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Dose Ranging Study Evaluating the Efficacy and Safety of GSK2190915 Administered Once Daily

A Randomised Double-Blind, Double-Dummy, Placebo-Controlled, Stratified, Parallel-Group, Multicentre, Dose Ranging Study to Evaluate the Efficacy and Safety of GSK2190915 Tablets Administered Once Daily, Fluticasone Propionate Inhalation Powder 100mcg Twice Daily and Montelukast 10mg Once Daily Compared With Placebo for 8 Weeks in Adolescent and Adult Subjects With Persistent Asthma While Treated With Short Acting Beta2-agonist.

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01147744
Enrollment
700
Registered
2010-06-22
Start date
2010-06-28
Completion date
2011-10-06
Last updated
2017-10-02

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

Conditions

Asthma

Keywords

Efficacy, Asthma, Safety, Fluticasone Propionate, FLAP, Beta-agonists, GSK2190915, Montelukast, Placebo, FLAIR

Brief summary

To evaluate the efficacy, dose response and safety of four doses of GSK2190915 in tablet form (10mg, 30mg, 100mg and 300mg) administered once daily, over 8 weeks compared with placebo in adolescent and adult subjects (12 years of age and older) with persistent asthma. These data will form the basis for the selection of the optimal daily dose of GSK2190915 to be carried forward in Phase III asthma studies. The study also includes Fluticasone Propionate Inhalation Powder (100 mcg, twice daily) and Montelukast (10mg, once daily) to allow for an exploratory analysis of the efficacy of GSK2190915 versus a low dose inhaled corticosteroid and a leukotriene receptor antagonist.

Interventions

DRUGFluticasone Propionate 100mcg via ACCUHALER/DISKUS

Fluticasone propionate 100mcg twice daily via ACCUHALER/DISKUS

GSK2190915 100mg (1 x 100mg) once daily in the morning

DRUGGSK2190915 10mg

GSK2190915 10mg (1 x 10mg) once daily in the morning

DRUGGSK2190915 300mg

GSK2190915 300mg (1 x 100mg, 1 x 200mg tablets) once daily in the morning

GSK2190915 30mg (1 x 30mg) once daily in the morning

Montelukast 10mg (1 x 10mg capsule) once daily in the evening

DRUGPlacebo GSK2190915 one tablet

Placebo tablet, one tablet once daily in the morning

DRUGPlacebo montelukast

Placebo capsule once daily in the evening

DRUGPlacebo fluticasone propionate via ACCUHALER/DISKUS

Inhaled placebo twice daily via ACCUHALER/DISKUS

DRUGPlacebo GSK2190915 two tablets

Placebo tablet, two tablets once daily in the morning

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

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

Inclusion criteria

* Type of Subject: Outpatient * Age: ≥12 years of age * Gender: Eligible Female (females of childbearing potential must commit to consistent and correct use of an acceptable method of birth control) * Asthma Diagnosis: As defined by NIH * Severity of Disease: FEV1 50-85% predicted AND in current and former smokers a post salbutamol/albuterol ratio \>0.70 * Reversibility: ≥12% and ≥200mL in FEV1 within 30 ±15 minutes following salbutamol/albuterol * Current anti-asthma therapy: Using short-acting beta-agonist (SABA) for ≥3 months * Tobacco use: Non-smoker /former smoker with ≤10 pack years or current smoker with ≤10 pack years * QTC: QTc(F)\<450msec or QTc(F)\<480 for subjects with Bundle Branch Block * Liver function: Normal liver function * Informed Consent

Exclusion criteria

* History of Life-threatening asthma: Within previous 5 years * Asthma Exacerbation: Requiring OCS within 3 months or hospitalisation within 6 months * Respiratory Infection: Not resolved within the 4 weeks before V1 AND led to a change in asthma management OR treatment with antibiotics OR is expected to affect the subject's asthma status or ability to participate * Corticosteroid Use: ICS used within 6 weeks or OCS/depot corticosteroids within 12 weeks * OATP1B1 substrates: OATP1B1 substrates (e.g. statins, rifampicin, bromosulphophthalein, benzylpenicillin, methotrexate) within 4 weeks * Immunosuppressive medications: Either using or required during the study * Liver disease: Current or chronic history * Concurrent disease/abnormalities: Clinically significant uncontrolled disease * Investigational medications: Participation in a study or used investigational drug within 30 days * Drug allergy: β-agonists, corticosteroids, constituents of inhalers * Milk Protein Allergy: History of severe milk protein allergy * Compliance: Factors likely to impair compliance either with regards to study medication, procedures or attendance * Unable or unwilling to follow instructions: Procedures, dosing directions, e-diaries or pMDIs * History of alcohol or drug abuse: Likely to interfere with the study * Affiliation with Investigator's Site: Relative or employee

