6-month Safety and Benefit Study of ADVAIR in Children 4-11 Years Old (VESTRI)
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Purpose
The purpose of this study is to assess whether the risk of serious asthma-related events (asthma-related hospitalizations, endotracheal intubations, and deaths) in children 4-11 years old taking inhaled fluticasone propionate/salmeterol combination is the same as those taking inhaled fluticasone propionate alone.
| Condition | Intervention | Phase |
|---|---|---|
|
Asthma |
Drug: ADVAIR 100/50mcg Drug: ADVAIR 250/50mcg Drug: FLOVENT 100mcg Drug: FLOVENT 250mcg |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A 6-month Safety and Benefit Study of Inhaled Fluticasone Propionate/ Salmeterol Combination Versus Inhaled Fluticasone Propionate in the Treatment of 6,200 Pediatric Subjects 4-11 Years Old With Persistent Asthma |
- Time to first event in the composite endpoint of serious asthma-related outcomes (asthma-related hospitalizations, endotracheal intubations, or deaths) over the 6-month study treatment period [ Time Frame: Within the 6 months post-randomization ] [ Designated as safety issue: Yes ]
- Time to first asthma exacerbation [ Time Frame: Entire treatment period (up to 6 months) ] [ Designated as safety issue: No ]
- The number and percent of subjects experiencing asthma-related deaths [ Time Frame: Within the 6 months post-randomization ] [ Designated as safety issue: Yes ]
- The number and percent of subjects experiencing asthma-related endotracheal intubations [ Time Frame: Within the 6 months post-randomization ] [ Designated as safety issue: Yes ]
- The number and percent of subjects experiencing asthma-related hospitalizations [ Time Frame: Within the 6 months post-randomization ] [ Designated as safety issue: Yes ]
- The number of withdrawals from study treatment due to asthma exacerbation [ Time Frame: Entire treatment period (up to 6 months) ] [ Designated as safety issue: No ]
- The number and percent of rescue-free days (days without use of rescue albuterol/salbutamol [other than pre-exercise treatment]) [ Time Frame: Entire treatment period (up to 6 months) ] [ Designated as safety issue: No ]
- The number and percent of asthma control days [ Time Frame: Entire treatment period (up to 6 months) ] [ Designated as safety issue: No ]Asthma control days are defined as days without rescue albuterol/salbutamol use [other than pre-exercise treatment], nighttime awakenings due to asthma, asthma exacerbations, and missed work [caregiver] or school/daycare [subject) due to asthma, and when coughing from asthma score <=1 and wheezing score=0.
| Estimated Enrollment: | 6200 |
| Study Start Date: | November 2011 |
| Estimated Study Completion Date: | February 2017 |
| Estimated Primary Completion Date: | February 2017 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: ADVAIR 100/50mcg
fluticasone propionate/salmeterol combination (100/50mcg) twice daily (AM and PM) for 6 months
|
Drug: ADVAIR 100/50mcg
fluticasone propionate/salmeterol combination (100/50mcg) twice daily (AM and PM) for 6 months
Other Name: FSC 100/50
|
|
Experimental: ADVAIR 250/50mcg
fluticasone propionate/salmeterol combination (250/50mcg) twice daily (AM and PM) for 6 months
|
Drug: ADVAIR 250/50mcg
fluticasone propionate/salmeterol combination (250/50mcg) twice daily (AM and PM) for 6 months
Other Name: FSC 250/50
|
|
Active Comparator: FLOVENT 100mcg
fluticasone propionate (100) twice daily (AM and PM) for 6 months
|
Drug: FLOVENT 100mcg
fluticasone propionate (100) twice daily (AM and PM) for 6 months
Other Name: FP 100
|
|
Active Comparator: FLOVENT 250mcg
fluticasone propionate (250mcg) twice daily (AM and PM) for 6 months
|
Drug: FLOVENT 250mcg
fluticasone propionate (250mcg) twice daily (AM and PM) for 6 months
Other Name: FP 250
|
Detailed Description:
Progress of Enrollment, Updated Annually:
On November 17, 2011 the first study subject visit occurred.
