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CompletedNCT04813354Updated May 15, 2023Results posted

A Comparison of Critical Errors, Overall Errors, Training/Teaching Time, and Preference Attributes of the ELLIPTA Versus BREEZHALER Dry Powder Inhalers (DPIs) in Adult Participants With Asthma

A Phase 4 interventional study of ELLIPTA and BREEZHALER in Asthma, sponsored by GlaxoSmithKline. Completed at 3 sites in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-05-15.

Sponsored by GlaxoSmithKline · Phase 4, Interventional, and Other

Phase
Phase 4
Study type
Interventional
Enrollment
114
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study aims to provide data in adult participants with mild to moderate asthma to assist healthcare professionals (HCPs) in assessing various attributes of ELLIPTA and BREEZHALER DPIs, by comparing the incidence of critical and overall errors, participant preference, willingness to continue with the inhaler and time to correct use. ELLIPTA® is a registered trademark of GlaxoSmithKline (GSK) and BREEZHALER® is a registered trademark of Novartis.

02

Conditions studied

  • Asthma

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Keywords

  • ELLIPTA
  • BREEZHALER
  • Dry powder inhaler
  • Asthma
03

In context

Asthma

4,012 studies on the registry are indexed under Asthma; 514 are open to participants now.

This study's enrollment of 114 is above the median of 83 across 2,814 interventional studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,647 studies on the registry; 118 are open to participants now.

Of its 264 completed or terminated interventional studies of FDA-regulated products, 239 (91%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 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

  • Participants must be aged 18 years or older at the time of signing the informed consent.
  • Participants who have a confirmed mild or moderate asthma diagnosis as per Global Initiative for Asthma (GINA), 2020.
  • Participants must be on asthma maintenance therapy (Inhaled corticosteroids [ICS] or ICS/ Long acting beta 2-agonist [LABA]) for at least 12 weeks prior to study participation.
  • Participants must be naïve to both the ELLIPTA and BREEZHALER inhalers.
  • Females who are not pregnant or not planning a pregnancy during the study or not Lactating.
  • Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.

Exclusion criteria

Exclusion Criteria:

  • Concurrent diagnosis of chronic obstructive pulmonary disease (COPD) or other respiratory disorders.
  • History of hypersensitivity to any components of the study inhaler (e.g., lactose). In addition, participants with a history of severe milk protein allergy that, in the opinion of the study physician, contraindicates participation will also be excluded.
  • Historical or current evidence of clinically significant or rapidly progressing or unstable disease that, in the opinion of the investigator, would put the safety of the participant at risk through participation, or which would affect the analysis if the disease/condition exacerbated during the study.
  • Drug/alcohol abuse: Participants with a known or suspected alcohol or drug abuse, which in the opinion of the investigator could interfere with the participant's proper completion of the protocol requirement.
  • A participant will not be eligible for this study if he/she is an immediate family member of the participating investigator, sub-investigator, study coordinator, or employee of the participating investigator, as well as employees of GSK or Novartis.
  • Inability to Read: In the opinion of the investigator, any participant who is unable to read and/or would not be able to complete a questionnaire and understand verbal instructions.
  • Medical and physical conditions that in the opinion of the investigator could impact the ability of the participant to manipulate the inhaler.
05

Study design

Phase
Phase 4
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
114 participants (actual)

Study arms

  • Experimental
    ELLIPTA/ BREEZHALER/Questionnaire version 1

    Participants received placebo ELLIPTA Dry Powder Inhaler (DPI) followed by placebo BREEZHALER DPI on Day 1. Participants were asked to complete the ease-of-use questionnaire and visual analogue scale (VAS) on their willingness to continue with the inhaler after using each device. Participants also completed the preference questionnaire version 1 on Day 1.

    Device: ELLIPTA · Device: BREEZHALER

  • Experimental
    ELLIPTA/ BREEZHALER/Questionnaire version 2

    Participants received placebo ELLIPTA DPI followed by placebo BREEZHALER DPI on Day 1. Participants were asked to complete the ease-of-use questionnaire and VAS on their willingness to continue with the inhaler after using each device. Participants also completed the preference questionnaire version 2 on Day 1.

    Device: ELLIPTA · Device: BREEZHALER

  • Experimental
    BREEZHALER/ ELLIPTA/Questionnaire version 1

    Participants received placebo BREEZHALER DPI followed by placebo ELLIPTA DPI on Day 1. Participants were asked to complete the ease-of-use questionnaire and VAS on their willingness to continue with the inhaler after using each device. Participants also completed the preference questionnaire version 1 on Day 1.

