12, n=172, 182, 87 | ALT, Week 28, n=180, 176, 79 | ALT, Week 52, n=157, 159, 67 | AST, Week 12, n=171, 181, 87 | AST, Week 28, n=179, 176, 79 | AST, Week 52, n=156, 158, 67 | GGT, Week 12, n=172, 182, 87 | GGT, Week 28, n=180, 176, 79 | GGT, Week 52, n=157, 159, 67 | Creatinine Kinase, Week 12, n=172, 181, 87 | Creatinine Kinase, Week 28, n=180, 176, 79 | Creatinine Kinase, Week 52, n=157, 159, 67 |
---|
FF/VI 100/25 µg OD | -3.0 | -1.0 | -4.0 | -1.0 | -1.6 | -1.8 | -0.9 | -1.4 | -1.8 | 0.9 | 3.3 | 2.7 | 10.8 | 2.0 | -0.7 |
,FF/VI 200/25 µg OD | -2.6 | -5.8 | -7.2 | -0.2 | -0.1 | -1.3 | -0.3 | -0.9 | -1.9 | -0.1 | -0.6 | -2.7 | -11.5 | -9.9 | -16.8 |
,FP 500 µg BID | -4.7 | -5.7 | -9.3 | -0.3 | 0.4 | -0.1 | 0.3 | 1.3 | -0.2 | -1.7 | -0.2 | -0.5 | -18.3 | 15.3 | -27.7 |
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Change From Baseline in Chloride, Carbon Dioxide Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) at Week 12, Week 28, and Week 52/Early Withdrawal
Blood samples were collected for the measurement of chloride, carbon dioxide (CO2) content/bicarbonate, glucose, potassium, sodium, and urea/BUN values at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the most recent recorded value at Screening or prior to Day 1. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. (NCT01018186)
Timeframe: Baseline; Week 12, Week 28, and Week 52/Early Withdrawal
Intervention | Millimoles per liter (mmol/L) (Mean) |
---|
| Chloride, Week 12, n=172, 182, 87 | Chloride, Week 28, n=180, 176, 79 | Chloride, Week 52, n=157, 159, 67 | CO2 content/bicarbonate, Week 12, n=171, 181, 87 | CO2 content/bicarbonate, Week 28, n=179, 176, 79 | CO2 content/bicarbonate, Week 52, n=156, 158, 67 | Glucose, Week 12, n=172, 181, 87 | Glucose, Week 28, n=180, 175, 79 | Glucose, Week 52, n=157, 159, 67 | Potassium, Week 12, n=157, 165, 84 | Potassium, Week 28, n=179, 176, 79 | Potassium, Week 52, n=156, 156, 67 | Sodium, Week 12, n=172, 182, 87 | Sodium, Week 28, n=180, 176, 79 | Sodium, Week 52, n=157, 159, 67 | Urea/BUN, Week 12, n=172, 182, 87 | Urea/BUN, Week 28, n=180, 176, 79 | Urea/BUN, Week 52, n=157, 159, 67 |
---|
FF/VI 100/25 µg OD | -0.7 | -0.1 | -0.5 | -0.7 | 0.3 | -0.1 | 0.33 | 0.21 | 0.45 | -0.09 | -0.12 | -0.18 | -0.1 | 0.0 | -0.2 | 0.24 | 0.16 | 0.15 |
,FF/VI 200/25 µg OD | -0.4 | 0.2 | 0.0 | -0.8 | 0.1 | 0.1 | 0.17 | 0.16 | 0.11 | 0.00 | -0.15 | -0.12 | 0.2 | 0.2 | 0.1 | 0.36 | 0.14 | 0.13 |
,FP 500 µg BID | 0.1 | -0.1 | -0.3 | -0.2 | 0.9 | 0.5 | 0.10 | 0.02 | -0.20 | -0.03 | 0.02 | -0.10 | -0.0 | 0.3 | 0.0 | 0.02 | 0.41 | -0.04 |
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Change From Baseline in Direct Bilirubin, Indirect Bilirubin, Total Bilirubin, and Creatinine at Week 12, Week 28, and Week 52/Early Withdrawal
Blood samples were collected for the measurement of direct bilirubin, indirect bilirubin, total bilirubin, and creatinine values at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the most recent recorded value at Screening or prior to Day 1. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. (NCT01018186)
Timeframe: Baseline; Week 12, Week 28, and Week 52/Early Withdrawal
Intervention | Micromoles per liter (µmol/L) (Mean) |
---|
| Direct bilirubin, Week 12, n=172, 182, 87 | Direct bilirubin, Week 28, n=180, 176, 79 | Direct bilirubin, Week 52, n=157, 159, 67 | Indirect bilirubin, Week 12, n=172, 182, 87 | Indirect bilirubin, Week 28, n=180, 175, 79 | Indirect bilirubin, Week 52, n=157, 159, 67 | Total Bilirubin, Week 12, n=172, 182, 87 | Total Bilirubin, Week 28, n=180, 175, 79 | Total Bilirubin, Week 52, n=157, 159, 67 | Creatinine, Week 12, n=172, 181, 87 | Creatinine, Week 28, n=180, 176, 79 | Creatinine, Week 52, n=157, 159, 67 |
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FF/VI 100/25 µg OD | -0.3 | -0.3 | -0.4 | -1.4 | -1.3 | -2.0 | -1.7 | -1.6 | -2.4 | 3.00 | 7.03 | 2.74 |
,FF/VI 200/25 µg OD | -0.3 | -0.2 | -0.4 | -0.8 | -0.9 | -1.6 | -1.1 | -1.2 | -2.0 | 3.18 | 5.10 | 3.14 |
,FP 500 µg BID | -0.2 | -0.1 | -0.2 | -0.6 | -0.4 | -0.8 | -0.8 | -0.5 | -1.0 | 3.99 | 17.43 | 3.32 |
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Change From Baseline in Eosinophil Count, Total Absolute Neutrophil Count (ANC), Platelet Count, and White Blood Cell (WBC) Count at Week 12, Week 28, and Week 52/Early Withdrawal
Blood samples were collected to determine the eosinophil count, total ANC, platelet count, and WBC count at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the most recent recorded value at Screening or prior to Day 1. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. (NCT01018186)
Timeframe: Baseline; Week 12, Week 28, and Week 52/Early Withdrawal
Intervention | 10^9 cells per liter (GI/L) (Mean) |
---|
| Eosinophil count, Week 12, n=171, 170, 86 | Eosinophil count, Week 28, n=169, 169, 77 | Eosinophil count, Week 52, n=155, 155, 71 | Total ANC, Week 12, n=171, 170, 86 | Total ANC, Week 28, n=169, 169, 77 | Total ANC, Week 52, n=136, 136, 60 | Platelet Count, Week 12, n=167, 159, 78 | Platelet Count, Week 28, n=164, 165, 74 | Platelet Count, Week 52, n=147, 151, 68 | WBC Count, Week 12, n=173, 170, 86 | WBC Count, Week 28, n=170, 169, 77 | WBC Count, Week 52, n=156, 156, 71 |
---|
FF/VI 100/25 µg OD | -0.010 | -0.039 | -0.023 | 0.392 | 0.632 | 0.524 | -1.3 | 1.0 | 1.8 | 0.51 | 0.74 | 0.91 |
,FF/VI 200/25 µg OD | -0.057 | -0.083 | -0.037 | 0.469 | 0.679 | 0.612 | 1.5 | 3.5 | 4.6 | 0.50 | 0.74 | 0.83 |
,FP 500 µg BID | -0.073 | -0.083 | -0.044 | 0.493 | 0.750 | 0.748 | 1.5 | 12.4 | 16.4 | 0.39 | 0.79 | 1.01 |
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Change From Baseline in Hemoglobin at Week 12, Week 28, and Week 52/Early Withdrawal
Blood samples were collected for the measurement of hemoglobin values at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the most recent recorded value at Screening or prior to Day 1. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. (NCT01018186)
Timeframe: Baseline; Week 12, Week 28, and Week 52/Early Withdrawal
Intervention | Grams per liter (g/L) (Mean) |
---|
| Week 12, n=176, 172, 86 | Week 28, n=172, 170, 77 | Week 52, n=157, 159, 72 |
---|
FF/VI 100/25 µg OD | -3.4 | -2.1 | -2.6 |
,FF/VI 200/25 µg OD | -1.8 | -2.2 | -2.9 |
,FP 500 µg BID | -2.0 | -2.4 | -3.0 |
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Change From Baseline in Hematocrit at Week 12, Week 28, and Week 52/Early Withdrawal
Blood samples were collected for the measurement of hematocrit values at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the most recent recorded value at Screening or prior to Day 1. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. (NCT01018186)
Timeframe: Baseline; Week 12, Week 28, and Week 52/Early Withdrawal
Intervention | Proportion of 1.0 (Mean) |
---|
| Week 12, n=176, 172, 86 | Week 28, n=172, 170, 77 | Week 52, n=157, 159, 72 |
---|
FF/VI 100/25 µg OD | -0.0073 | -0.0017 | -0.0027 |
,FF/VI 200/25 µg OD | -0.0013 | -0.0005 | -0.0021 |
,FP 500 µg BID | -0.0025 | -0.0028 | -0.0045 |
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Number of Participants With the Indicated Shift From Baseline to High, Normal or no Change, and Low Post-Baseline Values for Urinary Cortisol Excretion
"A 24-hour urine sample was collected for the measurement of 24-hour urinary cortisol excretion (UCE) at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. Any visit post-baseline (AVPB) value was derived using laboratory assessments performed at scheduled, unscheduled, and Early Withdrawal visits. Participants who had a shift from Baseline in their post-Baseline UCE values relative to the normal range, are presented in the To high and To low categories. Participants whose post-Baseline UCE values were unchanged (e.g., High to High) or whose value became normal, are presented in the To normal or no change category. The normal range for UCE is defined as: 11 to 138 nanomoles per 24 hours (nmol/24 hr) for participants >=18 years of age, 8.3 to 151.7 nmol/24 hr for participants 14 to 17 years of age, and 2.8 to 124.2 nmol/24 hr for participants 12 and 13 years of age." (NCT01018186)
Timeframe: Baseline; Week 12, Week 28, and Week 52/Early Withdrawal
Intervention | participants (Number) |
---|
| Week 12: To high, n=139, 140, 78 | Week 12: To normal or no change, n=139, 140, 78 | Week 12: To low, n=139, 140, 78 | Week 28: To high, n=135, 131, 59 | Week 28: To normal or no change, n=135, 131, 59 | Week 28: To low, n=135, 131, 59 | Week 52: To high, n=134, 140, 65 | Week 52: To normal or no change , n=134, 140, 65 | Week 52: To low, n=134, 140, 65 | AVBP: To high, n=156, 156, 83 | AVBP: To normal or no change, n=156, 156, 83 | AVBP: To low, n=156, 156, 83 |
---|
FF/VI 100/25 µg OD | 6 | 131 | 2 | 8 | 123 | 4 | 10 | 119 | 5 | 25 | 119 | 12 |
,FF/VI 200/25 µg OD | 7 | 128 | 5 | 8 | 120 | 3 | 7 | 131 | 2 | 21 | 126 | 9 |
,FP 500 µg BID | 2 | 67 | 9 | 3 | 47 | 9 | 4 | 57 | 4 | 8 | 58 | 17 |
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Number of Participants With the Indicated Change From Baseline in Lens Opacities Classification System, Version III (LOCS III) Posterior Subcapsular Opacity (P) at Week 28 and Week 52
P is defined as the opacification at the back of the lens adjacent to the capsule (or bag) in which the lens sits. An event of P is defined as an increase of >=0.3 from Baseline in LOCS III grade for P in either eye at any time post-Baseline. Per LOC III, P ranges from 0.1 (clear or colorless) to 5.9 (very opaque). Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. (NCT01018186)
Timeframe: Baseline; Week 28, and Week 52
Intervention | participants (Number) |
---|
| Left eye, <0.3, Week 28, n=179, 177, 80 | Left eye, >=0.3 and <0.5, Week 28, n=179, 177, 80 | Left eye, >=0.5, Week 28, n=179, 177, 80 | Right eye, <0.3, Week 28, n=179, 177, 80 | Right eye, >=0.3 and <0.5, Week 28, n=179, 177, 80 | Right eye, >=0.5, Week 28, n=179, 177, 80 | Left eye, <0.3, Week 52, n=167, 166, 72 | Left eye, >=0.3 and <0.5, Week 52, n=167, 166, 72 | Left eye, >=0.5, Week 52, n=167, 166, 72 | Right eye, <0.3, Week 52, n=167, 166, 72 | Right eye, >=0.3 and <0.5, Week 52, n=167, 166, 72 | Right eye, >=0.5, Week 52, n=167, 166, 72 |
---|
FF/VI 100/25 µg OD | 174 | 5 | 0 | 175 | 4 | 0 | 163 | 2 | 2 | 163 | 3 | 1 |
,FF/VI 200/25 µg OD | 175 | 2 | 0 | 175 | 2 | 0 | 164 | 1 | 1 | 164 | 1 | 1 |
,FP 500 µg BID | 79 | 1 | 0 | 80 | 0 | 0 | 72 | 0 | 0 | 72 | 0 | 0 |
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Ratio of 24-hour Urinary Cortisol Excretion at Week 52 to Baseline
A 24-hour urine sample was collected, and the LSGM for 24-hour UCE was calculated at Baseline and at Week 52. The ratio of the Week 52 LSGM to the Baseline LSGM was calculated as the value at Week 52 divided by the value at Baseline. Analysis was performed using ANCOVA with covariates of region, sex, age, treatment, and the log of the Baseline values. (NCT01018186)
Timeframe: Baseline and Week 52
Intervention | Ratio of LSGM of UCE to Baseline (Number) |
---|
FF/VI 100/25 µg OD | 1.00 |
FF/VI 200/25 µg OD | 1.04 |
FP 500 µg BID | 0.95 |
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Change From Baseline in the Logarithm of the Minimum Angle of Resolution (LogMAR) Visual Acuity at Week 28 and Week 52
Visual acuity is defined as the acuteness or clearness of vision. The minimum angle of resolution (MAR) is the angle a viewed object subtends at the eye, usually stated in degrees/minutes of arc. Visual acuity was measured using Early Treatment Diabetic Retinopathy Study (ETDRS) charts in decimal numbers. The LogMAR scale is used to express the visual acuity in a linear scale as the logarithm to base 10 of the MAR. A lower score indicates better visual acuity; visual acuity decreases with an increasing score. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. (NCT01018186)
Timeframe: Baseline; Week 28 and Week 52
Intervention | Scores on a scale (Mean) |
---|
| Week 28, Left eye, n=179, 176, 80 | Week 28, Right eye, n=179, 176, 80 | Week 52, Left eye, n=167, 165, 72 | Week 52, Right eye, n=167, 165, 72 |
---|
FF/VI 100/25 µg OD | -0.008 | -0.003 | -0.011 | -0.008 |
,FF/VI 200/25 µg OD | -0.010 | -0.001 | -0.012 | 0.003 |
,FP 500 µg BID | -0.004 | -0.008 | -0.007 | -0.012 |
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Change From Baseline in Horizontal Cup-to-disc Ratio at Week 28 and Week 52
Funduscopic examination was performed at Baseline, Week 28, and Week 52 to measure the horizontal cup-to-disc ratio of both eyes. The horizontal cup-to-disc ratio is the ratio of the horizontal diameter of the physiological cup to that of the horizontal diameter of the optic disc. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. (NCT01018186)
Timeframe: Baseline; Week 28 and Week 52
Intervention | ratio (Mean) |
---|
| Left eye, Week 28, n=179, 177, 80 | Right eye, Week 28, n=179, 177, 80 | Left eye, Week 52, n=167, 166, 72 | Right eye, Week 52, n=167, 166, 72 |
---|
FF/VI 100/25 µg OD | 0.5 | 0.2 | 0.4 | 0.1 |
,FF/VI 200/25 µg OD | -0.2 | -0.2 | 0.2 | 0.2 |
,FP 500 µg BID | 0.5 | 0.5 | 0.3 | 0.0 |
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Maximum Change From Baseline in Pulse Rate
Pulse rate was measured at the following scheduled time points: Screening, Day 1, Week 2, Week 4, Week 8, Week 12, Week 20,Week 28, Week 36, Week 44, and Week 52/Early Withdrawal. Baseline is defined as the Visit 1 (screening) value. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. Maximum change from Baseline for any post-Baseline visit was derived using all scheduled, unscheduled, and Early Withdrawal visits. (NCT01018186)
Timeframe: From Baseline until Visit 11/Early Withdrawal (52 weeks)
Intervention | Beats per minute (Mean) |
---|
FF/VI 100/25 µg OD | 10.5 |
FF/VI 200/25 µg OD | 10.0 |
FP 500 µg BID | 7.5 |
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Number of Participants With the Indicated Change From Baseline in Lens Opacities Classification System, Version III (LOCS III) Cortical Opacity (C) at Week 28 and Week 52
C is defined as the opacification of the cortex (outer layer) of the lens. Per LOC III, C ranges from 0.1 (clear or colorless) to 5.9 (very opaque). Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. (NCT01018186)
Timeframe: Baseline; Week 28 and Week 52
Intervention | participants (Number) |
---|
| Left eye, <0.3, Week 28, n=179, 177, 80 | Left eye, >=0.3 and <0.5, Week 28, n=179, 177, 80 | Left eye, >=0.5, Week 28, n=179, 177, 80 | Right eye, <0.3, Week 28, n=179, 177, 80 | Right eye, >=0.3 and <0.5, Week 28, n=179, 177, 80 | Right eye, >=0.5, Week 28, n=179, 177, 80 | Left eye, <0.3, Week 52, n=167, 166, 72 | Left eye, >=0.3 and <0.5, Week 52, n=167, 166, 72 | Left eye, >=0.5, Week 52, n=167, 166, 72 | Right eye, <0.3, Week 52, n=167, 166, 72 | Right eye, >=0.3 and <0.5, Week 52, n=167, 166, 72 | Right eye, >=0.5, Week 52, n=167, 166, 72 |
---|
FF/VI 100/25 µg OD | 167 | 6 | 6 | 169 | 5 | 5 | 154 | 7 | 6 | 151 | 11 | 5 |
,FF/VI 200/25 µg OD | 166 | 5 | 6 | 172 | 1 | 4 | 156 | 4 | 6 | 158 | 2 | 6 |
,FP 500 µg BID | 75 | 4 | 1 | 75 | 4 | 1 | 66 | 3 | 3 | 69 | 2 | 1 |
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Number of Participants With the Indicated Change From Baseline in Intraocular Pressure (IOP) at Week 28 and Week 52
Intraocular pressure (IOP) is the fluid pressure inside the eye. IOP was measured twice for each eye at Baseline, Week 28, and Week 52 using Goldmann Applanation tonometry. The second IOP reading was used for analysis. The number of participants with a change from Baseline in IOP of <0 mmHg, >=0 to <4 mmHg, >=4 to <7 mmHg, >=7 to <11 mmHg, and >=11 mmHg are presented. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. (NCT01018186)
Timeframe: Baseline; Week 28 and Week 52
Intervention | participants (Number) |
---|
| Left eye, <0 mmHg, Week 28, n=179, 177, 80 | Left eye, >=0 to <4 mmHg, Week 28, n=179, 177, 80 | Left eye, >=4 to <7 mmHg, Week 28, n=179, 177, 80 | Left eye, >=7 to <11 mmHg, Week 28, n=179, 177, 80 | Left eye, >=11 mmHg, Week 28, n=179, 177, 80 | Right eye, <0 mmHg, Week 28, n=179, 177, 80 | Right eye, >=0 to <4 mmHg, Week 28, n=179, 177, 80 | Right eye, >=4 to <7 mmHg, Week 28, n=179, 177, 80 | Right eye, >=7 to <11 mmHg,Week 28, n=179, 177, 80 | Right eye, >=11 mmHg, Week 28, n=179, 177, 80 | Left eye, <0 mmHg, Week 52, n=167, 166, 72 | Left eye, >=0 to <4 mmHg, Week 52, n=167, 166, 72 | Left eye, >=4 to <7 mmHg, Week 52, n=167, 166, 72 | Left eye, >=7 to <11 mmHg, Week 52, n=167, 166, 72 | Left eye, >=11 mmHg, Week 52, n=167, 166, 72 | Right eye, <0 mmHg, Week 52, n=167, 166, 72 | Right eye, >=0 to <4 mmHg, Week 52, n=167, 166, 72 | Right eye, >=4 to <7 mmHg, Week 52, n=167, 166, 72 | Right eye, >=7 to <11 mmHg, Week 52, n=167,166, 72 | Right eye, >=11 mmHg, Week 52, n=167, 166, 72 |
---|
FF/VI 100/25 µg OD | 71 | 101 | 7 | 0 | 0 | 73 | 101 | 5 | 0 | 0 | 66 | 88 | 11 | 2 | 0 | 63 | 94 | 10 | 0 | 0 |
,FF/VI 200/25 µg OD | 78 | 92 | 6 | 1 | 0 | 61 | 110 | 5 | 1 | 0 | 69 | 83 | 14 | 0 | 0 | 61 | 93 | 12 | 0 | 0 |
,FP 500 µg BID | 32 | 46 | 2 | 0 | 0 | 38 | 38 | 4 | 0 | 0 | 33 | 36 | 3 | 0 | 0 | 32 | 40 | 0 | 0 | 0 |
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Number of Participants With Evidence of Oral Candidiasis at Any Time Post-Baseline
A detailed oropharyngeal examination was done at all clinic visits for visual/clinical evidence of oral candidiasis over the entire Treatment Period (worst case any time post-Baseline). For participants with visual/clinical evidence of candidiasis during the Treatment Phase of the study, a culture swab was taken and analyzed for infection. (NCT01018186)
Timeframe: From Baseline until Visit 11/Early Withdrawal (52 weeks)
Intervention | participants (Number) |
---|
| Evidence of oral candidiasis | Positive culture swab | Negative culture swab | No swab result available |
---|
FF/VI 100/25 µg OD | 15 | 13 | 1 | 1 |
,FF/VI 200/25 µg OD | 14 | 11 | 2 | 1 |
,FP 500 µg BID | 5 | 3 | 2 | 0 |
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Number of Participants With Any Adverse Event (AE) or Serious Adverse Event (SAE) During the Treatment Period
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. Medical or scientific judgment should be exercised in deciding whether reporting is appropriate in other situations. Refer to the General Adverse AE/SAE module for a complete list of AEs and SAEs. (NCT01018186)
Timeframe: From the start of study medication until Visit 11 (Week 52)/Early Withdrawal
Intervention | participants (Number) |
---|
| Any AE | Any SAE |
---|
FF/VI 100/25 µg OD | 139 | 3 |
,FF/VI 200/25 µg OD | 134 | 1 |
,FP 500 µg BID | 73 | 7 |
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Mean 24 Hour Holter Heart Rate for Participants With at Least 16 Hours of Recorded Data
Twenty-four hour Holter monitors were obtained using a 12-lead Holter monitor. The Holter monitor is worn by the participant for 24 hours, and the monitor continuously records the heart's rhythm while the monitor is worn. At the end of the 24 hour period, the data from the monitor are downloaded and transmitted to the centralized vendor for analysis and interpretation by a licensed cardiologist. (NCT01018186)
Timeframe: 0-24 hours at Screening, Day 1, Week 28, and Week 52
Intervention | beats per minute (Mean) |
---|
| Screening, n=111, 116, 49 | Day 1, n=104, 113, 47 | Week 28, n=95, 90, 39 | Week 52, n=88, 82, 37 |
---|
FF/VI 100/25 µg OD | 79.0 | 78.6 | 77.8 | 78.8 |
,FF/VI 200/25 µg OD | 79.1 | 78.7 | 77.5 | 78.0 |
,FP 500 µg BID | 79.8 | 77.4 | 74.9 | 74.8 |
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Maximum Change From Baseline in the QT Interval Using Bazett's Correction (QTcB) and QT Interval Using Fridericia's Correction (QTcF)
The QT interval is an electrocardiogram (ECG) parameter that represents the electrical depolarization and repolarization of the left and right ventricles of the heart. The QT interval is a measure of the time between the start of the Q wave and the end of the T wave in the ECG. Corrected QT (QTc) is the QT interval corrected for heart rate by using Bazett's formula (QTcB) and Fridericia's formula (QTcF). 12-lead ECG measurements were perfomed at the following scheduled time points: Baseline; Week 2, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the value taken pre-dose at screening. The maximum post-Baseline value was derived using all scheduled, unscheduled, and Early Withdrawal ECG assessments. Maximum change from Baseline was calculated as the maximum post-Baseline value minus the value at Baseline. (NCT01018186)
Timeframe: Baseline; Week 2, Week 12, Week 28, and Week 52/Early Withdrawal
Intervention | Milliseconds (msec) (Mean) |
---|
| QTcB | QTcF |
---|
FF/VI 100/25 µg OD | 19.0 | 12.8 |
,FF/VI 200/25 µg OD | 16.4 | 11.6 |
,FP 500 µg BID | 13.2 | 11.4 |
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Maximum Change From Baseline in Systolic Blood Pressure (SBP) and Minimum Change From Baseline in Diastolic Blood Pressure (DBP)
SBP and DBP were measured at the following scheduled time points: Screening, Day 1, Week 2, Week 4, Week 8, Week 12, Week 20, Week 28, Week 36, Week 44, and Week 52/Early Withdrawal. Baseline is defined as the Visit 1 (screening) value. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. Maximum and minimum change from Baseline for any post-Baseline visit was derived using all scheduled, unscheduled, and Early Withdrawal visits. (NCT01018186)
Timeframe: From Baseline until Visit 11/Early Withdrawal (52 weeks)
Intervention | Millimeters of mercury (mmHg) (Mean) |
---|
| Maximum post-Baseline change in SBP | Minimum post-Baseline change in DBP |
---|
FF/VI 100/25 µg OD | 10.2 | -8.9 |
,FF/VI 200/25 µg OD | 10.0 | -9.0 |
,FP 500 µg BID | 11.3 | -8.0 |
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Maximum 24 Hour Holter Heart Rate for Participants With at Least 16 Hours of Recorded Data
Twenty-four hour Holter monitors were obtained using a 12-lead Holter monitor. Holter monitor data were transmitted to a centralized vendor for analysis and interpretation by a licensed cardiologist. (NCT01018186)
Timeframe: 0-24 hours at Screening, Day 1, Week 28, and Week 52
Intervention | beats per minute (Mean) |
---|
| Screening, n=111, 116, 49 | Day 1, n=104, 113, 47 | Week 28, n=95, 90, 39 | Week 52, n=88, 82, 37 |
---|
FF/VI 100/25 µg OD | 132.6 | 131.2 | 127.5 | 126.9 |
,FF/VI 200/25 µg OD | 132.1 | 130.8 | 127.4 | 128.1 |
,FP 500 µg BID | 133.0 | 129.2 | 123.5 | 122.8 |
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Change From Baseline in the Percentage of Basophils, Eosinophils, Hematocrit, Lymphocytes, Monocytes, and Segmented Neutrophils in the Blood at Week 12, Week 28, and Week 52/Early Withdrawal
Blood samples were collected for the measurement of the percentage of basophils, eosinophils, hematocrit, lymphocytes, monocytes, and segmented neutrophils in the blood at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the most recent recorded value at Screening or prior to Day 1. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. (NCT01018186)
Timeframe: Baseline; Week 12, Week 28, and Week 52/Early Withdrawal
Intervention | Percentage (Mean) |
---|
| Basophils, Week 12, n=171, 170, 86 | Basophils, Week 28, n=169, 169, 77 | Basophils, Week 52, n=155, 155, 71 | Eosinophils, Week 12, n=171, 170, 86 | Eosinophils, Week 28, n=169, 169, 77 | Eosinophils, Week 52, n=155, 155, 71 | Lymphocytes, Week 12, n=171, 170, 86 | Lymphocytes, Week 28, n=169, 169, 77 | Lymphocytes, Week 52, n=155, 155, 71 | Monocytes, Week 12, n=171, 170, 86 | Monocytes, Week 28, n=169, 169, 77 | Monocytes, Week 52, n=155, 155, 71 | Segmented neutrophils, Week 12, n=171, 170, 86 | Segmented neutrophils, Week 28, n=169, 169, 77 | Segmented neutrophils, Week 52, n=155, 155, 71 |
---|
FF/VI 100/25 µg OD | -0.01 | -0.01 | 0.02 | -0.35 | -0.97 | -0.84 | -0.57 | -1.11 | 1.34 | -0.60 | -0.66 | -0.19 | 1.54 | 2.71 | -0.33 |
,FF/VI 200/25 µg OD | -0.06 | 0.00 | -0.03 | -0.88 | -1.34 | -0.90 | -0.91 | -1.31 | -0.03 | -0.47 | -0.53 | 0.31 | 2.32 | 3.18 | 0.66 |
,FP 500 µg BID | -0.08 | -0.06 | -0.07 | -1.23 | -1.63 | -1.19 | -1.72 | -1.66 | -0.97 | -0.86 | -0.84 | -0.30 | 3.89 | 4.19 | 2.54 |
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Change From Baseline in Lens Opacities Classification System, Version III (LOCS III) Nuclear Opalescence (NO) at Week 28 and Week 52
NO is the opalescence of the nucleus (central layer) of the lens. Per LOC III, NO ranges from 0.1 (clear or colorless) to 6.9 (very opaque or brunescent). Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. (NCT01018186)
Timeframe: Baseline; Week 28 and Week 52
Intervention | Scores on a scale (Mean) |
---|
| Week 28, Left eye, n=179, 177, 80 | Week 28, Right eye, n=179, 177, 80 | Week 52, Left eye, n=167, 166, 72 | Week 52, Right eye, n=167, 166, 72 |
---|
FF/VI 100/25 µg OD | 0.02 | 0.01 | 0.01 | 0.00 |
,FF/VI 200/25 µg OD | 0.03 | 0.03 | 0.03 | 0.04 |
,FP 500 µg BID | -0.02 | -0.03 | 0.01 | 0.02 |
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Change From Baseline in Lens Opacities Classification System, Version III (LOCS III) Nuclear Color (NC) at Week 28 and Week 52
NC is the color of the nucleus (central layer) of the lens. Per LOC III, NC ranges from 0.1 (clear or colorless) to 6.9 (very opaque or brunescent). Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. (NCT01018186)
Timeframe: Baseline; Week 28 and Week 52
Intervention | Scores on a scale (Mean) |
---|
| Week 28, Left eye, n=179, 177, 80 | Week 28, Right eye, n=179, 177, 80 | Week 52, Left eye, n=167, 166, 72 | Week 52, Right eye, n=167, 166, 72 |
---|
FF/VI 100/25 µg OD | 0.01 | 0.01 | 0.02 | 0.02 |
,FF/VI 200/25 µg OD | 0.00 | 0.1 | -0.2 | 0.00 |
,FP 500 µg BID | -0.02 | -0.02 | 0.00 | 0.01 |
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Number of Participants With Severe Asthma Exacerbations During the Treatment Period
A severe asthma exacerbation is defined as the deterioration of asthma requiring the use of systemic corticosteroids (tablets, suspension, or injection) for at least 3 days or an in-patient hospitalization or emergency department visit due to asthma that required systemic corticosteroids. Courses of corticosteroids separated by 1 week or more were treated as separate severe exacerbations. (NCT01018186)
Timeframe: From the start of study medication until Visit 11 (Week 52)/Early Withdrawal
Intervention | participants (Number) |
---|
FF/VI 100/25 µg OD | 3 |
FF/VI 200/25 µg OD | 6 |
FP 500 µg BID | 3 |
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Ratio of 24-hour Urinary Cortisol Excretion at Week 12 to Baseline
A 24-hour urine sample was collected, and the least square geometric mean (LSGM) for 24-hour urinary cortisol excretion (UCE) was calculated at Baseline and at Week 12. The ratio of the Week 12 LSGM to the Baseline LSGM was calculated as the value at Week 12 divided by the value at Baseline. Analysis was performed using analysis of covariance (ANCOVA) with covariates of region, sex, age, treatment, and the log of the Baseline values. (NCT01018186)
Timeframe: Baseline and Week 12
Intervention | Ratio of LSGM of UCE to Baseline (Number) |
---|
FF/VI 100/25 µg OD | 1.03 |
FF/VI 200/25 µg OD | 0.93 |
FP 500 µg BID | 0.61 |
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Ratio of 24-hour Urinary Cortisol Excretion at Week 28 to Baseline
A 24-hour urine sample was collected, and the LSGM for 24-hour UCE was calculated at Baseline and at Week 28. The ratio of the Week 28 LSGM to the Baseline LSGM was calculated as the value at Week 28 divided by the value at Baseline. Analysis was performed using ANCOVA with covariates of region, sex, age, treatment, and the log of the Baseline values. (NCT01018186)
Timeframe: Baseline and Week 28
Intervention | Ratio of LSGM of UCE to Baseline (Number) |
---|
FF/VI 100/25 µg OD | 1.05 |
FF/VI 200/25 µg OD | 0.91 |
FP 500 µg BID | 0.64 |
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Change From Period Baseline in Clinic Visit Trough FEV1 at the End of Each 28-day Treatment Period
Trough FEV1 is defined as the mean of the 23- and 24-hour post-dose assessments. For each treatment period, period Baseline is defined as the mean of the -30 and -5 minute measurements taken on Period Day 1. Mean Baseline FEV1 for a given participant is defined as the mean of all available period Baseline FEV1 values. Data are presented as the mean of change from Baseline for all three treatment periods. Change from Baseline was calculated as the value at Period Day 29 minus the value at Baseline. Analysis was performed using a mixed effects model with covariates of period treatment group, period Baseline, mean Baseline, and period as fixed effects and participant as a random effect. (NCT01072149)
Timeframe: From Baseline to the end of each 28-day treatment period (up to 19 weeks)
Intervention | Liters (Least Squares Mean) |
---|
Placebo | -0.024 |
FF/VI 50/25 µg | 0.186 |
FF/VI 100/25 µg | 0.153 |
FF/VI 200/25 µg | 0.165 |
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Time-adjusted Area Under the Curve (AUC) (i.e., Weighted Mean) for 24-hour Serial Forced Expiratory Volume in One Second (FEV1) at the End of Each 28-day Treatment Period
FEV1 is defined as the amount of air that can be forcibly exhaled from the lungs in the first second of a forced exhalation. The weighted mean was calculated from pre-dose FEV1 (calculated as the mean of the -30 and -5 minute measurements) and post-dose FEV1 after 5, 15, 30, and 60 minutes and after 2, 4, 6, 8, 12, 16, 20, 22, 23, and 24 hours. Data are provided as the Least Squares Mean of the weighted mean for all three treatment periods. Analysis was performed using a mixed effects model with covariates of period treatment group, period Baseline, mean Baseline (defined as the mean of all available period Baseline FEV1 values), and period as fixed effects and participant as a random effect. (NCT01072149)
Timeframe: Pre-dose and the end of each 28-day treatment period (up to 19 weeks)
Intervention | Liters (Least Squares Mean) |
---|
Placebo | 1.297 |
FF/VI 50/25 µg | 1.530 |
FF/VI 100/25 µg | 1.517 |
FF/VI 200/25 µg | 1.533 |
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Change From Period Baseline in 25-hour Serial FEV1 at the End of Each 28 Day-treatment Period
Change from period Baseline in 0-25 hour serial FEV1 (0 to 25 hours) over Period Days 28-29 was measured. Mean Baseline FEV1 for a given participant is defined as the mean of all available period Baseline FEV1 values. Data are presented as the mean of change from Baseline for all three treatment periods. Analysis was performed using a mixed effects repeated measures model with covariates of period treatment group, period Baseline, mean Baseline, period and time after dosing (nominal), in addition to time after dosing by period Baseline, time after dosing by mean Baseline, and time after dosing by period treatment interaction terms as fixed effects and participant as a random effect. (NCT01072149)
Timeframe: Baseline; pre-dose; 5 minutes, 15 minutes, 30 minutes, 60 minutes, and 2, 4, 6, 8, 12, 16, 20, 22, 23, 24, and 25 hours post-dose on Day 28 and Day 29 of each 28-day treatment period (up to 19 weeks)
Intervention | Liters (Least Squares Mean) |
---|
| Mean pre-dose, n=49, 32, 31, 31 | 5 minutes, n=48, 32, 31, 31 | 15 minutes, n=46, 32, 31, 31 | 30 minutes, n=49, 32, 30, 31 | 60 minutes, n=49, 32, 30, 31 | 2 hours, n=49, 32, 30, 31 | 4 hours, n=49, 32, 30, 31 | 6 hours, n=49, 32, 30, 31 | 8 hours, n=49, 32, 30, 31 | 12 hours, n=48, 32, 30, 31 | 16 hours, n=48, 32, 29, 31 | 20 hours, n=48, 32, 30, 30 | 22 hours, n=48, 32, 30, 30 | 23 hours, n=48, 32, 30, 30 | 24 hours, n=48, 32, 30, 30 | 25 hours, n=48, 32, 30, 29 |
---|
FF/VI 100/25 µg | 0.150 | 0.186 | 0.201 | 0.200 | 0.215 | 0.280 | 0.229 | 0.221 | 0.182 | 0.145 | 0.093 | 0.071 | 0.124 | 0.137 | 0.165 | 0.166 |
,FF/VI 200/25 µg | 0.166 | 0.217 | 0.215 | 0.240 | 0.259 | 0.279 | 0.264 | 0.246 | 0.187 | 0.176 | 0.067 | 0.046 | 0.155 | 0.157 | 0.165 | 0.192 |
,FF/VI 50/25 µg | 0.193 | 0.208 | 0.230 | 0.255 | 0.279 | 0.282 | 0.240 | 0.202 | 0.187 | 0.200 | 0.129 | 0.073 | 0.116 | 0.168 | 0.168 | 0.170 |
,Placebo | -0.017 | -0.002 | 0.009 | 0.006 | -0.002 | -0.003 | -0.037 | -0.029 | -0.063 | -0.058 | -0.105 | -0.127 | -0.042 | -0.042 | -0.015 | 0.018 |
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Change From Baseline in Evening Pre-dose Trough FEV1 at Week 36
Evening pre-dose trough (lowest value) forced expiratory volume in one second (FEV1) was measured using spirometry equipment that met or exceeded the minimal performance recommendations of the American Thoracic Society. FEV1 is a measure of the maximum amount of air forcefully exhaled in one second. Change from Baseline in evening pre-dose FEV1 was analyzed using an Analysis of Covariance (ANCOVA) model with effects due to Baseline FEV1, sex, age, region, and treatment. Change from Baseline was calculated as the Week 36 value minus the Baseline value. (NCT01086384)
Timeframe: Baseline and Week 36
Intervention | Liters (Least Squares Mean) |
---|
FF 100 µg | 0.265 |
FF/VI 100/25 µg | 0.348 |
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Number of Severe Asthma Exacerbations
A severe asthma exacerbation is defined as a deterioration of asthma requiring the use of systemic corticosteroids (tablets, suspension, or injection) for at least 3 days or an in-patient hospitalization or emergency department visit due to asthma that required systemic corticosteroids. A participant may have had one or more exacerbations. (NCT01086384)
Timeframe: Baseline to Follow-up (up to 76 weeks of treatment)
Intervention | Severe asthma exacerbations (Number) |
---|
FF 100 µg | 271 |
FF/VI 100/25 µg | 200 |
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Number of Participants With 1 or More Severe Asthma Exacerbations
Asthma is a medical condition that causes narrowing of the small airways in the lungs. A severe asthma exacerbation is defined as a deterioration of asthma requiring the use of systemic corticosteroids (tablets, suspension, or injection) for at least 3 days or an in-patient hospitalization or emergency department visit due to asthma that required systemic corticosteroids. Only events deemed by the adjudication committee to be severe asthma exacerbations were used in the analysis of severe asthma exacerbations. The time to the first severe asthma exacerbation was analyzed using a Cox proportional hazards regression model, adjusting for Baseline disease severity (Baseline forced expiratory volume in one second [FEV1, maximum amount of air forcefully exhaled in one second]), sex, age, and region. (NCT01086384)
Timeframe: Baseline to Follow-up (up to 76 weeks of treatment)
Intervention | participants (Number) |
---|
FF 100 µg | 186 |
FF/VI 100/25 µg | 154 |
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Tmax and Tlast of FF at Day 42
tmax is defined as the time to reach the observed maximum concentration, and tlast is defined as the time of the last observed quantifiable concentration on Day 42. Samples were collected at the following times: 0 (immediately pre-dose inhaled study drug); post-dose at 5 minutes (min), 15 min, 30 min, and 1hour (hr), 2 hr, 4 hr, 9 hr, 12 hr, 16 hr, 20 hr, and 24 hr post-dose on Day 42. (NCT01086410)
Timeframe: Day 42
Intervention | hours (Median) |
---|
| tmax | tlast |
---|
FF/VI 100/25 µg PM | 0.500 | 9.000 |
,FF/VI 200/25 µg PM | 0.500 | 20.042 |
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Number of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE) During the Treatment Period
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. Medical or scientific judgment should be exercised in deciding whether reporting is appropriate in other situations. Refer to the General Adverse AE/SAE module for a complete list of AEs and SAEs. (NCT01086410)
Timeframe: From the start of study medication until Day 42 (Visit 5)/Early Withdrawal
Intervention | Participants (Number) |
---|
| Any AE | Any SAE |
---|
FF/VI 100/25 µg PM | 23 | 0 |
,FF/VI 200/25 µg PM | 21 | 0 |
,Placebo | 16 | 0 |
,Prednisolone 10 mg AM | 5 | 0 |
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Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Days 14, 28, 42, and Maximum Post-Baseline
SBP and DBP were measured at Baseline and at Days 14, 28, 42, and EW. Change from Baseline was calculated as the Day 42/EW value minus the Baseline value. Scheduled, unscheduled, and early withdrawal visits were used for the maximum post-Baseline assessment. (NCT01086410)
Timeframe: Days 14, 28, 42, and EW
Intervention | Millimeters of mercury (mmHg) (Mean) |
---|
| SBP, Day 14, n=58, 55, 56, 14 | SBP, Day 28, n=57, 55, 56, 14 | SBP, Day 42, n=55, 54, 56, 13 | SBP, maximum post-Baseline, n=58, 56, 56, 15 | DBP, Day 14, n=58, 55, 56, 14 | DBP, Day 28, n=57, 55, 56, 14 | DBP, Day 42, n=55, 54, 56, 13 | DBP, maximum post-Baseline, n=58, 56, 56, 15 |
---|
FF/VI 100/25 µg PM | -1.9 | -0.7 | -0.4 | 5.0 | -1.1 | -0.6 | -1.2 | -5.2 |
,FF/VI 200/25 µg PM | -1.3 | -2.3 | -1.8 | 3.9 | -0.6 | 0.1 | 0.3 | -5.4 |
,Placebo | -0.5 | -0.9 | 2.3 | 6.2 | 0.0 | 1.8 | 1.2 | -3.3 |
,Prednisolone 10 mg AM | -1.0 | -3.9 | 1.5 | 4.9 | 0.1 | -0.4 | 1.2 | -4.9 |
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Change From Baseline in Pulse Rate at Days 14, 28, 42, and Maximum Post-Baseline
Heart rate was measured at Baseline and at Days 14, 28, 42, and EW. Change from Baseline was calculated as the Day 42/EW value minus the Baseline value. Scheduled, unscheduled, and early withdrawal visits were used for the maximum post-Baseline assessment. (NCT01086410)
Timeframe: Days 14, 28, 42, and EW
Intervention | Beats per minute (Mean) |
---|
| Day 14, n=58, 55, 56, 14 | Day 28, n=57, 55, 56, 14 | Day 42, n=55, 54, 56, 13 | Maximum post-Baseline, n=58, 56, 56, 15 |
---|
FF/VI 100/25 µg PM | 1.7 | -0.9 | -0.9 | 6.0 |
,FF/VI 200/25 µg PM | 0.0 | -1.9 | 0.9 | 5.5 |
,Placebo | 1.5 | 2.9 | -0.1 | 8.0 |
,Prednisolone 10 mg AM | -1.8 | -2.7 | -2.3 | 2.9 |
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Change From Baseline in Hemoglobin Values at Day 42/EW
Blood samples were collected for the measurement of hemoglobin at Baseline and Day 42/EW. For all laboratory assessments, Baseline is the most recent recorded value at Screening or prior to Day -1/1. Change from Baseline was calculated as the Day 42/EW value minus the Baseline value. (NCT01086410)
Timeframe: Baseline and Day 42/EW
Intervention | Grams per liter (g/L) (Mean) |
---|
| Day 42, n=50, 48, 53, 11 | EW, n=2, 2, 0, 0 |
---|
FF/VI 100/25 µg PM | -6.2 | -3.0 |
,FF/VI 200/25 µg PM | -5.7 | NA |
,Placebo | -5.8 | -10.5 |
,Prednisolone 10 mg AM | -3.5 | NA |
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Change From Baseline in Hematocrit Values at Day 42/EW
Blood samples were collected for the measurement of hematocrit at Baseline and Day 42/EW. For all laboratory assessments, Baseline is the most recent recorded value at Screening or prior to Day -1/1. Change from Baseline was calculated as the Day 42/EW value minus the Baseline value. (NCT01086410)
Timeframe: Baseline and Day 42/EW
Intervention | Proportion of 1 (Mean) |
---|
| Day 42, n=50, 48, 53, 11 | EW, n=2, 2, 0, 0 |
---|
FF/VI 100/25 µg PM | -0.0120 | -0.0050 |
,FF/VI 200/25 µg PM | -0.0114 | NA |
,Placebo | -0.0123 | -0.0175 |
,Prednisolone 10 mg AM | -0.0072 | NA |
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Change From Baseline in Direct Bilirubin, Indirect Bilirubin, Total Bilirubin, and Creatinine Values at Day 42/EW
Blood samples were collected for the measurement of direct bilirubin, indirect bilirubin, total bilirubin, and creatinine at Baseline and Day 42/EW. For all laboratory assessments, Baseline is the most recent recorded value at Screening or prior to Day -1/1. Change from Baseline was calculated as the Day 42/EW value minus the Baseline value. (NCT01086410)
Timeframe: Baseline and Day 42/EW
Intervention | Micromoles per liter (µmol/L) (Mean) |
---|
| Direct Bilirubin, Day 42, n=55, 51, 55, 12 | Direct Bilirubin, EW, n=2, 2, 0, 0 | Indirect Bilirubin, Day 42, n=55, 51, 55, 12 | Indirect Bilirubin, EW, n=2, 2, 0, 0 | Total Bilirubin, Day 42, n=55, 51, 55, 12 | Total Bilirubin, EW, n=2, 2, 0, 0 | Creatinine, Day 42, n=55, 51, 55, 12 | Creatinine, EW, n=2, 2, 0, 0 |
---|
FF/VI 100/25 µg PM | -0.6 | 0.0 | -2.5 | -2.0 | -3.2 | -2.0 | 0.35 | 0.95 |
,FF/VI 200/25 µg PM | -0.5 | NA | -1.4 | NA | -1.8 | NA | 0.04 | NA |
,Placebo | -0.6 | -1.0 | -2.0 | -1.5 | -2.5 | -2.5 | -0.41 | 0.00 |
,Prednisolone 10 mg AM | 0.3 | NA | -1.0 | NA | -0.8 | NA | 4.61 | NA |
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AUC(0-t) for VI on Day 42
Area under the concentration-time (AUC[0-t]) curve from time zero (pre-dose) to the last time of quantifiable VI concentration on Day 42 was measured. Samples were collected at the following times: 0 (immediately pre-dose inhaled study drug); post-dose at 5 minutes (min), 15 min, 30 min, and 1 hour (hr), 2 hr, 4 hr, 9 hr, 12 hr, 16 hr, 20 hr, and 24 hr post-dose on Day 42. (NCT01086410)
Timeframe: Day 42
Intervention | picograms*hour per milliliter (pg*hr/mL) (Mean) |
---|
FF/VI 100/25 µg PM | 41.177 |
FF/VI 200/25 µg PM | 66.937 |
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Cmax for FF on Day 42
Cmax is defined as the maximum observed concentration on Day 42. Samples were collected at the following times: 0 (immediately pre-dose inhaled study drug); post-dose at 5 minutes (min), 15 min, 30 min, and 1 hour (hr), 2 hr, 4 hr, 9 hr, 12 hr, 16 hr, 20 hr, and 24 hr post-dose on Day 42. (NCT01086410)
Timeframe: Day 42
Intervention | picograms per milliliter (pg/mL) (Geometric Mean) |
---|
FF/VI 100/25 µg PM | 19.388 |
FF/VI 200/25 µg PM | 33.017 |
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Cmax for VI on Day 42
Cmax is defined as the maximum observed concentration on Day 42. Samples were collected at the following times: 0 (immediately pre-dose inhaled study drug); post-dose at 5 minutes (min), 15 min, 30 min, and 1 hour (hr), 2 hr, 4 hr, 9 hr, 12 hr, 16 hr, 20 hr, and 24 hr post-dose on Day 42. (NCT01086410)
Timeframe: Day 42
Intervention | picograms per milliliter (pg/mL) (Mean) |
---|
FF/VI 100/25 µg PM | 101.227 |
FF/VI 200/25 µg PM | 118.531 |
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Ratio From Baseline of 0-24 Hour Urinary Free Cortisol Excretion on Day -1/1 (Baseline) and Day 42
A 24-hour urine sample was collected for the measurement of 24-hour urinary cortisol excretion at Day -1/1 (Baseline) and Day 42. Only those participants available at the specified time points were analyzed. Because values are on a logged scale, the ratio of the endpoint to Baseline is presented, as it is a measure of the difference from Baseline. (NCT01086410)
Timeframe: Day -1/1 (Baseline) and Day 42
Intervention | ratio from Baseline (Geometric Mean) |
---|
Placebo | 0.87 |
FF/VI 100/25 µg PM | 1.03 |
FF/VI 200/25 µg PM | 0.92 |
Prednisolone 10 mg AM | 0.40 |
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Ratio From Baseline of Serum Cortisol Trough (0-24 Hours) at Day -1/1 (Baseline) and Day 42
Serum cortisol trough is defined as the minimum value of serum cortisol measured over the 24-hour period. Samples were collected at the following times: 0 (immediately pre-dose inhaled study drug); post-dose at 5 minutes (min), 15 min, 30 min, and 1 hour (hr), 2 hr, 4 hr, 9 hr, 12 hr, 16 hr, 20 hr, and 24 hr. Because values are on a logged scale, the ratio of the endpoint to Baseline is presented, as it is a measure of the difference from Baseline. (NCT01086410)
Timeframe: Day -1/1 (Baseline) and Day 42
Intervention | ratio from Baseline (Geometric Mean) |
---|
Placebo | 1.04 |
FF/VI 100/25 µg PM | 0.84 |
FF/VI 200/25 µg PM | 0.73 |
Prednisolone 10 mg AM | 0.28 |
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Change From Baseline in Eosinophil, Total Neutrophil, Platelet, and White Blood Cell (WBC) Count Values at Day 42/EW
Blood samples were collected for the measurement of eosinophils, total neutrophils, platelets, and WBC count at Baseline and Day 42/EW. For all laboratory assessments, Baseline is the most recent recorded value at Screening or prior to Day -1/1. Change from Baseline was calculated as the Day 42/EW value minus the Baseline value. (NCT01086410)
Timeframe: Baseline and Day 42/EW
Intervention | 10^9 cells per liter (GI/L) (Mean) |
---|
| Eosinophils, Day 42, n=50, 47, 53, 11 | Eosinophils, EW, n=2, 2, 0, 0 | Total Neutrophils, Day 42, n=50, 47, 53, 11 | Total Neutrophils, EW, n=2, 2, 0, 0 | Platelets, Day 42, n=50, 48, 51, 11 | Platelets, EW, n=1, 2, 0, 0 | WBC Day 42, n=50, 47, 53, 11 | WBC EW, n=2, 2 |
---|
FF/VI 100/25 µg PM | 0.044 | -0.060 | 0.289 | -1.165 | -8.2 | -39.5 | 0.71 | -1.65 |
,FF/VI 200/25 µg PM | -0.022 | NA | 0.704 | NA | -3.9 | NA | 0.96 | NA |
,Placebo | 0.066 | 0.015 | 0.017 | -0.420 | -11.1 | -2.0 | 0.22 | -0.25 |
,Prednisolone 10 mg AM | -0.036 | NA | 1.435 | NA | 16.1 | NA | 1.69 | NA |
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Tmax and Tlast of VI at Day 42
tmax is defined as the time to reach the observed maximum concentration, and tlast is defined as the time of the last observed quantifiable VI concentration on Day 42. Samples were collected at the following times: 0 (immediately pre-dose inhaled study drug); post-dose at 5 minutes (min), 15 min, 30 min, and 1hour (hr), 2 hr, 4 hr, 9 hr, 12 hr, 16 hr, 20 hr, and 24 hr post-dose on Day 42. (NCT01086410)
Timeframe: Day 42
Intervention | hours (Median) |
---|
| tmax | tlast |
---|
FF/VI 100/25 µg PM | 0.083 | 0.500 |
,FF/VI 200/25 µg PM | 0.083 | 0.950 |
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Plasma FF and VI Pharmacokinetic (PK) Concentration
Plasma FF and VI Pharmacokinetic (PK) Concentration were estimates at the following time points:0 (immediately pre-dose inhaled study drug), and post-dose at 5 min, 15 min, 30 min, and 1 hr, 2 hr, 4 hr, 9 hr, 12 hr, 16 hr, 20 hr, 24 hr on Day 42. Only those participants available at the specified time points were analyzed (represented by n=X, X, X, X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the Pharmacokinetic Population. (NCT01086410)
Timeframe: Day 42
Intervention | picograms per milliliter (pg/mL) (Mean) |
---|
| FF, 0 hour, n=53, 54 | FF, 5 minutes post-dose, n=51, 54 | FF, 15 minutes post-dose, n=50, 54 | FF, 30 minutes post-dose, n=52, 52 | FF, 1 hour post-dose, n=54, 54 | FF, 2 hours post-dose, n=51, 53 | FF, 4 hours post-dose, n=54, 53 | FF, 9 hours post-dose, n=48, 52 | FF, 12 hours post-dose, n=51, 55 | FF, 16 hours post-dose, n=49, 52 | FF, 20 hours post-dose, n=51, 51 | FF, 24 hours post-dose, n=48, 53 | VI, 0 hours, n=52, 54 | VI, 5 minutes post-dose, n=50, 54 | VI, 15 minutes post-dose, n=48, 55 | VI, 30 minutes post-dose, n=51, 55 | VI, 1 hour post-dose, n=52, 53 | VI, 2 hours post-dose, n=52, 55 | VI, 4 hours post-dose, n=52, 54 | VI, 9 hours post-dose, n=52, 55 | VI, 12 hours post-dose, n=52, 55 | VI, 16 hours post-dose, n=51, 52 | VI, 20 hours post-dose, n=50, 54 | VI, 24 hours post-dose, n=52, 55 |
---|
FF/VI 100/25 µg PM | 3.57 | 16.65 | 16.35 | 17.12 | 16.91 | 15.00 | 9.78 | 6.20 | 4.62 | 2.55 | 1.74 | 1.55 | 2.57 | 85.22 | 62.94 | 33.38 | 14.63 | 7.09 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 1.19 |
,FF/VI 200/25 µg PM | 10.02 | 25.55 | 28.84 | 30.68 | 30.07 | 30.20 | 21.79 | 15.99 | 13.37 | 11.73 | 9.28 | 7.58 | 7.95 | 90.54 | 72.53 | 36.88 | 20.07 | 6.06 | 0.45 | 0.47 | 1.21 | 4.76 | 0.00 | 0.00 |
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Change From Baseline in Albumin and Total Protein Values at Day 42/EW
Blood samples were collected for the measurement of albumin and total protein at Baseline and Day 42/EW. For all laboratory assessments, Baseline is the most recent recorded value at Screening or prior to Day -1/1. Change from Baseline was calculated as the Day 42/EW value minus the Baseline value. (NCT01086410)
Timeframe: Baseline and Day 42/EW
Intervention | Grams per liter (Mean) |
---|
| Albumin, Day 42, n=55, 51, 55, 12 | Albumin, EW, n=2, 2, 0, 0 | Total Protein, Day 42, n=55, 51, 55, 12 | Total Protein, EW, n=2, 2, 0, 0 |
---|
FF/VI 100/25 µg PM | -1.5 | 0.5 | -1.9 | 0.0 |
,FF/VI 200/25 µg PM | -1.3 | NA | -1.8 | NA |
,Placebo | -2.7 | -1.5 | -4.1 | -0.5 |
,Prednisolone 10 mg AM | -0.3 | NA | -0.8 | NA |
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Change From Baseline in Basophil, Eosinophil, Lymphocyte, Monocyte, and Segmented Neutrophil Values at Day 42/Early Withdrawal (EW)
Blood samples were collected for the measurement of basophils, eosinophils, lymphocytes, monocytes, and segmented neutrophils at Baseline and Day 42/EW. For all laboratory assessments, Baseline is the most recent recorded value at Screening or prior to Day -1/1. Change from Baseline was calculated as the Day 42/EW value minus the Baseline value. (NCT01086410)
Timeframe: Baseline and Day 42/Early Withdrawal (EW)
Intervention | Percentage (Mean) |
---|
| Basophils, Day 42, n=50, 47, 53, 11 | Basophils, EW, n=2, 2, 0, 0 | Eosinophils, Day 42, n=50, 47, 53, 11 | Eosinophils, EW, n=2, 2, 0, 0 | Lymphocytes, Day 42, n=50, 47, 53, 11 | Lymphocytes, EW, n=2, 2, 0, 0 | Monocytes, Day 42, n=50, 47, 53, 11 | Monocytes, EW, n=2, 2, 0, 0 | Segmented Neutrophils, Day 42, n=50, 47, 53, 11 | Segmented Neutrophils, EW, n=2, 2, 0, 0 |
---|
FF/VI 100/25 µg PM | 0.04 | 0.10 | 0.27 | -0.55 | 1.54 | 2.00 | -0.03 | -0.70 | -1.85 | -0.85 |
,FF/VI 200/25 µg PM | -0.05 | NA | -0.99 | NA | -1.32 | NA | 0.07 | NA | 2.30 | NA |
,Placebo | 0.05 | -0.10 | 0.57 | 0.50 | 1.09 | 2.90 | -0.51 | -1.00 | -1.16 | -2.30 |
,Prednisolone 10 mg AM | -0.08 | NA | -1.11 | NA | -2.48 | NA | -0.70 | NA | 4.37 | NA |
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Change From Baseline in Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 42/EW
Blood samples were collected for the measurement of chloride, carbon dioxide (CO2) content/bicarbonate, glucose, potassium, sodium, and urea/blood urea nitrogen (BUN) at Baseline and Day 42/EW. For all laboratory assessments, Baseline is the most recent recorded value at Screening or prior to Day -1/1. Change from Baseline was calculated as the Day 42/EW value minus the Baseline value. (NCT01086410)
Timeframe: Baseline and Day 42/EW
Intervention | Millimoles per liter (mmol/L) (Mean) |
---|
| Chloride, Day 42, n=55, 51, 55, 12 | Chloride, EW, n=2, 2, 0, 0 | CO2 content/bicarbonate, Day 42, n=54, 50, 51, 12 | CO2 content/bicarbonate, EW, n=2, 2, 0, 0 | Glucose, Day 42, n=55, 51, 55, 12 | Glucose, EW, n=2, 2, 0, 0 | Potassium, Day 42, n=54, 50, 51, 12 | Potassium, EW, n=2, 2, 0, 0 | Sodium, Day 42, n=55, 51, 55, 12 | Sodium, EW, n=2, 2, 0, 0 | Urea/BUN, Day 42, n=55, 51, 55, 12 | Urea/BUN, EW, n=2, 2, 0, 0 |
---|
FF/VI 100/25 µg PM | 0.9 | -0.5 | -2.0 | 0.0 | 0.23 | 0.40 | -0.11 | -0.65 | -0.1 | -3.5 | 0.48 | -0.85 |
,FF/VI 200/25 µg PM | 0.7 | NA | -1.5 | NA | -0.03 | NA | -0.16 | NA | -0.1 | NA | -0.00 | NA |
,Placebo | 1.2 | 2.0 | -1.0 | -3.5 | 0.11 | 1.00 | -0.10 | -0.20 | 0.0 | 1.5 | -0.14 | 1.30 |
,Prednisolone 10 mg AM | -1.0 | NA | -0.1 | NA | 0.40 | NA | 0.03 | NA | -0.2 | NA | 0.94 | NA |
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Ratio From Baseline of the Serum Cortisol Area Under the Concentration-time Curve (AUC) (0-24 Hour) on Day -1/1 (Baseline) and Day 42
Area under the plasma drug concentration-time (AUC[0-24 hour]) curve from time zero (pre-dose) to the last time of quantifiable serum cortisol concentration at 24 hours post-dose on Day -1/1 (Baseline) and Day 42 was measured. AUC reflects the actual body exposure to drug over a specified period of time after administration of a dose. Samples were collected at the following times: 0 (immediately pre-dose inhaled study drug); post-dose at 5 minutes (min), 15 min, 30 min, and 1 hour (hr), 2 hr, 4 hr, 9 hr, 12 hr, 16 hr, 20 hr, and 24 hr. Because values are on a logged scale, the ratio of the endpoint to Baseline is presented, as it is a measure of the difference from Baseline. (NCT01086410)
Timeframe: Day -1/1 (Baseline) and Day 42
Intervention | ratio from Baseline (Geometric Mean) |
---|
Placebo | 0.99 |
FF/VI 100/25 µg PM | 0.99 |
FF/VI 200/25 µg PM | 0.97 |
Prednisolone 10 mg AM | 0.32 |
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Ratio From Baseline of the Serum Cortisol Weighted Mean (0-24 Hours) on Day -1/1 (Baseline) and Day 42
"Serum cortisol weighted mean was determined for each participant over the time period 0-12 hours on Day -1/1 (Baseline) and Day 42. Serum cortisol weighted mean was derived by dividing the area under the concentration-time curve (AUC; defined as thearea under the concentration-time curve from time zero up to 24 hours) by the sample collection time interval. The sample collection time interval is defined as the difference between the time of the last cortisol sample and the time of the first cortisol sample. Samples were collected at the following time points: 0 (first blood draw/pre-dose); 2, 4, 9, 12, 14, 16, 20, 22, and 24 hours (relative to the 0 time point). Because values are on a logged scale, the ratio of the endpoint to Baseline is presented, as it is a measure of the difference from Baseline." (NCT01086410)
Timeframe: Day -1/1 (Baseline) and Day 42
Intervention | ratio from Baseline (Geometric Mean) |
---|
Placebo | 0.99 |
FF/VI 100/25 µg PM | 0.99 |
FF/VI 200/25 µg PM | 0.96 |
Prednisolone 10 mg AM | 0.32 |
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AUC(0-t) and AUC(0-24) for FF on Day 42
Area under the plasma drug concentration-time (AUC[0-t]) curve from time zero (pre-dose) to the last time of quantifiable FF concentration and AUC(0-24) is the concentration time curve from zero (pre-dose) to 24 hours of quantifiable FF concentration on Day 42 was measured. AUC reflects the actual body exposure to drug over a specified period of time after administration of a dose. Samples were collected at the following times: 0 (immediately pre-dose inhaled study drug); post-dose at 5 minutes (min), 15 min, 30 min, and 1 hour (hr), 2 hr, 4 hr, 9 hr, 12 hr, 16 hr, 20 hr, and 24 hr post-dose on Day 42. (NCT01086410)
Timeframe: Day 42
Intervention | picograms*hour per milliliter (pg*hr/mL) (Geometric Mean) |
---|
| AUC(0-t), n=54, 55 | AUC(0-24), n=49, 53 |
---|
FF/VI 100/25 µg PM | 58.842 | NA |
,FF/VI 200/25 µg PM | 221.694 | 324.015 |
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Change From Baseline in Alanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), Creatine Kinase (CK), and Gamma Glutamyl Transferase (GGT) Values at Day 42/EW
Blood samples were collected for the measurement of ALT, ALP, AST, CK, and GGT at Baseline and Day 42/EW. For all laboratory assessments, Baseline is the most recent recorded value at Screening or prior to Day -1/1. Change from Baseline was calculated as the Day 42/EW value minus the Baseline value. (NCT01086410)
Timeframe: Baseline and Day 42/EW
Intervention | International units per liter (IU/L) (Mean) |
---|
| ALT, Day 42, n=55, 51, 55, 12 | ALT, EW, n=2, 2, 0, 0 | ALP, Day 42, n=55, 51, 55, 12 | ALP, EW, n=2, 2, 0, 0 | AST, Day 42, n=54, 50, 51, 12 | AST, EW, n=2, 2, 0, 0 | CK, Day 42, n=55, 51, 55, 12 | CK, EW, n=2, 2, 0, 0 | GGT, Day 42, n=55, 51, 55, 12 | GGT, EW, n=2, 2, 0, 0 |
---|
FF/VI 100/25 µg PM | -2.0 | 0.5 | -2.1 | -1.0 | -1.4 | 0.0 | -18.5 | 33.0 | -2.5 | -0.5 |
,FF/VI 200/25 µg PM | -2.2 | NA | -2.6 | NA | -0.6 | NA | 5.5 | NA | 2.2 | NA |
,Placebo | -1.3 | -5.0 | -6.8 | 1.5 | -0.1 | 0.5 | -42.3 | 15.0 | -3.3 | -2.5 |
,Prednisolone 10 mg AM | 0.8 | NA | -4.9 | NA | -1.8 | NA | -17.3 | NA | 3.1 | NA |
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Asthma Control Questionnaire (ACQ) Mean Score Change From Baseline After Six Weeks of Treatment
"Asthma Control Questionnaire (ACQ) mean score change from baseline (mean ACQ score obtained at Week 0) after six weeks of treatment.~The Asthma Control Questionnaire (ACQ) is a patient-reported outcome questionnaire containing 7 items. The items are equally weighted and the ACQ score is the mean of the 7 items and therefore between 0 (well controlled) and 6 (extremely poorly controlled) These questions based on recall of the previous 7 days comprise breathlessness, nocturnal waking, symptoms on waking, activity limitation, wheeze, frequency of short-acting beta-adrenergic (SABA) use, and categorized pre-bronchodilator FEV1% predicted." (NCT01092143)
Timeframe: Measurements at baseline (mean ACQ score obtained at Week 0) and at week 6 of treatment.
Intervention | Score on a scale (Mean) |
---|
Placebo | -0.616 |
BI 671800 50 mg Bid | -0.543 |
BI 671800 200 mg Bid | -0.696 |
BI 671800 400 mg Bid | -0.677 |
Fluticasone 220 mcg Bid | -0.949 |
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Forced Expiratory Volume in One Second (FEV1) % Predicted Trough Change From Baseline (Mean Observed in the 2 Weeks Prior to Treatment) After Six Weeks of Treatment
"Forced expiratory volume in one second (FEV1) % predicted trough change from baseline (mean observed in the 2 weeks prior to treatment) after 6 weeks of treatment, where trough FEV1 % predicted was defined as the mean of the FEV1 % predicted trough values at 25 minutes and 10 minutes prior to dosing on clinic visit.~MMRM in the statistical test comments is mixed effects model with repeated measures." (NCT01092143)
Timeframe: Measurements at baseline (mean observed in the 2 weeks prior to treatment) and at week 6 of treatment.
Intervention | FEV1 percent predicted (Mean) |
---|
Placebo | -2.010 |
BI 671800 50 mg Bid | 1.073 |
BI 671800 200 mg Bid | 1.580 |
BI 671800 400 mg Bid | 1.967 |
Fluticasone 220 mcg Bid | 6.610 |
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Change From Baseline in Daytime Nasal Symptom Score (DNSS) Over 2 Week Randomized Treatment Period
Patients recorded the severity of sneezing, runny nose, stuffy nose, and other symptoms (e.g. itchy nose/throat) twice a day on a scale from 0 to 3 (0 = no symptoms, 1 = mild, 2 = moderate, and 3 = severe). The DNSS was calculated as the sum of all scores for morning with a range of 0 to 12. The change from baseline for each day of treatment was then calculated for each subject. So that each subject only had one observation, the average of these changes was calculated for each subject, and this summary measure was used in the analysis comparing the two treatment groups. We report the median and full range of these average changes for each group. A negative value indicates an improvement in daytime symptoms. (NCT01103934)
Timeframe: Baseline and 2 weeks
Intervention | units on a scale (Median) |
---|
Fluticasone Propionate Plus Vitamin D3 | -6.9 |
Fluticasone Propionate Plus Placebo | -3.7 |
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Change From Baseline in Total Nasal Symptom Score (TNSS) Over 2 Week Randomized Treatment Period
Patients recorded the severity of sneezing, runny nose, stuffy nose, and other symptoms (e.g. itchy nose/throat) twice a day on a scale from 0 to 3 (0 = no symptoms, 1 = mild, 2 = moderate, and 3 = severe). The TNSS was calculated as the sum of all scores for morning and evening recordings with a range of 0 to 24. The change from baseline for each day of treatment was then calculated for each subject. So that each subject only had one observation, the average of these changes was calculated for each subject, and this summary measure was used in the analysis comparing the two treatment groups. We report the median and full range of these average changes for each group. A negative value indicates an improvement in symptoms. (NCT01103934)
Timeframe: Baseline and 2 weeks
Intervention | units on a scale (Median) |
---|
Fluticasone Propionate Plus Vitamin D3 | -11.3 |
Fluticasone Propionate Plus Placebo | -7.6 |
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Mean Change in Tidal Volume (VT) at Isotime During the Course of the ESWT From Baseline to Week 8
VT is defined as the lung volume representing the normal volume of air displaced between normal inspiration and expiration when extra effort is not applied. The normal value is approximately 500 mL or 7 mL/kg body weight. The VT of the participants at isotime was measured during the ESWT using the OMS. Change from Baseline in VT at isotime was calculated as the value at Week 8 minus the value at Baseline. (NCT01124422)
Timeframe: Baseline (Week 3) and Week 8
Intervention | L (Mean) |
---|
TIO+Placebo | -0.10 |
TIO+FSC | 0.08 |
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Mean Change in Tidal Volume (VT) Per Time Slope During the Course of the ESWT From Baseline to Week 8
VT is the lung volume representing the normal volume of air displaced between normal inspiration and expiration when extra effort is not applied (normal value is approximately 500 mL or 7 mL/kg body weight). VT was measured during the ESWT using the OMS, consisting of volume transducer O2 and CO2 sensors and allowing breath-by-breath measurement of pulmonary gas exchange parameters. The participant's VT per time slope was calculated by fitting a linear regression line (RL) to their VT during the ESWT. VT per time slope results were compared between treatment groups as means of these RLs. (NCT01124422)
Timeframe: Baseline (Week 3) and Week 8
Intervention | L/min (Mean) |
---|
TIO+Placebo | -0.02 |
TIO+FSC | 0 |
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Mean Change in Pre-dose and Post-dose Resting Inspiratory Capacity (IC) From Baseline (Week 4) to Week 8
Resting IC is the volume of gas that can be taken into the lungs in a full inhalation at the resting position. The resting IC was measured before and after dosing. Change from Baseline in pre-dose resting IC was calculated as the pre-dose value at Week 8 minus the pre-dose value at Week 4. Change from Baseline in post-dose resting IC was calculated as the post-dose value at Week 8 minus the pre-dose value at Week 4. (NCT01124422)
Timeframe: Baseline (Week 4) and Week 8
Intervention | Milliliters (mL) (Mean) |
---|
| Pre-dose | Post-dose |
---|
TIO+FSC | 60 | 167 |
,TIO+Placebo | -29 | 73 |
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Mean Change in Scores on the Chronic Respiratory Disease Questionnaire Self-Administered Standardized (CRQ-SAS) Questionnaire From Week 4 to Week 8
The CRQ-SAS, a self-administered tool used to assess health-related quality-of-life (HRQOL), consists of 20 questions (q.) in 4 domains: Dyspnea (5 q.), Fatigue (4 q.), Emotional Function (7 q.), and Mastery (4 q.). Participants rated their experience on a 7-point scale in response to each q.: 1 (maximum impairment) to 7 (no impairment); higher scores indicate better HRQOL. Individual q. were equally weighted, and domain scores (range=1-7) were calculated as the mean across the non-missing items within each domain (domain scores were calculated although an individual item score was missing). (NCT01124422)
Timeframe: Week 4 and Week 8
Intervention | Scores on a scale (Mean) |
---|
| Mastery Score | Fatigue Score | Emotional Function Score | Dyspnea Score |
---|
TIO+FSC | 0.09 | 0.26 | 0.13 | 0.32 |
,TIO+Placebo | 0.07 | 0.11 | 0.10 | 0.21 |
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Mean Change in EIC at 2 to 3.5 Minutes During the Exercise Period From Baseline (Week 3) to Week 8
The EIC was measured at 2 to 3.5 minutes during the exercise period. Change from Baseline in EIC was calculated as the value at Week 8 minus the value at Baseline. (NCT01124422)
Timeframe: Baseline (Week 3) and Week 8
Intervention | mL (Mean) |
---|
TIO+Placebo | -148.3 |
TIO+FSC | 200 |
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Baseline Dyspnea Index (BDI) at Week 4 and Transition Dyspnea Index (TDI) at Week 8
The BDI-TDI is a multidimensional dyspnea measurement. The BDI, administered at Week 4, consisted of 3 items (functional impairment, magnitude of task in exertional capacity, and magnitude of effort) requiring recall over the previous 4 weeks. BDI scores ranged from 0 (very severe impairment) to 4 (no impairment); the summed total score = 0 to 12. The TDI, administered at Week 8 as a follow-up of the BDI, consisted of the same 3 items requiring recall over the previous 4 weeks. TDI scores ranged from -3 (major deterioration) to +3 (major improvement); the summed total score = -9 to 9. (NCT01124422)
Timeframe: BDI: Week 4; TDI: Week 8
Intervention | Scores on a scale (Mean) |
---|
| BDI; n=130; 122 | TDI; n=121, 115 |
---|
TIO+FSC | 6.9 | 1.4 |
,TIO+Placebo | 6.7 | 1.1 |
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Mean Change in EDS at Isotime From Baseline (Week 3) to Week 8
EDS at isotime (last common time point for an exercise assessment [i.e., last Borg score time point of the shortest exercise test for each participant]) was assessed using a 10-point modified Borg scale. Change from Baseline in EDS at isotime was calculated as the value at Week 8 minus the value at Baseline. (NCT01124422)
Timeframe: Baseline (Week 3) and Week 8
Intervention | Scores on a scale (Mean) |
---|
TIO+Placebo | -0.3 |
TIO+FSC | -0.5 |
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Mean Change in Exercise Endurance Time (EET) From Baseline (Week 3) to Week 8
EET is defined as the time taken by a participant to exert himself during an exercise. EET was calculated based on the Endurance Shuttle Walk test (ESWT). The ESWT is a standardized, externally controlled, constant-paced field test for the assessment of endurance capacity in participants with chronic lung disease. Change from Baseline in EET was calculated as the value at Week 8 minus the value at Baseline. (NCT01124422)
Timeframe: Baseline (Week 3) and Week 8
Intervention | Seconds (sec) (Mean) |
---|
TIO+Placebo | 23.3 |
TIO+FSC | 6.0 |
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Mean Change in Exercise Inspiratory Capacity (EIC) at the End of Exercise From Baseline (Week 3) to Week 8
EIC is the volume of gas that can be taken into the lungs in a full inhalation during exercise. Participants were asked to undergo the IC test every 2 minutes during exercise and at the end of the exercise, to follow changes in operational lung volumes that occured in association with exercise. Change from Baseline in EIC was calculated as the value at the end of exercise at Week 8 minus the value at the end of exercise at Baseline. (NCT01124422)
Timeframe: Baseline (Week 3) and Week 8
Intervention | mL (Mean) |
---|
TIO+Placebo | -7.4 |
TIO+FSC | 46.6 |
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Mean Change in Flow of Carbon Dioxide (V'CO2) Per Time Slope During the Course of the ESWT From Baseline (Week 3) to Week 8
The amount of CO2 in the hemoglobin of the participants was measured during the ESWT using the OMS. The system consisted of a carbon dioxide sensor and allowed breath-by-breath measurement of pulmonary gas exchange parameters. The V'CO2 per time slope was calculated for each participant by fitting a linear regression line to the V'CO2 recorded for each participant during the ESWT. V'CO2 per time slope results were compared between treatment groups as means of these regression lines. Change from Baseline in V'CO2 per time slope was calculated as the value at Week 8 minus the value at Baseline. (NCT01124422)
Timeframe: Baseline (Week 3) and Week 8
Intervention | mL/min (Mean) |
---|
TIO+Placebo | -17.4 |
TIO+FSC | -0.7 |
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Mean Change in Flow of Oxygen (V'O2) Per Time Slope During the Course of the ESWT From Baseline (Week 3) to Week 8
The V'O2 was measured during the ESWT using the Oxycon Mobile System (OMS), a portable telemetric monitoring system consisting of an oxygen sensor allowing for breath-by-breath measurement of gas exchange parameters in the lungs. The V'O2 was collected in units of mL and then regressed over the conduct of the exercise test measured in minutes. The V'O2 per time slope was calculated for each participant (par.) by fitting a linear regression line to the V'O2 recorded for each par. during the ESWT. V'O2 per time slope results were compared between treatment groups as means of these regression lin (NCT01124422)
Timeframe: Baseline (Week 3) and Week 8
Intervention | mL/minute (min) (Mean) |
---|
TIO+Placebo | -13.3 |
TIO+FSC | -6.1 |
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Mean Change in Heart Rate (HR) Per Time Slope During the Course of the ESWT From Baseline (Week 3) to Week 8
HR is defined as the number of heartbeats per unit of time, typically expressed as beats per minute (bpm). It was measured during the ESWT using the OMS. The HR was collected in units of bpm and then regressed over the conduct of the exercise test measured in minutes. The HR per time slope was calculated for each participant by fitting a linear regression line to the HR recorded for each participant during the exercise test. HR per time slope results were compared between treatment groups as means of these regression lines. (NCT01124422)
Timeframe: Baseline (Week 3) and Week 8
Intervention | bpm/min (Mean) |
---|
TIO+Placebo | -1.1 |
TIO+FSC | 0.7 |
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Mean Change in HR Per Time Slope During the Course of the ESWT Using Pulse Oximetry From Baseline to Week 8 (Non-OMS Subgroup)
HR was measured during the course of the ESWT in the non-OMS subgroup using pulse oximetry. The HR per time slope was calculated for each participant by fitting a linear regression line to the HR recorded for each participant during the ESWT. HR per time slope results were compared between treatment groups as means of these regression lines. Change from Baseline in HR was calculated as the value at Week 8 minus the value at Baseline. (NCT01124422)
Timeframe: Baseline (Week 3) and Week 8
Intervention | bpm/min (Mean) |
---|
TIO+Placebo | -0.8 |
TIO+FSC | -0.6 |
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Mean Change in Minute Ventilation (V'E) Per Time Slope During the Course of the ESWT From Baseline (Week 3) to Week 8
The V'E was measured in the participants during the ESWT using the OMS. The system consisted of a volume transducer, oxygen sensor, and carbon dioxide sensor and allowed breath-by-breath measurement of pulmonary gas exchange parameters. The V'E was collected in liters and then regressed over the conduct of the exercise test measured in minutes. The V'E per time slope was calculated for each participant by fitting a linear regression line to the V'E recorded for each participant during the ESWT. V'E per time slope results were compared between treatment groups as means of the regression lines. (NCT01124422)
Timeframe: Baseline (Week 3) and Week 8
Intervention | Liter (L)/min (Mean) |
---|
TIO+Placebo | -0.7 |
TIO+FSC | -0.2 |
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Mean Change in Ratio of Respiratory Rate (RR) to Tidal Volume (VT) or RR/VT at Isotime During the Course of the ESWT From Baseline to Week 8
The RR and VT of the participants at isotime were measured during the ESWT using the OMS. The ratio of RR per VT (value of RR divided by value of VT) at isotime was calculated. Change from Baseline in RR/VT at isotime was calculated as the value at Week 8 minus the value at Baseline. (NCT01124422)
Timeframe: Baseline (Week 3) and Week 8
Intervention | breaths/min/L (Mean) |
---|
TIO+Placebo | 2.7 |
TIO+FSC | -2.5 |
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Mean Change in Respiratory Exchange Ratio (RER) Per Time Slope During the Course of the ESWT From Baseline to Week 8
The respiratory exchange ratio was calculated as the ratio of VCO2 and VO2. The ratio of the amount of carbon dioxide and oxygen in the hemoglobin of the participants was measured during the ESWT using the OMS. The system consisted of oxygen and carbon dioxide sensors and allowed breath-by-breath measurement of pulmonary gas exchange parameters. Change from Baseline in RER was calculated as the value at Week 8 minus the value at Baseline. (NCT01124422)
Timeframe: Baseline (Week 3) and Week 8
Intervention | Ratio of VCO2 and VO2 (Mean) |
---|
TIO+Placebo | -0.01 |
TIO+FSC | 0.01 |
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Mean Change in Respiratory Rate (RR) at Isotime During the Course of the ESWT From Baseline to Week 8
RR is defined as the number of breaths taken within a set amount of time (typically within 60 secs). The RR of the participants at isotime was measured during the ESWT using the OMS. Change from Baseline in RR at isotime was calculated as the value at Week 8 minus the value at Baseline. (NCT01124422)
Timeframe: Baseline (Week 3) and Week 8
Intervention | breaths/min (Mean) |
---|
TIO+Placebo | 0.8 |
TIO+FSC | -0.5 |
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Mean Change in Respiratory Rate (RR) Per Time Slope During the Course of the ESWT From Baseline (Week 3) to Week 8
RR is defined as the number of breaths taken within a set amount of time (typically within 60 secs). The RR of the participants was measured during the ESWT using the OMS. The system consisted of volume transducer oxygen and carbon dioxide sensors and allowed breath-by-breath measurement of pulmonary gas exchange parameters. The RR per time slope was calculated for each participant by fitting a linear regression line to the RR recorded for each participant during the ESWT. RR per time slope results were compared between treatment groups as means of these regression lines. (NCT01124422)
Timeframe: Baseline (Week 3) and Week 8
Intervention | breaths/min/min (Mean) |
---|
TIO+Placebo | -0.1 |
TIO+FSC | -0.5 |
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Mean Change in Scores on the Exercise Dyspnea Scale (EDS) From Baseline (Week 3) to Week 8
EDS is used to measure the level of breathlessness due to exercise, assessed using a 10-point modified Borg scale at 2-minute intervals during the ESWT: 0=no difficulty in breathing at all, 10=maximal breathing difficulty (BD). The participant pointed to the level on the scale correlating with his BD, and the local study coordinator confirmed that level verbally to him. Change from Baseline was calculated as the value at Week 8 minus the value at Baseline. A dyspnea score/time slope was calculated by fitting a linear regression line to the dyspnea scores reported during the exercise tests. (NCT01124422)
Timeframe: Baseline (Week 3) and Week 8
Intervention | Scores on a scale/minute (Mean) |
---|
TIO+Placebo | -0.1 |
TIO+FSC | -0.06 |
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Maximum Percent Decrease From Baseline in FEV1 Between 0 2 Hour, Following the 22-23 Hour Post-treatment Allergen Challenge on Day 29 of Each Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Participants were exposed to an allergen 22-23 hours after dosing on Day 28. Immediately prior to the exposure of allergen and starting at 2 minutes (min) after inhalation of saline, 3 single measurements of FEV1were recorded at 1-min intervals, and the best was taken as the post-saline value. The maximum change (i.e., drop in FEV1) from post-saline Baseline (BL) is defined by ordering all of the change from BL values for the 5 min, 10 min, 15 min, 20 min, 30 min, and 45 min and the 1 hour, 1.5 hours, and 2 hours post-allergen challenge and selecting the largest change (i.e., drop in FEV1) from the BL value. If there were no negative change values, indicating a worse FEV1 value as compared to the BL value, the smallest change in FEV1, indicating an improvement from the BL value, was selected. The BL FEV1 value was the post-saline value on Day 29. (NCT01128569)
Timeframe: Baseline and Day 29 of each treatment period (up to Study Day 197)
Intervention | Percent change (Least Squares Mean) |
---|
Placebo | -24.991 |
FF 100 µg OD | -14.040 |
FF/VI 100/25 µg OD | -13.206 |
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Weighted Mean Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Between 0-2 Hours, Following the 22-23 Hour Post-treatment Allergen Challenge on Day 29 of Each Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Participants (par.) were exposed to an allergen (administered by inhalation) 22-23 hours after dosing on Day 28. FEV1 was measured 5 minutes (min), 10 min, 15 min, 20 min, 30 min, and 45 min and 1 hour, 1.5 hours, and 2 hours post-allergen challenge on Day 29. Immediately prior to the exposure of allergen and starting at 2 minutes after inhalation of saline, 3 single measurements of FEV1 were recorded at 1-minute intervals, and the best was taken as the post-saline value. The FEV1 weighted mean was derived by calculating the area under the curve, and then dividing the value by the relevant time interval. Weighted mean change from Baseline is calculated as the weighted mean FEV1 value on Day 29 minus the Baseline value. The Baseline FEV1 value was the post-saline value on Day 29. (NCT01128569)
Timeframe: Baseline and Day 29 of each treatment period (up to Study Day 197)
Intervention | Liters (Least Squares Mean) |
---|
Placebo | -0.372 |
FF 100 µg OD | -0.210 |
FF/VI 100/25 µg OD | -0.227 |
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Number of Participants With Treatment-emergent Adverse Events (AEs)
The number of participants with treatment-emergent AEs was measured. A treatment-emergent adverse event is defined as any event not present prior to the initiation of the treatments, or any event already present that worsens in either intensity of frequency following exposure to the treatments. (NCT01128569)
Timeframe: From the start of study medication until Follow-up/Early Withdrawal (up to 197 days)
Intervention | participants (Number) |
---|
Placebo | 20 |
FF 100 µg OD | 22 |
FF/VI 100/25 µg OD | 18 |
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Minimum FEV1 Absolute Change From Baseline Between 0-2 Hour, Following the 22-23 Hour Post-treatment Allergen Challenge on Day 29 of Each Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Participants were exposed to an allergen 22-23 hours after dosing on Day 28. Immediately prior to the exposure of allergen and starting at 2 minutes after inhalation of saline, 3 single measurements of FEV1were recorded at 1-minute intervals, and the best was taken as the post-saline value. The minimum FEV1 over 0-2 hours post-allergen challenge (PAC) (minimum early asthmatic response) was the minimum value of all of the PAC time points up to and including 2 hours PAC (i.e., minimum over 5 minutes (min), 10 min, 15 min, 20 min, 30 min, and 45 min and 1 hour, 1.5 hours, and 2 hours). Change from Baseline was calculated using the post-saline FEV1 on Day 29 as Baseline. Minimum FEV1 absolute change from Baseline between 0-2 hour, following the 22-23 hour post-treatment allergen challenge was calculated as the minimum change value on Day 29 minus the Baseline value (NCT01128569)
Timeframe: Baseline and Day 29 of each treatment period (up to Study Day 197)
Intervention | Liters (Least Squares Mean) |
---|
Placebo | -0.809 |
FF 100 µg OD | -0.479 |
FF/VI 100/25 µg OD | -0.478 |
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EAR: Absolute Change From Saline in Weighted Mean FEV1 Between 0-2 Hrs Following the 1-hr Post-treatment Allergen Challenge on Day 21 of Each Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Participants were exposed to an allergen 1 hr after dosing on Day 21. The EAR FEV1 was measured 0 minutes (min), 5 min, 10 min, 15 min, 20 min, 30 min, 45 min, 1 hr, 1.5 hrs, and 2 hrs post-allergen challenge on Day 21. Least squares means were obtained by adjusting for period and participant and period Baselines. Absolute change from saline in WM FEV1 was calculated as the area under the curve divided by the relevant time interval and subtracting the saline FEV1 value. After inhalation of saline, 3 single measurements of FEV1 were recorded; the maximum FEV1 value was taken as the saline value. (NCT01128595)
Timeframe: Day 21 of each treatment period (up to Study Day 197)
Intervention | Liters (Least Squares Mean) |
---|
Placebo | -0.560 |
FF/VI 100/25 µg OD | -0.297 |
FF 100 µg OD | -0.386 |
VI 25 µg OD | -0.533 |
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Provocative Concentration of Methacholine Estimated to Result in a 20% Reduction in FEV1 (PC20) on Day 22 of Each Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Participants inhaled doubling increments of methacholine until a >=20% fall in FEV1 from the saline value was achieved. After inhalation of saline, 3 measurements of FEV1 were recorded; the maximum FEV1 value was taken as the saline value. (NCT01128595)
Timeframe: Day 22 of each treatment period (up to Study Day 198)
Intervention | milligrams per milliliter (Mean) |
---|
Placebo | 1.046 |
FF/VI 100/25 µg OD | 2.500 |
FF 100 µg OD | 2.492 |
VI 25 µg OD | 0.387 |
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Maximum Percent Change From Saline in FEV1 Between 0-2 Hrs, Following the 1-hr Post-treatment Allergen Challenge on Day 21 of Each Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Participants were exposed to an allergen 1 hr after dosing on Day 21. FEV1 was measured 0 minutes (min), 5 min, 10 min, 15 min, 20 min, 30 min, 45 min, 1 hr, 1.5 hrs, and 2 hrs post-allergen challenge on Day 21. Maximum percent change was calculated as the minimum FEV1 minus the saline FEV1 value divided by the saline FEV1 multiplied by 100. After inhalation of saline, 3 single measurements of FEV1 were recorded; the maximum FEV1 value was taken as the saline FEV1 value. (NCT01128595)
Timeframe: Day 21 of each treatment period (up to Study Day 197)
Intervention | percent change (Median) |
---|
Placebo | -26.13 |
FF/VI 100/25 µg OD | -10.43 |
FF 100 µg OD | -16.14 |
VI 25 µg OD | -18.35 |
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Late Asthmatic Response (LAR): Absolute Change From Saline in Minimum FEV1 Between 4-10 Hours (Hrs) Following the 1-hr Post-treatment Allergen Challenge on Day 21 of Each Treatment Period
Forced expiratory volume in one second (FEV1) is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Participants were exposed to an allergen (administered by inhalation) 1 hr after dosing on Day 21. Minimum FEV1 over 4-10 hours post-allergen challenge (minimum LAR) is the minimum value of all of the post-saline time points between 4 and 10 hrs post-allergen challenge, inclusive of the 4 hr and 10 hr timepoints (i.e., minimum over 4 hrs, 4.5 hrs, 5 hrs, 5.5 hrs, 6 hrs, 6.5 hrs, 7 hrs, 7.5 hrs, 8 hrs, 8.5 hrs, 9 hrs, 9.5 hrs, and 10 hrs). Absolute change from saline in minimum FEV1 was calculated as the minimum FEV1 minus the saline FEV1 value. After inhalation of saline, 3 single measurements of FEV1 were recorded; the maximum FEV1 value was taken as the saline value. Least squares means were obtained by adjusting for period and participant and period Baselines. (NCT01128595)
Timeframe: Day 21 of each treatment period (up to Study Day 197)
Intervention | Liters (Least Squares Mean) |
---|
Placebo | -0.731 |
FF/VI 100/25 µg OD | -0.216 |
FF 100 µg OD | -0.188 |
VI 25 µg OD | -0.536 |
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LAR: Absolute Change From Saline in Weighted Mean (WM) FEV1 Between 4-10 Hrs Following the 1-hr Post-treatment Allergen Challenge on Day 21 of Each Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Participants were exposed to an allergen 1 hour after dosing on Day 21. LAR FEV1 was measured 4 hrs, 4.5 hrs, 5 hrs, 5.5 hrs, 6 hrs, 6.5 hrs, 7 hrs, 7.5 hrs, 8 hrs, 8.5 hrs, 9 hrs, 9.5 hrs, and 10 hrs post-allergen challenge on Day 21. Absolute change from saline in WM FEV1 was calculated as the area under the curve divided by the relevant time interval and subtracting the saline FEV1 value. After inhalation of saline, 3 single measurements of FEV1 were recorded; the maximum FEV1 value was taken as the saline value. Least squares means were obtained by adjusting for period and participant and period Baselines. (NCT01128595)
Timeframe: Day 21 of each treatment period (up to Study Day 197)
Intervention | Liters (Least Squares Mean) |
---|
Placebo | -0.466 |
FF/VI 100/25 µg OD | 0.018 |
FF 100 µg OD | 0.018 |
VI 25 µg OD | -0.298 |
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Early Asthmatic Response (EAR): Absolute Change From Saline in Minimum FEV1 Between 0-2 Hrs Following the 1-hr Post-treatment Allergen Challenge on Day 21 of Each Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Participants were exposed to an allergen 1 hr after dosing on Day 21. Minimum FEV1 over 0-2 hrs post-allergen challenge (Minimum EAR) is the minimum value of all of the post-allergen challenge timepoints up to and including 2 hours post-allergen challenge (i.e., minimum over 5 minutes (min), 10 min, 15 min, 20 min, 30 min, 45 min and 1 hr, 1.5 hrs, and 2 hrs. Absolute change from saline in minimum FEV1 was calculated as the minimum FEV1 minus the saline FEV1 value. After inhalation of saline, 3 single measurements of FEV1 were recorded; the maximum FEV1 value was taken as the saline value. Least squares means were obtained by adjusting for period and participant and period Baselines. (NCT01128595)
Timeframe: Day 21 of each treatment period (up to Study Day 197)
Intervention | Liters (Least Squares Mean) |
---|
Placebo | -1.091 |
FF/VI 100/25 µg OD | -0.614 |
FF 100 µg OD | -0.826 |
VI 25 µg OD | -0.955 |
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The Number of Participants Who Withdrew Due to Lack of Efficacy During the 24-week Treatment Period
The number of participants whose primary reason for withdrawal was lack of efficacy was analyzed. (NCT01134042)
Timeframe: From the first dose of the study medication up to Week 24/Early Withdrawal
Intervention | participants (Number) |
---|
FF 200 µg OD Arm | 21 |
FF/VI 200/25 µg OD | 6 |
FP 500 µg BID | 18 |
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Change From Baseline in the Asthma Control Test (ACT) Scores at Week 12 and Week 24
"The ACT is a 5-item questionnaire developed as a measure of the participant's asthma control. Questions are designed to be self-completed by the participant and include the following: In the past 4 weeks, How much of the time did your asthma keep you from getting as much done at work, school or at home?, How often have you had shortness of breath?, How often did your asthma symptoms wake you up at night or earlier than usual in the morning?, How often have you used your rescue inhaler or nebulizer medication (such as albuterol)? and How would you rate your asthma control? The ACT total score is defined as the sum of the scores from all 5 questions, provided all questions have been answered; thus, the total score ranges from 5 (poor control of asthma) to 25 (complete control of asthma). A score of 20 or higher indicates well-controlled asthma. Change from Baseline was calculated as the total score at Week 12 and Week 24/Early Withdrawal minus the total score at Baseline." (NCT01134042)
Timeframe: Baseline, Week 12, and Week 24/Early Withdrawal
Intervention | Scores on a scale (Least Squares Mean) |
---|
| Week 12, n=164, 183, 169 | Week 24, n=147, 170, 162 |
---|
FF 200 µg OD | 3.9 | 5.2 |
,FF/VI 200/25 µg OD | 4.8 | 5.5 |
,FP 500 µg BID | 3.9 | 4.7 |
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Change From Baseline in the Percentage of Rescue-free and Symptom-free 24-hour Periods at the End of the 24-week Treatment Period
The number of inhalations of rescue bronchodilator, albuterol/salbutamol inhalation aerosol, used during the day and night was recorded by the participants in a daily electronic diary (eDiary). Similarly, asthma symptoms were recorded in a daily eDairy by the participants every day in the morning and evening before taking any rescue or study medication and before the peak expiratory flow measurement. A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no use of rescue medication/symptoms was considered to be rescue free/symptom free. The Baseline value was derived from the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 24-week Treatment Period minus the Baseline value. (NCT01134042)
Timeframe: Baseline and Week 24
Intervention | Percentage of periods (Least Squares Mean) |
---|
| Rescue-free 24-hour periods | Symptom-free 24-hour periods |
---|
FF 200 µg OD | 26.6 | 21.0 |
,FF/VI 200/25 µg OD | 38.2 | 29.3 |
,FP 500 µg BID | 31.9 | 24.5 |
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Clinic Visit 12-hour Post-dose FEV1at Week 24
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. 12-hour post-dose FEV1 measurements were taken electronically by spirometry at the Week 24 clinic visit. The highest of 3 technically acceptable measurements was recorded. (NCT01134042)
Timeframe: Week 24
Intervention | Liters (Mean) |
---|
FF 200 µg OD | 2.611 |
FF/VI 200/25 µg OD | 2.683 |
FP 500 µg BID | 2.262 |
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Mean Change From Baseline in Daily Morning Trough (AM) and Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the First 12 Weeks and 24 Weeks of the 24-week Treatment Period
PEF is a measure of lung function and is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each morning and evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Trough PEF is the PEF measured approximately 24 hours after the last administration of study drug. Change from Baseline (defined as the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily trough AM/PM PEF over 12 weeks and 24 weeks of the 24-week Treatment Period (at Weeks 12 and 24) minus the Baseline value. (NCT01134042)
Timeframe: From Baseline up to Week 12 and Week 24
Intervention | Liters/minute (L/min) (Least Squares Mean) |
---|
| AM PEF, Week 1 to 12, n=193, 197, 195 | AM PEF, Week 1 to 24, n=193, 197, 195 | PM PEF, Week 1 to 12, 192, 197, 194 | PM PEF, Week 1 to 24, 192, 197, 194 |
---|
FF 200 µg OD | 15.1 | 18.2 | 7.5 | 9.1 |
,FF/VI 200/25 µg OD | 48.1 | 51.8 | 36.6 | 39.8 |
,FP 500 µg BID | 17.1 | 18.8 | 12.6 | 13.6 |
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Number of Participants With the Indicated Global Assessment of Change Questionnaire Responses at Weeks 4, 12, and 24
At the end of Week 4, Week 8, and Week 24/Early Withdrawal, the Global Assessment of Change Questionnaire that assesses changes in asthma symptoms (AS) and rescue medication use (RMU) was completed by the participants. The number of participants who chose the following answers to the questionnaire were determined: much better, somewhat better, a little better, the same, a little worse, somewhat worse, much worse (to assess the changes in asthma symptoms); much less often, somewhat less often, a little less often, the same, a little more often, somewhat more often, much more often (to assess the changes in the frequency of rescue medication use). (NCT01134042)
Timeframe: Week 4, Week 12, and Week 24/Early Withdrawal
Intervention | participants (Number) |
---|
| Week 4, AS: Much better, n=174, 191, 180 | Week 4, AS: Somewhat better, n=174, 191, 180 | Week 4, AS: A little better, n=174, 191, 180 | Week 4, AS: The same, n=174, 191, 180 | Week 4, AS: A little worse, n=174, 191, 180 | Week 4, AS: Somewhat worse, n=174, 191, 180 | Week 4, AS: Much worse, n=174, 191, 180 | Week 4, RMU: Much less often, n=174, 191, 180 | Week 4, RMU: Somewhat less often, n=174, 191, 180 | Week 4, RMU: A little less often, n=174, 191, 180 | Week 4, RMU: The same, n=174, 191, 180 | Week 4, RMU: A little more often, n=174, 191, 180 | Week 4, RMU: Somewhat more often, n=174, 191, 180 | Week 4, RMU: Much more often, n=174, 191, 180 | Week 12, AS: Much better, n=162, 183, 165 | Week 12, AS: Somewhat better, n=162, 183, 165 | Week 12, AS: A little better, n=162, 183, 165 | Week 12, AS: The same, n=162, 183, 165 | Week 12, AS: A little worse, n=162, 183, 165 | Week 12, AS: Somewhat worse, n=162, 183, 165 | Week 12, AS: Much worse, n=162, 183, 165 | Week 12, RMU: Much less often, n=162, 183, 164 | Week 12, RMU: Somewhat less often, n=162, 183, 164 | Week 12, RMU: A little less often, n=162, 183, 164 | Week 12, RMU: The same, n=162, 183, 164 | Week 12, RMU: A little more often, n=162, 183, 164 | Week 12, RMU: Somewhat more often, n=162, 183, 164 | Week 12, RMU: Much more often, n=162, 183, 164 | Week 24, AS: Much better, n=146, 168, 162 | Week 24, AS: Somewhat better, n=146, 168, 162 | Week 24, AS: A little better, n=146, 168, 162 | Week 24, AS: The same, n=146, 168, 162 | Week 24, AS: A little worse, n=146, 168, 162 | Week 24, AS: Somewhat worse, n=146, 168, 162 | Week 24, AS: Much worse, n=146, 168, 162 | Week 24, RMU: Much less often, n=146, 168, 162 | Week 24, RMU: Somewhat less often, n=150, 187, 18 | Week 24, RMU: A little less often, n=150, 187, 18 | Week 24, RMU: The same, n=146, 168, 162 | Week 24, RMU: A little more often, n= 142, 168, 16 | Week 24, RMU: Somewhat more often, n=146, 168, 162 | Week 24, RMU: Much more often, n=146, 168, 162 |
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FF 200 µg OD | 37 | 47 | 43 | 35 | 8 | 2 | 2 | 49 | 29 | 42 | 34 | 14 | 5 | 1 | 60 | 43 | 27 | 23 | 8 | 0 | 1 | 66 | 31 | 28 | 26 | 7 | 2 | 2 | 64 | 43 | 22 | 11 | 3 | 2 | 1 | 68 | 33 | 29 | 12 | 1 | 3 | 0 |
,FF/VI 200/25 µg OD | 58 | 65 | 34 | 25 | 7 | 2 | 0 | 71 | 48 | 38 | 27 | 4 | 2 | 1 | 78 | 51 | 33 | 15 | 5 | 1 | 0 | 90 | 36 | 24 | 24 | 8 | 0 | 1 | 89 | 37 | 23 | 14 | 4 | 1 | 0 | 87 | 38 | 22 | 16 | 3 | 1 | 1 |
,FP 500 µg BID | 35 | 49 | 40 | 44 | 6 | 3 | 3 | 42 | 41 | 45 | 37 | 9 | 3 | 3 | 54 | 52 | 34 | 16 | 6 | 3 | 0 | 59 | 37 | 40 | 20 | 6 | 1 | 1 | 62 | 52 | 17 | 23 | 4 | 2 | 2 | 69 | 37 | 26 | 19 | 8 | 1 | 2 |
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Change From Baseline in Weighted Mean Serial FEV1 Over 0 to 4 Hours Post-dose at Week 24
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Serial FEV1 measurements were taken electronically by spirometry at Baseline. Weighted mean was calculated using the 4-hour serial FEV1 measurements that included the pre-dose assessment (within 5 minutes prior to dosing) and post-dose assessments after 5, 15, and 30 minutes and 1, 2, 3, and 4 hours. At each time point, the highest of 3 technically acceptable measurements was recorded. Baseline was the value obtained at Visit 3. Change from Baseline was calculated as the average Week 24 FEV1 value minus the Baseline value. (NCT01134042)
Timeframe: Baseline and Week 24
Intervention | Liters (Mean) |
---|
FF 200 µg OD | 0.363 |
FF/VI 200/25 µg OD | 0.492 |
FP 500 µg BID | 0.256 |
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Change From Baseline in the Total Asthma Quality of Life Questionnaire (AQLQ) (+12) Score at Week 12 and Week 24/Early Withdrawal
"The AQLQ is a disease-specific, self-administered quality of life questionnaire used to evaluate the impact of asthma treatments on the quality of life of asthma sufferers. The AQLQ for 12 years and older (AQLQ [+12]) is a modified version of the AQLQ for use in asthma patients between the age of 12 and 70. The AQLQ contains 32 items in 4 domains: activity limitation (11 items), symptoms (12 items), emotional function (5 items), and environmental stimuli (4 items). For the 32 items on the questionnaire, the response format consists of a seven-point scale, where a value of 1 indicates total impairment and a value of 7 indicates no impairment. The AQLQ total score is defined as the average of the scores from all 32 questions; thus, the total score ranges from 1 (indicates total impairment) to 7 (indicates no impairment). Baseline was the total score obtained at Visit 3. Change from Baseline was calculated as the total score at Weeks 12 and 24 minus the total score at Baseline." (NCT01134042)
Timeframe: Baseline, Week 12, and Week 24/Early Withdrawal
Intervention | Scores on a scale (Least Squares Mean) |
---|
| Week 12, n=154, 180, 163 | Week 24, n=140, 167, 156 |
---|
FF 200 µg OD | 0.66 | 0.88 |
,FF/VI 200/25 µg OD | 0.74 | 0.93 |
,FP 500 µg BID | 0.74 | 0.90 |
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Change From Baseline in Clinic Visit Trough (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at the End of the 24-week Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 is defined as the clinic visit (pre-bronchodilator and pre-dose) FEV1 measurement taken at the clinic visit while still on treatment. Pre-dose and pre-rescue albuterol/salbutamol trough FEV1 was measured electronically by spirometry in the evening at the Baseline (BL) through Week 24 clinic visits. The highest of 3 technically acceptable measurements was recorded. BL was the pre-dose value obtained at Visit 3. Change from BL was calculated as the Week 24 value minus the Baseline value. The analysis was performed using an Analysis of Covariance (ANCOVA) model with covariates of BL trough FEV1, country, sex, age, and treatment group.The last observation carried forward (LOCF) method was used to impute missing data, in which the last non-missing post-BL on-treatment measurement at scheduled clinic visits was used to impute the missing measurements. (NCT01134042)
Timeframe: Baseline and Week 24
Intervention | Liters (Least Squares Mean) |
---|
FF 200 µg OD | 0.201 |
FF/VI 200/25 µg OD | 0.394 |
FP 500 µg BID | 0.183 |
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Change From Baseline in Weighted Mean Serial FEV1 Over 0-24 Hours Post-dose at Week 24
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Serial FEV1 measurements were taken electronically by spirometry at the Baseline and Week 24 clinic visits. Weighted mean was calculated using the 24-hour serial FEV1 measurements that included the pre-dose assessment (within 5 minutes prior to dosing) and the post-dose assessments after 5, 15, and 30 minutes and 1, 2, 3, 4, 5, 12, 16, 20, 23, and 24 hours. At each time point, the highest of 3 technically acceptable measurements was recorded. Baseline was the value obtained at Visit 3. Change from Baseline was calculated as the average Week 24 FEV1 value minus the Baseline value. (NCT01134042)
Timeframe: Baseline and Week 24
Intervention | Liters (Least Squares Mean) |
---|
FF 200 µg OD | 0.328 |
FF/VI 200/25 µg OD | 0.464 |
FP 500 µg BID | 0.258 |
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Mean Change From Baseline to the End of the 8-Week Treatment Period in Trough Forced Expiratory Volume in One Second (FEV1)
Pulmonary function was measured by forced expiratory volume in one second, defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 is defined as the morning (AM) pre-dose and pre-rescue bronchodilator FEV1 at the clinic visit. Baseline was the pre-dose value obtained at Visit 3. Change from Baseline was calculated as the end of Week 8 value minus the Baseline value. Analysis of covariance (ANCOVA) model used for statistical analysis. ITT Population was comprised of all participant randomized to treatment who received at least one dose of double-blind study medication. (NCT01147744)
Timeframe: Baseline and Week 8
Intervention | Liters (Least Squares Mean) |
---|
Placebo | 0.12 |
GSK2190915 10 mg | 0.18 |
GSK2190915 30 mg | 0.23 |
GSK2190915 100 mg | 0.19 |
GSK2190915 300 mg | 0.19 |
Fluticasone Propionate 100 mcg | 0.31 |
Montelukast 10 mg | 0.19 |
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Mean Change From Baseline in Daily Trough AM PEF Averaged Over the 8-Week Treatment Period
The PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. Trough AM PEF is defined as the AM pre-dose and pre-rescue bronchodilator at the clinic visit. Change from Baseline was calculated as the value of the averaged PEF daily (pre-dose and pre-rescue bronchodilator) AM over the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants). (NCT01147744)
Timeframe: Baseline up to Week 8
Intervention | Liters per minute (Least Squares Mean) |
---|
Placebo | 11.77 |
GSK2190915 10 mg | 13.23 |
GSK2190915 30 mg | 15.52 |
GSK2190915 100 mg | 8.72 |
GSK2190915 300 mg | 16.35 |
Fluticasone Propionate 100 mcg | 15.25 |
Montelukast 10 mg | 17.38 |
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Mean Change From Baseline in Day-time Asthma Symptom Score Over the 8-Week Treatment Period
Participants recorded their day-time asthma symptom score in an eDiary each PM at bedtime and before taking any rescue or study medication and before assessing the PEF measurement during the 8-Week treatment period. Day-time asthma symptom scores, as: 0=no asthma symptoms, 1=one episode of short-time asthma symptoms, 2=two or more episodes of short-time asthma symptoms, 3=asthma symptoms occurring during most part of daytime without interference with daily life activities, 4=asthma symptoms occurring during most part of daytime with interference with daily life activities, 5=severe asthma symptoms that disable working or perform normal daily activities. Change from Baseline was calculated as the averaged of day-time asthma symptom score during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants). (NCT01147744)
Timeframe: Baseline up to Week 8
Intervention | Day-time symptom scores on a scale (Least Squares Mean) |
---|
Placebo | -0.34 |
GSK2190915 10mg | -0.34 |
GSK2190915 30mg | -0.50 |
GSK2190915 100mg | -0.36 |
GSK2190915 300mg | -0.34 |
Fluticasone Propionate 100 mcg | -0.43 |
Montelukast 10mg | -0.41 |
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Number of Participants Who Withdrew Due to Lack of Efficacy During the 8-Week Treatment Period
The participants who met any of the following withdrawal criteria were considered to be withdrawn due to lack of efficacy: 1) Clinic FEV1 below stability limit calculated at Visit 3. 2) More than three days between two consecutive visits, PEF has fallen below stability limit calculated at Visit 3. 3) Use of 12 or more inhalations of SABA per day for more than two days between consecutive visits. 4) Asthma exacerbation defined as worsening requiring any treatment other than study medication or rescue medication. This included requiring the use of systemic or inhaled corticosteroids and /or emergency room visit or hospitalization for the treatment of asthma. The stability limit was calculated as best pre-salbutamol/albuterol FEV1 at Visit 3 x 80 percent (%). (NCT01147744)
Timeframe: Upto 8 Weeks
Intervention | Participants (Count of Participants) |
---|
Placebo | 11 |
GSK2190915 10mg | 11 |
GSK2190915 30mg | 9 |
GSK2190915 100mg | 11 |
GSK2190915 300mg | 13 |
Fluticasone Propionate 100 mcg | 8 |
Montelukast 10mg | 7 |
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Mean Change From Baseline in the Percentage of Symptom-free Nights Averaged Over the 8-Week Treatment Period
Asthma symptoms were recorded in a daily eDairy by the participants every day in the morning upon rising and before taking any rescue or study medication and before the assessment of the PEF measurement. Participant's responses to the morning assessments indicated no symptoms were considered to be symptom free. For participants, the symptom free nights were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged of symptom-free nights during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants). (NCT01147744)
Timeframe: Baseline up to Week 8
Intervention | Percentage of symptom-free nights (Least Squares Mean) |
---|
Placebo | 13.99 |
GSK2190915 10 mg | 14.83 |
GSK2190915 30 mg | 16.71 |
GSK2190915 100 mg | 16.12 |
GSK2190915 300 mg | 12.21 |
Fluticasone Propionate 100 mcg | 19.94 |
Montelukast 10 mg | 19.39 |
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Mean Change From Baseline in the Percentage of Symptom-free Days Averaged Over the 8-Week Treatment Period
Asthma symptoms were recorded in a daily electronic diary (eDiary) by the participants every day in the evening at bedtime and before taking any rescue or study medication and before the assessment of the PEF measurement. Participant's responses to evening assessments indicated no symptoms were considered to be symptom free. For participants, the symptom free days were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged of symptom-free days during the 8-Week treatment period minus the Baseline value. Baseline was defined as the last 7 days prior to randomization of the participants. (NCT01147744)
Timeframe: Baseline up to Week 8
Intervention | Percentage of symptom-free days (Least Squares Mean) |
---|
Placebo | 13.98 |
GSK2190915 10 mg | 15.15 |
GSK2190915 30 mg | 18.54 |
GSK2190915 100 mg | 15.31 |
GSK2190915 300 mg | 14.06 |
Fluticasone Propionate 100 mcg | 22.18 |
Montelukast 10 mg | 16.87 |
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Mean Change From Baseline in the Percentage of Rescue-free Nights Averaged Over the 8-Week Treatment Period
The number of inhalations of rescue salbutamol/albuterol inhalation aerosol used during the day and night was recorded by the participants in an eDiary. The time span during which the participants did not have to take any rescue medication (medication intended to relieve symptoms immediately) was considered to be a rescue-free period. For participants, the rescue-free nights were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged of rescue-free nights during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants). (NCT01147744)
Timeframe: Baseline up to Week 8
Intervention | Percentage of rescue-free nights (Least Squares Mean) |
---|
Placebo | 16.93 |
GSK2190915 10 mg | 19.28 |
GSK2190915 30 mg | 17.36 |
GSK2190915 100 mg | 19.63 |
GSK2190915 300 mg | 15.71 |
Fluticasone Propionate 100 mcg | 24.42 |
Montelukast 10 mg | 20.54 |
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Mean Change From Baseline in the Percentage of Rescue-free Days Averaged Over the 8-Week Treatment Period
The number of inhalations of rescue salbutamol/albuterol inhalation aerosol used during the day and night was recorded by the participants in an eDiary. The time span during which the participants did not have to take any rescue medication (medication intended to relieve symptoms immediately) was considered to be a rescue-free period. For participants, the rescue-free days were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged of rescue-free days during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants). (NCT01147744)
Timeframe: Baseline up to Week 8
Intervention | Percentage of rescue-free days (Least Squares Mean) |
---|
Placebo | 16.80 |
GSK2190915 10 mg | 22.91 |
GSK2190915 30 mg | 20.91 |
GSK2190915 100 mg | 18.95 |
GSK2190915 300 mg | 18.51 |
Fluticasone Propionate 100 mcg | 26.39 |
Montelukast 10 mg | 23.55 |
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Mean Change From Baseline in Night-time Rescue SABA Usage Over the 8-Week Treatment Period
The numbers of inhalations of rescue SABA, salbutamol/albuterol inhalation aerosol used during the day and night was recorded by the participants in an eDiary. Participants who used salbutamol/albuterol inhalation aerosol at night-time were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged number of night-time salbutamol/albuterol inhalation aerosol used during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants). (NCT01147744)
Timeframe: Baseline up to Week 8
Intervention | Night-time number of inhalations (Least Squares Mean) |
---|
Placebo | -0.30 |
GSK2190915 10 mg | -0.40 |
GSK2190915 30 mg | -0.44 |
GSK2190915 10 0mg | -0.42 |
GSK2190915 300 mg | -0.30 |
Fluticasone Propionate 100 mcg | -0.47 |
Montelukast 10 mg | -0.46 |
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Mean Change From Baseline in Night-time Asthma Symptom Score Over the 8-Week Treatment Period
Participants recorded their night-time asthma symptom score in an eDiary each AM upon rising and before taking any rescue or study medication and before assessing the PEF measurement during the 8-Week treatment period. Night-time asthma symptom scores, as: 0=no asthma symptoms, 1= one awakening or waking early due to asthma symptoms, 2= two or more awakenings due to asthma symptoms (including waking early), 3= asthma symptoms almost prevented the participant from sleeping, 4= severe asthma symptoms completely prevented from sleeping. Change from Baseline was calculated as the averaged of night-time asthma symptom score during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants). (NCT01147744)
Timeframe: Baseline up to Week 8
Intervention | Night-time symptom scores on a scale (Least Squares Mean) |
---|
Placebo | -0.23 |
GSK2190915 10mg | -0.21 |
GSK2190915 30mg | -0.33 |
GSK2190915 100mg | -0.26 |
GSK2190915 300mg | -0.22 |
Fluticasone Propionate 100 mcg | -0.29 |
Montelukast 10mg | -0.32 |
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Mean Change From Baseline in Day-time Rescue Short Acting beta2-agonist (SABA) Usage Over the 8-Week Treatment Period
The number of inhalations of rescue SABA, salbutamol/albuterol inhalation aerosol used during the day and night was recorded by the participants in an eDiary. Participants who used salbutamol/albuterol inhalation aerosol at day-time were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged number of day-time salbutamol/albuterol inhalation aerosol used during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants). (NCT01147744)
Timeframe: Baseline up to Week
Intervention | Day-time number of inhalations (Least Squares Mean) |
---|
Placebo | -0.42 |
GSK2190915 10mg | -0.55 |
GSK2190915 30mg | -0.68 |
GSK2190915 100mg | -0.50 |
GSK2190915 300mg | -0.47 |
Fluticasone Propionate 100 mcg | -0.67 |
Montelukast 10mg | -0.63 |
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Mean Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 8-Week Treatment Period
Peak expiratory flow is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. Change from Baseline was calculated as the value of the averaged PEF daily (pre-dose and pre-rescue bronchodilator) evening over the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants) (NCT01147744)
Timeframe: Baseline up to Week 8
Intervention | Liters per minute (Least Squares Mean) |
---|
Placebo | 8.01 |
GSK2190915 10 mg | 7.62 |
GSK2190915 30 mg | 9.37 |
GSK2190915 100 mg | 6.21 |
GSK2190915 300 mg | 10.33 |
Fluticasone Propionate 100 mcg | 10.46 |
Montelukast 10 mg | 8.53 |
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Change From Baseline in Asthma Quality of Life Questionnaire (AQLQ) Total Score for Participants 12 Years of Age and Older (AQLQ + 12)
"The AQLQ is a disease-specific, self-administered quality of life (QOL) questionnaire developed to evaluate the impact of asthma treatments on the QOL of asthma sufferers. The AQLQ contains 32 items in four domains: activity limitation (11 items), symptoms (12 items), emotional function (5 items), and environmental stimuli (4 items). The response format consists of a 7-point scale: a value of 1 indicates total impairment; a value of 7 indicates no impairment. The AQLQ total score is defined as the average of the scores from all 32 questions, provided at least 90% of the questions have been answered; thus, the total score ranges from 1 (indicates total impairment) to 7 (indicates no impairment). Change from Baseline was calculated as the Day 168 value minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline total AQLQ score, country, sex, age, and treatment." (NCT01147848)
Timeframe: Baseline and Day 168
Intervention | Scores on a scale (Least Squares Mean) |
---|
Fluticasone Furoate/Vilanterol 100/25 µg OD | 0.46 |
Fluticasone Propionate/Salmeterol 250/50 µg BID | 0.37 |
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Change From Baseline in Weighted Mean Serial FEV1 Over 0-4 Hours at Day 168
The weighted mean serial FEV1 (the maximal amount of air that can be forcefully exhaled in one second) over 0-4 hours post-dose at Baseline and Day 168 was derived using actual times and using the pre-dose assessment as the 0 hour measurement. Change from Baseline was calculated as the weighted mean of the 4-hour serial FEV1 measures on Day 168/Week 24 minus the Baseline value. Baseline was the pre-dose measurement on Day 1. Analysis was performed using ANCOVA with covariates of Baseline FEV1, region, sex, age, and treatment. (NCT01147848)
Timeframe: Baseline and Day 168
Intervention | Liters (Mean) |
---|
Fluticasone Furoate/Vilanterol 100/25 µg OD | 0.360 |
Fluticasone Propionate/Salmeterol 250/50 µg BID | 0.394 |
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Change From Baseline in Asthma Control Test (ACT) Scores at Day 168
"The ACT is a 5-item questionnaire developed as a measure of the participant's asthma control. Questions are designed to be self-completed by the participant and include the following: In the past 4 weeks, How much of the time did your asthma keep you from getting as much done at work, school or at home?, How often have you had shortness of breath?, How often did your asthma symptoms wake you up at night or earlier than usual in the morning?, How often have you used your rescue inhaler or nebulizer medication (such as albuterol)? and How would you rate your asthma control? The ACT total score is defined as the sum of the scores from all 5 questions, provided all questions have been answered; thus, the total score ranges from 5 (poor control of asthma) to 25 (complete control of asthma). A score of 20 or higher indicates well-controlled asthma. Change from Baseline was calculated as the Day 168 value minus the Baseline value." (NCT01147848)
Timeframe: Baseline and Day 168
Intervention | Scores on a scale (Least Squares Mean) |
---|
Fluticasone Furoate/Vilanterol 100/25 µg OD | 2.3 |
Fluticasone Propionate/Salmeterol 250/50 µg BID | 2.0 |
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Number of Participants Obtaining a >=12% and >=200 mL Increase From Baseline in FEV1
The number of participants obtaining a >=12% and >=200 mL increase from Baseline in FEV1 (the maximal amount of air that can be forcefully exhaled in one second) was evaluated at 12-hours post-dose and at 24-hours post-dose on Day 168. (NCT01147848)
Timeframe: Baseline and Day 168
Intervention | participants (Number) |
---|
| 12 hours post-dose, n=356,354 | 24 hours post-dose, n=354, 354 |
---|
Fluticasone Furoate/Vilanterol 100/25 µg OD | 199 | 181 |
,Fluticasone Propionate/Salmeterol 250/50 µg BID | 178 | 176 |
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Serial FEV1 (0-24 Hours)
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second . The pre-dose FEV1 assessment and the individual serial FEV1 assessments at Day 168/Week 24 at the indicated time points (pre-dose, 5 minutes, 15 minutes, 30 minutes, 1 hour, 2 hours, 3 hours, 4 hours, 11 hours, 12 hours, 12.5 hours, 13 hours, 14 hours, 16 hours, 20 hours, 23 hours, and 24 hour s) were summarized. (NCT01147848)
Timeframe: Day 168
Intervention | Liters (Mean) |
---|
| Pre-dose, n=359,353 | 5 minutes, n=356, 344 | 15 minutes, n=355, 347 | 30 minutes, n=357, 351 | 1 hour, n=358, 353 | 2 hours, n=359, 353 | 3 hours, n=357, 353 | 4 hours, n=357, 354 | 11 hours, n=359, 347 | 12 hours, n=356, 354 | 12.5 hours, n=357, 352 | 13 hours, n=354, 354 | 14 hours, n=356, 353 | 16 hours, n=354, 350 | 20 hours, n=355, 352 | 23 hours, n=354, 353 | 24 hours, n=354, 354 |
---|
Fluticasone Furoate/Vilanterol 100/25 µg OD | 0.304 | 0.320 | 0.323 | 0.339 | 0.344 | 0.362 | 0.373 | 0.356 | 0.305 | 0.330 | 0.330 | 0.343 | 0.357 | 0.351 | 0.321 | 0.310 | 0.304 |
,Fluticasone Propionate/Salmeterol 250/50 µg BID | 0.323 | 0.339 | 0.354 | 0.366 | 0.390 | 0.409 | 0.419 | 0.417 | 0.319 | 0.338 | 0.380 | 0.396 | 0.426 | 0.419 | 0.376 | 0.344 | 0.340 |
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Number of Participants With the Indicated Time to Onset of Bronchodilator Effect at Day 1
Time to onset of bronchodilator effect at Day 1 is defined as the actual time during the 4-hour serial FEV1 (the maximal amount of air that can be forcefully exhaled in one second) measurements that the participant first meets or exceeds a 12% and 200 mL increase over Baseline and was derived at Day 1 only. Time to onset was calculated over 0 to 4 hours (5 minutes, 15 minutes, 30 minutes, 1 hour, 2 hours, 3 hours, and 4 hours) post-dose. Participants who never exceeded a 12% and 200 mL increase over Baseline were censored at the actual time of their last FEV1 measurement. (NCT01147848)
Timeframe: Baseline to Day 1
Intervention | participants (Number) |
---|
| 5 minutes | 15 minutes | 30 minutes | 1 hour | 2 hours | 3 hours | 4 hours | Censored |
---|
Fluticasone Furoate/Vilanterol 100/25 µg OD | 100 | 41 | 40 | 32 | 19 | 17 | 11 | 140 |
,Fluticasone Propionate/Salmeterol 250/50 µg BID | 85 | 51 | 55 | 39 | 29 | 12 | 12 | 118 |
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Baseline FEV1 by Completion Status
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second . Baseline is defined as the mean of the two assessments made 30 minutes pre-dose and 5 minutes pre-dose on Treatment Day 1. (NCT01147848)
Timeframe: Baseline
Intervention | Liters (Mean) |
---|
| All Participants, n=401, 401 | Completers, n=359, 355 | Withdrawals, n=42, 46 |
---|
Fluticasone Furoate/Vilanterol 100/25 µg OD | 2.011 | 2.013 | 1.996 |
,Fluticasone Propionate/Salmeterol 250/50 µg BID | 2.048 | 2.043 | 2.091 |
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Change From Baseline in Trough FEV1 at Day 168
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second . Trough FEV1 is defined as the pre-dose measurement on Day 168/Week 24. Any missing data at Day 168/Week 24 was imputed using the last observation carried forward (LOCF). Baseline was the pre-dose measurement on Day 1. Change from Baseline was calculated as the pre-dose measurement on Day 168/Week 24 minus the Baseline value. (NCT01147848)
Timeframe: Baseline and Day 168
Intervention | Liters (Least Squares Mean) |
---|
Fluticasone Furoate/Vilanterol 100/25 µg OD | 0.281 |
Fluticasone Propionate/Salmeterol 250/50 µg BID | 0.300 |
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"Percentage of Participants With No Problems in the EQ-5D Descriptive System Dimensions at Day 168/Week 24"
"The EQ-5D is a standardized, 2-part, self-assessment instrument, designed for self-completion, used to measure health outcome. The first part consists of 5 items covering 5 dimensions (mobility, self care, usual activities, pain/discomfort, and anxiety/depression). Each dimension is measured by a three-point Likert scale (1=no problems, 2=some problems and 3=severe problems). Respondents are asked to choose one level that reflects their own health state today for each of the five dimensions." (NCT01147848)
Timeframe: Day 168/Week 24
Intervention | percentage of participants (Number) |
---|
| Mobility | Self care | Usual activities | Pain/Discomfort | Anxiety/Depression |
---|
Fluticasone Furoate/Vilanterol 100/25 µg OD | 86 | 98 | 86 | 70 | 78 |
,Fluticasone Propionate/Salmeterol 250/50 µg BID | 84 | 98 | 82 | 66 | 81 |
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Change From Baseline in EQ-5D Visual Analog Scale (VAS) Score at Day 168
"The EQ-5D is a standardized, 2-part, self-assessment instrument, designed for self-completion, used to measure health outcome. The first part consists of 5 items covering 5 dimensions (mobility, self care, usual activities, pain/discomfort, and anxiety/depression). The second part is a 20 centimeter VAS that has endpoints labelled best imaginable health state and worst imaginable health state anchored at 100 and 0, respectively. Participants were asked to indicate how they rate their own health by drawing a line from an anchor box to that point on the EQ-VAS that best represents their own health on that day. Analysis was performed using ANCOVA with covariates of Baseline VAS score, country, sex, age, and treatment." (NCT01147848)
Timeframe: Baseline and Day 168
Intervention | scores on a scale (Least Squares Mean) |
---|
Fluticasone Furoate/Vilanterol 100/25 µg OD | 5.5 |
Fluticasone Propionate/Salmeterol 250/50 µg BID | 4.1 |
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Change From Baseline in Weighted-mean 24 Hour Serial FEV1 on Day 168/Week 24
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. The weighted mean was calculated from the pre-dose FEV1 and post-dose FEV1 measurements at 5, 15, and 30 minutes (min) and at 1, 2, 3, 4, 11, 12, 12.5, 13, 14, 16, 20, 23, and 24 hours, respectively, on Day 168/Week 24. Change from Baseline was calculated as the weighted mean of the 24-hour serial FEV1 measures on Day 168/Week 24 minus the Baseline value. Baseline was the pre-dose measurement on Day 1. Analysis was performed using analysis of covariance (ANCOVA) with covariates of Baseline FEV1, region, sex, age, and treatment. (NCT01147848)
Timeframe: Baseline and Day 168/Week 24
Intervention | Liters (Least Squares Mean) |
---|
Fluticasone Furoate/Vilanterol 100/25 µg OD | 0.341 |
Fluticasone Propionate/Salmeterol 250/50 µg BID | 0.377 |
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Change From Baseline in Weighted Mean Serial FEV1 Over 0-4 Hours Post First Dose (at Randomization)
The weighted mean serial FEV1 (the maximal amount of air that can be forcefully exhaled in one second) over 0-4 hours post-dose at Baseline was derived using actual times and using the pre-dose assessment as the 0 hour measurement. Change from Baseline was calculated as the weighted mean of the 4-hour serial FEV1 measures on Day 1 minus the Baseline value. Baseline was the pre-dose measurement on Day 1. Analysis was performed using ANCOVA with covariates of Baseline FEV1, region, sex, age, and treatment. (NCT01147848)
Timeframe: Baseline and Randomization
Intervention | Liters (Least Squares Mean) |
---|
FFluticasone Furoate/Vilanterol 100/25 µg OD | 0.316 |
Fluticasone Propionate/Salmeterol 250/50 µg BID | 0.346 |
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Mean Change From Baseline in Daily Morning (AM) PEF Averaged Over the First 12 Weeks and 24 Weeks of the 24-week Treatment Period
PEF is a measure of lung function and is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each morning and evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Change from Baseline (defined as the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily AM PEF over 12 weeks and 24 weeks of the 24-week Treatment Period (at Weeks 12 and 24) minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01159912)
Timeframe: From Baseline up to Week 12 and Week 24
Intervention | Liters/minute (L/min) (Least Squares Mean) |
---|
| AM PEF, Week 1 to 12 | AM PEF, Week 1 to 24 |
---|
FF 100 µg OD | 13.2 | 13.9 |
,FP 250 µg BID | 9.4 | 9.9 |
,Placebo | 5.7 | 5.0 |
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Change From Baseline in the Total Asthma Quality of Life Questionnaire (AQLQ) (+12) Score at Week 12 and Week 24
"The AQLQ is a disease-specific, self-administered quality of life questionnaire used to evaluate the impact of asthma treatments on the quality of life of asthma sufferers. The AQLQ for 12 years and older (AQLQ [+12]) is a modified version of the AQLQ for use in asthma patients between the ages of 12 and 70. The AQLQ contains 32 items in 4 domains: activity limitation (11 items), symptoms (12 items), emotional function (5 items), and environmental stimuli (4 items). For the 32 items on the questionnaire, the response format consists of a seven-point scale, where a value of 1 indicates total impairment and a value of 7 indicates no impairment. The AQLQ total score is defined as the average of the scores from all 32 questions; thus, the total score ranges from 1 (indicates total impairment) to 7 (indicates no impairment). Baseline was the total score obtained at Visit 3. Change from Baseline was calculated as the total score at Weeks 12 and 24 minus the total score at Baseline." (NCT01159912)
Timeframe: Baseline, Week 12, and Week 24
Intervention | Scores on a scale (Least Squares Mean) |
---|
| Week 12, n=85, 99, 99 | Week 24, n=74, 90, 86 |
---|
FF 100 µg OD | 0.69 | 0.84 |
,FP 250 µg BID | 0.73 | 0.67 |
,Placebo | 0.45 | 0.51 |
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Mean Change From Baseline in Clinic Visit Trough Evening (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at the End of the 24 Week Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 is defined as the clinic visit (pre-bronchodilator and pre-dose) FEV1 measurement taken at the clinic visit at the end of the dosing interval. Pre-dose and pre-rescue albuterol/salbutamol trough FEV1 was measured electronically by spirometry in the evening at the Baseline through Week 24 clinic visits. The highest of 3 technically acceptable measurements was recorded. Baseline was the pre-dose value obtained at Visit 2. Change from Baseline was calculated as the Week 24 value minus the Baseline value. Analysis was performed using analysis of covariance (ANCOVA) with covariates of Baseline, region, sex, age, and treatment. The last observation carried forward (LOCF) method was used to impute missing data, in which the last non-missing post-Baseline on-treatment measurement at scheduled clinic visits was used to impute the missing measurements. (NCT01159912)
Timeframe: Baseline and Week 24
Intervention | Liters (Least Squares Mean) |
---|
Placebo | 0.015 |
FF 100 µg OD | 0.161 |
FP 250 µg BID | 0.159 |
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Change From Baseline in the Percentage of Symptom-free 24-hour (hr) Periods at the End of the 24-week Treatment Period
The number of inhalations of rescue bronchodilator, albuterol/salbutamol inhalation aerosol, used during the day and night was recorded by the participants in a daily electronic diary (eDiary). Similarly, asthma symptoms were recorded in a daily eDairy by the participants every day in the morning and evening before taking any rescue or study medication and before the peak expiratory flow measurement. A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no symptoms was considered to be symptom free. The Baseline value was derived from the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 24-week Treatment Period minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01159912)
Timeframe: Baseline and Week 24
Intervention | Percentage of symptom-free 24-hr periods (Least Squares Mean) |
---|
Placebo | 10.4 |
FF 100 µg OD | 19.3 |
FP 250 µg BID | 19.2 |
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Change From Baseline in the Percentage of Rescue-free 24-hour (hr) Periods at the End of the 24-week Treatment Period
The number of inhalations of rescue bronchodilator, albuterol/salbutamol inhalation aerosol, used during the day and night was recorded by the participants in a daily electronic diary (eDiary). Similarly, asthma symptoms were recorded in a daily eDairy by the participants every day in the morning and evening before taking any rescue or study medication and before the peak expiratory flow measurement. A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no use of rescue medication was considered to be rescue free. The Baseline value was derived from the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 24-week Treatment Period minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01159912)
Timeframe: Baseline and Week 24
Intervention | Percentage of rescue-free 24-hr periods (Least Squares Mean) |
---|
Placebo | 6.5 |
FF 100 µg OD | 21.3 |
FP 250 µg BID | 24.3 |
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Mean Change From Baseline in Daily Trough Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the First 12 Weeks and 24 Weeks of the 24-week Treatment Period
PEF is a measure of lung function and is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each morning and evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Trough evening PEF is the PM PEF measured approximately 24 hours after the last evening administration of study drug. Change from Baseline (defined as the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily trough PM PEF over 12 weeks and 24 weeks of the 24-week Treatment Period (at Weeks 12 and 24) minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01159912)
Timeframe: From Baseline up to Week 12 and Week 24
Intervention | Liters/minute (L/min) (Least Squares Mean) |
---|
| PM PEF, Week 1 to 12 | PM PEF, Week 1 to 24 |
---|
FF 100 µg OD | 2.2 | 1.5 |
,FP 250 µg BID | 4.8 | 4.3 |
,Placebo | 0.4 | -1.3 |
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Mean Change From Baseline in Daily Evening (PM) PEF Averaged Over the 12-week Treatment Period
PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Change from Baseline (defined as the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily PM PEF over the 12-week treatment period (at Week 12) minus the Baseline value. The analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age, and treatment group. (NCT01165138)
Timeframe: From Baseline up to Week 12
Intervention | Liters per minute (Least Squares Mean) |
---|
Placebo | -1.8 |
FF 100 µg OD | 14.1 |
FF/VI 100/25 µg OD | 26.4 |
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Mean Change From Baseline in Clinic Visit Trough (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at Week 12
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 is defined as the clinic visit (pre-bronchodilator and pre-dose) FEV1measurement taken at the clinic visit while still on-treatment. Pre-dose and pre-rescue albuterol/salbutamol trough FEV1 was measured electronically by spirometry in the evening at the Baseline through Week 12 clinic visits. The highest of 3 technically acceptable measurements was recorded. Baseline was the pre-dose value obtained at Visit 3. Change from Baseline was calculated as the Week 12 value minus the Baseline value. The analysis was performed using an Analysis of Covariance (ANCOVA) model with covariates of Baseline trough FEV1, region, sex, age, and treatment group. The last observation carried forward (LOCF) method was used to impute missing data, in which the last non-missing post-Baseline on-treatment measurement at scheduled clinic visits was used to impute the missing m (NCT01165138)
Timeframe: Baseline and Week 12
Intervention | Liters (Least Squares Mean) |
---|
Placebo | 0.196 |
FF 100 µg OD | 0.332 |
FF/VI 100/25 µg OD | 0.368 |
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Clinic Visit 12-hour Post-dose FEV1 at Week 12
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. 12-hour post-dose FEV1 measurements were taken electronically by spirometry at the Week 12 clinic visit. The highest of 3 technically acceptable measurements was recorded. The analysis was performed using an ANCOVA model with covariates of Baseline FEV1, region, sex, age, and treatment group. (NCT01165138)
Timeframe: Week 12
Intervention | Liters (Least Squares Mean) |
---|
Placebo | 2.462 |
FF 100 µg OD | 2.674 |
FF/VI 100/25 µg OD | 2.830 |
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Mean Change From Baseline in the Percentage of Rescue-free 24-hour (hr) Periods During the 12-week Treatment Period
The number of inhalations of rescue albuterol/salbutamol inhalation aerosol used during the day and night was recorded by the participants in a daily electronic diary (eDiary). A 24-hour (hr) period in which a participant's responses to both the morning and evening assessments indicated no use of rescue medication was considered to be rescue free. The Baseline value was derived from the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 12-week Treatment Period minus the Baseline value. The analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age, and treatment group. (NCT01165138)
Timeframe: Baseline and Week 12
Intervention | Percentage of rescue-free 24-hr periods (Least Squares Mean) |
---|
Placebo | 17.8 |
FF 100 µg OD | 26.5 |
FF/VI 100/25 µg OD | 37.1 |
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Number of Participants Who Used the Inhaler Correctly or Incorrectly at Baseline, Week 2, and Week 4
Participants were given a demonstration of correct inhaler use (using placebo inhalers), and the participants' competence to correctly use the demonstration inhaler was then assessed. (NCT01165138)
Timeframe: Baseline (BL), Week 2 (W2), and Week 4 (W4)
Intervention | participants (Number) |
---|
| BL: Used Inhaler Correctly, n=203, 205, 201 | BL: Used Inhaler Incorrectly, n=203, 205, 201 | W2: Used Inhaler Correctly, n=190, 203, 200 | W2: Used Inhaler Incorrectly, n=190, 203, 200 | W4: Used Inhaler Correctly, n=175, 199, 195 | W4: Used Inhaler Incorrectly, n=175, 199, 195 |
---|
FF 100 µg OD | 196 | 9 | 203 | 0 | 199 | 0 |
,FF/VI 100/25 µg OD | 188 | 13 | 200 | 0 | 195 | 0 |
,Placebo | 194 | 9 | 190 | 0 | 175 | 0 |
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Number of Participants With the Indicated Reason for Incorrect Inhaler Use and Who Required Additional Instruction the Indicated Number of Times at Baseline, Week 2, and Week 4
Participants were given a demonstration of correct inhaler use (using placebo inhalers), and the participants' competence to correctly use the demonstration inhaler was then assessed based on 3 steps: open the device, inhale the dose, and close the device. If the participants did not perform the maneuvers correctly, the step of the inhaler use that was performed incorrectly by the participants was recorded. The entire procedure was demonstrated once again. and the number of times that the participants required additional instruction (RAI) was recorded. (NCT01165138)
Timeframe: Baseline, Week 2, and Week 4
Intervention | participants (Number) |
---|
| BL: Opened the Device Incorrectly, n= 9, 9, 13 | BL: Inhaled the Dose Incorrectly, n= 9, 9, 13 | BL: Closed the Device Incorrectly, n= 9, 9, 13 | BL: RAI once, n= 9, 9, 13 | BL: RAI 2 Times, n= 9, 9, 13 | BL: RAI 3 Times, n= 9, 9, 13 | BL: RAI >3 Times, n= 9, 9, 13 | W2: Opened the Device Incorrectly, n= 0, 0, 0 | W2: Inhaled the Dose Incorrectly, n= 0, 0, 0 | W2: Closed the Device Incorrectly, n= 0, 0, 0 | W2: RAI once, n= 0, 0, 0 | W2: RAI 2 Times, n= 0, 0, 0, | W2: RAI 3 Times, n= 0, 0, 0 | W4: Opened the Device Incorrectly, n= 0, 0, 0 | W4: Inhaled the Dose Incorrectly, n= 0, 0, 0 | W4: Closed the Device Incorrectly, n= 0, 0, 0 | W4: RAI once, n= 0, 0, 0 | W4: RAI 2 Times, n= 0, 0, 0 | W4: RAI 3 Times, n= 0, 0, 0 | W4: RAI >3 Times, n= 0, 0, 0 |
---|
FF 100 µg OD | 4 | 5 | 0 | 5 | 4 | 0 | 0 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA |
,FF/VI 100/25 µg OD | 6 | 6 | 1 | 8 | 4 | 1 | 0 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA |
,Placebo | 8 | 1 | 1 | 9 | 0 | 0 | 0 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA |
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Serial FEV1 Over 0-1 Hour Post-dose at Randomization
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. Serial FEV1 measurements were taken electronically by spirometry at Randomization. Serial FEV1 measurements after 5, 15, and 30 minutes and 1 hour post-dose were assessed. At each time point, the highest of 3 technically acceptable measurements was recorded. The analysis was performed using a repeated measures model adjusted for baseline, region, sex, age, treatment group, and planned time points. (NCT01165138)
Timeframe: Randomization
Intervention | Liters (Least Squares Mean) |
---|
| 5 Minutes, n=117, 112, 117 | 15 Minutes, n=118, 115, 117 | 30 Minutes, n=118, 116, 118 | 1 Hour, n=119, 116, 119 |
---|
FF 100 µg OD | 2.493 | 2.529 | 2.552 | 2.571 |
,FF/VI 100/25 µg OD | 2.484 | 2.566 | 2.596 | 2.674 |
,Placebo | 2.489 | 2.491 | 2.532 | 2.552 |
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Weighted Mean Serial FEV1 Over 0-4 Hours Post-dose at Baseline and Week 12
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. Serial FEV1 measurements were taken electronically by spirometry at the Baseline and Week 12 clinic visits. Weighted mean serial FEV1 over 0-4 hours was calculated using the serial FEV1 measurements that included the pre-dose assessment (within 30 minutes prior to dosing at Baseline and within 5 minutes prior to dosing at Week 12) and post-dose assessments after 5, 15, and 30 minutes and 1, 2, 3, and 4 hours. At each time point, the highest of 3 technically acceptable measurements were recorded. Baseline was the value obtained at Visit 3. (NCT01165138)
Timeframe: Baseline and Week 12
Intervention | Liters (Mean) |
---|
| Baseline, n=120, 115, 119 | Week 12, n=96, 105, 109 |
---|
FF 100 µg OD | 2.522 | 2.657 |
,FF/VI 100/25 µg OD | 2.693 | 2.894 |
,Placebo | 2.563 | 2.636 |
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Mean Change From Baseline in Daily Morning (AM) Peak Expiratory Flow (PEF) Averaged Over the 12-week Treatment Period
Peak Expiratory Flow (PEF) is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each morning prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Change from Baseline (defined as the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily AM PEF over the 12-week treatment period (at Week 12) minus the Baseline value. The analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age, and treatment group. (NCT01165138)
Timeframe: From Baseline up to Week 12
Intervention | Liters per minute (Least Squares Mean) |
---|
Placebo | -0.4 |
FF 100 µg OD | 18.3 |
FF/VI 100/25 µg OD | 32.9 |
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Number of Participants With the Indicated Global Assessment of Change Responses at Week 4, Week 8, and Week 12/Early Withdrawal
At the end of Week 4, Week 8, and Week 12/Early Withdrawal, the Global Assessment of Change Questionnaire that assesses changes in asthma symptoms (AS) and rescue medication use (RMU) was completed by the participants. The number of participants who chose the following answers to the questionnaire were determined: much better, somewhat better, a little better, the same, a little worse, somewhat worse, much worse (to assess the changes in asthma symptom); much less often , somewhat less often , a little less often , the same , a little more often , somewhat more often , much more often (to assess the changes in the frequency of rescue medication use). (NCT01165138)
Timeframe: Week 4, Week 8, and Week 12/Early Withdrawal
Intervention | participants (Number) |
---|
| Week 4, AS - Much better, n=174, 198, 191 | Week 4, AS - Somewhat better, n=174, 198, 191 | Week 4, AS - A little better, n=174, 198, 191 | Week 4, AS - The same, n=174, 198, 191 | Week 4, AS - A little worse, n=174, 198, 191 | Week 4, AS - Somewhat worse, n=174, 198, 191 | Week 4, AS - Much worse, n=174, 198, 191 | Week 4, RMU - Much less often, n=174, 198, 191 | Week 4, RMU - Somewhat less often, n=174, 198, 191 | Week 4, RMU - A little less often, n=174, 198, 191 | Week 4, RMU - The same, n=174, 198, 191 | Week 4, RMU - A little more often, n=174, 198, 191 | Week 4, RMU - Somewhat more often, n=174, 198, 191 | Week 4, RMU - Much more often, n=174, 198, 191 | Week 8, AS - Much better, n=159, 192, 184 | Week 8, AS - Somewhat better, n=159, 192, 184 | Week 8, AS - A little better, n=159, 192, 184 | Week 8, AS - The same, n=159, 192, 184 | Week 8, AS - A little worse, n=159, 192, 184 | Week 8, AS - Somewhat worse, n=159, 192, 184 | Week 8, AS - Much worse, n=159, 192, 184 | Week 8, RMU - Much less often, n=159, 191, 184 | Week 8, RMU - Somewhat less often, n=159, 191, 184 | Week 8, RMU - A little less often, n=159, 191, 184 | Week 8, RMU - The same, n=159, 191, 184 | Week 8, RMU - A little more often, n=159, 191, 184 | Week 8, RMU - Somewhat more often, n=159, 191, 184 | Week 8, RMU - Much more often, n=159, 191, 184 | Week 12, AS - Much better, n=152, 187, 182 | Week 12, AS - Somewhat better, n=152, 187, 182 | Week 12, AS - A little better, n=152, 187, 182 | Week 12, AS - The same, n=152, 187, 182 | Week 12, AS - A little worse, n=152, 187, 182 | Week 12, AS - Somewhat worse, n=152, 187, 182 | Week 12, AS - Much worse, n=152, 187, 182 | Week 12, RMU - Much less often, n=150, 187, 182 | Week 12, RMU -Somewhat less often, n=150, 187, 182 | Week 12, RMU -A little less often, n=150, 187, 182 | Week 12, RMU - The same, n=150, 187, 182 | Week 12, RMU -A little more often, n=150, 187, 182 | Week 12, RMU -Somewhat more often, n=150, 187, 182 | Week 12, RMU - Much more often, n=150, 187, 182 |
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FF 100 µg OD | 47 | 65 | 47 | 29 | 10 | 0 | 0 | 59 | 48 | 49 | 33 | 6 | 3 | 0 | 54 | 60 | 40 | 33 | 5 | 0 | 0 | 65 | 48 | 34 | 39 | 1 | 4 | 0 | 66 | 49 | 35 | 30 | 7 | 0 | 0 | 76 | 46 | 25 | 32 | 6 | 1 | 1 |
,FF/VI 100/25 µg OD | 65 | 61 | 37 | 23 | 3 | 2 | 0 | 75 | 51 | 32 | 28 | 4 | 1 | 0 | 69 | 63 | 22 | 24 | 3 | 2 | 1 | 86 | 43 | 25 | 23 | 5 | 0 | 2 | 86 | 52 | 13 | 23 | 7 | 1 | 0 | 89 | 43 | 21 | 23 | 5 | 1 | 0 |
,Placebo | 34 | 45 | 42 | 33 | 6 | 8 | 6 | 39 | 40 | 35 | 31 | 13 | 11 | 5 | 36 | 44 | 38 | 29 | 7 | 4 | 1 | 37 | 32 | 37 | 36 | 12 | 4 | 1 | 38 | 37 | 29 | 29 | 9 | 6 | 4 | 42 | 32 | 24 | 34 | 12 | 3 | 3 |
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Change From Baseline in the Total Asthma Quality of Life Questionnaire (AQLQ) (+12) Score at Week 12/Early Withdrawal
"The AQLQ is a disease-specific, self-administered quality of life questionnaire used to evaluate the impact of asthma treatments on the quality of life of asthma sufferers. The AQLQ for 12 years and older (AQLQ [+12]) is a modified version of the AQLQ for use in asthma patients between the age of 12 and 70. The AQLQ contains 32 items in 4 domains: activity limitation (11 items), symptoms (12 items), emotional function (5 items), and environmental stimuli (4 items). For the 32 items on the questionnaire, the response format consists of a seven-point scale, where a value of 1 indicates total impairment and a value of 7 indicates no impairment. The AQLQ total score is defined as the average of the scores from all 32 questions; thus, the total score ranges from 1 (indicates total impairment) to 7 (indicates no impairment). Baseline was the total score obtained at Visit 3. Change from Baseline was calculated as the total score at Week 12 minus the total score at Baseline." (NCT01165138)
Timeframe: Baseline and Week 12/Early Withdrawal
Intervention | Score on a scale (Least Squares Mean) |
---|
Placebo | 0.61 |
FF 100 µg OD | 0.76 |
FF/VI 100/25 µg OD | 0.91 |
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Change From Baseline in the Percentage of Symptom-free 24-hour (hr) Periods During the 12-week Treatment Period
Asthma symptoms were recorded in a daily eDairy by the participants every day in the morning and evening before taking any rescue or study medication and before the peak expiratory flow measurement. A 24-hour (hr) period in which a participant's responses to both the morning and evening assessments indicated no symptoms was considered to be symptom free. The Baseline value was derived from the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 12-week Treatment Period minus the Baseline value. The analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age, and treatment group. (NCT01165138)
Timeframe: Baseline and Week 12
Intervention | Percentage of symptom-free 24-hr periods (Least Squares Mean) |
---|
Placebo | 14.6 |
FF 100 µg OD | 20.4 |
FF/VI 100/25 µg OD | 32.5 |
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Change From Baseline in the Asthma Control Test (ACT) Score at Week 12
"The ACT is a 5-item questionnaire developed as a measure of the participant's asthma control. Questions are designed to be self-completed by the participant and include the following: In the past 4 weeks, How much of the time did your asthma keep you from getting as much done at work, school or at home?, How often have you had shortness of breath?, How often did your asthma symptoms wake you up at night or earlier than usual in the morning?, How often have you used your rescue inhaler or nebulizer medication (such as albuterol)? and How would you rate your asthma control? The ACT total score is defined as the sum of the scores from all 5 questions, provided all questions have been answered; thus, the total score ranges from 5 (poor control of asthma) to 25 (complete control of asthma). A score of 20 or higher indicates well-controlled asthma. Change from Baseline was calculated as the total score at Week 12/Early Withdrawal minus the total score at Baseline." (NCT01165138)
Timeframe: Baseline and Week 12/Early Withdrawal
Intervention | Scores on a scale (Least Squares Mean) |
---|
Placebo | 2.5 |
FF 100 µg OD | 3.8 |
FF/VI 100/25 µg OD | 4.4 |
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Number of Participants Who Withdrew Due to Lack of Efficacy During the 12-week Treatment Period
The number of participants whose primary reason for withdrawal was lack of efficacy was analyzed. (NCT01165138)
Timeframe: From the first dose of the study medication up to Week 12/Early Withdrawal
Intervention | participants (Number) |
---|
Placebo | 32 |
FF 100 µg OD | 6 |
FF/VI 100/25 µg OD | 7 |
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Number of Participants With Bronchodilator Effect
Bronchodilator effect is defined as an increase of FEV1 (defined as the maximal amount of air that can be forcefully exhaled in one second) from Baseline of both 12% and 200 milliliters (mL) during 24 hours, which was evaluated using the serial FEV1 measurements at Baseline (Visit 3). (NCT01165138)
Timeframe: Baseline
Intervention | participants (Number) |
---|
Placebo | 73 |
FF 100 µg OD | 77 |
FF/VI 100/25 µg OD | 97 |
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Weighted Mean Serial FEV1 Over 0-24 Hours Post-dose at Baseline
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. Serial FEV1 measurements were taken electronically by spirometry at Baseline. Weighted mean was calculated using the 24-hour serial FEV1 measurements that included the pre-dose assessment (within 30 minutes prior to dosing) and post-dose assessments after 5, 15, and 30 minutes and 1, 2, 3, 4, 5, 12, 16, 20, 23, and 24 hours. At each time point, the highest of 3 technically acceptable measurements were recorded. Baseline was the value obtained at Visit 3. (NCT01165138)
Timeframe: Baseline
Intervention | Liters (Mean) |
---|
Placebo | 2.543 |
FF 100 µg OD | 2.552 |
FF/VI 100/25 µg OD | 2.709 |
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Change From Baseline in Weighted Mean Serial FEV1 Over 0-24 Hours Post-dose at Week 12
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. Serial FEV1 measurements were taken electronically by spirometry at the Baseline and Week 12 clinic visits. Weighted mean was calculated using the 24-hour serial FEV1 measurements that included the pre-dose assessment (within 30 minutes prior to dosing at Baseline and within 5 minutes prior to dosing at Week 12) and post-dose assessments after 5, 15, and 30 minutes and 1, 2, 3, 4, 5, 12, 16, 20, 23, and 24 hours. At each time point, the highest of 3 technically acceptable measurements was recorded. Baseline was the value obtained at Visit 3. Change from Baseline was calculated as the average Week 12 FEV1 value minus the Baseline value. The analysis was performed using an ANCOVA model with covariates of Baseline FEV1, region, sex, age, and treatment group. (NCT01165138)
Timeframe: Baseline and Week 12
Intervention | Liters (Least Squares Mean) |
---|
Placebo | 0.212 |
FF 100 µg OD | 0.398 |
FF/VI 100/25 µg OD | 0.513 |
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Number of Participants With Improved, Unchanged, and Worsened Anterior Tongue Strength (KPa) From Baseline With 16-week of High Dose Inhaled FP Treatment.
