Long-Term Safety Study of Fluticasone Propionate (Fp) Multidose Dry Powder Inhaler (MDPI) and Fluticasone Propionate/Salmeterol (FS) MDPI in Patients With Persistent Asthma
A 26-Week Open-Label Study to Assess the Long-Term Safety of Fluticasone Propionate Multidose Dry Powder Inhaler and Fluticasone Propionate/Salmeterol Multidose Dry Powder Inhaler in Patients 12 Years of Age and Older With Persistent Asthma
1 other identifier
interventional
758
1 country
101
Brief Summary
The primary objective of the study is to evaluate the long-term safety of fluticasone propionate (Fp) inhalation powder in 2 strengths and fluticasone propionate/salmeterol inhalation (FS) powder in 2 strengths when administered with the Teva multidose dry powder inhaler (MDPI) device over 26 weeks in patients with persistent asthma.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Jul 2014
Shorter than P25 for phase_3
101 active sites
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
First Submitted
Initial submission to the registry
June 24, 2014
CompletedFirst Posted
Study publicly available on registry
June 26, 2014
CompletedStudy Start
First participant enrolled
July 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2015
CompletedResults Posted
Study results publicly available
April 14, 2017
CompletedNovember 9, 2021
November 1, 2021
1 year
June 24, 2014
March 2, 2017
November 6, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Participants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period
An adverse event was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an AE which prevents normal daily activities. Relationship of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes.
Day 1 to Week 26 of the Treatment Period
Secondary Outcomes (5)
Participants With Positive Swab Test Results for Oral Candidiasis
Baseline (Day 1 pre-treatment), Weeks 2, 6, 10, 14, 18, 22 26, Endpoint
Participants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment Period
Baseline (Day 1 pre-treatment), Weeks 2, 6, 10, 14, 18, 22 26, Endpoint
Shifts From Baseline to Endpoint in Electrocardiogram (ECG) Findings
Screening (Day -14), Endpoint (week 26 if study was completed)
Analysis of 24-Hour Urine Cortisol Free Over the 26-Week Treatment Period
Baseline (Day 1, pre-treatment), Weeks 14 and 26 and early termination visit if applicable
Change From Baseline in Trough Forced Expiratory Volume in 1 Minute (FEV1) Over the 26-Week Treatment Period
Baseline (Day 1 pre-treatment), Weeks 2, 6, 10, 14, 18, 22 26, early termination visit if applicable
Study Arms (8)
Fp MDPI 100 mcg
EXPERIMENTALParticipants took 1 inhalation using a multidose dry powder inhaler (MDPI) twice a day of fluticasone propionate (Fp) for a total daily dose of 200 mcg Fp for 26 weeks. This was the mid-strength experimental intervention in the inhaled corticosteroid (ICS) cohort. Albuterol/salbutamol HFA metered dose inhaler (MDI) was supplied to participants throughout the study to be used as needed as a rescue medication.
FLOVENT HFA 110 mcg
ACTIVE COMPARATORParticipants took 2 inhalations using a hydrofluoroalkane (HFA) inhaler twice a day of fluticasone propionate (Fp) for a total daily dose of 440 mcg Fp for 26 weeks. This was the mid-strength active comparator intervention in the inhaled corticosteroid (ICS) cohort. Albuterol/salbutamol HFA metered dose inhaler (MDI) was supplied to participants throughout the study to be used as needed as a rescue medication.
Fp MDPI 200 mcg
EXPERIMENTALParticipants took 1 inhalation using a multidose dry powder inhaler (MDPI) twice a day of fluticasone propionate (Fp) for a total daily dose of 400 mcg Fp for 26 weeks. This was the high-strength experimental intervention in the inhaled corticosteroid (ICS) cohort. Albuterol/salbutamol HFA metered dose inhaler (MDI) was supplied to participants throughout the study to be used as needed as a rescue medication.
FLOVENT HFA 220 mcg
ACTIVE COMPARATORParticipants took 2 inhalations using a hydrofluoroalkane (HFA) inhaler twice a day of fluticasone propionate (Fp) for a total daily dose of 880 mcg Fp for 26 weeks. This was the high-strength active comparator intervention in the inhaled corticosteroid (ICS) cohort. Albuterol/salbutamol HFA metered dose inhaler (MDI) was supplied to participants throughout the study to be used as needed as a rescue medication.