    Device: ELLIPTA · Device: BREEZHALER

  • Experimental
    BREEZHALER/ ELLIPTA/Questionnaire version 2

    Participants received placebo BREEZHALER DPI followed by placebo ELLIPTA DPI on Day 1. Participants were asked to complete the ease-of-use questionnaire and VAS on their willingness to continue with the inhaler after using each device. Participants also completed the preference questionnaire version 2 on Day 1.

    Device: ELLIPTA · Device: BREEZHALER

Interventions

  • DeviceELLIPTA

    * ELLIPTA followed by BREEZHALER/ Preference Questionnaire version 1 * ELLIPTA followed by BREEZHALER/ Preference Questionnaire version 2 * BREEZHALER followed by ELLIPTA/ Preference Questionnaire version 1 * BREEZHALER followed by ELLIPTA/ Preference Questionnaire version 2

  • DeviceBREEZHALER

    * ELLIPTA followed by BREEZHALER/ Preference Questionnaire version 1 * ELLIPTA followed by BREEZHALER/ Preference Questionnaire version 2 * BREEZHALER followed by ELLIPTA/ Preference Questionnaire version 1 * BREEZHALER followed by ELLIPTA/ Preference Questionnaire version 2

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Making at Least One Critical Error After Reading the Patient Information Leaflets (PIL)

    Participants were asked to demonstrate use of their prescribed DPI on Day 1 and any error made by the participant was recorded by the health care practitioner (HCP) in the checklist. Checklist of instructions for correct use were based on the steps for correct use listed in PILs for the respective DPI. The errors made during demonstration by participants were defined as "critical" when an error was most likely to result in no or significantly reduced medication being inhaled. Percentage values are rounded off.

    Time frame: Day 1

Secondary outcomes

  1. Percentage of Participants Making at Least One Critical Error After Receiving Further Instructions (up to 3) From HCP

    Participants were asked to demonstrate inhaler use after reading PIL. The errors made during demonstration by participants were defined as "critical" when an error was most likely to result in no or significantly reduced medication being inhaled. If the participant made any error according to the error checklists, the HCP provided instructions on the correct use of the inhaler to the participant and the participant was then asked to demonstrate the inhaler use again. Any error made by the participant were recorded by the HCP in the checklist. The same procedure was repeated if the participant continued to make errors in the use of the inhaler. In total, the HCP provided up to 3 instructions on the use of the inhaler. Same procedure was followed for second inhaler. Percentage of participants making at least one critical error after receiving 1st instruction, 2nd instruction and 3rd instruction from HCP were reported. Percentage values are rounded off.

    Time frame: Day 1

  2. Percentage of Participants Making at Least One Overall Error After Reading PIL

    Participants were asked to demonstrate use of their prescribed DPI on Day 1 and any error made by the participant was recorded by the HCP in the checklist. Checklist of instructions for correct use were based on the steps for correct use listed in PILs for the respective DPI. An overall error was any error in inhaler technique which includes a critical and non-critical error. Percentage values are rounded off.

    Time frame: Day 1

  3. Percentage of Participants Making at Least One Overall Error After Receiving Further Instructions (up to 3) From the HCP

    Participants were asked to demonstrate inhaler use after reading PIL. If the participant made any error according to the error checklists, the HCP provided instructions on the correct use of the inhaler to the participant and the participant was then asked to demonstrate the inhaler use again. Any error made by the participant were recorded by the HCP in the checklist. The same procedure was repeated if the participant continued to make errors in the use of the inhaler. In total, the HCP provided up to 3 instructions on the use of the inhaler. Same procedure was followed for second inhaler. An overall error was any error in inhaler technique which includes a critical and non-critical error. Percentage of participants making at least one overall error after receiving 1st instruction, 2nd instruction and 3rd instruction from HCP were reported. Percentage values are rounded off.

    Time frame: Day 1

  4. Number of Critical and Overall Errors Made by Participants After Reading PIL and After Receiving Further Instructions (up to 3) From HCP

    Participants were asked to demonstrate inhaler use after reading PIL. If participant made any error according to error checklists, the HCP provided instructions on correct use of inhaler to participant and participant was then asked to demonstrate inhaler use again. Critical error was any error which most likely to result in no or significantly reduced medication being inhaled. An overall error was any error in inhaler technique, which includes a critical and non-critical. Any error made by the participant was recorded by the HCP in checklist. The same procedure was repeated if the participant continued to make errors in the use of inhaler. In total, HCP provided up to 3 time instructions on correct use of inhaler. Same procedure was followed for second inhaler. The number of critical and overall errors made by participants after reading PIL and after receiving 1st instruction, 2nd instruction and 3rd instruction from HCP were reported.

