ClinicalTrials.gg
CompletedNCT03478696Updated Oct 28, 2020Results posted

A Randomized Study, Comparing Fluticasone Furoate/Umeclidinium/Vilanterol (FF/UMEC /VI) Single Inhaler Triple Therapy, Versus Multiple Inhaler Therapy (Budesonide/Formoterol Plus Tiotropium) in Subjects With Chronic Obstructive Pulmonary Disease (COPD)

A Phase 4 interventional study of budesonide/formoterol and albuterol/salbutamol in Pulmonary Disease, Chronic Obstructive, sponsored by GlaxoSmithKline. Completed at 57 sites in 3 countries. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2020-10-28.

Sponsored by GlaxoSmithKline · Phase 4, Interventional, and Treatment

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Phase
Phase 4
Study type
Interventional
Enrollment
732
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
6th of 25
732 · median 229
Started
2018
with 4 others
Phase 4
13 of 25
2 open now
Registered
18th 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 6th largest by enrollment, is one of 5 that started in 2018, is one of 13 in phase 4, and was the 18th 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

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 [100/62.5/25 microgram (mcg)] once daily via ELLIPTA® compared with a multiple inhaler combination therapy of Symbicort Metered Dose Inhaler (MDI) (budesonide/formoterol 320/9 mcg) twice daily plus Spiriva HandiHaler (tiotropium 18 mcg) once daily. The study will inform healthcare providers that subjects can be effectively and safely switched to FF/UMEC /VI single inhaler therapy from a multiple inhaler triple therapy regimen of Symbicort MDI and Spiriva Handihaler. Eligible subjects will enter a 4-week run-in period during which they will be administered budesonide/formoterol (320/9 mcg) twice daily plus tiotropium (18 mcg) once daily plus placebo via ELLIPTA. Following the run-in period, subjects will be randomized to receive one of the following study treatments for 84 days: 1) FF/UMEC /VI 100/62.5/25 mcg via ELLIPTA once daily in the morning plus two inhalations of placebo to match budesonide/formoterol via MDI, twice daily plus placebo to match tiotropium via HandiHaler once daily in the morning or 2) Budesonide/formoterol 320/9 mcg via MDI, twice daily plus tiotropium 18 mcg via HandiHaler once daily in the morning plus placebo via ELLIPTA once daily in the morning. Subjects will then enter a one week follow-up period. The total duration for a subject in the study will be approximately 17 weeks. ELLIPTA is a registered trademark of the GlaxoSmithKline group of companies.

03

Conditions studied

  • Pulmonary Disease, Chronic Obstructive

Keywords

  • fluticasone furoate/umeclidinium/vilanterol
  • HRQoL
  • COPD
  • long-acting muscarinic receptor antagonists
  • Tiotropium
  • Budesonide/formoterol
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 must be capable of giving signed prior to study start.
  • Only outpatient subjects will be included
  • Subjects (male or female) must be 40 years of age or older at Screening (Visit 1). 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 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 (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.
  • Subjects with a score of >=10 on the COPD Assessment Test (CAT) at Screening (Visit 1)
  • Subjects must demonstrate a post-bronchodilator \<50 % predicted normal or a post-bronchodilator FEV1 \<80 % 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 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 alpha 1-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 ) 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).
  • 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 or 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.
  • Unstable liver disease: (ALT) >2 times (ULN); and >1.5 times ULN (isolated bilirubin >1.5 times ULN is acceptable if bilirubin is fractionated and direct bilirubin \<35 %). 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).
  • Subjects with any of the following at Screening (Visit 1) would be excluded: 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: i) Atrial Fibrillation (AF) with rapid ventricular rate >120 beats per minute (BPM); ii) Sustained and non-sustained Ventricular tachycardia (VT); iii). Second degree heart block Mobitz type II and third degree heart block (unless pacemaker or defibrillator had been inserted); iv) corrected for heart rate by Fridericia's formula (QTcF) >=500 milliseconds (msec) in subjects with QRS \<120 msec and QTcF >=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/min) at screening (Oxygen use \<=3 L/min 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 Program during the study. Subjects who are in the maintenance phase of a Pulmonary Rehabilitation Program 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, 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
  • Use of various medication prior to screening.
Terms in these criteria, in plain language(16)

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.