As of the cut-off date for this report, April 24, 2012, 313 subjects have been randomized. The target enrolment is 6,200 subjects. The expected completion date for accrual and the study remains unchanged from August 2016 and February 2017 respectively.
While the study is in the early stages and only sites in the United States have been recruiting, progress is in line with GSK expectations for the on-time completion of the study.
Next expected annual update: July 2013
Eligibility| Ages Eligible for Study: | 4 Years to 11 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Consent to participate in the study
- Age 4-11 years old
- Male or eligible female - Female subjects should not be enrolled if they are pregnant, lactating or plan to become pregnant during the time of study participation
- Asthma diagnosis for at least 6 months
- Ability to answer questions regarding asthma control and use a metered dose inhaler and DISKUS
- A history of clinical varicella infection or recipient of a varicella vaccine in countries where the product label includes a warning regarding more serious chickenpox infections in patients using corticosteroids.
- History of at least once occurrence of asthma exacerbation within the prior 12 months
- Currently being treated for asthma and no change in asthma therapy for the last 4 weeks (Eligible subjects include: subjects with use of short-acting beta-agonist, leukotriene receptor antagonist, theophylline, or cromolyn whose asthma is not well-controlled; subjects on low-dose ICS monotherapy whose asthma is not well-controlled; subjects on low-dose ICS and one or more adjunctive therapy whose asthma is either controlled or not well-controlled asthma; subjects on medium-dose ICS monotherapy whose asthma is either controlled or not well-controlled; and subjects on medium-dose ICS and one or more adjunctive therapy whose asthma is well-controlled)
Exclusion Criteria:
- History of life-threatening asthma
- Unstable asthma
- Current use of high-dose ICS or ICS/LABA therapy to treat asthma symptoms
- Concurrent respiratory disease: Current evidence of pneumonia, pneumothorax, atelectasis, pulmonary fibrotic disease, allergic bronchopulmonary aspergillosis, cystic fibrosis, bronchopulmonary dysplasia, or other severe respiratory abnormalities other than asthma.
- Respiratory infection
- Subjects with only exercise-induced asthma
- An asthma exacerbation within the last 4 weeks or more than 4 separate exacerbations in the last 12 months
- Hospitalization for asthma within 4 weeks or more than 2 hospitalizations within the last 12 months
- Other current evidence of clinically significant uncontrolled disease/conditions of any body or organ system
- Neurological or psychiatric disease or history of drug or alcohol abuse of a subject or his/her guardian which in the opinion of the investigator could interfere with the subject's proper completion of the protocol requirements
- Participation in an interventional study or used any investigational drug for any disease state within the last 30 days
- Any adverse reaction including immediate or delayed hypersensitivity to any beta-agonist, sympathomimetic drug, or any intranasal, inhaled, or systemic corticosteroid therapy, or vehicle contained within these medication
- Severe hypersensitivity to cow's milk proteins
- Administration of prescription or over the counter medications that would significantly affect the course of asthma, or interact with sympathomimetic amines such as: anti-IgE (omalizumab), anticonvulsants (barbiturates, hydantoins, carbamazepine); polycyclic antidepressants, beta-adrenergic blockers; phenothiazines, monoamine oxidase inhibitors, or diuretics
- Potent cytochrome P450 3A4 (CYP3A4) inhibitors within the last 4 weeks (e.g., ritonavir, ketoconazole, itraconzole)
- Affiliation with investigator's site, including a immediate family member of the participating investigator, sub-investigator, study coordinator, or employee of the participating investigator.
- A Child in Care (CiC) is a child who has been placed under the control or protection of an agency, organisation, institution or entity by the courts, the government or a government body, acting in accordance with powers conferred on them by law or regulation.