    Time frame: Day 1

  5. Percentage of Participants Who Required Further Instruction (up to 3) From HCP to Demonstrate Correct Inhaler Use

    Participants were asked to demonstrate inhaler use after reading PIL. If the participant made any error according to the error checklists, the HCP provided instructions on the correct use of the inhaler to the participant and the participant was then asked to demonstrate the inhaler use again. Any error made by the participant were recorded by the HCP in the checklist. The same procedure was repeated if the participant continued to make errors in the use of the inhaler. In total, the HCP provided up to 3 times instructions on the correct use of inhaler. Same procedure was followed for second inhaler. Percentage of participants who required zero, 1st, 2nd and 3rd instruction from HCP to demonstrate correct inhaler use were reported. Percentage values are rounded off.

    Time frame: Day 1

  6. Time Taken to Demonstrate Inhaler Use After Reading PIL Without HCP Intervention (T1)

    Participants were asked to demonstrate inhaler use after reading PIL and any error made by the participant was recorded by the HCP in the checklist. Time taken to demonstrate inhaler use after reading PIL without HCP intervention was the amount of time taken to correctly demonstrate inhaler use without HCP intervention. T1 was calculated from the start of inhaler demonstration by the participant after reading the PIL until completion of the first attempt.

    Time frame: Day 1

  7. Time Taken to Give Instructions by HCP on the Use of Inhaler and to Demonstrate the Correct Inhaler Use (T2)

    Time taken by HCP to demonstrate the correct use of inhaler was the time from when the HCP started to instruct the participant until correct use was demonstrated. It includes the time used by the HCP for re-instructing the participants throughout. T2 was calculated from the first instruction provided by the HCP until demonstration of correct use. Up to 3 further attempts were made after completion of the first attempt.

    Time frame: Day 1

  8. Total Time Taken for Demonstration of Correct Use After Reading PIL (T1+T2)

    Participants were asked to demonstrate inhaler use after reading PIL and any error made by the participant was recorded by the HCP in the checklist. Total time taken for demonstration of correct use after reading PIL was the time from when the participant started the demonstration until correct use is demonstrated (4 attempts= once after the reading the PIL and following instruction from investigator up to 3 times). T1+T2 was calculated from the start of inhaler demonstration after reading the PIL until correct demonstration was observed.

    Time frame: Day 1

  9. Number of Participants Assessed for Ease-of-use of ELLIPTA Inhaler and BREEZHALER Inhaler Using Questionnaire (Grouped as 'Very Easy', 'Easy', 'Neutral', 'Difficult' and 'Very Difficult')

    Participant were asked to complete the ease of use questionnaire for the DPI once error assessment of each inhaler was completed. This was a series of 6 questions (Ease of use rating, Telling how many doses were left in inhaler, Learning how to use inhaler, Handling the inhaler, Preparing inhaler and Holding inhaler while using it). Each question had one response to choose from 5 options of ease of use (Very easy, easy, neutral, difficult and very difficult). Participants were asked to rate based on their ease of use experience with device using a scale ranging from 1 (very easy) to 5 (very difficult). A higher rating indicated that the inhaler was difficult to use and a lower rating indicated that inhaler was easier to use. This questionnaire was completed for the first device before moving to the critical errors assessment of the second device. Data has been categorized and reported as 'Very easy', 'Easy', 'Neutral', 'Difficult' and 'Very Difficult' with respect to each question.

    Time frame: Day 1

  10. Number of Participants Assessed for Ease-of-use of ELLIPTA Inhaler and BREEZHALER Inhaler Using Questionnaire (Grouped as 'Easy' and 'Difficult')

    The ease-of-use questionnaire consists of a series of 6 questions (Ease of use rating, Telling how many doses were left in inhaler, Learning how to use inhaler, Handling inhaler, Preparing inhaler and Holding inhaler while using it). Each question had one response to choose from 5 options of ease of use(Very easy, easy, neutral, difficult and very difficult). Participants were asked to rate based on their ease of use experience with device using a scale ranging from 1(very easy) to 5(very difficult). A higher rating indicated that inhaler was difficult to use and a lower rating indicated that inhaler was easy to use. This questionnaire was completed for first device before moving to critical errors assessment of second device. Participant who responded Very Easy or Easy was considered Easy and participant who responded Neutral, Difficult or Very Difficult was considered Difficult. Data has been categorized and reported as Easy and Difficult with respect to each question

    Time frame: Day 1

  11. Visual Analogue Scale (VAS) for the Assessment of Participants Willingness to Continue With the Inhaler

    Participants were asked the question regarding their willingness to continue with the inhaler using a visual analogue scale ranging from 0 (not willing) to 100 (definitely willing) after completion of the critical errors assessment for each inhaler and the ease of use questionnaire for that inhaler. Participants marked on the VAS scale, how willing they were to continue using the inhaler. That mark was measured with a ruler to determine the numerical score. It ranges from 0 to 100 where, higher score on the scale indicates better outcome, means participant was definitely willing to continue using the inhaler.