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.

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.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
732 participants (actual)

Study arms

  • Experimental
    FF/UMEC/VI 100/62.5/25 mcg

    Subjects will receive budesonide/formoterol (320/9 mcg) twice daily plus tiotropium (18 mcg) once daily plus placebo via ELLIPTA during the 4-week run-in period. Subjects will be administered FF/UMEC/VI 100/62.5/25 mcg via ELLIPTA once daily in the morning plus placebo to match budesonide/formoterol via MDI, two inhalations twice daily plus placebo to match tiotropium via HandiHaler once daily in the morning for 84 days in the treatment period.

    Drug: budesonide/formoterol · Drug: albuterol/salbutamol · Drug: FF/UMEC/VI · Drug: Placebo to match budesonide/formoterol · Drug: tiotropium · Drug: placebo to match tiotropium · Device: ELLIPTA · Device: MDI · Device: HandiHaler

  • Active comparator
    Budesonide/formoterol plus tiotropium

    Subjects will receive budesonide/formoterol (320/9 mcg) twice daily plus tiotropium (18 mcg) once daily plus placebo via ELLIPTA during the 4-week run-in period. Subjects will be administered budesonide/formoterol 160/4.5 mcg via MDI, two inhalations twice daily plus tiotropium 18 mcg via HandiHaler once daily in the morning plus placebo via ELLIPTA once daily in the morning for 84 days in the treatment period.

    Drug: budesonide/formoterol · Drug: albuterol/salbutamol · Drug: tiotropium · Drug: Placebo to match FF/UMEC/VI · Device: ELLIPTA · Device: MDI · Device: HandiHaler

Interventions

  • Drugbudesonide/formoterol

    Drug pages: Budesonide · Formoterol

    Subjects will be administered two inhalations of budesonide/formoterol via MDI twice daily

  • Drugalbuterol/salbutamol

    Drug page: Albuterol

    Subjects will be provided short-acting albuterol/salbutamol as-rescue medication to be used on an as-needed basis throughout the study.

  • DrugFF/UMEC/VI

    Drug pages: Fluticasone furoate · GSK573719 · Vilanterol

    Subjects will receive FF/UMEC/VI 100/62.5/25 mcg via ELLIPTA once daily in the morning

  • DrugPlacebo to match budesonide/formoterol

    Subjects will be administered two inhalations of matching placebo twice daily via MDI

  • Subjects will receive tiotropium (18 mcg) once daily in the morning via HandiHaler device

  • DrugPlacebo to match FF/UMEC/VI

    Matching placebo to FF/UMEC/VI will be administered via ELLIPTA once daily in the morning.

  • Drugplacebo to match tiotropium

    Subjects will receive tiotropium matching placebo via Handihaler once daily in the morning

  • DeviceELLIPTA

    Subjects will receive FF/UMEC/VI 100/62.5/25 mcg and matching placebo via ELLIPTA in the treatment period. Budesonide/formoterol plus tiotropium once daily plus placebo will be administered via ELLIPTA during the run-in period.

  • DeviceMDI

    Subjects will receive budesonide/formoterol and placebo to match budesonide/formoterol via MDI in the treatment period.

  • DeviceHandiHaler

    Subjects will be administered tiotropium (18 mcg) or placebo to match tiotropium via HandiHaler during the treatment period.

