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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01462344
Other study ID # 115358
Secondary ID
Status Completed
Phase Phase 4
First received
Last updated
Start date November 17, 2011
Est. completion date November 3, 2015

Study information

Verified date August 2018
Source GlaxoSmithKline
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to assess whether the risk of serious asthma-related events (asthma-related hospitalizations, endotracheal intubations, and deaths) in children 4-11 years old taking inhaled fluticasone propionate/salmeterol combination is the same as those taking inhaled fluticasone propionate alone.


Description:

Progress of Enrollment, Updated Annually: This study has been completed and the final clinical study report was submitted to the FDA in May of 2016. This is the final update, as this study is complete.


Recruitment information / eligibility

Status Completed
Enrollment 6250
Est. completion date November 3, 2015
Est. primary completion date November 1, 2015
Accepts healthy volunteers No
Gender All
Age group 4 Years to 11 Years
Eligibility Inclusion Criteria:

1. Consent to participate in the study

2. Age 4-11 years old

3. Male or eligible female - Female subjects should not be enrolled if they are pregnant, lactating or plan to become pregnant during the time of study participation

4. Asthma diagnosis for at least 6 months

5. Ability to answer questions regarding asthma control and use a metered dose inhaler and DISKUS

6. A history of clinical varicella infection or recipient of a varicella vaccine in countries where the product label includes a warning regarding more serious chickenpox infections in patients using corticosteroids.

7. History of at least once occurrence of asthma exacerbation within the prior 12 months

8. Currently being treated for asthma and no change in asthma therapy for the last 4 weeks (Eligible subjects include: subjects with use of short-acting beta-agonist, leukotriene receptor antagonist, theophylline, or cromolyn whose asthma is not well-controlled; subjects on low-dose ICS monotherapy whose asthma is not well-controlled; subjects on low-dose ICS and one or more adjunctive therapy whose asthma is either controlled or not well-controlled asthma; subjects on medium-dose ICS monotherapy whose asthma is either controlled or not well-controlled; and subjects on medium-dose ICS and one or more adjunctive therapy whose asthma is well-controlled)

Exclusion Criteria:

1. History of life-threatening asthma

2. Unstable asthma

3. Current use of high-dose ICS or ICS/LABA therapy to treat asthma symptoms

4. Concurrent respiratory disease: Current evidence of pneumonia, pneumothorax, atelectasis, pulmonary fibrotic disease, allergic bronchopulmonary aspergillosis, cystic fibrosis, bronchopulmonary dysplasia, or other severe respiratory abnormalities other than asthma.

5. Respiratory infection

6. Subjects with only exercise-induced asthma

7. An asthma exacerbation within the last 4 weeks or more than 4 separate exacerbations in the last 12 months

8. Hospitalization for asthma within 4 weeks or more than 2 hospitalizations within the last 12 months

9. Other current evidence of clinically significant uncontrolled disease/conditions of any body or organ system

10. Neurological or psychiatric disease or history of drug or alcohol abuse of a subject or his/her guardian which in the opinion of the investigator could interfere with the subject's proper completion of the protocol requirements

11. Participation in an interventional study or used any investigational drug for any disease state within the last 30 days

12. Any adverse reaction including immediate or delayed hypersensitivity to any beta-agonist, sympathomimetic drug, or any intranasal, inhaled, or systemic corticosteroid therapy, or vehicle contained within these medication

13. Severe hypersensitivity to cow's milk proteins

14. Administration of prescription or over the counter medications that would significantly affect the course of asthma, or interact with sympathomimetic amines such as: anti-IgE (omalizumab), anticonvulsants (barbiturates, hydantoins, carbamazepine); polycyclic antidepressants, beta-adrenergic blockers; phenothiazines, monoamine oxidase inhibitors, or diuretics

15. Potent cytochrome P450 3A4 (CYP3A4) inhibitors within the last 4 weeks (e.g., ritonavir, ketoconazole, itraconzole)

16. Affiliation with investigator's site, including a immediate family member of the participating investigator, sub-investigator, study coordinator, or employee of the participating investigator.

