A Phase 2 interventional study of QMF149 Twisthaler® and Mometasone Twisthaler® in Asthma, sponsored by Novartis Pharmaceuticals. Completed at 146 sites in 9 countries. Open to participants aged 12 Years to 70 Years. Per ClinicalTrials.gov, last updated 2012-08-31.
Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 2, Interventional, and Treatment
Study CQMF149A2210 evaluated the safety of QMF149 Twisthaler® 500/400 μg, a fixed dose combination of indacaterol 500 μg, a once daily β2 agonist, and mometasone furoate 400 μg, an inhaled corticosteroid (ICS) that is approved for use in the treatment of asthma. The objective of this safety trial was to assess the effect of treatment on the incidence of serious asthma exacerbations, defined as asthma related hospitalization and/or intubation and/or death. This was an event driven trial.
4,012 studies on the registry are indexed under Asthma; 514 are open to participants now.
This study's enrollment of 2,283 is above the median of 83 across 2,814 interventional studies indexed under Asthma.
Browse Asthma studies →Novartis Pharmaceuticals is the lead sponsor of 2,711 studies on the registry; 218 are open to participants now.
Of its 582 completed or terminated interventional studies of FDA-regulated products, 435 (75%) have results posted.
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Exclusion Criteria:
Other protocol-defined inclusion/exclusion criteria may apply
QMF149 Twisthaler® (indacaterol maleate 500 µg/mometasone furoate 400 µg), once daily (QD)
Drug: QMF149 Twisthaler®
Mometasone Twisthaler®, 400 µg QD
Drug: Mometasone Twisthaler®
Once daily via multi-dose dry-powder inhaler
Once daily via multi-dose dry-powder inhaler
Time to First Serious Asthma Exacerbation
Defined as the number of days from start of treatment up to the first date when an asthma exacerbation becomes serious. A serious asthma exacerbation was one that resulted in hospitalization, intubation or death.
Time frame: Up to 21 months
Cumulative Incidence of the First Serious Asthma Exacerbation Resulting in Hospitalization, Intubation or Death.
The number of patients with at least one serious asthma exacerbation over the course of the study. A serious asthma exacerbation was one that resulted in hospitalization, intubation or death.
Time frame: up to 21 months
Patients With Asthma Exacerbations That Required Treatment With Systemic Corticosteroids
Number of patients requiring treatment with systemic corticosteroids (oral or parenteral) over the course of the study (up to 21 months).
Time frame: Up to 21 months
Number of Patients With at Least One Asthma Worsening Post-baseline
The criterion for asthma worsening were: decrease in peak expiratory flow (PEF) \>= 20% from mean baseline on \>= 3 consecutive days, nighttime symptom score \>= 2 on \>= 2 consecutive nights, decrease in forced expiration volume in 1 second (FEV1) \>=20% from baseline at evening visits, daytime symptom score of 3 or 4 on \>= 2 consecutive days, requiring an urgent unscheduled visit for medical care, 24 hour rescue medication use \>= 8 puffs on \>= 2 consecutive days, and any other clinically important symptoms (pre-specified MedDRA preferred terms).
Time frame: Up to 21 months
Change From Baseline in Trough Forced Expiration Volume in 1 Second (FEV1) at Final Visit
Spirometry was conducted according to internationally accepted standards. Trough FEV1 was measured 15 minutes before dosing; measurements within 6 hours of rescue medication use were set to missing. Repeated measures of analysis of covariance model: change from baseline to trough FEV1 = treatment + visit + treatment\*visit interaction + baseline FEV1 + region + asthma related hospitalization in the last 12 months + asthma worsening in the last 12 months + African American patient.
Time frame: Baseline to the end of treatment (varying durations, up to 21 months)
Change From Baseline in Forced Expiration Volume in 1 Second (FEV1) at Final Visit
Spirometry was conducted according to internationally accepted standards. Change from baseline at final visit. FEV1 data taken within 6 hours of rescue medication was excluded from the analysis. Repeated measures of analysis of covariance model: change from baseline to final visit FEV1 = treatment + visit + treatment\*visit interaction + baseline FEV1 + region + asthma related hospitalization in the last 12 months + asthma worsening in the last 12 months + African American patient.
Time frame: Baseline to the end of treatment (varying durations, up to 21 months). At the following timepoints: 5 minutes post-dose, 30 minutes post-dose, 1 hour post-dose and 2 hours post-dose
Change From Baseline in Forced Vital Capacity (FVC) at Final Visit
Spirometry was conducted according to internationally accepted standards. Change from baseline at final visit. FVC data taken within 6 hours of rescue medication was excluded from the analysis. Repeated measures of analysis of covariance model: change from baseline to final visit FVC = treatment + visit + treatment\*visit interaction + baseline FVC + region + asthma related hospitalization in the last 12 months + asthma worsening in the last 12 months + African American patient.
