An open, randomised, parallel group, multicentre study to compare the efficacy and safety of FlutiFormTM pMDI vs Fluticasone pMDI plus Formoterol DPI in adolescent and adult subjects with mild to moderate-severe persistent, reversible asthma.
- Conditions
- Asthma bronchial.MedDRA version: 9.1Level: LLTClassification code 10003555Term: Asthma bronchial
- Registration Number
- EUCTR2007-001634-13-DE
- Lead Sponsor
- Mundipharma Research Limited
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- All
- Target Recruitment
- 200
1. Male or female subjects at least 12 years or older (females less than one year post-menopausal must have a negative serum or urine pregnancy test recorded at the screening visit prior to the first dose of study medication, be non-lactating, and willing to use adequate and highly effective methods of contraception throughout the study if they are sexually active. A highly effective method of birth control is defined as those which result in a low failure rate (i.e. less than 1% per year) when used consistently and correctly such as sterilisation, implants, injectables, combined oral contraceptives, some IUDs (Intrauterine Device, hormonal), sexual abstinence or vasectomised partner).
2. Known history of mild to moderate-severe persistent, reversible asthma for = 6 months prior to the screening visit.
3. Demonstrate a FEV1 of =40% to =85% for predicted normal values (Quanjer et al, 1993) during the screening phase following appropriate withholding of asthma medications (if applicable).
- No ß2-agonist use on day of screening.
- No use of inhaled combination asthma therapy on day of screening.
- Inhaled corticosteroids are allowed on day of screening.
4. Documented reversibility of =15% in FEV1 in the screening phase.
5. Demonstrate satisfactory technique in the use of the study medications.
6. Willing and able to enter information in the diary and attend all study visits.
7. Willing and able to substitute study medication for their pre study prescribed asthma medication for the duration of the study.
8. Written informed consent obtained.
Are the trial subjects under 18? yes
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range
1. Near fatal or life-threatening (including intubation) asthma within the past year.
2. Hospitalisation or an emergency visit for asthma within the past year.
3. History of systemic (oral or parenteral) corticosteroid medication within 1 month before the Screening Visit.
4. History of omalizumab use within the past 6 months.
5. History of leukotriene receptor antagonist use, e.g. montelukast or theophylline, within the past week.
6. Current evidence or history of any clinically significant disease or abnormality including uncontrolled coronary artery disease, congestive heart failure, myocardial infarction or cardiac dysrhythmia. ‘Clinically significant’ is defined as any disease that, in the opinion of the investigator, would put the patient at risk through study participation or which would affect the outcome of the study.
7. In the investigator's opinion, a clinically significant upper or lower respiratory infection within 4 weeks prior to the Screening Visit.
8. Significant, non-reversible, active pulmonary disease (e.g. chronic obstructive pulmonary disease (COPD), cystic fibrosis, bronchiectasis, tuberculosis).
9. Known Human Immunodeficiency Virus (HIV)-positive status.
10. A smoking history equivalent to 10 pack years” (i.e. at least 1 pack of 20 cigarettes/day for 10 years or 10 packs/day for 1 year etc.).
11. Current smoking history within 12 months prior to the Screening Visit.
12. Current evidence or history of alcohol and/or substance abuse within 12 months prior to the Screening Visit.
13. Subjects who have taken ß-blocking agents, tricyclic antidepressants, monoamine oxidase inhibitors, astemizole (Hismanal), quinidine type antiarrhythmics, or potent CYP 3A4 inhibitors such as ketoconazole within the past week.
14. Current use of medications that will have an effect on bronchospasm and/or pulmonary function.
15. Current evidence or history of hypersensitivity or idiosyncratic reaction to test medications or components.
16. Receipt of an investigational drug within 30 days of the Screening Visit (12 weeks if an oral or injectable steroid).
17. Current participation in a clinical study.
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Main Objective: The primary objective of this study is to show non inferiority in the efficacy of FlutiFormTM compared with the individual components Flixotide® (Fluticasone) and Foradil® (Formoterol) given together, based on mean Forced Expiratory Volume in the 1st second (FEV1) values.;Secondary Objective: Secondary objectives of the study are to compare peak expiratory flow rates (PEFR) and other lung function parameters, discontinuation due to lack of efficacy, amount of rescue medication use, asthma symptom scores, sleep disturbance due to asthma, asthma quality of life questionnaire (AQLQ(S) = 12 years), exacerbations (requiring oral/parenteral steroid use, medical intervention), patient acceptance and spontaneously reported adverse events.;Primary end point(s): The primary efficacy measure/variable will be the post morning dose mean FEV1 values recorded during the treatment phase.
- Secondary Outcome Measures
Name Time Method