| NCT ID | Title | Phase | Status | Enrollment | Velocity | Design | Start | Completion | Last Updated | Sites | Countries |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NCT01687296 | Nebulized Fluticasone Propionate VS Oral Prednisone in Chinese Pediatric and Adolescent Subjects With an Acute Exacerbation of Asthma | PHASE3 | COMPLETED | 261 | — | — | Nov 12, 2012 | Jun 21, 2013 | Jun 20, 2018 | 11 | China |
| NCT01687283 | Efficacy and Safety Study of Fluticasone Proponate Inhalation Solution in Adult and Adolescent Asthma | PHASE3 | COMPLETED | 316 | — | — | Sep 27, 2012 | Nov 7, 2013 | Oct 11, 2018 | 25 | China |
| NCT01159912 | Evaluating the Efficacy and Safety of Fluticasone Furoate Inhalation Powder in the Treatment of Asthma in Adults and Adolescents | PHASE3 | COMPLETED | 350 | — | — | Jun 30, 2010 | Jan 16, 2012 | Nov 9, 2017 | 82 | United States, Belgium +3 |
| NCT00441441 | A 12-Week Study To Assess The Safety Of Fluticasone Propionate/Salmeterol 100/50 Hydrofluoroalkane (HFA) Versus Fluticasone Propionate 100 HFA In Children With Asthma | PHASE3 | COMPLETED | 351 | — | — | Feb 1, 2007 | Jan 1, 2008 | Dec 16, 2016 | 55 | United States, Australia +11 |
| NCT00158834 | Pediatric Asthma Study Using Stepwise Treatment With Two Food And Drug Administration Approved Asthma Medications | PHASE3 | COMPLETED | 200 | — | — | Nov 1, 1999 | - | Oct 13, 2008 | 16 | Netherlands |
| NCT01573767 | Dose-ranging Study of Vilanterol (VI) Inhalation Powder in Children | PHASE2 | COMPLETED | 463 | — | — | Apr 1, 2012 | Apr 1, 2014 | Jan 9, 2017 | 120 | United States, Argentina +12 |
| NCT00369993 | Spacer Comparison In Adult Asthmatics | PHASE2 | COMPLETED | 20 | — | — | Mar 1, 2005 | May 1, 2005 | Oct 17, 2016 | 1 | New Zealand |
| NCT00400855 | Study on the Effects of an AMP Challenge on Asthmatic Patients Following Treatment With Fluticasone Propionate | PHASE2 | COMPLETED | 49 | — | — | Jan 1, 2005 | Aug 1, 2005 | Sep 15, 2016 | 2 | New Zealand |
| NCT00364442 | Repeat Dose Study of Fluticasone Propionate/Salmeterol Versus Fluticasone Propionate + Salmeterol In Asthmatics | PHASE1 | COMPLETED | 12 | — | — | Jan 28, 2005 | Apr 13, 2005 | Sep 29, 2017 | 1 | Germany |
PEF is the maximum flow generated during a forceful exhalation, starting from full lung inflation. Participants (if needed with the help of parents or guardian) recorded on diary card the best of three PEF measurements, using a mini-Wright peak flow meter in the morning before taking any study drug. Only data that was drawn from Days 2 to 8 after randomization and on or before one day after the end date of study drug was used for analysis. The outcome measure was considered missing if less than 2 days were recorded in the given treatment assessment period. Two participants from fluticasone propionate group and 4 participants from prednisone group had the missing outcome measure. Analysis was performed using an analysis of covariance (ANCOVA) model with effects due to gender, age, centre and treatment group.
PEF is the maximum flow generated during a forceful exhalation, starting from full lung inflation. Participants (if needed with the help of parents or guardian) recorded on diary card the best of three PEF measurements, using a mini-Wright peak flow meter in the morning before talking any study drug. Only data that was drawn from Days 2 to 8 after randomization and on or before one day after the end date of study drug was used for analysis. The outcome measure was considered missing if less than 2 days were recorded in the given treatment assessment period. Two participants from fluticasone propionate group and 5 participants from prednisone group had the missing outcome measure. Analysis was performed using ANCOVA model with effects due to gender, age ,centre and treatment group.
The peak expiratory flow (PEF) is a person's maximum speed of expiration, A peak flow meter was issued to participants at Visit 1 to measure the morning PEF prior to study drug and rescue medication. The best of three attempts was recorded by the participants in the diary cards. Baseline value was the assessment at Visit 2. The raw and change from baseline in daily AM PEF averaged over the 12-week treatment period The mean value was considered missing if less than 4 days were recorded in the baseline week prior to randomization or if less than 4 days are recorded after randomization. Analysis was performed using analysis of covariance (ANCOVA) model. Abbreviations used in statistical analysis section: standard deviation (SD) and significance (sig)
The peak expiratory flow (PEF) is a person's maximum speed of expiration, A peak flow meter was issued to participants at Visit 1 to measure the morning PEF prior to study drug and rescue medication. The best of three attempts was recorded by the participants in the diary cards. Baseline value was the assessment at Visit 2. The raw and change from baseline in daily AM PEF averaged over the 12-week treatment period The mean value was considered missing if less than 4 days were recorded in the baseline week prior to randomization or if less than 4 days are recorded after randomization. Analysis was performed using analysis of covariance (ANCOVA) model.
