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    Clinical Trial Results:
    A study to compare GW815SF HFA MDI with concomitant treatment with salmeterol xinafoate DPI plus fluticasone propionate DPI and to assess long-term safety of GW815SF HFA MDI.

    Summary
    EudraCT number
    2015-004882-10
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    19 Jan 2008

    Results information
    Results version number
    v1(current)
    This version publication date
    14 Jan 2017
    First version publication date
    14 Jan 2017
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    110099
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    GlaxoSmithKline
    Sponsor organisation address
    980 Great West Road, Brentford, Middlesex, United Kingdom,
    Public contact
    GSK Response Center, GlaxoSmithKline, 1 866-435-7343,
    Scientific contact
    GSK Response Center, GlaxoSmithKline, 1 866-435-7343,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    14 Mar 2008
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    19 Jan 2008
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    TBD
    Protection of trial subjects
    Not applicable
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    02 Apr 2007
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Japan: 52
    Worldwide total number of subjects
    52
    EEA total number of subjects
    0
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    47
    Adolescents (12-17 years)
    5
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    A total of 51 participants were randomized to the crossover period, out of which 50 completed the extension period.

    Period 1
    Period 1 title
    Overall study
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    SFC 50/100 mcg/day First
    Arm description
    GW815SF (SFC; Salmeterol/Fluticasone propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in first intervention period and SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg + FP (Fluticasone Propionate) DPI 50 mcg twice daily in second intervention period (after washout period).
    Arm type
    Active comparator

    Investigational medicinal product name
    GW815SF (Salmeterol/Fluticasone propionate combination[SFC]) 25/50 microgram (mcg)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    GW815SF (SLM) 25/50mcg twice daily via Metered dose inhaler (MDI).

    Investigational medicinal product name
    Fluticasone propionate (FP) 50mcg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    FP 50mcg twice daily via DPI

    Investigational medicinal product name
    Salmeterol (SLM) 25mcg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    SLM 25 mcg twice daily via Dry powder inhaler (DPI)

    Arm title
    SLM 50 mcg + FP 100 mcg/day First
    Arm description
    SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg + FP (Fluticasone Propionate) DPI 50 mcg twice daily in first intervention period and GW815SF (SFC; Salmeterol/Fluticasone Propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in second intervention period (after washout period).
    Arm type
    Active comparator

    Investigational medicinal product name
    GW815SF (Salmeterol/Fluticasone propionate combination[SFC]) 25/50 microgram (mcg)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    GW815SF (SLM) 25/50mcg twice daily via Metered dose inhaler (MDI).

    Investigational medicinal product name
    Fluticasone propionate (FP) 50mcg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    FP 50mcg twice daily via DPI

    Investigational medicinal product name
    Salmeterol (SLM) 25mcg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    SLM 25 mcg twice daily via Dry powder inhaler (DPI)

    Number of subjects in period 1 [1]
    SFC 50/100 mcg/day First SLM 50 mcg + FP 100 mcg/day First
    Started
    26
    25
    Completed
    25
    25
    Not completed
    1
    0
         other
    1
    -
    Notes
    [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: A total of 52 participants were enrolled and 51 participants were randomized.
    Period 2
    Period 2 title
    Treatment Period I - 4 weeks
    Is this the baseline period?
    No
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    No

    Arm title
    SFC 50/100 mcg/day First
    Arm description
    GW815SF (SFC; Salmeterol/Fluticasone propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in first intervention period and SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg + FP (Fluticasone Propionate) DPI 50 mcg twice daily in second intervention period (after washout period).
    Arm type
    Active comparator

    Investigational medicinal product name
    GW815SF (Salmeterol/Fluticasone propionate combination[SFC]) 25/50 microgram (mcg)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    GW815SF (SLM) 25/50mcg twice daily via Metered dose inhaler (MDI).

