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A Study to Compare Fluticasone Propionate 100mcg/Salmeterol 50 mcg Inhalation Powder to Advair Discus 100/50

Primary Purpose

Asthma

Status
Unknown status
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Test Product
Reference Product
Placebo
Sponsored by
Amneal Ireland Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma

Eligibility Criteria

12 Years - 70 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female subjects (≥ 12 years of age) of non-child bearing potential or of child bearing potential committing to consistent and correct use of an acceptable method of birth control.
  • Diagnosed with asthma as defined by the National Asthma Education and Prevention Program (NAEPP) at least 12 weeks prior to screening.
  • Pre-bronchodilator FEV1 of ≥40% and ≤85% of the predicted value during the screening visit and on the first day of treatment.
  • Currently non-smoking; had not used tobacco products (i.e., cigarettes, cigars, pipe tobacco) within the past year, and had ≤ 10 pack-years of historical use.
  • ≥15% reversibility of FEV1 within 30 minutes following 360 mcg of albuterol inhalation (pMDI).
  • Able to discontinue their asthma medications (inhaled corticosteroids and long-acting β agonists) during the run-in period and for remainder of the study.
  • Able to replace current short-acting β agonists (SABAs) with salbutamol/albuterol inhaler for use as needed for the duration of the study (subjects should be able to withhold all inhaled SABAs for at least 6 hours prior to lung function assessments on study visits).
  • Able to continue the following medications without a significant adjustment of dosage, formulation, dosing interval for the duration of the study, and judged able by the investigator to withhold them for the specified minimum time intervals prior to each clinic visit:

    • short-acting forms of theophylline 12 hours
    • twice-a-day controlled-release forms of theophylline 24 hours
    • once-a-day controlled-release forms of theophylline 36 hours
    • Able to discontinue the following medications for the specified minimum time intervals prior to the run-in period and for the remainder of the study:
    • oral corticosteroids 1 month
    • parenteral corticosteroids 1 month
    • oral short-acting β-agonists 12 hours
  • Willingness to give their (and in the case of a minor their parent/guardian was able to give) written informed consent to participate in the study.

Exclusion Criteria:

  • Life-threatening asthma, defined as a history of asthma episode(s) requiring intubation, and/or associated with hypercapnoea; respiratory arrest or hypoxic seizures, asthma related syncopal episode(s), or hospitalizations within the past year or during the run-in period.
  • Evidence or history of clinically significant disease or abnormality including congestive heart failure, uncontrolled hypertension, uncontrolled coronary artery disease, myocardial infarction, or cardiac dysrhythmia. In addition, historical or current evidence of significant hematologic, hepatic, neurologic, psychiatric, renal, or other diseases that in the opinion of the investigator, would put the patient at risk through study participation, or would affect the study analyses if the disease exacerbated during the study.
  • Hypersensitivity to any sympathomimetic drug (e.g., salmeterol or albuterol) or any inhaled, intranasal, or systemic corticosteroid therapy.
  • Medication(s) with the potential to affect the course of asthma or to interact with sympathomimetic amines, e.g.:

    • β-blockers
    • oral decongestants
    • benzodiazepines
    • digitalis
    • phenothiazines
    • polycyclic antidepressants
    • Monoamine oxidase inhibitors
  • Viral or bacterial, upper or lower respiratory tract infection or sinus or middle ear infection within 4 weeks prior to the screening visit or during the run-in period.
  • Factors (e.g., infirmity, disability or geographic location) that the investigator felt would likely limit the patient's compliance with the study protocol or scheduled clinic visits.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Active Comparator

    Placebo Comparator

    Arm Label

    Test Product

    Reference Product

    Placebo

    Arm Description

    Test Product, 100/50 mcg, 2 x daily

    Reference Product, 100/50 mcg, 2 x daily

    Placebo Product 2 x daily

    Outcomes

    Primary Outcome Measures

    Baseline-adjusted area under the serial FEV1-time curve
    Baseline-adjusted area under the serial FEV1-time curve calculated from time zero to 12 hours (AUC0-12h) on the first day of treatment.
    Baseline-adjusted, pre-dose FEV1
    Baseline-adjusted, pre-dose FEV1 on the last day of a 4-week treatment

    Secondary Outcome Measures

    Full Information

    First Posted
    May 25, 2018
    Last Updated
    June 18, 2018
    Sponsor
    Amneal Ireland Limited
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03562923
    Brief Title
    A Study to Compare Fluticasone Propionate 100mcg/Salmeterol 50 mcg Inhalation Powder to Advair Discus 100/50
    Official Title
    A Randomized Single Blind Placebo-Controlled Multi-Center Study Comparing Combination Therapy With Fluticasone Propionate 100 mcg and Salmeterol 50 mcg Inhalation Powder to Combination Therapy With ADVAIR DISKUS® 100/50 (Fluticasone Propionate 100 mcg and Salmeterol 50 mcg Inhalation Powder) in Treatment of Subjects With Asthma
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2018
    Overall Recruitment Status
    Unknown status
    Study Start Date
    October 2018 (Anticipated)
    Primary Completion Date
    May 2019 (Anticipated)
    Study Completion Date
    June 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Amneal Ireland Limited

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    Yes
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    To compare the efficacy and safety profiles of Fluticasone Propionate 100 mcg and Salmeterol 50 mcg Inhalation Powder (test product) and ADVAIR DISKUS (fluticasone propionate 100 mcg and salmeterol 50 mcg inhalation powder) (reference product) and to show that the efficacy of the 2 active products is superior to that of placebo in the treatment of subjects with asthma.