17. A Child in Care (CiC) is a child who has been placed under the control or protection of an agency, organisation, institution or entity by the courts, the government or a government body, acting in accordance with powers conferred on them by law or regulation.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
ADVAIR 100/50mcg
fluticasone propionate/salmeterol combination (100/50mcg) twice daily (AM and PM) for 6 months
ADVAIR 250/50mcg
fluticasone propionate/salmeterol combination (250/50mcg) twice daily (AM and PM) for 6 months
FLOVENT 100mcg
fluticasone propionate (100) twice daily (AM and PM) for 6 months
FLOVENT 250mcg
fluticasone propionate (250mcg) twice daily (AM and PM) for 6 months

Locations

Country Name City State
Argentina GSK Investigational Site Buenos Aires
Argentina GSK Investigational Site Buenos Aires
Argentina GSK Investigational Site Buenos Aires
Argentina GSK Investigational Site Capital Federal
Argentina GSK Investigational Site Ciudad Autonoma de Buenos Aires Buenos Aires
Argentina GSK Investigational Site Ciudad Autónoma de Buenos Aires
Argentina GSK Investigational Site Ciudad Autónoma de Buenos Aires
Argentina GSK Investigational Site Concepcion del Uruguay Entre Ríos
Argentina GSK Investigational Site Lanús
Argentina GSK Investigational Site Mar del Plata Buenos Aires
Argentina GSK Investigational Site Nueve de Julio Buenos Aires
Argentina GSK Investigational Site Parana Entre Ríos
Argentina GSK Investigational Site San Miguel de Tucuman
Australia GSK Investigational Site Auchenflower Queensland
Australia GSK Investigational Site Parkville
Australia GSK Investigational Site Randwick
Australia GSK Investigational Site Subiaco Western Australia
Australia GSK Investigational Site Westmead New South Wales
Austria GSK Investigational Site Bregenz
Austria GSK Investigational Site Feldkirch
Austria GSK Investigational Site Wien
Belgium GSK Investigational Site Antwerpen
Belgium GSK Investigational Site Brussels
Belgium GSK Investigational Site Gembloux
Belgium GSK Investigational Site Hamois (Natoye)
Belgium GSK Investigational Site Leuven
Bulgaria GSK Investigational Site Blagoevgrad
Bulgaria GSK Investigational Site Pleven
Bulgaria GSK Investigational Site Plovdiv
Bulgaria GSK Investigational Site Ruse
Bulgaria GSK Investigational Site Ruse
Bulgaria GSK Investigational Site Sevlievo
Bulgaria GSK Investigational Site Sofia
Bulgaria GSK Investigational Site Stara Zagora
Bulgaria GSK Investigational Site Varna
Bulgaria GSK Investigational Site Varna
Bulgaria GSK Investigational Site Veliko Tarnovo
Bulgaria GSK Investigational Site Vidin
Canada GSK Investigational Site Brampton Ontario
Canada GSK Investigational Site Burlington Ontario
Canada GSK Investigational Site Oshawa Ontario
Canada GSK Investigational Site Toronto Ontario
Canada GSK Investigational Site Windsor Ontario
Chile GSK Investigational Site Santiago
Chile GSK Investigational Site Valdivia
Chile GSK Investigational Site Viña del Mar
Colombia GSK Investigational Site Medellin
Croatia GSK Investigational Site Cakovec
Croatia GSK Investigational Site Dubrovnik
Croatia GSK Investigational Site Jastrebarsko
Croatia GSK Investigational Site Rijeka
Croatia GSK Investigational Site Split
Croatia GSK Investigational Site Zagreb
Czechia GSK Investigational Site Brno
Czechia GSK Investigational Site Brno
Czechia GSK Investigational Site Ceska Lipa
Czechia GSK Investigational Site Olomouc
Czechia GSK Investigational Site Praha 4
Germany GSK Investigational Site Augsburg Bayern
Germany GSK Investigational Site Bad Lippspringe Nordrhein-Westfalen
Germany GSK Investigational Site Bad Pyrmont Niedersachsen
Germany GSK Investigational Site Berlin
Germany GSK Investigational Site Berlin
Germany GSK Investigational Site Bochum Nordrhein-Westfalen
Germany GSK Investigational Site Bruchsal Baden-Wuerttemberg
Germany GSK Investigational Site Detmold Nordrhein-Westfalen
Germany GSK Investigational Site Frankfurt Hessen
Germany GSK Investigational Site Fuerth Bayern
Germany GSK Investigational Site Geesthacht Schleswig-Holstein
Germany GSK Investigational Site Hagen Nordrhein-Westfalen
Germany GSK Investigational Site Hoechstadt Bayern
Germany GSK Investigational Site Kleve-Materborn Nordrhein-Westfalen
Germany GSK Investigational Site Mannheim Baden-Wuerttemberg
Germany GSK Investigational Site Neuss Nordrhein-Westfalen
Germany GSK Investigational Site Reinfeld Schleswig-Holstein
Germany GSK Investigational Site Telgte Nordrhein-Westfalen
Germany GSK Investigational Site Teuchern Sachsen-Anhalt
Germany GSK Investigational Site Weissenhorn Bayern
Hungary GSK Investigational Site Baja
Hungary GSK Investigational Site Budapest
Hungary GSK Investigational Site Budapest
Hungary GSK Investigational Site Budapest
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Hungary GSK Investigational Site Rackeve
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Italy GSK Investigational Site Roma