FS MDPI 100/12.5 mcg
EXPERIMENTALParticipants took 1 inhalation using a multidose dry powder inhaler (MDPI) twice a day of fluticasone propionate/salmeterol (FS) 100/12.5 mcg for a total daily dose of 200/25 mcg FS for 26 weeks. This was the mid-strength experimental intervention in the inhaled corticosteroid/long-acting beta2-agonist (ICS/LABA) cohort. Albuterol/salbutamol HFA metered dose inhaler (MDI) was supplied to participants throughout the study to be used as needed as a rescue medication.
ADVAIR DISKUS 250/50 mcg
ACTIVE COMPARATORParticipants took 1 inhalation of a dry-powder formulation twice a day of fluticasone propionate/salmeterol (FS) 250/50 mcg for a total daily dose of 500/100 mcg FS for 26 weeks. This was the mid-strength active comparator intervention in the inhaled corticosteroid/long-acting beta2-agonist (ICS/LABA) cohort. Albuterol/salbutamol HFA metered dose inhaler (MDI) was supplied to participants throughout the study to be used as needed as a rescue medication.
FS MDPI 200/12.5 mcg
EXPERIMENTALParticipants took 1 inhalation using a multidose dry powder inhaler (MDPI) twice a day of fluticasone propionate/salmeterol (FS) 200/12.5 mcg for a total daily dose of 400/25 mcg FS for 26 weeks. This was the high-strength experimental intervention in the inhaled corticosteroid/long-acting beta2-agonist (ICS/LABA) cohort. Albuterol/salbutamol HFA metered dose inhaler (MDI) was supplied to participants throughout the study to be used as needed as a rescue medication.
ADVAIR DISKUS 500/50 mcg
ACTIVE COMPARATORParticipants took 1 inhalation of a dry-powder formulation twice a day of fluticasone propionate/salmeterol (FS) 500/50 mcg for a total daily dose of 1000/100 mcg FS for 26 weeks. This was the high-strength active comparator intervention in the inhaled corticosteroid/long-acting beta2-agonist (ICS/LABA) cohort. Albuterol/salbutamol HFA metered dose inhaler (MDI) was supplied to participants throughout the study to be used as needed as a rescue medication.
Interventions
Fp MDPI is an inhalation-driven multidose dry powder inhaler (MDPI) containing fluticasone propionate dispersed in a lactose monohydrate excipient. During the treatment period, participants were randomized to either 100 mcg or 200 mcg of Fp one inhalation twice a day for a total daily dose of 200 mcg or 400 mcg. Study drug was administered in the morning and in the evening.
FS MDPI is an inhalation-driven multidose dry powder inhaler (MDPI) containing fluticasone propionate (Fp) and salmeterol xinafoate (Sx) dispersed in a lactose monohydrate excipient. During the treatment period, participants were randomized to either Fp/Sx MDPI 100/12.5 mcg or Fp/Sx MDPI 100/12.5 mcg twice a day for a total daily dose of 200/25 mcg or 400/25 mcg Fp/Sx. Study drug was administered in the morning and in the evening.
FLOVENT HFA is a hydrofluoroalkane (HFA) inhaler containing fluticasone propionate. During the treatment period, participants were randomized to either 110 mcg or 220 mcg of FLOVENT two puffs, twice a day for a total daily dose of 440 mcg or 880 mcg. Study drug was administered in the morning and in the evening.
ADVAIR DISKUS contains a dry powder formulation of fluticasone propionate (Fp) and salmeterol xinafoate (Sx) in a lactose excipient. During the treatment period, participants were randomized to Fp 250 mcg/Sx 50 mcg or Fp 500 mcg/Sx 50 mcg one inhalation, twice a day for a total daily dose of 500/100 mcg or 1000/100 mcg. Study drug was administered in the morning and in the evening.
A short-acting β2-adrenergic agonists (SABA), albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI), was provided to be used as needed for the relief of asthma symptoms during both the run-in and treatment periods (to replace the subject's current rescue medication).
Eligibility Criteria
You may qualify if:
- Best pre-bronchodilator forced expiratory volume in 1 second (FEV1) of greater than 40% of their predicted normal value.
