ClinicalTrials.gg
CompletedNCT03474081Updated Jul 15, 2021Results posted

A Comparative Study Between Fluticasone Furoate/Umeclidinium/Vilanterol (FF/UMEC/VI) Single Inhaler Triple Therapy Versus Tiotropium Monotherapy in Subjects With Chronic Obstructive Pulmonary Disease (COPD)

A Phase 4 interventional study of FF/UMEC/VI and Tiotropium in Pulmonary Disease, Chronic Obstructive, sponsored by GlaxoSmithKline. Completed at 72 sites in 3 countries. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2021-07-15.

Sponsored by GlaxoSmithKline · Phase 4, Interventional, and Treatment

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Phase
Phase 4
Study type
Interventional
Enrollment
800
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Where this study stands

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

Among 25 studies testing fluticasone furoate in Pulmonary Disease, Chronic Obstructive — 2 open to participants now, 2 under way, none of them phase 3. fluticasone furoate · Pulmonary Disease, Chronic Obstructive.

Enrollment
5th of 25
800 · median 229
Started
2018
with 4 others
Phase 4
13 of 25
2 open now
Registered
17th of 25
by date
Lead sponsor
21 of 25
GlaxoSmithKline

Among the 25 studies testing fluticasone furoate in Pulmonary Disease, Chronic Obstructive, this one is the 5th largest by enrollment, is one of 5 that started in 2018, is one of 13 in phase 4, and was the 17th registered.

Pulmonary Disease, Chronic Obstructive

5,522 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 857 are open to participants now.

Browse Pulmonary Disease, Chronic Obstructive studies →

Open to participants now

2 of the 25 studies testing fluticasone furoate in Pulmonary Disease, Chronic Obstructive are open now, in 2 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

About fluticasone furoate

fluticasone furoate: first FDA approval 2007 (FLONASE SENSIMIST ALLERGY RELIEF), first EMA approval 2008. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 557 Pulmonary Disease, Chronic Obstructive studies recruiting now, 306 (55%) set no upper age limit and 82 (15%) stop at 75 or younger; 29 take children under 18; 89 take healthy volunteers.

This study: 40 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 25 studies testing fluticasone furoate in Pulmonary Disease, Chronic Obstructive, or all of them as a file.
02

Study summary

COPD is a progressive disease characterized by increasing obstruction to airflow and the progressive development of respiratory symptoms including chronic cough, increased sputum production, dyspnea and wheezing. Once-daily triple therapy of an Inhaled Corticosteroid/ Long-acting Muscarinic Receptor Antagonists/ Long Acting Beta-Agonist (ICS/LAMA/LABA) that is combination of FF/UMEC/VI in a single device is being developed with the aim of providing a new treatment option for the management of advanced COPD. The primary purpose of this study is to evaluate lung function and health related quality of life (HRQoL) after 84 days of treatment with a single inhaler triple therapy combination of FF/ UMEC/VI once daily via the ELLIPTA® dry powder inhaler (DPI) compared with tiotropium once daily via HANDIHALER®, in subjects with COPD. Subjects will be randomized 1:1 to receive FF/UMEC/VI or tiotropium in the morning for 84 days. Subjects will also receive albuterol/salbutamol as a rescue therapy throughout the study. Approximately 848 subjects with advanced COPD will be enrolled in the study. The total study duration will be approximately 17 weeks including, 4-week run-in period, 12-week treatment period and a 1-week follow-up period. ELLIPTA is a registered trademark of GlaxoSmithKline (GSK) group of companies. HANDIHALER and RESPIMAT are registered trademarks of Boeringher Ingelheim.