06

What researchers measure

Primary outcomes

  1. Weighted Mean Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) Over 0-24 Hours at Week 12 for Modified Per Protocol (mPP) Population

    FEV1 is an important measure of pulmonary function and is the maximum amount of air that can be forced out in one second after taking a deep breath. FEV1 was measured using spirometry. Serial FEV1 assessments were performed at multiple time points (-30 and -5 minutes pre-dose, and 5 minutes, 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 12 hours, 15 hours, 21 hours, 23 hours and 24 hours post-dose) over 24-hour period at Week 12. Weighted mean change from Baseline at week 12 was calculated by subtracting weighted mean FEV1 at week 12 from Baseline FEV1, where Baseline FEV1 is the average of the two FEV1 measurements made at 30 minutes and 5 minutes pre-dose on Day 1. The weighted mean was derived by calculating the area under the FEV1 time curve (AUC) over the actual time of assessment relative to the time of dosing (over 24-hour period) using the trapezoidal rule, and then dividing the value by the time interval (24-hour) over which the AUC was calculated.

    Time frame: Baseline and Week 12

  2. Weighted Mean Change From Baseline in FEV1 Over 0-24 Hours at Week 12 for ITT Population

    FEV1 is an important measure of pulmonary function and is the maximum amount of air that can be forced out in one second after taking a deep breath. FEV1 was measured using spirometry. Serial FEV1 assessments were performed at multiple time points (-30 and -5 minutes pre-dose, and 5 minutes, 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 12 hours, 15 hours, 21 hours, 23 hours and 24 hours post-dose) over 24-hour period at Week 12. Weighted mean change from Baseline at week 12 was calculated by subtracting weighted mean FEV1 at week 12 from Baseline FEV1, where Baseline FEV1 is the average of the two FEV1 measurements made at 30 minutes and 5 minutes pre-dose on Day 1. The weighted mean was derived by calculating the area under the FEV1 time curve (AUC) over the actual time of assessment relative to the time of dosing (over 24-hour period) using the trapezoidal rule, and then dividing the value by the time interval (24-hour) over which the AUC was calculated.

    Time frame: Baseline and Week 12

Secondary outcomes

  1. Change From Baseline in Trough FEV1 on Day 2, Day 28, Day 84 and Day 85

    FEV1 is an important measure of pulmonary function and is the maximum amount of air that can be forced out in one second after taking a deep breath. FEV1 was measured using spirometry. For Day 2 and Day 85, trough FEV1 was defined as the mean of the 23-hour and 24-hour serial spirometry FEV1 measurements. For Day 28 and Day 84, trough FEV1 was defined as the average of the pre-dose FEV1 measurements recorded before the morning dose of randomized study treatment. Change from Baseline in trough FEV1 was calculated by subtracting post-dose trough FEV1 value from Baseline FEV1, where Baseline FEV1 is the average of the two FEV1 measurements made at 30 minutes and 5 minutes pre-dose on Day 1. The treatment effect to be estimated for trough FEV1 was hypothetical effect if all participants stayed on their randomized study treatment. Only on treatment data was included in analysis.

    Time frame: Baseline, Days 2, 28, 84 and 85

  2. Weighted Mean Change From Baseline in FEV1 Over 0-24 Hours on Day 1

    FEV1 is an important measure of pulmonary function and is the maximum amount of air that can be forced out in one second after taking a deep breath. FEV1 was measured using spirometry. Serial FEV1 assessments were performed at multiple time points (-30 and -5 minutes pre-dose, and 5 minutes, 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 12 hours, 15 hours, 21 hours, 23 hours and 24 hours post-dose) over 24-hour period on Day 1. Weighted mean change from Baseline on Day 1 was calculated by subtracting weighted mean FEV1 on Day 1 from Baseline FEV1, where Baseline FEV1 is the average of the two FEV1 measurements made at 30 minutes and 5 minutes pre-dose on Day 1. The weighted mean was derived by calculating the area under the FEV1 time curve (AUC) over the actual time of assessment relative to the time of dosing (over 24-hour period) using the trapezoidal rule, and then dividing the value by the time interval (24-hour) over which the AUC was calculated.

    Time frame: Baseline and Day 1

07

Results

Posted Feb 12, 2020

Participant flow

This was a randomized, multicenter, double blind, parallel group study where participants with chronic obstructive pulmonary disease (COPD) were randomized to receive either fluticasone furoate/umeclidinium/vilanterol or budesonide/formoterol plus tiotropium in a 1:1 ratio. The study was conducted across 60 centers in 3 countries.

