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Safety and Efficacy Study Adding GSK2190915 to Mid-dose Inhaled Corticosteroid/Long Acting Beta Agonist Combination Treatment for Asthma

Primary Purpose

Asthma

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
FP/SAL 250/50mcg BID
GSK2190915 200mg QD (AM)
GSK2190915 100mg QD (AM)
Montelukast 10mg QD (PM)
Placebo tablets (2) (AM)
Placebo capsule (PM)
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Asthma focused on measuring asthma, GSK2190915

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Age: 18 years of age or older
  • Non-, former or current smokers with a documented smoking history of ≤ 10 pack years
  • Asthma diagnosis as defined by the National Institutes of Health
  • Best FEV1 of 50% to <80% of the predicted normal value
  • For current and former smokers, a post-albuterol FEV1/FVC ratio of >0.70 at Visit 1/1a (between 5:00AM and 12:00 noon)
  • ≥ 12% and ≥200mL reversibility of FEV1
  • Must have been using FP/SAL 250/50mcg inhalation powder BID for at least 2 weeks just prior to Visit 1.
  • Must be able to replace their current short-acting beta2-agonists with albuterol inhalation aerosol
  • Must be able and willing to give written informed consent to take part in the study.
  • Must be able and willing to comply with all aspects of the study including completion of daily e-Diary.

Exclusion criteria:

  • History of life-threatening asthma
  • Recent asthma exacerbation
  • Concurrent respiratory disease
  • Recent respiratory infection
  • Liver disease
  • Other concurrent diseases/abnormalities
  • Oral candidiasis
  • Drug allergy
  • Milk protein allergy
  • Immunosuppressive Medications
  • Administration of systemic, oral or depot corticosteroids within 12 weeks of Visit 1
  • OATP1B1 substrates within 4 weeks of Visit 1
  • Cytochrome P450 3A4 (CYP 3A4) Inhibitors
  • Cytochrome P450 3A4 (CYP 3A4) Inducers
  • Investigational Medications
  • Compliance: any infirmity, disability, or geographical location which seems likely (in the opinion of the Investigator) to impair compliance with any aspect of this study protocol
  • Affiliation with Investigator's Site

Sites / Locations

  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Placebo Comparator

Arm Label

FP/SAL 250/50mcg BID plus GSK2190915 300mg QD (AM)

FP/SAL 250/50mcg BID plus montelukast 10mg QD (PM)

FP/SAL 250/50mcg BID plus placebo BID

Arm Description

FP/SAL 250/50mcg BID plus GSK2190915 300mg QD (AM)

FP/SAL 250/50mcg BID plus montelukast 10mg QD (PM)

P/SAL 250/50mcg BID plus placebo BID

Outcomes

Primary Outcome Measures

Trough (AM pre-dose and pre-rescue bronchodilator) FEV1

Secondary Outcome Measures

• Daily trough (AM pre-dose and pre-rescue bronchodilator) AM PEF
• Daily PM PEF
• Daily (average of AM and PM)
• Daily asthma symptom score
• Daily rescue salbutamol use
• Percentage of symptom-free days
• Percentage of symptom-free nights
• Percentage of rescue-free days
• Percentage of rescue-free nights
• Percentage of nights without awakenings due to asthma
• Proportion of subjects withdrawn due to lack of efficacy

Full Information

First Posted
November 24, 2010
Last Updated
November 23, 2016
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT01248975
Brief Title
Safety and Efficacy Study Adding GSK2190915 to Mid-dose Inhaled Corticosteroid/Long Acting Beta Agonist Combination Treatment for Asthma
Official Title
A Randomized, Double-Blind, Double-Dummy, Placebo-Controlled, Three-Treatment, Three 6-Week Period Cross-Over, Multi-Center Study to Evaluate the Effect of Adding GSK2190915 300mg as Compared to Adding Montelukast 10mg or Placebo Tablets QD to Fluticasone Propionate/Salmeterol 250/50mcg Diskus BID
Study Type
Interventional