    Investigational medicinal product name
    Salmeterol (SLM) 25mcg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    SLM 25 mcg twice daily via Dry powder inhaler (DPI)

    Investigational medicinal product name
    Fluticasone propionate (FP) 50mcg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    FP 50mcg twice daily via DPI

    Arm title
    SLM 50 mcg + FP 100 mcg/day First
    Arm description
    SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg + FP (Fluticasone Propionate) DPI 50 mcg twice daily in first intervention period and GW815SF (SFC; Salmeterol/Fluticasone Propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in second intervention period (after washout period).
    Arm type
    Active comparator

    Investigational medicinal product name
    GW815SF (Salmeterol/Fluticasone propionate combination[SFC]) 25/50 microgram (mcg)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    GW815SF (SLM) 25/50mcg twice daily via Metered dose inhaler (MDI).

    Investigational medicinal product name
    Fluticasone propionate (FP) 50mcg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    FP 50mcg twice daily via DPI

    Investigational medicinal product name
    Salmeterol (SLM) 25mcg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    SLM 25 mcg twice daily via Dry powder inhaler (DPI)

    Number of subjects in period 2
    SFC 50/100 mcg/day First SLM 50 mcg + FP 100 mcg/day First
    Started
    26
    25
    Completed
    26
    25
    Period 3
    Period 3 title
    Washout Period-2 weeks
    Is this the baseline period?
    No
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    SFC 50/100 mcg/day First
    Arm description
    GW815SF (SFC; Salmeterol/Fluticasone propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in first intervention period and SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg + FP (Fluticasone Propionate) DPI 50 mcg twice daily in second intervention period (after washout period).
    Arm type
    Active comparator

    Investigational medicinal product name
    GW815SF (Salmeterol/Fluticasone propionate combination[SFC]) 25/50 microgram (mcg)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    GW815SF (SLM) 25/50mcg twice daily via Metered dose inhaler (MDI).

    Investigational medicinal product name
    Fluticasone propionate (FP) 50mcg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    FP 50mcg twice daily via DPI

    Investigational medicinal product name
    Salmeterol (SLM) 25mcg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    SLM 25 mcg twice daily via Dry powder inhaler (DPI)

    Arm title
    SLM 50 mcg + FP 100 mcg/day First
    Arm description
    SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg + FP (Fluticasone Propionate) DPI 50 mcg twice daily in first intervention period and GW815SF (SFC; Salmeterol/Fluticasone Propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in second intervention period (after washout period).
    Arm type
    Active comparator

    Investigational medicinal product name
    GW815SF (Salmeterol/Fluticasone propionate combination[SFC]) 25/50 microgram (mcg)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    GW815SF (SLM) 25/50mcg twice daily via Metered dose inhaler (MDI).

    Investigational medicinal product name
    Fluticasone propionate (FP) 50mcg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    FP 50mcg twice daily via DPI

    Investigational medicinal product name
    Salmeterol (SLM) 25mcg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    SLM 25 mcg twice daily via Dry powder inhaler (DPI)

    Number of subjects in period 3
    SFC 50/100 mcg/day First SLM 50 mcg + FP 100 mcg/day First
    Started
    26
    25
    Completed
    25
    25
    Not completed
    1
    0
         WITHDRAWAL BY SUBJECT
    1
    -
    Period 4
    Period 4 title
    Treatment Period II - 4 weeks
    Is this the baseline period?
    No
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    No

    Arm title
    SFC 50/100 mcg/day First
    Arm description
    GW815SF (SFC; Salmeterol/Fluticasone propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in first intervention period and SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg + FP (Fluticasone Propionate) DPI 50 mcg twice daily in second intervention period (after washout period).
    Arm type
    Active comparator

    Investigational medicinal product name
    GW815SF (Salmeterol/Fluticasone propionate combination[SFC]) 25/50 microgram (mcg)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    GW815SF (SLM) 25/50mcg twice daily via Metered dose inhaler (MDI).

    Investigational medicinal product name
    Fluticasone propionate (FP) 50mcg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    FP 50mcg twice daily via DPI

    Investigational medicinal product name
    Salmeterol (SLM) 25mcg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    SLM 25 mcg twice daily via Dry powder inhaler (DPI)

    Arm title
    SLM 50 mcg + FP 100 mcg/day First
    Arm description
    SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg + FP (Fluticasone Propionate) DPI 50 mcg twice daily in first intervention period and GW815SF (SFC; Salmeterol/Fluticasone Propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in second intervention period (after washout period).
    Arm type
    Active comparator

    Investigational medicinal product name
    GW815SF (Salmeterol/Fluticasone propionate combination[SFC]) 25/50 microgram (mcg)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    GW815SF (SLM) 25/50mcg twice daily via Metered dose inhaler (MDI).