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Korea, Republic of GSK Investigational Site Cheongju-si
Korea, Republic of GSK Investigational Site Gyeonggi-do
Korea, Republic of GSK Investigational Site Gyeonggi-do
Korea, Republic of GSK Investigational Site Gyeonggi-do
Korea, Republic of GSK Investigational Site Incheon
Korea, Republic of GSK Investigational Site Pusan
Korea, Republic of GSK Investigational Site Seoul
Korea, Republic of GSK Investigational Site Seoul
Korea, Republic of GSK Investigational Site Seoul
Korea, Republic of GSK Investigational Site Seoul
Korea, Republic of GSK Investigational Site Seoul
Latvia GSK Investigational Site Riga
Latvia GSK Investigational Site Riga
Latvia GSK Investigational Site Riga
Latvia GSK Investigational Site Riga
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Malaysia GSK Investigational Site Ipoh
Malaysia GSK Investigational Site Kuala Lumpur
Malaysia GSK Investigational Site Kuching
Malaysia GSK Investigational Site Seremban, Negeri Sembilan
Malaysia GSK Investigational Site Sibu
Malaysia GSK Investigational Site Sungai Buloh
Mexico GSK Investigational Site Chihuahua
Mexico GSK Investigational Site Guadalajara Jalisco
Mexico GSK Investigational Site Huixquilucan
Mexico GSK Investigational Site Monterrey
Mexico GSK Investigational Site Monterrey Nuevo León
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Philippines GSK Investigational Site Dasmariñas, Cavite
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Philippines GSK Investigational Site Quezon City
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Poland GSK Investigational Site Bialystok
Poland GSK Investigational Site Bialystok
Poland GSK Investigational Site Cieszyn
Poland GSK Investigational Site Debica
Poland GSK Investigational Site Gdansk
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Poland GSK Investigational Site Jelenia Gora
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Poland GSK Investigational Site Lubin
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Romania GSK Investigational Site Sibiu
Russian Federation GSK Investigational Site Moscow
Russian Federation GSK Investigational Site Moscow
Russian Federation GSK Investigational Site Moscow
Russian Federation GSK Investigational Site Nizhniy Novgorod
Russian Federation GSK Investigational Site Novosibirsk
Russian Federation GSK Investigational Site Saint Petersburg
Russian Federation GSK Investigational Site Saint Petersburg
Russian Federation GSK Investigational Site Saint Petersburg
Russian Federation GSK Investigational Site Saratov
Russian Federation GSK Investigational Site St'Petersburg
Russian Federation GSK Investigational Site St. Petersburg
Russian Federation GSK Investigational Site St.Petersburg
Russian Federation GSK Investigational Site Tomsk
Russian Federation GSK Investigational Site Voronezh
Russian Federation GSK Investigational Site Yaroslavl
Serbia GSK Investigational Site Belgrade
Serbia GSK Investigational Site Cacak
Serbia GSK Investigational Site Nis
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Slovakia GSK Investigational Site Martin
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South Africa GSK Investigational Site Cape Town
South Africa GSK Investigational Site Cape Town
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Spain GSK Investigational Site Pozuelo De Alarcón/Madrid
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United States GSK Investigational Site Kansas City Missouri
United States GSK Investigational Site Kansas City Missouri
United States GSK Investigational Site Kansas City Missouri
United States GSK Investigational Site Katy Texas
United States GSK Investigational Site Killeen Texas
United States GSK Investigational Site Kingwood Texas
United States GSK Investigational Site La Crosse Wisconsin
United States GSK Investigational Site Lake Oswego Oregon
United States GSK Investigational Site Largo Maryland
United States GSK Investigational Site Las Vegas Nevada
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United States GSK Investigational Site Lawrenceville Georgia
United States GSK Investigational Site Layton Utah
United States GSK Investigational Site Lewisville Texas
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United States GSK Investigational Site Live Oak Texas
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United States GSK Investigational Site Louisville Kentucky
United States GSK Investigational Site Lufkin Texas
United States GSK Investigational Site Madison Wisconsin
United States GSK Investigational Site Marion Ohio
United States GSK Investigational Site Marlton New Jersey
United States GSK Investigational Site McKenzie Tennessee
United States GSK Investigational Site Melbourne Florida
United States GSK Investigational Site Metairie Louisiana
United States GSK Investigational Site Miami Florida
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United States GSK Investigational Site Miami Florida
