Clinical trial • Phase III • Respiratory

Fluticasone furoate; Vilanterol for Asthma

Phase III trial of Fluticasone furoate; Vilanterol for Asthma.

Overview

Trial Therapeutic Area
Respiratory
Trial Disease
Asthma
Trial Stage
Phase III
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
26-05-2025
First CTIS Authorization Date
22-09-2025

Trial design

Randomised, breo ellipta (fluticasone furoate and vilanterol inhalation powder) 100 mcg/25 mcg (comparator), multi-dose inhalation powder; placebo: inhalation powder with lactose monohydrate and magnesium stearate; rescue/auxiliary: salbutamol (albuterol) inhaler for as-needed use (replacement for participants' saba). treatment period: 4-week treatment period.-controlled Phase III trial in Poland.

Randomised
Yes
Comparator
BREO ELLIPTA (fluticasone furoate and vilanterol inhalation powder) 100 mcg/25 mcg (comparator), multi-dose inhalation powder; Placebo: Inhalation powder with lactose monohydrate and magnesium stearate; Rescue/auxiliary: Salbutamol (albuterol) inhaler for as-needed use (replacement for participants' SABA). Treatment period: 4-week treatment period.
Target Sample Size
1310
Trial Duration For Participant
28

Eligibility

Recruits 1310 The trial record indicates vulnerable population selection (isVulnerablePopulationSelected = true). Participants must be capable of giving signed informed consent: "Capable of giving signed informed consent (as described in the protocol), which includes compliance with the requirements and restrictions listed in the Informed Consent Form (ICF) and in this protocol." Consent/ICF documents are provided (e.g. L1_SIS and ICF_Main_PL_san). The study population is adults (18–75 years); no assent procedures for minors are described in the submitted data..

Pregnancy Exclusion
Participants who are pregnant, breastfeeding, or planning to become pregnant during the study.
Vulnerable Population
The trial record indicates vulnerable population selection (isVulnerablePopulationSelected = true). Participants must be capable of giving signed informed consent: "Capable of giving signed informed consent (as described in the protocol), which includes compliance with the requirements and restrictions listed in the Informed Consent Form (ICF) and in this protocol." Consent/ICF documents are provided (e.g. L1_SIS and ICF_Main_PL_san). The study population is adults (18–75 years); no assent procedures for minors are described in the submitted data.

Inclusion criteria

  • {"criterion_text":"- Capable of giving signed informed consent (as described in the protocol), which includes compliance with the requirements and restrictions listed in the Informed Consent Form (ICF) and in this protocol.\n- Participants who are currently non-smoking and have not used tobacco products (ie, cigarettes, cigars, vaping products, or pipe tobacco) or smoked marijuana products, within the past year. Note: Ex-smokers with ≤10 pack-years (i.e, one pack per day for 10 years) of historical use are allowed.\n- Participants who are able to replace their current regularly scheduled short acting β2‑agonists (SABAs) with a salbutamol/albuterol inhaler for use only on an ‘as-needed’ basis for the duration of the study. Note: Participants must also be able to withhold all inhaled SABA (rescue medication) for at least 6 hours prior to spirometry assessments on study visits.\n- Participants must be able to discontinue their asthma medications during the Run-in period, and for the remainder of the study.\n- Participants who can demonstrate the correct use of inhaler device (during the Run-in period and at Randomization visit).\n- Participants are eligible to participate in this study if they are: a)\tOf nonchildbearing potential. b)\tOf childbearing potential, and if they agree to use a highly effective form of contraception as per the contraceptive guidance consistently during the study, starting at Screening and until the EOS. These participants must have a negative pregnancy test at Screening and Randomization visit. c)\tParticipants who produce viable sperm and have a partner of childbearing potential, and if they agree to use an adequate method of contraception as per the contraceptive guidance consistently during the study, starting at Screening and until the EOS and also refrain from donating sperm during this period. Participants with a partner or partners who is (are) not of childbearing potential are exempt from these requirements.\n- Participants should not receive treatment for their asthma exacerbation with any prohibited medications.\n- Participants must be 18 to 75 years old (inclusive) at Screening (signing the ICF).\n- Diagnosis of asthma, as defined by the National Asthma Education and Prevention Program, at least 12 weeks prior to Screening.\n- Participants who are stable on their chronic asthma treatment regimen for at least 4 weeks prior to Screening.\n- Pre-bronchodilator FEV1 of >40% and <85% of predicted value, at screening. Note: This test may be repeated once on a different day, within one week of the Screening Visit, due to inadequate treatment withholding, suboptimal technique, or technical failure.\n- Participants with FEV1 reversibility of ≥12% and ≥200 mL within 30 minutes following 360 mcg of albuterol inhalation (via pressurized metered dose inhaler [pMDI]) or equivalent at Screening"}

