A Phase 2 interventional study of GW685698X in Asthma, sponsored by GlaxoSmithKline. Completed at 16 sites in United States. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2016-12-08.
Sponsored by GlaxoSmithKline · Phase 2, Interventional, and Treatment
The purpose of this study is to compare once and twice daily GW685698 in asthma
4,010 studies on the registry are indexed under Asthma; 514 are open to participants now.
This study's enrollment of 190 is above the median of 83 across 2,814 interventional studies indexed under Asthma.
Browse Asthma studies →GlaxoSmithKline is the lead sponsor of 3,647 studies on the registry; 118 are open to participants now.
Of its 264 completed or terminated interventional studies of FDA-regulated products, 239 (91%) have results posted.
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Key Inclusion Criteria:
Key Exclusion Criteria:
Drug: GW685698X
Inhaled Corticosteroid
Trough Forced Expiratory Volume in One Second (FEV1) at Day 28 of the Relevant Treatment Period
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. FEV1 was measured electronically by spirometry. Trough FEV1 was the evening pre-dose, pre-rescue bronchodilator FEV1 measurement taken on Day 28 of the relevant treatment period. The analysis was performed using mixed model analysis of covarience (ANCOVA) with fixed effects of treatment, period, sex, and age. Participants were fitted as a random effect, and the period Baseline measurement was included as part of a bivariate response.
Time frame: Day 28 of the relevant treatment period (up to Study Day 112)
Number of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Three 28-day Treatment Periods
An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. Medical or scientific judgment was exercised in deciding whether reporting was appropriate in other situations. Refer to the general AE/SAE module for a list of AEs (occuring at a frequency threshold \>=3%) and SAEs.
Time frame: From the first dose of the study medication up to Week 16/Early Withdrawal
24-hour Urinary Cortisol Excretion at Day 28 of the Relevant Treatment Period
A 24-hour urine sample was collected, and the 24-hour urinary cortisol excretion was analyzed at Day 28 of the relevant treatment period.
Time frame: Day 28 of the relevant treatment period (up to Study Day 112)
Number of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment Period
Detailed oropharyngeal examination for visual evidence of oropharyngeal candidiasis was performed at Day 0 (clinic visits 2, 4, and 6) and Day 28 (clinic visits 3, 5, and 7) of the relevant treatment period.
Time frame: Day 0 and Day 28 of the relevant treatment period (up to Study Day 112)
Systolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment Period
Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured at Day 0 (clinic visits 2, 4, and 6) and Day 28 (clinic visits 3, 5, and 7) of the relevant treatment period.
Time frame: Day 0 and Day 28 of the relevant treatment period (up to Study Day 112)
Heart Rate at Day 0 and Day 28 of the Relevant Treatment Period
Heart rate was measured at Day 0 (clinic visits 2, 4, and 6) and Day 28 (clinic visits 3, 5, and 7) of the relevant treatment period.
Time frame: Day 0 and Day 28 of the relevant treatment period (up to Study Day 112)
Number of Participants Who Withdrew Due to Worsening of Asthma During the Three Treatment Periods
Participants were withdrawn from the study due to worsening of asthma (lack of efficacy) if they experienced a clinical asthma exacerbation or if clinic FEV1 fell below the FEV1 stability limit, or if during the 7 days immediately preceeding a visit the participant experienced either four or more days in which the PEF had fallen below the PEF stability limit or three or more days in which \>=12 inhalations/day of albuterol/salbutamol were used. A clinical asthma exacerbation is defined as the worsening of asthma requiring emergency room visits, hospitalization, or treatment with an asthma medication (inhaled or systemic corticosteroids) other than study medication or rescue salbutamol/albuterol.
