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fluticasone furoate

Phase 3

Asthma | Small molecule | Respiratory |GSK plc|Last Updated: Jan 24, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials26
Total Enrollment12,907
FDA Designations
No designations recorded
Clinical Trials (26)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02502734Effect of Inhaled Fluticasone Furoate on Short-term Growth in Paediatric Subjects With AsthmaPHASE3 COMPLETED 60Sep 7, 2015Dec 21, 2015Nov 17, 20171 Denmark
NCT02446418A Study to Compare the Efficacy of Fluticasone Furoate/Vilanterol Inhalation Powder With Usual Inhaled Corticosteroids (ICS)/Long Acting Beta Agonists (LABA) in Persistent AsthmaPHASE3 COMPLETED 423Jul 9, 2015Jul 20, 2017Jan 14, 201993 France, Germany
NCT02094937A Study to Compare the Efficacy and Safety of Fluticasone Furoate (FF) 100 mcg Once Daily With Fluticasone Propionate (FP) 250 mcg Twice Daily (BD) and FP 100 mcg BD in Well-controlled Asthmatic Japanese SubjectsPHASE3 COMPLETED 430Mar 27, 2014Aug 28, 2015May 25, 201733 Japan
NCT01706198An Effectiveness Study Comparing Fluticasone Furoate (FF, GW685698)/Vilanterol (VI, GW642444) With Standard Treatment in AsthmaPHASE3 COMPLETED 4,233Nov 1, 2012Dec 16, 2016Jan 24, 2019180 United Kingdom
NCT01686633An Efficacy and Safety Study of Fluticasone Furoate/Vilanterol (FF/VI) 200/25 Microgram (mcg) , FF/VI 100/25 mcg, and FF 100 mcg in Adults and Adolescents With Persistent Asthma.PHASE3 COMPLETED 1,040Sep 20, 2012Oct 15, 2013Jan 24, 2018136 United States, Argentina +9
NCT01431950Evaluating the Efficacy and Safety of Fluticasone Furoate in the Treatment of Asthma in Adults and AdolescentsPHASE3 COMPLETED 238Sep 1, 2011Oct 1, 2012Jan 9, 201740 United States, Argentina +4
NCT01436071Clinical Study Evaluating Safety and Efficacy of Fluticasone Furoate in People With AsthmaPHASE3 COMPLETED 248Sep 1, 2011Aug 1, 2012Jan 11, 201724 United States, Mexico +2
NCT01436110Clinical Study Evaluating Safety and Efficacy of Fluticasone Furoate and Fluticasone Propionate in People With AsthmaPHASE3 COMPLETED 351Sep 1, 2011Sep 1, 2012Jan 9, 201742 United States, Mexico +4
NCT01165138Study HZA106827: Efficacy/Safety Study of Fluticasone Furoate/Vilanterol (GW642444) in Adult and Adolescent AsthmaticsPHASE3 COMPLETED 612Aug 20, 2010Oct 19, 2011Feb 14, 201870 United States, Germany +4
NCT01244984A Long-term Safety Study of Fluticasone Furoate (FF)/GW642444 and FF in Japanese Subjects With AsthmaPHASE3 COMPLETED 243Jul 1, 2010Jan 1, 2012Jan 11, 201730 Japan
NCT01134042Study HZA106829: Efficacy/Safety Study of Fluticasone Furoate/Vilanterol (GW642444) in Adult and Adolescent AsthmaticsPHASE3 COMPLETED 587Jun 1, 2010Oct 1, 2011Jan 11, 201771 United States, Germany +4
NCT01147848HZA113091 Efficacy and Safety of Fluticasone Furoate/Vilanterol (GW642444) in Adults and AdolescentsPHASE3 COMPLETED 810Jun 1, 2010Jul 1, 2011Jan 18, 201763 United States, Argentina +4
NCT01086410Safety Study of the Effects of Inhaled Fluticasone Furoate/GW642444 on the Hypothalamic-Pituitary-Adrenal (HPA) AxisPHASE3 COMPLETED 185Mar 1, 2010Sep 1, 2010Jan 18, 201717 United States, Germany +1
NCT01086384Asthma Exacerbation StudyPHASE3 COMPLETED 2,020Feb 22, 2010Sep 15, 2011Jan 24, 2018183 United States, Argentina +9
NCT01018186Fluticasone Furoate/GW642444 Inhalation Powder Long-Term Safety StudyPHASE3 COMPLETED 503Oct 19, 2009May 12, 2011Feb 15, 201847 United States, Germany +2
NCT02712047A Phase IIA FF/VI Study to Measure FeNO in Asthmatic Patients.PHASE2 COMPLETED 28Apr 29, 2016Feb 21, 2017Aug 28, 20181 New Zealand
NCT01808339To Investigate the Effects of Altering the Time of Day of Dosing (Morning or Evening) With Fluticasone Furoate 100 Micrograms Once Daily Administered Via a Dry Powder Inhaler in Subjects With AsthmaPHASE2 COMPLETED 28Mar 1, 2013Mar 1, 2014Jan 9, 20171 Australia
NCT01563029A Dose-ranging Study of Fluticasone Furoate (FF)PHASE2 COMPLETED 597Mar 28, 2012Sep 24, 2014May 30, 2017139 United States, Bulgaria +13
NCT01453023Inhaled Fluticasone Furoate/Vilanterol Safety and Tolerability, PK and PD StudyPHASE2 COMPLETED 26Oct 1, 2011Jun 1, 2012Jan 11, 20171 United States
NCT01332292Pharmacokinetics and PharmacoDynamics of GW685698 in Paedeatric Asthmatic PatientsPHASE2 COMPLETED 27May 1, 2010Jan 1, 2011Mar 23, 20175 United States
NCT01128569Randomised Study Comparing the Effects of Inhaled Fluticasone Furoate (FF)/Vilanterol (VI; GW642444M) Combination and FF on an Allergen Induced Asthmatic ResponsePHASE2 COMPLETED 52Jan 1, 2010Oct 1, 2010Jan 18, 20174 Germany, New Zealand +1
NCT01711463Relovair PD PK in Chinese Healthy SubjectsPHASE1 COMPLETED 16Dec 5, 2012Jun 4, 2013Jul 25, 20171 China
NCT01485445Bioequivalence Study to Compare Fluticasone Furoate (FF) 1-strip Inhaler With FF 2-strip Inhaler and With FF/Vilanterol CombinationPHASE1 COMPLETED 30Dec 21, 2011Mar 12, 2012Jun 12, 20171 Germany
NCT01213849Dose Proportionality Study: Blood Levels of Fluticasone Furoate (FF) and Vilanterol (VI) Following Different Doses of FF/VI Via an InhalerPHASE1 COMPLETED 24Oct 4, 2010Nov 25, 2010Jun 14, 20171 United Kingdom
NCT01299558Study to Look at and Compare How Inhaled and Intravenous Fluticasone Furoate and GW642444 Are Processed by the Body in Healthy SubjectsPHASE1 COMPLETED 16May 17, 2010Jul 15, 2010Jun 12, 20171 Australia
NCT01000597Study to Look at and Compare How Inhaled and Intravenous Fluticasone Furoate is Processed by the Body in Healthy Caucasian, Japanese, Korean and Chinese SubjectsPHASE1 COMPLETED 80Sep 17, 2009Dec 23, 2009Jun 22, 20171 Australia
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Mean Growth Rate in Lower-leg Growth, as Determined by Knemometry.
Over a two week (14 day) treatment period for FF 50mcg OD and Placebo respectively.