03

Conditions studied

  • Pulmonary Disease, Chronic Obstructive

Keywords

  • Umeclidinium
  • Lung function
  • RESPIMAT
  • Chronic obstructive pulmonary disease
  • Triple Therapy
  • Vilanterol
  • HANDIHALER
  • Tiotropium
  • Fluticasone furoate
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Subjects capable of giving signed .
  • Outpatients will be included in the study.
  • Subjects 40 years of age or older at Screening (Visit 1).
  • 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: not a woman of (WOCBP) or a WOCBP who agrees to follow the guidance during the treatment period and until the safety follow-up contact after the last dose of study treatment.
  • An established clinical history of in accordance with the definition by the American Thoracic Society/European Respiratory Society.
  • Current or former cigarette smokers with a history of cigarette smoking of >=10 pack-years at Screening (Visit 1) (number of pack years = [number of cigarettes per day / 20] x number of years smoked [example given {e.g.}, 20 cigarettes per day for 10 years, or 10 cigarettes per day for 20 years]). Previous smokers are defined as those who have stopped smoking for at least 6 months prior to Visit 1.
  • A score of >=10 on the COPD Assessment Test (CAT) at Screening (Visit 1).
  • Subjects must demonstrate at Screening: A post-bronchodilator \<50 percent predicted normal or a post-bronchodilator FEV1 \<80 percent predicted normal and a documented history of >=2 moderate exacerbations or one severe (hospitalized) exacerbation in the previous 12 months. Subjects must also have a measured post albuterol/salbutamol FEV1/forced vital capacity (FVC) ratio of \<0.70 at screening.
  • Subjects must have been receiving daily maintenance treatment with tiotropium alone (via the HANDIHALER or RESPIMAT®) for their COPD for at least 3 months prior to Screening.

Exclusion criteria

Exclusion Criteria:

  • Women who are pregnant or lactating or are planning on becoming pregnant during the study.
  • Subjects with a current diagnosis of asthma. (Subjects with a prior history of asthma are eligible if they have a current diagnosis of ).
  • Subjects with alpha1-antitrypsin deficiency as the underlying cause of COPD.
  • Subjects with active tuberculosis, lung cancer, and : bronchiectasis, sarcoidosis, lung fibrosis, pulmonary hypertension, interstitial lung disease or other active pulmonary diseases.
  • Subjects who have undergone lung volume reduction surgery within the 12 months prior to Screening.
  • Immune suppression (e.g. advanced [HIV] with high viral load and low cluster of differentiation 4 [CD4] count, lupus on 's) that in the opinion of the investigator would increase risk of pneumonia or other risk factors for pneumonia (e.g. neurological disorders affecting control of the upper airway, such as Parkinson's Disease, Myasthenia Gravis). Subjects at potentially high risk for pneumonia (e.g. very low [BMI], severely malnourished, or very low ) will only be included at the discretion of the Investigator.
  • Pneumonia and/or moderate or severe COPD exacerbation that has not resolved at least 14 days prior to Screening and at least 30 days following the last dose of oral/systemic (if applicable).
  • Respiratory tract infection that has not resolved at least 7 days prior to Screening.
  • Chest x-ray (posteroanterior and lateral) reveals evidence of pneumonia or a clinically significant abnormality not believed to be due to the presence of COPD, or another condition that would hinder the ability to detect an infiltrate on chest x-ray (e.g. significant cardiomegaly, pleural effusion or scarring). All subjects will have a chest x-ray at Screening Visit 1 (or historical radiograph or computerized tomography [CT] scan obtained within 3 months prior to screening). For sites in Germany: If a chest x-ray (or CT scan) within 3 months prior to Screening (Visit 1) is not available, approval to conduct a diagnostic chest x-ray will need to be obtained from the Federal Office for Radiation Protection (BfS).
  • Subjects with historical or current evidence of clinically significant cardiovascular, neurological, psychiatric, renal, hepatic, immunological, gastrointestinal, urogenital, nervous system, musculoskeletal, skin, sensory, 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 efficacy or safety analysis if the disease/condition exacerbated during the study.
  • (ALT) >2x (ULN); and >1.5x ULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin \<35 percent). Current active liver or biliary disease (with the exception of Gilbert's syndrome or asymptomatic gallstones or otherwise stable chronic liver disease per investigator assessment). Chronic stable and C (e.g., presence of hepatitis B surface antigen [HBsAg] or positive antibody test result at screening or within 3 months prior to first dose of study treatment) are acceptable if subject otherwise meets entry criteria.
  • Subjects with any of the following at Screening (Visit 1): myocardial infarction or unstable angina in the last 6 months; unstable or life threatening cardiac arrhythmia requiring intervention in the last 3 months; (NYHA) Class IV Heart failure.
  • Abnormal and clinically significant 12-lead (ECG) finding at Visit 1. The Investigator will determine the clinical significance of each abnormal ECG finding in relation to the Subject's medical history and exclude subjects who would be at undue risk by participating in the trial. An abnormal and clinically significant finding that would preclude a subject from entering the trial is defined as a 12-lead ECG tracing that is interpreted at, but not limited to, any of the following: atrial fibrillation (AF) with rapid ventricular rate >120 beats per minute (BPM); sustained and non-sustained ventricular tachycardia (VT); second degree heart block Mobitz type II and third degree heart block (unless pacemaker or defibrillator had been inserted); corrected for heart rate (QTc) >=500 millisecond (msec) in subjects with QRS \<120 msec and QTc >=530 msec in subjects with QRS >=120 msec.
  • A history of allergy or to any corticosteroid, anticholinergic/muscarinic receptor antagonist, beta2-agonist, lactose/milk protein or magnesium stearate or a medical condition such as narrow-angle glaucoma, prostatic hypertrophy or bladder neck obstruction that, in the opinion of the Investigator, contraindicates study participation.
  • Subjects with carcinoma that has not been in complete remission for at least 3 years. Subjects who have had carcinoma in situ of the cervix, squamous cell carcinoma and basal cell carcinoma of the skin would not be excluded based on the 3 year waiting period if the subject has been considered cured by treatment.
  • Use of long-term oxygen therapy (LTOT) described as resting oxygen therapy >3 Liters per minute (L/minute) (Oxygen use \<=3 L/minute flow is not exclusionary.)
  • Subjects who are medically unable to withhold their albuterol/salbutamol for the 4-hour period required prior to spirometry testing at each study visit.
  • Subjects who have participated in the acute phase of a Pulmonary Rehabilitation Programme within 4 weeks prior to screening or subjects who plan to enter the acute phase of a Pulmonary Rehabilitation Programme during the study. Subjects who are in the maintenance phase of a Pulmonary Rehabilitation Programme are not excluded.
  • Subjects with a known or suspected history of alcohol or drug abuse within the last 2 years.
  • Subjects at risk of non-compliance, or unable to comply with the study procedures. Any infirmity, disability, or geographic location that would limit compliance for scheduled visits.
  • Subjects with a history of psychiatric disease, intellectual deficiency, poor motivation or other conditions that will limit the validity of to participate in the study.
  • Study Investigators, sub-Investigators, study coordinators, employees of a participating Investigator or study site, or immediate family members of the aforementioned that is involved with this study.
  • In the opinion of the Investigator, any subject who is unable to read and/or would not be able to complete study related materials.
  • Subjects taking following drug therapies will be excluded; subjects taking inhaled short-acting anticholinergics alone or along with short-acting beta agonist combination within 6 hours prior to screening; subjects taking inhaled short-acting beta2 agonists within >=4 hours prior to screening; subjects taking ICS, ICS/inhaled LABA combinations (e.g., FF/salmeterol, mometasone furoate/formoterol fumarate, budesonide/formoterol fumarate; FF/VI), Phosphodiesterase 4 (PDE4) inhibitors (roflumilast), LABA (e.g., indacaterol, olodaterol), LAMA (e.g., LAMA/LABA combinations UMEC, aclidinium, glycopyrronium), LAMA/LABA combinations, theophyllines, sodium cromoglycate and nedocromil sodium, anti-leukotrienes as maintenance treatment within 3 months prior to Visit 1 will be excluded. Maintenance treatment is defined as use for >=14 consecutive days (at any time in the 3 months prior to Visit 1). Subjects taking long term antibiotic therapy. (Antibiotics are allowed for the short term treatment (\<=14 days) of an exacerbation or for short term treatment (\<=14 days) of other acute infections during the study); subjects taking systemic, oral, parenteral corticosteroids 30 days prior to screening; (During the study oral/systemic corticosteroids may be used for \<=14 days to treat COPD exacerbations/pneumonia) will be excluded. Intra-articular injections are allowed; subjects taking any other drug within 30 days or 5 half-lives whichever is longer prior to screening will be excluded.
Terms in these criteria, in plain language(20)

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.