United States GSK Investigational Site Miami Florida
United States GSK Investigational Site Miami Florida
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United States GSK Investigational Site Midlothian Virginia
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United States GSK Investigational Site Overland Park Kansas
United States GSK Investigational Site Owensboro Kentucky
United States GSK Investigational Site Pace Florida
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United States GSK Investigational Site Pensacola Florida
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United States GSK Investigational Site Phoenix Arizona
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United States GSK Investigational Site Plymouth Minnesota
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United States GSK Investigational Site Port Gibson Mississippi
United States GSK Investigational Site Puyallup Washington
United States GSK Investigational Site Richmond Virginia
United States GSK Investigational Site Richmond Virginia
United States GSK Investigational Site Richmond Virginia
United States GSK Investigational Site Riverside California
United States GSK Investigational Site Rolling Hills Est. California
United States GSK Investigational Site Rolling Hills Estates California
United States GSK Investigational Site Roseville California
United States GSK Investigational Site Sacramento California
United States GSK Investigational Site Saint Cloud Florida
United States GSK Investigational Site Saint Petersburg Florida
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United States GSK Investigational Site San Antonio Texas
United States GSK Investigational Site San Antonio Texas
United States GSK Investigational Site San Antonio Texas
United States GSK Investigational Site San Antonio Texas
United States GSK Investigational Site San Antonio Texas
United States GSK Investigational Site San Antonio Texas
United States GSK Investigational Site San Marino California
United States GSK Investigational Site Santa Monica California
United States GSK Investigational Site Savannah Georgia
United States GSK Investigational Site Scottsboro Alabama
United States GSK Investigational Site Scottsdale Arizona
United States GSK Investigational Site Scottsdale Arizona
United States GSK Investigational Site Sealy Texas
United States GSK Investigational Site Shaker Heights Ohio
United States GSK Investigational Site Shelby North Carolina
United States GSK Investigational Site Shelbyville Tennessee
United States GSK Investigational Site Shiloh Illinois
United States GSK Investigational Site Shippensburg Pennsylvania
United States GSK Investigational Site Shreveport Louisiana
United States GSK Investigational Site Silver Spring Maryland
United States GSK Investigational Site Somerville New Jersey
United States GSK Investigational Site Staten Island New York
United States GSK Investigational Site Stevensville Michigan
United States GSK Investigational Site Stockbridge Georgia
United States GSK Investigational Site Sugar Land Texas
United States GSK Investigational Site Sugar Land Texas
United States GSK Investigational Site Sylvania Ohio
United States GSK Investigational Site Tampa Florida
United States GSK Investigational Site Tampa Florida
United States GSK Investigational Site Toledo Ohio
United States GSK Investigational Site Toledo Ohio
United States GSK Investigational Site Tomball Texas
United States GSK Investigational Site Toney Alabama
United States GSK Investigational Site Tucson Arizona
United States GSK Investigational Site Tucson Arizona
United States GSK Investigational Site Tuscaloosa Alabama
United States GSK Investigational Site Tyler Texas
United States GSK Investigational Site Utica New York
United States GSK Investigational Site Verona New Jersey
United States GSK Investigational Site Virginia Beach Virginia
United States GSK Investigational Site Waco Texas
United States GSK Investigational Site Waco Texas
United States GSK Investigational Site Warrensburg Missouri
United States GSK Investigational Site Washington District of Columbia
United States GSK Investigational Site Waterbury Connecticut
United States GSK Investigational Site Waxahachie Texas
United States GSK Investigational Site Wellington Florida
United States GSK Investigational Site Wenatchee Washington
United States GSK Investigational Site West Covina California
United States GSK Investigational Site West Des Moines Iowa
United States GSK Investigational Site West Sacramento California
United States GSK Investigational Site Westfield New York
United States GSK Investigational Site Wheeling Ohio
United States GSK Investigational Site White Marsh Maryland
United States GSK Investigational Site Woods Cross Utah
United States GSK Investigational Site Ypsilanti Michigan
United States GSK Investigational Site Zanesville Ohio