The Iowa Oral Performance Instrument (IOPI) will be used. This instrument has a standard-sized air-filled polymer balloon, called tongue sensor or bulb, which can be inserted between the tongue blade and the roof of the mouth. Anterior tongue strength (KPa) reported. Subjects were divided into 3 subgroups: improved (lower anterior tongue strength KPa), unchanged, or worsened (higher anterior tongue strength KPa). (NCT01184118)
Timeframe: 16 weeks
Intervention | participants (Number) |
---|
| Improved Anterior tongue strength over 16 weeks | Unchanged Anterior tongue strength over 16 week | Worsened Anterior tongue strength over 16 week |
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FP 220 mcg 2 Puffs BID | 8 | 8 | 2 |
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Number of Participants With Improved, Unchanged, and Worsened Critical Closing Pressure (Pcrit) From Baseline With 16-week of High Dose Inhaled FP Treatment.
Upper airway (UAW) collapsibility, as measured by critical closing pressure (Pcrit), defined as the maximum nasal pressure at which the UAW occludes. Subjects were divided into 3 subgroups: improved (more negative Pcrit), unchanged, or worsened (less negative Pcrit). (NCT01184118)
Timeframe: 16 weeks
Intervention | participants (Number) |
---|
| Improved Pcrit over 16 weeks | Unchanged Pcrit over 16 weeks | Worsened Pcrit over 16 weeks |
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FP 220 mcg 2 Puffs BID | 8 | 8 | 2 |
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Number of Participants With Improved, Unchanged, and Worsened Sleep Disorders Questionnaire (SA-SDQ) From Baseline With 16-week of High Dose Inhaled FP Treatment.
Secondary goals include evaluating effects of this medication on severity of obstructive sleep disordered breathing (SDB) (validated by Sleep Disorders Questionnaire (SA-SDQ)). Subjects were divided into 3 subgroups: improved (less negative SA-SDQ score), unchanged, or worsened (more negative SA-SDQ score). (NCT01184118)
Timeframe: 16 weeks
Intervention | participants (Number) |
---|
| Improved SA-SDQ score over 16 weeks | Unchanged SA-SDQ score over 16 weeks | Worsened SA-SDQ score over 16 weeks |
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FP 220 mcg 2 Puffs BID | 8 | 8 | 2 |
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Mean Percentage of Rescue-free Days
A rescue-free day was defined as a day during the Peak Viral Period on which no puffs of rescue medication were recorded. Percentage of rescue-free days was defined as the number of days during the Peak Viral Period on which no puffs of rescue medication were recorded, divided by the number of days in that same period on which non-missing values were recorded, multiplied by 100. (NCT01192178)
Timeframe: Peak Viral Period (from 30 August 2010 through the end of treatment [up to Week 16])
Intervention | Percentage of days (Mean) |
---|
FSC DISKUS 100/50 mcg BID | 92.1 |
FP DISKUS 100 mcg BID | 91.7 |
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Mean Percentage of Episode-free (EF) Days
An EF day was defined as a day without any of the following: rescue albuterol use, use of oral/parenteral corticosteroids for asthma, use of asthma medication other than study treatment, asthma symptom score >0, nighttime awakenings due to asthma, unscheduled health care visits (defined as home visits, office visits, or urgent care visits), ER visits, hospitalizations for asthma, school absenteeism due to asthma, or morning peak expiratory flow (measure of maximum airflow) <80% of baseline. Percentage of EF days=No. of EF days divided by No. of days of treatment exposure, multiplied by 100. (NCT01192178)
Timeframe: Peak Viral Period (from 30 August 2010 through the end of treatment [up to Week 16])
Intervention | Percentage of days (Mean) |
---|
FSC DISKUS 100/50 mcg BID | 42.4 |
FP DISKUS 100 mcg BID | 44.5 |
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Mean Percentage of Asthma-control Days
An asthma-control day was defined as a day without any of the following: rescue albuterol use, use of oral/parenteral corticosteroids for asthma, use of asthma medication other than double-blind study treatment, asthma symptom score >0, nighttime awakenings due to asthma, unscheduled health care visits (defined as home visits, office visits, or urgent care visits), ER visits, hospitalizations for asthma, or school absenteeism due to asthma. The percentage of asthma-control days = the number (No.) of asthma-control days divided by the No. of days of treatment exposure, multiplied by 100. (NCT01192178)
Timeframe: Peak Viral Period (from 30 August 2010 through the end of treatment [up to Week 16])
Intervention | Percentage of days (Mean) |
---|
FSC DISKUS 100/50 mcg BID | 48.3 |
FP DISKUS 100 mcg BID | 49.7 |
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Mean Duration of Worsening Asthma Symptoms Associated With the Presence of Moderate or Severe URTS or a Confirmed RV Infection
A worsening asthma day is one on which any of the following occurred: rescue albuterol use above baseline, use of oral/parenteral corticosteroids for asthma, use of asthma medication other than study medication, asthma symptom scores >=3, nighttime awakenings, unscheduled health care visits, or missed school due to asthma. The duration of worsening asthma is the number of consecutive worsening asthma days after the date of a URTS score of 2 (moderate) or 3 (severe) or collection of a mucus sample containing RV (whichever occurred first). Each span of consecutive days is a participant interval. (NCT01192178)
Timeframe: Peak Viral Period (from 30 August 2010 through the end of treatment [up to Week 16])
Intervention | Days per participant interval (Mean) |
---|
FSC DISKUS 100/50 mcg BID | 4.1 |
FP DISKUS 100 mcg BID | 4.0 |
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Mean Percentage of Symptom-free Days
A symptom-free day was defined as a day during the Peak Viral Period on which the asthma symptom score was zero. The daily asthma symptom score (measured during the day and the previous night) was reported on a 6-point scale (ranging from 0=no symptoms to 5=severe symptoms). Percentage of symptom-free days was defined as the number of days during the Peak Viral Period on which the asthma symptom score=0, divided by the number of days in that same period on which non-missing values were recorded, multiplied by 100. (NCT01192178)
Timeframe: Peak Viral Period (from 30 August 2010 through the end of treatment [up to Week 16])
Intervention | Percentage of days (Mean) |
---|
FSC DISKUS 100/50 mcg BID | 90.1 |
FP DISKUS 100 mcg BID | 91.1 |
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Number of Asthma Exacerbations Associated With the Presence of Moderate or Severe URTS or a Confirmed RV Infection During the Peak Viral Period
Each participant (with assistance from the parent/legal guardian as needed) was instructed to keep an electronic diary (eDiary) with record of daily URTS symptoms that included: runny nose, sneezing, nasal congestion, and sore throat. Based on the best-described aggregate URTS during the previous 24 hours, participants rated symptoms as: 0 = Not present; 1 = Mild, clearly present; 2 = Moderately severe, uncomfortable; and 3 = Severe, interfering with sleep or activity. Mucus samples were collected and analyzed for RVwhen the eDiary alerted for moderate/severe URTS. (NCT01192178)
Timeframe: Peak Viral Period (from 30 August 2010 through the end of treatment [up to Week 16])
Intervention | Number of asthma exacerbations (Number) |
---|
FSC DISKUS 100/50 mcg BID | 5 |
FP DISKUS 100 mcg BID | 7 |
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Total Number of Asthma Exacerbations Reported During the Treatment Period
An asthma exacerbation was defined as deterioration of asthma that required the use of outpatient oral/parenteral corticosteroids (tablets, suspensions, or injection) or an urgent care, hospitalization, or emergency room (ER) visit due to asthma that required oral/parenteral corticosteroids. Two exacerbations (out of a total of 51) were excluded: (1) one exacerbation occurred within 7 days of the resolution of an earlier one, and, per protocol, was combined with the previous exacerbation; and (2) one exacerbation occurred post treatment. (NCT01192178)
Timeframe: From Baseline (Week 1) until the end of treatment (up to Week 16)
Intervention | Number of asthma exacerbations (Number) |
---|
FSC DISKUS 100/50 mcg BID | 24 |
FP DISKUS 100 mcg BID | 25 |
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Mean Asthma Symptom Scores, as an Indicator of Severity, Associated With the Presence of Moderate or Severe Upper Respiratory Tract Symptoms (URTS) or a Confirmed Rhinovirus (RV) Infection at Baseline and During the Peak Viral Period
Participants recorded their asthma symptom score over the previous 24 hours (during the day and the previous night) using the following 6-point scale: 0=No symptoms; 1=Symptoms for 1 short period; 2=Symptoms for >=2 short periods; 3=Symptoms for most of the day/previous night that did not affect normal daily activities; 4=Symptoms for most of the day/previous night that affected normal daily activities; 5=Symptoms so severe that participant could not perform normal daily activities. The Baseline mean asthma symptom score was calculated as the average score over 7 days prior to Week 1, Visit 2. (NCT01192178)
Timeframe: Baseline (Week 1) and Peak Viral Period ([period during which the greatest number of viral infections is expected] from 30 August 2010 through the end of the treatment period [up to Week 16])
Intervention | Scores on a scale (Mean) |
---|
| Baseline, n=105, 104 | Peak Viral Period, n=106, 104 |
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FP DISKUS 100 mcg BID | 0.2 | 0.4 |
,FSC DISKUS 100/50 mcg BID | 0.2 | 0.5 |
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Number of Participants for the Indicated Hematological Parameters Who Experienced Low, Normal, and High Levels at Baseline (BL) and Week 52/Withdrawal (WD)
Hematological parameters included: Basophils (Baso), Eosinophils (Eosin), Lymphocytes (Lymph), Monocytes (Mono), Total Neutrophils (TN), Hemoglobin (Hemo), Hematocrit (Hmcrt), Platelet Count (PT), Red Blood Cell Count (RBC Count), White Blood Cell Count (WBC Count). Data are reported as the number of participants who had low, normal, and high levels at BL (Week-2) and Week 52/WD. (NCT01192191)
Timeframe: Baseline (Week -2), and Week 52/Withdrawal (WD)
Intervention | Participants (Number) |
---|
| Baso, High, BL, n=60, 127 | Baso, Normal, BL, n= 60, 127 | Baso, Low, BL, n= 60, 127 | Baso, High, Week 52/WD, n=56, 122 | Baso, Normal, Week 52/WD, n=56, 122 | Baso, Low, Week 52/WD n=56, 122 | Eosin, High, BL, n=60, 127 | Eosin, Normal, BL, n=60, 127 | Eosin, Low, BL, n=60, 127 | Eosin, High, Week 52/WD, n=56, 122 | Eosin, Normal, Week 52/WD, n=56, 122 | Eosin, Low, Week 52/WD, n=56, 122 | Lymph, High, BL, n=60, 127 | Lymph, Normal, BL, n=60, 127 | Lymph, Low, BL, n=60, 127 | Lymph, High, Week 52/WD, n=56, 122 | Lymph, Normal, Week 52/WD, n=56, 122 | Lymph, Low, Week 52/WD, n=56, 122 | Mono, High, BL, n=60, 127 | Mono, Normal, BL, n=60, 127 | Mono, Low, BL, n=60, 127 | Mono, High, Week 52/WD, n=56, 122 | Mono, Normal, Week 52/WD, n=56, 122 | Mono, Low, Week 52/WD, n=56, 122 | TN, High, BL, n=60, 127 | TN, Normal, BL, n=60, 127 | TN, Low, BL, n=60, 127 | TN, High, Week 52/WD, n=56, 122 | TN, Normal, Week 52/WD, n=56, 122 | TN, Low, Week 52/WD, n=56, 122 | Hemo, High, BL, n=60, 127 | Hemo, Normal, BL, n=60, 127 | Hemo, Low, BL, n=60, 127 | Hemo, High, Week 52/WD, n=56, 122 | Hemo, Normal, Week 52/WD, n=56, 122 | Hemo, Low, Week 52/WD, n=56, 122 | Hmcrt, High, BL, n=60, 127 | Hmcrt, Normal, BL, n=60, 127 | Hmcrt, Low, BL, n=60, 127 | Hmcrt, High, Week 52/WD, n=56, 122 | Hmcrt, Normal, Week 52/WD, n=56, 122 | Hmcrt, Low, Week 52/WD, n=56, 122 | PT, High, BL, n=60, 127 | PT, Normal, BL, n=60, 127 | PT, Low, BL, n=60, 127 | PT, High, Week 52/WD, n=56, 122 | PT, Normal, Week 52/WD, n=56, 122 | PT, Low, Week 52/WD, n=56, 122 | RBC Count, High, BL, n=60, 127 | RBC Count, Normal, BL, n=60, 127 | RBC Count, Low, BL, n=60, 127 | RBC Count, High, Week 52/WD, n=56, 122 | RBC Count, Normal, Week 52/WD, n=56, 122 | RBC Count, Low, Week 52/WD, n=56, 122 | WBC Count, High, BL, n=60, 127 | WBC Count, Normal, BL, n=60, 127 | WBC Count, Low, BL, n=60, 127 | WBC Count, High, Week 52/WD, n=56, 122 | WBC Count, Normal, Week 52/WD, n=56, 122 | WBC Count, Low, Week 52/WD, n=56, 122 |
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FF/VI 100/25 µg | 2 | 58 | 0 | 1 | 55 | 0 | 5 | 55 | 0 | 5 | 51 | 0 | 1 | 58 | 1 | 0 | 51 | 5 | 9 | 51 | 0 | 7 | 49 | 0 | 0 | 58 | 2 | 4 | 52 | 0 | 1 | 48 | 11 | 0 | 45 | 11 | 4 | 50 | 6 | 1 | 50 | 5 | 1 | 57 | 2 | 2 | 51 | 3 | 0 | 53 | 7 | 0 | 47 | 9 | 2 | 57 | 1 | 3 | 52 | 1 |
,FF/VI 200/25 µg | 0 | 127 | 0 | 1 | 121 | 0 | 15 | 112 | 0 | 11 | 111 | 0 | 1 | 121 | 5 | 0 | 108 | 14 | 8 | 119 | 0 | 14 | 108 | 0 | 5 | 119 | 3 | 11 | 111 | 0 | 2 | 112 | 13 | 0 | 108 | 14 | 13 | 110 | 4 | 8 | 106 | 8 | 0 | 124 | 3 | 4 | 116 | 2 | 4 | 111 | 12 | 2 | 107 | 13 | 6 | 119 | 2 | 4 | 116 | 2 |
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Number of Participants for the Indicated Clinical Chemistry and Urinalysis Parameters Who Experienced a Low, Normal, and High Levels at Baseline (BL) and Week 52/Withdrawal (WD)
Clinical chemistry and urinalysis parameters included: Albumin, Alkaline Phosphatase (AP), Alanine Amino Transferase (ALT), Aspartate Amino Transferase (AST), Bilirubin (Direct [BD], Indirect [BI], and Total [BT]), Creatine Kinase (CK), Chloride, Carbon Dioxide content/Bicarbonate (CO2/BC), Creatinine, Gamma Glutamyl Transferase (GGT), Glucose, Potassium, Lactate Dehydrogenase (LDH), Sodium, Urine pH, Urine Specific Gravity (USG),Total Protein (TP), Urea/Blood urea nitrogen (BUN), and Uric Acid (UA). Data are reported as the number of participants who had low, normal, and high levels at BL (Week-2) and Week 52/WD. (NCT01192191)
Timeframe: Baseline (Week -2), and Week 52/Withdrawal (WD
Intervention | Participants (Number) |
---|
| Albumin, High, BL, n=60, 127 | Albumin, Normal, BL, n=60, 127 | Albumin, Low, BL, n=60, 127 | Albumin, High, Week 52/WD, n=56, 122 | Albumin, Normal, Week 52/WD, n=56, 122 | Albumin, Low, Week 52/WD, n=56, 122 | AP, High, BL, n=60, 127 | AP, Normal, BL, n=60, 127 | AP, Low, BL, n=60, 127 | AP, High, Week 52/WD, n=56, 122 | AP, Normal, Week 52/WD, n=56, 122 | AP, Low, Week 52/WD, n=56, 122 | ALT, High, BL, n=60, 127 | ALT, Normal, BL, n=60, 127 | ALT, Low, BL, n=60, 127 | ALT, High, Week 52/WD, n=56, 122 | ALT, Normal, Week 52/WD, n=56, 122 | ALT, Low, Week 52/WD, n=56, 122 | AST, High, BL, n=60, 127 | AST, Normal, BL, n=60, 127 | AST, Low, BL, n=60, 127 | AST, High, Week 52/WD, n=56, 122 | AST, Normal, Week 52/WD, n=56, 122 | AST, Low, Week 52/WD, n=56, 122 | BD, High, BL, n=60, 127 | BD, Normal, BL, n=60, 127 | BD, Low, BL, n=60, 127 | BD, High, Week 52/WD, n=56, 122 | BD, Normal, Week 52/WD, n=56, 122 | BD, Low, Week 52/WD, n=56, 122 | BI, High, BL, n=60, 127 | BI, Normal, BL, n=60, 127 | BI, Low, BL, n=60, 127 | BI, High, Week 52/WD, n=56, 122 | BI, Normal, Week 52/WD, n=56, 122 | BI, Low, Week 52/WD, n=56, 122 | BT, High, BL, n=60, 127 | BT, Normal, BL, n=60, 127 | BT, Low, BL, n=60, 127 | BT, High, Week 52/WD, n=56, 122 | BT, Normal, Week 52/WD, n=56, 122 | BT, Low, Week 52/WD, n=56, 122 | CK, High, BL, n=60, 127 | CK, Normal, BL, n=60, 127 | CK, Low, BL, n=60, 127 | CK, High, Week 52/WD, n=56, 122 | CK, Normal, Week 52/WD, n=56, 122 | CK, Low, Week 52/WD, n=56, 122 | Chloride, High, BL, n=60, 127 | Chloride, Normal, BL, n=60, 127 | Chloride, Low, BL, n=60, 127 | Chloride, High, Week 52/WD, n=56, 122 | Chloride, Normal, Week 52/WD, n=56, 122 | Chloride, Low, Week 52/WD, n=56, 122 | CO2/BC, High, BL, n=60, 127 | CO2/BC, Normal, BL, n=60, 127 | CO2/BC, Low, BL, n=60, 127 | CO2/BC, High, Week 52/WD, n=56, 121 | CO2/BC, Normal, Week 52/WD, n=56, 121 | CO2/BC, Low, Week 52/WD, n=56, 121 | Creatinine, High, BL, n=60, 127 | Creatinine, Normal, BL, n=60, 127 | Creatinine, Low, BL, n=60, 127 | Creatinine, High, Week 52/WD, n=56, 122 | Creatinine, Normal, Week 52/WD, n=56, 122 | Creatinine, Low, Week 52/WD, n=56, 122 | GGT, High, BL, n=60, 127 | GGT, Normal, BL, n=60, 127 | GGT, Low, BL, n=60, 127 | GGT, High, Week 52/WD, n=56, 122 | GGT, Normal, Week 52/WD, n=56, 122 | GGT, Low, Week 52/WD, n=56, 122 | Glucose, High, BL, n=60, 127 | Glucose, Normal, BL, n=60, 127 | Glucose, Low, BL, n=60, 127 | Glucose, High, Week 52/WD, n=56, 122 | Glucose, Normal, Week 52/WD, n=56, 122 | Glucose, Low, Week 52/WD, n=56, 122 | Potassium, High, BL, n=60, 127 | Potassium, Normal, BL, n=60, 127 | Potassium, Low, BL, n=60, 127 | Potassium, High, Week 52/WD, n=56, 122 | Potassium, Normal, Week 52/WD, n=56, 122 | Potassium, Low, Week 52/WD, n=56, 122 | LDH, High, BL, n=60, 127 | LDH, Normal, BL, n=60, 127 | LDH, Low, BL, n=60, 127 | LDH, High, Week 52/WD, n=56, 122 | LDH, Normal, Week 52/WD, n=56, 122 | LDH, Low, Week 52/WD, n=56, 122 | Sodium, High, BL, n=60, 127 | Sodium, Normal, BL, n=60, 127 | Sodium, Low, BL, n=60, 127 | Sodium, High, Week 52/WD, n=56, 122 | Sodium, Normal, Week 52/WD, n=56, 122 | Sodium, Low, Week 52/WD, n=56, 122 | Urine pH, High, BL, n=60, 127 | Urine pH, Normal, BL, n=60, 127 | Urine pH, Low, BL, n=60, 127 | Urine pH, High, Week 52/WD, n=56, 122 | Urine pH, Normal, Week 52/WD, n=56, 122 | Urine pH, Low, Week 52/WD, n=56, 122 | USG, High, BL, n=60, 127 | USG, Normal, BL, n=60, 127 | USG, Low, BL, n=60, 127 | USG, High, Week 52/WD, n=56, 122 | USG, Normal, Week 52/WD, n=56, 122 | USG, Low, Week 52/WD, n=56, 122 | TP, High, BL, n=60, 127 | TP, Normal, BL, n=60, 127 | TP, Low, BL, n=60, 127 | TP, High, Week 52/WD, n=56, 122 | TP, Normal, Week 52/WD, n=56, 122 | TP, Low, Week 52/WD, n=56, 122 | Urea/BUN, High, BL, n=60, 127 | Urea/BUN, Normal, BL, n=60, 127 | Urea/BUN, Low, BL, n=60, 127 | Urea/BUN, High, Week 52/WD, n=56, 122 | Urea/BUN, Normal, Week 52/WD, n=56, 122 | Urea/BUN, Low, Week 52/WD, n=56, 122 | UA, High, BL, n=60, 127 | UA, Normal, BL, n=60, 127 | UA, Low, BL, n=60, 127 | UA, High, Week 52/WD, n=56, 122 | UA, Normal, Week 52/WD, n=56, 122 | UA, Low, Week 52/WD, n=56, 122 |
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FF/VI 100/25 µg | 0 | 56 | 4 | 0 | 49 | 7 | 4 | 56 | 0 | 5 | 51 | 0 | 4 | 56 | 0 | 4 | 52 | 0 | 5 | 55 | 0 | 3 | 53 | 0 | 7 | 53 | 0 | 3 | 53 | 0 | 4 | 56 | 0 | 3 | 53 | 0 | 6 | 54 | 0 | 6 | 50 | 0 | 6 | 48 | 6 | 7 | 44 | 5 | 1 | 58 | 1 | 2 | 54 | 0 | 0 | 57 | 3 | 0 | 48 | 8 | 8 | 50 | 2 | 6 | 47 | 3 | 9 | 51 | 0 | 10 | 46 | 0 | 16 | 43 | 1 | 26 | 30 | 0 | 2 | 54 | 4 | 1 | 53 | 2 | 1 | 59 | 0 | 4 | 52 | 0 | 0 | 58 | 2 | 0 | 55 | 1 | 0 | 60 | 0 | 0 | 56 | 0 | 2 | 58 | 0 | 2 | 54 | 0 | 1 | 55 | 4 | 1 | 49 | 6 | 5 | 54 | 1 | 8 | 48 | 0 | 13 | 46 | 1 | 13 | 42 | 1 |
,FF/VI 200/25 µg | 2 | 112 | 13 | 1 | 99 | 22 | 10 | 117 | 0 | 6 | 116 | 0 | 9 | 117 | 1 | 6 | 116 | 0 | 11 | 116 | 0 | 5 | 117 | 0 | 4 | 123 | 0 | 4 | 118 | 0 | 1 | 126 | 0 | 2 | 120 | 0 | 5 | 122 | 0 | 3 | 119 | 0 | 10 | 102 | 15 | 7 | 92 | 23 | 0 | 124 | 3 | 6 | 115 | 1 | 1 | 120 | 6 | 1 | 116 | 4 | 9 | 115 | 3 | 10 | 108 | 4 | 25 | 102 | 0 | 19 | 103 | 0 | 58 | 65 | 4 | 56 | 65 | 1 | 5 | 116 | 6 | 5 | 111 | 6 | 9 | 116 | 2 | 10 | 111 | 1 | 0 | 125 | 2 | 0 | 120 | 2 | 1 | 126 | 0 | 0 | 122 | 0 | 1 | 126 | 0 | 0 | 122 | 0 | 3 | 118 | 6 | 3 | 102 | 17 | 13 | 114 | 0 | 5 | 116 | 1 | 22 | 102 | 3 | 23 | 92 | 7 |
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Change From Baseline in Heart Rate (HR) at Weeks 4, 8, 12, 16, 24, 32, 40, and 52; Week 24/WD; and Week 52/WD
Heart rate was measured in a sitting position after a participant was kept at rest for at least 5 minutes at assessment time points (Weeks 4, 8, 12, 16, 24, 32, 40, and 52; Week 24/WD; and Week 52/WD). Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01192191)
Timeframe: Baseline (Week 0), Week 4, Week 8, Week 12, Week 16, Week 24, Week 32, Week 40, Week 52, Week 24/WD, Week 52/WD
Intervention | Beats/Minute (Mean) |
---|
| HR, Week 4, n=58, 124 | HR, Week 8, n=58, 123 | HR, Week 12, n=57, 119 | HR, Week 16, n=57, 116 | HR, Week 24, n=53, 115 | HR, Week 32, n=53, 112 | HR, Week 40, n=50, 107 | HR, Week 52, n=49, 106 | HR, Week 24/WD, n=56, 125 | HR, Week 52/WD, n=56, 123 |
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FF/VI 100/25 µg | 0.2 | -0.2 | -1.6 | 0.7 | -0.7 | -0.5 | 1.7 | 1.9 | -1.1 | 1.8 |
,FF/VI 200/25 µg | -0.3 | 0.3 | -0.1 | 1.5 | -1.1 | 0.1 | -0.3 | 1.1 | -0.7 | 2.0 |
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Change From Baseline in Blood Pressure at Weeks 4, 8, 12, 16, 24, 32, 40, and 52; Week 24/WD; and Week 52/WD
Blood pressure measurement included systolic blood pressure (SBP) and diastolic blood pressure (DBP) at Weeks 4, 8, 12, 16, 24, 32, 40, and 52; Week 24/WD; and Week 52/WD. Blood pressure was measured in a sitting position after a participant was kept at rest for at least 5 minutes. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01192191)
Timeframe: Baseline (Week 0), Week 4, Week 8, Week 12, Week 16, Week 24, Week 32, Week 40, Week 52, Week 24/WD, and Week 52/WD
Intervention | Millimeters of Mercury (mmHg) (Mean) |
---|
| SBP, Week 4, n=58, 124 | SPB, Week 8, n=58, 123 | SPB, Week 12, n=57, 119 | SBP, Week 16, n=57, 116 | SBP, Week 24, n=53, 115 | SBP, Week 32, n=53, 112 | SBP, Week 40, n=50, 107 | SBP, Week 52, n=49, 106 | SBP, Week 24/WD, n=56, 125 | SBP, Week 52/WD, n=56, 123 | DBP, Week 4, n=58, 124 | DBP, Week 8, n=58, 123 | DBP, Week 12, n=57, 119 | DBP, Week 16, n=57, 116 | DBP, Week 24, n=53, 115 | DBP, Week 32, n=53, 112 | DBP, Week 40, n=50, 107 | DBP, Week 52, n=49, 106 | DBP, Week 24/WD, n=56, 125 | DBP, Week 52/WD, n=56, 123 |
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FF/VI 100/25 µg | 4.3 | 2.5 | 2.7 | 1.2 | -0.3 | -1.8 | -3.0 | 3.7 | -0.9 | 2.4 | 3.3 | 0.1 | 0.7 | 0.4 | 0.3 | -1.6 | -1.6 | 1.2 | 0.2 | 0.8 |
,FF/VI 200/25 µg | 1.2 | 0.4 | 1.2 | 0.9 | -1.3 | -5.0 | -3.9 | 0.7 | -1.1 | 1.1 | 0.9 | 1.0 | 0.8 | 0.7 | -1.1 | -1.6 | -0.3 | 0.8 | -1.2 | 0.7 |
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Number of Participants With Pneumonia During the Treatment Period
Pneumonia is an inflammatory condition of the lung, affecting primarily the microscopic air sacs known as alveoli. All diagnoses of pneumonia (radiographically confirmed or unconfirmed) were reported as an AE or SAE. An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, may jeopardize the participant or require medical or surgical intervention to prevent one of the ot (NCT01192191)
Timeframe: From the start of investigational product to the last dose of treatment (up to Week 52/Withdrawal [WD])
Intervention | Participants (Number) |
---|
| Pneumonia recorded as an AE | Pneumonia recorded as an SAE |
---|
FF/VI 100/25 µg | 6 | 4 |
,FF/VI 200/25 µg | 19 | 9 |
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Number of Participants With Any Non-serious Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Treatment Period
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, may jeopardize the participant or require medical or surgical intervention to prevent one of the other outcomes listed in the definition above, or is an event of possible drug-induced liver injury. Refer to the general AE/SAE module for a list of AEs (occurring at a frequency threshold >=5%) and SAEs. (NCT01192191)
Timeframe: From the start of investigational product to the last dose of treatment (up to Week 52/Withdrawal [WD])
Intervention | Participants (Number) |
---|
| Any Non-serious AE | Any SAE |
---|
FF/VI 100/25 µg | 36 | 10 |
,FF/VI 200/25 µg | 93 | 23 |
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Number of Participants With Abnormal 12-lead Electrocardiogram (ECG) Findings
A 12-lead ECG was recorded in a supine position after the participant was kept at rest in this position for at least 5 minutes at assessment time points (Week 12, Week 24, and Week52). Data are presented for clinically significant (CS) as well as not clinically significant (NCS) abnormal findings. Any abnormal ECG, including those that worsen from baseline, and clinically significant as assessed by the investigator were recorded as CS. (NCT01192191)
Timeframe: Baseline (Week -2), Week 12, Week 24, and Week 52
Intervention | Participants (Number) |
---|
| BL, CS, n=60, 127 | BL, NCS, n=60, 127 | Week 12, CS, n=57, 119 | Week 12, NCS, n=57, 119 | Week 24, CS, n=54, 115 | Week 24, NCS, n=54, 115 | Week 52, CS, n=49, 106 | Week 52, NCS, n=49, 106 |
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FF/VI 100/25 µg | 0 | 19 | 0 | 17 | 0 | 17 | 1 | 14 |
,FF/VI 200/25 µg | 0 | 43 | 1 | 37 | 0 | 33 | 1 | 35 |
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Change From Baseline in 24-hour Urinary Cortisol Excretion at Weeks 24 and 52/Withdrawal (WD)
24-hour urinary cortisol excretion was calculated by multiplying the total volume of urine by the concentration of urinary cortisol. Cortisol is a hormone released from the adrenal gland that helps in fat, protein, and carbohydrate metabolism. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01192191)
Timeframe: Baseline (Week 0), Week 24, and Week 52/Withdrawal (WD)
Intervention | Nanomoles (nmol)/24 hours (Geometric Mean) |
---|
| Week 24, n=25, 43 | Week 52/WD, n=24, 41 |
---|
FF/VI 100/25 µg | 1.0627 | 0.8862 |
,FF/VI 200/25 µg | 0.8160 | 0.8593 |
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Number of Participants for the Indicated Urinalysis Parameters Tested by Dipstick at Baseline (BL) and Week 52/Withdrawal (WD)
Urinalysis parameters included: Urine Occult Blood (UOB), Urine Glucose (UG), Urine Ketones (UK), Urine Protein (UP), and Urine Leukocyte Esterase test for detecting White Blood Cell (UWBC). The dipstick was a strip used to detect the presence or absence of these parameters in the urine sample. The dipstick test gives results in a semi-quantitative manner, and results can be read as negative (Neg), Trace, 1+, 2+, and 3+, indicating proportional concentrations in the urine sample. Data are reported as the number of participants who had neg, trace, 1+, 2+, and 3+ levels at Baseline (Week -2) and Week 52/WD. (NCT01192191)
Timeframe: Baseline (Week -2), Week 52/Withdrawal (WD)
Intervention | Participants (Number) |
---|
| UOB, Neg, BL, n=60, 127 | UOB, Trace, BL, n=60, 127 | UOB, 1+, BL, n=60, 127 | UOB, 2+, BL, n=60, 127 | UOB, 3+, BL, n=60, 127 | UOB, Neg, Week 52/WD, n=56, 122 | UOB, Trace, Week 52/WD, n=56, 122 | UOB, 1+, Week 52/WD, n=56, 122 | UOB, 2+, Week 52/WD, n=56, 122 | UOB, 3+, Week 52/WD, n=56, 122 | UG, Neg, BL, n=60, 127 | UG, Trace, BL, n=60, 127 | UG, 1+, BL, n=60, 127 | UG, 2+, BL, n=60, 127 | UG, 3+, BL, n=60, 127 | UG, Neg, Week 52/WD, n=56, 122 | UG, Trace, Week 52/WD, n=56, 122 | UG, 1+, Week 52/WD, n=56, 122 | UG, 2+, Week 52/WD, n=56, 122 | UG, 3+, Week 52/WD, n=56, 122 | UK, Neg, BL, n=60, 127 | UK, Trace, BL, n=60, 127 | UK, 1+, BL, n=60, 127 | UK, 2+, BL, n=60, 127 | UK, 3+, BL, n=60, 127 | UK, Neg, Week 52/WD, n=56, 122 | UK, Trace, Week 52/WD, n=56, 122 | UK, 1+, Week 52/WD, n=56, 122 | UK, 2+, Week 52/WD, n=56, 122 | UK, 3+, Week 52/WD, n=56, 122 | UP, Neg, BL, n=60, 127 | UP, Trace, BL, n=60, 127 | UP, 1+, BL, n=60, 127 | UP, 2+, BL, n=60, 127 | UP, 3+, BL, n=60, 127 | UP, Neg, Week 52/WD, n=56, 122 | UP, Trace, Week 52/WD, n=56, 122 | UP, 1+, Week 52/WD, n=56, 122 | UP, 2+, Week 52/WD, n=56, 122 | UP, 3+, Week 52/WD, n=56, 122 | UWBC, Neg, BL, n=60, 127 | UWBC, Trace, BL, n=60, 127 | UWBC, 1+, BL, n=60, 127 | UWBC, 2+, BL, n=60, 127 | UWBC, 3+, BL, n=60, 127 | UWBC, Neg, Week 52/WD, n=56, 122 | UWBC, Trace, Week 52/WD, n=56, 122 | UWBC, 1+, Week 52/WD, n=56, 122 | UWBC, 2+, Week 52/WD, n=56, 122 | UWBC, 3+, Week 52/WD, n=56, 122 |
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FF/VI 100/25 µg | 54 | 4 | 1 | 1 | 0 | 51 | 3 | 1 | 1 | 0 | 54 | 3 | 2 | 1 | 0 | 49 | 2 | 3 | 2 | 0 | 60 | 0 | 0 | 0 | 0 | 56 | 0 | 0 | 0 | 0 | 48 | 10 | 2 | 0 | 0 | 41 | 10 | 4 | 1 | 0 | 58 | 0 | 1 | 0 | 1 | 55 | 0 | 1 | 0 | 0 |
,FF/VI 200/25 µg | 112 | 6 | 5 | 2 | 2 | 103 | 11 | 5 | 1 | 2 | 117 | 4 | 1 | 2 | 3 | 109 | 5 | 1 | 5 | 2 | 127 | 0 | 0 | 0 | 0 | 122 | 0 | 0 | 0 | 0 | 103 | 13 | 8 | 3 | 0 | 92 | 20 | 8 | 2 | 0 | 120 | 0 | 6 | 1 | 0 | 108 | 0 | 11 | 3 | 0 |
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Albuterol Induced Change in Qaw Before and After Fluticasone or Placebo
Airway Blood flow (Qaw) will be measured before and 15 minutes after albuterol inhalation (delta Qaw). (NCT01216735)
Timeframe: 3 weeks treatment period of ICS or placebo
Intervention | % change (Mean) |
---|
Fluticasone | 40.9 |
Placebo | 0.0 |
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Maximum Change From Baseline in Airway Blood Flow (Qaw)
(NCT01231230)
Timeframe: maximum change in Qaw within 240 minutes post drug inhalation
Intervention | change from baseline ( µl/min/ml) (Mean) |
---|
Fluticasone | -11.0 |
Placebo | 14.1 |
Salmeterol | 23.9 |
Fluticasone/Salmeterol | 25.5 |
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Mean Change From Baseline Over the Entire Treatment Period in the Daily Reflective Total Nasal Symptom Score (rTNSS)
The Total Nasal Symptom Score (TNSS; possible score of 0-12) is the sum of 4 individual participant-assessed symptom scores for rhinorrhea, nasal congestion, nasal itching, and sneezing, each evaluated using a scale of 0=None, 1=Mild, 2=Moderate, or 3=Severe. The rTNSS was performed in the morning (AM rTNSS) and evening (PM rTNSS) and assessed the participant's symptoms over the preceding 12 hours. The daily rTNSS is the average of the AM rTNSS and PM rTNSS assessments. Mean changes from baseline over the entire treatment period were calculated as treatment period rTNSS minus baseline rTNSS. (NCT01231464)
Timeframe: Baseline through entire treatment period (Day 1 through Day 14)
Intervention | Points on a scale (Least Squares Mean) |
---|
FFNS 110 mcg | -4.226 |
Placebo | -2.728 |
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Mean Change From Baseline (Visit 2) to the End of Study (Visit 4/Early Withdrawal) in Nasal Finding Score by Rhinoscopy
The nasal finding score by rhinoscopy (possible score of 0-12) is the sum of 4 individual investigator assessed scores for swelling of inferior nasal concha mucosa, color of inferior nasal concha mucosa, watery secretion volume, and description of rhinorrhea. The symptoms were assessed using a scale of 0=None, 1=Mild, 2=Moderate, 3=Severe. Mean change from baseline to the end of study in nasal finding score by rhinoscopy was calculated as the nasal finding score by rhinoscopy at Visit 4/Early Withdrawal minus the nasal final finding score by rhinoscopy at Visit 2. (NCT01231464)
Timeframe: Baseline through end of study (Day 1 through Day 15/Early Withdrawal)
Intervention | Points on a scale (Least Squares Mean) |
---|
FFNS 110 mcg | -4.2 |
Placebo | -2.9 |
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Mean Change From Baseline (Visit 2) to the End of Study (Visit 4/Early Withdrawal) in Severity of Overall Interference in Activities of Daily Living
The severity of overall interference in activities of daily living at baseline and the end of study was assessed by the investigator on the scale of 0=None, 1=Mild, 2=Moderate, 3=Severe. The mean change from baseline to the end of study in severity of overall interference in activities of daily living was calculated as the severity of overall interference in activities of daily living at Visit 4/Early Withdrawal minus severity of overall interference in activities of daily living at Visit 2. (NCT01231464)
Timeframe: Baseline through end of study (Day 1 through Day 15/Early Withdrawal)
Intervention | Points on a scale (Least Squares Mean) |
---|
FFNS 110 mcg | -1.2 |
Placebo | -0.8 |
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Laboratory Parameter of Hemoglobin at Baseline (Week -2), Week 12,Week 24, and Week 52/WD
Blood samples were collected for measurement at the following scheduled time points: Baseline (Week -2), Week 12, Week 24 and Week 52/WD. (NCT01244984)
Timeframe: Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Intervention | Grams per liter (g/L) (Mean) |
---|
| Baseline, n=60, 93, 90 | Week 12, n=58, 90, 87 | Week 24, n=58, 83, 86 | Week 52/WD, n=60, 90, 89 |
---|
FF 100 µg | 138.6 | 139.1 | 139.0 | 136.7 |
,FF/GW642444 100/25 µg | 135.7 | 138.2 | 137.4 | 136.4 |
,FF/GW642444 200/25 µg | 141.1 | 140.6 | 140.8 | 139.0 |
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Change From Baseline in Asthma Symptom Score During the Study Treatment
The Baseline value was calculated as the mean of all available data recorded during the 7 days immediately prior to Visit 2 (treatment assignment visit). Participants entered their asthma symptom score in the patient diary twice daily (morning and evening). Daytime asthma symptom scores: 0-no asthma symptoms, 1-one episode of short-time asthma symptoms, 2-two or more episodes of short-time asthma symptoms, 3-asthma symptoms occurring during most part of daytime without interference with daily life activities, 4-asthma symptoms occurring during most part of daytime with interference with daily life activities, 5-severe asthma symptoms that disable working or daily life activities. Nighttime asthma symptom scores: 0-no asthma symptoms, 1-one awakening due to asthma symptoms, 2-two or more awakenings due to asthma symptoms, 3-asthma symptoms almost prevented the participant from sleeping, 4-severe asthma symptoms completely prevented from sleeping. (NCT01244984)
Timeframe: Baseline up to Week 52
Intervention | Scores on a scale (Mean) |
---|
FF/GW642444 100/25 µg | -0.14 |
FF/GW642444 200/25 µg | -0.14 |
FF 100 µg | -0.19 |
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Number of Participants With Severe Asthma Exacerbation During the Study Treatment
A severe asthma exacerbation is defined as the deterioration of asthma requiring the use of systemic corticosteroids (tablets, suspension, or injection) for at least 3 days or an in-patient hospitalization or emergency department visit due to asthma that required systemic corticosteroids. Courses of corticosteroids separated by 1 week or more were treated as separate severe exacerbations. (NCT01244984)
Timeframe: Baseline up to Week 52
Intervention | Participants (Number) |
---|
FF/GW642444 100/25 µg | 3 |
FF/GW642444 200/25 µg | 9 |
FF 100 µg | 16 |
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Laboratory Parameter of Albumin and Total Protein (TP) at Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Blood samples were collected for measurement at the following scheduled time points: Baseline (Week -2), Week 12, Week 24 and Week 52/WD. (NCT01244984)
Timeframe: Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Intervention | g/L (Mean) |
---|
| Albumin, Baseline, n=60, 93, 90 | Albumin, Week 12, n=58, 90, 87 | Albumin, Week 24, n=58, 83, 86 | Albumin, Week 52/WD, n=60, 90, 89 | TP, Baseline, n=60, 93, 90 | TP, Week 12, n=58, 90, 87 | TP, Week 24, n=58, 83, 86 | TP, Week 52/WD, n=60, 90, 89 |
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FF 100 µg | 44.7 | 44.3 | 43.7 | 43.8 | 74.6 | 74.4 | 73.3 | 72.5 |
,FF/GW642444 100/25 µg | 44.3 | 44.3 | 43.6 | 43.5 | 73.3 | 73.8 | 72.3 | 71.5 |
,FF/GW642444 200/25 µg | 44.8 | 44.1 | 43.9 | 43.4 | 73.6 | 73.0 | 72.4 | 71.4 |
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Laboratory Parameters of Eosinophils, Platelet Count, White Blood Cell (WBC), and Total Neutrophils at Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Blood samples were collected for measurement at the following scheduled time points: Baseline (Week -2), Week 12, Week 24 and Week 52/WD. (NCT01244984)
Timeframe: Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Intervention | 10^9 per liter (Gi/L) (Mean) |
---|
| Eosinophils, Baseline, n=60, 93, 90 | Eosinophils, Week 12, n=58, 90, 87 | Eosinophils, Week 24, n=58, 83, 86 | Eosinophils, Week 52/WD, n=60, 90, 89 | Platelet count, Baseline, n=60, 93, 90 | Platelet count, Week 12, n=58, 90, 87 | Platelet count, Week 24, n=58, 83, 86 | Platelet count, Week 52/WD, n=60, 90, 89 | WBC, Baseline, n=60, 93, 90 | WBC, Week 12, n=58, 90, 87 | WBC, Week 24, n=58, 83, 86 | WBC, Week 52/WD, n=60, 90, 89 | Total neutrophils, Baseline, n=60, 93, 90 | Total neutrophils, Week 12, n=58, 90, 87 | Total neutrophils, Week 24, n=58, 83, 86 | Total neutrophils, Week 52/WD, n=60, 90, 89 |
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FF 100 µg | 0.323 | 0.286 | 0.256 | 0.285 | 254.1 | 259.0 | 260.1 | 270.3 | 6.13 | 5.95 | 6.01 | 6.24 | 3.536 | 3.567 | 3.690 | 3.795 |
,FF/GW642444 100/25 µg | 0.338 | 0.306 | 0.282 | 0.290 | 252.4 | 263.9 | 261.1 | 267.2 | 6.24 | 5.90 | 5.86 | 6.11 | 3.661 | 3.522 | 3.522 | 3.585 |
,FF/GW642444 200/25 µg | 0.323 | 0.245 | 0.247 | 0.281 | 257.1 | 269.3 | 270.2 | 276.7 | 6.39 | 6.11 | 6.19 | 6.45 | 3.734 | 3.729 | 3.833 | 4.010 |
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Laboratory Parameter of Bilirubin (Direct [BD], Indirect [BI], Total [BT], Creatinine, and Uric Acid at Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Blood samples were collected for measurement at the following scheduled time points: Baseline (Week -2), Week 12, Week 24 and Week 52/WD. (NCT01244984)
Timeframe: Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Intervention | Micromoles per Liter (µmol/L) (Mean) |
---|
| direct [BD], Baseline, n=60, 93, 90 | direct [BD], Week 12, n=58, 90, 87 | direct [BD], Week 24, n=58, 83, 86 | direct [BD], Week 52/WD, n=60, 90, 89 | indirect [BI], Baseline, n=60, 93, 90 | indirect [BI], Week 12, n=58, 90, 87 | indirect [BI], Week 24, n=58, 83, 86 | indirect [BI], Week 52/WD, n=60, 90, 89 | total [BT], Baseline, n=60, 93, 90 | total [BT], Week 12, n=58, 90, 87 | total [BT], Week 24, n=58, 83, 86 | total [BT], Week 52/WD, n=60, 90, 89 | Creatinine, Baseline, n=60, 93, 90 | Creatinine, Week 12, n=58, 90, 87 | Creatinine, Week 24, n=58, 83, 86 | Creatinine, Week 52/WD, n=60, 90, 89 | Uric acid, Baseline, n=60, 93, 90 | Uric acid, Week 12, n=58, 90, 87 | Uric acid, Week 24, n=58, 83, 86 | Uric acid, Week 52/WD, n=60, 90, 89 |
---|
FF 100 µg | 3.401 | 3.125 | 2.903 | 3.055 | 7.125 | 6.938 | 6.760 | 6.936 | 10.526 | 10.063 | 9.663 | 9.991 | 62.0568 | 60.1628 | 60.6773 | 61.3536 | 310.6178 | 303.8266 | 308.5352 | 308.0262 |
,FF/GW642444 100/25 µg | 3.220 | 2.948 | 3.214 | 2.850 | 7.495 | 7.017 | 7.842 | 6.640 | 10.716 | 9.965 | 11.056 | 9.491 | 61.8800 | 59.3042 | 59.7614 | 60.4067 | 304.0419 | 302.6301 | 299.6561 | 305.2315 |
,FF/GW642444 200/25 µg | 3.236 | 3.230 | 3.338 | 3.344 | 7.079 | 7.600 | 7.747 | 7.505 | 10.315 | 10.830 | 11.084 | 10.849 | 66.4806 | 62.9408 | 64.5213 | 64.6204 | 305.7784 | 301.6297 | 310.8726 | 300.3079 |
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Change From Baseline in the Percentage of Symptom-free 24-hour Periods During the Study Treatment
Participants who were symptom free for 24-hours were assessed. Change from Baseline is calculated as the value at Week 52 minus the value at Baseline. (NCT01244984)
Timeframe: Baseline up to Week 52
Intervention | Percentage of symptom-free days (Mean) |
---|
FF/GW642444 100/25 µg | 6.79 |
FF/GW642444 200/25 µg | 6.51 |
FF 100 µg | 8.19 |
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Laboratory Parameter of Urine Specific Gravity (USG) at Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Urine samples were collected for measurement at the following scheduled time points: Baseline (Week -2), Week 12, Week 24 and Week 52/WD. (NCT01244984)
Timeframe: Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Intervention | ratio of urine density to water density (Mean) |
---|
| Urine Specific Gravity, Baseline, n=60, 93, 90 | Urine Specific Gravity, Week 12, n=58, 90, 87 | Urine Specific Gravity, Week 24, n=58, 83, 86 | Urine Specific Gravity, Week 52/WD, n=60, 90, 89 |
---|
FF 100 µg | 1.0173 | 1.0163 | 1.0179 | 1.0156 |
,FF/GW642444 100/25 µg | 1.0177 | 1.0171 | 1.0174 | 1.0160 |
,FF/GW642444 200/25 µg | 1.0177 | 1.0167 | 1.0180 | 1.0159 |
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Laboratory Parameters of Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils at Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Blood samples were collected for measurement at the following scheduled time points: Baseline (Week -2), Week 12, Week 24 and Week 52/WD. (NCT01244984)
Timeframe: Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Intervention | Percentage (Mean) |
---|
| Basophils, Baseline, n=60,93,90 | Basophils, Week 12, n=58, 90, 87 | Basophils, Week 24, n=58, 83, 86 | Basophils, Week 52/WD, n=60, 90, 89 | Eosinophils, Baseline, n=60,93,90 | Eosinophils, Week 12, n=58, 90, 87 | Eosinophils, Week 24, n=58, 83, 86 | Eosinophils, Week 52/WD, n=60, 90, 89 | Lymphocytes, Baseline, n=60, 93, 90 | Lymphocytes, Week 12, n=58, 90, 87 | Lymphocytes , Week 24, n=58, 83, 86 | Lymphocytes, Week 52/WD, n=60, 90, 89 | Monocytes, Baseline, n=60,93,90 | Monocytes, Week 12, n=58, 90, 87 | Monocytes, Week 24, n=58, 83, 86 | Monocytes, Week 52/WD, n=60, 90, 89 | Total neutrophils, Baseline, n=60,93,90 | Total neutrophils, Week 12, n=58, 90, 87 | Total neutrophils, Week 24, n=58, 83, 86 | Total neutrophils, Week 52/WD, n=60, 90, 89 |
---|
FF 100 µg | 0.79 | 0.79 | 0.72 | 0.72 | 5.32 | 4.90 | 4.37 | 4.60 | 31.26 | 29.35 | 28.83 | 29.04 | 5.35 | 5.65 | 5.41 | 5.59 | 57.28 | 59.31 | 60.64 | 60.05 |
,FF/GW642444 100/25 µg | 0.78 | 0.76 | 0.74 | 0.77 | 5.59 | 5.22 | 4.88 | 4.89 | 30.49 | 29.22 | 29.06 | 30.01 | 5.23 | 5.65 | 5.51 | 5.59 | 57.91 | 59.14 | 59.82 | 58.54 |
,FF/GW642444 200/25 µg | 0.71 | 0.67 | 0.66 | 0.64 | 5.03 | 4.01 | 4.00 | 4.27 | 30.95 | 29.15 | 28.40 | 27.67 | 5.39 | 5.61 | 5.52 | 5.72 | 57.92 | 60.57 | 61.37 | 61.70 |
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Laboratory Parameter of Chloride, Carbon Dioxide Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) at Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Blood samples were collected for measurement at the following scheduled time points: Baseline (Week -2), Week 12, Week 24 and Week 52/WD. (NCT01244984)
Timeframe: Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Intervention | Millimoles per Liter (mmol/L) (Mean) |
---|
| Chloride, BL, n=60, 93, 90 | Chloride, Week 12, n=58, 90, 87 | Chloride, Week 24, n=58, 83, 86 | Chloride, Week 52/WD, n=60, 90, 89 | CO2 content/Bicarbonate, BL, n=60, 93, 90 | CO2 content/Bicarbonate, Week 12, n=58, 90, 87 | CO2 content/Bicarbonate, Week 24, n=58, 83, 86 | CO2 content/Bicarbonate, Week 52/WD, n=60, 90, 88 | Glucose, BL, n=60, 93, 90 | Glucose, Week 12, n=58, 90, 87 | Glucose, Week 24, n=58, 83, 86 | Glucose, Week 52/WD, n=60, 90, 89 | Potassium, BL, n=60, 93, 90 | Potassium, Week 12, n=58, 90, 87 | Potassium, Week 24, n=58, 83, 86 | Potassium, Week 52/WD, n=60, 90, 89 | Sodium, BL, n=60, 93, 90 | Sodium, Week 12, n=58, 90, 87 | Sodium, Week 24, n=58, 83, 86 | Sodium, Week 52/WD, n=60, 90, 89 | Urea/BUN, BL, n=60, 93, 90 | Urea/BUN, Week 12, n=58, 90, 87 | Urea/BUN, Week 24, n=58, 83, 86 | Urea/BUN, Week 52/WD, n=60, 90, 89 |
---|
FF 100 µg | 103.6 | 105.6 | 105.0 | 104.8 | 25.2 | 25.4 | 24.8 | 25.1 | 5.7669 | 5.7647 | 5.8169 | 5.8572 | 4.12 | 4.16 | 4.16 | 4.16 | 140.7 | 140.8 | 141.0 | 141.2 | 4.7116 | 4.7973 | 4.8510 | 4.7120 |
,FF/GW642444 100/25 µg | 104.3 | 105.9 | 105.4 | 105.6 | 25.3 | 24.9 | 25.4 | 24.9 | 5.6685 | 5.5606 | 5.8228 | 5.4455 | 4.04 | 4.17 | 4.14 | 4.14 | 141.2 | 141.1 | 140.9 | 141.3 | 5.0658 | 5.0792 | 5.0177 | 4.9932 |
,FF/GW642444 200/25 µg | 104.2 | 105.6 | 105.0 | 105.3 | 25.0 | 24.8 | 25.3 | 25.3 | 5.7826 | 5.7848 | 5.8593 | 5.7743 | 4.13 | 4.17 | 4.17 | 4.17 | 141.3 | 140.7 | 141.1 | 141.6 | 5.0928 | 4.9865 | 4.9593 | 4.9869 |
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Number of Participants With Abnormal 12-lead Electrocardiogram (ECG) Findings
A 12-lead ECG was recorded in a supine position after the participant was kept at rest in this position for at least 5 minutes at assessment time points (Baseline[Week -2], Week 12, 24 and Week 52/WD) in the treatment period. Data are presented for clinically significant (CS) as well as not clinically significant (NCS) abnormal (Abn) findings. Any abnormal ECG, including those that worsen from Baseline, and determined clinically significant by the assessment of the investigator were recorded as CS. (NCT01244984)
Timeframe: Week 12, Week 24, and Week 52/WD
Intervention | Participants (Number) |
---|
| Baseline, Abn NCS, n=60, 93, 90 | Baseline, Abn CS, n=60, 93, 90 | Week 12, Abn NCS, n=58, 90, 88 | Week 12, Abn CS, n=58, 90, 88 | Week 24, Abn NCS, n=58, 83, 86 | Week 24, Abn CS, n=58, 83, 86 | Week 52/WD, Abn NCS, n=60, 90, 89 | Week 52/WD, Abn CS, n=60, 90, 89 |
---|
FF 100 µg | 11 | 0 | 10 | 0 | 9 | 0 | 12 | 0 |
,FF/GW642444 100/25 µg | 19 | 0 | 11 | 0 | 12 | 0 | 10 | 0 |
,FF/GW642444 200/25 µg | 22 | 0 | 17 | 0 | 18 | 0 | 16 | 2 |
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Number of Participants With Any Non-serious Adverse Event (AE) and Any Serious Adverse Event (SAE)
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, may jeopardize the participant or require medical or surgical intervention to prevent one of the other outcomes listed in the definition above, or is an event of possible drug-induced liver injury. Refer to the general AE/SAE module for a list of AEs (occurring at a frequency threshold >=5%) and SAE. (NCT01244984)
Timeframe: From the start of investigational product to the last dose of treatment (up to Week 52/Withdrawal [WD])
Intervention | Participants (Number) |
---|
| Any SAE | Any Non-serious AE |
---|
FF 100 µg | 1 | 72 |
,FF/GW642444 100/25 µg | 4 | 52 |
,FF/GW642444 200/25 µg | 7 | 77 |
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Number of Rescue Medication Inhalations
Salbutamol inhaler was used as the rescue medication. Participants entered the number of rescue medication inhalations in the patient diary twice daily (morning and evening). (NCT01244984)
Timeframe: Baseline up to Week 52
Intervention | Number of inhalations (Mean) |
---|
| Week 0-12, n=60, 93, 90 | Week 13-24, n=58, 91, 88 | Week 25-36, n=58, 84, 87 | Week 37-52, n=57, 79, 86 | Week 0-52, n=60, 93, 90 |
---|
FF 100 µg | 13.42 | 12.56 | 14.01 | 17.78 | 56.23 |
,FF/GW642444 100/25 µg | 5.15 | 5.12 | 6.02 | 7.75 | 23.28 |
,FF/GW642444 200/25 µg | 7.32 | 6.65 | 7.45 | 7.73 | 27.13 |
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Laboratory Parameter of Hematocrit at Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Blood samples were collected for measurement at the following scheduled time points: Baseline (Week -2), Week 12, Week 24 and Week 52/WD. (NCT01244984)
Timeframe: Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Intervention | Proportions of I (Mean) |
---|
| Baseline, n=60, 93, 90 | Week 12, n=58, 90, 87 | Week 24, n=58, 83, 86 | Week 52/WD, n=60, 90, 89 |
---|
FF 100 µg | 0.4319 | 0.4283 | 0.4288 | 0.4215 |
,FF/GW642444 100/25 µg | 0.4214 | 0.4288 | 0.4238 | 0.4194 |
,FF/GW642444 200/25 µg | 0.4374 | 0.4325 | 0.4333 | 0.4272 |
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Laboratory Parameter of Alkaline Phosphatase (AP), Alanine Amino Transferase (ALT), Aspartate Amino Transferase (AST), Creatine Kinase, Gamma Glutamyl Transferase (GGT), and Lactate Dehydrogenase (LDH) at BL (Week -2), Week 12, Week 24, and Week 52/WD
Blood samples were collected for measurement at the following scheduled time points: Baseline (BL) (Week -2), Week 12, Week 24 and Week 52/WD. (NCT01244984)
Timeframe: Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Intervention | International unit per liter (IU/L) (Mean) |
---|
| AP, Baseline, n=60, 93, 90 | AP, Week 12, n=58, 90, 87 | AP, Week 24, n=58, 83, 86 | AP, Week 52/WD, n=60, 90, 89 | ALT, Baseline, n=60, 93, 90 | ALT, Week 12, n=58, 90, 87 | ALT, Week 24, n=58, 83, 86 | ALT, Week 52/WD, n=60, 90, 89 | AST, Baseline, n=60, 93, 90 | AST, Week 12, n=58, 90, 87 | AST, Week 24, n=58, 83, 86 | AST, Week 52/WD, n=60, 90, 89 | Creatine Kinase, Baseline, n=60, 93, 90 | Creatine Kinase, Week 12, n=58, 90, 87 | Creatine Kinase, Week 24, n=58, 83, 86 | Creatine Kinase, Week 52/WD, n=60, 90, 89 | GGT, Baseline, n=60, 93, 90 | GGT, Week 12, n=58, 90, 87 | GGT, Week 24, n=58, 83, 86 | GGT, Week 52/WD, n=60, 90, 89 | LDH, Baseline, n=60, 93, 90 | LDH, Week 12, n=58, 90, 87 | LDH, Week 24, n=58, 83, 86 | LDH, Week 52/WD, n=60, 90, 89 |
---|
FF 100 µg | 217.1 | 220.3 | 215.9 | 217.0 | 21.9 | 20.7 | 20.1 | 23.0 | 21.5 | 21.7 | 20.6 | 22.8 | 104.0 | 97.4 | 103.0 | 99.9 | 30.0 | 28.2 | 26.5 | 28.9 | 175.3 | 175.1 | 174.3 | 177.9 |
,FF/GW642444 100/25 µg | 209.9 | 217.9 | 212.3 | 223.1 | 19.0 | 24.1 | 19.0 | 21.8 | 20.0 | 23.2 | 20.1 | 23.5 | 111.9 | 118.9 | 115.4 | 105.3 | 25.4 | 28.1 | 24.7 | 28.2 | 176.7 | 180.8 | 175.3 | 179.5 |
,FF/GW642444 200/25 µg | 222.7 | 214.9 | 216.4 | 219.9 | 22.3 | 21.3 | 20.7 | 23.2 | 22.0 | 22.0 | 21.2 | 23.3 | 149.8 | 134.0 | 131.9 | 126.6 | 34.9 | 31.0 | 30.8 | 34.6 | 186.9 | 185.7 | 184.4 | 188.1 |
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Laboratory Parameter of Red Blood Cell Count at Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Blood samples were collected for measurement at the following scheduled time points: Baseline (Week -2), Week 12, Week 24 and Week 52/WD. (NCT01244984)
Timeframe: Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Intervention | 10^12 per liter (Ti/L) (Mean) |
---|
| Baseline, n=60, 93, 90 | Week 12, n=58, 90, 87 | Week 24, n=58, 83, 86 | Week 52/WD, n=60, 90, 89 |
---|
FF 100 µg | 4.689 | 4.696 | 4.681 | 4.664 |
,FF/GW642444 100/25 µg | 4.557 | 4.656 | 4.626 | 4.603 |
,FF/GW642444 200/25 µg | 4.714 | 4.685 | 4.687 | 4.671 |
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Laboratory Parameter of Urine Potential of Hydrogen (pH) at Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Urine samples were collected for measurement at the following scheduled time points: Baseline (Week -2), Week 12, Week 24 and Week 52/WD. (NCT01244984)
Timeframe: Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Intervention | pH (Mean) |
---|
| Urine pH, Baseline, n=60, 93, 90 | Urine pH, Week 12, n=58, 90, 87 | Urine pH, Week 24, n=58, 83, 86 | Urine pH, Week 52/WD, n=60, 90, 89 |
---|
FF 100 µg | 6.46 | 6.39 | 6.33 | 6.42 |
,FF/GW642444 100/25 µg | 6.33 | 6.41 | 6.27 | 6.25 |
,FF/GW642444 200/25 µg | 6.36 | 6.36 | 6.40 | 6.50 |
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Change From Baseline in the Percentage of Rescue-free 24-hour Periods
The time span during which the participants did not have to take any rescue medication (medication intended to relieve symptoms immediately) was considered as a rescue free period. Change from Baseline is calculated as the value at Week 52 minus the value at Baseline. (NCT01244984)
Timeframe: Baseline up to Week 52
Intervention | Percentage of rescue free 24-hour period (Mean) |
---|
| Week 0-12, n=60, 93, 90 | Week 13-24, n=58, 91, 88 | Week 25-36, n=58, 84, 87 | Week 37-52, n=57, 79, 86 | Week 0-52, n=60, 93, 90 |
---|
FF 100 µg | 92.79 | 94.35 | 94.14 | 95.13 | 94.28 |
,FF/GW642444 100/25 µg | 97.94 | 97.60 | 97.99 | 98.38 | 98.01 |
,FF/GW642444 200/25 µg | 95.51 | 95.94 | 95.24 | 95.71 | 95.76 |
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Change From Baseline in the 24-hour Urinary Cortisol Excretion
Urine samples were collected for measurement of urinary cortisol excretion at the following scheduled time points: Baseline (Week 0), Week 24, and Week 52/WD. The 24-hour urinary cortisol excretion was calculated by multiplying the total volume of urine by the concentration of urinary cortisol. Cortisol is a hormone released from the adrenal gland that helps in fat, protein, and carbohydrate metabolism. Change from Baseline was calculated as the value at post-Baseline time point minus the value at Baseline. (NCT01244984)
Timeframe: Baseline (Week 0), Week 24, and Week 52/WD
Intervention | Nanomoles (nmol)/24 hours (Geometric Mean) |
---|
| Week 24, n=19, 20, 28 | Week 52/WD, n=18, 19, 30 |
---|
FF 100 µg | 0.9698 | 0.8190 |
,FF/GW642444 100/25 µg | 1.0218 | 0.8956 |
,FF/GW642444 200/25 µg | 1.0602 | 1.0802 |
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Change From Baseline in Heart Rate (HR)
Heart rate was measured in a sitting position after a participant was kept at rest for at least 5 minutes at Baseline (Week 0), Weeks 12, 24 and Week 52/WD. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01244984)
Timeframe: Baseline (Week 0), Week 12, Week 24, and Week 52/WD
Intervention | Beats/Minute (Mean) |
---|
| Week 12, n=58, 90, 88 | Week 24, n=58, 83, 86 | Week 52/WD, n=60, 92, 89 |
---|
FF 100 µg | 1.3 | 1.1 | 1.1 |
,FF/GW642444 100/25 µg | 0.9 | 0.1 | -1.2 |
,FF/GW642444 200/25 µg | -0.6 | 0.1 | -1.4 |
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Change From Baseline in Diary Data - Morning (AM) Peak Expiratory Flow (PEF) and Evening (PM) PEF During the Study Treatment
Change from Baseline in AM and PM PEF at 52 weeks of evaluation period during study treatment was recorded in the dairy record card. The Baseline value was calculated as the mean of all available data recorded during the7 days immediately prior to the treatment start date (including Day 1: Day 1 is treatment start date). The PEF is defined as the greatest rate of airflow that can be achieved during forced exhalation beginning with the lungs fully inflated. (NCT01244984)
Timeframe: Baseline up to Week 52
Intervention | Litres per Minute (L/min) (Mean) |
---|
| PEF AM, Week 0-52 | PEF PM, Week 0-52 |
---|
FF 100 µg | 12.38 | 15.64 |
,FF/GW642444 100/25 µg | 18.29 | 20.23 |
,FF/GW642444 200/25 µg | 23.98 | 26.29 |
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Change From Baseline in Blood Pressure
Blood pressure measurement included systolic blood pressure (SBP) and diastolic blood pressure (DBP) at Baseline (Week 0), Weeks 12, 24 and Week 52/WD. Blood pressure was measured in a sitting position after a participant was kept at rest for at least 5 minutes. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01244984)
Timeframe: Baseline (Week 0), Week 12, Week 24, and Week 52/WD
Intervention | Millimeters of Mercury (mmHg) (Mean) |
---|
| SBP, Week 12, n=58, 90, 88 | SBP, Week 24, n=58, 83, 86 | SBP Week 52/WD, n=60, 92, 89 | DBP, Week 12, n=58, 90, 88 | DBP, Week 24, n=58, 83, 86 | DBP, Week 52/WD, n=60, 92, 89 |
---|
FF 100 µg | 0.7 | 0.1 | 0.9 | -2.3 | -1.1 | -0.1 |
,FF/GW642444 100/25 µg | -1.6 | -0.7 | -1.5 | -0.3 | -0.7 | -0.1 |
,FF/GW642444 200/25 µg | 1.2 | -1.6 | 0.5 | 1.0 | 0.5 | 1.5 |
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Number of Participants for the Indicated Uninalysis Parameters Tested by Dipstick at Baseline (BL), Week 12, Week 24, and Week 52/WD
Urinalysis parameters included: Urine Occult Blood (UOB), Urine Glucose (UG), Urine Ketones (UK), Urine Protein (UP), and Urine Leukocyte Esterase test for detecting White Blood Cell (UWBC). The dipstick was a strip used to detect the presence or absence of these parameters in the urine sample. The dipstick test gives results in a semi-quantitative manner, and results can be read as negative (Neg), Trace (TRA), 1+, 2+, and 3+, indicating proportional concentrations in the urine sample. Data are reported as the number of participants who had neg, trace, 1+, 2+, and 3+ levels at Baseline (Week -2) and Week 52/WD. (NCT01244984)
Timeframe: Baseline (Week -2), Week 12, Week 24, and Week 52/WD
Intervention | Participants (Number) |
---|
| UOB, Neg, BL, n=60, 93, 90 | UOB, TRA, BL, n=60, 93, 90 | UOB, 1+, BL, n=60, 93, 90 | UOB, 2+, BL, n=60, 93, 90 | UOB, 3+, BL, n=60, 93, 90 | UOB, Neg, Week 12, n=58, 90, 87 | UOB, TRA, Week 12, n=58, 90, 87 | UOB, 1+, Week 12, n=58, 90, 87 | UOB, 2+, Week 12, n=58, 90, 87 | UOB, 3+, Week 12, n=58, 90, 87 | UOB, Neg, Week 24, n=58, 83, 86 | UOB, TRA, Week 24, n=58, 83, 86 | UOB, 1+, Week 24, n=58, 83, 86 | UOB, 2+, Week 24, n=58, 83, 86 | UOB, 3+, Week 24, n=58, 83, 86 | UOB, Neg, Week 52/WD, n=60, 90, 89 | UOB, TRA, Week 52/WD, n=60, 90, 89 | UOB, 1+, Week 52/WD, n=60, 90, 89 | UOB, 2+, Week 52/WD, n=60, 90, 89 | UOB, 3+, Week 52/WD, n=60, 90, 89 | UG, Neg, BL, n=60, 93, 90 | UG, TRA, BL, n=60, 93, 90 | UG, 1+, BL, n=60, 93, 90 | UG, 2+, BL, n=60, 93, 90 | UG, 3+, BL, n=60, 93, 90 | UG, Neg, Week 12, n=58, 90, 87 | UG, TRA, Week 12, n=58, 90, 87 | UG, 1+, Week 12, n=58, 90, 87 | UG, 2+, Week 12, n=58, 90, 87 | UG, 3+, Week 12, n=58, 90, 87 | UG, Neg, Week 24, n=58, 83, 86 | UG, TRA, Week 24, n=58, 83, 86 | UG, 1+, Week 24, n=58, 83, 86 | UG, 2+, Week 24, n=58, 83, 86 | UG, 3+, Week 24, n=58, 83, 86 | UG, Neg, Week 52/WD, n=60, 90, 89 | UG, TRA, Week 52/WD, n=60, 90, 89 | UG, 1+, Week 52/WD, n=60, 90, 89 | UG, 2+, Week 52/WD, n=60, 90, 89 | UG, 3+, Week 52/WD, n=60, 90, 89 | UK, Neg, BL, n=60, 93, 90 | UK, TRA, BL, n=60, 93, 90 | UK, 1+, BL, n=60, 93, 90 | UK, 2+, BL, n=60, 93, 90 | UK, 3+, BL, n=60, 93, 90 | UK, Neg, Week 12, n=58, 90, 87 | UK, TRA, Week 12, n=58, 90, 87 | UK, 1+, Week 12, n=58, 90, 87 | UK, 2+, Week 12, n=58, 90, 87 | UK, 3+, Week 12, n=58, 90, 87 | UK, Neg, Week 24, n=58, 83, 86 | UK, TRA, Week 24, n=58, 83, 86 | UK, 1+, Week 24, n=58, 83, 86 | UK, 2+, Week 24, n=58, 83, 86 | UK, 3+, Week 24, n=58, 83, 86 | UK, Neg, Week 52/WD, n=60, 90, 89 | UK, TRA, Week 52/WD, n=60, 90, 89 | UK, 1+, Week 52/WD, n=60, 90, 89 | UK, 2+, Week 52/WD, n=60, 90, 89 | UK, 3+, Week 52/WD, n=60, 90, 89 | UP, Neg, BL, n=60, 93, 90 | UP, TRA, BL, n=60, 93, 90 | UP, 1+, BL, n=60, 93, 90 | UP, 2+, BL, n=60, 93, 90 | UP, 3+, BL, n=60, 93, 90 | UP, Neg, Week 12, n=58, 90, 87 | UP, TRA, Week 12, n=58, 90, 87 | UP, 1+, Week 12, n=58, 90, 87 | UP, 2+, Week 12, n=58, 90, 87 | UP, 3+, Week 12, n=58, 90, 87 | UP, Neg, Week 24, n=58, 83, 86 | UP, TRA, Week 24, n=58, 83, 86 | UP, 1+, Week 24, n=58, 83, 86 | UP, 2+, Week 24, n=58, 83, 86 | UP, 3+, Week 24, n=58, 83, 86 | UP, Neg, Week 52/WD, n=60, 90, 89 | UP, TRA, Week 52/WD, n=60, 90, 89 | UP, 1+, Week 52/WD, n=60, 90, 89 | UP, 2+, Week 52/WD, n=60, 90, 89 | UP, 3+, Week 52/WD, n=60, 90, 89 | UWBC, Neg, BL, n=60, 93, 90 | UWBC,TRA, BL, n=60, 93, 90 | UWBC,1+, BL, n=60, 93, 90 | UWBC,2+, BL, n=60, 93, 90 | UWBC,3+, BL, n=60, 93, 90 | UWBC,Neg, Week 12, n=58, 90, 87 | UWBC,TRA, Week 12, n=58, 90, 87 | UWBC,1+, Week 12, n=58, 90, 87 | UWBC,2+, Week 12, n=58, 90, 87 | UWBC,3+, Week 12, n=58, 90, 87 | UWBC,Neg, Week 24, n=58, 83, 86 | UWBC,TRA, Week 24, n=58, 83, 86 | UWBC,1+, Week 24, n=58, 83, 86 | UWBC,2+, Week 24, n=58, 83, 86 | UWBC,3+, Week 24, n=58, 83, 86 | UWBC,Neg, Week 52/WD, n=60, 90, 89 | UWBC,TRA, Week 52/WD, n=60, 90, 89 | UWBC,1+, Week 52/WD, n=60, 90, 89 | UWBC,2+, Week 52/WD, n=60, 90, 89 | UWBC,3+, Week 52/WD, n=60, 90, 89 |
---|
FF 100 µg | 81 | 2 | 2 | 3 | 2 | 75 | 5 | 3 | 1 | 3 | 78 | 2 | 4 | 0 | 2 | 81 | 2 | 1 | 3 | 2 | 87 | 1 | 0 | 2 | 0 | 83 | 0 | 0 | 1 | 3 | 82 | 0 | 1 | 0 | 3 | 84 | 3 | 0 | 1 | 1 | 90 | 0 | 0 | 0 | 0 | 86 | 0 | 1 | 0 | 0 | 86 | 0 | 0 | 0 | 0 | 89 | 0 | 0 | 0 | 0 | 79 | 9 | 2 | 0 | 0 | 76 | 7 | 4 | 0 | 0 | 80 | 5 | 1 | 0 | 0 | 68 | 17 | 2 | 2 | 0 | 82 | 0 | 3 | 2 | 3 | 77 | 0 | 7 | 3 | 0 | 78 | 0 | 7 | 1 | 0 | 78 | 0 | 2 | 7 | 2 |
,FF/GW642444 100/25 µg | 51 | 6 | 2 | 1 | 0 | 50 | 2 | 4 | 2 | 0 | 49 | 4 | 1 | 3 | 1 | 54 | 4 | 0 | 1 | 1 | 58 | 2 | 0 | 0 | 0 | 55 | 2 | 1 | 0 | 0 | 53 | 2 | 2 | 1 | 0 | 59 | 0 | 1 | 0 | 0 | 60 | 0 | 0 | 0 | 0 | 58 | 0 | 0 | 0 | 0 | 58 | 0 | 0 | 0 | 0 | 59 | 0 | 1 | 0 | 0 | 55 | 4 | 1 | 0 | 0 | 52 | 5 | 0 | 1 | 0 | 50 | 7 | 1 | 0 | 0 | 54 | 5 | 1 | 0 | 0 | 53 | 0 | 3 | 3 | 1 | 52 | 0 | 2 | 3 | 1 | 50 | 0 | 4 | 2 | 2 | 52 | 0 | 4 | 3 | 1 |
,FF/GW642444 200/25 µg | 79 | 5 | 5 | 3 | 1 | 79 | 4 | 2 | 3 | 2 | 71 | 6 | 1 | 3 | 2 | 76 | 4 | 6 | 3 | 1 | 93 | 0 | 0 | 0 | 0 | 90 | 0 | 0 | 0 | 0 | 80 | 1 | 1 | 0 | 1 | 87 | 3 | 0 | 0 | 0 | 93 | 0 | 0 | 0 | 0 | 89 | 0 | 1 | 0 | 0 | 83 | 0 | 0 | 0 | 0 | 90 | 0 | 0 | 0 | 0 | 76 | 16 | 1 | 0 | 0 | 82 | 5 | 2 | 0 | 1 | 73 | 8 | 1 | 1 | 0 | 70 | 15 | 4 | 1 | 0 | 79 | 0 | 7 | 3 | 4 | 73 | 0 | 5 | 5 | 7 | 70 | 0 | 6 | 5 | 2 | 75 | 0 | 6 | 5 | 4 |
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PRIMARY: Mean Change From Baseline in Reflective Total Nasal Symptom Score (rTNSS) (Superiority: Intent-to-Treat Population)
"Patients were required to record a 12 hour reflective score twice a day approximately 12 hours apart. For the rTNSS patients were asked to look back or reflect on their severity of nasal symptoms over the previous 12 hours. The first rating on each day was taken prior to dosing. Patients were asked to score 4 nasal symptoms (nasal congestion, runny nose, sneezing and itchy nose) on a 4 point scale ranging from 0 (no symptom) to 3 (severe symptom). The means of the 4 individual symptom scores obtained over the randomized treatment period were summed to give the mean rTNSS, which ranged from 0 to 12 with a lower score indicating less severe symptoms.~Mean baseline rTNSS was calculated by summing the means of the 4 individual symptom scores obtained over the 72 hours before the randomized treatment period.~Mean change from baseline was calculated as mean baseline rTNSS - mean post-randomization rTNSS. A positive change from baseline in rTNSS is considered a favorable outcome." (NCT01279057)
Timeframe: Baseline, 14 days
Intervention | score on scale (Mean) |
---|
Test | 2.035 |
Reference | 1.845 |
Placebo | 0.952 |
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PRIMARY: Mean Change From Baseline in Reflective Total Nasal Symptom Score (rTNSS) (Equivalence: Per-Protocol Population)
"Patients were required to record a 12 hour reflective score twice a day approximately 12 hours apart. For the rTNSS patients were asked to look back or reflect on their severity of nasal symptoms over the previous 12 hours. The first rating on each day was taken prior to dosing. Patients were asked to score 4 nasal symptoms (nasal congestion, runny nose, sneezing and itchy nose) on a 4 point scale ranging from 0 (no symptom) to 3 (severe symptom). The means of the 4 individual symptom scores obtained over the randomized treatment period were summed to give the mean rTNSS, which ranged from 0 to 12 with a lower score indicating less severe symptoms.~Mean baseline rTNSS was calculated by summing the means of the 4 individual symptom scores obtained over the 72 hours before the randomized treatment period.~Mean change from baseline was calculated as mean baseline rTNSS - mean post-randomization rTNSS. A positive change from baseline in rTNSS is considered a favorable outcome." (NCT01279057)
Timeframe: Baseline, 14 days
Intervention | score on scale (Mean) |
---|
Test | 2.036 |
Reference | 1.904 |
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Mean Change From Baseline in Instantaneous Total Ocular Symptom Score (iTOSS) (Superiority: Intent-to-Treat Population)
"Patients were required to record an instantaneous score twice a day approximately 12 hours apart. For the iTOSS patients were asked to evaluate how I feel now regarding their severity of ocular symptoms. The first rating on each day was taken prior to dosing. Patients were asked to score 3 ocular symptoms (eye redness, itching/burning eyes, and tearing/watering eyes) on a 4 point scale ranging from 0 (no symptom) to 3 (severe symptom). The means of the 3 individual symptom scores obtained over the randomized treatment period were summed to give the mean rTOSS, which ranged from 0 to 9 with a lower score indicating less severe symptoms.~Mean baseline rTOSS was calculated by summing the means of the 3 individual symptom scores obtained over the 72 hours before the randomized treatment period.~Mean change from baseline was calculated as mean baseline iTOSS - mean post-randomization iTOSS. A positive change from baseline in iTOSS is considered a favorable outcome." (NCT01279057)
Timeframe: Baseline, 14 days
Intervention | score on scale (Mean) |
---|
Test | 1.362 |
Reference | 1.118 |
Placebo | 0.787 |
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Mean Change From Baseline in Instantaneous Total Ocular Symptom Score (iTOSS) (Equivalence: Per-Protocol Population)
"Patients were required to record an instantaneous score twice a day approximately 12 hours apart. For the iTOSS patients were asked to evaluate how I feel now regarding their severity of ocular symptoms. The first rating on each day was taken prior to dosing. Patients were asked to score 3 ocular symptoms (eye redness, itching/burning eyes, and tearing/watering eyes) on a 4 point scale ranging from 0 (no symptom) to 3 (severe symptom). The means of the 3 individual symptom scores obtained over the randomized treatment period were summed to give the mean rTOSS, which ranged from 0 to 9 with a lower score indicating less severe symptoms.~Mean baseline rTOSS was calculated by summing the means of the 3 individual symptom scores obtained over the 72 hours before the randomized treatment period.~Mean change from baseline was calculated as mean baseline iTOSS - mean post-randomization iTOSS. A positive change from baseline in iTOSS is considered a favorable outcome." (NCT01279057)
Timeframe: Baseline, 14 days
Intervention | score on scale (Mean) |
---|
Test | 1.389 |
Reference | 1.135 |
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Mean Change From Baseline in Reflective Total Ocular Symptom Score (rTOSS) (Equivalence: Per-Protocol Population)
"Patients were required to record a 12 hour reflective score twice a day approximately 12 hours apart. For the rTOSS patients were asked to look back or reflect on their severity of ocular symptoms over the previous 12 hours. The first rating on each day was taken prior to dosing. Patients were asked to score 3 ocular symptoms (eye redness, itching/burning eyes, and tearing/watering eyes) on a 4 point scale ranging from 0 (no symptom) to 3 (severe symptom). The means of the 3 individual symptom scores obtained over the randomized treatment period were summed to give the mean rTOSS, which ranged from 0 to 9 with a lower score indicating less severe symptoms.~Mean baseline rTOSS was calculated by summing the means of the 3 individual symptom scores obtained over the 72 hours before the randomized treatment period.~Mean change from baseline was calculated as mean baseline rTOSS - mean post-randomization rTOSS. A positive change from baseline is considered a favorable outcome." (NCT01279057)
Timeframe: Baseline, 14 days
Intervention | score on scale (Mean) |
---|
Test | 1.388 |
Reference | 1.152 |
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Mean Change From Baseline in Reflective Total Ocular Symptom Score (rTOSS) (Superiority: Intent-to-Treat Population)
"Patients were required to record a 12 hour reflective score twice a day approximately 12 hours apart. For the rTOSS patients were asked to look back or reflect on their severity of ocular symptoms over the previous 12 hours. The first rating on each day was taken prior to dosing. Patients were asked to score 3 ocular symptoms (eye redness, itching/burning eyes, and tearing/watering eyes) on a 4 point scale ranging from 0 (no symptom) to 3 (severe symptom). The means of the 3 individual symptom scores obtained over the randomized treatment period were summed to give the mean rTOSS, which ranged from 0 to 9 with a lower score indicating less severe symptoms.~Mean baseline rTOSS was calculated by summing the means of the 3 individual symptom scores obtained over the 72 hours before the randomized treatment period.~Mean change from baseline was calculated as mean baseline rTOSS - mean post-randomization rTOSS. A positive change from baseline is considered a favorable outcome." (NCT01279057)
Timeframe: Baseline, 14 days
Intervention | score on scale (Mean) |
---|
Test | 1.373 |
Reference | 1.128 |
Placebo | 0.787 |
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Mean Change From Baseline in Instantaneous Total Nasal Symptom Score (iTNSS) (Equivalence: Per-Protocol Population)
"Participants were required to record an instantaneous score twice a day approximately 12 hours apart. For the iTNSS participants were asked to evaluate how I feel now regarding their severity of nasal symptoms. The first rating on each day was taken prior to dosing. Participants were asked to score 4 nasal symptoms (nasal congestion, runny nose, sneezing and itchy nose) on a 4 point scale ranging from 0 (no symptom) to 3 (severe symptom). The means of the 4 individual symptom scores obtained over the randomized treatment period were summed to give the mean iTNSS, which ranged from 0 to 12 with a lower score indicating less severe symptoms.~Mean baseline iTNSS was calculated by summing the means of the 4 individual symptom scores obtained over the 72 hours before the randomized treatment period.~Mean change from baseline was calculated as mean baseline iTNSS - mean post-randomization iTNSS. A positive change from baseline in iTNSS is considered a favorable outcome." (NCT01279057)
Timeframe: Baseline, 14 days
Intervention | score on scale (Mean) |
---|
Test | 2.017 |
Reference | 1.854 |
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Mean Change From Baseline in Instantaneous Total Nasal Symptom Score (iTNSS) (Superiority: Intent-to-Treat Population)
"Participants were required to record an instantaneous score twice a day approximately 12 hours apart. For the iTNSS participants were asked to evaluate how I feel now regarding their severity of nasal symptoms. The first rating on each day was taken prior to dosing. Participants were asked to score 4 nasal symptoms (nasal congestion, runny nose, sneezing and itchy nose) on a 4 point scale ranging from 0 (no symptom) to 3 (severe symptom). The means of the 4 individual symptom scores obtained over the randomized treatment period were summed to give the mean iTNSS, which ranged from 0 to 12 with a lower score indicating less severe symptoms.~Mean baseline iTNSS was calculated by summing the means of the 4 individual symptom scores obtained over the 72 hours before the randomized treatment period.~Mean change from baseline was calculated as mean baseline iTNSS - mean post-randomization iTNSS. A positive change from baseline in iTNSS is considered a favorable outcome." (NCT01279057)
Timeframe: Baseline, 14 days
Intervention | score on scale (Mean) |
---|
Test | 1.994 |
Reference | 1.805 |
Placebo | 0.846 |
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Number of Subjects Were Able to Reduce Their Systemic Steroid Exposure by >=50%
(NCT01307462)
Timeframe: Baseline to 6 months
Intervention | Participants (Count of Participants) |
---|
Treatment (BOS Therapy) | 17 |
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Number of Subjects Who Experienced Statistically Significant Changes in FVC, TLC, RV, DLCO
(NCT01307462)
Timeframe: Baseline and 6 months
Intervention | Participants (Count of Participants) |
---|
Treatment (BOS Therapy) | 0 |
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Number of Subjects Who Failed Treatment
Treatment failure is defined as sustained, absolute decrease (worsening) of the FEV1 by >= 10% predicted in comparison to the baseline FEV1. Must be confirmed by a second PFT 2 weeks after the first measurement. (NCT01307462)
Timeframe: Within 3 months after initiation of study medications
Intervention | Participants (Count of Participants) |
---|
Treatment (BOS Therapy) | 2 |
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Number of Subjects With Improvements in Other Chronic GVHD Characteristics
Only includes subjects who had complete or partial response according to the National Institute of Health (NIH) consensus criteria. (NCT01307462)
Timeframe: Baseline and 3 months
Intervention | Participants (Count of Participants) |
---|
Treatment (BOS Therapy) | 12 |
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Changes in Symptoms as Measured by Patient Self-report--Functional Assessment of Chronic Illness Therapy (FACT)
"FACT-BMT subscales have various min/max, see below; results are given as change in 6mo score compared to baseline score, not actual score, and a positive change is correlated with improvement in clinical outcome.~FACT physical well-being (0-28) FACT social/family well-being (0-28) FACT emotional well-being (0-24) FACT functional well-being (0-28) FACT Bone Marrow Transplant (BMT) subscale (0-40) FACT trial outcome index (0-96) FACT-General (G) (0-108) FACT-BMT total (0-148)" (NCT01307462)
Timeframe: Baseline and 6 months
Intervention | units on a scale (Median) |
---|
| FACT physical well-being | FACT social/family well-being | FACT emotional well-being | FACT functional well-being | FACT BMT subscale | FACT trial outcome index | FACT-G | FACT-BMT total |
---|
Treatment (BOS Therapy) | 0.5 | -1 | 0 | 1 | -0.78 | 2 | 2.5 | 2.17 |
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Changes in Symptoms as Measured by Patient Self-report--Human Activities Profile (HAP)
"HAP subscales have min=0 and max=94; results are given as change in 6mo score compared to baseline score, not actual score, and a positive change is correlated with improvement in clinical outcome.~Maximum Activity Score (MAS) is highest item number answered still doing. Represents highest oxygen demanding activity that respondent still performs.~Adjusted Activity Score (AAS) is MAS minus total number of stopped doing responses below MAS. A measure of usual daily activities.~Modified AAS is MAS minus total number of stopped doing responses below MAS but not penalized for not doing activities not permitted post transplant. The following items are not counted against the score:11,15,19,20,22,25,34,41,42,47,49,50,52,53,54,57,72,73,77,78." (NCT01307462)
Timeframe: Baseline and 6 months
Intervention | units on a scale (Median) |
---|
| HAP MAS | HAP AAS | Modified HAP AAS |
---|
Treatment (BOS Therapy) | 0.5 | 4.5 | 3.5 |
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Changes in Symptoms as Measured by Patient Self-report--Lee Chronic GVHD Symptom Scale
Lee symptom scale (LSS) has subscales with min=0, max=100; results are given as change in 6mo score compared to baseline score, not actual score, and a negative change is correlated with improvement in clinical outcome. (NCT01307462)
Timeframe: Baseline and 6 months
Intervention | units on a scale (Median) |
---|
| LSS skin scale | LSS energy scale | LSS lung scale | LSS eye scale | LSS nutrition scale | LSS psychological scale | LSS mouth scale | LSS overall summary scale |
---|
Treatment (BOS Therapy) | -5.63 | -7.14 | -5 | -8.33 | 0 | 0 | 0 | -7.77 |
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Number of Subjects Who Experienced Grade 3-5 SAEs Attributable to FAM and Number of Subjects Who Stopped FAM as a Result
National Cancer Institute (NCI)-Common Terminology Criteria for Adverse Events (CTCAE) (v4.0) (NCT01307462)
Timeframe: From baseline to 6 months
Intervention | Participants (Count of Participants) |
---|
| SAEs attributable to FAM | Stopped FAM during study |
---|
Treatment (BOS Therapy) | 11 | 1 |
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Time to First Asthma Exacerbation: Kaplan-Meier Estimates at Week 4, Week 8 and Week 12
The time-to-asthma exacerbation was defined as the time from the date of randomization to the date of the first asthma exacerbation event; for participants without asthma exacerbation, it was censored at the end of treatment visit date. The median time to first asthma exacerbation was not estimated because the number of asthma exacerbations was too low in the Dupilumab arm. Therefore, alternative Kaplan-Meier statistics, the probability of asthma exacerbation at Week 4, 8 and 12, are presented as the descriptive measure statistics. (NCT01312961)
Timeframe: Baseline up to Week 12
Intervention | Probability of asthma exacerbation (Number) |
---|
| Probability at Week 4 | Probability at Week 8 | Probability at Week 12 |
---|
Dupilumab 300 mg qw | 0.038 | 0.058 | 0.058 |
,Placebo (for Dupilumab) | 0.058 | 0.245 | 0.460 |
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Change From Baseline in 22-item Sinonasal Outcome Test (SNOT-22) Score to Week 12
The SNOT-22 is a validated measure of health related quality of life in sinonasal disease. It is a 22 item questionnaire with each item assigned a score ranging from 0-5. The total score may range from 0 (no disease) -110 (worst disease), lower scores represent better health related quality of life. (NCT01312961)
Timeframe: Baseline, Week 12
Intervention | units on a scale (Mean) |
---|
Placebo (for Dupilumab) | 1.27 |
Dupilumab 300 mg qw | -9.17 |
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Change From Baseline in Asthma Control Questionnaire (5-question Version [ACQ-5]) to Week 12
ACQ-5 questionnaire is a validated questionnaire comprising of 5 questions for asthma symptoms: woken at night by symptoms, wake in the mornings with symptoms, limitation of daily activities, shortness of breath, and wheeze. Participants were asked to rate their asthma symptoms during the previous week on a 7-point scale as 0=no impairment, 6=maximum impairment. ACQ-5 score is the mean of the 5 questions and range between 0 (disease totally controlled) and 6 (disease severely uncontrolled), a higher score indicated lower asthma control. (NCT01312961)
Timeframe: Baseline, Week 12
Intervention | units on a scale (Mean) |
---|
Placebo (for Dupilumab) | -0.50 |
Dupilumab 300 mg qw | -1.07 |
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Change From Baseline in Evening Asthma Symptom Scores to Week 12
PM (post meridiem) symptom scoring system rates were participant's overall asthma symptoms experienced during the day. It ranges from 0 to 4 as: 0=very well, no asthma symptoms, 1=one episode of wheezing, cough, or breathlessness, 2=more than one episode of wheezing, cough, or breathlessness without interference of normal activities, 3=wheezing, cough, or breathlessness most of the day, which interfered to some extent with normal activities, 4=asthma very bad, unable to carry out daily activities as usual. (NCT01312961)
Timeframe: Baseline, Week 12
Intervention | units on a scale (Mean) |
---|
Placebo (for Dupilumab) | 0.1 |
Dupilumab 300 mg qw | -0.5 |
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Change From Baseline in Forced Expiratory Flow in One Second (FEV1) to Week 12
FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. (NCT01312961)
Timeframe: Baseline, Week 12
Intervention | Liters (Mean) |
---|
Placebo | -0.12 |
Dupilumab 300 mg qw | 0.06 |
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Change From Baseline in Morning Asthma Symptom Scores to Week 12
AM (ante meridiem) symptom scoring system rates were participant's overall asthma symptoms experienced during the night. It ranges from 0 to 4 as: 0 = No asthma symptoms, slept through the night, 1= Slept well, but some complaints in the morning. No nighttime awakenings,2= Woke up once because of asthma (including early awakening),3= Woke up several times because of asthma (including early awakening), 4= Bad night, awake most of the night because of asthma. (NCT01312961)
Timeframe: Baseline, Week 12
Intervention | units on a scale (Mean) |
---|
Placebo (for Dupilumab) | 0.3 |
Dupilumab 300 mg qw | -0.4 |
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Change From Baseline in Number of Inhalations Per Day of Albuterol or Levalbuterol to Week 12
Number of Albuterol or Levalbuterol inhalations were recorded daily by the participants in their electronic diary as Albuterol or Levalbuterol was to be used only as needed for symptoms, not on a regular basis or prophylactically. (NCT01312961)
Timeframe: Baseline, Week 12
Intervention | number of inhalations/day (Mean) |
---|
Placebo (for Dupilumab) | 0.4 |
Dupilumab 300 mg qw | -1.3 |
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Change From Baseline in Number of Nocturnal Awakenings Per Day to Week 12
Participants recorded every morning on awakening the number of asthma-related nocturnal awakenings requiring use of rescue medication that occurred during the previous night. (NCT01312961)
Timeframe: Baseline, Week 12
Intervention | number of awakenings/day (Mean) |
---|
Placebo (for Dupilumab) | 0.1 |
Dupilumab 300 mg qw | -0.3 |
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Percentage of Participants With Composite Asthma Events
Composite asthma event was defined as a 30% or greater reduction from baseline in morning PEF on 2 consecutive days together with 6 or more additional reliever puffs of albuterol or levalbuterol in a 24-hour period (compared to baseline) on 2 consecutive days. (NCT01312961)
Timeframe: Baseline up to Week 12
Intervention | percentage of participants (Number) |
---|
Placebo (for Dupilumab) | 1.9 |
Dupilumab 300 mg qw | 0 |
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Change From Baseline in Peak Expiratory Flow (PEF) to Week 12
The PEF is a participant's maximum speed of expiration, as measured with a peak flow meter. Peak flow testing for PEF was performed at home (morning and evening) while sitting or standing prior to using any medication (if needed) for asthma. (NCT01312961)
Timeframe: Baseline, Week 12
Intervention | liters/minute (Mean) |
---|
| Change in morning PEF | Change in evening PEF |
---|
Dupilumab 300 mg qw | 10.6 | -3.4 |
,Placebo (for Dupilumab) | -11.2 | -15.6 |
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Percentage of Participants With Asthma Exacerbation
An asthma exacerbation was defined as the occurrence of any of the following: ≥30% reduction from baseline in morning PEF on 2 consecutive days; or ≥6 additional reliever puffs of albuterol or levalbuterol in a 24-hour period (compared to baseline) on 2 consecutive days; or deterioration of asthma, as determined by the investigator, requiring systemic steroid treatment, or an increase in inhaled corticosteroid (ICS) of ≥4 times the last dose received prior to discontinuation from the study, or hospitalization. The occurrence of asthma exacerbations by individual criteria are reported. (NCT01312961)
Timeframe: Baseline up to Week 12
Intervention | percentage of participants (Number) |
---|
| Asthma exacerbation | ≥30% reduction from baseline in morning PEF | ≥6additional albuterol/levalbuterol puffs | Systemic steroid treatment | Increase in ICS ≥4 times baseline dose of ICS | Hospitalization |
---|
Dupilumab 300 mg qw | 5.8 | 1.9 | 1.9 | 1.9 | 0.0 | 0.0 |
,Placebo (for Dupilumab) | 44.2 | 19.2 | 19.2 | 9.6 | 5.8 | 0.0 |
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Decline in Forced Expiratory Volume in 1 Second (FEV1)
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. The effect of treatment on decline of post bronchodilator FEV1 recorded during the treatment period was analyzed using a particular form of a mixed effect model - a random coefficients model. FEV1 was fitted as the response variable with treatment group, age, gender, baseline FEV1 and time on treatment as fixed effects. Time on treatment was treated as a continuous variable. This model allowed for an initial increase in FEV1, but then tested the difference in slopes from the first post-baseline measurement which was at 3 months. A negative slope indicates a decline. A positive treatment difference indicates a slower rate of decline vs Placebo or Component. Only participants with at least one on-treatment post-bronchodilator FEV1 measurement were analyzed. (NCT01313676)
Timeframe: From start date of IP until IP stop date + 1 (assessed up to 4 years)
Intervention | milliliter/year (Least Squares Mean) |
---|
Placebo | -46 |
Fluticasone Furoate 100 µg | -38 |
Vilanterol 25 µg | -47 |
Fluticasone Furoate/Vilanterol 100/25 µg | -38 |
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Number of Participants With Death (Both on and Off Treatment) Due to Any Cause, Time up to or on the Pre-determined Common End Date
Death from any cause: which occurred from the day of starting IP until the Commone End Date (CED). Common End Date (CED) is the study end date that was pre determined where approximately 1000 deaths would have occurred in the Intent-toTreat Efficacy (ITT-E) Population. Only deaths which occurred on or before the CED were used for the primary analysis. Those who had not died by CED, but who were known to be alive on or after the CED, were censored at the CED. Cox Proportional Hazards (PH) Model was adjusted for age, and gender, including all 4 arms. A hazard ratio of less than 1 indicates a lower death rate versus placebo or other arm. ITT-E Population consisted of all participants in the Safety Population (i.e. randomized to IP and who received at least one dose of IP), with the exception of those recruited at sites that were closed. (NCT01313676)
Timeframe: From the date of randomization until date of death due to any cause (average of 2 study years)
Intervention | Participants (Number) |
---|
| Dead | Alive | Unknown |
---|
Fluticasone Furoate 100 µg | 251 | 3884 | 0 |
,Fluticasone Furoate/Vilanterol 100/25 µg | 246 | 3874 | 1 |
,Placebo | 275 | 3832 | 4 |
,Vilanterol 25 µg | 265 | 3853 | 0 |
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Number of Participants With First On-treatment Cardiovascular (CV) Composite Events Occured on or Before Common End Date
On-treatment CV composite event is comprised of the first event that is adjudicated as on-treatment CV death, myocardial infarction, stroke, unstable angina, or transient ischemic attack experienced by a participant. The events that occurred no more than 7 days after the participants last dose of IP are considered as on-treatment adverse events. Common end date is the study end date where approximately 1000 deaths would have occurred in the ITT-E Population. Cox PH Model was used to assess time to first on-treatment CV composite event. Cox PH Model was adjusted for age, gender and indicators of ischemic and vascular disease, including all four treatment arms. A hazard ratio less than 1 indicates a lower risk of a first CV event rate versus placebo or any arm. (NCT01313676)
Timeframe: From the start of IP to first on treatment CV event till 7 days after the last dose of IP (average of 2 study years)
Intervention | Participants (Number) |
---|
| Had CV composite event | No CV composite event |
---|
Fluticasone Furoate 100 µg | 161 | 3974 |
,Fluticasone Furoate/Vilanterol 100/25 µg | 174 | 3947 |
,Placebo | 173 | 3938 |
,Vilanterol 25 µg | 180 | 3938 |
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Inspiratory Capacity (IC) at All-time Points (26 Weeks)
After 26 weeks of treatment, Inspiratory Capacity (IC) was measured via spirometry, conducted according to internationally accepted standards. The mean of 3 acceptable measurements was calculated and reported in liters. (NCT01315249)
Timeframe: 26 weeks
Intervention | Liters (Least Squares Mean) |
---|
| -20 minutes (n=53 QVA149; 63 flut/salm) | 25 minutes (n=58 QVA149; 63 flut/salm) | 1 hour (n=53 QVA149; 63 flut/salm) | 3 hours (n=52 QVA149; 60 flut/salm) | 7 hours (n=56 QVA149; 61 flut/salm) | 11 hours (n=57 QVA149; 66 flut/salm) |
---|
Fluticasone/Salmeterol | 2.22 | 2.34 | 2.35 | 2.32 | 2.30 | 2.27 |
,QVA149 | 2.25 | 2.41 | 2.38 | 2.33 | 2.40 | 2.37 |
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Mean Change From Baseline in Daily Number of Puffs of Rescue Medication
Participants maintained a diary to record the daily number of puffs of rescue medication used to treat COPD symptoms. (NCT01315249)
Timeframe: Baseline, 12 weeks and 26 weeks
Intervention | puffs (Least Squares Mean) |
---|
| Weeks 1 to12 | Weeks 1 to 26 |
---|
Fluticasone/Salmeterol | -1.90 | -1.93 |
,QVA149 | -2.18 | -2.32 |
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Number of Participants With Adverse Events
The assessment of safety was based on Adverse Events. A summary of adverse events is presented with this outcome, additional details are provided in Adverse Events Section. (NCT01315249)
Timeframe: 26 weeks
Intervention | participants (Number) |
---|
| Any Adverse Event | Death | Serious Adverse Events | Discontinued due to Adverse Events | Discontinued due to Serious Adverse Events | Discontinued due to non-Serious Adverse Events |
---|
Fluticasone/Salmeterol | 159 | 1 | 14 | 27 | 9 | 18 |
,QVA149 | 143 | 0 | 13 | 22 | 5 | 17 |
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Focal Score of the Transitional Dyspnea Index (TDI)
Transition Dyspnea Index (TDI) captures changes from baseline. The TDI score is based on three domains with each domain scored from -3 (major deterioration) to +3 (major improvement), to give an overall score of -9 to +9, a negative score indicating a deterioration from baseline. A TDI focal score of 1 is considered to be a clinically significant improvement. (NCT01315249)
Timeframe: 12 weeks and 26 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
| 12 weeks (n=224 QVA149; 236 flut/salm) | 26 weeks (n=212 QVA149; 213 flut/salm) |
---|
Fluticasone/Salmeterol | 1.45 | 1.60 |
,QVA149 | 2.03 | 2.36 |
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Total Score of the St. George's Respiratory Questionnaire (SGRQ-C)
The total score of the St. George's Respiratory Questionnaire (SGRQ-C) is a health related quality of life questionnaire consisting of 51 items in three components: symptoms, activity, and impacts. The lowest possible value is zero and the highest 100. Higher values correspond to greater impairment in quality of life. (NCT01315249)
Timeframe: 12 weeks and 26 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
| 12 weeks (n=230 QVA149; 238 flut/salm) | 26 weeks (n=211 QVA149; 216 flut/salm) |
---|
Fluticasone/Salmeterol | 36.03 | 36.68 |
,QVA149 | 36.74 | 35.45 |
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Forced Vital Capacity at All-time Points (Week 26)
"Forced Vital Capacity (FVC) is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. FVC was assessed via spirometry. A positive change from baseline in FVC indicates improvement in lung function.~This outcome measures absolute values at -45 min, -15 min predose; 5 min, 30 min, 1 hr, 2hr, 4 hr, 8 hr, 12 hr post-dose on week 26. Results are obtained from linear mixed model." (NCT01315249)
Timeframe: -45 min, -15 min predose; 5 min, 30 min, 1 hr, 2hr, 4 hr, 8 hr, 12 hr post-dose on week 26
Intervention | liters (Least Squares Mean) |
---|
| -45 minutes (n=213 QVA149; 216 flut/salm) | -15 minutes (n=213 QVA149; 215 flut/salm) | 5 minutes (n=212 QVA149; 215 flut/salm) | 30 minutes (n=212 QVA149; 214 flut/salm) | 1 hour (n=212 QVA149; 216 flut/salm) | 2 hours (n=212 QVA149; 216 flut/salm) | 4 hours (n=212 QVA149; 215 flut/salm) | 8 hours (n=212 QVA149; 216 flut/salm) | 12 hours (n=211 QVA149; 213 flut/salm) |
---|
Fluticasone/Salmeterol | 3.13 | 3.12 | 3.17 | 3.23 | 3.23 | 3.29 | 3.28 | 3.21 | 3.18 |
,QVA149 | 3.32 | 3.33 | 3.42 | 3.47 | 3.50 | 3.51 | 3.45 | 3.40 | 3.40 |
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Forced Vital Capacity at All-time Points (Week 12)
"Forced Vital Capacity (FVC) is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. FVC was assessed via spirometry. A positive change from baseline in FVC indicates improvement in lung function.~This outcome measures absolute values at -45 min, -15 min predose; 5 min, 30 min, 1 hr, 2hr, 4 hr, 8 hr, 12 hr post-dose week 12. Results are obtained from linear mixed model." (NCT01315249)
Timeframe: -45 min, -15 min predose; 5 min, 30 min, 1 hr, 2hr, 4 hr, 8 hr, 12 hr post-dose on week 12
Intervention | liters (Least Squares Mean) |
---|
| -45 minutes (n=230 QVA149; 237 flut/salm) | -15 minutes (n=228 QVA149; 235 flut/salm) | 5 minutes (n=229 QVA149; 236 flut/salm) | 30 minutes (n=229 QVA149; 235 flut/salm) | 1 hour (n=228 QVA149; 236 flut/salm) | 2 hours (n=229 QVA149; 237 flut/salm) | 4 hours (n=228 QVA149; 237 flut/salm) | 8 hours (n=228 QVA149; 237 flut/salm) | 12 hours (n=228 QVA149; 236 flut/salm) |
---|
Fluticasone/Salmeterol | 3.16 | 3.17 | 3.20 | 3.23 | 3.26 | 3.31 | 3.33 | 3.27 | 3.26 |
,QVA149 | 3.37 | 3.37 | 3.44 | 3.48 | 3.49 | 3.54 | 3.49 | 3.46 | 3.45 |
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Forced Expiratory Volume in 1 Second Area Under the Curve (FEV1 AUC) 0-12
Forced Expiratory Volume in one second (FEV1) was calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. FEV1 was normalized by 12 hours (divided by time). This outcome measures absolute values at week 26. Results are obtained from linear mixed model. (NCT01315249)
Timeframe: Week 26
Intervention | liters (Least Squares Mean) |
---|
QVA149 | 1.69 |
Fluticasone/Salmeterol | 1.56 |
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Inspiratory Capacity (IC) at All-time Points (12 Weeks)
After 12 weeks of treatment, Inspiratory Capacity (IC) was measured via spirometry, conducted according to internationally accepted standards. The mean of 3 acceptable measurements was calculated and reported in liters. (NCT01315249)
Timeframe: 12 weeks
Intervention | Liters (Least Squares Mean) |
---|
| -20 minutes (n=51 QVA149; 65 flut/salm) | 25 minutes (n=56 QVA149; 71 flut/salm) | 1 hour (n=59 QVA149; 68 flut/salm) | 3 hours (n=54 QVA149; 67 flut/salm) | 7 hours (n=58 QVA149; 67 flut/salm) | 11 hours (n=49 QVA149; 72 flut/salm) |
---|
Fluticasone/Salmeterol | 2.31 | 2.42 | 2.43 | 2.45 | 2.41 | 2.34 |
,QVA149 | 2.39 | 2.55 | 2.54 | 2.52 | 2.42 | 2.40 |
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Standardized Forced Expiratory Volume in 1 Second Area Under the Curve (FEV1 AUC) 0-12 Hours
Standardized Forced Expiratory Volume in 1 Second (FEV1) was measured with spirometry conducted according to internationally accepted standards. Measurements were made between 0 and 12 hours after treatment. FEV1 was normalized by 12 hours (divided by time). This outcome measures absolute values at week 12. Results are obtained from linear mixed model. (NCT01315249)
Timeframe: Week 12
Intervention | liters (Least Squares Mean) |
---|
QVA149 | 1.71 |
Fluticasone/Salmeterol | 1.59 |
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Change From Baseline in Symptom Scores Reported Using the Ediary
"Participants maintained an ediary to record daily symptom scores (AM and PM) over 12 weeks and 26 weeks of treatment. This analysis compares the mean symptom scores over 12 weeks and 26 weeks compared to baseline. The diary records morning and evening daily clinical symptoms including cough, wheezing, shortness of breath, sputum volume, sputum purulence, night time awakenings and rescue medication use.~Scale ranges: ranges are 0 to 3 with varying scale descriptions that pertain to the question being asked.~0 is the minimum score = none or No symptoms or never or No~= mild, a little~= moderate~= severe For the scale range provided, high values represent a worse outcome." (NCT01315249)
Timeframe: 12 weeks and 26 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
| Weeks 1-12 | Weeks 1-26 |
---|
Fluticasone/Salmeterol | -1.17 | -1.24 |
,QVA149 | -1.08 | -1.28 |
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Change From Baseline Trough in 24-Hour Weighted Mean FEV1 on Treatment Day 84
Pulmonary function was measured by forced expiratory volume in one second (FEV1), defined as the maximal amount of air that can be forcefully exhaled in one second. The weighted mean was calculated from the pre-dose FEV1 and the post-dose FEV1 measurements at 5, 15, 30, and 60 minutes (min) and 2, 4, 6, 8, 12, 13, 14, 16, 20, and 24 hours post-dose on Treatment Day 84. Baseline trough FEV1 was calculated as the mean of the two assessments made 30 and 5 minutes pre-dose on Treatment Day 1. Change from Baseline was calculated as the average of the Day 84 values minus the Baseline value. Analysis of covariance (ANCOVA) was conducted with covariates for country, smoking status, reversibility, and Baseline FEV1. (NCT01323621)
Timeframe: Baseline (Day 1) and Day 84
Intervention | Liters (Least Squares Mean) |
---|
FSC 250/50 µg BID | 0.114 |
FF/VI 100/25 µg QD | 0.142 |
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Time to Onset on Treatment Day 1
Time to onset on Treatment Day 1 is defined as the time to an increase of 100 milliliters (mL) from Baseline in FEV1. Time to onset was calculated over 0 to 4 hours (5 min, 15 min, 30 min, 60 min, 120 min, and 240 min) post-dose. (NCT01323621)
Timeframe: Baseline and Day 1
Intervention | Minutes (Median) |
---|
FSC 250/50 µg BID | 30 |
FF/VI 100/25 µg QD | 16 |
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Time to Onset on Treatment Day 1
Time to onset on Treatment Day 1 is defined as the time to an increase of 100 milliliters (mL) from Baseline in FEV1. Time of onset was calculated over 0 to 4 hours (5 min, 30 min, 60 min, 120 min, and 240 min) post-dose. (NCT01323634)
Timeframe: Day 1
Intervention | Minutes (Median) |
---|
FSC 250/50 µg BID | 30 |
FF/VI 100/25 µg QD | 15 |
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Change From Baseline Trough in 24-hour Weighted-mean FEV1 on Treatment Day 84
Pulmonary function was measured by forced expiratory volume in one second (FEV1). The weighted mean was calculated from the pre-dose FEV1 and the post-dose FEV1 measurements at 5, 15, 30, and 60 minutes (min) and 2, 4, 6, 8, 12, 13, 14, 16, 20, and 24 hours on Treatment Day 84. Baseline trough FEV1 was the mean of the two assessments made 30 and 5 minutes pre-dose on Treatment Day 1. Change from Baseline was calculated as the average of the Day 84 values minus the Baseline value. (NCT01323634)
Timeframe: Baseline (Day 1) and Day 84
Intervention | Liters (Least Squares Mean) |
---|
FSC 250/50 µg BID | 0.094 |
FF/VI 100/25 µg QD | 0.174 |
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Mean Monthly Asthma-related Costs (Pharmacy and Medical) During the Post-index Period
The mean total asthma costs are a sum of pharmacy and medical costs. Costs were determined monthly from the pharmacy and medical encounters recorded in the managed care insurance database. All costs were summed for each participant over the 3-12 month follow-up period (post-index period), and a mean monthly cost was calculated by dividing by the follow-up for each participant. (NCT01328964)
Timeframe: 12 months prior to January 1, 2000 to June 30, 2008
Intervention | United States dollars (Mean) |
---|
| Monthly Medical Costs | Monthly Pharmacy Costs | Monthly Total Costs |
---|
Budesonide | 27 | 32 | 59 |
,Fluticasone Propionate | 25 | 20 | 45 | 26 | 21 | 48 |
,Montelukast | 27 | 48 | 75 |
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Time to First Chronic Obstructive Pulmonary Disease (COPD) Event
The first COPD event occurring after 30 days from initial treatment arm prescription was measured. Four categories of COPD events were analyzed; either a hospitalization or emergency department visit; an emergency department visit; an outpatient visit followed by an oral corticosteroid prescription claim within 10 days; an outpatient visit followed by an oral antibiotic prescription claim within 10 days. (NCT01331694)
Timeframe: Anytime from 30 days to 12 months after initial treatment arm prescription
Intervention | days (Mean) |
---|
| Hospitalization or emergency department visit | Emergency department visit | Outpatient visit with oral steroid fill | Outpatient visit with antibiotic fill |
---|
Risk Population TIO | 321.59 | 328.48 | 331.23 | 326.70 |
,Risk Population: FSC | 325.17 | 330.24 | 332.74 | 329.96 |
,Risk Population: IP | 315.89 | 324.47 | 328.23 | 326.73 |
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Average Annual Adjusted Post-Index COPD-Related Costs
Medical costs are associated with COPD-related medical care (claims submitted with a primary International Classification of Diseases, 9th Revision, Clinical Modification diagnosis of COPD) and pharmaceutical care (treatment arm medications, oral corticosteroids, oral antibiotics, short-acting beta-agonists, long-acting beta-agonists [LABA], inhaled corticosteroids [ICS], ICS/LABA combinations, etc.. Means are adjusted for age, sex, geographic region, pre-initial treatment comorbidities, and COPD-related utilization. Total costs are the sum of medical care and pharmacy costs. (NCT01331694)
Timeframe: Incurred over the 12 month period after initial treatment arm prescription
Intervention | United States dollars (Mean) |
---|
| Medical | Pharmacy | Total |
---|
Cost Population: FSC | 1076 | 972 | 2068 |
,Cost Population: IP | 2481 | 614 | 2841 |
,Cost Population: TIO | 1419 | 985 | 2408 |
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Oropharyngeal Volume on Days 1 and 14 of the Respective Treatment Period
During the pharyngometry assessment, participants inhaled through a wavetube, which had a mouthpiece with the same dimensions as the mouthpiece on the dry powder inhaler used for this study. This technique was used to measure the size of the throat and mouth (oropharynx) in the form of pharyngograms. Oropharyngeal volume is defined as the volume (cm^3) of the mouth and throat estimated to be from the lips to the larynx. Pharyngometry data were recorded for each day (Days 1 and 14 of the respective treatment period) using the mean of four measurements (pharyngograms), and the average oropharyngeal cross-sectional area was calculated. (NCT01332292)
Timeframe: Days 1 and 14 of the respective treatment period
Intervention | cubic centimeters (cm^3) (Mean) |
---|
| Day 1, n=14, 18 | Day 14, n= 12, 12 |
---|
FF 100 µg | 78.86 | 86.22 |
,Placebo | 74.19 | 106.31 |
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AUC(0-t) on Day 14 of the Respective Treatment Period
Area under the concentration-time (AUC(0-t)) curve from time zero (pre-dose) to the last time of quantifiable concentration of FF on Day 14 of the respective treatment period was measured. Samples were collected at the following times: pre-dose; 30 minutes, 1, 2, 4, 7, and 12 hours post-dose on Day 14 of the respective treatment period. Due to non-quantifiable values, it was not possible to derive AUC(0-12). (NCT01332292)
Timeframe: Day 14 of the respective treatment period
Intervention | picograms*hour per milliliter (pg*hr/mL) (Geometric Mean) |
---|
FF 100 µg | 91.29 |
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Hemoglobin and Mean Corpuscle Hemoglobin Concentration (MCHC) Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of hemoglobin and MCHC at Day 14 of the respective treatment period. (NCT01332292)
Timeframe: Day 14 of the respective treatment period (up to Study Day 44)
Intervention | Grams per liter (g/L) (Mean) |
---|
| Hemoglobin, n=23, 21 | MCHC, n=23, 21 |
---|
FF 100 µg | 129.6 | 336.6 |
,Placebo | 129.1 | 336.4 |
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Heart Rate at Baseline and Day 14 of the Respective Treatment Period
Heart rate (HR) was measured at Baseline and Day 14 of the respective treatment period. Baseline is defined as the pre-dose measurement at Day 1 for each period. (NCT01332292)
Timeframe: Baseline and Day 14 of the respective treatment period (up to Study Day 44)
Intervention | Beats per minute (Mean) |
---|
| Day 1, Baseline, n=25, 26 | Day 1, 30 minutes, n=25, 26 | Day 1, 1 hour, n=25, 26 | Day 1, 2 hours, n=25, 26 | Day 14, Predose, n=24, 23 | Day 14, 1 hour, n=23, 23 | Day 14, 4 hours, n=23, 23 | Day 14, 7 hours, n=23, 23 | Day 14, 12 hours, n=23, 23 |
---|
FF 100 µg | 75.9 | 75.5 | 77.6 | 79.6 | 74.5 | 76.2 | 77.7 | 81.2 | 81.1 |
,Placebo | 78.7 | 78.5 | 78.6 | 80.6 | 76.8 | 80.3 | 78.2 | 83.1 | 83.6 |
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Inhaled Volume on Days 1 and 14 of the Respective Treatment Period
"During the inhalation profile assessment, participants inhaled through a mouthpiece from a device with a similar resistance to the dry powder inhaler used for this study. Inhaled volume is defined as the volume of air (Liters) inhaled during the inhalation across the resistance of the inhaler.~The pressure drop during the inhalation was measured, and the inhalation profiles (pressure drop versus time profile) of the participants were obtained. The mean of the two inhalation profile measurements was used for each day (Days 1 and 14 of the respective treatment period), and the inhalaled volume was determined." (NCT01332292)
Timeframe: Day 1 and Day 14 of the respective treatment period
Intervention | Liters (Mean) |
---|
| Day 1, n=21, 20 | Day 14, n= 21, 22 |
---|
FF 100 µg | 1.07 | 0.95 |
,Placebo | 0.99 | 1.00 |
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Number of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE) During the Treatment Period
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. Medical or scientific judgment should be exercised in deciding whether reporting is appropriate in other situations. Refer to the General Adverse AE/SAE module for a complete list of AEs and SAEs. (NCT01332292)
Timeframe: From the start of study medication until Week 11 (Visit 6)/Early Withdrawal
Intervention | participants (Number) |
---|
| Any AE | Any SAE |
---|
FF 100 µg | 8 | 0 |
,Placebo | 4 | 0 |
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Peak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment Period
Peak Expiratory Flow (PEF) is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF is calculated as the maximum of three readings taken at each timepoint for each participant. Baseline is defined as the maximum pre-dose measurement at Day 1 for each period. (NCT01332292)
Timeframe: Day 1 and Day 14 of the respective treatment period (up to Study Day 44)
Intervention | liters/minute (Mean) |
---|
| Day 1, Baseline, n=25, 25 | Day 1, 15 minutes post-dose, n=25, 25 | Day 1, 30 minutes post-dose, n=25, 25 | Day 1, 1 hour post-dose, n=25, 25 | Day 1, 2 hours post-dose, n=25, 25 | Day 14, Pre-dose, n=24, 23 | Day 14, 30 minutes post-dose, n=23, 23 | Day 14, 1 hours post-dose, n=23, 23 | Day 14, 2 hours post-dose, n=23, 23 | Day 14, 4 hours post-dose, n=23, 23 | Day 14, 7 hours post-dose, n=23, 23 | Day 14, 12 hours post-dose, n=23, 23 |
---|
FF 100 µg | 238.4 | 238.2 | 246.0 | 247.0 | 252.6 | 240.6 | 238.8 | 237.6 | 242.3 | 246.2 | 232.1 | 245.6 |
,Placebo | 242.3 | 242.1 | 249.2 | 247.7 | 252.3 | 242.0 | 246.1 | 247.0 | 249.5 | 250.6 | 246.3 | 241.9 |
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Peak Pressure Drop on Days 1 and 14 of the Respective Treatment Period
During the inhalation profile assessment, participants inhaled through a mouthpiece from a device with a similar resistance to the dry powder inhaler used for this study. Peak pressure drop is defined as the maximum pressure drop (kilopascal [kPa]) achieved during inhalation across the resistance of the inhaler. The pressure drop during the inhalation was measured, and the inhalation profiles (pressure drop versus time profile) of the participants were obtained. The mean of the two inhalation profile measurements was calculated for each day (Days 1 and 14 of the respective treatment period), and used for subsequent modeling and prediction of dose emission attributes. (NCT01332292)
Timeframe: Day 1 and Day 14 of the respective treatment period
Intervention | Kilopascal (kpa) (Mean) |
---|
| Day 1, n=21, 20 | Day 14, n= 21, 22 |
---|
FF 100 µg | 2.53 | 2.74 |
,Placebo | 2.44 | 2.78 |
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Reticulocyte and Red Blood Cell (RBC) Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of reticulocyte and RBCs at Day 14 of the respective treatment period. (NCT01332292)
Timeframe: Day 14 of the respective treatment period (up to Study Day 44)
Intervention | 10^12 cells per liter (TI/L) (Mean) |
---|
| Reticulocytes, n=23, 21 | RBCs, n=23, 21 |
---|
FF 100 µg | 0.04499 | 4.46 |
,Placebo | 0.04952 | 4.43 |
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Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment Period
SBP and DBP were measured at Baseline and Day 14 of the respective treatment period. Baseline is defined as the pre-dose measurement at Day 1 for each period. (NCT01332292)
Timeframe: Baseline and Day 14 of the respective treatment period (up to Study Day 44)
Intervention | Millimeters of mercury (mmHg) (Mean) |
---|
| Day 1 SBP, Predose, n=25, 26 | Day 1 SBP, 30 minutes, n=25, 26 | Day 1 SBP, 1 hour, n=25, 26 | Day 1 SBP, 2 hours, n=25, 26 | Day 14 SBP, Predose, n=24, 23 | Day 14 SBP, 1 hour, n=23, 23 | Day 14 SBP, 4 hours, n=23, 23 | Day 14 SBP, 7 hours, n=23, 23 | Day 14 SBP, 12 hours, n=23, 23 | Day 1 DBP, Predose, n=25, 26 | Day 1 DBP, 30 minutes, n=25, 26 | Day 1 DBP, 1 hour, n=25, 26 | Day 1 DBP, 2 hours, n=25, 26 | Day 14 DBP, Predose, n=24, 23 | Day 14 DBP, 1 hour, n=23, 23 | Day 14 DBP, 4 hours, n=23, 23 | Day 14 DBP, 7 hours, n=23, 23 | Day 14 DBP, 12 hours, n=23, 23 |
---|
FF 100 µg | 102.9 | 103.8 | 105.2 | 103.9 | 102.1 | 103.1 | 102.7 | 103.9 | 106.3 | 61.7 | 62.6 | 62.3 | 61.2 | 61.4 | 62.7 | 60.5 | 62.3 | 63.9 |
,Placebo | 103.1 | 101.2 | 102.7 | 102.9 | 101.8 | 102.6 | 102.0 | 103.4 | 103.2 | 62.0 | 63.0 | 61.4 | 63.0 | 61.3 | 63.9 | 60.4 | 61.8 | 62.0 |
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Total Emitted Dose (TED) on Days 1 and 14 of the Respective Treatment Period
The total emitted dose (TED) is defined as the mass (micrograms) of the nominal dose that passes beyond the throat. The recorded inhalation profiles of the participants and the mouth-throat (oropharyngeal) models of the sizes that approximated to pharyngometry measurements of the participants were used in conjunction with the electronic Lung (eLung) for in vitro assessment. The eLung is a breathing simulator that replicates the selected inhalation profile with an active inhaler placed at the lips end of the selected ororpharyngeal model. After the dose is emitted from the inhaler, the analysis and assay of throat deposition and material passing beyond the throat was used to derive the nominal, minimum, and maximum predicted total emitted dose. (NCT01332292)
Timeframe: Day 1 and Day 14 of the respective treatment period
Intervention | micrograms (Mean) |
---|
| Day 1, Nominal TED, n=0, 20 | Day 14, Nominal TED, n=0, 22 | Day 1, Minimum TED, n=0, 20 | Day 14, Minimum TED, n=0, 22 | Day 1, Maximum TED, n=0, 20 | Day 14, Maximum TED, n=0, 22 |
---|
FF 100 µg | 85.35 | 85.57 | 84.84 | 85.17 | 85.86 | 85.97 |
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Hematocrit Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of hematocrit at Day 14 of the respective treatment period. Hematocrit is a measure of the percentage of the volume of the whole blood that is composed of red blood cells, as determined by separation of red blood cells from the plasma (usually by centrifugation). (NCT01332292)
Timeframe: Day 14 of the respective treatment period (up to Study Day 44)
Intervention | percentage of red blood cells in blood (Mean) |
---|
Placebo | 0.3840 |
FF 100 µg | 0.3854 |
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Cmax on Day 14 of the Respective Treatment Period
Cmax is defined as the maximum observed concentration on Day 14 of the respective treatment period. Samples were collected at the following times: pre-dose; 30 minutes, 1, 2, 4, 7, and 12 hours post-dose on Day 14 of the respective treatment period. (NCT01332292)
Timeframe: Day 14 of the respective treatment period
Intervention | picograms per milliliter (pg/mL) (Geometric Mean) |
---|
FF 100 µg | 24.68 |
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Mean Corpuscle Hemoglobin (MCH) Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of MCH at Day 14 of the respective treatment period. (NCT01332292)
Timeframe: Day 14 of the respective treatment period (up to Study Day 44)
Intervention | 10^12 picograms (pg) per cell (Mean) |
---|
Placebo | 29.18 |
FF 100 µg | 29.24 |
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Ex-throat Dose (ETD) and ETD <2 Microns on Days 1 and 14 of the Respective Treatment Period
"The ex-throat dose (ETD) and the nominal ETD is the mass (micrograms) of active investigational material that passes beyond the throat, nominal being the mean.The recorded inhalation profiles of the participants and the mouth-throat (oropharyngeal) models of the sizes that approximated to pharyngometry measurements of the participants were used in conjunction with the electronic Lung (eLung) for in vitro assessment. The eLung is a breathing simulator that replicates the selected inhalation profile with an active inhaler placed at the lips end of the selected ororpharyngeal model. After the dose is emitted from the inhaler, the analysis and assay of throat deposition and material passing beyond the throat was used to derive the nominal, minimum, and maximum predicted ETD and ETD <2 microns." (NCT01332292)
Timeframe: Day 1 and Day 14 of the respective treatment period
Intervention | micrograms (Mean) |
---|
| Day 1, Nominal ETD, n=0, 17 | Day 14, Nominal ETD, n=0, 12 | Day 1, Minimum ETD, n=0, 17 | Day 14, Minimum ETD, n=0, 12 | Day 1, Maximum ETD, n=0, 17 | Day 14, Maximum ETD, n=0, 12 | Day 1, ETD <2 microns, n=0, 17 | Day 14, ETD <2 microns, n=0, 12 | Day 1, Minimum ETD <2 microns, n=0, 17 | Day 14, Minimum ETD <2 microns, n=0, 12 | Day 1, Maximum ETD <2 microns, n=0, 17 | Day 14, Maximum ETD <2 microns, n=0, 12 |
---|
FF 100 µg | 29.37 | 29.83 | 28.47 | 29.35 | 30.26 | 30.26 | 5.13 | 5.07 | 4.96 | 4.99 | 5.30 | 5.17 |
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Total Bilirubin, Creatinine, and Uric Acid Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of total bilirubin, creatinine, and uric acid at Day 14 of the respective treatment period. (NCT01332292)
Timeframe: Day 14 of the respective treatment period (up to Study Day 44)
Intervention | Micromoles per liter (µmol/L) (Mean) |
---|
| Total bilirubin, n= 22, 20 | Creatinine, n= 22, 20 | Uric acid, n= 22, 20 |
---|
FF 100 µg | 5.6 | 40.62 | 234.5 |
,Placebo | 5.9 | 39.89 | 237.7 |
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Tmax and t at Day 14 of the Respective Treatment Period
tmax is defined as the time to reach the observed maximum concentration, and t is defined as the time of the last observed quantifiable concentration on Day 14 of the respective treatment period. Samples were collected at the following times: pre-dose; 30 minutes, 1, 2, 4, 7, and 12 hours post-dose on Day 14 of the respective treatment period. (NCT01332292)
Timeframe: Day 14 of the respective treatment period
Intervention | hours (Mean) |
---|
| tmax | t |
---|
FF 100 µg | 0.863 | 6.953 |
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Calcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of calcium, chloride, carbon dioxide content/bicarbonate (CO2/BI), glucose, potassium, sodium, and urea/BUN at Day 14 of the respective treatment period. (NCT01332292)
Timeframe: Day 14 of the respective treatment period (up to Study Day 44)
Intervention | Millimoles per liter (mmol/L) (Mean) |
---|
| Calcium, n=20, 19 | Chloride, n=22, 20 | CO2 content/bicarbonate, n=20, 19 | Glucose, n=22, 20 | Potassium, n=20, 19 | Sodium, n=22, 20 | Urea/BUN, n=22, 20 |
---|
FF 100 µg | 2.366 | 104.7 | 17.8 | 4.86 | 4.24 | 137.4 | 4.83 |
,Placebo | 2.371 | 105.2 | 17.4 | 5.13 | 4.24 | 138.3 | 4.66 |
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Basophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of basophils, eosinophils, lymphocytes, monocytes, total neutrophils, platelets, and white blood cell (WBC) count at Day 14 of the respective treatment period. (NCT01332292)
Timeframe: Day 14 of the respective treatment period (up to Study Day 44)
Intervention | 10^9 cells per liter (GI/L) (Mean) |
---|
| Basophils, n=23, 21 | Eosinophils, n=23, 21 | Lymphocytes, n=23, 21 | Monocytes, n=23, 21 | Total neutrophils, n=23, 21 | Platelets, n=23, 20 | WBCs, n=23, 21 |
---|
FF 100 µg | 0.022 | 0.252 | 2.430 | 0.270 | 3.209 | 263.3 | 6.18 |
,Placebo | 0.022 | 0.308 | 2.595 | 0.280 | 2.740 | 266.4 | 5.94 |
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Average Oropharyngeal Cross-sectional Area on Days 1 and 14 of the Respective Treatment Period
During the pharyngometry assessment, participants inhaled through a wavetube, which had a mouthpiece with the same dimensions as the mouthpiece on the dry powder inhaler used for this study. This technique was used to measure the size of the throat and mouth (oropharynx) in the form of pharyngograms. Pharyngometry data were recorded for each day (Days 1 and 14 of the respective treatment period) using the mean of four measurements (pharyngograms), and the average oropharyngeal cross-sectional area was calculated. (NCT01332292)
Timeframe: Days 1 and 14 of the respective treatment period
Intervention | centimeters squared (cm^2) (Mean) |
---|
| Day 1, n=14, 18 | Day 14, n= 12, 12 |
---|
FF 100 µg | 4.24 | 4.58 |
,Placebo | 4.06 | 5.49 |
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Average Flow Rate and Peak Inspiratory Flow Rate (PIFR) on Days 1 and 14 of the Respective Treatment Period
During the inhalation profile assessment, participants inhaled through a mouthpiece from a device with a similar resistance to the dry powder inhaler used for this study. Average flow rate is defined as the average inspiratory flow rate (Liters [L]/min) across the inhalation profile when inhaling across the resistance of the inhaler. PIFR is defined as the Peak Inspiratory Flow Rate (L/min) of the inhalation profile when inhaling across the resistance of the inhaler.The pressure drop during the inhalation was measured, and the inhalation profiles (pressure drop versus time profile) of the participants were obtained. The mean of the two inhalation profile measurements was used for each day (Days 1 and 14 of the respective treatment period), and the average flow rate and PIFR were determined. (NCT01332292)
Timeframe: Day 1 and Day 14 of the respective treatment period
Intervention | Liters per minute (L/min) (Mean) |
---|
| Day 1 Average flow rate, n=21, 20 | Day 14 Average flow rate, n=21, 22 | Day 1 PIFR, n=21, 20 | Day 14 PIFR, n=21, 22 |
---|
FF 100 µg | 34.65 | 36.17 | 52.90 | 54.76 |
,Placebo | 35.38 | 36.25 | 51.83 | 55.70 |
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Alanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), and Gamma Glutamyl Transferase (GGT) Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of ALT, ALP, AST, and GGT at Day 14 of the respective treatment period. (NCT01332292)
Timeframe: Day 14 of the respective treatment period (up to Study Day 44)
Intervention | International units per liter (IU/L) (Mean) |
---|
| ALT, n=22, 20 | ALP, n=22, 20 | AST, n=22, 19 | GGT, n=22, 20 |
---|
FF 100 µg | 13.0 | 260.7 | 26.1 | 15.4 |
,Placebo | 12.2 | 257.8 | 26.8 | 14.3 |
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Serum Cortisol Weighted Mean (0-12 Hours) on Day 14 of the Respective Treatment Period
Serum cortisol weighted mean was determined for each participant over the time period 0-12 hours on Day 14 of the respective treatment period. Samples were collected at the following times: pre-dose; 30 minutes, 1, 2, 4, 7, and 12 hours post-dose on Day 14 of the respective treatment period. (NCT01332292)
Timeframe: Day 14 of the respective treatment period
Intervention | nanomoles per Liter (Geometric Mean) |
---|
Placebo | 178.76 |
FF 100 µg | 150.41 |
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Mean Corpuscle Volume (MCV) Value at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of MCV at Day 14 of the respective treatment period. (NCT01332292)
Timeframe: Day 14 of the respective treatment period (up to Study Day 44)
Intervention | 10^15 femtoliters (fL) per cell (Mean) |
---|
Placebo | 86.8 |
FF 100 µg | 86.9 |
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Inhalation Time on Days 1 and 14 of the Respective Treatment Period
During the inhalation profile assessment, participants inhaled through a mouthpiece from a device with a similar resistance to the dry powder inhaler used for this study. Inhalation time is defined as the duration of the inhalation(s) when inhaling across the resistance of the inhaler. The pressure drop during the inhalation was measured, and the inhalation profiles (pressure drop versus time profile) of the participants were obtained. The mean of the two inhalation profile measurements was used for each day (Days 1 and 14 of the respective treatment period), and the inhalation time was determined. (NCT01332292)
Timeframe: Day 1 and Day 14 of the respective treatment period
Intervention | Seconds (Mean) |
---|
| Day 1, n=21, 20 | Day 14, n= 21, 22 |
---|
FF 100 µg | 1.93 | 1.61 |
,Placebo | 1.71 | 1.60 |
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Albumin and Total Protein Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of albumin and total protein at Day 14 of the respective treatment period. (NCT01332292)
Timeframe: Day 14 of the respective treatment period (up to Study Day 44)
Intervention | Grams per liter (Mean) |
---|
| Albumin, n=22, 20 | Total protein, n=22, 20 |
---|
FF 100 µg | 42.9 | 67.8 |
,Placebo | 43.0 | 67.8 |
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Change From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment Period
PR, QRS, QT, QTcB, QTcF, and RR were measured at Baseline and Day 14 of the respective treatment period. Baseline is defined as the pre-dose measurement at Day 1 for each period. Change from Baseline was calculated as the value at Day 14 minus the Baseline value. QTcB is the QT duration corrected for heart rate by Bazett's formula. QTcF is the QT duration corrected for heart rate by Fridericia's formula. (NCT01332292)
Timeframe: Baseline and Day 14 of the respective treatment period (up to Study Day 44)
Intervention | milliseconds (msec) (Mean) |
---|
| Day 1 PR Interval, 30 minutes, n=25, 26 | Day 1 PR Interval, 1 hour, n=25, 26 | Day 1 PR Interval, 2 hours, n=25, 26 | Day 14 PR Interval, Predose, n=24, 23 | Day 14 PR Interval, 1 hour, n=23, 23 | Day 14 PR Interval, 4 hours, n=23, 23 | Day 14 PR Interval, 7 hour, n=23, 23 | Day 14 PR Interval, 12 hours, n=22, 23 | Day 1 QRS Interval, 30 minutes, n=25, 26 | Day 1 QRS Interval, 1 hour, n=25, 26 | Day 1 QRS Interval, 2 hours, n=25, 26 | Day 14 QRS Interval, Predose, n=24, 23 | Day 14 QRS Interval, 1 hour, n=23, 23 | Day 14 QRS Interval, 4 hours, n=23, 23 | Day 14 QRS Interval, 7 hours, n=23, 23 | Day 14 QRS Interval, 12 hours, n=23, 23 | Day 1 QT Interval, 30 minutes, n=25, 26 | Day 1 QT Interval, 1 hour, n=25, 26 | Day 1 QT Interval, 2 hours, n=25, 26 | Day 14 QT Interval, Predose, n=24, 23 | Day 14 QT Interval, 1 hour, n=23, 23 | Day 14 QT Interval, 4 hours, n=23, 23 | Day 14 QT Interval, 7 hours, n=23, 23 | Day 14 QT Interval, 12 hours, n=23, 23 | Day 1 QTcB Interval, 30 minutes, n=25, 26 | Day 1 QTcB Interval, 1 hour, n=25, 26 | Day 1 QTcB Interval, 2 hours, n=25, 26 | Day 14 QTcB Interval, Predose, n=24, 23 | Day 14 QTcB Interval, 1 hour, n=23, 23 | Day 14 QTcB Interval, 4 hours, n=23, 23 | Day 14 QTcB Interval, 7 hours, n=23, 23 | Day 14 QTcB Interval, 12 hours, n=23, 23 | Day 1 QTcF Interval, 30 minutes, n=25, 26 | Day 1 QTcF Interval, 1 hour, n=25, 26 | Day 1 QTcF Interval, 2 hours, n=25, 26 | Day 14 QTcF Interval, Predose, n=24, 23 | Day 14 QTcF Interval, 1 hour, n=23, 23 | Day 14 QTcF Interval, 4 hours, n=23, 23 | Day 14 QTcF Interval, 7 hours, n=23, 23 | Day 14 QTcF Interval, 12 hours, n=23, 23 | Day 1 RR Interval, 30 minutes, n=25, 26 | Day 1 RR Interval, 1 hour, n=25, 26 | Day 1 RR Interval, 2 hours, n=25, 26 | Day 14 RR Interval, Predose, n=24, 23 | Day 14 RR Interval, 1 hour, n=23, 23 | Day 14 RR Interval, 4 hours, n=23, 23 | Day 14 RR Interval, 7 hours, n=23, 23 | Day 14 RR Interval, 12 hours, n=23, 23 |
---|
FF 100 µg | 7.5 | 8.4 | 9.5 | 9.6 | 8.3 | 8.9 | 10.2 | 9.7 | 5.2 | 4.4 | 4.5 | 4.7 | 5.3 | 4.9 | 4.3 | 4.8 | 10.5 | 12.7 | 15.5 | 15.5 | 15.9 | 16.7 | 15.3 | 24.8 | 14.2 | 17.7 | 18.2 | 17.9 | 16.2 | 16.8 | 19.6 | 18.5 | 11.8 | 12.6 | 15.4 | 12.6 | 11.4 | 15.7 | 15.0 | 15.8 | 54.2 | 90.7 | 80.4 | 103.5 | 87.7 | 63.6 | 74.5 | 110.3 |
,Placebo | 6.4 | 7.3 | 8.0 | 7.8 | 8.7 | 6.4 | 8.3 | 7.2 | 4.6 | 4.1 | 4.0 | 4.2 | 5.7 | 5.6 | 6.1 | 5.0 | 9.8 | 13.1 | 17.5 | 12.5 | 11.4 | 13.3 | 14.7 | 14.7 | 15.4 | 17.3 | 13.6 | 20.7 | 16.6 | 14.7 | 14.5 | 13.8 | 10.8 | 11.6 | 10.4 | 14.2 | 9.3 | 7.8 | 9.3 | 8.8 | 70.4 | 93.5 | 102.0 | 106.0 | 92.5 | 92.1 | 89.6 | 94.4 |
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Distance of Assessment on Days 1 and 14 of the Respective Treatment Period
During the pharyngometry assessment, participants inhaled through a wavetube, which had a mouthpiece with the same dimensions as the mouthpiece on the dry powder inhaler used for this study. This technique was used to measure the size of the throat and mouth (oropharynx) in the form of pharyngograms. Distance of assessment is defined as the distance (length measured in centimeters [cm]) estimated to be from the lips to the larynx. Pharyngometry data were recorded for each day (Days 1 and 14 of each treatment period) using the mean of four measurements (pharyngograms), and the average oropharyngeal cross-sectional area was calculated. (NCT01332292)
Timeframe: Days 1 and 14 of the respective treatment period
Intervention | centimeters (cm) (Mean) |
---|
| Day 1, n=14, 18 | Day 14, n= 12, 12 |
---|
FF 100 µg | 18.69 | 18.61 |
,Placebo | 18.63 | 19.37 |
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Mean Change From Baseline (BL) in Aortic Pulse Wave Velocity (aPWV) at the End of the 24-week Treatment Period (Day 168)
PWV is defined as the speed of travel of the pressure pulse along an arterial segment and can be obtained for any arterial segment accessible to palpation. aPWV is measured with tonometers positioned transcutaneously at the base of the common carotid artery and over the femoral artery. PWV increases with arterial stiffness and is defined by the Moens-Korteweg equation: PWV=square root of (Eh/2ρR), where E is Young's modulus of the arterial wall, h is the wall thickness, R is the arterial radius at the end of diastole, and ρ is the blood density. Change from BL was calculated as the Day 168 value minus the BL value. The analysis was performed using a repeated measures model with covariates of treatment, visit, age, gender, smoking history, history of exacerbation strata, geographical region, BL aPWV and interaction terms of BL by visit and treatment by visit. (NCT01336608)
Timeframe: BL to Day 168
Intervention | meters per second (m/sec) (Least Squares Mean) |
---|
Placebo QD | -1.97 |
VI 25 µg QD | -1.95 |
FF/VI 100/25 µg QD | -1.75 |
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Change From BL in Clinic Visit Trough (Pre-bronchodilator and Pre-dose) FEV1 at Day 168
Pulmonary function was measured by forced expiratory volume in one second (FEV1), defined as the maximal amount of air that can be forcefully exhaled from the lungs in one second. Trough FEV1 measurements were taken electronically by spirometry at Screening, Days 1, 28, 84, 126, and 168. BL FEV1 was defined as the mean of the assessments made 30 minutes pre-dose and 5 minutes pre-dose on Treatment Day 1. Trough FEV1 was defined as the mean of the FEV1 values obtained 24 hours after previous morning's dosing. Change from BL was calculated as the average at each visit minus the BL value. Analysis was preformed using a repeated measures model with covariates of visit, treatment, history of exacerbation strata, geographical region, BL FEV1 and interaction terms of BL by visit and treatment by visit. (NCT01336608)
Timeframe: BL to Day 168
Intervention | Liters (L) (Least Squares Mean) |
---|
Placebo QD | -0.049 |
VI 25 µg QD | 0.033 |
FF/VI 100/25 µg QD | 0.106 |
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Mean Number of Occasions Rescue Medication [Albuterol (Salbutamol)] Used During a 24-hour Period Averaged Over the Entire 24-week Treatment Period
Participants were given daily record cards for daily completion from BL (Week -1) through Week 24 (Visit 6) each morning and prior to taking study medication (i.e., single-blind and double-blind study medication) supplemental medication (albuterol [salbutamol] if received) and ipratropium bromide (if received). Participants recorded number of occasions supplemental albuterol/salbutamol (MDI and/or nebules) used over the previous 24 hours and any medical problems that they had experienced and any medication used to treat these medical problems over the previous 24 hours. Analysis was performed using an analysis of covarience (ANCOVA) model with covariates of treatment, BL mean of occasions of rescue medication use (Week -1), history of exacerbation, and geographical region. (NCT01336608)
Timeframe: BL (Week -1), Week 1 to Week 24
Intervention | Occasions per 24 hours (Least Squares Mean) |
---|
Placebo QD | 1.97 |
VI 25 µg QD | 1.50 |
FF/VI 100/25 µg QD | 1.47 |
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Time to Onset on Treatment Day 1
Time to onset on Treatment Day 1 is defined as the time to an increase of 100 milliliters (mL) from Baseline in FEV1. Time of onset was calculated over 0 to 4 hours (5 min, 15 min, 30 min, 60 min, 120 min, and 240 min) post-dose. (NCT01342913)
Timeframe: Day 1
Intervention | Minutes (Median) |
---|
Salmeterol/FP 50/500 µg BID | 28 |
FF/VI 100/25 µg QD | 16 |
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Change From Baseline Trough in 24-hour Weighted-mean FEV1 on Treatment Day 84
Pulmonary function was measured by forced expiratory volume in one second (FEV1). The weighted mean was calculated from the pre-dose FEV1 and post-dose FEV1 measurements at 5, 15, 30, and 60 minutes (min) and 2, 4, 6, 8, 12, 13, 14, 16, 20, and 24 hours on Treatment Day 84. Baseline trough FEV1 was the mean of the two assessments made 30 and 5 minutes pre-dose on Treatment Day 1. Change from Baseline was calculated as the average of the Day 84 values minus the Baseline value. (NCT01342913)
Timeframe: Baseline and Day 84
Intervention | Liters (Least Squares Mean) |
---|
Salmeterol/FP 50/500 µg BID | 0.108 |
FF/VI 100/25 µg QD | 0.130 |
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Change From Baseline in Trough FEV1 on Treatment Day 85
Pulmonary function was measured by forced expiratory volume in one second (FEV1). Trough FEV1 was defined as the 24-hour FEV1 assessment, which was obtained on Day 85. Baseline is defined as the mean of the two assessments made 30 minutes pre-dose and 5 minutes pre-dose on Treatment Day 1.Change from Baseline was calculated as the average of the Day 85 values minus the Baseline value. (NCT01342913)
Timeframe: Baseline and Day 85
Intervention | Liters (Least Squares Mean) |
---|
Salmeterol/FP 50/500 µg BID | 0.088 |
FF/VI 100/25 µg QD | 0.111 |
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Mean Number of Post-index Asthma-related Events Measured Using Medical and Pharmacy Claims
Asthma-related events were defined as events with any primary ICD-9 code of 493.xx for hospitalizations, emergency department visits, and combined hospitalization/emergency department visits. The post-index period is defined as 3-12 months after either the first administration of fluticasone propionate and salmetrol or inhaled corticosteroids. Medical and pharmacy claims are recorded healthcare encounters in a large managed care administrative insurance database. (NCT01347060)
Timeframe: Up to 7 years from July 1, 2001 to June 30, 2008
Intervention | Asthma-related events (Mean) |
---|
| Inpatient visits | Emergency department visits | Inpatient/emergency department visits |
---|
Fluticasone Propionate and Salmeterol | 0.033 | 0.022 | 0.05 |
,Inhaled Corticosteroids | 0.046 | 0.027 | 0.07 |
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Mean Asthma-related Costs in the Post-index Period
Asthma-related costs were calculated as pharmacy costs, medical costs, and total asthma (pharmacy plus medical) costs. Medical costs were made up of asthma-related visits, hospitalizations, emergency department visits, and medical office visits. Pharmacy costs were comprised of all asthma-related medications used during the follow-up period. Medical services were identified by place of service and PharMetrics-specific confinement codes. Prescriptions were counted by 30-day fills, with fills less than 30 days rounded up to indicate one fill. (NCT01347060)
Timeframe: Up to 7 years from July 1, 2001 to June 30, 2008
Intervention | United States dollars (Mean) |
---|
| Medical Services Costs | Pharmacy Costs | Total Asthma Costs |
---|
Fluticasone Propionate and Salmeterol | 381 | 1128 | 1509 |
,Inhaled Corticosteroids | 462 | 939 | 1401 |
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Mean Number of Albuterol (Short-acting β-Agonists) Canisters Dispensed Per Pharmacy Claim Per Participant
The number of albuterol canisters dispensed was used as a surrogate marker of asthma symptoms. (NCT01347060)
Timeframe: Up to 7 years from July 1, 2001 to June 30, 2008
Intervention | albuterol canisters (Mean) |
---|
Fluticasone Propionate and Salmeterol | 1.01 |
Inhaled Corticosteroids | 1.5 |
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AUC 0-t (the Area Under the Plasma Concentration-time Curve (AUC) From Time Zero to the Last Quantifiable Time Point Post-dose of Ketorolac Tromethamine).
