Asthma
Conditions
Keywords
formoterol/budesonide, exacerbations, Salmeterol/fluticasone propionate, adjustable maintenance dosing, asthma control
Brief summary
To compare a stable dose of salmeterol/fluticasone propionate with a variable dose of formoterol/budesonide where the dose is adjusted according to a physician-guided self-management plan
Detailed description
A randomised, double-blind, double-dummy, 52-week, parallel group study of a standard dosing regimen with salmeterol/fluticasone propionate combination 50/250mcg bid (via the DISKUS/ACCUHALER inhaler) versus a symptom-driven variable dosing regimen with formoterol/budesonide combination 6/200mcg (via a breath-actuated dry powder reservoir inhaler)in adults asthmatics
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Documented clinical history of asthma * Forced expiratory volume in 1 second between 60% and 90% of predicted * Using an inhaled corticosteroid (ICS)at a dose equivalent to 200 to 500 mcg daily of beclomethasone (BDP)or equivalent combined with a long-acting beta-2-agonist or an ICS alone at a dose equivalent to \>500 to 1000mcg daily of BDP daily
Exclusion criteria
* Lower respiratory tract infection within 1 month of study entry * Use of systemic corticosteroids within 1 month of study entry * Smoking history of 10 pack years or more Changes in regular asthma therapy within 12 weeks of study entry * Any significant disorder that in the investigator's opinion might put the patient at risk or influence the study outcomes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean percentage of symptom-free days over a 52-week treatment period | — |
Secondary
| Measure | Time frame |
|---|---|
| Mean percentage of rescue-free days Daily asthma symptom scores Daily rescue usage Mean morning peak flow Percentage of nights awoken due to asthma Rate of exacerbations Airway hyper-responsiveness(PC20 AMP) | — |
Countries
Australia, Austria, Belgium, Bulgaria, Canada, Estonia, Finland, Germany, Ireland, Latvia, Netherlands, New Zealand, North Macedonia, Spain, United Kingdom