Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This is a study to establish the equivalence of OT329 Solis and Advair Diskus when administered by inhalation in patients with asthma.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| OT329 Solis | Experimental | OT329 Solis (twice daily inhalation throughout the study) |
|
| Advair Diskus | Active Comparator | Advair Diskus (twice daily inhalation throughout the study) |
|
| Placebo | Placebo Comparator | Placebo (twice daily inhalation throughout the study) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OT329 (combination of fluticasone propionate and salmeterol xinafoate) | Drug | Fluticasone propionate (100 mcg) and salmeterol xinafoate (50 mcg) administered by Solis dry powder inhaler |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Serial FEV1-time Curve (AUC 0-12h) | Bioequivalence comparison of lung function (FEV1) for 12 hours after the first dose on Day 1 following OT329 Solis and Advair Diskus treatment. Serial lung function measurements were made pre-dose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose. | 0-12 hours after dosing on Day 1 |
| FEV1 Trough | Bioequivalence comparison of trough lung function (FEV1) after 4 weeks of treatment with OT329 SOLIS or ADVAIR DISKUS. | Post-4 weeks of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Adverse Events | From Screen (Day -28) until 1 week post last treatment |
Not provided
Inclusion Criteria:
Males and females ≥ 18 years old of non-child bearing potential or of child bearing potential committing to consistent and correct use of an acceptable method of birth control
Subjects with a reliable clinical history of asthma documented at least 12 weeks prior to screening
Subjects with a pre-bronchodilator FEV1 of > 40% and <85% of the predicted value during the screening visit and on the first day of treatment
Subjects who are currently non-smoking and have not used tobacco products (i.e., cigarettes, cigars, pipe tobacco) within the past year, and had < 10 pack-years of historical use
Subjects with > 15% reversibility of FEV1 within 30 minutes following 360 mcg of albuterol inhalation (pMDI). Note: This test may be repeated on a different day if the patient fails the first attempt; and if the patient achieves at least 10% reversibility and the Investigator thinks that a second attempt is appropriate
Subjects who are able to discontinue their asthma medications (inhaled corticosteroids and long-acting beta agonists) during the run-in period and for the remainder of the study
Subjects who are able to replace current short-acting beta agonists (SABAs) with salbutamol/albuterol inhaler for use as needed for the duration of the study (subjects should be able to withhold all inhaled SABAs for at least 6 hours prior to lung function assessments on study visits)
Subjects who are able to continue the following medications without a significant adjustment of dosage, formulation, or dosing interval for the duration of the study, and judged able by the investigator to withhold them for the specified minimum time intervals prior to each clinic visit: short-acting forms of theophylline for 12 hours, twice-a-day controlled release forms of theophylline for 24 hours, once-a-day controlled-release forms of theophylline for 36 hours
Subjects who are able to discontinue the following medications for the specified minimum time intervals prior to the run-in period and for the remainder of the study: oral and parenteral corticosteroids for 1 month and oral short-acting beta agonists for 12 hours
Subjects who are able and willing to give their written informed consent to participate in the study.