Lower leg growth rate was assessed in growth population as change in the lower leg length from start to end of each 2-week period, divided by time interval (number of days) between the two measurements, multiplied by 7. The Growth Population is defined as the Intent-To-Treat (ITT) population excluding participants having any of the following: did not fulfill growth-specific criteria; did not have growth assessment(s) at any defined time point; withdrawal from study due to adverse events related to major trauma to the legs, major surgery, or severe dehydration; received protocol prohibited medications that may affect short term growth, prior to randomization and during the study; protocol deviations defined in exclusion criteria for growth population. ITT Population consists of all randomized participants who received at least one dose of study drug.

Change From Baseline in Asthma Control Test (ACT) Total Score at Week 12
Baseline and Week 12

The ACT is a validated self-completed questionnaire consisting of 5 questions that evaluate asthma control during the past 4 weeks on a 5-point categorical scale. Total scores are calculated from the sum of the scores from the 5 questions and can range from 5 to 25, with higher scores indicating better control. An ACT total score of 5 to 19 suggests that the participant's asthma is unlikely to be well controlled, whilst a score of 20 to 25 suggests that the participant's asthma is likely to be well controlled. Baseline value was the last assessment prior to randomization (Day 0). Change from Baseline was post-dose visit value minus the Baseline value. Least square mean change is presented.

Percentage of Participants (Par) Withdrawn From the Study Due to "Poorly-controlled Asthma" During Period 2
From Week 9 to Week 20

Asthma symptom scores (SS) were recorded by par using ratings 0 (no symptoms) to 5-symptoms so severe that par could not perform normal activity \[morning\] or to 4-symptoms so severe that par could not sleep at all \[nightly\]. Withdrawal due to poorly-controlled(WPC) (required step-up therapy) asthma was defined as asthma worsening/exacerbation or ≧3 per week of : day symptoms on ≧ 2 days, rescue use on ≧2 days, morning PEF \<80 % of best effort on ≧ 1 day, night symptoms on ≧1 or more day, a best pre-bronchodilator forced expiratory volume in 1s (FEV1) \< 80% at clinic . Percentage of par WPC asthma at visit 6, 7, 9 and 11 (Week 10, 12, 16 and 20 respectively) were reported. Cox Proportional Hazards Model was used with covariates of Baseline FEV1, gender, age and treatment group. Analysis was descriptive only, no p -values calculated, treatment differences and associated 95% CI were produced.

Percentage of Participants With 'Well-controlled Asthma' at the End of Period 2
Week 20

Asthma symptom scores(SS) were recorded by par using ratings 0 (no symptoms) to 5-symptoms so severe that par could not perform normal activity\[morning\] or to 4-symptoms so severe that par could not sleep at all\[nightly\]. "Well-controlled asthma" was defined as having no exacerbation/asthma worsening, no night-time symptoms, a best pre-bronchodilator forced expiratory volume in 1 second ≥80% at clinic, and ≥2 per week of: daytime symptoms on ≤1 day, rescue use on ≤1 day, or morning peak expiratory flow ≥80% of the best effort value. "Well-controlled asthma" at the end of period 2 was assessed in the week prior to Visit 11 (Week 20). Percentage of participants were calculated as the number of participants with "well-controlled asthma" divided by total number participants excluding withdrawals prior to visit 11 (end of period 2) other than asthma worsening/exacerbation. A Logistic Regression Model was used with covariates of Baseline FEV1, gender, age and treatment group.

Percentage of Participants Who Have Either an Asthma Control Test (ACT) Total Score of >=20 or an Increase From Baseline of >=3 in ACT Total Score at Week 24.
Baseline (Day 0) and Week 24

The ACT is a validated self-administered questionnaire utilizing 5 questions to assess asthma control during the past 4 weeks on a 5-point categorical scale (1 to 5). By answering all 5 questions, participants with asthma obtained an ACT score ranging between 5 and 25. Higher scores indicated better control of asthma. An ACT score of \<=15 showed poorly controlled asthma; 16 to 19 showed partly controlled asthma and \>=20 showed well controlled asthma. The total score was calculated as the sum of the scores from all 5 questions. The primary efficacy analysis (PEA) Population is defined as all Intent-to-Treat (ITT) participants (that is, all participants who were randomized and received at least one prescription of study medication) who have an ACT total score of \<20 at Baseline (Day 0). The percentage of responders that is participants with an ACT total score \>=20 or an increase from Baseline of \>=3 has been presented

Change From Baseline in Weighted Mean Forced Expiratory Volume in One Second (FEV1) Over 0 to 24 Hours Post-dose at the End of the 12-week Treatment Period
Baseline and Week 12

Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. The weighted mean was calculated from the pre-dose FEV1 (within 30 minutes prior to dosing) and post-dose FEV1 measurements at 5, 15, and 30 minutes and at 1, 2, 3, 4, 5, 12, 16, 20, 23, and 24 hours on Day 84/Week 12. At each time point, the highest of three technically acceptable measurements was recorded. Change from Baseline was calculated as the weighted mean of the 24-hour serial FEV1 measures on Day 84/Week 12 minus the Baseline value. Baseline was the pre-dose FEV1 measurement value obtained at Visit 3. The analysis was performed using an Analysis of Covariance (ANCOVA) model with covariates of Baseline FEV1, region, sex, age, and treatment.

Change From Baseline in Clinic Visit Evening (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at the End of the 24-week Treatment Period
Baseline and Week 24

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Evening clinic visit FEV1 is defined as the clinic visit (pre-bronchodilator and pre-dose) FEV1 measurement taken at the Week 24 clinic visit. Pre-dose and pre-rescue albuterol/salbutamol trough FEV1 were measured electronically by spirometry in the evening at the Baseline through Week 24 clinic visits. The highest of 3 technically acceptable measurements was recorded. Baseline was the pre-dose value obtained at Visit 2. Change from Baseline was calculated as the Week 24 value minus the Baseline value. Analysis was performed using analysis of covariance (ANCOVA) with covariates of Baseline, region, sex, age, and treatment. The last observation carried forward (LOCF) method was used to impute missing data, in which the last non-missing, pre-dose, post-Baseline on-treatment measurement at scheduled clinic visits was used to impute the missing value.

Change From Baseline in Clinic Visit Evening (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at the End of the 12-week Treatment Period
Baseline and Week 12

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Evening clinic visit FEV1 is defined as the clinic visit (pre-bronchodilator and pre-dose) FEV1 measurement taken at the Week 12 clinic visit. Pre-dose and pre-rescue albuterol/salbutamol trough FEV1 were measured electronically by spirometry in the evening at the Baseline through Week 12 clinic visits. The highest of 3 technically acceptable measurements was recorded. Baseline was the pre-dose value obtained at Visit 2. Change from Baseline was calculated as the Week 12 value minus the Baseline value. Analysis was performed using analysis of covariance (ANCOVA) with covariates of Baseline, region, sex, age, and treatment. The last observation carried forward (LOCF) method was used to impute missing data, in which the last non-missing, pre-dose, post-Baseline on-treatment measurement at scheduled clinic visits was used to impute the missing value.

Mean Change From Baseline in Clinic Visit Trough (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at Week 12
Baseline and Week 12

Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 is defined as the clinic visit (pre-bronchodilator and pre-dose) FEV1measurement taken at the clinic visit while still on-treatment. Pre-dose and pre-rescue albuterol/salbutamol trough FEV1 was measured electronically by spirometry in the evening at the Baseline through Week 12 clinic visits. The highest of 3 technically acceptable measurements was recorded. Baseline was the pre-dose value obtained at Visit 3. Change from Baseline was calculated as the Week 12 value minus the Baseline value. The analysis was performed using an Analysis of Covariance (ANCOVA) model with covariates of Baseline trough FEV1, region, sex, age, and treatment group. The last observation carried forward (LOCF) method was used to impute missing data, in which the last non-missing post-Baseline on-treatment measurement at scheduled clinic visits was used to impute the missing m

Change From Baseline in Weighted Mean Serial FEV1 Over 0-24 Hours Post-dose at Week 12
Baseline and Week 12

Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. Serial FEV1 measurements were taken electronically by spirometry at the Baseline and Week 12 clinic visits. Weighted mean was calculated using the 24-hour serial FEV1 measurements that included the pre-dose assessment (within 30 minutes prior to dosing at Baseline and within 5 minutes prior to dosing at Week 12) and post-dose assessments after 5, 15, and 30 minutes and 1, 2, 3, 4, 5, 12, 16, 20, 23, and 24 hours. At each time point, the highest of 3 technically acceptable measurements was recorded. Baseline was the value obtained at Visit 3. Change from Baseline was calculated as the average Week 12 FEV1 value minus the Baseline value. The analysis was performed using an ANCOVA model with covariates of Baseline FEV1, region, sex, age, and treatment group.

