ClinicalTrials.gg
CompletedNCT03380429Updated Apr 12, 2021Results posted

A Clinical Study to Evaluate the Effect of the Connected Inhaler System (CIS) on Adherence to Maintenance Therapy in Poorly Controlled Asthmatic Subjects

A Phase 4 interventional study of RELVAR/BREO and Salbutamol in Asthma, sponsored by GlaxoSmithKline. Completed at 66 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-04-12.

Sponsored by GlaxoSmithKline · Phase 4, Interventional, and Treatment

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Phase
Phase 4
Study type
Interventional
Enrollment
437
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 261 studies in Asthma by GlaxoSmithKline — 7 open to participants now, 12 under way, 7 of them phase 3. Asthma · GlaxoSmithKline.

Enrollment
51st of 237
437 · median 100
Started
2018
with 8 others
Phase 4
53 of 261
none open now
Registered
228th of 261
by date

Among the 261 studies in Asthma by GlaxoSmithKline, this one is the 51st largest by enrollment of the 237 interventional ones that give a count, is one of 9 that started in 2018, is one of 53 in phase 4, and was the 228th registered.

Asthma

4,846 studies on the registry are indexed under Asthma; 603 are open to participants now.

Browse Asthma studies →

Open to participants now

7 of the 261 studies in Asthma by GlaxoSmithKline are open now, in 12 countries. Recruiting first, the newest first:

2 more — sign in →

By country, each count listing its studies:

All 7 open studies →

Who these studies take

Of the 417 Asthma studies recruiting now, 140 (34%) set no upper age limit and 205 (49%) stop at 75 or younger; 147 take children under 18; 105 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

GlaxoSmithKline (GSK) in collaboration with Propeller Health has developed a sensor, which can clip on to the ELLIPTA® dry powder inhaler (DPI) and monitor the time and date that the ELLIPTA DPI cover is fully opened and closed. Additionally, a sensor will be attached to the rescue medication metered dose inhaler (MDI). The data from both sensors will be fed back to the subject via an application (app) on smart phone and will be reviewed by the subject's health care professional (HCP) via an online dashboard. The sensors, app, dashboard and systems to provide data comprise the CIS. This study will be the first to evaluate the effect of CIS on adherence to maintenance therapy in subjects with uncontrolled asthma. This is an open-label, randomized, parallel group study in asthmatic subjects currently on a fixed dose inhaled corticosteroid (ICS)/long-acting beta 2 agonist (LABA) maintenance therapy. Eligible subjects will receive RELVAR®/BREO® maintenance therapy via ELLIPTA DPI and salbutamol rescue medication via MDI with sensors attached to both inhalers during the run-in period, which may last for up to 3 months. Eligible subjects will then be randomized into five treatment arms depending on whether the data, from RELVAR/BREO ELLIPTA or RELVAR/BREO ELLIPTA and salbutamol MDI, is fed back to the subject or subject and HCP, or not at all. The treatment period for the study is approximately 6 months and there will be a follow-up period one week post last visit. The total duration of a subject in the study will be approximately 9 months. RELVAR, BREO and ELLIPTA are registered trademarks of GlaxoSmithKline group of companies.

03

Conditions studied

  • Asthma

Browse trials for

Keywords

  • Connected Inhaler System
  • Metered Dose Inhaler
  • ELLIPTA
  • RELVAR/BREO
  • Dry Powder Inhaler
  • Salbutamol
  • Asthma
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • Subjects aged 18 years or older, at the time of signing the .
  • Subjects with documented physician diagnosis of asthma as their primary respiratory disease.
  • ACT score \<20 at screening visit.
  • Non-smokers (never smoked or not smoking for >6 months with \<10 pack years history (Pack years = [cigarettes per day smoked/20] multiplied by number of years smoked).
  • Male or female subjects will be included. A female subject is eligible to participate if she is not pregnant, not breastfeeding, and at least one of the following conditions applies: (i) Not a woman of (WOCBP). (ii) A WOCBP who agrees to follow the guidance during the treatment period and for at least 5 days] after the last dose of study treatment.
  • Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the consent form and protocol.
  • Subject understands and is willing, able, and likely to comply with study procedures and restrictions.
  • Subject must be able to read in a language supported by the smart phone app in their region.
  • Subject must have been on maintenance therapy (Fixed dose combination ICS/LABA) for 3 months, cannot have changed dose in the month prior to screening and be able to change to an equivalent dose of RELVAR/BREO for the duration of the study. Other background asthma medication such as anti-leukotrienes and oral are permitted provided the dose has been stable for 1 month prior to screening.
  • Subject must be able to change to Salbutamol/Albuterol MDI rescue for the duration of the study and judged capable of withholding albuterol/salbutamol for at least 6 hours prior to study visits.
  • Subject must have their own Android or iPhone operating system (IOS) smart phone and a data package suitable for the installation and running of the app and sending and receiving data. Data used by the CIS is approximately 1 megabyte (MB) per month as a maximum; this is less data than a 1 minute video streamed from YouTube (2MB).
  • Subjects must be willing and able to download the app on their personal smart phone and keep it turned on for the duration of the study. This will also require Bluetooth to be turned on for duration of the study. Subjects will also have to turn on mobile data for the app for the duration of study; unless travelling and when extra data roaming costs could be incurred.

Inclusion criteria for randomization:

  • ACT score \<20 at randomization visit (visit 2).

Exclusion Criteria:

  • Subjects with a known or suspected alcohol or drug abuse which in the opinion of the investigator could interfere with the subject's proper completion of the protocol requirement.
  • History of life threatening asthma: Defined as an asthma episode that required intubation and/or was associated with hypercapnea, respiratory arrest or hypoxic seizures within the last 6 months.
  • A lower respiratory tract infection within 7 days of the screening visit.
  • Concurrent diagnosis of (COPD) or other respiratory disorders including active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis, pulmonary hypertension, interstitial lung diseases or other active pulmonary diseases.
  • History of /intolerance to any components of the study inhalers (example, lactose, magnesium stearate). In addition, subjects with a history of severe milk protein allergy that, in the opinion of the study physician, contraindicates participation will also be excluded.
  • Historical or current evidence of or rapidly progressing or unstable cardiovascular, neurological, cardiovascular, neurological, renal, hepatic, immunological, endocrine (including uncontrolled diabetes or thyroid disease) or hematological abnormalities that are uncontrolled. Significant is defined as any disease that, in the opinion of the investigator, would put the safety of the subject at risk through participation, or which would affect the analysis if the disease/condition exacerbated during the study.
  • Subjects who have ever received treatment with biological based therapy example, omalizumab, mepolizumab, for asthma.
  • Subjects who have received an drug and/or medical device within 30 days of entry into this study (Screening), or within five drug half-lives of the investigational drug, whichever is longer.
  • A subject will not be eligible for this study if he/she is an immediate family member of the participating investigator, sub-investigator, study coordinator, employee of the participating investigator, or any family member of a Propeller Health employee.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
437 participants (actual)

Study arms

  • Experimental
    Data on Maintenance use supplied to Subject and HCP

    Eligible subjects will receive RELVAR/BREO maintenance therapy via ELLIPTA DPI and salbutamol rescue medication via MDI with sensors attached to both inhalers. Information from sensor attached to RELVAR/BREO ELLIPTA will be fed back to the subject via an app on smart phone and to the subject's HCP via an online dashboard.