(NCT01365611)
Timeframe: PK parameters were determined using the following blood sampling times: pre-dose (within 10 minutes of ketorolac tromethamine administration), 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 15 and 24 h post administration of study drug on Days 1 and 6
Intervention | ng*hours/mL (Mean) |
---|
Ketorolac Tromethamine (Given Alone) | 7991 |
Fluticasone Propionate + Ketorolac Tromethamine | 7610 |
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t1/2z (the Terminal Half-life of Ketorolac Tromethamine, Where Possible)
(NCT01365611)
Timeframe: PK parameters were determined using the following blood sampling times: pre-dose (within 10 minutes of ketorolac tromethamine administration), 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 15 and 24 h post administration of study drug on Days 1 and 6
Intervention | hours (Mean) |
---|
Ketorolac Tromethamine (Given Alone) | 5.95 |
Fluticasone Propionate + Ketorolac Tromethamine | 5.49 |
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Tmax (the Time to Maximum Concentration of Ketorolac Tromethamine)
(NCT01365611)
Timeframe: PK parameters were determined using the following blood sampling times: pre-dose (within 10 minutes of ketorolac tromethamine administration), 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 15 and 24 h post administration of study drug on Days 1 and 6
Intervention | hours (Median) |
---|
Ketorolac Tromethamine (Given Alone) | 0.750 |
Fluticasone Propionate + Ketorolac Tromethamine | 0.750 |
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AUC Inf (the AUC From Time Zero to Infinity, Where Possible)
(NCT01365611)
Timeframe: PK parameters were determined using the following blood sampling times: pre-dose (within 10 minutes of ketorolac tromethamine administration), 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 15 and 24 h post administration of study drug on Days 1 and 6
Intervention | ng*hours/mL (Mean) |
---|
Ketorolac Tromethamine (Given Alone) | 8970 |
Fluticasone Propionate + Ketorolac Tromethamine | 8276 |
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MRT (the Mean Residence Time of Ketorolac Tromethamine, Where Possible)
(NCT01365611)
Timeframe: PK parameters were determined using the following blood sampling times: pre-dose (within 10 minutes of ketorolac tromethamine administration), 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 15 and 24 h post administration of study drug on Days 1 and 6
Intervention | hours (Mean) |
---|
Ketorolac Tromethamine (Given Alone) | 7.05 |
Fluticasone Propionate + Ketorolac Tromethamine | 6.53 |
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Cmax (the Maximum Observed Plasma Concentration of Ketorolac Tromethamine)
(NCT01365611)
Timeframe: PK parameters were determined using the following blood sampling times: pre-dose (within 10 minutes of ketorolac tromethamine administration), 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 15 and 24 h post administration of study drug on Days 1 and 6
Intervention | ng/mL (Mean) |
---|
Ketorolac Tromethamine (Given Alone) | 2128 |
Fluticasone Propionate + Ketorolac Tromethamine | 1948 |
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Tmax (the Time to Maximum Concentration)
PK analysis by standard model was performed by a pharmacokineticist using model-independent analysis methods in WinNonlin Professional. Actual blood sampling times for ketorolac assay were converted to a time from dosing (elapsed time). Elapsed times were listed by subject for each time, together with individual plasma concentrations of ketorolac. (NCT01365650)
Timeframe: Blood samples for PK analyses were obtained at pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 15 and 24 hours post administration of ketorolac tromethamine
Intervention | hours (Median) |
---|
Single i.n. Dose of 30 mg Ketorolac Tromethamine | 1.000 |
Single i.n. Dose of Oxymetazoline Hydrochloride Followed by a | 1.250 |
Seven Days of Treatment With i.n. Fluticasone Propionate | 0.875 |
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t1/2z (the Terminal Half-life, Where Possible)
PK analysis by standard model was performed by a pharmacokineticist using model-independent analysis methods in WinNonlin Professional. Actual blood sampling times for ketorolac assay were converted to a time from dosing (elapsed time). Elapsed times were listed by subject for each time, together with individual plasma concentrations of ketorolac. (NCT01365650)
Timeframe: Blood samples for PK analyses were obtained at pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 15 and 24 hours post administration of ketorolac tromethamine
Intervention | hours (Mean) |
---|
Single i.n. Dose of 30 mg Ketorolac Tromethamine | 5.583 |
Single i.n. Dose of Oxymetazoline Hydrochloride Followed by a | 5.172 |
Seven Days of Treatment With i.n. Fluticasone Propionate | 5.216 |
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AUC 0-∞ (the AUC From Time Zero to Infinity, Where Possible)
PK analysis by standard model was performed by a pharmacokineticist using model-independent analysis methods in WinNonlin Professional. Actual blood sampling times for ketorolac assay were converted to a time from dosing (elapsed time). Elapsed times were listed by subject for each time, together with individual plasma concentrations of ketorolac. (NCT01365650)
Timeframe: Blood samples for PK analyses were obtained at pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 15 and 24 hours post administration of ketorolac tromethamine
Intervention | ng*h/mL (Mean) |
---|
Single i.n. Dose of 30 mg Ketorolac Tromethamine | 9906.9 |
Single i.n. Dose of Oxymetazoline Hydrochloride Followed by a | 9959.1 |
Seven Days of Treatment With i.n. Fluticasone Propionate | 9445.4 |
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AUC 0-t (the Area Under the Plasma Concentration-time Curve (AUC) From Time Zero to the Last Quantifiable Time Point Post-dose)
PK analysis by standard model was performed by a pharmacokineticist using model-independent analysis methods in WinNonlin Professional. Actual blood sampling times for ketorolac assay were converted to a time from dosing (elapsed time). Elapsed times were listed by subject for each time, together with individual plasma concentrations of ketorolac. (NCT01365650)
Timeframe: Blood samples for PK analyses were obtained at pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 15 and 24 hours post administration of ketorolac tromethamine
Intervention | ng*h/mL (Mean) |
---|
Single i.n. Dose of 30 mg Ketorolac Tromethamine | 9001.8 |
Single i.n. Dose of Oxymetazoline Hydrochloride Followed by a | 9310.3 |
Seven Days of Treatment With i.n. Fluticasone Propionate | 8794.3 |
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Cmax (the Maximum Observed Plasma Concentration)
PK analysis by standard model was performed by a pharmacokineticist using model-independent analysis methods in WinNonlin Professional. Actual blood sampling times for ketorolac assay were converted to a time from dosing (elapsed time). Elapsed times were listed by subject for each time, together with individual plasma concentrations of ketorolac. (NCT01365650)
Timeframe: Blood samples for PK analyses were obtained at pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 15 and 24 hours post administration of ketorolac tromethamine
Intervention | ng/mL (Mean) |
---|
Single i.n. Dose of 30 mg Ketorolac Tromethamine | 1630.223 |
Single i.n. Dose of Oxymetazoline Hydrochloride Followed by a | 1729.393 |
Seven Days of Treatment With i.n. Fluticasone Propionate | 1617.810 |
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MRT (the Mean Residence Time)
PK analysis by standard model was performed by a pharmacokineticist using model-independent analysis methods in WinNonlin Professional. Actual blood sampling times for ketorolac assay were converted to a time from dosing (elapsed time). Elapsed times were listed by subject for each time, together with individual plasma concentrations of ketorolac. (NCT01365650)
Timeframe: Blood samples for PK analyses were obtained at pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 15 and 24 hours post administration of ketorolac tromethamine
Intervention | hours (Mean) |
---|
Single i.n. Dose of 30 mg Ketorolac Tromethamine | 7.241 |
Single i.n. Dose of Oxymetazoline Hydrochloride Followed by a | 6.861 |
Seven Days of Treatment With i.n. Fluticasone Propionate | 7.088 |
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Mean Change From Baseline in Clinic Visit Pre-dose Trough FEV1 at Day 169
Pulmonary function was measured by forced expiratory volume in one second (FEV1), defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 was defined as the pre-dose and pre-bronchodilator FEV1, which was obtained at each clinic visit. Baseline is defined as the mean of the two assessments made 30 minutes pre-dose and 5 minutes pre-dose on Treatment Day 1.Trough FEV1 is defined as the mean of the FEV1 values obtained 23 and 24 hours after dosing at each clinic visit. Change from Baseline was calculated as the average at each clinic visit minus the Baseline value. Analysis was performed using a repeated measures model with covariates of treatment, smoking status at screening (stratum), baseline - mean of the two assessments made 30 minutes pre-dose and immediately pre-dose on Day 1, day, day by baseline and day by treatment interactions. (NCT01376245)
Timeframe: Baseline to Day 169
Intervention | Liters (Least Squares Mean) |
---|
Placebo | -0.027 |
FF/VI 50/25 µg OD | 0.113 |
FF/VI 100/25 µg OD | 0.152 |
FF/VI 200/25 µg OD | 0.167 |
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Mean Change From Baseline in Chronic Respiratory Disease Questionnaire Self-administered Standardized (CRQ-SAS) Dyspnea Domain Score at Day 168
CRQ-SAS measures 4 domains (fatigue, emotional function, mastery and dyspnea) of functioning of participants (par.) with COPD: mastery (amount of control the par. feels he/she has over COPD symptoms); fatigue (how tired the par. feels); emotional function (how anxious/depressed the par. feels); and dyspnea (how short of breath the par. feels during physical activities). Each domain is calculated separately and measured on a scale of 1-7 (1=maximum impairment; 7=no impairment). Dyspnea domain score is the mean of all non-missing responses for that domain. Only the dyspnea domain was measured as a secondary outcome. BL scores are the derived scores for each domain and total at Day 1 pre-dose. Change from BL was calculated as the average of the Day 168 values minus the BL value. Analysis performed used a repeated measures model with covariates of treatment, smoking status at screening (stratum), BL (derived scores at Day 1 pre-dose), day, day by BL, and day by treatment interactions. (NCT01376245)
Timeframe: Baseline (BL) and Day 168
Intervention | Scores on a scale (Least Squares Mean) |
---|
Placebo | 0.09 |
FF/VI 50/25 µg OD | 0.30 |
FF/VI 100/25 µg OD | 0.43 |
FF/VI 200/25 µg OD | 0.37 |
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Mean Number of Pharmacy Claims by Participants During the Post-Index Period
The mean number of pharmacy claims incurred by participants during the one-year post-index period was measured. (NCT01381471)
Timeframe: One Year
Intervention | pharmacy claims (Mean) |
---|
| Albuterol Pharmacy Claims | Inhaled Corticosteriod Pharmacy Claims | Anticholinergic Pharmacy Claims | Theophylline Pharmacy Claims | Oral Corticosteriod Pharmacy Claims | Antibiotic Pharmacy Claims |
---|
Fluticasone Propionate/Salmeterol (FSC) | 2.960 | 0.219 | 5.491 | 0.573 | 1.545 | 2.181 |
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Mean Number of Healthcare Encounters Incurred by Participants During the Post-Index Period
The mean number of outpatient office visits, inpatient visits, and emergency department visits incurred by participants during the one-year post-index period was measured. (NCT01381471)
Timeframe: One Year
Intervention | healthcare encounters (Mean) |
---|
| Outpatient Office Visits | Emergency Department Visits | Inpatient Visits |
---|
Fluticasone Propionate/Salmeterol (FSC) | 2.048 | 0.145 | 0.078 |
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Mean Number of COPD Exacerbations
Moderate COPD exacerbations were defined as the occurrence of a COPD-related emergency department (ED) visit or a COPD-related office visit that is closely followed by a prescription claim for oral steroids or antibiotics. Severe exacerbations were defined as the occurrence of a COPD-related hospital admission. (NCT01387178)
Timeframe: 1 year
Intervention | number of exacerbations (Mean) |
---|
| Moderate Exacerbation | Severe Exacerbation | Any Exacerbation |
---|
Fluticasone Propionate/Salmeterol 250 Micrograms (µg)/50 µg | 0.35 | 0.05 | 0.4 |
,Tiotropium Bromide 18 µg | 0.29 | 0.05 | 0.34 |
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Post-index Period COPD-related, Unadjusted Costs
The mean cost per participant for COPD-related healthcare interventions for one year following the index date (first pharmacy claim for fluticasone propionate/salmeterol 250 µg/50 µg [FSC] or tiotropium bromide [TIO]) was calculated. Total medical costs included inpatient, emergency department, and outpatient costs associated with the treatment of COPD. Total pharmacy costs included costs of all COPD-related medications, and total healthcare costs included all medical and pharmacy costs that were related to COPD treatment. These costs were unadjusted and reflect the actual costs. (NCT01387178)
Timeframe: 1 year
Intervention | United States (US) dollars (Mean) |
---|
| Inpatient services | Emergency department visits | Inpatient and emergency department visits | Office visits | Other outpatient/ancillary services | Total medical costs | Total pharmacy costs | Total healthcare utilization |
---|
Fluticasone Propionate/Salmeterol 250 Micrograms (µg)/50 µg | 688 | 55 | 743 | 231 | 734 | 1709 | 1291 | 3000 |
,Tiotropium Bromide 18 µg | 867 | 52 | 919 | 293 | 879 | 2091 | 1209 | 3299 |
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Mean Change From Baseline (BL) in Aortic Pulse Wave Velocity (aPWV) at the End of the 12-week Treatment Period (Day 84)
PWV is defined as the speed of travel of the pressure pulse along an arterial segment and can be obtained for any arterial segment accessible to palpation. aPWV is measured with tonometers positioned transcutaneously at the base of the common carotid artery and over the femoral artery. PWV increases with arterial stiffness and is defined by the Moens-Korteweg equation: PWV=square root of Eh/2pR, where E is Young's modulus of the arterial wall, h is the wall thickness, R is the arterial radius at the end of diastole, and p is the blood density. Change from Baseline was calculated as the Day 84 value minus the Baseline value. The analysis was performed using a repeated measures model with covariates of treatment, visit, age, gender, smoking status at screening, geographical region, Baseline aPWV, and interaction terms of Baseline by visit and treatment by visit. (NCT01395888)
Timeframe: Baseline to Day 84 (Early Withdrawal)
Intervention | meters per second (m/sec) (Least Squares Mean) |
---|
FF/VI 100/25 µg | -0.859 |
Tiotropium Bromide 18 µg | -1.118 |
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Concentration of Exhaled Nitric Oxide (eNO) on Day 6 and Day 7 of Each Treatment Period
The concentration of eNO was measured on Day 6 pre-dose and on Day 7 post-study medication administration. eNO was measured 3 times at each time point, and all 3 measurements were recorded. The mean of the 3 measurements was calculated and was used in the derivation of summary statistics. (NCT01400906)
Timeframe: Day 6 and Day 7 of each treatment period (up to 11 weeks)
Intervention | Parts per billion (Mean) |
---|
| Day 6, Pre-dose, Smokers, n=16, 17, 17 | Day 7, Post-dose, Smokers, n=17, 17, 17 | Day 6, Pre-dose, Non-smokers, n=17, 18, 18 | Day 7, Post-dose, Non-smokers, n=18, 18, 18 |
---|
FP 100 µg | 12.718 | 16.602 | 37.252 | 42.869 |
,FP 500 µg | 14.049 | 16.298 | 32.572 | 34.989 |
,Placebo | 21.117 | 45.167 | 62.980 | 98.837 |
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LAR - Smokers: Absolute Change From Saline in Weighted Mean (WM) FEV1 Between 4-10 Hrs Following Post-treatment Allergen Challenge on Day 6 of Each Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Participants were exposed to an allergen 1 hour after dosing on Day 6. The WM FEV1 was derived by calculating the area under the curve, and then dividing the value by the relevant time interval. LAR WM FEV1 was measured at 4 hrs, 4.5 hrs, 5 hrs, 5.5 hrs, 6 hrs, 6.5 hrs, 7 hrs, 7.5 hrs, 8 hrs, 8.5 hrs, 9 hrs, 9.5 hrs, and 10 hrs post-allergen challenge on Day 6. Absolute change from saline at each time point was calculated as the highest allergen challenge FEV1 value minus the highest saline FEV1 value. Data were adjusted for the following covariates: period, smoking status, treatment, participant-level Baseline, period-level Baseline, and treatment by smoking status interaction. (NCT01400906)
Timeframe: Day 6 of each treatment period (up to 11 weeks)
Intervention | Liters (Least Squares Mean) |
---|
Placebo | -0.364 |
FP 100 µg | -0.188 |
FP 500 µg | -0.198 |
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Provocative Concentration of Methacholine Resulting in a 20% Reduction in FEV1 (PC20) on Day 7 of Each Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Participants inhaled doubling increments of methacholine until a >=20% decrease in FEV1 from the post-saline value was achieved. (NCT01400906)
Timeframe: Day 7 of each treatment period (up to 11 weeks)
Intervention | milligrams per milliliter (Geometric Mean) |
---|
| Smokers, n=16, 17, 17 | Non smokers, n=18, 17, 18 |
---|
FP 100 µg | 1.233 | 1.488 |
,FP 500 µg | 1.439 | 2.080 |
,Placebo | 0.579 | 0.514 |
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Early Asthmatic Response (EAR): Absolute Change From Saline in Minimum FEV1 and WM FEV1 Between 0-2 Hours (Hrs) After Allergen Challenge on Day 6 of Each Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Participants were exposed to an allergen 1 hr after dosing on Day 6. Minimum FEV1 over 0-2 hrs post-allergen challenge (Minimum EAR) is the minimum value of all of the post-allergen challenge timepoints up to and including 2 hours post-allergen challenge (i.e., minimum over 5 minutes [min], 10 min, 15 min, 20 min, 30 min, 45 min and 1 hr, 1.5 hrs, and 2 hrs). The WM FEV1 was derived by calculating the area under the curve, and then dividing the value by the relevant time interval. Absolute change from saline at each time point was calculated as the highest allergen challenge FEV1 value minus the highest saline FEV1 value. Data were adjusted for the following covariates: period, smoking status, treatment, participant-level Baseline, period-level Baseline, and treatment by smoking status interaction. (NCT01400906)
Timeframe: Day 6 of each treatment period (up to 11 weeks)
Intervention | Liters (Least Squares Mean) |
---|
| Minimum FEV1, Smokers, n=16, 17, 17 | Minimum FEV1, Non-smokers, n=18, 18, 18 | WM FEV1, Smokers, n=16, 17, 17 | WM FEV1, Non-smokers, n=18, 18, 18 |
---|
FP 100 µg | -0.769 | -0.743 | -0.303 | -0.349 |
,FP 500 µg | -0.817 | -0.676 | -0.362 | -0.311 |
,Placebo | -0.799 | -0.984 | -0.423 | -0.531 |
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Neutrophil and Eosinophil Cell Counts in Induced Sputum on Day 7 of Each Treatment Period
Sputum induction was performed using hypertonic saline solution to collect an adequate sample of secretions from lungs. The collected sputum was analyzed for neutrophil and eosinophil counts. Sputum induction was performed after methacholine challenge and post-dose administration on Day 7. Zero values are imputed to 0.001 for this analysis. Data were adjusted for the following covariates: period, smoking status, treatment, participant-level Baseline, period-level Baseline, and treatment by smoking status interaction. (NCT01400906)
Timeframe: Day 7 of each treatment period (up to 11 weeks)
Intervention | 10^4 cells per gram of sputum (Geometric Mean) |
---|
| Eosinophil count, Smokers, n=7, 7, 5 | Eosinophil count, Non-smokers, n=11, 11, 10 | Neutrophil count, Smokers, n=7, 7, 5 | Neutrophil count, Non-smokers, n=11, 11, 10 |
---|
FP 100 µg | 0.489 | 0.878 | 50.313 | 49.532 |
,FP 500 µg | 0.459 | 0.144 | 87.699 | 36.561 |
,Placebo | 0.400 | 6.911 | 96.231 | 78.768 |
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Late Asthmatic Response (LAR) - Smokers: Absolute Change From Saline in Minimum Forced Expiratory Volume in One Second (FEV1) Between 4-10 Hours (Hrs) After Allergen Challenge on Day 6 of Each Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Participants were exposed to an allergen 1 hr after dosing on Day 6. Minimum FEV1 over 4-10 hours post-allergen challenge is the minimum value of all of the post-saline time points between 4 and 10 hrs post-allergen challenge, inclusive of the 4 hr and 10 hr timepoints (i.e., minimum over 4 hrs, 4.5 hrs, 5 hrs, 5.5 hrs, 6 hrs, 6.5 hrs, 7 hrs, 7.5 hrs, 8 hrs, 8.5 hrs, 9 hrs, 9.5 hrs, and 10 hrs). Absolute change from saline at each time point was calculated as the highest allergen challenge FEV1 value minus the highest saline FEV1 value. Data were adjusted for the following covariates: period, smoking status, treatment, participant-level Baseline, period-level Baseline, and treatment by smoking status interaction. (NCT01400906)
Timeframe: Day 6 of each treatment period (up to 11 weeks)
Intervention | Liters (Least Squares Mean) |
---|
Placebo | -0.592 |
FP 100 µg | -0.420 |
FP 500 µg | -0.431 |
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Absolute Change From Baseline in FEV1 Post-dose on Day 1, Day 6 (Prior to Allergen Challenge), and Day 7
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Baseline FEV1 was measured on Day 1 pre-dose administration. FEV1 was measured on Day 1 post-dose, on Day 6 (prior to allergen challenge), and on Day 7 pre dose administration. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Data were adjusted for the following covariates: period, smoking status, treatment, participant-level Baseline, period-level Baseline, and treatment by smoking status interaction. (NCT01400906)
Timeframe: Baseline, Day 1, Day 6, and Day 7
Intervention | Liters (Least Squares Mean) |
---|
| Day 1, Smokers, n=17, 17, 17 | Day 6, Smokers, n=16, 17, 17 | Day 7, Smokers, n=17, 17, 17 | Day 1, Non-smokers, n=16, 18, 17 | Day 6, Non-smokers, n=18, 18, 18 | Day 7, Non-smokers, n=18, 18, 18 |
---|
FP 100 µg | 0.216 | 0.016 | -0.083 | 0.237 | 0.114 | -0.079 |
,FP 500 µg | 0.177 | 0.032 | -0.053 | 0.217 | 0.058 | 0.012 |
,Placebo | 0.156 | -0.081 | -0.123 | 0.201 | -0.028 | -0.341 |
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LAR - Non-smokers: Absolute Change From Saline in Minimum FEV1 Between 4-10 Hours (Hrs) After Allergen Challenge on Day 6 of Each Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Participants were exposed to an allergen 1 hr after dosing on Day 6. Minimum FEV1 over 4-10 hours post-allergen challenge is the minimum value of all of the post-saline time points between 4 and 10 hrs post-allergen challenge, inclusive of the 4 hr and 10 hr timepoints (i.e., minimum over 4 hrs, 4.5 hrs, 5 hrs, 5.5 hrs, 6 hrs, 6.5 hrs, 7 hrs, 7.5 hrs, 8 hrs, 8.5 hrs, 9 hrs, 9.5 hrs, and 10 hrs). Absolute change from saline at each time point was calculated as the highest allergen challenge FEV1 value minus the highest saline FEV1 value. Data were adjusted for the following covariates: period, smoking status, treatment, participant-level Baseline, period-level Baseline, and treatment by smoking status interaction. (NCT01400906)
Timeframe: Day 6 of each treatment period (up to 11 weeks)
Intervention | Liters (Least Squares Mean) |
---|
Placebo | -1.034 |
FP 100 µg | -0.396 |
FP 500 µg | -0.373 |
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LAR - Non-smokers: Absolute Change From Saline in WM FEV1 Between 4-10 Hrs Following Post-treatment Allergen Challenge on Day 6 of Each Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Participants were exposed to an allergen 1 hour after dosing on Day 6. The WM FEV1 was derived by calculating the area under the curve, and then dividing the value by the relevant time interval. LAR WM FEV1 was measured at 4 hrs, 4.5 hrs, 5 hrs, 5.5 hrs, 6 hrs, 6.5 hrs, 7 hrs, 7.5 hrs, 8 hrs, 8.5 hrs, 9 hrs, 9.5 hrs, and 10 hrs post-allergen challenge on Day 6. Absolute change from saline at each time point was calculated as the highest allergen challenge FEV1 value minus the highest saline FEV1 value. Data were adjusted for the following covariates: period, smoking status, treatment, participant-level Baseline, period-level Baseline, and treatment by smoking status interaction. (NCT01400906)
Timeframe: Day 6 of each treatment period (up to 11 weeks)
Intervention | Liters (Least Squares Mean) |
---|
Placebo | -0.688 |
FP 100 µg | -0.212 |
FP 500 µg | -0.158 |
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School Absences (Percent), Treatment Steps 2-5:Omalizumab vs. Placebo
The ratio of the number of school days missed over the numbers of school days in session (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | Ratio (Mean) |
---|
Treatment Steps 2-5: Omalizumab | 1.2 |
Treatment Steps 2-5: Placebo | 1.6 |
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Spirometry Measurements: FEV1:FVCx100, Treatment Steps 2-4: Omalizumab vs. ICS
The FEV1 (forced expiratory volume 1))/ FVC (forced vital capacity) ratio is used to evaluate airways obstructions since pure restrictive ventilatory defects cause an equal reduction in the FEV1 and the FVC. An FEV1/FVC ratio below 80% indicates airflow obstruction. Normal FEV1/FVC: 8 - 19 years of age=85%. (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | percent FEV1/FVC ratio (Mean) |
---|
Treatment Steps 2-4: Omalizumab | 79.1 |
Treatment Steps 2-4:Inhaled Corticosteroid Boost Therapy (ICS) | 77.9 |
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Number of Exacerbations Evaluated Monthly With Viral Respiratory Infections: Omalizumab vs. Placebo
Asthma exacerbation is defined as a prescribed course of systemic steroids by a clinician or initiation of a course of systemic steroids by a participant or a hospitalization during the fall outcome period (90 day period beginning on the first day of the participant's school year) to prevent a serious asthma outcome. If a participant initiates and completes a course of systemic steroids without clinician involvement, this course will be counted only if it meets the following minimum dosage: prednisone, prednisolone, or methylprednisolone at ≥20mg per day for 3 of any 5 consecutive days; or dexamethasone at ≥10mg per day for ≥1 day. The hypothesis behind this outcome measure is that omalizumab will change virology; thus, the intent of this measure was to assess the comparator group of placebo against omalizumab. (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | Total Number of Viral Infections (Mean) |
---|
Omalizumab | 5.6 |
Placebo | 5.8 |
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Spirometry Measurements: FEV1:FVCx100, Treatment Steps 2-5: Omalizumab vs. Placebo
The FEV1 (forced expiratory volume 1))/ FVC (forced vital capacity) ratio is used to evaluate airways obstructions since pure restrictive ventilatory defects cause an equal reduction in the FEV1 and the FVC. An FEV1/FVC ratio below 80% indicates airflow obstruction. Normal FEV1/FVC: 8 - 19 years of age=85%. (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | percent FEV1/FVC ratio (Mean) |
---|
Treatment Steps 2-5: Omalizumab | 78.6 |
Treatment Steps 2-5: Placebo | 78.4 |
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Occurrence of One or More Asthma Exacerbations (All Treatment Steps [Steps 2-5])
Asthma exacerbation defined as a prescribed course of systemic steroids by a clinician or initiation of a course of systemic steroids by a participant or a hospitalization during the fall outcome period (90 day period beginning on the first day of the participant's school year) to prevent a serious asthma outcome. If a participant initiates and completes a course of systemic steroids without clinician involvement, this course will be counted only if it meets the following minimum dosage: prednisone, prednisolone, or methylprednisolone at ≥ 20mg per day for 3 of any 5 consecutive days; or dexamethasone at ≥10mg per day for ≥1 day. Odds ratio comparing Placebo and Omalizumab arms across all treatment steps (Steps 2-5). (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | Percent of adjusted prevalence (Number) |
---|
Treatment Steps 2-5: Omalizumab | 11.3 |
Treatment Steps 2-5: Placebo | 21.0 |
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Spirometry Measurements: Forced Expiratory Volume in 1 Second (FEV1) % Predicted , Treatment Steps 2-4: Omalizumab vs. ICS
FEV1 is air volume exhaled in 1 second during spirometry. Asthma severity classification for trial: mild--pre-bronchodilator FEV1 ≥ 80% predicted requiring no/ low-moderate dose of inhaled glucocorticoids; moderate--pre-bronchodilator FEV1 <80% predicted requiring no/ low-moderate dose of inhaled glucocorticoids; severe--requiring high-dose inhaled glucocorticoids with/without continuous/near continuous oral glucocorticoids, or uncontrolled despite treatment. FEV1 percent of predicted value is FEV1 converted to a percentage of normal, based on height, weight, and race. (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | percent predicted FEV1 (Mean) |
---|
Treatment Steps 2-4: Omalizumab | 93.2 |
Treatment Steps 2-4:Inhaled Corticosteroid Boost Therapy (ICS) | 90.8 |
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Severity of Asthma Symptoms Associated With a Viral Infection:Omalizumab vs. Placebo
Severity asthma symptoms is defined as the highest value among the following 3 variables: number of days with wheezing, tightness in the chest, or cough; number of nights with disturbed sleep as a result of asthma; and number of days on which a participant had to slow down or discontinue play/physical activities over a two week period associated with a viral infection. This outcome looks at the effect by group on number of days with asthma symptoms and infections. The hypothesis behind this outcome measure is that omalizumab will change virology; thus, the the intent of this measure was to assess the comparator group of placebo against omalizumab (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | Maximum Symptoms Days (Mean) |
---|
Omalizumab | 1.2 |
Placebo | 1.8 |
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Spirometry Measurements: Forced Expiratory Volume in 1 Second (FEV1) % Predicted, Treatment Steps 2-5:Omalizumab vs. Placebo
FEV1 is air volume exhaled in 1 second during spirometry. Asthma severity classification for trial: mild--pre-bronchodilator FEV1 ≥ 80% predicted requiring no/ low-moderate dose of inhaled glucocorticoids; moderate--pre-bronchodilator FEV1 <80% predicted requiring no/ low-moderate dose of inhaled glucocorticoids; severe--requiring high-dose inhaled glucocorticoids with/without continuous/near continuous oral glucocorticoids, or uncontrolled despite treatment. FEV1 percent of predicted value is FEV1 converted to a percentage of normal, based on height, weight, and race. (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | percent predicted FEV1 (Mean) |
---|
Treatment Steps 2-5: Omalizumab | 92.2 |
Treatment Steps 2-5: Placebo | 92.5 |
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Virus-induced Exacerbations as Measured by an Exacerbation That is Associated With a Virus Detected Using the Nasal Mucus Samples
Asthma exacerbation:defined by a prescribed course of systemic steroids by a clinician or initiation of a course of systemic steroids by a participant or a hospitalization during the fall outcome period (90 day period beginning on the 1st day of the participant's school year) to prevent a serious asthma outcome. If a participant initiates and completes a course of systemic steroids without clinician involvement, this course will be counted only if it meets the following minimum dosage: prednisone, prednisolone, or methylprednisolone at ≥ 20mg per day for 3 of any 5 consecutive days; or dexamethasone at ≥ 10mg per day for ≥1 day. Exacerbations were then associated with viral respiratory infections based on nasal mucus samples collected monthly. Nasal mucus samples were categorized as having exacerbations or not having exacerbations. Participants could potentially be counted in each group, as participants could have samples with exacerbations and samples without exacerbations. (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | Percent Samples with virus (Number) |
---|
Samples With Exacerbations | 71.8 |
Samples Without Exacerbations | 40.4 |
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Work Disruptions Due to Child's Asthma, Treatment Steps 2-4: Omalizumab vs. ICS
The ratio of the work hours missed due to child's asthma over the numbers of work hours in the past 14 days among caretakers working (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | Ratio (Mean) |
---|
Treatment Steps 2-4: Omalizumab | 0.003 |
Treatment Steps 2-4:Inhaled Corticosteroid Boost Therapy (ICS) | 0.003 |
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Work Disruptions Due to Child's Asthma, Treatment Steps 2-5: Omalizumab vs. Placebo
The ratio of the work hours missed due to child's asthma over the numbers of work hours in the past 14 days among caretakers working. (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | Ratio (Mean) |
---|
Treatment Steps 2-5: Omalizumab | 0.003 |
Treatment Steps 2-5: Placebo | 0.004 |
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Comparison of Home Allergen (Cockroach) Exposure and Asthma Exacerbations: Omalizumab Versus Placebo
Residential environmental exposure to cockroach allergen of participants in the context of the risk of asthma exacerbations and effect of omalizumab versus placebo (control) on asthma exacerbations was explored. Presence of cockroach allergen in household dust samples was assessed. Exacerbation defined as: participant required either 1.)a prescribed course of systemic steroids by a clinician2.)initiation of a course of systemic steroids or 3.)a hospitalization during the fall outcome period (90 day period beginning on the first day of the participant's school year) to prevent a serious asthma outcome. In cases that a participant initiated and completed a course of systemic steroids without clinician involvement, the course was counted as an exacerbation only with fulfillment of the following minimum dosage: prednisone, prednisolone, or methylprednisolone at ≥20mg per day for 3 of any 5 consecutive days; or dexamethasone at ≥10mg per day for ≥1 day). (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | Participants (Count of Participants) |
---|
| Exposure to cockroach. No exacerbations. | Exposure to cockroach. Exacerbations | No exposure to cockroach. No exacerbations. | No exposure to cockroach. Exacerbations |
---|
Omalizumab | 37 | 7 | 119 | 16 |
,Placebo | 18 | 2 | 28 | 13 |
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Occurrence of One or More Asthma Exacerbations (Treatment Steps 2-4)
Asthma exacerbation defined as a prescription of a course of systemic steroids by a clinician or initiation of a course of systemic steroids by a participant or a hospitalization during the fall outcome period (90 day period beginning on the first day of the participant's school year) to prevent a serious asthma outcome. If a participant initiates and completes a course of systemic steroids without clinician involvement, this course will be counted only if it meets the following minimum dosage: prednisone, prednisolone, or methylprednisolone at ≥20mg per day for 3 of any 5 consecutive days; or dexamethasone at ≥10mg per day for ≥1 day. Odds ratio comparing Inhaled corticosteroid boost therapy (ICS) and Omalizumab arms at Treatment Steps 2-4. (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | Percent of adjusted prevalence (Number) |
---|
Treatment Steps 2-4: Omalizumab | 8.4 |
Treatment Steps 2-4:Inhaled Corticosteroid Boost Therapy (ICS) | 11.1 |
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Percent Adherence to Asthma Medication, Treatment Steps 2-4: Omalizumab vs. ICS
Adherence to the study regimen and other asthma treatments, assessed as percent of expected dose taken, by means of study interviews and study physician corroboration. (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | percent adherence (Mean) |
---|
Treatment Steps 2-4: Omalizumab | 88.4 |
Treatment Steps 2-4:Inhaled Corticosteroid Boost Therapy (ICS) | 88.6 |
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Percent Adherence to Asthma Medication, Treatment Steps 2-5: Omalizumab vs. Placebo
Adherence to the study regimen and other asthma treatments, assessed as percent of expected dose taken, by means of study interviews and study physician corroboration. (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | percent adherence (Mean) |
---|
Treatment Steps 2-5: Omalizumab | 88.6 |
Treatment Steps 2-5: Placebo | 88.8 |
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School Absences (Percent), Treatment Steps 2-4: Omalizumab vs. ICS
The ratio of the number of school days missed over the numbers of school days in session (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | Ratio (Mean) |
---|
Treatment Steps 2-4: Omalizumab | 0.9 |
Treatment Steps 2-4:Inhaled Corticosteroid Boost Therapy (ICS) | 2.0 |
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Asthma Control Test Score: Child Asthma Control Test (C-ACT), Treatment Steps 2-4: Omalizumab vs. ICS
The Childhood Asthma Control Test (C-ACT) is a validated tool to assess overall asthma control (over the last 4 weeks) in patients ages 4 to 11 years. Scores can range from 0 to 27. A score of 19 or less is indicative of asthma that is not well controlled. The minimally important difference in C-ACT scores is not defined. (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | C-ACT Score (Mean) |
---|
Treatment Steps 2-4: Omalizumab | 23.7 |
Treatment Steps 2-4:Inhaled Corticosteroid Boost Therapy (ICS) | 23.1 |
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Asthma Control Test Score: Child Asthma Control Test (C-ACT), Treatment Steps 2-5: Omalizumab vs. Placebo
The Childhood Asthma Control Test (C-ACT) is a validated tool to assess overall asthma control (over the last 4 weeks) in patients ages 4 to 11 years. Scores can range from 0 to 27. A score of 19 or less is indicative of asthma that is not well controlled. The minimally important difference in C-ACT scores is not defined (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | C-ACT Score (Mean) |
---|
Treatment Steps 2-5: Omalizumab | 23.2 |
Treatment Steps 2-5: Placebo | 22.5 |
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Asthma Control Test Scores: Asthma Control Test (ACT), Treatment Steps 2-5: Omalizumab vs. Placebo
Outcome measure description: The Asthma Control Test (ACT) is a validated tool to assess asthma control (over the last 4 weeks) in patients ≥12 yrs old. It is comprised of 5 questions assessing symptoms, use of rescue medications, and the impact of asthma on everyday functioning. All questions are scored on a 5-point Likert scale (higher score indicating better control). Total scores can range from 5-25. A score of ≤19 is indicative of not well-controlled asthma. The minimally important difference is 3 points. (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | ACT Score (Mean) |
---|
Treatment Steps 2-5: Omalizumab | 22.9 |
Treatment Steps 2-5: Placebo | 21.8 |
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Asthma Control Test Scores: Asthma Control Test (ACT), Treatment Steps 2-4: Omalizumab vs. ICS
The Asthma Control Test (ACT) is a validated tool to assess asthma control (over the last 4 weeks) in patients ≥12 yrs old. It is comprised of 5 questions assessing symptoms, use of rescue medications, and the impact of asthma on everyday functioning. All questions are scored on a 5-point Likert scale (higher score indicating better control). Total scores can range from 5-25. A score of ≤19 is indicative of not well-controlled asthma. The minimally important difference is 3 points. (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | ACT Score (Mean) |
---|
Treatment Steps 2-4: Omalizumab | 23.0 |
Treatment Steps 2-4:Inhaled Corticosteroid Boost Therapy (ICS) | 22.9 |
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Composite Asthma Severity Index (CASI), Treatment Steps 2-4: Omalizumab vs. ICS
CASI scores include 5 domains: day symptoms and albuterol use, night symptoms and albuterol use, controller treatment, lung function measures, and exacerbations. To calculate CASI, the 5 domain scores are summed to determine a final score, which can range from 0 to 20, with 0 being no severity of asthma and 20 being extremely severe asthma. (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | CASI Score (Mean) |
---|
Treatment Steps 2-4: Omalizumab | 4.6 |
Treatment Steps 2-4:Inhaled Corticosteroid Boost Therapy (ICS) | 4.8 |
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Composite Asthma Severity Index (CASI), Treatment Steps 2-5: Omalizumab vs. Placebo
CASI scores include 5 domains: day symptoms and albuterol use, night symptoms and albuterol use, controller treatment, lung function measures, and exacerbations. To calculate CASI, the 5 domain scores are summed to determine a final score, which can range from 0 to 20, with 0 being no severity of asthma and 20 being extremely severe asthma. (NCT01430403)
Timeframe: 90 Day outcome period
Intervention | CASI Score (Mean) |
---|
Treatment Steps 2-5: Omalizumab | 4.9 |
Treatment Steps 2-5: Placebo | 5.5 |
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Change From Baseline in Daily Morning (AM) PEF Averaged Over the 24-week Treatment Period
PEF is a measure of lung function and is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each morning and evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Change from Baseline (defined as the average of the values of the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily AM PEF over the 24-week Treatment Period minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01431950)
Timeframe: From Baseline up to Week 24
Intervention | L/min (Least Squares Mean) |
---|
FF 100 µg OD | 13.4 |
FF 200 µg OD | 13.2 |
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Change From Baseline in the Percentage of Rescue-free 24-hour (hr) Periods Over the 24-week Treatment Period
The number of inhalations of rescue bronchodilator, albuterol/salbutamol inhalation aerosol, used during the day and night was recorded by the participants in a daily electronic diary (eDiary). A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no use of rescue medication was considered to be rescue free. A 24-hour period was considered as missing if both day time and night time values were missing or if one of the day time or night time values were missing and the other value indicated no use of rescue medication. The Baseline value is the average of the values over the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 24-week Treatment Period minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01431950)
Timeframe: From Baseline up to Week 24
Intervention | Percentage of rescue-free 24-hr periods (Least Squares Mean) |
---|
FF 100 µg OD | 21.3 |
FF 200 µg OD | 23.1 |
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Change From Baseline in the Percentage of Symptom-free 24-hour (hr) Periods Over the 24-week Treatment Period
Asthma symptoms were recorded in a daily eDairy by the participants every day in the morning and evening before taking any rescue or study medication and before the peak expiratory flow measurement. A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no symptoms was considered to be symptom free. A 24-hour period was considered as missing if both the day time and night time data were missing or if one was symptom-free but the other was missing. The Baseline value was the average of the values of the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 24-week Treatment Period minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01431950)
Timeframe: From Baseline up to Week 24
Intervention | Percentage of symptom-free 24-hr periods (Least Squares Mean) |
---|
FF 100 µg OD | 17.5 |
FF 200 µg OD | 19.6 |
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Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 24-week Treatment Period
PEF is a measure of lung function and is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each morning and evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Change from Baseline (defined as the average of the values of the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily trough PM PEF over the 24-week Treatment Period minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01431950)
Timeframe: From Baseline up to Week 24
Intervention | Liters/minute (L/min) (Least Squares Mean) |
---|
FF 100 µg OD | 5.9 |
FF 200 µg OD | 7.2 |
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Change From Baseline in Clinic Visit Evening (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at the End of the 24-week Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Evening clinic visit FEV1 is defined as the clinic visit (pre-bronchodilator and pre-dose) FEV1 measurement taken at the Week 24 clinic visit. Pre-dose and pre-rescue albuterol/salbutamol trough FEV1 were measured electronically by spirometry in the evening at the Baseline through Week 24 clinic visits. The highest of 3 technically acceptable measurements was recorded. Baseline was the pre-dose value obtained at Visit 2. Change from Baseline was calculated as the Week 24 value minus the Baseline value. Analysis was performed using analysis of covariance (ANCOVA) with covariates of Baseline, region, sex, age, and treatment. The last observation carried forward (LOCF) method was used to impute missing data, in which the last non-missing, pre-dose, post-Baseline on-treatment measurement at scheduled clinic visits was used to impute the missing value. (NCT01431950)
Timeframe: Baseline and Week 24
Intervention | Liters (Least Squares Mean) |
---|
FF 100 µg OD | 0.208 |
FF 200 µg OD | 0.284 |
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Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 12-week Treatment Period
PEF is a measure of lung function and is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each morning and evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Change from Baseline (defined as the average of the values of the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily trough PM PEF over the 12-week Treatment Period minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01436071)
Timeframe: From Baseline up to Week 12
Intervention | Liters/minute (L/min) (Least Squares Mean) |
---|
Placebo | 19.5 |
FF 50 µg OD | 22.8 |
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Change From Baseline in Daily Morning (AM) PEF Averaged Over the 12-week Treatment Period
PEF is a measure of lung function and is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each morning and evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Change from Baseline (defined as the average of the values of the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily AM PEF over the 12-week Treatment Period minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01436071)
Timeframe: From Baseline up to Week 12
Intervention | L/min (Least Squares Mean) |
---|
Placebo | 22.9 |
FF 50 µg OD | 34.5 |
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Change From Baseline in the Percentage of Rescue-free 24-hour (hr) Periods Over the 12-week Treatment Period
The number of inhalations of rescue bronchodilator, albuterol/salbutamol inhalation aerosol, used during the day and night was recorded by the participants in a daily electronic diary (eDiary). A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no use of rescue medication was considered to be rescue free. A 24-hour period was considered as missing if both day time and night time values were missing or if one of the day time or night time values were missing and the other value indicated no use of rescue medication. The Baseline value is the average of the values over the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 24-week Treatment Period minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01436071)
Timeframe: From Baseline up to Week 12
Intervention | Percentage of rescue-free 24-hr periods (Least Squares Mean) |
---|
Placebo | 17.1 |
FF 50 µg OD | 28.7 |
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Change From Baseline in the Percentage of Symptom-free 24-hour (hr) Periods Over the 12-week Treatment Period
Asthma symptoms were recorded in a daily eDairy by the participants every day in the morning and evening before taking any rescue or study medication and before the peak expiratory flow measurement. A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no symptoms was considered to be symptom free. A 24-hour period was considered as missing if both the day time and night time data were missing or if one was symptom-free but the other was missing. The Baseline value was the average of the values of the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 12-week Treatment Period minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01436071)
Timeframe: From Baseline up to Week 12
Intervention | Percentage of symptom-free 24-hr periods (Least Squares Mean) |
---|
Placebo | 14.0 |
FF 50 µg OD | 22.6 |
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Number of Participants Who Withdrew Due to a Lack of Efficacy During the 12-week Treatment Period
The reason for withdrawal was lack of efficacy if a participant was withdrawn due to: clinic FEV1 falling below the FEV1 stability limit; participant experiencing at least 4 days of AM or PM PEF falling below the PEF stability limit and/or at least 3 days of >=12 inhalations/day of albuterol/salbutamol usage during the 7 days immediately preceding any contact; or the occurrence of an asthma exacerbation, defined as the deterioration of asthma requiring the use of systemic (oral, parenteral, or depot) corticosteroids for at least 3 days or an in-patient hospitalization or emergency department visit due to asthma that required systemic corticosteroids. The FEV1 stability limit was calculated as the best pre-salbutamol/albuterol FEV1 at Visit 2 * 80%. The PEF stability limit was calculated as the mean AM PEF from the available 7 consecutive days preceding Visit 2 * 80%. (NCT01436071)
Timeframe: From the first dose of the study medication until Week 12/Early Withdrawal
Intervention | Participants (Number) |
---|
Placebo | 15 |
FF 50 µg OD | 7 |
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Change From Baseline in Clinic Visit Evening (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at the End of the 12-week Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Evening clinic visit FEV1 is defined as the clinic visit (pre-bronchodilator and pre-dose) FEV1 measurement taken at the Week 12 clinic visit. Pre-dose and pre-rescue albuterol/salbutamol trough FEV1 were measured electronically by spirometry in the evening at the Baseline through Week 12 clinic visits. The highest of 3 technically acceptable measurements was recorded. Baseline was the pre-dose value obtained at Visit 2. Change from Baseline was calculated as the Week 12 value minus the Baseline value. Analysis was performed using analysis of covariance (ANCOVA) with covariates of Baseline, region, sex, age, and treatment. The last observation carried forward (LOCF) method was used to impute missing data, in which the last non-missing, pre-dose, post-Baseline on-treatment measurement at scheduled clinic visits was used to impute the missing value. (NCT01436071)
Timeframe: Baseline and Week 12
Intervention | Liters (Least Squares Mean) |
---|
Placebo | 0.038 |
FF 50 µg OD | 0.157 |
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Change From Baseline in Daily Morning (AM) PEF Averaged Over the 24-week Treatment Period
PEF is a measure of lung function and is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each morning and evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Change from Baseline (defined as the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily AM PEF over the 24-week Treatment Period minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01436110)
Timeframe: From Baseline up to Week 24
Intervention | L/min (Least Squares Mean) |
---|
Placebo | 10.8 |
FF 50 µg OD | 30.0 |
FP 100 µg BID | 21.4 |
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Change From Baseline in Clinic Visit Evening (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at the End of the 24-week Treatment Period
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Evening clinic visit FEV1 is defined as the clinic visit (pre-bronchodilator and pre-dose) FEV1 measurement taken at the Week 24 clinic visit. Pre-dose and pre-rescue albuterol/salbutamol trough FEV1 were measured electronically by spirometry in the evening at the Baseline through Week 24 clinic visits. The highest of 3 technically acceptable measurements was recorded. Baseline was the pre-dose value obtained at Visit 2. Change from Baseline was calculated as the Week 24 value minus the Baseline value. Analysis was performed using analysis of covariance (ANCOVA) with covariates of Baseline, region, sex, age, and treatment. The last observation carried forward (LOCF) method was used to impute missing data, in which the last non-missing, pre-dose, post-Baseline, on-treatment measurement at scheduled clinic visits was used to impute the missing measurements. (NCT01436110)
Timeframe: Baseline and Week 24
Intervention | Liters (Least Squares Mean) |
---|
Placebo | 0.089 |
FF 50 µg OD | 0.126 |
FP 100 µg BID | 0.191 |
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Change From Baseline in the Percentage of Rescue-free 24-hour (hr) Periods Over the 24-week Treatment Period
The number of inhalations of rescue bronchodilator, albuterol/salbutamol inhalation aerosol, used during the day and night was recorded by the participants in a daily electronic diary (eDiary). A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no use of rescue medication was considered to be rescue free. A 24-hour period was considered as missing if both day time and night time values were missing or if one of the day time or night time values were missing and the other value indicated no use of rescue medication. The Baseline value is the average of the values over the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 24-week Treatment Period minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01436110)
Timeframe: From Baseline up to Week 24
Intervention | Percentage of rescue-free 24-hr periods (Least Squares Mean) |
---|
Placebo | 21.1 |
FF 50 µg OD | 28.9 |
FP 100 µg BID | 31.7 |
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Change From Baseline in the Percentage of Symptom-free 24-hour (hr) Periods During the 24-week Treatment Period
Asthma symptoms were recorded in a daily eDairy by the participants every day in the morning and evening before taking any rescue or study medication and before the peak expiratory flow measurement. A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no symptoms was considered to be symptom free. A 24-hour period was considered as missing if both the day time and night time data were missing or if one was symptom-free but the other was missing. The Baseline value was the average of the values of the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 24-week Treatment Period minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01436110)
Timeframe: From Baseline up to Week 24
Intervention | Percentage of symptom-free 24-hr periods (Least Squares Mean) |
---|
Placebo | 16.8 |
FF 50 µg OD | 25.1 |
FP 100 µg BID | 24.3 |
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Number of Participants Who Withdrew Due to Lack of Efficacy During the 24-week Treatment Period
The reason for withdrawal was lack of efficacy if a participant was withdrawn due to: clinic FEV1 falling below the FEV1 stability limit; participant experiencing at least 4 days of AM or PM PEF falling below the PEF stability limit and/or at least 3 days of >=12 inhalations/day of albuterol/salbutamol usage during the 7 days immediately preceding any contact; or the occurrence of an asthma exacerbation, defined as the deterioration of asthma requiring the use of systemic (oral, parenteral, or depot) corticosteroids for at least 3 days or an in-patient hospitalization or emergency department visit due to asthma that required systemic corticosteroids. The FEV1 stability limit was calculated as the best pre-salbutamol/albuterol FEV1 at Visit 2 * 80%. The PEF stability limit was calculated as the mean AM PEF from the available 7 consecutive days preceding Visit 2 * 80%. (NCT01436110)
Timeframe: From the first dose of the study medication until Week 24/Early Withdrawal
Intervention | Participants (Number) |
---|
Placebo | 23 |
FF 50 µg OD | 14 |
FP 100 µg BID | 9 |
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Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 24-week Treatment Period
PEF is a measure of lung function and is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each morning and evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Change from Baseline (defined as the average of the values of the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily trough PM PEF over the 24-week Treatment Period minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01436110)
Timeframe: From Baseline up to Week 24
Intervention | Liters/minute (L/min) (Least Squares Mean) |
---|
Placebo | 7.6 |
FF 50 µg OD | 24.9 |
FP 100 µg BID | 12.0 |
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Pulmonary Function: Change in FEV1/FVC Ratio
Change in participant's FEV1/FVC ratio calculated as 48 weeks minus baseline. (NCT01437995)
Timeframe: Baseline and 48 weeks
Intervention | ratio (Median) |
---|
Stable ICS-LABA | -0.002 |
Reduced ICS/LABA | -0.009 |
LABA Step Off | -0.02 |
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Rate of Episodes of Poor Asthma Control
Rate of episodes of poor asthma control (EPAC) defined by unscheduled medical care, hospitalization, use of oral corticosteroids and/or increased use of rescue medications and/or decrease of 30% or more in morning peak expiratory flow rate (NCT01437995)
Timeframe: 48 weeks
Intervention | Episodes of poor asthma control (Number) |
---|
Stable ICS-LABA | 183 |
Reduced ICS/LABA | 164 |
LABA Step Off | 219 |
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Treatment Failure
Rate of treatment failures assessed by decline in peak flow or FEV1, increased need for beta agonists, requirement for non-scheduled medical care for asthma symptoms, or prednisone taper. (NCT01437995)
Timeframe: 48 weeks
Intervention | participants (Number) |
---|
Stable ICS-LABA | 38 |
Reduced ICS/LABA | 39 |
LABA Step Off | 45 |
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Change in Pulmonary Function: FEV1 and FVC
Change in participant's pre-bronchodilator pulmonary function tests (FEV1 and FVC) calculated as 48 weeks minus baseline. (NCT01437995)
Timeframe: Baseline and 48 weeks
Intervention | Liters (Median) |
---|
| Pre-bronchodilator FEV1 | Pre-bronchodilator FVC |
---|
LABA Step Off | -0.13 | -0.09 |
,Reduced ICS/LABA | -0.07 | -0.04 |
,Stable ICS-LABA | -0.02 | -0.01 |
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Pulmonary Function- Change in Peak Expiratory Flow
Change in morning peak expiratory flow rate from the patients' daily diary cards, calculated at 48 weeks minus baseline (randomization) (NCT01437995)
Timeframe: Baseline and 48 weeks
Intervention | Liters per minute (Median) |
---|
Stable ICS-LABA | -0.08 |
Reduced ICS/LABA | 4.40 |
LABA Step Off | -14.16 |
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Change in Baseline Nasal Congestion Score on Day 0 to Average Nasal Congestion Score on Day 16
Nasal Congestion was assessed by the participants pre-ABC exposure and approximately every 15 minutes while in the ABC on Day 0 and Day 16 on a 0-4 scale (0 = none to 4 = severe). The change in average nasal congestion score between Day 0 and Day 16 was analyzed. (NCT01439815)
Timeframe: pre-ABC exposure and approximately every 15 minutes, up to 180 minutes, while in the ABC on Day 0 and Day 16
Intervention | units on a scale (Mean) |
---|
| Pre-ABC | 15 minutes | 30 minutes | 45 minutes | 60 minutes | 75 minutes | 90 minutes | 105 minutes | 120 minutes | 135 minutes | 150 minutes | 165 minutes | 180 minutes |
---|
Fluticasone Propionate Nasal Spray | -0.1 | -0.4 | -0.7 | -1.1 | -1 | -0.9 | -1.1 | -1.2 | -1.5 | -1.1 | -1.4 | -1.4 | -1.5 |
,Placebo Nasal Spray | 0 | 0.1 | -0.1 | 0 | -0.4 | -0.5 | -0.3 | -0.2 | -0.2 | -0.2 | -0.3 | -0.3 | -0.1 |
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Change in Baseline Nasal Itching Score on Day 0 to Average Nasal Itching Score on Day 16
Nasal Itching was assessed by the participants pre-ABC exposure and approximately every 15 minutes while in the ABC on Day 0 and Day 16 on a 0-4 scale (0 = none to 4 = severe). The change in average nasal itching score between Day 0 and Day 16 was analyzed. (NCT01439815)
Timeframe: pre-ABC exposure and approximately every 15 minutes, up to 180 minutes, while in the ABC on Day 0 and Day 16
Intervention | units on a scale (Mean) |
---|
| Pre-ABC | 15 minutes | 30 minutes | 45 minutes | 60 minutes | 75 minutes | 90 minutes | 105 minutes | 120 minutes | 135 minutes | 150 minutes | 165 minutes | 180 minutes |
---|
Fluticasone Propionate Nasal Spray | -0.2 | -1 | -1 | -0.8 | -1.3 | -1.3 | -1 | -1.3 | -1.5 | -1.5 | -1.5 | -1.5 | -1.8 |
,Placebo Nasal Spray | 0.1 | 0.3 | -0.1 | -0.1 | -0.3 | -0.5 | -0.6 | -0.5 | -0.4 | -0.3 | -0.2 | -0.2 | 0 |
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Change in Baseline Rhinorrhea Score on Day 0 to Average Rhinorrhea Score on Day 16
Rhinorrhea was assessed by the participants pre-ABC exposure and approximately every 15 minutes while in the ABC on Day 0 and Day 16 on a 0-4 scale (0 = none to 4 = severe). The change in average rhinorrhea score between Day 0 and Day 16 was analyzed. (NCT01439815)
Timeframe: pre-ABC exposure and approximately every 15 minutes, up to 180 minutes, while in the ABC on Day 0 and Day 16
Intervention | units on a scale (Mean) |
---|
| Pre-ABC | 15 minutes | 30 minutes | 45 minutes | 60 minutes | 75 minutes | 90 minutes | 105 minutes | 120 minutes | 135 minutes | 150 minutes | 165 minutes | 180 minutes |
---|
Fluticasone Propionate Nasal Spray | -0.4 | -0.9 | -1.5 | -1.1 | -1.2 | -1.3 | -1.5 | -1.4 | -1.7 | -1.4 | -1.5 | -1.4 | -1.5 |
,Placebo Nasal Spray | 0 | 0.4 | 0 | -0.2 | -0.1 | -0.7 | -0.5 | -0.5 | -0.1 | 0 | -0.4 | -0.4 | -0.3 |
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Change in Total Nasal Signs and Symptoms Score From Baseline (Day 0) to Visit 5 (Day 16)
"The change in the total sum of the four symptoms (total nasal symptom scores - TNSS) ranging from 0 to 16 with higher score indicating a more severe reaction.~The change in the TNSS score between Day 0 and Day 16 was analyzed." (NCT01439815)
Timeframe: pre-ABC exposure and approximately every 15 minutes, up to 180 minutes, while in the ABC on Day 0 and Day 16
Intervention | units on a scale (Mean) |
---|
| pre-ABC | 15 minutes | 30 minutes | 45 minutes | 60 minutes | 75 minutes | 90 minutes | 105 minutes | 120 minutes | 135 minutes | 150 minutes | 165 minutes | 180 minutes |
---|
Fluticasone Propionate Nasal Spray | -0.7 | -2.8 | -4.1 | -3.9 | -4.7 | -4.5 | -4.5 | -5.0 | -5.9 | -4.8 | -5.3 | -5.4 | -5.9 |
,Placebo Nasal Spray | 0.3 | 0.9 | -0.6 | -0.3 | -0.9 | -2.3 | -1.7 | -1.6 | -0.7 | -0.5 | -1.7 | -1.6 | -0.6 |
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Change in Baseline Sneezing Score on Day 0 to Average Sneezing Score on Day 16
Sneezing was assessed by the participants pre-ABC exposure and approximately every 15 minutes while in the ABC on Day 0 and Day 16 on a 0-4 scale (0 = none to 4 = severe). The change in average sneezing score between Day 0 and Day 16 was analyzed. (NCT01439815)
Timeframe: pre-ABC exposure and approximately every 15 minutes, up to 180 minutes, while in the ABC on Day 0 and Day 16
Intervention | units on a scale (Mean) |
---|
| Pre-ABC | 15 minutes | 30 minutes | 45 minutes | 60 minutes | 75 minutes | 90 minutes | 105 minutes | 120 minutes | 135 minutes | 150 minutes | 165 minutes | 180 minutes |
---|
Fluticasone Propionate Nasal Spray | -0.1 | -0.5 | -0.9 | -0.9 | -1.3 | -1.1 | -1.1 | -1.2 | -1.3 | -0.9 | -0.8 | -1.1 | -1.2 |
,Placebo Nasal Spray | 0.2 | 0.1 | -0.4 | 0 | -0.2 | -0.6 | -0.3 | -0.4 | -0.1 | 0 | -0.7 | -0.6 | -0.1 |
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Ex-throat Dose (ETD) and ETD <2 Microns on Day 14 of the Respective Treatment Period
"The ex-throat dose (ETD) and the nominal ETD is the mass (micrograms) of active investigational material that passes beyond the throat, nominal being the mean. The recorded inhalation profiles of the participants and the mouth-throat (oropharyngeal) models of the sizes that approximated to pharyngometry measurements of the participants were used in conjunction with the electronic Lung (eLung) for in vitro assessment. The eLung is a breathing simulator that replicates the selected inhalation profile with an active inhaler placed at the lips end of the selected ororpharyngeal model. After the dose is emitted from the inhaler, the analysis and assay of throat deposition and material passing beyond the throat was used to derive the nominal, minimum, and maximum predicted ETD and ETD <2 microns." (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | micrograms (Mean) |
---|
| Nominal ETD FF, n=23, 23 | Minimum ETD FF, n=23, 23 | Maximum ETD FF, n=23, 23 | ETD <2 microns FF, n=23, 23 | Minimum ETD <2 microns FF, n=23, 23 | Maximum ETD <2 microns FF, n=23, 23 | Nominal ETD VI, n=23, 0 | Minimum ETD VI, n=23, 0 | Maximum ETD VI, n=23, 0 | ETD <2 microns VI, n=23, 0 | Minimum ETD <2 microns VI, n=23, 0 | Maximum ETD <2 microns VI, n=23, 0 |
---|
FF 100 µg | 24.34 | 22.99 | 25.48 | 5.97 | 5.77 | 6.21 | NA | NA | NA | NA | NA | NA |
,FF 100 µg/VI 25 µg | 24.96 | 23.38 | 26.24 | 6.66 | 6.45 | 6.92 | 8.54 | 8.33 | 8.80 | 4.86 | 4.60 | 5.18 |
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Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Day 1 and Day 14 of the Respective Treatment Period
SBP and DBP were measured at Day 1 and Day 14 of the respective treatment period. Baseline is defined as the pre-dose measurement at Day 1. Change from Baseline was calculated as the Day 14 value minus the Baseline value. (NCT01453023)
Timeframe: Day 1 and Day 14 of the respective treatment period (up to Study Day 63)
Intervention | Millimeters of mercury (mmHg) (Mean) |
---|
| Day 1 SBP, Baseline, n=25, 25 | Day 1 SBP, 20 minutes, n=25, 25 | Day 1 SBP, 1 hour, n=25, 25 | Day 1 SBP, 2 hours, n=25, 25 | Day 14 SBP, Pre-dose, n=23, 24 | Day 14 SBP, 20 minutes, n=23, 24 | Day 14 SBP, 1 hour, n=23, 24 | Day 14 SBP, 2 hours, n=23, 24 | Day 14 SBP, 4 hours, n=23, 24 | Day 14 SBP, 8 hours, n=23, 24 | Day 1 DBP, Baseline, n=25, 25 | Day 1 DBP, 20 minutes, n=25, 25 | Day 1 DBP, 1 hour, n=25, 25 | Day 1 DBP, 2 hours, n=25, 25 | Day 14 DBP, Pre-dose, n=23, 24 | Day 14 DBP, 20 minutes, n=23, 24 | Day 14 DBP, 1 hour, n=23, 24 | Day 14 DBP, 2 hours, n=23, 24 | Day 14 DBP, 4 hours, n=23, 24 | Day 14 DBP, 8 hours, n=23, 24 |
---|
FF 100 µg | 99.9 | -0.1 | 0.4 | 1.3 | -1.2 | -1.2 | -0.8 | -0.8 | 0.1 | -0.4 | 63.6 | -0.3 | 0.8 | 1.0 | 0.2 | 0.1 | 0.0 | 0.4 | 1.1 | -0.2 |
,FF 100 µg/VI 25 µg | 97.2 | -0.1 | 0.5 | 0.9 | 1.3 | 1.3 | 1.0 | 1.7 | 2.1 | 2.0 | 62.3 | 0.3 | 1.0 | 0.9 | 0.6 | 0.1 | 0.4 | 1.3 | 1.1 | 1.4 |
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Distance of Assessment on Day 1 and Day 14 of the Respective Treatment Period
During the pharyngometry assessment, participants inhaled through a wavetube, which had a mouthpiece with the same dimensions as the mouthpiece on the dry powder inhaler used for this study. This technique was used to measure the size of the throat and mouth (oropharynx) in the form of pharyngograms. Distance of assessment is defined as the distance (length measured in centimeters [cm]) estimated to be from the lips to the larynx. Pharyngometry data were recorded for each day (Days 1 and 14 of the respective treatment period) using the mean of four measurements (pharyngograms), and the average oropharyngeal cross-sectional area was calculated. (NCT01453023)
Timeframe: Day 1 and Day 14 of the respective treatment period (up to Study Day 63)
Intervention | centimeters (cm) (Mean) |
---|
| Day 1, n=23, 23 | Day 14, n=23, 23 |
---|
FF 100 µg | 19.24 | 19.10 |
,FF 100 µg/VI 25 µg | 19.20 | 19.26 |
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Hemoglobin and Mean Corpuscle Hemoglobin Concentration (MCHC) Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of hemoglobin and MCHC at Day 14 of the respective treatment period. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | Grams per liter (g/L) (Mean) |
---|
| Hemoglobin, n=21, 23 | MCHC, n=21, 23 |
---|
FF 100 µg | 128.0 | 330.8 |
,FF 100 µg/VI 25 µg | 125.9 | 330.3 |
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Inhaled Volume on Days 1 and 14 of the Respective Treatment Period
"During the inhalation profile assessment, participants inhaled through a mouthpiece from a device with a similar resistance to the dry powder inhaler used for this study. Inhaled volume is defined as the volume of air (Liters) inhaled during the inhalation across the resistance of the inhaler.~The pressure drop during the inhalation was measured, and the inhalation profiles (pressure drop versus time profile) of the participants were obtained. The mean of the two inhalation profile measurements was used for each day (Days 1 and 14 of the respective treatment period), and the inhalaled volume was determined." (NCT01453023)
Timeframe: Day 1 and Day 14 of the respective treatment period (up to Study Day 63)
Intervention | Liters (Mean) |
---|
| Day 1, n=23, 23 | Day 14, n=23, 23 |
---|
FF 100 µg | 0.58 | 0.65 |
,FF 100 µg/VI 25 µg | 0.69 | 0.68 |
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Maximum QTcF at Day 1 and Day 14 of the Respective Treatment Period
QTcF is the QT domain corrected for heart rate by Fridericia's formula. Treatment, period, day (1 and 14), participant Baseline, period Baseline, and treatment*day interaction were fitted as fixed effects, and participant was fitted as a random effect. (NCT01453023)
Timeframe: Day 1 and Day 14 of the respective treatment period (up to Study Day 63)
Intervention | milliseconds (Least Squares Mean) |
---|
| Day 1 QTcF, n=25, 25 | Day 14 QTcF, n=23, 24 |
---|
FF 100 µg | 402.2 | 404.2 |
,FF 100 µg/VI 25 µg | 403.3 | 404.0 |
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Number of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE) During the Treatment Period
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. Medical or scientific judgment should be exercised in deciding whether reporting is appropriate in other situations. Refer to the General Adverse AE/SAE module for a complete list of AEs and SAEs. (NCT01453023)
Timeframe: From the start of study medication until Week 11 (Visit 9)/Early Withdrawal
Intervention | Participants (Number) |
---|
| Any AE | Any SAE |
---|
FF 100 µg | 1 | 0 |
,FF 100 µg/VI 25 µg | 4 | 0 |
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Oropharyngeal Volume on Day 1 and Day 14 of the Respective Treatment Period
During the pharyngometry assessment, participants inhaled through a wavetube, which had a mouthpiece with the same dimensions as the mouthpiece on the dry powder inhaler used for this study. This technique was used to measure the size of the throat and mouth (oropharynx) in the form of pharyngograms. Oropharyngeal volume is defined as the volume (cm^3) of the mouth and throat estimated to be from the lips to the larynx. Pharyngometry data were recorded for each day (Days 1 and 14 of the respective treatment period) using the mean of four measurements (pharyngograms), and the average oropharyngeal cross-sectional area was calculated. (NCT01453023)
Timeframe: Day 1 and Day 14 of the respective treatment period (up to Study Day 63)
Intervention | Liters per minute (L/min) (Mean) |
---|
| Day 1, n=23, 23 | Day 14, n=23, 23 |
---|
FF 100 µg | 75.54 | 71.47 |
,FF 100 µg/VI 25 µg | 79.49 | 72.35 |
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Peak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment Period
Peak Expiratory Flow (PEF) is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF is calculated as the maximum of three readings taken at each timepoint for each participant. Baseline is defined as the maximum pre-dose measurement at Day 1 for each period. (NCT01453023)
Timeframe: Day 1 and Day 14 of the respective treatment period (up to Study Day 63)
Intervention | liters/minute (Mean) |
---|
| Day 1, Baseline, n=25, 25 | Day 1, 10 minutes post-dose, n=25, 25 | Day 1, 20 minutes post-dose, n=25, 25 | Day 1, 1 hour post-dose, n=25, 25 | Day 1, 2 hours post-dose, n=25, 25 | Day 14, Pre-dose, n=23, 24 | Day 14, 20 minutes post-dose, n=23, 24 | Day 14, 2 hours post-dose, n=23, 24 | Day 14, 12 hours post-dose, n=23, 24 |
---|
FF 100 µg | 223.6 | 223.0 | 228.2 | 227.2 | 228.6 | 215.0 | 218.1 | 225.8 | 230.4 |
,FF 100 µg/VI 25 µg | 219.0 | 218.8 | 222.4 | 223.2 | 227.0 | 224.8 | 227.2 | 235.7 | 238.9 |
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Inhalation Time on Days 1 and 14 of of the Respective Treatment Period
During the inhalation profile assessment, participants inhaled through a mouthpiece from a device with a similar resistance to the dry powder inhaler used for this study. Inhalation time is defined as the duration of the inhalation(s) when inhaling across the resistance of the inhaler. The pressure drop during the inhalation was measured, and the inhalation profiles (pressure drop versus time profile) of the participants were obtained. The mean of the two inhalation profile measurements was used for each day (Days 1 and 14 of the respective treatment period), and the inhalation time was determined. (NCT01453023)
Timeframe: Day 1 and Day 14 of the respective treatment period (up to Study Day 63)
Intervention | Seconds (sec) (Mean) |
---|
| Day 1, n=23, 23 | Day 14, n=23, 23 |
---|
FF 100 µg | 0.83 | 0.91 |
,FF 100 µg/VI 25 µg | 0.97 | 0.96 |
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Total Emitted Dose (TED) on Day 14 of the Respective Treatment Period
The total emitted dose (TED) is defined as the mass (micrograms) of the nominal dose that passes beyond the throat. The recorded inhalation profiles of the participants and the mouth-throat (oropharyngeal) models of the sizes that approximated to pharyngometry measurements of the participants were used in conjunction with the electronic Lung (eLung) for in vitro assessment. The eLung is a breathing simulator that replicates the selected inhalation profile with an active inhaler placed at the lips end of the selected ororpharyngeal model. After the dose is emitted from the inhaler, the analysis and assay of throat deposition and material passing beyond the throat was used to derive the nominal, minimum, and maximum predicted total emitted dose. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | micrograms (Mean) |
---|
| Nominal TED FF, n=23, 23 | Minimum TED FF, n=23, 23 | Maximum TED FF, n=23, 23 | Nominal TED VI, n=23, 0 | Minimum TED VI, n=23, 0 | Maximum TED VI, n=23, 0 |
---|
FF 100 µg | 86.33 | 86.72 | 85.93 | NA | NA | NA |
,FF 100 µg/VI 25 µg | 87.58 | 87.64 | 87.51 | 20.26 | 20.22 | 20.29 |
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Total Bilirubin, Direct Bilirubin, Creatinine, and Uric Acid Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of total bilirubin, direct bilirubin, creatinine, and uric acid at Day 14 of the respective treatment period. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | Micromoles per liter (µmol/L) (Mean) |
---|
| Total bilirubin, n=22, 24 | Direct bilirubin, n=22, 24 | Creatinine, n=22, 24 | Uric acid, n=22, 24 |
---|
FF 100 µg | 5.9 | 1.9 | 37.09 | 233.8 |
,FF 100 µg/VI 25 µg | 6.1 | 1.7 | 36.00 | 231.8 |
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Tmax and Tlast of VI on Day 1 of the Respective Treatment Period
tmax is defined as the time to reach the observed maximum VI concentration, and tlast is defined as the time of the last observed quantifiable VI concentration on Day 14 of the respective treatment period. Samples were collected at the following times: pre-dose; 10 minutes (min) and 30 min post-dose; and 1, 2, and 4 hours post-dose. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | hours (Median) |
---|
| tmax, n=21 | tlast, n=21 |
---|
FF 100 µg/VI 25 µg | 0.170 | 3.870 |
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Tmax and Tlast of FF on Day 14 of the Respective Treatment Period
tmax is defined as the time to reach the observed maximum concentration, and tlast is defined as the time of the last observed quantifiable concentration on Day 14 of the respective treatment period. Samples were collected at the following times: pre-dose; 10 minutes (min) and 30 min post-dose; and 1, 2, and 4 hours post-dose. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | hours (Median) |
---|
| tmax, n=20, 19 | tlast, n=20, 19 |
---|
FF 100 µg | 0.500 | 4.020 |
,FF 100 µg/VI 25 µg | 0.965 | 4.030 |
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Reticulocyte and Red Blood Cell (RBC) Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of reticulocytes and RBCs at Day 14 of the respective treatment period. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | 10^12 cells per liter (TI/L) (Mean) |
---|
| Reticulocytes, n=21, 23 | RBCs, n=21, 23 |
---|
FF 100 µg | 0.07323 | 4.38 |
,FF 100 µg/VI 25 µg | 0.07220 | 4.33 |
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AUC(0-t) and AUC(0-4) of FF on Day 14 of the Respective Treatment Period
Area under the concentration-time (AUC) curve from time zero (pre-dose) to the last time AUC(0-t) and from time zero to 4 hours AUC(0-4) of quantifiable concentration of FF on Day 14 of the respective treatment period was measured. Samples were collected at the following times: pre-dose; 10 minutes (min) and 30 min post-dose; and 1, 2, and 4 hours post-dose. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the PK Population. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | picograms*hour per milliliter (pg*hr/mL) (Geometric Mean) |
---|
| AUC(0-t), n=23, 24 | AUC(0-4), n=17, 15 |
---|
FF 100 µg | 32.880 | 83.83 |
,FF 100 µg/VI 25 µg | 38.895 | 86.14 |
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Cmax of FF on Day 14 of the Respective Treatment Period
Cmax is defined as the maximum observed concentration of FF on Day 14 of the respective treatment period. Samples were collected at the following times: pre-dose; 10 minutes (min) and 30 min post-dose; and 1, 2, and 4 hours post-dose. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | picograms per milliliter (pg/mL) (Geometric Mean) |
---|
FF 100 µg/VI 25 µg | 20.73 |
FF 100 µg | 21.16 |
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Cmax of VI on Day 14 of the Respective Treatment Period
Cmax is defined as the maximum observed concentration of VI on Day 14 of the respective treatment period. Samples were collected at the following times: pre-dose; 10 minutes (min) and 30 min post-dose; and 1, 2, and 4 hours post-dose. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | picograms per milliliter (pg/mL) (Geometric Mean) |
---|
FF 100 µg/VI 25 µg | 44.21 |
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Hematocrit Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of hematocrit at Day 14 of the respective treatment period. Hematocrit is a measure of the percentage of the volume of the whole blood that is composed of red blood cells, as determined by separation of red blood cells from the plasma (usually by centrifugation). (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | proportion of 1 (Mean) |
---|
FF 100 µg/VI 25 µg | 0.3816 |
FF 100 µg | 0.3866 |
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Mean Corpuscle Hemoglobin (MCH) Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of MCH at Day 14 of the respective treatment period. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | 10^12 picograms (pg) per cell (Mean) |
---|
FF 100 µg/VI 25 µg | 29.03 |
FF 100 µg | 29.25 |
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Mean Corpuscle Volume (MCV) Value at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of MCV at Day 14 of the respective treatment period. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | 10^15 femtoliters (fL) per cell (Mean) |
---|
FF 100 µg/VI 25 µg | 87.9 |
FF 100 µg | 88.6 |
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Serum Cortisol (SC) Weighted Mean (0-12 Hours) on Day 14 of the Respective Treatment Period
"SC weighted mean was determined for each participant over the time period of 0-12 hours on Day 14 of the respective treatment period. SC weighted mean was derived by dividing the area under the concentration-time curve (AUC; defined as thearea under the concentration-time curve from time zero up to 24 hours) by the sample collection time interval. The sample collection time interval is defined as the difference between the time of the last cortisol sample and the time of the first cortisol sample. Samples were collected at the following time points: 0 (first blood draw/pre-dose); 2, 4, 8, and 12 hours (relative to the 0 time point). Weighted means were derived using the linear trapezoidal rule. Actual relative times were used for the calculation except where actual times were missing. If any actual times were missing, planned relative time were used for these observations. Treatment and period were fitted as fixed effects and participant was fitted as a random effect." (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | nanomoles per Liter (Geometric Mean) |
---|
FF 100 µg/VI 25 µg | 193.77 |
FF 100 µg | 192.50 |
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Alanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), and Gamma Glutamyl Transferase (GGT) Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of ALT, ALP, AST, and GGT at Day 14 of the respective treatment period. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | International units per liter (IU/L) (Mean) |
---|
| ALT, n=22, 24 | ALP, n=22, 24 | AST, n=22, 24 | GGT, n=22, 24 |
---|
FF 100 µg | 17.7 | 272.6 | 29.0 | 16.1 |
,FF 100 µg/VI 25 µg | 16.9 | 278.4 | 28.2 | 14.6 |
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Albumin and Total Protein Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of albumin and total protein at Day 14 of the respective treatment period. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | Grams per liter (Mean) |
---|
| Albumin, n=22, 24 | Total protein, n=22, 24 |
---|
FF 100 µg | 45.6 | 70.4 |
,FF 100 µg/VI 25 µg | 45.5 | 70.4 |
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Peak Pressure Drop on Days 1 and 14 of the Respective Treatment Period
During the inhalation profile assessment, participants inhaled through a mouthpiece from a device with a similar resistance to the dry powder inhaler used for this study. Peak pressure drop is defined as the maximum pressure drop (kilopascal [kPa]) achieved during inhalation across the resistance of the inhaler. The pressure drop during the inhalation was measured, and the inhalation profiles (pressure drop versus time profile) of the participants were obtained. The mean of the two inhalation profile measurements was calculated for each day (Days 1 and 14 of the respective treatment period), and used for subsequent modeling and prediction of dose emission attributes. (NCT01453023)
Timeframe: Day 1 and Day 14 of the respective treatment period (up to Study Day 63)
Intervention | Kilopascal (kpa) (Mean) |
---|
| Day 1, n=23, 23 | Day 14, n=23, 23 |
---|
FF 100 µg | 3.97 | 3.67 |
,FF 100 µg/VI 25 µg | 3.79 | 3.93 |
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AUC(0-t) and AUC(0-4) of VI on Day 14 of the Respective Treatment Period
Area under the concentration-time (AUC) curve from time zero (pre-dose) to the last time AUC(0-t) and from time zero to 4 hours AUC(0-4) of quantifiable concentration of VI on Day 14 of the respective treatment period was measured. Samples were collected at the following times: pre-dose; 10 minutes (min) and 30 min post-dose; and 1, 2, and 4 hours post-dose. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the VI PK Population. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | picograms*hour per milliliter (pg*hr/mL) (Geometric Mean) |
---|
| AUC(0-t), n=23 | AUC(0-4), n=11 |
---|
FF 100 µg/VI 25 µg | 44.297 | 119.19 |
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Average Flow Rate and Peak Inspiratory Flow Rate (PIFR) on Day 1 and Day 14 of the Respective Treatment Period
During the inhalation profile assessment, participants inhaled through a mouthpiece from a device with a similar resistance to the dry powder inhaler used for this study. Average flow rate is defined as the average inspiratory flow rate (Liters [L]/min) across the inhalation profile when inhaling across the resistance of the inhaler. PIFR is defined as the Peak Inspiratory Flow Rate (L/min) of the inhalation profile when inhaling across the resistance of the inhaler.The pressure drop during the inhalation was measured, and the inhalation profiles (pressure drop versus time profile) of the participants were obtained. The mean of the two inhalation profile measurements was used for each day (Days 1 and 14 of the respective treatment period), and the average flow rate and PIFR were determined. (NCT01453023)
Timeframe: Day 1 and Day 14 of the respective treatment period (up to Study Day 63)
Intervention | Liters per minute (L/min) (Mean) |
---|
| Day 1, Average flow rate, n=23, 23 | Day 14, Average flow rate, n=23, 23 | Day 1, PIFR, n=23, 23 | Day 14, PIFR, n=23, 23 |
---|
FF 100 µg | 42.72 | 41.36 | 67.60 | 64.79 |
,FF 100 µg/VI 25 µg | 41.11 | 42.29 | 65.85 | 67.36 |
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Average Oropharyngeal Cross-sectional Area on Day 1 and Day 14 of the Respective Treatment Period
During the pharyngometry assessment, participants inhaled through a wavetube, which had a mouthpiece with the same dimensions as the mouthpiece on the dry powder inhaler used for the study. This technique was used to measure the size of the throat and mouth (oropharynx) in the form of pharyngograms. Pharyngometry data were recorded for each day (Day 1 and Day 14 of the respective treatment period) using the mean of four measurements (pharyngograms), and the average oropharyngeal cross-sectional area was calculated. (NCT01453023)
Timeframe: Day 1 and Day 14 of the respective treatment period (up to Study Day X)
Intervention | centimeters squared (cm^2) (Mean) |
---|
| Day 1, n=23, 23 | Day 14, n=23, 23 |
---|
FF 100 µg | 3.85 | 3.70 |
,FF 100 µg/VI 25 µg | 4.13 | 3.76 |
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Basophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of basophils, eosinophils, lymphocytes, monocytes, total neutrophils, platelets, and white blood cell (WBC) count at Day 14 of the respective treatment period. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | 10^9 cells per liter (GI/L) (Mean) |
---|
| Basophils, n=21, 23 | Eosinophils, n=21, 23 | Lymphocytes, n=21, 23 | Monocytes, n=21, 23 | Total neutrophils, n=21, 23 | Platelets, n=21, 23 | WBC count, n=21, 23 |
---|
FF 100 µg | 0.025 | 0.293 | 2.339 | 0.222 | 3.106 | 299.0 | 5.98 |
,FF 100 µg/VI 25 µg | 0.025 | 0.296 | 2.062 | 0.244 | 3.805 | 270.5 | 6.43 |
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Blood Glucose and Potassium Values on Day 14 of the Respective Treatment Period
Blood glucose and potassium values were measured on Day 14 of the respective treatment period. Samples were collected at the following times: pre-dose; 10 minutes (min) and 30 min post-dose; and 1, 2, and 4 hours post-dose. Weighted means were derived using the linear trapezoidal rule. Actual relative times were used for the calculation except where actual times were missing. If any actual times were missing, planned relative time were used for these observations. Treatment and period were fitted as fixed effects and participant was fitted as a random effect. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | Millimoles per liter (mmol/L) (Least Squares Mean) |
---|
| Glucose, n=22, 24 | Potassium, n=21, 23 |
---|
FF 100 µg | 5.074 | 4.148 |
,FF 100 µg/VI 25 µg | 5.578 | 4.059 |
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Calcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment Period
Blood samples were collected for the measurement of calcium, chloride, carbon dioxide content/bicarbonate (CO2/BI), glucose, potassium, sodium, and urea/BUN at Day 14 of the respective treatment period. (NCT01453023)
Timeframe: Day 14 of the respective treatment period (up to Study Day 63)
Intervention | Millimoles per liter (mmol/L) (Mean) |
---|
| Calcium, n=22, 24 | Chloride, n=22, 24 | CO2 content/bicarbonate, n=22, 24 | Glucose, n=22, 24 | Potassium, n=22, 24 | Sodium, n=22, 24 | Urea/BUN, n=22, 24 |
---|
FF 100 µg | 2.415 | 103.8 | 19.1 | 4.53 | 4.27 | 139.0 | 4.52 |
,FF 100 µg/VI 25 µg | 2.416 | 103.3 | 19.0 | 4.50 | 4.24 | 138.6 | 4.52 |
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Change From Baseline in Heart Rate at Day1 and Day 14 of the Respective Treatment Period
Heart rate (HR) was measured at Day 1 and Day 14 of the respective treatment period. hr=hour. Baseline is defined as the pre-dose measurement at Day 1. Change from Baseline was calculated as the Day 14 value minus the Baseline value. Treatment, period, day (1 and 14), participant Baseline, period Baseline, and treatment*day interaction were fitted as fixed effects, and participant was fitted as a random effect. (NCT01453023)
Timeframe: Day 1 and Day 14 of the respective treatment period (up to Study Day 63)
Intervention | Beats per minute (Least Squares Mean) |
---|
| Day 1, n=25, 25 | Day 14, n=23, 24 |
---|
FF 100 µg | 88.6 | 85.7 |
,FF 100 µg/VI 25 µg | 84.4 | 89.4 |
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Percentage of Asthma Control Days Over the 6-month Study Treatment Period
An asthma control day is one on which rescue albuterol/salbutamol use was recorded as 0, no night time awakenings were recorded, no asthma exacerbations were recorded, no work, school, or daycare days were missed by caregiver or participant due to asthma, coughing symptom score was <=1 and wheezing symptom score was 0. The mean percentages of asthma control days over the months 1-6 (defined as treatment days 2-182) are summarized. Number of participants over treatment days 2-182 from mITT Population were included for this endpoint. (NCT01462344)
Timeframe: From Day 1 up to 6 months
Intervention | Percentage of asthma control days (Mean) |
---|
FSC DPI | 74.8 |
FP DPI | 73.4 |
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Number of Participants Withdrawn From Study Treatment Due to Asthma Exacerbation Over the 6-month Study Treatment Period
An exacerbation is defined as deterioration of asthma requiring the use of systemic corticosteroids (tablets, suspension, or injection) for at least 3 days (up to 10 days) or a single depot corticosteroid injection. Number of participants experiencing at least one exacerbation from mITT population were included for this endpoint. The number of participants withdrawn from study treatment due to asthma exacerbation over the 6-month study treatment period are presented. (NCT01462344)
Timeframe: From Day 1 up to 6 months
Intervention | Participants (Number) |
---|
FSC DPI | 33 |
FP DPI | 35 |
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Number of Participants With at Least One Asthma Exacerbation Over the 6-month Study Treatment Period
Number of participants with asthma exacerbation over the 6-month study treatment period are presented. Participants from mITT population with screening childhood asthma control test (C-ACT) scores of 20 or higher, one exacerbation in the previous year, and either low-dose inhaled corticosteroid (ICS) + one or more adjunctive therapy or medium-dose ICS monotherapy or medium-dose ICS and one or more adjunctive therapy as prior asthma therapy were included for this endpoint. Time to first exacerbation analyzed using a cox proportional hazards regression model. The number of asthma exacerbations were compared between treatments using a negative binomial regression model. The modified Intent-to-Treat (mITT) Population consisted of the ITT participants with a different data cut-off for supportive analyses of the primary composite safety endpoint. (NCT01462344)
Timeframe: From Day 1 up to 6 months
Intervention | Participants (Number) |
---|
FSC DPI | 265 |
FP DPI | 309 |
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Percentage of Rescue-free Days Over the 6-month Study Treatment Period
Rescue-free days were days without use of rescue albuterol/salbutamol (other than pre-exercise treatment) over the 6-month study treatment period. The mean percentages of rescue-free days over the months 1-6 (defined as treatment days 2-182) are summarized. Number of participants over treatment days 2-182 from mITT Population were included for this endpoint. (NCT01462344)
Timeframe: From Day 1 up to 6 months
Intervention | Percentage of rescue-free days (Mean) |
---|
FSC DPI | 83.0 |
FP DPI | 81.9 |
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Number of Participants Experiencing at Least One Asthma Exacerbation
An asthma exacerbation is defined as a deterioration of asthma requiring the use of systemic corticosteroids (tablets, suspension, or injection) for at least three days or an inpatient hospitalization or emergency department visit due to asthma that required systemic corticosteroids. (NCT01475721)
Timeframe: From Day 1 up to 26 weeks
Intervention | Participants (Number) |
---|
Fluticasone Propionate/Salmeterol Combination (FSC) | 480 |
Fluticasone Propionate (FP) | 597 |
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Number of Participant Withdrawals From Study Treatment Due to Asthma Exacerbation
An asthma exacerbation is defined as a deterioration of asthma requiring the use of systemic corticosteroids (tablets, suspension, or injection) for at least three days or an inpatient hospitalization or emergency department visit due to asthma that required systemic corticosteroids. (NCT01475721)
Timeframe: From Day 1 up to 26 weeks
Intervention | Participants (Number) |
---|
Fluticasone Propionate/Salmeterol Combination (FSC) | 66 |
Fluticasone Propionate (FP) | 84 |
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Mean Rescue Medication (Albuterol/Salbutamol) Use as Puffs Per 24 Hours
Rescue medication included albuterol/salbutamol used to treat acute asthma were reported as puffs per 24 hours over a period of 6 months. (NCT01475721)
Timeframe: From Day 1 up to 26 weeks
Intervention | Number of Puffs (Mean) |
---|
Fluticasone Propionate/Salmeterol Combination (FSC) | 0.90 |
Fluticasone Propionate (FP) | 1.09 |
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Kaplan-Meier Estimate of Probability of Remaining in the Study at Week 12
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. (NCT01479621)
Timeframe: Day 1 to Day 84
Intervention | probability (Number) |
---|
Fp MDPI 12.5 mcg | 0.8041 |
Fp MDPI 25 mcg | 0.7895 |
Fp MDPI 50 mcg | 0.9077 |
Fp MDPI 100 mcg | 0.7657 |
Placebo MDPI | 0.5655 |
Flovent Diskus 100mcg | 0.8272 |
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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
"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." (NCT01479621)
Timeframe: Baseline (Days -7 to 1, am pre-dose), During Study (Days 2-84 am pre-dose)
Intervention | liters/minute (Least Squares Mean) |
---|
Fp MDPI 12.5 mcg | 31.20 |
Fp MDPI 25 mcg | 21.27 |
Fp MDPI 50 mcg | 29.63 |
Fp MDPI 100 mcg | 27.66 |
Placebo MDPI | 9.30 |
Flovent Diskus 100mcg | 26.96 |
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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
"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." (NCT01479621)
Timeframe: Baseline (Days -7 to 1, am pre-dose), During Study (Days 2-84 am pre-dose)
Intervention | liters/minute (Least Squares Mean) |
---|
Fp MDPI 12.5 mcg | 30.99 |
Fp MDPI 25 mcg | 21.01 |
Fp MDPI 50 mcg | 29.58 |
Fp MDPI 100 mcg | 27.55 |
Placebo MDPI | 9.26 |
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Change From Baseline In Weekly Average Of Daily Evening Peak Expiratory Flow (PEF) Over The 12-Week Treatment Period
"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." (NCT01479621)
Timeframe: Baseline (Days -7 to 1, am pre-dose), During Study (Days 2-84 am pre-dose)
Intervention | liters/minute (Least Squares Mean) |
---|
Fp MDPI 12.5 mcg | 27.65 |
Fp MDPI 25 mcg | 18.69 |
Fp MDPI 50 mcg | 22.20 |
Fp MDPI 100 mcg | 20.48 |
Placebo MDPI | 9.42 |
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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
"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." (NCT01479621)
Timeframe: Baseline (Day 1, pre-dose), During Study (Days 7, 14, 28, 56 and 84 pre-dose)
Intervention | liters (Least Squares Mean) |
---|
Fp MDPI 12.5 mcg | 0.172 |
Fp MDPI 25 mcg | 0.232 |
Fp MDPI 50 mcg | 0.245 |
Fp MDPI 100 mcg | 0.268 |
Placebo MDPI | 0.120 |
Flovent Diskus 100mcg | 0.234 |
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Change From Baseline In Trough (Morning Predose And Pre-Rescue Bronchodilator) Forced Expiratory Volume In 1 Second (FEV1) Over The 12-Week Treatment Period
"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." (NCT01479621)
Timeframe: Baseline (Day 1, pre-dose), During Study (Days 7, 14, 28, 56 and 84 pre-dose)
Intervention | liters (Least Squares Mean) |
---|
Fp MDPI 12.5 mcg | 0.170 |
Fp MDPI 25 mcg | 0.229 |
Fp MDPI 50 mcg | 0.243 |
Fp MDPI 100 mcg | 0.267 |
Placebo MDPI | 0.118 |
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Change From Baseline in the Percentage of Rescue-Free 24-hour Periods During the 12-Week Treatment Period
"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." (NCT01479621)
Timeframe: Baseline (Days -7 to -1), During Study (Days 1-84)
Intervention | percentage of total 24 hour periods (Mean) |
---|
Fp MDPI 12.5 mcg | 34.08 |
Fp MDPI 25 mcg | 31.76 |
Fp MDPI 50 mcg | 28.06 |
Fp MDPI 100 mcg | 24.07 |
Placebo MDPI | 21.30 |
Flovent Diskus 100mcg | 29.82 |
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Change From Baseline In Weekly Average Of Daily Evening Peak Expiratory Flow (PEF) Over The 12-Week Treatment Period Inclusive of Flovent Diskus Data
"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." (NCT01479621)
Timeframe: Baseline (Days -7 to 1, am pre-dose), During Study (Days 2-84 am pre-dose)
Intervention | liters/minute (Least Squares Mean) |
---|
Fp MDPI 12.5 mcg | 28.00 |
Fp MDPI 25 mcg | 18.97 |
Fp MDPI 50 mcg | 22.27 |
Fp MDPI 100 mcg | 20.47 |
Placebo MDPI | 9.70 |
Flovent Diskus 100mcg | 24.95 |
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Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period
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. (NCT01479621)
Timeframe: Day 1 -84
Intervention | Participants (Count of Participants) |
---|
| Any adverse event (AE) | Severe AE | Treatment-related AE | Deaths | Other serious AE | Withdrawn from treatment due to AE |
---|
Flovent Diskus 100mcg | 32 | 3 | 1 | 0 | 2 | 2 |
,Fp MDPI 100 mcg | 37 | 2 | 2 | 0 | 2 | 1 |
,Fp MDPI 12.5 mcg | 31 | 0 | 6 | 0 | 0 | 0 |
,Fp MDPI 25 mcg | 32 | 0 | 3 | 0 | 0 | 0 |
,Fp MDPI 50 mcg | 36 | 3 | 3 | 0 | 1 | 0 |
,Placebo MDPI | 31 | 3 | 1 | 0 | 2 | 2 |
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Area Under The Curve From Time 0 Until The Last Measurable Concentration (AUC0-t) of Fp
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. (NCT01479621)
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
Intervention | pg*hr/mL (Mean) |
---|
Fp MDPI 12.5 mcg | 21.6 |
Fp MDPI 25 mcg | 42.0 |
Fp MDPI 50 mcg | 63.2 |
Fp MDPI 100 mcg | 153.8 |
Flovent Diskus 100mcg | 10.4 |
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Oropharyngeal Exam Findings at Each Study Visit
"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, yes or no" (NCT01479621)
Timeframe: Screening (week -3 to -2), Baseline (Week 0), Weeks 1, 2, 4, 8, 12
Intervention | Participants (Count of Participants) |
---|
| Screening - Yes | Screening - No | Week 0 - Yes | Week 0 - No | Week 1 - Yes | Week 1 - No | Week 2 - Yes | Week 2 - No | Week 4 - Yes (positive culture) | Week 4 - No | Week 8 - Yes | Week 8 - No | Week 12 - Yes | Week 12 - No |
---|
Flovent Diskus 100mcg | 0 | 104 | 0 | 104 | 0 | 98 | 0 | 93 | 0 | 90 | 0 | 83 | 0 | 101 |
,Fp MDPI 100 mcg | 0 | 103 | 0 | 103 | 0 | 100 | 0 | 95 | 0 | 91 | 0 | 84 | 0 | 100 |
,Fp MDPI 12.5 mcg | 0 | 103 | 0 | 103 | 0 | 93 | 0 | 90 | 0 | 88 | 0 | 84 | 0 | 102 |
,Fp MDPI 25 mcg | 0 | 104 | 0 | 104 | 0 | 98 | 0 | 93 | 1 | 89 | 0 | 85 | 0 | 102 |
,Fp MDPI 50 mcg | 0 | 104 | 0 | 104 | 0 | 100 | 0 | 99 | 0 | 97 | 0 | 92 | 0 | 103 |
,Placebo MDPI | 0 | 104 | 0 | 104 | 0 | 94 | 0 | 83 | 0 | 75 | 0 | 66 | 0 | 97 |
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Time of Maximum Concentration (Tmax) of Fp
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. (NCT01479621)
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
Intervention | hours (Mean) |
---|
Fp MDPI 12.5 mcg | 1.2 |
Fp MDPI 25 mcg | 1.4 |
Fp MDPI 50 mcg | 1.7 |
Fp MDPI 100 mcg | 1.1 |
Flovent Diskus 100mcg | 1.7 |
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Maximum Observed Plasma Concentration (Cmax) of Fp
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. (NCT01479621)
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
Intervention | pg/mL (Mean) |
---|
Fp MDPI 12.5 mcg | 5.4 |
Fp MDPI 25 mcg | 10.0 |
Fp MDPI 50 mcg | 12.9 |
Fp MDPI 100 mcg | 33.6 |
Flovent Diskus 100mcg | 23.4 |
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Mean Change From Baseline in the Percentage of Rescue-free 24- Hour (hr) Periods During the 12-week Treatment Period
The number of inhalations of rescue albuterol/salbutamol inhalation aerosol (medication used to relieve symptoms immediately) used during the day and night was recorded by the participants in a daily diary. A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no use of rescue medication was considered as rescue free. Participants who were rescue free for 24-hour periods during the 12-week Treatment Period were assessed. The Baseline value was derived from the last 7 days of the daily diary prior to the randomization of the participant. Change from Baseline is calculated as the average value during the 12-week Treatment Period minus the value at Baseline. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01498679)
Timeframe: Baseline and Weeks 1-12 (up to Day 84)
Intervention | Percentage of rescue-free 24-hr periods (Least Squares Mean) |
---|
Placebo | 8.3 |
Fluticasone Furoate/Vilanterol 100/25 µg Once Daily | 30.1 |
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Mean Change From Baseline in Daily Morning (AM) PEF Averaged Over the 12-week Treatment Period
PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. The Baseline value was derived from the last 7 days of the daily diary prior to the randomization of the participant. Change from Baseline was calculated as the value of the averaged daily AM PEF over the 12-week Treatment Period minus the Baseline value. A Repeated Measures analysis adjusted for Baseline, region, sex, age, treatment, week, week by Baseline interaction, and week by treatment interaction was used. (NCT01498679)
Timeframe: Baseline and Weeks 1-12 (up to Day 84)
Intervention | L/min (Least Squares Mean) |
---|
Placebo | -9.3 |
Fluticasone Furoate/Vilanterol 100/25 µg Once Daily | 43.6 |
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Mean Change From Baseline (BL) in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 12-week Treatment Period
Peak Expiratory Flow is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. The Baseline value was derived from the last 7 days of the daily diary prior to the randomization of the participant. Change from Baseline was calculated as the value of the averaged daily PM PEF over the 12-week Treatment Period minus the Baseline value. Analysis was performed using Analysis of Covariance (ANCOVA) with covariates of Baseline, region, sex, age, and treatment. (NCT01498679)
Timeframe: Baseline and Weeks 1-12 (up to Day 84)
Intervention | Liters/minute (L/min) (Least Squares Mean) |
---|
Placebo | -11.8 |
Fluticasone Furoate/Vilanterol 100/25 µg Once Daily | 39.2 |
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Change From Baseline in Total Asthma Quality of Life Questionnaire (AQLQ) Score at Week 12
"The AQLQ is a disease-specific, self-administered quality of life questionnaire developed to evaluate the impact of asthma treatments on the quality of life of asthma sufferers. The AQLQ contains 32 items in 4 domains: activity limitation (11 items), symptoms (12 items), emotional function (5 items), and environmental stimuli (4 items). The 32 items of the questionnaire are averaged to produce one overall quality of life score. The response format consists of a 7-point scale, where a value of 1 indicates total impairment and a value of 7 indicates no impairment. Change from Baseline was calculated as the Week 12 value minus the Baseline value. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment." (NCT01498679)
Timeframe: Baseline and Week 12
Intervention | Scores on a scale (Least Squares Mean) |
---|
Placebo | 0.33 |
Fluticasone Furoate/Vilanterol 100/25 µg Once Daily | 0.84 |
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Mean Change From Baseline in the Percentage of Symptom-free 24- Hour (hr) Periods During the 12-week Treatment Period
Asthma symptoms were recorded in a daily diary by the participants every day in the morning and evening before taking any rescue or study medication and before PEF measurement. A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no symptoms was considered as symptom free. The Baseline value was derived from the last 7 days of the daily diary prior to the randomization of the participant. Participants who were symptom free for 24-hour periods during the 12-week Treatment Period were assessed. Change from Baseline is calculated as the average value during the 12-week Treatment Period minus the value at Baseline. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01498679)
Timeframe: Baseline and Weeks 1-12 (up to Day 84)
Intervention | Percentage of symptom-free 24-hr periods (Least Squares Mean) |
---|
Placebo | 9.0 |
Fluticasone Furoate/Vilanterol 100/25 µg Once Daily | 24.8 |
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Short-term Lower Leg Growth During Treatment With Flovent Diskus 100 mcg BID or Pulmicort Flexhaler 180 mcg BID.
Short-term lower leg growth as assessed by knemometry in pediatric subjects with mild asthma treated with Flovent Discus 100 mcg BID or Pulmicort Flexhaler 180 mcg BID. (NCT01520688)
Timeframe: 1 yr
Intervention | mm/wk (Mean) |
---|
Flovent Discus 100 mcg BID | 0.37 |
Pulmicort Flexhaler 180 mcg BID | 0.21 |
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Short-term Lower Leg Growth During Treatment With Flovent Discus 100 mcg BID or QVAR 80 mcg BID.
Short-term lower leg growth as assessed by knemometry in pediatric subjects with mild asthma during treatment with Flovent Discus 100 mcg BID or QVAR 80 mcg BID. (NCT01520688)
Timeframe: 1 yr
Intervention | mm/wk (Mean) |
---|
Flovent Discus 100 mcg BID | 0.37 |
QVAR 80 mcg BID | 0.38 |
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Microbial Community Evenness
Pielou's evenness index is a scaled measure of biodiversity and is equal to the observed Shannon diversity index divided by the maximum possible Shannon diversity index, which would occur if all of the species in the sample were equally abundant. Evenness = D/log(S), where D is the Shannon Diversity index and log(S) is the maximum diversity of the sample. (NCT01537133)
Timeframe: baseline and after 6 weeks of treatment
Intervention | Pielou's evenness index (Median) |
---|
| baseline | after 6 weeks of treatment |
---|
Atopic Asthmatics Treated With Inhaled Corticosteroids | 0.88 | 0.85 |
,Atopic Asthmatics Treated With Placebo | 0.88 | 0.86 |
,Atopic Non-asthmatics | 0.90 | NA |
,Healthy Control | 0.86 | NA |
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Microbial Community Richness
Richness is the total number of different bacterial taxa detected in the sample. (NCT01537133)
Timeframe: baseline and after 6 weeks of treatment
Intervention | number of bacterial taxa (Median) |
---|
| baseline | after 6 weeks of treatment |
---|
Atopic Asthmatics Treated With Inhaled Corticosteroids | 449 | 456 |
,Atopic Asthmatics Treated With Placebo | 543 | 405 |
,Atopic Non-asthmatics | 483 | NA |
,Healthy Control | 444 | NA |
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Microbial Community Diversity
The Shannon diversity index is a type of entropy measure and is a function of the distribution of the total number of organisms across all of the species. If S is the total number of species in the sample and p_i is the number of organisms in the i-th species divided by the total number of organisms, then Diversity = -Σ p_i log(p_i). (NCT01537133)
Timeframe: baseline and after 6 weeks of treatment
Intervention | Shannon Diversity Index (Median) |
---|
| baseline | after 6 weeks of treatment |
---|
Atopic Asthmatics Treated With Inhaled Corticosteroids | 5.4 | 5.0 |
,Atopic Asthmatics Treated With Placebo | 5.7 | 5.1 |
,Atopic Non-asthmatics | 5.6 | NA |
,Healthy Control | 5.3 | NA |
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Percentage Fat Content (Fat Fraction) of Pharyngeal Upper Airway Surrounding Structures at Week 16
Pharyngeal upper airway fat content was assessed on Magnetic Resonance (MR) imaging, as we published (1). We scanned the area extending from the level of the roof of the hard palate to the vocal cords, with the subject awake and lying on their back, We used a specialized technique called Iterative Decomposition of water and fat with Echo Asymmetry and Least squares estimation Fast Spin-Echo (IDEAL-FSE). In brief, at first, the method provides well co-registered, separate water and fat images, which are free from the artifact that corrupts the usual MR images. Subsequently, these separate images are recombined in new high resolution images which provide: 1) comprehensive anatomical reference to delineate the tongue and measure its volume, and; 2) unambiguous separation of adipose tissue, to allow determination of fat volume and fraction in the upper airway structures. (NCT01554488)
Timeframe: 16-week randomized controlled phase
Intervention | percentage of total airway volume (Mean) |
---|
High Dose Inhaled Fluticasone | 41.5 |
Low Dose Inhaled Fluticasone | 31.5 |
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Volume of Pharyngeal Upper Airway Surrounding Structures at Week 16
The volume of pharyngeal upper airway surrounding structures was assessed on Magnetic Resonance (MR) imaging, as we published (1). We scanned the area extending from the level of the roof of the hard palate to the vocal cords, with the subject awake and lying on their back, We used a specialized technique called Iterative Decomposition of water and fat with Echo Asymmetry and Least squares estimation Fast Spin-Echo (IDEAL-FSE). In brief, at first, the method provides well co-registered, separate water and fat images, which are free from the artifact that corrupts the usual MR images. Subsequently, these separate images are recombined in new high resolution images which provide: 1) comprehensive anatomical reference to delineate the tongue and measure its volume, and; 2) unambiguous separation of adipose tissue, to allow determination of fat volume and fraction in the upper airway structures. (NCT01554488)
Timeframe: 16-week randomized controlled phase
Intervention | mm^3 (Mean) |
---|
High Dose Inhaled Fluticasone | 205 |
Low Dose Inhaled Fluticasone | 194 |
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Tongue Fatigability at Anterior Location at Week 16
Wakefulness tongue function was measured using the Iowa Oral Performance Instrument (IOPI) at anterior and posterior tongue locations, as described in the referenced citation. In brief, this instrument has a small-sized, air-filled plastic balloon, called sensor or bulb, which was inserted between the tongue blade and the roof of the mouth. At each location, the tongue strength was determined as the maximum pressure generated against the IOPI bulb during a forced tongue contraction. Then, tongue fatigability was measured through a submaximal task, as the time (in seconds) able to maintain > 50% of the above measured strength, at each location. Several standardized trials were conducted for each measure and at each location, to ensure reproducibility. (NCT01554488)
Timeframe: 16-week randomized treatment phase
Intervention | seconds (Mean) |
---|
High Dose Inhaled Fluticasone | 74.4 |
Low Dose Inhaled Fluticasone | 78 |
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Percentage Fat Content (Fat Fraction) of the Tongue at Week 16
Tongue fat content was assessed on Magnetic Resonance (MR) imaging of the area extending from the level of the roof of the hard palate to the vocal cords, with the subject awake and lying on their back. We used a specialized technique called Iterative Decomposition of water and fat with Echo Asymmetry and Least squares estimation Fast Spin-Echo (IDEAL-FSE), developed at University of Wisconsin by our collaborator and used for assessing the tongue (2). In brief, at first, the method provides well co-registered, separate water and fat images, which are free from the artifact that corrupts the usual MR images. Subsequently, these separate images are recombined in new high resolution images which provide: 1) comprehensive anatomical reference to delineate the tongue and measure its volume, and; 2) unambiguous separation of adipose tissue, to allow determination of fat volume and fraction in the tongue. (NCT01554488)
Timeframe: 16-week randomized controlled phase
Intervention | percentage of total tongue volume (Mean) |
---|
High Dose Inhaled Fluticasone | 27.8 |
Low Dose Inhaled Fluticasone | 24.6 |
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Tongue Fatigability of Posterior Location at Week 16
Wakefulness tongue function was measured using the Iowa Oral Performance Instrument (IOPI) at anterior and posterior tongue locations, as described in the referenced citation. In brief, this instrument has a small-sized, air-filled plastic balloon, called sensor or bulb, which was inserted between the tongue blade and the roof of the mouth. At each location, the tongue strength was determined as the maximum pressure generated against the IOPI bulb during a forced tongue contraction. Then, tongue fatigability was measured through a submaximal task, as the time (in seconds) able to maintain > 50% of the above measured strength, at each location. Several standardized trials were conducted for each measure and at each location, to ensure reproducibility. (NCT01554488)
Timeframe: 16-week randomized treatment phase
Intervention | seconds (Mean) |
---|
High Dose Inhaled Fluticasone | 53 |
Low Dose Inhaled Fluticasone | 65.9 |
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Tongue Volume at Week 16
Tongue volume was assessed on Magnetic Resonance (MR) imaging of the area extending from the level of the roof of the hard palate to the vocal cords, with the subject awake and lying on their back. We used a specialized technique called Iterative Decomposition of water and fat with Echo Asymmetry and Least squares estimation Fast Spin-Echo (IDEAL-FSE), developed at University of Wisconsin by our collaborator and used for assessing the tongue (2). In brief, at first, the method provides well co-registered, separate water and fat images, which are free from the artifact that corrupts the usual MR images. Subsequently, these separate images are recombined in new high resolution images which provide: 1) comprehensive anatomical reference to delineate the tongue and measure its volume, and; 2) unambiguous separation of adipose tissue, to allow determination of fat volume and fraction in the tongue. (NCT01554488)
Timeframe: 16-week randomized treatment phase
Intervention | mm^3 (Mean) |
---|
High Dose Inhaled Fluticasone | 73.2 |
Low Dose Inhaled Fluticasone | 75.9 |
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Upper Airway Critical Closing Pressure (Pcrit) at Week 16
Pressure at which the pharyngeal upper airway closes during stable non-REM sleep, measured as described in the referenced citation. (NCT01554488)
Timeframe: 16-week randomized controlled phase
Intervention | cmH2O (Mean) |
---|
High Dose Inhaled Fluticasone | -3.03 |
Low Dose Inhaled Fluticasone | -1.68 |
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Tongue Strength at Anterior Location at Week 16
Wakefulness tongue function was measured using the Iowa Oral Performance Instrument (IOPI) at anterior and posterior tongue locations, as described in the referenced citation. In brief, this instrument has a small-sized, air-filled plastic balloon, called sensor or bulb, which was inserted between the tongue blade and the roof of the mouth. At each location, the tongue strength was determined as the maximum pressure generated against the IOPI bulb during a forced tongue contraction. Several standardized trials were conducted to ensure reproducibility. (NCT01554488)
Timeframe: 16-week randomized phase
Intervention | KiloPascals (Mean) |
---|
High Dose Inhaled Fluticasone | 61 |
Low Dose Inhaled Fluticasone | 63.7 |
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Tongue Strength at Posterior Location at Week 16
Wakefulness tongue function was measured using the Iowa Oral Performance Instrument (IOPI) at anterior and posterior tongue locations, as described in the referenced citation. In brief, this instrument has a small-sized, air-filled plastic balloon, called sensor or bulb, which was inserted between the tongue blade and the roof of the mouth. At each location, the tongue strength was determined as the maximum pressure generated against the IOPI bulb during a forced tongue contraction. Several standardized trials were conducted to ensure reproducibility. (NCT01554488)
Timeframe: 16-week randomized phase
Intervention | KiloPascals (Mean) |
---|
High Dose Inhaled Fluticasone | 55.5 |
Low Dose Inhaled Fluticasone | 58.1 |
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Change From Baseline in PM PEF Over the Last 7 Days of the Treatment Period (Week 12)
PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Change from Baseline in PM PEF was calculated as the value over the last 7 days of the Treatment Period minus the Baseline value. The Baseline PEF value is defined as the average of the last 7 days of the Run-in Period. Statistical analysis was performed using ANCOVA model with covariates of Baseline, actual pre-screening ICS use, region, sex, age, and treatment. The LOCF method was used to impute missing data, in which the last non-missing post-Baseline on-treatment measurement was used to impute the missing measurements. (NCT01563029)
Timeframe: Baseline; Week 12
Intervention | L/min (Least Squares Mean) |
---|
Placebo | 5.0 |
FF 25 µg OD | 16.2 |
FF 50 µg OD | 18.2 |
FF 100 µg OD | 11.0 |
FP 100 µg BID | 11.3 |
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Number of Withdrawals Due to Lack of Efficacy Throughout the 12-week Treatment Period
The number of participants whose primary reason for withdrawal from the study was due to lack of efficacy is presented together with p-values for the treatment comparisons. (NCT01563029)
Timeframe: Up to Week 12
Intervention | Participants (Number) |
---|
Placebo | 42 |
FF 25 µg OD | 16 |
FF 50 µg OD | 23 |
FF 100 µg OD | 21 |
FP 100 µg BID | 19 |
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Change From Baseline in the Percentage of Symptom-free 24-hour Periods During the 12-week Treatment Period
Asthma symptoms were recorded in a daily eDairy by the participants every day in the morning and evening before taking any rescue or study medication and before the PEF measurement. A 24-hour (hr) period in which a participant's responses to both the morning and evening assessments indicated no symptoms was considered to be symptom free. The Baseline symptom-free value is defined as the percentage of symptom free 24-hr periods in the last 7 days of the run-in period. Change from Baseline was calculated as the averaged value during the 12-week Treatment Period minus the Baseline value. The analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, actual pre-screening ICS use, age, and treatment group. (NCT01563029)
Timeframe: Baseline; Week 1 up to Week 12
Intervention | Percentage of symptom-free 24-hr periods (Least Squares Mean) |
---|
Placebo | 19.0 |
FF 25 µg OD | 21.0 |
FF 50 µg OD | 24.7 |
FF 100 µg OD | 22.9 |
FP 100 µg BID | 22.0 |
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Change From Baseline in the Percentage of Rescue-free 24-hour Periods During the 12-week Treatment Period
The number of inhalations of rescue albuterol/salbutamol aerosol (medication used to relieve symptoms immediately) used during the day and night) was recorded by the participants in a daily diary. A 24-hour (hr) period in which a participant's responses to both the morning and evening assessments indicated no use of rescue medication was considered as rescue free. The Baseline rescue-free value was defined as the percentage of rescue-free 24-hr periods from the last 7 days of the Run-in Period. Change from Baseline was calculated as the average value during the 12-week Treatment Period minus the value at Baseline. Analysis was performed using ANCOVA with covariates of Baseline, region, sex, actual pre-screening ICS use, age, and treatment. (NCT01563029)
Timeframe: Baseline; Week 1 up to Week 12
Intervention | Percentage of rescue-free 24-hr periods (Least Squares Mean) |
---|
Placebo | 16.5 |
FF 25 µg OD | 24.9 |
FF 50 µg OD | 26.3 |
FF 100 µg OD | 28.7 |
FP 100 µg BID | 22.7 |
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Change From Baseline in AM PEF Over the Last 7 Days of the Treatment Period (Week 12)
PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Change from Baseline in AM PEF was calculated as the value over the last 7 days of the Treatment Period minus the Baseline value. The Baseline PEF value is defined as the average of the last 7 days of the Run-in Period. Statistical analysis was performed using ANCOVA model with covariates of Baseline, pre-screening ICS use, region, sex, age, and treatment. The LOCF method was used to impute missing data, in which the last non-missing post-Baseline on-treatment measurement was used to impute the missing measurements. (NCT01563029)
Timeframe: Baseline; Week 12
Intervention | L/min (Least Squares Mean) |
---|
Placebo | 2.7 |
FF 25 µg OD | 23.3 |
FF 50 µg OD | 20.6 |
FF 100 µg OD | 14.2 |
FP 100 µg BID | 19.3 |
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Change From Baseline in Daily Evening (PM) PEF Averaged Over the 12-week Treatment Period
PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Change from Baseline was calculated as the value of the averaged daily PM PEF over the 12-week Treatment Period (at Week 12) minus the Baseline value. The Baseline PEF value is defined as the average of the last 7 days of the Run-in Period. Statistical analysis was performed using ANCOVA model with covariates of Baseline, actual pre-screening ICS use, region, sex, age, and treatment. Particpants analyzed included those who have PEF data for at least 2 non-missing days in the Baseline week prior to randomisation and at least 2 non-missing days after randomisation. (NCT01563029)
Timeframe: Baseline; Week 1 up to Week 12
Intervention | liters per minute (L/min) (Least Squares Mean) |
---|
Placebo | 5.1 |
FF 25 µg OD | 16.3 |
FF 50 µg OD | 18.5 |
FF 100 µg OD | 13.5 |
FP 100 µg BID | 13.1 |
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Change From Baseline in Daily Pre-dose Morning (AM) Peak Expiratory Flow (PEF) From Participant Electronic Daily Diary Averaged Over the 12-week Treatment Period
PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each morning prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. The best of three measurements was recorded. Change from Baseline was calculated as the value of the averaged daily AM PEF over the 12-week Treatment Period minus the Baseline value. The Baseline PEF value is defined as the average of the last 7 days of the Run-in Period. Statistical analysis was performed using an analysis of covariance (ANCOVA) model with covariates of Baseline AM PEF, actual pre-screening inhaled corticosteroid (ICS) use, region, sex, age, and treatment. Particpants analyzed included those who have PEF data for at least 2 non-missing days in the Baseline week prior to randomisation and at least 2 non-missing days after randomisation. (NCT01563029)
Timeframe: Baseline; Week 1 up to Week 12
Intervention | Liters per minute (L/min) (Least Squares Mean) |
---|
Placebo | 3.3 |
FF 25 µg OD | 21.9 |
FF 50 µg OD | 22.8 |
FF 100 µg OD | 15.8 |
FP 100 µg BID | 17.3 |
Average of FF 50 µg OD and FF 100 µg OD | 19.3 |
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Change From Baseline in the Percentage of Rescue-free 24-hour Periods During the 4-week Treatment Period
The number of inhalations of rescue albuterol/salbutamol inhalation aerosol (medication used to relieve symptoms immediately) used during the day and night) was recorded by the participants in a daily diary. A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no use of rescue medication was considered as rescue free. Participants who were rescue free for 24-hour periods during the 4-week Treatment Period were assessed. The Baseline value was derived from the last 7 days of the daily diary prior to the randomization of the participant. Change from Baseline is calculated as the average value during the 4-week Treatment Period minus the value at Baseline. The Baseline value is defined as the value at Visit 3 (randomization). Analysis was performed using ANCOVA with covariates of Baseline, region, sex, age, and treatment. (NCT01573767)
Timeframe: Baseline; Week 1 up to Week 4
Intervention | Percentage of rescue-free 24-hr periods (Least Squares Mean) |
---|
Placebo | 14.4 |
VI 6.25 µg OD | 12.2 |
VI 12.5 µg OD | 15.8 |
VI 25 µg OD | 2.98 |
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Change From Baseline in the Percentage of Symptom-free 24-hour Periods During the 4-week Treatment Period
Asthma symptoms were recorded in a daily eDairy by the participants every day in the morning and evening before taking any rescue or study medication and before the PEF measurement. A 24-hour (hr) period in which a participant's responses to both the morning and evening assessments indicated no symptoms was considered to be symptom free. The Baseline symptom-free value is defined as the value at Visit 3 (randomization). Change from Baseline was calculated as the averaged value during the 4-week Treatment Period minus the Baseline value. The analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age, and treatment group. (NCT01573767)
Timeframe: Baseline; Week 1 up to Week 4
Intervention | Percentage of symptom-free 24-hr periods (Least Squares Mean) |
---|
Placebo | 9.9 |
VI 6.25 µg OD | 10.1 |
VI 12.5 µg OD | 18.3 |
VI 25 µg OD | 19.7 |
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Change From Baseline in Daily Pre-dose Evening (PM) Peak Expiratory Flow (PEF) From Participant Electronic Daily Diary Averaged Over the 4-week Treatment Period
PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use each morning. The best of three measurements was recorded. Change from Baseline was calculated as the value of the averaged daily PM PEF over the 4-week Treatment Period minus the Baseline value. The Baseline PEF value is defined as the average of the last 7 days of the Run-in Phase. The analysis was performed using an analysis of covariance (ANCOVA) model with covariates of Baseline, region, sex, age, and treatment. Only those participants contributing data per the daily eDiary were analyzed. (NCT01573767)
Timeframe: Baseline; Week 1 up to Week 4
Intervention | Liters per minute (L/min) (Least Squares Mean) |
---|
Placebo | 215.9 |
VI 6.25 µg OD | 221.4 |
VI 12.5 µg OD | 222.4 |
VI 25 µg OD | 220.3 |
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Change From Baseline in Daily Morning (AM) PEF Averaged Over the 4-week Treatment Period
PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each morning prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Change from Baseline was calculated as the value of the averaged daily AM PEF over the 4-week Treatment Period (at Week 4) minus the Baseline value. The Baseline value is defined as the value at Visit 3 (randomization). The analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age, and treatment group. (NCT01573767)
Timeframe: Baseline; Week 1 up to Week 4
Intervention | L/min (Least Squares Mean) |
---|
Placebo | 6.4 |
VI 6.25 µg OD | 12.0 |
VI 12.5 µg OD | 13.9 |
VI 25 µg OD | 13.7 |
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Change From Baseline in AM PEF Over the Last 7 Days of the Treatment Period (Week 4)
PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each morning prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Change from Baseline is calculated as the value of the averaged daily AM PEF over the 4-week Treatment Period (at Week 4) minus the Baseline value. The Baseline value is defined as the value at Visit 3 (randomization). The analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age, and treatment group. (NCT01573767)
Timeframe: Baseline; Week 4
Intervention | L/min (Least Squares Mean) |
---|
Placebo | 7.4 |
VI 6.25 µg OD | 13.3 |
VI 12.5 µg OD | 17.0 |
VI 25 µg OD | 14.4 |
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Change From Baseline in Evening (PM) PEF Over the Last 7 Days of the Treatment Period (Week 4)
PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. Change from Baseline is calculated as the value over the last 7 days of the Treatment Period minus the Baseline value. The Baseline value is defined as the value at Visit 3 (randomization). The analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age, and treatment group. The LOCF method was used to impute missing data, in which the last non-missing post-Baseline on-treatment measurement at scheduled clinic visits was used to impute the missing measurements. (NCT01573767)
Timeframe: Baseline; Week 4
Intervention | L/min (Least Squares Mean) |
---|
Placebo | 5.9 |
VI 6.25 µg OD | 9.4 |
VI 12.5 µg OD | 13.7 |
VI 25 µg OD | 11.1 |
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Time Of Maximum Observed Plasma Concentration (Tmax)
(NCT01576718)
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
Intervention | hours (Mean) |
---|
Fp MDPI 50 mcg | 1.0 |
Fp MDPI 100 mcg | 1.2 |
Fp MDPI 200 mcg | 2.2 |
Fp MDPI 400 mcg | 1.4 |
Flovent Diskus 250mcg | 1.8 |
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24-Hour Urinary Cortisol Excretion at Baseline, Week 12 and Endpoint
24-hour urinary cortisol excretion was determined from 24-hour pooled-urine samples; urine was refrigerated until return to the investigational site after each 24-hour collection period. Urine was collected within 7 days of Day 1 and within 7 days of Week 12. Urine cortisol sample collection was not required at endpoint visit for subjects who terminated early from the study. (NCT01576718)
Timeframe: Baseline (Day 1), Week 12, Endpoint
Intervention | nmol/day (Mean) |
---|
| Baseline | Week 12 | Endpoint |
---|
Flovent Diskus 250mcg | 66.2 | 58.5 | 58.4 |
,Fp MDPI 100 mcg | 63.8 | 61.5 | 61.5 |
,Fp MDPI 200 mcg | 66.6 | 66.8 | 65.8 |
,Fp MDPI 400 mcg | 57.4 | 46.2 | 45.0 |
,Fp MDPI 50 mcg | 65.3 | 71.8 | 71.0 |
,Placebo MDPI | 74.3 | 69.2 | 74.4 |
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Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period
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. (NCT01576718)
Timeframe: Day 1 to Week 12
Intervention | participants (Number) |
---|
| Any adverse event (AE) | Severe AE | Treatment-related AE | Deaths | Other serious AEs | Withdrawn from treatment due to AEs |
---|
Flovent Diskus 250mcg | 27 | 0 | 2 | 0 | 0 | 0 |
,Fp MDPI 100 mcg | 27 | 1 | 1 | 0 | 1 | 1 |
,Fp MDPI 200 mcg | 34 | 1 | 6 | 0 | 1 | 1 |
,Fp MDPI 400 mcg | 41 | 1 | 9 | 0 | 0 | 1 |
,Fp MDPI 50 mcg | 31 | 3 | 4 | 0 | 1 | 1 |
,Placebo MDPI | 33 | 1 | 5 | 0 | 1 | 1 |
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Area Under The Plasma Concentration-Time Curve From Time Zero To The Time Of The Last Measurable Concentration (AUC0-t)
(NCT01576718)
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
Intervention | pg*hr/mL (Mean) |
---|
Fp MDPI 50 mcg | 117.6 |
Fp MDPI 100 mcg | 126.8 |
Fp MDPI 200 mcg | 292.0 |
Fp MDPI 400 mcg | 462.8 |
Flovent Diskus 250mcg | 162.3 |
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Change From Baseline In The Percentage Of Rescue-Free 24-Hour Periods
"The change from baseline in the percentage of rescue-free 24-hour periods was analyzed with a marginal (also called population averaged) logistic model, with the response being the proportion of rescue-free 24-hour periods. The model included 2 time points of measurement for each subject: the baseline (the last 7 days before the treatment period) and the treatment period. The model contained covariates for sex, age, and treatment. Rescue-free days were as indicated in patient diaries.~Data values are estimated means." (NCT01576718)
Timeframe: Baseline (Day -6 to Day 1 predose), Treatment (Day 1 to Week 12)
Intervention | percentage of total 24 hour periods (Mean) |
---|
Fp MDPI 50 mcg | 22.78 |
Fp MDPI 100 mcg | 26.41 |
Fp MDPI 200 mcg | 16.18 |
Fp MDPI 400 mcg | 28.05 |
Placebo MDPI | 27.15 |
Flovent Diskus 250mcg | 15.87 |
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Change From Baseline In Trough (Morning Predose And Pre-Rescue Bronchodilator) Forced Expiratory Volume In 1 Second (FEV1) Over The 12-Week Treatment Period
"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." (NCT01576718)
Timeframe: Baseline (Day 1 pre-dose), Weeks 1, 2, 3, 4, 6, 8, 10 and 12
Intervention | liters (Least Squares Mean) |
---|
Fp MDPI 50 mcg | 0.059 |
Fp MDPI 100 mcg | 0.101 |
Fp MDPI 200 mcg | 0.109 |
Fp MDPI 400 mcg | 0.125 |
Placebo MDPI | 0.053 |
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Change From Baseline In Trough (Morning Predose And Pre-Rescue Bronchodilator) Forced Expiratory Volume In 1 Second (FEV1) Over The 12-Week Treatment Period (Including the Flovent Diskus Treatment Arm)
"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 (nonmissing) trough AM PEF assessments over the 7 days directly preceding first study drug intake.~The p-values for the treatment comparisons to Flovent Diskus are from an MMRM model which includes data from all treatments: change from baseline = baseline PEF + sex + age + treatment + visit + treatment*visit with an unstructured covariance matrix assumed." (NCT01576718)
Timeframe: Baseline (Day 1 pre-dose), Weeks 1, 2, 3, 4, 6, 8, 10 and 12
Intervention | liters (Least Squares Mean) |
---|
Fp MDPI 50 mcg | 0.063 |
Fp MDPI 100 mcg | 0.102 |
Fp MDPI 200 mcg | 0.113 |
Fp MDPI 400 mcg | 0.129 |
Placebo MDPI | 0.057 |
Flovent Diskus 250mcg | 0.110 |
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Change From Baseline In Weekly Average Of Daily Trough (Predose And Pre-Rescue Bronchodilator) Evening Peak Expiratory Flow (PEF) Over The 12-Week Treatment Period
"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." (NCT01576718)
Timeframe: Baseline (Days -6 to Day 1 pre-dose), Weeks 1, 2, 3, 4, 6, 8, 10 and 12
Intervention | liters/minute (Least Squares Mean) |
---|
Fp MDPI 50 mcg | 3.81 |
Fp MDPI 100 mcg | 6.41 |
Fp MDPI 200 mcg | 7.45 |
Fp MDPI 400 mcg | 10.97 |
Placebo MDPI | 3.42 |
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Change From Baseline In Weekly Average Of Daily Trough (Predose And Pre-Rescue Bronchodilator) Evening Peak Expiratory Flow (PEF) Over The 12-Week Treatment Period (Including the Flovent Diskus Treatment Arm)
"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 Flovent Diskus are from an MMRM model that included data for all treatments: change from baseline = baseline PEF + sex + age + treatment + visit + treatment*visit with an unstructured covariance matrix assumed." (NCT01576718)
Timeframe: Baseline (Days -6 to Day 1 pre-dose), Weeks 1, 2, 3, 4, 6, 8, 10 and 12
Intervention | liters/minute (Least Squares Mean) |
---|
Fp MDPI 50 mcg | 4.22 |
Fp MDPI 100 mcg | 6.52 |
Fp MDPI 200 mcg | 7.89 |
Fp MDPI 400 mcg | 11.72 |
Placebo MDPI | 3.35 |
Flovent Diskus 250mcg | 12.4 |
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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
"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." (NCT01576718)
Timeframe: Baseline (Days -6 to Day 1 pre-dose), Weeks 1, 2, 3, 4, 6, 8, 10 and 12
Intervention | liters/minute (Least Squares Mean) |
---|
Fp MDPI 50 mcg | 10.48 |
Fp MDPI 100 mcg | 9.34 |
Fp MDPI 200 mcg | 10.03 |
Fp MDPI 400 mcg | 9.61 |
Placebo MDPI | 2.24 |
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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 (Including the Flovent Diskus Treatment Arm)
"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 (nonmissing) trough AM PEF assessments over the 7 days directly preceding first study drug intake.~The p-values for the treatment comparisons to Flovent Diskus are from an MMRM model that included data for all treatments: change from baseline = baseline PEF + sex + age + treatment + visit + treatment*visit with an unstructured covariance matrix assumed." (NCT01576718)
Timeframe: Baseline (Days -6 to Day 1 pre-dose), Weeks 1, 2, 3, 4, 6, 8, 10 and 12
Intervention | liters/minute (Least Squares Mean) |
---|
Fp MDPI 50 mcg | 10.85 |
Fp MDPI 100 mcg | 9.39 |
Fp MDPI 200 mcg | 10.29 |
Fp MDPI 400 mcg | 10.40 |
Placebo MDPI | 2.52 |
Flovent Diskus 250mcg | 15.97 |
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Maximum Observed Plasma Concentration (Cmax)
(NCT01576718)
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
Intervention | pg/mL (Mean) |
---|
Fp MDPI 50 mcg | 19.1 |
Fp MDPI 100 mcg | 26.5 |
Fp MDPI 200 mcg | 55.2 |
Fp MDPI 400 mcg | 83.0 |
Flovent Diskus 250mcg | 32.5 |
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The Kaplan-Meier Estimate Of The Probability Of Remaining In The Study At Week 12
"The analysis of probability of remaining in the study at Week 12 used the time to patient withdrawal for worsening asthma. Worsening asthma was defined as:~clinic visit FEV1 below the FEV1 stability limit value calculated on Day 1.~any 7-day run-in or treatment window (using information from the patient diary) during which the subject experienced:~3 or more days in which the highest PEF has fallen below the PEF stability limit calculated on Day 1~3 or more days in which ≥12 inhalations/day of albuterol/salbutamol was used~2 or more days in which the subject experienced a nighttime asthma symptom score of >2~clinical asthma exacerbation, defined as worsening asthma requiring any treatment other than study drug or rescue albuterol/salbutamol including the use of systemic corticosteroids and/or ER visit or hospitalization.~Patients who had withdrawn due to reasons other than worsening asthma were right-censored at the date of last assessment." (NCT01576718)
Timeframe: Day 1 to Week 12
Intervention | probability (Number) |
---|
Fp MDPI 50 mcg | 0.6872 |
Fp MDPI 100 mcg | 0.6330 |
Fp MDPI 200 mcg | 0.5852 |
Fp MDPI 400 mcg | 0.6109 |
Placebo MDPI | 0.4722 |
Flovent Diskus 250mcg | 0.5657 |
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Patients With Positive Swab Test Results for Oral Candidiasis
"Oropharyngeal examinations for visual evidence of oral candidiasis were conducted at each visit. Any visual evidence of oral candidiasis during the oropharyngeal exam was evaluated by obtaining and analyzing a swab of the suspect area.~This outcomes indicates how many patients had positive swab test results. The total number of patients who had oropharyngeal exams at each timepoint are specified in the timepoint field. 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." (NCT01576718)
Timeframe: Screening (Days -21 to -14), Randomization (Day 1), Weeks 1, 2, 3, 4, 6, 8, 10, 12
Intervention | participants (Number) |
---|
| Screening | Day 1 | Week 1 | Week 2 | Week 3 | Week 4 | Week 6 | Week 8 | Week 10 | Week 12 |
---|
Flovent Diskus 250mcg | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 1 |
,Fp MDPI 100 mcg | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Fp MDPI 200 mcg | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 0 |
,Fp MDPI 400 mcg | 0 | 0 | 0 | 2 | 4 | 1 | 1 | 0 | 1 | 1 |
,Fp MDPI 50 mcg | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
,Placebo MDPI | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Mean Change From Baseline (Pre-Dose) in Morning and Evening Averaged Subject-rated Reflective TNSS
Total nasal symptom scores (TNSS) was the summed scores for nasal pruritus [itching], rhinorrhea [runny nose], nasal congestion, and sneezing. Individual nasal symptoms were rated on a 4-point scale from 0-3 (0=Absent, 1=Mild, 2=Moderate, 3=Severe), with no half-unit assessments. TNSS was the sum score of 4 nasal symptoms with a minimum score of 0 and a maximum score of 12 units, with higher score corresponding to increased severity of nasal allergy symptoms. The morning and evening scores were averaged. (NCT01578278)
Timeframe: Baseline, 14 days
Intervention | score on a scale (Mean) |
---|
Bepotastine Besilate-fluticasone Propionate | -3.57 |
Bepotastine Besilate Formulation | -2.31 |
Fluticasone Propionate | -2.96 |
Placebo Comparator | -1.48 |
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Differential Response to the Three Therapies Based on Fixed Threshold Criteria for the Following Asthma Control Measures: Use of Oral Prednisone for Acute Asthma Exacerbations and Asthma Control Days.