    Investigational medicinal product name
    Fluticasone propionate (FP) 50mcg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    FP 50mcg twice daily via DPI

    Investigational medicinal product name
    Salmeterol (SLM) 25mcg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Inhalation powder
    Routes of administration
    Inhalation use
    Dosage and administration details
    SLM 25 mcg twice daily via Dry powder inhaler (DPI)

    Number of subjects in period 4
    SFC 50/100 mcg/day First SLM 50 mcg + FP 100 mcg/day First
    Started
    25
    25
    Completed
    25
    25

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall study
    Reporting group description
    Overall study

    Reporting group values
    Overall study Total
    Number of subjects
    51
    Age categorical
    Units: Subjects
    Age continuous
    Age continuous description
    Units: years
        arithmetic mean (standard deviation)
    8.3 ( 2.41 ) -
    Gender categorical
    Gender categorical description
    Units: Subjects
        Female
    17 17
        Male
    34 34
    Race/Ethnicity, Customized
    Units: Subjects
        Asian-Japanese Heritage
    51 51
    Region of Enrollment
    Units: Subjects
        Japan
    51 51

    End points

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    End points reporting groups
    Reporting group title
    SFC 50/100 mcg/day First
    Reporting group description
    GW815SF (SFC; Salmeterol/Fluticasone propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in first intervention period and SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg + FP (Fluticasone Propionate) DPI 50 mcg twice daily in second intervention period (after washout period).

    Reporting group title
    SLM 50 mcg + FP 100 mcg/day First
    Reporting group description
    SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg + FP (Fluticasone Propionate) DPI 50 mcg twice daily in first intervention period and GW815SF (SFC; Salmeterol/Fluticasone Propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in second intervention period (after washout period).
    Reporting group title
    SFC 50/100 mcg/day First
    Reporting group description
    GW815SF (SFC; Salmeterol/Fluticasone propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in first intervention period and SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg + FP (Fluticasone Propionate) DPI 50 mcg twice daily in second intervention period (after washout period).

    Reporting group title
    SLM 50 mcg + FP 100 mcg/day First
    Reporting group description
    SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg + FP (Fluticasone Propionate) DPI 50 mcg twice daily in first intervention period and GW815SF (SFC; Salmeterol/Fluticasone Propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in second intervention period (after washout period).
    Reporting group title
    SFC 50/100 mcg/day First
    Reporting group description
    GW815SF (SFC; Salmeterol/Fluticasone propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in first intervention period and SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg + FP (Fluticasone Propionate) DPI 50 mcg twice daily in second intervention period (after washout period).

    Reporting group title
    SLM 50 mcg + FP 100 mcg/day First
    Reporting group description
    SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg + FP (Fluticasone Propionate) DPI 50 mcg twice daily in first intervention period and GW815SF (SFC; Salmeterol/Fluticasone Propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in second intervention period (after washout period).
    Reporting group title
    SFC 50/100 mcg/day First
    Reporting group description
    GW815SF (SFC; Salmeterol/Fluticasone propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in first intervention period and SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg + FP (Fluticasone Propionate) DPI 50 mcg twice daily in second intervention period (after washout period).

    Reporting group title
    SLM 50 mcg + FP 100 mcg/day First
    Reporting group description
    SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg + FP (Fluticasone Propionate) DPI 50 mcg twice daily in first intervention period and GW815SF (SFC; Salmeterol/Fluticasone Propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in second intervention period (after washout period).