Exclusion criteria

  • {"criterion_text":"- Participants who have life-threatening asthma, defined as a history of asthma episode(s) requiring intubation, and/or associated with hypercapnia, respiratory arrest or hypoxic seizures, asthma-related syncopal episodes(s), or hospitalizations within one year prior to Screening or during the Run-in period.\n- Participants receiving systemic, oral, parental or depot corticosteroids or anti-IgE therapy withing 12 weeks prior to Screening spirometry or unable to stop receiving these medications during the study.\n- Participants receiving B2-blockers, anti-arrhythmics, anti-depressants, monoamine oxidase inhibitors, cytochrome P450 3A4 inhibitors, or diuretics within 4 weeks prior to the Screening spirometry or unable to stop receiving these medications during the study.\n- Participants receiving monoclonal antibodies that may affect the course of asthma withing 180 days prior to the Screening spirometry or unable to stop receiving these medications during the study.\n- Participants receiving live attenuated vaccines withing two days prior to Screening.\n- Participants who received an investigational drug within 28 days or 5 half-lives (whichever is longer) prior to Screening.\n- Hypersensitivity to any sympathomimetic drug (e.g., albuterol, vilanterol) or to any inhaled, intranasal, or systemic corticosteroid therapy, or to milk proteins, or to excipients in the dry powder inhaler.\n- Participants with significant alcohol or controlled substance abuse in the past 6 months, per the judgement of the Investigator.\n- Participants with any factors (e.g., infirmity, disability, or geographic location) that the Investigators feel would likely limit the participant’s compliance with the study protocol or scheduled clinic visits.\n- Participants who cannot communicate reliably or who are unlikely to co-operate with the requirements of the study, in the opinion of the Investigator.\n- Participants who are pregnant, breastfeeding, or planning to become pregnant during the study.\n- Participants with significant chronic respiratory disease (COPD, interstitial lung disease, etc) other than asthma which in the opinion of the investigator may interfere with the study evaluation or optimal participation in the study.\n- Participants with evidence or history of clinically significant disease or abnormality including congestive heart failure, uncontrolled hypertension, uncontrolled coronary artery disease, myocardial infarction, cardiac dysrhythmia, significant hematologic, hepatic, neurologic, psychiatric, renal, or other diseases that in the opinion of the Investigator, would put them at risk through study participation, or would affect the study analyses if the disease exacerbated during the study.\n- Participants with asthma exacerbations (i.e, acute or sub-acute worsening in symptoms and lung function from the participant’s usual status) within 6 weeks prior to Screening or during the Run-in period.\n- Participants with evidence or history of tuberculosis (additionally confirmed with a chest X-ray done within 6 months prior to Screening for countries with high tuberculosis risk).\n- Participants with uncontrolled allergic rhinitis within 15 days prior to screening.\n- Viral, bacterial, fungal, or parasitic, acute upper or lower respiratory tract infection (including COVDI-19), or sinus, or middle ear infection within 4 weeks prior to Screening, during the Run-in period, or at the Randomization visit. Note: Rescreening of participants with acute respiratory conditions during the Screening and Run-in period may be allowed in consultation with Medical Monitor.\n- Participants with a history of hepatitis B, hepatitis C, or human immunodeficiency virus 1 and 2.\n- Participants with clinically significant screening laboratory and electrocardiogram (ECG) parameters as per the Investigator’s assessment."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- FEV1 AUC0-24h on the first day of the treatment","definition_or_measurement_approach":"FEV1 area under the curve from 0 to 24 hours measured on first day of treatment (spirometric FEV1 assessments across 24h)."}
  • {"endpoint_text":"- FEV1 measured in the morning prior to the dosing of inhaled medications on the last day of the 4-week treatment period. Note: The primary endpoints will be baseline-adjusted (change from baseline).","definition_or_measurement_approach":"Single pre-dose morning spirometry on last day of 4-week treatment; endpoints will be baseline-adjusted (change from baseline)."}