The primary outcome was differential response to the three therapies on the basis of fixed threshold criteria for the following asthma control measures, which encompassed domains of risk and impairment: the time from the start of the treatment period to an asthma exacerbation treated with systemic corticosteroids, and the annualized number of asthma control days (ACDs) from within that period. ACDs were defined as full calendar days without symptoms, rescue medication use, or unscheduled healthcare visits. Children were defined as differential responders if, first, the time to an asthma exacerbation was at least four weeks longer, or second, if the number of annualized ACDs was at least 31 days more for one treatment than another, in that order. If neither threshold was met, the participant was considered a non differential responder. Differential response was determined in children completing at least two treatment periods and at least 50% of the daily diary entries for each period. (NCT01606306)
Timeframe: The last 14 weeks of each 16-week treatment period
Intervention | probability (Number) |
---|
| Non-differential responders | Responded best to daily ICS | Responded best to daily LTRA | Responded best to as-needed ICS |
---|
All Evaluable Participants | .26 | .40 | .18 | .16 |
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Number of Participants With the Indicated Overall Response to Therapy, as Assessed by the Investigator
The investigator evaluated the participant's overall response to therapy (defined as improvement in the symptoms of allergic rhinitis) compared with Visit 2 (start of the treatment period), using the following 7-point categorical scale: 1=significantly improved, 2=moderately improved, 3=mildly improved, 4=no change, 5=mildly worse, 6=moderately worse, and 7=significantly worse. (NCT01622231)
Timeframe: Week 12/early withdrawal
Intervention | participants (Number) |
---|
| Significantly Improved | Moderately Improved | Mildly Improved | No Change | Mildly Worse | Moderately Worse | Significantly Worse |
---|
GW685698X 55 μg QD | 25 | 28 | 3 | 5 | 0 | 0 | 0 |
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Number of Participants With Any Non-serious Adverse Event (AE) and Any Serious Adverse Event (SAE)
An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, is an other important medical event, or is an event of possible drug-induced liver injury. Refer to the general AE/SAE module for a list of AEs (occurring at a frequency threshold >=5%) and SAEs. (NCT01622231)
Timeframe: From the start of study treatment (Visit 2) until follow-up contact (Visit 6) (up to 13 weeks)
Intervention | participants (Number) |
---|
| Any AE | Any SAE |
---|
GW685698X 55 μg QD | 41 | 0 |
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Mean Percent Change From Baseline in the Total Ocular Symptom Score (TOSS) Over the Entire Treatment Period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
Symptoms of eye itching, tearing, and redness were scored by the participant's parent/guardian who signed the ICF or the participant themself using a scale of 0, 1, 2, or 3 (a larger score indicates more severe symptoms) and were recorded in the participant's diary. The TOSS is the sum of all three symtpom scores and ranges from 0 to 9. The mean of the Baseline period is defined as the mean score of 4 consecutive days prior to Visit 2 (start of the treatment period). The mean of each assessment period is defined as the mean score of the entire treatment period (12 weeks), Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12. For each assessment period, a mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Percent change from Baseline=(mean score at the post-Baseline assessment minus the score at Baseline) divided by the Baseline value * 100. (NCT01622231)
Timeframe: Baseline through the entire treatment period (12 weeks), Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
Intervention | Percent change (Mean) |
---|
| Entire Treatment Period, n=36 | Week 1 to 2, n=36 | Week 3 to 4, n=36 | Week 7 to 8, n=35 | Week 11 to 12, n=35 |
---|
GW685698X 55 μg QD | 7.1 | 4.6 | 17.5 | 29.0 | -22.5 |
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Mean Percent Change From Baseline in the 4 Total Nasal Symptom Score (4TNSS) Over the Entire Treatment Period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
The 4TNSS is the sum of the 4 individual symptom scores for sneezing, rhinorrhea, nasal congestion, and nasal itching. Each symptom is scored on a scale from 0 to 3; the range of sums for the 4TNSS is 0 to 12. The symptoms were evaluated using a scale of 0, 1, 2, or 3; a larger score indicates more severe symptoms. The participant's parent/guardian who signed the ICF or the participant themself scored nasal symptoms every day during the screening period and the treatment period. The Baseline value is defined as the average of the 4TNSS in the last 4 consecutive days prior to Visit 2 (start of the treatment period). A mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Percent change from Baseline=(mean score at the post-Baseline assessment minus the score at Baseline) divided by the Baseline value * 100. (NCT01622231)
Timeframe: Baseline through the entire treatment period (12 weeks), Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
Intervention | Percent change (Mean) |
---|
| Entire Treatment Period, n=61 | Week 1 to 2, n=61 | Week 3 to 4, n=61 | Week 7 to 8, n=60 | Week 11 to 12, n=60 |
---|
GW685698X 55 μg QD | -47.1 | -31.3 | -52.8 | -51.3 | -42.0 |
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Mean Percent Change From Baseline in the 3 Total Nasal Symptom Score (3TNSS) Over the Entire Treatment Period, Week 1to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
The 3TNSS is the sum of the 3 individual symptom scores for sneezing, rhinorrhea, and nasal congestion. Each symptom is scored on a scale from 0 to 3; the range of sums for the 3TNSS is 0 to 9. The symptoms were evaluated using a scale of 0, 1, 2, or 3; a larger score indicates more severe symptoms. The participant's parent/guardian who signed the informed consent form (ICF) or the participant themself scored nasal symptoms every day during the screening period and the treatment period. The Baseline value is defined as the average 3TNSS over the last 4 consecutive days prior to Visit 2 (start of the treatment period). For the entire assessment period, a mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Percent change from Baseline=(mean score at the post-Baseline assessment minus the score at Baseline) divided by the Baseline value * 100. (NCT01622231)
Timeframe: Baseline through the entire treatment period (12 weeks), Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
Intervention | Percent change (Mean) |
---|
| Entire Treatment Period, n=61 | Week 1 to 2, n=61 | Week 3 to 4, n=61 | Week 7 to 8, n=60 | Week 11 to 12, n=60 |
---|
GW685698X 55 μg QD | -46.9 | -31.6 | -53.2 | -50.9 | -40.7 |
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Mean Change From Baseline in the Total Ocular Symptom Score (TOSS) Over the Entire Treatment Period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
Symptoms of eye itching, tearing, and redness were scored by the participant's parent/guardian who signed the ICF or the participant themself using a scale of 0, 1, 2, or 3 (a larger score indicates more severe symptoms) and were recorded in the participant's diary. The TOSS is the sum of all three symtpom scores and ranges from 0 to 9. The mean of the Baseline period is defined as the mean score of 4 consecutive days prior to Visit 2 (start of the treatment period). The mean of each assessment period is defined as the mean score of the entire treatment period (12 weeks), Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12. For each assessment period, a mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01622231)
Timeframe: Baseline through the entire treatment period (12 weeks), Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
Intervention | Scores on a scale (Mean) |
---|
| Entire Treatment Period, n=61 | Week 1 to 2, n=61 | Week 3 to 4, n=61 | Week 7 to 8, n=60 | Week 11 to 12, n=60 |
---|
GW685698X 55 μg QD | -0.2 | -0.1 | -0.1 | -0.2 | -0.3 |
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Mean Change From Baseline in the Score of Troubles With Daily Life Over the Entire Treatment Period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
The participant's parent/guardian who signed the ICF or the participant themself scored the participant's troubles with daily life once daily using the following scale: 0, None; 1, Few troubles; 2, Intermediate between 3 and 1; or 3, Painful and complicating daily life. The mean of the Baseline period is defined as the mean score of 4 consecutive days prior to Visit 2 (start of the treatment period). The mean of each assessment period is defined as the mean score of the entire treatment period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12. For each assessment period, a mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01622231)
Timeframe: Baseline through the entire treatment period (12 weeks), Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
Intervention | Scores on a scale (Mean) |
---|
| Entire Treatment Period, n=61 | Week 1 to 2, n=61 | Week 3 to 4, n=61 | Week 7 to 8, n=60 | Week 11 to 12, n=60 |
---|
GW685698X 55 μg QD | -0.5 | -0.3 | -0.5 | -0.6 | -0.4 |
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Mean Change From Baseline in the 4 Total Nasal Symptom Score (4TNSS) Over the Entire Treatment Period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
The 4TNSS is the sum of the 4 individual symptom scores for sneezing, rhinorrhea, nasal congestion, and nasal itching. Each symptom is scored on a scale from 0 to 3; the range of sums for the 4TNSS is 0 to 12. The symptoms were evaluated using a scale of 0, 1, 2, or 3; a larger score indicates more severe symptoms. The participant's parent/guardian who signed the ICF or the participant themself scored nasal symptoms every day during the screening period and the treatment period. The Baseline value is defined as the average of the 4TNSS in the last 4 consecutive days prior to Visit 2 (start of the treatment period). A mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01622231)
Timeframe: Baseline through the entire treatment period (12 weeks), Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
Intervention | Scores on a scale (Mean) |
---|
| Scores on a scale | Week 1 to 2 n=61 | Week 3 to 4, n=61 | Week 7 to 8, n=60 | Week 11 to 12, n=60 |
---|
GW685698X 55 μg QD | -2.6 | -1.8 | -2.9 | -2.8 | -2.3 |
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Mean Change From Baseline in the 3 Total Nasal Symptom Score (3TNSS) Over the Entire Treatment Period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
The 3TNSS is the sum of the 3 individual symptom scores for sneezing, rhinorrhea, and nasal congestion. Each symptom is scored on a scale from 0 to 3; the range of sums for the 3TNSS is 0 to 9. The symptoms were evaluated using a scale of 0, 1, 2, or 3; a larger score indicates more severe symptoms. The participant's parent/guardian who signed the informed consent form (ICF) or the participant themself scored nasal symptoms every day during the screening period and the treatment period. The Baseline value is defined as the average 3TNSS over the last 4 consecutive days prior to Visit 2 (start of the treatment period). For the entire assessment period, a mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Change from Baseline was calculated as the mean score for the entire treatment period minus the score at Baseline. (NCT01622231)
Timeframe: Baseline through the entire treatment period (12 weeks), Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
Intervention | Scores on a scale (Mean) |
---|
| Entire Treatment Period, n=61 | Week 1 to 2, n=61 | Week 3 to 4, n=61 | Week 7 to 8, n=60 | Week 11 to 12, n=60 |
---|
GW685698X 55 μg QD | -2.2 | -1.6 | -2.5 | -2.4 | -2.0 |
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Mean Change From Baseline in Sneezing, Rhinorrhea, Nasal Congestion, and Nasal Itching Over the Entire Treatment Period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
Four individual symptoms (sneezing, rhinorrhea, nasal congestion, and nasal itching) were scored on a scale from 0 to 3 using a scale of 0, 1, 2, or 3; a larger score indicates more severe symptoms. The participant's parent/guardian who signed the ICF or the participant themself scored nasal symptoms every day during the screening period and the treatment period. The Baseline value is defined as the average of the symptom scores in the last 4 consecutive days prior to Visit 2 (start of the treatment period). A mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01622231)
Timeframe: Baseline through the entire treatment period (12 weeks), Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
Intervention | Scores on a scale (Mean) |
---|
| Sneezing, Entire Treatment Period, n=61 | Sneezing, Week 1 to 2, n=61 | Sneezing, Week 3 to 4, n=61 | Sneezing, Week 7 to 8, n=60 | Sneezing, Week 11 to 12, n=60 | Rhinorrhea, Entire Treatment Period, n=61 | Rhinorrhea, Week 1 to 2, n=61 | Rhinorrhea, Week 3 to 4, n=61 | Rhinorrhea, Week 7 to 8, n=60 | Rhinorrhea, Week 11 to 12, n=60 | Nasal Congestion, Entire Treatment Period, n=61 | Nasal Congestion, Week 1 to 2, n=61 | Nasal Congestion, Week 3 to 4, n=61 | Nasal Congestion, Week 7 to 8, n=60 | Nasal Congestion, Week 11 to 12, n=60 | Nasal Itching, Entire Treatment Period, n=61 | Nasal Itching, Week 1 to 2, n=61 | Nasal Itching, Week 3 to 4, n=61 | Nasal Itching, Week 7 to 8, n=60 | Nasal Itching, Week 11 to 12, n=60 |
---|
GW685698X 55 μg QD | -0.7 | -0.5 | -0.8 | -0.7 | -0.6 | -0.8 | -0.5 | -0.9 | -0.8 | -0.7 | -0.8 | -0.5 | -0.9 | -0.8 | -0.7 | -0.4 | -0.2 | -0.4 | -0.4 | -0.3 |
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Mean Change From Baseline in Eye Itching, Tearing, and Redness Over the Entire Treatment Period, Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
Three individual symptoms (eye itching, tearing, and redness) were scored by the participant's parent/guardian who signed the ICF or the participant themself using a scale of 0, 1, 2, or 3 (a larger score indicates more severe symptoms) and were recorded in the participant's diary. The mean of the Baseline period is defined as the mean score of 4 consecutive days prior to Visit 2 (start of the treatment period). The mean of each assessment period is defined as the mean score of the entire treatment period (12 weeks), Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12. For each assessment period, a mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01622231)
Timeframe: Baseline through the entire treatment period (12 weeks), Week 1 to 2, Week 3 to 4, Week 7 to 8, and Week 11 to 12
Intervention | Scores on a scale (Mean) |
---|
| Eye Itching, Entire Treatment Period, n=61 | Eye Itching, Week 1 to 2, n=61 | Eye Itching, Week 3 to 4, n=61 | Eye Itching, Week 7 to 8, n=60 | Eye Itching, Week 11 to 12, n=60 | Tearing, Entire Treatment Period, n=61 | Tearing, Week 1 to 2, n=61 | Tearing, Week 3 to 4, n=61 | Tearing, Week 7 to 8, n=60 | Tearing, Week 11 to 12, n=60 | Redness, Entire Treatment Period, n=61 | Redness, Week 1 to 2, n=61 | Redness, Week 3 to 4, n=61 | Redness, Week 7 to 8, n=60 | Redness, Week 11 to 12, n=60 |
---|
GW685698X 55 μg QD | -0.2 | -0.1 | -0.1 | -0.2 | -0.2 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | -0.1 | -0.0 | -0.0 | -0.0 | -0.1 |
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Mean Change From Baseline (BL) in Daily Variation of the 3 Total Nasal Symptom Score (3TNSS)
The 3TNSS is the sum of the 3 individual symptom scores for sneezing, rhinorrhea, and nasal congestion. Each symptom is scored on a scale from 0 to 3; the range of sums for the 3TNSS is 0 to 9. The symptoms were evaluated using a scale of 0, 1, 2, or 3; a larger score indicates more severe symptoms. The participant's parent/guardian who signed the informed consent form (ICF) or the participant themself scored nasal symptoms every day during the screening period and the treatment period. The BL value is defined as the average 3TNSS over the last 4 consecutive days prior to Visit 2 (start of the treatment period). For the entire assessment period, a mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Change from BL was calculated as the mean score for the entire treatment period minus the score at BL. Only those participants available at the indicated time points were assessed. (NCT01622231)
Timeframe: Baseline, Day 1 to Day 84
Intervention | Scores on a scale (Mean) |
---|
| Day 1, n=61 | Day 2, n=61 | Day 3, n=61 | Day 4, n=61 | Day 5, n=61 | Day 6, n=61 | Day 7, n=61 | Day 8, n=61 | Day 9, n=61 | Day 10, n=61 | Day 11, n=61 | Day 12, n=61 | Day 13, n=61 | Day 14, n=61 | Day 15, n=61 | Day 16, n=61 | Day 17, n=61 | Day 18, n=61 | Day 19, n=61 | Day 20, n=61 | Day 21, n=61 | Day 22, n=61 | Day 23, n=61 | Day 24, n=61 | Day 25, n=61 | Day 26, n=61 | Day 27, n=61 | Day 28, n=61 | Day 29, n=60 | Day 30, n=60 | Day 31, n=60 | Day 32, n=60 | Day 33, n=60 | Day 34, n=60 | Day 35, n=60 | Day 36, n=60 | Day 37, n=60 | Day 38, n=60 | Day 39, n=60 | Day 40, n=60 | Day 41, n=60 | Day 42, n=60 | Day 43, n=60 | Day 44, n=60 | Day 45, n=60 | Day 46, n=60 | Day 47, n=60 | Day 48, n=60 | Day 49, n=60 | Day 50, n=60 | Day 51, n=60 | Day 52, n=60 | Day 53, n=60 | Day 54, n=60 | Day 55, n=60 | Day 56, n=60 | Day 57, n=60 | Day 58, n=60 | Day 59, n=60 | Day 60, n=60 | Day 61, n=60 | Day 62, n=60 | Day 63, n=60 | Day 64, n=60 | Day 65, n=60 | Day 66, n=60 | Day 67, n=60 | Day 68, n=60 | Day 69, n=60 | Day 70, n=60 | Day 71, n=60 | Day 72, n=60 | Day 73, n=60 | Day 74, n=59 | Day 75, n=59 | Day 76, n=59 | Day 77, n=59 | Day 78, n=59 | Day 79, n=59 | Day 80, n=59 | Day 81, n=50 | Day 82, n=43 | Day 83, n=39 | Day 84, n=31 |
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GW685698X 55 μg QD | -0.5 | -0.8 | -0.9 | -1.3 | -1.4 | -1.3 | -1.6 | -1.9 | -1.9 | -2.0 | -1.8 | -1.9 | -2.3 | -2.2 | -2.5 | -2.3 | -2.4 | -2.5 | -2.6 | -2.7 | -2.5 | -2.6 | -2.4 | -2.4 | -2.5 | -2.5 | -2.5 | -2.4 | -2.4 | -2.5 | -2.6 | -2.4 | -2.5 | -2.4 | -2.4 | -2.2 | -2.4 | -2.4 | -2.2 | -2.2 | -2.3 | -2.6 | -2.4 | -2.5 | -2.2 | -2.5 | -2.5 | -2.4 | -2.4 | -2.4 | -2.4 | -2.4 | -2.5 | -2.2 | -2.2 | -2.3 | -2.4 | -2.4 | -2.6 | -2.8 | -2.5 | -2.6 | -2.7 | -2.6 | -2.5 | -2.2 | -2.4 | -2.3 | -2.4 | -2.5 | -2.4 | -2.1 | -2.0 | -1.6 | -1.8 | -1.8 | -2.1 | -2.1 | -1.9 | -1.8 | -1.9 | -1.7 | -1.2 | -1.2 |
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Change From Baseline in Red Blood Cell (RBC) Count at Week 4 and Week 12/Early Withdrawal
Change from Baseline was calculated as the value at the post-Baseline time points minus the value at Baseline. (NCT01622231)
Timeframe: Baseline, Week 4, and Week 12/Early Withdrawal
Intervention | tera (10^12) cells (TI)/L (Mean) |
---|
| RBC count, Week 4, n=60 | RBC count, Week 12/early withdrawal, n=61 |
---|
GW685698X 55 μg QD | -0.081 | -0.039 |
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Change From Baseline in Platelet Count and White Blood Cell (WBC) Count at Week 4 and Week 12/Early Withdrawal
Change from Baseline was calculated as the value at the post-Baseline time points minus the value at Baseline. (NCT01622231)
Timeframe: Baseline, Week 4, and Week 12/Early Withdrawal
Intervention | giga (10^9) cells (GI)/L (Mean) |
---|
| Platelet count, Week 4, n=60 | Platelet count, Week 12/early withdrawal, n=61 | WBC count, Week 4, n=60 | WBC count, Week 12/early withdrawal, n=61 |
---|
GW685698X 55 μg QD | -0.4 | -2.9 | -0.45 | -0.00 |
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Change From Baseline in Hemoglobin at Week 4 and Week 12/Early Withdrawal
Change from Baseline was calculated as the value at the post-Baseline time points minus the value at Baseline. (NCT01622231)
Timeframe: Baseline, Week 4, and Week 12/Early Withdrawal
Intervention | Grams per liter (grams/L) (Mean) |
---|
| Hemoglobin, Week 4, n=60 | Hemoglobin, Week 12/early withdrawal, n=61 |
---|
GW685698X 55 μg QD | -1.9 | 0.1 |
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Change From Baseline in Hematocrit at Week 4 and Week 12/Early Withdrawal
Change from Baseline was calculated as the value at the post-Baseline time points minus the value at Baseline. (NCT01622231)
Timeframe: Baseline, Week 4, and Week 12/Early Withdrawal
Intervention | Proportion of RBCs in blood (Mean) |
---|
| Hematocrit, Week 4, n=60 | Hematocrit, Week 12/early withdrawal, n=61 |
---|
GW685698X 55 μg QD | -0.0061 | -0.0062 |
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Change From Baseline in Direct Bilirubin, Total Bilirubin, and Creatinine at Week 4 and Week 12/Early Withdrawal
Change from Baseline was calculated as the value at the post-Baseline time points minus the value at Baseline. (NCT01622231)
Timeframe: Baseline, Week 4, and Week 12/Early Withdrawal
Intervention | Micromoles (μmol)/L (Mean) |
---|
| Direct bilirubin, Week 4, n=60 | Direct bilirubin, Week 12/early withdrawal, n=61 | Total bilirubin, Week 4, n=60 | Total bilirubin, Week 12/early withdrawal, n=61 | Creatinine, Week 4, n=60 | Creatinine, Week 12/early withdrawal, n=61 |
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GW685698X 55 μg QD | 0.114 | -0.028 | 0.370 | -0.533 | -1.6649 | -0.5797 |
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Change From Baseline in Calcium, Chloride, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) at Week 4 and Week 12/Early Withdrawal
Change from Baseline was calculated as the value at the post-Baseline time points minus the value at Baseline. (NCT01622231)
Timeframe: Baseline, Week 4, and Week 12/Early Withdrawal
Intervention | Millimoles (mmol)/L (Mean) |
---|
| Calcium, Week 4, n=60 | Calcium, Week 12/early withdrawal, n=61 | Chloride, Week 4, n=60 | Chloride, Week 12/early withdrawal, n=61 | Potassium, Week 4, n=60 | Potassium, Week 12/early withdrawal, n=61 | Sodium, Week 4, n=60 | Sodium, Week 12/early withdrawal, n=61 | Urea/BUN, Week 4, n=60 | Urea/BUN, Week 12/early withdrawal, n=61 |
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GW685698X 55 μg QD | -0.0541 | -0.0372 | 1.3 | 1.1 | -0.13 | -0.06 | -0.4 | -1.2 | -0.4998 | -0.0954 |
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Change From Baseline in Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), and Gamma Glutamyltransferase (GGT) at Week 4 and Week 12/Early Withdrawal
Change from Baseline was calculated as the value at the post-Baseline time points minus the value at Baseline. (NCT01622231)
Timeframe: Baseline, Week 4, and Week 12/Early Withdrawal
Intervention | International units (IU)/L (Mean) |
---|
| ALP, Week 4, n=60 | ALP, Week 12/early withdrawal, n=61 | ALT, Week 4, n=60 | ALT, Week 12/early withdrawal, n=61 | AST, Week 4, n=60 | AST, Week 12/early withdrawal, n=61 | GGT, Week 4, n=60 | GGT, Week 12/early withdrawal, n=61 |
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GW685698X 55 μg QD | -49.9 | 88.5 | 0.7 | 0.4 | -0.3 | 0.2 | -0.1 | 0.1 |
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Change From Baseline in Albumin and Total Protein at Week 4 and Week 12/Early Withdrawal
Change from Baseline was calculated as the value at the post-Baseline time points minus the value at Baseline. (NCT01622231)
Timeframe: Baseline, Week 4, and Week 12/Early Withdrawal
Intervention | grams/L (Mean) |
---|
| Albumin, Week 4, n=60 | Albumin, Week 12/early withdrawal, n=61 | Total protein, Week 4, n=60 | Total protein, Week 12/early withdrawal, n=61 |
---|
GW685698X 55 μg QD | -1.4 | -0.8 | -1.8 | -0.9 |
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Change From Baseline in Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophil Count at Week 4 and Week 12/Early Withdrawal
Change from Baseline was calculated as the value at the post-Baseline time points minus the value at Baseline. Basophils, eosinophils, lymphocytes, monocytes, and total neutrophil counts are measured as the percentage of cells in white blood cells. (NCT01622231)
Timeframe: Baseline, Week 4, and Week 12/Early Withdrawal
Intervention | Percentage of cells (Mean) |
---|
| Basophils, Week 4, n=60 | Basophils, Week 12/early withdrawal, n=61 | Eosinophils, Week 4, n=60 | Eosinophils, Week 12/early withdrawal, n=61 | Lymphocytes, Week 4, n=60 | Lymphocytes, Week 12/early withdrawal, n=61 | Monocytes, Week 4, n=60 | Monocytes, Week 12/early withdrawal, n=61 | Total Neutrophils, Week 4, n=60 | Total Neutrophils, Week 12/early withdrawal, n=61 |
---|
GW685698X 55 μg QD | -0.08 | -0.12 | -0.29 | -1.38 | -1.22 | -1.77 | 0.24 | 0.26 | 1.36 | 3.02 |
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Number of Participants With the Indicated Scores for Rhinoscopy Findings (Swelling of Inferior Turbinate Mucosa, Color of Inferior Turbinate Mucosa, Quantity of Nasal Discharge, and Quality of Nasal Discharge)
Rhinoscopy was assessed by the investigator by scoring swelling of inferior turbinate mucosa (SOITM) scored as 0 (none), 1 (possible to see center of the middle turbinate), 2 (between 3 and 1), or 3 (impossible to see middle turbinate); color of inferior turbinate mucosa (COITM) scored as 0 (normal), 1 (pink), 2 (red), or 3 (pale); quantity of nasal discharge (QTND) scored as 0 (none), 1 (small amount adhered), 2 (between 3 and 1), or 3 (filled); and quality of nasal discharge (QLND) scored as 0 (none), 1 (pyoid), 2 (viscous), or 3 (watery). (NCT01622231)
Timeframe: Baseline, Week 4, Week 8, and Week 12/early withdrawal
Intervention | participants (Number) |
---|
| SOITM, Baseline, Score 0, n=61 | SOITM, Baseline, Score 1, n=61 | SOITM, Baseline, Score 2, n=61 | SOITM, Baseline, Score 3, n=61 | SOITM, Week 4, Score 0, n=60 | SOITM, Week 4, Score 1, n=60 | SOITM, Week 4, Score 2, n=60 | SOITM, Week 4, Score 3, n=60 | SOITM, Week 8, Score 0, n=60 | SOITM, Week 8, Score 1, n=60 | SOITM, Week 8, Score 2, n=60 | SOITM, Week 8, Score 3, n=60 | SOITM, Week 12/early withdrawal, Score 0, n=61 | SOITM, Week 12/early withdrawal, Score 1, n=61 | SOITM, Week 12/early withdrawal, Score 2, n=61 | SOITM, Week 12/early withdrawal, Score 3, n=61 | COITM, Baseline, Score 0, n=61 | COITM, Baseline, Score 1, n=61 | COITM, Baseline, Score 2, n=61 | COITM, Baseline, Score 3, n=61 | COITM, Week 4, Score 0, n=60 | COITM, Week 4, Score 1, n=60 | COITM, Week 4, Score 2, n=60 | COITM, Week 4, Score 3, n=60 | COITM, Week 8, Score 0, n=60 | COITM, Week 8, Score 1, n=60 | COITM, Week 8, Score 2, n=60 | COITM, Week 8, Score 3, n=60 | COITM, Week 12/early withdrawal, Score 0, n=61 | COITM, Week 12/early withdrawal, Score 1, n=61 | COITM, Week 12/early withdrawal, Score 2, n=61 | COITM, Week 12/early withdrawal, Score 3, n=61 | QTND, Baseline, Score 0, n=61 | QTND, Baseline, Score 1, n=61 | QTND, Baseline, Score 2, n=61 | QTND, Baseline, Score 3, n=61 | QTND, Week 4, Score 0, n=60 | QTND, Week 4, Score 1, n=60 | QTND, Week 4, Score 2, n=60 | QTND, Week 4, Score 3, n=60 | QTND, Week 8, Score 0, n=60 | QTND, Week 8, Score 1, n=60 | QTND, Week 8, Score 2, n=60 | QTND, Week 8, Score 3, n=60 | QTND, Week 12/early withdrawal, Score 0, n=61 | QTND, Week 12/early withdrawal, Score 1, n=61 | QTND, Week 12/early withdrawal, Score 2, n=61 | QTND, Week 12/early withdrawal, Score 3, n=61 | QLND, Baseline, Score 0, n=61 | QLND, Baseline, Score 1, n=61 | QLND, Baseline, Score 2, n=61 | QLND, Baseline, Score 3, n=61 | QLND, Week 4, Score 0, n=60 | QLND, Week 4, Score 1, n=60 | QLND, Week 4, Score 2, n=60 | QLND, Week 4, Score 3, n=60 | QLND, Week 8, Score 0, n=60 | QLND, Week 8, Score 1, n=60 | QLND, Week 8, Score 2, n=60 | QLND, Week 8, Score 3, n=60 | QLND, Week 12/early withdrawal, Score 0, n=61 | QLND, Week 12/early withdrawal, Score 1, n=61 | QLND, Week 12/early withdrawal, Score 2, n=61 | QLND, Week 12/early withdrawal, Score 3, n=61 |
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GW685698X 55 μg QD | 3 | 9 | 35 | 14 | 15 | 21 | 23 | 1 | 17 | 24 | 19 | 0 | 21 | 26 | 13 | 1 | 0 | 10 | 23 | 28 | 10 | 28 | 13 | 9 | 12 | 30 | 11 | 7 | 19 | 28 | 10 | 4 | 4 | 16 | 33 | 8 | 30 | 24 | 5 | 1 | 29 | 25 | 4 | 2 | 34 | 24 | 3 | 0 | 4 | 0 | 14 | 43 | 30 | 11 | 4 | 15 | 30 | 13 | 5 | 12 | 32 | 10 | 7 | 12 |
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Number of Participants With the Indicated Plasma Concentration of GW685698X for Participants Aged >=6 to <15 Years
PK samples were collected to analyze the plasma concentration of GW685698X. (NCT01622231)
Timeframe: Between 0.5 to 2 hours after final dosing at Week 12 (Visit 5)
Intervention | participants (Number) |
---|
| Not Quantifiable (<10 pg/mL) | >=10 to <20 pg/mL | >=20 to <30 pg/mL | >=30 pg/mL |
---|
GW685698X 55 μg QD | 37 | 2 | 1 | 0 |
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Number of Participants With the Indicated Plasma Concentration of GW685698X for Participants Aged >=2 to <6 Years
Pharmacokinetic (PK) samples were collected to analyze the plasma concentration of GW685698X. (NCT01622231)
Timeframe: Between 0.5 to 2 hours after final dosing at Week 12 (Visit 5)
Intervention | participants (Number) |
---|
| Not Quantifiable (<10 picograms/milliliter [pg/mL] | >=10 to <20 pg/mL | >=20 to <30 pg/mL | >=30 pg/mL |
---|
GW685698X 55 μg QD | 17 | 2 | 0 | 0 |
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Number of Participants With the Indicated Overall Response to Therapy, as Assessed by the Participant's Parent/Guardian or the Participant
The participant's parent/guardian who signed the ICF or the participant himself/herself evaluated the participant's overall response to therapy (defined as improvement in the symptoms of allergic rhinitis) compared with Visit 2 (start of the treatment period), using the following 7-point categorical scale: 1=significantly improved, 2=moderately improved, 3=mildly improved, 4=no change, 5=mildly worse, 6=moderately worse, and 7=significantly worse. (NCT01622231)
Timeframe: Week 12/early withdrawal
Intervention | participants (Number) |
---|
| Significantly Improved | Moderately Improved | Mildly Improved | No Change | Mildly Worse | Moderately Worse | Significantly Worse |
---|
GW685698X 55 μg QD | 13 | 31 | 12 | 4 | 1 | 0 | 0 |
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Nasal Polyp Surgery Eligilbilty
"A subject was considered eligible for surgical intervention if the following conditions were met:~Subject has had moderate symptoms of congestion from nasal polyposis for ≥ 3 months.~Subject continues to suffer from at least moderate symptoms despite use of topical steroids at conventional doses for ≥ 6 weeks.~Subject continues to suffer from at least moderate symptoms despite use (or previous use) of saline lavage for ≥ 6 weeks.~Subject has endoscopically visualized bilateral nasal polyposis of at least moderate severity (nasal polyp grading score ≥ 2 in at least 1 nostril)." (NCT01622569)
Timeframe: Baseline, Week 16 of the double-blind treatment phase, Week 24 of the open-label extension phase
Intervention | Participants (Count of Participants) |
---|
| Week 16 | Week 24 (all pts on OPN-375 400 mcg BID wks 17-24) |
---|
100 μg OPN-375 | 17 | 14 |
,200 μg OPN-375 | 21 | 17 |
,400 μg EDS-FLU | 19 | 16 |
,Placebo | 27 | 15 |
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Patient Global Impression of Change (PGIC) Score
"Subject responses to the question: Since starting the study drug, how would you rate the change in your symptoms? Percentage includes patients who scored either very much improved, much improved, or minimally improved." (NCT01622569)
Timeframe: Week 16 of the double-blind treatment phase, Week 24 of the end of open-label treatment phase
Intervention | Participants (Count of Participants) |
---|
| Week 16 | Week 24 (all pts on 400 μg OPN-375 BID wks 17-24) |
---|
OPN-375 100 μg BID | 56 | 62 |
,OPN-375 200 μg BID | 62 | 62 |
,OPN-375 400 μg BID | 67 | 66 |
,Placebo | 51 | 59 |
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Peak Nasal Inspiratory Flow (PNIF)
The PNIF is an assessment of nasal passage obstruction and was measured using an In-Check portable nasal inspiratory flow meter. To measure PNIF, a mask was placed over the nose during inspiration and inspiratory flow was recorded. Each subject inhaled 3 times and each measurement was recorded. The PNIF value used was the greatest of the 3 results at each time point. (NCT01622569)
Timeframe: Baseline, Week 16 of the double-blind treatment phase, Week 24 of the open-label treatment phase
Intervention | L/min (Least Squares Mean) |
---|
| Week 16 | Week 24 (all pts on 400 μg OPN-375 BID wks 17-24) |
---|
OPN-375 100 μg BID | 36.57 | 41.61 |
,OPN-375 200 μg BID | 35.94 | 44.70 |
,OPN-375 400 μg BID | 35.43 | 35.64 |
,Placebo | 17.26 | 34.92 |
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Sinonasal Outcome Test 22 (SNOT-22) Total Score
"SNOT-22 is a subject-completed questionnaire that consists of 22 questions. The questions on the SNOT-22 efficacy evaluation were used to calculate a total score. 22 questions are divided among 4 subscales: Rhinologic (7 questions), Ear/Facial Symptoms (4 questions), Sleep Function (3 questions), and Psychological Issues (6 questions). Each item was rated on the 5-point scale. The total score can range from 0-110, 0 being the best and 110 being the worst.~0: No problem~Very mild problem~Mild or slight problem~Moderate problem~Severe problem~Problem as bad as it can be" (NCT01622569)
Timeframe: Baseline, Week 16 of the double-blind treatment phase, Week 24 of the end of open-label treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
| Change from baseline to Week 16 | Change from baseline to Week 24 (all pts on 400 μg |
---|
OPN-375 100 μg BID | -18.32 | -21.20 |
,OPN-375 200 μg BID | -19.56 | -23.28 |
,OPN-375 400 μg BID | -19.80 | -21.72 |
,Placebo | -10.96 | -20.78 |
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Change in Rhinorrhea Score (7-day Instantaneous Morning)
"Subjects reported nasal symptoms using the electronic diary twice daily immediately before dosing.~0: None~Mild, symptoms clearly present, but minimal awareness, and easily tolerated~Moderate, definite awareness of symptoms that is bothersome but tolerable~Severe, symptoms that are hard to tolerate, cause interference with activities or daily living~The change from baseline in instantaneous morning diary symptom scores averaged over 7 days prior to the Week 16 Visit of the double-blind treatment phase" (NCT01622569)
Timeframe: Baseline, Week 16 of the double-blind treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -0.50 |
OPN-375 100 μg BID | -0.80 |
OPN-375 200 μg BID | -0.89 |
OPN-375 400 μg BID | -0.92 |
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Hyposmia Score (7-day Instantaneous Morning)
"Subjects reported nasal symptoms using the electronic diary twice daily immediately before dosing.~0: None~Mild, symptoms clearly present, but minimal awareness, and easily tolerated~Moderate, definite awareness of symptoms that is bothersome but tolerable~Severe, symptoms that are hard to tolerate, cause interference with activities or daily living~The change from baseline in instantaneous morning diary symptom scores averaged over 7 days prior to the Week 16 Visit of the double-blind treatment phase" (NCT01622569)
Timeframe: Baseline, Week 16 of the double-blind treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -0.23 |
OPN-375 100 μg BID | -0.45 |
OPN-375 200 μg BID | -0.53 |
OPN-375 400 μg BID | -0.60 |
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Rhinosinusitis Disability Index (RSDI) Total Score
The RSDI is a subject-completed instrument that evaluates the self-perceived impact of disease specific head and neck disorders. The RSDI has 30 items in 3 domains: Physical (11 items), Functional (9 items), and Emotional (10 items). The RSDI scale ranges from 0-120, 0 being better quality of life and less impact of CRS on daily function and 120 being worse quality of life and more impact of CRS on daily function. (NCT01622569)
Timeframe: Baseline, Week 16 of the double-blind treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -10.71 |
OPN-375 100 μg BID | -17.08 |
OPN-375 200 μg BID | -16.44 |
OPN-375 400 μg BID | -16.37 |
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Change in Total Polyp Grade
"Polyp grading of each nasal cavity was determined by a nasal polyp grading scale score measured by nasoendoscopy. A summary of the changes from baseline to Week 16 in total polyp grade.~0: No polyps~Mild polyposis: polyps not reaching below the inferior border of the middle turbinate~Moderate polyposis: polyps reaching below the inferior border of the middle concha, but not the inferior border of the inferior turbinate~Severe polyposis large polyps reaching below the lower inferior border of the inferior turbinate~Reduction in total polyp grade (sum of scores from both nasal cavities) at Week 16 of double-blind treatment phase; Included patients with nasal polyps at baseline" (NCT01622569)
Timeframe: Baseline, Week 16 of the double-blind treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -0.57 |
OPN-375 100 μg BID | -1.04 |
OPN-375 200 μg BID | -1.14 |
OPN-375 400 μg BID | -1.14 |
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Congestion/Obstruction Scores (7-day Instantaneous Morning)
"Subjects reported nasal symptoms using the electronic diary twice daily immediately before dosing.~0: None~Mild, symptoms clearly present, but minimal awareness, and easily tolerated~Moderate, definite awareness of symptoms that is bothersome but tolerable~Severe, symptoms that are hard to tolerate, cause interference with activities or daily living~The change from baseline in instantaneous morning diary symptom scores averaged over 7 days prior to the Week 16 Visit of the double-blind treatment phase" (NCT01622569)
Timeframe: Baseline, Week 16 of the double-blind treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -0.53 |
OPN-375 100 μg Twice Daily | -0.93 |
OPN-375 200 μg Twice Daily | -0.99 |
OPN-375 400 μg Twice Daily | -1.07 |
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MOS Sleep-R Score
The MOS Sleep-R is a brief, self-administered, validated questionnaire designed to measure key aspects of sleep, such as disturbance, adequacy, somnolence, and quantity. The 12-item version with a 4-week recall was used in this study. The score range for the 12-item version is 0 to 100, lower scores indicating better sleep and higher scores indicating worse sleep. The scale yields a Sleep Problem Index and scores on the following 6 subscales: Sleep Disturbance, Snoring, Shortness of Breath or Headache, Sleep Adequacy, Sleep Somnolence, and Sleep Quantity. (NCT01622569)
Timeframe: Baseline, Week 16 of the double-blind treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -8.53 |
OPN-375 100 μg BID | -10.96 |
OPN-375 200 μg BID | -14.24 |
OPN-375 400 μg BID | -10.66 |
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Facial Pain or Pressure Score (7-day Instantaneous Morning)
"Subjects reported nasal symptoms using the electronic diary twice daily immediately before dosing.~0: None~Mild, symptoms clearly present, but minimal awareness, and easily tolerated~Moderate, definite awareness of symptoms that is bothersome but tolerable~Severe, symptoms that are hard to tolerate, cause interference with activities or daily living~The change from baseline in instantaneous morning diary symptom scores averaged over 7 days prior to the Week 16 Visit of the double-blind treatment phase" (NCT01622569)
Timeframe: Baseline, Week 16 of the double-blind treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -0.41 |
OPN-375 100 μg BID | -0.65 |
OPN-375 200 μg BID | -0.72 |
OPN-375 400 μg BID | -0.68 |
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Change in 7-day Average Instantaneous Morning Diary Congestion/Obstruction Symptoms
"Subjects reported nasal symptoms using the electronic diary twice daily immediately before dosing.~0: None~Mild, symptoms clearly present, but minimal awareness, and easily tolerated~Moderate, definite awareness of symptoms that is bothersome but tolerable~Severe, symptoms that are hard to tolerate, cause interference with activities or daily living~The change from baseline in instantaneous morning diary symptom scores averaged over 7 days prior to the Week 4 Visit of the double-blind treatment phase" (NCT01622569)
Timeframe: Baseline, Week 4 of the double-blind treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -0.26 |
OPN-375 100 μg BID | -0.53 |
OPN-375 200 μg BID | -0.56 |
OPN-375 400 μg BID | -0.67 |
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Polyp Grade of 0 in at Least One Nostril
"Polyp grading of each nasal cavity was determined by a nasal polyp grading scale score measured by nasoendoscopy. This outcome measured how many patients with a polyp grad of 0 in at least 1 nostril.~0: No polyps~Mild polyposis: polyps not reaching below the inferior border of the middle turbinate~Moderate polyposis: polyps reaching below the inferior border of the middle concha, but not the inferior border of the inferior turbinate~Severe polyposis large polyps reaching below the lower inferior border of the inferior turbinate" (NCT01622569)
Timeframe: Baseline, Week 16 of the double-blind treatment phase, Week 24 of the end of open-label treatment phase
Intervention | Participants (Count of Participants) |
---|
| Week 16 | Week 24 (all pts on 400 μg OPN-375 BID wks 17-24) |
---|
OPN-375 100 μg Twice Daily | 19 | 24 |
,OPN-375 200 μg Twice Daily | 12 | 16 |
,OPN-375 400 μg Twice Daily | 14 | 19 |
,Placebo | 9 | 17 |
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SF-36v2 - Mental Component
The SF-36v2 is a multipurpose, scaled, 36-item, subject-completed validated questionnaire that measures 8 domains of health: limitations in physical activities, limitations in social activities, limitations in usual role activities, bodily pain, general mental health, limitations in usual role activities, vitality, and general health. It yields scale scores for each of the 8 health domains, and 2 summary measures of physical and mental health. Each scale range is from 0-100. A lower score means more disability and a higher score means less disability. (NCT01622569)
Timeframe: Baseline, Week 16 of the double-blind treatment phase, Week 24 of the end of open-label treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 16 | Week 24 (all pts on 400 μg OPN-375 BID wks 17-24) |
---|
OPN-375 100 μg BID | 3.19 | 3.37 |
,OPN-375 200 μg BID | 4.03 | 5.82 |
,OPN-375 400 μg BID | 1.83 | 3.61 |
,Placebo | 0.70 | 4.44 |
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SF-36v2 - Physical Component
The SF-36v2 is a multipurpose, scaled, 36-item, subject-completed validated questionnaire that measures 8 domains of health: limitations in physical activities, limitations in social activities, limitations in usual role activities, bodily pain, general mental health, limitations in usual role activities, vitality, and general health perceptions. It yields scale scores for each of the 8 health domains, and 2 summary measures of physical and mental health. Each scale range is from 0-100. A lower score means more disability and a higher score means less disability. (NCT01622569)
Timeframe: Baseline, Week 16 of the double-blind treatment phase, Week 24 of the end of open-label treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 16 | Week 24 (all pts on 400 μg OPN-375 BID wks 17-24) |
---|
OPN-375 100 μg BID | 4.12 | 6.55 |
,OPN-375 200 μg BID | 5.19 | 7.18 |
,OPN-375 400 μg BID | 3.58 | 4.90 |
,Placebo | 2.67 | 6.97 |
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Nasal Polyp Surgery Eligibility
(NCT01623310)
Timeframe: Baseline, Month 3, Month 12
Intervention | Participants (Count of Participants) |
---|
| Month 3, Pts With Polyps | Month 3, Patients Without Polyps | Month 12, Pts With Polyps | Month 12, Pts Without Polyps |
---|
OPN-375 400 μg | 5 | 2 | 1 | 3 |
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Patient Global Impression of Change (PGIC)
"The PGIC took less than 1 minute to complete. Subjects answered question, Since starting the study drug, how would you rate the change in your symptoms? Patients may answer very much improved, much improved, minimally improved, no change, minimally worse, much worse, or very much worse. Data listed below reports the total number of patients who answered very much improved, much improved, or minimally improved at the specified time." (NCT01623310)
Timeframe: Baseline, Month 3, Month 12
Intervention | Participants (Count of Participants) |
---|
| Month 3, Pts With Polyps | Month 3, Patients Without Polyps | Month 12, Pts With Polyps | Month 12, Pts Without Polyps |
---|
OPN-375 400 μg | 27 | 151 | 22 | 110 |
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Sinonasal Outcome Test 22 (SNOT-22) Total Score
"Change from baseline to Month 3 & Month 12 in SNOT-22 Total Score~SNOT-22 is validated in large populations with chronic sinusitis with and without nasal polyps. The 22 questions are used to calculate a total score (the sum of all items) and 4 subscale scores. The 22 questions are divided among 4 subscales: Rhinologic, Ear and Facial Symptoms, Sleep Function, and Psychological Issues subscales. The total score can range from 0-110, 0 being the best and 110 being the worst.~0: No problem~Very mild problem~Mild or slight problem~Moderate problem~Severe problem~Problem as bad as it can be" (NCT01623310)
Timeframe: Baseline, Month 3, Month 12
Intervention | units on a scale (Mean) |
---|
| Change from BL to Month 3, Pts With Polyps | Change from BL to Month 3, Pts Without Polyps | Change from BL to Month 12, Pts With Polyps | Change from BL to Month 12, Pts Without Polyps |
---|
OPN-375 400 μg | -16.7 | -18.6 | -21.5 | -21.1 |
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Adverse Events
Patients with at least one Adverse Events (NCT01623310)
Timeframe: 12 Months
Intervention | Participants (Count of Participants) |
---|
OPN-375 400 μg | 169 |
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Summed Bilateral Nasal Polyp Grading Scale Score
"In subjects with nasal polyps, polyp grading of each nasal cavity was determined by a nasal polyp grading scale score measured by nasoendoscopy.~0: No polyps~Mild polyposis: polyps not reaching below the inferior of the middle turbinate~Moderate polyposis: polyps reaching below the inferior border of the middle concha, but not the inferior border of the inferior turbinate~Severe polyposis: large polyps reaching below the lower inferior border of the inferior turbinate" (NCT01623310)
Timeframe: Baseline, Month 3, Month 12
Intervention | units on a scale (Mean) |
---|
| Month 3 | Month 12 |
---|
OPN-375 400 μg | 2.0 | 1.3 |
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Lund-Mackay Total Score
"Change from baseline to Month 3, Month 12, in Lund-Mackay Total Score~Lund-Mackay Assessment of nasal cavity appearance, via nasoendoscopy, used to evaluate signs of edema, discharge, crusting, scarring/adhesions, and nasal polyps, with each sign rated on a 0 to 2 scale 0: None 2: Worse outcome" (NCT01623310)
Timeframe: Baseline, Month 3, Month 12
Intervention | units on a scale (Mean) |
---|
| Change from BL to Month 3, Pts With Polyps | Change from BL to Month 3, Pts Without Polyps | Change from BL to Month 12, Pts With Polyps | Change from BL to Month 12, Pts Without Polyps |
---|
OPN-375 400 μg | -0.8 | -0.8 | -0.7 | -0.8 |
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Adverse Events
Adverse Events were collected via spontaneous subject report and through physician examination. The display of adverse events is by subject. (NCT01623323)
Timeframe: Baseline to 3 months or End of Study
Intervention | participants (Number) |
---|
OPN-375 | 270 |
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Nasal Congestion/Obstruction Score (7-day Instantaneous Morning)
Measured by the 7-day average instantaneous morning diary symptom scores (NCT01624662)
Timeframe: Week 16 of the double-blind treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -0.48 |
OPN-375 100 mcg | -0.99 |
OPN-375 200 mcg | -0.93 |
OPN-375 400 mcg | -0.97 |
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Rhinosinusitis Disability Index (RSDI) Total Score
The RSDI is a subject-completed instrument that evaluates the self-perceived impact of disease specific head and neck disorders. The RSDI has 30 items in 3 domains: Physical (11 items), Functional (9 items), and Emotional (10 items). The RSDI scale ranges from 0-120, 0 being better quality of life and less impact of CRS on daily function and 120 being worse quality of life and more impact of CRS on daily function. (NCT01624662)
Timeframe: Baseline, Week 16 of the double-blind treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -7.80 |
OPN-375 100 mcg | -15.54 |
OPN-375 200 mcg | -15.37 |
OPN-375 400 mcg | -16.69 |
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Number of Participants Eligible for Nasal Polyp Surgery
"A subject was considered eligible for surgical intervention if the following conditions were met:~Subject has had moderate symptoms of congestion from nasal polyposis for ≥ 3 months.~Subject continues to suffer from at least moderate symptoms despite use of topical steroids at conventional doses for ≥ 6 weeks.~Subject continues to suffer from at least moderate symptoms despite use (or previous use) of saline lavage for ≥ 6 weeks.~Subject has endoscopically visualized bilateral nasal polyposis of at least moderate severity (nasal polyp grading score ≥ 2 in at least 1 nostril)." (NCT01624662)
Timeframe: Week 16 of the double-blind treatment phase; Week 24 of the open-label extension phase
Intervention | Participants (Count of Participants) |
---|
| Week 16 | Week 24 (all pts on OPN-375 400 mcg BID wks 17-24) |
---|
OPN-375 100 mcg | 13 | 9 |
,OPN-375 200 mcg | 13 | 12 |
,OPN-375 400 mcg | 17 | 11 |
,Placebo | 23 | 13 |
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Peak Nasal Inspiratory Flow (PNIF)
"The PNIF is an assessment of nasal passage obstruction and was measured using an In-Check portable nasal inspiratory flow meter. To measure PNIF, a mask was placed over the nose during inspiration and inspiratory flow was recorded. Each subject inhaled 3 times and each measurement was recorded. The PNIF value used was the greatest of the 3 results at each time point.~Change from baseline in Peak Nasal Inspiratory Flow (PNIF)" (NCT01624662)
Timeframe: Week 16 of the double-blind treatment phase; Week 24 of the open-label extension phase
Intervention | L/min (Least Squares Mean) |
---|
| Week 16 | Week 24 (all pts on OPN-375 400 mcg BID wks 17-24) |
---|
OPN-375 100 mcg | 26.50 | 32.06 |
,OPN-375 200 mcg | 24.92 | 31.87 |
,OPN-375 400 mcg | 28.64 | 33.08 |
,Placebo | 0.54 | 15.34 |
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Polyp Grade of 0 in at Least One Nostril
"Subjects with a Polyp Grade of 0 (None) in at least one nostril~Polyp grading of each nasal cavity was determined by a nasal polyp grading scale score measured by nasoendoscopy. This outcome measured how many patients with a polyp grad of 0 in at least 1 nostril.~0: No polyps~Mild polyposis: polyps not reaching below the inferior border of the middle turbinate~Moderate polyposis: polyps reaching below the inferior border of the middle concha, but not the inferior border of the inferior turbinate~Severe polyposis large polyps reaching below the lower inferior border of the inferior turbinate" (NCT01624662)
Timeframe: Week 16 of the double-blind treatment phase, Week 24 of the open-label extension phase
Intervention | Participants (Count of Participants) |
---|
| Week 16 | Week 24 (all pts on OPN-375 400 μg BID wks 17-24) |
---|
OPN-375 100 mcg | 10 | 19 |
,OPN-375 200 mcg | 6 | 17 |
,OPN-375 400 mcg | 11 | 22 |
,Placebo | 3 | 6 |
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SF-36v2 - Mental Component
The SF-36v2 is a multipurpose, scaled, 36-item, subject-completed validated questionnaire that measures 8 domains of health: limitations in physical activities, limitations in social activities, limitations in usual role activities, bodily pain, general mental health, limitations in usual role activities, vitality, and general health. It yields scale scores for each of the 8 health domains, and 2 summary measures of physical and mental health. Each scale range is from 0-100. A lower score means more disability and a higher score means less disability. (NCT01624662)
Timeframe: Baseline, Week 16 of the double-blind treatment phase, Week 24 of the open-label extension phase
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 16 | Week 24 (all pts on OPN-375 400 mcg BID wks 17-24) |
---|
OPN-375 100 mcg | 4.37 | 4.07 |
,OPN-375 200 mcg | 3.88 | 4.41 |
,OPN-375 400 mcg | 3.98 | 5.86 |
,Placebo | 1.69 | 4.90 |
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SF-36v2 - Physical Component
The SF-36v2 is a multipurpose, scaled, 36-item, subject-completed validated questionnaire that measures 8 domains of health: limitations in physical activities, limitations in social activities, limitations in usual role activities, bodily pain, general mental health, limitations in usual role activities, vitality, and general health perceptions. It yields scale scores for each of the 8 health domains, and 2 summary measures of physical and mental health. Each scale range is from 0-100. A lower score means more disability and a higher score means less disability. (NCT01624662)
Timeframe: Baseline, Week 16 of the double-blind treatment phase, Week 24 of the open-label extension phase
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 16 | Week 24 (all pts on OPN-375 400 mcg BID wks 17-24) |
---|
OPN-375 100 mcg | 4.27 | 5.23 |
,OPN-375 200 mcg | 4.57 | 5.85 |
,OPN-375 400 mcg | 5.07 | 6.06 |
,Placebo | 2.78 | 5.50 |
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Sinonasal Outcome Test 22 (SNOT-22) Total Score
"SNOT-22 is a subject-completed questionnaire that consists of 22 questions. The questions on the SNOT-22 efficacy evaluation were used to calculate a total score. 22 questions are divided among 4 subscales: Rhinologic (7 questions), Ear/Facial Symptoms (4 questions), Sleep Function (3 questions), and Psychological Issues (6 questions). Each item was rated on the 5-point scale. The total score can range from 0-110, 0 being the best and 110 being the worst.~0: No problem~Very mild problem~Mild or slight problem~Moderate problem~Severe problem~Problem as bad as it can be" (NCT01624662)
Timeframe: Baseline, Week 16 of the double-blind treatment phase, Week 24 of the open-label extension phase
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 16 | Week 24 (all pts on OPN-375 400 mcg BID wks 17-24) |
---|
OPN-375 100 mcg | -21.14 | -22.89 |
,OPN-375 200 mcg | -21.43 | -22.92 |
,OPN-375 400 mcg | -21.05 | -23.21 |
,Placebo | -11.70 | -19.45 |
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Number of Participants in Each Category of PGIC
"Patient Global Impression of Change; subject responses to the question: Since starting the study drug, how would you rate the change in your symptoms? Percentage includes patients who scored either very much improved, much improved, or minimally improved." (NCT01624662)
Timeframe: Week 16 of the double-blind treatment phase, Week 24 of the open-label extension phase
Intervention | Participants (Count of Participants) |
---|
| Week 1672214299 | Week 1672214302 | Week 1672214300 | Week 1672214301 | Week 24 (all pts on OPN-375 400 mcg BID wks 17-24)72214302 | Week 24 (all pts on OPN-375 400 mcg BID wks 17-24)72214301 | Week 24 (all pts on OPN-375 400 mcg BID wks 17-24)72214299 | Week 24 (all pts on OPN-375 400 mcg BID wks 17-24)72214300 |
---|
| Very much improved | Much worse | Very much worse | Much improved | Minimally improved | No change | Minimally worse |
---|
Placebo | 6 |
100 mcg Fluticasone Proprionate | 19 |
200 mcg Fluticasone Proprionate | 17 |
400 mcg Fluticasone Prioprionate | 24 |
Placebo | 16 |
100 mcg Fluticasone Proprionate | 34 |
200 mcg Fluticasone Proprionate | 34 |
400 mcg Fluticasone Prioprionate | 31 |
Placebo | 22 |
100 mcg Fluticasone Proprionate | 15 |
200 mcg Fluticasone Proprionate | 16 |
400 mcg Fluticasone Prioprionate | 19 |
Placebo | 18 |
100 mcg Fluticasone Proprionate | 7 |
200 mcg Fluticasone Proprionate | 7 |
400 mcg Fluticasone Prioprionate | 7 |
Placebo | 5 |
Placebo | 2 |
200 mcg Fluticasone Proprionate | 1 |
200 mcg Fluticasone Proprionate | 0 |
Placebo | 17 |
100 mcg Fluticasone Proprionate | 21 |
200 mcg Fluticasone Proprionate | 23 |
400 mcg Fluticasone Prioprionate | 25 |
Placebo | 26 |
100 mcg Fluticasone Proprionate | 37 |
200 mcg Fluticasone Proprionate | 24 |
400 mcg Fluticasone Prioprionate | 40 |
Placebo | 19 |
100 mcg Fluticasone Proprionate | 13 |
200 mcg Fluticasone Proprionate | 15 |
400 mcg Fluticasone Prioprionate | 6 |
100 mcg Fluticasone Proprionate | 3 |
200 mcg Fluticasone Proprionate | 4 |
Placebo | 3 |
200 mcg Fluticasone Proprionate | 3 |
400 mcg Fluticasone Prioprionate | 0 |
Placebo | 1 |
100 mcg Fluticasone Proprionate | 1 |
400 mcg Fluticasone Prioprionate | 1 |
Placebo | 0 |
100 mcg Fluticasone Proprionate | 0 |
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Facial Pain or Pressure Score (7-day Instantaneous Morning)
Change from baseline in facial pain/pressure symptoms, as measured by AM and PM diary symptom scores (NCT01624662)
Timeframe: Week 16 of the double-blind treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -0.48 |
OPN-375 100 mcg | -0.85 |
OPN-375 200 mcg | -0.81 |
OPN-375 400 mcg | -0.75 |
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Change in Total Polyp Grade
Determined by a nasal polyp grading scale score (sum of scores from both nasal cavities) measured by nasoendoscopy (NCT01624662)
Timeframe: Baseline, Week 16 of the double-blind treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -0.61 |
OPN-375 100 mcg | -1.31 |
OPN-375 200 mcg | -1.22 |
OPN-375 400 mcg | -1.41 |
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Change in Total Nasal Polyp Score
"Polyp grading of each nasal cavity was determined by a nasal polyp grading scale score measured by nasoendoscopy.~0: No polyps~Mild polyposis: polyps not reaching below the inferior border of the middle turbinate~Moderate polyposis: polyps reaching below the inferior border of the middle concha, but not the inferior border of the inferior turbinate~Severe polyposis large polyps reaching below the lower inferior border of the inferior turbinate~Determined by a nasal polyp grading scale score (sum of scores from both nasal cavities measured by nasoendoscopy)" (NCT01624662)
Timeframe: Baseline, Week 24 of the open-label extension phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -1.06 |
OPN-375 100 mcg | -1.60 |
OPN-375 200 mcg | -1.48 |
OPN-375 400 mcg | -1.75 |
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Change in Rhinorrhea Score (7-day Instantaneous Morning)
Change from baseline in rhinorrhea symptoms, as measured by AM and PM diary symptom scores (NCT01624662)
Timeframe: Baseline, Week 16 of the double-blind treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -0.42 |
OPN-375 100 mcg | -1.00 |
OPN-375 200 mcg | -0.84 |
OPN-375 400 mcg | -0.84 |
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Change in 7-day Average Instantaneous Morning Diary Congestion/Obstruction Symptoms
"Subjects reported nasal symptoms using the electronic diary twice daily immediately before dosing.~0: None~Mild, symptoms clearly present, but minimal awareness, and easily tolerated~Moderate, definite awareness of symptoms that is bothersome but tolerable~Severe, symptoms that are hard to tolerate, cause interference with activities or daily living~During the single-blind run-in phase and during the 16-week, double-blind treatment phase, an electronic diary was provided to each subject. Subjects reported both instantaneous (evaluation of symptom severity immediately preceding the time of scoring) and reflective (evaluation of symptoms severity over the previous 12 hours) scores for nasal congestion/obstruction symptoms." (NCT01624662)
Timeframe: Baseline, Week 4 of the double-blind treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -0.24 |
OPN-375 100 mcg | -0.59 |
OPN-375 200 mcg | -0.68 |
OPN-375 400 mcg | -0.62 |
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MOS Sleep-R Score
The MOS Sleep-R is a brief, self-administered, validated questionnaire designed to measure key aspects of sleep, such as disturbance, adequacy, somnolence, and quantity. The 12-item version with a 4-week recall was used in this study. The score range for the 12-item version is 0 to 100, lower scores indicating better sleep and higher scores indicating worse sleep. The scale yields a Sleep Problem Index and scores on the following 6 subscales: Sleep Disturbance, Snoring, Shortness of Breath or Headache, Sleep Adequacy, Sleep Somnolence, and Sleep Quantity. (NCT01624662)
Timeframe: Baseline, Week 16 of the double-blind treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -10.03 |
OPN-375 100 mcg | -14.26 |
OPN 375 200 mcg | -15.78 |
OPN 375 400 mcg | -14.30 |
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Hyposmia Score (7-day Instantaneous Morning)
Change from baseline in hyposmia symptoms, as measured by AM and PM diary symptom scores (NCT01624662)
Timeframe: Week 16 of the double-blind treatment phase
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | -0.24 |
OPN-375 100 mcg | -0.54 |
OPN-375 200 mcg | -0.47 |
OPN-375 400 mcg | -0.63 |
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Time to Onset on Treatment Day 1
Time to onset on Treatment Day 1 is defined as the time to an increase of 100 milliliters (mL) from Baseline in FEV1. Time of onset was calculated over 0 to 4 hours (5 minutes (min), 15 min, 30 min, 60 min, 120 min, and 240 min) post-dose. Time to onset was analyzed using a log-rank test, stratified by exacerbation history and reversibility stratum. (NCT01627327)
Timeframe: Baseline and Day 1
Intervention | Minutes (Median) |
---|
FF/VI 100/25 µg OD | 17.0 |
TIO 18 µg OD | 20.5 |
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Change From Baseline Trough in 24-hour Weighted Mean FEV1 on Treatment Day 84
Pulmonary function was measured by forced expiratory volume in one second (FEV1), defined as the maximal amount of air that can be forcefully exhaled from the lungs in one second. The weighted mean was calculated from the pre-dose FEV1 and post-dose FEV1 measurements at 5, 15, 30 minutes and 1, 2, 4, 6, 8, 12, 13, 14, 16, 20, and 24 hours on Treatment Day 84. Baseline trough FEV1 was the mean of the two assessments made 30 and 5 minutes pre-dose on Treatment Day 1. Change from Baseline (BL) was calculated as the average of the Day 84 values minus the Baseline value. Analysis was performed using an analysis of covariance (ANCOVA) model with covariates of BL FEV1, exacerbation history and reversibility stratum, smoking status at screening, country, and treatment group. (NCT01627327)
Timeframe: Baseline and Day 84
Intervention | Liters (Least Squares Mean) |
---|
FF/VI 100/25 µg OD | 0.117 |
TIO 18 µg OD | 0.095 |
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Change From Baseline in Trough FEV1 at Treatment Day 84
Pulmonary function was measured by FEV1. Trough FEV1 was defined as the 24-hour FEV1 assessment, which was obtained on Day 84. Baseline is defined as the mean of the two assessments made 30 minutes pre-dose and 5 minutes pre-dose on Treatment Day 1.Change from Baseline was calculated as the average of the Day 84 values minus the Baseline value. Analysis was performed using an ANCOVA model with covariates of BL FEV1, exacerbation history and reversibility stratum, smoking status at screening, country, and treatment group. (NCT01627327)
Timeframe: Baseline and Day 84
Intervention | Liters (Least Squares Mean) |
---|
FF/VI 100/25 µg OD | 0.098 |
TIO 18 µg OD | 0.093 |
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Mean Change From Baseline in the Individual Ocular Symptom Scores (Eye Itching, Tearing, and Redness) Over the Entire Treatment Period, at Week 1, and at Week 2
Symptoms of eye itching, tearing, and redness were scored by the participant's parent/guardian who signed the ICF or the participant themself using a scale of 0, 1, 2, or 3 (a larger score indicates more severe symptoms) and were recorded in the participant's diary. The mean of the Baseline period is defined as the mean score of 4 consecutive days prior to Visit 2 (start of the treatment period). The mean of each assessment period is defined as the mean score of the entire treatment period (Weeks 1 and 2), Week 1, and Week 2. For each assessment period, a mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01630135)
Timeframe: Baseline through the entire treatment period (2 weeks), Week 1, and Week 2
Intervention | Scores on a scale (Least Squares Mean) |
---|
| Eye itching, Entire Treatment Period, n=131, 130 | Eye itching, Week 1, n=131, 130 | Eye itching Week 2, n=131, 128 | Tearing, Entire Treatment Period, n=131, 130 | Tearing, Week 1, n=131, 130 | Tearing, Week 2, n=131, 128 | Redness, Entire Treatment Period, n=131, 130 | Redness, Week 1, n=131, 130 | Redness, Week 2, n=130, 128 |
---|
Fluticasone Furoate 55 µg Per Day | -0.24 | -0.15 | -0.34 | -0.10 | -0.09 | -0.11 | -0.11 | -0.07 | -0.16 |
,Placebo | -0.18 | -0.13 | -0.23 | -0.05 | -0.03 | -0.07 | -0.09 | -0.07 | -0.10 |
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Mean Change From Baseline in the Score of Troubles With Daily Life Over the Entire Treatment Period, at Week 1, and at Week 2
The participant's parent/guardian who signed the ICF or the participant themself scored the participant's troubles with daily life once daily using the following scale: 0, None; 1, Few troubles; 2, Intermediate between 3 and 1; or 3, Painful and complicating daily life. The mean of the Baseline period is defined as the mean score of 4 consecutive days prior to Visit 2 (start of the treatment period). The mean of each assessment period is defined as the mean score of the entire treatment period (Weeks 1 and 2), Week 1, and Week 2. For each assessment period, a mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01630135)
Timeframe: Baseline through the entire treatment period (2 weeks), Week 1, and Week 2
Intervention | Scores on a scale (Least Squares Mean) |
---|
| Entire Treatment Period, n=131, 130 | Week 1, n=131, 130 | Week 2, n=131, 128 |
---|
Fluticasone Furoate 55 µg Per Day | -0.43 | -0.33 | -0.53 |
,Placebo | -0.13 | -0.10 | -0.16 |
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Mean Change From Baseline in the Total Ocular Symptom Score (TOSS) Over the Entire Treatment Period, at Week 1, and at Week 2
Symptoms of eye itching, tearing, and redness were scored by the participant's parent/guardian who signed the ICF or the participant themself using a scale of 0, 1, 2, or 3 (a larger score indicates more severe symptoms) and were recorded in the participant's diary. The TOSS is the sum of all three symtpom scores and ranges from 0 to 9. The mean of the Baseline period is defined as the mean score of 4 consecutive days prior to Visit 2 (start of the treatment period). The mean of each assessment period is defined as the mean score of the entire treatment period (Weeks 1 and 2), Week 1, and Week 2. For each assessment period, a mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01630135)
Timeframe: Baseline through the entire treatment period (2 weeks), Week 1, and Week 2
Intervention | Scores on a scale (Least Squares Mean) |
---|
| Entire Treatment Period, n=131, 130 | Week 1, n=131, 130 | Week 2, n= 131, 128 |
---|
Fluticasone Furoate 55 µg Per Day | -0.46 | -0.31 | -0.61 |
,Placebo | -0.32 | -0.22 | -0.39 |
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Mean Percent Change From Baseline (BL) in the TOSS for the Baseline TOSS >0 Over the Entire Treatment Period, at Week 1, and at Week 2
Symptoms of eye itching, tearing, and redness were scored by the participant's (par.) parent/guardian who signed the ICF or the par. themself using a scale of 0, 1, 2, or 3 (a larger score indicates more severe symptoms) and were recorded in the par.'s diary. The TOSS is the sum of all 3 symptom scores and ranges from 0 to 9. The mean of the BL period is defined as the mean score of 4 consecutive days prior to Visit 2 (start of the treatment period). The mean of each assessment period is defined as the mean score of the entire treatment period (Weeks 1 and 2), Week 1, and Week 2. For each assessment period, a mean score for each par. was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Percent change from BL=(mean score at post-BL assessment minus score at BL) divided by the BL value * 100. (NCT01630135)
Timeframe: Baseline through the entire treatment period (2 weeks), Week 1, and Week 2
Intervention | Percent change (Least Squares Mean) |
---|
| Entire Treatment Period, n=99, 92 | Week 1, n=99, 92 | Week 2, n=99, 90 |
---|
Fluticasone Furoate 55 µg Per Day | -20.97 | -9.20 | -33.52 |
,Placebo | 1.57 | 5.37 | -1.70 |
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Mean Percent Change From Baseline (BL) in the TOSS Over the Entire Treatment Period, at Week 1, and at Week 2
Symptoms of eye itching, tearing, and redness were scored by the participant's (par.) parent/guardian who signed the ICF or the par. themself using a scale of 0, 1, 2, or 3 (a larger score indicates more severe symptoms) and were recorded in the par.'s diary. The TOSS is the sum of all 3 symptom scores and ranges from 0 to 9. The mean of the BL period is defined as the mean score of 4 consecutive days prior to Visit 2 (start of the treatment period). The mean of each assessment period is defined as the mean score of the entire treatment period (Weeks 1 and 2), Week 1, and Week 2. For each assessment period, a mean score for each par. was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Percent change from BL=(mean score at post-BL assessment minus score at BL) divided by the BL value * 100. Par. with a BL TOSS of 0 were not analyzed because percent change from BL could not be calculated. (NCT01630135)
Timeframe: Baseline through the entire treatment period (2 weeks), Week 1, and Week 2
Intervention | Percent change (Least Squares Mean) |
---|
| Entire Treatment Period, n=99, 92 | Week 1, n=99, 92 | Week 2, n= 99, 90 |
---|
Fluticasone Furoate 55 µg Per Day | -20.97 | -9.20 | -33.52 |
,Placebo | 1.57 | 5.37 | -1.70 |
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Mean Percent Change From Baseline in the 4TNSS Over the Entire Treatment Period, at Week 1, and at Week 2
The 4TNSS is the sum of the 4 individual symptom scores for sneezing, rhinorrhea, nasal congestion, and nasal itching. Each symptom is scored on a scale from 0 to 3; the range of sums for the 4TNSS is 0 to 12. The symptoms were evaluated using a scale of 0, 1, 2, or 3; a larger score indicates more severe symptoms. The participant's parent/guardian who signed the ICF or the participant themself scored nasal symptoms every day during the screening period and the treatment period. The Baseline value is defined as the average 4TNSS over the last 4 consecutive days prior to Visit 2 (start of the treatment period). For the entire treatment period (Weeks 1 and 2), Week 1, and Week 2, a mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Percent change from Baseline=(mean score at the post-Baseline assessment minus the score at Baseline) divided by the Baseline value * 100. (NCT01630135)
Timeframe: Baseline through the entire treatment period (2 weeks), Week 1, and Week 2
Intervention | Percent change (Least Squares Mean) |
---|
| Entire Treatment Period, n=131, 130 | Week 1, n=131, 130 | Week 2, n= 131, 128 |
---|
Fluticasone Furoate 55 µg Per Day | -40.42 | -32.55 | -48.58 |
,Placebo | -16.09 | -11.54 | -20.92 |
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Number of Participants With the Indicated Overall Response to Therapy, as Assessed by the Investigator
The investigator evaluated the participant's overall response to therapy (defined as improvement in the symptoms of allergic rhinitis) compared with Visit 2 (start of the treatment period), using the following 7-point categorical scale: 1=significantly improved, 2=moderately improved, 3=mildly improved, 4=no change, 5=mildly worse, 6=moderately worse, and 7=significantly worse. (NCT01630135)
Timeframe: Week 2/EW
Intervention | participants (Number) |
---|
| Significantly improved | Moderately improved | Mildly improved | No change | Mildly worse | Moderately worse | Significantly worse |
---|
Fluticasone Furoate 55 µg Per Day | 32 | 38 | 36 | 22 | 1 | 2 | 0 |
,Placebo | 12 | 25 | 31 | 54 | 5 | 2 | 1 |
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Number of Participants With the Indicated Overall Response to Therapy, as Assessed by the Participant's Parent/Guardian or the Participant
The participant's parent/guardian who signed the ICF or the participant themself evaluated the participant's overall response to therapy (defined as improvement in the symptoms of allergic rhinitis) compared with Visit 2 (start of the treatment period), using the following 7-point categorical scale: 1=significantly improved, 2=moderately improved, 3=mildly improved, 4=no change, 5=mildly worse, 6=moderately worse, and 7=significantly worse. (NCT01630135)
Timeframe: Week 2/EW
Intervention | participants (Number) |
---|
| Significantly improved | Moderately improved | Mildly improved | No change | Mildly worse | Moderately worse | Significantly worse |
---|
Fluticasone Furoate 55 µg Per Day | 28 | 51 | 34 | 18 | 0 | 0 | 0 |
,Placebo | 2 | 26 | 48 | 51 | 3 | 0 | 0 |
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Number of Participants With the Indicated Scores for Rhinoscopy Findings (Swelling of Inferior Turbinate Mucosa, Color of Inferior Turbinate Mucosa, Quantity of Nasal Discharge, and Quality of Nasal Discharge) at Baseline, Week 1, and Week 2/EW
Rhinoscopy was assessed by the investigator by scoring swelling of inferior turbinate mucosa (SOITM) scored as 0 (none), 1 (possible to see center of the middle turbinate), 2 (between 3 and 1), or 3 (impossible to see middle turbinate); color of inferior turbinate mucosa (COITM) scored as 0 (normal), 1 (pink), 2 (red), or 3 (pale); quantity of nasal discharge (QTND) scored as 0 (none), 1 (small amount adhered), 2 (between 3 and 1), or 3 (filled); and quality of nasal discharge (QLND) scored as 0 (none), 1 (pyoid), 2 (viscous), or 3 (watery). (NCT01630135)
Timeframe: Baseline, Week 1, and Week 2/Early Withdrawal (EW)
Intervention | participants (Number) |
---|
| SOITM, Baseline, Score 0, n=131, 130 | SOITM, Baseline, Score 1, n=131, 130 | SOITM, Baseline, Score 2, n=131, 130 | SOITM, Baseline, Score 3, n=131, 130 | SOITM, Week 1, Score 0, n=131, 128 | SOITM, Week 1, Score 1, n=131, 128 | SOITM, Week 1, Score 2, n=131, 128 | SOITM, Week 1, Score 3, n=131, 128 | SOITM, Week 2/EW, Score 0, n=131, 130 | SOITM, Week 2/EW, Score 1, n=131, 130 | SOITM, Week 2/EW, Score 2, n=131, 130 | SOITM, Week 2/EW, Score 3, n=131, 130 | COITM, Baseline, Score 0, n=131, 130 | COITM, Baseline, Score 1, n=131, 130 | COITM, Baseline, Score 2, n=131, 130 | COITM, Baseline, Score 3, n=131, 130 | COITM, Week 1, Score 0, n= 131, 128 | COITM, Week 1, Score 1, n= 131, 128 | COITM, Week 1, Score 2, n= 131, 128 | COITM, Week 1, Score 3, n= 131, 128 | COITM, Week 2/EW, Score 0, n=131, 130 | COITM, Week 2/EW, Score 1, n=131, 130 | COITM, Week 2/EW, Score 2, n=131, 130 | COITM, Week 2/EW, Score 3, n=131, 130 | QTND, Baseline, Score 0, n=131, 130 | QTND, Baseline, Score 1, n=131, 130 | QTND, Baseline, Score 2, n=131, 130 | QTND, Baseline, Score 3, n=131, 130 | QTND, Week 1, Score 0, n= 131, 128 | QTND, Week 1, Score 1, n= 131, 128 | QTND, Week 1, Score 2, n= 131, 128 | QTND, Week 1, Score 3, n= 131, 128 | QTND, Week 2/EW, Score 0, n=131, 130 | QTND, Week 2/EW, Score 1, n=131, 130 | QTND, Week 2/EW, Score 2, n=131, 130 | QTND, Week 2/EW, Score 3, n=131, 130 | QLND, Baseline, Score 0, n=131, 130 | QLND, Baseline, Score 1, n=131, 130 | QLND, Baseline, Score 2, n=131, 130 | QLND, Baseline, Score 3, n=131, 130 | QLND, Week 1, Score 0, n= 131, 128 | QLND, Week 1, Score 1, n= 131, 128 | QLND, Week 1, Score 2, n= 131, 128 | QLND, Week 1, Score 3, n= 131, 128 | QLND, Week 2/EW, Score 0, n=131, 130 | QLND, Week 2/EW, Score 1, n=131, 130 | QLND, Week 2/EW, Score 2, n=131, 130 | QLND, Week 2/EW, Score 3, n=131, 130 |
---|
Fluticasone Furoate 55 µg Per Day | 2 | 24 | 54 | 51 | 9 | 45 | 53 | 24 | 19 | 62 | 37 | 13 | 2 | 13 | 28 | 88 | 5 | 45 | 23 | 58 | 7 | 68 | 17 | 39 | 8 | 52 | 60 | 11 | 38 | 57 | 32 | 4 | 63 | 49 | 18 | 1 | 9 | 0 | 29 | 93 | 39 | 2 | 24 | 66 | 62 | 3 | 26 | 40 |
,Placebo | 7 | 32 | 55 | 36 | 5 | 55 | 44 | 24 | 19 | 45 | 42 | 24 | 2 | 31 | 29 | 68 | 2 | 43 | 27 | 56 | 10 | 51 | 20 | 49 | 6 | 53 | 63 | 8 | 18 | 62 | 42 | 6 | 37 | 57 | 31 | 5 | 6 | 0 | 27 | 97 | 18 | 5 | 27 | 78 | 33 | 3 | 29 | 65 |
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Mean Change From Baseline in the 3 Total Nasal Symptom Score (3TNSS) Over the Entire Treatment Period
The 3TNSS is the sum of the 3 individual symptom scores for sneezing, rhinorrhea, and nasal congestion. Each symptom is scored on a scale from 0 to 3; the range of sums for the 3TNSS is 0 to 9. The symptoms were evaluated using a scale of 0, 1, 2, or 3; a larger score indicates more severe symptoms. The participant's parent/guardian who signed the informed consent form (ICF) or the participant themself scored nasal symptoms every day during the screening period and the treatment period. The Baseline value is defined as the average 3TNSS over the last 4 consecutive days prior to Visit 2 (start of the treatment period). For the entire assessment period, a mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Change from Baseline was calculated as the mean score for the entire treatment period minus the score at Baseline. (NCT01630135)
Timeframe: Baseline through the entire treatment period (2 weeks)
Intervention | Scores on a scale (Least Squares Mean) |
---|
Fluticasone Furoate 55 µg Per Day | -1.98 |
Placebo | -0.89 |
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Mean Percent Change From Baseline in 3TNSS Over the Entire Treatment Period, at Week 1, and at Week 2
The 3TNSS is the sum of the 3 individual symptom scores for sneezing, rhinorrhea, and nasal congestion. Each symptom is scored on a scale from 0 to 3; the range of sums for the 3TNSS is 0 to 9. The symptoms were evaluated using a scale of 0, 1, 2, or 3; a larger score indicates more severe symptoms. The participant's parent/guardian who signed the ICF or the participant themself scored nasal symptoms every day during the screening period and the treatment period. The Baseline value is defined as the average 3TNSS over the last 4 consecutive days prior to Visit 2 (start of the treatment period). For the entire treatment period (Weeks 1 and 2), Week 1, and Week 2, a mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Percent change from Baseline=(mean score at the post-Baseline assessment minus the score at Baseline) divided by the Baseline value * 100. (NCT01630135)
Timeframe: Baseline through the entire treatment period (2 weeks), Week 1, and Week 2
Intervention | Percent change (Least Squares Mean) |
---|
| Entire treatment period, n=131, 130 | Week 1, n=131, 130 | Week 2, n=131, 128 |
---|
Fluticasone Furoate 55 µg Per Day | -39.76 | -31.96 | -47.89 |
,Placebo | -17.74 | -13.89 | -21.95 |
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Mean Change From Baseline (BL) in the Total Ocular Symptom Score (TOSS) for the Baseline TOSS >0 Over the Entire Treatment Period, at Week 1, and at Week 2
Symptoms of eye itching, tearing, and redness were scored by the participant's parent/guardian who signed the ICF or the participant themself using a scale of 0, 1, 2, or 3 (a larger score indicates more severe symptoms) and were recorded in the participant's diary. The TOSS is the sum of all three symtpom scores and ranges from 0 to 9. The mean of the Baseline period is defined as the mean score of 4 consecutive days prior to Visit 2 (start of the treatment period). The mean of each assessment period is defined as the mean score of the entire treatment period (Weeks 1 and 2), Week 1, and Week 2. For each assessment period, a mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01630135)
Timeframe: Baseline through the entire treatment period (2 weeks), Week 1, and Week 2
Intervention | Scores on a scale (Least Squares Mean) |
---|
| Entire Treatment Period, n=99, 92 | Week 1, n=99, 92 | Week 2, n= 99, 90 |
---|
Fluticasone Furoate 55 µg Per Day | -0.77 | -0.56 | -0.99 |
,Placebo | -0.47 | -0.35 | -0.56 |
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Mean Change From Baseline in 3TNSS at the Indicated Days
The 3TNSS is the sum of the 3 individual symptom scores for sneezing, rhinorrhea, and nasal congestion. Each symptom is scored on a scale from 0 to 3; the range of sums for the 3TNSS is 0 to 9. The symptoms were evaluated using a scale of 0, 1, 2, or 3; a larger score indicates more severe symptoms. The participant's parent/guardian who signed the ICF or the participant themself scored nasal symptoms every day during the screening period and the treatment period. The Baseline value is defined as the average 3TNSS over the last 4 consecutive days prior to Visit 2 (start of the treatment period). Change from Baseline was calculated as the mean score at the indicated day minus the score at Baseline. (NCT01630135)
Timeframe: Baseline; Days 1 through 14
Intervention | Scores on a scale (Least Squares Mean) |
---|
| Day 1, n=130, 130 | Day 2, n=131, 130 | Day 3, n=131, 130 | Day 4, n=131, 130 | Day 5, n=131, 130 | Day 6, n=131, 130 | Day 7, n=131, 130 | Day 8, n=131, 128 | Day 9, n=131, 128 | Day 10, n=131, 128 | Day 11, n=131, 128 | Day 12, n=131, 128 | Day 13, n=122, 123 | Day 14, n=105, 115 |
---|
Fluticasone Furoate 55 µg Per Day | -0.71 | -1.33 | -1.53 | -1.69 | -1.89 | -1.95 | -2.05 | -2.14 | -2.29 | -2.32 | -2.36 | -2.54 | -2.47 | -2.65 |
,Placebo | -0.52 | -0.41 | -0.61 | -0.77 | -0.77 | -0.97 | -0.87 | -1.05 | -1.07 | -1.01 | -1.19 | -1.21 | -1.20 | -0.93 |
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Mean Change From Baseline in 3TNSS at Week 1 and Week 2
The 3TNSS is the sum of the 3 individual symptom scores for sneezing, rhinorrhea, and nasal congestion. Each symptom is scored on a scale from 0 to 3; the range of sums for the 3TNSS is 0 to 9. The symptoms were evaluated using a scale of 0, 1, 2, or 3; a larger score indicates more severe symptoms. The participant's parent/guardian who signed the ICF or the participant themself scored nasal symptoms every day during the screening period and the treatment period. The Baseline value is defined as the average 3TNSS over the last 4 consecutive days prior to Visit 2 (start of the treatment period). For Week 1 and Week 2, a mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Change from Baseline was calculated as the mean score at Week 1 and Week 2 minus the score at Baseline. (NCT01630135)
Timeframe: Baseline; Week 1 and Week 2
Intervention | Scores on a scale (Least Squares Mean) |
---|
| Week 1, n=131, 130 | Week 2, n=131, 128 |
---|
Fluticasone Furoate 55 µg Per Day | -1.60 | -2.38 |
,Placebo | -0.70 | -1.10 |
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Mean Change From Baseline in Rhinorrhea, Nasal Congestion, Sneezing, and Nasal Itching Over the Entire Treatment Period (ETP), at Week 1, and at Week 2
Four individual symptoms (sneezing, rhinorrhea, nasal congestion, and nasal itching) were scored on a scale from 0 to 3 using a scale of 0, 1, 2, or 3; a larger score indicates more severe symptoms. The participant's parent/guardian who signed the ICF or the participant themself scored nasal symptoms every day during the screening period and the treatment period. The Baseline value is defined as the average of the symptom scores in the last 4 consecutive days prior to Visit 2 (start of the treatment period). A mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01630135)
Timeframe: Baseline through the entire treatment period (2 weeks), Week 1, and Week 2
Intervention | Scores on a scale (Least Squares Mean) |
---|
| Rhinorrhea, ETP, n=131, 130 | Rhinorrhea, Week 1, n=131, 130 | Rhinorrhea, Week 2, n=131, 128 | Nasal congestion, ETP, n=131, 130 | Nasal congestion, Week 1, n=131, 130 | Nasal congestion, Week 2, n=131, 128 | Sneezing, ETP, n=131, 130 | Sneezing, Week 1, n=131, 130 | Sneezing, Week 2, n= 131, 128 | Nasal itching, ETP, n=131, 130 | Nasal itching, Week 1, n=131, 130 | Nasal itching, Week 2, n= 131, 128 |
---|
Fluticasone Furoate 55 µg Per Day | -0.69 | -0.55 | -0.85 | -0.70 | -0.56 | -0.84 | -0.60 | -0.50 | -0.71 | -0.41 | -0.33 | -0.49 |
,Placebo | -0.31 | -0.23 | -0.40 | -0.36 | -0.29 | -0.43 | -0.21 | -0.16 | -0.27 | -0.12 | -0.04 | -0.19 |
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Mean Change From Baseline in the 4 Total Nasal Symptom Score (4TNSS) Over the Entire Treatment Period, at Week 1, and at Week 2
The 4TNSS is the sum of the 4 individual symptom scores for sneezing, rhinorrhea, nasal congestion, and nasal itching. Each symptom is scored on a scale from 0 to 3; the range of sums for the 4TNSS is 0 to 12. The symptoms were evaluated using a scale of 0, 1, 2, or 3; a larger score indicates more severe symptoms. The participant's parent/guardian who signed the ICF or the participant themself scored nasal symptoms every day during the screening period and the treatment period. The Baseline value is defined as the average of the 4TNSS in the last 4 consecutive days prior to Visit 2 (start of the treatment period). A mean score for each participant was calculated using available diary data from the assessment periods, taking the average of non-missing data during the period. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT01630135)
Timeframe: Baseline through the entire treatment period (2 weeks), Week 1, and Week 2
Intervention | Scores on a scale (Least Squares Mean) |
---|
| Entire Treatment Period, n=131, 130 | Week 1, n=131, 130 | Week 2, n= 131, 128 |
---|
Fluticasone Furoate 55 µg Per Day | -2.40 | -1.94 | -2.89 |
,Placebo | -1.01 | -0.74 | -1.29 |
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Change From Baseline in the Percentage of Rescue-free 24-hour (hr) Periods During the 12-week Treatment Period
The number of inhalations of rescue albuterol/salbutamol inhalation aerosol used during the day and night was recorded by the participants in a daily electronic diary (eDiary). A 24-hour (hr) period in which a participant's responses to both the morning and evening assessments indicated no use of rescue medication was considered to be rescue free. The Baseline value was derived from the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 12-week treatment period minus the Baseline value. The analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age, and treatment. (NCT01686633)
Timeframe: Baseline and Weeks 1-12
Intervention | Percentage of rescue-free 24-hr periods (Least Squares Mean) |
---|
FF 100 µg OD | 22.6 |
FF/VI 100/25 µg OD | 34.8 |
FF/VI 200/25 µg OD | 35.8 |
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Change From Baseline in Clinic Visit Trough FEV1 at the End of the 12-week Treatment Period
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 is defined as a pre-dose FEV1 measurement taken at a clinic visit while still on-treatment. Change from Baseline in trough FEV1 at the end of the 12-week treatment period was defined using the 24-hour post-dose serial FEV1 measurement taken at the Week 12 clinic visit. Change from Baseline was calculated as the Week 12 trough FEV1 value minus the Baseline value. The analysis was performed using an ANCOVA model with covariates of Baseline trough FEV1, region, sex, age, and treatment. The last observation carried forward (LOCF) method was used to impute missing data, in which the last non-missing post-Baseline on-treatment measurement at scheduled clinic visits was used to impute the missing measurements. (NCT01686633)
Timeframe: Baseline and Week 12
Intervention | Liters (Least Squares Mean) |
---|
FF 100 µg OD | 0.365 |
FF/VI 100/25 µg OD | 0.441 |
FF/VI 200/25 µg OD | 0.457 |
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Change From Baseline in Daily Evening (PM) PEF Averaged Over the 12-week Treatment Period
PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use and each morning. The best of three measurements was recorded. Change from Baseline (defined as the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily PM PEF over the 12-week treatment period minus the Baseline value. The analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age, and treatment. (NCT01686633)
Timeframe: Baseline and Weeks 1-12
Intervention | Liters per minute (Least Squares Mean) |
---|
FF 100 µg OD | 15.5 |
FF/VI 100/25 µg OD | 39.7 |
FF/VI 200/25 µg OD | 41.7 |
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Change From Baseline in Daily Morning (AM) Peak Expiratory Flow (PEF) Averaged Over the 12-week Treatment Period
Peak Expiratory Flow (PEF) is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use and each morning. The best of three measurements was recorded. Change from Baseline (defined as the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily AM PEF over the 12-week treatment period minus the Baseline value. The analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age, and treatment. (NCT01686633)
Timeframe: Baseline and Weeks 1-12
Intervention | Liters per minute (Least Squares Mean) |
---|
FF 100 µg OD | 19.1 |
FF/VI 100/25 µg OD | 44.3 |
FF/VI 200/25 µg OD | 47.7 |
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Change From Baseline in Weighted Mean Forced Expiratory Volume in One Second (FEV1) Over 0 to 24 Hours Post-dose at the End of the 12-week Treatment Period
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. The weighted mean was calculated from the pre-dose FEV1 (within 30 minutes prior to dosing) and post-dose FEV1 measurements at 5, 15, and 30 minutes and at 1, 2, 3, 4, 5, 12, 16, 20, 23, and 24 hours on Day 84/Week 12. At each time point, the highest of three technically acceptable measurements was recorded. Change from Baseline was calculated as the weighted mean of the 24-hour serial FEV1 measures on Day 84/Week 12 minus the Baseline value. Baseline was the pre-dose FEV1 measurement value obtained at Visit 3. The analysis was performed using an Analysis of Covariance (ANCOVA) model with covariates of Baseline FEV1, region, sex, age, and treatment. (NCT01686633)
Timeframe: Baseline and Week 12
Intervention | Liters (Least Squares Mean) |
---|
FF 100 µg OD | 0.366 |
FF/VI 100/25 µg OD | 0.474 |
FF/VI 200/25 µg OD | 0.499 |
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Change From Baseline in the Percentage of Symptom-free 24-hour (hr) Periods During the 12-week Treatment Period
Asthma symptoms were recorded in a daily eDairy by the participants every day in the morning and evening before taking any rescue or study medication and before the peak expiratory flow measurement. A 24-hour (hr) period in which a participant's responses to both the morning and evening assessments indicated no symptoms was considered to be symptom free. The Baseline value was derived from the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 12-week treatment period minus the Baseline value. The analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age, and treatment. (NCT01686633)
Timeframe: Baseline and Weeks 1-12
Intervention | Percentage of symptom-free 24-hr periods (Least Squares Mean) |
---|
FF 100 µg OD | 19.4 |
FF/VI 100/25 µg OD | 27.2 |
FF/VI 200/25 µg OD | 29.0 |
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Change From Baseline (Day 1 of Trt Period/Visit 2) in AM PEF Over 12 Weeks in Per Protocol Population
The peak expiratory flow (PEF) is a person's maximum speed of expiration, A peak flow meter was issued to participants at Visit 1 to measure the morning PEF prior to study drug and rescue medication. The best of three attempts was recorded by the participants in the diary cards. Baseline value was the assessment at Visit 2. The raw and change from baseline in daily AM PEF averaged over the 12-week treatment period The mean value was considered missing if less than 4 days were recorded in the baseline week prior to randomization or if less than 4 days are recorded after randomization. Analysis was performed using analysis of covariance (ANCOVA) model. (NCT01687283)
Timeframe: Baseline (Visit 2) and up to Week 12
Intervention | Litres/Minute (Least Squares Mean) |
---|
FP 1 mg BID | 13.50 |
BUD 2 mg BID | 15.78 |
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Steady-state Plasma Pharmacokinetics of Fluticasone Propionate Inhalation Solution-maximum Observed Plasma Concentration (Cmax)
Cmax was defined as maximum observed plasma concentration. Blood PK samples were taken on Visit 3 (Day 14±2) pre-dose, 0.5h, 1h, 2h, 3h, 4h, 6h, 8h and 12h post dose from participants. Blood sample for PK analysis, obtained within 72 hours of last dose. (NCT01687283)
Timeframe: Pre-dose, 0.5h, 1h, 2h, 3h, 4h, 6h, 8h and 12h post dose at Week 2
Intervention | picogram per milliliter (pg/mL) (Geometric Mean) |
---|
FP 1 mg BID | 59.24 |
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Mean Change in Percentage of Rescue-free 24-hour Periods From Baseline Over 12 Weeks
"While calculating rescue-free 24-hour periods, the 24-hour period was only set to be rescue free if responses to both the morning and evening, assessments indicated no use of rescue medication. If there were symptoms in either the morning or the evening then that 24-hour period was set to as not symptom free. Similarly, if there was rescue medication use in either the morning or the evening, then that 24-hour period was set to as not rescue free. The Baseline value was Visit 2 assessment and was derived from the last 7 days of the daily diary prior to the randomization. The value provided in outcome measure data is a consolidated value over Weeks 1 to 12." (NCT01687283)
Timeframe: Baseline and over 12 weeks
Intervention | Percentage of rescue -free 24-hours (Least Squares Mean) |
---|
FP 1 mg BID | 19.27 |
BUD 2 mg BID | 24.01 |
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Mean Change of Evening PEF From Baseline Over 12 Weeks
The peak expiratory flow (PEF) is a person's maximum speed of expiration, A peak flow meter was issued to participants at Visit 1 to measure the evening PEF prior to study drug and rescue medication. The best of three attempts was recorded by the participants in the diary cards. Baseline value was the assessment at Visit 2. The raw and change from baseline in daily PM PEF averaged over the 12-weeks treatment period. (NCT01687283)
Timeframe: Baseline (Visit 2) and up to Week 12
Intervention | Litres/Minute (Least Squares Mean) |
---|
FP 1 mg BID | 12.39 |
BUD 2 mg BID | 15.16 |
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Steady-state Plasma Pharmacokinetics of Fluticasone Propionate Inhalation Solution- Time to Maximum Observed Plasma Concentration (Tmax)
Tmax is defined as the time to maximum observed plasma concentration. Blood Pharmacokinetic (PK) samples were taken on Visit 3 (Day 14±2) pre-dose, 0.5h, 1h, 2h, 3h, 4h, 6h, 8h and 12h post dose from participants. Blood sample for PK analysis, obtained within 72 hours of the last dose. (NCT01687283)
Timeframe: Pre-dose, 0.5 hour (h), 1h, 2h, 3h, 4h, 6h, 8h and 12h post dose at Week 2
Intervention | Hour (Geometric Mean) |
---|
FP 1 mg BID | 0.905 |
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Steady-state Plasma Pharmacokinetics of Fluticasone Propionate Inhalation Solution-area Under the Plasma Concentration-time Curve for the Dose Interval [AUC (0-τ)]
AUC (0-τ) was defined as the area under the plasma concentration-time curve for the dose interval. Blood PK samples were taken on Visit 3 (Day 14±2) pre-dose, 0.5h, 1h, 2h, 3h, 4h, 6h, 8h and 12h post dose from participants. Blood sample for PK analysis, obtained within 72 hours of last dose. (NCT01687283)
Timeframe: Pre-dose, 0.5h, 1h, 2h, 3h, 4h, 6h, 8h and 12h post dose at Week 2
Intervention | Picogram hours per milliliter (pg*h/mL) (Geometric Mean) |
---|
FP 1 mg BID | 403.0958 |
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Change of Clinical Lung Function Measurement Forced Expiratory Volume in One Second (FEV1) From Baseline Over 12 Weeks
FEV1 as a measure of lung function assessment was measured at Week 2, 4, 8 and 12. FEV1 measures were performed electronically by spirometry. The highest of three technically acceptable measurements was recorded. FEV1 was measured prior to study drug administration and any rescue salbutamol use. Baseline value was the assessment at Visit 2.Change from baseline was calculated as the value at the specific time point minus baseline value. (NCT01687283)
Timeframe: Baseline and at Week 2, 4, 8 and 12
Intervention | Litres (Least Squares Mean) |
---|
| Week 2 | Week 4 | Week 8 | Week 12 |
---|
BUD 2 mg BID | 0.161 | 0.195 | 0.201 | 0.200 |
,FP 1 mg BID | 0.122 | 0.187 | 0.175 | 0.217 |
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Mean Change in Percentage of Symptom-free 24-hour Periods From Baseline Over 12 Weeks
"While calculating symptom-free 24-hour periods, a given 24-hour period was set to be symptom free only if the participant's responses to both the morning and evening assessments indicated no symptoms. The Baseline value was Visit 2 assessment and was derived from the last 7 days of the daily diary prior to the randomization. Change from Baseline was calculated as the difference between the value of the endpoint at the time point of interest and the baseline value. The value provided in outcome measure data is a consolidated value over Weeks 1 to 12." (NCT01687283)
Timeframe: Baseline (Visit 2) and over 12 Weeks
Intervention | Percentage of symptom-free 24-hour (Least Squares Mean) |
---|
FP 1 mg BID | 21.77 |
BUD 2 mg BID | 21.15 |
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Change From Baseline (Day 1 of Treatment Period/Visit 2) in Morning Peak Expiratory Flow (AM PEF) Over 12 Weeks in Intent-to-treat Population
The peak expiratory flow (PEF) is a person's maximum speed of expiration, A peak flow meter was issued to participants at Visit 1 to measure the morning PEF prior to study drug and rescue medication. The best of three attempts was recorded by the participants in the diary cards. Baseline value was the assessment at Visit 2. The raw and change from baseline in daily AM PEF averaged over the 12-week treatment period The mean value was considered missing if less than 4 days were recorded in the baseline week prior to randomization or if less than 4 days are recorded after randomization. Analysis was performed using analysis of covariance (ANCOVA) model. Abbreviations used in statistical analysis section: standard deviation (SD) and significance (sig) (NCT01687283)
Timeframe: Baseline (Visit 2) and up to Week 12
Intervention | Litres/Minute (Least Squares Mean) |
---|
FP 1 mg BID | 12.71 |
BUD 2 mg BID | 14.51 |
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Clinical Assessment of Lung Function of Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) During the Treatment Period
Spirometric assessments of FEV1 and FVC were assessed at clinic visit 1 (Screening), 2 (Day 5) and 3 (Day 8). Lung function tests were performed at the approximately same time at each visit in the morning. Participants were instructed to withhold salbutamol therapy for at least 4 hour, and the highest of three FEV1 and FVC measurements were recorded. If participants discontinued before or on Day 5, then the FEV1 and FVC collected at the early withdrawal visit is included in the Visit 2. Otherwise, the FEV1, FVC collected at the early withdrawal visit was included in the Visit 3. Analysis was performed using ANCOVA with covariates of gender, centre, age and treatment. (NCT01687296)
Timeframe: During the treatment period at Day 5, Day 8
Intervention | Litres (Least Squares Mean) |
---|
| FEV1, Day 5 | FEV1, Day 8 | FVC, Day 5 | FVC, Day 8 |
---|
Fluticasone Propionate | 1.288 | 1.400 | 1.476 | 1.544 |
,Prednisone | 1.331 | 1.396 | 1.543 | 1.582 |
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Mean Global Evaluation for Efficacy by Participant/Parent and Investigator
At Visit 3 (Day 8), participant/parent and investigator were asked to evaluate efficacy globally as very beneficial=1, beneficial=2, no effect=3 or worse=4. The global evaluation collected at the early withdrawal visit was included in the Visit 3. If participants were discontinued at Visit 2, then the global evaluation collected at the Visit 2 is also included in the Visit 3 for summary and analysis. (NCT01687296)
Timeframe: Day 8
Intervention | Scores on a scale (Mean) |
---|
| Participant/parent global evaluation | Investigator global evaluation |
---|
Fluticasone Propionate | 1.5 | 1.5 |
,Prednisone | 1.5 | 1.5 |
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Mean Evening PEF on Diary Card Over the Treatment Assessment Period
PEF is the maximum flow generated during a forceful exhalation, starting from full lung inflation. Participants recorded on diary card the best of three PEF measurements, using a mini-Wright peak flow meter in the evening (6:00-9:00 post meridiem [PM]) before taking any study drug. Only data that was drawn from Days 1/2 to 8 after randomization and before or on the end date of study drug was used for analysis. If participants started to take the study drug in the morning (early or on 12:00 PM), only then the evening PEF on the date of randomization was used. The outcome measure was considered missing if less than 2 days was recorded in the given treatment assessment period. Two participants from fluticasone propionate group and 5 participants from prednisone group had the missing outcome measure. Analysis was performed using an ANCOVA model with effects due to gender, age, centre and treatment group. (NCT01687296)
Timeframe: Days 1/2 to 8
Intervention | L/min (Least Squares Mean) |
---|
Fluticasone Propionate | 195.79 |
Prednisone | 194.63 |
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Mean Change From Baseline in Clinical Scoring Index at Day 5 and Day 8
The clinical scoring index was assessed at Baseline (Visit 1), Day 5 and Day 8. The score assigned represented the sum of the score for each of four signs: respiratory rate, wheezing, inspiration/expiration ratio, and accessory muscle use. Each of these parameters were scored on a 4-point scale of 0 to 3 where 0=none, 1=mild, 2=moderate and 3=severe. The total score ranged from 0 to 12, where 0 indicated absence of symptoms and 12 indicated most severe symptoms. The Baseline value was the last non-missing value prior to randomization. Change from Baseline was calculated/defined as value at the indicated visit minus value at the Baseline. A negative value of change in score from Baseline indicated improvement in severity of symptoms. If participants discontinued before or on Day 5, then the clinical scoring index collected at the early withdrawal visit was included in the Visit 2. Otherwise, the clinical scoring index collected at the early withdrawal visit was included in the Visit 3 (NCT01687296)
Timeframe: Baseline, Day 5 and Day 8
Intervention | Scores on a scale (Mean) |
---|
| Day 5 | Day 8 |
---|
Fluticasone Propionate | -2.7 | -3.4 |
,Prednisone | -2.6 | -3.4 |
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Mean Morning Peak Expiratory Flow (AM PEF) on Diary Card Over the Treatment Assessment Period in Intent-to-Treat (ITT) Population
PEF is the maximum flow generated during a forceful exhalation, starting from full lung inflation. Participants (if needed with the help of parents or guardian) recorded on diary card the best of three PEF measurements, using a mini-Wright peak flow meter in the morning before taking any study drug. Only data that was drawn from Days 2 to 8 after randomization and on or before one day after the end date of study drug was used for analysis. The outcome measure was considered missing if less than 2 days were recorded in the given treatment assessment period. Two participants from fluticasone propionate group and 4 participants from prednisone group had the missing outcome measure. Analysis was performed using an analysis of covariance (ANCOVA) model with effects due to gender, age, centre and treatment group. (NCT01687296)
Timeframe: Days 2 to 8
Intervention | Litres per minute (L/min) (Least Squares Mean) |
---|
Fluticasone Propionate | 188.77 |
Prednisone | 188.31 |
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Mean Morning PEF on Diary Card Over the Treatment Assessment Period in Per Protocol (PP) Population
PEF is the maximum flow generated during a forceful exhalation, starting from full lung inflation. Participants (if needed with the help of parents or guardian) recorded on diary card the best of three PEF measurements, using a mini-Wright peak flow meter in the morning before talking any study drug. Only data that was drawn from Days 2 to 8 after randomization and on or before one day after the end date of study drug was used for analysis. The outcome measure was considered missing if less than 2 days were recorded in the given treatment assessment period. Two participants from fluticasone propionate group and 5 participants from prednisone group had the missing outcome measure. Analysis was performed using ANCOVA model with effects due to gender, age ,centre and treatment group. (NCT01687296)
Timeframe: Days 2 to 8
Intervention | L/min (Least Squares Mean) |
---|
Fluticasone Propionate | 189.46 |
Prednisone | 188.96 |
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Mean Change From Baseline in Right Ventricular End Diastolic Volume Index (RVEDVI) at the End of the Overall Treatment Period
RVEDVI is a measure of the volume of blood in the right ventricle at the end of diastole, normalized over body surface area and was measured using Cardiac Magnetic Resonance (CMR) imaging. RVEDVI is calculated as the right ventricular end diastolic volume (RDEDV) divided by the body surface area (BSA). The change from Baseline in RVEDVI was analyzed using a mixed model analysis with period, treatment group, and Baseline RVEDVI fitted as fixed effects and participants fitted as a random effect. The Baseline is defined as the assessment performed pre-dose at Day 1 of Treatment Period 1. The change from Baseline is calculated as the RVEDVI value at the end of each treatment period minus the Baseline value. The Per Protocol (PP) Population was comprised of all participants in the modified intent-to-treat (mITT) Population not identified as having deviations considered to impact the primary efficacy analysis. (NCT01691885)
Timeframe: Baseline and end of Treatment Period (7 days)
Intervention | Milliliter per meter square (mL/m^2) (Least Squares Mean) |
---|
Placebo | -0.47 |
FF/VI | 5.35 |
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The Asthma Symptom Utility Index (ASUI)
The Asthma Symptom Utility Index (ASUI), an important secondary outcome in the proposed full-scale TOM Trial, has also been shown to be useful in tracking the frequency and severity of asthma-related symptoms in non-smoking asthmatics. ASUI is a brief, interviewer-administered, patient preference-based scale assessing frequency and severity of selected asthma-related symptoms and treatment side effects. 11 items are reviewed, with 2-week recall to assess four symptoms (cough, wheeze, shortness of breath, and awakening at night) and medication side-effects each on two dimensions (frequency and severity). 4-point Likert scale is used to assess frequency (not at all, 1 to 3 days, 4 to 7 days, and 8 to 14 days) and severity (not applicable, mild, moderate and severe). Scores range from 0 (worst possible symptoms) to 1 (no symptoms). The change between two time points, initial visit and after 24 weeks of treatment, is reported. The median value is reported with the standard deviation. (NCT01696214)
Timeframe: Outcome measure was assessed at the initial visit, at randomization following a wash-in period of 1 month, monthly for 24 weeks and a follow-up visit 1 month off study drug. Median scores, change from initial visit and end of treatment, were compared
Intervention | units on a scale (Median) |
---|
Ipratropium | 0.16 |
Theophylline | 0.24 |
Montelukast | 0.14 |
Fluticasone 250 mg/Salmeterol 50mg | 0.13 |
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Asthma Control Test
The primary symptomatic measure, the Asthma Control Test (ACT), has been shown to be valid for measuring poor asthma control in asthmatic children and non-smoking adults. The ACT is a tool developed by Nathan and collaborators a decade ago for evaluating asthma control. It consists of five questions with five possible answers each. A maximum score of 25 points indicates complete asthma control. A score between 20 and 24 represents partially controlled asthma, while a score 19 or below indicates poorly controlled asthma and a score <16 indicates uncontrolled asthma. The minimally important clinical difference has been determined to be 3. (NCT01696214)
Timeframe: Outcome measure was assessed at the initial visit, at randomization following a wash-in period of 1 month, monthly for 24 weeks and at follow-up visit 1 month off study drug. Median scores over the 24 weeks of treatment were compared.
Intervention | units on a scale (Median) |
---|
Ipratropium | 17.5 |
Theophylline | 13 |
Montelukast | 12 |
Fluticasone 250 mg/Salmeterol 50mg | 10 |
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Percent (%) Perdicted FEV1 Changes
Physiologic measures of % predicted FEV1 (NCT01696214)
Timeframe: Outcome measure was assessed at the initial visit, at randomization following a wash-in period of 1 month, monthly for 24 weeks. Median scores over the 24 weeks of treatment were compared
Intervention | percent predicted FEV1 (Median) |
---|
Ipratropium | -1.62 |
Theophylline | 4.73 |
Montelukast | 0.87 |
Fluticasone 250 mg/Salmeterol 50mg | -5.71 |
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Mean Annual Rate of Severe Asthma Exacerbations
A severe asthma exacerbation is defined as deterioration of asthma requiring the use of systemic corticosteroids (tablets, suspension, or injection) or antibiotics, and inpatient hospitalization, or emergency department visit due to asthma that required systemic corticosteroids or antibiotics. Least square mean for annual rate of severe asthma exacerbation along with 95% confidence interval has been presented. (NCT01706198)
Timeframe: Up to Week 52
Intervention | Exacerbations per participant per year (Least Squares Mean) |
---|
Usual Care | 0.41 |
FF/VI | 0.40 |
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Mean Number of Salbutamol Inhalers Prescribed for Each Participant Over the 12 Month Treatment Period.
Salbutamol was prescribed as a rescue medication to be used as and when necessary throughout the study. The number of salbutamol inhalers used by each participant during the study was calculated based on the total number of inhalers (adjusted to an equivalence of 200 metered actuations) prescribed. Number of salbutamol inhalers prescribed during the study was derived taking the participants time on study medication into account so it corresponds to 12 months on treatment. The least square mean number of salbutamol inhalers prescribed per participant during the study has been presented. Only participants exposed to study drug for at least 30 days were included in the analysis. (NCT01706198)
Timeframe: Up to 12 months
Intervention | Mean number of inhalers per participant (Least Squares Mean) |
---|
Usual Care | 8.0 |
FF/VI | 7.2 |
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Number of Participants With Adverse Drug Reactions (ADRs)
An ADR is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, for which there is a reasonable possibility that the untoward occurrence is causally related to the medicinal product. ADRs are a subset of AEs for a given medicinal product. (NCT01706198)
Timeframe: Up to Week 52
Intervention | Participants (Number) |
---|
Usual Care | 109 |
FF/VI | 326 |
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Number of Participants With SAEs
An SAE is any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires hospitalization or prolongation of existing hospitalization; results in disability/incapacity; is a congenital anomaly/birth defect; important medical events which may require medical or surgical intervention for example, invasive or malignant cancers; all events of possible drug-induced liver injury with hyperbilirubinemia. The number of participants with on-treatment SAEs has been summarized. (NCT01706198)
Timeframe: Up to Week 52
Intervention | Participants (Number) |
---|
Usual Care | 284 |
FF/VI | 284 |
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Percentage of Participants Who Have an Increase From Baseline of >=0.5 in AQLQ(S) Environmental Stimuli Domain Score at Week 52.
"The AQLQ(S) contained 32 items under the following four domains: activity limitation (11 items), symptoms (12 items), emotional function (5 items) and environmental stimuli (4 items). The response format consisted of a seven-point scale where a value of 1 indicated total impairment and a value of 7 indicated no impairment. The total environmental stimuli domain score was calculated as the mean of the items within the environmental stimuli domain. Hence, the environmental stimuli domain scores were each defined on a range from 1 to 7 with higher scores indicating a higher quality of life. Baseline value is the value at Day 0 assessment. Change from Baseline is post dose visit value minus Baseline. The percentage of responders that is, participants with an increase from Baseline of >=0.5 in AQLQ(S) environmental stimuli domain score has been presented. Only those participants available at the specified time point was analyzed." (NCT01706198)
Timeframe: Baseline (Day 0) and Week 52
Intervention | Percentage of participants (Number) |
---|
Usual Care | 50 |
FF/VI | 59 |
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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.
"The AQLQ(S) contained 32 items under the following four domains: activity limitation (11 items), symptoms (12 items), emotional function (5 items) and environmental stimuli (4 items). The response format consisted of a seven-point scale where a value of 1 indicated total impairment and a value of 7 indicated no impairment. The total AQLQ(S) score is the mean of all 32 items in the questionnaire and each individual domain score was calculated as the mean of the items within that domain. Hence, the total and domain scores were each defined on a range from 1 to 7 with higher scores indicating a higher quality of life. Baseline value is the value at Day 0 assessment. Change from Baseline is post dose visit value minus Baseline. The percentage of responders that is, participants with an increase from Baseline of >=0.5 in AQLQ(S) total score has been presented. Only those participants available at the specified time point was analyzed." (NCT01706198)
Timeframe: Baseline (Day 0) and Week 52
Intervention | Percentage of participants (Number) |
---|
Usual Care | 43 |
FF/VI | 55 |
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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.
The ACT is a validated self-administered questionnaire utilizing 5 questions to assess asthma control during the past 4 weeks on a 5-point categorical scale (1 to 5). By answering all 5 questions, participants with asthma obtained an ACT score ranging between 5 and 25. Higher scores indicated better control of asthma. An ACT score of <=15 showed poorly controlled asthma; 16 to 19 showed partly controlled asthma and >=20 showed well controlled asthma. The total score was calculated as the sum of the scores from all 5 questions. The primary efficacy analysis (PEA) Population is defined as all Intent-to-Treat (ITT) participants (that is, all participants who were randomized and received at least one prescription of study medication) who have an ACT total score of <20 at Baseline (Day 0). The percentage of responders that is participants with an ACT total score >=20 or an increase from Baseline of >=3 has been presented (NCT01706198)
Timeframe: Baseline (Day 0) and Week 24
Intervention | Percentage of participants (Number) |
---|
Usual Care | 56 |
FF/VI | 71 |
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Number of Participants With Fatal SAEs of Pneumonia
"All SAEs included in the AESI group of pneumonia were considered as an SAE of pneumonia. Fatal SAEs of pneumonia are SAEs that led to death of participants. The number of participants with fatal SAEs of pneumonia has been presented." (NCT01706198)
Timeframe: Up to Week 52
Intervention | Participants (Number) |
---|
Usual Care | 3 |
FF/VI | 1 |
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Percentage of Participants in Each ACT Total Score Category (>=20, 16 to 19, <=15) at Weeks 12, 24, 40 and 52.
The ACT is a validated self-administered questionnaire utilizing 5 questions to assess asthma control during the past 4 weeks on a 5-point categorical scale (1 to 5). By answering all 5 questions, participants with asthma obtained an ACT score ranging between 5 and 25. Higher scores indicated better control of asthma. An ACT score of <=15 showed poorly controlled asthma; 16 to 19 showed partly controlled asthma and >=20 showed well controlled asthma. The total score was calculated as the sum of the scores from all 5 questions. The percentage of participants under each ACT total score category that is >=20, 16 to 19 and <=15 has been presented. Only those participants with data available at the specified data points were analyzed (represented by n=X in category title). (NCT01706198)
Timeframe: Weeks 12, 24, 40 and 52
Intervention | Percentage of participants (Number) |
---|
| >=20, Week 12, n=2032, 2009 | 16 to 19, Week 12, n=2032, 2009 | <=15, Week 12, n=2032, 2009 | >=20, Week 24, n=1957, 1936 | 16 to 19, Week 24, n=1957, 1936 | <=15, Week 24, n=1957, 1936 | >=20, Week 40, n=1938, 1904 | 16 to 19, Week 40, n=1938, 1904 | <=15, Week 40, n=1938, 1904 | >=20, Week 52, n=1922, 1896 | 16 to 19, Week 52, n=1922, 1896 | <=15, Week 52, n=1922, 1896 |
---|
FF/VI | 61 | 20 | 18 | 60 | 20 | 20 | 58 | 21 | 21 | 58 | 20 | 21 |
,Usual Care | 46 | 26 | 28 | 46 | 25 | 29 | 45 | 24 | 31 | 44 | 26 | 30 |
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Mean Change From Baseline in ACT Total Score at Weeks 12, 24, 40 and 52.
The ACT is a validated self-administered questionnaire utilizing 5 questions to assess asthma control during the past 4 weeks on a 5-point categorical scale (1 to 5). By answering all 5 questions, participants with asthma obtained an ACT score ranging between 5 and 25. Higher scores indicated better control of asthma. An ACT score of <=15 showed poorly controlled asthma; 16 to 19 showed partly controlled asthma and >=20 showed well controlled asthma. The total score was calculated as the sum of the scores from all 5 questions. Baseline value is the value at Visit 2 (Day 0) assessment. Change from Baseline is the value at post-dose visit minus Baseline. The least square mean change in ACT scores has been presented. Only those participants with data available at the specified data points were analyzed (represented by n=X in category title). (NCT01706198)
Timeframe: Baseline (Day 0) and Weeks 12, 24, 40 and 52
Intervention | Scores on ACT scale (Least Squares Mean) |
---|
| Week 12, n=2032, 2009 | Week 24, n=1957, 1936 | Week 40, n=1938, 1904 | Week 52, n=1922, 1896 |
---|
FF/VI | 3.31 | 3.20 | 3.00 | 2.99 |
,Usual Care | 1.77 | 1.70 | 1.63 | 1.49 |
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Time to Modification of Initial Therapy
Initial therapy is defined as the treatment that the participant was prescribed at randomization. Modification of initial therapy included any change in brand, dose or frequency of inhaler, that is, stepping up in class, dose or frequency, stepping down in class, dose or frequency, switching to another brand of inhaler, switching treatment arm or withdrawal from the study. Time to modification of initial therapy was measured from the date of randomization (that is, exposure start date) to the date of modification of initial therapy or date of treatment termination for participants who completed the study without modifiying initial therapy (censored). The number of participants with modification of initial therapy has been presented. (NCT01706198)
Timeframe: Up to Week 52
Intervention | Participants (Number) |
---|
Usual Care | 488 |
FF/VI | 563 |
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Percentage of Participants With Asthma Control (ACT Total Score >=20) at Weeks 12, 24, 40 and 52.
The ACT is a validated self-administered questionnaire utilizing 5 questions to assess asthma control during the past 4 weeks on a 5-point categorical scale (1 to 5). By answering all 5 questions, participants with asthma obtained an ACT score ranging between 5 and 25. Higher scores indicated better control of asthma. An ACT score of <=15 showed poorly controlled asthma; 16 to 19 showed partly controlled asthma and >=20 showed well controlled asthma. The total score was calculated as the sum of the scores from all 5 questions. The percentage of participants with an ACT total score >=20 has been presented. Only those participants with data available at the specified data points were analyzed (represented by n=X in category title). (NCT01706198)
Timeframe: Weeks 12, 24, 40 and 52
Intervention | Percentage of participants (Number) |
---|
| Week 12, n=2032, 2009 | Week 24, n=1957, 1936 | Week 40, n=1938, 1904 | Week 52, n=1922, 1896 |
---|
FF/VI | 61 | 60 | 58 | 58 |
,Usual Care | 46 | 46 | 45 | 44 |
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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.
The ACT is a validated self-administered questionnaire utilizing 5 questions to assess asthma control during the past 4 weeks on a 5-point categorical scale (1 to 5). By answering all 5 questions, participants with asthma obtained an ACT score ranging between 5 and 25. Higher scores indicated better control of asthma. An ACT score of <=15 showed poorly controlled asthma; 16 to 19 showed partly controlled asthma and >=20 showed well controlled asthma. The total score was calculated as the sum of the scores from all 5 questions. ITT Population comprised of all participants who were randomized and received at least one prescription of study medication. The percentage of responders that is participants with an ACT total score >=20 or an increase from Baseline of >=3 has been presented. Only those participants with data available at the specified data points were analyzed (represented by n=X in category title). (NCT01706198)
Timeframe: Baseline (Day 0) and Weeks 12, 40 and 52
Intervention | Percentage of participants (Number) |
---|
| Week 12, n=2032, 2009 | Week 40, n=1938, 1904 | Week 52, n=1922, 1896 |
---|
FF/VI | 75 | 71 | 70 |
,Usual Care | 62 | 60 | 58 |
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Percentage of Participants Who Have an Increase From Baseline of >=3 in ACT Total Score at Weeks 12, 24, 40 and 52.
The ACT is a validated self-administered questionnaire utilizing 5 questions to assess asthma control during the past 4 weeks on a 5-point categorical scale (1 to 5). By answering all 5 questions, participants with asthma obtained an ACT score ranging between 5 and 25. Higher scores indicated better control of asthma. An ACT score of <=15 showed poorly controlled asthma; 16 to 19 showed partly controlled asthma and >=20 showed well controlled asthma. The total score was calculated as the sum of the scores from all 5 questions. The percentage of participants with an increase in ACT total score >=3 from Baseline has been presented. Only those participants with data available at the specified data points were analyzed (represented by n=X in category title). (NCT01706198)
Timeframe: Baseline (Day 0) and Weeks 12, 24, 40 and 52
Intervention | Percentage of participants (Number) |
---|
| Week 12, n=2032, 2009 | Week 24, n=1957, 1936 | Week 40, n=1938, 1904 | Week 52, n=1922, 1896 |
---|
FF/VI | 55 | 54 | 53 | 50 |
,Usual Care | 39 | 40 | 42 | 37 |
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Time to First Severe Asthma Exacerbation.
A severe asthma exacerbation is defined as deterioration of asthma requiring the use of systemic corticosteroids (tablets, suspension, or injection) or antibiotics, and inpatient hospitalization, or emergency department visit due to asthma that required systemic corticosteroids or antibiotics. The date of a severe asthma exacerbation was defined as the exacerbation onset date. Participants who completed the study without a severe asthma exacerbation were censored. Time to first severe asthma exacerbation was measured from the date of randomization (that is, study treatment start date) to the onset date of first severe asthma exacerbation, or study treatment stop date for participants who completed the study without any severe asthma exacerbations (censored). Analyses of time to first severe asthma exacerbation was censored at Day 364. The number of participants with severe asthma exacerbation has been presented. (NCT01706198)
Timeframe: Up to Week 52
Intervention | Participants (Number) |
---|
Usual Care | 654 |
FF/VI | 634 |
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Time to First SAE of Pneumonia
"An SAE of pneumonia was defined as any SAE in the AESI group of pneumonia. The date of an event for an SAE of pneumonia was the AE onset date. Participants who do not have an SAE of pneumonia during the first 364 days of the treatment period (start date of exposure to min [end date of exposure + 28 days, date of study discontinuation, start date of exposure + 363]) were censored. Time to first SAE of pneumonia was measured from the date of randomization (that is, study treatment start date) to the onset date of first SAE of pneumonia. The number of participants with first on-treatment SAE of pneumonia has been presented." (NCT01706198)
Timeframe: Up to Week 52
Intervention | Participants (Number) |
---|
Usual Care | 16 |
FF/VI | 23 |
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Percentage of Participants With Serious Adverse Event (SAE) of Pneumonia
"A serious advent event (SAE) of pneumonia was defined as any SAE in the adverse event special interest (AESI) group of pneumonia. The incidence of the SAEs of pneumonia for each treatment group is defined as the percentage of participants in that group who have experienced at least one SAE of pneumonia from start date of study treatment to the stop date of exposure + 28 days or date of study discontinuation, whichever is earliest. The percentage of participants with SAE of pneumonia has been presented." (NCT01706198)
Timeframe: Up to Week 52
Intervention | Percentage of participants (Number) |
---|
Usual Care | 1 |
FF/VI | 1 |
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Time to Onset on Treatment Day 1
Time to onset on Treatment Day 1 is defined as the time to an increase of 100 milliliters (mL) from Baseline in FEV1 during the 0- to 4-hour serial measurements (5, 15, 30, 60, 120, and 240 minutes post-dose). Participants who never met or exceeded a 100 mL increase over the Baseline value during the 4-hour serial measurements were censored at the actual time of their last FEV1 measurement. (NCT01706328)
Timeframe: Baseline and Day 1
Intervention | Minutes (Median) |
---|
FF/VI 100/25 µg QD | 15 |
FP/Salmeterol 250/50 µg BID | 15 |
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Change From Baseline Trough in Weighted-mean 24-hour Serial Forced Expiratory Volume in One Second (FEV1) on Treatment Day 84
FEV1 is a measure of lung function and is defined as the volume of air that can be forcefully exhaled in one second. The weighted mean was calculated from the pre-dose FEV1 and the post-dose FEV1 measurements taken at 5, 15, 30, and 60 minutes and 2, 4, 6, 8, 12, 13, 14, 16, 20, and 24 hours on Treatment Day 84. Baseline trough FEV1 was calculated as the mean of the two assessments made 30 minutes pre-dose and 5 minutes pre-dose on Treatment Day 1. The weighted mean was derived by calculating the area under curve, and then dividing by the relevant time interval. The weighted mean change from Baseline was calculated as the weighted mean of the 24-hour serial FEV1 measurements on Day 84 minus the Baseline trough FEV1 value. The analysis used an analysis of covariance (ANCOVA) model with covariates of Baseline FEV1, reversibility stratum, smoking status (at Screening), country, and treatment. (NCT01706328)
Timeframe: Baseline and Day 84
Intervention | Liters (Least Squares Mean) |
---|
FF/VI 100/25 µg QD | 0.168 |
FP/Salmeterol 250/50 µg BID | 0.142 |
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Change From Baseline in Trough FEV1 on Treatment Day 85
FEV1 is a measure of lung function and is defined as the volume of air that can be forcefully exhaled in one second. Trough FEV1 is defined as the 24-hour FEV1 assessment, which was obtained on Day 85. Baseline trough was calculated as the mean of the two assessments made 30 minutes pre-dose and 5 minutes pre-dose on Treatment Day 1. Change from Baseline was calculated as the average of the Day 85 values minus the Baseline value. The analysis used an analysis of covariance (ANCOVA) model with covariates of Baseline FEV1, reversibility stratum, smoking status (at Screening), country, and treatment. (NCT01706328)
Timeframe: Baseline and Day 85
Intervention | Liters (Least Squares Mean) |
---|
FF/VI 100/25 µg QD | 0.151 |
FP/Salmeterol 250/50 µg BID | 0.121 |
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Analysis of Trough FVC (L) Over the Whole Treatment Period
Average of Trough Forced Vital Capacity (FVC) at 23 hours 15 min and the 23 hours 45 min post dose (NCT01709903)
Timeframe: 12 and 26 weeks
Intervention | liter (Least Squares Mean) |
---|
| Day 1 (n=350,351) | Week 12 (n=342,332) | week 26 (n= 333,323) |
---|
Fluticasone/Salmeterol | 2.957 | 2.835 | 2.793 |
,QVA149 | 3.040 | 3.036 | 2.966 |
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Rescue Medication Use: Summary of the Mean Daily, Daytime and Nighttime Number of Puffs of Rescue Medication, by 4 Weekly Intervals
"The number of puffs of rescue medication taken in the previous 12 hours will be recorded in the Patient Diary in the morning and evening. Baseline 12 weeks and Baseline 26 weeks, were the baseline scores for available participants analyzed for each time point. Less puffs taken is better." (NCT01709903)
Timeframe: 12 and 26 weeks
Intervention | # of puffs (Mean) |
---|
| Baseline Daytime 12-16 weeks (n=329,318) | Daytime 12-16 weeks (n=329,318) | Baseline Nighttime 12-16 weeks (n=322,307) | Nighttime 12-16 weeks (n=322,307) | Baseline Daytime 24-26 weeks (n=326,315) | Daytime 24-26 weeks (n=326,315) | Baseline Night time 24-26 weeks (n=320,304) | Night time 24-26 weeks (n=320,304) |
---|
Fluticasone/Salmeterol | 1.69 | 0.61 | 1.24 | 0.49 | 1.70 | 0.62 | 1.21 | 0.48 |
,QVA149 | 1.57 | 0.66 | 1.25 | 0.52 | 1.54 | 0.63 | 1.23 | 0.52 |
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Trough Forced Expiratory Volume in One Second (FEV1) Following 26 Weeks of Treatment to Demonstrate the Superiority of QVA 110/50μg o.d. to Fluticasone/Salmeterol 500/50 μg b.i.d
(NCT01709903)
Timeframe: 26 weeks
Intervention | liters (Least Squares Mean) |
---|
QVA149 | 1.259 |
Fluticasone/Salmeterol | 1.183 |
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Analysis of FEV1 (L) Trough Response (Pre-dose) Over the Whole Treatment Period
Average of Trough Forced Expiratory Volume in one second (FEV1) (NCT01709903)
Timeframe: 6,12,18 and 26 weeks
Intervention | liter (Least Squares Mean) |
---|
| Week 6 (n=356,341) | week 12 (n=346,333) | week 18 (n=339,332) | week 26 (n=338,324) |
---|
Fluticasone/Salmeterol | 1.184 | 1.191 | 1.174 | 1.142 |
,QVA149 | 1.256 | 1.265 | 1.252 | 1.226 |
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Analysis of the TDI Focal Score Over the Whole Treatment Period
"The Transition Dyspnea Index (TDI) total score after 12 and 26 weeks of treatment will be analyzed using the same mixed model as specified for the primary analysis with the Baseline Dyspnea Index (BDI) total score as the baseline.Total score ranging - 9 to + 9. The lower the score, the more deterioration in severity of dyspnea. One additional option in each category, which does not contribute to the score, allows for circumstances in which impairment is due to reasons other than dyspnea. .Baseline 12 weeks and Baseline 26 weeks, were the baseline scores for available participants analyzed for each time point." (NCT01709903)
Timeframe: 12 and 26 weeks
Intervention | Numbers on a scale (Least Squares Mean) |
---|
| Baseline 12 weeks (n=348,337) | 12 weeks (n=348,337) | Baseline 26 weeks (n=335,326) | 26 weeks (n=335,326) |
---|
Fluticasone/Salmeterol | 6.36 | 2.40 | 6.40 | 2.86 |
,QVA149 | 6.36 | 2.62 | 6.38 | 3.02 |
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Standardized Forced Expiratory Volume in One Second (FEV1) Area Under the Curve (AUC) 0-4 Hours
Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) 0-4h at Day 1 was measured via spirometry conducted according to internationally accepted standards. Measurements were made at 0, 5, 15, and 30 minutes; and 1, 2, 3 and 4 hours post-dose. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time. Mixed model used: AUC FEV1 = treatment + baseline FEV1 + FEV1 reversibility components + baseline smoking status + baseline ICS use + country + center (country) + error. Center was included as a random effect nested within country. (NCT01709903)
Timeframe: Day 1, 12 and 26 weeks
Intervention | Liter (Mean) |
---|
| Day 1 (n=369,364) | 12 weeks (n=350,338) | 26 weeks (n=339,323) |
---|
Fluticasone/Salmeterol | 1.252 | 1.262 | 1.229 |
,QVA149 | 1.317 | 1.388 | 1.351 |
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Trough Forced Expiratory Volume in One Second (FEV1) Following 26 Weeks of Treatment to Demonstrate the Non-inferiority of QVA149 110/50 μg o.d. to Fluticasone/Salmeterol 500/50 μg b.i.d
Measurement of QVA149 110/50 μg o.d. to fluticasone/salmeterol 500/50 μg b.i.d. in terms of trough FEV1 (mean of 23 h 15 min and 23 h 45 min post QVA149 dose) following 26 weeks of treatment in patients with moderate to severe COPD. (NCT01709903)
Timeframe: 26 weeks
Intervention | liters (Least Squares Mean) |
---|
QVA149 | 1.248 |
Fluticasone/Salmeterol | 1.176 |
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Symptoms Reported Using E-diary Over 12 and 26 Weeks of Treatment
Percentage of nights with 'no nighttime awakenings', percentage of days with 'no daytime symptoms', and percentage of 'days able to perform usual daily activities' over 26 weeks (FAS) (NCT01709903)
Timeframe: 26 weeks
Intervention | % days in study (Least Squares Mean) |
---|
| % nights 'no nighttime awakenings' (n=336,322) | % days with 'no daytime symptoms' (n=341,334) | % days able perform daily activities (n=341,334) |
---|
Fluticasone/Salmeterol | 67.86 | 10.22 | 42.16 |
,QVA149 | 67.57 | 7.31 | 44.02 |
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Use of Rescue Medication (Number of Occasions Per 24-hour Period) as Recorded in the Daily Record Card at Day 28 of Each Treatment Period
Participants were given daily record cards for daily completion during the run-in, washout and treatment periods. Each morning, participants recorded the number of occasions in the last 24 hours when they had used their rescue medication (salbutamol) for symptomatic relief of COPD symptoms. (NCT01751113)
Timeframe: Day 28 of each treatment period (up to 35 days)
Intervention | Number of occasions (Mean) |
---|
| Treatment, n=20, 18, 17 | Washout, n=15, 15, 11 |
---|
Ado 50/250 µg BID | 0.2 | 0.4 |
,Ado 50/250 µg BID+Tio 18 µg QD | 0.2 | 0.4 |
,Tio 18 µg QD | 0.3 | 0.5 |
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Trough sRaw Measured at Each Clinic Visit Prior to the Morning Dose and Before the Use of Rescue Medication at Day 28 of Each Treatment Period
sRaw is a measure of airways resistance and is intimately related to the diameter of the airways and consequently the level of bronchodilation. Trough values were the values taken pre-dose. (NCT01751113)
Timeframe: Day 28 of each treatment period (up to 35 days)
Intervention | kPa*s (Geometric Mean) |
---|
Ado 50/250 µg BID+Tio 18 µg QD | 1.391 |
Tio 18 µg QD | 1.666 |
Ado 50/250 µg BID | 1.732 |
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Trough sGaw Measured at Each Clinic Visit Prior to the Morning Dose and Before the Use of Rescue Medication at Day 28 of Each Treatment Period
sGaw is a measure of airways conductance and is intimately related to the diameter of the airways and consequently the level of bronchodilation. Trough values were the values taken pre-dose. (NCT01751113)
Timeframe: Day 28 of each treatment period (up to 35 days)
Intervention | 1/kPa*s (Geometric Mean) |
---|
Ado 50/250 µg BID+Tio 18 µg QD | 0.720 |
Tio 18 µg QD | 0.600 |
Ado 50/250 µg BID | 0.577 |
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Trough FEV1/FVC Ratio, at Each Clinic Visit Prior to the Morning Dose and Before the Use of Rescue Medication at Day 28 of Each Treatment Period
FEV1 is a measure of lung function and the maximal amount of air that can be forcefully exhaled in one second. FVC is defined as the amount of air that can forcibly be blown out after a full inspiration. FEV1 and FVC data was obtained by spirometry measurements. Trough values were the values taken pre-dose. (NCT01751113)
Timeframe: Day 28 of each treatment period (up to 35 days)
Intervention | Ratio of FEV1/FVC (Least Squares Mean) |
---|
Ado 50/250 µg BID+Tio 18 µg QD | 0.513 |
Tio 18 µg QD | 0.481 |
Ado 50/250 µg BID | 0.496 |
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Post-dose FEV1/FVC Ratio (Measured at Trough) at Day 28 of Each Treatment Period
FEV1 is a measure of lung function and the maximal amount of air that can be forcefully exhaled in one second. FVC is defined as the amount of air that can forcibly be blown out after a full inspiration. FEV1 and FVC data was obtained by spirometry measurements. (NCT01751113)
Timeframe: Day 28 of each treatment period (up to 35 days)
Intervention | Ratio of FEV1/FVC (Least Squares Mean) |
---|
Ado 50/250 µg BID+Tio 18 µg QD | 0.500 |
Tio 18 µg BID | 0.472 |
Ado 50/250 µg BID | 0.492 |
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AUC (0-4hr) Specific Airway Resistance (sRaw) After the Morning Dose of Each Study Medication at Day 28 of Each Treatment Period
sRaw is a measure of airways resistance and is intimately related to the diameter of the airways and consequently the level of bronchodilation. Plethysmography was performed to assess sRaw. The AUC was determined by using the trapezoidal rule and then dividing by the relevant time interval. A natural logarithmic transformation was applied and the data was analyzed by a mixed model including treatment, period and Baseline sRaw fitted as fixed effects and participants fitted as a random effect. Treatment ratios of all statistical comparisons were calculated by taking the anti-log of the difference between the LS means. (NCT01751113)
Timeframe: Day 28 of each treatment period (up to 35 days)
Intervention | kPa*s (Geometric Mean) |
---|
Ado 50/250 µg BID+Tio 18 µg QD | 1.181 |
Tio 18 µg QD | 1.380 |
Ado 50/250 µg BID | 1.525 |
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Area Under the Curve Calculated From 0 to 4 Hours (AUC[0-4hr]) Specific Conductance (sGaw) After the Morning Dose of Study Medication at Day 28 of Each Treatment Period
sGaw is a measure of airways conductance and is intimately related to the diameter of the airways and consequently the level of bronchodilation. Plethysmography was performed to assess sGaw. The AUC was determined by using the trapezoidal rule and then dividing by the relevant time interval. A natural logarithmic transformation was applied and the data was analyzed by a mixed model including treatment, period and Baseline sGaw fitted as fixed effects and participants fitted as a random effect. Treatment ratios of all statistical comparisons were calculated by taking the anti-log of the difference between the Least Square (LS) means. (NCT01751113)
Timeframe: Day 28 of each treatment period (up to 35 days)
Intervention | 1/kilopascal*second (1/kPa*s) (Geometric Mean) |
---|
Ado 50/250 µg BID+Tio 18 µg QD | 0.854 |
Tio 18 µg QD | 0.737 |
Ado 50/250 µg BID | 0.663 |
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Post-dose sRaw at 30, 75, 120 and 240 Minutes Post Dose at Day 28 of Each Treatment Period
sRaw is a measure of airways resistance and is intimately related to the diameter of the airways and consequently the level of bronchodilation. Plethysmography was performed to assess sRaw. A natural logarithmic transformation was applied and the data was analysed by a mixed model including treatment, time, period, a treatment by time interaction and Baseline sRaw fitted as fixed effects and participant fitted as a random effect. (NCT01751113)
Timeframe: Day 28 of each treatment period (up to 35 days)
Intervention | kPa*s (Geometric Mean) |
---|
| 30 min | 75 min | 120 min | 240 min |
---|
Ado 50/250 µg BID | 1.567 | 1.535 | 1.468 | 1.446 |
,Ado 50/250 µg BID+Tio 18 µg QD | 1.201 | 1.146 | 1.129 | 1.170 |
,Tio 18 µg QD | 1.419 | 1.348 | 1.300 | 1.334 |
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Post-dose sGaw at 30, 75, 120 and 240 Minutes Post Dose at Day 28 of Each Treatment Period
sGaw is a measure of airways conductance and is intimately related to the diameter of the airways and consequently the level of bronchodilation. Plethysmography was performed to assess sGaws. A natural logarithmic transformation was applied and the data was analyzed by a mixed model including treatment, time, period, a treatment by time interaction and Baseline sGaw fitted as fixed effects and participant fitted as a random effect. (NCT01751113)
Timeframe: Day 28 of each treatment period (up to 35 days)
Intervention | 1/kPa*s (Geometric Mean) |
---|
| 30 min | 75 min | 120 min | 240 min |
---|
Ado 50/250 µg BID | 0.639 | 0.652 | 0.680 | 0.690 |
,Ado 50/250 µg BID+Tio 18 µg QD | 0.833 | 0.873 | 0.885 | 0.855 |
,Tio 18 µg QD | 0.705 | 0.743 | 0.769 | 0.750 |
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Trough Forced Expiratory Volume in One Second (FEV1), Forced Vital Capacity (FVC), Inspiratory Capacity (IC), RV, TLC, and TGV at Each Clinic Visit Prior to the Morning Dose and Before the Use of Rescue Medication at Day 28 of Each Treatment Period
FEV1 is a measure of lung function and the maximal amount of air that can be forcefully exhaled in one second. FVC is defined as the amount of air that can forcibly be blown out after a full inspiration. FEV1 and FVC data was obtained by spirometry measurements. IC is defined as the maximum amount of air that can be inhaled into the lungs from the normal resting position after breathing out normally. Total lung capacity (TLC) is the maximum volume to which the lungs can be expanded with the greatest possible inspiratory effort; it is equal to the vital capacity (VC) plus the residual volume (RV). RV is defined as the volume of air remaining in the lungs. after a maximal exhalation. Thoracic gas volume at functional residual capacity (TGV) is defined as the volume of intrathoracic gas at the time the airway is occluded for the plethysmographic measurement at the end of a normal expiration. Trough values were the values taken pre-dose. (NCT01751113)
Timeframe: Day 28 of each treatment period (up to 35 days)
Intervention | Liters (L) (Least Squares Mean) |
---|
| FEV1 | FVC | IC | RV | TLC | TGV |
---|
Ado 50/250 µg BID | 1.706 | 3.439 | 2.395 | 3.123 | 6.525 | 4.129 |
,Ado 50/250 µg BID+Tio 18 µg QD | 1.823 | 3.575 | 2.460 | 3.021 | 6.511 | 4.053 |
,Tio 18 µg QD | 1.666 | 3.493 | 2.406 | 3.129 | 6.524 | 4.118 |
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Post-dose FEV1, FVC, IC, RV, TLC and TGV (Measured at Trough) at Day 28 of Each Treatment Period
FEV1 is a measure of lung function and the maximal amount of air that can be forcefully exhaled in one second. FVC is defined as the amount of air that can forcibly be blown out after a full inspiration. FEV1 and FVC data was obtained by spirometry measurements. IC is defined as the maximum amount of air that can be inhaled into the lungs from the normal resting position after breathing out normally. Total lung capacity (TLC) is the maximum volume to which the lungs can be expanded with the greatest possible inspiratory effort; it is equal to the vital capacity (VC) plus the RV. RV is defined as the volume of air remaining in the lungs after a maximal exhalation. Thoracic gas volume at functional residual capacity (TGV) is defined as the volume of intrathoracic gas at the time the airway is occluded for the plethysmographic measurement at the end of a normal expiration. (NCT01751113)
Timeframe: Day 28 of each treatment period (up to 35 days)
Intervention | Liters (L) (Least Squares Mean) |
---|
| FEV1 | FVC | IC | RV | TLC | TGV |
---|
Ado 50/250 µg BID | 1.664 | 3.387 | 2.351 | 3.234 | 6.592 | 4.238 |
,Ado 50/250 µg BID+Tio 18 µg QD | 1.766 | 3.535 | 2.344 | 3.045 | 6.487 | 4.147 |
,Tio 18 µg QD | 1.605 | 3.430 | 2.351 | 3.275 | 6.588 | 4.239 |
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Comparison of Number of Exacerbations Between Two Detection Methods: EXACT and Physician Diagnosis
The comparison of number of exacerbation between two detection methods EXACT and physician diagnosis: number of exacerbations detected by EXACT and number of exacerbations judged by physician. (NCT01762800)
Timeframe: 24 weeks
Intervention | Number of exacerbations (Mean) |
---|
| EXACT | Physician's diagnosis |
---|
SAL/FLU 50/250 µg BID | 0.7 | 0.1 |
,TIO 18 µg QD | 0.9 | 0.2 |
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Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) Total Score
Participants were assessed for COPD symptoms by means of CAT at each Visit. This assessment was performed prior to the spirometry testing. A CAT total score of less than 10 represents best health status and greater than 15 represents worst health status. Scores were assessed at Visit 1 (Screening), Visit 2 (Baseline), Visit 3 (Week 4), Visit 4 (Week 8), Visit 5 (Week 8), Visit 6 (Week 12), Visit 7 (Week 16), and Visit 8 (Week 24). Scores range from 0 to 40, high value in score indicate worse outcome. (NCT01762800)
Timeframe: 24 weeks
Intervention | Scores on a scale (Mean) |
---|
| Visit 1, n=136, 68, 126, 75 | Visit 2, n=136, 68, 126, 75 | Visit 3, n=132, 68, 121, 75 | Visit 4, n=127, 68, 116, 74 | Visit 5, n=123, 68, 116, 73 | Visit 6, n=120, 66, 115, 74 | Visit 7, n=120, 66, 113, 71 | Visit 8, n=117, 66, 113, 70 |
---|
SAL/FLU 50/250 µg BID-Single | 11.3 | 9.9 | 8.4 | 8.3 | 8.3 | 7.4 | 7.7 | 7.2 |
,SAL/FLU 50/250 µg BID-TRIPLE | 13.3 | 13.4 | 13.5 | 13.2 | 12.6 | 13.3 | 12.4 | 12.3 |
,TIO 18 µg QD-Single | 11.2 | 9.6 | 9.2 | 8.8 | 8.4 | 8.5 | 8.3 | 7.8 |
,TIO 18 µg QD-TRIPLE | 13.4 | 12.1 | 14.3 | 13.6 | 12.8 | 12.0 | 11.4 | 11.6 |
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Change From Baseline in FEV1
FEV1 is defined as the volume of air forcefully expelled from the lungs in one second. Baseline was a value at Visit 2 (randomization). Change from Baseline was calculated as specific timepoint value minus Visit 2 value. FEV1 was assessed at Visit 2 (Baseline), Visit 3 (Week 4), Visit 4 (Week 8), Visit 5 (Week 8), Visit 6 (Week 12), Visit 7 (Week 16), and Visit 8 (Week 24). (NCT01762800)
Timeframe: Baseline (Visit 2) and up to 24 weeks
Intervention | Liters (Mean) |
---|
| Visit 3; n=131, 68, 119, 75 | Visit 4; n=127, 68, 116, 74 | Visit 5; n=122, 68, 116, 72 | Visit 6; n=120, 66, 114, 74 | Visit 7; n=119, 66, 113, 71 | Visit 8; n=117, 66, 113, 70 |
---|
SAL/FLU 50/250 µg BID-Single | 0.024 | 0.008 | -0.010 | -0.007 | -0.012 | -0.019 |
,SAL/FLU 50/250 µg BID-TRIPLE | -0.043 | -0.030 | -0.001 | 0.027 | 0.018 | 0.049 |
,TIO 18 µg QD-Single | 0.007 | -0.011 | -0.006 | 0.002 | -0.010 | -0.017 |
,TIO 18 µg QD-TRIPLE | -0.077 | -0.032 | 0.005 | 0.037 | 0.050 | 0.027 |
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Change From Baseline in CAT Total Score
Participants were assessed for COPD symptoms by means of CAT at each Visit. This assessment was performed prior to the spirometry testing. A CAT total score of less than 10 represents best health status and greater than 15 represents worst health status. Baseline was the value at Visit 2 (randomization). Change from Baseline was calculated as specific timepoint value minus Visit 2 value. Scores were assessed at Visit 2 (Baseline), Visit 3 (Week 4), Visit 4 (Week 8), Visit 5 (Week 8), Visit 6 (Week 12), Visit 7 (Week 16), and Visit 8 (Week 24). Scores range from 0 to 40, high value in score indicate worse outcome. (NCT01762800)
Timeframe: Baseline and up to 24 weeks
Intervention | Scores on a scale (Mean) |
---|
| Visit 3, n=132, 68, 121, 75 | Visit 4, n=127, 68, 116, 74 | Visit 5, n=123, 68, 116, 73 | Visit 6, n=120, 66, 115, 74 | Visit 7, n=120, 66, 113, 71 | Visit 8, n=117, 66, 113, 70 |
---|
SAL/FLU 50/250 µg BID-Single | -1.6 | -1.7 | -1.6 | -2.3 | -2.0 | -2.4 |
,SAL/FLU 50/250 µg BID-TRIPLE | 0.1 | -0.2 | -0.8 | 0.0 | -0.8 | -1.0 |
,TIO 18 µg QD-Single | 0.1 | -0.3 | -0.7 | -0.7 | -0.8 | -1.4 |
,TIO 18 µg QD-TRIPLE | 2.1 | 1.6 | 0.8 | 0.0 | -0.6 | -0.5 |
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Time to First Switching to TRIPLE Therapy
The day of first switch to TRIPLE therapy (SAL/FLU 50/250 µg BID+TIO 18 µg QD) for the first switching participant in each arm. (NCT01762800)
Timeframe: 24 weeks
Intervention | Days (Number) |
---|
TIO 18 µg QD | 5 |
SAL/FLU 50/250 µg BID | 5 |
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Time to First Exacerbation by Physician's Diagnosis
The day of detection of first exacerbation in any participant in each arm as diagnosed by physician. Exacerbation is defined primarily by physician's judgment. Date of randomisation will be start point and timing of exacerbation (first exacerbation if there are more than one) will be event. For subjects without exacerbation, last day of study or follow up period is regarded as censor. (NCT01762800)
Timeframe: 24 weeks
Intervention | Days (Number) |
---|
SAL/FLU 50/250 µg BID-Single | 3 |
SAL/FLU 50/250 µg BID-TRIPLE | 5 |
TIO 18 µg QD-Single | 10 |
TIO 18 µg QD-TRIPLE | 2 |
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Percentage of Participants Who Were Able to Remain on the Randomized Treatment
The randomized treatment could be switched to TRIPLE therapy in the case that chronic obstructive pulmonary disease (COPD) is not controlled by the randomized treatment. Participants on TRIPLE therapy received SAL/FLU 50/250 µg BID plus TIO 18 µg QD together. The percentage of participants who were able to remain on the randomized treatment was calculated by the following formula: 100 minus percentage of participants who switched over to TRIPLE therapy. (NCT01762800)
Timeframe: 24 weeks
Intervention | Percentage of participants (Number) |
---|
TIO 18 µg QD | 62.69 |
SAL/FLU 50/250 µg BID | 66.67 |
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Percentage of Participants Who Used Relief Medication (Salbutamol)
Each evening participants recorded the number of occasions in the last 24 hours when they used their salbutamol for symptomatic relief of COPD symptoms. The percentage of participants who used relief medication in the study are presented. (NCT01762800)
Timeframe: 24 weeks
Intervention | Percentage of participants (Number) |
---|
SAL/FLU 50/250 µg BID-Single | 40.4 |
SAL/FLU 50/250 µg BID-TRIPLE | 61.8 |
TIO 18 µg QD-Single | 43.7 |
TIO 18 µg QD-TRIPLE | 70.7 |
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Forced Expiratory Volume in One Second (FEV1)
FEV1 is defined as the volume of air forcefully expelled from the lungs in one second. At Screening (Visit 1) spirometric assessments were conducted before (Visit 1A) and 30 to 60 minutes after a bronchodilator challenge (400 µg of salbutamol) (Visit 1B). FEV1 during each visit are presented. FEV1 was assessed at Visit 1A (Screening), Visit 1B (Screening), Visit 2 (Baseline), Visit 3 (Week 4), Visit 4 (Week 8), Visit 5 (Week 8), Visit 6 (Week 12), Visit 7 (Week 16), and Visit 8 (Week 24). (NCT01762800)
Timeframe: Up to 24 weeks
Intervention | Liters (Mean) |
---|
| Visit 1A; n=136, 68, 126, 75 | Visit 1B; n=136, 68, 126, 75 | Visit 2; n=136, 68, 126, 75 | Visit 3; n=131, 68, 119, 75 | Visit 4; n=127, 68, 116, 74 | Visit 5; n=122, 68, 116, 72 | Visit 6; n=120, 66, 114, 74 | Visit 7; n=119, 66, 113, 71 | Visit 8; n=117, 66, 113, 70 |
---|
SAL/FLU 50/250 µg BID-Single | 1.687 | 1.764 | 1.695 | 1.731 | 1.713 | 1.718 | 1.716 | 1.710 | 1.694 |
,SAL/FLU 50/250 µg BID-TRIPLE | 1.401 | 1.471 | 1.385 | 1.342 | 1.355 | 1.384 | 1.413 | 1.404 | 1.435 |
,TIO 18 µg QD-Single | 1.675 | 1.754 | 1.681 | 1.710 | 1.703 | 1.708 | 1.712 | 1.694 | 1.688 |
,TIO 18 µg QD-TRIPLE | 1.349 | 1.429 | 1.362 | 1.285 | 1.336 | 1.376 | 1.405 | 1.423 | 1.390 |
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Number of Participants in Each Treatment Efficacy Grade Evaluated by Participants
Participants evaluated treatment efficacy by using the following grades: significantly improved (SII), moderately improved (MOI), mildly improved (MII), no change (NC), mildly worse (MIW), moderately worse (MOW), and significantly worse (SIW). Treatment efficacy was assessed at Visit 3 (Week 4), Visit 4 (Week 8), Visit 5 (Week 8), Visit 6 (Week 12), Visit 7 (Week 16), and Visit 8 (Week 24). (NCT01762800)
Timeframe: Up to 24 weeks
Intervention | Participants (Number) |
---|
| Visit 3; SII | Visit 3; MOI | Visit 3; MII | Visit 3; NC | Visit 3; MIW | Visit 3; MOW | Visit 3; SIW | Visit 4; SII | Visit 4; MOI | Visit 4; MII | Visit 4; NC | Visit 4; MIW | Visit 4; MOW | Visit 5; SII | Visit 5; MOI | Visit 5; MII | Visit 5; NC | Visit 5; MIW | Visit 5; MOW | Visit 5; SIW | Visit 6; SII | Visit 6; MOI | Visit 6; MII | Visit 6; NC | Visit 6; MIW | Visit 6; MOW | Visit 6; SIW | Visit 7; SII | Visit 7; MOI | Visit 7; MII | Visit 7; NC | Visit 7; MIW | Visit 7; MOW | Visit 8; SII | Visit 8; MOI | Visit 8; MII | Visit 8; NC | Visit 8; MIW | Visit 8; MOW |
---|
SAL/FLU 50/250 µg BID-Single | 5 | 9 | 35 | 74 | 7 | 1 | 1 | 3 | 15 | 31 | 67 | 10 | 1 | 2 | 13 | 31 | 66 | 10 | 0 | 1 | 2 | 13 | 35 | 66 | 4 | 0 | 0 | 1 | 13 | 27 | 75 | 4 | 0 | 5 | 9 | 39 | 58 | 5 | 1 |
,SAL/FLU 50/250 µg BID-TRIPLE | 0 | 2 | 10 | 32 | 19 | 5 | 0 | 1 | 6 | 12 | 39 | 8 | 2 | 1 | 7 | 17 | 34 | 7 | 2 | 0 | 1 | 4 | 16 | 33 | 11 | 0 | 1 | 2 | 4 | 17 | 37 | 5 | 1 | 1 | 4 | 19 | 37 | 5 | 0 |
,TIO 18 µg QD-Single | 1 | 3 | 20 | 85 | 9 | 3 | 0 | 2 | 5 | 25 | 79 | 5 | 0 | 2 | 3 | 31 | 78 | 2 | 0 | 0 | 2 | 4 | 30 | 72 | 7 | 0 | 0 | 2 | 5 | 28 | 71 | 7 | 0 | 2 | 8 | 30 | 69 | 3 | 1 |
,TIO 18 µg QD-TRIPLE | 1 | 3 | 7 | 32 | 22 | 9 | 1 | 1 | 6 | 21 | 28 | 13 | 5 | 4 | 6 | 20 | 31 | 9 | 3 | 0 | 4 | 13 | 14 | 34 | 7 | 2 | 0 | 4 | 11 | 20 | 26 | 9 | 1 | 4 | 9 | 19 | 34 | 4 | 0 |
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Number of Participants in Each Treatment Efficacy Grade Evaluated by Physician
Physician evaluated treatment efficacy by using the following grades: significantly improved (SII), moderately improved (MOI), mildly improved (MII), no change (NC), mildly worse (MIW), moderately worse (MOW), and significantly worse (SIW). Treatment efficacy was assessed at Visit 3 (Week 4), Visit 4 (Week 8), Visit 5 (Week 8), Visit 6 (Week 12), Visit 7 (Week 16), and Visit 8 (Week 24). (NCT01762800)
Timeframe: 24 weeks
Intervention | Participants (Number) |
---|
| Visit 3; SII | Visit 3; MOI | Visit 3; MII | Visit 3; NC | Visit 3; MIW | Visit 3; MOW | Visit 3; SIW | Visit 4; SII | Visit 4; MOI | Visit 4; MII | Visit 4; NC | Visit 4; MIW | Visit 4; MOW | Visit 4; SIW | Visit 5; SII | Visit 5; MOI | Visit 5; MII | Visit 5; NC | Visit 5; MIW | Visit 5; MOW | Visit 5; SIW | Visit 6; SII | Visit 6; MOI | Visit 6; MII | Visit 6; NC | Visit 6; MIW | Visit 6; MOW | Visit 6; SIW | Visit 7; SII | Visit 7; MOI | Visit 7; MII | Visit 7; NC | Visit 7; MIW | Visit 7; MOW | Visit 8; SII | Visit 8; MOI | Visit 8; MII | Visit 8; NC | Visit 8; MIW | Visit 8; MOW |
---|
SAL/FLU 50/250 µg BID-Single | 6 | 11 | 40 | 67 | 7 | 0 | 1 | 3 | 14 | 28 | 74 | 6 | 1 | 1 | 1 | 12 | 29 | 73 | 7 | 0 | 1 | 2 | 10 | 31 | 74 | 3 | 0 | 0 | 0 | 13 | 25 | 79 | 3 | 0 | 2 | 7 | 36 | 70 | 1 | 1 |
,SAL/FLU 50/250 µg BID-TRIPLE | 0 | 1 | 12 | 31 | 16 | 8 | 0 | 1 | 3 | 13 | 33 | 12 | 6 | 0 | 2 | 6 | 14 | 35 | 10 | 1 | 0 | 1 | 1 | 18 | 33 | 11 | 1 | 1 | 1 | 2 | 18 | 38 | 5 | 2 | 1 | 4 | 19 | 39 | 2 | 1 |
,TIO 18 µg QD-Single | 1 | 5 | 21 | 83 | 7 | 3 | 1 | 2 | 8 | 23 | 79 | 4 | 0 | 0 | 2 | 4 | 22 | 83 | 5 | 0 | 0 | 2 | 3 | 28 | 72 | 10 | 0 | 0 | 2 | 5 | 23 | 77 | 5 | 1 | 3 | 7 | 27 | 71 | 4 | 1 |
,TIO 18 µg QD-TRIPLE | 1 | 4 | 3 | 32 | 23 | 12 | 0 | 0 | 9 | 18 | 27 | 12 | 8 | 0 | 4 | 8 | 19 | 29 | 10 | 3 | 0 | 2 | 11 | 17 | 32 | 9 | 3 | 0 | 3 | 12 | 12 | 35 | 8 | 1 | 3 | 9 | 13 | 40 | 5 | 0 |
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Percentage of Participants Who Switched to TRIPLE Therapy
Switched to TRIPLE therapy is defined as: 1. Date of switch: when SAL/FLU or TIO was administered additionally to randomised treatment. 2. Date of randomisation was a start point and timing of switching (first switch if there are more than once) to TRIPLE was event. For participants without switching, last day of study or follow up period was regarded as censored. Percentage of participants who switched to TRIPLE therapy was calculated as: number of participants who switched to TRIPLE therapy divided by number of evaluable population and then multiplied by 100. (NCT01762800)
Timeframe: 24 weeks
Intervention | Percentage of participants (Number) |
---|
TIO 18 µg QD | 37.31 |
SAL/FLU 50/250 µg BID | 33.33 |
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Percentage of Participants Who Stepped Down From TRIPLE Therapy to Initial Randomized Treatment
The percentage of participants who stepped down from TRIPLE therapy to initial randomized treatment was calculated as number of participants who step-down from TRIPLE therapy divided by number of participants who switch to TRIPLE therapy and then multiplied by 100. (NCT01762800)
Timeframe: 24 weeks
Intervention | Percentage of participants (Number) |
---|
TIO 18 µg QD | 1.33 |
SAL/FLU 50/250 µg BID | 2.94 |
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Percentage of Participants Who Required Additional Treatment to TRIPLE Therapy
The percentage of participants who required additional treatment to TRIPLE therapy is defined as number of participants who took additional medicine or therapy in TRIPLE therapy divided by number of participants who switch to TRIPLE therapy multiplied by 100. (NCT01762800)
Timeframe: 24 weeks
Intervention | Percentage of participants (Number) |
---|
TIO 18 µg QD | 77.33 |
SAL/FLU 50/250 µg BID | 72.06 |
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Percentage of Participants Who Dropped Out
The percentage of participants who were withdrawn from the study. (NCT01762800)
Timeframe: 24 weeks
Intervention | Percentage of participants (Number) |
---|
TIO 18 µg QD | 9 |
SAL/FLU 50/250 µg BID | 10 |
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Percentage of Participants Managed by TRIPLE Therapy
Percentage of participants managed by TRIPLE therapy was calculated as [(number of participants who switched to TRIPLE therapy) - (number of participants who stepped down)/ number of evaluable population]*100 (NCT01762800)
Timeframe: 24 weeks
Intervention | Percentage of participants (Number) |
---|
TIO 18 µg QD | 36.82 |
SAL/FLU 50/250 µg BID | 32.35 |
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Continuation Percentage of Participants Managed by Randomized Treatment Plus TRIPLE Therapy
The randomized treatment could be switched to TRIPLE therapy in the case that chronic obstructive pulmonary disease (COPD) was not controlled by the randomized treatment. Participants on TRIPLE therapy received SAL/FLU 50/250 µg BID plus TIO 18 µg QD together. Continuation TRIPLE proportion is defined as [(number of subjects who switched to TRIPLE) - (number of subjects who stepped down)/ number of evaluable population]*100. Randomised treatment continuation proportion is calculated by a formula: (100 - switch proportion). (NCT01762800)
Timeframe: 24 weeks
Intervention | Percentage of participants (Number) |
---|
| Randomised treatment | TRIPLE therapy |
---|
SAL/FLU 50/250 µg BID | 66.67 | 32.35 |
,TIO 18 µg QD | 62.69 | 36.82 |
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E-RS Subscale Score
The E-RS total score is an 11-item patient questionnaire, which provides information specific to respiratory symptoms-severity of respiratory symptoms overall and severity of breathlessness, cough and sputum, and chest symptoms. The E-RS subscale scores for respiratory symptoms (RS)-breathlessness (RS-BRL), RS-cough and sputum (RS-CSP), and RS-chest symptoms (RS-CSY) are presented. Scores were assessed at Baseline, Week 1-4, Week 5-8, Week 9-12, Week 13-16, Week 17-20 and at Week 21-24. Daily EXACT total score is obtained as total score of 14 items from diary. Daily E-RS total score as 11 items and Daily E-RS subscale scores are subset of E-RS total score. Mean EXACT total score is mean value of daily EXACT total score within subject by every 4 weeks(Week1-4, Week5-8, Week9-12, Week13-16, Week17-20, Week21-24). Same calculation of mean values are applied to E-RS total and E-RS subscale scores. RS total scores range from 0 to 40, high value in score indicate worse outcome. (NCT01762800)
Timeframe: 24 weeks
Intervention | Scores on a scale (Mean) |
---|
| RS-BRL; Baseline; n=135, 68, 125, 73 | RS-BRL; Week 1-4; n=131, 68, 121, 75 | RS-BRL; Week 5-8; n=126, 68, 115, 73 | RS-BRL; Week 9-12; n=122, 68, 116, 74 | RS-BRL; Week 13-16; n=121, 66, 116, 74 | RS-BRL; Week 17-20; n=118, 66, 114, 72 | RS-BRL; Week 21-24; n=93, 51, 94, 51 | RS-CSP; Baseline; n=135, 68, 124, 73 | RS-CSP; Week 1-4; n=131, 68, 121, 75 | RS-CSP; Week 5-8; n=126, 68, 116, 73 | RS-CSP; Week 9-12; n=122, 68, 116, 74 | RS-CSP; Week 13-16; n=121, 66, 116, 74 | RS-CSP; Week 17-20; n=119, 66, 114, 72 | RS-CSP; Week 21-24; n=93, 51, 94, 51 | RS-CSY; Baseline; n=135, 67, 125, 73 | RS-CSY; Week 1-4; n=131, 68, 121, 75 | RS-CSY; Week 5-8; n=126, 68, 116, 73 | RS-CSY; Week 9-12; n=122, 68, 116, 74 | RS-CSY; Week 13-16; n=121, 66, 116, 74 | RS-CSY; Week 17-20; n=119, 66, 114, 72 | RS-CSY; Week 21-24; n=93, 51, 94, 51 |
---|
SAL/FLU 50/250 µg BID-Single | 3.36 | 3.06 | 3.08 | 3.08 | 2.80 | 2.82 | 2.79 | 2.29 | 2.12 | 2.03 | 2.06 | 1.98 | 2.06 | 1.82 | 1.77 | 1.58 | 1.65 | 1.54 | 1.46 | 1.48 | 1.38 |
,SAL/FLU 50/250 µg BID-TRIPLE | 5.81 | 6.28 | 5.96 | 5.87 | 5.81 | 5.56 | 4.94 | 2.73 | 2.90 | 2.83 | 2.81 | 2.74 | 2.43 | 2.27 | 2.93 | 3.21 | 3.05 | 3.12 | 3.11 | 2.81 | 2.61 |
,TIO 18 µg QD-Single | 3.41 | 3.36 | 3.18 | 2.98 | 3.04 | 3.04 | 2.95 | 2.23 | 2.13 | 2.13 | 2.11 | 2.09 | 2.09 | 1.99 | 1.84 | 1.69 | 1.70 | 1.60 | 1.70 | 1.72 | 1.64 |
,TIO 18 µg QD-TRIPLE | 5.62 | 6.59 | 5.38 | 5.52 | 5.11 | 4.94 | 4.71 | 2.81 | 3.05 | 2.74 | 2.77 | 2.49 | 2.40 | 2.34 | 2.92 | 3.59 | 2.99 | 3.01 | 2.66 | 2.55 | 2.53 |
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EXACT Respiratory Symptoms (E-RS) Total Score
"The E-RS total score is an 11-item patient questionnaire, which provides information specific to respiratory symptoms-severity of respiratory symptoms overall and severity of breathlessness, cough and sputum, and chest symptoms. Scores were assessed at Baseline, Week 1-4, Week 5-8, Week 9-12, Week 13-16, Week 17-20 and at Week 21-24. Daily EXACT total score is obtained as total score of 14 items from diary. Daily E-RS total score as 11 items and Daily E-RS subscale scores are subset of E-RS total score.~Mean EXACT total score is mean value of daily EXACT total score within subject by every 4 weeks(Week1-4, Week5-8, Week9-12, Week13-16, Week17-20, Week21-24). Same calculation of mean values are applied to E-RS total and E-RS subscale scores. Scores range from 0-100, high value in score indicate worse outcome." (NCT01762800)
Timeframe: Baseline and up to 24 weeks
Intervention | Scores on a scale (Mean) |
---|
| Baseline; n=135, 67, 124, 73 | Week 1-4; n=131, 68, 121, 75 | Week 5-8; n=126, 68, 115, 73 | Week 9-12; n=122, 68, 116, 74 | Week 13-16; n=121, 66, 116, 74 | Week 17-20; n=118, 66, 114, 72 | Week 21-24; n=93, 51, 94, 51 |
---|
SAL/FLU 50/250 µg BID-Single | 7.42 | 6.76 | 6.75 | 6.69 | 6.23 | 6.33 | 5.99 |
,SAL/FLU 50/250 µg BID-TRIPLE | 11.43 | 12.39 | 11.86 | 11.79 | 11.66 | 10.80 | 9.82 |
,TIO 18 µg QD-Single | 7.51 | 7.18 | 6.99 | 6.70 | 6.82 | 6.85 | 6.58 |
,TIO 18 µg QD-TRIPLE | 11.36 | 13.23 | 11.11 | 11.30 | 10.26 | 9.89 | 9.59 |
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EXACT Total Score.
