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Small Airway Function of Fluticasone/Formoterol (Flutiform®) and Fluticasone/Salmeterol (RECONFFIRM)

Primary Purpose

Asthma

Status
Terminated
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Fluticasone/Formoterol
Fluticasone/Salmeterol
Sponsored by
Mundipharma Korea Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma

Eligibility Criteria

19 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Adult (over 19 years) asthma patients
  2. Patients who have a history of mild-to-moderate-severe, persistent asthma for at least 6 months prior to Screening.
  3. Patients who were required to demonstrate a FEV1 of ≥ 40 % and ≤ 85% of predicted normal values during screening period following appropriate withholding of asthma medications (if applicable).
  4. Patients who were required to show reversibility of ≥15% FEV1 after salbutamol inhalation (2 actuations, 100µg per actuation) from the pre- salbutamol value at screening
  5. Patients who have uncontrolled asthma by Seretide® 250/50 defined as ACT less than 20
  6. Patients who showed R5-20 more than 0.1 kPa/L/s
  7. Blood eosinophil count > 300/µL on screening visit
  8. Female patients of childbearing potential must have a negative urine pregnancy test at Screening.
  9. Patients who are able to use the inhaler
  10. Patients who is willing to voluntarily sign the study consent form

Exclusion Criteria:

  1. Patients who have experienced life-threatening asthma within 12 months prior to screening or respiratory infection within 4 weeks prior to screening, or patients who have experienced any emergency visit or hospitalization due to acute asthma symptoms within 4 weeks prior to screening
  2. Patients who have diagnosed as clinically significant disease or non- reversible pulmonary disease or patients who currently have active pulmonary disease (eg. COPD, cystic fibrosis, bronchiectasis, active tuberculosis)
  3. Patients who have diagnosed as laryngitis, chronic sinusitis, infectious rhinitis or allergic rhinitis within 4 weeks prior to screening, or patients who have had any symptoms of acute exacerbation or purulent discharge by the disease above within 2 weeks prior to screening
  4. Current smoker or past smoker defined as below:

    • Current smoker: smoking history within 12 months prior to screening
    • Past smoker: smoking amount ≥10 pack year*

      • Pack year (PY) calculation: average amount of smoking per day (pack) x duration of smoking (year)
  5. Patients who currently are pregnant or lactating
  6. Patient who had taken systemic corticosteroid within 4 weeks prior to screening
  7. Patients who had taken omalizumab within 24 weeks prior to screening
  8. Patients who had taken the following medications within 1 week prior to screening:

    • potent CYP3A inhibitors
    • β-blockers
    • monoamine oxidase inhibitor
    • TCA (tricyclic antidepressants)
    • quinidine-type anti arrhythmic
    • Leukotriene anatagonist
    • Astemizole
  9. Patients who are participating or going to participate in any interventional clinical trials
  10. QT interval prolongation in ECG result at screening
  11. Patients with hypersensitive to investigational products or to any component of the drug
  12. Patients who are judged difficult to participate in this investigation by the investigator

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Fluticasone/Formoterol

    Fluticasone/Salmeterol

    Arm Description

    Brand name: Flutiform Dose: 250/10μg (2 puffs/once, BID) Duration of treatment: 12 weeks Mode of administration: oral inhalation

    Brand name: Seretide Dose: 250/50μg (2 puffs/once, BID) Duration of treatment: 12 weeks Mode of administration: oral inhalation

    Outcomes

    Primary Outcome Measures

    Efficacy superiority as measured by Impulse Oscillometric System
    To compare Fluticasone/Formoterol to Fluticasone/salmeterol, assessing the change in the mean R5-R20 measured by the Impulse Oscillometic System (IOS) in uncontrolled asthma patients

    Secondary Outcome Measures

    Incidence of adverse drug reactions as a measure of safety

    Full Information

    First Posted
    June 15, 2015
    Last Updated
    May 10, 2018
    Sponsor
    Mundipharma Korea Ltd
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02491970
    Brief Title
    Small Airway Function of Fluticasone/Formoterol (Flutiform®) and Fluticasone/Salmeterol
    Acronym
    RECONFFIRM
    Official Title
    A Single-blind, Randomized, Active-controlled, Multi-center and Phase IV Study to Evaluate the Small Airway Parameters of Fluticasone/Formoterol (Flutiform®) Compared to Fluticasone/Salmeterol in Asthma Patients
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2018
    Overall Recruitment Status
    Terminated
    Why Stopped
    Difficulty of patients enrollments
    Study Start Date
    August 31, 2015 (Actual)
    Primary Completion Date
    April 6, 2017 (Actual)
    Study Completion Date
    May 2017 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Mundipharma Korea Ltd