2. Study Status

Record Verification Date
November 2016
Overall Recruitment Status
Completed
Study Start Date
December 2010 (undefined)
Primary Completion Date
October 2011 (Actual)
Study Completion Date
October 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of this study is to evaluate the efficacy and safety of adding GSK2190915 300mg or placebo tablets administered once daily to fluticasone propionate/salmeterol 250/50mcg inhalation powder administered twice daily in uncontrolled asthmatic subjects > or = 18 years of age over the course of 6 weeks treatment. The secondary objectives are to undertake an exploratory analysis of the efficacy and safety of adding montelukast 10mg administered once daily to fluticasone propionate/salmeterol 250/50mcg inhalation powder administered twice daily and to investigate the pharmacokinetics and pharmacodynamics of GSK2190915 in uncontrolled asthmatic subjects > or = 18 years of age over the course of 6 weeks treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
Keywords
asthma, GSK2190915

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
145 (Actual)

8. Arms, Groups, and Interventions

Arm Title
FP/SAL 250/50mcg BID plus GSK2190915 300mg QD (AM)
Arm Type
Experimental
Arm Description
FP/SAL 250/50mcg BID plus GSK2190915 300mg QD (AM)
Arm Title
FP/SAL 250/50mcg BID plus montelukast 10mg QD (PM)
Arm Type
Active Comparator
Arm Description
FP/SAL 250/50mcg BID plus montelukast 10mg QD (PM)
Arm Title
FP/SAL 250/50mcg BID plus placebo BID
Arm Type
Placebo Comparator
Arm Description
P/SAL 250/50mcg BID plus placebo BID
Intervention Type
Drug
Intervention Name(s)
FP/SAL 250/50mcg BID
Intervention Description
FP/SAL 250/50mcg BID
Intervention Type
Drug
Intervention Name(s)
GSK2190915 200mg QD (AM)
Intervention Description
GSK2190915 200mg QD (AM)
Intervention Type
Drug
Intervention Name(s)
GSK2190915 100mg QD (AM)
Intervention Description
GSK2190915 100mg QD (AM)
Intervention Type
Drug
Intervention Name(s)
Montelukast 10mg QD (PM)
Intervention Description
Montelukast 10mg QD (PM)
Intervention Type
Drug
Intervention Name(s)
Placebo tablets (2) (AM)
Intervention Description
Placebo tablets (2) (AM)
Intervention Type
Drug
Intervention Name(s)
Placebo capsule (PM)
Intervention Description
Placebo capsule (PM)
Primary Outcome Measure Information:
Title
Trough (AM pre-dose and pre-rescue bronchodilator) FEV1
Time Frame
at the end of the 6 week treatment period.
Secondary Outcome Measure Information:
Title
• Daily trough (AM pre-dose and pre-rescue bronchodilator) AM PEF
Time Frame
averaged over the last 3 weeks of the 6 week treatment period.
Title
• Daily PM PEF
Time Frame
averaged over the last 3 weeks of the 6 week treatment period.
Title
• Daily (average of AM and PM)
Time Frame
averaged over the last 3 weeks of the 6 week treatment period
Title
• Daily asthma symptom score
Time Frame
averaged over the last 3 weeks of the 6 week treatment period.
Title
• Daily rescue salbutamol use
Time Frame
averaged over the last 3 weeks of the 6 week treatment period.
Title
• Percentage of symptom-free days
Time Frame
during the last 3 weeks of the 6 week treatment period.
Title
• Percentage of symptom-free nights
Time Frame
during the last 3 weeks of the 6 week treatment period.
Title
• Percentage of rescue-free days
Time Frame
during the last 3 weeks of the 6 week treatment period.
Title
• Percentage of rescue-free nights
Time Frame
during the last 3 weeks of the 6 week treatment period.
Title
• Percentage of nights without awakenings due to asthma
Time Frame
during the last 3 weeks of the 6 week treatment period.
Title
• Proportion of subjects withdrawn due to lack of efficacy
Time Frame
during the last 3 weeks of the 6 week treatment period.