Design outcomes

Primary

MeasureTime frameDescription
Mean Change From Baseline to the End of the 8-Week Treatment Period in Trough Forced Expiratory Volume in One Second (FEV1)Baseline and Week 8Pulmonary function was measured by forced expiratory volume in one second, defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 is defined as the morning (AM) pre-dose and pre-rescue bronchodilator FEV1 at the clinic visit. Baseline was the pre-dose value obtained at Visit 3. Change from Baseline was calculated as the end of Week 8 value minus the Baseline value. Analysis of covariance (ANCOVA) model used for statistical analysis. ITT Population was comprised of all participant randomized to treatment who received at least one dose of double-blind study medication.

Secondary

MeasureTime frameDescription
Mean Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 8-Week Treatment PeriodBaseline up to Week 8Peak expiratory flow is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. Change from Baseline was calculated as the value of the averaged PEF daily (pre-dose and pre-rescue bronchodilator) evening over the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants)
Mean Change From Baseline in Daily Trough AM PEF Averaged Over the 8-Week Treatment PeriodBaseline up to Week 8The PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. Trough AM PEF is defined as the AM pre-dose and pre-rescue bronchodilator at the clinic visit. Change from Baseline was calculated as the value of the averaged PEF daily (pre-dose and pre-rescue bronchodilator) AM over the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants).
Mean Change From Baseline in the Percentage of Symptom-free Days Averaged Over the 8-Week Treatment PeriodBaseline up to Week 8Asthma symptoms were recorded in a daily electronic diary (eDiary) by the participants every day in the evening at bedtime and before taking any rescue or study medication and before the assessment of the PEF measurement. Participant's responses to evening assessments indicated no symptoms were considered to be symptom free. For participants, the symptom free days were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged of symptom-free days during the 8-Week treatment period minus the Baseline value. Baseline was defined as the last 7 days prior to randomization of the participants.
Mean Change From Baseline in the Percentage of Symptom-free Nights Averaged Over the 8-Week Treatment PeriodBaseline up to Week 8Asthma symptoms were recorded in a daily eDairy by the participants every day in the morning upon rising and before taking any rescue or study medication and before the assessment of the PEF measurement. Participant's responses to the morning assessments indicated no symptoms were considered to be symptom free. For participants, the symptom free nights were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged of symptom-free nights during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants).
Mean Change From Baseline in the Percentage of Rescue-free Days Averaged Over the 8-Week Treatment PeriodBaseline up to Week 8The number of inhalations of rescue salbutamol/albuterol inhalation aerosol used during the day and night was recorded by the participants in an eDiary. The time span during which the participants did not have to take any rescue medication (medication intended to relieve symptoms immediately) was considered to be a rescue-free period. For participants, the rescue-free days were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged of rescue-free days during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants).
Mean Change From Baseline in the Percentage of Rescue-free Nights Averaged Over the 8-Week Treatment PeriodBaseline up to Week 8The number of inhalations of rescue salbutamol/albuterol inhalation aerosol used during the day and night was recorded by the participants in an eDiary. The time span during which the participants did not have to take any rescue medication (medication intended to relieve symptoms immediately) was considered to be a rescue-free period. For participants, the rescue-free nights were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged of rescue-free nights during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants).
Mean Change From Baseline in Day-time Asthma Symptom Score Over the 8-Week Treatment PeriodBaseline up to Week 8Participants recorded their day-time asthma symptom score in an eDiary each PM at bedtime and before taking any rescue or study medication and before assessing the PEF measurement during the 8-Week treatment period. Day-time asthma symptom scores, as: 0=no asthma symptoms, 1=one episode of short-time asthma symptoms, 2=two or more episodes of short-time asthma symptoms, 3=asthma symptoms occurring during most part of daytime without interference with daily life activities, 4=asthma symptoms occurring during most part of daytime with interference with daily life activities, 5=severe asthma symptoms that disable working or perform normal daily activities. Change from Baseline was calculated as the averaged of day-time asthma symptom score during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants).
Mean Change From Baseline in Night-time Asthma Symptom Score Over the 8-Week Treatment PeriodBaseline up to Week 8Participants recorded their night-time asthma symptom score in an eDiary each AM upon rising and before taking any rescue or study medication and before assessing the PEF measurement during the 8-Week treatment period. Night-time asthma symptom scores, as: 0=no asthma symptoms, 1= one awakening or waking early due to asthma symptoms, 2= two or more awakenings due to asthma symptoms (including waking early), 3= asthma symptoms almost prevented the participant from sleeping, 4= severe asthma symptoms completely prevented from sleeping. Change from Baseline was calculated as the averaged of night-time asthma symptom score during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants).
Mean Change From Baseline in Day-time Rescue Short Acting beta2-agonist (SABA) Usage Over the 8-Week Treatment PeriodBaseline up to WeekThe number of inhalations of rescue SABA, salbutamol/albuterol inhalation aerosol used during the day and night was recorded by the participants in an eDiary. Participants who used salbutamol/albuterol inhalation aerosol at day-time were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged number of day-time salbutamol/albuterol inhalation aerosol used during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants).
Mean Change From Baseline in Night-time Rescue SABA Usage Over the 8-Week Treatment PeriodBaseline up to Week 8The numbers of inhalations of rescue SABA, salbutamol/albuterol inhalation aerosol used during the day and night was recorded by the participants in an eDiary. Participants who used salbutamol/albuterol inhalation aerosol at night-time were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged number of night-time salbutamol/albuterol inhalation aerosol used during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants).
Number of Participants Who Withdrew Due to Lack of Efficacy During the 8-Week Treatment PeriodUpto 8 WeeksThe participants who met any of the following withdrawal criteria were considered to be withdrawn due to lack of efficacy: 1) Clinic FEV1 below stability limit calculated at Visit 3. 2) More than three days between two consecutive visits, PEF has fallen below stability limit calculated at Visit 3. 3) Use of 12 or more inhalations of SABA per day for more than two days between consecutive visits. 4) Asthma exacerbation defined as worsening requiring any treatment other than study medication or rescue medication. This included requiring the use of systemic or inhaled corticosteroids and /or emergency room visit or hospitalization for the treatment of asthma. The stability limit was calculated as best pre-salbutamol/albuterol FEV1 at Visit 3 x 80 percent (%).