"EXACT is a 14-item patient questionnaire used as a measure of respiratory symptoms (reported as units on a 0 [best health status] to 100 [worst possible status] scale). Scores were assessed at Baseline, Week 1-4, Week 5-8, Week 9-12, Week 13-16, Week 17-20 and Week 21-24. Daily EXACT total score is obtained as total score of 14 items from diary. Daily E-RS total score as 11 items and Daily E-RS subscale scores are subset of E-RS total score.~Mean EXACT total score is mean value of daily EXACT total score within subject by every 4 weeks(Week1-4, Week5-8, Week9-12, Week13-16, Week17-20, Week21-24). Same calculation of mean values are applied to E-RS total and E-RS subscale scores." (NCT01762800)
Timeframe: Baseline and up to 24 weeks
Intervention | Scores on a scale (Mean) |
---|
| Baseline; n=125, 66, 111, 71 | Week 1-4; n=120, 67, 109, 73 | Week 5-8; n=117, 63, 102, 69 | Week 9-12; n=109, 67, 101, 72 | Week 13-16; n=105, 65, 100, 71 | Week 17-20; n=107, 65, 97, 66 | Week 21-24; n=79, 51, 77, 46 |
---|
SAL/FLU 50/250 µg BID-Single | 28.99 | 27.83 | 27.35 | 27.63 | 27.33 | 26.98 | 26.50 |
,SAL/FLU 50/250 µg BID-TRIPLE | 36.00 | 36.92 | 37.58 | 36.16 | 35.92 | 34.92 | 32.72 |
,TIO 18 µg QD-Single | 29.77 | 28.88 | 28.80 | 28.40 | 28.93 | 28.66 | 28.80 |
,TIO 18 µg QD-TRIPLE | 35.78 | 38.26 | 35.87 | 35.57 | 33.79 | 34.03 | 33.67 |
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Change From Baseline in Weighted Mean 0-6 Hour FEV1 Obtained Post-dose at Day 84
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. The weighted mean FEV1 was derived by calculating the area under the curve, and then dividing the value by the relevant time interval. The weighted mean was calculated using the 24-hour serial FEV1 measurements at Day 84, which included pre-dose, and post-dose at 15 min, 30 min, 1 hour, 3 hours, and 6 hours. Baseline trough FEV1 is the mean of the two assessments made at -30 and -5 min pre-dose on Treatment Day 1. Change from Baseline was calculated as the Day 84 value minus the Baseline value. Analysis was performed using a repeated measures model with covariates of treatment, Baseline (mean of the two assessments made at -30and -5 min pre-dose on Treatment Day 1), smoking status, day, day by Baseline and day by treatment interactions. (NCT01772134)
Timeframe: Baseline and Day 84
Intervention | Liters (Least Squares Mean) |
---|
Placebo QD + FSC 250/50 µg BID | 0.032 |
UMEC 62.5 µg QD + FSC 250/50 µg BID | 0.196 |
UMEC 125 µg QD + FSC 250/50 µg BID | 0.192 |
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Change From Baseline in the Mean Number of Puffs Per Day of Rescue Albuterol/Salbutamol Over Weeks 1-12
The mean number of puffs per day of rescue albuterol/salbutamol at Baseline and on-treatment was recorded. The total puffs of rescue albuterol/salbutamol for each day was calculated as: (number of puffs + [2 * number of nebules]). Baseline calculations include a period of the later of 27 days before Visit 2 and the day after Visit 1, up to and including Day 1. The Weeks 1-12 calculations include a period from Study Day 2 up to the earlier of Study Day 85 and the day before Visit 7. Change from Baseline was calculated as the Weeks 1-12 value value minus the Baseline value. Analysis was performed using an analysis of covariance (ANCOVA) model with covariates of treatment, Baseline (mean during the 4 weeks prior to Day 1), and smoking status. (NCT01772134)
Timeframe: Baseline and Weeks 1-12
Intervention | puffs (Least Squares Mean) |
---|
Placebo QD + FSC 250/50 µg BID | -0.2 |
UMEC 62.5 µg QD + FSC 250/50 µg BID | -0.5 |
UMEC 125 µg QD + FSC 250/50 µg BID | -0.5 |
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Change From Baseline in the Mean Percentage of Rescue-free Days Over Weeks 1-12
A rescue-free day is defined as a day on which no rescue medication was taken. Baseline calculations include a period of the later of 27 days before Visit 2 and the day after Visit 1, up to and including Day 1. The Weeks 1-12 calculations include a period from Study Day 2 up to the earlier of Study Day 85 and the day before Visit 7. Change from Baseline was calculated as the Weeks 1-12 value minus the Baseline value. (NCT01772134)
Timeframe: Baseline and Weeks 1-12
Intervention | Percentage of days (Mean) |
---|
Placebo QD + FSC 250/50 µg BID | 4.9 |
UMEC 62.5 µg QD + FSC 250/50 µg BID | 13.3 |
UMEC 125 µg QD + FSC 250/50 µg BID | 11.1 |
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Change From Baseline in the Trough Forced Expiratory Volume in One Second (FEV1) on Day 85
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Treatment Day 85 is defined as the mean of the FEV1 values obtained 23 and 24 hours after dosing on Treatment Day 84 (i.e., at Week 12). Baseline trough FEV1 is the mean of the two assessments made at -30 and -5 minutes (min) pre-dose on Treatment Day 1. Change from Baseline was calculated as the Day 85 value minus the Baseline value. Analysis was performed using a repeated measures model with covariates of treatment, Baseline (mean of the two assessments made at -30 and -5 min pre-dose on Treatment Day 1), smoking status, day, day by Baseline and day by treatment interactions. (NCT01772134)
Timeframe: Baseline and Day 85
Intervention | Liters (Least Squares Mean) |
---|
Placebo QD + FSC 250/50 µg BID | -0.022 |
UMEC 62.5 µg QD + FSC 250/50 µg BID | 0.125 |
UMEC 125 µg QD + FSC 250/50 µg BID | 0.116 |
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Change From Baseline in the Mean Percentage of Rescue-free Days Over Weeks 1-12
A rescue-free day is defined as a day on which no rescue medication was taken. Baseline calculations include a period of the later of 27 days before Visit 2 and the day after Visit 1, up to and including Day 1. The Weeks 1-12 calculations include a period from Study Day 2 up to the earlier of Study Day 85 and the day before Visit 7. Change from Baseline was calculated as the Weeks 1-12 value minus the Baseline value. (NCT01772147)
Timeframe: Baseline and Weeks 1- 12
Intervention | Percentage of days (Mean) |
---|
Placebo QD + FSC 250/50 µg BID | 1.9 |
UMEC 62.5 µg QD + FSC 250/50 µg BID | 8.4 |
UMEC 125 µg QD + FSC 250/50 µg BID | 15.2 |
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Change From Baseline in the Trough Forced Expiratory Volume in One Second (FEV1) on Day 85
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Treatment Day 85 is defined as the mean of the FEV1 values obtained 23 and 24 hours after dosing on Treatment Day 84 (i.e., at Week 12). Baseline trough FEV1 is the mean of the two assessments made at -30 and -5 minutes (min) pre-dose on Treatment Day 1. Change from Baseline was calculated as the Day 85 value minus the Baseline value. Analysis was performed using a repeated measures model with covariates of treatment, Baseline (mean of the two assessments made at -30 and -5 min pre-dose on Treatment Day 1), smoking status, day, day by Baseline, and day by treatment interactions. (NCT01772147)
Timeframe: Baseline and Day 85
Intervention | Liters (Least Squares Mean) |
---|
Placebo QD + FSC 250/50 µg BID | -0.001 |
UMEC 62.5 µg QD + FSC 250/50 µg BID | 0.126 |
UMEC 125 µg QD + FSC 250/50 µg BID | 0.147 |
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Change From Baseline in the Mean Number of Puffs Per Day of Rescue Albuterol/Salbutamol Over Weeks 1-12
The mean number of puffs per day of rescue albuterol/salbutamol at Baseline and on-treatment was recorded. The total puffs of rescue albuterol/salbutamol for each day was calculated as: (number of puffs + [2 * number of nebules]). Baseline calculations include a period of the later of 27 days before Visit 2 and the day after Visit 1, up to and including Day 1. The Weeks 1-12 calculations include a period from Study Day 2 up to the earlier of Study Day 85 and the day before Visit 7. Change from Baseline was calculated as the Weeks 1-12 value minus the Baseline value. Analysis was performed using an analysis of covariance (ANCOVA) model with covariates of treatment, Baseline (mean during the 4 weeks prior to Day 1), and smoking status. (NCT01772147)
Timeframe: Baseline and Weeks1- 12
Intervention | puffs (Least Squares Mean) |
---|
Placebo QD + FSC 250/50 µg BID | -0.2 |
UMEC 62.5 µg QD + FSC 250/50 µg BID | -0.4 |
UMEC 125 µg QD + FSC 250/50 µg BID | -0.7 |
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Change From Baseline in Weighted Mean 0-6 Hour FEV1 Obtained Post-dose at Day 84
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. The weighted mean FEV1 was derived by calculating the area under the curve, and then dividing the value by the relevant time interval. The weighted mean was calculated using the 6-hour serial FEV1 measurements at Day 84, which included pre-dose, and post-dose at 15 min, 30 min, 1 hour, 3 hours, and 6 hours. Baseline trough FEV1 is the mean of the two assessments made at -30 and -5 min pre-dose on Treatment Day 1. Change from Baseline was calculated as the Day 84 value minus the Baseline value. Analysis was performed using a repeated measures model with covariates of treatment, Baseline (mean of the two assessments made at -30and -5 min pre-dose on Treatment Day 1), smoking status, day, day by Baseline, and day by treatment interactions. (NCT01772147)
Timeframe: Baseline and Day 84
Intervention | Liters (Least Squares Mean) |
---|
Placebo QD + FSC 250/50 µg BID | 0.052 |
UMEC 62.5 µg QD + FSC 250/50 µg BID | 0.196 |
UMEC 125 µg QD + FSC 250/50 µg BID | 0.217 |
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Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Measurable Concentration (AUC0-t) of Salmeterol
Blood samples for measurement of plasma SAL concentrations were obtained during each treatment visit (subjects 18 years of age and older only) and pharmacokinetic parameters were derived. The primary pharmacokinetic parameters were AUC0-t and Cmax for Salmeterol. (NCT01772368)
Timeframe: Predose (0), and at 5, 10, 15 and 30 minutes, 1, 1.5, 2, 3, 4, 8, and 12 hours postdose
Intervention | pg*hr/mL (Mean) |
---|
FS MDPI 100/6.25 mcg | 32.8 |
FS MDPI 100/12.5mcg | 69.9 |
FS MDPI 100/25 mcg | 133.5 |
FS MDPI 100/50 mcg | 309.3 |
Advair Diskus 100/50 mcg | 173.5 |
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Time of Maximum Observed Plasma Concentration (Tmax) of Salmeterol
Blood samples for measurement of plasma SAL concentrations were obtained during each treatment visit (subjects 18 years of age and older only) and pharmacokinetic parameters were derived. (NCT01772368)
Timeframe: Predose (0), and at 5, 10, 15 and 30 minutes, 1, 1.5, 2, 3, 4, 8, and 12 hours postdose
Intervention | hours (Median) |
---|
FS MDPI 100/6.25 mcg | 0.1 |
FS MDPI 100/12.5mcg | 0.1 |
FS MDPI 100/25 mcg | 0.1 |
FS MDPI 100/50 mcg | 0.1 |
Advair Diskus 100/50 mcg | 0.5 |
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Standardized Baseline-Adjusted Area Under the Curve For Forced Expiratory Volume In 1 Second Over 12 Hours Post-dose (FEV1 AUC0-12)
Standardized baseline-adjusted FEV1 AUC0-12 was defined as the area under the curve for baseline-adjusted FEV1 measurements from the predose to 12 hours postdose time points using the trapezoidal rule based on actual (not scheduled) time of measurement and was standardized by dividing the actual time of last non-missing FEV1 measurement. Baseline-adjusted FEV1 was calculated as postdose FEV1 after subtracting period-specific baseline FEV1. The period-specific baseline FEV1 was measured at predose within 5 minutes of AM dose administration at each treatment visit. If that value was missing, then FEV1 measured at 30 minutes predose was used as the period-specific baseline. (NCT01772368)
Timeframe: Pre-dose: 30 minutes prior, within 5 minutes of dose. Post-dose: 0.5, 1, 2, 3, 4, 5, 6, 9, 12 hours
Intervention | mL (Least Squares Mean) |
---|
Fp MDPI 100 mcg | 52.13 |
FS MDPI 100/6.25 mcg | 203.84 |
FS MDPI 100/12.5mcg | 248.98 |
FS MDPI 100/25 mcg | 279.69 |
FS MDPI 100/50 mcg | 303.43 |
Advair Diskus 100/50 mcg | 245.56 |
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Maximum Observed Plasma Concentration (Cmax) of Salmeterol
Blood samples for measurement of plasma SAL concentrations were obtained during each treatment visit (subjects 18 years of age and older only) and pharmacokinetic parameters were derived. The primary pharmacokinetic parameters were AUC0-t and Cmax for Salmeterol. (NCT01772368)
Timeframe: Predose (0), and at 5, 10, 15 and 30 minutes, 1, 1.5, 2, 3, 4, 8, and 12 hours postdose
Intervention | pg/mL (Mean) |
---|
FS MDPI 100/6.25 mcg | 16.0 |
FS MDPI 100/12.5mcg | 35.8 |
FS MDPI 100/25 mcg | 67.5 |
FS MDPI 100/50 mcg | 154.5 |
Advair Diskus 100/50 mcg | 42.3 |
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Change From Baseline at 12 Hours Post-Dose in Forced Expiratory Volume in One Second (FEV1) By Treatment
"The secondary efficacy variable was the change from period-specific baseline in FEV1 at 12 hours, calculated as FEV1 measured at 12 hours postdose after subtracting period-specific baseline FEV1 at each treatment period.~The period-specific baseline FEV1 was measured at predose within 5 minutes of AM dose administration at each treatment visit. If that value was missing, then FEV1 measured at 30 minutes predose was used as the period-specific baseline." (NCT01772368)
Timeframe: Pre-dose: 30 minutes prior, within 5 minutes of dose. Post-dose: 12 hours
Intervention | mL (Least Squares Mean) |
---|
Fp MDPI 100 mcg | 11.53 |
FS MDPI 100/6.25 mcg | 128.49 |
FS MDPI 100/12.5mcg | 170.51 |
FS MDPI 100/25 mcg | 209.85 |
FS MDPI 100/50 mcg | 238.30 |
Advair Diskus 100/50 mcg | 170.54 |
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Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period
"TEAEs were recorded during each double-blind treatment. In addition, at the end of each treatment, patients continued to use 2 inhalations of Fp MDPI 50 mcg (100 mcg total dose) twice daily, so adverse events during this treatment were assigned to Fp MDPI 50 mcg.~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 in" (NCT01772368)
Timeframe: Day 1 up to Day 35
Intervention | Participants (Count of Participants) |
---|
| Any adverse event | Severe adverse event | Treatment-related adverse event | Deaths | Other serious adverse events | Withdrawn from treatment due to AE |
---|
Advair Diskus 100/50 mcg | 3 | 0 | 1 | 0 | 0 | 0 |
,Fp MDPI 100 mcg | 2 | 0 | 0 | 0 | 0 | 0 |
,Fp MDPI 50 mcg X 2 BID | 17 | 1 | 1 | 0 | 0 | 1 |
,FS MDPI 100/12.5mcg | 3 | 0 | 1 | 0 | 0 | 0 |
,FS MDPI 100/25 mcg | 1 | 0 | 0 | 0 | 0 | 0 |
,FS MDPI 100/50 mcg | 1 | 1 | 0 | 0 | 0 | 0 |
,FS MDPI 100/6.25 mcg | 2 | 0 | 0 | 0 | 0 | 0 |
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Adverse Events Report
reports of treatment emergent adverse events (NCT01794741)
Timeframe: 3 months of treatment
Intervention | event (Number) |
---|
Dymista Nasal Spray | 124 |
Fluticasone Nasal Spray | 37 |
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COPD Exacerbation
Number of COPD exacerbations evaluated over 12 months. COPD exacerbation is defined as a new onset or worsening of at least 1 respiratory major symptoms (e.g. dyspnea, cough, sputum volume or sputum purulence) for at least 3 consecutive days, which results in recorded treatment change (antibiotics/steroids/oxygen therapy) OR recorded COPD related hospitalization/Emergency visit. COPD exacerbation is not considered as adverse event, and should only be recorded in COPD e-CRF. (NCT01794780)
Timeframe: Baseline,12 months
Intervention | COPD Exacerbations/year (Mean) |
---|
Indacaterol | 1.1 |
Tiotropium Bromide | 0.5 |
Salmeterol/Fluticasone | 1.1 |
Budesonide/ Formoterol | 0.4 |
LABA/ICS | 0.9 |
Indacaterol +Tiotropium | 4.1 |
LABA/ICS + Tiotropium | 0.8 |
Oral Theophylline | 1.0 |
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Change in Health Status Questionnaire MMRC
The mMRC scale is scored from 0 (less severe) to 4 (severe). 0 Not troubled with breathlessness except with strenuous exercise; 1 Troubled by shortness of breath when hurrying on the level or walking up a slight hill; 2 Walks slower than people of the same age on the level because of breathlessness or has to stop for breath when walking at own pace on the level; 3 Stops for breath after walking about 100 yards or after a few minutes on the level; 4 Too breathless to leave the house or breathless when dressing or undressing. The modified Medical Research Council (mMRC) Dyspnea Scale , is a five-item instrument (part of the Borg scale) to assess a patient's degree of breathlessness in relation to physical activity. Participants will be required to read a brief description of an activity and then select a statement that best describes their experience with dyspnea at Visit 101. The mMRC was assessed by the investigators at the scheduled visits. (NCT01794780)
Timeframe: Baseline,3,6,9,12 months
Intervention | Number of participants (Number) |
---|
| Baseline scale item 0 | Baseline scale item 1 | Baseline scale item 2 | Baseline scale item 3 | Baseline scale item 4 | 3 month Scale item 0 | 3 month Scale item 1 | 3 month Scale item 2 | 3 month Scale item 3 | 3 month Scale item 4 | 6 month Scale item 0 | 6 month Scale item 1 | 6 month Scale item 2 | 6 month Scale item 3 | 6 month Scale item 4 | 9 month Scale item 0 | 9 month Scale item 1 | 9 month Scale item 2 | 9 month Scale item 3 | 9 month Scale item 4 | 12 month Scale item 0 | 12 month Scale item 1 | 12 month Scale item 2 | 12 month Scale item 3 | 12 month Scale item 4 |
---|
Indacaterol | 4 | 11 | 14 | 3 | 0 | 3 | 9 | 7 | 1 | 0 | 2 | 5 | 8 | 1 | 0 | 3 | 5 | 4 | 1 | 0 | 1 | 5 | 2 | 2 | 0 |
,Indacaterol +Tiotropium | 1 | 4 | 1 | 3 | 0 | 0 | 4 | 3 | 0 | 0 | 0 | 1 | 4 | 1 | 0 | 0 | 1 | 2 | 0 | 0 | 0 | 2 | 1 | 0 | 0 |
,LABA/ICS | 161 | 435 | 327 | 154 | 19 | 101 | 364 | 203 | 67 | 6 | 96 | 290 | 138 | 54 | 5 | 116 | 256 | 131 | 42 | 4 | 150 | 275 | 127 | 41 | 9 |
,LABA/ICS + Tiotropium | 63 | 226 | 211 | 110 | 22 | 54 | 157 | 133 | 58 | 9 | 37 | 149 | 105 | 44 | 11 | 45 | 127 | 99 | 41 | 9 | 47 | 138 | 102 | 32 | 9 |
,Oral Theophylline | 31 | 66 | 34 | 19 | 4 | 20 | 52 | 26 | 11 | 1 | 15 | 43 | 20 | 4 | 0 | 20 | 40 | 19 | 5 | 1 | 20 | 52 | 12 | 4 | 1 |
,Tiotropium Bromide | 40 | 114 | 83 | 36 | 3 | 24 | 69 | 54 | 18 | 2 | 23 | 57 | 45 | 13 | 3 | 24 | 52 | 30 | 14 | 1 | 24 | 61 | 33 | 10 | 3 |
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Change From Baseline Questionnaire Transition Dyspnea Index (TDI) Score
Transition Dyspnea Index (TDI) captures changes from baseline. The TDI score is based on three domains with each domain scored from -3 (major deterioration) to +3 (major improvement), to give an overall score of -9 to +9, a negative score indicating a deterioration from baseline. A TDI focal score of 1 is considered to be a clinically significant improvement from baseline. BDI/TDI was used to assess dyspnea from several aspects, caused by daily activities. These were evaluated by the investigators in the study at the scheduled study visits. The indices were to be evaluated by the same investigator.as far as possible. (NCT01794780)
Timeframe: Baseline,3,6,9,12 months
Intervention | Units on a scale (Mean) |
---|
| Baseline | 3 Month | 6 Month | 9 Month | 12 Month |
---|
Indacaterol | 6.7 | 1.4 | 0.0 | 0.7 | 0.3 |
,Indacaterol +Tiotropium | 5.4 | 0.4 | -0.5 | 1.0 | 1.0 |
,LABA/ICS | 6.7 | 1.3 | 1.4 | 1.6 | 1.7 |
,LABA/ICS + Tiotropium | 6.2 | 1.1 | 0.9 | 0.9 | 1.0 |
,Oral Theophylline | 7.1 | 0.9 | 1.2 | 1.4 | 1.6 |
,Tiotropium Bromide | 6.6 | 1.2 | 1.0 | 0.9 | 1.0 |
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Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1)
Forced expiratory volume in 1 second (FEV1) is the amount of air that can be exhaled in one second. A positive change from baseline in FEV1 indicates improvement in lung function. Pulmonary function tests were performed at study visits including FEV1, and Force Vital Capacity (FVC). These were performed 30 minutes before treatment and not more than 2 hours in advance after stopping the long-acting bronchodilators eight hours before visits. In order to reduce the variation between each test, the same instrument was used in the whole research process if condition allowed. (NCT01794780)
Timeframe: Baseline,12 months
Intervention | Liters (Mean) |
---|
Indacaterol | 0.056 |
Tiotropium Bromide | -0.036 |
LABA/ICS | 0.056 |
Indacaterol +Tiotropium | 0.030 |
LABA/ICS + Tiotropium | -0.028 |
Oral Theophylline | 0.046 |
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Change From Baseline in Questionnaire COPD Assessment Test (CAT) Score
The COPD assessment test (CAT) is a short instrument scale used to quantify the symptom burden of COPD and will be used to assess the health status of patients in this study. It consists of eight items, each presented as a semantic 6-point differential scale, providing a total score out of 40. A higher score indicates a worse health status. Scores of 0 - 10, 11 - 20, 21 - 30 and 31 - 40 represent a mild, moderate, severe or very severe clinical impact of COPD upon the patient. (NCT01794780)
Timeframe: Baseline,3,6,9,12 months
Intervention | Score on a scale (Mean) |
---|
| 3 Month | 6 Month | 9 Month | 12 Month |
---|
Indacaterol | -1.9 | -1.9 | -4.4 | -5.1 |
,Indacaterol +Tiotropium | -1.9 | -2.7 | -9.0 | -7.7 |
,LABA/ICS | -2.3 | -2.7 | -3.5 | -4.1 |
,LABA/ICS + Tiotropium | -1.8 | -2.2 | -3.1 | -3.7 |
,Oral Theophylline | -1.8 | -2.5 | -3.1 | -2.4 |
,Tiotropium Bromide | -2.1 | -2.7 | -3.1 | -2.6 |
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Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1)
Forced expiratory volume in 1 second (FEV1) is the amount of air that can be exhaled in one second. A positive change from baseline in FEV1 indicates improvement in lung function. Pulmonary function tests were performed at study visits including FEV1, and Force Vital Capacity (FVC). These were performed 30 minutes before treatment and not more than 2 hours in advance after stopping the Long-acting bronchodilators eight hours before visits. In order to reduce the variation between each test, the same instrument was used in the whole research process if condition allowed. (NCT01794780)
Timeframe: Baseline,3 months
Intervention | Liters (Mean) |
---|
Indacaterol | -0.042 |
Tiotropium | 0.006 |
LABA/ICS | 0.033 |
Indacaterol + Tiotropium | 0.022 |
LABA/ICS + Tiotropium | 0.011 |
Oral Theophylline | 0.012 |
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Pre-treatment AM and PM Trough FEV1 on Day 14 of Each Treatment Period
FEV1 is a measure of lung function and the maximal amount of air that can be forcefully exhaled in one second. FEV1 was measured using site equipment (KoKo Pneumotach Spirometer). FEV1 PM trough FEV1 values were the values taken pre-treatment on Day 14, and AM trough FEV1 values were the values taken pre-treatment on Day 15 in each treatment period; thus, there is only one value (pre-treatment record) per period for AM and PM trough. (NCT01808339)
Timeframe: Day 14 of each treatment period (up to Study Day 105)
Intervention | Liters (Least Squares Mean) |
---|
| AM Trough FEV1 | PM Trough FEV1 |
---|
FF 100 µg AM | 3.299 | 3.236 |
,FF 100 µg PM | 3.359 | 3.290 |
,Placebo | 3.286 | 3.177 |
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Number of Participants With Any Adverse Event (AE)
An AE is defined as any untoward medical occurrence in a participant or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. AEs were collected from the start of dosing with investigational product and until follow-up. (NCT01808339)
Timeframe: Up to 18 weeks
Intervention | Participants (Number) |
---|
FF 100 µg AM | 18 |
FF 100 µg PM | 18 |
Placebo | 16 |
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Weighted Mean Forced Expiratory Volume in 1 Second (FEV1) Measured Over 24 Hours at Day 14 of Each Treatment Period
FEV1 is a measure of lung function and the maximal amount of air that can be forcefully exhaled in one second. FEV1 was measured using site equipment (KoKo Pneumotach Spirometer). Weighted mean FEV1 was calculated using the Day 14 24-hour serial FEV1 measurements taken at 3, 6, 9, 12, 15, 18, 21, and 24 hours post-dose (measured in the evening of Day 15). At each time point, the highest of three technically acceptable measurements was recorded. FEV1 weighted mean was analyzed using a mixed effects analysis of a covariance model with fixed effect terms for treatment and period, participant Baseline, period Baseline, gender, and age as covariates, and participant as a random effect. (NCT01808339)
Timeframe: 24 hours post-PM dose on Day 14 of each treatment period (up to Study Day 105)
Intervention | Liters (Least Squares Mean) |
---|
FF 100 µg AM | 3.303 |
FF 100 µg PM | 3.332 |
Placebo | 3.227 |
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Change From Baseline in 24-hour Weighted-mean Serial FEV1 on Treatment Day 84
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Weighted mean is calculated from the pre-dose FEV1 and post-dose FEV1 measurements at 5 and 15 minutes and 1, 3, 6, 9, 12 (pre-evening dose), 13, 15, 18, 23, and 24 hours after the morning dose. Change from Baseline was calculated as the value at Day 84 minus the value at Baseline. Analysis was performed using an analysis of covariance of treatment, Baseline (mean of the two assessments made 30 minutes and 5 minutes pre-dose on Day 1), and smoking status. par.=participants. (NCT01817764)
Timeframe: Baseline and Day 84
Intervention | Liters (Least Squares Mean) |
---|
UMEC/VI 62.5/25 µg QD | 0.165 |
FSC 250/50 µg BID | 0.091 |
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Change From Baseline in Trough FEV1 on Day 85
Trough FEV1 on Day 85 is defined as the mean of the FEV1 values obtained 23 and 24 hours after morning dosing/11 and 12 hours after evening dosing on Day 84. Change from Baseline is calculated as the Day 85 value minus the Baseline value. Analysis was performed using a repeated measures model with covariates of treatment, Baseline (mean of the two assessments made 30 minutes and 5 minutes pre-dose on Day 1), smoking status, day, and day by Baseline and day by treatment interactions. (NCT01817764)
Timeframe: Baseline and Day 85
Intervention | Liters (Least Squares Mean) |
---|
UMEC/VI 62.5/25 µg QD | 0.154 |
FSC 250/50 µg BID | 0.072 |
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Mean Changes From Baseline in Individual MiniRQLQ Scores: Domain - Other Symptoms
"MiniRQLQ is a 14-item, disease-specific instrument for assessing the impact of allergic rhinitis on activities of daily living and overall well-being. Other Symptoms is one of the domains of Mini RQLQ scores. Participants scored their degree of impairment on a seven-point scale (0 = not troubled, 6 = extremely troubled)." (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -0.89 |
Placebo Nasal Spray | -0.48 |
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Mean Changes From Baseline in Individual MiniRQLQ Scores: Domain - Nose Symptoms
"MiniRQLQ is a 14-item, disease-specific instrument for assessing the impact of allergic rhinitis on activities of daily living and overall well-being. Nose Symptoms is one of the domains of Mini RQLQ scores. Participants scored their degree of impairment on a seven-point scale (0 = not troubled, 6 = extremely troubled)." (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -1.09 |
Placebo Nasal Spray | -0.50 |
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Mean Change From Baseline in Individual AM Reflective Ocular Symptom Scores for Eye Itching/Burning
The AM Reflective Ocular Symptom Score was assessed individually for eye itching/burning using a scale of 0=None, 1=Mild, 2=Moderate, or 3=Severe, for a possible score of 0-9. For evaluation, subjects completed the scoring in the morning, prior to nasal spray use. The mean change from baseline in AM Reflective Ocular Symptom Score (eye itching and burning) was calculated as the subject's treatment period mean (over 14 days) minus the baseline period (placebo run-in) mean. (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -0.35 |
Placebo Nasal Spray | -0.28 |
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Mean Change From Baseline in AM Pre-dose Instantaneous Total Ocular Symptom Scores (iTOSS)
Instantaneous total ocular symptom scores (iTOSS) assessments are self perceived evaluation of symptom severity immediately before the dose (how the subject feels at that point in time). iTOSS (possible score of 0-9) is the sum of 3 individual participant-assessed symptom scores for eye itching/burning, eye tearing/watering, and eye redness each evaluated using a scale of 0=None, 1=Mild, 2=Moderate, or 3=Severe. Mean changes from baseline were calculated as treatment period iTOSS minus baseline iTOSS. (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -0.80 |
Placebo Nasal Spray | -0.55 |
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Mean Change From Baseline in AM rTOSS
rTOSS is the sum of 3 individual participant-assessed symptom scores (eye itching/ burning, eye tearing/watering, and eye redness), each evaluated using a scale of 0=None, 1=Mild, 2=Moderate, or 3=Severe, for a possible score of 0-9. For AM rToss, subjects completed rTOSS in the morning (AM score: prior to nasal spray use). The mean change from baseline in AM rTOSS was calculated as the subject's treatment period mean (over 14 days) minus the baseline period (placebo run-in) mean. (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -0.96 |
Placebo Nasal Spray | -0.68 |
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Mean Change in Objective Assessment of Conjunctival Redness
Conjunctival redness was evaluated as a clinical sign of SAR by the investigator. Scoring of severity was rated according to a 4-point scale: 0 = normal; 1 = Slightly pink; 2 = Moderately pink, some dilation; 3 = Intense red vessels, dilated. (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -0.20 |
Placebo Nasal Spray | -0.15 |
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Mean Change From Baseline in Reflective Total Ocular Symptom Score (rTOSS)
The Reflective Total Ocular Symptom Score (rTOSS) is the sum of 3 individual participant-assessed symptom scores (eye itching/burning, eye tearing/watering, and eye redness), each evaluated using a scale of 0=None, 1=Mild, 2=Moderate, or 3=Severe, for a possible score of 0-9. Subjects completed rTOSS in the evening (PM rTOSS; 12 hours post morning nasal spray use) and once in the morning (AM score: prior to nasal spray use). Daily (i.e. during one dosing interval) rTOSS is defined as the average of the PM rTOSS and the AM rTOSS of the next day prior to AM dosing. The mean change from baseline in (daily, AM, PM) TOSS was calculated as the subject's treatment period mean (over 14 days; from Day 0 PM to Day 14 AM) minus the baseline period (placebo run-in) mean. (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -0.91 |
Placebo Nasal Spray | -0.63 |
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Mean Change From Baseline in Reflective Nasal Congestion Symptom Score (rNCSS)
The rNCSS is a participant perceived evaluation of overall congestion symptom severity (evaluated using a scale of 0=None, 1=Mild, 2=Moderate, or 3=Severe) which was completed once in the evening (PM), and once in the morning (AM). rNCSS is defined as the average of the PM rNCSS and the AM rNCSS of the next day prior to AM dosing. The mean change from baseline in rNCSS (daily, AM, PM)was calculated as the subject's treatment period mean (over 14 days; from Day 0 PM to Day 14 AM) minus the baseline period (placebo run-in) mean. (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -0.34 |
Placebo Nasal Spray | -0.20 |
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Mean Change From Baseline in PM rTOSS
rTOSS is the sum of 3 individual participant-assessed symptom scores (eye itching/ burning, eye tearing/watering, and eye redness), each evaluated using a scale of 0=None, 1=Mild, 2=Moderate, or 3=Severe, for a possible score of 0-9. For PM rTOSS, subjects completed rTOSS in the evening, 12 hours post morning nasal spray use. The mean change from baseline in PM rTOSS was calculated as the subject's treatment period mean (over 14 days) minus the baseline period (placebo run-in) mean. (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -0.87 |
Placebo Nasal Spray | -0.60 |
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Mean Change From Baseline in Individual PM Reflective Ocular Symptom Scores for Eye Tearing/Watering
The PM Reflective Ocular Symptom Score was assessed individually for eye tearing/watering using a scale of 0=None, 1=Mild, 2=Moderate, or 3=Severe, for a possible score of 0-9. For evaluation, subjects completed the scoring in the evening, 12 hours post morning nasal spray use. The mean change from baseline in PM Reflective Ocular Symptom Score (eye tearing/watering) was calculated as the subject's treatment period mean (over 14 days) minus the baseline period (placebo run-in) mean. (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -0.32 |
Placebo Nasal Spray | -0.19 |
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Mean Change From Baseline in Individual AM Reflective Ocular Symptom Scores for Eye Redness
The AM Reflective Ocular Symptom Score was assessed individually for eye redness using a scale of 0=None, 1=Mild, 2=Moderate, or 3=Severe, for a possible score of 0-9. For evaluation, subjects completed the scoring in the morning, prior to nasal spray use. The mean change from baseline in AM Reflective Ocular Symptom Score (eye redness) was calculated as the subject's treatment period mean (over 14 days) minus the baseline period (placebo run-in) mean. (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -0.26 |
Placebo Nasal Spray | -0.17 |
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Mean Changes From Baseline in Mini Rhinoconjunctivitis Quality of Life Questionnaire (MiniRQLQ) Scores
MiniRQLQ is a 14-item, disease-specific instrument for assessing the impact of allergic rhinitis on activities of daily living and overall well-being. It measures five domains of functional impairment that are most important to subjects with SAR: practical problems, nasal symptoms, eye symptoms, activity limitations, and other symptoms. Participants scored their degree of impairment on a seven-point scale. (0 - 6). Mini RQLQ final score is the average of sub-scales, ranges from 0 (best possible outcome) to 6 (worst possible outcome). (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -0.98 |
Placebo Nasal Spray | -0.49 |
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Mean Change From Baseline in Individual AM Reflective Ocular Symptom Scores for Eye Tearing/Watering
The AM Reflective Ocular Symptom Score was assessed individually for eye tearing/watering using a scale of 0=None, 1=Mild, 2=Moderate, or 3=Severe, for a possible score of 0-9. For evaluation, subjects completed the scoring in the morning, prior to nasal spray use. The mean change from baseline in AM Reflective Ocular Symptom Score (eye tearing/watering) was calculated as the subject's treatment period mean (over 14 days) minus the baseline period (placebo run-in) mean. (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -0.35 |
Placebo Nasal Spray | -0.24 |
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Mean Changes From Baseline in Individual MiniRQLQ Scores: Domain - Practical Problems
MiniRQLQ is a 14-item, disease-specific instrument for assessing the impact of allergic rhinitis on activities of daily living and overall well-being. 'Practical Problems' is one of the domains of Mini RQLQ scores. Participants scored their degree of impairment on a seven-point scale (0 = not troubled, 6 = extremely troubled). (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -1.04 |
Placebo Nasal Spray | -0.57 |
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Mean Change From Baseline in Individual PM Reflective Ocular Symptom Scores for Eye Itching/Burning
The PM Reflective Ocular Symptom Score was assessed individually for eye itching/burning using a scale of 0=None, 1=Mild, 2=Moderate, or 3=Severe, for a possible score of 0-9. For evaluation, subjects completed the scoring in the evening, 12 hours post morning nasal spray use. The mean change from baseline in PM Reflective Ocular Symptom Score (eye itching and burning) was calculated as the subject's treatment period mean (over 14 days) minus the baseline period (placebo run-in) mean. (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -0.33 |
Placebo Nasal Spray | -0.24 |
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Mean Changes From Baseline in Individual MiniRQLQ Scores: Domain - Activities
MiniRQLQ is a 14-item, disease-specific instrument for assessing the impact of allergic rhinitis on activities of daily living and overall well-being. Activity limitations is one of the domains of Mini RQLQ scores. Participants scored their degree of impairment on a seven-point scale (0 = not troubled, 6 = extremely troubled). (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -0.93 |
Placebo Nasal Spray | -0.39 |
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Mean Changes From Baseline in Individual MiniRQLQ Scores: Domain - Eye Symptoms
"MiniRQLQ is a 14-item, disease-specific instrument for assessing the impact of allergic rhinitis on activities of daily living and overall well-being. Eye Symptoms is one of the domains of Mini RQLQ scores. Participants scored their degree of impairment on a seven-point scale (0 = not troubled, 6 = extremely troubled)." (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -0.98 |
Placebo Nasal Spray | -0.55 |
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End-of-treatment Assessment of Response to Therapy for Ocular Symptoms
Overall response to therapy assessment was done using a 7-point categorical scale in which participants rated their response to therapy as follows: +3 = Significantly Improved; +2 = Moderately Improved; +1 = Mildly Improved; 0 = No Change; -1= Mildly Worse; -2 = Moderately Worse; -3 = Significantly Worse. (NCT01817790)
Timeframe: Day 14
Intervention | Participants (Number) |
---|
| Significantly improved | Moderately Improved | Mildly Improved | No change | Mildly Worse | Moderatly Worse | Significantly Worse |
---|
Fluticasone Propionate Nasal Spray | 22 | 76 | 79 | 81 | 21 | 24 | 10 |
,Placebo Nasal Spray | 16 | 59 | 71 | 97 | 20 | 24 | 22 |
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Mean Change From Baseline in Individual PM Reflective Ocular Symptom Scores for Eye Redness
The PM Reflective Ocular Symptom Score was assessed individually for eye redness using a scale of 0=None, 1=Mild, 2=Moderate, or 3=Severe, for a possible score of 0-9. For evaluation, subjects completed the scoring in the evening, 12 hours post morning nasal spray use. The mean change from baseline in PM Reflective Ocular Symptom Score (eye redness) was calculated as the subject's treatment period mean (over 14 days) minus the baseline period (placebo run-in) mean. (NCT01817790)
Timeframe: Baseline to 14 days
Intervention | Score on a scale (Mean) |
---|
Fluticasone Propionate Nasal Spray | -0.22 |
Placebo Nasal Spray | -0.17 |
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Change From Baseline (BL) in Trough Forced Expiratory Volume in One Second (FEV1) at Day 85
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. BL is defined as the mean of the assessments made 30 and 5 minutes (min) pre-dose on Treatment Day 1. Trough FEV1 on Day 85 is defined as the mean of the FEV1values obtained 23 and 24 hours after the previous morning's dosing (i.e., trough FEV1 on Day 85 is the mean of the FEV1 values obtained 23 and 24 hours after morning dosing on Day 84). Analysis was performed using a repeated measures model with covariates of treatment, BL (mean of the two assessments made 30 min and 5 min pre-dose on Day 1), smoking status, day, and day by BL and day by treatment interactions. The model used all available trough FEV1 values recorded on Days 28, 56, 84, and 85. Missing data were not directly imputed in this analysis; however, all non-missing data for a participant were used within the analysis to estimate the treatment effect for trough FEV1 at Day 85. (NCT01822899)
Timeframe: Baseline and Day 85
Intervention | Liters (Least Squares Mean) |
---|
UMEC/VI 62.5/25 µg | 0.151 |
FSC 500/50 µg | 0.062 |
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Change From Baseline (BL) in 0 to 24 Hour Weighted Mean Serial Forced Expiratory Volume in One Second (FEV1) at Day 84
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. The weighted mean was calculated from the pre-dose FEV1 and post-dose FEV1 measurements at 5 and 15 minutes and 1, 3, 6, 9, 12 (pre-evening dose), 13, 15, 18, 23, and 24 hours after the morning dose. Analysis was performed using an analysis of covariance (ANCOVA) model with covariates of treatment, Baseline FEV1 (mean of the two assessments made 30 minutes and 5 minutes pre-dose on Day 1), and smoking status. (NCT01822899)
Timeframe: Baseline and Day 84
Intervention | Liters (Least Squares Mean) |
---|
UMEC/VI 62.5/25 µg | 0.166 |
FSC 500/50 µg | 0.087 |
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Change From Baseline in ACQ-6 Score at Week 12 Non-atopic Compared to Atopic Patients at Week 12 - Full Analysis Set
ACQ-6 consists of:5 items on symptoms, 1 item on rescue bronchodilator use, and 1 item on airway caliber (FEV1 % predicted). The ACQ was fully validated, including a minimal important difference (MID) or smallest change that could be considered clinically important (0.5). The ACQ was self-administered at the clinic and patients scored each item on a 7-point response scale: 0 = 'totally controlled' and 6 = 'severely uncontrolled.' Study staff scored question 7 based on % predicted FEV1 (ideally pre-bronchodilator). The total score=average of first 6 questions. Baseline=the ACQ-6 measurement taken prior to first dose of randomized study drug. The single missing score was interpolated by utilizing prior or subsequent completions of the questionnaire. Estimates were from a mixed effects model with treatment, subject population (non-atopic vs. atopic), treatment by subject population interaction, baseline ACQ-6 and region as fixed effects and center nested within region as random effects. (NCT01836471)
Timeframe: baseline,12 weeks
Intervention | score (Least Squares Mean) |
---|
QAW039 450 mg qd Non-atopic | -0.05 |
Placebo Non-atopic | -0.03 |
QAW039 450 mg qd Atopic | -0.25 |
Fluticasone 150 µg Bid Atopic | -0.35 |
Placebo Atopic | -0.18 |
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Change From Baseline in ACQ-6 Score at Week 12 Non-atopic and Atopic Patients at Week 12 - Full Analysis Set
ACQ-6 consists of:5 items on symptoms, 1 item on rescue bronchodilator use, and 1 item on airway caliber (FEV1 % predicted). The ACQ was fully validated, including a minimal important difference (MID) or smallest change that could be considered clinically important (0.5). The ACQ was self-administered at the clinic and patients scored each item on a 7-point response scale: 0 = 'totally controlled' and 6 = 'severely uncontrolled.' Study staff scored question 7 based on % predicted FEV1 (ideally pre-bronchodilator). The total score=average of first 6 questions. Baseline=the ACQ-6 measurement taken prior to first dose of randomized study drug. The single missing score was interpolated by utilizing prior or subsequent completions of the questionnaire. Estimates were from a mixed effects model with treatment, subject population (non-atopic vs. atopic), treatment by subject population interaction, baseline ACQ-6 and region as fixed effects and center nested within region as random effects. (NCT01836471)
Timeframe: baseline,12 weeks
Intervention | score (Least Squares Mean) |
---|
QAW039 450 mg qd Non-atopic | -0.05 |
Placebo Non-atopic | -0.03 |
QAW039 450 mg qd Atopic | -0.25 |
Fluticasone 150 µg Bid Atopic | -0.35 |
Placebo Atopic | -0.18 |
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Change From Baseline in Trough FEV1 (L) in Atopic Patients at Week 12 - Full Analysis Set
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Baseline is defined as the FEV1 measurement taken prior to the first dose of randomized study drug.~Data within 6 hr of rescue medication use is excluded from this analysis. For subjects with missing trough FEV1 (L) at Week 12, the last post baseline observation were used (LOCF).~Estimates are from a mixed effects model with treatment, subject population (non-atopic vs. atopic), treatment by subject population interaction, baseline trough FEV1 and region as fixed effects and center nested within region as random effects. Full analysis set included all randomized subjects who received at least one dose of study drug." (NCT01836471)
Timeframe: baseline,12 weeks
Intervention | liter (Least Squares Mean) |
---|
QAW039 450 mg qd Atopic | 0.06 |
Fluticasone 150 µg Bid Atopic | 0.01 |
Placebo Atopic | 0.05 |
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Change From Baseline in Trough FEV1 (L) in Non-atopic Compared to Atopic Patients at Week 12 - Full Analysis Set
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Baseline is defined as the FEV1 measurement taken prior to the first dose of randomized study drug.~Data within 6 hr of rescue medication use is excluded from this analysis. For subjects with missing trough FEV1 (L) at Week 12, the last post baseline observation were used (LOCF).~Estimates are from a mixed effects model with treatment, subject population, treatment by subject population interaction, baseline trough FEV1 and region as fixed effects and center nested within region as random effects. Full analysis set included all randomized subjects who received at least one dose of study drug." (NCT01836471)
Timeframe: baseline,12 weeks
Intervention | liter (Least Squares Mean) |
---|
QAW039 450 mg qd Non-atopic | 0.05 |
Placebo Non-atopic | 0.03 |
QAW039 450 mg qd Atopic | 0.06 |
Fluticasone 150 µg Bid Atopic | 0.01 |
Placebo Atopic | 0.05 |
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Change From Baseline in Trough FEV1 (L) in Non-atopic Patients at Week 12 - Full Analysis Set
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Baseline is defined as the last available FEV1 measurement taken prior to the first dose of randomized study drug.~Data within 6 hr of rescue medication use is excluded from this analysis. For subjects with missing trough FEV1 (L) at Week 12, the last post baseline observation were used (LOCF).~Estimates are from a mixed effects model with treatment, subject population (non-atopic vs. atopic), treatment by subject population interaction, baseline trough FEV1 and region as fixed effects and center nested within region as random effects. Full analysis set included all randomized subjects who received at least one dose of study drug." (NCT01836471)
Timeframe: baseline,12 weeks
Intervention | liter (Least Squares Mean) |
---|
QAW039 450 mg qd Non-atopic | 0.05 |
Placebo Non-atopic | 0.03 |
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Unplanned Healthcare Utilization at Visit 3 (Week 4), Visit 4 (Week 12) and Visit 5 (Week 26)
Unplanned healthcare utilization by visit (Telephone contact with study doctor (MD); Telephone contact with other physician (MD) or healthcare provider (HCP); Unscheduled or unplanned visit to study doctor (including home visits); Unscheduled or unplanned visit to other physician or healthcare provider (including home visits); Emergency department or hospital visit (< 24 hours); Hospital admission or Emergency department visit (> 24 hours). (NCT01845025)
Timeframe: Week 4, Week 12, and Week 26
Intervention | unplanned visits (Number) |
---|
| Telephone contact with study MD: V3 | Telephone contact with other MD or HCP: V3 | unplanned visit to study MD;include home:V3 | unplanned visit to other MD or HCP incl.home:V3 | Emergency or hospital visit (< 24 hours):V3 | Hospital admission or Emergency visit (>24hrs):V3 | Telephone contact with study MD: V4 | Telephone contact with other MD or HCP: V4 | unplanned visit to study MD;include home:V4 | unplanned visit to other MD or HCP incl.home:V4 | Emergency or hospital visit (< 24 hours):V4 | Hospital admission or Emergency visit (>24hrs):V4 | Telephone contact with study MD: V5 | Telephone contact with other MD or HCP: V5 | unplanned visit to study MD;include home:V5 | unplanned visit to other MD or HCP incl.home:V5 | Emergency or hospital visit (< 24 hours):V5 | Hospital admission or Emergency visit (>24hrs):V5 |
---|
Fluticasone Propionate (FP) | 18 | 9 | 13 | 9 | 4 | 1 | 17 | 7 | 15 | 16 | 4 | 2 | 9 | 2 | 9 | 7 | 6 | 0 |
,FOM 12 mcg + FP | 19 | 5 | 7 | 5 | 3 | 1 | 25 | 5 | 10 | 15 | 3 | 0 | 14 | 8 | 6 | 10 | 4 | 2 |
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Percentage of Days of School/Work Missed at 26 Weeks
The percentage of days of school/work missed during the treatment period (26 weeks). Overall percentage of school days missed for each student patient or of work days missed is calculated by total number of days missed divided by total days of treatment. (NCT01845025)
Timeframe: 26 weeks
Intervention | percentage of days (Mean) |
---|
FOM 12 mcg + FP | 0.97 |
Fluticasone Propionate (FP) | 0.56 |
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Percentage of Days With no Symptoms at 26 Weeks
Percentage of days with no symptoms during the treatment period (26 weeks). Percentage is calculated as total number of days with no symptoms divided by total days of treatment. (NCT01845025)
Timeframe: 26 weeks
Intervention | percentage of days (Mean) |
---|
FOM 12 mcg + FP | 79.47 |
Fluticasone Propionate (FP) | 77.64 |
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Percentage of Days With no Rescue Medication Use at 26 Weeks
Percentage of rescue free days is calculated as total number of days with no rescue medication was taken divided by total days of treatment. (NCT01845025)
Timeframe: 26 weeks
Intervention | percentage of days (Mean) |
---|
FOM 12 mcg + FP | 76.97 |
Fluticasone Propionate (FP) | 73.29 |
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Percentage of Days With Nighttime Awakenings at 26 Weeks
Percentage of days with nighttime awakenings during the treatment period (26 weeks) (NCT01845025)
Timeframe: 26 weeks
Intervention | percentage of days (Mean) |
---|
FOM 12 mcg + FP | 4.55 |
Fluticasone Propionate (FP) | 4.20 |
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Change From Baseline in Asthma Control Questionnaire (ACQ - 6) Total Score at Week 26
Change from baseline in Asthma control Questionnaire (ACQ - 6) total score at week 26. Results of the Asthma control questionnaire (ACQ-6); The average score of the six questions is calculated as the sum of scores divided by the number of questions that were answered at the time point, as long as there were at least 4 questions answered. The ACQ6 score is calculated as the mean of the responses to the first 6 questions of the ACQ. The ACQ is a scale containing 7 questions, each question has a 7-point scale which ranges from 0 to 6; a total score of 0 corresponds to no impairment and a total score of 6 corresponds to maximum impairment. (NCT01845025)
Timeframe: baseline and 26 weeks
Intervention | total score on a scale (Mean) |
---|
FOM 12 mcg + FP | -0.65 |
Fluticasone Propionate (FP) | -0.59 |
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Number of Asthma Exacerbations at 26 Weeks
Number of asthma exacerbations events (NCT01845025)
Timeframe: 26 weeks
Intervention | events (Mean) |
---|
FOM 12 mcg + FP | 1.3 |
Fluticasone Propionate (FP) | 1.2 |
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ED Visits for Asthma
Emergency department visits for asthma over a 6 month period by parent report. (NCT01881412)
Timeframe: 6 months
Intervention | visits (Mean) |
---|
Inhaled Corticosteroid (Fluticasone) | .37 |
Routine Asthma Care | 0.56 |
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Unscheduled Primary Care Visits
Unscheduled primary care visits for asthma over a 6 month period by parent report. (NCT01881412)
Timeframe: 6 months
Intervention | visits (Mean) |
---|
Inhaled Corticosteroid (Fluticasone) | .8 |
Routine Asthma Care | 1.7 |
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Primary Care Visits for Well Checks
Primary care visits well checks over a 6 month period by parent report. (NCT01881412)
Timeframe: 6 months
Intervention | visits (Mean) |
---|
Inhaled Corticosteroid (Fluticasone) | 1 |
Routine Asthma Care | 0.6 |
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Oral Steroid Courses
Oral steroid courses over a 6 month period by parent report. (NCT01881412)
Timeframe: 6 months
Intervention | Courses (Mean) |
---|
Inhaled Corticosteroid (Fluticasone) | .54 |
Routine Asthma Care | 0.7 |
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Hospitalizations for Asthma
Hospitalizations for asthma over a 6 month period by parent report. (NCT01881412)
Timeframe: 6 months
Intervention | Hospitalizations (Mean) |
---|
Inhaled Corticosteroid (Fluticasone) | .06 |
Routine Asthma Care | .05 |
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Total Airway Resistance Increase
concentration of methacholine required to increase total airway resistance by 40% (PC40R5) (NCT01907334)
Timeframe: 1 to 7 days
Intervention | ln(mg/mL) (Geometric Mean) |
---|
| Advair and Advair Diskuses | Advair and Flovent Diskuses |
---|
Increase in Airway Resistance After Methacholine | 47 | 22.9 |
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Transition Dyspnoea Index (TDI) Focal Score at Week 24
"The TDI includes the same 3 categories as BDI and 7 ratings indicating the magnitude of the change from baseline in each category: from -3 (major deterioration) to zero (no change) to +3 (major improvement). Category scores are added to compute the Focal Score (from -9 to 9)" (NCT01908140)
Timeframe: At Week 24
Intervention | TDI Focal Score (Least Squares Mean) |
---|
Aclidinium Bromide / Formoterol Fumarate | 1.9 |
Salmeterol / Fluticasone | 1.9 |
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Peak Forced Expiratory Volume in One Second (FEV1) at Week 24
Peak FEV1 define at the highest value observed in the 3h after the morning IMP administration (NCT01908140)
Timeframe: At Week 24
Intervention | Liters (Least Squares Mean) |
---|
Aclidinium Bromide / Formoterol Fumarate | 1.655 |
Salmeterol / Fluticasone | 1.562 |
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Pediatric Rhinoconjunctivitis Quality of Life Questionnaire (PRQLQ)
Change from baseline to Visit 4 in the ITT ( intent to treat) Pediatric Rhinoconjunctivitis Quality of Life Questionnaire (PRQLQ) in subjects equal to or greater than 6 years old and less than12 years old compared to placebo.Scored on a 0 to 7 scale with 0 being not troubled at all and 7 being extremely troublesome. The higher the difference the better the result. (NCT01915823)
Timeframe: day 1 to day 15 of treatment
Intervention | units on a scale (Mean) |
---|
Dymista | -.91 |
Dymista Vehicle | -.66 |
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Primary Efficacy
change from baseline in AM+PM rTNSS (reflective total nasal symptoms score): ITT( intent to treat population)change from baseline in 12-hour reflective total nasal symptom score (rTNSS) consisting of nasal congestion,runny nose, itchy nose and sneezing scored twice daily (AM and PM) in diary for the entire 14 day study period.The measurement scale is 0 to 24 so that the higher the number the worse the symptom.A reduction in symptom severity score is indicated by a negative value.A greater negative value suggests improvement. (NCT01915823)
Timeframe: 15 days of treatment
Intervention | units on a scale (Mean) |
---|
Dymista | -3.83 |
Dymista Vehicle | -2.77 |
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Safety
"Subject-reported adverse experiences (incidence, type, and severity of adverse events)~Nasal Examinations~Vital signs assessments" (NCT01915823)
Timeframe: entire length of study (day 1 to day 22)
Intervention | occurance (Number) |
---|
Dymista | 28 |
Dymista Vehicle | 23 |
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Median Time to the First Relapse of AD During the Maintenance Phase and Follow-up Phase
Median time to the first relapse of AD during the Maintenance Phase and Follow-up Phase is defined as the number of days from start of the FP treatment until AD relapse during the Maintenance Phase and Follow-up Phase. AD relapse is defined as participants with PSGA exacerbation score >=2 (the six-point scale of PSGA score range from 0 to 5 where 0=clear, 1=almost clear, 2=mild, 3=moderate, 4=severe, 5=very severe) compared to PSGA score of treatment success during the Acute Phase. (NCT01915914)
Timeframe: From the start of treatment up to Week 32 during the Maintenance Phase and Follow-up Phase
Intervention | Days (Median) |
---|
Emollient Plus FP 0.05% Cream | NA |
Emollient | 142.0 |
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Number of Participants With Post-study Assessment of Lotion Qualities (1) Using Questionnaire
"Participants from each group completed the post-study questionnaire to rate the qualities of the lotion as compared with other skin emollients used in the past based on their experience. Each participant was asked the following Questions (Q). Q 1: This product is easier to use than other skin emollients; Q 2: When I apply this product I am able to start my daily activities quicker than with other skin emollients; Q 3: This product leaves my skin feeling softer than other skin emollients; Q 4: I am able to apply this product to larger body surface areas than other skin emollients; Q 5: This product disappears into my skin quicker than when I apply other skin emollients. Participants rated the qualities of the lotion based on a 5 point scale (5= Strongly Agree, 4= Agree, 3= Neutral, 2= Disagree, 1= Strongly Disagree N/A=Does not apply to me). Participant's rating for each question were summarized." (NCT01915914)
Timeframe: At early withdrawal or end of the therapy visit (up to Week 32)
Intervention | Participants (Number) |
---|
| Q 1, 1 | Q 1, 2 | Q 1, 3 | Q 1, 4 or 5 | Q 1, N/A | Q 2, 1 | Q 2, 2 | Q 2, 3 | Q 2, 4 or 5 | Q 2, N/A | Q 3, 1 | Q 3, 2 | Q 3, 3 | Q 3, 4 or 5 | Q 3, N/A | Q 4, 1 | Q 4, 2 | Q 4, 3 | Q 4, 4 or 5 | Q 4, N/A | Q 5, 1 | Q 5, 2 | Q 5, 3 | Q 5, 4 or 5 | Q 5, N/A |
---|
Emollient | 0 | 4 | 13 | 29 | 4 | 1 | 2 | 13 | 29 | 5 | 0 | 3 | 9 | 34 | 4 | 1 | 1 | 7 | 37 | 4 | 2 | 2 | 10 | 32 | 4 |
,Emollient Plus FP 0.05% Cream | 0 | 0 | 5 | 39 | 4 | 0 | 1 | 5 | 38 | 4 | 0 | 1 | 4 | 39 | 4 | 0 | 0 | 6 | 38 | 4 | 0 | 0 | 6 | 38 | 4 |
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Number of Participants With Post-study Assessment of Lotion Qualities (2) Using Questionnaire
"Participants from each group completed the post-study questionnaire to rate the qualities of the lotion as compared with other skin emollients used in the past based on their experience. Each participant was asked the following Questions (Q). Q 1: It leaves my skin feeling soft and smooth; Q 2: There is nothing left on my skin; Q 3: Does not feel greasy; Q 4: Disappears into my skin quickly after I put it on; Q 5: Easy to apply; Q 6: Fragrance-free; Q 7: Spreadability; Q 8: Lack of stickiness. Participants rated the qualities of the lotion based on a 5 point scale (5= Strongly Agree, 4= Agree, 3= Neutral, 2= Disagree, 1= Strongly Disagree N/A=Does not apply to me). Participant's rating for each question were summarized." (NCT01915914)
Timeframe: At early withdrawal or end of the therapy visit (up to Week 32)
Intervention | Participants (Number) |
---|
| Q 1, 1 | Q 1, 2 | Q 1, 3 | Q 1, 4 or 5 | Q 1, N/A | Q 2, 1 | Q 2, 2 | Q 2, 3 | Q 2, 4 or 5 | Q 2, N/A | Q 3, 1 | Q 3, 2 | Q 3, 3 | Q 3, 4 or 5 | Q 3, N/A | Q 4, 1 | Q 4, 2 | Q 4, 3 | Q 4, 4 or 5 | Q 4, N/A | Q 5, 1 | Q 5, 2 | Q 5, 3 | Q 5, 4 or 5 | Q 5, N/A | Q 6, 1 | Q 6, 2 | Q 6, 3 | Q 6, 4 or 5 | Q 6, N/A | Q 7, 1 | Q 7, 2 | Q 7, 3 | Q 7, 4 or 5 | Q 7, N/A | Q 8, 1 | Q 8, 2 | Q 8, 3 | Q 8, 4 or 5 | Q 8, N/A |
---|
Emollient | 0 | 1 | 11 | 37 | 1 | 0 | 4 | 8 | 38 | 0 | 2 | 3 | 10 | 35 | 0 | 2 | 3 | 7 | 38 | 0 | 2 | 1 | 5 | 42 | 0 | 0 | 0 | 5 | 45 | 0 | 0 | 0 | 9 | 41 | 0 | 2 | 3 | 10 | 35 | 0 |
,Emollient Plus FP 0.05% Cream | 0 | 1 | 3 | 44 | 0 | 0 | 3 | 1 | 44 | 0 | 0 | 3 | 2 | 43 | 0 | 0 | 1 | 2 | 45 | 0 | 0 | 1 | 2 | 45 | 0 | 0 | 0 | 1 | 47 | 0 | 0 | 1 | 2 | 45 | 0 | 0 | 3 | 2 | 43 | 0 |
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Change From Baseline in Cutaneous Atrophy Sign Score, Epidermal Thickening /Lichenification Sign Score and Abnormal Pigmentation Score Using Visual Analogue Scale (VAS) at the End of the Maintenance Phase and Follow-up Phase
Investigator evaluated and scored the signs of cutaneous atrophy (CA), epidermal thickening/lichenification (ET/L) and abnormal pigmentation (AP) using the Visual Analogue Scale (ranging from 0 to 10, higher values represent a worse outcome) based on their subjective judgment. The change from Baseline in each sign (Cutaneous atrophy, epidermal thickening / lichenification and abnormal pigmentation) score at the end of the Maintenance Phase and Follow-up Phase and is calculated as the score at the end of the Maintenance and Follow-up Phase minus the Baseline score. Baseline is defined as VAS score for each sign obtained at Visit 4 (end of Acute Phase). Summation of VAS scores for each sign (CA, ET/L and AP) was done to calculate the Total VAS score (ranging from 0 to 30, higher values represent a worse outcome) at the Maintenance and Follow-up phase of study. The missing value was imputed using last-observation-carry-forward (LOCF) method. (NCT01915914)
Timeframe: Baseline, Week 20 and Week 32
Intervention | Scores on a scale (Mean) |
---|
| Week 20, CA | Week 20, ET/L | Week 20, AP | Week 32, CA | Week 32, ET/L | Week 32, AP | Week 20, Total VAS Score | Week 32, Total VAS Score |
---|
Emollient | -0.2 | 0.5 | 0.0 | -0.2 | 0.6 | 0.0 | 0.3 | 0.4 |
,Emollient Plus FP 0.05% Cream | -0.1 | -0.4 | -0.4 | -0.1 | 0.1 | -0.3 | -0.9 | -0.3 |
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Numbers of Recurrent Participants at the End of the Follow-up Phase (Week 32)
The number of participants with AD recurrent/relapse at the end of the Follow-up Phase is presented. AD relapse is defined as participants with PSGA exacerbation score >=2 (the six-point scale of PSGA: 0=clear, 1=almost clear, 2=mild, 3=moderate, 4=severe, 5=very severe) compared to PSGA score of treatment success. Participants with treatment success is defined as participants with PSGA <=1; and the improvement >=2 compared to Baseline. (NCT01915914)
Timeframe: From Week 20 to Week 32
Intervention | Participants (Number) |
---|
Emollient Plus FP 0.05% Cream | 10 |
Emollient | 32 |
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"Number of Participants With Treatment Success During the Acute Phase"
"The number of participants with treatment success during the Acute Phase is presented. Participants with treatment success are defined as participants with PSGA <=1; and the improvement >=2 (the six-point scale of PSGA: 0=clear, 1=almost clear, 2=mild, 3=moderate, 4=severe, 5=very severe) compared to Baseline in the Acute Phase of the study." (NCT01915914)
Timeframe: From the start of treatment up to Visit 4 (Week 0) or treatment success (depends on which time point comes first)
Intervention | Participants (Number) |
---|
FP 0.05% Cream | 107 |
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Number of Participants With Post-study Assessment of Skin Emollients Using Questionnaire
"Participants from each group completed the post-study questionnaire to rate the skin emollients (gel, lotion, cream, ointment, solution and foam) used in the past based on their experience. Participants rated skin emollients on a 5-point scale (5= liked the best, 4= second best, 3= third best, 2= fourth best, 1= liked the least, N/A=Does not apply to me)." (NCT01915914)
Timeframe: At early withdrawal or end of the therapy visit (up to Week 32)
Intervention | Participants (Number) |
---|
| Gel, 1 | Gel, 2 | Gel, 3 | Gel, 4 | Gel, 5 | Gel, N/A | Lotion, 1 | Lotion, 2 | Lotion, 3 | Lotion, 4 | Lotion, 5 | Lotion, N/A | Cream, 1 | Cream, 2 | Cream, 3 | Cream, 4 | Cream, 5 | Cream, N/A | Ointment, 1 | Ointment, 2 | Ointment, 3 | Ointment, 4 | Ointment, 5 | Ointment, N/A | Solution, 1 | Solution, 2 | Solution, 3 | Solution, 4 | Solution, 5 | Solution, N/A | Foam, 1 | Foam, 2 | Foam, 3 | Foam, 4 | Foam, 5 | Foam, N/A |
---|
Emollient | 1 | 1 | 2 | 2 | 0 | 44 | 1 | 1 | 2 | 12 | 26 | 8 | 0 | 2 | 2 | 18 | 5 | 23 | 3 | 3 | 10 | 3 | 11 | 20 | 1 | 0 | 5 | 2 | 0 | 42 | 2 | 1 | 0 | 0 | 0 | 47 |
,Emollient Plus FP 0.05% Cream | 2 | 2 | 2 | 2 | 1 | 39 | 1 | 0 | 7 | 8 | 27 | 5 | 1 | 1 | 7 | 12 | 6 | 21 | 1 | 7 | 5 | 3 | 10 | 22 | 0 | 1 | 4 | 4 | 1 | 38 | 4 | 1 | 1 | 0 | 0 | 42 |
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Time to the First Relapse of AD During the Maintenance Phase
Time to the first relapse of AD is defined as the number of days from start of the FP treatment in Maintenance Phase until AD relapse. AD relapse is defined as participants with PSGA exacerbation score >=2 (the six-point scale of PSGA score range from 0 to 5 where 0=clear, 1=almost clear, 2=mild, 3=moderate, 4=severe, 5=very severe) compared to PSGA score of treatment success during Acute Phase. Participants with treatment success are defined as participants with PSGA <=1; and the improvement >=2 compared to Baseline. (NCT01915914)
Timeframe: From the start of treatment up to Week 20 during the Maintenance Phase
Intervention | Days (Median) |
---|
Emollient Plus FP 0.05% Cream | NA |
Emollient | 142.0 |
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Change From Baseline in Cutaneous Atrophy Sign Score, Epidermal Thickening /Lichenification Sign Score and Abnormal Pigmentation Score Using Visual Analogue Scale (VAS) at the End of the Acute Phase
Investigator evaluated and scored the signs of cutaneous atrophy (CA), epidermal thickening/lichenification (ET/L) and abnormal pigmentation (AP) using Visual Analogue Scale (ranging from 0 to 10, higher values represent a worse outcome) based on their subjective judgment. The change from Baseline in each signs (Cutaneous atrophy, epidermal thickening / lichenification and abnormal pigmentation) score at the end of the Acute Phase (Visit 4 [Week 0 or treatment success, depend on which time point comes first) ±2day]) and is calculated as the score at Visit 4 minus the Baseline score. Baseline is defined as the VAS score for each sign obtained before the first dose of study drug in the Acute Phase of the study (Visit 2). Summation of the VAS scores for each sign (CA, ET/L and AP) was done to calculate the Total VAS score (ranging from 0 to 30, higher values represent a worse outcome) at Visit 4 of the Acute Phase of the study. (NCT01915914)
Timeframe: From the start of treatment up to Visit 4 (Week 0) or treatment success (depends on which time point comes first)
Intervention | Scores on a scale (Mean) |
---|
| Visit 4, CA | Visit 4, ET/L | Visit 4, AP | Visit 4, Total VAS Score |
---|
FP 0.05% Cream | -0.3 | -1.9 | -0.7 | -2.9 |
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Change From Baseline in QoL at the End of the Follow-up Phase
Infant's IDQOL and Children's CDLQI were used to evaluate quality of life for participants of age between 1 to 16 years. IDQOL and CDLQI questionnaires were designed for infants (below the age of 4 years) and children (age 4 to age 16) with AD, respectively. The IDQOL and CDLQI were calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score in each questionnaire, the more quality of life is impaired. The change from Baseline in QoL score is based on each questionnaire at the end of the Follow-up Phase and is calculated as the score at the end of the Follow-up Phase minus the Baseline score. Baseline is defined as QoL scores obtained at Visit 4 (end of Acute Phase). A QOL is equal to IDQOL if the age of a participant is < 4 years and it is equal to CDLQI if the age of a participant is between 4 and 16 years. (NCT01915914)
Timeframe: Baseline and Week 32
Intervention | Scores on a scale (Mean) |
---|
Emollient Plus FP 0.05% Cream | 0.0 |
Emollient | 2.2 |
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Numbers of Recurrent Participants at the End of the Maintenance Phase (Week 20)
The number of participants with AD recurrent/relapse at the end of Maintenance Phase is presented. AD relapse is defined as participants with PSGA exacerbation score >=2 (the six-point scale of PSGA: 0=clear, 1=almost clear, 2=mild, 3=moderate, 4=severe, 5=very severe) compared to PSGA score of treatment success. Participants with treatment success is defined as participants with PSGA <=1; and the improvement >=2 compared to Baseline. (NCT01915914)
Timeframe: From Week 0 (or treatment success, if earlier) to Week 20
Intervention | Participants (Number) |
---|
Emollient Plus FP 0.05% Cream | 3 |
Emollient | 30 |
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Change From Baseline in Quality of Life (QoL) at the End of the Maintenance Phase
Infant's Dermatitis Quality of Life Index (IDQOL) and Children's Dermatology Life Quality Index (CDLQI) were used to evaluate quality of life for participants of age between 1 to 16 years. IDQOL and CDLQI questionnaires were designed for infants (below the age of 4 years) and children (age 4 to age 16) with atopic dermatitis, respectively. The IDQOL and CDLQI were calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score in each questionnaire, the more quality of life is impaired. The change from Baseline in the QoL score is based on each questionnaire at the end of the Maintenance Phase and is calculated as the score at the end of the Maintenance Phase minus the Baseline score. Baseline is defined as QoL scores obtained at Visit 4 (end of Acute Phase). A QOL is equal to IDQOL if the age of a participant is < 4 years and it is equal to CDLQI if the age of a participant is between 4 and 16 years. (NCT01915914)
Timeframe: Baseline and Week 20
Intervention | Scores on a scale (Mean) |
---|
Emollient Plus FP 0.05% Cream | -0.4 |
Emollient | 2.2 |
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Number of Episode of Nosocomial Pneumonia
The number of episodes of nosocomial pneumonia happened by day 28. And nosocomial pneumonia is a lower respiratory infection that was not incubating at the time of hospital admission and that presents clinically 2 or more days after hospitalization. (NCT01933984)
Timeframe: the 28th day after enrollment
Intervention | episodes of nosocomial pneumonia (Median) |
---|
Individualized Dosing | 0 |
Fixed Dosing | 0 |
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Mortality Rate
The percentage of participants died at day 180. (NCT01933984)
Timeframe: the 180th day after enrollment
Intervention | percentage of participants (Number) |
---|
Individualized Dosing | 35 |
Fixed Dosing | 40 |
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∆Raw (the Difference Between Measured and Target Airway Resistance)
The value can be expressed as relative deviation from target =(measured Raw - target Raw)/target Raw X100 (NCT01933984)
Timeframe: Airway resistance will be recorded everyday. If a patient's ventilator was liberated less than 28 days, the day of liberation was the reported time frame. If the day of ventilator liberation was over 28 days, the 28th day was the reported time frame.
Intervention | percentage of relative Raw deviation (Mean) |
---|
Individualized Dosing | 9 |
Fixed Dosing | 44 |
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Ventilator-free Days From Day 1 to 28
Ventilator-free days from day 1 to 28 after enrollment (NCT01933984)
Timeframe: From day 1 to day 28 after enrollment
Intervention | day (Number) |
---|
Individualized Dosing | 19 |
Fixed Dosing | 22 |
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The Participants of Breathing Without Assistance by Day 28
The number of participants who breath without ventilator by day 28 (NCT01933984)
Timeframe: the 28th day after enrollment
Intervention | the number of participants (Number) |
---|
Individualized Dosing | 19 |
Fixed Dosing | 22 |
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Rapidity of ∆Raw Change
The deviation of ∆Raw from the personal target, which was calculated as (measured Raw-target Raw)/target Raw multiplied by 100. (NCT01933984)
Timeframe: Airway resistance will be recorded everyday. If a patient's ventilator was liberated less than 28 days, the day of liberation was the reported time frame. If the day of ventilator liberation was over 28 days, the 28th day was the reported time frame.
Intervention | percentage of relative Raw deviation (Mean) |
---|
Individualized Dosing | -3 |
Fixed Dosing | 0.4 |
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Number of Total Puff of Rescue Short-acting Bronchodilator
The number of total puff of rescue short-acting bronchodilator. (NCT01933984)
Timeframe: the 28th day after enrollment
Intervention | puffs (Number) |
---|
Individualized Dosing | 0 |
Fixed Dosing | 0 |
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Percentage Change From Baseline in BMD Measurements at Lumbar Spine (L1 to L4) by Gender (Male Participants)
"BMD analysis performed on log (BMD ratio to baseline) using separate repeated measures models for each gender with covariates of treatment group, age, baseline BMI, visit, log baseline BMD, log baseline BMD by visit and treatment group by visit interactions. These estimates were then converted into annual changes and averaged to calculate the overall treatment estimates and difference which were used for testing non-inferiority. The analysis shown is for the While on Treatment estimand of the difference in percentage change from baseline per annum between FF/VI ± BMD medication/SCS (systemic corticosteroids) and VI ± BMD medication/SCS. Baseline is defined as the measurement performed at Visit 1. Percentage change is calculated as (BMD value post-Baseline divided by Baseline value) -1 multiplied by 100." (NCT01957150)
Timeframe: Baseline (Visit 1) and 26, 52, 78, 104, 130 and 156 Weeks
Intervention | Percent change (Least Squares Mean) |
---|
| Overall, male % change per year, n = 69, 64 | % change by Week 26, n = 67, 64 | % change by Week 52, n = 53, 56 | % change by Week 78, n = 52, 45 | % change by Week 104, n = 52, 43 | % change by Week 130, n = 47, 38 | % change by Week 156, n = 43, 35 |
---|
Participants Administered FF/VI | 0.38 | 0.42 | 0.11 | 0.64 | 0.42 | 0.47 | 1.49 |
,Participants Administered VI | 1.41 | 1.03 | 1.91 | 2.09 | 2.72 | 1.95 | 2.96 |
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Percentage Change From Baseline in BMD Measurements at Total Hip by Gender (Female Participants)
"BMD analysis performed on log (BMD ratio to baseline) using separate repeated measures models for each gender with covariates of treatment group, age, baseline BMI, visit, log baseline BMD, log baseline BMD by visit and treatment group by visit interactions. These estimates were then converted into annual changes and averaged to calculate the overall treatment estimates and difference which were used for testing non-inferiority. The analysis shown is for the While on Treatment estimand of the difference in percentage change from baseline per annum between FF/VI ± BMD medication/SCS (systemic corticosteroids) and VI ± BMD medication/SCS. Baseline is defined as the measurement performed at Visit 1. Percentage change is calculated as (BMD value post-Baseline divided by Baseline value) -1 multiplied by 100." (NCT01957150)
Timeframe: Baseline (Visit 1) and 26, 52, 78, 104, 130 and 156 Weeks
Intervention | Percent change (Least Squares Mean) |
---|
| OverallWeek % change per year, n = 65, 67 | % change by Week 26, n = 64, 67 | % change by Week 52, n = 52, 65 | % change by Week 78, n = 46, 56 | % change by Week 104, n = 44, 53 | % change by Week 130, n = 44, 45 | % change by Week 156, n = 36, 40 |
---|
Participants Administered FF/VI | -0.31 | 0.20 | -0.42 | -0.63 | -1.26 | -0.99 | -1.19 |
,Participants Administered VI | 0.09 | 0.28 | 0.13 | 0.37 | -0.40 | -0.18 | -0.42 |
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Percentage Change From Baseline in Bone Mineral Density (BMD) Measured at Total Hip
"BMD analysis performed on log (BMD ratio to baseline) using a repeated measures model with covariates of treatment group, age, gender, baseline BMI, visit, log baseline BMD, log baseline BMD by visit and treatment group by visit interactions. These estimates were then converted into annual changes and averaged to calculate the overall treatment estimates and difference which were used for testing non-inferiority. The analysis shown is for the While on Treatment estimand of the difference in percentage change from baseline per annum between FF/VI ± BMD medication/SCS (systemic corticosteroids) and VI ± BMD medication/SCS. Baseline is defined as the measurement performed at Visit 1. Percentage change is calculated as (BMD value post-Baseline divided by Baseline value) -1 multiplied by 100." (NCT01957150)
Timeframe: Baseline (Visit 1) and 26, 52, 78, 104, 130 and 156 Weeks
Intervention | Percentage change (Least Squares Mean) |
---|
| Overall % change per year, n = 132, 130 | % change by Week 26, n= 130, 130 | % change by Week 52, n = 104, 121 | % change by Week 78, n = 97, 102 | % change by Week 104, n = 94, 96 | % change by Week 130, n = 88, 84 | % change by Week 156, n = 76, 75 |
---|
Participants Administered FF/VI | -0.27 | 0.31 | -0.43 | -0.68 | -1.02 | -1.02 | -1.29 |
,Participants Administered VI | 0.18 | 0.37 | 0.35 | 0.22 | -0.16 | 0.00 | -0.16 |
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Percentage Change From Baseline in BMD Measurements at Lumbar Spine (L1 to L4) by Gender (Female Participants)
"BMD analysis performed on log (BMD ratio to baseline) using separate repeated measures models for each gender with covariates of treatment group, age, baseline BMI, visit, log baseline BMD, log baseline BMD by visit and treatment group by visit interactions. These estimates were then converted into annual changes and averaged to calculate the overall treatment estimates and difference which were used for testing non-inferiority. The analysis shown is for the While on Treatment estimand of the difference in percentage change from baseline per annum between FF/VI ± BMD medication/SCS (systemic corticosteroids) and VI ± BMD medication/SCS. Baseline is defined as the measurement performed at Visit 1. Percentage change is calculated as (BMD value post-Baseline divided by Baseline value) -1 multiplied by 100." (NCT01957150)
Timeframe: Baseline (Visit 1) and 26, 52, 78, 104, 130 and 156 Weeks
Intervention | Percent change (Least Squares Mean) |
---|
| Overall Week % change per year, n = 66, 68 | % change by Week 26, n = 66, 68 | % change by Week 52, n = 51, 66 | % change by Week 78, n = 46, 57 | % change by Week 104, n = 43, 54 | % change by Week 130, n = 44, 49 | % change by Week 156, n = 36, 42 |
---|
Participants Administered FF/VI | 0.12 | -0.19 | 0.57 | 0.25 | 0.64 | 0.10 | 0.10 |
,Participants Administered VI | 0.17 | 0.10 | -0.48 | 0.33 | 0.65 | 1.33 | 0.80 |
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Percentage Change From Baseline in BMD Measurements at Lumbar Spine (L1 to L4)
"BMD analysis performed on log (BMD ratio to baseline) using a repeated measures model with covariates of treatment group, age, gender, baseline BMI, visit, log baseline BMD, log baseline BMD by visit and treatment group by visit interactions. These estimates were then converted into annual changes and averaged to calculate the overall treatment estimates and difference which were used for testing non-inferiority. The analysis shown is for the While on Treatment estimand of the difference in percentage change from baseline per annum between FF/VI ± BMD medication/SCS (systemic corticosteroids) and VI ± BMD medication/SCS. Baseline is defined as the measurement performed at Visit 1. Percentage change is calculated as (BMD value post-Baseline divided by Baseline value) -1 multiplied by 100." (NCT01957150)
Timeframe: Baseline (Visit 1) and 26, 52, 78, 104, 130 and 156 Weeks
Intervention | Percentage Change (Least Squares Mean) |
---|
| Overall week % change per year, n=135, 132 | % change by Week 26, n = 133, 132 | % change by Week 52, n = 104, 122 | % change by Week 78, n= 98, 102 | % change by Week 104, n = 95, 97 | % change by Week 130, n = 91, 87 | % change by Week 156, n = 79, 77 |
---|
Participants Administered FF/VI | 0.28 | 0.13 | 0.40 | 0.45 | 0.61 | 0.30 | 0.83 |
,Participants Administered VI | 0.79 | 0.55 | 0.71 | 1.20 | 1.66 | 1.70 | 1.84 |
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Percentage Change From Baseline in BMD Measurements at Total Hip by Gender (Male Participants)
"BMD analysis performed on log (BMD ratio to baseline) using separate repeated measures models for each gender with covariates of treatment group, age, baseline BMI, visit, log baseline BMD, log baseline BMD by visit and treatment group by visit interactions. These estimates were then converted into annual changes and averaged to calculate the overall treatment estimates and difference which were used for testing non-inferiority. The analysis shown is for the While on Treatment estimand of the difference in percentage change from baseline per annum between FF/VI ± BMD medication/SCS (systemic corticosteroids) and VI ± BMD medication/SCS. Baseline is defined as the measurement performed at Visit 1. Percentage change is calculated as (BMD value post-Baseline divided by Baseline value) -1 multiplied by 100." (NCT01957150)
Timeframe: Baseline (Visit 1) and 26, 52, 78, 104, 130 and 156 Weeks
Intervention | Percent change (Least Squares Mean) |
---|
| Overall Week % change per year, n = 67, 63 | % change by Week 26, n = 66, 63 | % change by Week 52, n = 52, 56 | % change by Week 78, n = 51, 46 | % change by Week 104, n = 50, 43 | % change by Week 130, n = 44, 39 | % change by Week 156, n = 40, 35 |
---|
Participants Administered FF/VI | -0.20 | 0.44 | -0.43 | -0.68 | -0.68 | -0.89 | -1.39 |
,Participants Administered VI | 0.27 | 0.45 | 0.48 | 0.06 | 0.07 | 0.37 | 0.05 |
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The Primary Outcome is a Composite Measure That Uses Exacerbations, Asthma Control Days During the Last 12 of 14 Weeks of a Treatment Regimen, and Percent Predicted FEV1 at the End of a Treatment Regimen.
This composite outcome uses a hierarchical method to ascertain differences in asthma control. For each participant, treatments are first compared to see if they differ in terms of exacerbations. If one treatment results in fewer exacerbations than another, it is deemed the superior treatment and no further comparisons are made. If treatment superiority cannot be assigned by exacerbations, then they are compared by asthma control days (ACDs). If one treatment yields at least 31 annualized ACDs more than another, it is deemed the superior treatment. If treatment superiority still cannot be assigned by ACDs, then they are compared by percent predicted FEV1 at the end of a treatment period. If one treatment yields at least 5% greater FEV1 than another, it is deemed the superior treatment. If treatment superiority cannot be assigned by exacerbations, ACDs or FEV1, then that participant is classified as having no differential response. (NCT01967173)
Timeframe: The last 12 weeks of each 14-week treatment period
Intervention | probability (Number) |
---|
| Advair 100/50 superior to Flovent 250 | Advair 100/50 inferior to Flovent 250 | Advair 100/50 superior to Flovent 500 | Advair 100/50 inferior to Flovent 500 | Advair 100/50 superior to Advair 250/50 | Advair 100/50 inferior to Advair 250/50 | Advair 250/50 superior to Flovent 250 | Advair 250/50 inferior to Flovent 250 | Advair 250/50 superior to Flovent 500 | Advair 250/50 inferior to Flovent 500 | Flovent 500 superior to Flovent 250 | Flovent 500 inferior to Flovent 250 |
---|
Adolescents and Adults | .49 | .28 | .53 | .27 | .42 | .36 | .46 | .33 | .49 | .31 | .35 | .40 |
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The Primary Outcome is a Composite Measure That Uses Exacerbations, Asthma Control Days During the Last 12 of 14 Weeks of a Treatment Regimen, and Percent Predicted FEV1 at the End of a Treatment Regimen.
This composite outcome uses a hierarchical method to ascertain differences in asthma control. For each participant, treatments are first compared to see if they differ in terms of exacerbations. If one treatment results in fewer exacerbations than another, it is deemed the superior treatment and no further comparisons are made. If treatment superiority cannot be assigned by exacerbations, then they are compared by asthma control days (ACDs). If one treatment yields at least 31 annualized ACDs more than another, it is deemed the superior treatment. If treatment superiority still cannot be assigned by ACDs, then they are compared by percent predicted FEV1 at the end of a treatment period. If one treatment yields at least 5% greater FEV1 than another, it is deemed the superior treatment. If treatment superiority cannot be assigned by exacerbations, ACDs or FEV1, then that participant is classified as having no differential response. (NCT01967173)
Timeframe: The last 12 weeks of each 14-week treatment period
Intervention | probability (Number) |
---|
| Advair 100/50 superior to Flovent 250 | Advair 100/50 inferior to Flovent 250 | Advair 100/50 superior to Advair 250/50 | Advair 100/50 inferior to Advair 250/50 | Advair 100/50 superior to Flovent 100 | Advair 100/50 inferior to Flovent 100 | Advair 250/50 superior to Flovent 250 | Advair 250/50 inferior to Flovent 250 | Flovent 250 superior to Flovent 100 | Flovent 250 inferior to Flovent 100 |
---|
Children | .46 | .46 | .47 | .49 | .53 | .41 | .43 | .47 | .51 | .37 |
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Trough FEV1 Change From Patient Baseline After 6 Weeks of Treatment
"Change from patient baseline in Trough Forced Expiratory Volume in one second (FEV1) after 6 weeks of treatment. Trough FEV1 was defined as the mean of the 23h and 23h 50min (minutes) post-dose FEV1 measurements. Measured values presented are actually adjusted means.~The period baseline is defined as the pre-dose measurement taken at on the day 1 of each period. The patient baseline is defined as the mean of non-missing period baselines for each patient." (NCT01969721)
Timeframe: Baseline and 6 weeks.
Intervention | Litres (Mean) |
---|
T+O 2.5/5 / F+S Placebo | 0.192 |
T+O 5/5 / F+S Placebo | 0.197 |
F+S 250/50 / T+O Placebo | 0.150 |
F+S 500/50 / T+O Placebo | 0.139 |
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FEV1 Peak (0-3h) Change From Patient Baseline After 6 Weeks of Treatment
Change from patient baseline in Forced Expiratory Volume in one second (FEV1) peak (0-3 hours) after 6 weeks of treatment. FEV1 peak (0-3 hours) was defined as the maximum FEV1 value measured within the first three hours post dosing. Measured values presented are actually adjusted means. (NCT01969721)
Timeframe: Baseline and 6 weeks.
Intervention | Litres (Mean) |
---|
T+O 2.5/5 / F+S Placebo | 0.401 |
T+O 5/5 / F+S Placebo | 0.432 |
F+S 250/50 / T+O Placebo | 0.291 |
F+S 500/50 / T+O Placebo | 0.285 |
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FEV1 AUC (0-24h) Change From Patient Baseline After 6 Weeks of Treatment
"Change from patient baseline in Forced Expiratory Volume in one second (FEV1) Area Under the FEV1-time Curve from 0 to 24 hours post-dose (AUC 0-24h) [L] after 6 weeks of treatment.~Measured values presented are actually adjusted means. The period baseline is defined as the pre-dose measurement taken at on the day 1 of each period. The patient baseline is defined as the mean of non-missing period baselines for each patient." (NCT01969721)
Timeframe: Baseline and 6 weeks.
Intervention | Litres (Mean) |
---|
T+O 2.5/5 / F+S Placebo | 0.228 |
T+O 5/5 / F+S Placebo | 0.244 |
F+S 250/50 / T+O Placebo | 0.162 |
F+S 500/50 / T+O Placebo | 0.159 |
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FEV1 AUC (12-24h) Change From Patient Baseline After 6 Weeks of Treatment
"Change from patient baseline in Forced Expiratory Volume in one second (FEV1) Area Under the FEV1-time Curve from 12 to 24 hours post-dose (AUC 12-24h) [L] after 6 weeks of treatment. Measured values presented are actually adjusted means.~The period baseline is defined as the pre-dose measurement taken at on the day 1 of each period. The patient baseline is defined as the mean of non-missing period baselines for each patient." (NCT01969721)
Timeframe: Baseline and 6 weeks.
Intervention | Litres (Mean) |
---|
T+O 2.5/5 / F+S Placebo | 0.160 |
T+O 5/5 / F+S Placebo | 0.172 |
F+S 250/50 / T+O Placebo | 0.132 |
F+S 500/50 / T+O Placebo | 0.129 |
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FEV1 AUC (0-12h) Change From Patient Baseline After 6 Weeks of Treatment
"Change from patient baseline in Forced Expiratory Volume in one second (FEV1) Area Under the FEV1-time Curve from 0 to 12hours post-dose (AUC 0-12h) [L] after 6 weeks of treatment. Measured values presented are actually adjusted means.~The period baseline is defined as the pre-dose measurement taken at on the day 1 of each period. The patient baseline is defined as the mean of non-missing period baselines for each patient." (NCT01969721)
Timeframe: Baseline and 6 weeks.
Intervention | Litres (Mean) |
---|
T+O 2.5/5 / F+S Placebo | 0.295 |
T+O 5/5 / F+S Placebo | 0.317 |
F+S 250/50 / T+O Placebo | 0.192 |
F+S 500/50 / T+O Placebo | 0.188 |
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Percentage of Participants With Histologic Response of <15 Eos/Hpf
Percentage with histologic response, with response defined as <15 eos/hpf, will be compared between groups (NCT02019758)
Timeframe: 8 weeks
Intervention | Percent responders (Number) |
---|
Oral Viscous Budesonide (OVB) | 71 |
Active Fluticasone MDI | 64 |
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Number of Subjects With Histologic Recurrence, Defined as ≥15 Eosinophils Per High-power Field, at Follow-up Endoscopy.
To test whether OVB results in less histologic recurrence than fluticasone MDI, the number of subjects with ≥15 eosinophils per high-power field at follow-up endoscopy in each group will be compared using chi-square. (NCT02019758)
Timeframe: Symptom recurrence or 1 year after completing the initial 8 week treatment
Intervention | Participants (Count of Participants) |
---|
Oral Viscous Budesonide (OVB) | 22 |
Active Fluticasone MDI | 17 |
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Mean Peak Eosinophil Count (Aim 2)
This will assess the mean peak level of esophageal eosinophilia on biopsy (measured in peak eosinophil count - eos/hpf) at the time of recurrence (NCT02019758)
Timeframe: Symptom recurrence or 1 year after completing the initial 8 week treatment
Intervention | eosinophils per high-power field (Mean) |
---|
Oral Viscous Budesonide (OVB) | 71.8 |
Active Fluticasone MDI | 35.0 |
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Mean Endoscopic Severity Score at Recurrence (Aim 2)
Measurement of endoscopic severity, using the EoE Endoscopic Reference Score (EREFS) measure, at the time of recurrence. EREFS is a validated endoscopic severity score of key EoE endoscopic features (exudates, rings, edema, furrows, and strictures), and ranges from 0-9 with higher scores indicating higher endoscopic severity. (NCT02019758)
Timeframe: Symptom recurrence or 1 year after completing the initial 8 week treatment
Intervention | score on a scale (Mean) |
---|
Oral Viscous Budesonide (OVB) | 4.8 |
Active Fluticasone MDI | 4.3 |
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Post-treatment Dysphagia Score (Aim 1)
To determine whether viscous budesonide is more effective than fluticasone MDI for improving dysphagia (measured by the Daily Symptoms Questionnaire (DSQ)) in patients with EoE. The mean DSQ scores will be compared between the OVB and MDI groups using a two-sample t-test. The DSQ is a dysphagia severity score which ranges from 0-84, with higher numbers indicating more severe symptoms. (NCT02019758)
Timeframe: 8 weeks
Intervention | score on a scale (Mean) |
---|
Oral Viscous Budesonide (OVB) | 4.8 |
Active Fluticasone MDI | 4.2 |
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Post-treatment Endoscopic Severity (Aim 1)
Endoscopic severity will be quantified using the EoE Endoscopic Reference Score (EREFS) and compared between the two treatment arms. EREFS is a validated endoscopic severity score of key EoE endoscopic features (exudates, rings, edema, furrows, and strictures), and ranges from 0-9 with higher scores indicating higher endoscopic severity. (NCT02019758)
Timeframe: 8 weeks
Intervention | score on a scale (Mean) |
---|
Oral Viscous Budesonide (OVB) | 2.1 |
Active Fluticasone MDI | 2.8 |
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Post-Treatment Maximum Eosinophil Count (Aim 1)
To determine whether viscous budesonide is more effective than fluticasone MDI for improving post-treatment maximum esophageal eosinophil counts (measured in eosinophils per high powered field (eos/hpf)) in patients with eosinophilic esophagitis (EoE). The mean post-treatment maximum eosinophil count will be compared between the OVB and MDI groups using a two-sample t-test. (NCT02019758)
Timeframe: 8 weeks
Intervention | eosinophils per high-power field (Mean) |
---|
Oral Viscous Budesonide (OVB) | 14.7 |
Active Fluticasone MDI | 20.9 |
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Post-treatment Medication Compliance (Aim 1)
Medication compliance as measured by the percentage of medication appropriately used in each arm. For the slurry, this percentage is calculated after measuring the residual volume. For the inhaler, this percentage is calculated after measured using the residual weight. (NCT02019758)
Timeframe: 8 weeks
Intervention | Percentage of medication used (Number) |
---|
Oral Viscous Budesonide (OVB) | 87 |
Active Fluticasone MDI | 85 |
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Post-treatment Symptom Severity (Aim 1)
Post-treatment symptoms severity will be assessed with the EoE Symptom Activity Index (EEsAI), a validated dysphagia severity measure. The EEsAI ranges from 0-100, with higher scores indicating more severe symptoms; symptom remission is defined by a score <20. (NCT02019758)
Timeframe: 8 weeks
Intervention | score on a scale (Mean) |
---|
Oral Viscous Budesonide (OVB) | 22.1 |
Active Fluticasone MDI | 28.0 |
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Number of Participants With Positive Level of Bronchial Hyperreactivity (BHR)
To test whether bronchial Hyperreactivity (BHR), assessed by methacholine challenge, is associated with uncontrolled lower respiratory symptoms. (NCT02024204)
Timeframe: Week 12
Intervention | Participants (Count of Participants) |
---|
Visit 1 Uncontrolled LRS | 18 |
Visit 1 Controlled LRS | 6 |
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Forced Oscillation Technique (FOT) Measures
Small airway function measured pre/post BD (bronchodilator) impulse oscillometry at resistance 5 Hz (R5) and 5-20 Hz (R5-20). (NCT02024204)
Timeframe: Week 12
Intervention | resonant frequency (Median) |
---|
| Pre BD R5 | Pre BD R5-20 | Post BD R5 | Post BD R5-20 |
---|
Visit 1 Controlled LRS | 3.7 | 0.6 | 4.0 | 0.6 |
,Visit 1 Uncontrolled LRS | 4.4 | 1.0 | 4.1 | 0.8 |
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Total IgE (Immunoglobulin E) Levels
IgE levels were obtained by blood test - the total amount of blood drawn is 30 mL. (NCT02024204)
Timeframe: Week 1
Intervention | ng/mL (Median) |
---|
Visit 1 Uncontrolled LRS | 41 |
Visit 1 Controlled LRS | 31 |
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Total EoS (Eosinophil) Counts
EoS counts were obtained by blood test - the total amount of blood drawn is 30 mL. (NCT02024204)
Timeframe: Week 1
Intervention | eosiniphils *10^9/Liter (Median) |
---|
Visit 1 Uncontrolled LRS | .10 |
Visit 1 Controlled LRS | .10 |
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Number of Participants With Positive Level of Paradoxical Vocal Fold Movement (PVFM)
measured by laryngoscopic visualization at rest or after provocation with various odors or exercise. (NCT02024204)
Timeframe: Week 12
Intervention | Participants (Count of Participants) |
---|
Visit 1 Uncontrolled LRS | 21 |
Visit 1 Controlled LRS | 6 |
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Rhinosinusitis Score on International Classification of Sleep Disorders (ICSD)
For rhinosinusitis symptoms, the ICSD scoring system was used, with a likert scale of 1-10 for each symptom (total range of scale = 1-60, with higher scores reflecting more symptoms). (NCT02024204)
Timeframe: Week 12
Intervention | score on ICSD scale (Median) |
---|
Visit 1 Uncontrolled LRS | 35 |
Visit 1 Controlled LRS | 26 |
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Score on Leicester Cough Questionnaire (LCQ)
For rhinosinusitis symptoms, the Leicester Cough Questionnaire (LCQ) was used - a cough-specific health status questionnaire that assesses the physical, psychological, and social domains of cough. The LCQ is made up of 19 items; the total score range is 3-21; a higher score is associated with better health. (NCT02024204)
Timeframe: Week 12
Intervention | score on LCQ scale (Median) |
---|
Visit 1 Uncontrolled LRS | 12 |
Visit 1 Controlled LRS | 15.6 |
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Levels of Fractional Exhaled Nitric Oxide (FeNO)
Measured using a portable device that measures the level of nitric oxide in parts per billion (PPB) in the air slowly exhaled out of the patient's lungs. (NCT02024204)
Timeframe: Week 12
Intervention | parts per billion (ppb) (Median) |
---|
Visit 1 Uncontrolled LRS | 17.8 |
Visit 1 Controlled LRS | 13 |
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Spirometry Measures
"Measured pre/post BD (bronchodilator). Reported as ratio: %FEV1(Liters)/FVC(Liters).~FEV1 = forced expiratory volume at 1 second FVC = forced vital capacity" (NCT02024204)
Timeframe: Week 12
Intervention | % FEV1(Liters)/FVC(Liters) (Median) |
---|
| Pre-BD FEV1/FVC | Post-BD FEV1/FVC |
---|
Visit 1 Controlled LRS | 81.2 | 77.7 |
,Visit 1 Uncontrolled LRS | 78.5 | 78.3 |
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Score on Voice Handicap Index 10 (VHI-10)
"Voice Handicap Index 10 is a measure of laryngeal dysfunction or hypersensitivity to capture the overall state of voice handicap. The normative value for this instrument is 2.83, with a score > 11 considered abnormal. There are 10 statements that are scored between 0 and 4 (0= never, 4= always). The total range is 0-40, where 40 is highest level of dysfunction." (NCT02024204)
Timeframe: Week 12
Intervention | score on VHI-10 scale (Median) |
---|
Visit 1 Uncontrolled LRS | 7 |
Visit 1 Controlled LRS | 1 |
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Change in Health Status - mMRC
Modified Medical Research Council scale (mMRC) questionnaire will be completed by participants. 0 Not troubled with breathlessness except with strenuous exercise; 1 Troubled by shortness of breath when hurrying on the level or walking up a slight hill; 2 Walks slower than people of the same age on the level because of breathlessness or has to stop for breath when walking at own pace on the level; 3 Stops for breath after walking about 100 yards or after a few minutes on the level; 4 Too breathless to leave the house or breathless when dressing or undressing (NCT02055352)
Timeframe: Baseline, week 12 and week 24
Intervention | Score on a scale (Least Squares Mean) |
---|
| Week 12 | Week 24 |
---|
Budesonide/Indacaterol | 1.452 | 1.315 |
,Fluticasone / Salmeterol | 1.623 | 1.414 |
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Change in Health Status - SGRQ-C
St George's Respiratory Questionnaire short version questionnaire will be completed by participants. The SGRQ ranges from 0 (no impairment of quality of life) to 100 (highest impairment of quality of life) (NCT02055352)
Timeframe: Baseline, week 12 and week 24
Intervention | Score on a scale (Least Squares Mean) |
---|
| Week 12 | Week 24 |
---|
Budesonide/Indacaterol | -8.703 | -7.787 |
,Fluticasone / Salmeterol | -2.334 | -2.523 |
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Change From Baseline in Trough Forced Expiratory Volume in 1 Second at Week 24 (Analysis of Superiority)
Forced Expiratory Volume in 1 second (FEV1) is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing. (NCT02055352)
Timeframe: Baseline and week 24
Intervention | Liters (Least Squares Mean) |
---|
Budesonide/Indacaterol | 0.063 |
Fluticasone / Salmeterol | 0.020 |
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Change From Baseline in Trough Forced Expiratory Volume in 1 Second (Non-inferiority Analysis).