Secondary endpoints

  • {"endpoint_text":"- Adverse events (including TEAEs, SAEs, and/or AEs leading to study medication/study discontinuation), vital signs, and physical examination findings.","definition_or_measurement_approach":"Safety assessments including reporting and collection of TEAEs and SAEs, monitoring of vital signs and physical examination findings as per protocol."}

Recruitment

Planned Sample Size
1310
Recruitment Window Months
12
Consent Approach
Participants must provide signed informed consent (ICF). The inclusion criteria require capacity to give signed informed consent: "Capable of giving signed informed consent (as described in the protocol), which includes compliance with the requirements and restrictions listed in the Informed Consent Form (ICF) and in this protocol." Subject information sheet and ICF documents are provided in Polish (e.g. L1_SIS and ICF_Main_PL_san); a specific Pregnant Partner ICF is also provided (L1_SIS and ICF_Pregnant Partner_PL_san). No assent procedures for minors are described (study enrols adults 18–75).

Methods

  • Patient-facing recruitment materials in Polish: patient poster (K2_Recruitment Material_Patient Poster_PL_san).
  • Physician referral letters in Polish to referring clinicians (K2_Recruitment Material_Physician Referral Letter_san).
  • Participant study guide / participant-facing materials in Polish (K2_Recruitment Material_Participant Study Guide_PL_san).
  • Local site recruitment through listed clinical sites in Poland (site contact details provided) using the above Polish-language materials.

Geography

Total Number Of Sites
9
Total Number Of Participants
1310

Poland

Earliest CTIS Part Ii Submission Date
01-09-2025
Latest Decision Or Authorization Date
22-09-2025
Processing Time Days
21
Number Of Sites
9
Number Of Participants
120

Sites

Site Name
Linden Sp. z o.o. sp.k.
Department Name
Centrum Medyczne Linden
Contact Person Name
Justyna Tyfel-Paluszek
Contact Person Email
rejestracja@cmlinden.pl
Site Name
Centrum Medyczne All-Med Badania Kliniczne
Department Name
Centrum Medyczne All-Med Badania Kliniczne
Contact Person Name
Grażyna Pulka
Contact Person Email
pulkaallmed@gmail.com
Site Name
Wojewodzki Szpital Specjalistyczny Im. Sw. Rafala W Czerwonej Gorze
Department Name
Oddział IV Alergologiczny
Contact Person Name
Piotr Łacwik
Contact Person Email
sekretariat@czerwonagora.pl
Site Name
Centrum Badan Klinicznych Piotr Napora Lekarze sp.p.
Department Name
Centrum Badań Klinicznych Ośrodek Badań Wczesnej Fazy
Contact Person Name
Piotr Napora
Contact Person Email
szpital@cbk.wroc.pl
Site Name
Comarch Healthcare S.A.
Department Name
Centrum Medyczne iMed24
Contact Person Name
Tomasz Mysior
Contact Person Email
kontakt@imed24.pl
Site Name
Medsearch Institute
Department Name
Medsearch Institute Joanna Kaczmarczyk
Contact Person Name
Helena Mirus-Arabik
Contact Person Email
medsearch.clinical@gmail.com
Site Name
EMC Instytut Medyczny S.A.
Department Name
PL Certus Szpital Nr 1, PL Certus Ambulatoria
Contact Person Name
Grażyna Skarupa-Szablowska
Contact Person Email
grasza66@interia.pl
Site Name
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Uniwersytecki Szpital Kliniczny Nr 1 Im. Norberta Barlickiego Uniwersytetu Medycznego W Lodzi
Department Name
Oddział Kliniczny Chorób Wewnętrznych, Astmy i Alergii z Odcinkiem dla Dzieci
Contact Person Name
Piotr Kuna
Contact Person Email
piotr.kuna@icloud.com
Site Name
Wojewodzki Szpital Specjalistyczny Im. Sw. Rafala W Czerwonej Gorze
Department Name
Oddział IV Alergologiczny
Contact Person Name
Piotr Łacwik
Contact Person Email
sekretariat@czerwonagora.pl