    Subject analysis set title
    SFC 50/100mcg/day
    Subject analysis set type
    Per protocol
    Subject analysis set description
    Per Protocol Set who received GW815SF (SFC , Salmeterol/Fluticasone propionate combination) HFA (HydroFluoroAlkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily

    Subject analysis set title
    SLM 50mcg + FP 100mcg/day
    Subject analysis set type
    Per protocol
    Subject analysis set description
    Per Protocol Set who received SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg +FP (Fluticasone Propionate ) DPI 50 mcg twice daily

    Subject analysis set title
    SFC 50/100 MCG/DAY
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Full Analysis Set who received GW815SF (SFC , Salmeterol/Fluticasone propionate combination) HFA (HydroFluoroAlkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily

    Primary: Adjusted Mean Change from Baseline in Morning PEF (Peak Expiratory Flow) during the 4-week Treatment Periods

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    End point title
    Adjusted Mean Change from Baseline in Morning PEF (Peak Expiratory Flow) during the 4-week Treatment Periods
    End point description
    Mean change from baseline = value at each assessment period (mean of the values obtained at each assessment period [Weeks 1-4/Weeks 7-10]) minus baseline value. Baseline: Mean of the daily values over the last 7 days of the 2-week run-in/wash-out (i.e., the last 7 days prior to the day of starting treatment period [Weeks 1-4/Weeks 7-10]).
    End point type
    Primary
    End point timeframe
    Crossover Period Weeks 1-4, and 7-10
    End point values
    SFC 50/100mcg/day SLM 50mcg + FP 100mcg/day
    Number of subjects analysed
    48 [1]
    48 [2]
    Units: Liters/minute
        arithmetic mean (standard error)
    14.3 ( 4.53 )
    17.1 ( 4.53 )
    Notes
    [1] - PPS (Per Protocol Set): randomized subjects less those who did not complete treatment.
    [2] - PPS (Per Protocol Set): randomized subjects less those who did not complete treatment.
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Difference between treatments [(SLM + FP)- SFC](SE) 2.8 (5.91)
    Comparison groups
    SFC 50/100mcg/day v SLM 50mcg + FP 100mcg/day
    Number of subjects included in analysis
    96
    Analysis specification
    Pre-specified
    Analysis type
    equivalence [3]
    P-value
    = 0.6383 [4]
    Method
    Mixed models analysis
    Parameter type
    Mean difference (net)
    Point estimate
    2.8
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -9.1
         upper limit
    14.69
    Variability estimate
    Standard error of the mean
    Dispersion value
    5.91
    Notes
    [3] - Equivalence margin + or - 15 L/min
    [4] - Confidence Interval

    Secondary: Adjusted Mean Change from Baseline in Percent Predicted Morning PEF(%) during the 4-week Treatment Periods

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    End point title
    Adjusted Mean Change from Baseline in Percent Predicted Morning PEF(%) during the 4-week Treatment Periods
    End point description
    Mean change from baseline = value at each assessment period (mean of the values obtained at each assessment period [Weeks 1-4/Weeks 7-10]) minus baseline value. Baseline: Mean of the daily values over the last 7 days of the 2-week run-in/wash-out.
    End point type
    Secondary
    End point timeframe
    Crossover Period Weeks 1-4, 7-10
    End point values
    SFC 50/100mcg/day SLM 50mcg + FP 100mcg/day
    Number of subjects analysed
    48 [5]
    48 [6]
    Units: Percentage of predicted value
        arithmetic mean (standard error)
    5.38 ( 1.543 )
    6.73 ( 1.543 )
    Notes
    [5] - PPS
    [6] - PPS
    No statistical analyses for this end point

    Secondary: Adjusted Mean Change from Baseline in Percent Personal Best Morning PEF(%) during the 4-week Treatment Periods

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    End point title
    Adjusted Mean Change from Baseline in Percent Personal Best Morning PEF(%) during the 4-week Treatment Periods
    End point description
    Mean change from baseline = value at each assessment period (mean of the values obtained at each assessment period [Weeks 1-4/Weeks 7-10]) minus baseline value. Baseline: Mean of the daily values over the last 7 days of the 2-week run-in/wash-out.
    End point type
    Secondary
    End point timeframe
    Crossover Period weeks 1-4, 7-10
    End point values
    SFC 50/100mcg/day SLM 50mcg + FP 100mcg/day
    Number of subjects analysed
    48 [7]
    48 [8]
    Units: Percentage of personal best value
        arithmetic mean (standard error)
    5.01 ( 1.48 )
    6.46 ( 1.48 )
    Notes
    [7] - PPS
    [8] - PPS
    No statistical analyses for this end point

    Secondary: Adjusted Mean Change from Baseline in Evening PEF during the 4-week Treatment Periods