Participant flow — Overall Study
MilestoneFluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgBudesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg
Started366366
Completed349354
Not completed1712
Withdrew: Adverse event15
Withdrew: Lost to follow-up10
Withdrew: Physician decision63
Withdrew: Withdrawal by subject94

Outcome measures

PrimaryWeighted Mean Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) Over 0-24 Hours at Week 12 for Modified Per Protocol (mPP) Population

FEV1 is an important measure of pulmonary function and is the maximum amount of air that can be forced out in one second after taking a deep breath. FEV1 was measured using spirometry. Serial FEV1 assessments were performed at multiple time points (-30 and -5 minutes pre-dose, and 5 minutes, 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 12 hours, 15 hours, 21 hours, 23 hours and 24 hours post-dose) over 24-hour period at Week 12. Weighted mean change from Baseline at week 12 was calculated by subtracting weighted mean FEV1 at week 12 from Baseline FEV1, where Baseline FEV1 is the average of the two FEV1 measurements made at 30 minutes and 5 minutes pre-dose on Day 1. The weighted mean was derived by calculating the area under the FEV1 time curve (AUC) over the actual time of assessment relative to the time of dosing (over 24-hour period) using the trapezoidal rule, and then dividing the value by the time interval (24-hour) over which the AUC was calculated.

Time frame:
Baseline and Week 12
Reported as:
Least squares mean · Liters
Weighted Mean Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) Over 0-24 Hours at Week 12 for Modified Per Protocol (mPP) Population
LitersFluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgBudesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg
Weighted Mean Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) Over 0-24 Hours at Week 12 for Modified Per Protocol (mPP) Population0.039 ± 0.01090.029 ± 0.0109
Statistical analysis
  • Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg vs Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg · Mean difference (net): 0.011 · 95% CI -0.020 to 0.041The primary treatment effect estimated (hypothetical effect) excluded data following intercurrent events: discontinuation of treatment, taking wrong treatment, taking prohibited medication, unblinding, noncompliance, COPD exacerbation or pneumonia.
SecondaryChange From Baseline in Trough FEV1 on Day 2, Day 28, Day 84 and Day 85

FEV1 is an important measure of pulmonary function and is the maximum amount of air that can be forced out in one second after taking a deep breath. FEV1 was measured using spirometry. For Day 2 and Day 85, trough FEV1 was defined as the mean of the 23-hour and 24-hour serial spirometry FEV1 measurements. For Day 28 and Day 84, trough FEV1 was defined as the average of the pre-dose FEV1 measurements recorded before the morning dose of randomized study treatment. Change from Baseline in trough FEV1 was calculated by subtracting post-dose trough FEV1 value from Baseline FEV1, where Baseline FEV1 is the average of the two FEV1 measurements made at 30 minutes and 5 minutes pre-dose on Day 1. The treatment effect to be estimated for trough FEV1 was hypothetical effect if all participants stayed on their randomized study treatment. Only on treatment data was included in analysis.

Time frame:
Baseline, Days 2, 28, 84 and 85
Reported as:
Least squares mean · Liters
Change From Baseline in Trough FEV1 on Day 2, Day 28, Day 84 and Day 85
LitersFluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgBudesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg
Day 2, n=355,3410.015 ± 0.0086-0.010 ± 0.0087
Day 28, n=353,3540.044 ± 0.0095-0.019 ± 0.0095
Day 84, n=346,3430.024 ± 0.0101-0.030 ± 0.0102
Day 85, n=343,3420.029 ± 0.0111-0.022 ± 0.0111
Statistical analysis
  • Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg vs Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg · Mixed model repeated measures · p = 0.037 (Only if superiority is achieved on the primary study endpoint, then inferences can be made on change from Baseline in trough FEV1 on Day 2 using p-values.) · Mean difference (net): 0.026 · 95% CI 0.002 to 0.049Day 2
  • Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg vs Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg · Mixed model repeated measures · p = <0.001 (Only if superiority is achieved on the primary study endpoint, then inferences can be made on change from Baseline in trough FEV1 on Day 28 using p-values.) · Mean difference (net): 0.063 · 95% CI 0.036 to 0.089Day 28
  • Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg vs Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg · Mixed model repeated measures · p = <0.001 (Only if superiority is achieved on the primary study endpoint, then inferences can be made on change from Baseline in trough FEV1 on Day 84 using p-values.) · Mean difference (net): 0.054 · 95% CI 0.026 to 0.083Day 84
  • Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg vs Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg · Mixed model repeated measures · p = 0.001 (Only if superiority is achieved on the primary study endpoint, then inferences can be made on change from Baseline in trough FEV1 on Day 85 using p-values.) · Mean difference (net): 0.051 · 95% CI 0.021 to 0.082Day 85
SecondaryWeighted Mean Change From Baseline in FEV1 Over 0-24 Hours on Day 1