Number of Participants With Any Non-serious Adverse Event (AE) and Any Serious Adverse Event (SAE)
From the start of investigational product to the last dose of treatment (up to Week 52/Withdrawal [WD])

An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, may jeopardize the participant or require medical or surgical intervention to prevent one of the other outcomes listed in the definition above, or is an event of possible drug-induced liver injury. Refer to the general AE/SAE module for a list of AEs (occurring at a frequency threshold \>=5%) and SAE.

Change From Baseline in Clinic Visit Trough (Pre-bronchodilator and Pre-dose) Forced Expiratory Volume in One Second (FEV1) at the End of the 24-week Treatment Period
Baseline and Week 24

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 is defined as the clinic visit (pre-bronchodilator and pre-dose) FEV1 measurement taken at the clinic visit while still on treatment. Pre-dose and pre-rescue albuterol/salbutamol trough FEV1 was measured electronically by spirometry in the evening at the Baseline (BL) through Week 24 clinic visits. The highest of 3 technically acceptable measurements was recorded. BL was the pre-dose value obtained at Visit 3. Change from BL was calculated as the Week 24 value minus the Baseline value. The analysis was performed using an Analysis of Covariance (ANCOVA) model with covariates of BL trough FEV1, country, sex, age, and treatment group.The last observation carried forward (LOCF) method was used to impute missing data, in which the last non-missing post-BL on-treatment measurement at scheduled clinic visits was used to impute the missing measurements.

Change From Baseline in Weighted Mean Serial FEV1 Over 0-24 Hours Post-dose at Week 24
Baseline and Week 24

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Serial FEV1 measurements were taken electronically by spirometry at the Baseline and Week 24 clinic visits. Weighted mean was calculated using the 24-hour serial FEV1 measurements that included the pre-dose assessment (within 5 minutes prior to dosing) and the post-dose assessments after 5, 15, and 30 minutes and 1, 2, 3, 4, 5, 12, 16, 20, 23, and 24 hours. At each time point, the highest of 3 technically acceptable measurements was recorded. Baseline was the value obtained at Visit 3. Change from Baseline was calculated as the average Week 24 FEV1 value minus the Baseline value.

Change From Baseline in Weighted-mean 24 Hour Serial FEV1 on Day 168/Week 24
Baseline and Day 168/Week 24

Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. The weighted mean was calculated from the pre-dose FEV1 and post-dose FEV1 measurements at 5, 15, and 30 minutes (min) and at 1, 2, 3, 4, 11, 12, 12.5, 13, 14, 16, 20, 23, and 24 hours, respectively, on Day 168/Week 24. Change from Baseline was calculated as the weighted mean of the 24-hour serial FEV1 measures on Day 168/Week 24 minus the Baseline value. Baseline was the pre-dose measurement on Day 1. Analysis was performed using analysis of covariance (ANCOVA) with covariates of Baseline FEV1, region, sex, age, and treatment.

Ratio From Baseline of the Serum Cortisol Weighted Mean (0-24 Hours) on Day -1/1 (Baseline) and Day 42
Day -1/1 (Baseline) and Day 42

Serum cortisol weighted mean was determined for each participant over the time period 0-12 hours on Day -1/1 (Baseline) and Day 42. Serum cortisol weighted mean was derived by dividing the area under the concentration-time curve (AUC; defined as thearea under the concentration-time curve from time zero up to 24 hours) by the sample collection time interval. The sample collection time interval is defined as the difference between the time of the last cortisol sample and the time of the first cortisol sample. Samples were collected at the following time points: 0 (first blood draw/pre-dose); 2, 4, 9, 12, 14, 16, 20, 22, and 24 hours (relative to the "0" time point). Because values are on a logged scale, the ratio of the endpoint to Baseline is presented, as it is a measure of the difference from Baseline.

Number of Participants With 1 or More Severe Asthma Exacerbations
Baseline to Follow-up (up to 76 weeks of treatment)

Asthma is a medical condition that causes narrowing of the small airways in the lungs. A severe asthma exacerbation is defined as a deterioration of asthma requiring the use of systemic corticosteroids (tablets, suspension, or injection) for at least 3 days or an in-patient hospitalization or emergency department visit due to asthma that required systemic corticosteroids. Only events deemed by the adjudication committee to be severe asthma exacerbations were used in the analysis of severe asthma exacerbations. The time to the first severe asthma exacerbation was analyzed using a Cox proportional hazards regression model, adjusting for Baseline disease severity (Baseline forced expiratory volume in one second \[FEV1, maximum amount of air forcefully exhaled in one second\]), sex, age, and region.

Number of Participants With Any Adverse Event (AE) or Serious Adverse Event (SAE) During the Treatment Period
From the start of study medication until Visit 11 (Week 52)/Early Withdrawal

An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. Medical or scientific judgment should be exercised in deciding whether reporting is appropriate in other situations. Refer to the General Adverse AE/SAE module for a complete list of AEs and SAEs.

Number of Participants With Severe Asthma Exacerbations During the Treatment Period
From the start of study medication until Visit 11 (Week 52)/Early Withdrawal

A severe asthma exacerbation is defined as the deterioration of asthma requiring the use of systemic corticosteroids (tablets, suspension, or injection) for at least 3 days or an in-patient hospitalization or emergency department visit due to asthma that required systemic corticosteroids. Courses of corticosteroids separated by 1 week or more were treated as separate severe exacerbations.

Change From Baseline in Albumin and Total Protein at Week 12, Week 28, and Week 52/Early Withdrawal
Baseline; Week 12, Week 28, and Week 52/Early Withdrawal

Blood samples were collected for the measurement of albumin and total protein values at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the most recent recorded value at Screening or prior to Day 1. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline.

Change From Baseline in Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase (CK), and Gamma Glutamyltransferase (GGT) at Week 12, Week 28, and Week 52/Early Withdrawal
Baseline; Week 12, Week 28, and Week 52/Early Withdrawal

Blood samples were collected for the measurement of ALP, ALT, AST, CK, and GGT values at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the most recent recorded value at Screening or prior to Day 1. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline.

Change From Baseline in Direct Bilirubin, Indirect Bilirubin, Total Bilirubin, and Creatinine at Week 12, Week 28, and Week 52/Early Withdrawal
Baseline; Week 12, Week 28, and Week 52/Early Withdrawal

Blood samples were collected for the measurement of direct bilirubin, indirect bilirubin, total bilirubin, and creatinine values at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the most recent recorded value at Screening or prior to Day 1. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline.

Change From Baseline in Chloride, Carbon Dioxide Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) at Week 12, Week 28, and Week 52/Early Withdrawal
Baseline; Week 12, Week 28, and Week 52/Early Withdrawal

Blood samples were collected for the measurement of chloride, carbon dioxide (CO2) content/bicarbonate, glucose, potassium, sodium, and urea/BUN values at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the most recent recorded value at Screening or prior to Day 1. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline.