**********************************************************
Exclusion Criteria:
Female Subjects who are pregnant or breastfeeding
Subjects who have life-threatening asthma in the last 10 years, as defined as a history of asthma episode(s) requiring intubation, and/or associated with hypercapnoea; respiratory arrest or hypoxic seizures, asthma-related syncopal episodes(s), or hospitalizations within the past year or during the run-in period
Subjects with evidence or history of clinically significant disease or abnormality including congestive heart failure, uncontrolled hypertension, uncontrolled coronary artery disease, myocardial infarction, or cardiac dysrhythmia. In addition, historical or current evidence of significant hematologic, hepatic, neurologic, psychiatric, renal, or other diseases that in the opinion of the investigator, would put the patient at risk through study participation, or would affect the study analyses if the disease exacerbated during the study
Subjects with a hypersensitivity to any sympathomimetic drug (e.g. Salmeterol or salbutamol/albuterol) or any inhaled, intranasal or systemic corticosteroid therapy
Subjects who are on other medications with the potential to affect the course of asthma or to interact with sympathomimetic amines (e.g. beta blockers, oral decongestants, benzodiazepines, digitalis, phenothiazines, polycyclic antidepressants, monoamine oxidase inhibitors)
Subjects with a viral or bacterial upper or lower respiratory tract infection or sinus or middle ear infection within 4 weeks prior to the screening visit or during the run-in period
Subjects with any factors (e.g. infirmity, disability, or geographic location) that the investigator feel would likely limit the patient's compliance with the study protocol or scheduled clinic visits
Subjects who have used any investigational drug in any clinical trial within 1 month of receiving the first dose of OT329 Solis™ study medication
Subjects who cannot communicate reliably or who are unlikely to co-operate with the requirements of the study, in the opinion of the Investigator
Subjects with a milk protein allergy
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Rick Fuller, MD FRCP | Oriel Therapeutics | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oriel Investigative Site | Goodyear | Arizona | 85395 | United States | ||
| Oriel Investigative Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27849125 | Derived | Longphre MV, Getz EB, Fuller R. Clinical Bioequivalence of OT329 SOLIS and ADVAIR DISKUS in Adults with Asthma. Ann Am Thorac Soc. 2017 Feb;14(2):182-189. doi: 10.1513/AnnalsATS.201606-436OC. |
Not provided
Not provided
Results delayed pending FDA review/approval of drug.
Not provided
Not provided
Not provided
Not provided
647 Failed screening (42%)
1526 Patients with asthma were screened at 48 clinical sites
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | OT329 Solis | OT329 Solis (twice daily inhalation throughout the study) OT329 (combination of fluticasone propionate and salmeterol xinafoate): Fluticasone propionate (100 mcg) and salmeterol xinafoate (50 mcg) administered by Solis dry powder inhaler |
| FG001 | Advair Diskus |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
Not provided
Not provided
Not provided
Not provided
Not provided
| Advair Diskus (combination of fluticasone propionate and salmeterol xinafoate) | Drug | Fluticasone propionate (100 mcg) and salmeterol xinafoate (50 mcg) administered by Diskus dry powder inhaler |
|
| Placebo | Drug | Placebo (lactose) administered via the Solis dry powder inhaler |
|
| Tempe |
| Arizona |
| 85283 |
| United States |
| Oriel Investigative Site | Anaheim | California | 92801 | United States |
| Oriel Investigative Site | Los Angeles | California | 90017 | United States |
| Oriel Invetigative Site | Los Angeles | California | 90048 | United States |
| Oriel Investigative Site | Mission Viejo | California | 92691 | United States |
| Oriel Investigative Site | Centennial | Colorado | 80112 | United States |
| Oriel Investigative Site | Clearwater | Florida | 33756 | United States |
| Oriel Investigative Site | Coral Gables | Florida | 33134 | United States |
| Oriel Investigative Site | Homestead | Florida | 33030 | United States |
| Oriel Investigative Site | Jupiter | Florida | 33458 | United States |
| Oriel Investigative Site | Kissimee | Florida | 34741 | United States |
| Oriel Investigative Site | Miami | Florida | 33165 | United States |
| Oriel Investigative Site | New Port Richie | Florida | 34652 | United States |
| Oriel Investigative Site | Orlando | Florida | 32806 | United States |
| Oriel Investigative Site | Tallahassee | Florida | 32308 | United States |
| Oriel Investigative Site | Lawrenceville | Georgia | 30046 | United States |
| Oriel Investigative Site | Iowa City | Iowa | 52240 | United States |
| Oriel Investigative Site | North Dartmouth | Massachusetts | 02747 | United States |
| Oriel Therapeutics Site | Minneapolis | Minnesota | 55402 | United States |
| Oriel Investigative Site | St Louis | Missouri | 63141 | United States |
| Oriel Investigative Site | Bellevue | Nebraska | 68123 | United States |
| Oriel Investigative Site | Omaha | Nebraska | 68114 | United States |
