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Salmeterol

Phase 4

Asthma | Small molecule | Respiratory |GSK plc|Trials Updated: Sep 1, 2020

Salmeterol development status

Highest phase Phase 4 (NCT01536587)
Phase scored for GSKPhase 3
Registered trials 125 across 24 sponsors since Jun 2005

Salmeterol target and mechanism

Molecular targetADRB2
Target classAgonist
ModalitySmall molecule

Also known as Salmeterol Inhalation Powder, GSK233705, tiotropium, Fluticasone propionate, SERETIDE

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials14
Total Enrollment7,938

FDA Designations

No designations recorded

Salmeterol clinical trials

Salmeterol · 14 trials · 2 indications

Phase 3 4Phase 2 4Phase 1 6
NCT00328718Pediatric ADVAIR DISKUS Versus Oral Montelukast Chewable TabletsAsthma
COMPLETED526 Analytics
NCT00268177Airway Inflammation In Patients With Chronic Obstructive Pulmonary DiseasePulmonary Disease, Chronic Obstructive
COMPLETED130 Analytics
NCT00268216Survival Of Subjects With Chronic Obstructive Pulmonary Disease (COPD)Pulmonary Disease, Chronic Obstructive
COMPLETED6,228 Analytics
NCT00158834Pediatric Asthma Study Using Stepwise Treatment With Two Food And Drug Administration Approved Asthma MedicationsAsthma
COMPLETED200 Analytics
PHASE3COMPLETED
Pediatric ADVAIR DISKUS Versus Oral Montelukast Chewable Tablets
AsthmaUnlock trial analytics
PHASE3COMPLETED
Airway Inflammation In Patients With Chronic Obstructive Pulmonary Disease
Pulmonary Disease, Chronic ObstructiveUnlock trial analytics
PHASE3COMPLETED
Survival Of Subjects With Chronic Obstructive Pulmonary Disease (COPD)
Pulmonary Disease, Chronic ObstructiveUnlock trial analytics
PHASE3COMPLETED
Pediatric Asthma Study Using Stepwise Treatment With Two Food And Drug Administration Approved Asthma Medications
AsthmaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change from baseline in mean morning PEFR (Peak Expiratory Flow Rate) at endpoint.
To compare the number of CD68+ and CD8+ inflammatory cells per area of biopsy tissue and the percentage and total number of neutrophils in induced sputum between salmeterol/fluticasone propionate and placebo
All cause mortality at 3 years
Asthma symptom free days during the last 12 weeks of the treatment period.
Change From Baseline in Weighted Mean Pulse Rate Over (0-4 Hours) at Day 28.
Baseline (Pre-dose, Day 1) and Day 28

Baseline was the most recent result taken on or before pre-dose (Day 1). The analysis was performed using a Repeated Measures Model. This model used all available weighted mean pulse rate values recorded. Change from Baseline was calculated as (Change from Baseline = Assessment value - Baseline value).

Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) at Day 29
Baseline (pre-dose Day 1) and Day 29

The trough FEV1 is defined as the mean of the FEV1 values obtained 23 and 24 hours after dosing on Day 28. The Baseline FEV1 is the mean of the two assessments made 30 minutes pre-dose and immediately pre-dose \[time 0\] on Day 1. Change from Baseline was calculated by subtracting the post-baseline assessment value from the Baseline value.

Bronchodilator effect of GSK233705 plus salmeterol at day 7, compared with placebo in COPD subjects.
Adverse events Blood pressure Heart rate 12-lead ECG Holter monitoring Lead II ECG monitoring Lung function Clinical laboratory safety tests.
Heart rate
24 hours
Systolic and diastolic blood pressure
24 hours
12 lead ECG
24 hours
Lung Function
24 hours
Clinical laboratory safety tests
24 hours
Adverse events
Duration of study
Safety:adverse events, vital sign, ECGs, and clinical laboratory test
PK:Cmax, tmax and AUC(0-t)
General safety endpoints: measured over 24 hours post dose for all 4 dose periods, heart rate, systolic and diastolic blood pressure, 12- lead ECG and lung function and clinical laboratory safety tests. Adverse events over whole study.
Up to Day 2
Safety and tolerability of GSK233705: lead II monitoring out to 8 hours post dose,
out to 8 hours post dose
measurement of heart rate, blood pressure and ECG, Holter monitoring and laboratory data out to 24 hours and
out to 24 hours
review of adverse events ongoing through out study.
through out study.
General safety and tolerability endpoints: adverse events, blood pressure, heart rate, 12-lead electrocardiogram (ECG), Holter and Lead II ECG monitoring, lung function (FEV1, FVC) and clinical laboratory safety tests over 24 hours.
over 24 hours.
Adverse events, blood pressure, heart rate, 12-lead electrocardiogram (ECG), Holter and Lead II ECG monitoring, ECG, lung function and clinical laboratory safety tests.
Up to Week 12

