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Efficacy and safety of low dose QMF149 (150/80 microgram)compared with MF Twisthaler® (200 microgram) in patients suffering from asthma.

Phase 3
Conditions
Health Condition 1: null- Asthma
Registration Number
CTRI/2017/07/009000
Lead Sponsor
ovartis Healthcare Private Limited
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Closed to Recruitment of Participants
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1. Patients with a documented diagnosis of asthma for a period of at least 3 months prior to Screening Visit.

2. Patients who have used low dose ICS , with or without controller (i.e. LABA, Leukotriene Receptor Antagonist) at stable dose for at least 1 month prior to Screening Visit.

3. Adult patients who are symptomatic at screening despite treatment with existing therapy.

Patients with ACQ-7 score greater than equal to 1.5 at Visit 101 and at Visit 102 (inadequately controlled).

4. Pre-bronchodilator FEV1 greater than or equal to 60 percent and less than 90 percent of the predicted normal value for the patient after withholding bronchodilators at both Visits 101 and 102.

5. Patients who demonstrate an increase in FEV1 of 12 percent and greater than or equal to 200 mL within 30 minutes after administration of 400 microgram salbutamol/360 microgram albuterol (or equivalent dose) at Visit 101.

For Adolescent patients :

6. If taking only ICS (without LABA) and are symptomatic at screening despite treatment with low doses of ICS. These patients must have ACQ-7 score greater than equal to 1.5 at Visit 101 and at Visit 102 .

If taking ICS (low dose)/ LABA, and have ACQ-7 score greater than or equal to 1 and less than 1.5 at Visit 101: they must have ACQ-7 score greater than or equal to 1.5 at Visit 102 (prior to randomization).

Exclusion Criteria

1. Patients who have smoked or inhaled tobacco products (including electronic cigarettes) within the 6 month period prior to Visit 1, or who have a smoking history of greater than or equal to 10 pack year.

2. Patients who have had an asthma attack/exacerbation requiring systemic steroids or hospitalization (greater than 24 hours) or emergency room visit (less than or equal to 24 hours) as follows:

2.a. For adults: within 6 weeks of Screening Visit. If patients experience an asthma attack/exacerbation requiring systemic steroids or emergency room visit between Visit 1 and Visit 102 they may be re-screened 6 weeks after recovery from the exacerbation.

2.b. For adolescents: Exacerbation requiring systemic steroids, hospitalization (greater than 24 hours) or emergency room visit (less than or equal to 24 hours) within 6 months, prior to visit 1.

3. Patients who ever required intubation for a severe asthma attack/exacerbation.

4. Patients who have had a respiratory tract infection or asthma worsening within 4 weeks prior to Screening Visit or between Visit 1and Visit 102. Patients may be re-screened 4 weeks after recovery from their respiratory tract infection or asthma worsening.

5. Patients with any chronic conditions affecting the upper respiratory tract, example chronic sinusitis, which in the opinion of the investigator may interfere with the study.

6. Patients with a history of chronic lung diseases other than asthma, including (but not limited to) COPD, sarcoidosis, interstitial lung disease, cystic fibrosis, clinically significant bronchiectasis and active tuberculosis.

7. Patients with Type I diabetes or uncontrolled Type II diabetes.

8. Patients with narcolepsy and/or insomnia.

9. Patients on Maintenance Immunotherapy (desensitization) for allergies or less than 3 months prior to Visit 101 or patients on Maintenance Immunotherapy for more than 3 months prior to Visit 101 but expected to change throughout the course of the study.

10. Patients with a clinical condition (example glaucoma, cataract and fragility fractures) which may be worsened by ICS administration (according to investigators medical judgment )

11. Patients with diagnosed rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption or with known intolerance to lactose or milk products.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. trough FEV1 <br/ ><br>Designated as safety issue: No. <br/ ><br>Demonstrate the superiority of QMF149 150/80 microgram o.d. (in the evening) delivered via Concept1 compared with MF 200 microgram o. d. (in the evening) delivered via Twisthaler® in terms of trough FEV1 after 12 weeks of treatment in adults and adolescents.Timepoint: week 12 <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
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