FEV1 is an important measure of pulmonary function and is the maximum amount of air that can be forced out in one second after taking a deep breath. FEV1 was measured using spirometry. Serial FEV1 assessments were performed at multiple time points (-30 and -5 minutes pre-dose, and 5 minutes, 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 12 hours, 15 hours, 21 hours, 23 hours and 24 hours post-dose) over 24-hour period on Day 1. Weighted mean change from Baseline on Day 1 was calculated by subtracting weighted mean FEV1 on Day 1 from Baseline FEV1, where Baseline FEV1 is the average of the two FEV1 measurements made at 30 minutes and 5 minutes pre-dose on Day 1. The weighted mean was derived by calculating the area under the FEV1 time curve (AUC) over the actual time of assessment relative to the time of dosing (over 24-hour period) using the trapezoidal rule, and then dividing the value by the time interval (24-hour) over which the AUC was calculated.

Time frame:
Baseline and Day 1
Reported as:
Least squares mean · Liters
Weighted Mean Change From Baseline in FEV1 Over 0-24 Hours on Day 1
LitersFluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgBudesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg
Weighted Mean Change From Baseline in FEV1 Over 0-24 Hours on Day 10.045 ± 0.00690.041 ± 0.0070
Statistical analysis
  • Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg vs Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg · Mixed model repeated measures · p = 0.702 (Only if superiority is achieved on the primary study endpoint, then inferences can be made on weighted mean change from Baseline in FEV1 over 0-24 hours on Day 1 using p-values.) · Mean difference (net): 0.004 · 95% CI -0.016 to 0.023The treatment effect to be estimated was hypothetical effect if all participants stayed on their randomized study treatment. Only on treatment data was included in analysis.
PrimaryWeighted Mean Change From Baseline in FEV1 Over 0-24 Hours at Week 12 for ITT Population

FEV1 is an important measure of pulmonary function and is the maximum amount of air that can be forced out in one second after taking a deep breath. FEV1 was measured using spirometry. Serial FEV1 assessments were performed at multiple time points (-30 and -5 minutes pre-dose, and 5 minutes, 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 12 hours, 15 hours, 21 hours, 23 hours and 24 hours post-dose) over 24-hour period at Week 12. Weighted mean change from Baseline at week 12 was calculated by subtracting weighted mean FEV1 at week 12 from Baseline FEV1, where Baseline FEV1 is the average of the two FEV1 measurements made at 30 minutes and 5 minutes pre-dose on Day 1. The weighted mean was derived by calculating the area under the FEV1 time curve (AUC) over the actual time of assessment relative to the time of dosing (over 24-hour period) using the trapezoidal rule, and then dividing the value by the time interval (24-hour) over which the AUC was calculated.

Time frame:
Baseline and Week 12
Reported as:
Least squares mean · Liters
Weighted Mean Change From Baseline in FEV1 Over 0-24 Hours at Week 12 for ITT Population
LitersFluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgBudesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg
Weighted Mean Change From Baseline in FEV1 Over 0-24 Hours at Week 12 for ITT Population0.040 ± 0.00990.023 ± 0.0100
Statistical analysis
  • Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg vs Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg · Mixed model repeated measures · p = 0.244 (The analysis was performed using mixed model repeated measures analysis, which included covariates of Baseline FEV1, geographical region, treatment, visit, visit by treatment and visit by Baseline interaction.) · Mean difference (net): 0.016 · 95% CI -0.011 to 0.044The treatment effect to be estimated was hypothetical effect if all participants stayed on their randomized study treatment. Only on treatment data was included in analysis.