    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 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    1204 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Test Product
    Arm Type
    Experimental
    Arm Description
    Test Product, 100/50 mcg, 2 x daily
    Arm Title
    Reference Product
    Arm Type
    Active Comparator
    Arm Description
    Reference Product, 100/50 mcg, 2 x daily
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo Product 2 x daily
    Intervention Type
    Drug
    Intervention Name(s)
    Test Product
    Intervention Description
    Fluticasone Propionate 100 mcg and Salmeterol 50 mcg Inhalation Powder
    Intervention Type
    Drug
    Intervention Name(s)
    Reference Product
    Other Intervention Name(s)
    ADVAIR DISKUS
    Intervention Description
    ADVAIR DISKUS® 100/50 (Fluticasone Propionate 100 mcg and Salmeterol 50 mcg Inhalation Powder)
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo Product
    Primary Outcome Measure Information:
    Title
    Baseline-adjusted area under the serial FEV1-time curve
    Description
    Baseline-adjusted area under the serial FEV1-time curve calculated from time zero to 12 hours (AUC0-12h) on the first day of treatment.
    Time Frame
    0-12 hours after dosing on day 1
    Title
    Baseline-adjusted, pre-dose FEV1
    Description
    Baseline-adjusted, pre-dose FEV1 on the last day of a 4-week treatment
    Time Frame
    4-weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    12 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Male or female subjects (≥ 12 years of age) of non-child bearing potential or of child bearing potential committing to consistent and correct use of an acceptable method of birth control. Diagnosed with asthma as defined by the National Asthma Education and Prevention Program (NAEPP) at least 12 weeks prior to screening. Pre-bronchodilator FEV1 of ≥40% and ≤85% of the predicted value during the screening visit and on the first day of treatment. Currently non-smoking; had not used tobacco products (i.e., cigarettes, cigars, pipe tobacco) within the past year, and had ≤ 10 pack-years of historical use. ≥15% reversibility of FEV1 within 30 minutes following 360 mcg of albuterol inhalation (pMDI). Able to discontinue their asthma medications (inhaled corticosteroids and long-acting β agonists) during the run-in period and for remainder of the study. Able to replace current short-acting β agonists (SABAs) with salbutamol/albuterol inhaler for use as needed for the duration of the study (subjects should be able to withhold all inhaled SABAs for at least 6 hours prior to lung function assessments on study visits). Able to continue the following medications without a significant adjustment of dosage, formulation, dosing interval for the duration of the study, and judged able by the investigator to withhold them for the specified minimum time intervals prior to each clinic visit: short-acting forms of theophylline 12 hours twice-a-day controlled-release forms of theophylline 24 hours once-a-day controlled-release forms of theophylline 36 hours Able to discontinue the following medications for the specified minimum time intervals prior to the run-in period and for the remainder of the study: oral corticosteroids 1 month parenteral corticosteroids 1 month oral short-acting β-agonists 12 hours Willingness to give their (and in the case of a minor their parent/guardian was able to give) written informed consent to participate in the study. Exclusion Criteria: Life-threatening asthma, defined as a history of asthma episode(s) requiring intubation, and/or associated with hypercapnoea; respiratory arrest or hypoxic seizures, asthma related syncopal episode(s), or hospitalizations within the past year or during the run-in period. Evidence or history of clinically significant disease or abnormality including congestive heart failure, uncontrolled hypertension, uncontrolled coronary artery disease, myocardial infarction, or cardiac dysrhythmia. In addition, historical or current evidence of significant hematologic, hepatic, neurologic, psychiatric, renal, or other diseases that in the opinion of the investigator, would put the patient at risk through study participation, or would affect the study analyses if the disease exacerbated during the study. Hypersensitivity to any sympathomimetic drug (e.g., salmeterol or albuterol) or any inhaled, intranasal, or systemic corticosteroid therapy. Medication(s) with the potential to affect the course of asthma or to interact with sympathomimetic amines, e.g.: β-blockers oral decongestants benzodiazepines digitalis phenothiazines polycyclic antidepressants Monoamine oxidase inhibitors Viral or bacterial, upper or lower respiratory tract infection or sinus or middle ear infection within 4 weeks prior to the screening visit or during the run-in period. Factors (e.g., infirmity, disability or geographic location) that the investigator felt would likely limit the patient's compliance with the study protocol or scheduled clinic visits.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Irshad Haque
    Phone
    631-952-0214
    Email
    ihaque@amneal.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Irshad Haque
    Organizational Affiliation
    Amneal Pharmaceuticals, LLC
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    A Study to Compare Fluticasone Propionate 100mcg/Salmeterol 50 mcg Inhalation Powder to Advair Discus 100/50

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