Time frame: Baseline to the end of treatment (varying durations, up to 21 months). At the following timepoints: 5 minutes post-dose, 30 minutes post-dose, 1 hour post-dose and 2 hours post-dose
Changes From Baseline in Morning Peak Expiratory Flow (PEF) and Trough Evening PEF Averaged Over the Entire Post-baseline Period
PEF was performed every morning and evening prior to study medication use except evenings on the day of clinic visits. Baseline is average over the last 14 days prior to start of treatment. Analysis of covariance model: change from baseline in PEF = treatment + baseline PEF + region + history of asthma related hospitalization in the past 12 months + history of asthma worsening in the past 12 months + African American patient.
Time frame: Baseline to the end of treatment (varying durations, up to 21 months)
Change From Baseline in Percentage of Days With no Asthma Symptoms During the Morning, Daytime and Nighttime
Baseline = the last 14 days prior to start of treatment. Analysis of covariance model: Change from baseline = treatment + baseline value + region + history of asthma related hospitalization in past 12 months + history of asthma worsening in past 12 months + African American patient.
Time frame: Baseline to the end of treatment (varying durations, up to 21 months)
Change From Baseline in Average Asthma Symptom Score Total, Daytime and Nighttime
Total asthma symptom score = morning symptoms (0, 1) + daytime score (0-4) + nighttime score (0-4). The range is from 0 to 9. A lower number indicates improvement. Baseline = the last 14 days prior to start of treatment. Analysis of covariance model: Change from baseline = treatment + baseline value + region + history of asthma related hospitalization in past 12 months + history of asthma worsening in past 12 months + African American patient.
Time frame: Baseline to the end of treatment (varying durations, up to 21 months)
Change From Baseline in Percentage of Days With no Rescue Medication Use During 24 Hours, Daytime and Nighttime
24 hours consists of both 12 hour daytime and 12 hour nighttime. Baseline = the last 14 days prior to start of treatment. Analysis of covariance model: Change from baseline = treatment + baseline value + region + history of asthma related hospitalization in past 12 months + history of asthma worsening in past 12 months + African American patient.
Time frame: Baseline to the end of treatment (varying durations, up to 21 months)
Change From Baseline in Asthma Control Questionnaire (ACQ) at Final Visit
The Asthma Control Questionnaire score ranges from 0 (good control of asthma) to 6 (poor control of asthma). A negative change in score indicates improvement in asthma control. Repeated measures of analysis of covariance model: change from baseline in ACQ score = treatment + visit + treatment\*visit interaction + baseline ACQ score + region + asthma related hospitalization in the last 12 months + asthma worsening in the last 12 months + African American patient.
Time frame: Baseline to the end of treatment (varying durations, up to 21 months)
| Milestone | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® |
|---|---|---|
| Started | 755 | 763 |
| Full analysis set | 749 | 759 |
| Completed | 561 | 578 |
| Not completed | 194 | 185 |
| Withdrew: Withdrawal by subject | 72 | 74 |
| Withdrew: Adverse event | 43 | 23 |
| Withdrew: Lost to follow-up | 29 | 23 |
| Withdrew: Protocol violation | 17 | 20 |
| Withdrew: Administrative problems | 13 | 23 |
| Withdrew: Lack of efficacy | 10 | 17 |
| Withdrew: Patient's inability to use device | 6 | 1 |
| Withdrew: Abnormal test procedure results | 3 | 1 |
| Withdrew: Abnormal laboratory values | 1 | 2 |
| Withdrew: Death | 0 | 1 |
Defined as the number of days from start of treatment up to the first date when an asthma exacerbation becomes serious. A serious asthma exacerbation was one that resulted in hospitalization, intubation or death.
| months | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® |
|---|---|---|
| Time to First Serious Asthma Exacerbation | 13.3 (0.0 to 19.6) | 13.4 (0.0 to 20.3) |
The number of patients with at least one serious asthma exacerbation over the course of the study. A serious asthma exacerbation was one that resulted in hospitalization, intubation or death.
| participants | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® |
|---|---|---|
| Cumulative Incidence of the First Serious Asthma Exacerbation Resulting in Hospitalization, Intubation or Death. | 2 | 6 |
Number of patients requiring treatment with systemic corticosteroids (oral or parenteral) over the course of the study (up to 21 months).