Adverse events

Collected over Serious adverse events (SAEs) and non-SAEs were reported from start of study treatment and up to Week 13. Non-serious events are listed at a 3% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcg0/366 (0%)16/366 (4.4%)20/366 (5.5%)
Budesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg2/366 (0.5%)20/366 (5.5%)27/366 (7.4%)
Most frequent serious events
Showing 10 of 36
Most frequent serious events
EventFluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgBudesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders6/3666/366
Acute respiratory failureRespiratory, thoracic and mediastinal disorders2/3663/366
Respiratory failureRespiratory, thoracic and mediastinal disorders2/3660/366
Acute myocardial infarctionCardiac disorders1/3660/366
Angina pectorisCardiac disorders0/3661/366
Atrial fibrillationCardiac disorders0/3661/366
Cardiac failure congestiveCardiac disorders1/3660/366
Myocardial infarctionCardiac disorders1/3660/366
Stress cardiomyopathyCardiac disorders0/3661/366
EnteritisGastrointestinal disorders1/3660/366
Most frequent other events
Most frequent other events
EventFluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgBudesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcg
NasopharyngitisInfections and infestations7/36619/366
HeadacheNervous system disorders13/3668/366

Baseline characteristics

Intent-to-Treat (ITT) Population comprised of all randomized participants, excluding those who were randomized in error.

Age, Continuous
Age, Continuous(Years)Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgBudesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcgTotal
Mean65.5 ± 8.1565.1 ± 8.3665.3 ± 8.26
Sex: Female, Male
Sex: Female, Male(Participants)Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgBudesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcgTotal
Female180179359
Male186187373
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Fluticasone Furoate/Umeclidinium/Vilanterol 100/62.5/25 mcgBudesonide/Formoterol 320/9 mcg Plus Tiotropium 18 mcgTotal
African American/African Heritage432366
Asian - Japanese Heritage101
Asian - South East Asian Heritage257
White - Arabic/North African Heritage134
White - White/Caucasian/European Heritage318335653
Multiple101
08

