E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
adult with moderate persistent asthma |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To demonstrate that salmeterol xinafoate/fluticasone propionate combination 50/100µg Diskus® (SFC100) on inhalation twice daily (bd) is more effective than fluticasone propionate 100µg Diskus® (FP100) bd on morning PEF, in the initial maintenance therapy of asthma in patients with moderate persistent asthma for whom a rapid control of asthma is deemed essential. |
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E.2.2 | Secondary objectives of the trial |
- to demonstrate that SFC100 bd is more effective than FP100 bd on FEV1 - to compare SFC100 et FP100 on time to reach first week of asthma control - to demonstrate in a sub-group of patients, that SFC100 bd is more effective than FP100 bd, in reducing air trapping (sub-group CT scan) |
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E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
CT scan sub-study A sub-group of patients will participate to the CT-scan sub-stuy. In these patient a CT scan and an evaluation of Lung Volume will be performed at Randomisation and at the end of the treatment. For the randomisation evaluation, the exams may be distant from the visit day of 2 to 3 days in order to allow the patient to first see his investigator and shedule the scan and the lung volumes. investigator should insist on the fact that treatment should not be begun before the evaluations. For the last evaluations, scan and lung volumes have to be sheduled 2 to 3 days before the last visit to the investigator in order to allow performing the exams before the end of treatment. |
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E.3 | Principal inclusion criteria |
Inclusion criteria for entry into the run-in period 1- Male or female adult aged ≥18 years 2- A documented clinical history of asthma 3- A documented diagnosis of asthma on lung function based on airway reversibility of ≥12% in the last 2 years or at visit 1 based on either FEV1 or PEF measured pre and post inhalation of 400µg salbutamol (possible to demonstrate at Visit 2 for subjects who failed to demonstrate at Visit 1) 4- A diagnosis of moderate persistent asthma defined as - daily symptoms - daily rescue use 5- Inhaled corticosteroid-naive or inhaled corticosteroid-free (i.e.; no inhaled corticosteroids for at least 12 weeks prior to Visit 1) 6- Able to use the Mini-Wright peak flow meter 7- Able to complete a DRC 8- Able to use a Diskus® correctly 9- Affiliated or a beneficiary of a social security category 10- A female is eligible to enter and participate in the study if she is: a- of a non-child-bearing potential OR b- of child bearing potential but has a negative urinary pregnancy test at screening and agrees to take contraceptive precautions (including abstinence) which are adequate to prevent pregnancy during the study
Inclusion criteria for entry into the treatment period 1- A diagnosis of moderate persistent asthma based on the DRC and defined as - daily syptoms - daily rescue use - and moderate to severe airflow limitation based on mean morning PEF between 60-80% predicted measured over the last 7 days of the run-in period on the DRC values 2- Demonstrated reversibility ≥ 12% based on FEV1 or PEF measured pre and post-inhalation of 400 µg salbutamol for subjects who failed to demonstrate at Visit 1 3- A subject must have completed 80% of assessments on the DRC the last 7 days of the run-in period 4- For patients participating to the CT-scan sub-sudy only: if subject is of child bearing potential, a negative pregnancy urine test must be obtained. |
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E.4 | Principal exclusion criteria |
Exclusion criteria for entry into the run-in period 1-Subjects who have a known respiratory disorder other than asthma and/or systemic/thoracic abnormalities which influence normal lung function 2- FEV1< 60% predicted 3- Subjects who have participated in any study using an investigational drug during the previous 4 weeks prior to Visit 1 4- Subjects who have an acute upper respiratory tract infection within 4 weeks or a lower respiratory tract infection within 4 weeks prior to Visit 1 5- Acute asthma exacerbation requiring emergency room treatment within 4 weeks or hospitalization within 12 weeks of Visit 1 or at Visit 1 6- Use of oral parenteral or depot corticosteroid within 6 months of Visit 1 7- Use of long-acting inhaled beta2-agonist or oral beta2-agonist within 4 weeks of Visit 1 8- Use of Anti-leucotrienes, including suppressors of leukotriene production and leukotriene antagonists or theophyllines within 4 weeks of Visit 1 9- Known clinical or laboratory envidence of a serious uncontrolled disease (including serious psychological disorders) likely to interfere with the study 10- Subjects with a known or suspected hypersensitivity to inhaled corticosteroids, beta2-agonists, or any components of the formulations (e.g. lactose) 11- Subjects who use any medication that significantly inhibits the cytochrome P450 subfamily enzyme CYP3A4, including ritonavir and ketokonazole 12- Sujects who have previously been randomised in this study 13- Smoking history: smoker and former smoker subjects who have more than 5 pack years 14- Subjet who is pregnant or lactating; Subjects should not be enrolled if they plan to become pregnant during the time of study participation (up to visit 5).
Exclusion criteria for entry into the CT scan study 1- For CT scan population only: Patients aged > 40 years 2- For CT scan population only: current smoker or former smoker who has stopped smoking within the 6 months before visit 1
Exclusion criteria for entry into the treatment period 1- Change in asthma medication(excluding study rescue medication) 2- Respiratory tract infection or exacerbation of asthma 3- Use of oral, parenteral or depot corticosteroids 4- Non-compliance with the completion of the DRC during the run-in 5- Subject who is pregant or lactating. Subjects should not be enrolled if they plan to become pregnant during the time of study participation (up to visit 5).
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary efficacy endpoint is defined as the change from baseline in mean morning PEF over weeks 5-12. Change from baseline in mean morning PEF over weeks 5-12 will be compared between treatment groups using an analysis of covariance (ANCOVA) with covariates of age, sex and baseline PEF.
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Information not present in EudraCT |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 62 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 9 |
E.8.9.1 | In the Member State concerned days | |