Forced Expiratory Volume in 1 second (FEV1) is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. (NCT02055352)
Timeframe: Baseline and week 12
Intervention | Liters (Least Squares Mean) |
---|
Budesonide/Indacaterol | 0.080 |
Fluticasone / Salmeterol | 0.019 |
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Change From Baseline in Mean Daily Number of Puffs of Rescue Medication Used Over the 24 Week Treatment
A day with no rescue medication use is defined from the diary data as any day where the patient recorded no rescue medicine use during the previous 12 hours. (NCT02055352)
Timeframe: 24 weeks
Intervention | Puffs (Mean) |
---|
Budesonide/Indacaterol | 10.5 |
Fluticasone / Salmeterol | 12.9 |
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Caregiver Research Participant Assessment Score at Study End (Visit 6, Week 12)
The Research Participant Assessment Score (RPA Comprehension) was a 17-item questionnaire designed to assess comprehension of study information at screening (Visit 6, week 12) between MICT and LASST trial designs. The same 17-item questionnaire was administered to the adolescent participant and to the caregiver participant. The items were scored as 1=incorrect, 2=partially correct, 3=correct (minimum possible score=17 and maximum possible score=51). Scores were assigned by two trained coders who independently listed to audio recordings of the RPA Comprehension questionnaire administration. Scores from the two coders were averaged for a final score. Higher scores indicate better comprehension. Mean (95% Confidence Interval) are the outcome measure reported. (NCT02061280)
Timeframe: Final Visit (Visit 6, Week12)
Intervention | Scores on a scale (Mean) |
---|
MICT Trial Design | 43.28 |
LASST Trial Design | 41.08 |
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Spirometry Quality Control Grade
"Spirometry grade scores in MICT participants (who performed spirometry at home) were compared with spirometry grade scores in LASST participants (who performed spirometry at the study sites). Spirometry grade scores were only available for LASST participants at Visit 3 (week 0), therefore only spirometry grade scores from Visit 3 were compared between MICT and LASST participants. Per the LASST trial no scoring was performed on the LASST participants for any other visit; the scoring for the LASST trial was for quality control only and was not a pre-specified trial outcome.~Spirometry grade score scale was: 4.00 (highest=best possible score), 3.00, 2.00, 1.00, 0.00 (lowest=worst possible score). The maximum score was 4.00, the minimum score was 0.00. Higher scores indicate better spirometry score and therefore better quality." (NCT02061280)
Timeframe: Visit 3 (week 0)
Intervention | scores on a scale (Median) |
---|
MICT Trial Design | 3.75 |
LASST Trial Design | 4.00 |
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Adolescent Research Participant Assessment Score at Study End (Visit 6, Week 12)
The Research Participant Assessment Score (RPA Comprehension) was a 17-item questionnaire designed to assess comprehension of study information at screening (Visit 6, week 12) between MICT and LASST trial designs. The same 17-item questionnaire was administered to the adolescent participant and to the caregiver participant. The items were scored as 1=incorrect, 2=partially correct, 3=correct (minimum possible score=17 and maximum possible score=51). Scores were assigned by two trained coders who independently listed to audio recordings of the RPA Comprehension questionnaire administration. Scores from the two coders were averaged for a final score. Higher scores indicate better comprehension. Mean (95% Confidence Interval) are the outcome measure reported. (NCT02061280)
Timeframe: Final Visit (Visit 6, Week12)
Intervention | Scores on a scale (Mean) |
---|
MICT Trial Design | 41.22 |
LASST Trial Design | 41.27 |
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Asthma Control Test Score at Final Visit (Visit 6, Week12)
"The Asthma Control Test is a 5-item Likert scale questionnaire; Scaling of items 5-point scale (for symptoms and activities: 1=all the time to 5= not at all; for asthma control rating: 1=not controlled at all to 5=completely controlled); The score for each item is summed to generate a total score. The scores range from 5 (poor control of asthma) to 25 (complete control of asthma), with higher scores reflecting greater asthma control. An ACT score >19 indicates well-controlled asthma.~The study was powered to have greater than 90% power to detect a clinically meaningful difference of 3 in the ACT score between the MICT Trial Design and the LASST trial Design , assuming a mean score of 19 with a standard deviation of 4 (data from a previous ALA-ACRC trial)." (NCT02061280)
Timeframe: Final Visit (Visit 6, Week 12)
Intervention | scores on a scale (Median) |
---|
MICT Trial Design | 24 |
LASST Trial Design | 23 |
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Asthma Control Test Scores at Screening (Visit 1, Week -8)
"The Asthma Control Test is a 5-item Likert scale questionnaire; Scaling of items 5-point scale (for symptoms and activities: 1=all the time to 5= not at all; for asthma control rating: 1=not controlled at all to 5=completely controlled); The score for each item is summed to generate a total score. The scores range from 5 (poor control of asthma) to 25 (complete control of asthma), with higher scores reflecting greater asthma control. An ACT score >19 indicates well-controlled asthma.~The study was powered to have greater than 90% power to detect a clinically meaningful difference of 3 in the ACT score between the MICT Trial Design and the LASST trial Design , assuming a mean score of 19 with a standard deviation of 4 (data from a previous ALA-ACRC trial)." (NCT02061280)
Timeframe: Screening (Visit 1, week -8)
Intervention | scores on a scale (Median) |
---|
MICT Trial Design | 22 |
LASST Trial Design | 22 |
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Caregiver Research Participant Assessment Score at Screening (Visit 1, Week -8)
The Research Participant Assessment Score (RPA Comprehension) was a 17-item questionnaire designed to assess comprehension of study information at screening (Visit 1, week -8) between MICT and LASST trial designs. The same 17-item questionnaire was administered to the adolescent participant and to the caregiver participant. The items were scored as 1=incorrect, 2=partially correct, 3=correct (minimum possible score=17 and maximum possible score=51). Scores were assigned by two trained coders who independently listed to audio recordings of the RPA Comprehension questionnaire administration. Scores from the two coders were averaged for a final score. Higher scores indicate better comprehension. Mean (95% Confidence Interval) are the outcome measure reported. (NCT02061280)
Timeframe: Screening (Visit 1, week -8)
Intervention | Scores on a scale (Mean) |
---|
MICT Trial Design | 43.2 |
LASST Trial Design | 42.9 |
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Adolescent Research Participant Assessment Score at Screening (Visit 1, Week -8)
The Research Participant Assessment Score (RPA Comprehension) was a 17-item questionnaire designed to assess comprehension of study information at screening (Visit 1, week -8) between MICT and LASST trial designs. The same 17-item questionnaire was administered to the adolescent participant and to the caregiver participant. The items were scored as 1=incorrect, 2=partially correct, 3=correct (minimum possible score=17 and maximum possible score=51). Scores were assigned by two trained coders who independently listed to audio recordings of the RPA Comprehension questionnaire administration. Scores from the two coders were averaged for a final score. Higher scores indicate better comprehension. Mean (95% Confidence Interval) are the outcome measure reported. (NCT02061280)
Timeframe: Screening (Visit 1, week -8)
Intervention | Scores on a scale (Mean) |
---|
MICT Trial Design | 41.08 |
LASST Trial Design | 42.26 |
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Number of Participants Hospitalized for Asthma
Number of participants hospitalized for asthma during the 48 week treatment period. (NCT02066129)
Timeframe: end of 48 week treatment period
Intervention | Participants (Count of Participants) |
---|
Fluticasone 44 mcg | 0 |
Fluticasone 220 mcg | 4 |
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Asthma Exacerbations
The primary outcome is the rate of severe asthma exacerbations treated with oral corticosteroids during the 48 week treatment period. (NCT02066129)
Timeframe: end of 48 week treatment period
Intervention | exacerbations per year (Least Squares Mean) |
---|
Fluticasone 44 mcg | 0.37 |
Fluticasone 220 mcg | 0.48 |
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Yellow Zone Albuterol Use
Use of albuterol rescue medication during 7-day yellow zone episodes. (NCT02066129)
Timeframe: end of 48 week treatment period
Intervention | number of albuterol puffs (Least Squares Mean) |
---|
Fluticasone 44 mcg | 13 |
Fluticasone 220 mcg | 15 |
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Yellow Zone Asthma Symptoms
Study participants completed a daily symptom diary. They scored the following diary elements on a scale from 0-3 (none-severe): Cough, Wheeze, Trouble Breathing, Interference With Activities. A combined score was calculated as the sum of the 4 elements and ranged from 0 to 12. The study intervention was based on yellow-zones as noted in the Study Description. This outcome was based on diary data including 21 days, beginning 7 days prior to the onset of the yellow-zone intervention and ending 14 days after the onset of the intervention. The total symptom burden outcome was defined as the sum of the combined score on each diary day and ranged from 0 to 252 (max combined score of 12 per day multiplied by 21 days). A score of zero would indicate no symptoms over the entire 21 days. A score of 252 would indicate severe cough, wheeze, shortness of breath, and interference with activities on all of the 21 days. (NCT02066129)
Timeframe: end of 48 week treatment period
Intervention | units on a scale (Least Squares Mean) |
---|
Fluticasone 44 mcg | 20 |
Fluticasone 220 mcg | 23 |
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Unscheduled Emergency Department (ED) or Urgent Care Visits for Asthma
Rate of emergency department (ED) or urgent care visits for asthma during the 48 week treatment period. (NCT02066129)
Timeframe: end of 48 week treatment period
Intervention | visits per year (Least Squares Mean) |
---|
Fluticasone 44 mcg | 0.47 |
Fluticasone 220 mcg | 0.64 |
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Least Squares Mean Change From Baseline in Daily Morning (AM) and Evening (PM) PEF Averaged During Period 2
Peak expiratory flow is a person's maximum speed of expiration, as measured with a peak flow meter which determines person's ability to breathe out air. PEF was measured each morning and evening prior to study medication or any rescue salbutamol inhalation aerosol use, using an electronic peak flow meter. Mean change from Baseline was calculated as PEF value averaged during Period 2 (Week 9 to Week 20) minus Baseline. Data is presented separately for morning(AM) and evening(PM) assessments. The Baseline value was the mean of the daily values in one week prior to randomization (Visit 5: Week 8) separately for morning and evening. Adjusted mean change from baseline is presented [least square mean (LSM)]. (NCT02094937)
Timeframe: From Week 9 to Week 20
Intervention | Liter per minute (L/min) (Least Squares Mean) |
---|
| PEF at AM, n=122, 124, 124 | PEF at PM, n=122, 124, 124 |
---|
FF 100 mcg OD | -18.2 | -19.2 |
,FP 100 mcg BD | -21.3 | -19.3 |
,FP 250 mcg BD | -18.1 | -18.7 |
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Percentage of Participants With 'Well-controlled Asthma' at the End of Period 2
"Asthma symptom scores(SS) were recorded by par using ratings 0 (no symptoms) to 5-symptoms so severe that par could not perform normal activity[morning] or to 4-symptoms so severe that par could not sleep at all[nightly]. Well-controlled asthma was defined as having no exacerbation/asthma worsening, no night-time symptoms, a best pre-bronchodilator forced expiratory volume in 1 second ≥80% at clinic, and ≥2 per week of: daytime symptoms on ≤1 day, rescue use on ≤1 day, or morning peak expiratory flow ≥80% of the best effort value. Well-controlled asthma at the end of period 2 was assessed in the week prior to Visit 11 (Week 20). Percentage of participants were calculated as the number of participants with well-controlled asthma divided by total number participants excluding withdrawals prior to visit 11 (end of period 2) other than asthma worsening/exacerbation. A Logistic Regression Model was used with covariates of Baseline FEV1, gender, age and treatment group." (NCT02094937)
Timeframe: Week 20
Intervention | Percentage of Participants (Number) |
---|
FF 100 mcg OD | 89.5 |
FP 100 mcg BD | 78.2 |
FP 250 mcg BD | 83.1 |
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Proportion of Subjects With ACT Score >= 20 at Visit 11 (Week 20)
Asthma control test is a five item questionnaire with each response rating from 1 to 5 (1 is severe and 5 is no event) of asthma events over previous 4-weeks. The questions were designed to be self-completed by the participant. The percentage of participants with ACT score >=20 at the end of the Period 2 were analyzed using a logistic regression model including covariates for baseline ACT score, gender, age and treatment group. (NCT02094937)
Timeframe: Week 20
Intervention | Percentage of participants (Number) |
---|
FF 100 mcg OD | 99.1 |
FP 100 mcg BD | 97.4 |
FP 250 mcg BD | 96.5 |
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"Percentage of Participants (Par) Withdrawn From the Study Due to Poorly-controlled Asthma During Period 2"
Asthma symptom scores (SS) were recorded by par using ratings 0 (no symptoms) to 5-symptoms so severe that par could not perform normal activity [morning] or to 4-symptoms so severe that par could not sleep at all [nightly]. Withdrawal due to poorly-controlled(WPC) (required step-up therapy) asthma was defined as asthma worsening/exacerbation or ≧3 per week of : day symptoms on ≧ 2 days, rescue use on ≧2 days, morning PEF <80 % of best effort on ≧ 1 day, night symptoms on ≧1 or more day, a best pre-bronchodilator forced expiratory volume in 1s (FEV1) < 80% at clinic . Percentage of par WPC asthma at visit 6, 7, 9 and 11 (Week 10, 12, 16 and 20 respectively) were reported. Cox Proportional Hazards Model was used with covariates of Baseline FEV1, gender, age and treatment group. Analysis was descriptive only, no p -values calculated, treatment differences and associated 95% CI were produced. (NCT02094937)
Timeframe: From Week 9 to Week 20
Intervention | Percentage of Participants (Number) |
---|
FF 100 mcg OD | 4.9 |
FP 100 mcg BD | 7.3 |
FP 250 mcg BD | 8.1 |
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Least Squares Mean Change From Baseline in Asthma Control Test (ACT) Score at the End of Period 2
The total ACT score is the sum of the scores attributed to the five questions, ranging from 5 (poor control of asthma) to 25 (complete control of asthma), with higher scores reflecting greater asthma control. An ACT score >=20 indicates well-controlled asthma. The questions were designed to be self-completed by the participant. Mean change from Baseline was calculated as ACT score at the end of Period 2 (Week 20) minus Baseline value. The Baseline value was the predose value at randomization (Visit 5: Week 8). Adjusted mean change from baseline is presented [least square mean(LSM)]. (NCT02094937)
Timeframe: Week 20
Intervention | Score on scale (Least Squares Mean) |
---|
FF 100 mcg OD | -0.3 |
FP 100 mcg BD | -0.6 |
FP 250 mcg BD | -0.8 |
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Least Squares Mean Change From Baseline in Clinic Visit Trough FEV1 at the End of Period 2
FEV measures amount of air a person can exhale during a forced breath. The amount of air exhaled in one second of the forced breath is FEV1. Trough FEV1 was measured between 3pm and 11pm excluding Visit 1. Highest value from the three acceptable measurements were recorded. Change from Baseline was calculated as adjusted mean FEV1 value during Period 2 minus Baseline. The Baseline value was the predose value at the randomization (Visit 5: Week 8). Analysis of covariance (ANCOVA) Model was used with covariates of baseline FEV1, gender, age and treatment group. The adjusted mean from this model is presented [least square mean (LSM)]. (NCT02094937)
Timeframe: Week 20
Intervention | Liter (Least Squares Mean) |
---|
FF 100 mcg OD | -0.129 |
FP 100 mcg BD | -0.135 |
FP 250 mcg BD | -0.105 |
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Least Squares Mean Change From Baseline in the Percentage of Rescue Free 24 Hour (hr) Periods During Period 2
The time during which the participants did not have to take any rescue medication (medication intended to relieve symptoms immediately) was considered as a rescue free period. Participants who did not require inhalation of salbutamol (rescue medication) for 24-hours were captured with the help of a daily dairy, all participants were required to record use of rescue medication daily for day and night time separately on e-diary. Mean change from Baseline was calculated as percentage of rescue free 24 hour period during Period 2 (Week 9 to Week 20) minus Baseline value. The Baseline value was the mean of the daily values in one week prior to randomization (Visit 5: Week 8). Adjusted mean change from baseline is presented [least square mean (LSM)]. (NCT02094937)
Timeframe: From Week 9 to Week 20
Intervention | Percentage of rescue-free 24-hr periods (Least Squares Mean) |
---|
FF 100 mcg OD | -0.9 |
FP 100 mcg BD | -2.1 |
FP 250 mcg BD | -1.2 |
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Least Squares Mean Change From Baseline in the Percentage of Symptom Free 24 Hour Periods During Period 2
Participants who were symptom free for 24-hours were assessed with the help of a daily Dairy. It included the details on daily asthma symptom scores ranging from 0 (no symptoms) to 5-symptoms so severe that participant could not perform normal activity [morning] or to 4-symptoms so severe that participants could not sleep at all [nightly]. Mean change from Baseline was calculated as percentage of symptom free 24 hours during Period 2 (Week 9 to Week 20) minus Baseline. The Baseline value was the mean of the daily values in one week prior to randomization (Visit 5: Week 8). Adjusted mean change from baseline is presented [least square mean (LSM)]. (NCT02094937)
Timeframe: From Week 9 to Week 20
Intervention | Percentage of symptom-free 24-h period (Least Squares Mean) |
---|
FF 100 mcg OD | -1.0 |
FP 100 mcg BD | -1.3 |
FP 250 mcg BD | -1.8 |
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Percentage of Rescue-free 24-hour Periods Over the Entire 12-week Treatment Period
Participants were given daily record cards for daily completion from BL (Week -1) through Week 12 (Visit 7) each morning and prior prior to taking study medication (i.e., single-blind and double-blind study medication), supplemental medication (albuterol [salbutamol] if received). Participants recorded number of occasions supplemental albuterol/salbutamol (MDI and/or nebules) or oxitropium bromide (applicable sites in Japan) used over the previous 24 hours and any medical problems that they had experienced and any medication used to treat these medical problems over the previous 24 hours. Rescue-free 24-hour periods are defined as the 24-hour periods in which the rescue medication (albuterol [salbutamol]) was not used. The percentage of 24-hour periods are summarized for the entire treatment period (12 weeks). Analysis was performed using an analysis of covariance (ANCOVA) model with covariates of treatment, reversibility status (stratum), baseline (week -1) and region. (NCT02105974)
Timeframe: BL (Week -1), Week 1 to Week 12
Intervention | Percentage of rescue-free periods (Least Squares Mean) |
---|
FF/VI 100/25 µg QD | 47.03 |
VI 25 µg QD | 44.41 |
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Time to First On-treatment Occurrence of Moderate or Severe COPD Exacerbation
Time to first on-treatment exacerbation was analysed using a Cox proportional hazards model with terms for treatment, reversibility status and percent predicted FEV1 at screening. Exacerbation of COPD is defined by a worsening of symptoms requiring additional treatment. Moderate COPD exacerbation is worsening symptoms of COPD that require treatment with antibiotics and/or systemic corticosteroids. Severe COPD exacerbation is worsening symptoms of COPD that require treatment with in-patient hospitalization. The number of participants with On-Treatment moderate or severe COPD exacerbations are presented. (NCT02105974)
Timeframe: From the start of double blind study medication until visit 7 (week 12)/Early withdrawal
Intervention | Participants (Number) |
---|
FF/VI 100/25 µg QD | 69 |
VI 25 µg QD | 114 |
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Mean Change From Baseline (BL) in Clinic Visit Trough (Pre-bronchodilator and Pre-dose) FEV1, on Treatment Day 84
Pulmonary function was measured by forced expiratory volume in one second (FEV1), defined as the maximal amount of air that can be forcefully exhaled from the lungs in one second. Trough FEV1 measurements were taken electronically by spirometry on Days 2, 14, 28, 56 and 84. BL was defined as the mean of the assessments made 30 minutes pre-dose and immediately pre-dose on Treatment Day 1.Trough FEV1 was defined as the mean of the FEV1 values obtained 23 and 24 hours after previous morning's dosing. Change from BL was calculated as the average at each visit minus the BL value. Analysis was performed using a repeated measures model with covariates of treatment, reversibility status (stratum), BL, region, day, day by BL and day by treatment interactions. (NCT02105974)
Timeframe: Baseline to Day 84
Intervention | Liter (Least Squares Mean) |
---|
FF/VI 100/25 µg QD | 0.116 |
VI 25 µg QD | 0.082 |
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Kaplan-Meier Estimates for Time to 15% and 12% Improvement From Baseline in FEV1 Postdose on Day 1
"A subset of approximately 300 patients who performed postdose serial spirometry is based on sample size calculation. Baseline FEV1 was the average of 2 FEV1 measurements (30 and 10 minutes predose) on Day 1. If one of these was missing, the other measurement was used as baseline value. If both were missing, baseline was treated as missing. Time to target improvement (15% or 12%) was defined as the time elapsed from the time of first dose to the first time the target improvement in FEV1 was achieved. If an exact target increase was not achieved at a measured timepoint, then the time was estimated by linear interpolation between the timepoint when target was reached and the timepoint immediately before. Patients who did not achieve the target improvement were censored at the time of last serial spirometry assessment.~Values of 9999 indicate the values could not be estimated which happened when the estimated probability of not achieving target is more than 50%." (NCT02139644)
Timeframe: Day 1 of the Treatment Period (predose and postdose)
Intervention | hours (Median) |
---|
| 15% improvement | 12% improvement |
---|
Fp MDPI 100 mcg | NA | NA |
,Fp MDPI 50 mcg | NA | NA |
,FS MDPI 100 / 12.5 mcg | 4.3 | 1.0 |
,FS MDPI 50 / 12.5 mcg | 1.3 | 0.5 |
,Placebo MDPI | NA | NA |
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Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period
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. (NCT02139644)
Timeframe: Day 1 to Week 12 of the Treatment Period
Intervention | Participants (Count of Participants) |
---|
| >=1 TEAE | >=1 severe TEAE | >=1 treatment-related TEAE | >=1 severe treatment-related TEAE | >=1 serious TEAE | >=1 TEAE leading to withdrawal | >=1 nonserious TEAE | >=1 TEAE resulting in death |
---|
Fp MDPI 100 mcg | 40 | 1 | 5 | 0 | 1 | 2 | 39 | 0 |
,Fp MDPI 50 mcg | 44 | 1 | 7 | 0 | 0 | 1 | 44 | 0 |
,FS MDPI 100 / 12.5 mcg | 37 | 2 | 4 | 0 | 1 | 0 | 36 | 0 |
,FS MDPI 50 / 12.5 mcg | 46 | 0 | 4 | 0 | 0 | 3 | 46 | 0 |
,Placebo MDPI | 47 | 0 | 5 | 0 | 2 | 6 | 45 | 0 |
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Change From Baseline in the Weekly Average of the Daily Morning Trough Peak Expiratory Flow (PEF) Over the 12 Week Treatment
Morning PEF tests were performed before administration of study drug or rescue medications (data were excluded if the time of PEF measurement was more than 5 minutes after the dose time). The patient recorded the highest value of 3 measurements obtained in the patient diary. The baseline PEF was the average value of recorded (nonmissing) morning assessments over the 7 days prior to randomization on Day 1. For efficacy analyses of weekly average morning PEF measurements, values were the averages based on available data for that week. (NCT02139644)
Timeframe: Days -6 to Day 1 (predose), Day 1 (postdose) daily until Week 12
Intervention | liters/minute (Least Squares Mean) |
---|
FS MDPI 100 / 12.5 mcg | 24.415 |
FS MDPI 50 / 12.5 mcg | 24.864 |
Fp MDPI 100 mcg | 14.517 |
Fp MDPI 50 mcg | 10.609 |
Placebo MDPI | 3.591 |
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Change From Baseline in the Weekly Average of the Total Daily (24-hour) Use of Albuterol/Salbutamol Inhalation Aerosol Over the 12-Week Treatment Period
Patients recorded the number of inhalations of rescue medication (albuterol/salbutamol HFA MDI) each AM and PM in the diary. The average number of daily inhalations over the 7 days before the randomization visit was the baseline value. The weekly average was based on the available data for the 7 days before each analysis week. The change from baseline in the weekly average of total daily (24-hour) use of albuterol/ salbutamol inhalation aerosol (number of inhalations) over weeks 1 to 12 was analyzed using a mixed model for repeated measures. (NCT02139644)
Timeframe: Days -6 to Day 1 (predose, baseline), up to week 12
Intervention | puffs (Least Squares Mean) |
---|
FS MDPI 100 / 12.5 mcg | -0.677 |
FS MDPI 50 / 12.5 mcg | -0.706 |
Fp MDPI 100 mcg | -0.466 |
Fp MDPI 50 mcg | -0.467 |
Placebo MDPI | -0.003 |
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Change From Baseline in the Weekly Average of the Total Daily Asthma Symptom Score Over the 12-Week Treatment Period
"The total daily asthma symptom score is the average of the daytime and nighttime scores as recorded in the patient diary (range 0-9).~Daytime Symptom Score:~0=No symptoms~Symptoms for 1 short period~Symptoms for 2+ short periods~Symptoms for most of the day - did not affect normal daily activities~Symptoms for most of the day - did affect normal daily activities~Symptoms so severe that I could not go to work or perform normal daily activities~Nighttime Symptom Score (determined in the AM):~0=No symptoms~Symptoms causing me to wake once (or wake early)~Symptoms causing me to wake twice or more (including waking early)~Symptoms causing me to be awake for most of the night~Symptoms so severe that I did not sleep Baseline was the average of recorded scores over the 7 days before randomization. The change from baseline in the weekly average over weeks 1 to 12 was analyzed using an mixed model for repeated measures (MMRM)." (NCT02139644)
Timeframe: Days -6 to Day 1 (predose, baseline) to Week 12
Intervention | units on a scale (Least Squares Mean) |
---|
FS MDPI 100 / 12.5 mcg | -0.364 |
FS MDPI 50 / 12.5 mcg | -0.329 |
Fp MDPI 100 mcg | -0.300 |
Fp MDPI 50 mcg | -0.278 |
Placebo MDPI | -0.135 |
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Kaplan-Meier Estimate of Probability of Remaining in Study At Week 12
The analysis of probability of remaining in the study at Week 12 used the time to patient withdrawal for worsening asthma, defined as the number of days elapsed from the date of randomization to the date of withdrawal due to worsening asthma. Patients who were lost to follow-up, who had not withdrawn due to worsening asthma by week 12, or who had withdrawn due to reasons other than worsening asthma were right-censored at the date of last assessment. (NCT02139644)
Timeframe: up to Week 12 of the Treatment Period
Intervention | probability (Number) |
---|
FS MDPI 100 / 12.5 mcg | 1.0000 |
FS MDPI 50 / 12.5 mcg | 0.9917 |
Fp MDPI 100 mcg | 0.9919 |
Fp MDPI 50 mcg | 0.9919 |
Placebo MDPI | 0.9681 |
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Standardized Baseline-Adjusted Forced Expiratory Volume in 1 Second (FEV1) Area Under the Effect Curve From Time Zero to 12 Hours Postdose (FEV1 AUEC0-12h) at Week 12
"A subset of approximately 300 patients who performed postdose serial spirometry is based on sample size calculation. Data from these assessments were used to analyze the primary endpoint of baseline adjusted FEV1 AUEC0-12h at week 12 using the trapezoidal rule based on actual time of measurement. It was standardized by dividing it by the number of hours between the start time of dose administration and the end time of the last nonmissing FEV1 measurement.~The baseline FEV1 was the average of the 2 predose FEV1 measurements (30 and 10 minutes predose). If 1 of these was missing, the nonmissing value was used; if both were missing, baseline was treated as missing. Baseline-adjusted FEV1 was calculated as postdose FEV1 after subtracting the baseline FEV1 value." (NCT02139644)
Timeframe: Day 1 (predose, baseline), Week 12 and was performed at the following times relative to the administration of study drug (±5 minutes): 15 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, and 12 hours
Intervention | liters (Least Squares Mean) |
---|
FS MDPI 100 / 12.5 mcg | 0.408 |
FS MDPI 50 / 12.5 mcg | 0.399 |
Fp MDPI 100 mcg | 0.254 |
Fp MDPI 50 mcg | 0.268 |
Placebo MDPI | 0.074 |
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Change From Baseline in Morning Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 12
"Trough FEV1 was a morning spirometry taken predose and pre-rescue bronchodilator. If the patient inadvertently administered asthma medication/study drug at home on the AM of the visit, or if the patient took rescue medication within 6 hours of testing, the visit was rescheduled.~The baseline for predose FEV1 was defined as the average of the 30-minute and 10-minute predose measurements obtained at the randomization visit (Day 1)." (NCT02139644)
Timeframe: Day 1 (predose, baseline), Week 12
Intervention | liters (Least Squares Mean) |
---|
FS MDPI 100 / 12.5 mcg | 0.315 |
FS MDPI 50 / 12.5 mcg | 0.319 |
Fp MDPI 100 mcg | 0.204 |
Fp MDPI 50 mcg | 0.172 |
Placebo MDPI | 0.053 |
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Change From Baseline in the Asthma Quality of Life Questionnaire With Standardized Activities (AQLQ(S)) Score at Endpoint for Patients >=18 Years Old
"The AQLQ(S) (September 2010 version; patients aged ≥18 years) was self-administered by the patients at the investigational center at the randomization visit and at Week 12 or end of trial. The questionnaire is a tool to measure the impact of asthma on a patient's quality of life (physical, emotional, social, and occupational) with a recall period of 2 weeks. The AQLQ(S) was administered only to patients 18 years and older. The 32 individual questions in the AQLQ were equally weighted. The overall AQLQ score was the mean of the responses to each of the 32 questions, and ranged from 1 to 7. A score of 7.0 indicated that the patient had no impairments due to asthma and a score of 1.0 indicated severe impairment.~Positive change from baseline scores indicate improved quality of life." (NCT02139644)
Timeframe: Day 1 (predose, baseline), end of trial (up to week 12)
Intervention | units on a scale (Least Squares Mean) |
---|
FS MDPI 100 / 12.5 mcg | 0.808 |
FS MDPI 50 / 12.5 mcg | 0.565 |
Fp MDPI 100 mcg | 0.636 |
Fp MDPI 50 mcg | 0.588 |
Placebo MDPI | 0.335 |
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Airway Blood Flow
compare inhaled albuterol-induced changes in airway blood flow (ΔQaw) in healthy current smokers and lifetime non-smokers as an index of endothelial function in the airway circulation and to compare the results between smokers and non-smokers (NCT02141633)
Timeframe: before and 15 minutes after albuterol inhalation
Intervention | ΔQaw (ul/min/ml) (Mean) |
---|
Smokers | 2.13 |
Non-smokers | 13.05 |
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Echocardiogram
to compare inhaled albuterol-induced changes in echocardiogram measuring mean pulmonary artery pressure (MPAP)in healthy current smokers and lifetime non-smokers as an index of endothelial function in the pulmonary circulation and to compare the results between smokers and non-smokers (NCT02141633)
Timeframe: MPAP before and 15 minutes after albuterol inhalation in smokers vs non-smokers
Intervention | ΔMPAP (mmHg) (Mean) |
---|
Smokers | -7.70 |
Non-smokers | -9.04 |
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Change From Baseline in the Weekly Average of the Total Daily Asthma Symptom Score Over the 12-Week Treatment Period
"The total daily asthma symptom score is the average of the daytime and nighttime scores as recorded in the patient diary.~Daytime Symptom Score:~0=No symptoms~1=Symptoms for 1 short period~2=Symptoms for 2+ short periods~3=Symptoms for most of the day - did not affect normal daily activities~4=Symptoms for most of the day - did affect normal daily activities~5=Symptoms so severe that I could not go to work or perform normal daily activities~Nighttime Symptom Score (determined in the AM):~0=No symptoms~1=Symptoms causing me to wake once (or wake early)~2=Symptoms causing me to wake twice or more (including waking early)~3=Symptoms causing me to be awake for most of the night~4=Symptoms so severe that I did not sleep Baseline was the average of recorded scores over the 7 days before randomization. The change from baseline in the weekly average over weeks 1 to 12 was analyzed using an mixed model for repeated measures (MMRM)." (NCT02141854)
Timeframe: Days -6 to Day 1 (predose, baseline), to Week 12
Intervention | units on a scale (Least Squares Mean) |
---|
FS MDPI 200 / 12.5 mcg | -0.391 |
FS MDPI 100 / 12.5 mcg | -0.364 |
Fp MDPI 200 mcg | -0.242 |
Fp MDPI 100 mcg | -0.282 |
Placebo MDPI | -0.087 |
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Kaplan-Meier Estimate of Probability of Remaining in Study At Week 12
The analysis of probability of remaining in the study at Week 12 used the time to patient withdrawal for worsening asthma, defined as the number of days elapsed from the date of randomization to the date of withdrawal due to worsening asthma. Patients who were lost to follow-up, who had not withdrawn due to worsening asthma by week 12, or who had withdrawn due to reasons other than worsening asthma were right-censored at the date of last assessment. (NCT02141854)
Timeframe: up to Week 12 of the Treatment Period
Intervention | probability (Number) |
---|
FS MDPI 200 / 12.5 mcg | 0.9719 |
FS MDPI 100 / 12.5 mcg | 0.9929 |
Fp MDPI 200 mcg | 0.9786 |
Fp MDPI 100 mcg | 0.9930 |
Placebo MDPI | 0.8528 |
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Change From Baseline in the Weekly Average of the Daily Morning Trough Peak Expiratory Flow (PEF) Over the 12 Week Treatment
"Morning PEF tests were performed before administration of study drug or rescue medications (data were excluded if the time of PEF measurement was more than 5 minutes after the dose time). The patient recorded the highest value of 3 measurements obtained in the patient diary.~The baseline PEF was the average value of recorded (nonmissing) morning assessments over the 7 days prior to randomization on Day 1. For efficacy analyses of weekly average morning PEF measurements, values were the averages based on available data for that week." (NCT02141854)
Timeframe: Days -6 to Day 1 (predose, baseline), Day 1 (postdose) daily until Week 12
Intervention | liters/minute (Least Squares Mean) |
---|
FS MDPI 200 / 12.5 mcg | 20.235 |
FS MDPI 100 / 12.5 mcg | 18.610 |
Fp MDPI 200 mcg | 7.464 |
Fp MDPI 100 mcg | 5.731 |
Placebo MDPI | -10.987 |
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Change From Baseline in the Weekly Average of the Total Daily (24-hour) Use of Albuterol/Salbutamol Inhalation Aerosol Over the 12-Week Treatment Period
"Patients recorded the number of inhalations of rescue medication (albuterol/salbutamol HFA MDI) each AM and PM in the diary. The average number of daily inhalations over the 7 days before the randomization visit was the baseline value. The weekly average was based on the available data for the 7 days before each analysis week.~The change from baseline in the weekly average of total daily (24-hour) use of albuterol/ salbutamol inhalation aerosol (number of inhalations) over weeks 1 to 12 was analyzed using a mixed model for repeated measures." (NCT02141854)
Timeframe: Days -6 to Day 1 (predose, baseline), up to week 12
Intervention | puffs (Least Squares Mean) |
---|
FS MDPI 200 / 12.5 mcg | -0.898 |
FS MDPI 100 / 12.5 mcg | -0.821 |
Fp MDPI 200 mcg | -0.534 |
Fp MDPI 100 mcg | -0.439 |
Placebo MDPI | 0.168 |
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Change From Baseline in Morning Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 12
Trough FEV1 is a morning spirometry taken predose and pre-rescue bronchodilator. The baseline for predose FEV1 was defined as the average of the 30-minute and 10-minute predose measurements obtained at the randomization visit (Day 1). (NCT02141854)
Timeframe: Day 1 (predose, baseline), Week 12
Intervention | liters (Least Squares Mean) |
---|
FS MDPI 200 / 12.5 mcg | 0.272 |
FS MDPI 100 / 12.5 mcg | 0.271 |
Fp MDPI 200 mcg | 0.179 |
Fp MDPI 100 mcg | 0.119 |
Placebo MDPI | -0.004 |
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Patients With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period
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. Relation 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. (NCT02141854)
Timeframe: Day 1 to Week 12 of the Treatment Period
Intervention | Participants (Count of Participants) |
---|
| >=1 TEAE | >=1 severe TEAE | >=1 treatment-related TEAE | >=1 severe treatment-related TEAE | >=1 serious TEAE | >=1 TEAE leading to withdrawal | >=1 nonserious TEAE | >=1 TEAE resulting in death |
---|
Fp MDPI 100 mcg | 53 | 1 | 6 | 0 | 1 | 2 | 52 | 0 |
,Fp MDPI 200 mcg | 60 | 0 | 9 | 0 | 1 | 0 | 60 | 0 |
,FS MDPI 100 / 12.5 mcg | 59 | 2 | 4 | 0 | 2 | 2 | 58 | 1 |
,FS MDPI 200 / 12.5 mcg | 61 | 3 | 8 | 1 | 2 | 2 | 61 | 0 |
,Placebo MDPI | 52 | 1 | 5 | 0 | 1 | 2 | 52 | 0 |
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Kaplan-Meier Estimates for Time to 15% and 12% Improvement From Baseline in FEV1 Postdose on Day 1
"The baseline forced expiratory volume in 1 second (FEV1) was the average of the 2 predose FEV1 measurements (30 and 10 minutes predose) on Day 1. If one of these was missing, the other measurement was used as baseline value. If both were missing, the baseline trough FEV1 was treated as missing.~Time to target improvement (15% or 12%) was defined as the time elapsed from the time of first dose to the first time the target improvement in FEV1 was achieved. If an exact target increase was not achieved at a measured timepoint, then the time was estimated by linear interpolation between the timepoint when target was reached and the timepoint immediately before. Patients who did not achieve the target improvement were censored at the time of last serial spirometry assessment.~Values of NA indicate the values could not be estimated which happened when the estimated probability of not achieving target is more than 50%." (NCT02141854)
Timeframe: Day 1 of the Treatment Period (predose and postdose)
Intervention | hours (Median) |
---|
| 15% improvement | 12% improvement |
---|
Fp MDPI 100 mcg | NA | NA |
,Fp MDPI 200 mcg | NA | 6.9 |
,FS MDPI 100 / 12.5 mcg | 0.9 | 0.4 |
,FS MDPI 200 / 12.5 mcg | 0.8 | 0.4 |
,Placebo MDPI | NA | NA |
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Standardized Baseline-Adjusted Forced Expiratory Volume in 1 Second (FEV1) Area Under the Effect Curve From Time Zero to 12 Hours PostDose (FEV1 AUEC0-12) at Week 12
A subset of patients performed postdose serial spirometry. Data from these assessments were used to analyze the primary endpoint of baseline-adjusted FEV1 AUEC0-12h at week 12 using the trapezoidal rule based on actual time of measurement. It was standardized by dividing it by the number of hours between the start time of dose administration and the end time of the last nonmissing FEV1 measurement. The baseline FEV1 was the average of the 2 predose FEV1 measurements (30 and 10 minutes predose). If 1 of these was missing, the nonmissing value was used; if both were missing, baseline was treated as missing. Baseline-adjusted FEV1 was calculated as postdose FEV1 after subtracting the baseline FEV1 value. (NCT02141854)
Timeframe: Day 1 (predose, baseline), Week 12 and was performed at the following times relative to the administration of study drug (±5 minutes): 15 and 30 minutes and 1, 2, 3, 4, 6, 8, 10, and 12 hours
Intervention | liters (Least Squares Mean) |
---|
FS MDPI 200 / 12.5 mcg | 0.446 |
FS MDPI 100 / 12.5 mcg | 0.442 |
Fp MDPI 200 mcg | 0.267 |
Fp MDPI 100 mcg | 0.260 |
Placebo MDPI | 0.121 |
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Change From Baseline in the Asthma Quality of Life Questionnaire With Standardized Activities (AQLQ(S)) Score at Endpoint for Patients >=18 Years Old
"The AQLQ(S) (September 2010 version; patients aged ≥18 years) was self administered by the patients at the investigational center at the randomization visit and at Week 12 or end of trial. The questionnaire is a tool to measure the impact of asthma on a patient's quality of life (physical, emotional, social, and occupational) with a recall period of 2 weeks. The AQLQ(S) was administered only to patients 18 years and older. The 32 individual questions in the AQLQ were equally weighted. The overall AQLQ score was the mean of the responses to each of the 32 questions, and ranged from 1 to 7. A score 7.0 indicated that the patient had no impairments due to asthma and a score of 1.0 indicated severe impairment.~Positive change from baseline scores indicate improved quality of life." (NCT02141854)
Timeframe: Day 1 (predose, baseline), end of trial (up to week 12)
Intervention | units on a scale (Least Squares Mean) |
---|
FS MDPI 200 / 12.5 mcg | 0.534 |
FS MDPI 100 / 12.5 mcg | 0.592 |
Fp MDPI 200 mcg | 0.384 |
Fp MDPI 100 mcg | 0.340 |
Placebo MDPI | -0.089 |
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Annual Rate of On-treatment Severe Exacerbations Comparing FF/UMEC/VI With FF/VI and With UMEC/VI
The annual rate of severe COPD exacerbations during the treatment, has been reported. Severe exacerbations were defined as exacerbations that required hospitalization or resulted in death. The covariates of treatment group, sex, exacerbation history (<=1, >=2 moderate/severe), smoking status (Screening), geographical region and post-bronchodilator percent predicted FEV1 (Screening) were used. Only those participants with non-missing co-variates were included in the analysis (NCT02164513)
Timeframe: Up to Week 52
Intervention | Exacerbations per participant per year (Least Squares Mean) |
---|
FF/UMEC/VI | 0.13 |
FF/VI | 0.15 |
UMEC/VI | 0.19 |
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Time to First On-treatment Moderate/Severe Exacerbation Comparing FF/UMEC/VI With UMEC/VI in the Subset of Particpants With a Blood Eosinophil Count >=150 Cells Per Microliter at Baseline
This measures the number of days, to the first onset of moderate or severe exacerbations for participants with blood eosinophil count >=150 cells per microliter, at Baseline has been reported. Moderate exacerbations, were defined as exacerbations that required treatment with oral/systemic corticosteroids and/or antibiotics (not involving hospitalization or resulting in death). Severe exacerbations, were defined as exacerbations that required hospitalization or resulted in death. Only those participants with non-missing co-variates and non missing eosinophils at Baseline were included in the analysis. First quartile and median time to onset are taken from the Kaplan-Meier estimates. If <25% (and <50%) of participants experienced the event within a treatment then Q1 (and median) time to onset are displayed as NA (not applicable) for that treatment. (NCT02164513)
Timeframe: Up to Week 52
Intervention | Days (Number) |
---|
| First quartile time to onset | Median time to onset |
---|
FF/UMEC/VI | 107 | NA |
,UMEC/VI | 55 | 253 |
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Change From Baseline in St. George's Respiratory Questionnaire for (SGRQ) Total Score at Week 52 Comparing FF/UMEC/VI With FF/VI
SGRQ is a disease specific-questionnaire, designed to measure impact of respiratory disease and its treatment on a COPD participant's Health Related Quality of Life (HRQoL). SGRQ contains 14 questions with total of 40 items grouped into three domains (Symptoms, Activity, and Impacts). The overall summary score along with scores for the individual domains of symptoms, activity and impacts were assessed. Score was calculated by summing the pre-assigned weights of answers, dividing by sum of maximum weights for items in SGRQ. Total scores ranged from 0 to 100. A decrease in score indicates improvement in HRQoL and higher score implies worse quality of life. Change from Baseline was calculated as total score at Week 52 minus value at Baseline. Baseline was defined as Day 1. Minimum clinically important difference (MCID) for this instrument is a 4-point improvement (decrease from Baseline). Only those participants with non-missing co-variates were included in the analysis. (NCT02164513)
Timeframe: Baseline and Week 52
Intervention | Scores on SGRQ scale (Least Squares Mean) |
---|
FF/UMEC/VI | -5.5 |
FF/VI | -3.7 |
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Annual Rate of On-treatment Moderate/Severe Exacerbations Comparing FF/UMEC/VI With UMEC/VI and FF/VI
The annual rate of moderate or severe COPD exacerbations which occurred during treatment was assessed. Moderate exacerbations were defined as exacerbations that required treatment with oral/systemic corticosteroids and/or antibiotics (not involving hospitalization or resulting in death). Severe exacerbations were defined as exacerbations that required hospitalization or resulted in death. Analysis performed using a generalized linear model assuming a negative binomial distribution. ITT population was used which comprised of all randomized participants, excluding those who were randomized in error. Only those participants with non-missing co-variates were included in the analysis. (NCT02164513)
Timeframe: Up to Week 52
Intervention | Exacerbations per participant per year (Least Squares Mean) |
---|
FF/UMEC/VI | 0.91 |
FF/VI | 1.07 |
UMEC/VI | 1.21 |
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Annual Rate of On-treatment Moderate/Severe Exacerbations Comparing FF/UMEC/VI With UMEC/VI in the Subset of Participants With a Blood Eosinophil Count >=150 Cells Per Microliter
The annual rate of moderate or severe COPD exacerbations during the treatment, for participants with blood eosinophil count >=150 cells per microliter , has been reported. Moderate exacerbations, were defined as exacerbations that required treatment with oral/systemic corticosteroids and/or antibiotics (not involving hospitalization or resulting in death). Severe exacerbations were defined as exacerbations that required hospitalization or resulted in death. Only those participants with non-missing co-variates and non-missing eosinophil, at Baseline were included in the analysis. (NCT02164513)
Timeframe: Up to Week 52
Intervention | Exacerbations per participant per year (Least Squares Mean) |
---|
FF/UMEC/VI | 0.95 |
UMEC/VI | 1.39 |
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Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1), at Week 52 Comparing FF/UMEC/VI With FF/VI
FEV1 was defined as the amount of air a person exhales in one second. Change from Baseline was calculated as the value of FEV1 at Week 52 minus the value at Baseline. Baseline for trough FEV1 was defined as Day 1 (Pre-dose). Only those participants with non-missing co-variates were included in the analysis. The analysis was performed using a Repeated measures model with covariates of treatment group, smoking status (Screening), geographical region, visit, Baseline, Baseline by visit and treatment group by visit interactions. (NCT02164513)
Timeframe: Baseline and Week 52
Intervention | Liter (Least Squares Mean) |
---|
FF/UMEC/VI | 0.094 |
FF/VI | -0.003 |
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Time to First On-treatment Moderate/Severe Exacerbation Comparing FF/UMEC/VI With FF/VI and With UMEC/VI
This measures the number of days, to the first onset of moderate or severe exacerbations. Moderate exacerbations, were defined as exacerbations that required treatment with oral/systemic corticosteroids and/or antibiotics (not involving hospitalization or resulting in death). Severe exacerbations, were defined as exacerbations that required hospitalization or resulted in death. The Hazard ratio from Cox proportional hazards model with covariates of treatment group, sex, exacerbation history (<=1, >=2 moderate/severe), smoking status (Screening), geographical region and post-bronchodilator percent predicted FEV1 (Screening), have been reported. Only those participants with non-missing co-variates were included in the analysis. First quartile and median time to onset are taken from the Kaplan-Meier estimates. If <25% (and <50%) of participants experienced the event within a treatment then Q1 (and median) time to onset are displayed as NA (not applicable) for that treatment. (NCT02164513)
Timeframe: Up to Week 52
Intervention | Days (Number) |
---|
| First quartile time to onset | Median time to onset |
---|
FF/UMEC/VI | 112 | NA |
,FF/VI | 81 | NA |
,UMEC/VI | 73 | 306 |
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Participants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment Period
"Data represents participants with potentially clinically significant (PCS) vital sign values during the Treatment period.~Significance criteria:~Systolic blood pressure - high: >=180 and increase >=20 mmHg~Systolic blood pressure - low: <=90 and decrease >=20 mmHg~Diastolic blood pressure - high: >=105 and increase of >=15 mmHg~Diastolic blood pressure - low: <=50 and decrease of >=15 mmHg~Pulse - high: >=120 and increase of >= 15 beats/minute from baseline~Pulse - low: <=50 and decrease of >=15 beats/minute" (NCT02175771)
Timeframe: Baseline (Day 1 pre-treatment), Weeks 2, 6, 10, 14, 18, 22 26, Endpoint
Intervention | Participants (Count of Participants) |
---|
| >=1 abnormality | Systolic blood pressure - high | Systolic blood pressure - low | Diastolic blood pressure - high | Diastolic blood pressure - low | Pulse - high | Pulse - low |
---|
ADVAIR DISKUS 250/50 mcg | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,ADVAIR DISKUS 500/50 mcg | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,FLOVENT HFA 110 mcg | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,FLOVENT HFA 220 mcg | 1 | 0 | 0 | 0 | 1 | 0 | 0 |
,Fp MDPI 100 mcg | 5 | 0 | 1 | 1 | 1 | 1 | 1 |
,Fp MDPI 200 mcg | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,FS MDPI 100/12.5 mcg | 2 | 0 | 1 | 0 | 1 | 0 | 0 |
,FS MDPI 200/12.5 mcg | 2 | 0 | 0 | 1 | 1 | 0 | 0 |
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Shifts From Baseline to Endpoint in Electrocardiogram (ECG) Findings
A 12 lead ECG was conducted at the screening visit and week 26 or the early termination visit. A qualified physician at a central diagnostic center was responsible for interpreting the ECG. The worst post-baseline finding for the participant is summarized. Endpoint refers to the last observation carried forward. (NCT02175771)
Timeframe: Screening (Day -14), Endpoint (week 26 if study was completed)
Intervention | Participants (Count of Participants) |
---|
| Baseline normal - Endpoint normal | Baseline normal - Endpoint abnormal | Baseline abnormal - Endpoint normal | Baseline abnormal - Endpoint abnormal |
---|
ADVAIR DISKUS 250/50 mcg | 30 | 2 | 2 | 4 |
,ADVAIR DISKUS 500/50 mcg | 28 | 3 | 4 | 4 |
,FLOVENT HFA 110 mcg | 31 | 5 | 1 | 2 |
,FLOVENT HFA 220 mcg | 33 | 1 | 2 | 3 |
,Fp MDPI 100 mcg | 89 | 8 | 4 | 11 |
,Fp MDPI 200 mcg | 93 | 6 | 4 | 13 |
,FS MDPI 100/12.5 mcg | 90 | 9 | 12 | 5 |
,FS MDPI 200/12.5 mcg | 101 | 8 | 9 | 7 |
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Analysis of 24-Hour Urine Cortisol Free Over the 26-Week Treatment Period
"Samples for 24-hour urine cortisol were collected at baseline (Day 1, pretreatment), and Weeks 14 and 26. For participants requiring early termination (ET), this evaluation was performed at the ET visit. For participants requiring ET for safety reasons, the visit was not delayed in order to collect the 24-hour urine cortisol.~The analysis is based on a mixed model for repeated measures (MMRM) model with adjustment for visit, treatment, and a treatment*visit interaction. The urine cortisol result is log transformed prior to analysis and the results are back transformed after modeling. An unstructured covariance matrix is used in the MMRM model." (NCT02175771)
Timeframe: Baseline (Day 1, pre-treatment), Weeks 14 and 26 and early termination visit if applicable
Intervention | mcg/24 hours (Geometric Mean) |
---|
Fp MDPI 100 mcg | 18.45 |
FLOVENT HFA 110 mcg | 13.94 |
Fp MDPI 200 mcg | 14.14 |
FLOVENT HFA 220 mcg | 17.50 |
FS MDPI 100/12.5 mcg | 17.56 |
ADVAIR DISKUS 250/50 mcg | 18.29 |
FS MDPI 200/12.5 mcg | 13.02 |
ADVAIR DISKUS 500/50 mcg | 15.42 |
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Change From Baseline in Trough Forced Expiratory Volume in 1 Minute (FEV1) Over the 26-Week Treatment Period
"Spirometry measurements were obtained before the AM dose of study drug for the randomization visit (Day 1), at each of the treatment visits and at the early termination visit if applicable. At each visit where FEV1 was assessed, the highest acceptable results from each session were recorded.~The analysis is based on a mixed model for repeated measures (MMRM) with adjustment for baseline FEV1, sex, age, (pooled) investigational center, visit, treatment, and treatment-by-visit. An unstructured covariance matrix is used in the MMRM model." (NCT02175771)
Timeframe: Baseline (Day 1 pre-treatment), Weeks 2, 6, 10, 14, 18, 22 26, early termination visit if applicable
Intervention | liters (Least Squares Mean) |
---|
Fp MDPI 100 mcg | 0.062 |
FLOVENT HFA 110 mcg | 0.053 |
Fp MDPI 200 mcg | 0.077 |
FLOVENT HFA 220 mcg | 0.090 |
FS MDPI 100/12.5 mcg | 0.116 |
ADVAIR DISKUS 250/50 mcg | 0.117 |
FS MDPI 200/12.5 mcg | 0.100 |
ADVAIR DISKUS 500/50 mcg | 0.041 |
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Participants With Positive Swab Test Results for Oral Candidiasis
"Oropharyngeal examinations for visual evidence of oral candidiasis were conducted at each visit by a qualified healthcare professional. Any visual evidence of oral candidiasis during the oropharyngeal exam was evaluated by obtaining and analyzing a swab of the suspect area.~This outcomes indicates how many participants had positive swab test results. The total number of participants who had oropharyngeal exams at each timepoint are specified in the timepoint field. Appropriate therapy was to be initiated immediately at the discretion of the investigator and was not to be delayed for culture confirmation. Participants 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." (NCT02175771)
Timeframe: Baseline (Day 1 pre-treatment), Weeks 2, 6, 10, 14, 18, 22 26, Endpoint
Intervention | Participants (Count of Participants) |
---|
| Baseline (n=127, 42, 124, 41, 120, 41, 133, 44) | Week 2 (n=123, 42, 123, 40, 117, 39, 131, 43) | Week 6 (n=119, 41, 119, 40, 115, 39, 125, 43) | Week 10 (n=119, 37, 118, 39, 115, 39, 120, 40) | Week 14 (n=116, 36, 115, 38, 113, 38, 120, 41) | Week 18 (n=111, 37, 115, 38, 109, 38, 117, 40) | Week 22 (n=110, 36, 113, 36, 110, 37, 116, 38) | Week 26 (n=111, 35, 113, 36, 110, 36, 116, 38) | Endpoint (n=125, 42, 123, 41, 119, 40, 132, 44) |
---|
ADVAIR DISKUS 250/50 mcg | 0 | 0 | 2 | 1 | 0 | 1 | 0 | 1 | 1 |
,ADVAIR DISKUS 500/50 mcg | 0 | 2 | 0 | 1 | 1 | 0 | 2 | 0 | 0 |
,FLOVENT HFA 110 mcg | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,FLOVENT HFA 220 mcg | 0 | 0 | 0 | 1 | 1 | 1 | 1 | 1 | 1 |
,Fp MDPI 100 mcg | 2 | 2 | 1 | 0 | 1 | 1 | 1 | 1 | 1 |
,Fp MDPI 200 mcg | 0 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 1 |
,FS MDPI 100/12.5 mcg | 0 | 1 | 1 | 1 | 2 | 0 | 1 | 0 | 0 |
,FS MDPI 200/12.5 mcg | 0 | 1 | 1 | 0 | 1 | 0 | 2 | 0 | 0 |
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Participants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period
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. (NCT02175771)
Timeframe: Day 1 to Week 26 of the Treatment Period
Intervention | Participants (Count of Participants) |
---|
| >=1 TEAE | >=1 severe TEAE | >=1 treatment-related TEAE | >=1 severe treatment-related TEAE | >=1 serious TEAE | >=1 TEAE leading to withdrawal | >=1 nonserious TEAE | >=1 TEAE resulting in death |
---|
ADVAIR DISKUS 250/50 mcg | 29 | 1 | 4 | 0 | 2 | 2 | 28 | 0 |
,ADVAIR DISKUS 500/50 mcg | 30 | 3 | 8 | 0 | 3 | 1 | 29 | 0 |
,FLOVENT HFA 110 mcg | 29 | 3 | 2 | 0 | 2 | 1 | 27 | 0 |
,FLOVENT HFA 220 mcg | 29 | 3 | 5 | 0 | 3 | 1 | 29 | 0 |
,Fp MDPI 100 mcg | 85 | 8 | 10 | 0 | 7 | 2 | 85 | 0 |
,Fp MDPI 200 mcg | 83 | 11 | 6 | 0 | 8 | 0 | 82 | 0 |
,FS MDPI 100/12.5 mcg | 92 | 8 | 9 | 0 | 6 | 3 | 91 | 0 |
,FS MDPI 200/12.5 mcg | 86 | 12 | 11 | 0 | 13 | 0 | 85 | 0 |
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Child Behavior Checklist
The Child Behavior Checklist (CBCL), is a widely used and validated caregiver-completed survey of behavior competencies that yields standardized, age-adjusted scores on internalizing, externalizing and attentional behavior difficulties81, 82. All scores are T scores with a mean of 50 and standard deviation of 10 (higher scores indicate worse functioning). (NCT02180672)
Timeframe: 12-Months
Intervention | T-Score (Mean) |
---|
| Internalizing | Externalizing | Total Behavior Problems | Attention |
---|
Nasal Steroids | 49.92 | 51.89 | 51.45 | 55.13 |
,Placebo | 51.94 | 52 | 51.19 | 57.38 |
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Purdue Peg Board
The Purdue Peg Board is a widely used test of fine motor coordination, yields z-scores with a mean of 0 and a standard deviation of 1, with higher scores indicating better performance. (NCT02180672)
Timeframe: 12 months
Intervention | z-Score (Mean) |
---|
Nasal Steroids | -1.12 |
Placebo | -1.31 |
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Pediatric Quality of Life Inventory (PedsQL)
Pediatric Quality of Life Inventory (PedsQL), a well-validated, generic measure of global quality of life, in which scores range from 0 to 100, with higher scores indicating better quality of life (NCT02180672)
Timeframe: 12 month
Intervention | score on a scale (Mean) |
---|
Nasal Steroids | 78.69 |
Placebo | 73.67 |
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The Epworth Sleepiness Scale
Epworth Sleepiness scale is a measure of sleepiness that ranges from 0-24, with higher values indicating sleepiness (NCT02180672)
Timeframe: 12 months
Intervention | score on a scale (Mean) |
---|
Nasal Steroids | 7.68 |
Placebo | 8.56 |
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Obstructive Apnea Hypopnea Index
"Efficacy measure to assess acute response to nasal steroids.~Obstructive apnea hypopnea index (events per hour). Per inclusion/exclusion criteria the expected range for this study at baseline is between 2 and 30 events per hour. Please note that lower and upper ranges can be broader at the 3- and 12-month points.~The obstructive apnea hypopnea index (OAHI) is the sum of obstructive apneas and hypopneas, and mixed apneas divided by the total hours of sleep. Hence, the unit used is events per hour. It ranges from 0 events per hour(meaning no obstructive apneas at all) until 400 events per hour approximately. Higher values indicate more severe obstructive sleep apnea or worse outcome." (NCT02180672)
Timeframe: 3 months
Intervention | events per hour (Mean) |
---|
Nasal Steroids | 7.69 |
Placebo | 6.33 |
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OAHI
"Efficacy measure to assess duration of response to nasal steroids.~Obstructive apnea hypopnea index (events per hour). Per inclusion/exclusion criteria the expected range for this study at baseline is between 2 and 30 events per hour. Please note that lower and upper ranges can be broader at the 3- and 12-month points." (NCT02180672)
Timeframe: 12 months
Intervention | events per hour (Mean) |
---|
Nasal Steroids | 6.11 |
Placebo | 6.27 |
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Nasal Obstruction Symptom Evaluation (NOSE)
Nasal Obstruction Symptom Evaluation (NOSE) scale, a validated scale of nasal obstructive symptoms. The scales ranges from 0-100 with higher values indicating worse nasal obstruction (NCT02180672)
Timeframe: 12 months
Intervention | score on a scale (Mean) |
---|
Nasal Steroids | 3.66 |
Placebo | 5.31 |
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Behavior Rating Inventory of Executive Function (BRIEF)
Behavior Rating Inventory of Executive Function [BRIEF] Global Executive Composite T score, comprising summary measures of behavioral regulation and metacognition [with mean scores of 50 and standard deviation of 10, with higher scores indicating worse functioning] (NCT02180672)
Timeframe: 12 months
Intervention | T-Score (Mean) |
---|
Nasal Steroids | 47.42 |
Placebo | 49.5 |
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Conners Abbreviated Symptom Questionnaire
A parent-rated measure of symptoms of attention problems, yielding T scores with a mean of 50 and a standard deviation of 10 (higher scores indicate worse functioning). (NCT02180672)
Timeframe: 12 months
Intervention | T-Score (Mean) |
---|
Nasal Steroids | 5.62 |
Placebo | 6.50 |
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SNOT-22 Scores
SNOT22 is a validated scale which measures sinonasal symptoms for sinusitis patients. The 22 questions are rated on a scale of 0-5 for a maximum total score of 110. Higher scores represent more symptomatic patients. (NCT02194062)
Timeframe: 6 months post-op.
Intervention | units on a scale (Mean) |
---|
Fluticasone Nasal Spray | 31.5 |
Budesonide Respule in Head Upright | 10.29 |
Budesonide Head Forward | 15.88 |
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Lund-Kennedy Scoring for Nasal Endoscopy
The Lund Kennedy scoring system for nasal endoscopy rates the severity of the sinusitis based on the endoscopic appearance of the nasal mucosa. Edema, secretions and the presence of polyps are rated from 0-2, for a total maximum score of 6 per each side of the nose. Higher scores represent more severe disease. (NCT02194062)
Timeframe: 6 months post-op
Intervention | units on a scale (Mean) |
---|
Fluticasone Nasal Spray | 2.69 |
Budesonide Respule in Head Upright | 0.5 |
Budesonide Head Forward | 1.13 |
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Mean Change From Baseline in the Mean Instantaneous Total Nasal Symptom Score (iTNSS)
The symptoms included in the instantaneous Total Nasal Symptom Score (iTNSS) scale are nasal congestion/stuffy nose, nasal discharge/runny nose, sneezing, and itchy nose. Symptoms were scored on a four point scale, 0-3, for each assessment were calculated by totaling these four symptom scores for a maximum score of 12. (NCT02230696)
Timeframe: Day 1 through Day 14
Intervention | score on a scale (Mean) |
---|
Test Product | -2.81 |
Reference Product | -2.96 |
Placebo Nasal Spray | -1.88 |
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Mean Change From Baseline for Mean Reflective Total Nasal Symptom Score (rTNSS)
The symptoms included in the reflective Total Nasal Symptom Score (rTNSS) scale are nasal congestion/stuffy nose, nasal discharge/runny nose, sneezing, and itchy nose. Symptoms were scored on a four point scale, 0-3, for each assessment were calculated by totaling these four symptom scores for a maximum score of 12. (NCT02230696)
Timeframe: Day 1 through Day 14
Intervention | score on a scale (Mean) |
---|
Test Product | -2.95 |
Reference Product | -3.13 |
Placebo Nasal Spray | -1.98 |
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Change From Baseline iTNSS Scores on Day 1 Post First Randomized Dose
"This outcome measured the time to statistical significance of the reduction of signs/symptoms over a 4 hour period on Day 1 only by measuring the reduction in iTNSS scores. When the change from baseline was statistically significant, it was associated with a time to onset of the anti-histamine component of the formulation.~Subjects will record iTNSS scores for 4 hours post first randomized dose. The symptoms included in the instantaneous Total Nasal Symptom Score (iTNSS) scale are nasal congestion/stuffy nose, nasal discharge/runny nose, sneezing, and itchy nose. Symptoms were scored on a four point scale, 0-3, for each assessment were calculated by totaling these four symptom scores for a maximum score of 12." (NCT02230696)
Timeframe: Day 1, up to four hours post the first dose
Intervention | units on a scale (Least Squares Mean) |
---|
Test Product | -3.41 |
Reference Product | -3.29 |
Placebo Nasal Spray | -2.94 |
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Max QTcB
For each dose, the 95% CIs for the mean difference for the test product versus the reference product were calculated. (NCT02232087)
Timeframe: Baseline through 6 hours
Intervention | ms (Mean) |
---|
Test Product A | 422.3 |
Reference Product D | 422.1 |
Test Product B | 430.0 |
Reference Product E | 430.2 |
Test Product D | 441.0 |
Reference Product F | 444.0 |
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Max Heart Rate
max heart rate at the 2, 6, or 12 inhalations dose, assessed at multiple times over 6 hours (NCT02232087)
Timeframe: Baseline through 6 hours
Intervention | bpm (Mean) |
---|
Test Product A | 65.1 |
Reference Product D | 65.5 |
Test Product B | 68.9 |
Reference Product E | 69.9 |
Test Product C | 75.3 |
Reference Product F | 76.8 |
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Max Plasma Glucose Level
maximum levels of glucose at the 2, 6 or 12 inhalations dose, assessed at multiple times over 6 hours. (NCT02232087)
Timeframe: baseline through 6 hours
Intervention | mmol/L (Mean) |
---|
Test Product A | 5.31 |
Reference Product D | 5.31 |
Test Product B | 5.53 |
Reference Product E | 5.62 |
Test Product C | 5.88 |
Reference Product F | 5.98 |
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Relative Potency QTcB Interval
Selection of steepest part of dose response curve for Relative Potency: 2 and 6 inhalation dose pairs. Slope of A and B line compared with slope of D and E to obtain relative potency value. Twelve inhalation dose not utilized as not on steepest part of curve. (NCT02232087)
Timeframe: Baseline up to 6 hrs
Intervention | unitless (Number) |
---|
Test A and B vs Reference D and E | 1.0760 |
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Relative Potency Max Heart Rate
Selection of steepest part of dose response curve for Relative Potency: 6 and 12 inhalation dose pairs. Slope of B and C line compared with slope of E and F to obtain relative potency value. Two inhalation dose not utilized as not on steepest part of curve. (NCT02232087)
Timeframe: Baseline, up to 6 hrs
Intervention | unitless (Number) |
---|
Test B and C vs Reference E and F | 0.8619 |
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Plasma Potassium Level
maximum plasma levels of potassium at 2, 6 or 12 inhalations dose inhalations dose, assessed a multiple times over 6 hours. (NCT02232087)
Timeframe: baseline through 6 hours
Intervention | mmol/L (Mean) |
---|
Test Product A | 3.82 |
Reference Product D | 3.78 |
Test Product B | 3.76 |
Reference Product E | 3.75 |
Test Product C | 3.63 |
Reference Product F | 3.61 |
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FEV1 Trough Value (Bioequivalence)
Change from baseline in trough (pre-dose) FEV1 at Day 29 was based on 2 pre-dose FEV1 assessments performed 30 minutes apart on Day 29. Baseline was calculated by taking the mean of [prebronchodilator FEV1 measured at a run-in visit and the mean of 2 predose FEV1 measures taken at Day 1] (NCT02245672)
Timeframe: Day 1 and Day 29
Intervention | L (Least Squares Mean) |
---|
MGR001 | 0.2911 |
Advair Diskus | 0.2728 |
Placebo | 0.0574 |
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Forced Exhaled Volume in 1 Sec (FEV1) Area Under the Effect Curve on Day 1 (Bioequivalence)
The FEV1 AUEC(0-12) on Day 1 was calculated from FEV1 measurements collected 30 minutes prior to morning dose, 0 minutes prior to morning dose, and at 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours following completion of dosing on Day 1 (Visit 3). The baseline for the FEV1 AUEC(0-12) endpoint was the mean of the 2 predose FEV1 measures (NCT02245672)
Timeframe: 0-12 hours after dosing on Day 1
Intervention | L*hr (Least Squares Mean) |
---|
MGR001 | 3.9734 |
Advair Diskus | 3.5411 |
Placebo | 0.8400 |
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Forced Exhaled Volume in 1 Sec (FEV1) Area Under the Effect Curve on Day 1 (Assay Sensitivity)
The FEV1 AUEC(0-12) on Day 1 was calculated from FEV1 measurements collected 30 minutes prior to morning dose, 0 minutes prior to morning dose, and at 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours following completion of dosing on Day 1 (Visit 3). The baseline for the FEV1 AUEC(0-12) endpoint was the mean of the 2 predose FEV1 measures. To confirm assay sensitivity, both active treatments (MGR001 and Advair Diskus) had to be significantly superior to placebo (NCT02245672)
Timeframe: 0-12 hours after dosing on Day 1
Intervention | L*hr (Least Squares Mean) |
---|
MGR001 | 3.9534 |
Advair Diskus | 3.4964 |
Placebo | 0.8191 |
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FEV1 Trough Value (Assay Sensitivity)
Change from baseline in trough (pre-dose) FEV1 at Day 29 was based on 2 pre-dose FEV1 assessments performed 30 minutes apart on Day 29. Baseline was calculated by taking the mean of [prebronchodilator FEV1 measured at a run-in visit and the mean of 2 predose FEV1 measures taken at Day 1]. To confirm assay sensitivity, both active treatments (MGR001 and Advair Diskus) had to be significantly superior to placebo. (NCT02245672)
Timeframe: Day 1 and Day 29
Intervention | L (Least Squares Mean) |
---|
MGR001 | 0.2927 |
Advair Diskus | 0.2720 |
Placebo | 0.0575 |
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Change From Baseline in Average AM/PM Reflective Total Nasal Symptom Score (rTNSS) Over Days 1 to 14.
"Total Nasal Symptom Score (TNSS) is defined as the sum of the patient-rated nasal symptom severity scores for the following four allergy symptoms: Runny Nose, Nasal Congestion, Itchy Nose, and Sneezing. The severity score for each symptom will be based on a 4-point scale (0 = none, 1 = mild, 2 = moderate, and 3 = severe). The higher the score, the worse the symptoms of the 4 allergy categories are (runny nose, nasal congestions, itchy nose, and sneezing.~The primary analysis for determining the therapeutic equivalence of the Test and Reference treatments will be based on each treatment's mean change from baseline for average rTNSS over the 2 week randomization treatment period.~The Per-Protocol Population (PPP) will be used for the primary analysis of bioequivalence.~The Modified Intent to Treat Population (mITT) will be used for Superiority Analysis." (NCT02246920)
Timeframe: 2 week treatment period: Day 0-14
Intervention | score on a scale (Least Squares Mean) |
---|
Investigational Test Product | -1.77 |
Reference Listed Drug | -1.57 |
Placebo | -1.26 |
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Superiority to Placebo
"The primary analysis for determining the superiority of each active treatment over placebo will be based on each treatment's mean change from baseline for average rTNSS over the 2 week randomization treatment period.~The modified Intent-to-Treat Population (mITT) will be used for the primary analysis of superiority.~Total Nasal Symptom Score (TNSS) is defined as the sum of the patient-rated nasal symptom severity scores for the following four allergy symptoms: Runny Nose, Nasal Congestion, Itchy Nose, and Sneezing. The severity score for each symptom will be based on a 4-point scale (0 = none, 1 = mild, 2 = moderate, and 3 = severe). The higher the score, the worse the symptoms of the 4 allergy categories are (runny nose, nasal congestions, itchy nose, and sneezing." (NCT02246920)
Timeframe: 2 week treatment period: Day 0 to Day 14
Intervention | score on a scale (Least Squares Mean) |
---|
Investigational Test Product | -1.77 |
Reference Listed Drug | -1.57 |
Placebo | -1.26 |
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Change From Baseline in Average Instantaneous Total Nasal Symptom Score (iTNSS) Over Days 1 to 14.
"Secondary efficacy analysis will evaluate the mean change from baseline in average iTNSS over the 2 week randomization treatment period.~The Per-Protocol Population (PPP) will be used for the analysis of bioequivalence.~Total Nasal Symptom Score (TNSS) is defined as the sum of the patient-rated nasal symptom severity scores for the following four allergy symptoms: Runny Nose, Nasal Congestion, Itchy Nose, and Sneezing. The severity score for each symptom will be based on a 4-point scale (0 = none, 1 = mild, 2 = moderate, and 3 = severe). The higher the score, the worse the symptoms of the 4 allergy categories are (runny nose, nasal congestions, itchy nose, and sneezing." (NCT02246920)
Timeframe: 2 week treatment period: Day 0 to Day 14
Intervention | score on a scale (Least Squares Mean) |
---|
Investigational Test Product | -1.70 |
Reference Listed Drug | -1.53 |
Placebo | -1.15 |
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Number of Asthma Exacerbations
Asthma exacerbations will be assessed by number of acute visits to the emergency department (ED), hospitalizations and urgent doctor visits. (NCT02251379)
Timeframe: 6 months
Intervention | acute visits (Number) |
---|
ECS + Medication Group | 35 |
Medication Group Alone | 53 |
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FEV1/FVC
Forced expiratory volume at one second/forced vital capacity (FEV1/FVC) will be evaluated as a continuous variable. This is a ratio without any units. (NCT02251379)
Timeframe: 6 months
Intervention | ratio (Mean) |
---|
ECS + Medication Group | 79.3 |
Medication Group Alone | 80.8 |
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Exhaled Nitric Oxide
Exhaled nitric oxide in parts per billion. (NCT02251379)
Timeframe: 6 months
Intervention | parts per billion (Median) |
---|
ECS + Medication Group | 20 |
Medication Group Alone | 20 |
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Daily Inhaled Corticosteroid Dose
micrograms of inhaled corticosteroids (daily) (NCT02251379)
Timeframe: 6 months
Intervention | micrograms/day (Mean) |
---|
ECS + Medication Group | 557.5 |
Medication Group Alone | 527.7 |
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Number of Asthma Symptom Days
Number of asthma symptom days in the past two weeks will be a measure of asthma control. (NCT02251379)
Timeframe: 6 months
Intervention | days (Mean) |
---|
ECS + Medication Group | 2.5 |
Medication Group Alone | 2.7 |
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The Medication Treatment Step Assigned
The controller medication treatment step that was assigned at the visit, which is based on the current controller medication treatment step and the current level of asthma control. The range is from 0-6, with 0 indicating no controller medication and 6 indicating high dose inhaled corticosteroids plus long-acting beta agonist. (NCT02251379)
Timeframe: 6 month clinic visit
Intervention | score on a scale (Mean) |
---|
ECS + Medication Group | 4.03 |
Medication Group Alone | 4.05 |
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FEV1 Trough
Bioequivalence comparison of trough lung function (FEV1) after 4 weeks of treatment with OT329 SOLIS or ADVAIR DISKUS. (NCT02260492)
Timeframe: Post-4 weeks of treatment
Intervention | Liters (Mean) |
---|
OT329 Solis | 2.516 |
Advair Diskus | 2.579 |
Placebo | 2.323 |
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Number of Participants With Adverse Events
(NCT02260492)
Timeframe: From Screen (Day -28) until 1 week post last treatment
Intervention | Participants (Count of Participants) |
---|
OT329 Solis | 67 |
Advair Diskus | 66 |
Placebo | 7 |
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Area Under the Serial FEV1-time Curve (AUC 0-12h)
Bioequivalence comparison of lung function (FEV1) for 12 hours after the first dose on Day 1 following OT329 Solis and Advair Diskus treatment. Serial lung function measurements were made pre-dose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose. (NCT02260492)
Timeframe: 0-12 hours after dosing on Day 1
Intervention | Liters (Mean) |
---|
OT329 Solis | 29.610 |
Advair Diskus | 30.151 |
Placebo | 27.270 |
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Percentage of Participants With Asthma Control Test (ACT) Score Greater Than or Equal to 20
The ACT was a five-item questionnaire developed as a measure of participant's asthma control. The percentage of participants controlled, defined as having ACT score greater than or equal to 20 at the end of Week 24 were analyzed using logistic regression model with covariates of Baseline ACT score, region, sex, age and treatment group. (NCT02301975)
Timeframe: Week 24
Intervention | Percentage of participants (Number) |
---|
FF/VI 100/25 mcg Once Daily | 92 |
FP/S 250/50 mcg Twice Daily | 93 |
FP 250 mcg Twice Daily | 91 |
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Change From Baseline in the Percentage of Symptom-free 24-hour Periods
Change from Baseline in the percentage of symptom-free 24 hour period was evaluated. A 24-hour (hr) period in which a participant's responses to both the morning and evening assessments indicated no symptoms was considered to be symptom free. The Baseline value was derived from the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 24-week treatment period minus the Baseline value.Statistical analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age and treatment and least square mean and standard error were calculated. (NCT02301975)
Timeframe: Baseline and Weeks 1-24
Intervention | Percentage of symptom-free 24 hour perio (Least Squares Mean) |
---|
FF/VI 100/25 mcg Once Daily | -3.5 |
FP/S 250/50 mcg Twice Daily | -4.7 |
FP 250 mcg Twice Daily | -6.2 |
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Change From Baseline in the Percentage of Rescue-free 24-hour Periods
The number of inhalations of rescue medication used during the day and night were recorded by participants using an electronic diary (e-diary). A 24-hour (hr) period in which a participant's responses to both the morning and evening assessments indicated no use of rescue medication was considered to be rescue free. The Baseline value was derived from the last 7 days of the daily eDiary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 24-week treatment period minus the Baseline value. Statistical analysis was performed using an Analysis of Covariance (ANCOVA) model with covariates of Baseline, region, sex, age and treatment and least square mean and standard error were calculated. (NCT02301975)
Timeframe: Baseline and Weeks 1-24
Intervention | Percentage of rescue-free 24-hr periods (Least Squares Mean) |
---|
FF/VI 100/25 mcg Once Daily | -3.0 |
FP/S 250/50 mcg Twice Daily | -4.2 |
FP 250 mcg Twice Daily | -5.7 |
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Change From Baseline in PM FEV1 Using Per Protocol (PP) Population
FEV1 was defined as the volume of air that can be forced out in one second after taking a deep breath. FEV1 (pre-bronchodilator and pre-dose) was measured at Baseline up to Week 24 at evening using spirometry. Repeated Measures analysis was adjusted for Baseline, region, sex, age, treatment, visit, visit by Baseline interaction and visit by treatment interaction. Visit 3 values were taken as Baseline value and change from Baseline was defined as the difference between the value of the endpoint at the time point of interest and the Baseline value. Statistical analysis was performed using the MMRM models and least square mean and standard error were calculated. The analysis was performed on PP Population which comprised of all participants in the ITT Population who did not had any full protocol deviations. (NCT02301975)
Timeframe: Baseline and Week 24
Intervention | L (Least Squares Mean) |
---|
FF/VI 100/25 mcg Once Daily | 0.020 |
FP/S 250/50 mcg Twice Daily | 0.014 |
FP 250 mcg Twice Daily | -0.099 |
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Change From Baseline in Morning (Ante Meridiem [AM]) Peak Expiratory Flow (PEF)
PEF was measured using an electric flow meter each morning. Change from Baseline (defined as the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily AM PEF over the 24-week treatment period minus the Baseline value. Statistical analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age and treatment and least square mean and standard error were calculated. (NCT02301975)
Timeframe: Baseline and Weeks 1-24
Intervention | Liter per minute (L/min) (Least Squares Mean) |
---|
FF/VI 100/25 mcg Once Daily | 8.9 |
FP/S 250/50 mcg Twice Daily | 3.7 |
FP 250 mcg Twice Daily | -12.6 |
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Change From Baseline in Evening (Post Meridiem [PM]) Forced Expiratory Volume in One Second (FEV1) Using Intent-to-Treat (ITT) Population
FEV1 was defined as the volume of air that can be forced out in one second after taking a deep breath. FEV1 (pre-bronchodilator and pre-dose) was measured at Baseline up to Week 24 at evening using spirometry. Repeated Measures analysis was adjusted for Baseline, region, sex, age, treatment, visit, visit by Baseline interaction and visit by treatment interaction. Visit 3 values were taken as Baseline value and change from Baseline was defined as the difference between the value of the endpoint at the time point of interest and the Baseline value. Statistical analysis was performed using the mixed model repeated measures (MMRM) model and least square mean and standard error were calculated. The analysis was performed on ITT Population which comprised of all participants randomized to treatment and who received at least one dose of study medication. (NCT02301975)
Timeframe: Baseline and Week 24
Intervention | Liter (L) (Least Squares Mean) |
---|
FF/VI 100/25 mcg Once Daily | 0.019 |
FP/S 250/50 mcg Twice Daily | 0.000 |
FP 250 mcg Twice Daily | -0.104 |
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Change From Baseline in PM PEF
PEF was measured using an electric flow meter each evening. Change from Baseline (defined as the last 7 days prior to randomization of the participants) was calculated as the value of the averaged daily PM PEF over the 24-week treatment period minus the Baseline value. Statistical analysis was performed using an ANCOVA model with covariates of Baseline, region, sex, age and treatment and least square mean and standard error were calculated. (NCT02301975)
Timeframe: Baseline and Weeks 1-24
Intervention | L/min (Least Squares Mean) |
---|
FF/VI 100/25 mcg Once Daily | 5.5 |
FP/S 250/50 mcg Twice Daily | 0.5 |
FP 250 mcg Twice Daily | -13.7 |
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Adherence
Adherence was calculated from self-reported study diaries and correlated to a counter that measured number of inhaled puffs built into the placebo metered-dose inhalers (NCT02338362)
Timeframe: Completion of study, up to 6 weeks
Intervention | percentage of required doses (Mean) |
---|
Fluticasone | 93.6 |
Saline Placebo | 96.1 |
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Mean Intraocular Pressure
Masked assessment of intraocular pressure using goldmann application tonometry. Mean of 2 measurements within 1 mmHg will be recorded. (NCT02338362)
Timeframe: week 6
Intervention | mmHg (Mean) |
---|
Fluticasone | 14.7 |
Saline Placebo | 14.8 |
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Mean Visual Acuity
best corrected logMAR visual acuity for each eye. 20/20 vision corresponds with a logMAR score of 0, while negative logMAR scores indicate better than 20/20 vision, values > 0.5 correspond with low vision, and values > 1.3 correspond with blindness. (NCT02338362)
Timeframe: week 6
Intervention | logMAR (Mean) |
---|
Fluticasone | 0.15 |
Saline Placebo | 0.15 |
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Intraocular Pressure Elevation >20% From Baseline
Participants with 2 consecutive intraocular pressure measurements exceeding 20% increase from baseline were discontinued from study. (NCT02338362)
Timeframe: within 6-week observation period
Intervention | participants (Number) |
---|
| elevation >20% | no elevation >20% |
---|
Fluticasone | 1 | 9 |
,Saline Placebo | 0 | 10 |
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Side Effects
subjective (reported) and objective (slit lamp examination) side-effects attributable to study medications (NCT02338362)
Timeframe: from baseline to week 6
Intervention | participants (Number) |
---|
| lens opacity | throat discomfort | headache | difficulty sleeping | no adverse effects |
---|
Fluticasone | 0 | 1 | 1 | 0 | 8 |
,Saline Placebo | 0 | 1 | 0 | 1 | 8 |
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Time to Maximum Concentration (Tmax)
Time to maximum concentration of fluticasone (NCT02441114)
Timeframe: Period 1 (day 1), 2 (day 15), and 3 (day 29) at 0 to 24 h post-dose
Intervention | h (Median) |
---|
| Period 1 | Period 2 | Period 3 |
---|
Inhalation of HCP0910 and HGP1011 | 0.76 | 0.50 | 0.88 |
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Maximum Observed Concentration (Cmax)
Maximum observed concentration of fluticasone (NCT02441114)
Timeframe: Period 1 (day 1), 2 (day 15), and 3 (day 29) at 0 to 24 h post-dose
Intervention | pg/mL (Mean) |
---|
| Period 1 | Period 2 | Period 3 |
---|
Inhalation of HCP0910 and HGP1011 | 95.70 | 173.56 | 246.77 |
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Area Under the Concentration Versus Time Curve (AUClast)
Area under the concentration of fluticasone versus time curve from the time of dosing to the last measurable concentration (NCT02441114)
Timeframe: Period 1 (day 1), 2 (day 15), and 3 (day 29) at 0 to 24 h post-dose
Intervention | h*pg/mL (Mean) |
---|
| Period 1 | Period 2 | Period 3 |
---|
Inhalation of HCP0910 and HGP1011 | 686.98 | 1247.63 | 1769.58 |
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Change From Baseline in ACT Total Score at Week 24
The ACT is a validated self-completed questionnaire consisting of 5 questions that evaluate asthma control on a 5-point categorical scale. Total scores are calculated from the sum of the scores from the 5 questions and can range from 5 to 25, with higher scores indicating better control. An ACT total score of 5 to 19 suggests that the participant's asthma is unlikely to be well controlled, whilst a score of 20 to 25 suggests that the participant's asthma is likely to be well controlled. Baseline value was the last assessment prior to randomization (Day 0). Change from Baseline was post-dose visit value minus the Baseline value. Least square mean change is presented. (NCT02446418)
Timeframe: Baseline and Week 24
Intervention | Scores on a Scale (Least Squares Mean) |
---|
Usual ICS/LABA | 3.6 |
FF/VI | 4.0 |
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Percentage of Participants With Correct Use of Device, Defined as Not Making Any Critical or Non-critical Errors, at Week 12, and at Week 24 Independently of the Use at Week 12
Participants were asked to read the appropriate package insert for their prescribed inhaler and then the investigator (or suitably qualified designee) demonstrated the proper use of the inhaler. The participant was then asked to self-administer their first dose of study treatment under the supervision of the investigator and any critical and non-critical errors were recorded. Individual instruments for assessing correct inhaler use were provided for each of the three devices used in this study. (NCT02446418)
Timeframe: Week 12 and Week 24
Intervention | Percentage of participants (Number) |
---|
| Week 12; n= 195, 197 | Week 24; n= 191, 192 |
---|
FF/VI | 94 | 97 |
,Usual ICS/LABA | 93 | 96 |
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Change From Baseline in Asthma Control Test (ACT) Total Score at Week 12
The ACT is a validated self-completed questionnaire consisting of 5 questions that evaluate asthma control during the past 4 weeks on a 5-point categorical scale. Total scores are calculated from the sum of the scores from the 5 questions and can range from 5 to 25, with higher scores indicating better control. An ACT total score of 5 to 19 suggests that the participant's asthma is unlikely to be well controlled, whilst a score of 20 to 25 suggests that the participant's asthma is likely to be well controlled. Baseline value was the last assessment prior to randomization (Day 0). Change from Baseline was post-dose visit value minus the Baseline value. Least square mean change is presented. (NCT02446418)
Timeframe: Baseline and Week 12
Intervention | Scores on a Scale (Least Squares Mean) |
---|
Usual ICS/LABA | 2.8 |
FF/VI | 3.6 |
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Mean Growth Rate in Lower-leg Growth, as Determined by Knemometry.
Lower leg growth rate was assessed in growth population as change in the lower leg length from start to end of each 2-week period, divided by time interval (number of days) between the two measurements, multiplied by 7. The Growth Population is defined as the Intent-To-Treat (ITT) population excluding participants having any of the following: did not fulfill growth-specific criteria; did not have growth assessment(s) at any defined time point; withdrawal from study due to adverse events related to major trauma to the legs, major surgery, or severe dehydration; received protocol prohibited medications that may affect short term growth, prior to randomization and during the study; protocol deviations defined in exclusion criteria for growth population. ITT Population consists of all randomized participants who received at least one dose of study drug. (NCT02502734)
Timeframe: Over a two week (14 day) treatment period for FF 50mcg OD and Placebo respectively.
Intervention | millimeter per week (Least Squares Mean) |
---|
Placebo | 0.3638 |
Fluticasone Furoate | 0.3118 |
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Number of Participants With Any Adverse Events (AE) and Any Serious Adverse Event (SAE).
An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect. Number of participants with AEs and SAEs have been presented. Two participants randomized to Sequence 1 (Placebo/FF), were treated with placebo in Period 1; however, neither received FF in Period 2, due to premature withdrawal. (NCT02502734)
Timeframe: From the start of study treatment until follow-up (assessed up to 54 days)
Intervention | Participants (Number) |
---|
Placebo | 15 |
Fluticasone Furoate | 7 |
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Change From Baseline in FVC (Forced Vital Capacity)
Pulmonary function assessments were performed using centralized spirometry according to international standards. FVC wil follow the same analysis as for FEV1 (NCT02516592)
Timeframe: week 12
Intervention | Liters (Least Squares Mean) |
---|
QVA149 110/50 Micrograms | 0.073 |
Salmeterol/Fluticasone 50/500 Micrograms | -0.028 |
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Change From Baseline in Total Symptom Score- CAT (COPD Assessment Test)
The participants will record their COPD symptoms in this test before every clinic visit, this will include : cough, phlegm, chest tightness, breathlessness, limitation in activities, energy, soundly sleep, etc. A higher score indicates a worse health status. The result is immediately available without the need for any calculation, apart from summing the scores on individual items. Scores of 0 - 10 represent mild, 11 - 20 represent moderate, 21 - 30 represent severe and 31 - 40 represent very severe clinical impact of COPD upon the patient. (NCT02516592)
Timeframe: week 12
Intervention | Score on a scale (Least Squares Mean) |
---|
QVA149 110/50 Micrograms | 13.4 |
Salmeterol/Fluticasone 50/500 Micrograms | 13.8 |
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Transitional Dyspnea Index (TDI) Focal Score
Transition Dyspnea Index (TDI) is an instrument used to assess a participant's level of dyspnea. The TDI focal score have three domains: functional impairment, magnitude of task and magnitude of effort. TDI domains were rated from -3 (major deterioration) to 3 (major improvement) and rates summed for transition focal score ranged from -9 to 9; negative scores indicate deterioration. A TDI focal score of ≥1 was defined as a clinically important improvement from baseline. (NCT02516592)
Timeframe: Baseline, week 12
Intervention | Score on a scale (Least Squares Mean) |
---|
QVA149 110/50 Micrograms | 3.24 |
Salmeterol/Fluticasone 50/500 Micrograms | 2.79 |
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Change From Baseline in Mean Daily Use of Rescue Medication
Use of rescue medication (number of puffs taken in the previous 12 hours) is recorded morning and evening, by the patient, in a paper diary. A negative change from baseline indicates an improvement. (NCT02516592)
Timeframe: over 12 weeks
Intervention | Number of puffs (Least Squares Mean) |
---|
QVA149 110/50 Micrograms | 1.05 |
Salmeterol/Fluticasone 50/500 Micrograms | 1.09 |
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Change From Baseline in Trough Pre-dose FEV1 in Both Arms
Pulmonary function assessments were performed using centralized spirometry according to international standards. Mean trough pre-dose FEV1 at Week 12 is defined as the average of the measurements taken -45min and -15min pre study medication dose in the clinic after 12 weeks of treatment (Day 84). The baseline measurement is defined as the average of the scheduled FEV1 values prior to first intake of randomized study drug at Day 1 (Visit 2). (NCT02516592)
Timeframe: Baseline, week 12
Intervention | Liters (Least Squares Mean) |
---|
QVA149 110/50 Micrograms | 0.036 |
Salmeterol/Fluticasone 50/500 Micrograms | -0.009 |
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Time in Days to Permanent Discontinuation of Study Medication Due to Asthma Exacerbations
The exacerbation categories were: All (mild, moderate and severe) and combination of moderate or severe and severe. (NCT02554786)
Timeframe: Up to Week 52
Intervention | days (Median) |
---|
QMF149 150/320 μg | 367.0 |
QMF149 150/160 μg | 367.0 |
MF 800 μg | 367.0 |
MF 400 μg | 366.0 |
Salmeterol /Fluticasone 50/500 μg | 367.0 |
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Percentage of Participants With Composite Endpoint of Serious Asthma Outcomes
A composite endpoint of serious asthma outcomes is defined as asthma-related hospitalization, asthma-related intubation, or asthma-related death and was reviewed by the Adjudication Committee. (NCT02554786)
Timeframe: Up to Week 52
Intervention | percentage of participants (Number) |
---|
QMF149 150/320 μg | 0.7 |
QMF149 150/160 μg | 0.5 |
MF 800 μg | 1.6 |
MF 400 μg | 1.8 |
Salmeterol/Fluticasone 50/500 μg | 0.5 |
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Rescue Medication Usage
All participants were given salbutamol/albuterol to use as rescue medication throughout the study along with e-Diary to record rescue medication use. The number of puffs of rescue medication during the past 12 hours is recorded twice (morning/evening) by the participant prior to taking study medication. The mean daily number of puffs of rescue medication use will be calculated for each participant, done separately for morning (night-time), evening (daytime), and daily (night-time plus daytime) rescue medication use (NCT02554786)
Timeframe: Up to Weeks 26 and 52
Intervention | number of puffs (Least Squares Mean) |
---|
| Week1-26 Mean night-time number of puffs | Week1-26 Mean daytime number of puffs | Week1-26 Mean daily number of puffs | Week1-52 Mean night-time number of puffs | Week 1-52 Mean daytime number of puffs | Week 1-52 Mean daily number of puffs |
---|
MF 400 μg | -0.19 | -0.34 | -0.53 | -0.20 | -0.36 | -0.56 |
,MF 800 μg | -0.26 | -0.38 | -0.65 | -0.29 | -0.43 | -0.72 |
,QMF149 150/160 μg | -0.27 | -0.46 | -0.73 | -0.30 | -0.51 | -0.80 |
,QMF149 150/320 μg | -0.38 | -0.57 | -0.96 | -0.40 | -0.60 | -1.00 |
,Salmeterol/Fluticasone 50/500 μg | -0.34 | -0.53 | -0.87 | -0.35 | -0.55 | -0.91 |
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Post Dose FEV1 (5 Minutes-1 Hour)
Post-dose FEV1 measurements were analyzed at 5 minutes, 15 minutes, 30 minutes and 1 hour. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing. (NCT02554786)
Timeframe: Up to Week 52 (Day 364)
Intervention | L (Least Squares Mean) |
---|
| Day 1: 5 minutes | Day 1: 15 minutes | Day 1: 30 minutes | Day 1: 1 hour | Day 30: 5 minutes | Day 30: 30 minutes | Day 30: 1 hour | Day 86:5 minutes | Day 86: 30 minutes | Day 86:1 hour | Day 183: 5 minutes | Day 183: 30 minutes | Day 183: 1 hour | Day 364: 5 minutes | Day 364: 30 minutes | Day 364:1 hour |
---|
MF 400 μg | 2.118 | 2.137 | 2.141 | 2.142 | 2.174 | 2.174 | 2.183 | 2.178 | 2.179 | 2.188 | 2.163 | 2.168 | 2.165 | 2.130 | 2.135 | 2.128 |
,MF 800 μg | 2.138 | 2.159 | 2.162 | 2.166 | 2.224 | 2.238 | 2.257 | 2.248 | 2.257 | 2.269 | 2.240 | 2.250 | 2.253 | 2.245 | 2.253 | 2.251 |
,QMF149 150/160 μg | 2.270 | 2.312 | 2.326 | 2.347 | 2.406 | 2.426 | 2.440 | 2.409 | 2.431 | 2.436 | 2.406 | 2.427 | 2.423 | 2.379 | 2.399 | 2.390 |
,QMF149 150/320 μg | 2.279 | 2.321 | 2.338 | 2.343 | 2.413 | 2.432 | 2.448 | 2.411 | 2.436 | 2.456 | 2.403 | 2.426 | 2.432 | 2.384 | 2.408 | 2.414 |
,Salmeterol/Fluticasone 50/500 μg | 2.224 | 2.278 | 2.310 | 2.337 | 2.360 | 2.389 | 2.411 | 2.356 | 2.398 | 2.413 | 2.359 | 2.386 | 2.393 | 2.358 | 2.377 | 2.383 |
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Percentage of Participants Who Permanently Discontinued Study Medication Due to Asthma Exacerbations
(NCT02554786)
Timeframe: Up to Week 52
Intervention | percentage of participants (Number) |
---|
QMF149 150/320 μg | 0.2 |
QMF149 150/160 μg | 0 |
MF 800 μg | 0.9 |
MF 400 μg | 1.6 |
Salmeterol/Fluticasone 50/500 μg | 0.5 |
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Percentage of Participants With at Least One Asthma Exacerbation by Exacerbation Category
The exacerbation categories were: All (mild, moderate and severe) and combination of moderate or severe and severe. (NCT02554786)
Timeframe: Up to Week 52
Intervention | percentage of participants (Number) |
---|
| Moderate or severe asthma exacerbation | Severe asthma exacerbation | Moderate asthma exacerbation | Mild asthma exacerbation | All (mild, moderate, severe) asthma exacerbation |
---|
MF 400 μg | 32.5 | 20.1 | 16.5 | 19.6 | 44.5 |
,MF 800 μg | 26.1 | 14.5 | 14.3 | 17.5 | 36.1 |
,QMF149 150/160 μg | 16.9 | 9.8 | 8.2 | 12.1 | 25.6 |
,QMF149 150/320 μg | 14.9 | 8.1 | 7.7 | 13.3 | 25.5 |
,Salmeterol/Fluticasone 50/500 μg | 19.1 | 11.9 | 9.2 | 15.1 | 30.6 |
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Percentage of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)
An AE is any untoward medical occurrence (i.e., any unfavorable and unintended sign including abnormal laboratory findings, symptom or disease) in a participant or clinical investigation participant after providing written informed consent for participation in the study. An SAE is defined as any adverse event (appearance of (or worsening of any pre-existing) undesirable sign(s), symptom(s) or medical conditions(s) which meets any one of the following criteria: is fatal or life-threatening, results in persistent or significant disability/incapacity, constitutes a congenital anomaly/birth defect, requires inpatient hospitalization or prolongation of existing hospitalization or is medically significant, i.e. defined as an event that jeopardizes the participants or may require medical or surgical intervention. (NCT02554786)
Timeframe: Approximately up to 56 weeks
Intervention | percentage of participants (Number) |
---|
| Adverse Events(AEs) | Serious Adverse Events(SAEs) |
---|
MF 400 μg | 72.2 | 7.0 |
,MF 800 μg | 70.0 | 4.8 |
,QMF149 150/160 μg | 66.8 | 4.6 |
,QMF149 150/320 μg | 64.6 | 4.7 |
,Salmeterol/Fluticasone 50/500 μg | 65.3 | 4.7 |
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Percentage of Participants Achieving the Minimal Important Difference (MID) ACQ ≥ 0.5 at Weeks 26 and 52
Change from baseline in ACQ-7 scores of ≤ 0.5 was defined as minimal clinically important difference and were considered clinically meaningful. The ACQ-7 measured asthma symptom control and consists of 7 items: 5 on symptom assessment, 1 on rescue bronchodilator use and 1 on airway calibre (FEV1 % predicted). All 7 questions of the ACQ-7 were equally weighted. Items 1-5 were scored along a 7-point response scale, where 0 = totally controlled and 6 = severely uncontrolled. Item 6 is scored between 0 = no rescue medication and 6 = More than 16 puffs/inhalations most days. The 7th item was scored by the investigator based on the FEV1 % predicted from the masterscope at the site (i.e., Score = 0 means > 95% of predicted FEV1, 1 = 90 - 95%, 2 = 80 - 89%, 3 = 70 - 79%, 4 = 60 - 69%, 5 = 50 - 59%, and Score = 6 means < 50% of predicted FEV1). The total score was calculated as the mean of all questions (NCT02554786)
Timeframe: Weeks 26 (Day 183) and 52 (Day 364)
Intervention | percentage of participants (Number) |
---|
| Day 183 | Day 364 |
---|
MF 400 μg | 66.9 | 69.2 |
,MF 800 μg | 72.3 | 73.6 |
,QMF149 150/160 μg | 76.2 | 82.1 |
,QMF149 150/320 μg | 76.4 | 77.7 |
,Salmeterol/Fluticasone 50/500 μg | 75.9 | 77.3 |
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Change From Baseline in Percentage of Nights With no Night-time Awakenings
"All participants were provided with an electronic diary (e-Diary) to record clinical symptoms. They were instructed to routinely complete the e-Diary twice daily at the same time each morning and again approximately 12 hours later in the evening. The e-Diary was reviewed at each visit until study completion. The question asked for nights with no night-time awakenings was How did you sleep last night? had to be answered with I did not wake up because of any breathing problems with scores from 0 (no problem)-4 (very severe problems)." (NCT02554786)
Timeframe: Up to Week 52
Intervention | percentage of nights (Least Squares Mean) |
---|
QMF149 150/320 μg | 17.0 |
QMF149 150/160 μg | 16.4 |
MF 800 μg | 14.2 |
MF 400 μg | 12.5 |
Salmeterol/Fluticasone 50/500 μg | 16.1 |
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Change From Baseline in Percentage of Asthma Symptoms Free Days
All participants were provided with an electronic diary (e-Diary) to record clinical symptoms. They were instructed to routinely complete the e-Diary twice daily at the same time each morning and again approximately 12 hours later in the evening. The e-Diary was reviewed at each visit until study completion. Asthma symptoms free days are days with no daytime symptoms, no night-time awakenings and no symptoms on awakening. The daytime asthma symptom score was based on the daily e-diary recordings by participants with respect to shortness of breath, wheeze, cough, chest tightness, and impact on usual daily activities due to symptoms. (NCT02554786)
Timeframe: Up to Week 52
Intervention | percentage of days (Least Squares Mean) |
---|
QMF149 150/320 μg | 28.3 |
QMF149 150/160 μg | 28.4 |
MF 800 μg | 22.5 |
MF 400 μg | 19.3 |
Salmeterol/Fluticasone 50/500 μg | 24.9 |
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Annual Rate of Asthma Exacerbations by Exacerbation Category
The exacerbation categories were: All (mild, moderate and severe) and combination of moderate or severe and severe. (NCT02554786)
Timeframe: Up to Week 52
Intervention | exacerbations per year (Mean) |
---|
| Moderate or severe asthma exacerbation | Severe asthma exacerbation | All (mild, moderate, severe) asthma exacerbation |
---|
MF 400 μg | 0.56 | 0.29 | 1.05 |
,MF 800 μg | 0.39 | 0.18 | 0.74 |
,QMF149 150/160 μg | 0.27 | 0.13 | 0.48 |
,QMF149 150/320 μg | 0.25 | 0.13 | 0.49 |
,Salmeterol/Fluticasone 50/500 μg | 0.27 | 0.14 | 0.52 |
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Duration in Days of Asthma Exacerbations by Exacerbation Category
The exacerbation categories were: All (mild, moderate and severe) and combination of moderate or severe and severe. (NCT02554786)
Timeframe: Up to Week 52
Intervention | days (Mean) |
---|
| Moderate or severe asthma exacerbation | Severe asthma exacerbation | All(mild, moderate,severe) asthma exacerbation |
---|
MF 400 μg | 5.8 | 3.2 | 10.1 |
,MF 800 μg | 3.7 | 1.7 | 6.9 |
,QMF149 150/160 μg | 3.0 | 1.7 | 5.0 |
,QMF149 150/320 μg | 2.6 | 1.3 | 5.4 |
,Salmeterol/Fluticasone 50/500 μg | 3.1 | 1.9 | 5.1 |
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Pre-dose FEV1 at Weeks 4 and 12
Pre-dose trough FEV1 is defined as average of the two FEV1 measurements taken 45 min and 15 min pre evening dose. It was assessed by performing spirometric assessment. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing. (NCT02554786)
Timeframe: Weeks 4 (Day 30) and 12 (Day 86)
Intervention | L (Least Squares Mean) |
---|
| Day 30 | Day 86 |
---|
MF 400 μg | 2.171 | 2.177 |
,MF 800 μg | 2.237 | 2.245 |
,QMF149 150/160 μg | 2.367 | 2.361 |
,QMF149 150/320 μg | 2.369 | 2.368 |
,Salmeterol /Fluticasone 50/500 μg | 0.2333 | 2.330 |
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Time to First Asthma Exacerbation by Exacerbation Category
The exacerbation categories were: All (mild, moderate and severe) and combination of moderate or severe and severe. (NCT02554786)
Timeframe: Up to Week 52
Intervention | days (Median) |
---|
| Moderate or severe asthma exacerbation | Severe asthma exacerbation | All (mild, moderate or severe) asthma exacerbation |
---|
MF 400 μg | 364.0 | 366 | 306.0 |
,MF 800 μg | 366.0 | 366 | 364.5 |
,QMF149 150/160 μg | 366.0 | 366 | 366.0 |
,QMF149 150/320 μg | 366.0 | 367 | 366.0 |
,Salmeterol/Fluticasone 50/500 μg | 366.0 | 366 | 365.0 |
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Trough Forced Expiratory Flow (FEF)Between 25% and 75% of FVC (FEF25-75)
FEF is the flow (or speed) of air coming out of the lung during the middle portion of a forced expiration. Trough FEF25-75% is defined as average of the two FEF25-75% measurements taken 23 hr 15 min and 23 hr 45 min post-evening dose. It was assessed by performing spirometric assessment. (NCT02554786)
Timeframe: Up to Week 52 (Day 365)
Intervention | Litres/second (L/s) (Least Squares Mean) |
---|
| Day 2 | Day 184 | Day 365 |
---|
MF 400 μg | 1.406 | 1.473 | 1.440 |
,MF 800 μg | 1.455 | 1.546 | 1.530 |
,QMF149 150/160 μg | 1.617 | 1.738 | 1.686 |
,QMF149 150/320 μg | 1.644 | 1.775 | 1.745 |
,Salmeterol/Fluticasone 50/500 μg | 1.662 | 1.692 | 1.692 |
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Trough Forced Vital Capacity (FVC)
FVC is the total amount of air exhaled during the FEV test. Trough FVC is defined as average of the two FVC measurements taken 23 hr 15 min and 23 hr 45 min post-evening dose. It was assessed by performing spirometric assessment. (NCT02554786)
Timeframe: Up to Week 52 (Day 365)
Intervention | L (Least Squares Mean) |
---|
| Day 2 | Day 184 | Day 365 |
---|
MF 400 μg | 3.203 | 3.246 | 3.218 |
,MF 800 μg | 3.256 | 3.322 | 3.319 |
,QMF149 150/160 μg | 3.342 | 3.387 | 3.364 |
,QMF149 150/320 μg | 3.342 | 3.372 | 3.394 |
,Salmeterol/Fluticasone 50/500 μg | 3.344 | 3.355 | 3.358 |
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Asthma Quality of Life Questionnaire (AQLQ)
"AQLQ is a 32-item disease specific questionnaire designed to measure functional impairments that are most important to patients with asthma, with a recall time of two weeks and each question to be answered on a 7-point scale (1-totally limited/problems all the time, 7-not at all limited/no problems). It consists of 4 domains:~Symptoms = Mean of Items 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 29, 30 (12 items)~Activity limitation = Mean of Items 1, 2, 3, 4, 5, 11, 19, 25, 28, 31, 32 (11 items)~Emotional function = Mean of Items 7, 13, 15, 21, 27 (5 items)~Environmental stimuli = Mean of Items 9, 17, 23, 26 (4 items)~Overall Score = Mean of Items 1 to 32 (32 items)" (NCT02554786)
Timeframe: Up to Week 52 (Day 364)
Intervention | score on a scale (Least Squares Mean) |
---|
| Day 30 | Day 86 | Day 183 | Day 254 | Day 364 |
---|
MF 400 μg | 5.374 | 5.510 | 5.581 | 5.614 | 5.641 |
,MF 800 μg | 5.413 | 5.564 | 5.598 | 5.689 | 5.705 |
,QMF149 150/160 μg | 5.498 | 5.629 | 5.738 | 5.781 | 5.832 |
,QMF149 150/320 μg | 5.560 | 5.618 | 5.724 | 5.761 | 5.783 |
,Salmeterol/Fluticasone 50/500 μg | 5.515 | 5.592 | 5.639 | 5.700 | 5.742 |
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Change From Baseline in Morning and Evening Peak Expiratory Flow Rate (PEF) Over 26 and 52 Weeks of Treatment
PEF is a person's maximum speed of expiration. All the participants were instructed to record PEF twice daily using a mini Peak Flow Meter device, once in the morning (before taking the morning dose) and once approximately 12 h later in the evening (before taking the evening dose). At each timepoint, the participant was instructed to perform 3 consecutive manoeuvres within 10 minutes. These PEF values were captured in the e-PEF/diary. The best of 3 values were used. (NCT02554786)
Timeframe: Up to Weeks 26 and 52
Intervention | L/min (Least Squares Mean) |
---|
| Week 26: Mean morning PEF | Week 26:Mean evening PEF | Week 52:Mean morning PEF | Week 52:Mean evening PEF |
---|
MF 400 μg | 5.9 | 0.0 | 6.7 | -0.3 |
,MF 800 μg | 12.8 | 7.7 | 13.4 | 7.4 |
,QMF149 150/160 μg | 38.1 | 30.4 | 36.9 | 28.7 |
,QMF149 150/320 μg | 42.4 | 32.5 | 42.1 | 31.2 |
,Salmeterol/Fluticasone 50/500 μg | 29.1 | 23.9 | 28.3 | 22.1 |
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Asthma Control Questionnaire (ACQ-7) at Weeks 4, 12, 26 and 52
The ACQ-7 measured asthma symptom control and consists of 7 items: 5 on symptom assessment, 1 on rescue bronchodilator use and 1 on airway calibre (FEV1 % predicted). All 7 questions of the ACQ-7 were equally weighted. Items 1-5 were scored along a 7-point response scale, where 0 = totally controlled and 6 = severely uncontrolled. Item 6 is scored between 0 = no rescue medication and 6 = More than 16 puffs/inhalations most days. The 7th item was scored by the investigator based on the FEV1 % predicted from the masterscope at the site (i.e., Score = 0 means > 95% of predicted FEV1, 1 = 90 - 95%, 2 = 80 - 89%, 3 = 70 - 79%, 4 = 60 - 69%, 5 = 50 - 59%, and Score = 6 means < 50% of predicted FEV1). The total score was calculated as the mean of all questions. (NCT02554786)
Timeframe: Weeks 4, 12, 26 and 52
Intervention | score on a scale (Least Squares Mean) |
---|
| Week 4 | Week 12 | Week 26 | Week 52 |
---|
MF 400 μg | 1.730 | 1.625 | 1.509 | 1.449 |
,MF 800 μg | 1.659 | 1.523 | 1.439 | 1.373 |
,QMF149 150/160 μg | 1.533 | 1.377 | 1.261 | 1.183 |
,QMF149 150/320 μg | 1.486 | 1.394 | 1.267 | 1.231 |
,Salmeterol/Fluticasone 50/500 μg | 1.541 | 1.445 | 1.322 | 1.221 |
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Change From Baseline in Percentage of Rescue Medication Free Days
All participants were given salbutamol/albuterol to use as rescue medication throughout the study along with e-Diary to record rescue medication use. Rescue medication free days is defined as any day where the participant did not use any puffs of rescue medication during daytime and night-time. (NCT02554786)
Timeframe: Up to Weeks 26 and 52
Intervention | percentage of days (Least Squares Mean) |
---|
| Weeks 1-26 | Weeks 1-52 |
---|
MF 400 μg | 19.1 | 20.8 |
,MF 800 μg | 21.4 | 23.5 |
,QMF149 150/160 μg | 27.4 | 29.4 |
,QMF149 150/320 μg | 31.5 | 33.1 |
,Salmeterol /Fluticasone 50/500 μg | 27.4 | 28.8 |
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Time to First Hospitalization for Asthma Exacerbation
The exacerbation categories were: All (mild, moderate and severe) and combination of moderate or severe and severe. (NCT02554786)
Timeframe: Up to Week 52
Intervention | days (Median) |
---|
QMF149 150/320 μg | 367.0 |
QMF149 150/160 μg | 367.0 |
MF 800 μg | 367.0 |
MF 400 μg | 366.0 |
Salmeterol/Fluticasone 50/500 μg | 367.0 |
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Total Amounts of Systemic Corticosteroids (in Doses) Used to Treat Asthma Exacerbations
The treatment of asthma exacerbations including the initiation of systemic corticosteroids were done according to investigator's or treating physician's medical judgement and in line with national and international recommendations. If systemic corticosteroids were required, a participant could return to the study after successfully completing a taper of approximately 7-10 days. (NCT02554786)
Timeframe: Up to Week 52
Intervention | milligrams (Mean) |
---|
QMF149 150/320 μg | 26.0 |
QMF149 150/160 μg | 29.9 |
MF 800 μg | 28.0 |
MF 400 μg | 47.8 |
Salmeterol/Fluticasone 50/500 μg | 26.9 |
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Trough FEV1 at Week 52
Trough FEV1 was assessed by performing spirometric assessment. It is defined as average of the two FEV1 measurements taken 23 hr 15 min and 23 hr 45 min post-evening dose. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing. (NCT02554786)
Timeframe: Week 52
Intervention | L (Least Squares Mean) |
---|
QMF149 150/320 μg | 2.386 |
QMF149 150/160 μg | 2.357 |
MF 800 μg | 2.249 |
MF 400 μg | 2.148 |
Salmeterol/Fluticasone 50/500 μg | 2.338 |
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Trough FEV1 Measured After 26 Weeks of Treatment
Trough FEV1 was assessed by performing spirometric assessment. It is defined as average of the two FEV1 measurements taken 23 hr 15 min and 23 hr 45 min post-evening dose. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing. (NCT02554786)
Timeframe: Week 26
Intervention | L (Least Squares Mean) |
---|
QMF149 150/320 μg | 2.383 |
QMF149 150/160 μg | 2.387 |
MF 800 μg | 2.250 |
MF 400 μg | 2.176 |
Salmeterol/Fluticasone 50/500 μg | 2.346 |
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Trough Forced Expiratory Volume in One Second (Trough FEV1) at Week 26
Trough FEV1 was assessed by performing spirometric assessment. It is defined as average of the two FEV1 measurements taken 23 hr 15 min and 23 hr 45 min post-evening dose. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing. (NCT02554786)
Timeframe: 26 weeks
Intervention | litre (L) (Least Squares Mean) |
---|
QMF149 150/320 μg | 2.383 |
QMF149 150/160 μg | 2.387 |
MF 800 μg | 2.250 |
MF 400 μg | 2.176 |
Salmeterol/Fluticasone 50/500 μg | 2.346 |
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Subjective Symptom Composite Scoring
"A subjective symptom score will be extracted from the patient's score (on a scale of 0-5, where 0 defines no problems with the given symptom and 5 defines maximal problems ) on the SNOT-22 for each fo the following symptoms: blockage/congestion, runny nose, post-nasal discharge, facial pain/pressure, and sense of taste/smell. Range of 0 to 25, with higher score reflecting worse symptoms." (NCT02569437)
Timeframe: Baseline and 12 weeks
Intervention | units on a scale (Mean) |
---|
| Baseline | 12 weeks |
---|
Doxycycline | 16.3 | 11.9 |
,Sugar Pill | 17.1 | 13.6 |
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Endoscopic Nasal Polyp Score
"0- Absence of nasal polyps~Polyps confined to the middle meatus and not beyond the inferior border of the middle turbinate~Polyps reaching below the lower border of the middle turbinate~Large polyps extending to the lower border of the inferior turbinate or medial to the middle turbinate~Large polyps extending to the lower border of the inferior turbinate or medial to the middle turbinate Nasal polyp scores. The score is determined for each nostril, and the two scores added for a total nasal polyp score. Range of 0 to 8, graded on a size system from 0 to 4 and summed from the right and left nostrils." (NCT02569437)
Timeframe: Baseline and 12 weeks
Intervention | units on a scale (Mean) |
---|
| Baseline | 12 weeks |
---|
Doxycycline | 6.0 | 4.3 |
,Sugar Pill | 6.5 | 4.9 |
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Sino-nasal Outcome Test (SNOT 22)
a validated 22 item quality of life questionnaire for patients with chronic rhinosinusitis. Range of 0 to 110, higher scores indicate worse outcome (NCT02569437)
Timeframe: Baseline and 12 weeks
Intervention | units on a scale (Mean) |
---|
| Baseline | 12 weeks |
---|
Doxycycline | 55.2 | 43.7 |
,Sugar Pill | 54.4 | 49.8 |
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Visual Analog Scale
The visual analog scale for overall symptoms will be used to define disease severity. Range of 0 to 10. As per the European Position Paper 2012, mild, moderate, and severe disease will be defined as 0 to and including 3, > 3 to and including 7, and > 7 to and including 10, respectively. (NCT02569437)
Timeframe: Baseline and 12 weeks
Intervention | units on a scale (Mean) |
---|
| Baseline | 12 weeks |
---|
Doxycycline | 8.4 | 5.2 |
,Sugar Pill | 8.1 | 4.5 |
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Middle Meatus Culture
Culture swab for the presence or absence of microbial growth (NCT02569437)
Timeframe: Baseline and 12 weeks
Intervention | Participants (Count of Participants) |
---|
| Culture growth at initial visit and 12 week visit | Culture growth initial visit, none at 12 weeks | No growth initial visit, but growth at 12 weeks |
---|
Doxycycline | 5 | 1 | 2 |
,Sugar Pill | 2 | 2 | 1 |
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Percentage of Participants With at Least One Asthma Exacerbation by Exacerbation Category
The exacerbation categories were: All (mild, moderate and severe) and combination of moderate or severe and severe. (NCT02571777)
Timeframe: Up to Week 52
Intervention | percentage of participants (Number) |
---|
| Moderate or severe asthma exacerbation | Severe asthma exacerbation | All (mild, moderate, severe) asthma exacerbation |
---|
QMF149 150/160 µg o.d. | 35.9 | 27.3 | 44.0 |
,QMF149 150/320 µg o.d. | 31.8 | 23.2 | 41.9 |
,QVM149 150/50/160 µg o.d. | 30.2 | 21.8 | 40.2 |
,QVM149 150/50/80 µg o.d. | 32.5 | 24.6 | 40.2 |
,Salmeterol/Fluticasone 50/500 μg b.i.d. | 39.7 | 29.7 | 50.5 |
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Duration in Days of Asthma Exacerbations by Exacerbation Category
The exacerbation categories were: All (mild, moderate and severe) and combination of moderate or severe and severe. (NCT02571777)
Timeframe: Up to Week 52
Intervention | days (Mean) |
---|
| Moderate or severe asthma exacerbation | Severe asthma exacerbation | All (mild, moderate, severe) asthma exacerbation |
---|
QMF149 150/160 µg o.d. | 7.1 | 4.5 | 9.6 |
,QMF149 150/320 µg o.d. | 6.7 | 4.9 | 10.7 |
,QVM149 150/50/160 µg o.d. | 4.5 | 2.8 | 7.0 |
,QVM149 150/50/80 µg o.d. | 5.6 | 4.1 | 8.1 |
,Salmeterol/Fluticasone 50/500 μg b.i.d. | 8.1 | 5.8 | 12.8 |
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Change From Baseline in Percentage of Rescue Medication Free Days Over 26 and 52 Weeks
All participants were given salbutamol/albuterol to use as rescue medication throughout the study along with e-Diary to record rescue medication use. Rescue medication free days is defined as any day where the participant did not use any puffs of rescue medication during daytime and night-time. (NCT02571777)
Timeframe: Baseline, 26 weeks, 52 weeks
Intervention | Percentage of days (Least Squares Mean) |
---|
| Week 26 | Week 52 |
---|
QMF149 150/160 µg o.d. | 18.2 | 20.8 |
,QMF149 150/320 µg o.d. | 23.3 | 24.9 |
,QVM149 150/50/160 µg o.d. | 22.5 | 25.0 |
,QVM149 150/50/80 µg o.d. | 19.5 | 21.9 |
,Salmeterol/Fluticasone 50/500 μg b.i.d. | 19.6 | 21.8 |
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Change From Baseline in Percentage of Days Without Rescue Medication Use Over 26 and 52 Weeks
Percentage of days without rescue medication usage (100 μg salbutamol/90 μg albuterol via metered-dose inhaler) as recorded by e-diary over 26 and 52 weeks of treatment. (NCT02571777)
Timeframe: Baseline, 26 weeks, 52 weeks
Intervention | Percentage of days (Least Squares Mean) |
---|
| Week 26 | Week 52 |
---|
QMF149 150/160 µg o.d. | 18.2 | 20.8 |
,QMF149 150/320 µg o.d. | 23.3 | 24.9 |
,QVM149 150/50/160 µg o.d. | 22.5 | 25.0 |
,QVM149 150/50/80 µg o.d. | 19.5 | 21.9 |
,Salmeterol/Fluticasone 50/500 μg b.i.d. | 19.6 | 21.8 |
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Change From Baseline in Morning and Evening Peak Expiratory Flow Rate (PEF) Over 26 and 52 Weeks of Treatment
PEF is a person's maximum speed of expiration. All the participants were instructed to record PEF twice daily using a mini Peak Flow Meter device, once in the morning (before taking the morning dose) and once approximately 12 h later in the evening (before taking the evening dose) at home. At each timepoint, the participant was instructed to perform 3 consecutive manoeuvres within 10 minutes. These PEF values were captured in the e-PEF/diary. The best of 3 values were used. (NCT02571777)
Timeframe: Baseline, 26 weeks, 52 weeks
Intervention | L/min (Least Squares Mean) |
---|
| Week 26 - Mean morning PEF | Week 26 - Mean evening PEF | Week 52 - Mean morning PEF | Week 52 - Mean evening PEF |
---|
QMF149 150/160 µg o.d. | 25.6 | 20.6 | 25.6 | 20.1 |
,QMF149 150/320 µg o.d. | 29.5 | 22.8 | 28.8 | 21.2 |
,QVM149 150/50/160 µg o.d. | 47.7 | 39.6 | 47.5 | 38.7 |
,QVM149 150/50/80 µg o.d. | 40.5 | 34.7 | 41.2 | 35.0 |
,Salmeterol/Fluticasone 50/500 μg b.i.d. | 12.5 | 10.4 | 12.7 | 9.2 |
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Asthma Control Questionnaire (ACQ-7) at Week 26 and Week 52
The ACQ-7 measured asthma symptom control and consists of 7 items: 5 on symptom assessment, 1 on rescue bronchodilator use and 1 on airway calibre (FEV1 % predicted). All 7 questions of the ACQ-7 were equally weighted. Items 1-5 were scored along a 7-point response scale, where 0 = totally controlled and 6 = severely uncontrolled. Item 6 is scored between 0 = no rescue medication and 6 = More than 16 puffs/inhalations most days. The 7th item was scored by the investigator based on the FEV1 % predicted from the masterscope at the site (i.e., Score = 0 means > 95% of predicted FEV1, 1 = 90 - 95%, 2 = 80 - 89%, 3 = 70 - 79%, 4 = 60 - 69%, 5 = 50 - 59%, and Score = 6 means < 50% of predicted FEV1). The ACQ-7 total score reported below was calculated as the mean of scores of all 7 items and ranged between 0 and 6, with higher scores indicating worse asthma symptom control. (NCT02571777)
Timeframe: 26 weeks, 52 weeks
Intervention | Score on a scale (Least Squares Mean) |
---|
| Week 26 | Week 52 |
---|
QMF149 150/160 µg o.d. | 1.614 | 1.545 |
,QMF149 150/320 µg o.d. | 1.528 | 1.465 |
,QVM149 150/50/160 µg o.d. | 1.542 | 1.406 |
,QVM149 150/50/80 µg o.d. | 1.543 | 1.535 |
,Salmeterol/Fluticasone 50/500 μg b.i.d. | 1.628 | 1.527 |
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Annual Rate of Asthma Exacerbations by Exacerbation Category
The exacerbation categories were: All (mild, moderate and severe) and combination of moderate or severe and severe. (NCT02571777)
Timeframe: 52 weeks
Intervention | Exacerbations per year (Mean) |
---|
| Moderate or severe asthma exacerbation | Severe asthma exacerbation | All (mild, moderate, severe) asthma exacerbation |
---|
QMF149 150/160 µg o.d. | 0.67 | 0.41 | 0.98 |
,QMF149 150/320 µg o.d. | 0.54 | 0.33 | 0.93 |
,QVM149 150/50/160 µg o.d. | 0.46 | 0.26 | 0.74 |
,QVM149 150/50/80 µg o.d. | 0.58 | 0.38 | 0.86 |
,Salmeterol/Fluticasone 50/500 μg b.i.d. | 0.72 | 0.45 | 1.23 |
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Trough Forced Expiratory Volume in 1 Second (Trough FEV1) of QVM149 Versus Salmeterol/Fluticasone at Week 26
"Trough FEV1 was assessed by performing spirometric assessment. It is defined as average of the two FEV1 measurements taken 23 hr 15 min and 23 hr 45 min post-evening dose. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing.~This secondary endpoint considered the following 2 comparison groups:~QVM149 150/50/80 μg o.d. via Concept1 compared with salmeterol/fluticasone 50/500 μg b.i.d. via Accuhaler®~QVM149 150/50/160 μg o.d. via Concept 1 compared with salmeterol/fluticasone 50/500 μg b.i.d. via Accuhaler®" (NCT02571777)
Timeframe: 26 weeks
Intervention | litre (L) (Least Squares Mean) |
---|
QVM149 150/50/160 µg o.d. | 2.050 |
QVM149 150/50/80 µg o.d. | 2.029 |
QMF149 150/320 µg o.d. | 1.984 |
QMF149 150/160 µg o.d. | 1.953 |
Salmeterol/Fluticasone 50/500 μg b.i.d. | 1.930 |
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Trough Forced Expiratory Flow (FEF) Between 25% and 75% of FVC (FEF25-75) at 52 Weeks
FEF is the flow (or speed) of air coming out of the lung during the middle portion of a forced expiration. Trough FEF25-75% is defined as average of the two FEF25-75% measurements taken 23 hr 15 min and 23 hr 45 min post-evening dose. It was assessed by performing spirometric assessment. (NCT02571777)
Timeframe: Up to Week 52
Intervention | L/s (Least Squares Mean) |
---|
QVM149 150/50/160 µg o.d. | 1.354 |
QVM149 150/50/80 µg o.d. | 1.263 |
QMF149 150/320 µg o.d. | 1.260 |
QMF149 150/160 µg o.d. | 1.214 |
Salmeterol/Fluticasone 50/500 μg b.i.d. | 1.207 |
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Total Amount of Oral Corticosteroid Used (in Prednisone-equivalent mg Doses) to Treat Asthma Exacerbations
The treatment of asthma exacerbations including the initiation of systemic corticosteroids were done according to investigator's or treating physician's medical judgement and in line with national and international recommendations. If systemic corticosteroids were required, a participant could return to the study after successfully completing a taper of approximately 7-10 days. (NCT02571777)
Timeframe: Up to Week 52
Intervention | prednisone-equivalent milligram (Mean) |
---|
QVM149 150/50/160 µg o.d. | 53.4 |
QVM149 150/50/80 µg o.d. | 72.0 |
QMF149 150/320 µg o.d. | 73.2 |
QMF149 150/160 µg o.d. | 82.5 |
Salmeterol/Fluticasone 50/500 μg b.i.d. | 86.0 |
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Time to First Hospitalization for Asthma Exacerbation
Time from start of treatment until the first event (hospitalization for asthma exacerbation) or censoring. Patients without the event were considered as censored at the date of last treatment + 1 day. For patients having the event, the start date of the hospitalization was considered to calculate the time to event (i.e., the number of days from start of treatment up to the event start date). (NCT02571777)
Timeframe: 52 weeks on average, up to 416 days
Intervention | days (Median) |
---|
QVM149 150/50/160 µg o.d. | 367.0 |
QVM149 150/50/80 µg o.d. | 367.0 |
QMF149 150/320 µg o.d. | 367.0 |
QMF149 150/160 µg o.d. | 367.0 |
Salmeterol/Fluticasone 50/500 μg b.i.d. | 367.0 |
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Time in Days to Permanent Discontinuation of Study Medication Due to Asthma Exacerbation
Time from start of treatment until the first event (permanent discontinuation of study medication due to asthma exacerbation) or censoring. Patients without the event were considered as censored at the date of last treatment + 1 day. For patients having the event, the date of the discontinuation of study medication was considered to calculate the time to event. (NCT02571777)
Timeframe: 52 weeks on average, up to 416 days
Intervention | days (Median) |
---|
QVM149 150/50/160 µg o.d. | 367.0 |
QVM149 150/50/80 µg o.d. | 367.0 |
QMF149 150/320 µg o.d. | 367.0 |
QMF149 150/160 µg o.d. | 367.0 |
Salmeterol/Fluticasone 50/500 μg b.i.d. | 367.0 |
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Percentage of Participants With Composite Endpoint of Serious Asthma Outcomes
A composite endpoint of serious asthma outcomes is defined as asthma-related hospitalization, asthma-related intubation, or asthma-related death and was reviewed by the Adjudication Committee. (NCT02571777)
Timeframe: Up to Week 52
Intervention | Percentage of participants (Number) |
---|
QVM149 150/50/160 µg o.d. | 1.4 |
QVM149 150/50/80 µg o.d. | 2.5 |
QMF149 150/320 µg o.d. | 1.9 |
QMF149 150/160 µg o.d. | 1.6 |
Salmeterol/Fluticasone 50/500 μg b.i.d. | 1.2 |
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Change From Baseline in Percentage of Nights With no Night-time Awakenings Over 52 Weeks
"All participants were provided with an electronic diary (e-Diary) to record clinical symptoms. They were instructed to routinely complete the e-Diary twice daily at the same time each morning and again approximately 12 hours later in the evening. The e-Diary was reviewed at each visit until study completion. The question asked for nights with no night-time awakenings was How did you sleep last night? had to be answered with I did not wake up because of any breathing problems with scores from 0 (no problem)-4 (very severe problems)." (NCT02571777)
Timeframe: Baseline, 52 weeks
Intervention | Percentage of days (Least Squares Mean) |
---|
QVM149 150/50/160 µg o.d. | 18.0 |
QVM149 150/50/80 µg o.d. | 17.6 |
QMF149 150/320 µg o.d. | 18.4 |
QMF149 150/160 µg o.d. | 16.1 |
Salmeterol/Fluticasone 50/500 μg b.i.d. | 16.9 |
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Change From Baseline in Percentage of Mornings With no Symptoms on Rising Over 52 Weeks
"All participants were provided with an electronic diary (e-Diary) to record clinical symptoms. They were instructed to routinely complete the e-Diary twice daily at the same time each morning and again approximately 12 hours later in the evening. The e-Diary was reviewed at each visit until study completion. The question asked for nights with no night-time awakenings was How did you sleep last night? had to be answered with I did not wake up because of any breathing problems with scores from 0 (no problem)-4 (very severe problems)." (NCT02571777)
Timeframe: Baseline, 52 weeks
Intervention | Percentage of days (Least Squares Mean) |
---|
QVM149 150/50/160 µg o.d. | 19.5 |
QVM149 150/50/80 µg o.d. | 18.5 |
QMF149 150/320 µg o.d. | 19.9 |
QMF149 150/160 µg o.d. | 15.5 |
Salmeterol/Fluticasone 50/500 μg b.i.d. | 15.6 |
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Pre-dose Forced Vital Capacity (FVC) at Week 4 and Week 12
Pre-dose FVC is defined as average of the two FVC measurements taken 45 min and 15 min pre evening dose. It was assessed by performing spirometric assessment. FVC is the total amount of air exhaled during the FEV test. (NCT02571777)
Timeframe: 4 weeks, 12 weeks
Intervention | litre (L) (Least Squares Mean) |
---|
| Week 4 | Week 12 |
---|
QMF149 150/160 µg o.d. | 3.020 | 3.014 |
,QMF149 150/320 µg o.d. | 3.018 | 3.011 |
,QVM149 150/50/160 µg o.d. | 3.091 | 3.067 |
,QVM149 150/50/80 µg o.d. | 3.059 | 3.065 |
,Salmeterol/Fluticasone 50/500 μg b.i.d. | 2.952 | 2.965 |
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Trough FEV1 at Week 52
Trough FEV1 was assessed by performing spirometric assessment. It is defined as average of the two FEV1 measurements taken 23 hr 15 min and 23 hr 45 min post-evening dose. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing. (NCT02571777)
Timeframe: 52 weeks
Intervention | litre (L) (Least Squares Mean) |
---|
QVM149 150/50/160 µg o.d. | 2.050 |
QVM149 150/50/80 µg o.d. | 1.992 |
QMF149 150/320 µg o.d. | 1.965 |
QMF149 150/160 µg o.d. | 1.930 |
Salmeterol/Fluticasone 50/500 μg b.i.d. | 1.905 |
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Change From Baseline in Percentage of Asthma Symptom-free Days Over 52 Weeks
All participants were provided with an electronic diary (e-Diary) to record clinical symptoms. They were instructed to routinely complete the e-Diary twice daily at the same time each morning and again approximately 12 hours later in the evening. The e-Diary was reviewed at each visit until study completion. Asthma symptoms free days are days with no daytime symptoms, no night-time awakenings and no symptoms on awakening. The daytime asthma symptom score was based on the daily e-diary recordings by participants with respect to shortness of breath, wheeze, cough, chest tightness, and impact on usual daily activities due to symptoms. (NCT02571777)
Timeframe: Baseline, 52 weeks
Intervention | Percentage of days (Least Squares Mean) |
---|
QVM149 150/50/160 µg o.d. | 22.4 |
QVM149 150/50/80 µg o.d. | 18.0 |
QMF149 150/320 µg o.d. | 22.2 |
QMF149 150/160 µg o.d. | 18.0 |
Salmeterol/Fluticasone 50/500 μg b.i.d. | 18.9 |
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Asthma Quality of Life Questionnaire (AQLQ) at Week 52
"AQLQ is a 32-item disease specific questionnaire designed to measure functional impairments that are most important to patients with asthma, with a recall time of two weeks and each question to be answered on a 7-point scale (1-totally limited/problems all the time, 7-not at all limited/no problems). It consists of 4 domains:~Symptoms = Mean of Items 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 29, 30 (12 items)~Activity limitation = Mean of Items 1, 2, 3, 4, 5, 11, 19, 25, 28, 31, 32 (11 items)~Emotional function = Mean of Items 7, 13, 15, 21, 27 (5 items)~Environmental stimuli = Mean of Items 9, 17, 23, 26 (4 items)~Overall Score = Mean of Items 1 to 32 (32 items) The overall AQLQ score reported below is the mean of all 32 responses and ranges from 1 to 7, where higher scores indicate better quality of life." (NCT02571777)
Timeframe: 52 weeks
Intervention | Score on a scale (Least Squares Mean) |
---|
QVM149 150/50/160 µg o.d. | 5.555 |
QVM149 150/50/80 µg o.d. | 5.445 |
QMF149 150/320 µg o.d. | 5.535 |
QMF149 150/160 µg o.d. | 5.499 |
Salmeterol/Fluticasone 50/500 μg b.i.d. | 5.495 |
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Time to First Asthma Exacerbation by Exacerbation Category
"Time from start of treatment until the first event (asthma exacerbation) or censoring. Patients without the event were considered as censored at the date of last treatment + 1 day. For patients having the event, the start date of the exacerbation was considered to calculate the time to event (i.e., the number of days from start of treatment up to the event start date).~The exacerbation categories were: All (mild, moderate and severe), combination of moderate or severe and severe." (NCT02571777)
Timeframe: 52 weeks on average, up to 416 days
Intervention | days (Median) |
---|
| Moderate or severe asthma exacerbation | Severe asthma exacerbation | All (mild, moderate or severe) asthma exacerbation |
---|
QMF149 150/160 µg o.d. | 365.0 | 366.0 | 360.0 |
,QMF149 150/320 µg o.d. | 366.0 | 366.0 | 361.0 |
,QVM149 150/50/160 µg o.d. | 366.0 | 366.0 | 363.0 |
,QVM149 150/50/80 µg o.d. | 366.0 | 366.0 | 364.0 |
,Salmeterol/Fluticasone 50/500 μg b.i.d. | 365.0 | 366.0 | 278.0 |
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Trough Forced Expiratory Volume in 1 Second (Trough FEV1) of QVM149 Versus QMF149 at Week 26
"Trough FEV1 was assessed by performing spirometric assessment. It is defined as average of the two FEV1 measurements taken 23 hr 15 min and 23 hr 45 min post-evening dose. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing.~The primary endpoint considered the following 2 comparison groups:~QVM149 150/50/80 μg o.d. compared with QMF149 150/160 μg o.d. both delivered via Concept1~QVM149 150/50/160 μg o.d. compared with QMF149 150/320 μg o.d. both delivered via Concept1." (NCT02571777)
Timeframe: 26 weeks
Intervention | litre (L) (Least Squares Mean) |
---|
QVM149 150/50/160 µg o.d. | 2.050 |
QVM149 150/50/80 µg o.d. | 2.029 |
QMF149 150/320 µg o.d. | 1.984 |
QMF149 150/160 µg o.d. | 1.953 |
Salmeterol/Fluticasone 50/500 μg b.i.d. | 1.930 |
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Pre-dose FEV1 at Weeks 4 and 12
Pre-dose FEV1 is defined as average of the two FEV1 measurements taken 45 min and 15 min pre evening dose. It was assessed by performing spirometric assessment. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing. (NCT02571777)
Timeframe: 4 weeks, 12 weeks
Intervention | litres (Least Squares Mean) |
---|
| Week 4 | Week 12 |
---|
QMF149 150/160 µg o.d. | 1.950 | 1.944 |
,QMF149 150/320 µg o.d. | 1.963 | 1.966 |
,QVM149 150/50/160 µg o.d. | 2.032 | 2.024 |
,QVM149 150/50/80 µg o.d. | 1.983 | 1.994 |
,Salmeterol/Fluticasone 50/500 μg b.i.d. | 1.887 | 1.907 |
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Percentage of Patients Achieving the Minimal Clinically Important Difference (MCID) ACQ ≥ 0.5 at Week 26 and Week 52
Change from baseline in ACQ-7 scores of ≤ 0.5 was defined as minimal clinically important difference and were considered clinically meaningful. The ACQ-7 measured asthma symptom control and consists of 7 items: 5 on symptom assessment, 1 on rescue bronchodilator use and 1 on airway calibre (FEV1 % predicted). All 7 questions of the ACQ-7 were equally weighted. Items 1-5 were scored along a 7-point response scale, where 0 = totally controlled and 6 = severely uncontrolled. Item 6 is scored between 0 = no rescue medication and 6 = More than 16 puffs/inhalations most days. The 7th item was scored by the investigator based on the FEV1 % predicted from the masterscope at the site (i.e., Score = 0 means > 95% of predicted FEV1, 1 = 90 - 95%, 2 = 80 - 89%, 3 = 70 - 79%, 4 = 60 - 69%, 5 = 50 - 59%, and Score = 6 means < 50% of predicted FEV1). The total score was calculated as the mean of all questions. (NCT02571777)
Timeframe: 26 weeks, 52 weeks
Intervention | Percentage of participants (Number) |
---|
| Week 26 | Week 52 |
---|
QMF149 150/160 µg o.d. | 70.7 | 73.1 |
,QMF149 150/320 µg o.d. | 74.2 | 77.9 |
,QVM149 150/50/160 µg o.d. | 71.2 | 78.8 |
,QVM149 150/50/80 µg o.d. | 71.7 | 72.8 |
,Salmeterol/Fluticasone 50/500 μg b.i.d. | 67.4 | 72.8 |
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Change From Baseline in Percentage of Days With no Daytime Symptoms Over 52 Weeks
All participants were provided with an electronic diary (e-Diary) to record clinical symptoms. They were instructed to routinely complete the e-Diary twice daily at the same time each morning and again approximately 12 hours later in the evening. The e-Diary was reviewed at each visit until study completion. For days with no daytime symptoms, all 5 evening questions must have a score = 0 with respect to shortness of breath, wheeze, cough, chest tightness and impact on usual daily activities due to symptoms, each with scores from 0 (no problems) to 4 (very severe problems). (NCT02571777)
Timeframe: Baseline, 52 weeks
Intervention | Percentage of days (Least Squares Mean) |
---|
QVM149 150/50/160 µg o.d. | 22.5 |
QVM149 150/50/80 µg o.d. | 17.9 |
QMF149 150/320 µg o.d. | 21.8 |
QMF149 150/160 µg o.d. | 18.0 |
Salmeterol/Fluticasone 50/500 μg b.i.d. | 18.8 |
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Change From Baseline in Mucin-Stained Area in the Bronchial Submucosa at Week 12
Mucin was identified by staining with Alcian-blue periodic acid-Schiff and/or immunostaining for MUC5AC and then the mucin-positive area was measured and expressed per square millimeter. (NCT02573233)
Timeframe: Baseline, Week 12
Intervention | cells/mm^2 (Mean) |
---|
Placebo | 64.09 |
Dupilumab | -142.74 |
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Change From Baseline in Mast Cells Count (Chymase Positive) in the Bronchial Submucosa at Week 12
Inflammatory cells i.e. mast cells were counted in the bronchial submucosa of biopsy thin sections using quantitative immunohistochemistry and reported as the number of cells per square millimeter. (NCT02573233)
Timeframe: Baseline, Week 12
Intervention | cells/mm^2 (Mean) |
---|
Placebo | -14.80 |
Dupilumab | 1.76 |
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Change From Baseline in Eosinophils Cells Count in the Bronchial Submucosa at Week 12
Inflammatory cells i.e. eosinophils were counted in the bronchial submucosa of biopsy thin sections using quantitative immunohistochemistry and reported as the number of cells per square millimeter. (NCT02573233)
Timeframe: Baseline, Week 12
Intervention | cells/mm^2 (Median) |
---|
Placebo | 5.80 |
Dupilumab | -6.04 |
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Change From Baseline in Mast Cells Count (Tryptase Positive) in the Bronchial Submucosa at Week 12
Inflammatory cells i.e. mast cells were counted in the bronchial submucosa of biopsy thin sections using quantitative immunohistochemistry and reported as the number of cells per square millimeter. (NCT02573233)
Timeframe: Baseline, Week 12
Intervention | cells/mm^2 (Mean) |
---|
Placebo | 2.37 |
Dupilumab | -20.89 |
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Change From Baseline in Fractional Exhaled Nitric Oxide (FeNO) at Week 12
FeNO is a surrogate marker for airway inflammation. FeNO was analyzed using a NIOX instrument or similar analyzer using a flow rate of 50 mL/second, and reported in ppb. (NCT02573233)
Timeframe: Baseline, Week 12
Intervention | ppb (Mean) |
---|
Placebo | 3.9 |
Dupilumab | -15.1 |
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Average Change in Fractional Exhaled Nitric Oxide (FeNO) From Baseline to Week 6 Through Week 12
"FeNO is a surrogate marker for airway inflammation. FeNO was analyzed using a NIOX instrument or similar analyzer using a flow rate of 50 mL/s, and reported in ppb.~The average change in FeNO from baseline to Week 6 through Week 12 was calculated as follows: For each participant the change in FeNO from Baseline to Week 6, Week 8, Week 10 and Week 12 was calculated (value at Week X - value at baseline). Subsequently the weekly mean of these 4 change from baseline values was determined (Weeks 6, 8, 10 and 12). Using these weekly mean values the overall arithmetic mean and standard deviation of the average change in FeNO from baseline to Week 6 through Week 12 was calculated." (NCT02573233)
Timeframe: From Baseline to Week 6 through Week 12
Intervention | ppb (Mean) |
---|
Placebo | 3.5 |
Dupilumab | -16.0 |
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Pharmacokinetics (PK) Assessment: Serum Functional Dupilumab Concentration
Serum functional dupilumab concentrations were determined using an enzyme-linked immunosorbent assay (ELISA) method. (NCT02573233)
Timeframe: Week 0, Week 2, 6, 8, 12, 18, End of study (Week 24)
Intervention | ng/mL (Mean) |
---|
| Week 0 | Week 2 | Week 6 | Week 8 | Week 12 | Week 18 | Week 24 |
---|
Dupilumab | 0.00 | 52675.00 | 59969.00 | 61097.95 | 67387.00 | 20728.17 | 1851.20 |
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Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Adverse event (AE) was defined as any untoward medical occurrence in a participant who received investigational medicinal product (IMP) without regard to possibility of causal relationship with this treatment. TEAEs: AEs that developed or worsened or became serious during between the first administration of study medication to the end of the 12 week Post-treatment Period. Serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included both serious and non-serious AEs. (NCT02573233)
Timeframe: Baseline up to Week 24
Intervention | Participants (Count of Participants) |
---|
| Any TEAE | Any treatment emergent SAE | Any TEAE leading to death | Any TEAE leading to permanent discontinuation |
---|
Dupilumab | 15 | 1 | 0 | 0 |
,Placebo | 17 | 0 | 0 | 0 |
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Number of Participants With Antidrug Antibodies (ADA)
Anti-drug antibodies were detected using a validated immunoassay. Incidence of ADA were classified as following: 1) Pre-existing immunoreactivity - an ADA positive response in the assay at baseline with all post treatment ADA results negative or an ADA positive response at baseline with all post treatment ADA responses less than 4-fold over baseline titer levels. 2) Treatment-emergent ADA: an ADA positive response in the assay post first dose, when baseline results were negative or missing. 3) Treatment-boosted ADA: an ADA positive response in the assay post first dose that was greater-than or equal to 4-fold over baseline titer levels, when baseline results were positive. (NCT02573233)
Timeframe: From Baseline up to 24 weeks
Intervention | Participants (Count of Participants) |
---|
| With pre-existing immunoreactivity | With treatment-emergent ADA | With treatment-boosted ADA |
---|
Dupilumab | 0 | 1 | 0 |
,Placebo | 1 | 0 | 0 |
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Change From Baseline in T-Lymphocytes Count in the Bronchial Submucosa at Week 12
T-Lymphocytes i.e. CD3 positive cells were counted in the bronchial submucosa of biopsy thin sections using quantitative immunohistochemistry and reported as the number of cells per square millimeter. (NCT02573233)
Timeframe: Baseline, Week 12
Intervention | cells/mm^2 (Median) |
---|
Placebo | -36.70 |
Dupilumab | 34.21 |
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Change From Baseline in T-Helper Lymphocytes Count in the Bronchial Submucosa at Week 12
T-helper i.e. CD4 positive lymphocytes were counted in the bronchial submucosa of biopsy thin sections using quantitative immunohistochemistry and reported as the number of cells per square millimeter. (NCT02573233)
Timeframe: Baseline, Week 12
Intervention | cells/mm^2 (Median) |
---|
Placebo | 7.26 |
Dupilumab | 62.34 |
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Change From Baseline in 0 to 4 Hours Post-dose Weighted Mean Heart Rate at Day 42, Derived From Electrocardiograms (ECGs)
ECG measurements were taken in supine position after obtaining vital signs. Weighted mean was derived by calculating the area under the curve (AUC), and then dividing by the relevant time interval. Baseline was the pre-dose measurement on Day 1. Change from Baseline in 0 to 4 hours post-dose weighted mean heart rate was measured on Days 1, 28 and 42 and was analyzed using a mixed models repeated measures (MMRM) model. Intent-To-Treat (ITT) Population: all randomized participants who received at least one dose of study medication. (NCT02573870)
Timeframe: Baseline and Day 42
Intervention | Beats per minute (bpm) (Least Squares Mean) |
---|
Placebo | 0.688 |
BAT/FF 300/100 µg | -1.557 |
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Mean Change From Baseline in St. George's Respiratory Questionnaire
"The St. George Respiratory Questionnaire C (SGRQ-C) is used to provide the health status measurements in this study. Baseline SGRQ-C is defined as the assessment taken right before the first dose of the double-blind drug on Day 1. Higher values correspond to greater impairment of health status. The SGRQ contains 50 items divided into 2 parts covering 3 aspects of health related to COPD: Part I covers Symptoms and is concerned with respiratory symptoms, their frequency and severity; Part II covers Activity and is concerned with activities that cause or are limited by breathlessness; Part II is also concerned with Impacts, which covers a range of aspects concerned with social functioning and psychological disturbances resulting from airways disease. A score was calculated for each of these 3 subscales and a Total score was calculated. In each case the lowest possible value is zero and the highest 100. Higher values correspond to greater impairment of health status." (NCT02603393)
Timeframe: Baseline, 26 weeks
Intervention | Score on a scale (Least Squares Mean) |
---|
QVA149 | -1.0 |
Tiotropium + Salmeterol/Fluticasone | -2.5 |
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Transition Dyspnea Index (TDI) Score
Transitional Dyspnea Index (TDI) score presents the degree of impairment due to dyspnea. The lower the score the worse the severity of dyspnea. The Baseline Dyspnea Index (BDI) / TDI is an instrument used to assess a participant's level of dyspnea. The BDI and TDI each have three domains: functional impairment, magnitude of task and magnitude of effort. BDI domains were rated from 0 (severe) to 4 (unimpaired) and rates summed for baseline focal score ranged from 0 to 12; lower scores mean worse severity. TDI domains were rated from -3 (major deterioration) to 3 (major improvement) and rates summed for transition focal score ranged from -9 to 9; negative scores indicate deterioration. A TDI focal score of ≥1 was defined as a clinically important improvement from baseline. (NCT02603393)
Timeframe: 12 weeks
Intervention | Score on a scale (Least Squares Mean) |
---|
QVA149 | 1.177 |
Tiotropium + Salmeterol/Fluticasone | 1.418 |
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Transition Dyspnea Index (TDI) Score
Transitional Dyspnea Index (TDI) score presents the degree of impairment due to dyspnea. The lower the score the worse the severity of dyspnea. The Baseline Dyspnea Index (BDI) / TDI is an instrument used to assess a participant's level of dyspnea. The BDI and TDI each have three domains: functional impairment, magnitude of task and magnitude of effort. BDI domains were rated from 0 (severe) to 4 (unimpaired) and rates summed for baseline focal score ranged from 0 to 12; lower scores mean worse severity. TDI domains were rated from -3 (major deterioration) to 3 (major improvement) and rates summed for transition focal score ranged from -9 to 9; negative scores indicate deterioration. A TDI focal score of ≥1 was defined as a clinically important improvement from baseline. (NCT02603393)
Timeframe: 26 weeks
Intervention | Score on a scale (Least Squares Mean) |
---|
QVA149 | 1.382 |
Tiotropium + Salmeterol/Fluticasone | 1.671 |
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Annualized Rate of COPD Exacerbations Requiring Hospitalisation
COPD exacerbations starting between first dose and one day after last treatment are included. COPD exacerbations that occurred within 7 days of each other are collapsed as one event. (NCT02603393)
Timeframe: 26 weeks
Intervention | COPD Exacerbations/year (Number) |
---|
QVA149 | 0.001 |
Tiotropium + Salmeterol/Fluticasone | 0.001 |
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Annualized Rate of COPD Exacerbations Requiring Treatment With Systemic Glucocorticosteroids and/or Antibiotics, Moderate Exacerbations Only
COPD exacerbations starting between first dose and one day after last treatment are included. COPD exacerbations that occurred within 7 days of each other are collapsed as one event (NCT02603393)
Timeframe: 26 weeks
Intervention | COPD Exacerbations/year (Number) |
---|
QVA149 | 0.47 |
Tiotropium + Salmeterol/Fluticasone | 0.44 |
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Annualized Rate of Moderate or Severe COPD Exacerbations
Moderate or severe COPD exacerbations starting between first dose and one day after last treatment are included. COPD exacerbations that occurred within 7 days of each other are collapsed as one event. (NCT02603393)
Timeframe: 26 weeks
Intervention | COPD exacerbations/year (Number) |
---|
QVA149 | 0.52 |
Tiotropium + Salmeterol/Fluticasone | 0.48 |
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Change From Baseline in the Mean Daily Number of Puffs of Rescue Medication
Change from baseline in mean daily number of puffs of rescue medication (number of puffs taken in the previous 12 hours) over 26 weeks of treatment. (NCT02603393)
Timeframe: Baseline, 26 weeks
Intervention | Number of puffs per day (Least Squares Mean) |
---|
QVA149 | -0.307 |
Tiotropium + Salmeterol/Fluticasone | -0.484 |
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Mean Change From Baseline in Forced Vital Capacity (FVC)
Change from baseline in forced vital capacity following 26 weeks of treatment. Trough FVC is defined as the average of the pre-dose FVC measurements at -45 min and -15 min prior to dosing at each visit except Day 182 which is the average of the post-dose FVC measurements at 23h15min and 23h45min after dosing at Day 181. Baseline is considered the Day 1 average of pre-dose measurements. (NCT02603393)
Timeframe: Baseline, 26 weeks
Intervention | Liters (Least Squares Mean) |
---|
QVA149 | -0.030 |
Tiotropium + Salmeterol/Fluticasone | -0.048 |
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Mean Change From Baseline in Post-dose Trough FEV1
Mean change from baseline in post-dose trough forced expiratory volume in 1 second (FEV1) following 26 weeks of treatment. Trough FEV1 is defined as the mean of the two FEV1 values measured at 23 hr 15 min and 23 hr 45 min after the morning dose taken at site on Day 181. Baseline FEV1 is defined as the average of the pre-dose FEV1 measured at -45 min and -15 min at Day 1. (NCT02603393)
Timeframe: Baseline, 26 weeks
Intervention | Liters (Least Squares Mean) |
---|
QVA149 | -0.029 |
Tiotropium + Salmeterol/Fluticasone | -0.003 |
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Mean Change From Baseline in St. George's Respiratory Questionnaire
"The St. George Respiratory Questionnaire C (SGRQ-C) is used to provide the health status measurements in this study. Baseline SGRQ-C is defined as the assessment taken right before the first dose of the double-blind drug on Day 1. Higher values correspond to greater impairment of health status. The SGRQ contains 50 items divided into 2 parts covering 3 aspects of health related to COPD: Part I covers Symptoms and is concerned with respiratory symptoms, their frequency and severity; Part II covers Activity and is concerned with activities that cause or are limited by breathlessness; Part II is also concerned with Impacts, which covers a range of aspects concerned with social functioning and psychological disturbances resulting from airways disease. A score was calculated for each of these 3 subscales and a Total score was calculated. In each case the lowest possible value is zero and the highest 100. Higher values correspond to greater impairment of health status." (NCT02603393)
Timeframe: Baseline, 12 weeks
Intervention | Score on a scale (Least Squares Mean) |
---|
QVA149 | -0.7 |
Tiotropium + Salmeterol/Fluticasone | -2.5 |
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Mean Change From Baseline in Pre-dose Trough FEV1
Trough FEV1 is defined as the average of the pre-dose FEV1 measurements at -45 min and -15 min prior to dosing at each visit except Day 182 which is the average of the post-dose FEV1 measurements at 23h15min and 23h45min after dosing at Day 181. Baseline FEV1 is considered the Day 1 average of pre-dose measurements. (NCT02603393)
Timeframe: 26 weeks
Intervention | Liters (Least Squares Mean) |
---|
QVA149 | -0.029 |
Tiotropium + Salmeterol/Fluticasone | -0.003 |
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Change From Baseline in Pediatric Quality of Life Inventory Version 4.0 (PedsQL 4.0) Generic Core Scales at 12 Weeks
The PedsQL 4.0 measures physical and psychosocial function. The range for PedsQL 4.0 scores is 0 to 100, with a higher score indicating better quality of life. Scores were obtained at baseline and 12 weeks. Change in score is defined as the PedsQL 4.0 total score at 12 weeks minus total score at baseline. 1FED vs 4FED changes are compared. An increase in score (positive change) is indicative of improved quality of life. (NCT02610816)
Timeframe: Baseline and 12 weeks
Intervention | units on a scale (Mean) |
---|
| Baseline - Total Score | Change from Baseline to Week 12 |
---|
1FED | 80.3 | 3.7 |
,4FED | 79.9 | 5.3 |
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Percent of 1FED Non-responders on 4FED in Histologic Remission (<15 Eos/Hpf) at 12 Weeks in Phase 2
Percent of 1FED non-responders on 4FED in histologic remission in phase 2. Remission is defined as esophageal peak eosinophil count < 15 eosinophils per high powered field. Complete remission is defined as ≤ 1 peak eos/hpf and partial remission as 2 - 14 peak eos/hpf. (NCT02610816)
Timeframe: 12 weeks
Intervention | percentage of participants (Number) |
---|
| Complete remission (≤ 1 eos/hpf) | Partial remission (2 - 14 eos/hpf) | Remission (< 15 eos/hpf) |
---|
1FED Non-responders (4FED) | 0 | 12.5 | 12.5 |
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Percent of Participants in Histologic Remission (<15 Eosinophils Per High Power Field) at 12 Weeks
Percent of participants in remission in 1FED and 4FED groups. Remission is defined as clinical esophageal peak eosinophil count < 15 eosinophils per high power field (eos/hpf). Complete remission is defined as ≤ 1 peak eos/hpf and partial remission as 2 - 14 peak eos/hpf. (NCT02610816)
Timeframe: 12 weeks
Intervention | percentage of participants (Number) |
---|
| Complete remission (≤ 1 eos/hpf) | Partial remission (2 - 14 eos/hpf) | Remission (< 15 eos/hpf) |
---|
1FED | 20.6 | 23.5 | 44.1 |
,4FED | 17.6 | 23.5 | 41.2 |
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Change From Baseline in Pediatric Quality of Life Inventory Version 3.0 EoE Module (PedsQL 3.0 EoE) at 12 Weeks
The PedsQL 3.0 EoE measures symptoms and problems related to treatment, worry, communication, food/eating, and feelings. The range for PedsQL 3.0 EoE scores is 0 to 100, with a higher score indicating better quality of life. Scores were obtained at baseline and 12 weeks. Change in score is defined as the PedsQL 3.0 EoE total score at 12 weeks minus total score at baseline. 1FED vs 4FED changes are compared. An increase in score (positive change) is indicative of improved quality of life. (NCT02610816)
Timeframe: Baseline and 12 weeks
Intervention | units on a scale (Mean) |
---|
| Baseline - Total Score | Change from Baseline to Week 12 |
---|
1FED | 71.3 | 9.7 |
,4FED | 67.5 | 9.8 |
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Percent of Participants With Positive and Negative Milk Skin Prick Tests Responding to 1FED
Reactions to skin prick test (SPT) to milk is positive if the wheal size of the milk test is at least 3 mm larger than the wheal size of the negative control. Treatment response is defined as clinical histologic remission (<15 eos/hpf). (NCT02610816)
Timeframe: Baseline and 12 weeks
Intervention | percentage of participants (Number) |
---|
| Percent of total with positive milk SPT | Percent of total with negative milk SPT | Percent with positive SPT responding to 1FED | Percent with negative SPT responding to 1FED |
---|
1FED | 11 | 89 | 33 | 48 |
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Within-group Comparisons (Baseline v. Week 12) of PEESS V2.0 Scores
The PEESS V2.0 questionnaire captures EoE-specific symptoms. The range for PEESS v2.0 scores is 0 to 100, with a higher score being indicative of more frequent and/or severe symptoms. Baseline vs Week 12 scores are compared within each treatment group (1FED and 4FED). (NCT02610816)
Timeframe: Baseline and 12 weeks
Intervention | units on a scale (Mean) |
---|
| Baseline - Total Score | Week 12 - Total Score |
---|
1FED | 38.1 | 23.5 |
,4FED | 42.9 | 16.0 |
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Percent of Participants on Swallowed Glucocorticoids (SGC) in Histologic Remission (<15 Eos/Hpf) at 12 Weeks in Phase 2
Percent of 4FED non-responders on SGC in Phase 2 in histologic remission. Remission is defined as esophageal peak eosinophil count < 15 eosinophils per high power field (eos/hpf). Complete remission is defined as ≤ 1 peak eos/hpf and partial remission as 2 - 14 peak eos/hpf. (NCT02610816)
Timeframe: 12 weeks
Intervention | percentage of participants (Number) |
---|
| Complete remission (≤ 1 eos/hpf) | Partial remission (2 - 14 eos/hpf) | Remission (< 15 eos/hpf) |
---|
4FED Non-responders (SGC) | 25.0 | 25.0 | 50.0 |
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Change From Baseline in Pediatric EoE Symptom Score Version 2.0 (PEESS V2.0) at 12 Weeks
The PEESS V2.0 questionnaire captures EoE-specific symptoms (dysphagia, gastro-esophageal reflux disease (GERD), nausea/vomiting, and pain) as reported by children with EoE (8-18 years of age) and their parents (for children 2-18 years of age). The range for PEESS v2.0 scores is 0 to 100, with a higher score being indicative of more frequent and/or severe symptoms. Scores were obtained at baseline and 12 weeks. Change in score is defined as total score at 12 weeks minus total score at baseline. The parent-proxy PEESS total score change from pre-treatment to post-treatment is the primary efficacy endpoint. 1FED vs 4FED changes are compared. A reduction in score (negative change) is indicative of a reduction in symptoms. (NCT02610816)
Timeframe: Baseline and 12 weeks
Intervention | units on a scale (Mean) |
---|
1FED | -14.3 |
4FED | -21.6 |
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Change From Baseline in Endoscopic Reference Score at 12 Weeks
The EoE Endoscopic Reference Score (EREFS) measures features of EoE including esophageal edema, rings, exudate, furrows, and strictures. The instrument grades edema and furrows as absent (0) or present (1); rings as absent (0), mild (1, subtle circumferential ridges), moderate (2, distinct rings) and severe (3, rings that impair passage of a standard adult diagnostic endoscope); exudates as absent (0), mild (1, less than 10% of the esophageal surface area) or severe (2, greater or equal to 10% of the esophageal surface area); and strictures as absent (0) or present (1) with an estimation of the minimal luminal diameter. Higher scores indicate more severe disease (range 0 - 9). Scores were obtained at baseline and 12 weeks. Change in score is defined as the EREFS total score at 12 weeks minus total score at baseline. 1FED vs 4FED changes are compared. A reduction in score (negative change) is indicative of a reduction in esophageal abnormalities. (NCT02610816)
Timeframe: Baseline and 12 weeks
Intervention | units on a scale (Mean) |
---|
| Baseline - Total Score | Change from Baseline to Week 12 |
---|
1FED | 2.5 | -0.7 |
,4FED | 3.3 | -1.3 |
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Change From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VI
The PEF is a lung function evaluation assessed using a PEF meter. It was defined as the maximum amount of air exhaled during forced exhalation with lungs fully inflated. For PEF measurements the best of the 3 recordings were recorded AM and PM (i.e every 12 hours), from Day-7 through to Day 29 of TP1, and then from Day 1 of TP2 through to the (29). Change from Baseline was measured by the value at post-dose visit minus the Baseline value. Baseline was defined as Day 1(Pre-dose). Subject level Baseline is defined as the mean of Baseline across periods for each participant. Period level Baseline is defined as the difference between the Baseline and subject level Baseline for each period and each participant. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). NA indicates data was not available. (NCT02712047)
Timeframe: Baseline and up to Day 29 in TP1; Baseline and up to follow up (Day 29) in TP2
Intervention | Liter per minute (Mean) |
---|
| Day 1, AM (n=27,27) | Day 1, PM (n=27,27) | Day 2, AM (n=27,27) | Day 2, PM (n=27,27) | Day 3, AM (n=27,27) | Day 3, PM (n=27,27) | Day 4, AM (n=26,26) | Day 4, PM (n=27,27) | Day 5, AM (n=27,26) | Day 5, PM (n=26,27) | Day 6, AM (n=25,26) | Day 6, PM (n=24,26) | Day 7, AM (n=27,27) | Day 7, PM (n=24,26) | Day 8, AM (n=27,27) | Day 8, PM (n=27,27) | Day 9, AM (n=27,26) | Day 9, PM (n=27,27) | Day 10, AM (n=26,26) | Day 10, PM (n=27,26) | Day 11, AM (n=26,27) | Day 11, PM (n=27,27) | Day 12, AM (n=24,26) | Day 12, PM (n=26,27) | Day 13, AM (n=27,26) | Day 13, PM (n=25,26) | Day 14, AM (n=25,25) | Day 14, PM (n=25,27) | Day 15, AM (n=25,27) | Day 15, PM (n=25,25) | Day 16, AM (n=25,26) | Day 16, PM (n=26,26) | Day 17, AM (n=26,26) | Day 17, PM (n=18,16) | Day 18, AM (n=17,14) | Day 18, PM (n=14,10) | Day 19, AM (n=14,10) | Day 19, PM (n=12,6) | Day 20, AM (n=12,6) | Day 20, PM (n=7,5) | Day 21, AM (n=7,6) | Day 21, PM (n=6,4) | Day 22, AM (n=5,5) | Day 22, PM (n=6,5) | Day 23, AM (n=6,5) | Day 23, PM (n=2,1) | Day 24, AM (n=2,1) | Day 24, PM (n=1,1) | Day 26, PM (n=0,1) | Day 27, AM (n=0,1) | Day 28, AM (n=0,1) | Day 29, AM (n=0,1) |
---|
FF/VI 100/25mcg | 44.6 | 54.5 | 32.4 | 37.2 | 24.3 | 47.3 | 28.8 | 43.9 | 25.4 | 30.9 | 4.1 | 28.5 | 17.0 | 21.8 | 2.6 | 9.1 | -14.7 | -1.7 | -19.9 | 12.6 | -12.3 | -7.3 | -23.5 | -5.9 | -35.1 | -13.0 | -13.6 | -1.6 | -20.4 | -7.8 | -30.2 | 0.7 | -4.7 | 8.7 | 3.8 | 29.6 | -0.1 | 27.7 | -10.5 | 26.6 | 17.8 | -19.8 | -11.0 | -2.0 | 11.4 | 1.0 | 74.0 | 15.0 | -62.0 | 82.0 | -42.0 | 6.0 |
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Change From Baseline in FeNO Over the FF/VI Treatment Period
In participants with asthma the FeNO is a non-invasive marker of airway inflammation. The FeNO was measured by the participants AM (pre-dose) and PM on Day -7 and all the way through Day 29 of each treatment period. The measurements were recorded using Niox Vero device provided at the site. These FeNO measurements were done throughout the treatment period. Change from Baseline was measured by the value at post-dose visit minus the Baseline value. Baseline was defined as Day 1(Pre-dose). Subject level Baseline is defined as the mean of Baseline across periods for each participant. Period level Baseline is defined as the difference between the Baseline and subject level Baseline for each period and each participant. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). NA indicates data was not available. (NCT02712047)
Timeframe: Baseline and up to Day 29 in each treatment period
Intervention | Parts per billion (Mean) |
---|
| Day 1, AM (n=27,27) | Day 1, PM (n=27,27) | Day 2, AM (n=27,27) | Day 2, PM (n=27,27) | Day 3, AM (n=27,27) | Day 3, PM (n=27,27) | Day 4, AM (n=27,27) | Day 4, PM (n=27,27) | Day 5, AM (n=27,27) | Day 5, PM (n=26,26) | Day 6, AM (n=26,26) | Day 6, PM (n=24,26) | Day 7, AM (n=27,27) | Day 7, PM (n=25,25) | Day 8, AM (n=25,27) | Day 8, PM (n=27,26) | Day 9, AM (n=27,27) | Day 9, PM (n=27,27) | Day 10, AM (n=24,26) | Day 10, PM (n=27,27) | Day 11, AM (n=26,26) | Day 11, PM (n=27,27) | Day 12, AM (n=27,27) | Day 12, PM (n=27,27) | Day 13, AM (n=27,25) | Day 13, PM (n=25,25) | Day 14, AM (n=26,27) | Day 14, PM (n=25,26) | Day 15, AM (n=26,26) | Day 15, PM (n=25,25) | Day 16, AM (n=26,27) | Day 16, PM (n=26,27) | Day 17, AM (n=25,26) | Day 17, PM (n=18,16) | Day 18, AM (n=17,14) | Day 18, PM (n=14,10) | Day 19, AM (n=14,10) | Day 19, PM (n=12,6) | Day 20, AM (n=12,6) | Day 20, PM (n=7,5) | Day 21, AM (n=7,6) | Day 21, PM (n=7,5) | Day 22, AM (n=6,5) | Day 22, PM (n=6,5) | Day 23, AM (n=7,5) | Day 23, PM (n=2,1) | Day 24, AM (n=2,1) | Day 24, PM (n=1,1) | Day 25, AM (n=1,0) |
---|
Placebo | 1.9 | -0.5 | 1.3 | -3.1 | -0.8 | -7.9 | 1.2 | -11.6 | -15.3 | -22.1 | -17.6 | -19.4 | -15.4 | -19.9 | -14.2 | -15.3 | -5.7 | -5.3 | 4.1 | 3.8 | 12.8 | 6.2 | 3.1 | 1.3 | 8.3 | -1.6 | 4.7 | -3.4 | -1.6 | -3.7 | 3.7 | 4.5 | 6.1 | -8.5 | -7.5 | -6.2 | -2.8 | -9.3 | 0.1 | -8.7 | -6.6 | -3.0 | -7.5 | -11.5 | -0.6 | -0.5 | 2.0 | -24.0 | -33.0 |
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Change From Baseline in FeNO Over the FF/VI Treatment Period
In participants with asthma the FeNO is a non-invasive marker of airway inflammation. The FeNO was measured by the participants AM (pre-dose) and PM on Day -7 and all the way through Day 29 of each treatment period. The measurements were recorded using Niox Vero device provided at the site. These FeNO measurements were done throughout the treatment period. Change from Baseline was measured by the value at post-dose visit minus the Baseline value. Baseline was defined as Day 1(Pre-dose). Subject level Baseline is defined as the mean of Baseline across periods for each participant. Period level Baseline is defined as the difference between the Baseline and subject level Baseline for each period and each participant. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). NA indicates data was not available. (NCT02712047)
Timeframe: Baseline and up to Day 29 in each treatment period
Intervention | Parts per billion (Mean) |
---|
| Day 1, AM (n=27,27) | Day 1, PM (n=27,27) | Day 2, AM (n=27,27) | Day 2, PM (n=27,27) | Day 3, AM (n=27,27) | Day 3, PM (n=27,27) | Day 4, AM (n=27,27) | Day 4, PM (n=27,27) | Day 5, AM (n=27,27) | Day 5, PM (n=26,26) | Day 6, AM (n=26,26) | Day 6, PM (n=24,26) | Day 7, AM (n=27,27) | Day 7, PM (n=25,25) | Day 8, AM (n=25,27) | Day 8, PM (n=27,26) | Day 9, AM (n=27,27) | Day 9, PM (n=27,27) | Day 10, AM (n=24,26) | Day 10, PM (n=27,27) | Day 11, AM (n=26,26) | Day 11, PM (n=27,27) | Day 12, AM (n=27,27) | Day 12, PM (n=27,27) | Day 13, AM (n=27,25) | Day 13, PM (n=25,25) | Day 14, AM (n=26,27) | Day 14, PM (n=25,26) | Day 15, AM (n=26,26) | Day 15, PM (n=25,25) | Day 16, AM (n=26,27) | Day 16, PM (n=26,27) | Day 17, AM (n=25,26) | Day 17, PM (n=18,16) | Day 18, AM (n=17,14) | Day 18, PM (n=14,10) | Day 19, AM (n=14,10) | Day 19, PM (n=12,6) | Day 20, AM (n=12,6) | Day 20, PM (n=7,5) | Day 21, AM (n=7,6) | Day 21, PM (n=7,5) | Day 22, AM (n=6,5) | Day 22, PM (n=6,5) | Day 23, AM (n=7,5) | Day 23, PM (n=2,1) | Day 24, AM (n=2,1) | Day 24, PM (n=1,1) | Day 26, PM (n=0,1) | Day 28, AM (n=0,1) | Day 28, PM (n=0,1) | Day 29, AM (n=0,1) |
---|
FF/VI 100/25mcg | -63.3 | -68.5 | -63.5 | -66.1 | -56.6 | -59.8 | -48.6 | -51.5 | -48.9 | -54.0 | -47.1 | -54.0 | -50.0 | -46.4 | -42.7 | -46.1 | -40.1 | -38.7 | -31.6 | -32.8 | -23.8 | -26.4 | -25.7 | -29.4 | -23.3 | -26.2 | -23.5 | -30.9 | -25.8 | -27.9 | -26.7 | -26.6 | -20.9 | -19.6 | -27.3 | -38.3 | -30.7 | -52.2 | -40.2 | -59.0 | -32.7 | -51.2 | -37.0 | -51.8 | -37.0 | 0.0 | 13.0 | -8.0 | -1.0 | 4.0 | -21.0 | -8.0 |
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Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VI
FEV1 is defined as the maximal amount of air which can be exhaled forcefully in one second. Three technically acceptable FEV1 measurements were made using a spirometer, and were measured on pre-dose on Day 1, taken pre-dose on Day 14 and every morning and evening until Day 19, and in the morning on Day 21. Change from Baseline was measured by the value at post-dose visit minus the Baseline value. Baseline was defined as Day 1(Pre-dose). Subject level Baseline is defined as the mean of Baseline across periods for each participant. Period level Baseline is defined as the difference between the Baseline and subject level Baseline for each period and each participant. (NCT02712047)
Timeframe: Baseline every morning and evening until Day 21 of each treatment period
Intervention | Liter (Mean) |
---|
| Day 1, AM | Day 1, PM | Day 2, AM | Day 2,PM | Day 3,AM | Day 3,PM | Day 4, AM | Day 4, PM | Day 5, AM | Day 7, AM | Day 21, AM |
---|
FF/VI 100/25mcg | 0.361 | 0.383 | 0.331 | 0.369 | 0.271 | 0.319 | 0.241 | 0.301 | 0.207 | 0.102 | 0.004 |
,Placebo | 0.036 | 0.180 | 0.073 | 0.200 | 0.084 | 0.213 | 0.092 | 0.221 | 0.197 | 0.124 | 0.082 |
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Change From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VI
FeNO is non-invasive marker of airway inflammation in asthma participants. It was measured by the participants, using Niox Vero device at AM (pre-dose) and PM on Day -7 and all way through Day 29 of each TP. The FeNO measurements were done over time following stop of repeat dose treatment with FF/VI. Change from Baseline was measured as ratio of post-dose visit value to Baseline value. Baseline was defined as Day 1(Pre-dose). Subject level Baseline defined as the mean of Baseline across periods for each participant. Period level Baseline defined as the difference between the Baseline and subject level Baseline for each period and each participant. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Summary of ratio from Baseline for exhaled nitric oxide reported as Geometric mean and Geometric coefficient of Variation. NA indicates data was not available. (NCT02712047)
Timeframe: Baseline and up to Day 29 in each treatment period
Intervention | Ratio of exhaled Nitric Oxide (Geometric Mean) |
---|
| Day 1, AM (n=27,27) | Day 1, PM (n=27,27) | Day 2, AM (n=27,27) | Day 2, PM (n=27,27) | Day 3, AM (n=27,27) | Day 3, PM (n=27,27) | Day 4, AM (n=27,27) | Day 4, PM (n=27,27) | Day 5, AM (n=27,27) | Day 5, PM (n=26,26) | Day 6, AM (n=26,26) | Day 6, PM (n=24,26) | Day 7, AM (n=27,27) | Day 7, PM (n=25,25) | Day 8, AM (n=25,27) | Day 8, PM (n=27,26) | Day 9, AM (n=27,27) | Day 9, PM (n=27,27) | Day 10, AM (n=24,26) | Day 10, PM (n=27,27) | Day 11, AM (n=26,26) | Day 11, PM (n=27,27) | Day 12, AM (n=27,27) | Day 12, PM (n=27,27) | Day 13, AM (n=27,25) | Day 13, PM (n=25,25) | Day 14, AM (n=26,27) | Day 14, PM (n=25,26) | Day 15, AM (n=26,26) | Day 15, PM (n=25,25) | Day 16, AM (n=26,27) | Day 16, PM (n=26,27) | Day 17, AM (n=25,26) | Day 17, PM (n=18,16) | Day 18, AM (n=17,14) | Day 18, PM (n=14,10) | Day 19, AM (n=14,10) | Day 19, PM (n=12,6) | Day 20, AM (n=12,6) | Day 20, PM (n=7,5) | Day 21, AM (n=7,6) | Day 21, PM (n=7,5) | Day 22, AM (n=6,5) | Day 22, PM (n=6,5) | Day 23, AM (n=7,5) | Day 23, PM (n=2,1) | Day 24, AM (n=2,1) | Day 24, PM (n=1,1) | Day 25, AM (n=1,0) |
---|
Placebo | 1.042 | 0.985 | 1.012 | 0.957 | 0.987 | 0.922 | 1.007 | 0.857 | 0.834 | 0.734 | 0.794 | 0.783 | 0.826 | 0.774 | 0.830 | 0.834 | 0.935 | 0.924 | 1.022 | 0.989 | 1.092 | 1.029 | 1.028 | 1.004 | 1.068 | 0.955 | 1.008 | 0.955 | 0.977 | 0.940 | 1.029 | 1.019 | 1.049 | 0.967 | 0.935 | 0.926 | 1.015 | 0.911 | 0.958 | 0.828 | 0.892 | 0.934 | 0.845 | 0.822 | 0.925 | 0.898 | 0.914 | 0.671 | 0.548 |
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Change From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VI
FeNO is non-invasive marker of airway inflammation in asthma participants. It was measured by the participants, using Niox Vero device at AM (pre-dose) and PM on Day -7 and all way through Day 29 of each TP. The FeNO measurements were done over time following stop of repeat dose treatment with FF/VI. Change from Baseline was measured as ratio of post-dose visit value to Baseline value. Baseline was defined as Day 1(Pre-dose). Subject level Baseline defined as the mean of Baseline across periods for each participant. Period level Baseline defined as the difference between the Baseline and subject level Baseline for each period and each participant. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Summary of ratio from Baseline for exhaled nitric oxide reported as Geometric mean and Geometric coefficient of Variation. NA indicates data was not available. (NCT02712047)
Timeframe: Baseline and up to Day 29 in each treatment period
Intervention | Ratio of exhaled Nitric Oxide (Geometric Mean) |
---|
| Day 1, AM (n=27,27) | Day 1, PM (n=27,27) | Day 2, AM (n=27,27) | Day 2, PM (n=27,27) | Day 3, AM (n=27,27) | Day 3, PM (n=27,27) | Day 4, AM (n=27,27) | Day 4, PM (n=27,27) | Day 5, AM (n=27,27) | Day 5, PM (n=26,26) | Day 6, AM (n=26,26) | Day 6, PM (n=24,26) | Day 7, AM (n=27,27) | Day 7, PM (n=25,25) | Day 8, AM (n=25,27) | Day 8, PM (n=27,26) | Day 9, AM (n=27,27) | Day 9, PM (n=27,27) | Day 10, AM (n=24,26) | Day 10, PM (n=27,27) | Day 11, AM (n=26,26) | Day 11, PM (n=27,27) | Day 12, AM (n=27,27) | Day 12, PM (n=27,27) | Day 13, AM (n=27,25) | Day 13, PM (n=25,25) | Day 14, AM (n=26,27) | Day 14, PM (n=25,26) | Day 15, AM (n=26,26) | Day 15, PM (n=25,25) | Day 16, AM (n=26,27) | Day 16, PM (n=26,27) | Day 17, AM (n=25,26) | Day 17, PM (n=18,16) | Day 18, AM (n=17,14) | Day 18, PM (n=14,10) | Day 19, AM (n=14,10) | Day 19, PM (n=12,6) | Day 20, AM (n=12,6) | Day 20, PM (n=7,5) | Day 21, AM (n=7,6) | Day 21, PM (n=7,5) | Day 22, AM (n=6,5) | Day 22, PM (n=6,5) | Day 23, AM (n=7,5) | Day 23, PM (n=2,1) | Day 24, AM (n=2,1) | Day 24, PM (n=1,1) | Day 26, PM (n=0,1) | Day 28, AM (n=0,1) | Day 28, PM (n=0,1) | Day 29, AM (n=0,1) |
---|
FF/VI 100/25mcg | 0.371 | 0.321 | 0.373 | 0.346 | 0.442 | 0.417 | 0.536 | 0.484 | 0.515 | 0.473 | 0.525 | 0.470 | 0.484 | 0.487 | 0.554 | 0.545 | 0.594 | 0.607 | 0.658 | 0.660 | 0.756 | 0.723 | 0.717 | 0.691 | 0.744 | 0.739 | 0.770 | 0.634 | 0.731 | 0.700 | 0.727 | 0.718 | 0.770 | 0.765 | 0.724 | 0.619 | 0.722 | 0.571 | 0.667 | 0.588 | 0.743 | 0.637 | 0.705 | 0.622 | 0.749 | 1.000 | 1.144 | 0.911 | 0.989 | 1.044 | 0.767 | 0.911 |
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Change From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VI
The PEF is a lung function evaluation assessed using a PEF meter. It was defined as the maximum amount of air exhaled during forced exhalation with lungs fully inflated. For PEF measurements the best of the 3 recordings were recorded AM and PM (i.e every 12 hours), from Day-7 through to Day 29 of TP1, and then from Day 1 of TP2 through to the (29). Change from Baseline was measured by the value at post-dose visit minus the Baseline value. Baseline was defined as Day 1(Pre-dose). Subject level Baseline is defined as the mean of Baseline across periods for each participant. Period level Baseline is defined as the difference between the Baseline and subject level Baseline for each period and each participant. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). NA indicates data was not available. (NCT02712047)
Timeframe: Baseline and up to Day 29 in TP1; Baseline and up to follow up (Day 29) in TP2
Intervention | Liter per minute (Mean) |
---|
| Day 1, AM (n=27,27) | Day 1, PM (n=27,27) | Day 2, AM (n=27,27) | Day 2, PM (n=27,27) | Day 3, AM (n=27,27) | Day 3, PM (n=27,27) | Day 4, AM (n=26,26) | Day 4, PM (n=27,27) | Day 5, AM (n=27,26) | Day 5, PM (n=26,27) | Day 6, AM (n=25,26) | Day 6, PM (n=24,26) | Day 7, AM (n=27,27) | Day 7, PM (n=24,26) | Day 8, AM (n=27,27) | Day 8, PM (n=27,27) | Day 9, AM (n=27,26) | Day 9, PM (n=27,27) | Day 10, AM (n=26,26) | Day 10, PM (n=27,26) | Day 11, AM (n=26,27) | Day 11, PM (n=27,27) | Day 12, AM (n=24,26) | Day 12, PM (n=26,27) | Day 13, AM (n=27,26) | Day 13, PM (n=25,26) | Day 14, AM (n=25,25) | Day 14, PM (n=25,27) | Day 15, AM (n=25,27) | Day 15, PM (n=25,25) | Day 16, AM (n=25,26) | Day 16, PM (n=26,26) | Day 17, AM (n=26,26) | Day 17, PM (n=18,16) | Day 18, AM (n=17,14) | Day 18, PM (n=14,10) | Day 19, AM (n=14,10) | Day 19, PM (n=12,6) | Day 20, AM (n=12,6) | Day 20, PM (n=7,5) | Day 21, AM (n=7,6) | Day 21, PM (n=6,4) | Day 22, AM (n=5,5) | Day 22, PM (n=6,5) | Day 23, AM (n=6,5) | Day 23, PM (n=2,1) | Day 24, AM (n=2,1) | Day 24, PM (n=1,1) | Day 25, AM (n=1,0) |
---|
Placebo | -1.0 | 17.4 | 5.1 | 16.6 | 9.0 | 20.4 | 18.3 | 36.0 | 19.7 | 21.5 | -0.4 | 11.3 | 11.5 | 11.8 | -1.6 | 13.1 | -7.2 | 9.1 | -19.6 | -1.7 | -12.8 | 15.8 | -11.0 | -2.4 | -20.6 | 17.0 | -31.5 | -0.8 | -17.4 | -15.0 | -27.0 | -8.1 | -23.4 | 10.6 | -14.2 | -8.9 | -11.4 | 2.3 | -8.5 | -27.7 | -43.3 | -16.7 | -48.4 | -56.8 | -15.0 | -53.0 | -23.0 | -50.0 | -31.0 |
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Maximal Percent Decrease in FEV1 Following Exercise Challenge at 23 Hrs Post Evening Dose From Pre-exercise FEV1.