    Time frame: Day 1

  12. Number of Participants With Inhaler Preferences Assessed Using Preference Questionnaire

    Participants were asked to complete the assigned preference questionnaires after completing the errors in use assessment for both devices. Participants were asked to provide their responses in terms of their preference to the ELLIPTA inhaler or BREEZHALER inhaler or No preference. Participants preference was assessed using series of 7 questions (Preferred inhaler-overall, Preference based on the number of steps to take the medication, Preference based on the time needed to take the medication, Preference based on how easy the inhaler was to use, Preference based on the size of the inhaler, Preference based on the comfort of the mouthpiece and Preference based on the ease of opening the inhaler). Participants had to choose one response from 3 preference options (ELLIPTA inhaler or BREEZHALER inhaler or No preference).

    Time frame: Day 1

07

Results

Posted May 15, 2023

Participant flow

This was a multicenter study conducted across 3 centers in the Netherlands.

Participant flow — Overall Study
MilestoneELLIPTA/ BREEZHALER/Questionnaire Version 1ELLIPTA/ BREEZHALER/Questionnaire Version 2BREEZHALER/ ELLIPTA/Questionnaire Version 1BREEZHALER/ ELLIPTA/Questionnaire Version 2
Started29292828
Completed29292828
Not completed0000

Outcome measures

PrimaryPercentage of Participants Making at Least One Critical Error After Reading the Patient Information Leaflets (PIL)

Participants were asked to demonstrate use of their prescribed DPI on Day 1 and any error made by the participant was recorded by the health care practitioner (HCP) in the checklist. Checklist of instructions for correct use were based on the steps for correct use listed in PILs for the respective DPI. The errors made during demonstration by participants were defined as "critical" when an error was most likely to result in no or significantly reduced medication being inhaled. Percentage values are rounded off.

Time frame:
Day 1
Reported as:
Number · Percentage of participants
Percentage of Participants Making at Least One Critical Error After Reading the Patient Information Leaflets (PIL)
Percentage of participantsELLIPTA DPIBREEZHALER DPI
Percentage of Participants Making at Least One Critical Error After Reading the Patient Information Leaflets (PIL)626
Statistical analysis
  • ELLIPTA DPI vs BREEZHALER DPI · Exact conditional logistic regression · p = <0.001 · Odds ratio (or): 0.11 · 95% CI 0.01 to 0.40Odds ratio between ELLIPTA DPI and BREEZHALER DPI was calculated using an exact conditional logistic regression model with participant as fixed strata, inhaler and period as fixed effects.
SecondaryPercentage of Participants Making at Least One Critical Error After Receiving Further Instructions (up to 3) From HCP

Participants were asked to demonstrate inhaler use after reading PIL. The errors made during demonstration by participants were defined as "critical" when an error was most likely to result in no or significantly reduced medication being inhaled. If the participant made any error according to the error checklists, the HCP provided instructions on the correct use of the inhaler to the participant and the participant was then asked to demonstrate the inhaler use again. Any error made by the participant were recorded by the HCP in the checklist. The same procedure was repeated if the participant continued to make errors in the use of the inhaler. In total, the HCP provided up to 3 instructions on the use of the inhaler. Same procedure was followed for second inhaler. Percentage of participants making at least one critical error after receiving 1st instruction, 2nd instruction and 3rd instruction from HCP were reported. Percentage values are rounded off.

Time frame:
Day 1
Reported as:
Number · Percentage of participants
Percentage of Participants Making at Least One Critical Error After Receiving Further Instructions (up to 3) From HCP
Percentage of participantsELLIPTA DPIBREEZHALER DPI
After 1st Instruction by HCP14
After 2nd Instruction by HCP00
After 3rd Instruction by HCP00
SecondaryPercentage of Participants Making at Least One Overall Error After Reading PIL

Participants were asked to demonstrate use of their prescribed DPI on Day 1 and any error made by the participant was recorded by the HCP in the checklist. Checklist of instructions for correct use were based on the steps for correct use listed in PILs for the respective DPI. An overall error was any error in inhaler technique which includes a critical and non-critical error. Percentage values are rounded off.