Change From Baseline in the Percentage of Basophils, Eosinophils, Hematocrit, Lymphocytes, Monocytes, and Segmented Neutrophils in the Blood at Week 12, Week 28, and Week 52/Early Withdrawal
Baseline; Week 12, Week 28, and Week 52/Early Withdrawal

Blood samples were collected for the measurement of the percentage of basophils, eosinophils, hematocrit, lymphocytes, monocytes, and segmented neutrophils in the blood at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the most recent recorded value at Screening or prior to Day 1. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline.

Change From Baseline in Eosinophil Count, Total Absolute Neutrophil Count (ANC), Platelet Count, and White Blood Cell (WBC) Count at Week 12, Week 28, and Week 52/Early Withdrawal
Baseline; Week 12, Week 28, and Week 52/Early Withdrawal

Blood samples were collected to determine the eosinophil count, total ANC, platelet count, and WBC count at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the most recent recorded value at Screening or prior to Day 1. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline.

Change From Baseline in Hematocrit at Week 12, Week 28, and Week 52/Early Withdrawal
Baseline; Week 12, Week 28, and Week 52/Early Withdrawal

Blood samples were collected for the measurement of hematocrit values at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the most recent recorded value at Screening or prior to Day 1. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline.

Change From Baseline in Hemoglobin at Week 12, Week 28, and Week 52/Early Withdrawal
Baseline; Week 12, Week 28, and Week 52/Early Withdrawal

Blood samples were collected for the measurement of hemoglobin values at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the most recent recorded value at Screening or prior to Day 1. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline.

Number of Participants With the Indicated Shift From Baseline to High, Normal or no Change, and Low Post-Baseline Values for Urinary Cortisol Excretion
Baseline; Week 12, Week 28, and Week 52/Early Withdrawal

A 24-hour urine sample was collected for the measurement of 24-hour urinary cortisol excretion (UCE) at the following scheduled time points: Baseline, Week 12, Week 28, and Week 52/Early Withdrawal. Any visit post-baseline (AVPB) value was derived using laboratory assessments performed at scheduled, unscheduled, and Early Withdrawal visits. Participants who had a shift from Baseline in their post-Baseline UCE values relative to the normal range, are presented in the "To high and To low" categories. Participants whose post-Baseline UCE values were unchanged (e.g., High to High) or whose value became normal, are presented in the "To normal or no change" category. The normal range for UCE is defined as: 11 to 138 nanomoles per 24 hours (nmol/24 hr) for participants \>=18 years of age, 8.3 to 151.7 nmol/24 hr for participants 14 to 17 years of age, and 2.8 to 124.2 nmol/24 hr for participants 12 and 13 years of age.

Ratio of 24-hour Urinary Cortisol Excretion at Week 12 to Baseline
Baseline and Week 12

A 24-hour urine sample was collected, and the least square geometric mean (LSGM) for 24-hour urinary cortisol excretion (UCE) was calculated at Baseline and at Week 12. The ratio of the Week 12 LSGM to the Baseline LSGM was calculated as the value at Week 12 divided by the value at Baseline. Analysis was performed using analysis of covariance (ANCOVA) with covariates of region, sex, age, treatment, and the log of the Baseline values.

Ratio of 24-hour Urinary Cortisol Excretion at Week 28 to Baseline
Baseline and Week 28

A 24-hour urine sample was collected, and the LSGM for 24-hour UCE was calculated at Baseline and at Week 28. The ratio of the Week 28 LSGM to the Baseline LSGM was calculated as the value at Week 28 divided by the value at Baseline. Analysis was performed using ANCOVA with covariates of region, sex, age, treatment, and the log of the Baseline values.

Ratio of 24-hour Urinary Cortisol Excretion at Week 52 to Baseline
Baseline and Week 52

A 24-hour urine sample was collected, and the LSGM for 24-hour UCE was calculated at Baseline and at Week 52. The ratio of the Week 52 LSGM to the Baseline LSGM was calculated as the value at Week 52 divided by the value at Baseline. Analysis was performed using ANCOVA with covariates of region, sex, age, treatment, and the log of the Baseline values.

Number of Participants With Evidence of Oral Candidiasis at Any Time Post-Baseline
From Baseline until Visit 11/Early Withdrawal (52 weeks)

A detailed oropharyngeal examination was done at all clinic visits for visual/clinical evidence of oral candidiasis over the entire Treatment Period (worst case any time post-Baseline). For participants with visual/clinical evidence of candidiasis during the Treatment Phase of the study, a culture swab was taken and analyzed for infection.

Maximum Change From Baseline in Systolic Blood Pressure (SBP) and Minimum Change From Baseline in Diastolic Blood Pressure (DBP)
From Baseline until Visit 11/Early Withdrawal (52 weeks)

SBP and DBP were measured at the following scheduled time points: Screening, Day 1, Week 2, Week 4, Week 8, Week 12, Week 20, Week 28, Week 36, Week 44, and Week 52/Early Withdrawal. Baseline is defined as the Visit 1 (screening) value. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. Maximum and minimum change from Baseline for any post-Baseline visit was derived using all scheduled, unscheduled, and Early Withdrawal visits.

Maximum Change From Baseline in Pulse Rate
From Baseline until Visit 11/Early Withdrawal (52 weeks)

Pulse rate was measured at the following scheduled time points: Screening, Day 1, Week 2, Week 4, Week 8, Week 12, Week 20,Week 28, Week 36, Week 44, and Week 52/Early Withdrawal. Baseline is defined as the Visit 1 (screening) value. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline. Maximum change from Baseline for any post-Baseline visit was derived using all scheduled, unscheduled, and Early Withdrawal visits.

Number of Participants With the Indicated Change From Baseline in Lens Opacities Classification System, Version III (LOCS III) Posterior Subcapsular Opacity (P) at Week 28 and Week 52
Baseline; Week 28, and Week 52

P is defined as the opacification at the back of the lens adjacent to the capsule (or bag) in which the lens sits. An event of P is defined as an increase of \>=0.3 from Baseline in LOCS III grade for P in either eye at any time post-Baseline. Per LOC III, P ranges from 0.1 (clear or colorless) to 5.9 (very opaque). Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline.

Number of Participants With the Indicated Change From Baseline in Intraocular Pressure (IOP) at Week 28 and Week 52
Baseline; Week 28 and Week 52

Intraocular pressure (IOP) is the fluid pressure inside the eye. IOP was measured twice for each eye at Baseline, Week 28, and Week 52 using Goldmann Applanation tonometry. The second IOP reading was used for analysis. The number of participants with a change from Baseline in IOP of \<0 mmHg, \>=0 to \<4 mmHg, \>=4 to \<7 mmHg, \>=7 to \<11 mmHg, and \>=11 mmHg are presented. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline.

Change From Baseline in Horizontal Cup-to-disc Ratio at Week 28 and Week 52
Baseline; Week 28 and Week 52

Funduscopic examination was performed at Baseline, Week 28, and Week 52 to measure the horizontal cup-to-disc ratio of both eyes. The horizontal cup-to-disc ratio is the ratio of the horizontal diameter of the physiological cup to that of the horizontal diameter of the optic disc. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline.

Number of Participants With the Indicated Change From Baseline in Lens Opacities Classification System, Version III (LOCS III) Cortical Opacity (C) at Week 28 and Week 52
Baseline; Week 28 and Week 52

C is defined as the opacification of the cortex (outer layer) of the lens. Per LOC III, C ranges from 0.1 (clear or colorless) to 5.9 (very opaque). Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline.

Change From Baseline in Lens Opacities Classification System, Version III (LOCS III) Nuclear Color (NC) at Week 28 and Week 52
Baseline; Week 28 and Week 52

NC is the color of the nucleus (central layer) of the lens. Per LOC III, NC ranges from 0.1 (clear or colorless) to 6.9 (very opaque or brunescent). Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline.