The exercise challenge test is a stepped challenge on a treadmill. It was performed at 23 hrs post evening dose at the end of the 2-week treatment period, wherein the participants exercised sufficiently to reach a heart rate between 80 to 95 percent of their predicted maximum within 4 min and maintained the heart rate with exercise for an additional 6 min followed immediately by serial assessments of FEV1 at 5, 10, 15, 30, 45 and 60 min post-exercise. Maximal percent decrease was calculated as pre-exercise FEV1 minus minimum post exercise FEV1 (smallest FEV1 value collected within one hr following exercise challenge) divided by pre-exercise FEV1 multiplied by 100. Pre-exercise FEV1 was defined as the FEV1 collected prior to the exercise challenge test at 23 hr post dose. (NCT02730351)
Timeframe: At Week 2 of treatment period 1 and 2
Intervention | Percentage of FEV1 (Least Squares Mean) |
---|
FF/VI 100/25 µg QD Via ELLIPTA + Placebo BID Via DISKUS | 11.90 |
FP 250 µg BID Via DISKUS + Placebo QD Via ELLIPTA | 14.05 |
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Maximal Percent Decrease in Forced Expiratory Volume in One Second (FEV1) Following Exercise Challenge at 12 Hours (Hrs) Post Evening Dose From Pre-exercise FEV1.
The exercise challenge test is a stepped challenge on a treadmill. It was performed at 12 hrs post evening dose at the end of the 2-week treatment period, wherein the participants exercised sufficiently to reach a heart rate between 80 to 95 percent of their predicted maximum within 4 minutes (min) and maintained the heart rate with exercise for an additional 6 min followed immediately by serial assessments of FEV1 at 5, 10, 15, 30, 45 and 60 min post-exercise. Maximal percent decrease was calculated as pre-exercise FEV1 minus minimum post exercise FEV1 (smallest FEV1 value collected within one hr following exercise challenge) divided by pre-exercise FEV1 multiplied by 100. Pre-exercise FEV1 was defined as the FEV1 collected prior to the exercise challenge test at 12 hr post dose. ITT Population comprised of all participants randomized to treatment and who received at least one dose of study medication. (NCT02730351)
Timeframe: At Week 2 of treatment period 1 and 2
Intervention | Percentage of FEV1 (Least Squares Mean) |
---|
FF/VI 100/25 µg QD Via ELLIPTA + Placebo BID Via DISKUS | 15.02 |
FP 250 µg BID Via DISKUS + Placebo QD Via ELLIPTA | 16.71 |
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Proportion of Participants With a 30 Min Post-challenge FEV1 no More Than 5 Percent Lower Than Pre-exercise FEV1 Following the Exercise Challenge at 12 Hrs and 23 Hrs Post Evening Dose.
The blinded treatment exercise challenge test was performed at the end of 2-weeks of treatment period 1 and treatment period 2 on a treadmill at 12 hrs and 23 hrs after administration of the evening dose of study treatment. The challenge was followed immediately by serial assessments of FEV1 at 5, 10, 15, 30, 45 and 60 min post-exercise. Pre-exercise FEV1 was defined as the FEV1 value collected prior to the exercise challenge test at 23 hrs post-dose. Number of participants listed is the number in the ITT population. Only those participants with data available at the specified time points were analyzed (represented by n=X, X in the category titles). (NCT02730351)
Timeframe: At Week 2 of treatment period 1 and 2
Intervention | Participants (Number) |
---|
| FEV1 >=95% of pre-exercise FEV1, 12 hrs; n=70, 69 | FEV1 < 95% of pre-exercise FEV1, 12 hrs; n=70, 69 | FEV1 >=95% of pre-exercise FEV1, 23 hrs; n=68, 69 | FEV1 < 95% of pre-exercise FEV1, 23 hrs; n=68, 69 |
---|
FF/VI 100/25 µg QD Via ELLIPTA + Placebo BID Via DISKUS | 34 | 36 | 42 | 26 |
,FP 250 µg BID Via DISKUS + Placebo QD Via ELLIPTA | 29 | 40 | 37 | 32 |
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Weighted Mean 0-60 Min for Percentage Decrease From Pre-exercise FEV1 Following Exercise Challenge at 12 Hrs and 23 Hrs Post Evening Dose.
The exercise challenge testing at the end of 2 week treatment period was performed on a treadmill at 12 hrs and 23 hrs after administration of the evening dose of double-blind treatment. Following exercise challenge testing, post-exercise FEV1 values were assessed serially at 5, 10, 15, 30, 45 and 60 min. Pre-exercise FEV1 was defined as the FEV1 value collected prior to the exercise challenge test at 23 hrs post-dose. Number of participants listed is the number in the ITT population. Only those participants with data available at the specified time points were analyzed (represented by n=X, X in the category titles). (NCT02730351)
Timeframe: At Week 2 of treatment period 1 and 2
Intervention | Percentage of FEV1 (Least Squares Mean) |
---|
| 12 hrs post-dose; n=67, 66 | 23 hrs post-dose; n=68, 67 |
---|
FF/VI 100/25 µg QD Via ELLIPTA + Placebo BID Via DISKUS | 5.87 | 3.98 |
,FP 250 µg BID Via DISKUS + Placebo QD Via ELLIPTA | 6.52 | 5.73 |
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Change in TSLP Gene Expression
The primary outcome is the change in TSLP gene expression in epithelial cells after 2 weeks of treatment of inhaled corticosteroid compared to no treatment. (NCT02740543)
Timeframe: Baseline and Two (2) weeks
Intervention | Fold Change (Mean) |
---|
Allergic Asthma (AA) | 0.000197 |
Control | 0.000035 |
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Lund Kennedy Endoscopy Score Over Time
The Lund-Kennedy score is a validated scale by which clinicians grade the endoscopic appearance of the sinonasal cavity for sinusitis patients. There are 5 parameters rated on a scale of 0-2 for each side of the nose, for a maximum total score of 20 points. Higher scores represent a worse endoscopic appearance. (NCT02748070)
Timeframe: Baseline, 1, week, 1 month, 3 months, and 6 months
Intervention | score on a scale (Mean) |
---|
| Baseline | 1 week | 1 month | 3 months | 6 months |
---|
Placebo | 3.8 | 5.3 | 3.8 | 2.4 | 1.8 |
,Prednisone | 2.9 | 5.9 | 3.5 | 1.9 | 1.3 |
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Sino-nasal Outcome Test (SNOT-22) Over Time
SNOT-22 is a validated scale which measures sinonasal symptoms for sinusitis patients. The 22 questions are rated on a scale of 0-5 for a maximum total score of 110. Higher scores represent more symptomatic patients. (NCT02748070)
Timeframe: Baseline, 1, week, 1 month, 3 months, and 6 months
Intervention | score on a scale (Mean) |
---|
| Baseline | 1 week | 1 month | 3 months | 6 months |
---|
Placebo | 42.9 | 38.5 | 28.6 | 20.3 | 25.2 |
,Prednisone | 43.8 | 39.7 | 26.6 | 28.3 | 34.2 |
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Percent of Participants Following 6FED in Histologic Remission in Phase 2
Percent of participants who failed 1FED in Phase 1 in histologic remission after following 6FED in Phase 2. Remission is defined as esophageal peak eosinophil count < 15 eos/hpf (NCT02778867)
Timeframe: 6 weeks after starting treatment
Intervention | percentage of participants (Number) |
---|
1FED Non-Responders (6FED) | 42.9 |
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Percent of Participants in Complete and Partial Histologic Remission
Percent of participants in complete and partial histologic remission in 1FED versus 6FED groups. Complete remission is defined as esophageal peak eosinophil count ≤ 1 eosinophils per high powered field (eos/hpf). Partial remission is defined as esophageal peak eosinophil count of 2 - 14 eos/hpf. (NCT02778867)
Timeframe: 6 weeks after starting treatment
Intervention | percentage of participants (Number) |
---|
| Complete remission (≤ 1eos/hpf) | Partial remission (2 - 14 eos/hpf) |
---|
1-Food Elimination Diet (1FED) | 6.0 | 28.4 |
,6-Food Elimination Diet (6FED) | 21.0 | 19.4 |
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Percent of Participants in Histologic Remission (<15 Eos/Hpf)
Percent of participants in histologic remission in 1FED versus 6FED groups. Remission is defined as esophageal peak eosinophil count < 15 eosinophils per high powered field (eos/hpf) (NCT02778867)
Timeframe: 6 weeks after starting treatment
Intervention | percentage of participants (Number) |
---|
1-Food Elimination Diet (1FED) | 34.3 |
6-Food Elimination Diet (6FED) | 40.3 |
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Change From Baseline in Total Endoscopic Reference Score
The endoscopic reference score (EREFS) utilizes standardized criteria for the presence and degree of 5 major endoscopic features (edema, fixed rings, exudates, furrows, strictures). Total score is the sum of the five feature scores from the distal and proximal esophagus. Total scores range from 0 - 18 (higher scores indicate worsening features). Endoscopic features were assessed at baseline and 6 weeks. Change in total endoscopic reference score is defined as total score at 6 weeks minus total score at baseline. Changes in scores are compared between 1FED and 6FED. A reduction (negative change) in score indicates improvement. (NCT02778867)
Timeframe: 6 weeks after starting treatment
Intervention | score on a scale (Median) |
---|
1-Food Elimination Diet (1FED) | -1.0 |
6-Food Elimination Diet (6FED) | -2.0 |
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Change From Baseline in Total Histology Scoring System
The histology scoring system (HSS) measures the severity (grade) and extent (stage) of eight histologic abnormalities in the esophagus including eosinophilic inflammation, eosinophilic abscess, eosinophilic surface layering, surface epithelial alteration, dilated intercellular spaces, basal zone hyperplasia, dyskeratotic epithelial cells, and lamina propria fibrosis. Total score is the sum of grade and stage scores from the esophageal biopsy (distal, mid, or proximal) with the highest score (worst abnormalities) divided by the maximum possible score for the biopsy. Total scores range from 0 - 2 (higher scores indicate more severe and/or extensive abnormalities). Histology scores were obtained at baseline and 6 weeks. Change in total histology scoring system (HSS) is defined as total HSS score at 6 weeks minus total HSS score at baseline. Changes in scores are compared between 1FED and 6FED. A reduction (negative change) in score indicates improvement. (NCT02778867)
Timeframe: 6 weeks after starting treatment
Intervention | score on a scale (Mean) |
---|
1-Food Elimination Diet (1FED) | -0.15 |
6-Food Elimination Diet (6FED) | -0.23 |
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Percent of Participants Following SGC in Histologic Remission in Phase 2
Percent of participants who failed 6FED in Phase 1 in histologic remission after following swallowed glucocorticoids (SGC) in Phase 2. Remission is defined as esophageal peak eosinophil count < 15 eos/hpf (NCT02778867)
Timeframe: 6 weeks after starting treatment
Intervention | percentage of participants (Number) |
---|
6FED Non-responders (SGC) | 81.8 |
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Change From Baseline in Peak Eosinophil Count
Peak eosinophil counts were obtained at baseline and 6 weeks. The maximum (highest) peak eosinophil count among distal, mid, and proximal esophageal biopsies was obtained. Change in peak eosinophil count is defined as peak count at 6 weeks minus peak count at baseline. Changes in peak count are compared between 1FED and 6FED. A reduction (negative change) in peak count indicates improvement. (NCT02778867)
Timeframe: 6 weeks after starting treatment
Intervention | eosinophils per high power field (Median) |
---|
1-Food Elimination Diet (1FED) | -18 |
6-Food Elimination Diet (6FED) | -22 |
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BSIT (Brief Smell Identification Test)
"Measurement of secondary outcome- BSIT (brief smell identification test) is a 12-item test measuring sense of smell. This is a multiple choice test with one correct answer out of four possible answer choices. This test features distinct types of smells. Minimum score: 0/12, which indicates that none of the correct answers were chosen on the 12-item test. Maximum score: 12/12, which indicates that all of the correct answers were chosen on the 12-item test. The higher the score, the better the outcome. Only one out of the four possible answer choices for each multiple choice question is correct. There are no subscales.~This secondary outcome measures sense of smell by Brief Smell Identification Test (B-SIT) at baseline (visit 1) and 12 weeks (visit 5) in the AZD1981 group vs. the placebo group." (NCT02874144)
Timeframe: Baseline and Week 12
Intervention | units on a scale (Mean) |
---|
| Visit 1 (Baseline) | Visit 5 (12 weeks) |
---|
AZD + INCS | 5.75 | 6.92 |
,PLACEBO + INCS | 5.20 | 5.80 |
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Sinus CT Scan Scores by Lund-Mackay Scores
Measurement of secondary outcome: sinus CT scan scores by Lund-Mckay scores. We measured sinus radiographic severity with Lund-Mackay scores of 0 to 24. 0 was the least severe and 24 was the most severe. This secondary outcomes included change in radiographic severity of sinus disease, as measured by sinus CT scan scores at baseline and 12 weeks in the AZD1981 group vs. the placebo group. (NCT02874144)
Timeframe: Baseline and Week 12
Intervention | units on a scale (Mean) |
---|
| Visit 1 (Baseline) | Visit 5 (12 weeks) |
---|
AZD + INCS | 17.44 | 18.25 |
,PLACEBO + INCS | 15.53 | 16.33 |
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SNOT-22 (Sino-Nasal Outcome Test-22) Score
"Measurement of secondary outcome- the SNOT-22 test contains 22 items regarding patient-reported outcomes of sino-nasal symptom severity on a 0-5 scale for each item. 0 is no problem and 5 is problem as bad as it can be, so higher values represent a worse outcome than lower values. The subscale is 0 - 5 of each of the 22 items and the total score is the sum of the subscales of all 22 items. The minimum total score is 0/110. The maximum total score is 110/110.~This secondary outcome measured change in patient-reported outcomes of nasal symptoms as measured by Sino Nasal Outcome Test-22 (SNOT-22) over 12 weeks in the AZD1981 group vs. the placebo group." (NCT02874144)
Timeframe: Baseline and Week 12
Intervention | units on a scale (Mean) |
---|
| Visit 1 (baseline) | Visit 5 (12 weeks) |
---|
AZD + INCS | 33.73 | 26.07 |
,PLACEBO + INCS | 40.41 | 36.13 |
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Visual Analog Scale (VAS)
Measurement of secondary outcome- 0 to 10 scale bilaterally that measures how subjective sinus symptom severity, with 0 being the least troublesome to 10 being the most troublesome over 12 weeks in the AZD1981 group vs. the placebo group. (NCT02874144)
Timeframe: Baseline and Week 12
Intervention | units on a scale (Mean) |
---|
| Visit 1 | Visit 5 |
---|
AZD + INCS | 5.57 | 4.75 |
,PLACEBO + INCS | 5.70 | 4.74 |
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TOTAL POLYP SCORE (TPS)
"Measure Description:~Measurement of Primary outcome- 0-4 scale in each nostril, total is 8. The total polyp score is the sum of the right and left nasal polyp score. Maximum is 8, minimum is 0. Higher score indicates worse disease. 0 =No polyps 1=Small polyps in the middle meatus not reaching below the inferior border of the middle turbinate 2=Polyps reaching the lower border of the middle turbinate or polyp medial to the middle turbinate 3 = Large polyps reaching the lower border of the inferior turbinate 4 =Large polyps causing complete obstruction.~The primary outcome measured change in polyp size and secondary outcomes included change in radiographic severity of sinus disease, quality of life, and nasal symptoms as measured by Sino Nasal Outcome Test-22 (SNOT-22) and sense of smell by Brief Smell Identification Test (B-SIT) at 12 weeks in the AZD1981 group vs. the placebo. These were done at the baseline visit and the Week 12 visit." (NCT02874144)
Timeframe: Baseline and Week 12
Intervention | units on a scale (Mean) |
---|
AZD + INCS | 4.67 |
PLACEBO + INCS | 5.24 |
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Peak Nasal Inspiratory Flow (PNIF) Change From Baseline to 3 Weeks of Randomly Assigned Treatment
peak nasal inspiratory flow (PNIF) measures the peak flow during nasal inspiration with an approved device utilized in other studies. Measurements will be performed with TNSS (above). (NCT02885025)
Timeframe: 21 days (from randomization to completion)
Intervention | L/min (Mean) |
---|
BSE + Nasal Fluticasone | .3362 |
BSE + Normal Saline Nasal Spray | .1213 |
Placebo Pill + Nasal Fluticasone | .0636 |
Placebo Pill + Normal Saline Nasal Spray | -.0538 |
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Interleukin 4 (IL4)
Interleukin 4 (IL4) is considered a T2 cytokine that increases with exacerbations of atopic disease, including allergic rhinitis. Cytokine measurements are in pg/ml. Values are recorded with log transformation. Note that measurements are on a continuous score. Lower values are consistent with less T2 inflammation which is consistent with diminished or lower atopic/allergic response. (NCT02885025)
Timeframe: 21 days (from randomization to completion)
Intervention | log(pg/ml) (Mean) |
---|
BSE + Nasal Fluticasone | -.5655 |
BSE + Normal Saline Nasal Spray | -.1076 |
Placebo Pill + Nasal Fluticasone | -.3682 |
Placebo Pill + Normal Saline Nasal Spray | -.3695 |
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Interleukin 1 Beta (IL1b)
IL1b is a cytokine that will increase with inflammation. Below is the log transformation of the pg/ml unit. Note that measurements are on a continuous score. Lower values are consistent with less inflammation which could occur with an inflammatory response. (NCT02885025)
Timeframe: 21 days (from randomization to completion)
Intervention | pg/ml with log transformation (Mean) |
---|
BSE + Nasal Fluticasone | -.4058 |
BSE + Normal Saline Nasal Spray | .0183 |
Placebo Pill + Nasal Fluticasone | -.2382 |
Placebo Pill + Normal Saline Nasal Spray | .0713 |
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Total Nasal Symptom Score (TNSS) Change From Baseline to 3 Weeks of Randomly Assigned Treatment
The Immediate Total Nasal Symptom Score (TNSS): The TNSS has been used in prior interventional studies to evaluate different treatment modes for allergic rhinitis. The score will consist of subjects rating 4 symptoms (nasal congestion/postnasal drainage, nasal pruritus, rhinorrhea, or sneezing) on a scale of 0 to 3, where 0=no symptoms present, 1=mild symptoms that do not interfere with activity, 2=moderate symptoms that are slightly bothersome symptoms with slight interference with activity and/or nighttime sleep, or 3=severe symptoms with interference with activity and nighttime sleep. Thus minimal value would be 0 vs. maximal value would be a score of 12. A higher score correlates with higher rhinitis activity. Diminished scores following an intervention is consistent with an improvement in rhinitis symptoms. (NCT02885025)
Timeframe: measures at various points following challenge at baseline and 21 days
Intervention | score on a scale (Mean) |
---|
BSE + Nasal Fluticasone | -.5277 |
BSE + Normal Saline Nasal Spray | -.5484 |
Placebo Pill + Nasal Fluticasone | -.8359 |
Placebo Pill + Normal Saline Nasal Spray | -.181 |
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Interleukin 8 (IL8)
Interleukin 8 s a cytokine that will increase with inflammation. Below is the log transformation of the pg/ml unit. Note that measurements are on a continuous score. Lower values are consistent with less inflammation which could occur with an inflammatory response. (NCT02885025)
Timeframe: 21 days (from randomization to completion)
Intervention | pg/ml log transformation (Mean) |
---|
BSE + Nasal Fluticasone | -.7626 |
BSE + Normal Saline Nasal Spray | -.047 |
Placebo Pill + Nasal Fluticasone | -.1013 |
Placebo Pill + Normal Saline Nasal Spray | .0472 |
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Interleukin 6 (IL6)
Interleukin 6 is a cytokine present during inflammatory process. This is recorded in pg/ml. Below is the log transformation of the pg/ml unit. Note that measurements are on a continuous score. Lower values are consistent with less inflammation which could occur with an inflammatory response. (NCT02885025)
Timeframe: 21 days (from randomization to completion)
Intervention | log(pg/ml) (Mean) |
---|
BSE + Nasal Fluticasone | -1.0868 |
BSE + Normal Saline Nasal Spray | -.0519 |
Placebo Pill + Nasal Fluticasone | -.2719 |
Placebo Pill + Normal Saline Nasal Spray | .3567 |
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Interleukin 5 (IL5)
Interleukin 5 (IL5) is considered a T2 cytokine that increases with exacerbations of atopic disease, including allergic rhinitis. Cytokine measurements are in pg/ml. Values are recorded with log transformation. Note that measurements are on a continuous score. Lower values are consistent with less T2 inflammation which is consistent with diminished or lower atopic/allergic response. (NCT02885025)
Timeframe: 21 days (from randomization to completion)
Intervention | log(pg/ml) (Mean) |
---|
BSE + Nasal Fluticasone | -.5285 |
BSE + Normal Saline Nasal Spray | -.3213 |
Placebo Pill + Nasal Fluticasone | -.1082 |
Placebo Pill + Normal Saline Nasal Spray | -.3755 |
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Interleukin 13 (IL13)
Interleukin 13 (IL13) is considered a T2 cytokine that increases with exacerbations of atopic disease, including allergic rhinitis. Cytokine measurements are in pg/ml. Values are recorded with log transformation. Note that measurements are on a continuous score. Lower values are consistent with less T2 inflammation which is consistent with diminished or lower atopic/allergic response. (NCT02885025)
Timeframe: 21 days (from randomization to completion)
Intervention | log(pg/ml) (Mean) |
---|
BSE + Nasal Fluticasone | -1.0822 |
BSE + Normal Saline Nasal Spray | -.2985 |
Placebo Pill + Nasal Fluticasone | .1577 |
Placebo Pill + Normal Saline Nasal Spray | -.0459 |
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Number of Participants With Non-serious Adverse Events (AEs) and Serious Adverse Events (SAEs)
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A SAE is defined as any untoward medical occurrence that, at any dose which results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, other situations as per investigator's judgement. (NCT02889809)
Timeframe: Up to 76 weeks
Intervention | Participants (Count of Participants) |
---|
| Any SAEs | Any Non-serious AEs |
---|
FF 50 mcg | 6 | 99 |
,Placebo | 8 | 105 |
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Growth Velocity Over the First 12 Weeks of Double-blind Treatment Period
Growth velocity was calculated for each participant over double blind period by fitting regression line to height measurements recorded for that participant during period.Slope of this regression line was participant's growth velocity for double-blind treatment period.In order to be included in this analysis,participant must have data from Visit8(Wk 12) stadiometric height assessment.Baseline was included as covariate which was calculated based on stadiometric height measurements recorded at Visits 1(wk -16),3(wk-8),& 5(wk0),data from at least two of these visits were used to fit simple linear regression line against time&slope of fitted regression line was participant's Baseline growth velocity.All available height data collected during double-blind treatment period upto Visit8(Wk12) while participant was on randomized double-blind treatment was considered.ANCOVA model was used to estimate mean treatment difference in growth velocity over 1st 12weeks of double-blind treatment period. (NCT02889809)
Timeframe: Up to 12 weeks (Visit 8) of double-blind treatment period
Intervention | Centimeter per year (Least Squares Mean) |
---|
Placebo | 6.222 |
FF 50 mcg | 6.281 |
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Number of Participants With On-treatment Asthma Exacerbations Over Double-blind Treatment Period
An exacerbation is defined as deterioration of asthma requiring the use of systemic corticosteroids (tablets, suspension, or injection) for at least 3 days or a single depot corticosteroid injection, or an in-patient hospitalization or emergency department (ED) visit due to asthma that required systemic corticosteroids. Number of participants with on-treatment asthma exacerbations during double-blind treatment period is presented. (NCT02889809)
Timeframe: Up to 52 weeks
Intervention | Participants (Count of Participants) |
---|
Placebo | 22 |
FF 50 mcg | 7 |
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Change in Height Standard Deviation Scores (SDS) From Baseline to Endpoint
Each participant's SDS for each of three required stadiometric height measurements was calculated as:(observed height measurement-standard median height for age at Visit [week-16]) divided by (/) ([standard 95th height percentile for age at visit-standard 5th height percentile for age at visit]/[2*1.645]).Standard median, 95th percentile, & 5th percentile values were obtained from standard tables (Guidance for Industry Orally Inhaled & Intranasal Corticosteroid). SDS for each height stadiometric measurement at each visit was calculated using percentiles from standard tables & averaged for each participant before being summarized by treatment group. A reduction in SDS over time indicates growth deceleration & an increase in SDS over time means growth acceleration.Baseline was defined as height SD score at Visit 5 (week 0). Endpoint was defined as height SD score at Visit 18 (week52) (on- & off-treatment data). Change from Baseline was calculated as Endpoint value minus Baseline value. (NCT02889809)
Timeframe: Baseline (Week 0 [Visit 5]) and up to Endpoint (Week 52 [Visit 18])
Intervention | Standard Deviation Score (Mean) |
---|
Placebo | -0.02 |
FF 50 mcg | -0.04 |
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Percentage of Participants Below the Third Percentile of Growth Velocity During Double-blind Treatment Period
Three reproducible height measurements were taken using stadiometer at each visit&were recorded to nearest 1/10th of a centimeter.Each set of triplicate measurements was averaged to derive one estimated height per participant per visit.Growth velocity(GV)was calculated for each participant over double-blind treatment(up to 52 weeks)period by fitting regression line to height measurements recorded for that participant during period.Each participant's double-blind(DB) treatment period GV was calculated based on all on &off treatment height data &was programmatically compared to data values from Standards from Birth to Maturity for Height,Weight,Height Velocity, established in British Children(1965)&further updated for North American children(1985)using 3rd percentile value of age closest to participant's age at end of endpoint(i.e.either end of participant's DB treatment period [Visit18 Wk 52]/withdrawal from study[Early Withdrawal Visit]).Percentage values presented is rounded off. (NCT02889809)
Timeframe: Up to 52 weeks
Intervention | Percentage of participants (Number) |
---|
Placebo | 9 |
FF 50 mcg | 7 |
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Percentage of Participants With Change in Growth Velocity Quartiles From Baseline to Endpoint
Growth velocity(GV) quartile(defined as 1st quartile(1Q)=1st-25th percentile,2Q=26th-50th percentile,3Q=51st-75th percentile,4Q=76th-100th percentile) was determined at Baseline&endpoint.Endpoint was defined as slope of simple linear regression of average stadiometric height recorded at week 28& upto wk52.Baseline growth velocity was calculated as slope from simple linear regression of average stadiometric height recorded at wk-16,-8&0.Baseline GV was programmatically compared to reference for standard height data using participant's estimated age at wk0& age in reference data closest to actual age of participant to determine Baseline GV quartile.Endpoint GV was programmatically compared to reference data using participant's age at endpoint & age in reference data that was closest to actual age of participant to determine endpoint GV quartile. Any increase/decrease indicates any increase/decrease in quartiles with reference to Baseline. Percentage values presented is rounded off. (NCT02889809)
Timeframe: Baseline and Endpoint (Week 28[Visit 12] up to and including Week 52 [Visit 18])
Intervention | Percentage of Participants (Number) |
---|
| Any increase | Any decrease |
---|
FF 50 mcg | 32 | 38 |
,Placebo | 33 | 34 |
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Growth Velocity (Centimeter Per Year) Over the Double-blind Treatment Period, as Determined by Stadiometry
Three reproducible height measurements were taken using a stadiometer at each visit and were recorded to nearest 1/10th of centimeter. Each set of triplicate measurements was averaged to derive one estimated height per participant per visit. Growth velocity was calculated for each participant over double-blind treatment period (up to 52 weeks [wk]) by fitting a regression line to averaged height measurements at each visit for that participant during period. Slope of this regression line was participant's growth velocity for double-blind treatment period. Treatment policy estimand was assessed, including all on- and post-treatment data. Baseline was included as covariate which was calculated based on stadiometric height measurements recorded at Visits 1(wk -16), 3(wk-8), and 5(wk0), data from at least two of these visits were used to fit a simple linear regression line against time and the slope of the fitted regression line was the participant's Baseline growth velocity. (NCT02889809)
Timeframe: Up to 52 weeks
Intervention | Centimeter per year (Least Squares Mean) |
---|
Placebo | 6.065 |
FF 50 mcg | 5.905 |
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Number of Participants With Any Serious Adverse Event (SAE) and Common (>=3%) Non-SAE
Adverse event (AE) is any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, events associated with liver injury and impaired liver function, or any other situation according to medical or scientific judgment were categorized as SAE. Number of participants with any SAE and common (>=3%) non-SAEs are presented. (NCT02924688)
Timeframe: Up to Week 52
Intervention | Participants (Count of Participants) |
---|
| Common non-SAE | SAE |
---|
FF/UMEC/VI 100/ 31.25/25 mcg | 150 | 18 |
,FF/UMEC/VI 100/62.5/25 mcg | 135 | 23 |
,FF/UMEC/VI 200/ 31.25/25 mcg | 127 | 23 |
,FF/UMEC/VI 200/62.5/25 mcg | 122 | 21 |
,FF/VI 100/25 mcg | 136 | 25 |
,FF/VI 200/25 mcg | 122 | 21 |
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Number of Participants With Abnormal Hematology Values
Blood samples were collected for assessment of hematology parameters, which included Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils, Erythrocytes, Hematocrit, Hemoglobin, Leukocytes, Platelets, Mean Corpuscular Hemoglobin (MCH) and Mean Corpuscular Volume (MCV). Abnormal laboratory results are categorized as high or low with respect to their normal ranges. Participants having High and Low values from normal ranges for any parameter at any time post-baseline visits are presented. (NCT02924688)
Timeframe: Up to Week 52
Intervention | Participants (Count of Participants) |
---|
| Basophils, low, n=390,390,391,389,389,396 | Basophils, high, n=390,390,391,389,389,396 | Eosinophils, low, n=390,390,391,389,389,396 | Eosinophils, high, n=390,390,391,389,389,396 | Lymphocytes, low, n=390,390,391,389,389,396 | Lymphocytes, high, n=390,390,391,389,389,396 | Monocytes, low, n=390,390,391,389,389,396 | Monocytes, high, n=390,390,391,389,389,396 | Neutrophils, low, n=390,390,391,389,389,396 | Neutrophils, high, n=390,390,391,389,389,396 | Erythrocytes, low, n=391,390,392,391,391,397 | Erythrocytes, high, n=391,390,392,391,391,397 | Hematocrit, low, n=391,390,392,391,391,397 | Hematocrit, high, n=391,390,392,391,391,397 | Hemoglobin, low, n=391,390,392,391,391,397 | Hemoglobin, high, n=391,390,392,391,391,397 | Leukocytes, low, n=391,390,391,389,391,396 | Leukocytes, high, n=391,390,391,389,391,396 | Platelets, low, n=391,388,389,391,388,396 | Platelets, high, n=391,388,389,391,388,396 | MCH, low, n=391,390,392,391,391,397 | MCH, high, n=391,390,392,391,391,397 | MCV, low, n=391,390,392,391,391,397 | MCV, high, n=391,390,392,391,391,397 |
---|
FF/UMEC/VI 100/ 31.25/25 mcg | 0 | 0 | 27 | 84 | 11 | 5 | 68 | 1 | 10 | 20 | 16 | 21 | 28 | 52 | 47 | 13 | 12 | 29 | 2 | 16 | 47 | 32 | 22 | 41 |
,FF/UMEC/VI 100/62.5/25 mcg | 0 | 0 | 25 | 102 | 13 | 1 | 57 | 4 | 16 | 15 | 11 | 13 | 16 | 50 | 40 | 8 | 14 | 20 | 3 | 19 | 24 | 22 | 10 | 25 |
,FF/UMEC/VI 200/ 31.25/25 mcg | 0 | 0 | 32 | 85 | 13 | 6 | 51 | 7 | 12 | 15 | 21 | 17 | 20 | 49 | 37 | 10 | 12 | 26 | 5 | 19 | 41 | 25 | 19 | 26 |
,FF/UMEC/VI 200/62.5/25 mcg | 0 | 0 | 28 | 78 | 10 | 6 | 63 | 4 | 9 | 34 | 22 | 17 | 26 | 49 | 34 | 13 | 8 | 40 | 4 | 21 | 25 | 32 | 14 | 37 |
,FF/VI 100/25 mcg | 0 | 1 | 26 | 111 | 13 | 2 | 60 | 7 | 14 | 21 | 14 | 24 | 21 | 60 | 32 | 14 | 9 | 38 | 4 | 17 | 40 | 18 | 20 | 29 |
,FF/VI 200/25 mcg | 0 | 0 | 31 | 84 | 8 | 7 | 64 | 2 | 10 | 19 | 15 | 12 | 20 | 47 | 40 | 17 | 9 | 31 | 4 | 21 | 34 | 17 | 15 | 29 |
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Number of Participants With Abnormal Clinical Chemistry Values
Blood samples were collected for assessment of clinical chemistry parameters, which included albumin, alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), direct bilirubin, total bilirubin, calcium, creatinine, glucose, potassium, protein, sodium and urea. Abnormal laboratory results are categorized as high or low with respect to their normal ranges. Participants having High and Low values from normal ranges for any parameter at any time post-baseline visits are presented. (NCT02924688)
Timeframe: Up to Week 52
Intervention | Participants (Count of Participants) |
---|
| Albumin, low | Albumin, high | ALT, low | ALT, high | AST, low | AST, high | ALP, low | ALP, high | Direct bilirubin, low | Direct bilirubin, high | Bilirubin, low | Bilirubin, high | Calcium, low | Calcium, high | Creatinine, low | Creatinine, high | Glucose, low | Glucose, high | Potassium, low | Potassium, high | Protein, low | Protein, high | Sodium, low | Sodium, high | Urea, low | Urea, high |
---|
FF/UMEC/VI 100/ 31.25/25 mcg | 0 | 6 | 0 | 29 | 0 | 27 | 0 | 15 | 0 | 1 | 0 | 12 | 9 | 12 | 62 | 7 | 11 | 71 | 3 | 13 | 0 | 1 | 7 | 7 | 4 | 17 |
,FF/UMEC/VI 100/62.5/25 mcg | 0 | 5 | 0 | 24 | 0 | 14 | 0 | 10 | 0 | 0 | 0 | 5 | 7 | 10 | 49 | 8 | 11 | 70 | 1 | 11 | 5 | 3 | 3 | 7 | 5 | 3 |
,FF/UMEC/VI 200/ 31.25/25 mcg | 0 | 3 | 0 | 27 | 0 | 23 | 1 | 16 | 0 | 2 | 0 | 17 | 4 | 8 | 60 | 9 | 12 | 66 | 7 | 12 | 1 | 3 | 7 | 5 | 3 | 11 |
,FF/UMEC/VI 200/62.5/25 mcg | 0 | 1 | 0 | 30 | 0 | 16 | 0 | 12 | 0 | 1 | 0 | 13 | 3 | 7 | 64 | 8 | 7 | 73 | 6 | 19 | 2 | 1 | 3 | 7 | 1 | 13 |
,FF/VI 100/25 mcg | 2 | 1 | 0 | 41 | 0 | 29 | 1 | 21 | 0 | 1 | 0 | 9 | 4 | 4 | 54 | 7 | 15 | 74 | 2 | 15 | 3 | 0 | 5 | 6 | 3 | 13 |
,FF/VI 200/25 mcg | 1 | 2 | 0 | 28 | 0 | 21 | 0 | 12 | 0 | 2 | 0 | 15 | 7 | 11 | 63 | 6 | 7 | 76 | 7 | 9 | 3 | 2 | 5 | 4 | 3 | 11 |
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Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Week 24
Blood pressure (systolic and diastolic) was measured in the sitting position after approximately 5 minutes rest. Baseline value is the last acceptable/borderline acceptable value prior to randomized treatment start date (pre-dose at Day 1). Change from Baseline value is the value at the clinic visit minus the Baseline value. Different participants may have been analyzed at different time points; thus, overall number of participants analyzed reflects everyone in ITT Population without missing covariate information, with Baseline and at least one post-baseline measurement. (NCT02924688)
Timeframe: Baseline (pre-dose at Day 1) and Week 24
Intervention | Millimeter of mercury (Least Squares Mean) |
---|
| SBP | DBP |
---|
FF/UMEC/VI 100/ 31.25/25 mcg | 0.6 | 0.1 |
,FF/UMEC/VI 100/62.5/25 mcg | 1.1 | 1.3 |
,FF/UMEC/VI 200/ 31.25/25 mcg | 0.8 | 0.2 |
,FF/UMEC/VI 200/62.5/25 mcg | 0.9 | 0.8 |
,FF/VI 100/25 mcg | 1.6 | 0.4 |
,FF/VI 200/25 mcg | 0.2 | 0.4 |
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Mean Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 24
FEV1 is a measure of lung function and is defined as the maximal volume of air that can be forcefully exhaled in one second. Trough FEV1 on treatment is defined as the highest FEV1 value obtained prior to the morning dose of investigational product. Baseline value is the last acceptable/borderline acceptable pre-dose FEV1 prior to randomized treatment start date (pre-dose at Day 1). Change from Baseline value is the value at Week 24 minus the Baseline value. Intent-to-Treat (ITT) Population comprised of all randomized participants, excluding those who were randomized in error, who did not receive the study drug. Treatment policy estimand was assessed, including all on- and post-treatment data. Different participants may have been analyzed at different time points; thus, overall number of participants analyzed reflects everyone in ITT Population without missing covariate information, with Baseline and at least one post-baseline measurement. Mixed Model Repeated Measures(MMRM) was used. (NCT02924688)
Timeframe: Baseline (pre-dose at Day 1) and Week 24
Intervention | Liters (Least Squares Mean) |
---|
FF/VI 100/25 mcg | 0.024 |
FF/UMEC/VI 100/ 31.25/25 mcg | 0.120 |
FF/UMEC/VI 100/62.5/25 mcg | 0.134 |
FF/VI 200/25 mcg | 0.076 |
FF/UMEC/VI 200/ 31.25/25 mcg | 0.157 |
FF/UMEC/VI 200/62.5/25 mcg | 0.168 |
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Annualized Rate of Moderate and Severe Asthma Exacerbations
A moderate asthma exacerbation is considered to be a deterioration in asthma symptoms or in lung function, or increased rescue bronchodilator use lasting for at least 2 days or more, but not be severe enough to warrant systemic corticosteroid use (or a doubling or more of the maintenance systemic corticosteroid dose, if applicable) for 3 days or more and/or hospitalization. It is an event that, when recognized, should result in a temporary change in treatment, to prevent it from becoming severe. A severe asthma exacerbation is defined as the deterioration of asthma requiring the use of systemic corticosteroids (tablets,suspension or injection), or an increase from a stable maintenance dose (For participants receiving maintenance systemic corticosteroids, at least double the maintenance systemic corticosteroid dose for at least 3 days is required), for at least 3 days or an inpatient hospitalization or emergency department visit because of asthma, requiring systemic corticosteroids. (NCT02924688)
Timeframe: Up to Week 52
Intervention | Exacerbations per year (Mean) |
---|
FF/VI | 0.70 |
FF/UMEC/VI (UMEC 31.25 mcg) | 0.68 |
FF/UMEC/VI (UMEC 62.5 mcg) | 0.61 |
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Mean Change From Baseline in Asthma Control Questionnaire-7 (ACQ-7) Total Score at Week 24
The ACQ-7 consists of 7 attributes of asthma control, of which 6 to be self-completed by participant in a 6-item questionnaire, enquire about frequency and/or severity of symptoms over the previous week on: nocturnal awakening, symptoms on waking in the morning, activity limitation, shortness of breath, wheeze, and rescue medication use. The seventh attribute measures the lung function, which was included via pre-bronchodilator FEV1 % predicted value. All 7 items of ACQ have response on 0-6 ordinal scale (0=no impairment/limitation, 6=total impairment/limitation). The total score is calculated as the average of all non-missing item responses, ranges from 0 to 6. Higher score indicates worst symptoms. Treatment policy estimand was assessed, including all on- and post-treatment data. Baseline value was at randomization visit (pre-dose,Day 1). Change from Baseline was defined as value at Week 24 minus Baseline value. (NCT02924688)
Timeframe: Baseline (pre-dose at Day 1) and Week 24
Intervention | Scores on a scale (Least Squares Mean) |
---|
FF/VI | -0.678 |
FF/UMEC/VI (UMEC 31.25 mcg) | -0.734 |
FF/UMEC/VI (UMEC 62.5 mcg) | -0.767 |
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Mean Change From Baseline in Clinic FEV1 at 3 Hours Post Study Treatment at Week 24
FEV1 is a measure of lung function and is defined as the maximal volume of air that can be forcefully exhaled in one second. Baseline value is the last acceptable/borderline acceptable pre-dose FEV1 prior to randomized treatment start date (pre-dose at Day 1). Change from Baseline value is the value at Week 24 (recorded at 3 hours post dose) minus the Baseline value. (NCT02924688)
Timeframe: Baseline (pre-dose at Day 1) and 3 hours post dose at Week 24
Intervention | Liters (Least Squares Mean) |
---|
FF/VI 100/25 mcg | 0.132 |
FF/UMEC/VI 100/ 31.25/25 mcg | 0.220 |
FF/UMEC/VI 100/62.5/25 mcg | 0.243 |
FF/VI 200/25 mcg | 0.168 |
FF/UMEC/VI 200/ 31.25/25 mcg | 0.256 |
FF/UMEC/VI 200/62.5/25 mcg | 0.286 |
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Mean Change From Baseline in Evaluating Respiratory Symptoms (E-RS) Total Score Over Weeks 21 to 24 (Inclusive) of the Treatment Period
The E-RS in Chronic Obstructive Pulmonary Disease (COPD) consists of 11 items. E-RS captures information related to respiratory symptoms, i.e. breathlessness, cough, sputum production, chest congestion and chest tightness. The E-RS was completed daily and data was derived by 4-weekly intervals, requiring at least 50% of data to be present during a period. 7 items are scored from 0 (not at all) to 4 (extreme) and 4 items are scored from 0 (not at all) to 3 (extreme). The E-RS total score was calculated by taking sum of all the items. The E-RS total score has a scoring range of 0 to 40, with higher scores indicating more severe respiratory symptoms. Treatment policy estimand was assessed, including all on- and post-treatment data. Baseline value was the mean value of 14 days prior to randomization. Change from Baseline was calculated as post-baseline value (mean of daily E-RS total scores during Week 21 to 24 ) minus Baseline value. (NCT02924688)
Timeframe: Baseline (14 days prior to randomization) and Weeks 21 to 24
Intervention | Scores on a scale (Least Squares Mean) |
---|
FF/VI | -2.47 |
FF/UMEC/VI (UMEC 31.25 mcg) | -2.60 |
FF/UMEC/VI (UMEC 62.5 mcg) | -2.89 |
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Mean Change From Baseline in Pulse Rate at Week 24
Pulse Rate was measured in the sitting position after approximately 5 minutes rest. Baseline value is the last acceptable/borderline acceptable value prior to randomized treatment start date (pre-dose at Day 1). Change from Baseline value is the value at the clinic visit minus the Baseline value. Different participants may have been analyzed at different time points; thus, overall number of participants analyzed reflects everyone in ITT Population without missing covariate information, with Baseline and at least one post-baseline measurement. (NCT02924688)
Timeframe: Baseline (pre-dose at Day 1) and Week 24
Intervention | Beats per minute (Least Squares Mean) |
---|
FF/VI 100/25 mcg | -1.1 |
FF/UMEC/VI 100/ 31.25/25 mcg | 0.2 |
FF/UMEC/VI 100/62.5/25 mcg | -1.0 |
FF/VI 200/25 mcg | -0.7 |
FF/UMEC/VI 200/ 31.25/25 mcg | -1.3 |
FF/UMEC/VI 200/62.5/25 mcg | -0.5 |
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Mean Change From Baseline in Saint George's Respiratory Questionnaire (SGRQ) Total Score at Week 24
The SGRQ had 50 questions (scored from 0 to 100 where 0 indicates best and 100 indicates worst health) designed to measure quality of life (QoL) of participants with airway obstruction, measuring symptoms, impact, and activity. The questions are designed to be self-completed by the participant with a recall over the past 3 months. SGRQ total score was calculated by summing the pre-assigned weights of answers, dividing by the sum of the maximum weights for items in SGRQ and multiplying by 100. SGRQ total score ranges from 0 to 100 where 0 indicates best and 100 indicates worst health. A change of 4 points is considered a clinically relevant change. Treatment policy estimand was assessed, including all on- and post-treatment data. Baseline value was at randomization visit (pre-dose at Day 1). Change from Baseline value is the value at Week 24 minus the Baseline value. (NCT02924688)
Timeframe: Baseline (pre-dose at Day 1) and Week 24
Intervention | Scores on a scale (Least Squares Mean) |
---|
FF/VI | -11.39 |
FF/UMEC/VI (UMEC 31.25 mcg) | -10.29 |
FF/UMEC/VI (UMEC 62.5 mcg) | -11.69 |
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Number of Participants With Abnormal Electrocardiogram (ECG) Findings
Twelve-lead ECGs were performed during the study using an automated ECG machine. All ECG measurements were made with the participant in a supine position having rested in this position for approximately 5 minutes before each reading. The number of participants with worst case post-Baseline abnormal ECG findings were reported. (NCT02924688)
Timeframe: Up to Week 52
Intervention | Participants (Count of Participants) |
---|
FF/VI 100/25 mcg | 115 |
FF/UMEC/VI 100/ 31.25/25 mcg | 118 |
FF/UMEC/VI 100/62.5/25 mcg | 109 |
FF/VI 200/25 mcg | 109 |
FF/UMEC/VI 200/ 31.25/25 mcg | 106 |
FF/UMEC/VI 200/62.5/25 mcg | 108 |
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Change From Baseline in Asthma Control (Measured by Childhood Asthma Control Test [C-ACT] Score) Over the 12 Week Treatment Period
C-ACT was a simple, participant-completed tool used for the assessment of overall asthma control. The first 4 items of the test were completed by the participant, while the last 3 items were completed by the participant's parents/legal guardians/caregivers. A total sum score based upon responses to all items was calculated to provide an overall measure of asthma control. The derived C-ACT score ranging from 0 to 27. These scores spanned the continuum of poor control of asthma (score ≤5) to complete control of asthma (score ≥25), with a cut off score of 19 indicating participants with poorly controlled asthma. LS mean and SE were obtained using MMRM. (NCT02980133)
Timeframe: Baseline, Week 1 to 12
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo MDPI | 4.5 |
Fp MDPI 25 mcg BID | 5.1 |
Fp MDPI 50 mcg BID | 5.5 |
FS MDPI 50/12.5 mcg BID | 5.4 |
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For FS MDPI Versus Fp MDPI: Change From Baseline in 1-Hour Postdose Percent Predicted Morning Forced Expiratory Volume in 1 Second (FEV1) at Week 12
FEV1 was the volume of air exhaled in the first second of a forced expiration as measured by spirometer. The baseline 1-hour trough morning percent predicted FEV1 was defined as the predose trough morning percent predicted FEV1 measurement at the randomization visit (Baseline [Day 1]) at the investigational center. The IMP dose was administered right after the predose FEV1 measurement (within a 10 minute window). Participant then performed 1-hour (±10 minutes) postdose lung function assessments on Week 12 at the investigational center. (NCT02980133)
Timeframe: Baseline, Week 12
Intervention | percent predicted of FEV1 (Least Squares Mean) |
---|
Fp MDPI 25 mcg BID | 16.8 |
Fp MDPI 50 mcg BID | 16.4 |
FS MDPI 50/12.5 mcg BID | 18.2 |
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Time to First Onset of Effect
The time to first onset of effect, defined as the first decrease from baseline in daily rescue medication use, was calculated based on the number of inhalations of rescue medication (albuterol/salbutamol hydrofluoroalkane metered-dose inhaler [HFA MDI] [90 mcg ex actuator] or equivalent) recorded by the participant each morning and evening in the patient diary built into the handheld device. (NCT02980133)
Timeframe: Baseline up to Week 12
Intervention | days (Median) |
---|
Placebo MDPI | 20.0 |
Fp MDPI 25 mcg BID | NA |
Fp MDPI 50 mcg BID | 2.0 |
FS MDPI 50/12.5 mcg BID | 6.0 |
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Percentage of Participants Who Discontinued From Investigational Medicinal Product (IMP) for Asthma Exacerbation During the 12 Week Treatment Period
(NCT02980133)
Timeframe: Baseline up to Week 12
Intervention | percentage of participants (Number) |
---|
Placebo MDPI | 6 |
Fp MDPI 25 mcg BID | 2 |
Fp MDPI 50 mcg BID | 1 |
FS MDPI 50/12.5 mcg BID | 2 |
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For Fp MDPI Versus Placebo: Change From Baseline in Weekly Average of the Percent Predicted Trough Morning FEV1 at Week 12
FEV1 was the volume of air exhaled in the first second of a forced expiration as measured by spirometer. Baseline trough morning percent predicted FEV1 was defined as the average value of recorded (nonmissing) morning assessments 5 out of the last 7 days prior to randomization. The first day before randomization consisted of the electronic patient diary entry at home on the morning of the randomization visit (Baseline [Day 1]) and the first day postrandomization consisted of the electronic patient diary entry at home on the morning of the day after the randomization visit (Baseline [Day 1]). For postdose weekly average of trough morning percent predicted FEV1 measurements, the values were the averages based on the available data for that week. The averages were calculated as the sum of morning FEV1 values divided by the number of nonmissing assessments. (NCT02980133)
Timeframe: Baseline, Week 12
Intervention | percent predicted of FEV1 (Least Squares Mean) |
---|
Placebo MDPI | 7.3 |
Fp MDPI 25 mcg BID | 13.3 |
Fp MDPI 50 mcg BID | 14.2 |
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Change From Baseline in the Weekly Average of Total Daily (24 Hour) Use of Albuterol/Salbutamol Inhalation Aerosol (Number of Inhalations) Over Weeks 1 Through 12
Participants recorded the number of inhalations of rescue medication (albuterol/salbutamol HFA MDI) each morning and evening in the electronic patient diary. An entry of 0 inhalations indicated no rescue medication was needed. To calculate the total daily use of albuterol/salbutamol inhalation aerosol (number of inhalations), the electronic patient diary entry on randomization visit (Baseline [Day 1]) was defined as the first day of analysis. The weekly average of the total daily inhalations was the average based on the available data for that week. The average was calculated as the sum of total daily inhalations over the 7 days for each analysis week divided by the number of nonmissing assessments. LS mean and standard error (SE) were obtained using mixed model for repeated measures (MMRM). (NCT02980133)
Timeframe: Baseline, Week 1 to 12
Intervention | inhalations (Least Squares Mean) |
---|
Placebo MDPI | -0.2 |
Fp MDPI 25 mcg BID | -0.4 |
Fp MDPI 50 mcg BID | -0.5 |
FS MDPI 50/12.5 mcg BID | -0.4 |
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Change From Baseline in the Weekly Average of the Total Daily Asthma Symptom Score Over Weeks 1 Through 12
Asthma symptom scores were recorded in the patient diary. Each participant assessed the symptoms of cough, wheeze, shortness of breath, and chest tightness and entered a single score that was inclusive of all symptoms. Daytime Symptom Score (determined in the evening) ranged from 0=No symptoms during the day to 5=Symptoms so severe that I could not go to work or perform normal daily activities. Nighttime Symptom Score (determined in the morning) ranged from 0=No symptoms during the night to 4=Symptoms so severe that I did not sleep at all. The total daily asthma symptom score was the average of the daytime and nighttime scores. The total daily asthma symptom score ranged from 0 - 9 with 0=no symptoms during the day or night and 9=severe symptoms both day and night. The weekly average was calculated as the sum of total daily asthma symptom scores over the 7 days for each analysis week divided by the number of nonmissing assessments. LS mean and SE were obtained using MMRM. (NCT02980133)
Timeframe: Baseline, Week 1 to 12
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo MDPI | -0.1 |
Fp MDPI 25 mcg BID | -0.2 |
Fp MDPI 50 mcg BID | -0.2 |
FS MDPI 50/12.5 mcg BID | -0.2 |
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Change From Baseline in the Weekly Average of Daily Trough Morning (Predose and Pre-Rescue Bronchodilator) Peak Expiratory Flow (PEF) Over the 12 Week Treatment Period
PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. Morning PEF was determined in the morning, before administration of IMP or rescue medications. Baseline trough morning PEF was defined as the average value of recorded (nonmissing) morning assessments 5 out of the last 7 days prior to randomization. The first day before randomization consisted of the electronic patient diary entry at home on the morning of the randomization visit (Baseline [Day 1]) and the first day postrandomization consisted of the electronic patient diary entry at home on the morning of the day after the randomization visit (Baseline [Day 1]). For postdose weekly average of trough morning PEF measurements, the values were the averages based on the available data for that week. The averages were calculated as the sum of morning PEF values divided by the number of nonmissing assessments. (NCT02980133)
Timeframe: Baseline, Week 1 to 12
Intervention | liters/minute (Least Squares Mean) |
---|
Placebo MDPI | 12.3 |
Fp MDPI 25 mcg BID | 28.9 |
Fp MDPI 50 mcg BID | 26.3 |
FS MDPI 50/12.5 mcg BID | 32.0 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 3200 mcg in Period 2
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 29 PM, Day 30, 31,32,33,34,35 AM and PM in period 2
Intervention | Liters per minute (Mean) |
---|
| Day 29 PM, n=5 | Day 30 AM, n=5 | Day 30 PM, n=5 | Day 31 AM, n=4 | Day 31 PM, n=4 | Day 32 AM, n=4 | Day 32 PM, n=4 | Day 33 AM, n=4 | Day 33 PM, n=4 | Day 34 AM, n=4 | Day 34 PM, n=4 | Day 35 AM, n=4 | Day 35 PM, n=4 |
---|
BUD 3200 mcg | 596.0 | 604.0 | 586.0 | 562.5 | 547.5 | 592.5 | 587.5 | 567.5 | 565.0 | 585.0 | 583.8 | 577.5 | 597.5 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 400 mcg in Period 1
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 8 PM, Day 9 to 14 AM and PM in period 1
Intervention | Liters per minute (Mean) |
---|
| Day 8 PM, n=12 | Day 9 AM, n=10 | Day 9 PM, n=12 | Day 10 AM, n=10 | Day 10 PM, n=12 | Day 11 AM, n=10 | Day 11 PM, n=11 | Day 12 AM, n=9 | Day 12 PM, n=11 | Day 13 AM, n=9 | Day 13 PM, n=11 | Day 14 AM, n=11 | Day 14 PM, n=11 |
---|
BUD 400 mcg | 521.7 | 473.0 | 515.4 | 470.0 | 512.9 | 466.7 | 492.5 | 451.1 | 509.5 | 457.8 | 506.8 | 480.5 | 496.4 |
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Number of Participants With Clinically Significant Abnormal Chemistry Parameters
Blood samples were collecte for assessment of following chemistry parametres:Alanine aminotransferase (ALT), Aspartate aminotransferase (AST), albumin, alkaline phosphatase, bilirubin, calcium, creatinine, glucose, direct bilirubin, potassium, protein, sodium, urea. Results are presented treatment wise. Only participants with clinically significant abnormal chemistry data was reported. (NCT02991859)
Timeframe: Up to Week 18
Intervention | Participants (Count of Participants) |
---|
Placebo | 0 |
FF 25 mcg | 0 |
FF 100 mcg | 0 |
FF 200 mcg | 0 |
FF 400 mcg | 0 |
FF 800 mcg | 0 |
FP 50 mcg | 0 |
FP 200 mcg | 0 |
FP 500 mcg | 0 |
FP 1000 mcg | 0 |
FP 2000 mcg | 0 |
BUD 100 mcg | 0 |
BUD 400 mcg | 0 |
BUD 800 mcg | 0 |
BUD 1600 mcg | 0 |
BUD 3200 mcg | 0 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 800 mcg in Period 1
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 15,16, 17, 18, 19, 20, 21 AM and PM in period 1
Intervention | Liters per minute (Mean) |
---|
| Day 15 AM, n=1 | Day 15 PM, n=11 | Day 16 AM, n=11 | Day 16 PM, n=11 | Day 17 AM, n=11 | Day 17 PM, n=11 | Day 18 AM, n=11 | Day 18 PM, n=11 | Day 19 AM, n=11 | Day 19 PM, n=11 | Day 20 AM, n=11 | Day 20 PM, n=11 | Day 21 AM, n=11 | Day 21 PM, n=11 |
---|
BUD 800 mcg | 610.0 | 515.5 | 494.5 | 507.3 | 484.1 | 505.0 | 492.7 | 503.2 | 483.2 | 487.7 | 483.6 | 517.7 | 490.5 | 509.1 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 800 mcg in Period 2
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 15 PM, Day 16, 17, 18, 19, 20, 21 AM and PM in period 2
Intervention | Liters per minute (Mean) |
---|
| Day 15 PM | Day 16 AM | Day 16 PM | Day 17 AM | Day 17 PM | Day 18 AM | Day 18 PM | Day 19 AM | Day 19 PM | Day 20 AM | Day 20 PM | Day 21 AM | Day 21 PM |
---|
BUD 800 mcg | 578.0 | 568.0 | 572.0 | 572.0 | 558.0 | 558.0 | 568.0 | 572.0 | 584.0 | 590.0 | 590.0 | 574.0 | 606.0 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for FP 1000 mcg in Period 1
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. One participant who was supposed to receive FP 1000 mg during day 22-28 and FP 2000 mg during day 28-35 but this participant continued the 3rd escalation phase dose (FP 500 mg) in fourth escalation phase and took FP 1000 mg (4th phase dose) in the fifth escalation phase (days 28-35). (NCT02991859)
Timeframe: Day 22 PM, Day 23,24,25,26,27,28,29,30,31,32,33,34,35 AM and PM in period 1
Intervention | Liters per minute (Mean) |
---|
| Day 22 PM, n=6 | Day 23 AM, n=11 | Day 23 PM, n=11 | Day 24 AM, n=11 | Day 24 PM, n=11 | Day 25 AM, n=11 | Day 25 PM, n=10 | Day 26 AM, n=11 | Day 26 PM, n=11 | Day 27 AM, n=11 | Day 27 PM, n=11 | Day 28 AM, n=11 | Day 28,PM, n=11 | Day 29 PM, n=1 | Day 30 AM, n=1 | Day 30 PM, n=1 | Day 31 AM, n=1 | Day 31 PM, n=1 | Day 32 AM, n=1 | Day 32 PM, n=1 | Day 33 AM, n=1 | Day 33 PM, n=1 | Day 34 AM, n=1 | Day 34 PM, n=1 | Day 35 AM, n=1 | Day 35 PM, n=1 |
---|
FP 1000 mcg | 523.2 | 511.8 | 516.4 | 521.8 | 520.9 | 489.5 | 521.0 | 502.7 | 517.3 | 493.6 | 523.6 | 500.0 | 516.4 | 530.0 | 520.0 | 530.0 | 510.0 | 530.0 | 520.0 | 550.0 | 530.0 | 540.0 | 510.0 | 520.0 | 540.0 | 550.0 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for FP 1000 mcg in Period 2
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 22 PM, Day 23,24,25,26,27,28 AM and PM in period 2
Intervention | Liters per minute (Mean) |
---|
| Day 22 PM, n=6 | Day 23 AM, n=6 | Day 23 PM, n=6 | Day 24 AM, n=6 | Day 24 PM, n=6 | Day 25 AM, n=6 | Day 25 PM, n=6 | Day 26 AM, n=6 | Day 26 PM, n=6 | Day 27 AM, n=6 | Day 27 PM, n=6 | Day 28 AM, n=5 | Day 28,PM, n=5 |
---|
FP 1000 mcg | 493.3 | 480.0 | 506.7 | 481.7 | 505.0 | 491.7 | 510.0 | 485.0 | 501.7 | 475.0 | 490.0 | 452.0 | 476.0 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for FP 2000 mcg in Period 1
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 29 PM, Day 30,31,32,33,34,35 AM and PM in period 1
Intervention | Liters per minute (Mean) |
---|
| Day 29 PM, n=10 | Day 30 AM, n=10 | Day 30 PM, n=10 | Day 31 AM, n=10 | Day 31 PM, n=10 | Day 32 AM, n=10 | Day 32 PM, n=10 | Day 33 AM, n=10 | Day 33 PM, n=10 | Day 34 AM, n=10 | Day 34 PM, n=10 | Day 35 AM, n=9 | Day 35 PM, n=9 |
---|
FP 2000 mcg | 520.5 | 505.0 | 520.0 | 507.0 | 521.0 | 500.0 | 524.0 | 511.0 | 511.5 | 519.0 | 517.0 | 514.4 | 543.9 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for FP 2000 mcg in Period 2
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 29 PM, Day 30,31,32,33,34,35 AM and PM in period 2
Intervention | Liters per minute (Mean) |
---|
| Day 29 PM | Day 30 AM | Day 30 PM | Day 31 AM | Day 31 PM | Day 32 AM | Day 32 PM | Day 33 AM | Day 33 PM | Day 34 AM | Day 34 PM | Day 35 AM | Day 35 PM |
---|
FP 2000 mcg | 506.7 | 493.3 | 496.7 | 486.7 | 485.0 | 488.3 | 513.3 | 495.0 | 498.3 | 481.7 | 498.3 | 483.3 | 493.3 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for FP 500 mcg in Period 1
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. One participant who was supposed to receive FP 1000 mg during day 22-28 and FP 2000 mg during day 28-35 but this participant continued the 3rd escalation phase dose (FP 500 mg) in fourth escalation phase and took FP 1000 mg (4th phase dose) in the fifth escalation phase (days 28-35). (NCT02991859)
Timeframe: Day 15 PM, Day 16,17,18,19,20,21,22,23,24,25,26,27,28 AM and PM in period 1
Intervention | Liters per minute (Mean) |
---|
| Day 15 PM, n=14 | Day 16 AM, n=13 | Day 16 PM, n=14 | Day 17 AM, n=13 | Day 17 PM, n=14 | Day 18 AM, n=12 | Day 18 PM, n=13 | Day 19 AM, n=12 | Day 19 PM, n=13 | Day 20 AM, n=11 | Day 20 PM, n=13 | Day 21 AM, n=13 | Day 21 PM, n=11 | Day 22 AM, n=1 | Day 22 PM, n=1 | Day 23 AM, n=1 | Day 23 PM, n=1 | Day 24 AM, n=1 | Day 24 PM, n=1 | Day 25 AM, n=1 | Day 25 PM, n=1 | Day 26 AM, n=1 | Day 26 PM, n=1 | Day 27 AM, n=1 | Day 27 PM, n=1 | Day 28 AM, n=1 | Day 28 PM, n=1 |
---|
FP 500 mcg | 527.5 | 503.8 | 520.4 | 510.0 | 508.6 | 497.5 | 505.8 | 505.8 | 506.9 | 518.2 | 517.3 | 501.9 | 493.6 | 520.0 | 540.0 | 530.0 | 550.0 | 530.0 | 540.0 | 510.0 | 500.0 | 520.0 | 550.0 | 530.0 | 580.0 | 530.0 | 500.0 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for FP 500 mcg in Period 2
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 15 PM, Day 16,17,18,19,20,21 AM and PM in period 2
Intervention | Liters per minute (Mean) |
---|
| Day 15 PM, n=6 | Day 16 AM, n=6 | Day 16 PM, n=6 | Day 17 AM, n=6 | Day 17 PM, n=6 | Day 18 AM, n=6 | Day 18 PM, n=6 | Day 19 AM, n=5 | Day 19 PM, n=6 | Day 20 AM, n=5 | Day 20 PM, n=6 | Day 21 AM, n=6 | Day 21 PM, n=6 |
---|
FP 500 mcg | 486.7 | 476.7 | 503.3 | 493.3 | 500.0 | 476.7 | 495.0 | 454.0 | 500.0 | 524.0 | 501.7 | 490.0 | 496.7 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability of Placebo in Period 1
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Participants recorded their PEFR measurement before each dose in a paper diary. Results are presented treatment wise.Only those participants with data available at the indicated time points were analyzed (represented by n=X in the category titles). (NCT02991859)
Timeframe: Day 2 to 8 PM, Day 9 to 14 AM and PM, Day 15 PM, Day 16 to 21 AM and PM, Day 22 PM,Day 23 to 28 AM and PM, Day 29 PM,Day 30 to 35 AM and PM in period 1
Intervention | Liters per minute (Mean) |
---|
| Day 2, PM, n=12 | Day 3, PM, n=12 | Day 4, PM, n=12 | Day 5,PM, n=12 | Day 6, PM, n=12 | Day 7, PM, n=12 | Day 8, PM, n=12 | Day 9, AM, n=5 | Day 9, PM, n=12 | Day 10, AM, n=5 | Day 10, PM, n=12 | Day 11, AM, n=5 | Day 11, PM, n=12 | Day 12, AM, n=5 | Day 12 PM, n=12 | Day 13, AM, n=5 | Day 13, PM, n=12 | Day 14, AM, n=5 | Day 14, PM, n=12 | Day 15, PM, n=12 | Day 16, AM, n=5 | Day 16,PM, n=12 | Day 17, AM, n=5 | Day 17,PM, n=12 | Day 18, AM, n=5 | Day 18,PM, n=12 | Day 19, AM, n=5 | Day 19,PM, n=12 | Day 20, AM, n=5 | Day 20,PM, n=12 | Day 21, AM, n=5 | Day 21,PM, n=12 | Day 22,PM, n=11 | Day 23, AM, n=4 | Day 23,PM, n=11 | Day 24, AM, n=4 | Day 24,PM, n=11 | Day 25, AM, n=4 | Day 25,PM, n=11 | Day 26, AM, n=4 | Day 26,PM, n=11 | Day 27, AM, n=4 | Day 27,PM, n=11 | Day 28, AM, n=4 | Day 28,PM, n=10 | Day 29,PM, n=11 | Day 30, AM, n=4 | Day 30,PM, n=11 | Day 31, AM, n=4 | Day 31,PM, n=11 | Day 32, AM, n=4 | Day 32,PM, n=11 | Day 33, AM, n=4 | Day 33,PM, n=11 | Day 34, AM, n=4 | Day 34,PM, n=11 | Day 35, AM, n=4 | Day 35,PM, n=11 |
---|
Placebo | 522.5 | 517.5 | 514.2 | 521.7 | 522.5 | 539.2 | 530.8 | 576.0 | 531.3 | 572.0 | 535.0 | 578.0 | 533.8 | 578.0 | 527.5 | 580.0 | 540.8 | 572.0 | 543.3 | 530.8 | 588.0 | 528.3 | 586.0 | 521.7 | 586.0 | 540.0 | 568.0 | 535.8 | 596.0 | 544.2 | 580.0 | 534.2 | 544.5 | 577.5 | 530.0 | 567.5 | 526.4 | 585.0 | 530.9 | 582.5 | 518.2 | 587.5 | 539.1 | 587.5 | 547.0 | 547.3 | 567.5 | 527.3 | 562.5 | 537.3 | 582.5 | 537.3 | 597.5 | 528.2 | 580.0 | 531.4 | 565.0 | 501.8 |
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PEFR as a Measure of Safety and Tolerability for FF 100 mcg in Period 1
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 8,9,10,11,12,13,14 PM in period 1
Intervention | Liters per minute (Mean) |
---|
| Day 8, PM, n=13 | Day 9, PM, n=13 | Day 10, PM, n=13 | Day 11, PM, n=12 | Day 12, PM, n=13 | Day 13, PM, n=13 | Day 14, PM, n=13 |
---|
FF 100 mcg | 497.3 | 500.4 | 491.2 | 507.5 | 500.2 | 515.4 | 505.8 |
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PEFR as a Measure of Safety and Tolerability for FF 100 mcg in Period 2
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 8,9,10,11,12,13,14 PM in period 2
Intervention | Liters per minute (Mean) |
---|
| Day 8, PM | Day 9, PM | Day 10, PM | Day 11, PM | Day 12, PM | Day 13, PM | Day 14, PM |
---|
FF 100 mcg | 540.0 | 567.5 | 556.7 | 561.7 | 573.3 | 563.3 | 555.8 |
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PEFR as a Measure of Safety and Tolerability for FF 200 mcg in Period 1
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 15,16,17,18,19,20,21 PM in period 1
Intervention | Liters per minute (Mean) |
---|
| Day 15,PM, n=13 | Day 16,PM, n=13 | Day 17,PM, n=13 | Day 18,PM, n=13 | Day 19,PM, n=13 | Day 20,PM, n=12 | Day 21,PM, n=12 |
---|
FF 200 mcg | 500.8 | 500.0 | 506.2 | 514.2 | 505.4 | 505.8 | 485.0 |
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PEFR as a Measure of Safety and Tolerability for FF 200 mcg in Period 2
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 15,16,17,18,19,20 PM, Day 21 AM and PM in period 2
Intervention | Liters per minute (Mean) |
---|
| Day 15,PM, n=6 | Day 16,PM, n=6 | Day 17,PM, n=6 | Day 18,PM, n=6 | Day 19,PM, n=6 | Day 20,PM, n=6 | Day 21,AM, n=1 | Day 21,PM, n=6 |
---|
FF 200 mcg | 575.0 | 575.0 | 564.2 | 573.3 | 556.7 | 571.7 | 670.0 | 560.0 |
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PEFR as a Measure of Safety and Tolerability for FF 25 mcg in Period 1
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 2,3,4,5,6,7 PM in period 1
Intervention | Liters per minute (Mean) |
---|
| Day 2, PM, n=14 | Day 3, PM, n=14 | Day 4, PM, n=14 | Day 5,PM, n=14 | Day 6, PM, n=13 | Day 7, PM, n=13 |
---|
FF 25 mcg | 479.6 | 475.7 | 473.0 | 476.1 | 503.1 | 502.3 |
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PEFR as a Measure of Safety and Tolerability for FF 25 mcg in Period 2
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 2,3,4,5,6,7 PM in period 2
Intervention | Liters per minute (Mean) |
---|
| Day 2, PM, n=5 | Day 3, PM, n=5 | Day 4, PM, n=5 | Day 5,PM, n=5 | Day 6, PM, n=6 | Day 7, PM, n=6 |
---|
FF 25 mcg | 572.0 | 570.0 | 568.0 | 573.0 | 550.8 | 560.0 |
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PEFR as a Measure of Safety and Tolerability for FF 400 mcg in Period 1
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Days 22,23,24,25,26,27,28 PM in period 1
Intervention | Liters per minute (Mean) |
---|
| Day 22 PM | Day 23 PM | Day 24 PM | Day 25 PM | Day 26 PM | Day 27 PM | Day 28 PM |
---|
FF 400 mcg | 496.7 | 481.0 | 484.6 | 488.3 | 496.7 | 508.8 | 486.7 |
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PEFR as a Measure of Safety and Tolerability for FF 400 mcg in Period 2
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Days 22,23,24,25,26,27,28 PM in period 2
Intervention | Liters per minute (Mean) |
---|
| Day 22 PM | Day 23 PM | Day 24 PM | Day 25 PM | Day 26 PM | Day 27 PM | Day 28 PM |
---|
FF 400 mcg | 556.7 | 566.7 | 571.7 | 568.3 | 565.0 | 540.0 | 541.7 |
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PEFR as a Measure of Safety and Tolerability for FF 800 mcg in Period 1
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Days 29,30,31,32,33,34,35 PM in period 1
Intervention | Liters per minute (Mean) |
---|
| Day 29 PM | Day 30 PM | Day 31 PM | Day 32 PM | Day 33 PM | Day 34 PM | Day 35 PM |
---|
FF 800 mcg | 496.7 | 487.1 | 488.3 | 481.3 | 481.5 | 487.5 | 471.0 |
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PEFR as a Measure of Safety and Tolerability for FF 800 mcg in Period 2
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 29,30,31,32,33,34,35 PM in period 2
Intervention | Liters per minute (Mean) |
---|
| Day 29 PM | Day 30 PM | Day 31 PM | Day 32 PM | Day 33 PM | Day 34 PM | Day 35 PM |
---|
FF 400 mcg | 576.7 | 560.0 | 553.3 | 565.0 | 580.0 | 568.3 | 556.7 |
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PEFR as a Measure of Safety and Tolerability for FP 200 mcg in Period 1
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Days 8,9,1,0,11,12,13,14 AM and PM in period 1
Intervention | Liters per minute (Mean) |
---|
| Day 8 AM, n=1 | Day 8 PM, n=13 | Day 9 AM, n=11 | Day 9 PM, n=14 | Day 10 AM, n=10 | Day 10 PM, n=14 | Day 11 AM, n=11 | Day 11 PM, n=14 | Day 12 AM, n=11 | Day 12 PM, n=13 | Day 13 AM, n=11 | Day 13 PM, n=14 | Day 14 AM, n=13 | Day14 PM, n=13 |
---|
FP 200 mcg | 540.0 | 532.7 | 500.9 | 517.9 | 521.0 | 513.2 | 476.4 | 512.1 | 506.8 | 528.8 | 500.0 | 514.6 | 496.2 | 522.7 |
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PEFR as a Measure of Safety and Tolerability for FP 200 mcg in Period 2
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 8,9,1,0,11,12,13,14 AM and PM in period 2
Intervention | Liters per minute (Mean) |
---|
| Day 8 AM, n=1 | Day 8 PM, n=6 | Day 9 AM, n=5 | Day 9 PM, n=6 | Day 10 AM, n=4 | Day 10 PM, n=6 | Day 11 AM, n=5 | Day 11 PM, n=6 | Day 12 AM, n=5 | Day 12 PM, n=6 | Day 13 AM, n=5 | Day 13 PM, n=6 | Day 14 AM, n=5 | Day 14 PM, n=6 |
---|
FP 200 mcg | 610.0 | 500.0 | 506.0 | 488.3 | 515.0 | 490.0 | 504.0 | 485.0 | 508.0 | 493.3 | 500.0 | 495.0 | 438.0 | 495.8 |
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PEFR as a Measure of Safety and Tolerability for FP 50 mcg in Period 1
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 2,3,4,5,6,7 PM in period 1
Intervention | Liters per minute (Mean) |
---|
| Day 2 PM, n=15 | Day 3 PM, n=14 | Day 4 PM, n=15 | Day 5 PM, n=15 | Day 6 PM, n=14 | Day 7 PM, n=14 |
---|
FP 50 mcg | 529.3 | 533.6 | 532.3 | 524.0 | 519.3 | 502.9 |
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PEFR as a Measure of Safety and Tolerability for FP 50 mcg in Period 2
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 2,3,4,5,6,7 AM and PM in period 2
Intervention | Liters per minute (Mean) |
---|
| Day 2 AM, n=1 | Day 2 PM, n=6 | Day 3 AM, n=1 | Day 3 PM, n=6 | Day 4 PM, n=1 | Day 4 PM, n=6 | Day 5 AM, n=1 | Day 5 PM, n=6 | Day 6 PM, n=1 | Day 6 PM, n=6 | Day 7 PM, n=1 | Day 7 PM, n=6 |
---|
FP 50 mcg | 600.0 | 490.0 | 600.0 | 486.7 | 590.0 | 491.7 | 600.0 | 491.7 | 600.0 | 490.0 | 600.0 | 466.0 |
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PEFR as a Measure of Safety and Tolerability of Placebo in Period 2
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Participants recorded their PEFR measurement before each dose in a paper diary. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 2 to 8 PM, Day 9 to 14 AM and PM, Day 15 PM, Day 16 to 21 AM and PM, Day 22 PM,Day 23 to 28 AM and PM, Day 29 PM,Day 30 to 35 AM and PM in Period 2
Intervention | Liters per minute (Mean) |
---|
| Day 2, PM, n=4 | Day 3, PM, n=4 | Day 4, PM, n=4 | Day 5,PM, n=4 | Day 6, PM, n=4 | Day 7, PM, n=4 | Day 8, PM, n=4 | Day 9, AM, n=2 | Day 9, PM, n=4 | Day 10, AM, n=2 | Day 10, PM, n=4 | Day 11, AM, n=2 | Day 11, PM, n=4 | Day 12, AM, n=2 | Day 12, PM, n=4 | Day 13, AM, n=2 | Day 13, PM, n=4 | Day 14, AM, n=2 | Day 14, PM, n=3 | Day 15, PM, n=4 | Day 16, AM, n=2 | Day 16,PM, n=4 | Day 17, AM, n=2 | Day 17,PM, n=4 | Day 18, AM, n=1 | Day 18,PM,n=3 | Day 19, AM, n=2 | Day 19,PM, n=4 | Day 20, AM, n=2 | Day 20,PM, n=4 | Day 21, AM, n=2 | Day 21,PM, n=4 | Day 22,PM, n=4 | Day 23, AM, n=1 | Day 23,PM, n=3 | Day 24, AM, n=1 | Day 24,PM, n=3 | Day 25, AM, n=1 | Day 25,PM, n=3 | Day 26, AM, n=1 | Day 26,PM, n=3 | Day 27, AM, n=1 | Day 27,PM, n=3 | Day 28, AM, n=1 | Day 28,PM, n=3 | Day 29,PM, n=3 | Day 30, AM, n=1 | Day 30,PM, n=3 | Day 31, AM, n=1 | Day 31,PM, n=3 | Day 32, AM, n=1 | Day 32,PM, n=3 | Day 33, AM, n=1 | Day 33,PM, n=3 | Day 34, AM, n=1 | Day 34,PM, n=3 | Day 35, AM, n=1 | Day 35,PM, n=2 |
---|
Placebo | 422.5 | 415.0 | 398.8 | 407.5 | 411.3 | 410.0 | 415.0 | 430.0 | 411.3 | 425.0 | 403.8 | 410.0 | 395.0 | 400.0 | 398.8 | 415.0 | 425.0 | 425.0 | 420.0 | 416.3 | 405.0 | 405.0 | 390.0 | 405.0 | 450.0 | 423.3 | 415.0 | 402.5 | 402.5 | 398.8 | 400.0 | 395.0 | 397.5 | 480.0 | 415.0 | 460.0 | 423.3 | 460.0 | 416.7 | 450.0 | 418.3 | 460.0 | 433.3 | 460.0 | 430.0 | 380.0 | 460.0 | 388.3 | 480.0 | 390.0 | 500.0 | 370.0 | 470.0 | 370.0 | 460.0 | 390.0 | 480.0 | 345.0 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 400 mcg in Period 2
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 8 PM, Day 9 to 14 AM and PM in period 2
Intervention | Liters per minute (Mean) |
---|
| Day 8 PM | Day 9 AM | Day 9 PM | Day 10 AM | Day 10 PM | Day 11 AM | Day 11 PM | Day 12 AM | Day 12 PM | Day 13 AM | Day 13 PM | Day 14 AM | Day 14 PM |
---|
BUD 400 mcg | 560.0 | 552.0 | 560.0 | 552.0 | 556.0 | 562.0 | 574.0 | 568.0 | 578.0 | 562.0 | 588.0 | 586.0 | 590.0 |
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Forced Expiratory Volume in 1 Second (FEV 1) in Period 1
FEV1 was measured with participants in a sitting position using a calibrated spirometer in accordance with American Thoracic Society (ATS) guidelines using European Respiratory Society (ERS)guidelines for predicted values. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 1 (pre-dose) in Period 1
Intervention | Liter (Mean) |
---|
Placebo | 3.18 |
Fluticasone Furoate (FF) | 3.02 |
Fluticasone Propionate (FP) | 3.50 |
Budesonide. | 3.29 |
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Cortisol Suppression 0-24 Hours Weighted Mean-Dose Response Analysis
Blood samples for measurement of plasma cortisol were collected at given time point. The weighted means were derived by calculating the area under the curve (AUC) over the 0-24-hour period using the trapezoidal rule, and then dividing it by the actual time interval. Results are presented treatment wise. Mean and 95% CI presented are predicted estimate. The analysis method was an inhibitory exponential power-law model with log e transformed cortisol as the outcome variable, assuming 100% inhibition at highest doses. (NCT02991859)
Timeframe: Pre-dose PM dose on Day 6 to pre-dose PM dose Day 7
Intervention | nanomoles per liter (Mean) |
---|
FF 25 mcg | 172.73 |
FF 100 mcg | 163.03 |
FF 200 mcg | 150.95 |
FF 400 mcg | 129.40 |
FF 800 mcg | 95.09 |
FP 50 mcg | 173.04 |
FP 200 mcg | 164.22 |
FP 500 mcg | 147.89 |
FP 1000 mcg | 124.21 |
FP 2000 mcg | 87.62 |
BUD 100 mcg | 169.87 |
BUD 400 mcg | 152.50 |
BUD 800 mcg | 132.06 |
BUD 1600 mcg | 99.05 |
BUD 3200 mcg | 55.71 |
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Forced Expiratory Volume in 1 Second (FEV 1) in Period 2
FEV1 was measured with participants in a sitting position using a calibrated spirometer in accordance with ATS guidelines using ERS guidelines for predicted values. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 1 (pre-dose) in Period 2
Intervention | Liter (Mean) |
---|
Placebo | 2.67 |
Fluticasone Furoate (FF) | 3.44 |
Fluticasone Propionate (FP) | 2.68 |
Budesonide (BUD) | 3.46 |
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Forced Vital Capacity (FVC) in Period 1
FVC was measured with participants in a sitting position using a calibrated spirometer in accordance with ATS guidelines using ERS guidelines for predicted values. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 1 (pre-dose) in Period 1
Intervention | Liter (Mean) |
---|
Placebo | 4.55 |
Fluticasone Furoate (FF) | 4.36 |
Fluticasone Propionate (FP) | 5.15 |
Budesonide (BUD) | 4.70 |
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Forced Vital Capacity (FVC) in Period 2
FVC was measured with participants in a sitting position using a calibrated spirometer in accordance with ATS guidelines using ERS guidelines for predicted values. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 1 (pre-dose) in Period 2
Intervention | Liter (Mean) |
---|
Placebo | 4.11 |
Fluticasone Furoate (FF) | 4.85 |
Fluticasone Propionate (FP) | 4.09 |
Budesonide (BUD) | 4.90 |
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Number of Participants With Clinically Significant Abnormal Hematology Parameters
Blood samples were collected for assessement of following hematology parameters: basophils, eosinophils, Erythrocyte mean corpuscular volume (MCV), hemoglobin, hematocrit, Erythrocyte mean corpuscular hemoglobin (MCH), leukocytes, lymphocytes, monocytes, platelets. Results are presented treatment wise. Only participants with clinically significant abnormal hematology data was reported. (NCT02991859)
Timeframe: Up to Week 18
Intervention | Participants (Count of Participants) |
---|
Placebo | 0 |
FF 25 mcg | 0 |
FF 100 mcg | 0 |
FF 200 mcg | 0 |
FF 400 mcg | 0 |
FF 800 mcg | 0 |
FP 50 mcg | 0 |
FP 200 mcg | 0 |
FP 500 mcg | 0 |
FP 1000 mcg | 0 |
FP 2000 mcg | 0 |
BUD 100 mcg | 0 |
BUD 400 mcg | 0 |
BUD 800 mcg | 0 |
BUD 1600 mcg | 0 |
BUD 3200 mcg | 0 |
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Number of Participants With Clinically Significant Abnormal Urinalysis Parameters
Urine sample were collected to assess following urine parameters: potential of hydrogen (pH), glucose, protein, blood and ketones by dipstick. Results are presented treatment wise. Only participants with clinically significant abnormal urinalysis data was reported. (NCT02991859)
Timeframe: Up to Week 18
Intervention | Participants (Count of Participants) |
---|
Placebo | 0 |
FF 25 mcg | 0 |
FF 100 mcg | 0 |
FF 200 mcg | 0 |
FF 400 mcg | 0 |
FF 800 mcg | 0 |
FP 50 mcg | 0 |
FP 200 mcg | 0 |
FP 500 mcg | 0 |
FP 1000 mcg | 0 |
FP 2000 mcg | 0 |
BUD 100 mcg | 0 |
BUD 400 mcg | 0 |
BUD 800 mcg | 0 |
BUD 1600 mcg | 0 |
BUD 3200 mcg | 0 |
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Provocative Concentration (PC) of Adenosine 5' Monophosphate (AMP) Causing a 20 Percent (%) Reduction in Forced Expiratory Volume in 1 Second (FEV1) (AMP PC20)- Dose Response Analysis
The percentage fall in FEV1 was calculated using highest FEV1 (post saline) minus highest FEV1 (post AMP) divided by highest FEV1 (post saline)*100 where highest FEV1 (post saline) is the highest value of two FEV1 measurements at 60 and 180 seconds after the saline control, highest FEV1 (post AMP) is the highest value of the two FEV1 measurements at 60 and 180 seconds after the dose of AMP. Results are presented treatment wise. The analysis method was a 3 parameter Emax model with log 2 transformed AMP PC20 as the outcome variable, assuming common Emax across FF, FP and BUD, and with an unstructured variance-covariance matrix. Mean and 95% Confidence Interval (CI) presented are predicted estimate. (NCT02991859)
Timeframe: 12 hours post last dose on Day 7
Intervention | Milligrams per milliliter (Mean) |
---|
FF 25 mcg | 33.45 |
FF 100 mcg | 81.45 |
FF 200 mcg | 115.69 |
FF 400 mcg | 145.97 |
FF 800 mcg | 167.26 |
FP 50 mcg | 15.19 |
FP 200 mcg | 20.47 |
FP 500 mcg | 31.39 |
FP 1000 mcg | 48.67 |
FP 2000 mcg | 76.35 |
BUD 100 mcg | 16.00 |
BUD 400 mcg | 23.91 |
BUD 800 mcg | 34.62 |
BUD 1600 mcg | 54.33 |
BUD 3200 mcg | 84.17 |
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Theraputic Index of BUD
Therapeutic Index was calculated by ED20 for Cortisol Suppression 0-24 Hours Weighted Mean (nanomoles per liter[nmol/L]) divided by ED80 for AMP PC20 for BUD 100 mcg, BUD 400 mcg, BUD 800 mcg, BUD 1600 mcg, BUD 3200 mcg. Theraputic index has been presented. The timeframe mentioned is for AMP PC20 and Cortisol suppression respectively. (NCT02991859)
Timeframe: 12 hours post-dose on Day 7, pre-dose PM dose on Day 6 to pre-dose PM dose Day 7
Intervention | Ratio (Number) |
---|
Budesonide (BUD) | 0.11 |
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Theraputic Index of FF
Therapeutic Index was calculated by ED20 for Cortisol Suppression 0-24 Hours Weighted Mean (nanomoles per liter[nmol/L]) divided by Dose at which 80% of the maximum effect is reached (ED80) for AMP PC20 for FF 25 mcg, FF 100 mcg, FF 200 mcg, FF 400 mcg, FF 800 mcg. Theraputic index has been presented. Only those participants with data available at the specified time points were analyzed. The timeframe mentioned is for AMP PC20 and Cortisol suppression respectively. (NCT02991859)
Timeframe: 12 hours post-dose on Day 7, pre-dose PM dose on Day 6 to pre-dose PM dose Day 7
Intervention | Ratio (Number) |
---|
Fluticasone Propionate (FP) | 1.49 |
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Theraputic Index of FP
Therapeutic Index was calculated by Dose at which 20% of the maximum effect is reached (ED20) for Cortisol Suppression 0-24 Hours Weighted Mean (nanomoles per liter[nmol/L]) divided by ED80 for AMP PC20 for FP 50 mcg, FP 200 mcg, FP 500 mcg, FP 1000 mcg, FP 2000 mcg. Theraputic index has been presented. The timeframe mentioned is for AMP PC20 and Cortisol suppression respectively. (NCT02991859)
Timeframe: 12 hours post-dose on Day 7, pre-dose PM dose on Day 6 to pre-dose PM dose Day 7
Intervention | Ratio (Number) |
---|
Fluticasone Propionate (FP) | 0.15 |
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Number of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE)
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is any untoward medical occurrence that at any dose results in death, Is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect. Results are presented treatment wise. (NCT02991859)
Timeframe: Up to Week 18
Intervention | Participants (Count of Participants) |
---|
| Any AEs | Any SAEs |
---|
BUD 100 mcg | 6 | 0 |
,BUD 1600 mcg | 6 | 0 |
,BUD 3200 mcg | 3 | 0 |
,BUD 400 mcg | 8 | 0 |
,BUD 800 mcg | 5 | 0 |
,FF 100 mcg | 8 | 0 |
,FF 200 mcg | 7 | 0 |
,FF 25 mcg | 6 | 0 |
,FF 400 mcg | 6 | 0 |
,FF 800 mcg | 7 | 0 |
,FP 1000 mcg | 8 | 0 |
,FP 200 mcg | 4 | 0 |
,FP 2000 mcg | 6 | 0 |
,FP 50 mcg | 10 | 0 |
,FP 500 mcg | 4 | 0 |
,Placebo | 10 | 0 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 100 mcg in Period 1
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 2 to 6 AM and PM, Day 7 PM in period 1
Intervention | Liters per minute (Mean) |
---|
| Day 2 AM, n=1 | Day 2 PM, n=12 | Day 3 AM, n=1 | Day 3 PM, n=12 | Day 4 AM, n=1 | Day 4 PM, n=12 | Day 5 AM, n=1 | Day 5 PM, n=12 | Day 6 AM, n=1 | Day 6 PM, n=12 | Day 7 PM, n=12 |
---|
BUD 100 mcg | 600.0 | 512.9 | 600.0 | 517.1 | 625.0 | 524.2 | 600.0 | 520.8 | 600.0 | 523.3 | 527.5 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 100 mcg in Period 2
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 2,3,4,5,6,7 PM in period 2
Intervention | Liters per minute (Mean) |
---|
| Day 2 PM, n=4 | Day 3 PM, n=4 | Day 4 PM, n=4 | Day 5 PM, n=4 | Day 6 PM, n=4 | Day 7 PM, n=3 |
---|
BUD 100 mcg | 557.5 | 547.5 | 545.0 | 552.5 | 577.5 | 603.3 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 1600 mcg in Period 1
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 22 PM, Day 23,24,25,26,27,28 AM and PM in period 1
Intervention | Liters per minute (Mean) |
---|
| Day 22 PM | Day 23 AM | Day 23 PM | Day 24 AM | Day 24 PM | Day 25 AM | Day 25 PM | Day 26 AM | Day 26 PM | Day 27 AM | Day 27 PM | Day 28 AM | Day 28 PM |
---|
BUD 1600 mcg | 506.4 | 496.4 | 512.7 | 498.2 | 510.5 | 500.5 | 514.1 | 499.1 | 512.3 | 491.4 | 497.7 | 476.8 | 526.8 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 1600 mcg in Period 2
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 22 PM, Day 23,24,25,26,27,28 AM and PM in period 2
Intervention | Liters per minute (Mean) |
---|
| Day 22 PM | Day 23 AM | Day 23 PM | Day 24 AM | Day 24 PM | Day 25 AM | Day 25 PM | Day 26 AM | Day 26 PM | Day 27 AM | Day 27 PM | Day 28 AM | Day 28 PM |
---|
BUD 1600 mcg | 594.0 | 578.0 | 586.0 | 556.0 | 556.0 | 564.0 | 594.0 | 584.0 | 568.0 | 568.0 | 584.0 | 574.0 | 630.0 |
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Peak Expiratory Flow Rate (PEFR) as a Measure of Safety and Tolerability for BUD 3200 mcg in Period 1
PEFR is a participant's maximum speed of expiration and was measured using a peak flow meter. Results are presented treatment wise. (NCT02991859)
Timeframe: Day 29 PM, Day 30, 31,32,33,34,35 AM and PM in period 1
Intervention | Liters per minute (Mean) |
---|
| Day 29 PM, n=10 | Day 30 AM, n=10 | Day 30 PM, n=10 | Day 31 AM, n=10 | Day 31 PM, n=10 | Day 32 AM, n=10 | Day 32 PM, n=10 | Day 33 AM, n=10 | Day 33 PM, n=10 | Day 34 AM, n=10 | Day 34 PM, n=9 | Day 35 AM, n=10 | Day 35 PM, n=10 |
---|
BUD 3200 mcg | 493.0 | 482.0 | 502.0 | 482.0 | 496.0 | 482.0 | 488.0 | 483.0 | 490.0 | 489.0 | 522.2 | 474.0 | 488.0 |
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Mean Change From Baseline in Clinic FEV1 at 3 Hours Post Dose at Week 24
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. The highest of 3 technically acceptable measurements were recorded at each Visit. The Baseline value of clinic FEV1 was the last acceptable/borderline acceptable (pre-dose) FEV1 value obtained prior to randomization (either from Visit 2 pre-dose or from Visit 1 pre-bronchodilator). Change from Baseline was calculated as FEV1 value at Week 24 (recorded at 3 hours post dose) minus FEV1 value at Baseline. The analysis only including data collected on-treatment. LS mean change and SE data is presented. (NCT03012061)
Timeframe: Baseline (Day 1 pre-dose) and Week 24
Intervention | Liters (Least Squares Mean) |
---|
Placebo QD | 0.1768 |
UMEC 31.25 mcg QD | 0.3663 |
UMEC 62.5 mcg QD | 0.3744 |
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Number of Participants With On-treatment Adverse Events (AE), Non-serious Adverse Events (Non-SAE)
An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, any other situation according to medical or scientific judgment or all events of possible drug-induced liver injury with hyperbilirubinemia were categorized as SAE. Number of participants with on-treatment AEs and SAEs and serious adverse events (SAE) and common (>=3%)non-SAEs have been reported. (NCT03012061)
Timeframe: Up to Week 24
Intervention | Participants (Count of Participants) |
---|
| Any AE | Any SAE | Any non-SAE |
---|
Placebo QD | 65 | 5 | 39 |
,UMEC 31.25 mcg QD | 73 | 4 | 47 |
,UMEC 62.5 mcg QD | 57 | 3 | 33 |
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Mean Change From Baseline in Clinic Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 24
FEV1 is measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. The highest of 3 technically acceptable measurements were recorded at each Visit. The Baseline value of clinic FEV1 was last acceptable/borderline acceptable (pre-dose) FEV1 value obtained prior to randomized treatment start date. Change from Baseline was calculated as FEV1 value at Week 24 minus FEV1 value at Baseline. Treatment policy estimand was assessed, including all on- and post-treatment data. Intent-to-Treat Population comprised all randomized participants, excluding those who were randomized in error, who did not receive the study drug. Least square (LS) mean and standard error (SE) data is presented. Different participants may have been analyzed at different time points; thus, overall number of participants analyzed reflects everyone in ITT Population without missing covariate information, with Baseline, at least one post-Baseline measurement. (NCT03012061)
Timeframe: Baseline (Day 1 pre-dose) and Week 24
Intervention | Liters (Least Squares Mean) |
---|
Placebo QD | 0.1289 |
UMEC 31.25 mcg QD | 0.3046 |
UMEC 62.5 mcg QD | 0.3130 |
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Mean Change From Baseline in On-treatment Pulse Rate
Pulse rate was measured at every clinic visit, starting at Visit 1, and prior to conducting spirometry. Pulse rate was measured with participant in sitting position after approximately 5 minutes rest. Baseline value was defined as the latest vital signs assessment prior to randomized treatment start, including unscheduled visits. Change from Baseline was calculated by subtracting Baseline value from the value at specified time point. LS mean and SE data is presented. (NCT03012061)
Timeframe: Baseline (Day 1 pre-dose), Weeks 4, 12 and 24
Intervention | Beats per minute (Least Squares Mean) |
---|
| Week 4, n=139, 137, 139 | Week 12, n=139, 133, 135 | Week 24, n=135, 131, 130 |
---|
Placebo QD | -2.3 | -0.9 | -1.8 |
,UMEC 31.25 mcg QD | -1.0 | -0.3 | -0.7 |
,UMEC 62.5 mcg QD | -0.8 | 0.8 | 1.5 |
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Mean Change From Baseline in On-treatment Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Blood pressure was measured at every clinic visit, starting at Visit 1, and prior to conducting spirometry. Blood pressure was measured with participant in sitting position after approximately 5 minutes rest. Baseline value was defined as the latest vital signs assessment prior to randomized treatment start, including unscheduled visits. Change from Baseline was calculated by subtracting Baseline value from the value at specified time point. LS mean and SE data is presented. Different participants may have data available at different time points; thus, the overall number of participants analyzed reflects everyone in the ITT Population without missing covariate information and with a Baseline and at least one post-Baseline measurement. (NCT03012061)
Timeframe: Baseline (Day 1 pre-dose), Weeks 4, 12 and 24
Intervention | Millimeters of mercury (Least Squares Mean) |
---|
| SBP, Week 4, n=139, 137, 139 | SBP, Week 12, n=139, 133, 135 | SBP, Week 24, n=135, 131, 130 | DBP, Week 4, n=139, 137, 139 | DBP, Week 12, n=139, 133, 135 | DBP, Week 24, n=135, 131, 130 |
---|
Placebo QD | -0.7 | 0.3 | -0.6 | 0.4 | 0.7 | -0.1 |
,UMEC 31.25 mcg QD | 1.1 | -0.2 | 1.1 | 1.2 | 0.2 | 1.6 |
,UMEC 62.5 mcg QD | 0.3 | 0.6 | -0.1 | 0.6 | 1.8 | 1.4 |
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Number of Participants With On-treatment Abnormal Electrocardiograms (ECG) Findings
A single 12-lead ECG and rhythm strip was recorded after measurement of vital signs and spirometry at given time points. All ECG measurements were measured with participants in supine position after >=5 minutes rest. All ECGs were electronically transmitted to an independent and treatment-blinded cardiologist for the measurement. ECG was obtained 15 minutes to 45 minutes after the administration of study treatment. Data for number of participants with abnormal ECG Findings have been reported. (NCT03012061)
Timeframe: Week 4 and Week 24
Intervention | Participants (Count of Participants) |
---|
| Week 4, n=139, 135, 138 | Week 24, n=133, 129, 129 |
---|
Placebo QD | 23 | 26 |
,UMEC 31.25 mcg QD | 26 | 23 |
,UMEC 62.5 mcg QD | 35 | 39 |
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Change From Baseline in Aortic Distensibility After 6 Weeks of Treatment
Change from baseline in aortic distensibility is presented. Aortic distensibility measurements as measure of arterial stiffness were derived from cine images acquired at end-expiration in planes perpendicular to the thoracic aorta at the level of the pulmonary artery (ascending and descending section of thoracic aorta), abdominal aorta, and perpendicularly to the main, right, and left pulmonary arteries. (NCT03055988)
Timeframe: Baseline and 6 weeks
Intervention | Percentage/millimeter of mercury(%/mmHg) (Least Squares Mean) |
---|
Fluticasone Propionate + Salmeterol FDC (F+S 1000/100) | -0.006 |
Tiotropium + Olodaterol FDC (T+O 5/5) | -0.005 |
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Change From Baseline in Aortic Augmentation Index After 6 Weeks of Treatment
Change from baseline in aortic augmentation index is presented. Augmentation index was derived from brachial pulse wave separation analysis as augmentation pressure (pressure difference between the reflection wave to the ejection wave) divided by central pulse pressure (at the central aortic site) multiplied by 100. (NCT03055988)
Timeframe: Baseline and 6 weeks
Intervention | Percentage of index (%) (Least Squares Mean) |
---|
Fluticasone Propionate + Salmeterol FDC (F+S 1000/100) | 1.723 |
Tiotropium + Olodaterol FDC (T+O 5/5) | 1.404 |
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Change From Baseline in 1.5 Hour Post Dose Forced Vital Capacity (FVC) After 6 Weeks of Treatment
Change from baseline in 1.5 hour post dose Forced Vital Capacity (FVC) is presented. (NCT03055988)
Timeframe: Baseline and 6 weeks
Intervention | Litre (L) (Least Squares Mean) |
---|
Fluticasone Propionate + Salmeterol FDC (F+S 1000/100) | 0.159 |
Tiotropium + Olodaterol FDC (T+O 5/5) | 0.445 |
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Change From Baseline in 1.5 Hour Post Dose Forced Expiratory Volume in 1st Second (FEV1) After 6 Weeks of Treatment
Change from baseline in 1.5 hour post dose Forced Expiratory Volume in 1st second (FEV1) is presented. (NCT03055988)
Timeframe: Baseline and 6 weeks
Intervention | Litre (L) (Least Squares Mean) |
---|
Fluticasone Propionate + Salmeterol FDC (F+S 1000/100) | 0.158 |
Tiotropium + Olodaterol FDC (T+O 5/5) | 0.339 |
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Change From Baseline in Central Systolic Pressure After 6 Weeks of Treatment
Change from baseline in central systolic pressure is presented. (NCT03055988)
Timeframe: Baseline and 6 weeks
Intervention | mmHg (Least Squares Mean) |
---|
Fluticasone Propionate + Salmeterol FDC (F+S 1000/100) | 0.202 |
Tiotropium + Olodaterol FDC (T+O 5/5) | 2.271 |
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Change From Baseline in Pulse Pressure After 6 Weeks of Treatment
Change from baseline in pulse pressure is presented. (NCT03055988)
Timeframe: Baseline and 6 weeks
Intervention | mmHg (Least Squares Mean) |
---|
Fluticasone Propionate + Salmeterol FDC (F+S 1000/100) | 0.170 |
Tiotropium + Olodaterol FDC (T+O 5/5) | 0.579 |
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Change From Baseline in Pulmonary Artery Pulsatility After 6 Weeks of Treatment
Change from baseline in pulmonary artery pulsatility (PAP) is presented. Pulmonary artery pulsatility measurements as measure of arterial stiffness were derived from cine images acquired at end-expiration in planes perpendicular to the thoracic aorta at the level of the pulmonary artery (ascending and descending section of thoracic aorta), abdominal aorta, and perpendicularly to the main, right, and left pulmonary arteries. (NCT03055988)
Timeframe: Baseline and 6 weeks
Intervention | Percentage of PAP (%) (Least Squares Mean) |
---|
Fluticasone Propionate + Salmeterol FDC (F+S 1000/100) | -0.175 |
Tiotropium + Olodaterol FDC (T+O 5/5) | 1.105 |
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Change From Baseline in Left Ventricular End Diastolic Volume Index (LVEDVI) in the 6th Week of Treatment
"LVEDVI is normalised left ventricular end diastolic volume, divided by body surface area.~Baseline was defined as the value obtained during the assessment performed in a week prior to Visit 2 (Day 1). The change from baseline was calculated as the value obtained in a week prior to Visits 3 and 4 (end of each treatment periods) minus the baseline value." (NCT03055988)
Timeframe: Baseline and 6 weeks
Intervention | Millilitre/ meter^2 (mL/m^2) (Least Squares Mean) |
---|
Fluticasone Propionate + Salmeterol FDC (F+S 1000/100) | 2.855 |
Tiotropium + Olodaterol FDC (T+O 5/5) | 2.317 |
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Change From Baseline in Functional Residual Capacity Body Plethysmography (FRCpleth) % Predicted After 6 Weeks of Treatment
Change from Baseline in Functional Residual Capacity Body Plethysmography (FRCpleth) % predicted is presented. Functional residual capacity, percent predicted is a lung volume at the end of normal expiration assessed/measured by body plethysmography and compared to predicted capacity for such subject, if nonsmoker and without a disease which could compromise their ventilator function, to give a percentage predicted. (NCT03055988)
Timeframe: Baseline and 6 weeks
Intervention | Percentage of FRCpleth (%) (Least Squares Mean) |
---|
Fluticasone Propionate + Salmeterol FDC (F+S 1000/100) | -10.211 |
Tiotropium + Olodaterol FDC (T+O 5/5) | -18.168 |
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FVC Over 24 h After 21 Days of Treatment in Relation to Evening Dose
To evaluate the bronchodilator effect of each dose of QVM149 compared to salmeterol/fluticasone FDC after 3 weeks of treatment at -45 min, -15 min, 5 min, 15 min, 30 min, 1 h, 2 h, 3h, 4 h, 8 h, 10 h, 11 h 55 min, 14 h, 18 h, 21 h, 23 h 15 min, 23 h 45 min. (NCT03063086)
Timeframe: -45 min, -15 min, 5 min, 15 min, 30 min, 1 h, 2 h, 3h, 4 h, 8 h, 10 h, 11 h 55 min, 14 h, 18 h, 21 h, 23 h 15 min, 23 h 45 min at 3 weeks
Intervention | Liters (Mean) |
---|
| -45min | -15min | 5min | 15min | 30min | 1h | 2h | 3h | 4h | 8h | 10h | 11h 55min | 14h | 18h | 21h | 23h 15min | 23h 45min |
---|
QVM149 150/50/160 μg o.d. | 3.9046 | 3.8743 | 3.8656 | 3.8669 | 3.8700 | 3.8756 | 3.8698 | 3.8576 | 3.8744 | 3.9020 | 3.8976 | 3.9271 | 3.9091 | 3.8675 | 3.8438 | 3.7997 | 3.8034 |
,QVM149 150/50/80 μg o.d. | 3.8538 | 3.8571 | 3.8976 | 3.8971 | 3.9002 | 3.8993 | 3.8985 | 3.8766 | 3.8627 | 3.9217 | 3.9504 | 3.9405 | 3.9210 | 3.9151 | 3.8694 | 3.8673 | 3.8603 |
,Salmeterol/Fluticasone 50/500 μg b.i.d | 3.7626 | 3.7230 | 3.7536 | 3.7290 | 3.7695 | 3.7530 | 3.7629 | 3.7575 | 3.7629 | 3.7683 | 3.7809 | 3.7911 | 3.8089 | 3.7824 | 3.7680 | 3.7395 | 3.7431 |
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FEV1/FVC Ratio Over 24 h After 21 Days of Treatment in Relation to Evening Dose
To evaluate the bronchodilator effect of each dose of QVM149 compared to salmeterol/fluticasone FDC after 3 weeks of treatment at -45 min, -15 min, 5 min, 15 min, 30 min, 1 h, 2 h, 3h, 4 h, 8 h, 10 h, 11 h 55 min, 14 h, 18 h, 21 h, 23 h 15 min, 23 h 45 min. (NCT03063086)
Timeframe: -45 min, -15 min, 5 min, 15 min, 30 min, 1 h, 2 h, 3h, 4 h, 8 h, 10 h, 11 h 55 min, 14 h, 18 h, 21 h, 23 h 15 min, 23 h 45 min at 3 weeks
Intervention | Ratio (Mean) |
---|
| -45min | -15min | 5min | 15min | 30min | 1h | 2h | 3h | 4h | 8h | 10h | 11h 55min | 14h | 18h | 21h | 23h 15min | 23h 45min |
---|
QVM149 150/50/160 μg o.d. | 0.6701 | 0.6707 | 0.6788 | 0.6873 | 0.6878 | 0.6900 | 0.6939 | 0.6968 | 0.6897 | 0.6842 | 0.6916 | 0.6853 | 0.6846 | 0.6801 | 0.6790 | 06821 | 0.6782 |
,QVM149 150/50/80 μg o.d. | 0.6612 | 0.6669 | 0.6754 | 0.6778 | 0.6844 | 0.6895 | 0.6932 | 0.6890 | 0.6879 | 0.6802 | 0.6858 | 0.6791 | 0.6848 | 0.6741 | 0.6785 | 0.6791 | 0.6776 |
,Salmeterol/Fluticasone 50/500 μg b.i.d | 0.6527 | 0.6539 | 0.6563 | 0.6560 | 0.6573 | 0.6632 | 0.6647 | 0.6634 | 0.6605 | 0.6492 | 0.6489 | 0.6482 | 0.6567 | 0.6546 | 0.6562 | 0.6548 | 0.6537 |
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FEV1 Over 24 h After 21 Days of Treatment in Relation to Evening Dose
To evaluate the bronchodilator effect of each dose of QVM149 compared to salmeterol/fluticasone FDC after 3 weeks of treatment at -45 min, -15 min, 5 min, 15 min, 30 min, 1 h, 2 h, 3h, 4 h, 8 h, 10 h, 11 h 55 min, 14 h, 18 h, 21 h, 23 h 15 min, 23 h 45 min. (NCT03063086)
Timeframe: -45 min, -15 min, 5 min, 15 min, 30 min, 1 h, 2 h, 3h, 4 h, 8 h, 10 h, 11 h 55 min, 14 h, 18 h, 21 h, 23 h 15 min, 23 h 45 min at 3 weeks
Intervention | Liters (Least Squares Mean) |
---|
| -45 min | -15 min | 5 min | 15 min | 30 min | 1 h | 2 h | 3 h | 4 h | 8 h | 10 h | 11h 55 min | 14 h | 18 h | 21 h | 23 h 15 min | 23 h 45 min |
---|
QVM149 150/50/160 μg o.d. | 2.6237 | 2.6023 | 2.6412 | 2.6696 | 2.6873 | 2.6922 | 2.7033 | 2.6995 | 2.6815 | 2.6801 | 2.6999 | 2.7042 | 2.6829 | 2.6345 | 2.6113 | 2.6143 | 2.5966 |
,QVM149 150/50/80 μg o.d. | 2.5639 | 2.5630 | 2.6179 | 2.6137 | 2.6504 | 2.6825 | 2.6996 | 2.6719 | 2.6565 | 2.6550 | 2.6796 | 2.6641 | 2.6541 | 2.6073 | 2.5989 | 2.5950 | 2.5722 |
,Salmeterol/Fluticasone 50/500 µg b.i.d | 2.4931 | 2.4835 | 2.5035 | 2.5172 | 2.5286 | 2.5398 | 2.5244 | 2.5296 | 2.5164 | 2.4918 | 2.4908 | 2.4841 | 2.5354 | 2.5329 | 2.5133 | 2.4854 | 2.4913 |
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FEV1 AUC 5 Min - 1 h (Day 21) FEV1 AUC 5 Min - 4 h (Day 21) and FEV1 AUC 5 Min - 23 h 45 Min (Day 21)
To evaluate the bronchodilator effect of each dose of QVM149 compared to salmeterol/ fluticasone FDC by measuring standardized FEV1 AUCs after 3 weeks of treatment respective period. (NCT03063086)
Timeframe: 3 weeks
Intervention | Liters (Least Squares Mean) |
---|
| FEV1 AUC 5 min - 1 h | FEV1 AUC 5 min - 4 h | FEV1 AUC 5 min - 23 h 45 min |
---|
QVM149 150/50/160 μg o.d. | 2.673 | 2.687 | 2.677 |
,QVM149 150/50/80 μg o.d. | 2.644 | 2.669 | 2.652 |
,Salmeterol/Fluticasone 50/500 µg b.i.d | 2.513 | 2.510 | 2.515 |
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Trough FEV1 After 21 Days of Treatment
To evaluate post-dose trough bronchodilator effect of each dose of QVM149 compared to salmeterol/fluticasone FDC after 3 weeks of treatment in the respective treatment period. The trough FEV1 is the mean value of FEV1 at 23 h 15 min and 23 h 45 min post-dose (NCT03063086)
Timeframe: 3 weeks
Intervention | Liters (Least Squares Mean) |
---|
QVM149 150/50/160 μg o.d. | 2.623 |
QVM149 150/50/80 μg o.d. | 2.6046 |
Salmeterol/Fluticasone 50/500 µg b.i.d | 2.4998 |
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Peak FEV1 (L) Defined as the Highest Bronchodilatory Effect on FEV1 During a Period of 5 Min to 4 h After the Last Evening Dose of Each Treatment Period
The highest bronchodilator effect on FEV1 during a period of 5 min to 4 h after the last evening dose of each treatment period . To demonstrate superiority in peak bronchodilator effect of QVM149 at a dose of 150/50/160 μg o.d. and 150/50/80 μg o.d. compared to a FDC of salmeterol/fluticasone at a dose of 50/500 μg b.i.d. after 3 weeks of treatment in patients with asthma (NCT03063086)
Timeframe: 3 weeks
Intervention | Liters (Least Squares Mean) |
---|
QVM149 150/50/160 μg o.d. | 2.792 |
QVM149 150/50/80 μg o.d. | 2.779 |
Salmeterol/Fluticasone 50/500 µg b.i.d | 2.620 |
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Change From Baseline in Forced Vital Capacity (FVC)
FVC is the total volume of air exhaled during a expiratory maneuvre. It was assessed by performing a spirometry assessment. (NCT03158311)
Timeframe: Baseline, Week 8, Week 16 and Week 24
Intervention | Litre (L) (Least Squares Mean) |
---|
| Week 8 | Week 16 | Week 24 |
---|
QVM149 150/50/160 μg | 0.272 | 0.275 | 0.280 |
,QVM149 150/50/80 μg | 0.216 | 0.221 | 0.214 |
,Salmeterol/Fluticasone 50/500 μg Plus Tiotropium 5 μg | 0.219 | 0.217 | 0.186 |
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Change From Baseline in Forced Expiratory Flow Between 25% and 75% of Forced Vital Capacity (FEF25-75)
Forced expiratory flow during the mid (25 - 75%) portion of the FVC. It was assessed by performing spirometric assessment. (NCT03158311)
Timeframe: Baseline, Week 8, Week 16 and Week 24
Intervention | Litres/second (L/s) (Least Squares Mean) |
---|
| Week 8 | Week 16 | Week 24 |
---|
QVM149 150/50/160 μg | 0.332 | 0.355 | 0.375 |
,QVM149 150/50/80 μg | 0.290 | 0.291 | 0.290 |
,Salmeterol/Fluticasone 50/500 μg Plus Tiotropium 5 μg | 0.270 | 0.297 | 0.286 |
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Change From Baseline in Asthma Control Questionnaire (ACQ-7) Total Score
The ACQ-7 measured asthma symptom control and consists of 7 items: 5 on symptom assessment, 1 on rescue medication use and 1 on airway calibre (FEV1 % predicted). All seven items are scored on a 7-point Likert scale, with 0 indicating total control and 6 indicating poor control. The questions are equally weighted and the total score is the mean of the seven items. Higher score indicates worst symptoms. The first 6 questions of the ACQ-7 were completed by the participant while the last question was completed by the study investigator using data from the Master Scope spirometer. A negative change from baseline indicates improvement in lung function. (NCT03158311)
Timeframe: Baseline, Week 16 and Week 24
Intervention | Score on a scale (Least Squares Mean) |
---|
| Week 16 | Week 24 |
---|
QVM149 150/50/160 μg | -1.098 | -1.172 |
,QVM149 150/50/80 μg | -1.043 | -1.080 |
,Salmeterol/Fluticasone 50/500 μg Plus Tiotropium 5 μg | -1.020 | -1.048 |
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Percentage of Patients Achieving the Minimally Clinically Important Difference (MCID) Decrease From Baseline ACQ-7 ≥ 0.5
The ACQ-7 measured asthma symptom control and consists of 7 items: 5 on symptom assessment, 1 on rescue medication use and 1 on airway calibre (FEV1 % predicted). All seven items are scored on a 7-point Likert scale, with 0 indicating total control and 6 indicating poor control. The questions are equally weighted and the total score is the mean of the seven items. Higher score indicates worst symptoms. The first 6 questions of the ACQ-7 were completed by the participant while the last question was completed by the study investigator using data from the Master Scope spirometer. A negative change from baseline indicates improvement in lung function. Decrease of ACQ-7 score of at least 0.5 from baseline was considered clinically meaningful. (NCT03158311)
Timeframe: Baseline and Week 24
Intervention | Participants (Count of Participants) |
---|
QVM149 150/50/80 μg | 393 |
QVM149 150/50/160 μg | 387 |
Salmeterol/Fluticasone 50/500 μg Plus Tiotropium 5 μg | 375 |
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Percentage of Patients Achieving the Minimally Clinically Important Difference (MCID) Change From Baseline AQLQ ≥ 0.5
The AQLQ is a 32-item asthma specific questionnaire designed to measure functional impairments that are most important to patients with asthma, with a recall time of two weeks and each question to be answered on a 7-point scale, where 1=totally limited/problems all the time and 7= not at all limited/no problems. It consists of 4 domains: symptoms, activity limitation, emotional function and environmental stimuli. The overall score is calculated as the mean of 32 items. Higher AQLQ scores indicate better health-related quality of life. An improvement of 0.5 points in AQLQ score is considered to be the minimally clinically important difference in asthma. (NCT03158311)
Timeframe: Baseline and Week 24
Intervention | Participants (Count of Participants) |
---|
QVM149 150/50/80 μg | 318 |
QVM149 150/50/160 μg | 333 |
Salmeterol/Fluticasone 50/500 μg Plus Tiotropium 5 μg | 299 |
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Change From Baseline in Asthma Quality of Life Questionnaire (AQLQ) Total Score
The AQLQ is a 32-item asthma specific questionnaire designed to measure functional impairments that are most important to patients with asthma, with a recall time of two weeks and each question to be answered on a 7-point scale, where 1=totally limited/problems all the time and 7= not at all limited/no problems. It consists of 4 domains: symptoms, activity limitation, emotional funtion, and emotional stimuli. The overall score is calculated as the mean of 32 items. Higher AQLQ scores indicate better health-related quality of life. (NCT03158311)
Timeframe: Baseline and Week 24
Intervention | Score on a scale (Least Squares Mean) |
---|
QVM149 150/50/80 μg | 0.715 |
QVM149 150/50/160 μg | 0.827 |
Salmeterol/Fluticasone 50/500 μg Plus Tiotropium 5 μg | 0.753 |
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Change From Baseline in AQLQ Total Score
The AQLQ is a 32-item asthma specific questionnaire designed to measure functional impairments that are most important to patients with asthma, with a recall time of two weeks and each question to be answered on a 7-point scale, where 1=totally limited/problems all the time and 7= not at all limited/no problems. It consists of 4 domains: symptoms, activity limitation, emotional function and environmental stimuli. The overall score is calculated as the mean of 32 items. Higher AQLQ scores indicate better health-related quality of life. (NCT03158311)
Timeframe: Baseline and Week 16
Intervention | Score on a scale (Least Squares Mean) |
---|
QVM149 150/50/80 μg | 0.690 |
QVM149 150/50/160 μg | 0.755 |
Salmeterol/Fluticasone 50/500 μg Plus Tiotropium 5 μg | 0.673 |
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Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1)
FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing. Trough FEV1 is the mean of two FEV1 values measures taken 15 minutes (min) and 45 min prior to evening dose. (NCT03158311)
Timeframe: Baseline, Week 8, Week 16 and Week 24
Intervention | Litre (L) (Least Squares Mean) |
---|
| Week 8 | Week 16 | Week 24 |
---|
QVM149 150/50/160 μg | 0.309 | 0.319 | 0.334 |
,QVM149 150/50/80 μg | 0.246 | 0.251 | 0.248 |
,Salmeterol/Fluticasone 50/500 μg Plus Tiotropium 5 μg | 0.243 | 0.253 | 0.238 |
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Percentage of Subjects With Mean 7-day EEsAI Total Score <20
"Percentage of subjects with mean 7-day EEsAI total score <20 to those assessed at Weeks 12, 26 and 52.~Eosinophilic Esophagitis Activity Index Total Score: 0 (best) to 100 (worst) based on the sum of the categorized subscores for frequency of trouble swallowing [never (0), 1-3x (15) or 4-6x (27) per week]; duration of trouble swallowing [<= 5 min (0), >5 min (6)]; pain when swallowing [no (0), yes (15)]; Visual Dysphagia Question score [0 (best),12,19,21, or 23 (worst)]; avoidance modification and slow eating score [0 (best), 9, or 25 (worst)].~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect change from baseline global EOE symptom score following 12 or 38 weeks of treatment" (NCT03191864)
Timeframe: Weeks 12, 26, and 52
Intervention | Participants (Count of Participants) |
---|
| Week 12 EEsAI Total Score <20 | Week 26 EEsAI Total Score <20 | Week 52 EEsAI Total Score <20 |
---|
APT-1011 1.5 mg HS | 4 | 3 | 3 |
,APT-1011 3 mg BID | 5 | 7 | 10 |
,APT-1011 3 mg HS | 6 | 7 | 7 |
,APT-1011 1.5 mg BID | 1 | 5 | 7 |
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Percentage of Subjects With Mean 7-day EEsAI Total Score <20
"Percentage of subjects with mean 7-day EEsAI total score <20 to those assessed at Weeks 12, 26 and 52.~Eosinophilic Esophagitis Activity Index Total Score: 0 (best) to 100 (worst) based on the sum of the categorized subscores for frequency of trouble swallowing [never (0), 1-3x (15) or 4-6x (27) per week]; duration of trouble swallowing [<= 5 min (0), >5 min (6)]; pain when swallowing [no (0), yes (15)]; Visual Dysphagia Question score [0 (best),12,19,21, or 23 (worst)]; avoidance modification and slow eating score [0 (best), 9, or 25 (worst)].~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect change from baseline global EOE symptom score following 12 or 38 weeks of treatment" (NCT03191864)
Timeframe: Weeks 12, 26, and 52
Intervention | Participants (Count of Participants) |
---|
| Week 12 EEsAI Total Score <20 |
---|
Placebo BID | 2 |
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Percentage of Subjects With a Peak Eosinophils/HPF Number <1 and <15
"Percentage of subjects with a peak eosinophils/HPF <1 and <15 at Week 12, 26 and 52.~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect peak eosinophils/HPF following 12 or 38 weeks of treatment." (NCT03191864)
Timeframe: Week 12, Week 26, and Week 52
Intervention | Participants (Count of Participants) |
---|
| Week 12 : <1/HPF | Week 12 : <15/HPF |
---|
Placebo BID | 0 | 1 |
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Percentage of Subjects With ≤6 Peak Eosinophils/High-power Field (HPF)
Histology (eosinophils per high power field [HPF]): percentage of subjects with ≤6 PEAK eosinophils/HPF after assessing at least 5-6 biopsies from the proximal and distal esophagus (~3 each) where the HPF area is 235 square microns (40 magnification lens with a 22 mm ocular). (NCT03191864)
Timeframe: Week 12
Intervention | Participants (Count of Participants) |
---|
| Responder | Non-Responder |
---|
APT-1011 1.5 mg BID | 19 | 3 |
,APT-1011 1.5 mg HS | 10 | 11 |
,APT-1011 3 mg BID | 16 | 4 |
,APT-1011 3 mg HS | 14 | 7 |
,Placebo BID | 0 | 19 |
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Percentage of Subjects Who Met the Primary Endpoint at Week 12 and Maintained the Primary Endpoint at Weeks 26 and 52
"Percentage of subjects who entered Part 2 - Maintenance and met the primary endpoint (histology) at Week 12 and maintained the primary endpoint at Week 26 and Week 52.~Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect percentage of subjects who met the primary endpoint following 12 or 38 weeks of treatment." (NCT03191864)
Timeframe: Week 26, and Week 52
Intervention | Participants (Count of Participants) |
---|
| Week 26 Responders | Week 52 Responders |
---|
Non-Responder APT-1011, APT-1011 3mg BID (Part 2) | 7 | 5 |
,Placebo BID, APT-1011 3 mg BID (Part 2) | 12 | 10 |
,Responder APT-1011 1.5 mg BID | 17 | 16 |
,Responder APT-1011 1.5 mg HS | 7 | 3 |
,Responder APT-1011 3 mg BID | 14 | 11 |
,Responder APT-1011 3 mg HS | 11 | 9 |
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Percentage of Subjects Requiring Emergency Endoscopic Food Dis-impaction
"Percentage of subjects requiring emergency endoscopic food dis-impaction by dose before Week 14, between Week 14 and Week 28, and between Week 28 and Week 52.~Note: There were no patients in the placebo group after Week 14." (NCT03191864)
Timeframe: before Week 14, between Week 14 and Week 28, between Week 28 and Week 52
Intervention | Participants (Count of Participants) |
---|
| Before Week 14 | Between Week 14 and Week 28 | Between Week 28 and Week 52 |
---|
APT-1011 1.5 mg BID | 0 | 0 | 0 |
,APT-1011 1.5 mg HS | 0 | 0 | 0 |
,APT-1011 3 mg BID | 0 | 0 | 0 |
,APT-1011 3 mg HS | 0 | 0 | 0 |
,Placebo BID | 0 | 0 | 0 |
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Percentage of Histologic Non-responders by Dose at Weeks 12, 26, and 52
"Percentage of histologic non-responders by dose at Weeks 12, 26, and 52.~Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect non-response following 12 or 38 weeks of treatment." (NCT03191864)
Timeframe: Weeks 12, 26 and 52
Intervention | Participants (Count of Participants) |
---|
| Week 12 | Week 26 | Week 52 |
---|
APT-1011 1.5 mg BID | 2 | 5 | 6 |
,APT-1011 1.5 mg HS | 11 | 11 | 16 |
,APT-1011 3 mg BID | 4 | 5 | 8 |
,APT-1011 3 mg HS | 7 | 7 | 10 |
,Placebo BID | 19 | 7 | 9 |
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Number of Subjects With Oral and Esophageal Candidiasis
"Frequency of oral and esophageal candidiasis.~Note: There were no patients in the placebo group after Week 14." (NCT03191864)
Timeframe: baseline to Week 52
Intervention | Participants (Count of Participants) |
---|
| Oesophageal candidiasis | Oral candidiasis |
---|
APT-1011 1.5 mg BID | 2 | 3 |
,APT-1011 1.5 mg HS | 0 | 0 |
,APT-1011 3 mg BID | 8 | 3 |
,APT-1011 3 mg HS | 0 | 1 |
,Placebo BID | 0 | 0 |
,Single-blind APT-1011 3 mg BID | 1 | 1 |
,Total APT-1011 3 mg BID | 9 | 4 |
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Change in the Number of Dysphagia Episodes
"Change in the number of dysphagia episodes at baseline (14-day period prior to randomization) compared with the 14-day period prior to the time point of interest.~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect the change in the number of dysphagia episodes following 12 or 38 weeks of treatment." (NCT03191864)
Timeframe: Week 12, Week 26 and Week 52
Intervention | change in episodes per 14-day period (Mean) |
---|
| Week 12 Change from Baseline | Week 26 Change from Baseline | Week 52 Change from Baseline |
---|
APT-1011 1.5 mg BID | -4.4 | -10.0 | -13.0 |
,APT-1011 1.5 mg HS | -8.2 | -12.8 | -11.2 |
,APT-1011 3 mg BID | -9.1 | -13.4 | -14.5 |
,APT-1011 3 mg HS | -9.3 | -9.8 | -9.5 |
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Change in the Number of Dysphagia Episodes
"Change in the number of dysphagia episodes at baseline (14-day period prior to randomization) compared with the 14-day period prior to the time point of interest.~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect the change in the number of dysphagia episodes following 12 or 38 weeks of treatment." (NCT03191864)
Timeframe: Week 12, Week 26 and Week 52
Intervention | change in episodes per 14-day period (Mean) |
---|
| Week 12 Change from Baseline |
---|
Placebo BID | -5.5 |
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Change From Baseline Global EoE Symptom Score
"Change from baseline global EOE symptom score assessed prior to randomization to scores for 7-day recall at Week 4, 8, 12, 14, 18, 22, 26, 28, 36, 44, and 52 visits.~Global Eosinophilic Esophagitis Symptom Score: On a scale from 0 (no symptoms) to 10 (most severe symptoms), how severe were your EoE symptoms over the past 7 days? Patients were asked to think of all their symptoms due to EoE and make an overall statement by selecting a number.~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect change from baseline global EOE symptom score following 4, 8, 12, 14, 22, 30 or 38 weeks of treatment." (NCT03191864)
Timeframe: Week 4, 8, 12, 14, 18, 22, 26, 28, 36, 44, and 52
Intervention | units on a scale (Mean) |
---|
| Week 4 Change from Baseline | Week 8 Change from Baseline | Week 12 Change from Baseline |
---|
Placebo BID | -1.0 | -1.4 | -1.7 |
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Change From Baseline Global EoE Symptom Score
"Change from baseline global EOE symptom score assessed prior to randomization to scores for 7-day recall at Week 4, 8, 12, 14, 18, 22, 26, 28, 36, 44, and 52 visits.~Global Eosinophilic Esophagitis Symptom Score: On a scale from 0 (no symptoms) to 10 (most severe symptoms), how severe were your EoE symptoms over the past 7 days? Patients were asked to think of all their symptoms due to EoE and make an overall statement by selecting a number.~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect change from baseline global EOE symptom score following 4, 8, 12, 14, 22, 30 or 38 weeks of treatment." (NCT03191864)
Timeframe: Week 4, 8, 12, 14, 18, 22, 26, 28, 36, 44, and 52
Intervention | units on a scale (Mean) |
---|
| Week 4 Change from Baseline | Week 8 Change from Baseline | Week 12 Change from Baseline | Week 14 Change from Baseline | Week 18 Change from Baseline | Week 22 Change from Baseline | Week 26 Change from Baseline | Week 28 Change from Baseline | Week 36 Change from Baseline | Week 44 Change from Baseline | Week 52 Change from Baseline |
---|
APT-1011 1.5 mg BID | -1.3 | -1.7 | -1.5 | -2.3 | -2.7 | -3.2 | -3.1 | -3.3 | -3.9 | -3.7 | -3.1 |
,APT-1011 1.5 mg HS | -1.8 | -2.6 | -3.1 | -2.7 | -4.1 | -4.0 | -3.8 | -4.3 | -4.2 | -4.8 | -3.3 |
,APT-1011 3 mg BID | -1.6 | -2.1 | -1.7 | -2.8 | -3.1 | -3.0 | -3.8 | -3.9 | -3.9 | -4.4 | -4.7 |
,APT-1011 3 mg HS | -2.5 | -3.1 | -3.1 | -3.9 | -4.1 | -3.8 | -4.0 | -4.8 | -4.8 | -4.4 | -4.2 |
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Change From Baseline Eosinophilic Esophagitis Endoscopic Reference Score (EREFs) at Week 12, 26, and 52
"Endoscopic changes will be assessed as per the EREFs evaluation based on the following endoscopic features: edema [Grade {Gr} 0 (absent) or Gr 1 (present)], strictures [Gr 0 (absent) or Gr 1 (present)], rings [Gr 0 (none), Gr 1 (mild), Gr 2 (moderate), Gr 3 (severe)], exudates [Gr 0 (none), Gr 1 (mild), Gr (severe)], furrows [Gr 0 (none), Gr 1 (mild), Gr 2 (severe)], crepe paper esophagus [Gr 0 (absent) or Gr 1 (present)], narrow caliber esophagus [Gr 0 (absent) or Gr 1 (present)], and esophageal erosions [Normal (0), Gr A (1), Gr B (2), Gr C (3), or Gr D (4)].~EREFs: 0 (best) to 15 (worst) based on the sum of the subscores listed above.~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3 mg BID and results reflect EREF evaluation following 12 or 38 weeks of treatment." (NCT03191864)
Timeframe: Week 12, Week 26, and Week 52
Intervention | units on a scale (Mean) |
---|
| Week 12 Change From Baseline | Week 26 Change From Baseline | Week 52 Change From Baseline |
---|
APT-1011 1.5 mg BID | -2.7 | -3.2 | -3.5 |
,APT-1011 1.5 mg HS | -2.4 | -3.1 | -3.4 |
,APT-1011 3 mg BID | -2.2 | -3.0 | -2.9 |
,APT-1011 3 mg HS | -3.3 | -4.2 | -3.8 |
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Number of Subjects Discontinuing Due to HPA Axis Suppression
"Number of subjects discontinuing due to HPA axis suppression.~Note: There were no patients in the placebo group after Week 14." (NCT03191864)
Timeframe: baseline to Week 52
Intervention | Participants (Count of Participants) |
---|
APT-1011 1.5 mg HS | 0 |
APT-1011 1.5 mg BID | 0 |
APT-1011 3 mg HS | 0 |
APT-1011 3 mg BID | 0 |
Placebo BID | 0 |
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Change From Baseline 7-Day Eosinophilic Esophagitis Activity Index (EEsAI) Total Score
"Change from Baseline 7-Day EEsAI total score assessed prior to randomization and those assessed at Weeks 12, 26 and 52 (Total score 100).~Eosinophilic Esophagitis Activity Index Total Score: 0 (best) to 100 (worst) based on the sum of the categorized subscores for frequency of trouble swallowing [never (0), 1-3x (15) or 4-6x (27) per week]; duration of trouble swallowing [≤5 min (0), >5 min (6)]; pain when swallowing [no (0), yes (15)]; Visual Dysphagia Question score [0 (best),12,19, 21, or 23 (worst)]; avoidance modification and slow eating score [0 (best), 9, or 25 (worst)].~A higher score means a worse outcome.~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect the change from baseline 7-day EEs" (NCT03191864)
Timeframe: Weeks 12, 26 and 52
Intervention | units on a scale (Mean) |
---|
| EEsAI Total Score Week 12 Change from Baseline | EEsAI Total Score Week 26 Change from Baseline | EEsAI Total Score Week 52 Change from Baseline |
---|
APT-1011 1.5 mg BID | -15.6 | -29.6 | -37.4 |
,APT-1011 1.5 mg HS | -20.4 | -25.6 | -39.8 |
,APT-1011 3 mg BID | -22.6 | -34.6 | -41.1 |
,APT-1011 3 mg HS | -22.7 | -28.8 | -37.0 |
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Change From Baseline 7-Day Eosinophilic Esophagitis Activity Index (EEsAI) Total Score
"Change from Baseline 7-Day EEsAI total score assessed prior to randomization and those assessed at Weeks 12, 26 and 52 (Total score 100).~Eosinophilic Esophagitis Activity Index Total Score: 0 (best) to 100 (worst) based on the sum of the categorized subscores for frequency of trouble swallowing [never (0), 1-3x (15) or 4-6x (27) per week]; duration of trouble swallowing [≤5 min (0), >5 min (6)]; pain when swallowing [no (0), yes (15)]; Visual Dysphagia Question score [0 (best),12,19, 21, or 23 (worst)]; avoidance modification and slow eating score [0 (best), 9, or 25 (worst)].~A higher score means a worse outcome.~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect the change from baseline 7-day EEs" (NCT03191864)
Timeframe: Weeks 12, 26 and 52
Intervention | units on a scale (Mean) |
---|
| EEsAI Total Score Week 12 Change from Baseline |
---|
Placebo BID | -9.6 |
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Number of Subjects With Treatment-Emergent Adverse Events Leading to Study Discontinuation in Part 1
Number of Subjects With Treatment-Emergent Adverse Events (TEAEs) Leading to Study Discontinuation in Part 1. (NCT03191864)
Timeframe: baseline to Week 12
Intervention | Participants (Count of Participants) |
---|
APT-1011 1.5 mg HS | 0 |
APT-1011 1.5 mg BID | 2 |
APT-1011 3 mg HS | 0 |
APT-1011 3 mg BID | 1 |
Placebo BID | 2 |
Total APT-1011 3 mg BID | 3 |
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Number of Subjects With Treatment-Emergent Adverse Events Leading to Study Discontinuation in Part 2
Number of Subjects With Treatment-Emergent Adverse Events (TEAEs) Leading to Study Discontinuation in Part 2. (NCT03191864)
Timeframe: Week 12 to 52
Intervention | Participants (Count of Participants) |
---|
APT-1011 1.5 mg HS | 1 |
APT-1011 1.5 mg BID | 0 |
APT-1011 3 mg HS | 0 |
APT-1011 3 mg BID | 0 |
Single-blind APT-1011 3mg BID | 0 |
Total APT-1011 3 mg BID | 0 |
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Change From Baseline PGIS for Difficulty With Food or Pills Going Down as Assessed Prior to Randomization Post-Baseline Visit
"Change From Baseline PGIS for Difficulty with Food or Pills Going Down as Assessed Prior to Randomization at Weeks 4, 8, 12, 14, 18, 22, 26, 28, 36, 44, and 52.~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect change from baseline PGIS for difficulty with food or pills going down following 4, 8, 12, 14, 22, 30 or 38 weeks of treatment." (NCT03191864)
Timeframe: Weeks 4, 8, 12, 14, 18, 22, 26, 28, 36, 44, and 52
Intervention | Participants (Count of Participants) | Participants (Count of Participants) |
---|
| Week 472282430 | Week 472282431 | Week 472282429 | Week 472282433 | Week 472282432 | Week 872282429 | Week 872282430 | Week 872282432 | Week 872282431 | Week 872282433 | Week 1272282433 | Week 1272282432 | Week 1272282429 | Week 1272282430 | Week 1272282431 | Week 1472282431 | Week 1472282429 | Week 1472282432 | Week 1472282430 | Week 1872282432 | Week 1872282430 | Week 1872282429 | Week 1872282431 | Week 2272282431 | Week 2272282429 | Week 2272282430 | Week 2272282432 | Week 2672282431 | Week 2672282432 | Week 2672282429 | Week 2672282430 | Week 2872282432 | Week 2872282430 | Week 2872282431 | Week 2872282429 | Week 3672282431 | Week 3672282429 | Week 3672282430 | Week 3672282432 | Week 4472282430 | Week 4472282429 | Week 4472282432 | Week 4472282431 | Week 5272282430 | Week 5272282429 | Week 5272282431 | Week 5272282432 |
---|
| Mild to None | Mild to Mild | Mild to Moderate | Mild to Severe | Mild to Very Severe | Moderate to None | Moderate to Mild | Moderate to Moderate | Moderate to Severe | Moderate to Very Severe | Severe to None | Severe to Mild | Severe to Moderate | Severe to Severe | Severe to Very Severe | Very Severe to None | Very Severe to Mild | Very Severe to Moderate | Very Severe to Severe | Very Severe to Very Severe |
---|
APT-1011 3 mg HS | 6 |
APT-1011 1.5 mg HS | 6 |
APT-1011 3 mg BID | 7 |
Placebo BID | 5 |
APT-1011 1.5 mg HS | 5 |
Placebo BID | 4 |
APT-1011 1.5 mg BID | 1 |
APT-1011 3 mg HS | 2 |
Placebo BID | 2 |
APT-1011 1.5 mg HS | 8 |
APT-1011 1.5 mg BID | 5 |
APT-1011 3 mg HS | 5 |
APT-1011 3 mg BID | 5 |
Placebo BID | 6 |
APT-1011 1.5 mg BID | 6 |
APT-1011 3 mg HS | 4 |
APT-1011 3 mg BID | 4 |
APT-1011 3 mg BID | 0 |
APT-1011 3 mg BID | 1 |
APT-1011 3 mg BID | 2 |
Placebo BID | 1 |
APT-1011 1.5 mg BID | 7 |
APT-1011 3 mg BID | 3 |
Placebo BID | 3 |
APT-1011 3 mg HS | 1 |
APT-1011 3 mg HS | 0 |
Placebo BID | 0 |
APT-1011 1.5 mg HS | 2 |
APT-1011 1.5 mg HS | 4 |
APT-1011 1.5 mg HS | 3 |
APT-1011 1.5 mg HS | 1 |
APT-1011 1.5 mg HS | 7 |
APT-1011 1.5 mg BID | 0 |
APT-1011 1.5 mg HS | 0 |
APT-1011 3 mg HS | 3 |
APT-1011 1.5 mg BID | 2 |
APT-1011 3 mg BID | 6 |
APT-1011 1.5 mg BID | 4 |
APT-1011 1.5 mg BID | 3 |
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Change From Baseline PGIC of Difficulty With Food or Pills as Assessed Prior to Randomization Post-Baseline Visit
"Change From Baseline PGIC of Difficulty with Food or Pills as Assessed Prior to Randomization at Weeks 4, 8, 12, 14, 18, 22, 26, 28, 36, 44, and 52.~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect change from baseline PGIC of difficulty with food or pills following 4, 8, 12, 14, 22, 30 or 38 weeks of treatment." (NCT03191864)
Timeframe: Weeks 4, 8, 12, 14, 18, 22, 26, 36, 44, and 52
Intervention | Participants (Count of Participants) | Participants (Count of Participants) |
---|
| Week 472282431 | Week 472282429 | Week 472282430 | Week 472282432 | Week 472282433 | Week 872282429 | Week 872282430 | Week 872282432 | Week 872282433 | Week 872282431 | Week 1272282430 | Week 1272282431 | Week 1272282432 | Week 1272282433 | Week 1272282429 | Week 1472282429 | Week 1472282430 | Week 1472282432 | Week 1472282431 | Week 1872282431 | Week 1872282432 | Week 1872282429 | Week 1872282430 | Week 2272282429 | Week 2272282431 | Week 2272282432 | Week 2272282430 | Week 2672282430 | Week 2672282431 | Week 2672282432 | Week 2672282429 | Week 2872282429 | Week 2872282430 | Week 2872282432 | Week 2872282431 | Week 3672282429 | Week 3672282431 | Week 3672282432 | Week 3672282430 | Week 4472282429 | Week 4472282430 | Week 4472282432 | Week 4472282431 | Week 5272282429 | Week 5272282430 | Week 5272282431 | Week 5272282432 |
---|
| Much Worse | Moderately Worse | A Little Worse | Stayed the Same | A Little Improved | Moderately Improved | Much Improved |
---|
Placebo BID | 1 |
APT-1011 3 mg HS | 4 |
Placebo BID | 5 |
APT-1011 1.5 mg HS | 8 |
APT-1011 1.5 mg BID | 10 |
Placebo BID | 7 |
APT-1011 3 mg HS | 6 |
Placebo BID | 4 |
APT-1011 3 mg HS | 5 |
APT-1011 3 mg HS | 3 |
APT-1011 1.5 mg BID | 0 |
APT-1011 3 mg BID | 0 |
Placebo BID | 0 |
APT-1011 3 mg BID | 1 |
APT-1011 3 mg HS | 2 |
APT-1011 1.5 mg BID | 4 |
APT-1011 3 mg BID | 3 |
Placebo BID | 3 |