Sponsor

Primary sponsor

Full Name
Sandoz Private Limited
Organisation Type
Pharmaceutical company
Country Of Registered Address
India

Contract research organisations

Name
IQVIA Limited
Responsibilities
Listed sponsor duties include CRO responsibilities (IQVIA Limited sponsorDuties include an entry with value 'CRO' and other operational duties).

Third parties

  • {"country":"United Kingdom","full_name":"Q Squared Solutions Limited","duties_or_roles":"Lab Supplies and Testing","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"Multiple sponsor duties listed (includes an entry 'CRO' among duties; other duties present in sponsorDuties)","organisation_type":"Pharmaceutical company"}
  • {"country":"Spain","full_name":"Alcura Health Espana S.A.","duties_or_roles":"•Labelling of the IMP, placebo, comparator, and co-medication •Storage and distribution •Returns and destructions •Importation process from the EU to the US","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"Duties listed (sponsorDuties code 7)","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"India","full_name":"IQVIA RDS (India) Private Limited","duties_or_roles":"Main point of contact for all the day to day activities(Requirements gathering and designing the system as per client requirement) related to IRT until study go Live.","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"eResearchTechnology GmbH","duties_or_roles":"Spirometer/connected devices","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Fluticasone furoate and Vilanterol inhalation powder 100 mcg/25 mcg
Active Substance
Fluticasone furoate; Vilanterol
Modality
Small molecule
Routes Of Administration
INHALATION
Route
INHALATION
Authorisation Status
Authorized (prodAuthStatus 1 in productDictionaryInfo)
Starting Dose
100 mcg/25 mcg
Maximum Dose
125 µg (maxDailyDoseAmount 125, doseUom µg microgram(s))
Investigational Product Name
BREO ELLIPTA (fluticasone furoate, vilanterol) 100 mcg/25 mcg
Active Substance
Fluticasone furoate; Vilanterol
Modality
Small molecule
Routes Of Administration
INHALATION
Route
INHALATION
Authorisation Status
Authorized (prodAuthStatus 1 in productDictionaryInfo)
Starting Dose
100 mcg/25 mcg
Maximum Dose
125 µg (maxDailyDoseAmount 125, doseUom µg microgram(s))
Investigational Product Name
Inhalation powder with lactose monohydrate and magnesium stearate (Placebo)
Modality
Other
Investigational Product Name
Salbutamol Aldo-Unión 100 microgramos/dosis suspensión para inhalación en envase a presión (auxiliary/rescue)
Active Substance
Salbutamol sulfate (albuterol)
Modality
Small molecule
Routes Of Administration
INHALATION
Route
INHALATION
Authorisation Status
Authorized (marketingAuthNumber 65.850, prodAuthStatus 2 in productDictionaryInfo)
Starting Dose
100 microgram(s) per dose (as product name)
Frequency
As-needed (rescue)
Combination Treatment
Yes

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