Change From Baseline in Lens Opacities Classification System, Version III (LOCS III) Nuclear Opalescence (NO) at Week 28 and Week 52
Baseline; Week 28 and Week 52

NO is the opalescence of the nucleus (central layer) of the lens. Per LOC III, NO ranges from 0.1 (clear or colorless) to 6.9 (very opaque or brunescent). Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline.

Change From Baseline in the Logarithm of the Minimum Angle of Resolution (LogMAR) Visual Acuity at Week 28 and Week 52
Baseline; Week 28 and Week 52

Visual acuity is defined as the acuteness or clearness of vision. The minimum angle of resolution (MAR) is the angle a viewed object subtends at the eye, usually stated in degrees/minutes of arc. Visual acuity was measured using Early Treatment Diabetic Retinopathy Study (ETDRS) charts in decimal numbers. The LogMAR scale is used to express the visual acuity in a linear scale as the logarithm to base 10 of the MAR. A lower score indicates better visual acuity; visual acuity decreases with an increasing score. Change from Baseline was calculated as the value at the post-Baseline time point minus the value at Baseline.

Maximum Change From Baseline in the QT Interval Using Bazett's Correction (QTcB) and QT Interval Using Fridericia's Correction (QTcF)
Baseline; Week 2, Week 12, Week 28, and Week 52/Early Withdrawal

The QT interval is an electrocardiogram (ECG) parameter that represents the electrical depolarization and repolarization of the left and right ventricles of the heart. The QT interval is a measure of the time between the start of the Q wave and the end of the T wave in the ECG. Corrected QT (QTc) is the QT interval corrected for heart rate by using Bazett's formula (QTcB) and Fridericia's formula (QTcF). 12-lead ECG measurements were perfomed at the following scheduled time points: Baseline; Week 2, Week 12, Week 28, and Week 52/Early Withdrawal. The Baseline value is defined as the value taken pre-dose at screening. The maximum post-Baseline value was derived using all scheduled, unscheduled, and Early Withdrawal ECG assessments. Maximum change from Baseline was calculated as the maximum post-Baseline value minus the value at Baseline.

Mean 24 Hour Holter Heart Rate for Participants With at Least 16 Hours of Recorded Data
0-24 hours at Screening, Day 1, Week 28, and Week 52

Twenty-four hour Holter monitors were obtained using a 12-lead Holter monitor. The Holter monitor is worn by the participant for 24 hours, and the monitor continuously records the heart's rhythm while the monitor is worn. At the end of the 24 hour period, the data from the monitor are downloaded and transmitted to the centralized vendor for analysis and interpretation by a licensed cardiologist.

Maximum 24 Hour Holter Heart Rate for Participants With at Least 16 Hours of Recorded Data
0-24 hours at Screening, Day 1, Week 28, and Week 52

Twenty-four hour Holter monitors were obtained using a 12-lead Holter monitor. Holter monitor data were transmitted to a centralized vendor for analysis and interpretation by a licensed cardiologist.

Change From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VI
Baseline and up to Day 29 in each treatment period

FeNO is non-invasive marker of airway inflammation in asthma participants. It was measured by the participants, using Niox Vero device at AM (pre-dose) and PM on Day -7 and all way through Day 29 of each TP. The FeNO measurements were done over time following stop of repeat dose treatment with FF/VI. Change from Baseline was measured as ratio of post-dose visit value to Baseline value. Baseline was defined as Day 1(Pre-dose). Subject level Baseline defined as the mean of Baseline across periods for each participant. Period level Baseline defined as the difference between the Baseline and subject level Baseline for each period and each participant. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Summary of ratio from Baseline for exhaled nitric oxide reported as Geometric mean and Geometric coefficient of Variation. NA indicates data was not available.

Weighted Mean Forced Expiratory Volume in 1 Second (FEV1) Measured Over 24 Hours at Day 14 of Each Treatment Period
24 hours post-PM dose on Day 14 of each treatment period (up to Study Day 105)

FEV1 is a measure of lung function and the maximal amount of air that can be forcefully exhaled in one second. FEV1 was measured using site equipment (KoKo Pneumotach Spirometer). Weighted mean FEV1 was calculated using the Day 14 24-hour serial FEV1 measurements taken at 3, 6, 9, 12, 15, 18, 21, and 24 hours post-dose (measured in the evening of Day 15). At each time point, the highest of three technically acceptable measurements was recorded. FEV1 weighted mean was analyzed using a mixed effects analysis of a covariance model with fixed effect terms for treatment and period, participant Baseline, period Baseline, gender, and age as covariates, and participant as a random effect.

Change From Baseline in Daily Pre-dose Morning (AM) Peak Expiratory Flow (PEF) From Participant Electronic Daily Diary Averaged Over the 12-week Treatment Period
Baseline; Week 1 up to Week 12

PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF was measured by the participants using a hand-held electronic peak flow meter each morning prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. The best of three measurements was recorded. Change from Baseline was calculated as the value of the averaged daily AM PEF over the 12-week Treatment Period minus the Baseline value. The Baseline PEF value is defined as the average of the last 7 days of the Run-in Period. Statistical analysis was performed using an analysis of covariance (ANCOVA) model with covariates of Baseline AM PEF, actual pre-screening inhaled corticosteroid (ICS) use, region, sex, age, and treatment. Particpants analyzed included those who have PEF data for at least 2 non-missing days in the Baseline week prior to randomisation and at least 2 non-missing days after randomisation.

Number of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE) During the Treatment Period
From the start of study medication until Week 11 (Visit 9)/Early Withdrawal

An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. Medical or scientific judgment should be exercised in deciding whether reporting is appropriate in other situations. Refer to the General Adverse AE/SAE module for a complete list of AEs and SAEs.

Basophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment Period
Day 14 of the respective treatment period (up to Study Day 63)

Blood samples were collected for the measurement of basophils, eosinophils, lymphocytes, monocytes, total neutrophils, platelets, and white blood cell (WBC) count at Day 14 of the respective treatment period.

Hemoglobin and Mean Corpuscle Hemoglobin Concentration (MCHC) Values at Day 14 of the Respective Treatment Period
Day 14 of the respective treatment period (up to Study Day 63)

Blood samples were collected for the measurement of hemoglobin and MCHC at Day 14 of the respective treatment period.

Reticulocyte and Red Blood Cell (RBC) Values at Day 14 of the Respective Treatment Period
Day 14 of the respective treatment period (up to Study Day 63)

Blood samples were collected for the measurement of reticulocytes and RBCs at Day 14 of the respective treatment period.

Hematocrit Values at Day 14 of the Respective Treatment Period
Day 14 of the respective treatment period (up to Study Day 63)

Blood samples were collected for the measurement of hematocrit at Day 14 of the respective treatment period. Hematocrit is a measure of the percentage of the volume of the whole blood that is composed of red blood cells, as determined by separation of red blood cells from the plasma (usually by centrifugation).

Mean Corpuscle Volume (MCV) Value at Day 14 of the Respective Treatment Period
Day 14 of the respective treatment period (up to Study Day 63)

Blood samples were collected for the measurement of MCV at Day 14 of the respective treatment period.

Mean Corpuscle Hemoglobin (MCH) Values at Day 14 of the Respective Treatment Period
Day 14 of the respective treatment period (up to Study Day 63)

Blood samples were collected for the measurement of MCH at Day 14 of the respective treatment period.

Alanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), and Gamma Glutamyl Transferase (GGT) Values at Day 14 of the Respective Treatment Period
Day 14 of the respective treatment period (up to Study Day 63)

Blood samples were collected for the measurement of ALT, ALP, AST, and GGT at Day 14 of the respective treatment period.

Albumin and Total Protein Values at Day 14 of the Respective Treatment Period
Day 14 of the respective treatment period (up to Study Day 63)

Blood samples were collected for the measurement of albumin and total protein at Day 14 of the respective treatment period.

Calcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment Period
Day 14 of the respective treatment period (up to Study Day 63)

Blood samples were collected for the measurement of calcium, chloride, carbon dioxide content/bicarbonate (CO2/BI), glucose, potassium, sodium, and urea/BUN at Day 14 of the respective treatment period.

Total Bilirubin, Direct Bilirubin, Creatinine, and Uric Acid Values at Day 14 of the Respective Treatment Period
Day 14 of the respective treatment period (up to Study Day 63)

Blood samples were collected for the measurement of total bilirubin, direct bilirubin, creatinine, and uric acid at Day 14 of the respective treatment period.

Peak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment Period
Day 1 and Day 14 of the respective treatment period (up to Study Day 63)

Peak Expiratory Flow (PEF) is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF is calculated as the maximum of three readings taken at each timepoint for each participant. Baseline is defined as the maximum pre-dose measurement at Day 1 for each period.

Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Day 1 and Day 14 of the Respective Treatment Period
Day 1 and Day 14 of the respective treatment period (up to Study Day 63)

SBP and DBP were measured at Day 1 and Day 14 of the respective treatment period. Baseline is defined as the pre-dose measurement at Day 1. Change from Baseline was calculated as the Day 14 value minus the Baseline value.

Change From Baseline in Heart Rate at Day1 and Day 14 of the Respective Treatment Period
Day 1 and Day 14 of the respective treatment period (up to Study Day 63)

Heart rate (HR) was measured at Day 1 and Day 14 of the respective treatment period. hr=hour. Baseline is defined as the pre-dose measurement at Day 1. Change from Baseline was calculated as the Day 14 value minus the Baseline value. Treatment, period, day (1 and 14), participant Baseline, period Baseline, and treatment\*day interaction were fitted as fixed effects, and participant was fitted as a random effect.

Maximum QTcF at Day 1 and Day 14 of the Respective Treatment Period
Day 1 and Day 14 of the respective treatment period (up to Study Day 63)

QTcF is the QT domain corrected for heart rate by Fridericia's formula. Treatment, period, day (1 and 14), participant Baseline, period Baseline, and treatment\*day interaction were fitted as fixed effects, and participant was fitted as a random effect.

Total Bilirubin, Creatinine, and Uric Acid Values at Day 14 of the Respective Treatment Period
Day 14 of the respective treatment period (up to Study Day 44)

Blood samples were collected for the measurement of total bilirubin, creatinine, and uric acid at Day 14 of the respective treatment period.

Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment Period
Baseline and Day 14 of the respective treatment period (up to Study Day 44)

SBP and DBP were measured at Baseline and Day 14 of the respective treatment period. Baseline is defined as the pre-dose measurement at Day 1 for each period.

Heart Rate at Baseline and Day 14 of the Respective Treatment Period
Baseline and Day 14 of the respective treatment period (up to Study Day 44)

Heart rate (HR) was measured at Baseline and Day 14 of the respective treatment period. Baseline is defined as the pre-dose measurement at Day 1 for each period.

Change From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment Period
Baseline and Day 14 of the respective treatment period (up to Study Day 44)

PR, QRS, QT, QTcB, QTcF, and RR were measured at Baseline and Day 14 of the respective treatment period. Baseline is defined as the pre-dose measurement at Day 1 for each period. Change from Baseline was calculated as the value at Day 14 minus the Baseline value. QTcB is the QT duration corrected for heart rate by Bazett's formula. QTcF is the QT duration corrected for heart rate by Fridericia's formula.

Weighted Mean Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Between 0-2 Hours, Following the 22-23 Hour Post-treatment Allergen Challenge on Day 29 of Each Treatment Period
Baseline and Day 29 of each treatment period (up to Study Day 197)

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Participants (par.) were exposed to an allergen (administered by inhalation) 22-23 hours after dosing on Day 28. FEV1 was measured 5 minutes (min), 10 min, 15 min, 20 min, 30 min, and 45 min and 1 hour, 1.5 hours, and 2 hours post-allergen challenge on Day 29. Immediately prior to the exposure of allergen and starting at 2 minutes after inhalation of saline, 3 single measurements of FEV1 were recorded at 1-minute intervals, and the best was taken as the post-saline value. The FEV1 weighted mean was derived by calculating the area under the curve, and then dividing the value by the relevant time interval. Weighted mean change from Baseline is calculated as the weighted mean FEV1 value on Day 29 minus the Baseline value. The Baseline FEV1 value was the post-saline value on Day 29.

Systemic steroid PD effects
Day 7

Serum cortisol

Systemic ß-adrenergic PD effects
Day 1 and Day 7

Maximum QTcF 0-4h and whole blood potassium

Pharmacokinetic parameters for Fluticasone Furoate (FF) for all study participants
15 time points between pre-dose and 36 hours post-dose in each of the six treatment periods

Measurement of amount of FF in the blood of study participants. From the plasma concentration-time data the following PK parameters will be determined as data permits: Area Under Curve from pre-dose to infinite time (AUC)(0-inf), Area Under Curve from pre-dose to time of last quantifiable concentration (AUC)(0-t), maximum plasma concentration (Cmax)