APT-1011 1.5 mg HS | 5 |
APT-1011 1.5 mg BID | 5 |
APT-1011 3 mg BID | 5 |
Placebo BID | 6 |
APT-1011 1.5 mg HS | 6 |
APT-1011 1.5 mg BID | 9 |
APT-1011 3 mg HS | 9 |
APT-1011 3 mg BID | 6 |
Placebo BID | 2 |
APT-1011 1.5 mg HS | 3 |
APT-1011 1.5 mg BID | 3 |
APT-1011 3 mg BID | 4 |
APT-1011 1.5 mg HS | 4 |
APT-1011 1.5 mg BID | 8 |
APT-1011 1.5 mg BID | 1 |
APT-1011 1.5 mg HS | 1 |
APT-1011 3 mg BID | 2 |
APT-1011 1.5 mg HS | 2 |
APT-1011 3 mg BID | 7 |
APT-1011 1.5 mg HS | 0 |
APT-1011 1.5 mg BID | 2 |
APT-1011 3 mg HS | 7 |
APT-1011 3 mg BID | 9 |
APT-1011 1.5 mg BID | 12 |
APT-1011 3 mg BID | 10 |
APT-1011 1.5 mg BID | 11 |
APT-1011 3 mg HS | 10 |
APT-1011 1.5 mg BID | 13 |
APT-1011 3 mg HS | 0 |
APT-1011 3 mg HS | 1 |
APT-1011 3 mg HS | 8 |
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Change From Baseline Eosinophilic Esophagitis Endoscopic Reference Score (EREFs) at Week 12, 26, and 52
"Endoscopic changes will be assessed as per the EREFs evaluation based on the following endoscopic features: edema [Grade {Gr} 0 (absent) or Gr 1 (present)], strictures [Gr 0 (absent) or Gr 1 (present)], rings [Gr 0 (none), Gr 1 (mild), Gr 2 (moderate), Gr 3 (severe)], exudates [Gr 0 (none), Gr 1 (mild), Gr (severe)], furrows [Gr 0 (none), Gr 1 (mild), Gr 2 (severe)], crepe paper esophagus [Gr 0 (absent) or Gr 1 (present)], narrow caliber esophagus [Gr 0 (absent) or Gr 1 (present)], and esophageal erosions [Normal (0), Gr A (1), Gr B (2), Gr C (3), or Gr D (4)].~EREFs: 0 (best) to 15 (worst) based on the sum of the subscores listed above.~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3 mg BID and results reflect EREF evaluation following 12 or 38 weeks of treatment." (NCT03191864)
Timeframe: Week 12, Week 26, and Week 52
Intervention | units on a scale (Mean) |
---|
| Week 12 Change From Baseline |
---|
Placebo BID | -0.9 |
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Change From Baseline 7-Day Eosinophilic Esophagitis Activity Index (EEsAI) Subscores
"The Avoidance, Modification and Slow Eating (AMS) Score and Visual Dysphagia Question (VDQ) Score are components of the EEsAI.~AMS: Answers to three items determining the pattern of behavioral adaptation were scored for each food consistency consumed by the subject (avoidance, modification, and eating slowly). The AMS score ranges from 0 (best) to 25 (worst).~VDG: The degree of perceived difficulty when eating 8 different food consistencies was assessed. The VDQ score ranges from 0 (best) to 23 (worst).~A higher score for either subscore means a worse outcome. Negative change from baseline represents a worsening in quality of life for the total score or subscore.~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect change from baseline." (NCT03191864)
Timeframe: Weeks 12, 26 and 52
Intervention | units on a scale (Mean) |
---|
| VDQ Score Week 12 Change from Baseline | AMS Score Week 12 Change from Baseline |
---|
Placebo BID | -2.7 | 1.5 |
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Percentage of Subjects Requiring Esophageal Dilation
"Percentage of subjects requiring esophageal dilation by dosing group and part of the study.~Note: There were no patients in the placebo group after Week 14." (NCT03191864)
Timeframe: baseline to Week 52
Intervention | Participants (Count of Participants) |
---|
APT-1011 1.5 mg HS | 0 |
APT-1011 1.5 mg BID | 0 |
APT-1011 3 mg HS | 0 |
APT-1011 3 mg BID | 0 |
Placebo BID | 0 |
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Percentage of Subjects With a Peak Eosinophils/HPF Number <1 and <15
"Percentage of subjects with a peak eosinophils/HPF <1 and <15 at Week 12, 26 and 52.~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect peak eosinophils/HPF following 12 or 38 weeks of treatment." (NCT03191864)
Timeframe: Week 12, Week 26, and Week 52
Intervention | Participants (Count of Participants) |
---|
| Week 12 : <1/HPF | Week 12 : <15/HPF | Week 26 : <1/HPF | Week 26 : <15/HPF | Week 52 : <1/HPF | Week 52 : <15/HPF |
---|
APT-1011 1.5 mg BID | 14 | 19 | 15 | 18 | 12 | 17 |
,APT-1011 1.5 mg HS | 7 | 12 | 4 | 8 | 1 | 3 |
,APT-1011 3 mg BID | 15 | 16 | 13 | 14 | 10 | 12 |
,APT-1011 3 mg HS | 12 | 15 | 9 | 12 | 7 | 10 |
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Change From Baseline Patient Global Impression of Severity (PGIS) for EoE Symptoms as Assessed Prior to Randomization Post-Baseline Visit
"Change From Baseline PGIS for EoE Symptoms as Assessed Prior to Randomization at Weeks 4, 8, 12, 14, 18, 22, 26, 28, 36, 44, and 52.~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect change from baseline global EOE symptoms following 4, 8, 12, 14, 22, 30 or 38 weeks of treatment." (NCT03191864)
Timeframe: Weeks 4, 8, 12, 14, 18, 22, 26, 28, 36, 44, and 52
Intervention | Participants (Count of Participants) | Participants (Count of Participants) |
---|
| Week 472282429 | Week 472282431 | Week 472282433 | Week 472282430 | Week 472282432 | Week 872282429 | Week 872282431 | Week 872282433 | Week 872282430 | Week 872282432 | Week 1272282433 | Week 1272282430 | Week 1272282431 | Week 1272282429 | Week 1272282432 | Week 1472282430 | Week 1472282431 | Week 1472282432 | Week 1472282429 | Week 1872282431 | Week 1872282432 | Week 1872282430 | Week 1872282429 | Week 2272282432 | Week 2272282429 | Week 2272282431 | Week 2272282430 | Week 2672282430 | Week 2672282429 | Week 2672282432 | Week 2672282431 | Week 2872282429 | Week 2872282431 | Week 2872282432 | Week 2872282430 | Week 3672282431 | Week 3672282430 | Week 3672282429 | Week 3672282432 | Week 4472282431 | Week 4472282430 | Week 4472282432 | Week 4472282429 | Week 5272282430 | Week 5272282431 | Week 5272282432 | Week 5272282429 |
---|
| Mild to Very Severe | Moderate to None | Mild to None | Mild to Mild | Mild to Moderate | Mild to Severe | Moderate to Mild | Moderate to Moderate | Moderate to Severe | Moderate to Very Severe | Severe to None | Severe to Mild | Severe to Moderate | Severe to Severe | Severe to Very Severe | Very Severe to None | Very Severe to Mild | Very Severe to Moderate | Very Severe to Severe | Very Severe to Very Severe |
---|
APT-1011 3 mg BID | 6 |
Placebo BID | 5 |
APT-1011 1.5 mg HS | 5 |
APT-1011 3 mg BID | 7 |
Placebo BID | 2 |
APT-1011 1.5 mg HS | 1 |
APT-1011 1.5 mg HS | 8 |
Placebo BID | 7 |
APT-1011 1.5 mg HS | 3 |
APT-1011 1.5 mg BID | 6 |
Placebo BID | 0 |
APT-1011 3 mg HS | 5 |
Placebo BID | 1 |
APT-1011 1.5 mg HS | 10 |
Placebo BID | 6 |
APT-1011 3 mg HS | 3 |
Placebo BID | 3 |
APT-1011 1.5 mg BID | 4 |
APT-1011 3 mg HS | 4 |
Placebo BID | 4 |
APT-1011 3 mg HS | 1 |
APT-1011 3 mg HS | 0 |
APT-1011 1.5 mg HS | 7 |
APT-1011 1.5 mg BID | 5 |
APT-1011 1.5 mg BID | 9 |
APT-1011 3 mg HS | 2 |
APT-1011 3 mg BID | 0 |
APT-1011 3 mg BID | 4 |
APT-1011 1.5 mg HS | 6 |
APT-1011 1.5 mg BID | 3 |
APT-1011 1.5 mg HS | 0 |
APT-1011 1.5 mg BID | 8 |
APT-1011 3 mg BID | 5 |
APT-1011 3 mg BID | 2 |
APT-1011 3 mg BID | 1 |
APT-1011 1.5 mg BID | 1 |
APT-1011 1.5 mg BID | 7 |
APT-1011 1.5 mg BID | 2 |
APT-1011 3 mg BID | 3 |
APT-1011 1.5 mg BID | 0 |
APT-1011 1.5 mg HS | 4 |
APT-1011 1.5 mg HS | 2 |
APT-1011 3 mg BID | 8 |
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Change From Baseline Patient Global Impression of Change (PGIC) for EoE Symptoms as Assessed Prior to Randomization Post-Baseline Visit
"Change From Baseline PGIC for EoE Symptoms as Assessed Prior to Randomization at Weeks 4, 8, 12, 14, 18, 22, 26, 28, 36, 44, and 52.~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect change from baseline PGIC for EoE symptoms following 4, 8, 12, 14, 22, 30 or 38 weeks of treatment." (NCT03191864)
Timeframe: Weeks 4, 8, 12, 14, 18, 22, 26, 36, 44, and 52
Intervention | Participants (Count of Participants) | Participants (Count of Participants) |
---|
| Week 472282429 | Week 472282430 | Week 472282433 | Week 472282431 | Week 472282432 | Week 872282429 | Week 872282431 | Week 872282432 | Week 872282433 | Week 872282430 | Week 1272282431 | Week 1272282433 | Week 1272282429 | Week 1272282430 | Week 1272282432 | Week 1472282429 | Week 1472282430 | Week 1472282431 | Week 1472282432 | Week 1872282429 | Week 1872282430 | Week 1872282431 | Week 1872282432 | Week 2272282429 | Week 2272282430 | Week 2272282431 | Week 2272282432 | Week 2672282431 | Week 2672282429 | Week 2672282430 | Week 2672282432 | Week 2872282429 | Week 2872282431 | Week 2872282430 | Week 2872282432 | Week 3672282429 | Week 3672282430 | Week 3672282432 | Week 3672282431 | Week 4472282432 | Week 4472282429 | Week 4472282430 | Week 4472282431 | Week 5272282432 | Week 5272282429 | Week 5272282430 | Week 5272282431 |
---|
| A Little Worse | Stayed the Same | A Little Improved | Moderately Improved | Much Worse | Moderately Worse | Much Improved |
---|
APT-1011 3 mg BID | 0 |
Placebo BID | 1 |
APT-1011 3 mg HS | 1 |
APT-1011 3 mg HS | 4 |
Placebo BID | 6 |
APT-1011 1.5 mg HS | 9 |
APT-1011 3 mg HS | 6 |
APT-1011 1.5 mg HS | 0 |
APT-1011 1.5 mg BID | 0 |
APT-1011 1.5 mg HS | 1 |
APT-1011 1.5 mg HS | 2 |
APT-1011 1.5 mg BID | 3 |
Placebo BID | 3 |
APT-1011 1.5 mg HS | 4 |
APT-1011 1.5 mg BID | 9 |
APT-1011 3 mg HS | 5 |
APT-1011 3 mg BID | 7 |
APT-1011 1.5 mg HS | 7 |
APT-1011 1.5 mg BID | 4 |
Placebo BID | 5 |
APT-1011 1.5 mg HS | 3 |
APT-1011 1.5 mg BID | 6 |
Placebo BID | 0 |
Placebo BID | 4 |
Placebo BID | 2 |
APT-1011 1.5 mg HS | 5 |
APT-1011 1.5 mg BID | 5 |
Placebo BID | 8 |
APT-1011 1.5 mg HS | 6 |
APT-1011 1.5 mg BID | 8 |
APT-1011 3 mg BID | 6 |
APT-1011 3 mg BID | 5 |
APT-1011 3 mg HS | 3 |
APT-1011 3 mg HS | 7 |
APT-1011 3 mg BID | 8 |
APT-1011 3 mg HS | 2 |
APT-1011 3 mg BID | 1 |
APT-1011 3 mg BID | 4 |
APT-1011 1.5 mg BID | 13 |
APT-1011 3 mg HS | 9 |
APT-1011 1.5 mg BID | 11 |
APT-1011 3 mg HS | 8 |
APT-1011 3 mg BID | 10 |
APT-1011 3 mg BID | 3 |
APT-1011 3 mg HS | 0 |
APT-1011 1.5 mg BID | 14 |
APT-1011 3 mg HS | 10 |
APT-1011 3 mg BID | 9 |
APT-1011 1.5 mg BID | 2 |
APT-1011 1.5 mg BID | 12 |
APT-1011 1.5 mg BID | 1 |
APT-1011 3 mg BID | 2 |
APT-1011 1.5 mg BID | 10 |
APT-1011 3 mg BID | 11 |
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Percentage of Subjects With Serum Cortisol Level ≤5 μg/dL or Abnormal Adrenocorticotropic Hormone (ACTH) Stimulation Test
"Percentage of subjects with serum cortisol level ≤5 μg/dL (≤138 nmol/L) or abnormal adrenocorticotropic hormone (ACTH) stimulation test (serum cortisol <16 μg/dL [≤440 nmol/L] at 60 minutes).~Population used are those who entered Part 2 - Maintenance. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint." (NCT03191864)
Timeframe: Week 12 to 52
Intervention | Participants (Count of Participants) |
---|
| Serum cortisol level <=5 ug/dL (<=138 mmol/L) | Abnormal ACTH stimulation test result serum cortisol level <16ug/Dl (<=440 nmol/L) |
---|
APT-1011 1.5 mg BID | 1 | 2 |
,APT-1011 1.5 mg HS | 4 | 0 |
,APT-1011 3 mg BID | 6 | 4 |
,APT-1011 3 mg HS | 4 | 1 |
,Placebo BID | 0 | 0 |
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Change From Baseline 7-Day Eosinophilic Esophagitis Activity Index (EEsAI) Subscores
"The Avoidance, Modification and Slow Eating (AMS) Score and Visual Dysphagia Question (VDQ) Score are components of the EEsAI.~AMS: Answers to three items determining the pattern of behavioral adaptation were scored for each food consistency consumed by the subject (avoidance, modification, and eating slowly). The AMS score ranges from 0 (best) to 25 (worst).~VDG: The degree of perceived difficulty when eating 8 different food consistencies was assessed. The VDQ score ranges from 0 (best) to 23 (worst).~A higher score for either subscore means a worse outcome. Negative change from baseline represents a worsening in quality of life for the total score or subscore.~Population used are those who entered Part 1 - Induction. The number of participants analyzed for each timepoint reflect the actual number of participants with data at that timepoint. Note: Following Week 14, all patients in the placebo group were given APT-1011 3mg BID and results reflect change from baseline." (NCT03191864)
Timeframe: Weeks 12, 26 and 52
Intervention | units on a scale (Mean) |
---|
| VDQ Score Week 12 Change from Baseline | VDQ Score Week 26 Change from Baseline | VDQ Score Week 52 Change from Baseline | AMS Score Week 12 Change from Baseline | AMS Score Week 26 Change from Baseline | AMS Score Week 52 Change from Baseline |
---|
APT-1011 1.5 mg HS | -3.9 | -3.1 | -9.4 | 0.0 | 0.0 | 0.0 |
,APT-1011 3 mg BID | -4.1 | -7.7 | -9.6 | -1.3 | -3.3 | -2.6 |
,APT-1011 3 mg HS | -5.0 | -6.8 | -12.6 | -1.4 | -0.7 | -0.8 |
,APT-1011 1.5 mg BID | -2.5 | -6.8 | -9.4 | -3.0 | -2.2 | -3.5 |
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Change Between Pre-dose and Post-dose of QRS Axis
Triplicate 12-lead ECGs were recorded pre-dose and post-dose with participant in semi-supine position after 5 minutes rest. At each time point ECG was taken using an ECG machine that automatically measures QRS axis. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 0, 4, 8 and 12
Intervention | Degrees (Mean) |
---|
| Week0; n=80, 80 | Week4; n=48, 59 | Week8; n=33, 47 | Week12; n=24, 39 |
---|
GSK3772847 | 1.9 | -0.9 | -0.2 | 2.8 |
,Placebo | -0.8 | -0.3 | 1.2 | -1.6 |
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Change From Baseline Between Post-dose and Pre-dose in DBP and SBP
DBP and SBP was measured pre-dose and post-dose in semi-supine position after 5 minutes rest. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 0, 4, 8 and 12
Intervention | mmHg (Mean) |
---|
| SBP: Week0; n=82, 83 | SBP: Week4; n=48, 59 | SBP: Week8; n=34, 47 | SBP: Week12; n=24, 39 | DBP: Week0; n=82, 83 | DBP: Week4; n=48, 59 | DBP: Week8; n=34, 47 | DBP: Week12; n=24, 39 |
---|
GSK3772847 | 1.3 | 2.4 | 1.9 | 1.8 | -0.3 | -0.1 | 0.8 | -1.1 |
,Placebo | -2.0 | -0.4 | -0.8 | -0.9 | -0.7 | 0.4 | 0.2 | -0.3 |
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Change From Baseline Between Post-dose and Pre-dose in Pulse Rate
Pulse rate was measured pre-dose and post-dose in semi-supine position after 5 minutes rest. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 0, 4, 8 and 12
Intervention | Beats per minute (Mean) |
---|
| Week0; n=82, 83 | Week4; n=48, 59 | Week8; n=34, 47 | Week12; n=24, 39 |
---|
GSK3772847 | -0.1 | -1.1 | -1.6 | -2.9 |
,Placebo | -2.2 | -1.6 | -0.5 | -2.0 |
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Change From Baseline in Asthma Control Questionnaire (ACQ-5) Total Score
ACQ-5 is a five-item, self-completed questionnaire, which measures asthma control of a participant. The five questions (concerning nocturnal awakening, waking in the morning, activity limitation, shortness of breath & wheeze) enquire about the frequency &/or severity of symptoms over the previous week. The response options range from zero (no impairment/limitation) to six (total impairment/limitation) scale. ACQ-5 score ranges from 0 (totally controlled) to 6 (severely uncontrolled). Higher score indicate lower asthma control. Baseline is the latest available assessment prior to first dose (Day 1). Change from Baseline was calculated by subtracting Baseline value from the specified time point value. Data is presented for primary estimand which includes all data collected, except for data collected after the date of loss of asthma control or early withdrawal from study treatment. (NCT03207243)
Timeframe: Baseline and Weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15 and Week 16
Intervention | Scores on a scale (Mean) |
---|
| Week1; n=72, 73 | Week2; n=67, 68 | Week3; n=61, 61 | Week4; n=54, 59 | Week5; n= 42, 52 | Week6; n=40, 48 | Week7; n=34, 46 | Week8; n=33, 44 | Week9; n=30, 42 | Week10; n=29, 41 | Week11; n=22, 38 | Week12; n=23, 38 | Week13; n=17,32 | Week14; n=17, 31 | Week15; n=17, 27 | Week16; n=12, 21 |
---|
GSK3772847 | -0.48 | -0.74 | -0.78 | -0.79 | -0.78 | -0.93 | -0.93 | -1.00 | -0.97 | -0.99 | -1.07 | -1.16 | -1.06 | -1.14 | -1.21 | -1.17 |
,Placebo | -0.36 | -0.53 | -0.59 | -0.69 | -0.80 | -0.80 | -0.92 | -0.95 | -0.93 | -0.97 | -1.05 | -0.88 | -1.40 | -1.33 | -1.22 | -1.15 |
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Change From Baseline in Cardiac Marker: Cardiac Troponin I
Blood samples were collected for the analysis of Troponin I at indicated time points.Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 1, 2, 4, 6, 8, 10, 12, 14, 16 and 28
Intervention | Micrograms per liter (Mean) |
---|
| Week 1: n=78,74 | Week 2: n=73, 73 | Week 4: n=49, 58 | Week 6: n=45, 57 | Week 8: n=34, 46 | Week 10: n=34, 38 | Week 12: n=24, 39 | Week 14: n=24, 39 | Week 16: n=24, 39 | Week 28: n=63, 63 |
---|
GSK3772847 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 | -0.001 |
,Placebo | 0.000 | 0.000 | 0.001 | 0.000 | 0.000 | 0.006 | 0.000 | 0.000 | 0.000 | 0.000 |
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Change From Baseline in Cardiac Marker: N-Terminal ProB-type Natriuretic Peptide
Blood samples were collected for the analysis of N-Terminal ProB-type Natriuretic Peptide at indicated time points.Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 1, 2, 4, 6, 8, 10, 12, 14, 16 and 28
Intervention | Nanograms per liter (Mean) |
---|
| Week 1: n=79,75 | Week 2: n=73,75 | Week 4: n=49, 59 | Week 6: n=45, 57 | Week 8: n=34, 47 | Week 10: n=34, 46 | Week 12: n=24, 38 | Week 14: n=24, 39 | Week 16: n=24, 39 | Week 28: n=65, 65 |
---|
GSK3772847 | 8.4023 | -2.5196 | -4.5560 | 3.6194 | 9.6509 | 14.9119 | 8.8531 | 20.0149 | 4.7760 | 0.9810 |
,Placebo | -14.8442 | -10.8134 | -17.9849 | -5.0620 | -8.6398 | -12.7377 | -13.6951 | -4.8082 | -19.4899 | -6.1970 |
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Change From Baseline in Clinical Chemistry Parameter: Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (ALP), Gamma- Glutamyl Transferase (GGT) and Creatine Kinase (CK)
Blood samples were collected for the analysis of clinical chemistry parameters including AST, ALT, ALP, GGT and CK at indicated time points. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 2, 4, 8, 12, 16 and 28
Intervention | International units per liter (Mean) |
---|
| ALT: Week 2; n=72, 74 | ALT:Week 4; n=47,59 | ALT: Week 8; n=34,47 | ALT: Week 12; n=24, 36 | ALT: Week 16; n=24, 39 | ALT: Week 28; n=74, 74 | ALP: Week 2; n=72, 74 | ALP:Week 4; n=47, 59 | ALP:Week 8; n=34, 47 | ALP:Week 12; n =24, 36 | ALP:Week 16; n=24, 39 | ALP:Week 28; n=74, 74 | AST: Week 2; n=72, 74 | AST:Week 4; n=47,59 | AST:Week 8, n=34,47 | AST:Week 12, n=24, 36 | AST:Week 16, n=24, 39 | AST:Week 28, n=74, 74 | CK: Week 2, n=72, 74 | CK:Week 4, n=47,59 | CK:Week 8, n=34,47 | CK:Week 12, n=24, 36 | CK:Week 16, n=24, 39 | CK:Week 28, n=74, 74 | GGT: Week 2, n=72, 74 | GGT:Week 4, n=47,59 | GGT:Week 8, n=34,47 | GGT:Week 12, 24, 36 | GGT:Week 16, n=24, 39 | GGT:Week 28, n=74, 73 |
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GSK3772847 | -0.2 | -2.6 | -2.4 | -2.4 | -2.6 | -0.9 | -0.8 | -1.0 | -2.3 | -3.0 | -2.3 | -1.2 | -1.5 | -2.5 | -2.7 | -4.1 | -3.3 | -1.7 | -18.8 | -45.1 | -32.9 | -54.5 | -46.8 | -30.7 | -1.2 | -2.5 | -2.8 | -5.4 | -3.9 | -0.7 |
,Placebo | -0.9 | -0.5 | -0.1 | -1.6 | -1.2 | -1.1 | -1.9 | -0.8 | 0.9 | 2.4 | 1.0 | -0.4 | -0.8 | -1.0 | -1.6 | -1.8 | -1.4 | -2.3 | -12.5 | -30.3 | -26.6 | -5.0 | -20.8 | -8.5 | -3.2 | -3.9 | -3.5 | -0.3 | -1.1 | -3.2 |
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Change From Baseline in Clinical Chemistry Parameters: Creatinine, Total Bilirubin and Direct Bilirubin
Blood samples were collected for the analysis of clinical chemistry parameters including total bilirubin, creatinine and direct bilirubin at indicated time points. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 2, 4, 8, 12, 16 and 28
Intervention | Micromoles per liter (Mean) |
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| Creatinine: Week 2; n=72, 74 | Creatinine:Week 4; n=47, 59 | Creatinine:Week 8; n=34, 47 | Creatinine:Week 12; n=24, 36 | Creatinine:Week 16; n=24, 39 | Creatinine:Week 28; n=74, 73 | Total Bilirubin : Week 2; n=72, 74 | Total Bilirubin :Week 4; n=47, 59 | Total Bilirubin :Week 8; n=34, 47 | Total Bilirubin :Week 12; n=24, 36 | Total Bilirubin :Week 16; n=24, 39 | Total Bilirubin :Week 28; n=74, 74 | Direct bilirubin : Week 2; n=72, 74 | Direct bilirubin :Week 4; n=47,59 | Direct bilirubin :Week 8; n=34, 47 | Direct bilirubin :Week 12; n=24, 36 | Direct bilirubin :Week 16; n=24, 39 | Direct bilirubin :Week 28; n=74, 74 |
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GSK3772847 | 1.71 | 0.72 | 1.76 | 0.02 | 0.91 | 2.9 | 0.1 | -0.4 | -0.2 | 0.1 | -0.3 | -0.5 | 0.0 | 0.1 | 0.2 | 0.2 | 0.1 | 0.1 |
,Placebo | 2.35 | 2.35 | 1.18 | 2.42 | 2.50 | 4.32 | -0.1 | -0.3 | -0.1 | -0.6 | 0.0 | 0.1 | -0.1 | -0.1 | -0.1 | -0.4 | 0.1 | 0.1 |
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Change From Baseline in Clinical Chemistry Parameters: Glucose, Potassium, Sodium, Calcium, Phosphate, Chloride, Urea and Carbon Dioxide (CO2)
Blood samples were collected at given time points to assess clinical chemistry parameters including glucose, potassium, sodium, calcium, Phosphate, chloride, urea and CO2 levels. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 2, 4, 8, 12, 16 and 28
Intervention | Millimoles per liter (Mean) |
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| Glucose: Week 2; n=72, 74 | Glucose:Week 4; n=47,59 | Glucose:Week 8; n=34,47 | Glucose:Week 12; n=24, 36 | Glucose:Week 16; n=24, 39 | Glucose:Week 28; n=74, 73 | Potassium: Week 2; n=72, 74 | Potassium:Week 4; n=47,59 | Potassium:Week 8; n=34,47 | Potassium:Week 12; n=24, 36 | Potassium:Week 16; n=24, 39 | Potassium:Week 28; n=74, 73 | Sodium: Week 2; n=72, 74 | Sodium:Week 4; n=47,59 | Sodium:Week 8; n=34,47 | Sodium:Week 12; n=24, 36 | Sodium:Week 16; n=24, 39 | Sodium:Week 28; n=74, 73 | Calcium: Week 2; n=72, 74 | Calcium:Week 4; n=47,59 | Calcium:Week 8; n=34,47 | Calcium:Week 12; n=24, 36 | Calcium:Week 16; n=24, 39 | Calcium:Week 28; n=74, 73 | Phosphate: Week 2; n=72, 74 | Phosphate:Week 4; n=47,59 | Phosphate:Week 8; n=34,47 | Phosphate:Week 12; n=24, 36 | Phosphate:Week 16; n=24, 39 | Phosphate:Week 28; n=74, 73 | Chloride: Week 2; n=72, 74 | Chloride:Week 4; n=47,59 | Chloride:Week 8; n=34,47 | Chloride:Week 12; n=24, 36 | Chloride:Week 16; n=24, 39 | Chloride:Week 28; n=74, 73 | CO2: Week 2; n=72, 74 | CO2:Week 4; n=47,59 | CO2:Week 8; n=34,46 | CO2:Week 12; n=24, 36 | CO2:Week 16; n=24, 39 | CO2:Week 28; n=74, 73 | Urea: Week 2; n=72, 74 | Urea:Week 4; n=47,59 | Urea:Week 8; n=34,47 | Urea:Week 12; n=24, 36 | Urea:Week 16; n=24, 39 | Urea:Week 28; n=74, 73 |
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GSK3772847 | 0.05 | 0.19 | 0.00 | 0.20 | 0.12 | 0.04 | 0.13 | 0.05 | -0.04 | 0.00 | 0.00 | 0.01 | -0.1 | -0.9 | -0.6 | -1.1 | -0.3 | -0.2 | 0.001 | -0.005 | -0.003 | -0.004 | 0.017 | 0.001 | -0.023 | -0.011 | -0.049 | -0.013 | -0.019 | -0.018 | 0.1 | -0.3 | 0.0 | -0.3 | -0.2 | 0.7 | 0.4 | 0.3 | -0.3 | -0.1 | 0.1 | 0.3 | -0.14 | -0.14 | 0.27 | -0.06 | 0.03 | 0.16 |
,Placebo | 0.13 | 0.18 | 0.26 | -0.04 | -0.10 | 0.30 | 0.14 | 0.04 | -0.01 | 0.02 | -0.09 | 0.01 | 0.3 | 0.0 | -0.1 | -0.3 | -0.2 | 0.5 | -0.006 | -0.013 | -0.005 | 0.018 | 0.014 | 0.001 | 0.031 | 0.003 | 0.006 | 0.025 | -0.006 | -0.013 | 0.3 | 0.0 | -0.2 | -0.1 | -0.4 | 0.6 | -0.4 | -0.4 | -0.3 | -0.5 | -0.5 | -0.1 | 0.08 | 0.16 | -0.04 | 0.58 | 0.48 | 0.08 |
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Change From Baseline in Clinical Chemistry Parameters: Total Protein and Albumin
Blood samples were collected at given time points to assess clinical chemistry parameters including total protein and albumin levels. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 2, 4, 8, 12, 16 and 28
Intervention | Grams per liter (Mean) |
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| Total Protein: Week 2, n=72, 74 | Total Protein:Week 4, n=47,59 | Total Protein:Week 8, n=34,47 | Total Protein:Week 12, n=24, 36 | Total Protein:Week 16, n=24, 39 | Total Protein:Week 28, n=74, 73 | Albumin: Week 2, n=72, 74 | Albumin:Week 4, n=47,59 | Albumin:Week 8, n=34,47 | Albumin:Week 12, n=24, 36 | Albumin:Week 16, n=24, 39 | Albumin:Week 28, n=74, 73 |
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GSK3772847 | 0.4 | -0.4 | 0.8 | -0.6 | 0.4 | -0.2 | -0.4 | -0.8 | 0.0 | -0.9 | -0.4 | -0.6 |
,Placebo | -0.5 | -0.4 | 0.1 | 0.2 | 0.5 | -0.8 | -0.5 | -0.5 | -0.4 | -0.3 | -0.1 | -0.6 |
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Change From Baseline in Diastolic Blood Pressure (DBP) and Systolic Blood Pressure (SBP)
DBP and SBP were measured in semi-supine position after 5 minutes rest. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. Data for change from Baseline for post dose values have been presented. (NCT03207243)
Timeframe: Baseline and Week 0 (Post-dose), Week1, Week 2, Week 4 (Pre and Post dose), Week 6, Week 8 (Pre and Post dose), Week 10, Week 12 (Pre and Post dose), Week 14, Week 16, Week 20, Week 24 and Week 28
Intervention | Millimeters of Mercury (mmHg) (Mean) |
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| SBP: Post-dose: Week0; n=82, 83 | SBP: Week1; n=79, 75 | SBP: Week2; n=73, 75 | SBP: Pre-dose: Week4; n=49, 59 | SBP: Post-dose: Week4; n=48, 59 | SBP:Week6; n=45, 57 | SBP: Pre-Dose:Week8; n=34, 47 | SBP: Post-DoseWeek8; n=34, 47 | SBP: Week10; n=34, 46 | SBP: Pre-dose: Week12; n=24, 39 | SBP: Post-dose: Week12; n=24, 39 | SBP: Week14; n=24, 39 | SBP: Week16; n=24, 39 | SBP: Week20; n=76, 78 | SBP: Week24; n=75, 76 | SBP: Week28; n=74, 77 | DBP: Post-dose: Week0; n=82,83 | DBP: Week1; n=79, 75 | DBP: Week2; n=73, 75 | DBP: Pre-dose: Week4; n=49, 59 | DBP: Post-dose: Week4; n=48, 59 | DBP:Week6; n=45, 57 | DBP: Pre-Dose:Week8; n=34, 47 | DBP: Post-DoseWeek8; n=34, 47 | DBP: Week10; n=34, 46 | DBP: Pre-dose: Week12; n=24, 39 | DBP: Post-dose: Week12; n=24, 39 | DBP: Week14; n=24, 39 | DBP: Week16; n=24, 39 | DBP: Week20; n=76, 78 | DBP: Week24; n=75, 76 | DBP: Week28; n=74, 77 |
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GSK3772847 | 1.3 | 0.4 | -1.3 | -0.1 | 2.2 | 0.9 | 0.4 | 2.3 | 0.7 | 1.5 | 3.3 | 2.1 | 1.5 | 1.7 | 1.7 | 1.0 | -0.3 | 0.7 | -0.8 | 0.4 | 0.3 | -1.0 | -2.0 | -1.2 | -0.2 | 0.6 | -0.5 | 0.5 | -0.5 | 0.7 | 0.3 | -0.4 |
,Placebo | -2.0 | -0.9 | -1.3 | -2.0 | -2.0 | -1.7 | -1.9 | -2.7 | -2.5 | 0.3 | -0.7 | -1.6 | -2.8 | -1.0 | -2.4 | -1.3 | -0.7 | 0.3 | -0.7 | -1.1 | -0.4 | 0.6 | -0.4 | -0.1 | -0.1 | 0.3 | 0.0 | 0.0 | -0.3 | -0.4 | 0.1 | -0.3 |
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Change From Baseline in ECG Heart Rate
Triplicate 12-lead ECGs were recorded pre-dose and post-dose with participant in semi-supine position after 5 minutes rest. At each time point ECG was taken using an ECG machine that automatically measures heart rate. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Week 0 (Post-dose), Week 4 (Pre and Post dose), Week 8 (Pre and Post dose), Week 12 (Pre and Post dose) and Week 16
Intervention | Beats per minute (Mean) |
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| Post-dose: Week0; n=82, 83 | Pre-dose: Week4; n=49, 59 | Post-dose: Week4; n=48, 59 | Pre-dose: Week8; n=34, 47 | Post-dose: Week8; n=33, 47 | Pre-dose:Week12; n=24, 39 | Post-dose Week12; n=24, 39 | Week16; n=24, 39 |
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GSK3772847 | 0.2 | 0.7 | -1.0 | 1.9 | -0.4 | 1.6 | 0.5 | 3.1 |
,Placebo | -1.6 | 0.4 | -2.4 | 1.5 | -0.3 | 0.6 | 0.4 | 0.5 |
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Change From Baseline in Hematology Parameter: Erythrocyte Mean Corpuscular Volume
Blood samples were collected for the analysis of erythrocyte mean corpuscular volume at indicated time points.Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks1, 2, 4, 6, 8, 10, 12, 14, 16 and 28
Intervention | Femtoliters (Mean) |
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| Week 1: n=78,74 | Week 2: n=71, 74 | Week 4: n=49, 57 | Week 6: n=44, 56 | Week 8: n=34, 47 | Week 10: n=34, 45 | Week 12: n=24, 39 | Week 14: n=24, 39 | Week 16: n=24, 39 | Week 28: n=65, 63 |
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GSK3772847 | -0.1 | -0.2 | -0.6 | -0.4 | -0.6 | -0.9 | -1.3 | -1.5 | -2.3 | -2.9 |
,Placebo | 0.3 | 0.2 | -0.4 | -0.3 | -0.9 | -1.1 | -0.7 | -0.7 | -0.6 | -1.6 |
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Change From Baseline in Hematology Parameter: Erythrocytes
Blood samples were collected for the analysis of erythrocytes at indicated time points. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 1, 2, 4, 6, 8, 10, 12, 14, 16 and 28
Intervention | 10^12 cells per liter (Mean) |
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| Week 1: n=78,74 | Week 2: n=71, 74 | Week 4: n=49, 57 | Week 6: n=44, 56 | Week 8: n=34, 47 | Week 10: n=34, 45 | Week 12: n=24, 39 | Week 14: n=24, 39 | Week 16: n=24, 39 | Week 28: n=65, 63 |
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GSK3772847 | -0.03 | 0.01 | -0.01 | -0.04 | 0.02 | -0.02 | -0.03 | 0.04 | 0.03 | 0.09 |
,Placebo | -0.01 | 0.01 | 0.05 | 0.05 | 0.02 | 0.00 | 0.06 | 0.03 | 0.00 | 0.09 |
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Change From Baseline in Hematology Parameter: Erythrocytes Distribution Width (%)
Blood samples were collected for the analysis of Erythrocytes Distribution Width (%) at indicated time points. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks1, 2, 4, 6, 8, 10, 12, 14, 16 and 28
Intervention | Percentage (%) of Erythrocytes (Mean) |
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| Week 1: n=78,74 | Week 2: n=71, 74 | Week 4: n=49, 57 | Week 6: n=44, 56 | Week 8: n=34, 47 | Week 10: n=34, 45 | Week 12: n=24, 39 | Week 14: n=24, 39 | Week 16: n=24, 39 | Week 28: n=65, 63 |
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GSK3772847 | -0.08 | -0.20 | -0.33 | -0.37 | -0.29 | -0.38 | -0.34 | -0.38 | -0.41 | -0.01 |
,Placebo | -0.06 | -0.02 | -0.22 | -0.33 | -0.40 | -0.35 | -0.27 | -0.28 | -0.25 | -0.09 |
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Change From Baseline in Hematology Parameter: Hematocrit Level
Blood samples were collected for the analysis of hematocrit at indicated time points. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 1, 2, 4, 6, 8, 10, 12, 14, 16 and 28
Intervention | Proportion of red blood cells in blood (Mean) |
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| Week 1: n=78,74 | Week 2: n=71, 74 | Week 4: n=49, 57 | Week 6: n=44, 56 | Week 8: n=34, 47 | Week 10: n=34, 45 | Week 12: n=24, 39 | Week 14: n=24, 39 | Week 16: n=24, 39 | Week 28: n=65, 63 |
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GSK3772847 | -0.0025 | -0.0046 | -0.0033 | -0.0050 | -0.0015 | -0.0061 | -0.0088 | -0.0038 | -0.0071 | -0.0041 |
,Placebo | 0.0007 | 0.0024 | 0.0038 | 0.0024 | -0.0019 | -0.0050 | 0.0009 | -0.0018 | -0.0042 | 0.0016 |
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Change From Baseline in Hematology Parameter: Hemoglobin
Blood samples were collected for the analysis of hemoglobin level at indicated time points. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks1, 2, 4, 6, 8, 10, 12, 14, 16 and 28
Intervention | Grams per liter (Mean) |
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| Week 1: n=78,74 | Week 2: n=71, 74 | Week 4: n=49, 57 | Week 6: n=44, 56 | Week 8: n=34, 47 | Week 10: n=34, 45 | Week 12: n=24, 39 | Week 14: n=24, 39 | Week 16: n=24, 39 | Week 28: n=65, 63 |
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GSK3772847 | -0.7 | 0.0 | -0.4 | -1.2 | -0.1 | -0.8 | -1.8 | -0.3 | 0.0 | -0.7 |
,Placebo | 0.5 | 0.5 | 1.6 | 1.5 | 0.5 | -0.4 | 1.0 | -0.6 | -0.5 | 1.0 |
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Change From Baseline in Hematology Parameter: Mean Corpuscular Hemoglobin
Blood samples were collected for the analysis of mean corpuscular hemoglobin at indicated time points. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 1, 2, 4, 6, 8, 10, 12, 14, 16 and 28
Intervention | Picogram (Mean) |
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| Week 1: n=78,74 | Week 2: n=71, 74 | Week 4: n=49, 57 | Week 6: n=44, 56 | Week 8: n=34, 47 | Week 10: n=34, 45 | Week 12: n=24, 39 | Week 14: n=24, 39 | Week 16: n=24, 39 | Week 28: n=65, 63 |
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GSK3772847 | 0.01 | -0.07 | -0.04 | 0.00 | -0.11 | -0.01 | -0.12 | -0.29 | -0.26 | -0.78 |
,Placebo | 0.17 | 0.01 | 0.01 | 0.06 | 0.02 | -0.06 | -0.07 | -0.23 | -0.05 | -0.40 |
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Change From Baseline in Hematology Parameter: Mean Corpuscular Hemoglobin Concentration
Blood samples were collected for the analysis of mean corpuscular hemoglobin concentration at indicated time points.Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 1, 2, 4, 6, 8, 10, 12, 14, 16 and 28
Intervention | Grams per liter (Mean) |
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| Week 1: n=78,74 | Week 2: n=71, 74 | Week 4: n=49, 57 | Week 6: n=44, 56 | Week 8: n=34, 47 | Week 10: n=34, 45 | Week 12: n=24, 39 | Week 14: n=24, 39 | Week 16: n=24, 39 | Week 28: n=65, 63 |
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GSK3772847 | 0.5 | 0.2 | 1.5 | 1.3 | 1.1 | 3.4 | 3.2 | 2.4 | 5.7 | 1.5 |
,Placebo | 0.8 | -0.6 | 1.2 | 1.9 | 3.0 | 3.3 | 2.3 | 0.4 | 2.1 | 1.2 |
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Change From Baseline in Hematology Parameters: Basophil, Eosinophils, Leukocytes, Lymphocytes, Neutrophils, Monocytes, and Platelets
Blood samples were collected at given time points to assess hematology parameters including basophil, eosinophils, leukocytes, lymphocytes, leutrophils, monocytes, and platelets . Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks1, 2, 4, 6, 8, 10, 12, 14, 16 and 28
Intervention | 10^9 cells per liter (Mean) |
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| Basophil: Week 1; n=77, 74 | Basophil:Week 2; n= 68, 72 | Basophil:Week 4; n=48, 57 | Basophil:Week 6; n=43, 54 | Basophil:Week 8; n=33, 46 | Basophil:Week 10; n= 32, 44 | Basophil:Week 12; n=24, 39 | Basophil:Week 14; n=23, 39 | Basophil:Week 16; n=23, 39 | Basophil:Week 28; n= 65, 60 | Eosinophil: Week 1; n=77, 74 | Eosinophil:Week 2; n=68, 72 | Eosinophil:Week 4; n=48, 57 | Eosinophil:Week 6; n =43, 54 | Eosinophil:Week 8; n= 33, 46 | Eosinophil:Week 10 n=32, 44 | Eosinophil:Week 12; n=24, 39 | Eosinophil:Week 14; n=23, 39 | Eosinophil:Week 16; n=23, 39 | Eosinophil:Week 28; n= 65, 60 | Leukocytes: Week 1; n=78, 74 | Leukocytes:Week 2; n= 68, 73 | Leukocytes:Week 4; n =48, 57 | Leukocytes:Week 6; n=43, 54 | Leukocytes:Week 8; n=33, 47 | Leukocytes:Week 10; n=33, 45 | Leukocytes:Week 12; n=24, 39 | Leukocytes:Week 14; n= 23, 39 | Leukocytes:Week 16; n=23, 39 | Leukocytes:Week 28; n=65, 63 | Lymphocytes: Week 1; n=77, 74 | Lymphocytes:Week 2; n=68, 72 | Lymphocytes:Week 4; n=48, 57 | Lymphocytes:Week 6; n=43, 54 | Lymphocytes:Week 8; n=33, 46 | Lymphocytes:Week 10; n=32, 44 | Lymphocytes:Week 12; n=24, 39 | Lymphocytes:Week 14; n=23, 39 | Lymphocytes:Week 16; n=23, 39 | Lymphocytes:Week 28; n=65, 60 | Neutrophils: Week 1; n=77, 74 | Neutrophils:Week 2; n=68, 72 | Neutrophils:Week 4; n=48, 57 | Neutrophils:Week 6; n=43, 54 | Neutrophils:Week 8; n=33, 46 | Neutrophils:Week 10; n=32, 44 | Neutrophils:Week 12; n=24, 39 | Neutrophils:Week 14; n=23, 39 | Neutrophils:Week 16; n=23, 39 | Neutrophils:Week 28; n=65, 60 | Monocytes: Week 1; n=77, 74 | Monocytes:Week 2; n=68, 72 | Monocytes:Week 4; n=48, 57 | Monocytes:Week 6; n=43, 54 | Monocytes:Week 8; n=33, 46 | Monocytes:Week 10; n=32, 44 | Monocytes:Week 12; n=24, 39 | Monocytes:Week 14; n=23, 39 | Monocytes:Week 16; n=23, 39 | Monocytes:Week 28; n=65, 60 | Platelets: Week 1; n=78, 74 | Platelets:Week 2; n=71, 74 | Platelets:Week 4; n=49, 57 | Platelets:Week 6; n=44, 56 | Platelets:Week 8; n=34, 47 | Platelets:Week 10; n=34, 45 | Platelets:Week 12; n=24, 39 | Platelets:Week 14; n=24, 39 | Platelets:Week 16; n=24, 38 | Platelets:Week 28; n=64, 62 |
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GSK3772847 | -0.001 | 0.005 | 0.004 | 0.007 | -0.001 | 0.010 | 0.010 | 0.012 | 0.006 | 0.007 | -0.038 | -0.051 | -0.119 | -0.119 | -0.096 | -0.041 | -0.066 | -0.034 | -0.093 | -0.087 | 0.07 | 0.09 | 0.19 | -0.12 | 0.14 | 0.03 | 0.18 | 0.26 | 0.18 | 0.09 | -0.008 | 0.039 | 0.061 | 0.086 | 0.033 | 0.105 | 0.044 | 0.119 | 0.075 | 0.162 | 0.092 | 0.035 | 0.217 | -0.126 | 0.331 | 0.041 | 0.158 | 0.073 | 0.142 | -0.045 | 0.015 | 0.022 | 0.027 | 0.038 | 0.023 | 0.038 | 0.025 | 0.082 | 0.053 | 0.066 | 8.7 | 9.8 | 5.3 | 3.9 | -1.1 | 4.7 | 6.6 | 5.5 | 6.3 | 3.0 |
,Placebo | 0.001 | 0.003 | 0.005 | 0.006 | 0.002 | 0.004 | 0.010 | -0.003 | -0.005 | 0.006 | -0.031 | -0.050 | -0.048 | -0.023 | -0.014 | 0.000 | -0.039 | 0.018 | -0.018 | 0.010 | 0.14 | 0.01 | 0.24 | 0.37 | 0.08 | 0.01 | 0.13 | -0.17 | -0.41 | -0.08 | 0.036 | 0.006 | 0.043 | 0.140 | 0.132 | 0.103 | 0.098 | 0.009 | 0.02 | 0.065 | 0.079 | 0.023 | 0.187 | 0.203 | -0.080 | -0.192 | -0.013 | -0.263 | -0.448 | -0.201 | 0.026 | 0.020 | 0.051 | 0.050 | 0.045 | 0.090 | 0.073 | 0.059 | 0.040 | 0.041 | 1.5 | 7.6 | 4.0 | 18.2 | 8.6 | 10.9 | 3.6 | -6.4 | -0.5 | -3.5 |
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Change From Baseline in Maximum, Minimum and Average Changes in Heart Rate
Using a Holter monitor, maximum, minimum and average changes in heart rate was recorded at Baseline, Weeks 0, 4 and 12 through 24 hours. Participants with analyzable time of at least 16 hours were evaluated. Baseline is the value from the screening visit assessment. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 0, 4 and 12
Intervention | Beats per minute (Mean) |
---|
| Mean Heart Rate: Week0; n=81, 80 | Mean Heart Rate: Week4; n=49, 58 | Mean Heart Rate: Week12; n=24, 37 | Maximum Heart Rate: Week0; n=81, 80 | Maximum Heart Rate: Week4; n=49, 58 | Maximum Heart Rate: Week12; n=24, 37 | Minimum Heart Rate: Week0; n=81, 80 | Minimum Heart Rate: Week4; n=49, 58 | Minimum Heart Rate: Week12; n=24, 37 |
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GSK3772847 | -2.0 | 80.0 | 79.9 | -5.0 | 130.3 | 132.1 | -0.8 | 53.8 | 53.4 |
,Placebo | -1.1 | 76.8 | 78.8 | -0.3 | 128.3 | 128.5 | -0.8 | 50.6 | 53.6 |
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Change From Baseline in Mean Daily Rescue Medication Use (Albuterol/Salbutamol)
The mean number of inhalation of rescue medication (albuterol/salbutamol) used to relieve symptoms immediately during the day and night was recorded in eDiary from Baseline until Week 16. Baseline was calculated over the last 7 days of run-in period prior to Visit 2 (Week 0). Participants with at least 4 full days of data in the last 7 days of run-in were included. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. The mean rescue medication use was calculated for each participant during the four weekly periods (Weeks 1-4; Weeks 5-8, Weeks 9-12 and Weeks 13-16). Data is presented for primary estimand which includes all data collected, except for data collected after the date of loss of asthma control or early withdrawal from study treatment. (NCT03207243)
Timeframe: Baseline and Weeks 1-4; Weeks 5-8, Weeks 9-12 and Weeks 13-16
Intervention | Inhalations per day (Mean) |
---|
| Weeks 1-4, n=78, 75 | Weeks 5-8, n=56, 57 | Weeks 9-12, n=32, 42 | Weeks 13-16, n=24, 37 |
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GSK3772847 | -1.09 | -1.24 | -1.59 | -1.90 |
,Placebo | -0.52 | -0.52 | -0.17 | 0.01 |
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Change From Baseline in Mean Daytime Asthma Symptom Score Over Each Four Weeks of the 16 Week Treatment Period
Asthma symptoms experienced by participants during the day was recorded in e-Diary every evening before going to bed in form of scores on a 5-point rating scale. Scores ranged from 0=no daytime asthma symptoms to 4=very severe daytime asthma symptoms. Baseline was calculated over the last 7 days of run-in period prior to Visit 2 (Week 0). Participants with at least 4 full days of data in the last 7 days of run-in were included. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. The mean asthma symptom score was calculated for each participant during the four weekly periods (Weeks 1-4; Weeks 5-8, Weeks 9-12 and Weeks 13-16). Data is presented for primary estimand which includes all data collected, except for data collected after the date of loss of asthma control or early withdrawal from study treatment. (NCT03207243)
Timeframe: Baseline and Weeks 1-4; Weeks 5-8, Weeks 9-12 and Weeks 13-16
Intervention | Scores on a scale (Mean) |
---|
| Weeks 1-4, n=77, 78 | Weeks 5-8, n=52, 59 | Weeks 9-12 ,n=33,34 | Weeks 13-16, n=21, 38 |
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GSK3772847 | -0.02 | -0.09 | -0.08 | -0.17 |
,Placebo | -0.09 | -0.18 | -0.29 | -0.29 |
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Change From Baseline in Mean Morning Peak Expiratory Flow (PEF) and Mean Evening PEF
PEF is maximum speed of expiration measured, using spirometer. The device was distributed to participants at Visit 1, to measure PEF twice-daily (morning upon waking & in the evening just before going to bed). Participants were encouraged to perform morning & evening PEF measurements before the use of any long-acting beta-agonists (LABAs) or rescue medication. Highest of 3 values were recorded in eDairy.Baseline was calculated over the last 7 days of run-in period prior to Visit 2 (Week 0). Participants with at least 4 full days of data in the last 7 days of run-in were included. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. Mean PEF was calculated for each participant during the four weekly periods (Weeks 1-4; Weeks 5-8, Weeks 9-12 and Weeks 13-16).Data is presented for primary estimand which includes all data collected, except for data collected after the date of loss of asthma control or early withdrawal from study treatment (NCT03207243)
Timeframe: Baseline and Weeks 1-4; Weeks 5-8, Weeks 9-12 and Weeks 13-16.
Intervention | Liters/minute (Mean) |
---|
| Morning PEF: Weeks 1-4,n=76, 76 | Morning PEF: Weeks 5-8,n=50, 56 | Morning PEF: Weeks 9-12,n=31, 43 | Morning PEF: Weeks 13-16,n=20, 38 | Evening PEF: Weeks 1-4,n=76, 77 | Evening PEF: Weeks 5-8,n=52, 58 | Evening PEF: Weeks 9-12,n=33, 44 | Evening PEF: Weeks 13-16,n=21, 38 |
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GSK3772847 | 4.32 | -3.82 | -1.69 | -1.83 | 2.45 | -4.38 | -0.58 | -1.16 |
,Placebo | 4.13 | -1.84 | -4.15 | -7.88 | 0.43 | -6.96 | -0.77 | -10.81 |
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Change From Baseline in Percent Night-time Awakenings Due to Asthma Symptoms Requiring Rescue Medication Use
Participant captured night-time awakenings (yes/no) and use of rescue medication during these awakenings (yes/no) was recorded in e-Diary each morning. Percentage of night-time awakenings is calculated by number of nights with awakenings due to asthma and requiring rescue medication divided by number of nights with data available*100. Baseline was calculated over the last 7 days of run-in period prior to Visit 2 (Week 0). Participants having at least 4 full days of data in the last 7 days of run-in were included. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. Night-time awakenings due to asthma symptoms requiring rescue medication was calculated for each participant during the four weekly periods (Weeks 1-4; Weeks 5-8, Weeks 9-12 and Weeks 13-16). Data is presented for primary estimand which includes all data collected, except for data collected after the date of loss of asthma control or early withdrawal from study treatment. (NCT03207243)
Timeframe: Baseline and Weeks 1-4; Weeks 5-8, Weeks 9-12 and Weeks 13-16
Intervention | Percentage of nights with awakenings (Mean) |
---|
| Weeks 1-4, n=77, 76 | Weeks 5-8,n=50, 56 | Weeks 9-12,n=31, 43 | Weeks 13-16,n=20, 38 |
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GSK3772847 | -7.42 | -10.49 | -13.43 | -14.91 |
,Placebo | -3.80 | -7.85 | -5.67 | -2.31 |
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Change From Baseline in PR Interval, QRS Duration, Uncorrected QT Interval, QT Corrected Interval-Fredericia [QTcF] Interval and RR Interval
Triplicate 12-lead ECGs were recorded pre-dose and post-dose with participant in semi-supine position after 5 minutes rest. At each time point ECG was taken using an ECG machine that automatically measures PR interval, QRS duration, uncorrected QT interval, QTcF interval and RR interval. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Week 0 (Post-dose), Week 4 (Pre and Post dose), Week 8 (Pre and Post dose), Week 12 (Pre and Post dose) and Week 16
Intervention | milliseconds (Mean) |
---|
| PR: Post-dose: Week0; n=80, 80 | PR: Pre-dose: Week4; n=49, 59 | PR: Post-dose: Week4; n=48, 59 | PR: Pre-dose: Week8; n=34, 47 | PR:Post-dose: Week8; n=33, 47 | PR: Pre-dose:Week12; n=24, 39 | PR: Post-dose Week12; n=24, 39 | PR: Week16; n=24, 39 | QRS:Post-dose Week0; n=80, 80 | QRS:Pre-dose Week4; n=49, 59 | QRS: Post-dose:Week4; n=48, 59 | QRS:Pre-dose:Week8; n=34, 47 | QRS:Post-dose:Week8; n=33, 47 | QRS:Pre-dose: Week12; n=24, 39 | QRS:Post-dose: Week12; n=24, 39 | QRS:Week16; n=24, 39 | QT:Post-dose: Week0; n=80, 80 | QT:Pre-dose: Week4; n=49, 59 | QT:Post-dose: Week4; n=48, 59 | QT:Pre-dose: Week8; n=34, 47 | QT:Pre-dose: Week8; n=33, 47 | QT Pre-dose:Week12; n=24, 39 | QT:Post-dose:Week12; n=24, 39 | QT:Week16; n=24,39 | QTcF:Post-dose:Week0; n=80, 80 | QTcF:Pre-dose:Week4; n=49, 59 | QTcF:Post-dose:Week4; n=48, 59 | QTcF:Pre-dose:Week8; n=34, 47 | QTcF:Post-dose:Week8; n=33, 47 | QTcF:Pre-dose:Week12; n=24, 39 | QTcF:Post-dose: Week12; n=24, 39 | QTcF: Week16; n=24, 39 | RR:Post-dose: Week0; n=80, 80 | RR:Pre-dose: Week4; n=49, 59 | RR:Post-dose: Week4; n=48, 59 | RR:Pre-dose:Week8; n=34, 47 | RR:Post-dose:Week8; n=33, 47 | RR:Pre-dose:Week12; n=24, 39 | RR:Post-dose:Week12; n=24, 39 | RR:Week16; n=24, 39 |
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GSK3772847 | 3.1 | 1.3 | 1.9 | 1.4 | 1.5 | -0.5 | 2.2 | -0.7 | 0.2 | 0.7 | 0.1 | -0.1 | 0.1 | -1.1 | -1.8 | -2.0 | 3.5 | -1.8 | 5.1 | -4.7 | 7.0 | -3.1 | 2.4 | -7.3 | 3.8 | -1.0 | 2.0 | -0.9 | 5.8 | 0.4 | 2.9 | -2.2 | -0.2 | -2.0 | 26.7 | -24.2 | 10.7 | -21.6 | 1.3 | -33.9 |
,Placebo | 1.8 | -0.4 | 1.2 | 0.0 | 0.5 | -1.3 | 1.3 | -0.6 | 0.0 | -0.5 | -0.2 | 0.2 | 0.5 | -1.3 | -0.7 | -1.6 | 7.4 | -1.7 | 8.9 | 3.5 | 6.7 | 1.5 | 3.3 | -2.2 | 4.2 | -1.4 | 4.0 | 6.4 | 5.5 | 3.3 | 4.4 | -0.5 | 24.0 | -1.3 | 36.2 | -17.4 | 10.8 | -12.6 | -4.8 | -14.4 |
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Change From Baseline in Pre-bronchodilator Forced Expiratory Volume in One Second (FEV1)
Pre-bronchodilator FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Baseline is defined as the latest available assessment prior to first dose (Day 1) and change from Baseline was calculated by subtracting Baseline value from the specified time point value. Data is presented for primary estimand which includes all data collected, except for data collected after the date of loss of asthma control or early withdrawal from study treatment. (NCT03207243)
Timeframe: Baseline and Weeks 2, 4, 6, 8, 10, 12, 14 and 16
Intervention | Liters (Mean) |
---|
| Week2; n=64, 66 | Week4; n=48, 56 | Week6; n=38, 50 | Week8; n=33, 45 | Week10; n=33, 43 | Week12; n=23, 36 | Week14; n=21, 36 | Week16; n=15, 26 |
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GSK3772847 | 0.089 | 0.086 | 0.135 | 0.089 | 0.066 | 0.037 | 0.047 | 0.025 |
,Placebo | 0.094 | 0.074 | 0.078 | 0.049 | 0.047 | 0.061 | 0.079 | 0.063 |
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Change From Baseline in Pulse Rate (PR)
Pulse rate was measured in semi-supine position after 5 minutes rest. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. Data for change from Baseline for post dose values have been presented. (NCT03207243)
Timeframe: Baseline and Week 0 (Post-dose), Week1, Week 2, Week 4 (Pre and Post dose), Week 6, Week 8 (Pre and Post dose), Week 10, Week 12 (Pre and Post dose), Week 14, Week 16, Week 20, Week 24 and Week 28
Intervention | Beats per minute (Mean) |
---|
| Post-dose: Week0; n=82, 83 | Week1; n=79, 75 | Week2; n=73, 75 | Pre-dose:Week4; n=49, 59 | Post-dose:Week4; n=48, 59 | Week6; n=45, 57 | Pre-dose: Week8; n=34, 47 | Post-dose: Week8; n=34, 47 | Week10; n=34, 46 | Pre-dose: Week12; n=24, 39 | Post-dose: Week12; n=24, 39 | Week14; n=24, 39 | Week16; n=24, 39 | Week20; n=76, 78 | Week24; n=75, 76 | Week28; n=74, 77 |
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GSK3772847 | -0.1 | 3.1 | 1.7 | 0.1 | -1.0 | 2.8 | 1.0 | -0.6 | 2.4 | 1.7 | -1.2 | 3.6 | 2.6 | 3.6 | 2.5 | 2.3 |
,Placebo | -2.2 | 0.8 | 2.9 | -0.3 | -2.0 | 3.3 | -0.3 | -0.9 | 2.6 | 2.8 | 0.9 | 3.1 | 3.5 | 2.1 | 2.3 | 2.5 |
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Change From Baseline in QRS Axis
Triplicate 12-lead ECGs were recorded with participant in semi-supine position after 5 minutes rest. At each time point ECG was taken using an ECG machine that automatically measures QRS axis. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Week 4 (Pre and Post dose), Week 8 (Pre and Post dose), Week 12 (Pre and Post dose) and Week 16
Intervention | Degrees (Mean) |
---|
| Post-dose: Week0; n=80, 80 | Pre-dose: Week4; n=49, 59 | Post-dose: Week4; n=48, 59 | Pre-dose: Week8; n=34, 47 | Post-dose: Week8; n=33, 47 | Pre-dose:Week12; n=24, 39 | Post-dose Week12; n=24, 39 | Week16; n=24, 39 |
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GSK3772847 | 1.9 | 2.3 | 1.4 | -1.0 | -1.2 | 2.0 | -1.2 | -1.4 |
,Placebo | -0.8 | 0.7 | -0.1 | -0.2 | 1.0 | 0.2 | -1.3 | 2.3 |
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Change From Baseline in St George's Respiratory Questionnaire (SGRQ) Total Score
SGRQ is a disease-specific questionnaire designed to measure impact of respiratory disease and its treatment on Health-related quality of life (HRQoL) of participants with Chronic Obstructive Pulmonary Disease (COPD). It contains 14 questions with a total of 40 items grouped into domains (Symptoms, Activity and Impacts). SGRQ total score was calculated as 100 multiplied by summed weights from all positive items divided by sum of weights for all items in questionnaire. It ranges from 0 to 100, higher score indicates poor HRQoL. Baseline is defined as the latest available assessment prior to first dose (Day 1). Change from Baseline was calculated by subtracting Baseline value from the specified time point value. Data is presented for primary estimand which includes all data collected, except for data collected after the date of loss of asthma control or early withdrawal from study treatment. (NCT03207243)
Timeframe: Baseline and Weeks 4, 8, 12 and 16
Intervention | Scores on a scale (Mean) |
---|
| Week4; n=43, 52 | Week8; n=31, 42 | Week12; n=23, 35 | Week16; n=16, 26 |
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GSK3772847 | -7.0 | -7.2 | -12.9 | -16.5 |
,Placebo | -10.0 | -10.7 | -15.8 | -12.4 |
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Change From Baseline in Supraventricular Couplets, Supraventricular Ectopics, Supraventricular Runs, Supraventricular Singles, Ventricular Couplets, Ventricular Ectopics, Ventricular Runs, Ventricular Singles
Using a Holter monitor, supraventricular couplets, supraventricular ectopics, supraventricular runs, supraventricular singles, ventricular couplets, ventricular ectopics, ventricular runs, ventricular singles were recorded at Baseline, Weeks 0, 4 and 12 through 24 hours. Participants with analyzable time of at least 16 hours were evaluated. Baseline is the value from the screening visit assessment. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 0, 4 and 12
Intervention | Events per hour (Mean) |
---|
| supraventricular couplets: Week0; n=81, 80 | supraventricular couplets: Week4; n=49, 58 | supraventricular couplets: Week12; n=24, 37 | supraventricular ectopics: Week0; n=81, 80 | supraventricular ectopics: Week4; n=49, 58 | supraventricular ectopics: Week12; n=24, 37 | supraventricular runs: Week0; n=81, 80 | supraventricular runs: Week4; n=49, 58 | supraventricular runs: Week12; n=24, 37 | supraventricular singles: Week0; n=81, 80 | supraventricular singles: Week4; n=49, 58 | supraventricular singles: Week12; n=24, 37 | ventricular couplets: Week0; n=81, 80 | ventricular couplets: Week4; n=49, 58 | ventricular couplets: Week12; n=24, 37 | ventricular ectopics: Week0; n=81, 80 | ventricular ectopics: Week4; n=49, 58 | ventricular ectopics: Week12; n=24, 37 | ventricular runs: Week0; n=81, 80 | ventricular runs: Week4; n=49, 58 | ventricular runs: Week12; n=24, 37 | ventricular singles: Week0; n=81, 80 | ventricular singles: Week4; n=49, 58 | ventricular singles: Week12; n=24, 37 |
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GSK3772847 | 16.5 | -2.2 | -0.5 | 6.8 | -7.3 | 9.4 | 0.2 | -0.6 | -0.4 | -13.1 | -3.1 | 8.4 | -0.1 | 0.1 | 0.3 | -12.2 | 6.4 | 176.0 | 0.0 | 0.0 | 0.0 | -12.2 | 6.3 | 174.5 |
,Placebo | -2.0 | -1.9 | -3.9 | 2.6 | -30.9 | 34.9 | -0.5 | -0.1 | -1.1 | 9.0 | -25.3 | 45.5 | 0.7 | 0.2 | 0.0 | 44.6 | -10.7 | -5.3 | 0.0 | 0.0 | 0.0 | 44.0 | -10.4 | -5.4 |
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Number of Hospitalizations or Emergency Room Visits Per Participants
The number of hospitalization or emergency room visit made by per participant due to loss of asthma control have been presented in category titles. Data has been presented for primary estimand which includes all data collected, except for data collected after the date of loss of asthma control or early withdrawal from study treatment. (NCT03207243)
Timeframe: Up to Week 16
Intervention | Participants (Count of Participants) |
---|
| 0 | 1 | 2 | >=3 |
---|
GSK3772847 | 78 | 0 | 0 | 0 |
,Placebo | 77 | 1 | 0 | 0 |
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Number of Participants Reporting Serious Adverse Events (SAEs) and Non-Serious Adverse Events (Non-SAEs)
A non-SAE is any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, any other situation according to medical or scientific judgment were categorized as SAE. (NCT03207243)
Timeframe: Up to Week 16
Intervention | Participants (Count of Participants) |
---|
| non-SAE | SAE |
---|
GSK3772847 | 19 | 2 |
,Placebo | 20 | 1 |
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Number of Participants With Incidence and Titres of Anti- GSK3772847 Antibodies
Blood samples were collected at given time points and the presence of anti-GSK3772847 antibodies were assessed using a a tiered approach including a screening assay, a confirmation assay and calculation of titer. Data for participants who showed positive results for confirmation assay has been presented (NCT03207243)
Timeframe: Baseline and Weeks 2, 4, 8, 12, 16, 20, 24 and 28
Intervention | Participants (Count of Participants) |
---|
| Week2; n=73, 74 | Week4; n=49, 59 | Week8; n=34, 47 | Week12; n=24, 39 | Week16; n=23, 39 | Week20; n=73, 75 | Week24; n=74, 75 | Week28; n=74, 74 |
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GSK3772847 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Placebo | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
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Percent Change From Baseline in Fractional Exhaled Nitric Oxide (FeNO)
FeNO was assessed as a measure of airway inflammation using a handheld electronic device. The measurements recorded were according to standardized procedures by the American Thoracic Society and the European Respiratory Society Recommendations for Standardized Procedures for the Online and Offline Measurement of Exhaled Lower Respiratory Nitric Oxide and Nasal Nitric Oxide. FeNO measurements were obtained prior to FEV1 assessments. Participants did not use their rescue medication for at least 6 hours before each FeNO assessment, unless essential for clinical need. Baseline is defined as the latest available assessment prior to first dose (Day 1). Percent change from Baseline is calculated as ratio to Baseline minus one and multiplied by 100. Data is presented for primary estimand which includes all data collected, except for data collected after the date of loss of asthma control or early withdrawal from study treatment. (NCT03207243)
Timeframe: Baseline and Weeks 1, 2, 4, 6, 8, 10, 12, 14 and 16
Intervention | Percent Change (Median) |
---|
| Week1; n=60, 63 | Week2; n=58, 59 | Week4; n=41, 50 | Week6; n=34, 46 | Week8; n=29, 38 | Week10; n=29, 37 | Week12; n=19, 31 | Week14; n=19, 30 | Week16; n=13, 22 |
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GSK3772847 | -4.9 | 0.0 | 3.3 | 0.0 | -2.9 | 0.0 | 8.8 | 1.7 | 12.7 |
,Placebo | -3.6 | 15.4 | 15.2 | 5.0 | 15.9 | 13.8 | 31.4 | 28.1 | 85.9 |
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Percent Change From Baseline in Free Soluble Suppressor of Tumorigenicity 2 (ST2) Concentration
Blood samples were collected at given time points to measure free soluble ST2 concentration. Baseline is defined as the latest available assessment prior to first dose (Day 1). Analysis was performed using mixed model repeated measures. Percent change from Baseline is calculated as ratio to Baseline minus 1 and multiplied by 100. (NCT03207243)
Timeframe: Baseline and Week 4 (Pre-dose), Week 8 (Pre-dose), Week 12 (Pre-dose) and Week 16
Intervention | Percent change (Number) |
---|
| Week4; Pre-dose; n=48, 56 | Week8; Pre-dose; n=33, 45 | Week12; Pre-dose; n=23, 37 | Week16; n=16, 26 |
---|
GSK3772847 | -93.8 | -93.5 | -92.5 | -92.0 |
,Placebo | -5.6 | -8.5 | 10.5 | 19.8 |
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Percent Change From Baseline in Total Soluble ST2 Concentration
Blood samples were collected at given time points to measure total soluble ST2 concentration. Baseline is defined as the latest available assessment prior to first dose (Day 1). Analysis was performed using mixed model repeated measures. Percent change from Baseline is calculated as ratio to Baseline minus 1 and multiplied by 100. (NCT03207243)
Timeframe: Baseline and Week 4 (Pre-dose), Week 8 (Pre-dose), Week 12 (Pre-dose) and Week 16
Intervention | Percent change (Number) |
---|
| Week4; Pre-dose; n=48, 56 | Week8; Pre-dose; n=33, 45 | Week12; Pre-dose; n=23, 37 | Week16; n=16, 26 |
---|
GSK3772847 | 2691.1 | 2326.9 | 1858.0 | 2330.8 |
,Placebo | 16.3 | -6.9 | -13.4 | -12.0 |
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Percentage of Participants With <=-0.5 Point ACQ-5 Score Decrease From Baseline (Responder)
ACQ-5 is a five-item, self-completed questionnaire, which measures asthma control of a participant. The five questions (concerning nocturnal awakening, waking in the morning, activity limitation, shortness of breath & wheeze) enquire about the frequency &/or severity of symptoms over the previous week. The response options range from zero (no impairment/limitation) to six (total impairment/limitation) scale. ACQ-5 score ranges from 0 (totally controlled) to 6 (severely uncontrolled). Higher score indicate lower asthma control. Baseline is the latest available assessment prior to first dose (Day 1). Change from Baseline was calculated by subtracting Baseline value from the specified time point value. A responder is defined as participants with change from Baseline of <= -0.5 point at given time point. Data is presented for primary estimand which includes all data collected, except for data collected after the date of loss of asthma control or early withdrawal from study treatment. (NCT03207243)
Timeframe: Baseline and Weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15 and Week 16
Intervention | Percentage of participants (Number) |
---|
| Week1; n=72, 73 | Week2; n=67, 68 | Week3; n=61, 61 | Week4; n=54, 59 | Week5; n= 42, 52 | Week6; n=40, 48 | Week7; n=34, 46 | Week8; n=33, 44 | Week9; n=30, 42 | Week10; n=29, 41 | Week11; n=22, 38 | Week12; n=23, 38 | Week13; n=17,32 | Week14; n=17, 31 | Week15; n=17, 27 | Week16; n=12, 21 |
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GSK3772847 | 41 | 56 | 56 | 61 | 65 | 69 | 65 | 73 | 71 | 76 | 79 | 79 | 75 | 74 | 74 | 81 |
,Placebo | 38 | 46 | 49 | 59 | 62 | 63 | 74 | 70 | 70 | 69 | 64 | 57 | 82 | 71 | 76 | 67 |
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Percentage of Participants With at Least a 4 Units Improvement From Baseline of St. George's Respiratory Questionnaire (SGRQ)
SGRQ is a disease-specific questionnaire designed to measure impact of respiratory disease and its treatment on HRQoL of participants with COPD. It contains 14 questions with a total of 40 items grouped into domains (Symptoms, Activity and Impacts). SGRQ total score was calculated as 100 multiplied by summed weights from all positive items divided by sum of weights for all items in questionnaire. It ranges from 0 to 100, higher score indicates poor HRQoL. Baseline is defined as the latest available assessment prior to first dose (Day 1). A responder is defined as a change from Baseline of <= -4 at the given time point. Data is presented for primary estimand which includes all data collected, except for data collected after the date of loss of asthma control or early withdrawal from study treatment. (NCT03207243)
Timeframe: Baseline and Weeks 4, 8, 12 and 16
Intervention | Percentage of participants (Number) |
---|
| Week4; n=43, 52 | Week8; n=31, 42 | Week12; n=23, 35 | Week16; n=16, 26 |
---|
GSK3772847 | 58 | 67 | 74 | 88 |
,Placebo | 60 | 61 | 70 | 69 |
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Serum Concentrations of GSK3772847
Blood samples were collected at given time points to evaluate pharmacokinetics (PK) of GSK3772847 in participants with moderately severe asthma. (NCT03207243)
Timeframe: Weeks 2, 4 (Pre-dose), 8 (Pre-dose), 12 (Pre-dose and Post-dose), 16, 20, 24 and 28
Intervention | Micrograms per milliliter (Mean) |
---|
| Week2; n=75 | Week4; Pre-dose;n=59 | Week8; Pre-dose; n= 47 | Week12; Pre-dose; n=39 | Week12; Post-dose; n=39 | Week16; n=38 | Week20; n=75 | Week24; n=75 | Week28; n=75 |
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GSK3772847 | 78.40 | 44.42 | 61.44 | 63.42 | 224.21 | 63.03 | 25.75 | 12.91 | 6.14 |
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Percentage of Participants With Inability to Titrate Inhaled Corticosteroids (ICS)
Corticosteroid titration allows overall clinical evaluation of the participant's asthma status taking into account both lung function and symptom control. Inability to titrate inhaled corticosteroids indicates loss of asthma control. (NCT03207243)
Timeframe: Up to Week 16
Intervention | Percentage of participants (Number) |
---|
Placebo | 23 |
GSK3772847 | 30 |
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Percentage of Participants Who Have Pre-bronchodilator FEV1 Decrease From Baseline >7.5 %
Pulmonary function is measured by FEV1. FEV1 is the amount of air expired in 1 second. Pre-bronchodilator FEV1 measurements were taken by spirometry. Baseline is defined as the latest available pre-dose assessment (Day 1). Decrease from Baseline >7.5 % in score suggests worsening of condition. (NCT03207243)
Timeframe: Baseline and up to Week 16
Intervention | Percentage of participants (Number) |
---|
Placebo | 63 |
GSK3772847 | 68 |
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Percentage of Participants With >=0.5 Point Asthma Control Questionnaire (ACQ-5) Score Increase From Baseline
The ACQ-5 is a five-item, self-completed questionnaire, which measures asthma control of a participant. The five questions (concerning nocturnal awakening, waking in the morning, activity limitation, shortness of breath and wheeze) enquire about the frequency and/or severity of symptoms over the previous week. The response options for all these questions range from zero (no impairment/limitation) to six (total impairment/ limitation) scale. ACQ-5 score ranges from 0 (totally controlled) to 6 (severely uncontrolled). Higher score indicate lower asthma control. Baseline is the latest available assessment prior to first dose (Day 1). Change from Baseline was calculated by subtracting Baseline value from the specified time point value. A change of >=0.5 in score suggests a clinically important change in score. Data is presented for primary estimand which includes all data collected, except for data collected after the date of loss of asthma control or early withdrawal from study treatment (NCT03207243)
Timeframe: Baseline and up to Week 16
Intervention | Percentage of participants (Number) |
---|
Placebo | 39 |
GSK3772847 | 30 |
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Percentage of Participants With Clinically Significant Asthma Exacerbation
A clinically significant asthma exacerbation is defined as one requiring oral corticosteroid and/or hospitalization. (NCT03207243)
Timeframe: Up to Week 16
Intervention | Percentage of participants (Number) |
---|
Placebo | 7 |
GSK3772847 | 13 |
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Percentage of Participants With Clinically Significant Asthma Exacerbation or Inability to Titrate
A clinically significant asthma exacerbation is defined as one requiring oral corticosteroid and/or hospitalization. Participants with clinically significant asthma exacerbation or inability to titrate FP indicated loss of asthma control. (NCT03207243)
Timeframe: Up to Week 16
Intervention | Percentage of participants (Number) |
---|
Placebo | 25 |
GSK3772847 | 40 |
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Percentage of Participants With Loss of Asthma Control Over Weeks 0-16
Loss of asthma control is defined as: Asthma Control Questionnaire (ACQ-5) score increase from Baseline >=0.5 point or pre-bronchodilator forced expiratory volume in 1 second (FEV1) decrease from baseline >7.5 % or inability to titrate inhaled corticosteroid or a clinically significant asthma exacerbation (requiring oral corticosteroid [OCS] and/or hospitalization). The analysis shown is for primary estimand which includes all data collected, except for data collected after the date of loss of asthma control or early withdrawal from study treatment. Baseline is defined as Day1. Percentage of participants experiencing loss of asthma control up to Week 16 has been presented. Modified Intent-to-Treat (Loss of Control) (mITT_LoC) population consisted of all randomized participants who took at least 1 dose of study treatment and if participants experienced loss of asthma control, they were analyzed according to actual treatment at time of loss of control. (NCT03207243)
Timeframe: Up to Week 16
Intervention | Percentage of participants (Number) |
---|
Placebo | 81 |
GSK3772847 | 67 |
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Percentage of Participants With Loss of Asthma Control Over Weeks 0-6
Loss of asthma control is defined as: ACQ-5 score increase from Baseline >=0.5 point or pre-bronchodilator FEV1 decrease from Baseline >7.5 % or inability to titrate inhaled corticosteroid or a clinically significant asthma exacerbation (requiring oral OCS and/or hospitalization). The analysis shown is for primary estimand which includes all data collected, except for data collected after the date of loss of asthma control or early withdrawal from study treatment. Baseline is defined as Day1. Percentage of participants experiencing loss of asthma control up to Week 6 has been presented. (NCT03207243)
Timeframe: Up to Week 6
Intervention | Percentage of participants (Number) |
---|
Placebo | 50 |
GSK3772847 | 36 |
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Rate Per 1000 Person-years of Participants With Hospitalization
An event is defined as an on-treatment asthma-related hospitalization or emergency room visit and participants can contribute to more than one event. Rate is calculated as number of events * 1000 divided by (number of participants in treatment group * mean treatment exposure in years). Data has been presented for primary estimand which includes all data collected, except for data collected after the date of loss of asthma control or early withdrawal from study treatment. (NCT03207243)
Timeframe: Up to Week 16
Intervention | Events per person-year (Number) |
---|
Placebo | 70.5 |
GSK3772847 | 0 |
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Time to Loss of Asthma Control
Time to loss of asthma control was analyzed using Kaplan-Meier analysis. In this analysis, participants were either be counted as an event or they were censored. An event is defined as participants who experience loss of asthma control during the study. Censoring is defined as participants who discontinued investigational product for reasons other than loss of asthma control. The analysis shown is for primary estimand which includes all data collected, except for data collected after the date of loss of asthma control or early withdrawal from study treatment. Participants who didn't experience loss of asthma control were also censored at day 113. (NCT03207243)
Timeframe: Up to Week 16
Intervention | Days (Median) |
---|
Placebo | 50 |
GSK3772847 | 96 |
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Change Between Pre-dose and Post-dose of Heart Rate
Triplicate 12-lead ECGs were recorded pre-dose and post-dose with participant in semi-supine position after 5 minutes rest. At each time point ECG was taken using an ECG machine that automatically measures heart rate. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 0, 4, 8 and 12
Intervention | Beats per minute (Mean) |
---|
| Week0; n=80, 80 | Week4; n=48, 59 | Week8; n=33, 47 | Week12; n=24, 39 |
---|
GSK3772847 | 0.2 | -1.7 | -2.3 | -0.9 |
,Placebo | -1.6 | -2.9 | -1.8 | -0.2 |
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Change Between Pre-dose and Post-dose of PR Interval, QRS Duration, Uncorrected QT Interval, QTcF Interval and RR Interval
Triplicate 12-lead ECGs were recorded pre-dose and post-dose with participant in semi-supine position after 5 minutes rest. At each time point ECG was taken using an ECG machine that automatically measures PR interval, QRS duration, uncorrected QT interval, QTcF interval and RR interval. Baseline is defined as the most recent recorded value before dosing on Day 1. Change from Baseline was calculated by subtracting Baseline value from the specified time point value. (NCT03207243)
Timeframe: Baseline and Weeks 0, 4, 8 and 12
Intervention | milliseconds (Mean) |
---|
| PR:Week0; n=80, 80 | PR: Week4; n=48, 59 | PR: Week8; n=33, 47 | PR: Week12; n=24, 39 | QRS:Week0; n=80, 80 | QRS: Week4; n=48, 59 | QRS:Week8; n=33, 47 | QRS:Week12; n=24, 39 | QT:Week0; n=80, 80 | QT:Week4; n=48, 59 | QT:Week8; n=33, 47 | QT:Week12; n=24, 39 | QTcFWeek0; n=80, 80 | QTcF:Week4; n=48, 59 | QTcF:Week8; n=33, 47 | QTcF:Week12; n=24, 39 | RR:Week0; n=80, 80 | RR:Week4; n=48, 59 | RR:Week8; n=33, 47 | RR:Week12; n=24, 39 |
---|
GSK3772847 | 3.1 | 0.5 | -0.1 | 3.0 | 0.2 | -0.8 | 0.4 | -0.9 | 3.5 | 6.9 | 11.5 | 4.6 | 3.8 | 2.9 | 6.6 | 2.0 | -0.2 | 29.5 | 34.4 | 20.7 |
,Placebo | 1.8 | 1.7 | 0.3 | 2.2 | 0.0 | 0.1 | 0.3 | 0.7 | 7.4 | 10.8 | 3.4 | 1.9 | 4.2 | 5.4 | -0.7 | 1.1 | 24.0 | 37.6 | 29.3 | 8.8 |
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Forced Expiratory Volume in One Second (FEV1) Area Under the Curve From 0 to 24 Hours (AUC0-24) Response (Change From Baseline) [L] After 12 Weeks of Treatment
Forced Expiratory Volume in one second (FEV1) Area under the Curve from 0 to 24 hours (AUC0-24) response (change from baseline) [L] after 12 weeks of treatment. FEV1 AUC0-24 was calculated as the area under the FEV1-time curve from 0-24 hours post-dose using the trapezoidal rule, divided by the duration (24 hours) and reported in liters. FEV1 AUC0-24 response (change from baseline) was defined as FEV1 AUC0-24 mius baseline FEV1. (NCT03240575)
Timeframe: 1 hours (h) and 10 minutes (min) before first dose at day1 of weeks 1 for baseline.10 min before and 30 min, 1 h, 2h, 3h, 4h, 6h, 8h, 10h, 11h 50min, 12h 30 min, 13h, 14h, 22h, 23h, and 24h post morning dose at week 12.
Intervention | Litre*hours (L*h) (Mean) |
---|
Tiotropium+Olodaterol (5μg/5μg) - Main Study | 0.174 |
Fluticasone Propionate+Salmeterol (500μg/100μg) - Main Study | 0.122 |
Tiotropium+Olodaterol (5μg/5μg) - DH-study | NA |
Fluticasone Propionate+Salmeterol (500μg/100μg) - DH-study | NA |
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Trough Forced Expiratory Volume in One Second (FEV1) Response (Change From Baseline) [L] After 12 Weeks Treatment
Trough Forced Expiratory Volume in one second (FEV1) response (change from baseline) [L] after 12 weeks treatment. Trough FEV1 was defined as the mean of the FEV1 value measured at 23 hours and at 24 hours after the trial medication administration. Through FEV1 response (change from baseline) was defined as trough FEV1 minus baseline FEV1. (NCT03240575)
Timeframe: At 23 h and 24 h post dose at baseline and at 23h and 24 h post dose at week 12.
Intervention | Litre (L) (Mean) |
---|
Tiotropium+Olodaterol (5μg/5μg) - Main Study | 0.118 |
Fluticasone Propionate+Salmeterol (500μg/100μg) - Main Study | 0.114 |
Tiotropium+Olodaterol (5μg/5μg) - DH-study | NA |
Fluticasone Propionate+Salmeterol (500μg/100μg) - DH-study | NA |
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Peak 0-3 Hours Forced Expiratory Volume in One Second (FEV1) Response (Change From Baseline) [L] After 12 Weeks Treatment
Peak 0-3 hours Forced Expiratory Volume in one second (FEV1) response (change from baseline) [L] after 12 weeks treatment. Peak 0-3h was defined as the maximum value measured within the first three hours post doing. (NCT03240575)
Timeframe: 30 minutes, 1 h, 2h and 3h post dose at baseline and week 12.
Intervention | Litre (L) (Mean) |
---|
Tiotropium+Olodaterol (5μg/5μg) - Main Study | 0.341 |
Fluticasone Propionate+Salmeterol (500μg/100μg) - Main Study | 0.243 |
Tiotropium+Olodaterol (5μg/5μg) - DH-study | NA |
Fluticasone Propionate+Salmeterol (500μg/100μg) - DH-study | NA |
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Forced Expiratory Volume in One Second (FEV1) Area Under the Curve From 0 to 12 Hours (AUC0-12) Response (Change From Baseline) [L] After 12 Weeks of Treatment
"Forced Expiratory Volume in one second (FEV1) Area under the Curve from 0 to 12 hours (AUC0-12) response (change from baseline) [L] after 12 weeks of treatment.~FEV1 AUC0-12 was calculated as the area under the FEV1-time curve from 0-12 hours post-dose using the trapezoidal rule, divided by the duration (12 hours) and reported in liters. FEV1 AUC0-12 response (change from baseline) was defined as FEV1 AUC0-12 minus baseline FEV1." (NCT03240575)
Timeframe: 1 hours (h) and 10 minutes (min) before first dose at day1 of weeks 1 for baseline. 10 min before and 30 min, 1 h, 2h, 3h, 4h, 6h, 8h, 10h, 11h 50min post morning dose at week 12.
Intervention | Litre*hours (L*h) (Mean) |
---|
Tiotropium+Olodaterol (5μg/5μg) - Main Study | 0.237 |
Fluticasone Propionate+Salmeterol (500μg/100μg) - Main Study | 0.147 |
Tiotropium+Olodaterol (5μg/5μg) - DH-study | NA |
Fluticasone Propionate+Salmeterol (500μg/100μg) - DH-study | NA |
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Number of Participants With Any New, Unexpected AE or Safety Signal
An unexpected AE is defined as any adverse reaction whose nature and intensity have not been previously observed and documented for the study product (e.g. in the investigator brochure, product information). A safety signal is information on a new or known AE that may be caused by a medicine and requires further investigation. Number of participants with any new unexpected AE or safety signal are presented. (NCT03273946)
Timeframe: Up to Week 12
Intervention | Participants (Count of Participants) |
---|
| Any unexpected AE | Any safety signal |
---|
All Participants | 0 | 0 |
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Number of Participants With Any Serious Adverse Event (SAE) or Non-SAE
Any untoward medical occurrence resulting in death, life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, congenital anomaly/birth defect, possible drug-induced liver injury or any other situation according to medical or scientific judgment that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the participant or may require medical or surgical intervention to prevent serious outcomes were categorized as SAE. Number of participants who had at least one SAE or non-SAE are presented. (NCT03273946)
Timeframe: Up to Week 12
Intervention | Participants (Count of Participants) |
---|
| Any non-SAE | Any SAE |
---|
All Participants | 104 | 6 |
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Number of Participants With Any Adverse Event (AE) or Adverse Drug Reaction (ADR)
An AE is defined as any untoward medical event which occurred in a participant or clinical study participant, which is temporally associated with the use of the medical product, whether or not considered related to the product. An ADR is defined as AE related to study drug and listed in the package insert. Number of participants who had at least one AE or ADR are presented. (NCT03273946)
Timeframe: Up to Week 12
Intervention | Participants (Count of Participants) |
---|
| Any AE | Any ADR |
---|
All Participants | 110 | 0 |
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Change From Baseline at Week 12 in Post-bronchodilator Forced Expiratory Volume in 1 Second
FEV1 was the volume of air exhaled in the first second of a forced expiration as measured by spirometer. Post-bronchodilator FEV1 refers to the spirometry performed within 30 minutes after administration of bronchodilator. (NCT03387852)
Timeframe: Baseline, Week 12
Intervention | liters (Mean) |
---|
Placebo | -0.02 |
SAR440340 300 mg | -0.00 |
SAR440340 + Dupilumab | 0.06 |
Dupilumab 300 mg | 0.09 |
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Percentage of Participants With Loss of Asthma Control
An LOAC event during the 12-week treatment period was a deterioration of asthma defined as any of the following: a) 30 percent (%) or greater reduction from baseline in morning peak expiratory flow (PEF) on 2 consecutive days; b) greater than or equal to (>=) 6 additional reliever puffs of salbutamol/albuterol or levosalbutamol/levalbuterol in a 24-hour period (compared to baseline) on 2 consecutive days; c) increase in inhaled corticosteroid (ICS) >=4 times the last prescribed ICS dose (or >=50% of the prescribed ICS dose at Baseline if background therapy withdrawal completed); d) required use of systemic (oral and/or parenteral) steroid treatment; e) required hospitalization or emergency room visit. (NCT03387852)
Timeframe: From Baseline up to Week 12
Intervention | percentage of participants (Number) |
---|
Placebo | 40.5 |
SAR440340 300 mg | 21.9 |
SAR440340 + Dupilumab | 27.0 |
Dupilumab 300 mg | 18.9 |
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Change From Baseline at Week 12 in Pre-bronchodilator Forced Expiratory Volume in 1 Second (FEV1)
FEV1 was the volume of air exhaled in the first second of a forced expiration as measured by spirometer. Pre-bronchodilator FEV1 refers to the spirometry performed after a wash period of bronchodilators (i.e., not earlier than 6 hours) after the last dose of albuterol/salbutamol or levalbuterol/levosalbutamol from a primed meter dose inhaler and withholding the last dose of long-acting β2 adrenergic agonist (LABA) for at least 12 hours, and prior to administration of study drug. (NCT03387852)
Timeframe: Baseline, Week 12
Intervention | liters (Mean) |
---|
Placebo | 0.06 |
SAR440340 300 mg | 0.11 |
SAR440340 + Dupilumab | 0.06 |
Dupilumab 300 mg | 0.14 |
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Number of Participants With a PGIC Score of Minimally/Much/Very Much Improved
The Patient Global Impression of Change (PGIC), is a questionnaire where the patient rates the change in their symptoms. Score range is from 1 (very much improved) to 7 (very much worse) (NCT03591068)
Timeframe: Week 24
Intervention | Participants (Count of Participants) |
---|
OPN-375 186 mcg BID | 9 |
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Assessment for Safety Through Nasal Examination
Assessed in nasal examination worksheet which includes recording the presence of any epistaxis, septal erosion/perforation, ulceration/erosion of area other than septum. If present, the nostril location is also recorded, along with severity, and if there is any relation to an injury or trauma (NCT03591068)
Timeframe: 24 Weeks, up to 30 days after last dose
Intervention | Participants (Count of Participants) |
---|
| Epistaxis | Septal erosion/perforation | Ulceration/erosion |
---|
OPN-375 186 mcg BID | 1 | 0 | 0 |
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Number of Subjects With a Change of Greater Than or Equal to 1 Point in Bilateral Polyp Grade
"Polyp grading of each nasal cavity was determined by a nasal polyp grading scale score measured by nasoendoscopy. 0: No polyps~Mild polyposis: polyps not reaching below the inferior border of the middle turbinate~Moderate polyposis: polyps reaching below the inferior border of the middle concha, but not the inferior border of the inferior turbinate~Severe polyposis large polyps reaching below the lower inferior border of the inferior turbinate" (NCT03591068)
Timeframe: Week 24
Intervention | Participants (Count of Participants) |
---|
OPN-375 186 mcg BID | 5 |
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Number of Subjects With a Polyp Grade of 0 on at Least One Side of the Nose at Each Visit
"Polyp grading of each nasal cavity was determined by a nasal polyp grading scale score measured by nasoendoscopy. 0: No polyps~Mild polyposis: polyps not reaching below the inferior border of the middle turbinate~Moderate polyposis: polyps reaching below the inferior border of the middle concha, but not the inferior border of the inferior turbinate~Severe polyposis large polyps reaching below the lower inferior border of the inferior turbinate" (NCT03591068)
Timeframe: Week 24
Intervention | Participants (Count of Participants) |
---|
OPN-375 186 mcg BID | 1 |
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Assessment for Safety by Recording Adverse Events and Adverse Events of Special Interests
(NCT03591068)
Timeframe: 24 Weeks, up to 30 days after last dose
Intervention | Participants (Count of Participants) |
---|
| Asthma | Back pain | Dizziness | Dyspnoea | Fungal skin infection | Hypotension | Influenza | Lacrimation increased | Nasal discharge discolouration | Sinusitis | Tension headache | Upper respiratory tract infection | Vasomotor rhinitis |
---|
OPN-375 186 mcg BID | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
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Assessment for Safety From Recording Vital Sign - Blood Pressure
Includes systolic and diastolic blood pressure measurements in millimeter of mercury (mmHg) (NCT03591068)
Timeframe: Baseline, Week 12, Week 24
Intervention | mmHg (Mean) |
---|
| Baseline | Week 12 | Week 24 |
---|
OPN-375 186 mcg BID - Diastolic BP | 83.3 | 82.0 | 81.4 |
,OPN-375 186 mcg BID - Systolic BP | 130.1 | 127.4 | 131.9 |
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Assessment for Safety From Recording Vital Sign - Pulse
measure pulse in beats per minute (bpm) (NCT03591068)
Timeframe: Baseline, Week 12, Week 24
Intervention | bpm (Mean) |
---|
| Baseline | Week 12 | Week 24 |
---|
OPN-375 186 mcg BID | 71.5 | 73.5 | 76.4 |
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Change From Visit 1 at End of Study in Bilateral Nasal Polyp Grade Using Endoscopic Video
": Polyp grading of each nasal cavity was determined by a nasal polyp grading scale score measured by nasoendoscopy. 0: No polyps~Mild polyposis: polyps not reaching below the inferior border of the middle turbinate~Moderate polyposis: polyps reaching below the inferior border of the middle concha, but not the inferior border of the inferior turbinate~Severe polyposis large polyps reaching below the lower inferior border of the inferior turbinate" (NCT03591068)
Timeframe: Week 24
Intervention | units on a scale (Mean) |
---|
OPN-375 186 mcg BID | -0.7 |
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Sinonasal Outcome Test 22 (SNOT-22) Total Score
"SNOT-22 is a subject-completed questionnaire that consists of 22 questions. The questions on the SNOT-22 efficacy evaluation were used to calculate a total score. 22 questions are divided among 4 subscales: Rhinologic (7 questions), Ear/Facial Symptoms (4 questions), Sleep Function (3 questions), and Psychological Issues (6 questions). Each item was rated on the 5-point scale. The total score can range from 0-110, 0 being the best and 110 being the worst.~0: No problem~Very mild problem~Mild or slight problem~Moderate problem~Severe problem~Problem as bad as can be" (NCT03591068)
Timeframe: Week 24
Intervention | units on a scale (Mean) |
---|
OPN-375 186 mcg BID | 27.8 |
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Sniffin' Sticks N-butanol Test
The Sniffin' Sticks n-butanol (Extended test) are used to investigate human olfactory performance by use of odor pens. the Extended Test consists of 3 different subtests: Threshold, Discrimination and Identification. the Threshold test is used to ascertain the patient's olfactory threshold. the Discrimination test requires the patient to differentiate smells. The Identification test requires the patient to identify everyday smells by means of a card with different choices. The result of this test is expressed as the sum of the results of the 3 subtests, the so called TDI score (threshold, discrimination, identification). A score of more than 30 rates as normal, a score of 30 or less indicates hyposmia and a score of 15 and below point to functional anosmia in form of complete loss of the sense of smell or an extremely weakened smell ability. (NCT03591068)
Timeframe: Week 24
Intervention | units on a scale (Mean) |
---|
OPN-375 186 mcg BID | 16.5 |
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Total Polyp Grading Score (Sum of Scores From Both Nasal Cavities)
"Polyp grading of each nasal cavity was determined by a nasal polyp grading scale score measured by nasoendoscopy. 0: No polyps~Mild polyposis: polyps not reaching below the inferior border of the middle turbinate~Moderate polyposis: polyps reaching below the inferior border of the middle concha, but not the inferior border of the inferior turbinate~Severe polyposis large polyps reaching below the lower inferior border of the inferior turbinate" (NCT03591068)
Timeframe: Week 24
Intervention | units on a scale (Mean) |
---|
OPN-375 186 mcg BID | 2.4 |
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Baseline-adjusted Area Under the Serial FEV1-time Curve Calculated From Time Zero to 12 Hours (AUC0-12h) on Day 1 of Treatment
Baseline-adjusted area under the serial FEV1-time curve calculated from time zero to 12 hours (AUC0-12h) on Day 1 of treatment. LSMeans will be used for the statistical analysis. Only the active treatments (test and reference) are compared in this analysis. The placebo arm was used in superiority analysis only. (NCT03756883)
Timeframe: 12 hours
Intervention | liters x hours (Least Squares Mean) |
---|
Test | 4.03 |
Reference | 3.96 |
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Baseline-adjusted Pre-dose FEV1 Measured in the Morning Following 28 Days of Treatment.
Baseline-adjusted pre-dose FEV1 measured in the morning following 28 days of treatment. Only the active treatments (test and reference) are compared in this analysis. The placebo arm was used in superiority analysis only. (NCT03756883)
Timeframe: 28 days
Intervention | Liters (Least Squares Mean) |
---|
Test | 0.33 |
Reference | 0.34 |
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Statistical Superiority of Test and Reference Over Placebo Treatment in Baseline-adjusted Area Under the Serial FEV1-time Curve
Statistical Superiority of Test and Reference over Placebo Treatment in Baseline-adjusted area under the serial FEV1-time curve (NCT03756883)
Timeframe: 12 hours
Intervention | liters x hours (Least Squares Mean) |
---|
Test | 4.02 |
Reference | 3.94 |
Placebo | 1.21 |
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Statistical Superiority of Test and Reference Over Placebo Treatment in Baseline-adjusted Pre-dose FEV1 Measured in the Morning Following 28 Days of Treatment
Statistical Superiority of Test and Reference over Placebo Treatment in Baseline-adjusted pre-dose FEV1 measured in the morning following 28 days of treatment (NCT03756883)
Timeframe: 28 days
Intervention | Liters (Least Squares Mean) |
---|
Test | 0.33 |
Reference | 0.33 |
Placebo | 0.11 |
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Response to Therapy at Day 4 (Physician Evaluation)
Response to therapy was assessed by evaluating the participant's relief of nasal symptoms at Day 4. The physician evaluated the participant's response using the following 5-point scale: 1=complete relief, 2=marked relief, 3=moderate relief, 4=slight relief, and 5=no relief. The scores were averaged across each treatment group, with a lower score indicating a greater response to therapy and an improvement in nasal symptoms. (NCT03882047)
Timeframe: Day 4
Intervention | Score on a scale (Mean) |
---|
Mometasone Furoate Nasal Spray | 3.2 |
Fluticasone Propionate Nasal Spray | 3.1 |
Placebo Nasal Spray | 3.8 |
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Response to Therapy at Day 15 (Physician Evaluation)
Response to therapy was assessed by evaluating the participant's relief of nasal symptoms at Day 15. The physician evaluated the participant's response using the following 5-point scale: 1=complete relief, 2=marked relief, 3=moderate relief, 4=slight relief, and 5=no relief. The scores were averaged across each treatment group, with a lower score indicating a greater response to therapy and an improvement in nasal symptoms. (NCT03882047)
Timeframe: Day 15
Intervention | Score on a scale (Mean) |
---|
Mometasone Furoate Nasal Spray | 2.7 |
Fluticasone Propionate Nasal Spray | 2.4 |
Placebo Nasal Spray | 3.2 |
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Change From Baseline in Overall Condition of Seasonal Allergic Rhinitis at Day 15 (Participant Evaluation)
The overall condition of seasonal allergic rhinitis was evaluated by the participant on Day 15, based on the following scale: 0=none, 1=mild, 2=moderate; and 3=severe. A higher value indicated greater severity of symptoms. Change from baseline = visit score - baseline score (Day 1 visit). A negative change from baseline score indicated a decrease in symptom severity. (NCT03882047)
Timeframe: Baseline (Day 1) and Day 15
Intervention | Score on a scale (Mean) |
---|
Mometasone Furoate Nasal Spray | -1.1 |
Fluticasone Propionate Nasal Spray | -1.3 |
Placebo Nasal Spray | -0.5 |
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Change From Baseline in Overall Condition of Seasonal Allergic Rhinitis at Day 15 (Physician Evaluation)
Change from baseline at Day 15 was calculated for the overall condition of seasonal allergic rhinitis, as assessed by the physician. The physician scored their overall condition on study Day 15 on the following scale: 0=none, 1=mild, 2=moderate; and 3=severe. A higher value indicated greater severity of symptoms. Change from baseline = visit score - baseline score (Day 1 visit). A negative change from baseline score indicated a decrease in symptom severity. (NCT03882047)
Timeframe: Baseline (Day 1) and Day 15
Intervention | Score on a scale (Mean) |
---|
Mometasone Furoate Nasal Spray | -0.9 |
Fluticasone Propionate Nasal Spray | -1.2 |
Placebo Nasal Spray | -0.5 |
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Change From Baseline in Overall Condition of Seasonal Allergic Rhinitis at Day 4 (Participant Evaluation)
The overall condition of seasonal allergic rhinitis was evaluated by the participant on Day 4, based on the following scale: 0=none, 1=mild, 2=moderate; and 3=severe. A higher value indicated greater severity of symptoms. Change from baseline = visit score - baseline score (Day 1 visit). A negative change from baseline score indicated a decrease in symptom severity. (NCT03882047)
Timeframe: Baseline (Day 1) and Day 4
Intervention | Score on a scale (Mean) |
---|
Mometasone Furoate Nasal Spray | -0.6 |
Fluticasone Propionate Nasal Spray | -0.8 |
Placebo Nasal Spray | -0.3 |
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Change From Baseline in Overall Condition of Seasonal Allergic Rhinitis at Day 4 (Physician Evaluation)
Change from baseline at Day 4 was calculated for the Overall Condition of Seasonal Allergic Rhinitis, as assessed by the physician. The physician scored their overall condition on study Day 4 on the following scale: 0=none, 1=mild, 2=moderate; and 3=severe. A higher value indicated greater severity of symptoms. Change from baseline = visit score - baseline score (Day 1 visit). A negative change from baseline score indicated a decrease in symptom severity. (NCT03882047)
Timeframe: Baseline (Day 1) and Day 4
Intervention | Score on a scale (Mean) |
---|
Mometasone Furoate Nasal Spray | -0.5 |
Fluticasone Propionate Nasal Spray | -0.7 |
Placebo Nasal Spray | -0.3 |
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Change From Baseline in the Total Nasal Symptom Score at Day 15 (Physician Evaluation)
Change from baseline at Day 15 was calculated for the Total Nasal Symptom Score, as assessed by the physician. The Total Nasal Symptom Score was a composite of the following symptoms: rhinorrhea, nasal stuffiness, nasal itching, and sneezing scores. The physician scored each symptom during the study visit on the following scale: 0=none, 1=mild, 2=moderate; and 3=severe. The composite score ranged from 0-12. Change from baseline = visit score - baseline score (Day 1 visit). A negative change from baseline score indicated a decrease in symptom severity. (NCT03882047)
Timeframe: Baseline (Day 1) and Day 15
Intervention | Score on a scale (Mean) |
---|
Mometasone Furoate Nasal Spray | -4.4 |
Fluticasone Propionate Nasal Spray | -5.5 |
Placebo Nasal Spray | -2.7 |
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Change From Baseline in the Total Nasal Symptom Score at Day 4 (Physician Evaluation)
Change from baseline at Day 4 was calculated for the Total Nasal Symptom Score, as assessed by the physician. The Total Nasal Symptom Score was a composite of the following symptoms: rhinorrhea, nasal stuffiness, nasal itching, and sneezing scores. The physician scored each symptom during the study visit on the following scale: 0=none, 1=mild, 2=moderate; and 3=severe. The composite score ranged from 0-12. Change from baseline = visit score - baseline score (Day 1 visit). A negative change from baseline score indicated a decrease in symptom severity. (NCT03882047)
Timeframe: Baseline (Day 1) and Day 4
Intervention | Score on a scale (Mean) |
---|
Mometasone Furoate Nasal Spray | -3.2 |
Fluticasone Propionate Nasal Spray | -3.5 |
Placebo Nasal Spray | -1.8 |
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Change From Baseline in Total Nasal Symptom Score Averaged Over Day 1 Through Day 15 (Based on Participant Diaries)
Change from baseline averaged over study Day 1 through study Day 15 was calculated for Total Nasal Symptom Score, based on participant diaries. Participants scored 4 symptoms (rhinorrhea, stuffiness, itching, sneezing) in their diaries using the following scale: 0=none, 1=mild, 2=moderate, 3=severe. The Total Nasal Symptom Score was the sum of the 4 individual scores (range=0-12; higher score indicating more frequent/severe nasal symptoms.) Change from baseline was the 15-day average score minus the baseline score. Scores were recorded twice daily, in the morning (AM) and night (PM). Average AM/PM scores were first calculated separately, then averaged together to obtain the 15-day average score. Baseline score was an average of the 3 AM scores and 3 PM scores preceding treatment. Negative changes indicated a decrease in symptom severity. (NCT03882047)
Timeframe: Baseline and Day 1 through Day 15 (averaged over 15 days)
Intervention | Score on a scale (Mean) |
---|
Mometasone Furoate Nasal Spray | -2.8 |
Fluticasone Propionate Nasal Spray | -3.4 |
Placebo Nasal Spray | -0.9 |
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Response to Therapy at Day 15 (Participant Evaluation)
Response to therapy was evaluated by participants and based upon their status scored at Day 15. Participants evaluated their response to therapy using the following 5-point scale: 1 = Complete Relief, 2 = Marked Relief, 3 = Moderate Relief, 4= Slight Relief, and 5 = Treatment Failure. The scores were averaged across each treatment group, with a lower score indicating a greater response to therapy and an improvement in nasal symptoms. (NCT03882047)
Timeframe: Day 15
Intervention | Score on a scale (Mean) |
---|
Mometasone Furoate Nasal Spray | 2.6 |
Fluticasone Propionate Nasal Spray | 2.4 |
Placebo Nasal Spray | 3.4 |
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Response to Therapy at Day 4 (Participant Evaluation)
Response to therapy was evaluated by participants and based upon their status scored at Day 4. Participants evaluated their response to therapy using the following 5-point scale: 1 = Complete Relief, 2 = Marked Relief, 3 = Moderate Relief, 4= Slight Relief, and 5 = Treatment Failure. The scores were averaged across each treatment group, with a lower score indicating a greater response to therapy and an improvement in nasal symptoms. (NCT03882047)
Timeframe: Day 4
Intervention | Score on a scale (Mean) |
---|
Mometasone Furoate Nasal Spray | 3.2 |
Fluticasone Propionate Nasal Spray | 3.1 |
Placebo Nasal Spray | 3.7 |
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COHORT 1: Mean Change From Baseline to Day 14 in the Composite (Sum) Score of Signs & Symptoms of Blepharitis
COHORT 1: Mean change from baseline in Composite (Sum) Score of Eyelid Margin Redness (0=none to 3=severe scale), Eyelid Debris (0=none to 3=severe scale), and Eyelid Discomfort (0=none to 3=severe scale) (NCT03926026)
Timeframe: 14 days
Intervention | units on a scale (Mean) |
---|
NCX 4251 QD (Cohort 1) | -2.2 |
Placebo QD (Cohort 1) | -1.2 |
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COHORT 1 and 2 COMBINED: Mean Change From Baseline to Day 14 in the Composite (Sum) Score of Signs & Symptoms of Blepharitis
COHORT 1 and 2 COMBINED: Mean change from baseline in Composite (Sum) Score of Eyelid Margin Redness (0=none to 3=severe scale), Eyelid Debris (0=none to 3=severe scale), and Eyelid Discomfort (0=none to 3=severe scale) (NCT03926026)
Timeframe: 14 days
Intervention | units on a scale (Mean) |
---|
NCX 4251 (Cohort 1 & 2 Combined) | -2.0 |
Placebo (Cohort 1 & 2 Combined) | -1.2 |
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COHORT 2: Mean Change From Baseline to Day 14 in the Composite (Sum) Score of Signs & Symptoms of Blepharitis
COHORT 2: Mean change from baseline in Composite (Sum) Score of Eyelid Margin Redness (0=none to 3=severe scale), Eyelid Debris (0=none to 3=severe scale), and Eyelid Discomfort (0=none to 3=severe scale) (NCT03926026)
Timeframe: 14 days
Intervention | units on a scale (Mean) |
---|
NCX 4251 BID (Cohort 2) | -1.7 |
Placebo BID (Cohort 2) | -1.1 |
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Change in Composite Asthma Severity Index (CASI)
"CASI was measured by questionnaire and is a severity score of symptom burden, exacerbations, healthcare utilization, lung function and dose of inhaled corticosteroids. The change in CASI score was calculated between V1 (Baseline), V2 (Guideline Care - before intervention), and V3 (12 Months).~[The CASI score has a minimum value = 0, maximum value = 20, a higher score indicates greater asthma severity]" (NCT04179461)
Timeframe: Baseline to 12 months
Intervention | score on a scale (Median) |
---|
| V1 | V2 | V3 |
---|
Personalized Treatment | 5 | 5 | 5 |
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Asthma Control Test (ACT)
"ACT was measured by questionnaire, assessing frequency of reported asthma symptoms, rescue medication use, the effect of asthma on daily functioning, and overall asthma control. The change in ACT score was calculated between V1 (Baseline), V2 (Guideline Care - before intervention), and V3 (12 Months).~[The ACT score has a minimum value = 5, maximum value = 25, a score 19 indicates well-controlled asthma]" (NCT04179461)
Timeframe: Baseline to 12 months
Intervention | score on a scale (Median) |
---|
| V1 | V2 | V3 |
---|
Personalized Treatment | 23.0 | 21.7 | 22.5 |
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Adherence of Asthma Controller Medication
Adherence was measured using the Propeller Health Inhaler monitor and web-based software management platform that tracks adherence of asthma medications. The change in adherence was calculated between V1 (baseline) to V3 (12 Months). (NCT04179461)
Timeframe: Baseline to 12 months
Intervention | percentage of medication taken (Median) |
---|
| V1 | V3 |
---|
Personalized Treatment | 42 | 36 |
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Pulmonary Function Measured by Spirometry: Forced Expiratory Volume in 1 Second (FEV1) / Forced Vital Capacity (FVC)
"FEV1 is air volume exhaled in 1 second during spirometry. Forced vital capacity is the amount of air that can be forcibly exhaled from the lungs after taking the deepest breath possible. The change in FEV1/FVC was calculated between V1 (Baseline), V2 (Guideline Care - before intervention), and V3 (12 Months). This will be used as a measurement in asthma severity.~[A lower FEV1/FVC ratio indicates more severe asthma]" (NCT04179461)
Timeframe: Baseline to 12 months
Intervention | Ratio (Median) |
---|
| V1 | V2 | V3 |
---|
Personalized Treatment | 0.81 | 0.8 | 0.8 |
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Change in Patient-assessed Instantaneous Total Nasal Symptom Score (TNSS) From Baseline Compared to Placebo
"FDA guideline defines onset of action as the first time point after initiation of treatment when the product demonstrated a greater change from baseline compared to placebo which proved durable.~In this study, the first significant difference to placebo of TNSS was observed at 5 minutes time point (= onset of action).~The TNSS is comprised of 4 symptoms from the nose, each scored on a scale of 0 to 3 (0 = none and 3 = severe). The sum of the TNSS contributes to a score ranging from 0 - 12." (NCT04652245)
Timeframe: 0 to 4 hours post application
Intervention | score on a scale (Least Squares Mean) |
---|
Treatment A (Dymista), Cross-over Design, Time-point 5 Min Post-dose (Onset of Action) | -1.37 |
Treatment B (Placebo), Cross-over Design, Time-point 5 Min Post-dose (Onset of Action) | -1.04 |
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Change in Patient-assessed Instantaneous Total Ocular Symptom Score (TOSS) From Baseline Compared to Placebo
"FDA guideline defines onset of action as the first time point after initiation of treatment when the product demonstrated a greater change from baseline compared to placebo which proved durable.~In this study, the first significant difference to placebo of TOSS was observed at 10 minutes time point (= onset of action).~The TOSS is comprised of 3 symptoms from the eyes, each scored on a scale of 0 to 3 (0 = none and 3 = severe). The sum of the TOSS contributes to a score ranging from 0 - 9." (NCT04652245)
Timeframe: 0 to 4 hours post application
Intervention | score on a scale (Least Squares Mean) |
---|
Treatment A (Dymista), Cross-over Design, Time-point 10 Min Post-dose (Onset of Action) | -1.21 |
Treatment B (Placebo), Cross-over Design, Time-point 10 Min Post-dose (Onset of Action) | -0.87 |
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System Usability Scale (SUS) Overall Score for DS Group
The SUS was used to explore device acceptability and usability for participants in the DS group. It covered a variety of aspects of system usability, such as the need for support, training, and complexity, and thus giving a global view of subjective assessments of usability. It was a 10-question tool (with five response options; from 1=strongly disagree to 5=strongly agree) that provided a composite measure, ranging from 0 to 100, of the overall usability of the system being studied. Higher scores represent better usability level for the tool. (NCT04677959)
Timeframe: Week 24
Intervention | units on a scale (Mean) |
---|
| SUS Overall Score (completed by participants) | Site SUS Overall Score (completed by site) |
---|
Digital System (DS) | 70.0 | 73.2 |
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Change From Baseline in BIPQ Cognitive Subscale Score at Week 24
BIPQ was a 9-item questionnaire designed to rapidly assess cognitive and emotional representations of illness. It comprised 5 items on cognitive representation of illness perception: consequences (Item 1: How much does your illness affect your life? Response range 0 [no affect] - 10 [severe affect]), timeline (Item 2: How long do you think your illness will continue? Response range 0 [a very short time] - 10 [forever]), personal control (Item 3: How much control do you feel you have over your illness? Response range 0 [no control] - 10 [extreme amount of control]), treatment control (Item 4: How much do you think your treatment can help your illness? Response range 0 [not at all] - 10 [extremely helpful]), and identity (Item 5: How much do you experience symptoms from your illness? Response range 0 [no symptoms] - 10 [severe symptoms]). Total BIPQ Cognitive Subscale Score was the sum of all item score and ranged from 0 to 50. A higher score indicates stronger illness perception. (NCT04677959)
Timeframe: Baseline, Week 24
Intervention | units on a scale (Mean) |
---|
Standard of Care (SoC) | -2.5 |
Digital System (DS) | -3.3 |
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Change From Baseline in Adherence to Maintenance Treatment (FS eMDPI) at Week 24 for the DS Group
Adherence to maintenance treatment was defined as the percentage of actual inhalation doses taken out of the total number of inhalation doses prescribed over the 24- week treatment period. (NCT04677959)
Timeframe: Baseline, Week 24
Intervention | percentage of inhalation (Mean) |
---|
Digital System (DS) | -10.87 |
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Change From Baseline in Beliefs About Medicines Questionnaire (BMQ) Concern Subscale Score at Week 24
The BMQ was used to assess cognitive representations of medicine. The Beliefs About Medicines Questionnaire-Specific 11 (BMQ-S11) was an 11-item questionnaire that assessed the representation of medication prescribed for personal use and the BMQ-General assesses beliefs about medicines in general. BMQ concern is a 6-item scale assessing participant's concerns about potential adverse consequences (range: 1=strongly disagree to 5=strongly agree). Participants indicated their degree of agreement on a 5-point scale, ranging from 1=strongly disagree to 5=strongly agree. Scores obtained for individual items were summed, divided by the total number of items and multiplied by 5 to give a total score ranging from 5 to 25 (higher scores=stronger beliefs). (NCT04677959)
Timeframe: Baseline, Week 24
Intervention | units on a scale (Mean) |
---|
Standard of Care (SoC) | -0.8 |
Digital System (DS) | -0.9 |
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Change From Baseline in BIPQ Emotional Representations Subscale Score at Week 24
BIPQ was a 9-item questionnaire designed to rapidly assess cognitive and emotional representations of illness. It comprised 2 items on emotional representation: concern (Item 6: How concerned are you about your illness? Response range 0 [not at all concerned] - 10 [extremely concerned]) and emotions (Item 8: How much does your illness affect you emotionally; for example, does it make you angry, scared, upset or depressed? Response range 0 [not at all affected emotionally] - 10 [extremely affected emotionally]). Total BIPQ Emotional Subscale Score was the sum of above 2 items score and ranged from 0 to 20. A higher score indicates extreme emotional representation. (NCT04677959)
Timeframe: Baseline, Week 24
Intervention | units on a scale (Mean) |
---|
Standard of Care (SoC) | -1.1 |
Digital System (DS) | -1.3 |
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Change From Baseline in BMQ Necessity Subscale Score at Week 24
The BMQ was used to assess cognitive representations of medicine. The Beliefs About Medicines Questionnaire-Specific 11 (BMQ-S11) was an 11-item questionnaire that assessed the representation of medication prescribed for personal use and the BMQ-General assesses beliefs about medicines in general. BMQ necessity is a 5-item scale assessing participant's beliefs about necessity of medications for controlling disease. Participants indicated degree of agreement on a 5-point scale, ranging from 1=strongly disagree to 5=strongly agree. Scores obtained for individual items were summed, divided by the total number of items and multiplied by 5 to give a total score ranging from 5 to 25 (higher scores=stronger beliefs). (NCT04677959)
Timeframe: Baseline, Week 24
Intervention | units on a scale (Mean) |
---|
Standard of Care (SoC) | -0.4 |
Digital System (DS) | -1.3 |
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Change From Baseline in Brief Illness Perception Questionnaire (BIPQ) Illness Comprehensibility Subscale Score at Week 24
The BIPQ was a 9-item questionnaire designed to rapidly assess cognitive and emotional representations of illness. Only one item assesses illness comprehensibility or coherence of illness (Item 7: How well do you feel you understand your illness?). This item was rated using a 0 (do not understand at all) to 10 (understand very clearly) response scale. A higher score indicates a stronger illness comprehensibility. (NCT04677959)
Timeframe: Baseline, Week 24
Intervention | units on a scale (Mean) |
---|
Standard of Care (SoC) | -0.0 |
Digital System (DS) | 0.1 |
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Change From Baseline in Mean Weekly SABA Usage at Week 24 for the DS Group
(NCT04677959)
Timeframe: Baseline, Week 24
Intervention | micrograms (μg) (Mean) |
---|
Digital System (DS) | -12.26 |
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Change From Baseline in the Number of SABA-free Days at Week 24 for the DS Group
Number of days a participant did not use the rescue medication in a week are reported. (NCT04677959)
Timeframe: Baseline, Week 24
Intervention | days (Mean) |
---|
Digital System (DS) | 0.4 |
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Number of Decreased Doses of Inhaled Medication
Number of participants who received decreased dose of inhaled medication during the 24-week treatment period are reported. (NCT04677959)
Timeframe: Baseline up to Week 24
Intervention | Participants (Count of Participants) |
---|
Standard of Care (SoC) | 0 |
Digital System (DS) | 0 |
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Number of Participants Achieving Well-Controlled Asthma or Reaching Clinically Important Improvement in Asthma Control
A well-controlled asthma was defined as an Asthma Control Test (ACT) score of greater than or equal to 20. Clinically important improvement in asthma control was defined by an increase of at least 3 ACT units from baseline. The ACT was a simple, participant-completed tool used for the assessment of overall asthma control. The ACT included 5 items that assessed daytime and nighttime asthma symptoms, use of reliever medication, and impact of asthma on daily functioning. Each item in the ACT was scored on a 5-point scale ranging from 1 (poor control of asthma) to 5 (well control of asthma), with summation of all items providing scores ranging from 5 to 25. The scores span the continuum of poor control of asthma (score of 5) to complete control of asthma (score of 25), with a cutoff score of 19 and below indicating participants with poorly controlled asthma. (NCT04677959)
Timeframe: Week 24
Intervention | Participants (Count of Participants) |
---|
Standard of Care (SoC) | 112 |
Digital System (DS) | 134 |
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Change From Baseline in Work Productivity and Activity Impairment (WPAI) Asthma Questionnaire Score at Week 24
WPAI-asthma is a self-administered instrument to measure asthma-specific performance impairment of work and regular daily activity within the last 7 days and yields 4 types of scores: work time missed (absenteeism), impairment while working (presenteeism or reduced on-the-job effectiveness), overall work impairment (WI) (work productivity loss or absenteeism plus presenteeism) and activity impairment (daily activity impairment). Total score and each score ranged from 0 (not affected/no impairment) to 100 (completely affected/impaired). Higher scores indicated greater impairment and less productivity. (NCT04677959)
Timeframe: Baseline, Week 24
Intervention | units on a scale (Mean) |
---|
| Absenteeism | Presenteeism | Work productivity loss | Activity impairment |
---|
Digital System (DS) | -0.05 | -10.43 | -9.87 | -15.33 |
,Standard of Care (SoC) | -3.56 | -10.98 | -12.18 | -11.22 |
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Number of Participants With Adverse Events (AEs)
An AE 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. SAEs included 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 participant and required medical intervention to prevent 1 of the outcomes listed in this definition. A summary of serious and non-serious AEs regardless of causality is located in 'Reported Adverse Events module'. Number of participants with any AEs, and device-related AEs has been reported. (NCT04677959)
Timeframe: Baseline up to Week 26
Intervention | Participants (Count of Participants) |
---|
| Any AEs | Device-related AEs |
---|
Digital System (DS) | 77 | 3 |
,Standard of Care (SoC) | 56 | 0 |
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Incidence Rate of Pneumonia Hospitalization (Diagnosis in Any Position)
The incidence rates of pneumonia (pneu.) hospitalization (diagnosis in any position) were reported. The incidence rate was calculated as totaling the number of pneumonia hospitalization for all patients / total follow-up in days * 365. (NCT05169424)
Timeframe: From index date (i.e. baseline, cohort entry, 15 September 2017) until 31st March 2020, up to 30 months and 16 days.
Intervention | pneu. hospitalization per patient-year (Number) |
---|
Stiolto Initiators | 0.025 |
Trelegy Initiators | 0.030 |
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Total Costs of COPD or Pneumonia Attributable HCRU
The total annualized costs of COPD or pneumonia attributable HCRU were calculated for each cohort by totaling the costs for all patients divided by the total follow-up in days, multiplied by 365. (NCT05169424)
Timeframe: From index date (i.e. baseline, cohort entry, 15 September 2017) until 31st March 2020, up to 30 months and 16 days.
Intervention | dollars per year (Number) |
---|
Stiolto Initiators | 5729 |
Trelegy Initiators | 5409 |
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Total Costs of All-cause HCRU
The total annualized costs of all-cause HCRU were calculated for each cohort by totaling the costs for all patients divided by the total follow-up in days, multiplied by 365. (NCT05169424)
Timeframe: From index date (i.e. baseline, cohort entry, 15 September 2017) until 31st March 2020, up to 30 months and 16 days.
Intervention | dollars per year (Number) |
---|
Stiolto Initiators | 20849 |
Trelegy Initiators | 19384 |
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Incidence Rate of Pneumonia Hospitalization (Diagnosis in Any Position) - Among Patients With no Baseline Exacerbation
The incidence rates of pneumonia (pneu.) hospitalization (diagnosis in any position) among patients with no baseline exacerbation were reported. The incidence rate was calculated as totaling the number of pneumonia hospitalization for all patients / total follow-up in days * 365. (NCT05169424)
Timeframe: From index date (i.e. baseline, cohort entry, 15 September 2017) until 31st March 2020, up to 30 months and 16 days.
Intervention | pneu. hospitalization per patient-year (Number) |
---|
Stiolto Initiators | 0.024 |
Trelegy Initiators | 0.023 |
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Incidence Rate of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation After Cohort Entry - Among Patients With 2 or More Baseline Exacerbations
Incidence rate of chronic obstructive pulmonary disease (COPD) exacerbation after cohort entry among patients with 2 or more baseline exacerbations were reported. The incidence rate was calculated as totaling the number of exacerbation for all patients / total follow-up in days * 365. (NCT05169424)
Timeframe: From index date (i.e. baseline, cohort entry, 15 September 2017) until 31st March 2020, up to 30 months and 16 days.
Intervention | exacerbation per patient-year (Number) |
---|
Stiolto Initiators | 0.49 |
Trelegy Initiators | 0.58 |
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Incidence Rate of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation After Cohort Entry - Among Patients With 0 or 1 Baseline Exacerbation
Incidence rate of chronic obstructive pulmonary disease (COPD) exacerbation after cohort entry among patients with 0 or 1 baseline exacerbation were reported. The incidence rate was calculated as totaling the number of exacerbation for all patients / total follow-up in days * 365. (NCT05169424)
Timeframe: From index date (i.e. baseline, cohort entry, 15 September 2017) until 31st March 2020, up to 30 months and 16 days.
Intervention | exacerbation per patient-year (Number) |
---|
Stiolto Initiators | 0.27 |
Trelegy Initiators | 0.31 |
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Incidence Rate of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation After Cohort Entry
Incidence rate of chronic obstructive pulmonary disease (COPD) exacerbation after cohort entry were reported. The incidence rate was calculated as totaling the number of exacerbation for all patients / total follow-up in days * 365. (NCT05169424)
Timeframe: From index date (i.e. baseline, cohort entry, 15 September 2017) until 31st March 2020, up to 30 months and 16 days.
Intervention | exacerbation per patient-year (Number) |
---|
Stiolto Initiators | 0.28 |
Trelegy Initiators | 0.32 |
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Incidence Rate of Pneumonia Hospitalization (Diagnosis in Any Position) - Among Patients With 2 or More Baseline Exacerbations
The incidence rates of pneumonia (pneu.) hospitalization (diagnosis in any position) among patients with 2 or more baseline exacerbations were reported. The incidence rate was calculated as totaling the number of pneumonia hospitalization for all patients / total follow-up in days * 365. (NCT05169424)
Timeframe: From index date (i.e. baseline, cohort entry, 15 September 2017) until 31st March 2020, up to 30 months and 16 days.
Intervention | pneu. hospitalization per patient-year (Number) |
---|
Stiolto Initiators | 0.075 |
Trelegy Initiators | 0.072 |
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Incidence Rate of Pneumonia Hospitalization (Diagnosis in Any Position) - Among Patients With 0 or 1 Baseline Exacerbation
The incidence rates of pneumonia (pneu.) hospitalization (diagnosis in any position) among patients with 0 or 1 baseline exacerbation were reported. The incidence rate was calculated as totaling the number of pneumonia hospitalization for all patients / total follow-up in days * 365. (NCT05169424)
Timeframe: From index date (i.e. baseline, cohort entry, 15 September 2017) until 31st March 2020, up to 30 months and 16 days.
Intervention | pneu. hospitalization per patient-year (Number) |
---|
Stiolto Initiators | 0.024 |
Trelegy Initiators | 0.028 |
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Incidence Rate of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation After Cohort Entry - Among Patients With no Baseline Exacerbation
Incidence rate of chronic obstructive pulmonary disease (COPD) exacerbation after cohort entry among patients with no baseline exacerbation were reported. The incidence rate was calculated as totaling the number of exacerbation for all patients / total follow-up in days * 365. (NCT05169424)
Timeframe: From index date (i.e. baseline, cohort entry, 15 September 2017) until 31st March 2020, up to 30 months and 16 days.
Intervention | exacerbation per patient-year (Number) |
---|
Stiolto Initiators | 0.25 |
Trelegy Initiators | 0.3 |
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Quality of Life (QOL) as Measured by the PROMIS-29 - Sleep
The PROMIS-29 (Patient-Reported Outcomes Measurement Information System) consists of seven health domains with four 5-level items associated with each and a pain intensity assessment using a 0-10 numeric rank. The seven health domains include physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance. Raw score ranges from 4-20 where a lower score correlates to better outcome for sleep. (NCT05736874)
Timeframe: Day 7, 14, 28, and 90
Intervention | score on a scale (Median) |
---|
| Day 7 | Day 14 | Day 28 | Day 90 |
---|
Arm C - Fluticasone | 10 | 9 | 8 | 8 |
,Arm C - Placebo | 10 | 9 | 8 | 8 |
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Quality of Life (QOL) as Measured by the PROMIS-29 - Physical Function
The PROMIS-29 (Patient-Reported Outcomes Measurement Information System) consists of seven health domains with four 5-level items associated with each and a pain intensity assessment using a 0-10 numeric rank. The seven health domains include physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance. Raw score ranges from 4-20, where a higher score correlates to better outcome for physical function. (NCT05736874)
Timeframe: Day 7, 14, 28, and 90
Intervention | score on a scale (Median) |
---|
| Day 7 | Day 14 | Day 28 | Day 90 |
---|
Arm C - Fluticasone | 20 | 20 | 20 | 20 |
,Arm C - Placebo | 20 | 20 | 20 | 20 |
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Mean Days Benefit as Measured by the Symptom and Clinical Event Scale
The symptom and clinical event scale is a daily measurement that combines the global symptom burden scale with clinical events hospitalization and mortality. (No symptoms, mild symptoms, moderate symptoms, severe symptoms, hospitalized, deceased). The cumulative benefit of treatment A is the probability of experiencing a better outcome on treatment A compared to treatment B, summed over the days of follow-up. The difference between the cumulative benefit of treatment A and the cumulative benefit of treatment B is known as the difference in days benefit. Measure of dispersion is 95% credible interval. (NCT05736874)
Timeframe: Up to 14 days
Intervention | days (Mean) |
---|
Arm C - Fluticasone | 3.50 |
Arm C - Placebo | 3.37 |
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Quality of Life (QOL) as Measured by the PROMIS-29 - Pain
The PROMIS-29 (Patient-Reported Outcomes Measurement Information System) consists of seven health domains with four 5-level items associated with each and a pain intensity assessment using a 0-10 numeric rank. The seven health domains include physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance. Raw score ranges from 4-20, where a lower score correlates to better outcome for pain. (NCT05736874)
Timeframe: Day 7, 14, 28, and 90
Intervention | score on a scale (Median) |
---|
| Day 7 | Day 14 | Day 28 | Day 90 |
---|
Arm C - Fluticasone | 6 | 4 | 4 | 4 |
,Arm C - Placebo | 5 | 4 | 4 | 4 |
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Quality of Life (QOL) as Measured by the PROMIS-29 - Fatigue
The PROMIS-29 (Patient-Reported Outcomes Measurement Information System) consists of seven health domains with four 5-level items associated with each and a pain intensity assessment using a 0-10 numeric rank. The seven health domains include physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance. Raw score ranges from 4-20, where a lower score correlates to better outcome for fatigue. (NCT05736874)
Timeframe: Day 7, 14, 28, and 90
Intervention | score on a scale (Median) |
---|
| Day 7 | Day 14 | Day 28 | Day 90 |
---|
Arm C - Fluticasone | 9 | 7 | 5 | 5 |
,Arm C - Placebo | 8 | 7 | 5 | 4 |
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Quality of Life (QOL) as Measured by the PROMIS-29 - Social
The PROMIS-29 (Patient-Reported Outcomes Measurement Information System) consists of seven health domains with four 5-level items associated with each and a pain intensity assessment using a 0-10 numeric rank. The seven health domains include physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance. Raw score ranges from 4-20 where a higher score correlates to better outcome for social roles and activities. (NCT05736874)
Timeframe: Day 7, 14, 28, and 90
Intervention | score on a scale (Median) |
---|
| Day 7 | Day 14 | Day 28 | Day 90 |
---|
Arm C - Fluticasone | 17 | 20 | 20 | 20 |
,Arm C - Placebo | 17 | 20 | 20 | 20 |
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Quality of Life (QOL) as Measured by the PROMIS-29 - Depression
The PROMIS-29 (Patient-Reported Outcomes Measurement Information System) consists of seven health domains with four 5-level items associated with each and a pain intensity assessment using a 0-10 numeric rank. The seven health domains include physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance. Raw score ranges from 4-20, where a lower score correlates to better outcome for depression. (NCT05736874)
Timeframe: Day 7, 14, 28, and 90
Intervention | score on a scale (Median) |
---|
| Day 7 | Day 14 | Day 28 | Day 90 |
---|
Arm C - Fluticasone | 4 | 4 | 4 | 4 |
,Arm C - Placebo | 4 | 4 | 4 | 4 |
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Quality of Life (QOL) as Measured by the PROMIS-29 - Anxiety
The PROMIS-29 (Patient-Reported Outcomes Measurement Information System) consists of seven health domains with four 5-level items associated with each and a pain intensity assessment using a 0-10 numeric rank. The seven health domains include physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance. Raw score ranges from 4-20 where a lower score correlates to better outcome for anxiety. (NCT05736874)
Timeframe: Day 7, 14, 28, and 90
Intervention | score on a scale (Median) |
---|
| Day 7 | Day 14 | Day 28 | Day 90 |
---|
Arm C - Fluticasone | 5 | 4 | 4 | 4 |
,Arm C - Placebo | 5 | 4 | 4 | 4 |
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Time Unwell in Days as Measured by the Symptom and Clinical Event Scale
The symptom and clinical event scale is a daily measurement that combines the global symptom burden scale with clinical events hospitalization and mortality. (No symptoms, mild symptoms, moderate symptoms, severe symptoms, hospitalized, deceased). Time unwell was the portion of follow-up (in days) that a participant was symptomatic, hospitalized, or deceased. The quantity is estimated from a Bayesian longitudinal ordinal regression model with covariate adjustment and weakly informative priors. (NCT05736874)
Timeframe: Up to 14 days
Intervention | days (Mean) |
---|
Arm C - Fluticasone | 11.2 |
Arm C - Placebo | 11.3 |
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Time to Sustained Recovery in Days
Time to sustained recovery was the number of days between receipt of study drug and the third of 3 consecutive days without symptoms. Participants who died, by definition, did not recover regardless of reported symptom freedom. The reported summary is the median survival time. (NCT05736874)
Timeframe: Up to 28 days
Intervention | days (Median) |
---|
Arm C - Fluticasone | 12 |
Arm C - Placebo | 13 |
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Number of Participants With Mortality
(NCT05736874)
Timeframe: Up to 28 days
Intervention | Participants (Count of Participants) |
---|
Arm C - Fluticasone | 0 |
Arm C - Placebo | 0 |
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Number of Participants With Hospitalization, Urgent Care, Emergency Room Visit, or Death
(NCT05736874)
Timeframe: Up to 28 days
Intervention | Participants (Count of Participants) |
---|
Arm C - Fluticasone | 24 |
Arm C - Placebo | 13 |
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Number of Participants With Hospitalization or Death
(NCT05736874)
Timeframe: Up to 28 days
Intervention | Participants (Count of Participants) |
---|
Arm C - Fluticasone | 3 |
Arm C - Placebo | 3 |
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