- Patients must have a treatment regimen that includes a short-acting β2 agonist (SABA) (albuterol) for use as needed and either an inhaled corticosteroid (ICS) or an ICS/long-acting β2 agonist (LABA) as a preventative treatment for a minimum of 8 weeks before the SV. Patients currently taking low-dose ICS without LABA are not eligible for this study. Patients currently taking low-dose ICS/LABA may only be entered into the mid ICS strength. All patients must have been maintained on a stable dose of ICS or ICS/LABA for 4 weeks prior to the SV (or pre-SV if necessary) at 1 qualifying doses
- To meet reversibility of disease criteria, the patient must demonstrate a ≥12% reversibility of FEV1 (and 200 mL for patients aged18 years and older) within 30 minutes following 4 inhalations of albuterol at the SV. Historic reversibility within the past 12 months of the SV may be used to meet this criterion.
- Written informed consent/assent is obtained. For adult patients (aged 18 years and older, or as applicable per local regulations), the written informed consent form (ICF) must be signed and dated by the patient before conducting any study-related procedure. For minor patients (aged 12 to 17 years, or as applicable per local regulations), the written ICF must be signed and dated by the parent/legal guardian and the written assent form must be signed and dated by the patient (if applicable) before conducting any study-related procedure. Note: Age requirements are as specified by local regulations.
- Outpatient \>= 12 years of age on the date of consent/assent. .
- Asthma diagnosis: The patient has a diagnosis of asthma as defined by the National Institutes of Health (NIH). The asthma diagnosis has been present for a minimum of 3 months and has been stable (defined as no exacerbations and no changes in medication) for at least 30 days before providing informed consent.
- The patient is able to perform acceptable and repeatable spirometry.
- The patient is able to perform peak expiratory flow (PEF) with a handheld peak flow meter.
- The patient is able to use a metered-dose inhaler (MDI) device without a spacer device and a MDPI device.
- The patient is able to withhold (as judged by the investigator) his or her regimen of ICS or study drug, and rescue medication for at least 6 hours before the SV and before all treatment visits where spirometry is performed.
- The patient/parent/legal guardian/caregiver is capable of understanding the requirements, risks, and benefits of study participation, and, as judged by the investigator, capable of giving informed consent/assent and being compliant with all study requirements.
- SABAs: All patients must be able to replace their current SABA with albuterol/salbutamol HFA inhalation aerosol at the SV for use as needed for the duration of the study.
- Female patients may not be pregnant, breastfeeding, or attempting to become pregnant.
- Other criteria may apply, please contact the investigator for more information
You may not qualify if:
- The patient has a history of a life-threatening asthma exacerbation that is defined for this protocol as an asthma episode that required intubation and/or was associated with hypercapnea, respiratory arrest, or hypoxic seizures.
- The patient is pregnant or lactating, or plans to become pregnant during the study period or for 30 days after the study.
- The patient has participated as a randomized patient in any investigational drug study within the 30 days preceding the SV (or prescreening visit, as applicable) or plans to participate in another investigational drug study at any time during this study.
- The patient has previously participated in an Fp MDPI or FS MDPI study.
- The patient has a known hypersensitivity to any corticosteroid, salmeterol, or any of the excipients in the study drug or rescue medication formulation (ie, lactose).
- The patient has been treated with any known strong cytochrome P450 (CYP) 3A4 inhibitors (eg, azole antifungals, ritonavir, or clarithromycin) within 30 days before the SV or plans to be treated with any strong CYP3A4 inhibitor during the study.
- The patient has been treated with any of the prohibited medications during the prescribed (per protocol) washout periods before the SV.
- The patient currently smokes or has a smoking history of 10 pack-years or more (a pack-year is defined as smoking 1 pack of cigarettes/day for 1 year). The patient may not have used tobacco products within the past year (eg, cigarettes, cigars, chewing tobacco, or pipe tobacco).
- The patient has a culture-documented or suspected bacterial or viral infection of the upper or lower respiratory tract, sinus, or middle ear that has not resolved at least 2 weeks before the SV.
- The patient has a history of alcohol or drug abuse within 2 years preceding the SV.
- The patient has had an asthma exacerbation requiring systemic corticosteroids within 30 days before the SV, or has had any hospitalization for asthma within 2 months before the SV.
- The patient has used immunosuppressive medications within 4 weeks before the SV.
