A 12-Week Study To Assess The Safety Of Fluticasone Propionate/Salmeterol 100/50 HFA Versus Fluticasone Propionate 100 HFA In Children With Asthma

This study has been completed.
Sponsor:
Information provided by:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT00441441
First received: February 28, 2007
Last updated: August 30, 2010
Last verified: August 2010
Results First Received: January 23, 2009  
Study Type: Interventional
Study Design: Allocation: Randomized;   Endpoint Classification: Safety Study;   Intervention Model: Parallel Assignment;   Masking: Double-Blind;   Primary Purpose: Treatment
Condition: Asthma
Interventions: Drug: fluticasone propionate 100mcg HFA
Drug: fluticasone propionate/salmeterol 100/50mcg HFA

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
No text entered.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
No text entered.

Reporting Groups
  Description
Fluticasone Propionate/Salmeterol Hydrofluoroalkane (HFA) Participants who were randomly assigned to Fluticasone Propionate/salmeterol 100/50 mcg HFA (2 inhalations of 50/25 mcg), twice daily for 12 weeks.
Fluticasone Propionate HFA Participants who were randomly assigned to Fluticasone Propionate 100 mcg HFA (2 inhalations of 50 mcg), twice daily for 12 weeks.

Participant Flow:   Overall Study
    Fluticasone Propionate/Salmeterol Hydrofluoroalkane (HFA)     Fluticasone Propionate HFA  
STARTED     173     177  
COMPLETED     162     163  
NOT COMPLETED     11     14  
Adverse Event                 2                 1  
Protocol Violation                 4                 6  
Exacerbation of asthma                 1                 2  
Withdrawal by Subject                 1                 2  
Not specified                 3                 3  



  Baseline Characteristics
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Reporting Groups
  Description
Fluticasone Propionate/Salmeterol HFA Participants who were randomly assigned to Fluticasone Propionate/salmeterol 100/50 mcg HFA (2 inhalations of 50/25 mcg), twice daily for 12 weeks.
Fluticasone Propionate HFA Participants who were randomly assigned to Fluticasone Propionate 100 mcg HFA (2 inhalations of 50 mcg), twice daily for 12 weeks.
Total Total of all reporting groups

Baseline Measures
    Fluticasone Propionate/Salmeterol HFA     Fluticasone Propionate HFA     Total  
Number of Participants  
[units: participants]
  173     177     350  
Age, Customized  
[units: participants]
     
4-5 years     36     41     77  
6-11 years     137     136     273  
Gender  
[units: participants]
     
Female     66     71     137  
Male     107     106     213  
Ethnicity (NIH/OMB)  
[units: participants]
     
Hispanic or Latino     70     73     143  
Not Hispanic or Latino     103     104     207  
Unknown or Not Reported     0     0     0  
Race/Ethnicity, Customized  
[units: participants]
     
White/Caucasian/European Heritage     114     113     227  
American Indian or Alaska Native     24     27     51  
Central/South Asian Heritage     8     8     16  
African American/African Heritage     7     8     15  
Japanese Heritage     3     0     3  
Arabic/North African Heritage     2     2     4  
South East Asian Heritage     2     0     2  
Mixed Race     13     19     32  



  Outcome Measures
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1.  Primary:   Possible Drug-Related Adverse Events   [ Time Frame: Treatment period (weeks 1-12) and Post Treatment (≥1 day after last time study drug) ]

2.  Primary:   Investigator Evaluations of Electrocardiogram (ECG) Results   [ Time Frame: Baseline and Week 12 ]

3.  Primary:   Clinically Significant Unfavorable ECGs at Week 12   [ Time Frame: Baseline, Week 12 ]

4.  Primary:   ECG Measures – Heart Rate   [ Time Frame: Baseline and Week 12 ]

5.  Primary:   ECG Measures - QT Interval   [ Time Frame: Baseline and Week 12 ]

6.  Primary:   Cardiovascular Adverse Events Reported During Treatment Period   [ Time Frame: 12-Week Treatment Period ]

7.  Primary:   Cardiovascular Adverse Events Reported During the Post-Treatment Period   [ Time Frame: 5 Days after Week 12 ]

