Comparison of New Combination Inhaler (FlutiForm HFA MDI 100/10 µg) Versus Fluticasone and Formoterol Administered Alone, and Placebo, in Patients With Asthma

The purpose of this study is to compare the efficacy and safety of the fixed combination asthma drug FlutiForm HFA MDI with its two components administered alone, fluticasone propionate and formoterol fumarate, and with placebo in adult and adolescent patients with mild to moderate asthma...

Date First Received: October 27, 2006

Last Updated: May 27, 2008

Verified by: SkyePharma AG, May 2008

Clinical Trial Phase: Phase 3 | Start Date: July 2006

Overall Status: Completed

Estimated Enrollment: 440

Brief Summary

Official Title: “A Randomized, Double-Blind, Placebo-Controlled, Parallel, Stratified, Multi-Center, 12-Week Study Comparing the Safety & Efficacy of Fluticasone and Formoterol Combination (FlutiForm(tm)100/10 µg Twice Daily) in a Single Inhaler (SkyePharma HFA pMDI)With the Administration of Placebo or Fluticasone (100 µg Twice Daily) and Formoterol (10 µg Twice Daily) Alone in Adolescent and Adult Patients With Mild to Moderate Asthma”

Condition Keyword(s):

The purpose of this study is to compare the efficacy and safety of the fixed combination asthma drug FlutiForm HFA MDI with its two components administered alone, fluticasone propionate and formoterol fumarate, and with placebo in adult and adolescent patients with mild to moderate asthma.

Study Type: Interventional

Study Design: Treatment, Randomized, Double-Blind, Active Control, Parallel Assignment, Safety/Efficacy Study

Study Primary Completion Date: April 2008

Intervention(s) in this Clinical Trial

  • Drug: Fluticasone propionate/Formoterol fumarate

Outcome Measures for this Clinical Trial

Primary Measures

  • Change in Forced Expiratory Volume in 1 s (FEV-1) over 12 weeks recorded in electronic diary. Discontinuation due to lack of efficacy

Secondary Measures

  • Other pulmonary function tests including forced vital capacity (FVC) and peak expiratory flow rate (PEFR).
  • Clinical endpoints (frequency of asthma exacerbations and patient data captured in diary including daily morning and evening PEFR).
  • Safety variables including adverse events, ECGs, clinical laboratory tests and vital signs.
  • Serial FEV-1 area under the curve (AUC).

Criteria for Participation in this Clinical Trial

  • Ages eligible for study: 12 years and above; genders eligible for study: both; prior steroid use: steroid-requiring or steroid-free.
  • Inclusion Criteria:

    • History of asthma for at least 12 months.
    • For steroid-requiring patients, documented use of inhaled corticosteroid for at least 4 weeks prior to Screening Visit
    • For steroid-free patients, no history of inhaled steroid asthma medication for at least 12 weeks prior to Screening Visit.
    • Demonstrate FEV-1 of 60-85% of predicted normal values at Screening and Baseline Visit.
    • Documented reversibility of 15% within 12 months of Screening or at Screening Visit (15% increase from pre-FEV-1 levels following albuterol inhalation or nebullized albuterol administration).
    • Symptoms of Asthma during Run-in
    • Females of childbearing potential must have a negative urine pregnancy test at
    • Screening and Baseline Visits. Females are eligible only if they are not pregnant or lactating, and are either sterile, or using acceptable methods of contraception.
    • Must otherwise be healthy.
    • Provide written informed consent. Wishes of minors must be respected.

    Exclusion Criteria:

    • Life-threatening asthma within past year or during Run-In Period.
    • History of systemic corticosteroid medication within 3 months before Screening Visit.
    • History of omalizumab use within past 6 months.
    • History of leukotriene receptor antagonist use, e.g. montelukast, within past week.
    • Current evidence or history of any clinically significant disease or abnormality including uncontrolled hypertension, uncontrolled coronary artery disease, congestive heart failure, myocardial infarction, or cardiac dysrhythmia.
    • Upper or lower respiratory infection within 4 weeks prior to Screening Visit or during
    • Run-In Period.
    • Significant, non-reversible, pulmonary disease (e.g., chronic obstructive pulmonary disease [COPD], cystic fibrosis, bronchiectasis).
    • Known Human Immunodeficiency Virus (HIV)-positive status.
    • Smoking history equivalent to "10 pack years".
    • Current smoking history within 12 months prior to Screening Visit.
    • Current evidence or history of alcohol and/or substance abuse within 12 months prior to Screening Visit.
    • Patients who are confined in institution

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 12 Years

Maximum Age for this Clinical Trial: N/A

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Sponsor Information

Lead Sponsor: SkyePharma AG

Additional Information

Information obtained from ClinicalTrials.gov on November 19, 2008

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00393991

Study ID Number: SKY2028-3-001

ClinicalTrials.gov Identifier: NCT00393991

Health Authority: United States: Food and Drug Administration

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