    Drug: RELVAR/BREO · Drug: Salbutamol · Device: Smart phone app · Device: HCP Dashboard · Device: Sensors

  • Experimental
    Data on Maintenance use supplied to Subject

    Eligible subjects will receive RELVAR/BREO maintenance therapy via ELLIPTA DPI and salbutamol rescue medication via MDI with sensors attached to both inhalers. Information from sensor attached to RELVAR/BREO ELLIPTA will be fed back to the subject via an app on smart phone.

    Drug: RELVAR/BREO · Drug: Salbutamol · Device: Smart phone app · Device: Sensors

  • Experimental
    Data on Maintenance and Rescue use supplied to Subject and HCP

    Eligible subjects will receive RELVAR/BREO maintenance therapy via ELLIPTA DPI and salbutamol rescue medication via MDI with sensors attached to both inhalers. Information from sensors attached to RELVAR/BREO ELLIPTA and salbutamol MDI will be fed back to both subject and HCP. The data will be fed back to the subject through an app and to HCP through an online dashboard.

    Drug: RELVAR/BREO · Drug: Salbutamol · Device: Smart phone app · Device: HCP Dashboard · Device: Sensors

  • Experimental
    Data on Maintenance and Rescue use supplied to Subject

    Eligible subjects will receive RELVAR/BREO maintenance therapy via ELLIPTA DPI and salbutamol rescue medication via MDI with sensors attached to both inhalers. Information from sensors attached to RELVAR/BREO ELLIPTA and salbutamol MDI will be fed back to subject through an app.

    Drug: RELVAR/BREO · Drug: Salbutamol · Device: Smart phone app · Device: Sensors

  • Active comparator
    No data supplied to Subject or HCP

    Eligible subjects will receive RELVAR/BREO maintenance therapy via ELLIPTA DPI and salbutamol rescue medication via MDI with sensors attached to both inhalers. Subjects will be provided with a home hub through which their data will be uploaded during the study but the subjects and their HCP will not be able to view the data.

    Drug: RELVAR/BREO · Drug: Salbutamol · Device: Sensors

Interventions

  • DrugRELVAR/BREO

    RELVAR/BREO will be available at doses of 100/25 micrograms (µg) and 200/25 µg to be administered via ELLIPTA DPI. Subjects will be administered one inhalation of RELVAR/BREO once daily.

  • Salbutamol will be available at a dose of 100 µg to be administered via MDI. Subjects will be administered salbutamol as and when required.

  • DeviceSmart phone app

    Subjects will be required to download an app associated with sensor on their smartphone. The sensors attached to the inhalers will be connected to the smartphone via Bluetooth.

  • DeviceHCP Dashboard

    The information from sensors will be reviewed by the HCP via an online dashboard.

  • DeviceSensors

    Clip-on sensors will be fitted to electronically record the actuation data.

06

What researchers measure

Primary outcomes

  1. Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance Sensor for Arms; ("Cohort 1: Data on Maintenance Use Supplied to Participant and HCP" and"Cohort 5: no Data Supplied to Participant or HCP")

    Daily adherence is defined as the participant taking one dose of Relvar/Breo ELLIPTA, within a 24-hour period, starting at 12.00 anti-meridiem (a.m.) each day of the treatment period. The percentage of ELLIPTA doses taken were determined by the clip-on sensor attached to ELLIPTA, which records the time and date when the ELLIPTA cover was opened and closed. Analysis was carried out by Analysis of Covariance (ANCOVA) model. Least Square mean percentage of ELLIPTA doses taken (daily adherence) between Months 4 and 6 was determined by the maintenance sensor daily adherence over the last three months of the study period (between months 4 to 6). The daily adherence to ELLIPTA maintenance therapy when both the participant and the HCP were supplied with data from the maintenance sensor (Cohort 1) versus no data supplied to the participant or HCP (Cohort 5) is summarized.

    Time frame: Month 4 to Month 6

Secondary outcomes

  1. Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance Sensor

    Daily adherence is defined as the participant taking one dose of Relvar/Breo ELLIPTA, within a 24-hour period, starting at 12.00 a.m. each day of the treatment period. The percentage of ELLIPTA doses taken were determined by the clip-on sensor attached to ELLIPTA, which records the time and date when the ELLIPTA cover was opened and closed. Least Square mean percentage of ELLIPTA doses taken (daily adherence) between Months 4 and 6 was determined by the maintenance sensor daily adherence over the last three months of the study period (between months 4 to 6). The effect on daily adherence to maintenance therapy when maintenance data was only supplied to participants (Cohort 2), rescue and maintenance data were supplied to participant and HCP (Cohort 3), and rescue and maintenance data only supplied to participant (Cohort 4) versus no data supplied to the participant or HCP (Cohort 5) is summarized.

    Time frame: Month 4 to Month 6

  2. Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 1 and Month 3 as Determined by the Maintenance Sensor

    Daily adherence is defined as the participant taking one dose of Relvar/Breo ELLIPTA, within a 24-hour period, starting at 12.00 a.m. each day of the treatment period. The percentage of ELLIPTA doses taken were determined by the clip-on sensor attached to ELLIPTA, which records the time and date when the ELLIPTA cover was opened and closed. Least Square mean percentage of ELLIPTA doses taken (daily adherence) between Months 1 and 3 was determined by the maintenance sensor daily adherence. The effect on daily adherence to maintenance therapy when maintenance data was supplied to both the participant and the HCP (Cohort 1), maintenance data was only supplied to participants (Cohort 2), rescue and maintenance data were supplied to participant and HCP (Cohort 3), and rescue and maintenance data only supplied to participant (Cohort 4) versus no data supplied to the participant or HCP (Cohort 5) is summarized.

    Time frame: Month 1 to Month 3

  3. Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 1 and Month 6 as Determined by the Maintenance Sensor

    Daily adherence is defined as the participant taking one dose of Relvar/Breo ELLIPTA, within a 24-hour period, starting at 12.00 a.m. each day of the treatment period. The percentage of ELLIPTA doses taken were determined by the clip-on sensor attached to ELLIPTA, which records the time and date when the ELLIPTA cover was opened and closed. Least Square mean percentage of ELLIPTA doses taken (daily adherence) between Months 1 and 6 was determined by the maintenance sensor daily adherence. The effect on daily adherence to maintenance therapy when maintenance data was supplied to both the participant and the HCP (Cohort 1), maintenance data was only supplied to participants (Cohort 2), rescue and maintenance data were supplied to participant and HCP (Cohort 3), and rescue and maintenance data only supplied to participant (Cohort 4) versus no data supplied to the participant or HCP (Cohort 5) is summarized.

    Time frame: Month 1 to Month 6

  4. Percentage of Rescue Free Days Between Month 4 and Month 6 as Determined by the Rescue Medication Sensor

    Data for rescue medication use was collected by the clip-on sensor for salbutamol MDI which records time and date when the MDI was actuated. Percentage of rescue free days were determined by the rescue sensor records of date, time and number of inhaler actuations. Least Square mean percentage of rescue free days between Months 4 and 6 when maintenance data was supplied to both the participant and the HCP (Cohort 1); maintenance data was only supplied to participants (Cohort 2); rescue and maintenance data were supplied to participant and HCP (Cohort 3) and rescue and maintenance data only supplied to participant (Cohort 4) versus no data supplied to the participant or HCP (Cohort 5) is summarized.