COPD

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

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

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.

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
Double (Participant, Investigator)
Enrollment
800 participants (actual)

Study arms

  • Experimental
    Subjects receiving FF/UMEC/VI + Placebo to match tiotropium

    Eligible subjects will receive FF/UMEC/VI at a dose of 100/62.5/25 microgram (mcg) administered once daily in the morning via ELLIPTA along with placebo to match tiotropium administered once daily in the morning via HANDIHALER. Subjects will self-administer 4 puffs of rescue medication (Albuterol/salbutamol) via metered dose inhaler (MDI).

    Drug: FF/UMEC/VI · Drug: Albuterol/salbutamol · Drug: Placebo to match tiotropium · Device: ELLIPTA inhaler · Device: HANDIHALER · Device: MDI

  • Experimental
    Subjects receiving Tiotropium + Placebo to match FF/UMEC/VI

    Eligible subjects will receive Tiotropium at a dose of 18 mcg administered once daily in the morning via HANDIHALER along with placebo to match FF/UMEC/VI administered once daily in the morning via ELLIPTA. Subjects will self-administer 4 puffs of rescue medication (Albuterol/salbutamol) via MDI.

    Drug: Tiotropium · Drug: Albuterol/salbutamol · Drug: Placebo to match FF/UMEC/VI · Device: ELLIPTA inhaler · Device: HANDIHALER · Device: MDI

Interventions

  • DrugFF/UMEC/VI

    Drug pages: Fluticasone furoate · GSK573719 · Vilanterol

    A single inhaler triple therapy of FF/UMEC/VI will be provided via ELLIPTA DPI. FF/UMEC/VI will be available as dry white powder with dosing strengths of 100/25/62.5 mcg per blister.

  • Tiotropium will be provided as a hard gelatin capsule for oral inhalation containing 18 mcg tiotropium bromide blended with lactose, administered via HANDIHALER DPI.

  • DrugAlbuterol/salbutamol

    Drug page: Albuterol

    Albuterol/salbutamol will be provided as an inhalation via MDI with a spacer or nebules and will be given as a rescue medication throughout the study.

  • DrugPlacebo to match FF/UMEC/VI

    Placebo matching FF/UMEC/VI will be available as a dry white powder of lactose or magnesium stearate, administered via ELLIPTA DPI.

  • DrugPlacebo to match tiotropium

    Placebo will be given as hard gelatin capsule for oral inhalation containing lactose, administered via HANDIHALER DPI.

  • DeviceELLIPTA inhaler

    ELLIPTA DPI will contain two individual blister strips with 30 blisters per strip. FF/UMEC/VI and placebo to match FF/UMEC/VI will be administered to the subjects using ELLIPTA DPI.

  • DeviceHANDIHALER

    Tiotropium and placebo to match tiotropium will be administered to the subjects using HANDIHALER DPI.

  • DeviceMDI

    Albuterol/salbutamol will be provided as a rescue medication throughout the study using MDI.

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) on Day 85

    FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Day 85 was defined as the mean of the two planned spirometry FEV1 measurements. Change from Baseline in trough FEV1 on Day 85 was calculated by subtracting Baseline FEV1 value from the trough FEV1 value on Day 85. Baseline FEV1 was defined as the mean of the two assessments made at 30 and 5 minutes pre-dose on Day 1.

    Time frame: Baseline (Day 1 [Pre-dose at 30 minutes and 5 minutes]) and Day 85

Secondary outcomes

  1. Change From Baseline in Trough FEV1 on Day 28

    FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Day 28 was defined as the average of the two pre-dose FEV1 measurements recorded before the morning dose of randomized study medication on Day 28. Change from Baseline in trough FEV1 on Day 28 was calculated by subtracting Baseline FEV1 value from the trough FEV1 value on Day 28. Baseline FEV1 was defined as the mean of the two assessments made at 30 and 5 minutes pre-dose on Day 1.