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    End point title
    Adjusted Mean Change from Baseline in Evening PEF during the 4-week Treatment Periods
    End point description
    Mean change from baseline = value at each assessment period (mean of the values obtained at each assessment period [Weeks 1-4/Weeks 7-10]) minus baseline value. Baseline: Mean of the daily values over the last 7 days of the 2-week run-in/wash-out.
    End point type
    Secondary
    End point timeframe
    Crossover Period weeks 1-4, 7-10
    End point values
    SFC 50/100mcg/day SLM 50mcg + FP 100mcg/day
    Number of subjects analysed
    48 [9]
    48 [10]
    Units: L/min
        arithmetic mean (standard error)
    16.3 ( 3.74 )
    15.8 ( 3.74 )
    Notes
    [9] - PPS
    [10] - PPS
    No statistical analyses for this end point

    Secondary: Adjusted Mean Change from Baseline of Circadian Variation in Morning PEF(%) during the 4-week Treatment Periods

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    End point title
    Adjusted Mean Change from Baseline of Circadian Variation in Morning PEF(%) during the 4-week Treatment Periods
    End point description
    Mean change from baseline = value at each assessment period (mean of the values obtained at each assessment period [Weeks 1-4/Weeks 7-10]) minus baseline value. Baseline: Mean of the daily values over the last 7 days of the 2-week run-in/wash-out.
    End point type
    Secondary
    End point timeframe
    Crossover Period Weeks 1-4, 7-10
    End point values
    SFC 50/100mcg/day SLM 50mcg + FP 100mcg/day
    Number of subjects analysed
    48 [11]
    48 [12]
    Units: Percentage of circadian variation
        arithmetic mean (standard error)
    0.06 ( 0.638 )
    -0.08 ( 0.638 )
    Notes
    [11] - PPS
    [12] - PPS
    No statistical analyses for this end point

    Secondary: Percentage of Subjects with Symptom-Free Nights & Days

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    End point title
    Percentage of Subjects with Symptom-Free Nights & Days
    End point description
    Percentage of subjects with Symptom Free Nights & Days after 4 weeks of Treatment
    End point type
    Secondary
    End point timeframe
    Crossover Period Week 1-4, 7-10
    End point values
    SFC 50/100mcg/day SLM 50mcg + FP 100mcg/day
    Number of subjects analysed
    48 [13]
    48 [14]
    Units: Percent of participants
    number (not applicable)
        Baseline
    72.9
    81.3
        After 4 Weeks of Treatment
    91.7
    81.3
    Notes
    [13] - PPS
    [14] - PPS
    No statistical analyses for this end point

    Secondary: Percentage of Subjects with Rescue Medication-Free Nights and Days

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    End point title
    Percentage of Subjects with Rescue Medication-Free Nights and Days
    End point description
    Percentage of subjects with Rescue Medication Free Nights & Days after 4 weeks of Treatment
    End point type
    Secondary
    End point timeframe
    Crossover Period Weeks 1-4, 7-10
    End point values
    SFC 50/100mcg/day SLM 50mcg + FP 100mcg/day
    Number of subjects analysed
    48 [15]
    48 [16]
    Units: Percentage of participants
    number (not applicable)
        Baseline
    87.5
    87.5
        After 4 Weeks of Treatment
    93.8
    87.5
    Notes
    [15] - PPS
    [16] - PPS
    No statistical analyses for this end point

    Secondary: Adjusted Mean Change from Baseline in Morning PEF during the 20-week Extension Treatment Period

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    End point title
    Adjusted Mean Change from Baseline in Morning PEF during the 20-week Extension Treatment Period
    End point description
    Mean change from baseline = value at assessment period (mean of the values obtained at assessment period (Weeks 11-30).) minus baseline value. Baseline: Mean of the daily values over the last 7 days prior to the day of starting of the Extension period (Weeks 11-30). FAS (Full Analysis Set) during the Extension period: all subjects switched to Extension period and received GW815SF HFA MDI.
    End point type
    Secondary
    End point timeframe
    Extension Period Weeks 11-30
    End point values
    SFC 50/100 MCG/DAY
    Number of subjects analysed
    50 [17]
    Units: L/min
        arithmetic mean (standard deviation)
    3 ( 24.56 )
    Notes
    [17] - FAS
    No statistical analyses for this end point