Secondary Endpoints

Changes from baseline to endpoint of:morning pre-dose FEV1 (Forced expiratory volume) symptom free 24 hour-periods rescue medication-free 24 hour-periods mean evening PEFR
To compare the number of mast cells, CD45+,CD4+,IFN-gamma mRNA+,TNF-alpha mRNA+, per area of biopsy and the percentage and number of macrophages, eosinophils, lymphocytes in induced sputum between salmeterol/fluticasone propionate and placebo
Rate of moderate and severe COPD exacerbations and health status assessed by the St. George's Respiratory Questionnaire.
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm 1EXPERIMENTAL -
Arm 2PLACEBO_COMPARATOR -
Arm 3EXPERIMENTALGSK233705 50mcg
Arm 4EXPERIMENTALGSK233705 100mcg
Arm 5EXPERIMENTALGSK233705 200mcg
Arm 6PLACEBO_COMPARATORPlacebo
Long acting muscarinic receptor antagonist (LAMA)EXPERIMENTALInhaled Long acting muscarinic receptor antagonist (LAMA which is in development as a treatment for Chronic Obstructive Pulmonary Disease.
Long acting Beta 2 agonist (LABA)EXPERIMENTALInhaled Long Acting Beta 2 agonist (LABA) which is in development as a treatment for Chronic Obstructive Pulmonary Disease.
LAMA with LABAEXPERIMENTALInhaled Long Acting Muscarinic receptor Antagonist (LAMA) and a inhaled Long Acting Beta 2 Agonist (LABA), both in development for treatment of Chronic Obstructive Pulmonary Disease and taken in combination.
PlaceboPLACEBO_COMPARATORMatching placebo, no intervention.
LAMAEXPERIMENTALAfter randomization subject will inhale either GSK233705 50, 100 or 200 microgram once daily for 7 days.
Period 1EXPERIMENTALSubjects will receive first placebo, then GSK233705, GW642444 and combination of GSK233705 and GW642444
Period 2EXPERIMENTALSubjects will receive first combination of GSK233705 and GW642444, then placebo, GSK233705 and GW642444
Period 3EXPERIMENTALSubjects will receive first GSK233705, then GW642444, combination of GSK233705 and GW642444 and later placebo
Period 4EXPERIMENTALSubjects will receive first GW642444, then combination of GSK233705 and GW642444, placebo, and later GSK233705
Subjects receiving GSK233705EXPERIMENTALEach subject will receive one or more ascending doses given as a constant rate IV infusion over 30 minutes and a single oral dose of 250 microgram GSK233705 solution. IV doses will include 30, 70, 110 microgram of GSK233705 at specified time points.
Subjects receiving treatment sequence 1EXPERIMENTALEligible subjects will receive treatment sequence 1; GSK233705 20 micrograms, GSK233705 100 micrograms, tiotropium and placebo.
Subjects receiving treatment sequence 2EXPERIMENTALEligible subjects will receive treatment sequence 2; GSK233705 20 micrograms, Placebo, GSK233705 50 micrograms and tiotropium.
Subjects receiving treatment sequence 3EXPERIMENTALEligible subjects will receive treatment sequence 3; GSK233705 20 micrograms, tiotropium, Placebo and GSK233705 50 micrograms.
Subjects receiving treatment sequence 4EXPERIMENTALEligible subjects will receive treatment sequence 4; GSK233705 20 micrograms, placebo, tiotropium and GSK233705 50 micrograms.
Subjects receiving treatment sequence 5EXPERIMENTALEligible subjects will receive treatment sequence 5; Placebo, tiotropium, GSK233705 20 micrograms and GSK233705 50 micrograms.
Subjects receiving treatment sequence 6EXPERIMENTALEligible subjects will receive treatment sequence 6; Placebo, GSK233705 20 micrograms, GSK233705 50 micrograms and tiotropium.
Subjects receiving treatment sequence 7EXPERIMENTALEligible subjects will receive treatment sequence 7; tiotropium, GSK233705 20 micrograms, GSK233705 50 micrograms and Placebo.
Subjects receiving treatment sequence 8EXPERIMENTALEligible subjects will receive treatment sequence 8; tiotropium, GSK233705 20 micrograms, Placebo and GSK233705 50 micrograms.
Subjects receiving treatment sequence 9EXPERIMENTALEligible subjects will receive treatment sequence 9; GSK233705 20 micrograms, tiotropium, GSK233705 50 micrograms and Placebo.
Subjects receiving treatment sequence 10EXPERIMENTALEligible subjects will receive treatment sequence 10; GSK233705 20 micrograms, GSK233705 100 micrograms, Placebo and tiotropium.
Subjects receiving treatment sequence 11EXPERIMENTALEligible subjects will receive treatment sequence 11; Placebo, GSK233705 20 micrograms, tiotropium, and GSK233705 50 micrograms.
Subjects receiving treatment sequence 12EXPERIMENTALEligible subjects will receive treatment sequence 12; Tiotropium, Placebo, GSK233705 20 micrograms and GSK233705 50 micrograms.
Subjects receiving treatment sequence 13EXPERIMENTALEligible subjects will receive treatment sequence 13; Placebo, GSK233705 20 micrograms, GSK233705 50 micrograms and GSK233705 100 micrograms.
Subjects receiving treatment sequence 14EXPERIMENTALEligible subjects will receive treatment sequence 14; GSK233705 20 micrograms, placebo, GSK233705 50 micrograms and GSK233705 100 micrograms.
Subjects receiving treatment sequence 15EXPERIMENTALEligible subjects will receive treatment sequence 15; GSK233705 20 micrograms, GSK233705 100 micrograms, Placebo and GSK233705 50 micrograms.
Subjects receiving treatment sequence 16EXPERIMENTALEligible subjects will receive treatment sequence 16; GSK233705 20 micrograms, GSK233705 100 micrograms, GSK233705 50 micrograms and Placebo.