Sponsors (2)

Lead Sponsor Collaborator
GlaxoSmithKline Parexel

Countries where clinical trial is conducted

United States,  Argentina,  Australia,  Austria,  Belgium,  Bulgaria,  Canada,  Chile,  Colombia,  Croatia,  Czechia,  Germany,  Hungary,  Italy,  Korea, Republic of,  Latvia,  Lithuania,  Malaysia,  Mexico,  Peru,  Philippines,  Poland,  Romania,  Russian Federation,  Serbia,  Slovakia,  South Africa,  Spain,  Taiwan,  Thailand,  Ukraine,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary 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) Composite endpoint was defined as clinically relevant endpoint that is constructed from combinations of other clinically relevant endpoints of serious asthma outcomes (i.e., asthma-related hospitalization, asthma-related endotracheal intubation, or asthma-related death). Hospitalization was defined as an inpatient stay or a >=24-hour stay in an observation area in an emergency department or other equivalent facility. Time to first event in the composite endpoint of serious asthma-related outcomes over the 6-month study treatment period was analyzed using a Cox proportional hazards regression model. An estimate of absolute risk difference and its corresponding 95% confidence interval (CI) were also included. The Intent-to-Treat (ITT) Population included all participants randomized to study drug and who took study treatment. From Day 1 up to 6 months
Primary 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. From Day 1 up to 6 months
Secondary Number of Participants Experiencing Asthma-related Deaths Over the 6-month Study Treatment Period. Number of participants experiencing asthma-related death over the 6-month study treatment period are presented. From Day 1 up to 6 months
Secondary Number of Participants Experiencing Asthma-related Endotracheal Intubations Over the 6-month Study Treatment Period Intubation is defined as endotracheal intubation with ventilation (mechanical or by hand). The number of participants experiencing asthma-related endotracheal intubations over the 6-month study treatment period are presented. From Day 1 up to 6 months
Secondary Number of Participants Experiencing Asthma-related Hospitalizations Over the 6-month Study Treatment Period Hospitalization is defined as a >=24-hour stay as an inpatient or in an observation ward. The number of participants experiencing asthma-related hospitalizations over the 6-month study treatment period are presented. From Day 1 up to 6 months
Secondary 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. From Day 1 up to 6 months
Secondary 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. From Day 1 up to 6 months
Secondary 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. From Day 1 up to 6 months
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