A Phase 3 interventional study of Flovent Diskus® 100 mcg and Flovent Diskus® 250 mcg in Asthma, sponsored by Milton S. Hershey Medical Center. Completed at 28 sites in United States. Open to participants aged 5 Years and older. Per ClinicalTrials.gov, last updated 2018-11-15.
Sponsored by Milton S. Hershey Medical Center · Phase 3, Interventional, and Treatment
The purpose of this study is to find the best asthma treatment to add for Blacks who have asthma that is not well controlled on a low dose of inhaled steroid. This study will also try to find out if Black adults and children differ in how they respond to the medications used in this study.
BARD is a 66 week prospective, randomized, double-blind, crossover trial in Blacks (individuals who self-report Black ancestry) who have inadequately controlled asthma while taking low-dose inhaled corticosteroids (ICS). BARD will examine the efficacy of increasing the dose of ICS with or without the addition of a long-acting beta agonist (LABA) to determine whether individual patients respond better to one treatment than another and, if so, whether the responses are different for children and adults or if they are related to genetic ancestry.
3,920 studies on the registry are indexed under Asthma; 506 are open to participants now.
This study's enrollment of 574 is above the median of 83 across 2,751 interventional studies indexed under Asthma.
Browse Asthma studies →Milton S. Hershey Medical Center is the lead sponsor of 480 studies on the registry; 61 are open to participants now.
Of its 56 completed or terminated interventional studies of FDA-regulated products, 42 (75%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Flovent Diskus® 250 mcg,followed by Advair Diskus® 250/50 mcg, followed by Flovent Diskus® 100 mcg, followed by Advair Diskus® 100/50 mcg
Drug: Flovent Diskus® 100 mcg · Drug: Flovent Diskus® 250 mcg · Drug: Advair Diskus® 100/50 mcg · Drug: Advair Diskus® 250/50 mcg
Advair Diskus® 250/50 mcg, followed by Advair Diskus® 100/50 mcg, followed by Flovent Diskus® 250 mcg, followed by Flovent Diskus® 100 mcg
Drug: Flovent Diskus® 100 mcg · Drug: Flovent Diskus® 250 mcg · Drug: Advair Diskus® 100/50 mcg · Drug: Advair Diskus® 250/50 mcg
Flovent Diskus® 100 mcg, followed by Flovent Diskus® 250 mcg, followed by Advair Diskus® 100/50 mcg, followed by Advair Diskus® 250/50 mcg
Drug: Flovent Diskus® 100 mcg · Drug: Flovent Diskus® 250 mcg · Drug: Advair Diskus® 100/50 mcg · Drug: Advair Diskus® 250/50 mcg
Advair Diskus® 100/50 mcg, followed by Flovent Diskus® 100 mcg, followed by Advair Diskus® 250/50 mcg, followed by Flovent Diskus® 250 mcg
Drug: Flovent Diskus® 100 mcg · Drug: Flovent Diskus® 250 mcg · Drug: Advair Diskus® 100/50 mcg · Drug: Advair Diskus® 250/50 mcg
Flovent Diskus® 500 mcg, followed by Advair Diskus® 250/50 mcg, followed by Flovent Diskus® 250 mcg, followed by Advair Diskus® 100/50 mcg
Drug: Flovent Diskus® 250 mcg · Drug: Flovent Diskus® 500 mcg · Drug: Advair Diskus® 100/50 mcg · Drug: Advair Diskus® 250/50 mcg
Advair Diskus® 250/50 mcg, followed by Advair Diskus® 100/50 mcg, followed by Flovent Diskus® 500 mcg, followed by Flovent Diskus® 250 mcg
Drug: Flovent Diskus® 250 mcg · Drug: Flovent Diskus® 500 mcg · Drug: Advair Diskus® 100/50 mcg · Drug: Advair Diskus® 250/50 mcg
Flovent Diskus® 250 mcg, followed by Flovent Diskus® 500 mcg, followed by Advair Diskus® 100/50 mcg, followed by Advair Diskus® 250/50 mcg
Drug: Flovent Diskus® 250 mcg · Drug: Flovent Diskus® 500 mcg · Drug: Advair Diskus® 100/50 mcg · Drug: Advair Diskus® 250/50 mcg
Advair Diskus® 100/50 mcg, followed by Flovent Diskus® 250 mcg, followed by Advair Diskus® 250/50 mcg, followed by Flovent Diskus® 500 mcg
Drug: Flovent Diskus® 250 mcg · Drug: Flovent Diskus® 500 mcg · Drug: Advair Diskus® 100/50 mcg · Drug: Advair Diskus® 250/50 mcg
Flovent is an ICS
Flovent is an ICS
Flovent is an ICS
Advair is an ICS/LABA combination
Advair is an ICS/LABA combination
The Primary Outcome is a Composite Measure That Uses Exacerbations, Asthma Control Days During the Last 12 of 14 Weeks of a Treatment Regimen, and Percent Predicted FEV1 at the End of a Treatment Regimen.
