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Comparator: fluticasone

Phase 3

Asthma | Small molecule | Respiratory |Organon & Co.|Last Updated: May 10, 2024

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-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment1,640
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00284856Montelukast Asthmatic Smoker Study (0476-332)(COMPLETED)PHASE3 COMPLETED 1,640May 1, 2006Apr 1, 2010May 10, 2024 -
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Study Endpoints
Primary Endpoints
Percentage of Asthma-control Days Over the 6-month Treatment Period
6 months

An asthma-control day, computed from daily diaries, was any day with no unscheduled visit for asthma care, no use of \> than 2 puffs of β-agonist, no use of other asthma rescue medication, and no nocturnal awakening. The percentage of asthma-control days was the number of days with asthma-control divided by the total number of days with non-missing values for this endpoint. The patient diary had questions concerning daytime and nighttime symptoms, morning (AM) and evening (PM) peak expiratory flow rate (PEFR), β-agonist use, asthma attacks and smoking activity.

Secondary Endpoints
Change From Baseline in Mean Daytime Symptom Score Over a 6-month Treatment Period
Baseline and 6 months
Change From Baseline in Average Morning (AM) PEFR (Peak Expiratory Flow Rate) Over a 6-month Treatment Period
Baseline and 6 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
1EXPERIMENTALArm 1: Montelukast
2ACTIVE_COMPARATORArm 2: Fluticasone
3PLACEBO_COMPARATORArm 3: Placebo
Interventions
NameTypeDescription
montelukast sodiumDRUGmontelukast 10 mg tablet once daily, 6 month treatment period
Comparator: PlaceboDRUGfluticasone propionate 250 mcg Placebo (Pbo) twice daily, 6 month treatment period
Comparator: fluticasoneDRUGfluticasone propionate 250 mcg twice daily, 6 month treatment period
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Participants with chronic asthma who actively smoke at least 0.5 to no more than 2 packs of cigarettes a day Exclusion Criteria: * Participant cannot have a diagnosis of Chronic Obstructive Pulmonary Disease (COPD) or emphysema.

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