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Safety and Efficacy of GW685698X an Inhaled Corticosteroid Once Daily and Twice Daily for the Treatment of Asthma

A Multi-Centre, Randomized, Double Blind Cross-over Study to Assess the Non-inferiority of GW685698X 200mcg Once Daily and 100mcg Twice Daily in Adult and Adolescent Patients With Asthma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00766090
Enrollment
190
Registered
2008-10-03
Start date
2008-10-31
Completion date
2009-03-31
Last updated
2016-12-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Asthma

Brief summary

The purpose of this study is to compare once and twice daily GW685698 in asthma

Interventions

Inhaled Corticosteroid

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Clinical diagnosis of Asthma * Reversibility ≥ 12% and ≥200mls reversibility of FEV1 within approximately 30-minutes following 2 to 4 puffs of albuterol * FEV1 between 40-85% predicted * Currently on short acting beta2 agonist therapy Key

Exclusion criteria

* History of life threatening asthma * Respiratory Infection or oropharyngeal candidiasis * Asthma exacerbation * Uncontrolled disease or clinical abnormality * Allergies * Taking another Investigational medications or other prohibited medications

Design outcomes

Primary

MeasureTime frameDescription
Trough Forced Expiratory Volume in One Second (FEV1) at Day 28 of the Relevant Treatment PeriodDay 28 of the relevant treatment period (up to Study Day 112)Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. FEV1 was measured electronically by spirometry. Trough FEV1 was the evening pre-dose, pre-rescue bronchodilator FEV1 measurement taken on Day 28 of the relevant treatment period. The analysis was performed using mixed model analysis of covarience (ANCOVA) with fixed effects of treatment, period, sex, and age. Participants were fitted as a random effect, and the period Baseline measurement was included as part of a bivariate response.

Secondary

MeasureTime frameDescription
24-hour Urinary Cortisol Excretion at Day 28 of the Relevant Treatment PeriodDay 28 of the relevant treatment period (up to Study Day 112)A 24-hour urine sample was collected, and the 24-hour urinary cortisol excretion was analyzed at Day 28 of the relevant treatment period.
Number of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0 and Day 28 of the relevant treatment period (up to Study Day 112)Detailed oropharyngeal examination for visual evidence of oropharyngeal candidiasis was performed at Day 0 (clinic visits 2, 4, and 6) and Day 28 (clinic visits 3, 5, and 7) of the relevant treatment period.
Number of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Three 28-day Treatment PeriodsFrom the first dose of the study medication up to Week 16/Early WithdrawalAn AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. Medical or scientific judgment was exercised in deciding whether reporting was appropriate in other situations. Refer to the general AE/SAE module for a list of AEs (occuring at a frequency threshold \>=3%) and SAEs.
Heart Rate at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0 and Day 28 of the relevant treatment period (up to Study Day 112)Heart rate was measured at Day 0 (clinic visits 2, 4, and 6) and Day 28 (clinic visits 3, 5, and 7) of the relevant treatment period.
Number of Participants Who Withdrew Due to Worsening of Asthma During the Three Treatment PeriodsFrom the first dose of the study medication up to Week 16/Early WithdrawalParticipants were withdrawn from the study due to worsening of asthma (lack of efficacy) if they experienced a clinical asthma exacerbation or if clinic FEV1 fell below the FEV1 stability limit, or if during the 7 days immediately preceeding a visit the participant experienced either four or more days in which the PEF had fallen below the PEF stability limit or three or more days in which \>=12 inhalations/day of albuterol/salbutamol were used. A clinical asthma exacerbation is defined as the worsening of asthma requiring emergency room visits, hospitalization, or treatment with an asthma medication (inhaled or systemic corticosteroids) other than study medication or rescue salbutamol/albuterol.
Systolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0 and Day 28 of the relevant treatment period (up to Study Day 112)Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured at Day 0 (clinic visits 2, 4, and 6) and Day 28 (clinic visits 3, 5, and 7) of the relevant treatment period.

Countries

United States

Participant flow

Pre-assignment details

Eligible participants (par.) at screening entered a 14-day Run-in Period. Par. were then randomized to 1 of 12 sequences: 6 had placebo and two doses of fluticasone furoate (FF), and 6 had placebo and two doses of fluticasone proprionate (FP) (allocation ratio of 7:2 \[FF:FP\]). 320 par. were screened and 190 were randomized.