- The patient is unable to tolerate or unwilling to comply with the appropriate washout periods and withholding of all applicable medications. (Patients that require continuous treatment with β-blockers, monoamine oxidase inhibitors, tricyclic antidepressants, anticholinergics, and/or systemic corticosteroids are excluded).
- The patient has untreated oral candidiasis at the SV. Patients with clinical visual evidence of oral candidiasis who agree to receive treatment and comply with appropriate medical monitoring may enter the study.
- The patient has a history of a positive test for human immunodeficiency virus, active hepatitis B virus, or hepatitis C infection.
- +20 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (101)
Teva Investigational Site 12068
Birmingham, Alabama, United States
Teva Investigational Site 12112
Mobile, Alabama, United States
Teva Investigational Site 12130
Pell City, Alabama, United States
Teva Investigational Site 12119
Little Rock, Alaska, United States
Teva Investigational Site 12076
Phoenix, Arizona, United States
Teva Investigational Site 12135
Scottsdale, Arizona, United States
Teva Investigational Site 12132
Tucson, Arizona, United States
Teva Investigational Site 12102
Fountain Valley, California, United States
Teva Investigational Site 12104
Fresno, California, United States
Teva Investigational Site 12123
Fullerton, California, United States
Teva Investigational Site 12103
Huntington Beach, California, United States
Teva Investigational Site 12073
Long Beach, California, United States
Teva Investigational Site 12077
Mission Viejo, California, United States
Teva Investigational Site 12098
Napa, California, United States
Teva Investigational Site 12149
Northridge, California, United States
Teva Investigational Site 12081
Orange, California, United States
Teva Investigational Site 12100
Rancho Mirage, California, United States
Teva Investigational Site 12133
Riverside, California, United States
Teva Investigational Site 12146
Riverside, California, United States
Teva Investigational Site 12075
Rolling Hills Estates, California, United States
Teva Investigational Site 12074
San Diego, California, United States
Teva Investigational Site 12150
San Diego, California, United States
Teva Investigational Site 12064
San Jose, California, United States
Teva Investigational Site 12061
Stockton, California, United States
Teva Investigational Site 12141
Walnut Creek, California, United States
Teva Investigational Site 12043
Denver, Colorado, United States
Teva Investigational Site 12051
Denver, Colorado, United States
Teva Investigational Site 12091
Waterbury, Connecticut, United States
Teva Investigational Site 12078
Fort Lauderdale, Florida, United States
Teva Investigational Site 12140
Hialeah, Florida, United States
Teva Investigational Site 12066
Kissimmee, Florida, United States
Teva Investigational Site 12120
Miami, Florida, United States
Teva Investigational Site 12127
Miami, Florida, United States
Teva Investigational Site 12148
Miami, Florida, United States
Teva Investigational Site 12114
Ocala, Florida, United States
Teva Investigational Site 12055
Sarasota, Florida, United States
Teva Investigational Site 12048
Tallahassee, Florida, United States
Teva Investigational Site 12122
Tamarac, Florida, United States
Teva Investigational Site 12086
Winter Park, Florida, United States
Teva Investigational Site 12111
Gainesville, Georgia, United States
Teva Investigational Site 12070
Lawrenceville, Georgia, United States
Teva Investigational Site 12072
Marietta, Georgia, United States
Teva Investigational Site 12106
Coeur d'Alene, Idaho, United States
Teva Investigational Site 12117
Eagle, Idaho, United States
Teva Investigational Site 12065
River Forest, Illinois, United States
Teva Investigational Site 12059
Shiloh, Illinois, United States
Teva Investigational Site 12056
Overland Park, Kansas, United States
Teva Investigational Site 12138
Fort Mitchell, Kentucky, United States
Teva Investigational Site 12092
Owensboro, Kentucky, United States
Teva Investigational Site 12087
Covington, Louisiana, United States
Teva Investigational Site 12095
Bangor, Maine, United States
Teva Investigational Site 12042
Baltimore, Maryland, United States
Teva Investigational Site 12124
Baltimore, Maryland, United States
Teva Investigational Site 12052
North Dartmouth, Massachusetts, United States