Countries

Bulgaria, Japan, Poland, Romania, Ukraine, United States

Participant flow

Recruitment details

A total of 1245 participants were screened, of these, 363 participants failed screening, 882 entered the run-in phase and a total of 700 participants were randomized and included in Intent to Treat (ITT) Population . The study was conducted from 28 Jun 2010 to 06 October 2011, in the Ukraine, United States, Bulgaria, Poland, Japan, Romania.

Pre-assignment details

Participants were screened (Visit 1) for eligibility, which included reversibility testing. Following screening and a 14-days Run-in Period, participants who met the eligibility criteria for randomization to study treatment at Visit 3 were randomly assigned to receive one of seven double-blind treatments for 8 weeks.

Participants by arm

ArmCount
Placebo
Participants received two tablets of placebo orally plus one dose of FP matching placebo BID via DPI in morning and another dose of FP matching placebo via DPI plus one capsule of montelukast matching placebo orally QD in evening for the 8-Weeks.
100
GSK2190915 10 mg
Participants received one tablet of 10 mg GSK2190915 orally QD and one tablet of placebo orally plus one dose of FP matching placebo BID via DPI in morning and another dose of FP matching placebo via DPI plus one capsule of montelukast matching placebo orally QD in evening for the 8-Weeks.
99
GSK2190915 30 mg
Participants received one tablet of 30 mg GSK2190915 orally QD and one tablet of placebo orally plus one dose of FP matching placebo BID via DPI in morning and another dose of FP matching placebo via DPI plus one capsule of montelukast matching placebo orally QD in evening for the 8-Weeks.
100
GSK2190915 100 mg
Participants received one tablet of 100 mg GSK2190915 orally QD and one tablet of placebo orally plus one dose of FP matching placebo BID via DPI in morning and another dose of FP matching placebo via DPI plus one capsule of montelukast matching placebo orally QD in evening for the 8-Weeks.
100
GSK2190915 300 mg
Participants received one tablet of 100 mg GSK2190915 and one tablet of 200 mg GSK 2190915 orally QD plus one dose of FP matching placebo BID via DPI in morning and another dose of FP matching placebo BID via DPI plus one capsule of montelukast matching placebo orally QD in evening for the 8-Weeks.
101
Fluticasone Propionate 100 mcg
Participants received one dose of FP 100 mcg BID via DPI plus two tablets of placebo in morning and another dose of FP 100 mcg via DPI plus one capsule of montelukast matching placebo orally QD in evening for the 8-Weeks.
103
Montelukast 10 mg
Participants received two tablets of placebo orally plus one dose of FP matching placebo BID via DPI in morning and another dose of FP matching placebo via DPI plus one capsule of montelukast 10 mg orally QD in evening for the 8-Weeks.
97
Total700