Time frame:
Day 1
Reported as:
Number · Percentage of participants
Percentage of Participants Making at Least One Overall Error After Reading PIL
Percentage of participantsELLIPTA DPIBREEZHALER DPI
Percentage of Participants Making at Least One Overall Error After Reading PIL2741
Statistical analysis
  • ELLIPTA DPI vs BREEZHALER DPI · Exact conditional logistic regression · p = 0.005 · Odds ratio (or): 0.25 · 95% CI 0.03 to 0.74Odds ratio between ELLIPTA DPI and BREEZHALER DPI was calculated using an exact conditional logistic regression model with participant as fixed strata, inhaler and period as fixed effects.
SecondaryPercentage of Participants Making at Least One Overall Error After Receiving Further Instructions (up to 3) From the HCP

Participants were asked to demonstrate inhaler use after reading PIL. If the participant made any error according to the error checklists, the HCP provided instructions on the correct use of the inhaler to the participant and the participant was then asked to demonstrate the inhaler use again. Any error made by the participant were recorded by the HCP in the checklist. The same procedure was repeated if the participant continued to make errors in the use of the inhaler. In total, the HCP provided up to 3 instructions on the use of the inhaler. Same procedure was followed for second inhaler. An overall error was any error in inhaler technique which includes a critical and non-critical error. Percentage of participants making at least one overall error after receiving 1st instruction, 2nd instruction and 3rd instruction from HCP were reported. Percentage values are rounded off.

Time frame:
Day 1
Reported as:
Number · Percentage of participants
Percentage of Participants Making at Least One Overall Error After Receiving Further Instructions (up to 3) From the HCP
Percentage of participantsELLIPTA DPIBREEZHALER DPI
After 1st Instruction by HCP39
After 2nd Instruction by HCP01
After 3rd Instruction by HCP00
SecondaryNumber of Critical and Overall Errors Made by Participants After Reading PIL and After Receiving Further Instructions (up to 3) From HCP

Participants were asked to demonstrate inhaler use after reading PIL. If participant made any error according to error checklists, the HCP provided instructions on correct use of inhaler to participant and participant was then asked to demonstrate inhaler use again. Critical error was any error which most likely to result in no or significantly reduced medication being inhaled. An overall error was any error in inhaler technique, which includes a critical and non-critical. Any error made by the participant was recorded by the HCP in checklist. The same procedure was repeated if the participant continued to make errors in the use of inhaler. In total, HCP provided up to 3 time instructions on correct use of inhaler. Same procedure was followed for second inhaler. The number of critical and overall errors made by participants after reading PIL and after receiving 1st instruction, 2nd instruction and 3rd instruction from HCP were reported.

Time frame:
Day 1
Reported as:
Number · Errors
Number of Critical and Overall Errors Made by Participants After Reading PIL and After Receiving Further Instructions (up to 3) From HCP
ErrorsELLIPTA DPIBREEZHALER DPI
Critical Errors; After reading PIL747
Critical Errors; After 1st instruction18
Critical Errors; After 2nd instruction00
Critical Errors; After 3rd instruction00
Overall Errors; After reading PIL44121
Overall Errors; After 1st instruction318
Overall Errors; After 2nd instruction03
Overall Errors; After 3rd instruction00
SecondaryPercentage of Participants Who Required Further Instruction (up to 3) From HCP to Demonstrate Correct Inhaler Use

Participants were asked to demonstrate inhaler use after reading PIL. If the participant made any error according to the error checklists, the HCP provided instructions on the correct use of the inhaler to the participant and the participant was then asked to demonstrate the inhaler use again. Any error made by the participant were recorded by the HCP in the checklist. The same procedure was repeated if the participant continued to make errors in the use of the inhaler. In total, the HCP provided up to 3 times instructions on the correct use of inhaler. Same procedure was followed for second inhaler. Percentage of participants who required zero, 1st, 2nd and 3rd instruction from HCP to demonstrate correct inhaler use were reported. Percentage values are rounded off.

Time frame:
Day 1
Reported as:
Number · Percentage of participants
Percentage of Participants Who Required Further Instruction (up to 3) From HCP to Demonstrate Correct Inhaler Use
Percentage of participantsELLIPTA DPIBREEZHALER DPI
Zero instructions7359
1st instruction2532
2nd instruction38
3rd instruction01
SecondaryTime Taken to Demonstrate Inhaler Use After Reading PIL Without HCP Intervention (T1)

Participants were asked to demonstrate inhaler use after reading PIL and any error made by the participant was recorded by the HCP in the checklist. Time taken to demonstrate inhaler use after reading PIL without HCP intervention was the amount of time taken to correctly demonstrate inhaler use without HCP intervention. T1 was calculated from the start of inhaler demonstration by the participant after reading the PIL until completion of the first attempt.

