A Randomized Single Blind Placebo-Controlled Multi-Center Study Comparing Combination Therapy With Fluticasone Propionate 100 mcg and Salmeterol 50 mcg Inhalation Powder to Combination Therapy With ADVAIR DISKUS® 100/50 (Fluticasone Propionate 100 mcg and Salmeterol 50 mcg Inhalation Powder) in Treatment of Subjects With Asthma
Overview
- Phase
- Phase 3
- Intervention
- Test Product
- Conditions
- Asthma
- Sponsor
- Amneal Ireland Limited
- Enrollment
- 1204
- Primary Endpoint
- Baseline-adjusted area under the serial FEV1-time curve
- Last Updated
- 7 years ago
Overview
Brief Summary
To compare the efficacy and safety profiles of Fluticasone Propionate 100 mcg and Salmeterol 50 mcg Inhalation Powder (test product) and ADVAIR DISKUS (fluticasone propionate 100 mcg and salmeterol 50 mcg inhalation powder) (reference product) and to show that the efficacy of the 2 active products is superior to that of placebo in the treatment of subjects with asthma.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Male or female subjects (≥ 12 years of age) of non-child bearing potential or of child bearing potential committing to consistent and correct use of an acceptable method of birth control.
- •Diagnosed with asthma as defined by the National Asthma Education and Prevention Program (NAEPP) at least 12 weeks prior to screening.
- •Pre-bronchodilator FEV1 of ≥40% and ≤85% of the predicted value during the screening visit and on the first day of treatment.
- •Currently non-smoking; had not used tobacco products (i.e., cigarettes, cigars, pipe tobacco) within the past year, and had ≤ 10 pack-years of historical use.
- •≥15% reversibility of FEV1 within 30 minutes following 360 mcg of albuterol inhalation (pMDI).
- •Able to discontinue their asthma medications (inhaled corticosteroids and long-acting β agonists) during the run-in period and for remainder of the study.
- •Able to replace current short-acting β agonists (SABAs) with salbutamol/albuterol inhaler for use as needed for the duration of the study (subjects should be able to withhold all inhaled SABAs for at least 6 hours prior to lung function assessments on study visits).
- •Able to continue the following medications without a significant adjustment of dosage, formulation, dosing interval for the duration of the study, and judged able by the investigator to withhold them for the specified minimum time intervals prior to each clinic visit:
- •short-acting forms of theophylline 12 hours
- •twice-a-day controlled-release forms of theophylline 24 hours
Exclusion Criteria
- •Life-threatening asthma, defined as a history of asthma episode(s) requiring intubation, and/or associated with hypercapnoea; respiratory arrest or hypoxic seizures, asthma related syncopal episode(s), or hospitalizations within the past year or during the run-in period.
- •Evidence or history of clinically significant disease or abnormality including congestive heart failure, uncontrolled hypertension, uncontrolled coronary artery disease, myocardial infarction, or cardiac dysrhythmia. In addition, historical or current evidence of significant hematologic, hepatic, neurologic, psychiatric, renal, or other diseases that in the opinion of the investigator, would put the patient at risk through study participation, or would affect the study analyses if the disease exacerbated during the study.
- •Hypersensitivity to any sympathomimetic drug (e.g., salmeterol or albuterol) or any inhaled, intranasal, or systemic corticosteroid therapy.
- •Medication(s) with the potential to affect the course of asthma or to interact with sympathomimetic amines, e.g.:
- •β-blockers
- •oral decongestants
- •benzodiazepines
- •digitalis
- •phenothiazines
- •polycyclic antidepressants
Arms & Interventions
Test Product
Test Product, 100/50 mcg, 2 x daily
Intervention: Test Product
Reference Product
Reference Product, 100/50 mcg, 2 x daily
Intervention: Reference Product
Placebo
Placebo Product 2 x daily
Intervention: Placebo
Outcomes
Primary Outcomes
Baseline-adjusted area under the serial FEV1-time curve
Time Frame: 0-12 hours after dosing on day 1
Baseline-adjusted area under the serial FEV1-time curve calculated from time zero to 12 hours (AUC0-12h) on the first day of treatment.
Baseline-adjusted, pre-dose FEV1
Time Frame: 4-weeks
Baseline-adjusted, pre-dose FEV1 on the last day of a 4-week treatment