    Secondary: Adjusted Mean Change from Baseline in Percent Predicted Morning PEF(%) during the 20-Week Extension Treatment Period

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    End point title
    Adjusted Mean Change from Baseline in Percent Predicted Morning PEF(%) during the 20-Week Extension Treatment Period
    End point description
    Mean change from baseline = value at assessment period (mean of the values obtained at assessment period [Weeks 11-30]) minus baseline value. Baseline: Mean of the daily values over the last 7 days prior to the day of starting the Extension period (Weeks 11-30). FAS (Full Analysis Set) during the Extension period: all subjects switched to Extension period and received GW815SF HFA MDI.
    End point type
    Secondary
    End point timeframe
    Extension Period weeks 11-30
    End point values
    SFC 50/100 MCG/DAY
    Number of subjects analysed
    50 [18]
    Units: Percentage of predicted value
        arithmetic mean (standard deviation)
    1.46 ( 9.568 )
    Notes
    [18] - FAS
    No statistical analyses for this end point

    Secondary: Adjusted Mean Change from Baseline in Percent Personal Best Morning PEF(%) during the 20-week Extension Treatment Period

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    End point title
    Adjusted Mean Change from Baseline in Percent Personal Best Morning PEF(%) during the 20-week Extension Treatment Period
    End point description
    Mean change from baseline = value at assessment period (mean of the values obtained at assessment period [Weeks 11-30]) minus baseline value. Baseline: Mean of the daily values over the last 7 days prior to the day of starting the Extension period (Weeks 11-30). FAS (Full Analysis Set) during the Extension period: all subjects switched to Extension period and received GW815SF HFA MDI.
    End point type
    Secondary
    End point timeframe
    Extension Period weeks 11-30
    End point values
    SFC 50/100 MCG/DAY
    Number of subjects analysed
    50 [19]
    Units: Percentage of personal best value
        arithmetic mean (standard deviation)
    1.29 ( 8.541 )
    Notes
    [19] - FAS
    No statistical analyses for this end point

    Secondary: Adjusted Mean Change from Baseline of Circadian Variation in PEF(%) during the 20-Week Extension Treatment Period

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    End point title
    Adjusted Mean Change from Baseline of Circadian Variation in PEF(%) during the 20-Week Extension Treatment Period
    End point description
    Mean change from baseline = value at assessment period (mean of the values obtained at assessment period [Weeks 11-30]) minus baseline value. Baseline: Mean of the daily values over the last 7 days prior to the day of starting the Extension period (Weeks 11-30). FAS (Full Analysis Set) during the Extension period: all subjects switched to Extension period and received GW815SF HFA MDI.
    End point type
    Secondary
    End point timeframe
    Extension Period weeks 11-30
    End point values
    SFC 50/100 MCG/DAY
    Number of subjects analysed
    50 [20]
    Units: Percentage of circadian variation
        arithmetic mean (standard deviation)
    2.7 ( 23.43 )
    Notes
    [20] - FAS
    No statistical analyses for this end point

    Secondary: Adjusted Mean Change from Baseline in Evening PEF during the 20-week Extension Treatment Period

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    End point title
    Adjusted Mean Change from Baseline in Evening PEF during the 20-week Extension Treatment Period
    End point description
    Mean change from baseline = value at assessment period (mean of the values obtained at assessment period [Weeks 11-30]) minus baseline value. Baseline: Mean of the daily values over the last 7 days prior to the day of starting the Extension period (Weeks 11-30). FAS (Full Analysis Set) during the Extension period: all subjects switched to Extension period and received GW815SF HFA MDI.
    End point type
    Secondary
    End point timeframe
    Extension Period weeks 11-30
    End point values
    SFC 50/100 MCG/DAY
    Number of subjects analysed
    50 [21]
    Units: L/Min
        arithmetic mean (standard deviation)
    -0.37 ( 3.568 )
    Notes
    [21] - FAS
    No statistical analyses for this end point

    Secondary: Percentage of Subjects with Symptom-Free Nights & Days after 20 Weeks of Treatment