Time frame:
Day 1
Reported as:
Median · Minutes
Time Taken to Demonstrate Inhaler Use After Reading PIL Without HCP Intervention (T1)
MinutesELLIPTA DPIBREEZHALER DPI
Time Taken to Demonstrate Inhaler Use After Reading PIL Without HCP Intervention (T1)1.00 (0.00 to 2.00)2.00 (2.00 to 4.00)
SecondaryTime Taken to Give Instructions by HCP on the Use of Inhaler and to Demonstrate the Correct Inhaler Use (T2)

Time taken by HCP to demonstrate the correct use of inhaler was the time from when the HCP started to instruct the participant until correct use was demonstrated. It includes the time used by the HCP for re-instructing the participants throughout. T2 was calculated from the first instruction provided by the HCP until demonstration of correct use. Up to 3 further attempts were made after completion of the first attempt.

Time frame:
Day 1
Reported as:
Median · Minutes
Time Taken to Give Instructions by HCP on the Use of Inhaler and to Demonstrate the Correct Inhaler Use (T2)
MinutesELLIPTA DPIBREEZHALER DPI
Time Taken to Give Instructions by HCP on the Use of Inhaler and to Demonstrate the Correct Inhaler Use (T2)0.00 (0.00 to 0.00)0.00 (0.00 to 2.00)
SecondaryTotal Time Taken for Demonstration of Correct Use After Reading PIL (T1+T2)

Participants were asked to demonstrate inhaler use after reading PIL and any error made by the participant was recorded by the HCP in the checklist. Total time taken for demonstration of correct use after reading PIL was the time from when the participant started the demonstration until correct use is demonstrated (4 attempts= once after the reading the PIL and following instruction from investigator up to 3 times). T1+T2 was calculated from the start of inhaler demonstration after reading the PIL until correct demonstration was observed.

Time frame:
Day 1
Reported as:
Median · Minutes
Total Time Taken for Demonstration of Correct Use After Reading PIL (T1+T2)
MinutesELLIPTA DPIBREEZHALER DPI
Total Time Taken for Demonstration of Correct Use After Reading PIL (T1+T2)1.00 (0.00 to 1.00)2.00 (2.00 to 4.00)
SecondaryNumber of Participants Assessed for Ease-of-use of ELLIPTA Inhaler and BREEZHALER Inhaler Using Questionnaire (Grouped as 'Very Easy', 'Easy', 'Neutral', 'Difficult' and 'Very Difficult')

Participant were asked to complete the ease of use questionnaire for the DPI once error assessment of each inhaler was completed. This was a series of 6 questions (Ease of use rating, Telling how many doses were left in inhaler, Learning how to use inhaler, Handling the inhaler, Preparing inhaler and Holding inhaler while using it). Each question had one response to choose from 5 options of ease of use (Very easy, easy, neutral, difficult and very difficult). Participants were asked to rate based on their ease of use experience with device using a scale ranging from 1 (very easy) to 5 (very difficult). A higher rating indicated that the inhaler was difficult to use and a lower rating indicated that inhaler was easier to use. This questionnaire was completed for the first device before moving to the critical errors assessment of the second device. Data has been categorized and reported as 'Very easy', 'Easy', 'Neutral', 'Difficult' and 'Very Difficult' with respect to each question.

Time frame:
Day 1
Reported as:
Count of participants · Participants
Number of Participants Assessed for Ease-of-use of ELLIPTA Inhaler and BREEZHALER Inhaler Using Questionnaire (Grouped as 'Very Easy', 'Easy', 'Neutral', 'Difficult' and 'Very Difficult')
ParticipantsELLIPTA DPIBREEZHALER DPI
Ease of use of inhaler, Very Easy6418
Ease of use of inhaler, Easy4341
Ease of use of inhaler, Neutral528
Ease of use of inhaler, Difficult226
Ease of use of inhaler, Very difficult01
Ease of telling number of doses left, Very easy8535
Ease of telling number of doses left, Easy2747
Ease of telling number of doses left, Neutral219
Ease of telling number of doses left, Difficult011
Ease of telling number of dose left,Very difficult02
Ease of learning how to use inhaler, Very easy6328
Ease of learning how to use inhaler, Easy4741
Ease of learning how to use inhaler, Neutral227
Ease of learning how to use inhaler, Difficult217
Ease of learning how to use inhaler,Very difficult01
Ease of handling the inhaler, Very easy6724
Ease of handling the inhaler, Easy4244
Ease of handling the inhaler, Neutral328
Ease of handling the inhaler, Difficult217
Ease of handling the inhaler, Very difficult01
Ease of preparing the inhaler for use,Very easy7019
Ease of preparing the inhaler for use, Easy4245
Ease of preparing the inhaler for use, Neutral226
Ease of preparing the inhaler for use, Difficult021
Ease of preparing the inhaler for use, Very difficult03
Ease of holding inhaler while using, Very easy5631
Ease of holding inhaler while using, Easy4753
Ease of holding inhaler while using, Neutral721
Ease of holding inhaler while using, Difficult39
Ease of holding inhaler while using,Very difficult10
SecondaryNumber of Participants Assessed for Ease-of-use of ELLIPTA Inhaler and BREEZHALER Inhaler Using Questionnaire (Grouped as 'Easy' and 'Difficult')