8.  Primary:   Asthma Exacerbations   [ Time Frame: Treatment period (weeks 1-12) ]

9.  Primary:   Number of Participants With the Indicated Levels of 24-hour Urinary Cortisol Excretion   [ Time Frame: Baseline and week 12 ]

10.  Primary:   Geometric Mean Values of 24-hour Urinary Cortisol Excretion at Baseline and Week 12   [ Time Frame: Baseline and Week 12 ]

11.  Primary:   Geometric Mean Ratio for Week12:Baseline for 24-hour Urinary Cortisol Excretion   [ Time Frame: Baseline and Week 12 ]

12.  Primary:   Number of Participants With the Indicated Levels of 24 Hour Urinary Cortisol Excretion by Spacer Use   [ Time Frame: Baseline and Week 12 ]

13.  Primary:   Geometric Mean Values of 24 Hour Urinary Cortisol Excretion by Spacer Use at Baseline and Week 12   [ Time Frame: Baseline and Week 12 ]

14.  Primary:   Geometric Mean Ratio for Week12:Baseline for 24 Hour Urinary Cortisol Excretion by Spacer Use   [ Time Frame: Baseline and Week 12 ]

15.  Secondary:   Clinic AM Forced Expiratory Volume in Participants 6-11 Years   [ Time Frame: Baseline and week 12 ]

16.  Secondary:   AM Peak Expiratory Flow   [ Time Frame: Baseline and 12-Week Treatment Period ]

17.  Secondary:   Asthma Symptom Scores   [ Time Frame: Baseline and 12-Week Treatment Period ]

18.  Secondary:   Percentage of Symptom Free Days   [ Time Frame: Baseline and 12-Week Treatment Period ]

19.  Secondary:   Albuterol Use   [ Time Frame: Baseline and 12-Week Treatment Period ]

20.  Secondary:   Percent of Albuterol-free Days   [ Time Frame: Baseline and 12-Week Treatment Period ]

21.  Post-Hoc:   Geometric Mean Values of 24-hour Urinary Cortisol Excretion at Baseline and Week 12   [ Time Frame: Baseline and Week 12 ]

22.  Post-Hoc:   Geometric Mean Ratio for Baseline:Week12 24-hour Urinary Cortisol Excretion   [ Time Frame: Baseline and Week 12 ]

23.  Post-Hoc:   Geometric Mean Values of 24-hour Urinary Cortisol Excretion by Spacer Use Excluding Participants With Abnormal Urinary Cortisol Excretion Values at Baseline From the Cortisol Population at Baseline and Week 12   [ Time Frame: Baseline and Week 12 ]

24.  Post-Hoc:   Geometric Mean Ratio for Baseline:Week 12 24-hour Urinary Cortisol Excretion by Spacer Use Excluding Participants With Abnormal Urinary Cortisol Excretion Values at Baseline From the Cortisol Population   [ Time Frame: Baseline and Week 12 ]


  Serious Adverse Events


  Other Adverse Events


  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The agreement is:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
A post-hoc evaluation confirmed that no clinically relevant ECG abnormalities were present. Differences in the primary and post-hoc analyses were associated with variation in the method of ECG interpretation and are not fully interpretable.  


Results Point of Contact:  
Name/Title: GSK Response Center
Organization: GlaxoSmithKline
phone: 866-435-7343


Publications:
Li JS, Qaqundah PY, Weinstein SF, LaForce CF, Ellsworth AV, Ortega HG, Ferro TJ. Fluticasone propionate/salmeterol combination in children with asthma: key cardiac and overall safety results. Clin Res Reg Affairs 2010;27(3):87-95.


ClinicalTrials.gov Identifier: NCT00441441     History of Changes
Other Study ID Numbers: SFA106484
Study First Received: February 28, 2007
Results First Received: January 23, 2009
Last Updated: August 30, 2010
Health Authority: Australia: Department of Health and Ageing Therapeutic Goods Administration
United States: Food and Drug Administration