Contacts and Locations| Contact: US GSK Clinical Trials Call Center | 877-379-3718 | GSKClinicalSupportHD@gsk.com |
| United States, California | |
| GSK Investigational Site | Recruiting |
| Los Angeles, California, United States, 90057 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| Study Director: | GSK Clinical Trials | GlaxoSmithKline |
More Information
No publications provided
| Responsible Party: | GlaxoSmithKline |
| ClinicalTrials.gov Identifier: | NCT01462344 History of Changes |
| Other Study ID Numbers: | 115358 |
| Study First Received: | October 27, 2011 |
| Last Updated: | October 18, 2012 |
| Health Authority: | Ukraine: Ministry of Health of Ukraine, State Expert Center (SEC) of the Ministry of Health of Ukraine Slovakia: State Institute for Drug Control Peru: Instituto Nacional de Salud Colombia: INVIMA Spain: Agencia Española del Medicamento y Productos Sanitarios Belgium: Agence Fédérale des Medicaments et des Produits de la Santé Finland: Finnish Medicines Agency United States: Food and Drug Administration Netherlands: Centrale Commissie Mensgebonden Onderzoek Canada: Health Canada Croatia: Ministry of Health and Social Welfare of the Republic of Croatia, Department of Drugs Poland: Centralna Ewidencja Badań Klinicznych Urząd Rejestracji Produktów Leczniczych, Wyrobów Medycznych i Produktów Biobójczych Serbia: ALIMS - Medicines and Medical Devices Agency of Serbia Thailand: Food and Drug Administration Latvia: State Agency of Medicines Chile: SFDA -State Food and Drug Administration Italy: Coordinating site Local Competent Authority Taiwan: Department of Health Lithuania: State Medicine Control Agency - Ministry of Health Norway: Norwegian Medicines Agency Mexico: Comision Federal para la Proteccion contra Riesgos Sanitarios (COFEPRIS) Denmark: Lægemiddelstyrelsen Israel: State of Israel Ministry of Health, Health Technology and Infrastructure Administration, Medical Devices Department Austria: Austrian Medicines and Medical Devices Agency (AGES PharmMed) Philippines: Bureau of Food and Drugs South Korea: Korea Food and Drug Administration (KFDA) Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica United Kingdom: Medicines and Healthcare Products Regulatory Agency Korea: Food and Drug Administration Hong Kong: Department of Health Hungary: Országos Gyógyszerészeti Intézet South Africa: Medicines Control Council Germany: Bundesinstitut für Arzneimittel und Medizinprodukte France: Agence Française de Sécurité Sanitaire des Produits de Santé Australia: Department of Health and Ageing Therapeutic Goods Administration Malaysia: National Pharmaceutical Control Bureau Sweden: Medical Products Agency Russian Federation: Ministry of Health and social development of Russian Federation, Federal China: Food and Drug Administration New Zealand: Medsafe (New Zealand Medicines and Medical Devices Safety Authority) Brazil: Agência Nacional de Vigilância Sanitária (ANVISA) Bulgaria: Bulgarian Drug Agency (BDA) Romania: National Medicine and Medical Devices Agency (NMMDA) Turkey: Ministry of Health India: Drugs Controller General of India (DCGI) Czech Republic: State Institute for Drug Control |
Keywords provided by GlaxoSmithKline:
|
pediatric ADVAIR FLOVENT asthma |
Additional relevant MeSH terms:
|
Asthma Anti-Asthmatic Agents Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Lung Diseases Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases Salmeterol Fluticasone Fluticasone, salmeterol drug combination Adrenergic beta-2 Receptor Agonists Adrenergic beta-Agonists |
Adrenergic Agonists Adrenergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Physiological Effects of Drugs Bronchodilator Agents Autonomic Agents Peripheral Nervous System Agents Respiratory System Agents Therapeutic Uses Dermatologic Agents Anti-Allergic Agents Anti-Inflammatory Agents Glucocorticoids |
ClinicalTrials.gov processed this record on May 23, 2013