| Oriel Investigative Site | Skillman | New Jersey | 08558 | United States |
| Oriel Investigative Site | Albuquerque | New Mexico | 87108 | United States |
| Oriel Investigative Site | New York | New York | 10018 | United States |
| Oriel Investigative Site | Charlotte | North Carolina | 28277 | United States |
| Oriel Investigative Site | Raleigh | North Carolina | 27607 | United States |
| Oriel Investigative Site | Winston-Salem | North Carolina | 27103 | United States |
| Oriel Investigative Site | Cincinnati | Ohio | 45231 | United States |
| Oriel Investigative Site | Cincinnati | Ohio | 45242 | United States |
| Oriel Investigative Site | Middleburg Heights | Ohio | 44130 | United States |
| Oriel Investigative Site | Toledo | Ohio | 43617 | United States |
| Oriel Investigative Site | Oklahoma City | Oklahoma | 73120 | United States |
| Oriel Investigative Site | Eugene | Oregon | 97401 | United States |
| Oriel Investigative Site | Medford | Oregon | 97504 | United States |
| Oriel Investigative Site | Portland | Oregon | 97202 | United States |
| Oriel Investigative Site | Providence | Rhode Island | 02906 | United States |
| Oriel Investigative Site | Warwick | Rhode Island | 02886 | United States |
| Oriel Investigative Site | Rock Hill | South Carolina | 29732 | United States |
| Oriel Investigative Site | Austin | Texas | 78750 | United States |
| Oriel Investigative Site | Austin | Texas | 78756 | United States |
| Oriel Investigative Site | Houston | Texas | 77055 | United States |
| Oriel Investigative Site | Houston | Texas | 77099 | United States |
| Oriel Investigative Site | Plano | Texas | 75093 | United States |
| Oriel Investigative Site | Richmond | Virginia | 23229 | United States |
| Oriel Investigative Site | Tacoma | Washington | 98405 | United States |
Advair Diskus (twice daily inhalation throughout the study) Advair Diskus (combination of fluticasone propionate and salmeterol xinafoate): Fluticasone propionate (100 mcg) and salmeterol xinafoate (50 mcg) administered by Diskus dry powder inhaler |
| FG002 | Placebo | Placebo (twice daily inhalation throughout the study) Placebo: Placebo (lactose) administered via the Solis dry powder inhaler |
| Completed Day 1 |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
Intent-to-Treat (ITT)
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | OT329 Solis | OT329 Solis (twice daily inhalation throughout the study) OT329 (combination of fluticasone propionate and salmeterol xinafoate): Fluticasone propionate (100 mcg) and salmeterol xinafoate (50 mcg) administered by Solis dry powder inhaler |
| BG001 | Advair Diskus | Advair Diskus (twice daily inhalation throughout the study) Advair Diskus (combination of fluticasone propionate and salmeterol xinafoate): Fluticasone propionate (100 mcg) and salmeterol xinafoate (50 mcg) administered by Diskus dry powder inhaler |
| BG002 | Placebo | Placebo (twice daily inhalation throughout the study) Placebo: Placebo (lactose) administered via the Solis dry powder inhaler |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Number | participants |
| ||||||||||||||||
| Weight (kg) | Mean | Standard Deviation | Kg |
| |||||||||||||||
| Height (cm) | Mean | Standard Deviation | cm |
| |||||||||||||||
| Body Mass Index | Mean | Standard Deviation | Kg/m^2 |
| |||||||||||||||
| Airways Reversibility with Albuterol | Patients were screened for their airways reversibility following albuterol. Baseline FEV1 was measured then the patient received 360 mcg of albuterol (pMDI), a short-acting adrenergic agonist. Within 30 min of albuterol administration, lung function was measured again. Inclusion Criteria #5 required at least 15% reversibility or improvement in FEV1. | Mean | Standard Deviation | % change from pre-albuterol lung functio |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Area Under the Serial FEV1-time Curve (AUC 0-12h) | Bioequivalence comparison of lung function (FEV1) for 12 hours after the first dose on Day 1 following OT329 Solis and Advair Diskus treatment. Serial lung function measurements were made pre-dose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose. | Intent-to-treat (ITT) | Posted | Mean | Standard Deviation | Liters | 0-12 hours after dosing on Day 1 |
|
|
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | FEV1 Trough | Bioequivalence comparison of trough lung function (FEV1) after 4 weeks of treatment with OT329 SOLIS or ADVAIR DISKUS. | Intent-to-Treat | Posted | Mean | Standard Deviation | Liters | Post-4 weeks of treatment |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants With Adverse Events | One subject who was assigned OT329 SOLIS received placebo treatment kit in error. The mistake was discovered on Day 1 and the patient was removed from the study. The patient was included in the OT329 SOLIS group for the intent-to-treat analysis but was put in the Placebo group for the Safety analysis as defined by the Statisical Analysis Plan. | Posted | Count of Participants | Participants | From Screen (Day -28) until 1 week post last treatment |
|
Adverse events were collected from time of consent until 1 week post last treatment, up to 5 weeks. Adverse events from screen failed subjects are omitted.