    Time frame: Month 4 to Month 6

  5. Number of Doses of Rescue Medication Use Between Month 4 and Month 6 as Determined by the Rescue Medication Sensor

    Data for rescue medication use was collected by the clip-on sensor for salbutamol MDI which records time and date when the MDI was actuated. Total rescue use was determined by the rescue sensor records of date, time and number of inhaler actuations. The mean number of doses of rescue medicines between Months 4 and 6 when maintenance data was supplied to both the participant and the HCP (Cohort 1); maintenance data was only supplied to participants (Cohort 2); rescue and maintenance data were supplied to participant and HCP (Cohort 3) and rescue and maintenance data only supplied to participant (Cohort 4) versus no data supplied to the participant or HCP (Cohort 5) is summarized.

    Time frame: Month 4 to Month 6

  6. Change From Baseline in Asthma Control Test (ACT) Total Score

    The ACT is a validated self-completed questionnaire utilizing 5 questions to assess asthma control on a 5-point categorical scale ranging from 1 (not controlled at all) to 5 (completely controlled). Total score is calculated as the sum of the scores from the 5 questions and can range from 5 to 25, with higher scores indicating better control. An ACT total score of 5 to 19 suggests that the participant's asthma is unlikely to be well controlled, whilst a score of 20 to 25 suggests that the participant's asthma is likely to be well controlled. Baseline value was the latest assessment prior to randomization (Day 1, pre-dose). Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline and Month 6

  7. Percentage of Participants Attaining Asthma Control (Percentage of Participants With an ACT Total Score >=20) at Month 6

    Percentage of participants attaining asthma control was defined as participants with an ACT total score \>=20 at Month 6. The ACT is a validated self-completed questionnaire utilizing 5 questions to assess asthma control on a 5-point categorical scale ranging from 1 (not controlled at all) to 5 (completely controlled). Total score is calculated as the sum of the scores from the 5 questions and can range from 5 to 25, with higher scores indicating better control. An ACT total score of 5 to 19 suggests that the participant's asthma is unlikely to be well controlled, whilst a score of 20 to 25 suggests that the participant's asthma is likely to be well controlled. Percentage of participants who attained asthma control at Month 6 is presented.

    Time frame: Month 6

  8. Percentage of Participants With an Increase From Baseline >=3 in ACT Total Score at Month 6

    The ACT is a validated self-completed questionnaire utilizing 5 questions to assess asthma control on a 5-point categorical scale ranging from 1 (not controlled at all) to 5 (completely controlled). Total score is calculated as the sum of the scores from the 5 questions and can range from 5 to 25, with higher scores indicating better control. An ACT total score of 5 to 19 suggests that the participant's asthma is unlikely to be well controlled, whilst a score of 20 to 25 suggests that the participant's asthma is likely to be well controlled. Baseline value was the latest assessment prior to randomization (Day 1, pre-dose). Percentage of participants with an increase from Baseline \>=3 in ACT total score at Month 6 is presented.

    Time frame: Baseline and Month 6

  9. Percentage of Participants Who Have Either an ACT Total Score of >=20 and/or an Increase From Baseline >=3 in ACT Total Score at Month 6

    The ACT is a validated self-completed questionnaire utilizing 5 questions to assess asthma control on a 5-point categorical scale ranging from 1 (not controlled at all) to 5 (completely controlled). Total score is calculated as the sum of the scores from the 5 questions and can range from 5 to 25, with higher scores indicating better control. Baseline value was the latest assessment prior to randomization (Day 1, pre-dose). Percentage of participants who had either an ACT total score of \>=20 and/or an increase from Baseline \>=3 in ACT total score at Month 6 is presented.

    Time frame: Baseline and Month 6

07

Results

Posted Feb 5, 2020

Participant flow

This was an open-label, randomized, multi-center, parallel group study to evaluate the effect of the connected inhaler system (CIS) on adherence to Relvar/Breo ELLIPTA therapy, in asthmatic participants (Par) with poor control.

Participant flow — Overall Study
MilestoneCohort 1: Data on Maintenance Use Supplied to Par and HCPCohort 2: Data on Maintenance Use Supplied to ParCohort 3: Data on Maintenance and Rescue Use to Par and HCPCohort 4: Data on Maintenance and Rescue Use Supplied to ParCohort 5: No Data Supplied to Par or HCP
Started8788888886
Completed8281777881
Not completed5711105
Withdrew: Physician decision01011
Withdrew: Withdrawal by subject33521
Withdrew: Lost to follow-up02431
Withdrew: Protocol violation10101
Withdrew: Lack of efficacy00021
Withdrew: Adverse event11120

Outcome measures

PrimaryPercentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance Sensor for Arms; ("Cohort 1: Data on Maintenance Use Supplied to Participant and HCP" and"Cohort 5: no Data Supplied to Participant or HCP")

Daily adherence is defined as the participant taking one dose of Relvar/Breo ELLIPTA, within a 24-hour period, starting at 12.00 anti-meridiem (a.m.) each day of the treatment period. The percentage of ELLIPTA doses taken were determined by the clip-on sensor attached to ELLIPTA, which records the time and date when the ELLIPTA cover was opened and closed. Analysis was carried out by Analysis of Covariance (ANCOVA) model. Least Square mean percentage of ELLIPTA doses taken (daily adherence) between Months 4 and 6 was determined by the maintenance sensor daily adherence over the last three months of the study period (between months 4 to 6). The daily adherence to ELLIPTA maintenance therapy when both the participant and the HCP were supplied with data from the maintenance sensor (Cohort 1) versus no data supplied to the participant or HCP (Cohort 5) is summarized.

Time frame:
Month 4 to Month 6
Reported as:
Least squares mean · Percentage of ELLIPTA doses
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance Sensor for Arms; ("Cohort 1: Data on Maintenance Use Supplied to Participant and HCP" and"Cohort 5: no Data Supplied to Participant or HCP")
Percentage of ELLIPTA dosesCohort 1: Data on Maintenance Use Supplied to Par and HCPCohort 5: No Data Supplied to Par or HCP
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance Sensor for Arms; ("Cohort 1: Data on Maintenance Use Supplied to Participant and HCP" and"Cohort 5: no Data Supplied to Participant or HCP")80.9 ± 3.1969.0 ± 3.19
Statistical analysis
  • Cohort 1: Data on Maintenance Use Supplied to Par and HCP vs Cohort 5: No Data Supplied to Par or HCP · ANCOVA · p = <0.001 (p-value was calculated using ANCOVA.) · Mean difference (final values): 12.0 · 95% CI 5.2 to 18.8Analysis was performed by ANCOVA adjusted for randomized treatment arm, Baseline adherence, duration of run-in (visits), country, gender and age.
SecondaryPercentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance Sensor

Daily adherence is defined as the participant taking one dose of Relvar/Breo ELLIPTA, within a 24-hour period, starting at 12.00 a.m. each day of the treatment period. The percentage of ELLIPTA doses taken were determined by the clip-on sensor attached to ELLIPTA, which records the time and date when the ELLIPTA cover was opened and closed. Least Square mean percentage of ELLIPTA doses taken (daily adherence) between Months 4 and 6 was determined by the maintenance sensor daily adherence over the last three months of the study period (between months 4 to 6). The effect on daily adherence to maintenance therapy when maintenance data was only supplied to participants (Cohort 2), rescue and maintenance data were supplied to participant and HCP (Cohort 3), and rescue and maintenance data only supplied to participant (Cohort 4) versus no data supplied to the participant or HCP (Cohort 5) is summarized.