    Time frame: Baseline (Day 1 [Pre-dose at 30 minutes and 5 minutes]) and Day 28

  2. Change From Baseline in Trough FEV1 on Day 84

    FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Day 84 was defined as the average of the two pre-dose FEV1 measurements recorded before the morning dose of randomized study medication on Day 84. Change from Baseline in trough FEV1 on Day 84 was calculated by subtracting Baseline FEV1 value from the trough FEV1 value on Day 84. Baseline FEV1 was defined as the mean of the two assessments made at 30 and 5 minutes pre-dose on Day 1.

    Time frame: Baseline (Day 1 [Pre-dose at 30 minutes and 5 minutes]) and Day 84

  3. Number of Participants With Non-serious Adverse Events (Non-SAEs) and Serious Adverse Events (SAEs)

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect or any other important medical event according to medical or scientific judgement was categorized as SAE.

    Time frame: Up to Day 95

  4. Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)

    SBP and DBP were assessed in the sitting position after approximately 5 minutes rest. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value. Baseline was defined as the latest pre-first-dose assessment with a non-missing value, including those from unscheduled visits.

    Time frame: Baseline (Day 1, Pre-dose) and Day 84

  5. Change From Baseline in Pulse Rate

    Pulse rate was assessed in the sitting position after approximately 5 minutes rest. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value. Baseline was defined as the latest pre-first-dose assessment with a non-missing value, including those from unscheduled visits.

    Time frame: Baseline (Day 1, Pre-dose) and Day 84

07

Results

Posted Apr 24, 2020

Participant flow

This was a randomized, multicenter, parallel group study where participants with chronic obstructive pulmonary disease (COPD) were randomized to receive either fluticasone furoate/umeclidinium/vilanterol or tiotropium in a 1:1 ratio. The study was conducted across 68 centers in 3 countries.

Participant flow — Overall Study
MilestoneFluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgTiotropium 18 mcg
Started400400
Received study treatment400399
Completed383387
Not completed1713
Withdrew: Adverse event63
Withdrew: Lost to follow-up21
Withdrew: Physician decision32
Withdrew: Withdrawal by subject57
Withdrew: Investigator site closed10

Outcome measures

PrimaryChange From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) on Day 85

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Day 85 was defined as the mean of the two planned spirometry FEV1 measurements. Change from Baseline in trough FEV1 on Day 85 was calculated by subtracting Baseline FEV1 value from the trough FEV1 value on Day 85. Baseline FEV1 was defined as the mean of the two assessments made at 30 and 5 minutes pre-dose on Day 1.

Time frame:
Baseline (Day 1 [Pre-dose at 30 minutes and 5 minutes]) and Day 85
Reported as:
Least squares mean · Liters
Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) on Day 85
LitersFluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgTiotropium 18 mcg
Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) on Day 850.115 ± 0.01190.020 ± 0.0117
Statistical analysis
  • Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg vs Tiotropium 18 mcg · Mixed model repeated measures (MMRM) · p = <0.001 (The MMRM model included Baseline FEV1, visit, geographical region, and treatment as covariates and visit-by-Baseline FEV1 and visit-by-treatment interaction terms.) · Mean difference (net): 0.095 · 95% CI 0.062 to 0.128
SecondaryChange From Baseline in Trough FEV1 on Day 28

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Day 28 was defined as the average of the two pre-dose FEV1 measurements recorded before the morning dose of randomized study medication on Day 28. Change from Baseline in trough FEV1 on Day 28 was calculated by subtracting Baseline FEV1 value from the trough FEV1 value on Day 28. Baseline FEV1 was defined as the mean of the two assessments made at 30 and 5 minutes pre-dose on Day 1.