Fluticasone furoate area under concentration-time curve (AUC)
48 hours post-dose
Fluticasone furoate maximum observed concentration (Cmax)
48 hours post-dose
Vilanterol area under concentration-time curve (AUC)
48 hours post-dose
Vilanterol maximum observed concentration (Cmax)
48 hours post-dose
Absolute bioavailability of FF and GW642444 following single dose of FF/GW642444M Inhalation Powder; determined by measuring the amount of the dose of inhaled medication that reaches the circulation compared to the medication administered intravenously
Up to 48hr PK sampling periods profiles on 3 separate occasions over a total period of up to 5 weeks
FF Pharmacokinetic parameters: AUC, Cmax, t1/2, tmax for inhaled and intravenous treatments. Volume of distribution (V) and plasma clearance (CL) for intravenous FF
up to 72hr PK sampling periods profiles on 4 separate occasions over a total period of approximately 4-5 weeks
Secondary Endpoints
Number of Participants With Any Adverse Events (AE) and Any Serious Adverse Event (SAE).
From the start of study treatment until follow-up (assessed up to 54 days)
Change From Baseline in ACT Total Score at Week 24
Baseline and Week 24
Percentage of Participants With Correct Use of Device, Defined as Not Making Any Critical or Non-critical Errors, at Week 12, and at Week 24 Independently of the Use at Week 12
Week 12 and Week 24
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Sequence 1: Fluticasone furoate 50 μg and then placeboEXPERIMENTALSubjects will receive oral inhalation of FF 50 μg administered via ELLIPTA, once daily (OD) for 14 days +/- 4 days in Period 1 followed by oral inhalation of placebo administered via ELLIPTA, OD for 14 days +/- 4 days in Period 2. The two treatment periods will be separated by a two-week wash-out period. Additionally all subjects will be provided salbutamol inhaler to be used for symptomatic relief of asthma symptoms during both the run-in and treatment periods as needed.
Sequence 2: Placebo and then fluticasone furoate 50 μgEXPERIMENTALSubjects will receive oral inhalation of placebo administered via ELLIPTA OD for 14 days +/- 4 days in Period 1 followed by receive oral inhalation of FF 50 μg administered via ELLIPTA, OD for 14 days +/- 4 days. The two treatment periods will be separated by a two-week wash-out period. Additionally all subjects will be provided salbutamol inhaler to be used for symptomatic relief of asthma symptoms during both the run-in and treatment periods as needed.
Fluticasone Furoate/VilanterolEXPERIMENTALSubjects will receive FF/VI 92 micrograms (mcg)/22 mcg or FF/VI 184 mcg/22 mcg as decided by the investigator QD via ELLIPTA DPI for 24 weeks.
FP/S OR BUD/FACTIVE_COMPARATORSubjects will receive FP/S (250 mcg/50 mcg or 500 mcg/50mcg) twice daily via DISKUS or BUD /F (200 mcg/6mcg or 400 mcg/12mcg one or two inhalations) twice daily via TURBUHALER DPI as decided by the investigator for 24 weeks.
Arm 1 FF/VI 100/25 mcgEXPERIMENTALSubjects will receive Fluticasone Furoate/Vilanterol 100/25 mcg once-daily via a dry powder inhaler for 8 weeks in the open-label treatment period.
Arm 2 FF 100 mcgEXPERIMENTALSubjects will receive Fluticasone Propionate matching placebo twice-daily (morning and evening) and Fluticasone Furoate 100 mcg once daily in the evening, via a dry powder inhaler for 12 weeks in the double-blind treatment period
Arm 3 FP 250 mcgEXPERIMENTALSubjects will receive Fluticasone Propionate 250 mcg twice-daily (morning and evening) and Fluticasone Furoate matching placebo once daily in the evening, via a dry powder inhaler for 12 weeks in the double-blind treatment period
Arm 4 FP 100 mcgEXPERIMENTALSubjects will receive Fluticasone Propionate 100 mcg twice-daily (morning and evening) and Fluticasone Furoate matching placebo once daily in the evening, via a dry powder inhaler for 12 weeks in the double-blind treatment period
FF/VIEXPERIMENTALfluticasone furoate (FF) + vilanterol (VI) once daily via a Novel Dry Powder Inhaler
ICS or ICS/LABA maintenance therapyACTIVE_COMPARATORinhaled corticosteroid (ICS) alone or in combination with a long acting beta2-agonist (LABA)
Arm1: Fluticasone Furoate/ Vilanterol 200/25 mcgEXPERIMENTALAt Visit 3, eligible subjects for randomization will be stratified according to their baseline FEV1 performed at Visit 3 (\<=65% or \>65%) and randomized to one of the three treatment arms. Subjects in this arm will receive FF/ VI 200/25 mcg once daily in the evening for 84 days.
Arm 2: Fluticasone Furoate/ Vilanterol 100/25 mcgEXPERIMENTALAt Visit 3, eligible subjects for randomization will be stratified according to their baseline FEV1 performed at Visit 3 (\<=65% or \>65%) and randomized to one of the three treatment arms. Subjects in this arm will receive FF/ VI 100/25 mcg once daily in the evening for 84 days
Arm 3: Fluticasone Furoate 100 mcgEXPERIMENTALAt Visit 3, eligible subjects for randomization will be stratified according to their baseline FEV1 performed at Visit 3 (\<=65% or \>65%) and randomized to one of the three treatment arms. Subjects in this arm will receive FF 100 mcg once daily in the evening for 84 days
FF 100mcg once dailyEXPERIMENTALInhaled corticosteroid (ICS)
FF 200mcg once dailyEXPERIMENTALInhaled corticosteroid
Fluticasone furoate 50mcgEXPERIMENTALInhalation powder delivered by Novel Dry Powder Inhaler
PlaceboPLACEBO_COMPARATORInhalation powder delivered by Novel Dry Powder Inhaler
Fluticasone furoate 50 mcgEXPERIMENTALOnce daily inhalation powder via Novel Dry Powder Inhaler
Fluticasone propionate 100mcgACTIVE_COMPARATORTwice daily inhalation powder via DISKUS/ ACCUHALER
Fluticasone furoate/Vilanterol (GW642444)EXPERIMENTALFluticasone furoate/Vilanterol inhalation powder once daily for 12 weeks
Fluticasone FuroateEXPERIMENTALFluticasone furoate inhalation powder once daily for 12 weeks
Fluticasone Furoate/GW642444EXPERIMENTALCombination inhaled corticosteroid and long-acting beta2-agonist
Fluticasone PropionateACTIVE_COMPARATORFluticasone propionate inhalation powder twice daily + Placebo inhalation powder once daily for 24 weeks
Fluticasone propionate/salmeterolACTIVE_COMPARATORFluticasone propionate/salmeterol inhalation powder twice daily + placebo inhalation powder once daily for 24 weeks
FF/444 Dose BACTIVE_COMPARATORFluticasone furoate/GW642444 Dose B inhalation powder once daily for 6 weeks' treatment + 1 oral placebo capsule each day on the last 7 days of the study
FF/444 Dose AACTIVE_COMPARATORFluticasone furoate/GW642444 Dose A inhalation powder once daily for 6 weeks' treatment + 1 oral placebo capsule each day on the last 7 days of the study
PrednisoloneACTIVE_COMPARATORPlacebo inhalation powder once daily for 6 weeks' treatment + 1 oral prednisolone 10mg capsule each day on the last 7 days of the study
Fluticasone furoate/vilanterol (FF/VI) 100/25 mcgEXPERIMENTALSubjects will receive FF/VI 100/25 mcg each morning (once daily) from Day 1 to Day 14, followed by a 21-day monitoring/washout period
FF AM doseEXPERIMENTALAll the subjects in this study will take part in 3 treatment periods and will receive all three treatments (one per period) in a random manner. In one of the treatment periods, subjects will receive FF 100 mcg in the morning (approximately 09:00) and placebo in the evening (approximately 21:00) for 14 days (+/- 2 days).
FF PM doseEXPERIMENTALAll the subjects in this study will take part in 3 treatment periods and will receive all three treatments (one per period) in a random manner. In one of the treatment periods, subjects will receive FF 100 mcg in the evening (approximately 21:00) and placebo in the morning (approximately 09:00) for 14 days (+/-2 days).
Arm 1ACTIVE_COMPARATORFluticasone Furoate 100mcg inhalation powder once daily in the evening ICS powder
Arm 2ACTIVE_COMPARATORFluticasone Furoate 50mcg inhalation powder once daily in the evening ICS powder
Arm 3ACTIVE_COMPARATORFluticasone Furoate 25mcg inhalation powder once daily in the evening ics powder
Arm 4ACTIVE_COMPARATORFluticasone Propionate 100mcg inhalation powder twice daily ICS powder
Arm 5PLACEBO_COMPARATORPlacebo inhalation powder once daily in the evening Placebo powder