Time frame:
Month 4 to Month 6
Reported as:
Least squares mean · Percentage of ELLIPTA doses
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance Sensor
Percentage of ELLIPTA dosesCohort 2: Data on Maintenance Use Supplied to ParCohort 3: Data on Maintenance and Rescue Use to Par and HCPCohort 4: Data on Maintenance and Rescue Use Supplied to ParCohort 5: No Data Supplied to Par or HCP
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance Sensor77.2 ± 3.0478.3 ± 3.1177.1 ± 3.2569.0 ± 3.19
Statistical analysis
  • Cohort 2: Data on Maintenance Use Supplied to Par vs Cohort 5: No Data Supplied to Par or HCP · ANCOVA · p = 0.016 (p-value was calculated using ANCOVA.) · Mean difference (final values): 8.2 · 95% CI 1.6 to 14.9Analysis was performed by ANCOVA adjusted for randomized treatment arm, Baseline adherence, duration of run-in (visits), country, gender and age.
  • Cohort 3: Data on Maintenance and Rescue Use to Par and HCP vs Cohort 5: No Data Supplied to Par or HCP · ANCOVA · p = 0.006 (p-value was calculated using ANCOVA.) · Mean difference (final values): 9.3 · 95% CI 2.7 to 16.0Analysis was performed by ANCOVA adjusted for randomized treatment arm, Baseline adherence, duration of run-in (visits), country, gender and age.
  • Cohort 4: Data on Maintenance and Rescue Use Supplied to Par vs Cohort 5: No Data Supplied to Par or HCP · ANCOVA · p = 0.018 (p-value was calculated using ANCOVA.) · Mean difference (final values): 8.1 · 95% CI 1.4 to 14.8Analysis was performed by ANCOVA adjusted for randomized treatment arm, Baseline adherence, duration of run-in (visits), country, gender and age.
SecondaryPercentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 1 and Month 3 as Determined by the Maintenance Sensor

Daily adherence is defined as the participant taking one dose of Relvar/Breo ELLIPTA, within a 24-hour period, starting at 12.00 a.m. each day of the treatment period. The percentage of ELLIPTA doses taken were determined by the clip-on sensor attached to ELLIPTA, which records the time and date when the ELLIPTA cover was opened and closed. Least Square mean percentage of ELLIPTA doses taken (daily adherence) between Months 1 and 3 was determined by the maintenance sensor daily adherence. The effect on daily adherence to maintenance therapy when maintenance data was supplied to both the participant and the HCP (Cohort 1), maintenance data was only supplied to participants (Cohort 2), rescue and maintenance data were supplied to participant and HCP (Cohort 3), and rescue and maintenance data only supplied to participant (Cohort 4) versus no data supplied to the participant or HCP (Cohort 5) is summarized.

Time frame:
Month 1 to Month 3
Reported as:
Least squares mean · Percentage of ELLIPTA doses
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 1 and Month 3 as Determined by the Maintenance Sensor
Percentage of ELLIPTA dosesCohort 1: Data on Maintenance Use Supplied to Par and HCPCohort 2: Data on Maintenance Use Supplied to ParCohort 3: Data on Maintenance and Rescue Use to Par and HCPCohort 4: Data on Maintenance and Rescue Use Supplied to ParCohort 5: No Data Supplied to Par or HCP
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 1 and Month 3 as Determined by the Maintenance Sensor85.7 ± 2.8284.2 ± 2.6682.0 ± 2.7479.2 ± 2.7876.4 ± 2.82
Statistical analysis
  • Cohort 1: Data on Maintenance Use Supplied to Par and HCP vs Cohort 5: No Data Supplied to Par or HCP · ANCOVA · p = 0.003 (p-value was calculated using ANCOVA.) · Mean difference (final values): 9.3 · 95% CI 3.2 to 15.3Analysis was performed by ANCOVA adjusted for randomized treatment arm, Baseline adherence, duration of run-in (visits), country, gender and age.
  • Cohort 2: Data on Maintenance Use Supplied to Par vs Cohort 5: No Data Supplied to Par or HCP · ANCOVA · p = 0.011 (p-value was calculated using ANCOVA.) · Mean difference (final values): 7.7 · 95% CI 1.8 to 13.7Analysis was performed by ANCOVA adjusted for randomized treatment arm, Baseline adherence, duration of run-in (visits), country, gender and age.
  • Cohort 3: Data on Maintenance and Rescue Use to Par and HCP vs Cohort 5: No Data Supplied to Par or HCP · ANCOVA · p = 0.066 (p-value was calculated using ANCOVA.) · Mean difference (final values): 5.5 · 95% CI -0.4 to 11.4Analysis was performed by ANCOVA adjusted for randomized treatment arm, Baseline adherence, duration of run-in (visits), country, gender and age.
  • Cohort 4: Data on Maintenance and Rescue Use Supplied to Par vs Cohort 5: No Data Supplied to Par or HCP · ANCOVA · p = 0.359 (p-value was calculated using ANCOVA.) · Mean difference (final values): 2.8 · 95% CI -3.1 to 8.7Analysis was performed by ANCOVA adjusted for randomized treatment arm, Baseline adherence, duration of run-in (visits), country, gender and age.
SecondaryPercentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 1 and Month 6 as Determined by the Maintenance Sensor

Daily adherence is defined as the participant taking one dose of Relvar/Breo ELLIPTA, within a 24-hour period, starting at 12.00 a.m. each day of the treatment period. The percentage of ELLIPTA doses taken were determined by the clip-on sensor attached to ELLIPTA, which records the time and date when the ELLIPTA cover was opened and closed. Least Square mean percentage of ELLIPTA doses taken (daily adherence) between Months 1 and 6 was determined by the maintenance sensor daily adherence. The effect on daily adherence to maintenance therapy when maintenance data was supplied to both the participant and the HCP (Cohort 1), maintenance data was only supplied to participants (Cohort 2), rescue and maintenance data were supplied to participant and HCP (Cohort 3), and rescue and maintenance data only supplied to participant (Cohort 4) versus no data supplied to the participant or HCP (Cohort 5) is summarized.

Time frame:
Month 1 to Month 6
Reported as:
Least squares mean · Percentage of ELLIPTA doses
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 1 and Month 6 as Determined by the Maintenance Sensor
Percentage of ELLIPTA dosesCohort 1: Data on Maintenance Use Supplied to Par and HCPCohort 2: Data on Maintenance Use Supplied to ParCohort 3: Data on Maintenance and Rescue Use to Par and HCPCohort 4: Data on Maintenance and Rescue Use Supplied to ParCohort 5: No Data Supplied to Par or HCP
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 1 and Month 6 as Determined by the Maintenance Sensor81.5 ± 3.0778.8 ± 2.9077.7 ± 2.9975.2 ± 3.0371.8 ± 3.07
Statistical analysis
  • Cohort 1: Data on Maintenance Use Supplied to Par and HCP vs Cohort 5: No Data Supplied to Par or HCP · ANCOVA · p = 0.004 (p-value was calculated using ANCOVA.) · Mean difference (final values): 9.7 · 95% CI 3.1 to 16.3Analysis was performed by ANCOVA adjusted for randomized treatment arm, Baseline adherence, duration of run-in (visits), country, gender and age.
  • Cohort 2: Data on Maintenance Use Supplied to Par vs Cohort 5: No Data Supplied to Par or HCP · ANCOVA · p = 0.032 (p-value was calculated using ANCOVA.) · Mean difference (final values): 7.1 · 95% CI 0.6 to 13.5Analysis was performed by ANCOVA adjusted for randomized treatment arm, Baseline adherence, duration of run-in (visits), country, gender and age.
  • Cohort 3: Data on Maintenance and Rescue Use to Par and HCP vs Cohort 5: No Data Supplied to Par or HCP · ANCOVA · p = 0.070 (p-value was calculated using ANCOVA.) · Mean difference (final values): 5.9 · 95% CI -0.5 to 12.4Analysis was performed by ANCOVA adjusted for randomized treatment arm, Baseline adherence, duration of run-in (visits), country, gender and age.
  • Cohort 4: Data on Maintenance and Rescue Use Supplied to Par vs Cohort 5: No Data Supplied to Par or HCP · ANCOVA · p = 0.294 (p-value was calculated using ANCOVA.) · Mean difference (final values): 3.4 · 95% CI -3.0 to 9.9Analysis was performed by ANCOVA adjusted for randomized treatment arm, Baseline adherence, duration of run-in (visits), country, gender and age.
SecondaryPercentage of Rescue Free Days Between Month 4 and Month 6 as Determined by the Rescue Medication Sensor