Participants by arm

ArmCount
FF 200 µg, FF 100 µg, and Placebo Via DPI
Participants received FF 200 µg inhalation powder OD in the evening, FF 100 µg inhalation powder BID, and placebo BID in one of the three treatment periods. All treatments were administered via a Dry Powder Inhaler (DPI) for 28 days. Each of the 3 treatment periods was separated by a washout period of 14 days. Participants were provided supplemental albuterol/salbutamol (inhalation aerosol) to be used as needed throughout the study.
147
FP 200 µg, FP 100 µg, and Placebo Via DISKUS
Participants received FP 200 µg inhalation powder OD in the evening, FP 100 µg inhalation powder BID, and placebo BID in one of the three treatment periods. All treatments were administered via a DISKUS for 28 days. Each of the 3 treatment periods was separated by a washout period of 14 days. Participants were provided supplemental albuterol/salbutamol (inhalation aerosol) to be used as needed throughout the study.
43
Total190

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010FG011
Treatment Period 1 (28 Days)Lack of Efficacy200000000000
Treatment Period 1 (28 Days)Lost to Follow-up000000001000
Treatment Period 1 (28 Days)Withdrawal by Subject100100000000
Treatment Period 2 (28 Days)Lack of Efficacy001000000000
Treatment Period 2 (28 Days)Lost to Follow-up000020000000
Treatment Period 3 (28 Days)Lack of Efficacy010100000001
Treatment Period 3 (28 Days)Lost to Follow-up000010000000
Treatment Period 3 (28 Days)Protocol Violation000001000000
Washout Period 1 (14 Days)Protocol Violation001000000000
Washout Period 2 (14 Days)Physician Decision001000000000

Baseline characteristics

CharacteristicFF 200 µg, FF 100 µg, and Placebo Via DPIFP 200 µg, FP 100 µg, and Placebo Via DISKUSTotal
Age, Continuous31.4 Years
STANDARD_DEVIATION 15.3
35.2 Years
STANDARD_DEVIATION 16.03
32.3 Years
STANDARD_DEVIATION 15.51
Gender
Female
87 Participants21 Participants108 Participants
Gender
Male
60 Participants22 Participants82 Participants
Race/Ethnicity, Customized
African American/African HER & AI or AN & White
1 participants0 participants1 participants
Race/Ethnicity, Customized
African American/African Heritage (HER)
50 participants20 participants70 participants
Race/Ethnicity, Customized
African American/African Heritage & White
2 participants0 participants2 participants
Race/Ethnicity, Customized
American Indian (AI) or Alaska Native (AN)
1 participants0 participants1 participants
Race/Ethnicity, Customized
Japanese/East Asian HER/South East Asian HER
2 participants1 participants3 participants
Race/Ethnicity, Customized
Native Hawaiian or other Pacific Islander
1 participants0 participants1 participants
Race/Ethnicity, Customized
White
90 participants22 participants112 participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —
other
Total, other adverse events
2 / 1877 / 1407 / 1420 / 420 / 43
serious
Total, serious adverse events
0 / 1870 / 1400 / 1420 / 420 / 43

Outcome results

Primary

Trough Forced Expiratory Volume in One Second (FEV1) at Day 28 of the Relevant Treatment Period

Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. FEV1 was measured electronically by spirometry. Trough FEV1 was the evening pre-dose, pre-rescue bronchodilator FEV1 measurement taken on Day 28 of the relevant treatment period. The analysis was performed using mixed model analysis of covarience (ANCOVA) with fixed effects of treatment, period, sex, and age. Participants were fitted as a random effect, and the period Baseline measurement was included as part of a bivariate response.