COHORT 1 RANDOMISATION AACTIVE_COMPARATOR(8-11 years old) Repeat dose session: Fluticasone furoate 100µg; Day 1 and Day 14 = in house dosing; Day 2-13 = home dosing
COHORT 1 RANDOMISATION BPLACEBO_COMPARATOR(8-11 years old) Repeat dose session: matching placebo; Day 1 and Day 14 = in house dosing; Days 2-13 = home dosing
COHORT 2 RANDOMISATION AACTIVE_COMPARATOR(5-7 years old) Repeat dose session: Fluticasone furoate 100µg; Day 1 and Day 14 = in house dosing; Days 2-13 = home dosing
COHORT 2 RANDOMISATION BPLACEBO_COMPARATOR(5-7 years old) Repeat dose session: Matching placebo; Day 1 and Day 14 = in house dosing; Days 2-13 = home dosing
inhaled corticosteroid(ICS)/long acting bronchodilator (LABA)ACTIVE_COMPARATORICS/LABA inhaler
ICSACTIVE_COMPARATORICS inhaler
Fluticasone Furoate (single strip configuration)EXPERIMENTAL400mcg, administered as 2 inhalations of 200mcg
Fluticasone Furoate (two strip configuration)EXPERIMENTAL400mcg, administered as 2 inhalations of 200mcg. Second strip contains lactose and magnesium stearate
200/100 mcg fluticasone furoate/vilanterolEXPERIMENTAL4 inhalations of 50/25 mcg fluticasone furoate/vilanterol
400/100 mcg fluticasone furoate/vilanterolEXPERIMENTAL4 inhalations of 100/25 mcg fluticasone furoate/vilanterol
800/100 mcg fluticasone furoate/vilanterolEXPERIMENTAL4 inhalations of 200/25 mcg fluticasone furoate/vilanterol
Treatment period 1OTHERSingle inhaled dose of FF (800mcg)/GW642444M (100mcg) Inhalation Powder given once daily in the morning on Day 1 of Treatment period 1
Treatment Period 2OTHERSingle IV dose of FF (250mcg) given over 20 mins on Day 1 of Treatment period 2
Treatment Period 3OTHERSingle IV dose of GW642444M (55mcg) given over 60 mins on Day 1 of Treatment period 3
Treatment YOTHERSeven inhaled doses of 200mcg FF given once daily in the morning (Part A; Days 1-7) followed by seven inhaled doses of 800mcg FF given once daily in the morning (Part B; Day 1 and Days 3-8, i.e. no dose on Day 2).
Treatment ZOTHERA single intravenous dose of 250mcg FF given over 20 minutes (Day 1).
Interventions
NameTypeDescription
Fluticasone furoateDRUGFF will be provided as a dry powder inhaler containing 50 μg of FF as a dry white powder per blister, to be inhaled orally via ELLIPTA.
PlaceboDRUGPlacebo will be provided as dry powder inhaler containing placebo as a dry white powder per blister, to be inhaled orally via ELLIPTA.
SalbutamolDRUGSalbutamol will be provided as a inhaler.
VilanterolDRUGVilanterol 22 mcg blended with lactose and magnesium stearate administered once daily via ELLIPTA DPI
Fluticasone propionateDRUGFP 250 mcg or 500 mcg blended with lactose administered twice daily via DISKUS DPI
SalmeterolDRUGSalmeterol 50 mcg blended with lactose administered twice daily via DISKUS DPI
BudesonideDRUGBudesonide 200 mcg or 400 mcg blended with lactose administered twice daily via TURBUHALER DPI
Formoterol FumarateDRUGFormoterol Furoate 6 mcg or 12 mcg blended with lactose administered twice daily via TURBUHALER DPI
Fluticasone Furoate/VilanterolDRUGFF/VI 100mg/25 mcg is available as a dry white powder to be given once daily in the evening via dry powder inhaler
Fluticasone Furoate 100 mcgDRUGFF 100 mcg is available as a dry white powder to be given once daily in the evening via dry powder inhaler
Fluticasone Propionate 250 mcgDRUGFP 250 mcg is available as a dry white powder to be given twice daily (morning and evening) via dry powder inhaler
Fluticasone Propionate 100 mcgDRUGFP 100 mcg is available as a dry white powder to be given twice daily (morning and evening) via dry powder inhaler
Fluticasone Furoate PlaceboDRUGMatching placebo of Fluticasone Furoate will be given once daily in the evening via dry powder inhaler
Fluticasone Propionate PlaceboDRUGMatching placebo of Fluticasone Propionate will be given twice daily (morning and evening) via dry powder inhaler
fluticasone furoate + vilanterolDRUGonce daily via a Novel Dry Powder Inhaler
inhaled corticosteroid with or without a long acting beta2-agonistDRUGICS alone or in combination with a long acting bronchodilator
Fluticasone Furoate/ Vilanterol 200/25 mcgDRUGFluticasone furoate/ vilanterol will be available as 200/25 mcg Novel dry powder inhaler (NDPI) with 30 doses per device and 200/25 mcg per actuation
Fluticasone Furoate/ Vilanterol 100/25 mcgDRUGFluticasone furoate/ vilanterol will be available as 100/25 mcg NDPI with 30 doses per device and 100/25 mcg per actuation
albuterol/salbutamolDRUGProvided as rescue relief of asthma symptoms
Fluticasone furoate 50mcgDRUGInhalation powder delivered by Novel Dry Powder Inhaler
Fluticasone propionate 100mcgDRUGTwice daily inhalation powder via DISKUS/ACCUHALER
Fluticasone furoate/Vilanterol Inhalation PowderDRUGFluticasone furoate/Vilanterol Inhalation Powder inhaled orally once daily for 12 weeks
Fluticasone Furoate Inhalation PowderDRUGFluticasone Furoate Inhalation Powder inhaled orally once daily for 12 weeks
Placebo Inhaltion PowderDRUGPlacebo Inhaltion Powder inhaled orally once daily for 12 weeks
Fluticasone Furoate/GW642444 Inhalation PowderDRUGFluticasone Furoate/GW642444 inhalation powder inhaled orally once daily for 52 weeks
Fluticasone Propionate Inhalation PowderDRUGFluticasone propionate inhalation powder inhaled orally twice daily for 24 weeks
Placebo Inhalation Powder 1OTHERPlacebo in novel dry powder inhaler once daily
Placebo Inhalation Powder 2OTHERPlacebo in Diskus inhaler twice daily
Fluticasone propionate/salmeterol Inhalation PowderDRUGFluticasone propionate/salmeterol Inhalation Powder inhaled orally twice daily for 24 weeks
Placebo (1)DRUGInhalation powder inhaled orally once daily for 24 weeks
Placebo (2)DRUGInhalation powder inhaled orally twice daily for 24 weeks
Placebo Inhalation PowderDRUGPlacebo Inhalation powder inhaled once daily for 6 weeks' treatment
Placebo Oral CapsuleDRUGOne placebo capsule taken each day on the last 7 days of the study
Prednisolone Oral CapsuleDRUGPrednisolone 10mg oral capsule taken each day on the last 7 days of the study
Fluticasone Furoate/GW642444DRUGCombination inhaled corticosteroid and long-acting beta2-agonist
Fluticasone furoate (FF) (100 mcg)DRUGFirst blister strip contains FF blended with lactose, 100 mcg per blister
Vilanterol (VI) (25 mcg)DRUGSecond blister strip contains vilanterol blended with lactose and magnesium stearate, 25 mcg per blister
Fluticasone Furoate (FF)DRUGInhalation powder 100 microgram per blister strip to be administered via dry powder inhaler either in the morning (AM dose with FF and PM dose with +/-2 days).
Matching placeboDRUGNovel dry powder inhaler: One blister strip containing lactose and a second blister strip containing lactose and magnesium stearate.
FF/Vilanterol (VI; GW642444M)DRUGFF/VI
Fluticasone Furoate (200mcg unit strength)DRUGinhalation powder
Fluticasone Furoate/Vilanterol (200/25mcg unit strength)DRUGinhalation powder
Fluticasone furoate 50 mcg (4 inhalations)DRUG4 inhalations of 50 mcg strength
Fluticasone furoate 100 mcg (4 inhalations)DRUG4 inhalations of 100 mcg strength
Fluticasone furoate 200 mcg (4 inhalations)DRUG4 inhalations of 200 mcg strength
Vilanterol 25 mcg (4 inhalations)DRUG4 inhalations of 25 mcg strength
fluticasone furoate//GW642444DRUGSingle inhaled dose of FF (800mcg)/GW642444M (100mcg) Inhalation Powder administered in the morning
GW642444DRUGSingle IV dose of GW642444 (55mcg)
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Eligibility Criteria
Age Range5 Years — 11 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Aged 5 years to less than 12 years at Visit 1. At least 15 (25%) children of the total study population must be aged 5 to less than 8 years. * Male or pre-menarchial female subjects. * Subjects must be pre-adolescent without any signs of puberty (Tanner Stage 1). * Normal rang...

Countries:DenmarkFranceGermanyJapanUnited KingdomUnited StatesArgentinaChileMexicoNetherlandsPolandRomaniaRussiaSwedenUkrainePeruPhilippinesSouth KoreaAustraliaThailandNew ZealandBulgariaGeorgiaLatviaPuerto RicoSouth AfricaChina
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