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006
Overall StudyAdverse Event1230212
Overall StudyLack of Efficacy11119111387
Overall StudyLost to Follow-up0100000
Overall StudyMet Protocol-defined Stopping Criteria1000010
Overall StudyPhysician Decision0110001
Overall StudyProtocol Violation1010131
Overall StudySponsor decision to amend protocol7425726
Overall StudyWithdrawal by Subject8422252

Baseline characteristics

CharacteristicPlaceboTotalMontelukast 10 mgFluticasone Propionate 100 mcgGSK2190915 300 mgGSK2190915 100 mgGSK2190915 30 mgGSK2190915 10 mg
Age, Continuous42.3 Years
STANDARD_DEVIATION 16.13
42.2 Years
STANDARD_DEVIATION 15.25
44.3 Years
STANDARD_DEVIATION 14.97
41.5 Years
STANDARD_DEVIATION 15.16
42.2 Years
STANDARD_DEVIATION 14.15
42.2 Years
STANDARD_DEVIATION 14.63
43.1 Years
STANDARD_DEVIATION 16.17
40 Years
STANDARD_DEVIATION 15.56
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants4 Participants0 Participants1 Participants1 Participants2 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
12 Participants85 Participants12 Participants12 Participants13 Participants11 Participants12 Participants13 Participants
Race (NIH/OMB)
Black or African American
6 Participants62 Participants9 Participants7 Participants9 Participants9 Participants10 Participants12 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
82 Participants549 Participants76 Participants83 Participants78 Participants78 Participants78 Participants74 Participants
Sex: Female, Male
Female
88 Participants644 Participants89 Participants97 Participants93 Participants92 Participants94 Participants91 Participants
Sex: Female, Male
Male
12 Participants56 Participants8 Participants6 Participants8 Participants8 Participants6 Participants8 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
0 / 1000 / 990 / 1000 / 1000 / 1010 / 1030 / 97
other
Total, other adverse events
10 / 10013 / 996 / 1009 / 1009 / 10114 / 10315 / 97
serious
Total, serious adverse events
0 / 1001 / 990 / 1001 / 1000 / 1011 / 1030 / 97

Outcome results

Primary

Mean Change From Baseline to the End of the 8-Week Treatment Period in Trough Forced Expiratory Volume in One Second (FEV1)

Pulmonary function was measured by forced expiratory volume in one second, defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 is defined as the morning (AM) pre-dose and pre-rescue bronchodilator FEV1 at the clinic visit. Baseline was the pre-dose value obtained at Visit 3. Change from Baseline was calculated as the end of Week 8 value minus the Baseline value. Analysis of covariance (ANCOVA) model used for statistical analysis. ITT Population was comprised of all participant randomized to treatment who received at least one dose of double-blind study medication.