The ease-of-use questionnaire consists of a series of 6 questions (Ease of use rating, Telling how many doses were left in inhaler, Learning how to use inhaler, Handling inhaler, Preparing inhaler and Holding inhaler while using it). Each question had one response to choose from 5 options of ease of use(Very easy, easy, neutral, difficult and very difficult). Participants were asked to rate based on their ease of use experience with device using a scale ranging from 1(very easy) to 5(very difficult). A higher rating indicated that inhaler was difficult to use and a lower rating indicated that inhaler was easy to use. This questionnaire was completed for first device before moving to critical errors assessment of second device. Participant who responded Very Easy or Easy was considered Easy and participant who responded Neutral, Difficult or Very Difficult was considered Difficult. Data has been categorized and reported as Easy and Difficult with respect to each question

Time frame:
Day 1
Reported as:
Count of participants · Participants
Number of Participants Assessed for Ease-of-use of ELLIPTA Inhaler and BREEZHALER Inhaler Using Questionnaire (Grouped as 'Easy' and 'Difficult')
ParticipantsELLIPTA DPIBREEZHALER DPI
Ease of use of inhaler, Easy10759
Ease of use of inhaler, Difficult755
Ease of telling number of doses left,Easy11282
Ease of telling number of doses left, Difficult232
Ease of learning how to use inhaler, Easy11069
Ease of learning how to use inhaler, Difficult445
Ease of handling the inhaler, Easy10968
Ease of handling the inhaler, Difficult546
Ease of preparing the inhaler for use, Easy11264
Ease of preparing the inhaler for use, Difficult250
Ease of holding inhaler while using it, Easy10384
Ease of holding inhaler while using it, Difficult1130
SecondaryVisual Analogue Scale (VAS) for the Assessment of Participants Willingness to Continue With the Inhaler

Participants were asked the question regarding their willingness to continue with the inhaler using a visual analogue scale ranging from 0 (not willing) to 100 (definitely willing) after completion of the critical errors assessment for each inhaler and the ease of use questionnaire for that inhaler. Participants marked on the VAS scale, how willing they were to continue using the inhaler. That mark was measured with a ruler to determine the numerical score. It ranges from 0 to 100 where, higher score on the scale indicates better outcome, means participant was definitely willing to continue using the inhaler.

Time frame:
Day 1
Reported as:
Mean · Scores on a scale
Visual Analogue Scale (VAS) for the Assessment of Participants Willingness to Continue With the Inhaler
Scores on a scaleELLIPTA DPIBREEZHALER DPI
Visual Analogue Scale (VAS) for the Assessment of Participants Willingness to Continue With the Inhaler79.9 ± 24.3052.3 ± 30.86
Statistical analysis
  • ELLIPTA DPI vs BREEZHALER DPI · Paired samples t-test · p = <0.001 · Mean difference (final values): 27.63 · 95% CI 21.31 to 33.96
SecondaryNumber of Participants With Inhaler Preferences Assessed Using Preference Questionnaire

Participants were asked to complete the assigned preference questionnaires after completing the errors in use assessment for both devices. Participants were asked to provide their responses in terms of their preference to the ELLIPTA inhaler or BREEZHALER inhaler or No preference. Participants preference was assessed using series of 7 questions (Preferred inhaler-overall, Preference based on the number of steps to take the medication, Preference based on the time needed to take the medication, Preference based on how easy the inhaler was to use, Preference based on the size of the inhaler, Preference based on the comfort of the mouthpiece and Preference based on the ease of opening the inhaler). Participants had to choose one response from 3 preference options (ELLIPTA inhaler or BREEZHALER inhaler or No preference).