This composite outcome uses a hierarchical method to ascertain differences in asthma control. For each participant, treatments are first compared to see if they differ in terms of exacerbations. If one treatment results in fewer exacerbations than another, it is deemed the superior treatment and no further comparisons are made. If treatment superiority cannot be assigned by exacerbations, then they are compared by asthma control days (ACDs). If one treatment yields at least 31 annualized ACDs more than another, it is deemed the superior treatment. If treatment superiority still cannot be assigned by ACDs, then they are compared by percent predicted FEV1 at the end of a treatment period. If one treatment yields at least 5% greater FEV1 than another, it is deemed the superior treatment. If treatment superiority cannot be assigned by exacerbations, ACDs or FEV1, then that participant is classified as having no differential response.
Time frame: The last 12 weeks of each 14-week treatment period
| Milestone | Crossover Sequence 1 | Crossover Sequence 2 | Crossover Sequence 3 | Crossover Sequence 4 | Crossover Sequence 5 | Crossover Sequence 6 | Crossover Sequence 7 | Crossover Sequence 8 |
|---|---|---|---|---|---|---|---|---|
| Started | 69 | 69 | 71 | 71 | 73 | 72 | 75 | 74 |
| Completed 1st period | 58 | 60 | 67 | 65 | 64 | 62 | 67 | 69 |
| Completed 2nd period | 52 | 58 | 63 | 62 | 63 | 57 | 63 | 61 |
| Completed 3rd period | 48 | 54 | 60 | 61 | 59 | 56 | 59 | 56 |
| Completed 4th period | 45 | 52 | 55 | 57 | 56 | 49 | 57 | 50 |
| Completed | 45 | 52 | 55 | 57 | 56 | 49 | 57 | 50 |
| Not completed | 24 | 17 | 16 | 14 | 17 | 23 | 18 | 24 |
| Withdrew: Lost to follow-up | 5 | 3 | 2 | 4 | 8 | 12 | 6 | 8 |
| Withdrew: Physician decision | 2 | 0 | 2 | 1 | 1 | 1 | 1 | 0 |
| Withdrew: Lack of efficacy | 2 | 0 | 2 | 2 | 0 | 1 | 0 | 2 |
| Withdrew: Pregnancy | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
| Withdrew: Adverse event | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Withdrew: Withdrawal by subject | 15 | 14 | 10 | 7 | 8 | 9 | 10 | 12 |
This composite outcome uses a hierarchical method to ascertain differences in asthma control. For each participant, treatments are first compared to see if they differ in terms of exacerbations. If one treatment results in fewer exacerbations than another, it is deemed the superior treatment and no further comparisons are made. If treatment superiority cannot be assigned by exacerbations, then they are compared by asthma control days (ACDs). If one treatment yields at least 31 annualized ACDs more than another, it is deemed the superior treatment. If treatment superiority still cannot be assigned by ACDs, then they are compared by percent predicted FEV1 at the end of a treatment period. If one treatment yields at least 5% greater FEV1 than another, it is deemed the superior treatment. If treatment superiority cannot be assigned by exacerbations, ACDs or FEV1, then that participant is classified as having no differential response.