Data for rescue medication use was collected by the clip-on sensor for salbutamol MDI which records time and date when the MDI was actuated. Percentage of rescue free days were determined by the rescue sensor records of date, time and number of inhaler actuations. Least Square mean percentage of rescue free days between Months 4 and 6 when maintenance data was supplied to both the participant and the HCP (Cohort 1); maintenance data was only supplied to participants (Cohort 2); rescue and maintenance data were supplied to participant and HCP (Cohort 3) and rescue and maintenance data only supplied to participant (Cohort 4) versus no data supplied to the participant or HCP (Cohort 5) is summarized.

Time frame:
Month 4 to Month 6
Reported as:
Least squares mean · Percentage of rescue free days
Percentage of Rescue Free Days Between Month 4 and Month 6 as Determined by the Rescue Medication Sensor
Percentage of rescue free daysCohort 1: Data on Maintenance Use Supplied to Par and HCPCohort 2: Data on Maintenance Use Supplied to ParCohort 3: Data on Maintenance and Rescue Use to Par and HCPCohort 4: Data on Maintenance and Rescue Use Supplied to ParCohort 5: No Data Supplied to Par or HCP
Percentage of Rescue Free Days Between Month 4 and Month 6 as Determined by the Rescue Medication Sensor81.1 ± 2.8281.2 ± 2.6685.6 ± 2.7683.7 ± 2.8076.4 ± 2.82
Statistical analysis
  • Cohort 1: Data on Maintenance Use Supplied to Par and HCP vs Cohort 5: No Data Supplied to Par or HCP · ANCOVA · p = 0.118 (p-value was calculated using ANCOVA.) · Mean difference (final values): 4.8 · 95% CI -1.2 to 10.8Analysis was performed by ANCOVA adjusted for randomized treatment arm, Baseline rescue use, duration of run-in (visits), country, gender and age.
  • Cohort 2: Data on Maintenance Use Supplied to Par vs Cohort 5: No Data Supplied to Par or HCP · ANCOVA · p = 0.105 (p-value was calculated using ANCOVA.) · Mean difference (final values): 4.8 · 95% CI -1.0 to 10.7Analysis was performed by ANCOVA adjusted for randomized treatment arm, Baseline rescue use, duration of run-in (visits), country, gender and age.
  • Cohort 3: Data on Maintenance and Rescue Use to Par and HCP vs Cohort 5: No Data Supplied to Par or HCP · ANCOVA · p = 0.002 (p-value was calculated using ANCOVA.) · Mean difference (final values): 9.2 · 95% CI 3.3 to 15.1Analysis was performed by ANCOVA adjusted for randomized treatment arm, Baseline rescue use, duration of run-in (visits), country, gender and age.
  • Cohort 4: Data on Maintenance and Rescue Use Supplied to Par vs Cohort 5: No Data Supplied to Par or HCP · ANCOVA · p = 0.015 (p-value was calculated using ANCOVA.) · Mean difference (final values): 7.3 · 95% CI 1.5 to 13.2Analysis was performed by ANCOVA adjusted for randomized treatment arm, Baseline rescue use, duration of run-in (visits), country, gender and age.
SecondaryNumber of Doses of Rescue Medication Use Between Month 4 and Month 6 as Determined by the Rescue Medication Sensor

Data for rescue medication use was collected by the clip-on sensor for salbutamol MDI which records time and date when the MDI was actuated. Total rescue use was determined by the rescue sensor records of date, time and number of inhaler actuations. The mean number of doses of rescue medicines between Months 4 and 6 when maintenance data was supplied to both the participant and the HCP (Cohort 1); maintenance data was only supplied to participants (Cohort 2); rescue and maintenance data were supplied to participant and HCP (Cohort 3) and rescue and maintenance data only supplied to participant (Cohort 4) versus no data supplied to the participant or HCP (Cohort 5) is summarized.

Time frame:
Month 4 to Month 6
Reported as:
Mean · Doses of rescue medication
Number of Doses of Rescue Medication Use Between Month 4 and Month 6 as Determined by the Rescue Medication Sensor
Doses of rescue medicationCohort 1: Data on Maintenance Use Supplied to Par and HCPCohort 2: Data on Maintenance Use Supplied to ParCohort 3: Data on Maintenance and Rescue Use to Par and HCPCohort 4: Data on Maintenance and Rescue Use Supplied to ParCohort 5: No Data Supplied to Par or HCP
Number of Doses of Rescue Medication Use Between Month 4 and Month 6 as Determined by the Rescue Medication Sensor55.3 ± 107.7340.6 ± 91.5329.5 ± 54.4127.0 ± 45.2755.8 ± 158.49
SecondaryChange From Baseline in Asthma Control Test (ACT) Total Score