Time frame: Day 28 of the relevant treatment period (up to Study Day 112)

Population: Intent-to-Treat (ITT) Population: all participants randomized to treatment who received at least one dose of study medication

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboTrough Forced Expiratory Volume in One Second (FEV1) at Day 28 of the Relevant Treatment Period2.605 LitersStandard Error 0.0434
FF 200 µg ODTrough Forced Expiratory Volume in One Second (FEV1) at Day 28 of the Relevant Treatment Period2.714 LitersStandard Error 0.0444
FF 100 µg BIDTrough Forced Expiratory Volume in One Second (FEV1) at Day 28 of the Relevant Treatment Period2.703 LitersStandard Error 0.0443
FP 200 µg ODTrough Forced Expiratory Volume in One Second (FEV1) at Day 28 of the Relevant Treatment Period2.693 LitersStandard Error 0.0535
FP 100 µg BIDTrough Forced Expiratory Volume in One Second (FEV1) at Day 28 of the Relevant Treatment Period2.737 LitersStandard Error 0.0533
p-value: <0.00195% CI: [0.064, 0.153]ANCOVA
p-value: <0.00195% CI: [0.054, 0.142]ANCOVA
p-value: 0.0295% CI: [0.014, 0.161]ANCOVA
p-value: 0.64195% CI: [-0.035, 0.056]ANCOVA
p-value: <0.00195% CI: [0.059, 0.205]ANCOVA
Secondary

24-hour Urinary Cortisol Excretion at Day 28 of the Relevant Treatment Period

A 24-hour urine sample was collected, and the 24-hour urinary cortisol excretion was analyzed at Day 28 of the relevant treatment period.

Time frame: Day 28 of the relevant treatment period (up to Study Day 112)

Population: Urine Cortisol (UC) Population: participants who had both a Baseline urine sample and at least one urine sample from the end of a treatment period that did not have confounding factors that could affect the interpretation of results

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Placebo24-hour Urinary Cortisol Excretion at Day 28 of the Relevant Treatment Period53.94 Nanomoles per 24 hoursGeometric Coefficient of Variation 66.423
FF 200 µg OD24-hour Urinary Cortisol Excretion at Day 28 of the Relevant Treatment Period40.25 Nanomoles per 24 hoursGeometric Coefficient of Variation 92.316
FF 100 µg BID24-hour Urinary Cortisol Excretion at Day 28 of the Relevant Treatment Period45.13 Nanomoles per 24 hoursGeometric Coefficient of Variation 87.181
FP 200 µg OD24-hour Urinary Cortisol Excretion at Day 28 of the Relevant Treatment Period56.16 Nanomoles per 24 hoursGeometric Coefficient of Variation 94.259
FP 100 µg BID24-hour Urinary Cortisol Excretion at Day 28 of the Relevant Treatment Period47.56 Nanomoles per 24 hoursGeometric Coefficient of Variation 84.896
Secondary

Heart Rate at Day 0 and Day 28 of the Relevant Treatment Period

Heart rate was measured at Day 0 (clinic visits 2, 4, and 6) and Day 28 (clinic visits 3, 5, and 7) of the relevant treatment period.

Time frame: Day 0 and Day 28 of the relevant treatment period (up to Study Day 112)

Population: ITT Population. Only those participants available at the specified time points were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboHeart Rate at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0, n=187, 140, 142, 42, 4377.0 beats per minuteStandard Deviation 9.53
PlaceboHeart Rate at Day 0 and Day 28 of the Relevant Treatment PeriodDay 28, n=178, 139, 140, 42, 4276.6 beats per minuteStandard Deviation 8.79
FF 200 µg ODHeart Rate at Day 0 and Day 28 of the Relevant Treatment PeriodDay 28, n=178, 139, 140, 42, 4276.9 beats per minuteStandard Deviation 9.32
FF 200 µg ODHeart Rate at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0, n=187, 140, 142, 42, 4376.4 beats per minuteStandard Deviation 9.27
FF 100 µg BIDHeart Rate at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0, n=187, 140, 142, 42, 4377.6 beats per minuteStandard Deviation 8.71
FF 100 µg BIDHeart Rate at Day 0 and Day 28 of the Relevant Treatment PeriodDay 28, n=178, 139, 140, 42, 4277.7 beats per minuteStandard Deviation 9.47
FP 200 µg ODHeart Rate at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0, n=187, 140, 142, 42, 4374.5 beats per minuteStandard Deviation 9.22
FP 200 µg ODHeart Rate at Day 0 and Day 28 of the Relevant Treatment PeriodDay 28, n=178, 139, 140, 42, 4274.7 beats per minuteStandard Deviation 7.96
FP 100 µg BIDHeart Rate at Day 0 and Day 28 of the Relevant Treatment PeriodDay 28, n=178, 139, 140, 42, 4274.6 beats per minuteStandard Deviation 8.49
FP 100 µg BIDHeart Rate at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0, n=187, 140, 142, 42, 4375.8 beats per minuteStandard Deviation 8.12
Secondary