| probability | Adolescents and Adults | Children |
|---|---|---|
| Advair 100/50 superior to Flovent 250 | .49 | .46 |
| Advair 100/50 inferior to Flovent 250 | .28 | .46 |
| Advair 100/50 superior to Flovent 500 | .53 | — |
| Advair 100/50 inferior to Flovent 500 | .27 | — |
| Advair 100/50 superior to Advair 250/50 | .42 | .47 |
| Advair 100/50 inferior to Advair 250/50 | .36 | .49 |
| Advair 100/50 superior to Flovent 100 | — | .53 |
| Advair 100/50 inferior to Flovent 100 | — | .41 |
| Advair 250/50 superior to Flovent 250 | .46 | .43 |
| Advair 250/50 inferior to Flovent 250 | .33 | .47 |
| Advair 250/50 superior to Flovent 500 | .49 | — |
| Advair 250/50 inferior to Flovent 500 | .31 | — |
| Flovent 500 superior to Flovent 250 | .35 | — |
| Flovent 500 inferior to Flovent 250 | .40 | — |
| Flovent 250 superior to Flovent 100 | — | .51 |
| Flovent 250 inferior to Flovent 100 | — | .37 |
Collected over Each participant was followed over the course of four 14-week treatment periods for a total of 56 weeks. The adverse events recorded below are reported at the treatment period level and represent 14 weeks of "at risk" exposure time.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Flovent 250 in Pediatric Group | 0/280 (0%) | 8/280 (2.9%) | 64/280 (22.9%) |
| Advair 250/50 in Pediatric Group | 0/280 (0%) | 1/280 (0.4%) | 52/280 (18.6%) |
| Flovent 100 in Pediatric Group | 0/280 (0%) | 2/280 (0.7%) | 43/280 (15.4%) |
| Advair 100/50 in Pediatric Group | 0/280 (0%) | 4/280 (1.4%) | 27/280 (9.6%) |
| Flovent 500 in Adolescent/Adult Group | 0/294 (0%) | 10/294 (3.4%) | 53/294 (18%) |
| Advair 250/50 in Adolescent/Adult Group | 0/294 (0%) | 7/294 (2.4%) | 47/294 (16%) |
| Flovent 250 in Adolescent/Adult Group | 0/294 (0%) | 7/294 (2.4%) | 35/294 (11.9%) |
| Advair 100/50 in Adolescent/Adult Group | 0/294 (0%) | 8/294 (2.7%) | 34/294 (11.6%) |
| Event | Flovent 250 in Pediatric Group | Advair 250/50 in Pediatric Group | Flovent 100 in Pediatric Group | Advair 100/50 in Pediatric Group | Flovent 500 in Adolescent/Adult Group | Advair 250/50 in Adolescent/Adult Group | Flovent 250 in Adolescent/Adult Group | Advair 100/50 in Adolescent/Adult Group |
|---|---|---|---|---|---|---|---|---|
| Asthma ExacerbationRespiratory, thoracic and mediastinal disorders | 6/280 | 1/280 | 1/280 | 2/280 | 4/294 | 2/294 | 1/294 | 3/294 |
| PneumoniaRespiratory, thoracic and mediastinal disorders | 0/280 | 0/280 | 0/280 | 0/280 | 1/294 | 0/294 | 2/294 | 0/294 |
| FluRespiratory, thoracic and mediastinal disorders | 1/280 | 0/280 | 0/280 | 0/280 | 0/294 | 0/294 | 0/294 | 1/294 |
| Closed FractureInjury, poisoning and procedural complications | 0/280 | 0/280 | 0/280 | 1/280 | 0/294 | 0/294 | 0/294 | 0/294 |
| Intermittent Explosive DisorderPsychiatric disorders | 0/280 | 0/280 | 0/280 | 1/280 | 0/294 | 0/294 | 0/294 | 0/294 |
| Altered Mental StatusPsychiatric disorders | 0/280 | 0/280 | 1/280 | 0/280 | 0/294 | 0/294 | 0/294 | 0/294 |
| Convulsions Not Elsewhere ClassifiedGeneral disorders | 1/280 | 0/280 | 0/280 | 0/280 | 0/294 | 0/294 | 0/294 | 0/294 |
| AnemiaBlood and lymphatic system disorders | 0/280 | 0/280 | 0/280 | 0/280 | 0/294 | 0/294 | 1/294 | 0/294 |
| Acute PericarditisCardiac disorders | 0/280 | 0/280 | 0/280 | 0/280 | 0/294 | 0/294 | 1/294 | 0/294 |
| Acute GastritisGastrointestinal disorders | 0/280 | 0/280 | 0/280 | 0/280 | 1/294 | 0/294 | 0/294 | 0/294 |
| Event | Flovent 250 in Pediatric Group | Advair 250/50 in Pediatric Group | Flovent 100 in Pediatric Group | Advair 100/50 in Pediatric Group | Flovent 500 in Adolescent/Adult Group | Advair 250/50 in Adolescent/Adult Group | Flovent 250 in Adolescent/Adult Group | Advair 100/50 in Adolescent/Adult Group |
|---|---|---|---|---|---|---|---|---|