The ACT is a validated self-completed questionnaire utilizing 5 questions to assess asthma control on a 5-point categorical scale ranging from 1 (not controlled at all) to 5 (completely controlled). Total score is calculated as the sum of the scores from the 5 questions and can range from 5 to 25, with higher scores indicating better control. An ACT total score of 5 to 19 suggests that the participant's asthma is unlikely to be well controlled, whilst a score of 20 to 25 suggests that the participant's asthma is likely to be well controlled. Baseline value was the latest assessment prior to randomization (Day 1, pre-dose). Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline and Month 6
Reported as:
Least squares mean · Scores on a Scale
Change From Baseline in Asthma Control Test (ACT) Total Score
Scores on a ScaleCohort 1: Data on Maintenance Use Supplied to Par and HCPCohort 2: Data on Maintenance Use Supplied to ParCohort 3: Data on Maintenance and Rescue Use to Par and HCPCohort 4: Data on Maintenance and Rescue Use Supplied to ParCohort 5: No Data Supplied to Par or HCP
Change From Baseline in Asthma Control Test (ACT) Total Score3.4 ± 0.404.3 ± 0.404.7 ± 0.414.2 ± 0.413.9 ± 0.40
Statistical analysis
  • Cohort 1: Data on Maintenance Use Supplied to Par and HCP vs Cohort 5: No Data Supplied to Par or HCP · MMRM · p = 0.400 (p-value was calculated using Mixed Model Repeated Measures (MMRM).) · Mean difference (net): -0.5 · 95% CI -1.6 to 0.6Analysis was performed by MMRM adjusted for randomized treatment arm,Baseline ACT total score,randomized treatment arm-by-visit interaction,Baseline ACT total score-by-visit interaction,gender,age,country and participant fitted as a random factor.
  • Cohort 2: Data on Maintenance Use Supplied to Par vs Cohort 5: No Data Supplied to Par or HCP · MMRM · p = 0.441 (p-value was calculated using MMRM.) · Mean difference (net): 0.4 · 95% CI -0.7 to 1.5Analysis was performed by MMRM adjusted for randomized treatment arm,Baseline ACT total score,randomized treatment arm-by-visit interaction,Baseline ACT total score-by-visit interaction,gender,age,country and participant fitted as a random factor.
  • Cohort 3: Data on Maintenance and Rescue Use to Par and HCP vs Cohort 5: No Data Supplied to Par or HCP · MMRM · p = 0.164 (p-value was calculated using MMRM.) · Mean difference (net): 0.8 · 95% CI -0.3 to 1.9Analysis was performed by MMRM adjusted for randomized treatment arm,Baseline ACT total score,randomized treatment arm-by-visit interaction,Baseline ACT total score-by-visit interaction,gender,age,country and participant fitted as a random factor.
  • Cohort 4: Data on Maintenance and Rescue Use Supplied to Par vs Cohort 5: No Data Supplied to Par or HCP · MMRM · p = 0.661 (p-value was calculated using MMRM.) · Mean difference (net): 0.3 · 95% CI -0.9 to 1.4Analysis was performed by MMRM adjusted for randomized treatment arm,Baseline ACT total score,randomized treatment arm-by-visit interaction,Baseline ACT total score-by-visit interaction,gender,age,country and participant fitted as a random factor.
SecondaryPercentage of Participants Attaining Asthma Control (Percentage of Participants With an ACT Total Score >=20) at Month 6

Percentage of participants attaining asthma control was defined as participants with an ACT total score \>=20 at Month 6. The ACT is a validated self-completed questionnaire utilizing 5 questions to assess asthma control on a 5-point categorical scale ranging from 1 (not controlled at all) to 5 (completely controlled). Total score is calculated as the sum of the scores from the 5 questions and can range from 5 to 25, with higher scores indicating better control. An ACT total score of 5 to 19 suggests that the participant's asthma is unlikely to be well controlled, whilst a score of 20 to 25 suggests that the participant's asthma is likely to be well controlled. Percentage of participants who attained asthma control at Month 6 is presented.

Time frame:
Month 6
Reported as:
Number · Percentage of participants
Percentage of Participants Attaining Asthma Control (Percentage of Participants With an ACT Total Score >=20) at Month 6
Percentage of participantsCohort 1: Data on Maintenance Use Supplied to Par and HCPCohort 2: Data on Maintenance Use Supplied to ParCohort 3: Data on Maintenance and Rescue Use to Par and HCPCohort 4: Data on Maintenance and Rescue Use Supplied to ParCohort 5: No Data Supplied to Par or HCP
Percentage of Participants Attaining Asthma Control (Percentage of Participants With an ACT Total Score >=20) at Month 65266555362
Statistical analysis
  • Cohort 1: Data on Maintenance Use Supplied to Par and HCP vs Cohort 5: No Data Supplied to Par or HCP · Regression, Logistic · p = 0.385 (p-value was calculated using logistic regression) · Odds ratio (or): 0.75 · 95% CI 0.39 to 1.44Analysis was performed by logistic regression adjusted for randomized treatment arm, Baseline ACT total score, country, gender and age.
  • Cohort 2: Data on Maintenance Use Supplied to Par vs Cohort 5: No Data Supplied to Par or HCP · Regression, Logistic · p = 0.517 (p-value was calculated using logistic regression) · Odds ratio (or): 1.24 · 95% CI 0.64 to 2.42Analysis was performed by logistic regression adjusted for randomized treatment arm, Baseline ACT total score, country, gender and age.
  • Cohort 3: Data on Maintenance and Rescue Use to Par and HCP vs Cohort 5: No Data Supplied to Par or HCP · Regression, Logistic · p = 0.921 (p-value was calculated using logistic regression) · Odds ratio (or): 0.97 · 95% CI 0.51 to 1.85Analysis was performed by logistic regression adjusted for randomized treatment arm, Baseline ACT total score, country, gender and age.
  • Cohort 4: Data on Maintenance and Rescue Use Supplied to Par vs Cohort 5: No Data Supplied to Par or HCP · Regression, Logistic · p = 0.321 (p-value was calculated using logistic regression) · Odds ratio (or): 0.72 · 95% CI 0.38 to 1.38Analysis was performed by logistic regression adjusted for randomized treatment arm, Baseline ACT total score, country, gender and age.
SecondaryPercentage of Participants With an Increase From Baseline >=3 in ACT Total Score at Month 6

The ACT is a validated self-completed questionnaire utilizing 5 questions to assess asthma control on a 5-point categorical scale ranging from 1 (not controlled at all) to 5 (completely controlled). Total score is calculated as the sum of the scores from the 5 questions and can range from 5 to 25, with higher scores indicating better control. An ACT total score of 5 to 19 suggests that the participant's asthma is unlikely to be well controlled, whilst a score of 20 to 25 suggests that the participant's asthma is likely to be well controlled. Baseline value was the latest assessment prior to randomization (Day 1, pre-dose). Percentage of participants with an increase from Baseline \>=3 in ACT total score at Month 6 is presented.

Time frame:
Baseline and Month 6
Reported as:
Number · Percentage of participants
Percentage of Participants With an Increase From Baseline >=3 in ACT Total Score at Month 6
Percentage of participantsCohort 1: Data on Maintenance Use Supplied to Par and HCPCohort 2: Data on Maintenance Use Supplied to ParCohort 3: Data on Maintenance and Rescue Use to Par and HCPCohort 4: Data on Maintenance and Rescue Use Supplied to ParCohort 5: No Data Supplied to Par or HCP
Percentage of Participants With an Increase From Baseline >=3 in ACT Total Score at Month 66169656364
Statistical analysis
  • Cohort 1: Data on Maintenance Use Supplied to Par and HCP vs Cohort 5: No Data Supplied to Par or HCP · Regression, Logistic · p = 0.911 (p-value was calculated using logistic regression) · Odds ratio (or): 1.04 · 95% CI 0.54 to 1.98Analysis was performed by logistic regression adjusted for randomized treatment arm, Baseline ACT total score, country, gender and age.
  • Cohort 2: Data on Maintenance Use Supplied to Par vs Cohort 5: No Data Supplied to Par or HCP · Regression, Logistic · p = 0.383 (p-value was calculated using logistic regression) · Odds ratio (or): 1.33 · 95% CI 0.70 to 2.54Analysis was performed by logistic regression adjusted for randomized treatment arm, Baseline ACT total score, country, gender and age.
  • Cohort 3: Data on Maintenance and Rescue Use to Par and HCP vs Cohort 5: No Data Supplied to Par or HCP · Regression, Logistic · p = 0.814 (p-value was calculated using logistic regression) · Odds ratio (or): 1.08 · 95% CI 0.57 to 2.04Analysis was performed by logistic regression adjusted for randomized treatment arm, Baseline ACT total score, country, gender and age.
  • Cohort 4: Data on Maintenance and Rescue Use Supplied to Par vs Cohort 5: No Data Supplied to Par or HCP · Regression, Logistic · p = 0.986 (p-value was calculated using logistic regression) · Odds ratio (or): 1.01 · 95% CI 0.53 to 1.89Analysis was performed by logistic regression adjusted for randomized treatment arm, Baseline ACT total score, country, gender and age.
SecondaryPercentage of Participants Who Have Either an ACT Total Score of >=20 and/or an Increase From Baseline >=3 in ACT Total Score at Month 6

The ACT is a validated self-completed questionnaire utilizing 5 questions to assess asthma control on a 5-point categorical scale ranging from 1 (not controlled at all) to 5 (completely controlled). Total score is calculated as the sum of the scores from the 5 questions and can range from 5 to 25, with higher scores indicating better control. Baseline value was the latest assessment prior to randomization (Day 1, pre-dose). Percentage of participants who had either an ACT total score of \>=20 and/or an increase from Baseline \>=3 in ACT total score at Month 6 is presented.