Time frame: Baseline and Week 8

Population: ITT population. When possible, data from participants who withdrew prematurely from the study were included in the analyses. Any evaluable subject whose FEV1 measurement at Week 8 was missing was included in the analysis by imputation, using the preceding non-missing FEV1 value (last observation carried forward \[LOCF\]).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMean Change From Baseline to the End of the 8-Week Treatment Period in Trough Forced Expiratory Volume in One Second (FEV1)0.12 LitersStandard Error 0.04
GSK2190915 10 mgMean Change From Baseline to the End of the 8-Week Treatment Period in Trough Forced Expiratory Volume in One Second (FEV1)0.18 LitersStandard Error 0.04
GSK2190915 30 mgMean Change From Baseline to the End of the 8-Week Treatment Period in Trough Forced Expiratory Volume in One Second (FEV1)0.23 LitersStandard Error 0.04
GSK2190915 100 mgMean Change From Baseline to the End of the 8-Week Treatment Period in Trough Forced Expiratory Volume in One Second (FEV1)0.19 LitersStandard Error 0.04
GSK2190915 300 mgMean Change From Baseline to the End of the 8-Week Treatment Period in Trough Forced Expiratory Volume in One Second (FEV1)0.19 LitersStandard Error 0.04
Fluticasone Propionate 100 mcgMean Change From Baseline to the End of the 8-Week Treatment Period in Trough Forced Expiratory Volume in One Second (FEV1)0.31 LitersStandard Error 0.04
Montelukast 10 mgMean Change From Baseline to the End of the 8-Week Treatment Period in Trough Forced Expiratory Volume in One Second (FEV1)0.19 LitersStandard Error 0.04
p-value: 0.32695% CI: [-0.06, 0.17]ANCOVA
p-value: 0.06695% CI: [-0.01, 0.22]ANCOVA
p-value: 0.22495% CI: [-0.04, 0.18]ANCOVA
p-value: 0.27195% CI: [-0.05, 0.17]ANCOVA
p-value: <0.00195% CI: [0.08, 0.3]ANCOVA
p-value: 0.2295% CI: [-0.04, 0.18]ANCOVA
Secondary

Mean Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 8-Week Treatment Period

Peak expiratory flow is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. Change from Baseline was calculated as the value of the averaged PEF daily (pre-dose and pre-rescue bronchodilator) evening over the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants)

Time frame: Baseline up to Week 8

Population: ITT Population. Only those participants with analyzable data at the indicated time point were assessed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMean Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 8-Week Treatment Period8.01 Liters per minuteStandard Error 3.19
GSK2190915 10 mgMean Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 8-Week Treatment Period7.62 Liters per minuteStandard Error 3.19
GSK2190915 30 mgMean Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 8-Week Treatment Period9.37 Liters per minuteStandard Error 3.2
GSK2190915 100 mgMean Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 8-Week Treatment Period6.21 Liters per minuteStandard Error 3.17
GSK2190915 300 mgMean Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 8-Week Treatment Period10.33 Liters per minuteStandard Error 3.15
Fluticasone Propionate 100 mcgMean Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 8-Week Treatment Period10.46 Liters per minuteStandard Error 3.16
Montelukast 10 mgMean Change From Baseline in Daily Evening (PM) Peak Expiratory Flow (PEF) Averaged Over the 8-Week Treatment Period8.53 Liters per minuteStandard Error 3.24
p-value: 0.93295% CI: [-9.25, 8.48]ANCOVA
p-value: 0.76295% CI: [-7.5, 10.23]ANCOVA
p-value: 0.68995% CI: [-10.62, 7.03]ANCOVA
p-value: 0.60595% CI: [-6.49, 11.13]ANCOVA
p-value: 0.58495% CI: [-6.36, 11.28]ANCOVA
p-value: 0.90795% CI: [-8.4, 9.45]ANCOVA
Secondary

Mean Change From Baseline in Daily Trough AM PEF Averaged Over the 8-Week Treatment Period

The PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. Trough AM PEF is defined as the AM pre-dose and pre-rescue bronchodilator at the clinic visit. Change from Baseline was calculated as the value of the averaged PEF daily (pre-dose and pre-rescue bronchodilator) AM over the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants).

