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
About this trial
This is an interventional treatment trial for Asthma
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
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
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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