| participants | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® |
|---|---|---|
| Patients With Asthma Exacerbations That Required Treatment With Systemic Corticosteroids | 124 | 171 |
The criterion for asthma worsening were: decrease in peak expiratory flow (PEF) \>= 20% from mean baseline on \>= 3 consecutive days, nighttime symptom score \>= 2 on \>= 2 consecutive nights, decrease in forced expiration volume in 1 second (FEV1) \>=20% from baseline at evening visits, daytime symptom score of 3 or 4 on \>= 2 consecutive days, requiring an urgent unscheduled visit for medical care, 24 hour rescue medication use \>= 8 puffs on \>= 2 consecutive days, and any other clinically important symptoms (pre-specified MedDRA preferred terms).
| participants | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® |
|---|---|---|
| Number of Patients With at Least One Asthma Worsening Post-baseline | 533 | 637 |
Spirometry was conducted according to internationally accepted standards. Trough FEV1 was measured 15 minutes before dosing; measurements within 6 hours of rescue medication use were set to missing. Repeated measures of analysis of covariance model: change from baseline to trough FEV1 = treatment + visit + treatment\*visit interaction + baseline FEV1 + region + asthma related hospitalization in the last 12 months + asthma worsening in the last 12 months + African American patient.
| liters | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® |
|---|---|---|
| Change From Baseline in Trough Forced Expiration Volume in 1 Second (FEV1) at Final Visit | 0.06 ± 0.025 | -0.07 ± 0.024 |
Spirometry was conducted according to internationally accepted standards. Change from baseline at final visit. FEV1 data taken within 6 hours of rescue medication was excluded from the analysis. Repeated measures of analysis of covariance model: change from baseline to final visit FEV1 = treatment + visit + treatment\*visit interaction + baseline FEV1 + region + asthma related hospitalization in the last 12 months + asthma worsening in the last 12 months + African American patient.
| liters | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® |
|---|---|---|
| 5 minutes post-dose (n = 578, 607) | 0.09 ± 0.018 | -0.04 ± 0.018 |
| 30 minutes post-dose (n = 576, 605) | 0.12 ± 0.020 | -0.05 ± 0.020 |
| 1 hour post-dose (n = 575, 602) | 0.13 ± 0.021 | -0.06 ± 0.021 |
| 2 hours post-dose (n = 568, 601) | 0.14 ± 0.022 | -0.05 ± 0.022 |
Spirometry was conducted according to internationally accepted standards. Change from baseline at final visit. FVC data taken within 6 hours of rescue medication was excluded from the analysis. Repeated measures of analysis of covariance model: change from baseline to final visit FVC = treatment + visit + treatment\*visit interaction + baseline FVC + region + asthma related hospitalization in the last 12 months + asthma worsening in the last 12 months + African American patient.
| liter | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® |
|---|---|---|
| 5 minutes post-dose (n = 578, 607) | -0.03 ± 0.023 | -0.11 ± 0.023 |
| 30 minutes post-dose (n = 576, 605) | -0.03 ± 0.025 | -0.13 ± 0.024 |
| 1 hour post-dose (n = 575, 602) | -0.01 ± 0.025 | -0.13 ± 0.025 |
| 2 hours post-dose (n = 568, 601) | -0.02 ± 0.026 | -0.13 ± 0.026 |
PEF was performed every morning and evening prior to study medication use except evenings on the day of clinic visits. Baseline is average over the last 14 days prior to start of treatment. Analysis of covariance model: change from baseline in PEF = treatment + baseline PEF + region + history of asthma related hospitalization in the past 12 months + history of asthma worsening in the past 12 months + African American patient.
| liters per second | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® |
|---|---|---|
| Morning PEF (n = 730, 746) | 0.43 ± 0.075 | 0.00 ± 0.075 |
| Evening PEF (n = 731, 748) | 0.27 ± 0.076 | -0.15 ± 0.075 |
Baseline = the last 14 days prior to start of treatment. Analysis of covariance model: Change from baseline = treatment + baseline value + region + history of asthma related hospitalization in past 12 months + history of asthma worsening in past 12 months + African American patient.
| percentage of days | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® |
|---|---|---|
| Morning (n = 730, 746) | 22.3 ± 2.17 | 18.4 ± 2.17 |
| Daytime (n = 731, 749) | 27.1 ± 2.96 | 19.5 ± 2.95 |
| Nighttime (n = 730, 746) | 23.6 ± 2.69 | 17.3 ± 2.68 |
Total asthma symptom score = morning symptoms (0, 1) + daytime score (0-4) + nighttime score (0-4). The range is from 0 to 9. A lower number indicates improvement. Baseline = the last 14 days prior to start of treatment. Analysis of covariance model: Change from baseline = treatment + baseline value + region + history of asthma related hospitalization in past 12 months + history of asthma worsening in past 12 months + African American patient.