Time frame:
Baseline and Month 6
Reported as:
Number · Percentage of participants
Percentage of Participants Who Have Either an ACT Total Score of >=20 and/or an Increase From Baseline >=3 in ACT Total Score at Month 6
Percentage of participantsCohort 1: Data on Maintenance Use Supplied to Par and HCPCohort 2: Data on Maintenance Use Supplied to ParCohort 3: Data on Maintenance and Rescue Use to Par and HCPCohort 4: Data on Maintenance and Rescue Use Supplied to ParCohort 5: No Data Supplied to Par or HCP
Percentage of Participants Who Have Either an ACT Total Score of >=20 and/or an Increase From Baseline >=3 in ACT Total Score at Month 66675656770
Statistical analysis
  • Cohort 1: Data on Maintenance Use Supplied to Par and HCP vs Cohort 5: No Data Supplied to Par or HCP · Regression, Logistic · p = 0.833 (p-value was calculated using logistic regression) · Odds ratio (or): 0.93 · 95% CI 0.48 to 1.81Analysis was performed by logistic regression adjusted for randomized treatment arm, Baseline ACT total score, country, gender and age.
  • Cohort 2: Data on Maintenance Use Supplied to Par vs Cohort 5: No Data Supplied to Par or HCP · Regression, Logistic · p = 0.383 (p-value was calculated using logistic regression) · Odds ratio (or): 1.35 · 95% CI 0.69 to 2.67Analysis was performed by logistic regression adjusted for randomized treatment arm, Baseline ACT total score, country, gender and age.
  • Cohort 3: Data on Maintenance and Rescue Use to Par and HCP vs Cohort 5: No Data Supplied to Par or HCP · Regression, Logistic · p = 0.628 (p-value was calculated using logistic regression) · Odds ratio (or): 0.85 · 95% CI 0.44 to 1.63Analysis was performed by logistic regression adjusted for randomized treatment arm, Baseline ACT total score, country, gender and age.
  • Cohort 4: Data on Maintenance and Rescue Use Supplied to Par vs Cohort 5: No Data Supplied to Par or HCP · Regression, Logistic · p = 0.844 (p-value was calculated using logistic regression) · Odds ratio (or): 0.94 · 95% CI 0.49 to 1.80Analysis was performed by logistic regression adjusted for randomized treatment arm, Baseline ACT total score, country, gender and age.

Adverse events

Collected over Serious adverse events (SAEs) and non-serious AEs were collected from the start of study treatment up to 6 months. Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort 1: Data on Maintenance Use Supplied to Par and HCP0/87 (0%)2/87 (2.3%)4/87 (4.6%)
Cohort 2: Data on Maintenance Use Supplied to Par0/88 (0%)1/88 (1.1%)1/88 (1.1%)
Cohort 3: Data on Maintenance and Rescue Use to Par and HCP0/88 (0%)2/88 (2.3%)1/88 (1.1%)
Cohort 4: Data on Maintenance and Rescue Use Supplied to Par0/88 (0%)1/88 (1.1%)1/88 (1.1%)
Cohort 5: No Data Supplied to Par or HCP0/86 (0%)4/86 (4.7%)2/86 (2.3%)
Most frequent serious events
Showing 10 of 13
Most frequent serious events
EventCohort 1: Data on Maintenance Use Supplied to Par and HCPCohort 2: Data on Maintenance Use Supplied to ParCohort 3: Data on Maintenance and Rescue Use to Par and HCPCohort 4: Data on Maintenance and Rescue Use Supplied to ParCohort 5: No Data Supplied to Par or HCP
PneumoniaInfections and infestations1/870/880/880/881/86
CellulitisInfections and infestations0/870/880/880/881/86
Upper gastrointestinal hemorrhageGastrointestinal disorders0/870/880/880/881/86
OsteoarthritisMusculoskeletal and connective tissue disorders0/870/880/880/881/86
Obstructive pancreatitisGastrointestinal disorders1/870/880/880/880/86
Cholecystitis acuteHepatobiliary disorders1/870/880/880/880/86
HyponatremiaMetabolism and nutrition disorders1/870/880/880/880/86
AsthmaRespiratory, thoracic and mediastinal disorders1/870/880/880/880/86
Non-cardiac chest painGeneral disorders0/870/881/880/880/86
Fibula fractureInjury, poisoning and procedural complications0/870/880/881/880/86
Most frequent other events
Showing 10 of 12
Most frequent other events
EventCohort 1: Data on Maintenance Use Supplied to Par and HCPCohort 2: Data on Maintenance Use Supplied to ParCohort 3: Data on Maintenance and Rescue Use to Par and HCPCohort 4: Data on Maintenance and Rescue Use Supplied to ParCohort 5: No Data Supplied to Par or HCP
Oral candidiasisInfections and infestations2/870/880/880/880/86
Oropharyngeal painRespiratory, thoracic and mediastinal disorders0/870/880/880/881/86
NauseaGastrointestinal disorders0/871/880/880/881/86
ArthralgiaMusculoskeletal and connective tissue disorders0/870/880/881/881/86
FatigueGeneral disorders0/870/880/880/881/86
Oesophageal candidiasisInfections and infestations1/870/880/880/880/86
DysphoniaRespiratory, thoracic and mediastinal disorders1/871/880/880/880/86
Oral fungal infectionInfections and infestations0/871/880/880/880/86
Upper respiratory tract infectionInfections and infestations0/870/881/880/880/86
MyalgiaMusculoskeletal and connective tissue disorders0/870/880/881/880/86

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Cohort 1: Data on Maintenance Use Supplied to Par and HCPCohort 2: Data on Maintenance Use Supplied to ParCohort 3: Data on Maintenance and Rescue Use to Par and HCPCohort 4: Data on Maintenance and Rescue Use Supplied to ParCohort 5: No Data Supplied to Par or HCPTotal
Mean46.7 ± 15.7947.0 ± 14.7047.8 ± 15.2847.8 ± 13.2347.2 ± 15.9147.3 ± 14.95
Sex: Female, Male
Sex: Female, Male(Participants)Cohort 1: Data on Maintenance Use Supplied to Par and HCPCohort 2: Data on Maintenance Use Supplied to ParCohort 3: Data on Maintenance and Rescue Use to Par and HCPCohort 4: Data on Maintenance and Rescue Use Supplied to ParCohort 5: No Data Supplied to Par or HCPTotal
Female6454596047284
Male2334292839153
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Cohort 1: Data on Maintenance Use Supplied to Par and HCPCohort 2: Data on Maintenance Use Supplied to ParCohort 3: Data on Maintenance and Rescue Use to Par and HCPCohort 4: Data on Maintenance and Rescue Use Supplied to ParCohort 5: No Data Supplied to Par or HCPTotal
American Indian (AI) or Alaska native (AN)100023
Asian-Central/South Asian Heritage131218
Asian-East Asian Heritage100012
Asian-South East (SE) Asian Heritage (AH)2232312
Black or African American10389434
Native Hawaiian or other Pacific Islander010001
White-Arabic/North African heritage000112
White-White/Caucasian/European Heritage (EH)7276767473371
AI or AN and Black or African American020002
AI or AN and White- White/Caucasian/EH010001
Asian-SE AH and White- White/Caucasian/EH000011
08