Treatment emergent adverse events are reported from Day 1 of treatment.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | OT329 Solis | OT329 Solis (twice daily inhalation throughout the study) OT329 (combination of fluticasone propionate and salmeterol xinafoate): Fluticasone propionate (100 mcg) and salmeterol xinafoate (50 mcg) administered by Solis dry powder inhaler | 0 | 417 | 0 | 417 | 52 | 417 |
| EG001 | Advair Diskus | Advair Diskus (twice daily inhalation throughout the study) Advair Diskus (combination of fluticasone propionate and salmeterol xinafoate): Fluticasone propionate (100 mcg) and salmeterol xinafoate (50 mcg) administered by Diskus dry powder inhaler | 1 | 419 | 2 | 419 | 47 | 419 |
| EG002 | Placebo | Placebo (twice daily inhalation throughout the study) Placebo: Placebo (lactose) administered via the Solis dry powder inhaler | 0 | 43 | 0 | 43 | 7 | 43 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Myocardial Infarction | Cardiac disorders | MedDRA 16.1 | Non-systematic Assessment | Fatal heart attack |
|
| H. pylori infection | Infections and infestations | MedDRA 16.1 | Non-systematic Assessment | H. pylori gastrointestinal infection leading to hospitalization |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Vertigo | Ear and labyrinth disorders | MedDRA 16.1 | Non-systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 16.1 | Non-systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 16.1 | Non-systematic Assessment |
| |
| Toothache | Gastrointestinal disorders | MedDRA 16.1 | Non-systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA 16.1 | Non-systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA 16.1 | Non-systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA 16.1 | Non-systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 16.1 | Non-systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 16.1 | Non-systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA 16.1 | Non-systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 16.1 | Non-systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 16.1 | Non-systematic Assessment |
| |
| Dysphonia | Respiratory, thoracic and mediastinal disorders | MedDRA 16.1 | Non-systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 16.1 | Non-systematic Assessment |
| |
| Wheezing | Respiratory, thoracic and mediastinal disorders | MedDRA 16.1 | Non-systematic Assessment |
|
One patient was randomized to OT329 SOLIS treatment but was given a Placebo kit in error. They are included in the SOLIS group for the efficacy analysis and in the Placebo group for the safety analysis as dictated by the Statistical Analysis Plan.
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Malinda Longphre PhD, Director Clinical Reserach | Oriel Therapeutics, a Novartis Company | 9193131290 | 114 | mlongphre@orieltherapeutics.com |
| ID | Term |
|---|---|
| D001249 | Asthma |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012130 | Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D000068299 | Salmeterol Xinafoate |
| D000068297 | Fluticasone-Salmeterol Drug Combination |
| ID | Term |
|---|---|
| D000420 | Albuterol |
| D004983 | Ethanolamines |
| D000605 | Amino Alcohols |
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
| D000588 | Amines |
| D010627 | Phenethylamines |
| D005021 | Ethylamines |
| D000068298 | Fluticasone |
| D000730 | Androstadienes |
| D000736 | Androstenes |
| D000731 | Androstanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D004338 | Drug Combinations |
| D004364 | Pharmaceutical Preparations |
Not provided
Not provided
| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
Day 1 superiority to placebo: Solis vs. Placebo p=0.004 Advair vs. Placebo p=0.012 |
| Participants |
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|