Time frame: From the first dose of the study medication up to Week 16/Early Withdrawal
| Milestone | Sequence 1: Placebo, FF 200 µg, FF 100 µg | Sequence 2: Placebo, FF 100 µg, FF 200 µg | Sequence 3: FF 100 µg, Placebo, FF 200 µg | Sequence 4: FF 100 µg, FF 200 µg, Placebo | Sequence 5: FF 200 µg, Placebo, FF 100 µg | Sequence 6: FF 200 µg, FF 100 µg, Placebo | Sequence 7: Placebo, FP 200 µg, FP 100 µg | Sequence 8: Placebo, FP 100 µg, FP 200 µg | Sequence 9: FP 100 µg, Placebo, FP 200 µg | Sequence 10: FP 100 µg, FP 200 µg, Placebo | Sequence 11: FP 200 µg, Placebo, FP 100 µg | Sequence 12: FP 200 µg, FP 100 µg, Placebo |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Started | 25 | 27 | 23 | 26 | 23 | 23 | 6 | 8 | 7 | 8 | 7 | 7 |
| Completed | 22 | 27 | 23 | 25 | 23 | 23 | 6 | 8 | 6 | 8 | 7 | 7 |
| Not completed | 3 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Lost to follow-up | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Lack of efficacy | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Withdrawal by subject | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Sequence 1: Placebo, FF 200 µg, FF 100 µg | Sequence 2: Placebo, FF 100 µg, FF 200 µg | Sequence 3: FF 100 µg, Placebo, FF 200 µg | Sequence 4: FF 100 µg, FF 200 µg, Placebo | Sequence 5: FF 200 µg, Placebo, FF 100 µg | Sequence 6: FF 200 µg, FF 100 µg, Placebo | Sequence 7: Placebo, FP 200 µg, FP 100 µg | Sequence 8: Placebo, FP 100 µg, FP 200 µg | Sequence 9: FP 100 µg, Placebo, FP 200 µg | Sequence 10: FP 100 µg, FP 200 µg, Placebo | Sequence 11: FP 200 µg, Placebo, FP 100 µg | Sequence 12: FP 200 µg, FP 100 µg, Placebo |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Started | 22 | 27 | 23 | 25 | 23 | 23 | 6 | 8 | 6 | 8 | 7 | 7 |
| Completed | 22 | 27 | 22 | 25 | 23 | 23 | 6 | 8 | 6 | 8 | 7 | 7 |
| Not completed | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Protocol violation | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Sequence 1: Placebo, FF 200 µg, FF 100 µg | Sequence 2: Placebo, FF 100 µg, FF 200 µg | Sequence 3: FF 100 µg, Placebo, FF 200 µg | Sequence 4: FF 100 µg, FF 200 µg, Placebo | Sequence 5: FF 200 µg, Placebo, FF 100 µg | Sequence 6: FF 200 µg, FF 100 µg, Placebo | Sequence 7: Placebo, FP 200 µg, FP 100 µg | Sequence 8: Placebo, FP 100 µg, FP 200 µg | Sequence 9: FP 100 µg, Placebo, FP 200 µg | Sequence 10: FP 100 µg, FP 200 µg, Placebo | Sequence 11: FP 200 µg, Placebo, FP 100 µg | Sequence 12: FP 200 µg, FP 100 µg, Placebo |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Started | 22 | 27 | 22 | 25 | 23 | 23 | 6 | 8 | 6 | 8 | 7 | 7 |
| Completed | 22 | 27 | 21 | 25 | 21 | 23 | 6 | 8 | 6 | 8 | 7 | 7 |
| Not completed | 0 | 0 | 1 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Lost to follow-up | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Lack of efficacy | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Sequence 1: Placebo, FF 200 µg, FF 100 µg | Sequence 2: Placebo, FF 100 µg, FF 200 µg | Sequence 3: FF 100 µg, Placebo, FF 200 µg | Sequence 4: FF 100 µg, FF 200 µg, Placebo | Sequence 5: FF 200 µg, Placebo, FF 100 µg | Sequence 6: FF 200 µg, FF 100 µg, Placebo | Sequence 7: Placebo, FP 200 µg, FP 100 µg | Sequence 8: Placebo, FP 100 µg, FP 200 µg | Sequence 9: FP 100 µg, Placebo, FP 200 µg | Sequence 10: FP 100 µg, FP 200 µg, Placebo | Sequence 11: FP 200 µg, Placebo, FP 100 µg | Sequence 12: FP 200 µg, FP 100 µg, Placebo |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Started | 22 | 27 | 21 | 25 | 21 | 23 | 6 | 8 | 6 | 8 | 7 | 7 |
| Completed | 22 | 27 | 20 | 25 | 21 | 23 | 6 | 8 | 6 | 8 | 7 | 7 |
| Not completed | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Physician decision | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Sequence 1: Placebo, FF 200 µg, FF 100 µg | Sequence 2: Placebo, FF 100 µg, FF 200 µg | Sequence 3: FF 100 µg, Placebo, FF 200 µg | Sequence 4: FF 100 µg, FF 200 µg, Placebo | Sequence 5: FF 200 µg, Placebo, FF 100 µg | Sequence 6: FF 200 µg, FF 100 µg, Placebo | Sequence 7: Placebo, FP 200 µg, FP 100 µg | Sequence 8: Placebo, FP 100 µg, FP 200 µg | Sequence 9: FP 100 µg, Placebo, FP 200 µg | Sequence 10: FP 100 µg, FP 200 µg, Placebo | Sequence 11: FP 200 µg, Placebo, FP 100 µg | Sequence 12: FP 200 µg, FP 100 µg, Placebo |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Started | 22 | 27 | 20 | 25 | 21 | 23 | 6 | 8 | 6 | 8 | 7 | 7 |
| Completed | 22 | 26 | 20 | 24 | 20 | 22 | 6 | 8 | 6 | 8 | 7 | 6 |
| Not completed | 0 | 1 | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| Withdrew: Protocol violation | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Lack of efficacy | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Withdrew: Lost to follow-up | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. FEV1 was measured electronically by spirometry. Trough FEV1 was the evening pre-dose, pre-rescue bronchodilator FEV1 measurement taken on Day 28 of the relevant treatment period. The analysis was performed using mixed model analysis of covarience (ANCOVA) with fixed effects of treatment, period, sex, and age. Participants were fitted as a random effect, and the period Baseline measurement was included as part of a bivariate response.