Teva Investigational Site 12139
Minneapolis, Minnesota, United States
Teva Investigational Site 12137
Plymouth, Minnesota, United States
Teva Investigational Site 12079
Columbia, Missouri, United States
Teva Investigational Site 12067
Rolla, Missouri, United States
Teva Investigational Site 12057
St Louis, Missouri, United States
Teva Investigational Site 12060
St Louis, Missouri, United States
Teva Investigational Site 12108
St Louis, Missouri, United States
Teva Investigational Site 12128
Warrensburg, Missouri, United States
Teva Investigational Site 12136
Bellevue, Nebraska, United States
Teva Investigational Site 12115
Las Vegas, Nevada, United States
Teva Investigational Site 12131
Las Vegas, Nevada, United States
Teva Investigational Site 12126
Ocean City, New Jersey, United States
Teva Investigational Site 12129
Verona, New Jersey, United States
Teva Investigational Site 12058
Rochester, New York, United States
Teva Investigational Site 12113
Rockville Centre, New York, United States
Teva Investigational Site 12047
Charlotte, North Carolina, United States
Teva Investigational Site 12085
Charlotte, North Carolina, United States
Teva Investigational Site 12144
Winston-Salem, North Carolina, United States
Teva Investigational Site 12053
Canton, Ohio, United States
Teva Investigational Site 12094
Cincinnati, Ohio, United States
Teva Investigational Site 12105
Cincinnati, Ohio, United States
Teva Investigational Site 12107
Sylvania, Ohio, United States
Teva Investigational Site 12069
Tiffin, Ohio, United States
Teva Investigational Site 12045
Oklahoma City, Oklahoma, United States
Teva Investigational Site 12080
Oklahoma City, Oklahoma, United States
Teva Investigational Site 12083
Oklahoma City, Oklahoma, United States
Teva Investigational Site 12062
Eugene, Oregon, United States
Teva Investigational Site 12097
Medford, Oregon, United States
Teva Investigational Site 12049
Portland, Oregon, United States
Teva Investigational Site 12134
Bryn Mawr, Pennsylvania, United States
Teva Investigational Site 12090
Philadelphia, Pennsylvania, United States
Teva Investigational Site 12089
Providence, Rhode Island, United States
Teva Investigational Site 12088
Warwick, Rhode Island, United States
Teva Investigational Site 12096
Charleston, South Carolina, United States
Teva Investigational Site 12147
Spartanburg, South Carolina, United States
Teva Investigational Site 12121
Dallas, Texas, United States
Teva Investigational Site 12099
El Paso, Texas, United States
Teva Investigational Site 12071
Live Oak, Texas, United States
Teva Investigational Site 12054
San Antonio, Texas, United States
Teva Investigational Site 12145
Waco, Texas, United States
Teva Investigational Site 12046
Murray, Utah, United States
Teva Investigational Site 12041
South Burlington, Vermont, United States
Teva Investigational Site 12125
Richmond, Virginia, United States
Teva Investigational Site 12101
Seattle, Washington, United States
Teva Investigational Site 12109
Spokane, Washington, United States
Teva Investigational Site 12044
Tacoma, Washington, United States
Teva Investigational Site 12082
Greenfield, Wisconsin, United States
Related Publications (3)
Oba 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: 36472162DERIVEDMansfield L, Yiu G, Sakov A, Liu S, Caracta C. A 6-month safety and efficacy study of fluticasone propionate and fluticasone propionate/salmeterol multidose dry powder inhalers in persistent asthma. Allergy Asthma Proc. 2017 Jul 24;38(4):264-276. doi: 10.2500/aap.2017.38.4061. Epub 2017 May 24.
PMID: 28540844DERIVEDMiller DS, Yiu G, Hellriegel ET, Steinfeld J. Dose-ranging study of salmeterol using a novel fluticasone propionate/salmeterol multidose dry powder inhaler in patients with persistent asthma. Allergy Asthma Proc. 2016 Jul;37(4):291-301. doi: 10.2500/aap.2016.37.3963. Epub 2016 May 27.
PMID: 27216137DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Director, Clinical Research
- Organization
- Teva Branded Pharmaceutical Products, R&D Inc.
Study Officials
- STUDY DIRECTOR
Teva Medical Expert, MD
Teva Branded Pharmaceutical Products R&D, Inc.
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 24, 2014
First Posted
June 26, 2014
Study Start
July 1, 2014
Primary Completion
July 1, 2015
Study Completion
July 1, 2015
Last Updated
November 9, 2021
Results First Posted
April 14, 2017
Record last verified: 2021-11