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 at the end of the dosing interval. Pre-dose and pre-rescue albuterol/salbutamol trough FEV1 was 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 post-Baseline on-treatment measurement at scheduled clinic visits was used to impute the missing measurements.
Adverse Events reported by the Investigator and judged by the Investigator to be possibly related to study drug, categorized by the Medical Dictionary for Regulatory Activities (MeDRA), were reported. ECG, electrocardiogram. QTc (corrected QT interval) and QT represent intervals on an ECG.
ECGs were transmitted to an independent cardiologist who was responsible for providing interpretation of the ECG as either normal or abnormal (based on personal assessment). The investigator was then responsible for determining the clinical significance of the abnormal ECG in the context of the participants' history and clinical presentation. An abnormal, clinically significant ECG included, but was not limited to: prolonged QT interval, ischemic changes, ventricular hypertrophy, intraventricular conduction abnormalities, and clinically significant arrhythmias. PD, premature discontinuation.
Post-randomization ECGs categorized by the primary investigator as no change, significant change (favorable), significant change (unfavorable) from the ECG performed at Visit 1 (Baseline) are presented. Significant change (favorable) includes any ECG that improved from baseline, whereas significant change (unfavorable) includes any ECG that worsened from baseline. Clinical significance is determined by the primary investigator.
The range of heart rates for this study was between 49-144 beats per minute
Fridericia's formula QTc interval=QT interval/cubed root of the R-R interval. The Bazett's formula QTc=QT/squared root of the R-R interval.
Cardiovascular Adverse Events, as categorized by the Medical Dictionary for Regulatory Activities (MeDRA), reported during Treatment Period. The Adverse Events were identified in any ECG interpretation by a central reader (Cardiologist) for any ECG obtained after the first treatment dose and were then reported by the Primary Investigator as an Adverse Event. Please see the category titles for a list of candidate cardiovascular adverse events.
Cardiovascular Adverse Events, as categorized by the Medical Dictionary for Regulatory Activities (MeDRA), reported during Post-treatment period, defined as 1 day after last dose of study drug. The Adverse Events were identified in any ECG interpretation by a central reader (Cardiologist) for any ECG obtained after the first treatment dose and were then reported by the Primary Investigator as an Adverse Event.
The Primary Investigator determined the severity of the exacerbation based on the participant's clinical presentation and the investigator's understanding of the disease, the participant, and his or her clinical experiences. The severity of the exacerbation was not defined in the protocol. Mild: Usually treated at home. Prompt relief with inhaled short-acting beta2 agonist. Possible short course of oral systemic corticosteroids. Moderate: Usually requires office or emergency department visit. Relief with frequent inhaled short-acting beta2 agonist. Oral systemic corticosteroids; some symptoms last for 1-2 days after treatment begins. Severe: Usually requires emergency department visit and likely hospitalization. Partial relief with frequent inhaled short-acting beta2 agonist. Oral systemic corticosteroids; some symptoms last for more than 3 days after treatment begins. Adjunctive therapies are helpful.
"Abnormal high cortisol excretion" and "Abnormal low cortisol excretion" are defined as above the upper limit of normal and below the lower limit of normal, respectively. The normal range for cortisol levels vary by age and gender. An abnormality is defined as a value of 24-hour urinary cortisol excretion that is outside the normal range. The normal range for 24-hour urinary cortisol excretion was provided by the central laboratory.
Normal range for Cortisol levels vary by age and gender. Geometric mean is the product of the values taken to the Nth root, where N is the number of values in the set of values.
Normal range for Cortisol levels vary by age and gender. The data provided are a direct calculation of the Week 12 geometric mean divided by the baseline value, nanomoles per 24 hours (nmol/24 hrs).
AeroChamber Plus spacers were provided for participants who demonstrated the inability to coordinate the use of an Meter Dose Inhaler at Visit 1. AeroChamber Plus spacer delivers 22% more medication than the original AeroChamber and is available in three mask sizes and without a mask. "Abnormal high cortisol excretion" and "Abnormal low cortisol excretion" are defined as above the upper limit of normal and below the lower limit of normal, respectively. An abnormality is defined as a value of 24-hour urinary cortisol excretion that is outside the normal range. The normal range for 24-hour urinary cortisol excretion was provided by the central laboratory.
AeroChamber Plus spacers were provided for participants who demonstrated the inability to coordinate the use of an Meter Dose Inhaler at Visit 1. AeroChamber Plus spacer delivers 22% more medication than the original AeroChamber and is available in three mask sizes and without a mask. Geometric mean is the product of the values taken to the Nth root, where N is the number of values in the set of values.