Time frame: Baseline up to Week 8

Population: ITT Population. Only those participants with analyzable data at the indicated time point were assessed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMean Change From Baseline in Daily Trough AM PEF Averaged Over the 8-Week Treatment Period11.77 Liters per minuteStandard Error 3.28
GSK2190915 10 mgMean Change From Baseline in Daily Trough AM PEF Averaged Over the 8-Week Treatment Period13.23 Liters per minuteStandard Error 3.28
GSK2190915 30 mgMean Change From Baseline in Daily Trough AM PEF Averaged Over the 8-Week Treatment Period15.52 Liters per minuteStandard Error 3.29
GSK2190915 100 mgMean Change From Baseline in Daily Trough AM PEF Averaged Over the 8-Week Treatment Period8.72 Liters per minuteStandard Error 3.26
GSK2190915 300 mgMean Change From Baseline in Daily Trough AM PEF Averaged Over the 8-Week Treatment Period16.35 Liters per minuteStandard Error 3.24
Fluticasone Propionate 100 mcgMean Change From Baseline in Daily Trough AM PEF Averaged Over the 8-Week Treatment Period15.25 Liters per minuteStandard Error 3.26
Montelukast 10 mgMean Change From Baseline in Daily Trough AM PEF Averaged Over the 8-Week Treatment Period17.38 Liters per minuteStandard Error 3.32
p-value: 0.75395% CI: [-7.65, 10.58]ANCOVA
p-value: 0.41995% CI: [-5.36, 12.87]ANCOVA
p-value: 0.5195% CI: [-12.12, 6.03]ANCOVA
p-value: 0.3295% CI: [-4.47, 13.64]ANCOVA
p-value: 0.45295% CI: [-5.61, 12.58]ANCOVA
p-value: 0.22995% CI: [-3.55, 14.78]ANCOVA
Secondary

Mean Change From Baseline in Day-time Asthma Symptom Score Over the 8-Week Treatment Period

Participants recorded their day-time asthma symptom score in an eDiary each PM at bedtime and before taking any rescue or study medication and before assessing the PEF measurement during the 8-Week treatment period. Day-time asthma symptom scores, as: 0=no asthma symptoms, 1=one episode of short-time asthma symptoms, 2=two or more episodes of short-time asthma symptoms, 3=asthma symptoms occurring during most part of daytime without interference with daily life activities, 4=asthma symptoms occurring during most part of daytime with interference with daily life activities, 5=severe asthma symptoms that disable working or perform normal daily activities. Change from Baseline was calculated as the averaged of day-time asthma symptom score during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants).

Time frame: Baseline up to Week 8

Population: ITT Population. Endpoint obtained from the daily diary record used all available data over the period of interest. No imputations were performed on missing data from the daily diary record.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMean Change From Baseline in Day-time Asthma Symptom Score Over the 8-Week Treatment Period-0.34 Day-time symptom scores on a scaleStandard Error 0.06
GSK2190915 10 mgMean Change From Baseline in Day-time Asthma Symptom Score Over the 8-Week Treatment Period-0.34 Day-time symptom scores on a scaleStandard Error 0.06
GSK2190915 30 mgMean Change From Baseline in Day-time Asthma Symptom Score Over the 8-Week Treatment Period-0.50 Day-time symptom scores on a scaleStandard Error 0.06
GSK2190915 100 mgMean Change From Baseline in Day-time Asthma Symptom Score Over the 8-Week Treatment Period-0.36 Day-time symptom scores on a scaleStandard Error 0.06
GSK2190915 300 mgMean Change From Baseline in Day-time Asthma Symptom Score Over the 8-Week Treatment Period-0.34 Day-time symptom scores on a scaleStandard Error 0.06
Fluticasone Propionate 100 mcgMean Change From Baseline in Day-time Asthma Symptom Score Over the 8-Week Treatment Period-0.43 Day-time symptom scores on a scaleStandard Error 0.06
Montelukast 10 mgMean Change From Baseline in Day-time Asthma Symptom Score Over the 8-Week Treatment Period-0.41 Day-time symptom scores on a scaleStandard Error 0.06
p-value: 0.95195% CI: [-0.17, 0.16]ANCOVA
p-value: 0.04395% CI: [-0.33, -0.01]ANCOVA
p-value: 0.73495% CI: [-0.19, 0.13]ANCOVA
p-value: 0.97295% CI: [-0.16, 0.16]ANCOVA
p-value: 0.23895% CI: [-0.26, 0.06]ANCOVA
p-value: 0.3695% CI: [-0.24, 0.09]ANCOVA
Secondary

Mean Change From Baseline in Day-time Rescue Short Acting beta2-agonist (SABA) Usage Over the 8-Week Treatment Period

The number of inhalations of rescue SABA, salbutamol/albuterol inhalation aerosol used during the day and night was recorded by the participants in an eDiary. Participants who used salbutamol/albuterol inhalation aerosol at day-time were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged number of day-time salbutamol/albuterol inhalation aerosol used during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants).