| units on a scale | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® |
|---|---|---|
| Total (n = 708, 733) | -1.22 ± 0.088 | -0.94 ± 0.088 |
| Daytime (n = 731, 749) | -0.50 ± 0.043 | -0.39 ± 0.043 |
| Nighttime (n = 730, 746) | -0.46 ± 0.037 | -0.36 ± 0.037 |
24 hours consists of both 12 hour daytime and 12 hour nighttime. Baseline = the last 14 days prior to start of treatment. Analysis of covariance model: Change from baseline = treatment + baseline value + region + history of asthma related hospitalization in past 12 months + history of asthma worsening in past 12 months + African American patient.
| percentage of days | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® |
|---|---|---|
| 24 hours (n = 669, 696) | 29.1 ± 2.88 | 17.9 ± 2.88 |
| Daytime (n = 692, 711) | 23.6 ± 2.74 | 13.8 ± 2.74 |
| Nighttime (n = 691, 708) | 24.6 ± 2.69 | 14.5 ± 2.68 |
The Asthma Control Questionnaire score ranges from 0 (good control of asthma) to 6 (poor control of asthma). A negative change in score indicates improvement in asthma control. Repeated measures of analysis of covariance model: change from baseline in ACQ score = treatment + visit + treatment\*visit interaction + baseline ACQ score + region + asthma related hospitalization in the last 12 months + asthma worsening in the last 12 months + African American patient.
| units on a scale | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® |
|---|---|---|
| Change From Baseline in Asthma Control Questionnaire (ACQ) at Final Visit | -0.55 ± 0.052 | -0.32 ± 0.052 |
Non-serious events are listed at a 1% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| QMF149 Twisthaler® 500/400 | — | 30/749 (4%) | 510/749 (68.1%) |
| Mometasone Twisthaler® | — | 44/759 (5.8%) | 477/759 (62.8%) |
| Event | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® |
|---|---|---|
| AsthmaRespiratory, thoracic and mediastinal disorders | 2/749 | 9/759 |
| PneumoniaInfections and infestations | 0/749 | 4/759 |
| PregnancyPregnancy, puerperium and perinatal conditions | 3/749 | 1/759 |
| NauseaGastrointestinal disorders | 2/749 | 0/759 |
| VomitingGastrointestinal disorders | 2/749 | 0/759 |
| CholelithiasisHepatobiliary disorders | 2/749 | 0/759 |
| AppendicitisInfections and infestations | 2/749 | 2/759 |
| Inguinal herniaGastrointestinal disorders | 0/749 | 2/759 |
| Chest painGeneral disorders | 1/749 | 2/759 |
| Non-cardiac chest painGeneral disorders | 0/749 | 2/759 |
| Event | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® |
|---|---|---|
| CoughRespiratory, thoracic and mediastinal disorders | 266/749 | 63/759 |
| AsthmaRespiratory, thoracic and mediastinal disorders | 195/749 | 269/759 |
| NasopharyngitisInfections and infestations | 112/749 | 106/759 |
| Upper respiratory tract infectionInfections and infestations | 83/749 | 96/759 |
| BronchitisInfections and infestations | 39/749 | 58/759 |
| SinusitisInfections and infestations | 55/749 | 52/759 |
| Viral upper respiratory tract infectionInfections and infestations | 29/749 | 36/759 |
| HeadacheNervous system disorders | 26/749 | 30/759 |
| PharyngitisInfections and infestations | 29/749 | 27/759 |
| Rhinitis allergicRespiratory, thoracic and mediastinal disorders | 29/749 | 25/759 |
| Age Continuous(years) | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® | Total |
|---|---|---|---|
| Mean | 42.4 ± 14.75 | 42.3 ± 14.58 | 42.3 ± 14.66 |
| Sex: Female, Male(Participants) | QMF149 Twisthaler® 500/400 | Mometasone Twisthaler® | Total |
|---|---|---|---|
| Female | 436 | 449 | 885 |
| Male | 313 | 310 | 623 |
Showing the first 100 of 146 sites across 9 countries.
The record gives a start of Jul 2009, a primary completion of May 2011 and a completion of May 2011. It does not say whether these dates are actual or estimated.
Results were first posted in Jun 2012, 1 year 1 month after primary completion.
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This study is completed, as verified in Aug 2012. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: QMF149