Study locations

57 sites
  • GSK Investigational Site
    Mobile, Alabama 36608, United States
  • GSK Investigational Site
    Bakersfield, California 93301, United States
  • GSK Investigational Site
    Sacramento, California 95823, United States
  • GSK Investigational Site
    San Diego, California 92120, United States
  • GSK Investigational Site
    Westminster, California 92683, United States
  • GSK Investigational Site
    Celebration, Florida 34747, United States
  • GSK Investigational Site
    Clearwater, Florida 33765, United States
  • GSK Investigational Site
    Hialeah, Florida 33016, United States
  • GSK Investigational Site
    Kendall, Florida 33175, United States
  • GSK Investigational Site
    Leesburg, Florida 34748, United States
  • GSK Investigational Site
    Longwood, Florida 32750, United States
  • GSK Investigational Site
    Miami, Florida 33125, United States
  • GSK Investigational Site
    Miami, Florida 33126, United States
  • GSK Investigational Site
    Miami, Florida 33133, United States
  • GSK Investigational Site
    Miami, Florida 33155, United States
  • GSK Investigational Site
    Miami, Florida 33165, United States
  • GSK Investigational Site
    Sebring, Florida 33870, United States
  • GSK Investigational Site
    Winter Park, Florida 32789, United States
  • GSK Investigational Site
    Dacula, Georgia 30019, United States
  • GSK Investigational Site
    Duluth, Georgia 30096, United States
  • GSK Investigational Site
    Rincon, Georgia 31326, United States
  • GSK Investigational Site
    Evanston, Illinois 60201, United States
  • GSK Investigational Site
    Evansville, Indiana 47714, United States
  • GSK Investigational Site
    Farmington Hills, Michigan 48336, United States
  • GSK Investigational Site
    Rochester, Michigan 48307, United States
  • GSK Investigational Site
    Saint Louis, Missouri 63141, United States
  • GSK Investigational Site
    Charlotte, North Carolina 28207, United States
  • GSK Investigational Site
    Mooresville, North Carolina 28117, United States
  • GSK Investigational Site
    Cincinnati, Ohio 45231, United States
  • GSK Investigational Site
    Grove City, Ohio 43123, United States
  • GSK Investigational Site
    Jefferson Hills, Pennsylvania 15025, United States
  • GSK Investigational Site
    Clinton, South Carolina 29325, United States
  • GSK Investigational Site
    Greenville, South Carolina 29615, United States
  • GSK Investigational Site
    Mount Pleasant, South Carolina 29464, United States
  • GSK Investigational Site
    Spartanburg, South Carolina 29303, United States
  • GSK Investigational Site
    Union, South Carolina 29379, United States
  • GSK Investigational Site
    Tullahoma, Tennessee 37388, United States
  • GSK Investigational Site
    Boerne, Texas 78006, United States
  • GSK Investigational Site
    McKinney, Texas 75069, United States
  • GSK Investigational Site
    San Antonio, Texas 78229, United States
  • GSK Investigational Site
    Richmond, Virginia 23225, United States
  • GSK Investigational Site
    Tacoma, Washington 98405, United States
  • GSK Investigational Site
    Breclav, 69002, Czechia
  • GSK Investigational Site
    Hlucin, 748 01, Czechia
  • GSK Investigational Site
    Karlovy Vary, 360 17, Czechia
  • GSK Investigational Site
    Novy Bor, 473 01, Czechia
  • GSK Investigational Site
    Varnsdorf, 407 47, Czechia
  • GSK Investigational Site
    Cottbus, Brandenburg 03050, Germany
  • GSK Investigational Site
    Potsdam, Brandenburg 14467, Germany
  • GSK Investigational Site
    Peine, Niedersachsen 31224, Germany
  • GSK Investigational Site
    Dortmund, Nordrhein-Westfalen 44263, Germany
  • GSK Investigational Site
    Rheine, Nordrhein-Westfalen 48431, Germany
  • GSK Investigational Site
    Geesthacht, Schleswig-Holstein 21502, Germany
  • GSK Investigational Site
    Luebeck, Schleswig-Holstein 23552, Germany
  • GSK Investigational Site
    Berlin, 10119, Germany
  • GSK Investigational Site
    Berlin, 12159, Germany
  • GSK Investigational Site
    Leipzig, 04207, Germany
09

References and documents

Publications

  • Ferguson GT, Brown N, Compton C, Corbridge TC, Dorais K, Fogarty C, Harvey C, Kaisermann MC, Lipson DA, Martin N, Sciurba F, Stiegler M, Zhu CQ, Bernstein D. Once-daily single-inhaler versus twice-daily multiple-inhaler triple therapy in patients with COPD: lung function and health status results from two replicate randomized controlled trials. Respir Res. 2020 May 29;21(1):131. doi: 10.1186/s12931-020-01360-w. PubMed 32471423 ↗

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 Jun 2018 to primary completion in Mar 2019, 8 months.

Results were first posted in Feb 2020, 10 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 8 months is below 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 23, 2018
First posted
Mar 27, 2018
StartActual
Jun 25, 2018
Primary completionActual
Mar 18, 2019
CompletionActual
Mar 18, 2019
Results first posted
Feb 12, 2020
Last update
Oct 28, 2020
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 Oct 28, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03478696
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Mar 27, 2018
Start date
Jun 25, 2018
Primary completion
Mar 18, 2019
Completion
Mar 18, 2019
Results posted
Feb 12, 2020
Last update
Oct 28, 2020

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 ↗

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This study is completed, as verified in Oct 2020. You cannot join it, but the record below documents what was studied.

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Discussion

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

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