FACTO Study (Foster® As Complete Treatment Option)
FACTO
A PHASE 4, MULTINATIONAL, MULTICENTRE, DOUBLE BLIND, DOUBLE DUMMY, RANDOMIZED, PARALLEL GROUP, CONTROLLED CLINICAL STUDY OF FIXED COMBINATION BECLOMETHASONE DIPROPIONATE 100 µg PLUS FORMOTEROL FUMARATE 6 µg pMDI WITH HFA-134A PROPELLANT (CHF1535, FOSTER®) VERSUS FLUTICASONE 250 µg PLUS SALMETEROL 50 µg DPI (SERETIDE® DISKUS®) AS MAINTENANCE TREATMENT IN CONTROLLED ASTHMATIC PATIENTS.
2 other identifiers
interventional
431
4 countries
4
Brief Summary
Double blind, multinational, multicentre, randomised, 2 arm parallel group study
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started May 2009
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2009
CompletedFirst Submitted
Initial submission to the registry
May 12, 2009
CompletedFirst Posted
Study publicly available on registry
May 13, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2010
CompletedMarch 30, 2017
March 1, 2017
1.3 years
May 12, 2009
March 28, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Pre-dose morning FEV1 measured at clinic visit 5
12-week treatment
Secondary Outcomes (8)
FEV1 area under the curve (AUC) in the first hour post-dose measured at clinics at visit 2 and visit 5
12-week treatment
Pulmonary function tests measured at clinics (FEV1,PEF, FVC, FEF25-75%)
12-week treatment
ACQ score at baseline and at the end of treatment period
12-week treatment
Use of rescue medication
12-week treatment
Number of patients with controlled or partly controlled asthma at clinic visits according to GINA guidelines revised version 2007
12-week treatment
- +3 more secondary outcomes
Study Arms (2)
1
EXPERIMENTALCHF1535 (beclometasone dipropionate plus formoterol, 400/24 µg daily)
2
ACTIVE COMPARATORSeretide® Diskus® (fluticasone plus salmeterol, 500/100 µg /daily)
Interventions
Eligibility Criteria
You may qualify if:
- Asthmatic patients will be enrolled at Visit 1 into the run-in period if they meet all of the following criteria:
- Written informed consent obtained
- Adult male and female (≥18 and ≤65 years)
- Clinical diagnosis of controlled asthma according to Global Strategy for Asthma Management and Prevention (GINA) revised version 2007 in the previous week before study entry:
- no daytime symptoms (twice or less/week)
- no limitations of activities
- no nocturnal symptoms/awakenings
- no need for reliever/rescue medications (twice or less/week)
- lung function (FEV1) \> 80% predicted or personal best (if known)
- Patients treated with fluticasone 500 µg + salmeterol 100 µg daily for ≥ 4 weeks
- A co-operative attitude and ability to correctly use the device and to complete the diary cards.
You may not qualify if:
- Patients will not be enrolled at visit 1 into the run-in period if they meet any of the following criteria:
- Inability to carry out pulmonary function testing;
- Diagnosis of Chronic Obstructive Pulmonary Disease (COPD) as defined by the National Heart Lung and Blood Institute/World Health Organisation (NHLBI/WHO) Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines;
- History of near fatal asthma;
- Evidence of severe asthma exacerbation or symptomatic infection of the lower airways in the previous six months;
- Three or more courses of oral corticosteroids or hospitalisation due to asthma during the previous 6 months;
- Patients treated with long-acting β2-agonists (LABAs) other than salmeterol, anticholinergics, and leukotriene antagonists during the previous 4 weeks;
- Current smokers or recent (less than one year) ex-smokers defined as smoking at least 15 packs/year;
- Clinically significant or unstable concurrent disease : e.g. uncontrolled hyperthyroidism, uncontrolled diabetes mellitus or other endocrine disease; significant hepatic impairment; significant renal impairment; significant other pulmonary disease; cardiovascular disease; gastrointestinal disease; neurological disease; haematological disease, autoimmune disorders, that may interfere with patient's safety, compliance, or study evaluations, according to the investigator's opinion;
- Patients with a serum potassium value ≤ 3.5 mEq/L
- Patients with QTc interval (Bazett's formula) higher than 450 msec at screening visit 1;
- Cancer or any chronic diseases with prognosis \< 2 years;
- Female subjects: pregnant or with active desire to be pregnant, lactating mother or lack of efficient contraception in a subject with child-bearing potential (i.e. contraceptive methods other than oral contraceptives, IUD, tubal ligature). A pregnancy test in urine is to be carried out in women of a fertile age at screening
- Significant alcohol consumption or drug abuse;
- Patients treated with beta-blockers as regular use;
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
Hôpital Nord
Marseille, 13015, France
Allergologie imUmkreis der Praxis Pneumologie
Gelsenkirchen, North Rhine-Westphalia, 45879, Germany
Atrium Medisch Centrum Heerlen,
Heerlen, 6419 PC, Netherlands
Hospital Universitario La Fe
Valencia, 46009, Spain
Related Publications (2)
Barnes N, van Noord JA, Brindicci C, Lindemann L, Varoli G, Perpina M, Guastalla D, Casula D, Patel S, Chanez P; FACTO (Foster(R) As Complete Treatment Option) Study Group. Stepping-across controlled asthmatic patients to extrafine beclometasone/formoterol combination. Pulm Pharmacol Ther. 2013 Oct;26(5):555-61. doi: 10.1016/j.pupt.2013.01.011. Epub 2013 Mar 22.
PMID: 23524015RESULTOba Y, Anwer S, Maduke T, Patel T, Dias S. Effectiveness and tolerability of dual and triple combination inhaler therapies compared with each other and varying doses of inhaled corticosteroids in adolescents and adults with asthma: a systematic review and network meta-analysis. Cochrane Database Syst Rev. 2022 Dec 6;12(12):CD013799. doi: 10.1002/14651858.CD013799.pub2.
PMID: 36472162DERIVED
Related Links
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Neil Barnes, MD
Department ofRespiratory Medicine, London Chest Hospital, Barts& The London NHS Trust,Bonner Road, E2 9JX, London (UK)
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 12, 2009
First Posted
May 13, 2009
Study Start
May 1, 2009
Primary Completion
September 1, 2010
Study Completion
December 1, 2010
Last Updated
March 30, 2017
Record last verified: 2017-03