Time frame:
Baseline (Day 1 [Pre-dose at 30 minutes and 5 minutes]) and Day 28
Reported as:
Least squares mean · Liters
Change From Baseline in Trough FEV1 on Day 28
LitersFluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgTiotropium 18 mcg
Change From Baseline in Trough FEV1 on Day 280.115 ± 0.0102-0.007 ± 0.0101
Statistical analysis
  • Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg vs Tiotropium 18 mcg · Mixed model repeated measures (MMRM) · p = <0.001 (The MMRM model included Baseline FEV1, visit, geographical region, and treatment as covariates and visit-by-Baseline FEV1 and visit-by-treatment interaction terms.) · Mean difference (net): 0.122 · 95% CI 0.094 to 0.150
SecondaryChange From Baseline in Trough FEV1 on Day 84

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Day 84 was defined as the average of the two pre-dose FEV1 measurements recorded before the morning dose of randomized study medication on Day 84. Change from Baseline in trough FEV1 on Day 84 was calculated by subtracting Baseline FEV1 value from the trough FEV1 value on Day 84. Baseline FEV1 was defined as the mean of the two assessments made at 30 and 5 minutes pre-dose on Day 1.

Time frame:
Baseline (Day 1 [Pre-dose at 30 minutes and 5 minutes]) and Day 84
Reported as:
Least squares mean · Liters
Change From Baseline in Trough FEV1 on Day 84
LitersFluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgTiotropium 18 mcg
Change From Baseline in Trough FEV1 on Day 840.105 ± 0.01130.018 ± 0.0111
Statistical analysis
  • Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg vs Tiotropium 18 mcg · Mixed model repeated measures (MMRM) · p = <0.001 (The MMRM model included Baseline FEV1, visit, geographical region, and treatment as covariates and visit-by-Baseline FEV1 and visit-by-treatment interaction terms.) · Mean difference (net): 0.087 · 95% CI 0.056 to 0.118
SecondaryNumber of Participants With Non-serious Adverse Events (Non-SAEs) and Serious Adverse Events (SAEs)

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect or any other important medical event according to medical or scientific judgement was categorized as SAE.

Time frame:
Up to Day 95
Reported as:
Count of participants · Participants
Number of Participants With Non-serious Adverse Events (Non-SAEs) and Serious Adverse Events (SAEs)
ParticipantsFluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgTiotropium 18 mcg
Non-SAEs3129
SAEs1311
SecondaryChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)

SBP and DBP were assessed in the sitting position after approximately 5 minutes rest. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value. Baseline was defined as the latest pre-first-dose assessment with a non-missing value, including those from unscheduled visits.

Time frame:
Baseline (Day 1, Pre-dose) and Day 84
Reported as:
Mean · Millimeters of mercury
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Millimeters of mercuryFluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgTiotropium 18 mcg
SBP-0.3 ± 12.53-0.1 ± 11.02
DBP-0.3 ± 8.17-0.7 ± 7.88
SecondaryChange From Baseline in Pulse Rate

Pulse rate was assessed in the sitting position after approximately 5 minutes rest. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value. Baseline was defined as the latest pre-first-dose assessment with a non-missing value, including those from unscheduled visits.

Time frame:
Baseline (Day 1, Pre-dose) and Day 84
Reported as:
Mean · Beats per minute
Change From Baseline in Pulse Rate
Beats per minuteFluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgTiotropium 18 mcg
Change From Baseline in Pulse Rate0.2 ± 8.550.8 ± 8.51

Adverse events

Collected over Non-SAEs and SAEs were reported from start of study treatment and up to 95 days. Non-serious events are listed at a 3% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg2/400 (0.5%)13/400 (3.3%)31/400 (7.8%)
Tiotropium 18 mcg1/399 (0.3%)11/399 (2.8%)29/399 (7.3%)
Most frequent serious events
Showing 10 of 17
Most frequent serious events
EventFluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgTiotropium 18 mcg
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders5/4003/399
PneumoniaInfections and infestations1/4003/399
Atrial fibrillationCardiac disorders0/4001/399
Pancreatitis acuteGastrointestinal disorders1/4001/399
Small intestinal obstructionGastrointestinal disorders1/4001/399
Cholecystitis acuteHepatobiliary disorders0/4001/399
Diabetes mellitus inadequate controlMetabolism and nutrition disorders0/4001/399
Haemorrhagic strokeNervous system disorders0/4001/399
Ischaemic strokeNervous system disorders0/4001/399
Acute respiratory failureRespiratory, thoracic and mediastinal disorders1/4001/399
Most frequent other events
Most frequent other events
EventFluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgTiotropium 18 mcg
HeadacheNervous system disorders18/40022/399
NasopharyngitisInfections and infestations16/4008/399