Interventions

NameTypeDescription
montelukast (5mg QD)DRUG -
Salmeterol/Fluticasone propionate Inhalation Powder (50/100mcg BID)DRUG -
Salmeterol/fluticasone propionate 50/500mcg DiskusDRUG -
Salmeterol 50mcg/ Fluticasone Propionate 500mcgDRUG -
Salmeterol/Fluticasone propionate combination productDRUG -
Fluticasone propionateDRUG -
PlaceboDRUGmatching placebo
GSK233705/GW642444DRUGThe combination of the long-acting muscarinic antagonist GSK233705 and the long acting beta agonist GW642444 in a single inhaler.
GSK233705 12.5mcgDRUGOnce daily via dry powder inhaler
GSK233705 25mcgDRUGonce daily via dry powder inhaler
GSK233705 50mcgDRUGOnce daily via dry powder inhaler
GSK233705 100mcgDRUGOnce daily via dry powder inhaler
GSK233705 200mcgDRUGOnce daily via dry powder inhaler
salmeterolDRUG -
tiotropiumDRUG -
GSK233705DRUG -
GSK233705 and GW642444DRUGInhaled Long acting muscarinic receptor antagonist (LAMA) and a inhaled Long acting Beta 2 agonist (LABA) both in development as treatment for Chronic Obstructive Pulmonary Disease, taken in combination.
GW642444DRUGInhaled Long acting Beta 2 agonist (LABA)
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Eligibility Criteria

Age Range6 Years to 14 Years
SexALL
Healthy VolunteersNo
Study Sites26

Inclusion criteria: * Diagnosis of asthma for at least 6 months (per American Thoracic Society \[ATS\] definition). * Best forced expiratory volume in one second (FEV1) between 55% and 80% of predicted normal. * More than or 12% FEV1 reversibility following inhalation of salbutamol. * Must also be ...

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Frequently asked questions about Salmeterol

What is salmeterol used for?

Salmeterol is used to treat asthma and chronic obstructive pulmonary disease (COPD). It is a long-acting bronchodilator studied in both conditions, including pediatric asthma and COPD maintenance. The clinical program includes trials in airway inflammation and long-term COPD survival, with enrollment across thousands of patients worldwide.

How does salmeterol work?

Salmeterol works as an agonist at ADRB2, the beta-2 adrenergic receptor. By activating this receptor, it produces bronchodilation and helps maintain open airways. This mechanism underlies its use in asthma and chronic obstructive pulmonary disease.

Who makes salmeterol?

Salmeterol is developed by GSK plc, which trades under the ticker GSK. GSK has sponsored the clinical trial program for salmeterol, including studies of the salmeterol and fluticasone propionate combination product in asthma and COPD.

What phase is salmeterol in?

Salmeterol has been studied in Phase 3 clinical trials. The program includes completed Phase 3 studies in asthma and chronic obstructive pulmonary disease, as well as a completed Phase 2 study. It is an investigational and marketed respiratory therapy developed by GSK.

What clinical trials is salmeterol in?

Salmeterol has been evaluated in completed trials including NCT00268216, a Phase 3 COPD survival study with 6,228 participants; NCT00328718, a Phase 3 pediatric asthma study comparing ADVAIR DISKUS with montelukast; NCT00268177, a Phase 3 airway inflammation study; and NCT00422604, a Phase 2 COPD study.