Study locations

66 sites
  • GSK Investigational Site
    Aventura, Florida 33180, United States
  • GSK Investigational Site
    Miami, Florida 33173, United States
  • GSK Investigational Site
    Flossmoor, Illinois 60422, United States
  • GSK Investigational Site
    Glenview, Illinois 60026, United States
  • GSK Investigational Site
    Hazelwood, Missouri 63042, United States
  • GSK Investigational Site
    Charlotte, North Carolina 28277, United States
  • GSK Investigational Site
    Oklahoma City, Oklahoma 73120, United States
  • GSK Investigational Site
    Medford, Oregon 97504, United States
  • GSK Investigational Site
    San Antonio, Texas 78229, United States
  • GSK Investigational Site
    Richmond, Virginia 23230, United States
  • GSK Investigational Site
    Greenfield, Wisconsin 53228, United States
  • GSK Investigational Site
    Kelowna, British Columbia V1W 1V3, Canada
  • GSK Investigational Site
    Vancouver, British Columbia V5Z 1M9, Canada
  • GSK Investigational Site
    Ajax, Ontario L1S 2J5, Canada
  • GSK Investigational Site
    Burlington, Ontario L7N 3V2, Canada
  • GSK Investigational Site
    London, Ontario N5W 6A2, Canada
  • GSK Investigational Site
    Sarnia, Ontario N7T 4X3, Canada
  • GSK Investigational Site
    Toronto, Ontario M5T 3A9, Canada
  • GSK Investigational Site
    Toronto, Ontario M9V 4B4, Canada
  • GSK Investigational Site
    Toronto, Ontario M9W 4L6, Canada
  • GSK Investigational Site
    Windsor, Ontario N8X2G1, Canada
  • GSK Investigational Site
    Montreal, Quebec H4J 1C5, Canada
  • GSK Investigational Site
    Sherbrooke, Quebec J1L 0H8, Canada
  • GSK Investigational Site
    Victoriaville, Quebec G6P 6P6, Canada
  • GSK Investigational Site
    Quebec, G1N 4V3, Canada
  • GSK Investigational Site
    Quebec, G1W 4R4, Canada
  • GSK Investigational Site
    Quebec, G3K 2P8, Canada
  • GSK Investigational Site
    Ruedersdorf, Brandenburg 15562, Germany
  • GSK Investigational Site
    Darmstadt, Hessen 64283, Germany
  • GSK Investigational Site
    Warendorf, Nordrhein-Westfalen 48231, Germany
  • GSK Investigational Site
    Leipzig, Sachsen 04103, Germany
  • GSK Investigational Site
    Leipzig, Sachsen 04357, Germany
  • GSK Investigational Site
    Luebeck, Schleswig-Holstein 23552, Germany
  • GSK Investigational Site
    Berlin, 10119, Germany
  • GSK Investigational Site
    Berlin, 12203, Germany
  • GSK Investigational Site
    Berlin, 13156, Germany
  • GSK Investigational Site
    Berlin, 14059, Germany
  • GSK Investigational Site
    Napoli, Campania 80131, Italy
  • GSK Investigational Site
    Salerno, Campania 84131, Italy
  • GSK Investigational Site
    Pordenone, Friuli-Venezia-Giulia 33170, Italy
  • GSK Investigational Site
    Palermo, Sicilia 90146, Italy
  • GSK Investigational Site
    Pisa, Toscana 56124, Italy
  • GSK Investigational Site
    Breda, 4818 CK, Netherlands
  • GSK Investigational Site
    Den Haag, 2526 HW, Netherlands
  • GSK Investigational Site
    Groningen, 9728 NT, Netherlands
  • GSK Investigational Site
    Hengelo, 7555 DL, Netherlands
  • GSK Investigational Site
    Hoorn, 1624 NP, Netherlands
  • GSK Investigational Site
    Zutphen, 7207 AE, Netherlands
  • GSK Investigational Site
    Balenyà (Barcelona), 08550, Spain
  • GSK Investigational Site
    Barcelona, 08028, Spain
  • GSK Investigational Site
    Barcelona, 08036, Spain
  • GSK Investigational Site
    La Coruña, 15011, Spain
  • GSK Investigational Site
    La Roca Del Valles (Barcelona), 08430, Spain
  • GSK Investigational Site
    Loja/ Granada, 18300, Spain
  • GSK Investigational Site
    Madrid, 28034, Spain
  • GSK Investigational Site
    Madrid, 28044, Spain
  • GSK Investigational Site
    Peralada( Girona), 17491, Spain
  • GSK Investigational Site
    Aylesbury, Buckinghamshire HP21 8AL, United Kingdom
  • GSK Investigational Site
    Wigan, Lancashire WN1 2NN, United Kingdom
  • GSK Investigational Site
    Wellingborough, Northamptonshire NN8 4RW, United Kingdom
  • GSK Investigational Site
    Addlestone, Surrey KT15 2BH, United Kingdom
  • GSK Investigational Site
    Rotherham, Yorkshire S65 1DA, United Kingdom
  • GSK Investigational Site
    Bristol, BS37 4AX, United Kingdom
  • GSK Investigational Site
    Chelmsford, CM1 7ET, United Kingdom
  • GSK Investigational Site
    Chertsey, Surrey, KT16 0PZ, United Kingdom
  • GSK Investigational Site
    Harrogate, HG2 7SX, United Kingdom
09

References and documents

Publications

  • Moore A, Preece A, Sharma R, Heaney LG, Costello RW, Wise RA, Ludwig-Sengpiel A, Mosnaim G, Rees J, Tomlinson R, Tal-Singer R, Stempel DA, Barnes N. A randomised controlled trial of the effect of a connected inhaler system on medication adherence in uncontrolled asthmatic patients. Eur Respir J. 2021 Jun 4;57(6):2003103. doi: 10.1183/13993003.03103-2020. Print 2021 Jun. PubMed 33334936 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — IPD for this study is available via the Clinical Study Data Request site.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: IPD is available via the Clinical Study Data Request site (copy the URL below to your browser)

Access criteria: Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.

Data sharing details ↗ · clinicalstudydatarequest.com

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2018 to primary completion in Jan 2019, 11 months.

Results were first posted in Feb 2020, 1 year after primary completion.

Of 66 industry-sponsored phase 4 interventional studies under Asthma, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 33. This study's 11 months is below that.

Counting every sponsor, half of 156 studies reached it within 24 months; a quarter within 11 and three quarters within 37.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 15, 2017
First posted
Dec 21, 2017
StartActual
Jan 31, 2018
Primary completionActual
Jan 24, 2019
CompletionActual
Jan 24, 2019
Results first posted
Feb 5, 2020
Last update
Apr 12, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 12, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03380429
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Dec 21, 2017
Start date
Jan 31, 2018
Primary completion
Jan 24, 2019
Completion
Jan 24, 2019
Results posted
Feb 5, 2020
Last update
Apr 12, 2021

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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