| Liters | Placebo | FF 200 µg OD | FF 100 µg BID | FP 200 µg OD | FP 100 µg BID |
|---|---|---|---|---|---|
| Trough Forced Expiratory Volume in One Second (FEV1) at Day 28 of the Relevant Treatment Period | 2.605 ± 0.0434 | 2.714 ± 0.0444 | 2.703 ± 0.0443 | 2.693 ± 0.0535 | 2.737 ± 0.0533 |
An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. Medical or scientific judgment was exercised in deciding whether reporting was appropriate in other situations. Refer to the general AE/SAE module for a list of AEs (occuring at a frequency threshold \>=3%) and SAEs.
| participants | Placebo | FF 200 µg OD | FF 100 µg BID | FP 200 µg OD | FP 100 µg BID |
|---|---|---|---|---|---|
| Any AE | 26 | 22 | 26 | 2 | 3 |
| Any SAE | 0 | 0 | 0 | 0 | 0 |
A 24-hour urine sample was collected, and the 24-hour urinary cortisol excretion was analyzed at Day 28 of the relevant treatment period.
| Nanomoles per 24 hours | Placebo | FF 200 µg OD | FF 100 µg BID | FP 200 µg OD | FP 100 µg BID |
|---|---|---|---|---|---|
| 24-hour Urinary Cortisol Excretion at Day 28 of the Relevant Treatment Period | 53.94 ± 66.423 | 40.25 ± 92.316 | 45.13 ± 87.181 | 56.16 ± 94.259 | 47.56 ± 84.896 |
Detailed oropharyngeal examination for visual evidence of oropharyngeal candidiasis was performed at Day 0 (clinic visits 2, 4, and 6) and Day 28 (clinic visits 3, 5, and 7) of the relevant treatment period.
| participants | Placebo | FF 200 µg OD | FF 100 µg BID | FP 200 µg OD | FP 100 µg BID |
|---|---|---|---|---|---|
| Day 0: Yes, n=187, 140, 142, 42, 43 | 0 | 0 | 0 | 0 | 0 |
| Day 0: No, n=187, 140, 142, 42, 43 | 187 | 140 | 142 | 42 | 43 |
| Day 28: Yes, n=178, 139, 140, 42, 42 | 0 | 0 | 0 | 0 | 0 |
| Day 28: No, n=178, 139, 140, 42, 42 | 178 | 139 | 140 | 42 | 42 |
Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured at Day 0 (clinic visits 2, 4, and 6) and Day 28 (clinic visits 3, 5, and 7) of the relevant treatment period.
| millimeters of mercury (mmHg) | Placebo | FF 200 µg OD | FF 100 µg BID | FP 200 µg OD | FP 100 µg BID |
|---|---|---|---|---|---|
| SBP: Day 0, n=187, 140, 142, 42, 43 | 120.1 ± 12.08 | 118.3 ± 11.96 | 119.5 ± 12.28 | 122.1 ± 13.55 | 121.3 ± 12.10 |
| SBP: Day 28, n=178, 139, 140, 42, 42 | 119.6 ± 12.76 | 120.5 ± 13.31 | 120.6 ± 12.71 | 120.4 ± 11.92 | 120.1 ± 10.58 |
| DBP: Day 0, n=187, 140, 142, 42, 43 | 75.8 ± 8.26 | 74.6 ± 7.69 | 76.0 ± 8.03 | 77.5 ± 9.98 | 76.6 ± 8.73 |
| DBP: Day 28, n=178, 139, 140, 42, 42 | 75.8 ± 8.45 | 74.9 ± 8.12 | 76.4 ± 7.97 | 76.0 ± 7.81 | 75.7 ± 8.90 |
Heart rate was measured at Day 0 (clinic visits 2, 4, and 6) and Day 28 (clinic visits 3, 5, and 7) of the relevant treatment period.