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age: 18 years of age or older Non-, former or current smokers with a documented smoking history of ≤ 10 pack years Asthma diagnosis as defined by the National Institutes of Health Best FEV1 of 50% to <80% of the predicted normal value For current and former smokers, a post-albuterol FEV1/FVC ratio of >0.70 at Visit 1/1a (between 5:00AM and 12:00 noon) ≥ 12% and ≥200mL reversibility of FEV1 Must have been using FP/SAL 250/50mcg inhalation powder BID for at least 2 weeks just prior to Visit 1. Must be able to replace their current short-acting beta2-agonists with albuterol inhalation aerosol Must be able and willing to give written informed consent to take part in the study. Must be able and willing to comply with all aspects of the study including completion of daily e-Diary. Exclusion criteria: History of life-threatening asthma Recent asthma exacerbation Concurrent respiratory disease Recent respiratory infection Liver disease Other concurrent diseases/abnormalities Oral candidiasis Drug allergy Milk protein allergy Immunosuppressive Medications Administration of systemic, oral or depot corticosteroids within 12 weeks of Visit 1 OATP1B1 substrates within 4 weeks of Visit 1 Cytochrome P450 3A4 (CYP 3A4) Inhibitors Cytochrome P450 3A4 (CYP 3A4) Inducers Investigational Medications Compliance: any infirmity, disability, or geographical location which seems likely (in the opinion of the Investigator) to impair compliance with any aspect of this study protocol Affiliation with Investigator's Site
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Pleven
ZIP/Postal Code
5800
Country
Bulgaria
Facility Name
GSK Investigational Site
City
Ruse
ZIP/Postal Code
7000
Country
Bulgaria
Facility Name
GSK Investigational Site
City
Varna
ZIP/Postal Code
9010
Country
Bulgaria
Facility Name
GSK Investigational Site
City
Bialystok
ZIP/Postal Code
15-084
Country
Poland
Facility Name
GSK Investigational Site
City
Lodz
ZIP/Postal Code
93-329
Country
Poland
Facility Name
GSK Investigational Site
City
Tarnow
ZIP/Postal Code
33-100
Country
Poland
Facility Name
GSK Investigational Site
City
Dnipropetrovsk
ZIP/Postal Code
49027
Country
Ukraine
Facility Name
GSK Investigational Site
City
Dnipropetrovsk
ZIP/Postal Code
49051
Country
Ukraine
Facility Name
GSK Investigational Site
City
Donetsk
ZIP/Postal Code
83099
Country
Ukraine
Facility Name
GSK Investigational Site
City
Ivano-Frankivsk
ZIP/Postal Code
76018
Country
Ukraine
Facility Name
GSK Investigational Site
City
Kharkiv
ZIP/Postal Code
61035
Country
Ukraine
Facility Name
GSK Investigational Site
City
Kharkiv
ZIP/Postal Code
61037
Country
Ukraine
Facility Name
GSK Investigational Site
City
Kiev
ZIP/Postal Code
03680
Country
Ukraine
Facility Name
GSK Investigational Site
City
Kiev
ZIP/Postal Code
3680
Country
Ukraine
Facility Name
GSK Investigational Site
City
Kyiv
ZIP/Postal Code
02091
Country
Ukraine
Facility Name
GSK Investigational Site
City
Kyiv
ZIP/Postal Code
02232
Country
Ukraine
Facility Name
GSK Investigational Site
City
Kyiv
ZIP/Postal Code
03115
Country
Ukraine
Facility Name
GSK Investigational Site
City
Kyiv
ZIP/Postal Code
04107
Country
Ukraine
Facility Name
GSK Investigational Site
City
Zaporizhia
ZIP/Postal Code
69035
Country
Ukraine

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
Citations:
PubMed Identifier
24010736
Citation
Snowise NG, Clements D, Ho SY, Follows RM. Addition of a 5-lipoxygenase-activating protein inhibitor to an inhaled corticosteroid (ICS) or an ICS/long-acting beta-2-agonist combination in subjects with asthma. Curr Med Res Opin. 2013 Dec;29(12):1663-74. doi: 10.1185/03007995.2013.842163. Epub 2013 Sep 19.
Results Reference
derived
Links:
URL
https://www.clinicalstudydatarequest.com
Description
Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.
Available IPD and Supporting Information:
Available IPD/Information Type
Annotated Case Report Form
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
114387
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Individual Participant Data Set
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
114387
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Clinical Study Report
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
114387
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Dataset Specification
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
114387
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Statistical Analysis Plan
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
114387
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Study Protocol
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
114387
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Informed Consent Form
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
114387
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register

Learn more about this trial

Safety and Efficacy Study Adding GSK2190915 to Mid-dose Inhaled Corticosteroid/Long Acting Beta Agonist Combination Treatment for Asthma

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