Baseline characteristics

Baseline characteristics were presented for all randomized participants including one randomized participant who withdrew consent and never received study treatment in "Tiotropium 18 mcg" arm.

Age, Continuous
Age, Continuous(Years)Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgTiotropium 18 mcgTotal
Mean66.2 ± 8.0866.1 ± 7.7866.2 ± 7.93
Sex: Female, Male
Sex: Female, Male(Participants)Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgTiotropium 18 mcgTotal
Female126131257
Male274269543
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgTiotropium 18 mcgTotal
African American/African Heritage101222
White - White/Caucasian/European Heritage390388778
08

Study locations

72 sites
  • GSK Investigational Site
    Andalusia, Alabama 36420, United States
  • GSK Investigational Site
    Huntington Beach, California 92647, United States
  • GSK Investigational Site
    Sacramento, California 95821, United States
  • GSK Investigational Site
    Simi Valley, California 93065, United States
  • GSK Investigational Site
    Colorado Springs, Colorado 80907, United States
  • GSK Investigational Site
    Daytona Beach, Florida 32117, United States
  • GSK Investigational Site
    Kissimmee, Florida 34741, United States
  • GSK Investigational Site
    Miami Lakes, Florida 33014, United States
  • GSK Investigational Site
    Miami, Florida 33126, United States
  • GSK Investigational Site
    Miami, Florida 33134, United States
  • GSK Investigational Site
    Orlando, Florida 32825, United States
  • GSK Investigational Site
    Ormond Beach, Florida 32174, United States
  • GSK Investigational Site
    Panama City, Florida 32405, United States
  • GSK Investigational Site
    Nampa, Idaho 83687, United States
  • GSK Investigational Site
    Oxon Hill, Maryland 20745, United States
  • GSK Investigational Site
    Edina, Minnesota 55435, United States
  • GSK Investigational Site
    Minneapolis, Minnesota 55407, United States
  • GSK Investigational Site
    Bronxville, New York 10708, United States
  • GSK Investigational Site
    Fayetteville, New York 13066, United States
  • GSK Investigational Site
    Gastonia, North Carolina 28054, United States
  • GSK Investigational Site
    Cincinnati, Ohio 45242, United States
  • GSK Investigational Site
    Dublin, Ohio 43016, United States
  • GSK Investigational Site
    DuBois, Pennsylvania 15801, United States
  • GSK Investigational Site
    Anderson, South Carolina 29621, United States
  • GSK Investigational Site
    Gaffney, South Carolina 29340, United States
  • GSK Investigational Site
    Greer, South Carolina 29650, United States
  • GSK Investigational Site
    Little River, South Carolina 029566, United States
  • GSK Investigational Site
    Pelzer, South Carolina 29669, United States
  • GSK Investigational Site
    Seneca, South Carolina 29678, United States
  • GSK Investigational Site
    Spartanburg, South Carolina 29303, United States
  • GSK Investigational Site
    Corsicana, Texas 75110, United States
  • GSK Investigational Site
    Huntsville, Texas 77340, United States
  • GSK Investigational Site
    Salt Lake City, Utah 84102, United States
  • GSK Investigational Site
    Bialystok, 15-003, Poland
  • GSK Investigational Site
    Bialystok, 15-044, Poland
  • GSK Investigational Site
    Bielsko-Biala, 43-300, Poland
  • GSK Investigational Site
    Bydgoszcz, 85-796, Poland
  • GSK Investigational Site
    Bydgoszcz, 85-863, Poland
  • GSK Investigational Site
    Chojnice, 89-600, Poland
  • GSK Investigational Site
    Grudziadz, 86-300, Poland
  • GSK Investigational Site
    Kielce, 25-751, Poland
  • GSK Investigational Site
    Krakow, 30-033, Poland
  • GSK Investigational Site
    Krakow, 31-209, Poland
  • GSK Investigational Site
    Lublin, 20-412, Poland
  • GSK Investigational Site
    Nowa Sol, 67-100, Poland
  • GSK Investigational Site
    Ostroda, 14-100, Poland
  • GSK Investigational Site
    Ostrowiec Swietokrzyski, 27-400, Poland
  • GSK Investigational Site
    Piaseczno, 05-500, Poland
  • GSK Investigational Site
    Proszowice, 32-100, Poland
  • GSK Investigational Site
    Siedlce, 08-110, Poland
  • GSK Investigational Site
    Skierniewice, 96-100, Poland
  • GSK Investigational Site
    Sopot, 81-741, Poland
  • GSK Investigational Site
    Swidnica, 58-100, Poland
  • GSK Investigational Site
    Szczecin, 71-124, Poland
  • GSK Investigational Site
    Torun, 87-100, Poland
  • GSK Investigational Site
    Warszawa, 02-777, Poland
  • GSK Investigational Site
    Zamosc, 22-400, Poland
  • GSK Investigational Site
    Zawadzkie, 47-120, Poland
  • GSK Investigational Site
    Ekaterinburg, 620109, Russian Federation
  • GSK Investigational Site
    Ivanovo, 153005, Russian Federation
  • GSK Investigational Site
    Moscow, 111539, Russian Federation
  • GSK Investigational Site
    Moscow, 115 280, Russian Federation
  • GSK Investigational Site
    Moscow, 115682, Russian Federation
  • GSK Investigational Site
    Novosibirsk, 630008, Russian Federation
  • GSK Investigational Site
    Novosibirsk, 630087, Russian Federation
  • GSK Investigational Site
    Saint Petersburg, 197022, Russian Federation
  • GSK Investigational Site
    Saint Petersburg, 198260, Russian Federation
  • GSK Investigational Site
    Saratov, 410028, Russian Federation
  • GSK Investigational Site
    St Petersburg, 196084, Russian Federation
  • GSK Investigational Site
    St-Petersburg, 199106, Russian Federation
  • GSK Investigational Site
    Ulyanovsk, 432063, Russian Federation
  • GSK Investigational Site
    Voronezh, 394066, Russian Federation
09

