Real-world Effectiveness of Combination Therapies in Primary Care Asthma Management
REACH
REACH Fostair vs Seretide - Real-world Effectiveness of Combination Therapies in Primary Care Asthma Management
1 other identifier
observational
194,723
0 countries
N/A
Brief Summary
To evaluate whether beclomethasone dipropionate / formoterol (BDP/FOR; Fostair® 100/6) is at least equivalent in terms of exacerbation prevention to fluticasone dipropionate / salmeterol (FP/SAL; Seretide® 125) in matched asthma patients switching to BDP/FOR following treatment with FP/SAL in normal clinical practice compared with patients not switched.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2011
Typical duration for all trials
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2013
CompletedFirst Submitted
Initial submission to the registry
July 23, 2013
CompletedFirst Posted
Study publicly available on registry
July 25, 2013
CompletedJuly 25, 2013
July 1, 2013
2.2 years
July 23, 2013
July 24, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Exacerbations : rate ratio
Where an exacerbation is defined as: (i) Asthma-related 1. Hospital attendance / admissions OR 2. Accident \& Emergency (A\&E) attendance OR (ii) Use of acute oral steroids. Where: * ≥1 oral steroid prescription occurs within 2 weeks of another, or * ≥1 hospitalisation occurs within 2 weeks of another, or * ≥1 hospitalisation occurs within 2 weeks of an oral steroid prescription
1 year
Secondary Outcomes (6)
Exacerbation control
1 year
Proxy asthma control + SABA
1 year
Treatment success
1 year
Asthma Control (including SABA)
1 year
Hospitalisations
1 year
- +1 more secondary outcomes
Study Arms (2)
BDP/FOR
Patients receiving ICS/LABA therapy as FP/SAL (Seretide®) who, at an index prescription date (IPD): Change their therapy to BDP/FOR (Fostair®) at same or lower BDP-equivalent ICS dose
FP/SAL
Patients receiving ICS/LABA therapy as FP/SAL (Seretide®) who, at an index prescription date (IPD) : Remain on FP/SAL at the same BDP-equivalent ICS dose
Interventions
Eligibility Criteria
All patients are diagnosed with asthma or COPD and aged between 18-80 years with all 61-80 year olds being non-smokers only
You may qualify if:
- Aged: 18-80 years 61-80 years to be non-smokers only
- Evidence of asthma: a diagnostic code for asthma or two scripts for asthma..
- Baseline FP/SAL therapy: ≥2 prescription for ICS/LABA therapy as FP/SAL
- Evidence of Continuing Therapy: Include only patients who receive ≥2 prescriptions for the therapy under study during the outcome year (i.e. ≥1 prescription at the index date and ≥1 other). UK average is 3-4 prescriptions refilled per year, so ≥2 ensures capture of "real-life" data.
You may not qualify if:
- Any chronic respiratory disease other than asthma
- Are receiving maintenance oral steroid therapy during baseline period
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Research in Real-Life Ltdlead
- Chiesi Farmaceutici S.p.A.collaborator
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
David Price
University of Aberdeen
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- NETWORK
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor David Price
Study Record Dates
First Submitted
July 23, 2013
First Posted
July 25, 2013
Study Start
January 1, 2011
Primary Completion
March 1, 2013
Study Completion
March 1, 2013
Last Updated
July 25, 2013
Record last verified: 2013-07