| beats per minute | Placebo | FF 200 µg OD | FF 100 µg BID | FP 200 µg OD | FP 100 µg BID |
|---|---|---|---|---|---|
| Day 0, n=187, 140, 142, 42, 43 | 77.0 ± 9.53 | 76.4 ± 9.27 | 77.6 ± 8.71 | 74.5 ± 9.22 | 75.8 ± 8.12 |
| Day 28, n=178, 139, 140, 42, 42 | 76.6 ± 8.79 | 76.9 ± 9.32 | 77.7 ± 9.47 | 74.7 ± 7.96 | 74.6 ± 8.49 |
Participants were withdrawn from the study due to worsening of asthma (lack of efficacy) if they experienced a clinical asthma exacerbation or if clinic FEV1 fell below the FEV1 stability limit, or if during the 7 days immediately preceeding a visit the participant experienced either four or more days in which the PEF had fallen below the PEF stability limit or three or more days in which \>=12 inhalations/day of albuterol/salbutamol were used. A clinical asthma exacerbation is defined as the worsening of asthma requiring emergency room visits, hospitalization, or treatment with an asthma medication (inhaled or systemic corticosteroids) other than study medication or rescue salbutamol/albuterol.
| participants | FF 200 µg, FF 100 µg, and Placebo Via DPI | FP 200 µg, FP 100 µg, and Placebo Via DISKUS |
|---|---|---|
| Number of Participants Who Withdrew Due to Worsening of Asthma During the Three Treatment Periods | 5 | 1 |
Collected over Serious adverse events (SAEs) and non-serious AEs were collected from the first dose of the study medication up to Week 16/Early Withdrawal.. Non-serious events are listed at a 3% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | — | 0/187 (0%) | 2/187 (1.1%) |
| FF 200 µg OD | — | 0/140 (0%) | 7/140 (5%) |
| FF 100 µg BID | — | 0/142 (0%) | 7/142 (4.9%) |
| FP 200 µg OD | — | 0/42 (0%) | 0/42 (0%) |
| FP 100 µg BID | — | 0/43 (0%) | 0/43 (0%) |
| Event | Placebo | FF 200 µg OD | FF 100 µg BID | FP 200 µg OD | FP 100 µg BID |
|---|---|---|---|---|---|
| Upper respiratory tract infectionInfections and infestations | 2/187 | 7/140 | 7/142 | 0/42 | 0/43 |
| Age, Continuous(Years) | FF 200 µg, FF 100 µg, and Placebo Via DPI | FP 200 µg, FP 100 µg, and Placebo Via DISKUS | Total |
|---|---|---|---|
| Mean | 31.4 ± 15.30 | 35.2 ± 16.03 | 32.3 ± 15.51 |
| Gender(Participants) | FF 200 µg, FF 100 µg, and Placebo Via DPI | FP 200 µg, FP 100 µg, and Placebo Via DISKUS | Total |
|---|---|---|---|
| Female | 87 | 21 | 108 |
| Male | 60 | 22 | 82 |
| Race/Ethnicity, Customized(participants) | FF 200 µg, FF 100 µg, and Placebo Via DPI | FP 200 µg, FP 100 µg, and Placebo Via DISKUS | Total |
|---|---|---|---|
| African American/African Heritage (HER) | 50 | 20 | 70 |
| American Indian (AI) or Alaska Native (AN) | 1 | 0 | 1 |
| Japanese/East Asian HER/South East Asian HER | 2 | 1 | 3 |
| Native Hawaiian or other Pacific Islander | 1 | 0 | 1 |
| White | 90 | 22 | 112 |
| African American/African HER & AI or AN & White | 1 | 0 | 1 |
| African American/African Heritage & White | 2 | 0 | 2 |
Plan to share: Yes — Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
The record gives a start of Oct 2008, a primary completion of Mar 2009 and a completion of Mar 2009. It does not say whether these dates are actual or estimated.
Results were first posted in Aug 2013, 4 years 5 months after primary completion. A results delay was requested in Feb 2010.
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This study is completed, as verified in Oct 2016. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Fluticasone furoate