References and documents

Publications

  • Bansal S, Anderson M, Anzueto A, Brown N, Compton C, Corbridge TC, Erb D, Harvey C, Kaisermann MC, Kaye M, Lipson DA, Martin N, Zhu CQ, Papi A. Single-inhaler fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) triple therapy versus tiotropium monotherapy in patients with COPD. NPJ Prim Care Respir Med. 2021 May 25;31(1):29. doi: 10.1038/s41533-021-00241-z. PubMed 34035312 ↗

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 ↗ · www.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 Mar 2018 to primary completion in Jul 2019, 15 months.

Results were first posted in Apr 2020, 9 months after primary completion.

Of 71 industry-sponsored phase 4 interventional studies under Pulmonary Disease, Chronic Obstructive, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 22. This study's 15 months is close to that.

Counting every sponsor, half of 157 studies reached it within 19 months; a quarter within 12 and three quarters within 40.

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

Registered
Mar 15, 2018
First posted
Mar 22, 2018
StartActual
Mar 29, 2018
Primary completionActual
Jul 17, 2019
CompletionActual
Jul 17, 2019
Results first posted
Apr 24, 2020
Last update
Jul 15, 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 Jul 15, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03474081
Lead sponsor
GlaxoSmithKline
Collaborators
Parexel
Responsible party
Sponsor
First posted
Mar 22, 2018
Start date
Mar 29, 2018
Primary completion
Jul 17, 2019
Completion
Jul 17, 2019
Results posted
Apr 24, 2020
Last update
Jul 15, 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 Jul 2021. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drugs tested here: Fluticasone furoate · GSK573719 · Vilanterol · Tiotropium

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