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A clinical trial to assess the efficacy and safety of Vilanterol, Glycopyrronium and Fluticasone furoate powder for inhalation as compared to Indacaterol, Glycopyrronium and Mometasone furoate powder for inhalation in patients with asthma

Phase 3
Conditions
Health Condition 1: J453- Mild persistent asthma
Registration Number
CTRI/2024/02/063046
Lead Sponsor
Zydus Healthcare 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 of either gender between 18-65 years of age (both inclusive)

2. Patients diagnosed with asthma for at least 12 months prior to screening

3. Pre-bronchodilator FEV1 of 40% to 80% of the predicted normal value at

screening

4. Patients with bronchodilator reversibility i.e., increase in FEV1 of = 12% and =

200 ml after salbutamol inhalation at screening

5. Patients receiving ICS/LABA combination for asthma for at least 3 months

with stable dose of medium or high dose of ICS/LABA combination for = 4

weeks prior to screening

6. Patients who are symptomatic at screening defined as Asthma Control Test

(ACT) score = 15

7. Patients with a history of at least one severe asthma exacerbation within

past 12 months prior to screening

8. Patients willing to provide written informed consent and comply with the

protocol requirements

9. Patients literate enough to fill the diary card

Exclusion Criteria

1. Known hypersensitivity to any ß2-agonist, sympathomimetic drug, antimuscarinic

agent or any inhaled, intranasal or systemic corticosteroid

2. History of life-threatening asthma within past 5 years prior to screening

3. Asthma exacerbation requiring systemic corticosteroids or that resulted in

hospitalization or emergency room visit within 6 weeks prior to screening

4. Patients treated with a long-acting muscarinic antagonist within 3 months

prior to screening

5. Patients with known diagnosis of narrow angle glaucoma, prostatic

hyperplasia, bladder-neck obstruction or urinary retention

6. Patients diagnosed with COVID-19 within 3 months prior to screening

7. Suspected or confirmed bacterial or viral infection of the upper or lower

respiratory tract, sinus or middle ear within 4 weeks prior to screening

8. Patients with concurrent respiratory disorder other than asthma such as but

not limited to pneumonia, pulmonary tuberculosis, chronic bronchitis, chronic

obstructive pulmonary disease, pneumothorax, atelectasis,

bronchopulmonary dysplasia, interstitial lung disease, cystic fibrosis

9. Clinical evidence of oropharyngeal candidiasis at screening

10. Patients with clinically significant uncontrolled systemic diseases such as

cardiovascular, renal, neurological, psychiatric, endocrine, immunological or

hematological disorders or malignancy

11. Patients with hepatic dysfunction (serum transaminases = 3 x Upper Normal

Limit) or renal dysfunction (serum creatinine = 2.5 mg/dl) at screening

12. Patients who have used prohibited medications

13. Pregnant or Lactating females; or female patients of childbearing potential

unwilling to use effective contraception

14. Current smokers or ex-smokers who have stopped smoking within 6 months

prior to screening or have a smoking history of at least 10 pack-years

15. Patients with continuing history of alcohol and/or drug abuse

16. Participation in another clinical trial within 3 months prior to screening

17. Any other reason for which the investigator feels that the patient should not

participate

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change from baseline in trough FEV1 at the end of the studyTimepoint: Baseline to end of study
Secondary Outcome Measures
NameTimeMethod
Asthma exacerbations reportedTimepoint: during the study;Change from baseline in post-bronchodilator FEV1 and FVCTimepoint: at week 4 and at <br/ ><br>the end of the study;Change from baseline in the ACT scoreTimepoint: at week 4, week 8 and at the end of <br/ ><br>the study;Change from baseline in trough FEV1 <br/ ><br>Timepoint: At week 4;Change from baseline in trough FVCTimepoint: at week 4 and at the end of the study;Global impression of change in the disease condition by the patientsTimepoint: at the <br/ ><br>end of the study;Overall tolerability evaluationTimepoint: At the end of study;Proportion of rescue medication free daysTimepoint: during the treatment period;Safety endpoinrt- Adverse events and serious adverse events reportedTimepoint: During the study
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