Time frame:
Day 1
Reported as:
Count of participants · Participants
Number of Participants With Inhaler Preferences Assessed Using Preference Questionnaire
ParticipantsAll Treated Participants
Preferred inhaler- overall; ELLIPTA85
Preferred inhaler- overall;BREEZHALER19
Preferred inhaler- overall;No preference10
Preference by Number of Steps Needed;ELLIPTA99
Preference by Number of Steps Needed;BREEZHALER5
Preference by Number of Steps Needed;No preference10
Preference based on time needed,ELLIPTA90
Preference based on time needed,BREEZHALER6
Preference based on time needed;No preference18
Preference based on How Easy to Use;ELLIPTA94
Preference based on How Easy to Use;BREEZHALER11
Preference based on How Easy to Use;No preference9
Preference based on Size;ELLIPTA58
Preference based on Size;BREEZHALER39
Preference based on Size;No preference17
Preference based on Comfort;ELLIPTA52
Preference based on Comfort;BREEZHALER41
Preference based on Comfort;No preference21
Preference based on Ease of Opening;ELLIPTA80
Preference based on Ease of Opening;BREEZHALER13
Preference based on Ease of Opening;No preference21

Adverse events

Collected over All-cause mortality, serious adverse events (SAEs) and non-serious AEs (non-SAEs) were collected on Day 1 of the study. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
ELLIPTA DPI0/114 (0%)0/114 (0%)0/114 (0%)
Breezhaler DPI0/114 (0%)0/114 (0%)0/114 (0%)

Baseline characteristics

Age, Customized
Age, Customized(Participants)ELLIPTA/ BREEZHALER/Questionnaire Version 1ELLIPTA/ BREEZHALER/Questionnaire Version 2BREEZHALER/ ELLIPTA/Questionnaire Version 1BREEZHALER/ ELLIPTA/Questionnaire Version 2Total
<=18 years10001
19-64 years1817182174
>=65 years101210739
Sex: Female, Male
Sex: Female, Male(Participants)ELLIPTA/ BREEZHALER/Questionnaire Version 1ELLIPTA/ BREEZHALER/Questionnaire Version 2BREEZHALER/ ELLIPTA/Questionnaire Version 1BREEZHALER/ ELLIPTA/Questionnaire Version 2Total
Female2112151765
Male817131149
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)ELLIPTA/ BREEZHALER/Questionnaire Version 1ELLIPTA/ BREEZHALER/Questionnaire Version 2BREEZHALER/ ELLIPTA/Questionnaire Version 1BREEZHALER/ ELLIPTA/Questionnaire Version 2Total
ASIAN - SOUTH EAST ASIAN HERITAGE01012
WHITE - ARABIC/NORTH AFRICAN HERITAGE10012
WHITE - WHITE/CAUCASIAN/EUROPEAN HERITAGE28282825109
MIXED RACE00011
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Study locations

3 sites
  • GSK Investigational Site
    Enschede, 7512 KZ, Netherlands
  • GSK Investigational Site
    Nijverdal, 7442 LS, Netherlands
  • GSK Investigational Site
    Rotterdam, 3051 GV, Netherlands
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References and documents

Publications

  • van der Palen J, Slade D, Rehal S, Verma M, Plank M. A randomized, cross-over study comparing critical and overall errors, learning time, and preference of the ELLIPTA versus BREEZHALER dry powder inhalers in patients with asthma. Respir Med. 2022 Dec;205:107031. doi: 10.1016/j.rmed.2022.107031. Epub 2022 Oct 28. PubMed 36368290 ↗

Study documents

  • Study protocol · Jan 5, 2021
  • Statistical analysis plan · May 24, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

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

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

Time frame: IPD will be made available within 6 months of publishing the results of the primary endpoints, a key secondary endpoints and safety data of the study.

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.

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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 Apr 2021 to primary completion in Jul 2021, 2 months.

Results were first posted in May 2023, 1 year 10 months after primary completion.

Of 59 industry-sponsored phase 4 interventional studies under Asthma, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 35. This study's 2 months is below that.

Counting every sponsor, half of 135 studies reached it within 22 months; a quarter within 11 and three quarters within 36.

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

Registered
Mar 21, 2021
First posted
Mar 24, 2021
StartActual
Apr 14, 2021
Primary completionActual
Jul 8, 2021
CompletionActual
Jul 8, 2021
Results first posted
May 15, 2023
Last update
May 15, 2023
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 May 15, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04813354
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Mar 24, 2021
Start date
Apr 14, 2021
Primary completion
Jul 8, 2021
Completion
Jul 8, 2021
Results posted
May 15, 2023
Last update
May 15, 2023

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

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

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This study is completed, as verified in Jun 2022. You cannot join it, but the record below documents what was studied.

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