AeroChamber Plus spacers were provided for participants who demonstrated the inability to coordinate the use of an Meter Dose Inhaler at Visit 1. AeroChamber Plus spacer delivers 22% more medication than the original AeroChamber and is available in three mask sizes and without a mask. The data provided are a direct calculation of the Week 12 geometric mean divided by the baseline value, nanomoles per 24 hours (nmol/24 hrs).
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 evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use each morning. The best of three measurements was recorded. Change from Baseline was calculated as the value of the averaged daily PM PEF over the 4-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 Phase. The analysis was performed using an analysis of covariance (ANCOVA) model with covariates of Baseline, region, sex, age, and treatment. Only those participants contributing data per the daily eDiary were analyzed.
| Arm | Type | Description |
|---|---|---|
| fluticasone Nebules/placebo tablet | EXPERIMENTAL | 2×0.5mg/2ml twice daily neblulized/placebo tablet, oral, once daily |
| oral prednisone/placebo inhalation solution | ACTIVE_COMPARATOR | once daily (2mg/kg.day, up to 40mg/day for 4 days, then 1mg/kg.day or half of the original dose, up to 20mg/day for 3 days) / placebo inhalation solution nebulized twice daily |
| fluticasone propionate | EXPERIMENTAL | 1 mg BID inhalation via nebulizer |
| budesonide suspension | ACTIVE_COMPARATOR | 2 mg BID inhalation via nebulizer |
| Fluticasone Furoate OD and Placebo BID | EXPERIMENTAL | Fluticasone furoate inhalation powder once daily and placebo inhalation powder twice daily for 24 weeks |
| Fluticasone Propionate BID and Placebo OD | ACTIVE_COMPARATOR | Fluticasone propionate inhalation powder twice daily and placebo inhalation powder once daily for 24 weeks |
| Placebo only BID | PLACEBO_COMPARATOR | Placebo inhalation powder twice daily for 24 weeks |
| Fluticasone propionate/salmeterol 100/50 HFA | EXPERIMENTAL | Fluticasone propionate/salmeterol 100/50 HFA (2 inhalations of 50/25mcg), twice daily (strengths are ex-valve) and a placebo HFA inhaler matching the fluticasone propionate 100mcg HFA inhaler (2 inhalations) twice daily |
| Fluticasone propionate 100mcg HFA | EXPERIMENTAL | Fluticasone propionate 100mcg HFA (2 inhalations of 50mcg), twice daily (strengths are ex-valve) and a placebo HFA inhaler matching the fluticasone propionate/salmeterol 100/50 HFA inhaler (2 inhalations ) twice daily |
| Arm 1 | ACTIVE_COMPARATOR | Vilanterol 25mcg inhalation powder inhaled once daily in the PM via the new powder inhaler |
| Arm 2 | ACTIVE_COMPARATOR | Vilanterol 12.5mcg inhalation powder inhaled once daily in the PM via the new powder inhaler |
| Arm 3 | ACTIVE_COMPARATOR | Vilanterol 6.25mcg inhalation powder inhaled once daily in the PM via the new powder inhaler |
| Arm 4 | PLACEBO_COMPARATOR | Placebo inhalation powder inhaled once daily in the PM via the new powder inhaler |
| Name | Type | Description |
|---|---|---|
| fluticasone propionate inhalation solution | DRUG | 2×0.5mg/2ml twice daily nebulized to treat an acute exacerbation of asthma for 7 days |
| oral prednisone | DRUG | once daily (2mg/kg.day, up to 40mg/day for 4 days, then 1mg/kg.day or half of the original dose, up to 20mg/day for 3 days) to treat an acute exacerbation of asthma for 7 days |
| placebo inhalation solution | DRUG | 4ml 0.9% saline nebulized twice daily |
| placebo tablet | DRUG | placebo soluble tablet, oral ,once daily |
| salbutamol | DRUG | Salbutamol MDI 2 puffs twice daily or Nebules twice daily, and can be increased up to every 4 hours on an as-needed basis, through the treatment period. |
| budesonide suspension | DRUG | 2 mg BID inhalation for 12 weeks with one possible chance to change to 1 mg BID |
| Fluticasone propionate | DRUG | Fluticasone propionate inhalation powder, 250 µg |
| Fluticasone furoate | DRUG | Fluticasone furoate inhalation powder, 100 µg |
| Placebo | DRUG | Placebo inhalation powder |
| fluticasone propionate/salmeterol | DRUG | fluticasone propionate/salmeterol 100/50mcg HFA |
| Salmeterol/Fluticasone propionate combination product | DRUG | - |
| Fluticasone propionate 100mcg | DRUG | all subjects recieve open-label Flovent twice daily duirng the run in and treatment period |
| Vilanterol | DRUG | subjects will recieve 4 weeks via NDPI during treament period |
Inclusion Criteria: * Chinese male and female pediatric or adolescent subjects aged 4 to 16 years, inclusive * Subjects have an established diagnosis of asthma * The definition of asthma. According to Chinese Guideline for the diagnosis and optimal management of asthma in children \[Respiratory bra...