| Asthma ExacerbationRespiratory, thoracic and mediastinal disorders | 23/280 | 20/280 | 40/280 | 18/280 | 18/294 | 17/294 | 17/294 | 18/294 |
| Acute NasopharyngitisRespiratory, thoracic and mediastinal disorders | 20/280 | 18/280 | 19/280 | 20/280 | 24/294 | 27/294 | 20/294 | 22/294 |
| Acute Upper Respiratory Tract InfectionRespiratory, thoracic and mediastinal disorders | 16/280 | 10/280 | 11/280 | 11/280 | 11/294 | 11/294 | 16/294 | 13/294 |
| FeverGeneral disorders | 10/280 | 6/280 | 16/280 | 8/280 | 4/294 | 3/294 | 0/294 | 4/294 |
| CoughGeneral disorders | 11/280 | 10/280 | 13/280 | 15/280 | 2/294 | 3/294 | 6/294 | 3/294 |
All randomized participants
| Age, Continuous(years) | Crossover Sequence 1 | Crossover Sequence 2 | Crossover Sequence 3 | Crossover Sequence 4 | Crossover Sequence 5 | Crossover Sequence 6 | Crossover Sequence 7 | Crossover Sequence 8 | Total |
|---|---|---|---|---|---|---|---|---|---|
| Mean | 8.7 ± 2.0 | 8.5 ± 1.7 | 8.4 ± 1.9 | 8.4 ± 1.8 | 38.5 ± 16.5 | 38.5 ± 15.9 | 39.3 ± 16.0 | 35.6 ± 16.0 | 23.2 ± 18.5 |
| Sex: Female, Male(Participants) | Crossover Sequence 1 | Crossover Sequence 2 | Crossover Sequence 3 | Crossover Sequence 4 | Crossover Sequence 5 | Crossover Sequence 6 | Crossover Sequence 7 | Crossover Sequence 8 | Total |
|---|---|---|---|---|---|---|---|---|---|
| Female | 29 | 27 | 26 | 28 | 52 | 48 | 47 | 52 | 309 |
| Male | 40 | 42 | 45 | 43 | 21 | 24 | 28 | 22 | 265 |
| Ethnicity (NIH/OMB)(Participants) | Crossover Sequence 1 | Crossover Sequence 2 | Crossover Sequence 3 | Crossover Sequence 4 | Crossover Sequence 5 | Crossover Sequence 6 | Crossover Sequence 7 | Crossover Sequence 8 | Total |
|---|---|---|---|---|---|---|---|---|---|
| Hispanic or Latino | 7 | 4 | 7 | 6 | 2 | 2 | 2 | 3 | 33 |
| Not Hispanic or Latino | 62 | 65 | 64 | 65 | 71 | 70 | 73 | 71 | 541 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Race/Ethnicity, Customized(Participants) | Crossover Sequence 1 | Crossover Sequence 2 | Crossover Sequence 3 | Crossover Sequence 4 | Crossover Sequence 5 | Crossover Sequence 6 | Crossover Sequence 7 | Crossover Sequence 8 | Total |
|---|---|---|---|---|---|---|---|---|---|
| Black | 63 | 65 | 68 | 66 | 69 | 71 | 74 | 73 | 549 |
| Other | 6 | 4 | 3 | 5 | 4 | 1 | 1 | 1 | 25 |
| Region of Enrollment(participants) | Crossover Sequence 1 | Crossover Sequence 2 | Crossover Sequence 3 | Crossover Sequence 4 | Crossover Sequence 5 | Crossover Sequence 6 | Crossover Sequence 7 | Crossover Sequence 8 | Total |
|---|---|---|---|---|---|---|---|---|---|
| United States | 69 | 69 | 71 | 71 | 73 | 72 | 75 | 74 | 574 |
| Forced expiratory volume at one second (FEV1) Percent of Predicted(percent) | Crossover Sequence 1 | Crossover Sequence 2 | Crossover Sequence 3 | Crossover Sequence 4 | Crossover Sequence 5 | Crossover Sequence 6 | Crossover Sequence 7 | Crossover Sequence 8 | Total |
|---|---|---|---|---|---|---|---|---|---|
| Mean | 98.1 ± 15.4 | 92.6 ± 17.9 | 95 ± 13.6 | 96.2 ± 19.1 | 83.8 ± 19.1 | 82.9 ± 15.5 | 83.7 ± 17.3 | 83.4 ± 18 | 89.3 ± 18.1 |
| Asthma Control Test(units on a scale) | Crossover Sequence 1 | Crossover Sequence 2 | Crossover Sequence 3 | Crossover Sequence 4 | Crossover Sequence 5 | Crossover Sequence 6 | Crossover Sequence 7 | Crossover Sequence 8 | Total |
|---|---|---|---|---|---|---|---|---|---|
| Mean | — | — | — | — | 18.9 ± 3.8 | 18.6 ± 3.9 | 19.2 ± 3.7 | 18.8 ± 3.8 | 18.9 ± 3.8 |
| Childhood Asthma Control Test(units on a scale) | Crossover Sequence 1 | Crossover Sequence 2 | Crossover Sequence 3 | Crossover Sequence 4 | Crossover Sequence 5 | Crossover Sequence 6 | Crossover Sequence 7 | Crossover Sequence 8 | Total |
|---|---|---|---|---|---|---|---|---|---|
| Mean | 21.5 ± 3.7 | 21.2 ± 3.6 | 20.7 ± 4.1 | 22.1 ± 3.6 | — | — | — | — | 21.4 ± 3.8 |
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Milton S. Hershey Medical Center