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to demonstrate superiority of Fluticasone/Formoterol (Flutiform®) to Fluticasone/salmeterol based on the small airway function by assessing the Impulse Oscillometic System (IOS) in uncontrolled asthma patients requiring ICS/LABA concomitant treatment.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    Outcomes Assessor
    Allocation
    Randomized
    Enrollment
    15 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Fluticasone/Formoterol
    Arm Type
    Experimental
    Arm Description
    Brand name: Flutiform Dose: 250/10μg (2 puffs/once, BID) Duration of treatment: 12 weeks Mode of administration: oral inhalation
    Arm Title
    Fluticasone/Salmeterol
    Arm Type
    Active Comparator
    Arm Description
    Brand name: Seretide Dose: 250/50μg (2 puffs/once, BID) Duration of treatment: 12 weeks Mode of administration: oral inhalation
    Intervention Type
    Drug
    Intervention Name(s)
    Fluticasone/Formoterol
    Other Intervention Name(s)
    Flutiform
    Intervention Type
    Drug
    Intervention Name(s)
    Fluticasone/Salmeterol
    Other Intervention Name(s)
    Seretide
    Primary Outcome Measure Information:
    Title
    Efficacy superiority as measured by Impulse Oscillometric System
    Description
    To compare Fluticasone/Formoterol to Fluticasone/salmeterol, assessing the change in the mean R5-R20 measured by the Impulse Oscillometic System (IOS) in uncontrolled asthma patients
    Time Frame
    12 weeks
    Secondary Outcome Measure Information:
    Title
    Incidence of adverse drug reactions as a measure of safety
    Time Frame
    12 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    19 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Adult (over 19 years) asthma patients Patients who have a history of mild-to-moderate-severe, persistent asthma for at least 6 months prior to Screening. Patients who were required to demonstrate a FEV1 of ≥ 40 % and ≤ 85% of predicted normal values during screening period following appropriate withholding of asthma medications (if applicable). Patients who were required to show reversibility of ≥15% FEV1 after salbutamol inhalation (2 actuations, 100µg per actuation) from the pre- salbutamol value at screening Patients who have uncontrolled asthma by Seretide® 250/50 defined as ACT less than 20 Patients who showed R5-20 more than 0.1 kPa/L/s Blood eosinophil count > 300/µL on screening visit Female patients of childbearing potential must have a negative urine pregnancy test at Screening. Patients who are able to use the inhaler Patients who is willing to voluntarily sign the study consent form Exclusion Criteria: Patients who have experienced life-threatening asthma within 12 months prior to screening or respiratory infection within 4 weeks prior to screening, or patients who have experienced any emergency visit or hospitalization due to acute asthma symptoms within 4 weeks prior to screening Patients who have diagnosed as clinically significant disease or non- reversible pulmonary disease or patients who currently have active pulmonary disease (eg. COPD, cystic fibrosis, bronchiectasis, active tuberculosis) Patients who have diagnosed as laryngitis, chronic sinusitis, infectious rhinitis or allergic rhinitis within 4 weeks prior to screening, or patients who have had any symptoms of acute exacerbation or purulent discharge by the disease above within 2 weeks prior to screening Current smoker or past smoker defined as below: Current smoker: smoking history within 12 months prior to screening Past smoker: smoking amount ≥10 pack year* Pack year (PY) calculation: average amount of smoking per day (pack) x duration of smoking (year) Patients who currently are pregnant or lactating Patient who had taken systemic corticosteroid within 4 weeks prior to screening Patients who had taken omalizumab within 24 weeks prior to screening Patients who had taken the following medications within 1 week prior to screening: potent CYP3A inhibitors β-blockers monoamine oxidase inhibitor TCA (tricyclic antidepressants) quinidine-type anti arrhythmic Leukotriene anatagonist Astemizole Patients who are participating or going to participate in any interventional clinical trials QT interval prolongation in ECG result at screening Patients with hypersensitive to investigational products or to any component of the drug Patients who are judged difficult to participate in this investigation by the investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Small Airway Function of Fluticasone/Formoterol (Flutiform®) and Fluticasone/Salmeterol

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