Number of Participants Who Withdrew Due to Worsening of Asthma During the Three Treatment Periods

Participants were withdrawn from the study due to worsening of asthma (lack of efficacy) if they experienced a clinical asthma exacerbation or if clinic FEV1 fell below the FEV1 stability limit, or if during the 7 days immediately preceeding a visit the participant experienced either four or more days in which the PEF had fallen below the PEF stability limit or three or more days in which \>=12 inhalations/day of albuterol/salbutamol were used. A clinical asthma exacerbation is defined as the worsening of asthma requiring emergency room visits, hospitalization, or treatment with an asthma medication (inhaled or systemic corticosteroids) other than study medication or rescue salbutamol/albuterol.

Time frame: From the first dose of the study medication up to Week 16/Early Withdrawal

Population: ITT Population

ArmMeasureValue (NUMBER)
PlaceboNumber of Participants Who Withdrew Due to Worsening of Asthma During the Three Treatment Periods5 participants
FF 200 µg ODNumber of Participants Who Withdrew Due to Worsening of Asthma During the Three Treatment Periods1 participants
Secondary

Number of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Three 28-day Treatment Periods

An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. Medical or scientific judgment was exercised in deciding whether reporting was appropriate in other situations. Refer to the general AE/SAE module for a list of AEs (occuring at a frequency threshold \>=3%) and SAEs.

Time frame: From the first dose of the study medication up to Week 16/Early Withdrawal

Population: ITT Population

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Three 28-day Treatment PeriodsAny AE26 participants
PlaceboNumber of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Three 28-day Treatment PeriodsAny SAE0 participants
FF 200 µg ODNumber of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Three 28-day Treatment PeriodsAny SAE0 participants
FF 200 µg ODNumber of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Three 28-day Treatment PeriodsAny AE22 participants
FF 100 µg BIDNumber of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Three 28-day Treatment PeriodsAny SAE0 participants
FF 100 µg BIDNumber of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Three 28-day Treatment PeriodsAny AE26 participants
FP 200 µg ODNumber of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Three 28-day Treatment PeriodsAny AE2 participants
FP 200 µg ODNumber of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Three 28-day Treatment PeriodsAny SAE0 participants
FP 100 µg BIDNumber of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Three 28-day Treatment PeriodsAny AE3 participants
FP 100 µg BIDNumber of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Three 28-day Treatment PeriodsAny SAE0 participants
Secondary

Number of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment Period

Detailed oropharyngeal examination for visual evidence of oropharyngeal candidiasis was performed at Day 0 (clinic visits 2, 4, and 6) and Day 28 (clinic visits 3, 5, and 7) of the relevant treatment period.

Time frame: Day 0 and Day 28 of the relevant treatment period (up to Study Day 112)

Population: ITT Population. Only those participants available at the specified time points were analyzed.

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0: Yes, n=187, 140, 142, 42, 430 participants
PlaceboNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0: No, n=187, 140, 142, 42, 43187 participants
PlaceboNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 28: Yes, n=178, 139, 140, 42, 420 participants
PlaceboNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 28: No, n=178, 139, 140, 42, 42178 participants
FF 200 µg ODNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0: Yes, n=187, 140, 142, 42, 430 participants
FF 200 µg ODNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 28: No, n=178, 139, 140, 42, 42139 participants
FF 200 µg ODNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0: No, n=187, 140, 142, 42, 43140 participants
FF 200 µg ODNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 28: Yes, n=178, 139, 140, 42, 420 participants
FF 100 µg BIDNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 28: No, n=178, 139, 140, 42, 42140 participants
FF 100 µg BIDNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0: No, n=187, 140, 142, 42, 43142 participants
FF 100 µg BIDNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 28: Yes, n=178, 139, 140, 42, 420 participants
FF 100 µg BIDNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0: Yes, n=187, 140, 142, 42, 430 participants
FP 200 µg ODNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0: Yes, n=187, 140, 142, 42, 430 participants
FP 200 µg ODNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0: No, n=187, 140, 142, 42, 4342 participants
FP 200 µg ODNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 28: No, n=178, 139, 140, 42, 4242 participants
FP 200 µg ODNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 28: Yes, n=178, 139, 140, 42, 420 participants
FP 100 µg BIDNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 28: No, n=178, 139, 140, 42, 4242 participants
FP 100 µg BIDNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 28: Yes, n=178, 139, 140, 42, 420 participants
FP 100 µg BIDNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0: No, n=187, 140, 142, 42, 4343 participants
FP 100 µg BIDNumber of Participants With Evidence of Oropharyngeal Candidiasis at Day 0 and Day 28 of the Relevant Treatment PeriodDay 0: Yes, n=187, 140, 142, 42, 430 participants
Secondary

Systolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment Period

Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured at Day 0 (clinic visits 2, 4, and 6) and Day 28 (clinic visits 3, 5, and 7) of the relevant treatment period.

Time frame: Day 0 and Day 28 of the relevant treatment period (up to Study Day 112)

Population: ITT Population. Only those participants available at the specified time points were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodSBP: Day 0, n=187, 140, 142, 42, 43120.1 millimeters of mercury (mmHg)Standard Deviation 12.08
PlaceboSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodSBP: Day 28, n=178, 139, 140, 42, 42119.6 millimeters of mercury (mmHg)Standard Deviation 12.76
PlaceboSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodDBP: Day 0, n=187, 140, 142, 42, 4375.8 millimeters of mercury (mmHg)Standard Deviation 8.26
PlaceboSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodDBP: Day 28, n=178, 139, 140, 42, 4275.8 millimeters of mercury (mmHg)Standard Deviation 8.45
FF 200 µg ODSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodSBP: Day 0, n=187, 140, 142, 42, 43118.3 millimeters of mercury (mmHg)Standard Deviation 11.96
FF 200 µg ODSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodDBP: Day 28, n=178, 139, 140, 42, 4274.9 millimeters of mercury (mmHg)Standard Deviation 8.12
FF 200 µg ODSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodSBP: Day 28, n=178, 139, 140, 42, 42120.5 millimeters of mercury (mmHg)Standard Deviation 13.31
FF 200 µg ODSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodDBP: Day 0, n=187, 140, 142, 42, 4374.6 millimeters of mercury (mmHg)Standard Deviation 7.69
FF 100 µg BIDSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodDBP: Day 28, n=178, 139, 140, 42, 4276.4 millimeters of mercury (mmHg)Standard Deviation 7.97
FF 100 µg BIDSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodSBP: Day 28, n=178, 139, 140, 42, 42120.6 millimeters of mercury (mmHg)Standard Deviation 12.71
FF 100 µg BIDSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodDBP: Day 0, n=187, 140, 142, 42, 4376.0 millimeters of mercury (mmHg)Standard Deviation 8.03
FF 100 µg BIDSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodSBP: Day 0, n=187, 140, 142, 42, 43119.5 millimeters of mercury (mmHg)Standard Deviation 12.28
FP 200 µg ODSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodSBP: Day 0, n=187, 140, 142, 42, 43122.1 millimeters of mercury (mmHg)Standard Deviation 13.55
FP 200 µg ODSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodSBP: Day 28, n=178, 139, 140, 42, 42120.4 millimeters of mercury (mmHg)Standard Deviation 11.92
FP 200 µg ODSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodDBP: Day 28, n=178, 139, 140, 42, 4276.0 millimeters of mercury (mmHg)Standard Deviation 7.81
FP 200 µg ODSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodDBP: Day 0, n=187, 140, 142, 42, 4377.5 millimeters of mercury (mmHg)Standard Deviation 9.98
FP 100 µg BIDSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodDBP: Day 28, n=178, 139, 140, 42, 4275.7 millimeters of mercury (mmHg)Standard Deviation 8.9
FP 100 µg BIDSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodDBP: Day 0, n=187, 140, 142, 42, 4376.6 millimeters of mercury (mmHg)Standard Deviation 8.73
FP 100 µg BIDSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodSBP: Day 28, n=178, 139, 140, 42, 42120.1 millimeters of mercury (mmHg)Standard Deviation 10.58
FP 100 µg BIDSystolic and Diastolic Blood Pressure at Day 0 and Day 28 of the Relevant Treatment PeriodSBP: Day 0, n=187, 140, 142, 42, 43121.3 millimeters of mercury (mmHg)Standard Deviation 12.1

Source: ClinicalTrials.gov · Data processed: Mar 27, 2026