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    End point title
    Percentage of Subjects with Symptom-Free Nights & Days after 20 Weeks of Treatment
    End point description
    Percentage of subjects with Symptom Free Nights & Days after 20 weeks of Treatment (at week 30). FAS (Full Analysis Set) during the Extension period: all subjects switched to Extension period and received GW815SF HFA MDI.
    End point type
    Secondary
    End point timeframe
    Extension Period Weeks 11-30
    End point values
    SFC 50/100 MCG/DAY
    Number of subjects analysed
    50 [22]
    Units: Percentage of participants
    number (not applicable)
        Baseline
    84
        After 20 weeks of treatment (at week 30)
    84.8
    Notes
    [22] - FAS
    No statistical analyses for this end point

    Secondary: Percentage of Subjects with Rescue Medication-Free Nights & Days after 20 Weeks of Treatment

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    End point title
    Percentage of Subjects with Rescue Medication-Free Nights & Days after 20 Weeks of Treatment
    End point description
    Percentage of subjects with Rescue Medication Free Nights & Days after 20 weeks of Treatment (at week 30). FAS (Full Analysis Set) during the Extension period: all subjects switched to Extension period and received GW815SF HFA MDI.
    End point type
    Secondary
    End point timeframe
    Extension Period Weeks 11-30
    End point values
    SFC 50/100 MCG/DAY
    Number of subjects analysed
    50 [23]
    Units: Percentage of participants
    number (not applicable)
        Baseline
    90
        After 20 weeks of treatment (at week 30)
    89.1
    Notes
    [23] - FAS
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From Baseline to Week 32
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    10
    Reporting groups
    Reporting group title
    SFC 50/100 mcg/day
    Reporting group description
    Safety Population who received GW815SF (SFC, Salmeterol/Fluticasone Propionate combination) HFA (Hydro Fluoro Alkane) MDI (Metered Dose Inhaler) 25/50 mcg twice daily in Crossover Period Weeks 1-4 and 7-10

    Reporting group title
    SFC 50/100mcg/day (Extension Period)
    Reporting group description
    Safety Population who switched to Extension Period and received GW815SF HFA MDI 25/50mcg twice daily during the Extension period

    Reporting group title
    SLM 50 + FP 100 mcg/day
    Reporting group description
    Safety Population who received SLM (Salmeterol) DPI (Dry Powder Inhaler) 25 mcg +FP (Fluticasone Propionate) DPI 50 mcg twice daily in Crossover Period Weeks 1-4 and 7-10

    Serious adverse events
    SFC 50/100 mcg/day SFC 50/100mcg/day (Extension Period) SLM 50 + FP 100 mcg/day
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 51 (0.00%)
    0 / 50 (0.00%)
    0 / 50 (0.00%)
         number of deaths (all causes)
    0
    0
    0
         number of deaths resulting from adverse events
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    SFC 50/100 mcg/day SFC 50/100mcg/day (Extension Period) SLM 50 + FP 100 mcg/day
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    9 / 51 (17.65%)
    35 / 50 (70.00%)
    7 / 50 (14.00%)
    Gastrointestinal disorders
    Stomatitis
    alternative dictionary used: MedDRA 10
         subjects affected / exposed
    0 / 51 (0.00%)
    3 / 50 (6.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    4
    0
    Respiratory, thoracic and mediastinal disorders
    Upper Respiratory Tract inflammation
    alternative dictionary used: MedDRA 10
         subjects affected / exposed
    7 / 51 (13.73%)
    17 / 50 (34.00%)
    3 / 50 (6.00%)
         occurrences all number
    10
    30
    4
    Asthma
    alternative dictionary used: MedDRA 10
         subjects affected / exposed
    0 / 51 (0.00%)
    5 / 50 (10.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    8
    0
    Skin and subcutaneous tissue disorders
    Eczema
    alternative dictionary used: MedDRA 10
         subjects affected / exposed
    0 / 51 (0.00%)
    4 / 50 (8.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    4
    0
    Infections and infestations
    Nasopharyngitis
    alternative dictionary used: MedDRA 10.0
         subjects affected / exposed
    2 / 51 (3.92%)
    7 / 50 (14.00%)
    4 / 50 (8.00%)
         occurrences all number
    2
    10
    4
    Gastroenteritis
    alternative dictionary used: MedDRA 10
         subjects affected / exposed
    0 / 51 (0.00%)
    7 / 50 (14.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    8
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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