Time frame: Baseline up to Week

Population: ITT Population. Endpoint obtained from the daily diary record used all available data over the period of interest. No imputations were performed on missing data from the daily diary record.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMean Change From Baseline in Day-time Rescue Short Acting beta2-agonist (SABA) Usage Over the 8-Week Treatment Period-0.42 Day-time number of inhalationsStandard Error 0.07
GSK2190915 10 mgMean Change From Baseline in Day-time Rescue Short Acting beta2-agonist (SABA) Usage Over the 8-Week Treatment Period-0.55 Day-time number of inhalationsStandard Error 0.07
GSK2190915 30 mgMean Change From Baseline in Day-time Rescue Short Acting beta2-agonist (SABA) Usage Over the 8-Week Treatment Period-0.68 Day-time number of inhalationsStandard Error 0.07
GSK2190915 100 mgMean Change From Baseline in Day-time Rescue Short Acting beta2-agonist (SABA) Usage Over the 8-Week Treatment Period-0.50 Day-time number of inhalationsStandard Error 0.07
GSK2190915 300 mgMean Change From Baseline in Day-time Rescue Short Acting beta2-agonist (SABA) Usage Over the 8-Week Treatment Period-0.47 Day-time number of inhalationsStandard Error 0.07
Fluticasone Propionate 100 mcgMean Change From Baseline in Day-time Rescue Short Acting beta2-agonist (SABA) Usage Over the 8-Week Treatment Period-0.67 Day-time number of inhalationsStandard Error 0.07
Montelukast 10 mgMean Change From Baseline in Day-time Rescue Short Acting beta2-agonist (SABA) Usage Over the 8-Week Treatment Period-0.63 Day-time number of inhalationsStandard Error 0.07
p-value: 0.20995% CI: [-0.33, 0.07]ANCOVA
p-value: 0.01195% CI: [-0.47, -0.06]ANCOVA
p-value: 0.46495% CI: [-0.28, 0.13]ANCOVA
p-value: 0.66295% CI: [-0.25, 0.16]ANCOVA
p-value: 0.01895% CI: [-0.45, -0.04]ANCOVA
p-value: 0.04795% CI: [-0.41, 0]ANCOVA
Secondary

Mean Change From Baseline in Night-time Asthma Symptom Score Over the 8-Week Treatment Period

Participants recorded their night-time asthma symptom score in an eDiary each AM upon rising and before taking any rescue or study medication and before assessing the PEF measurement during the 8-Week treatment period. Night-time asthma symptom scores, as: 0=no asthma symptoms, 1= one awakening or waking early due to asthma symptoms, 2= two or more awakenings due to asthma symptoms (including waking early), 3= asthma symptoms almost prevented the participant from sleeping, 4= severe asthma symptoms completely prevented from sleeping. Change from Baseline was calculated as the averaged of night-time asthma symptom score during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants).

Time frame: Baseline up to Week 8

Population: ITT Population. Endpoint obtained from the daily diary record used all available data over the period of interest. No imputations were performed on missing data from the daily diary record.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMean Change From Baseline in Night-time Asthma Symptom Score Over the 8-Week Treatment Period-0.23 Night-time symptom scores on a scaleStandard Error 0.05
GSK2190915 10 mgMean Change From Baseline in Night-time Asthma Symptom Score Over the 8-Week Treatment Period-0.21 Night-time symptom scores on a scaleStandard Error 0.05
GSK2190915 30 mgMean Change From Baseline in Night-time Asthma Symptom Score Over the 8-Week Treatment Period-0.33 Night-time symptom scores on a scaleStandard Error 0.05
GSK2190915 100 mgMean Change From Baseline in Night-time Asthma Symptom Score Over the 8-Week Treatment Period-0.26 Night-time symptom scores on a scaleStandard Error 0.05
GSK2190915 300 mgMean Change From Baseline in Night-time Asthma Symptom Score Over the 8-Week Treatment Period-0.22 Night-time symptom scores on a scaleStandard Error 0.05
Fluticasone Propionate 100 mcgMean Change From Baseline in Night-time Asthma Symptom Score Over the 8-Week Treatment Period-0.29 Night-time symptom scores on a scaleStandard Error 0.05
Montelukast 10 mgMean Change From Baseline in Night-time Asthma Symptom Score Over the 8-Week Treatment Period-0.32 Night-time symptom scores on a scaleStandard Error 0.05
p-value: 0.69295% CI: [-0.11, 0.17]ANCOVA
p-value: 0.17695% CI: [-0.24, 0.04]ANCOVA
p-value: 0.76895% CI: [-0.16, 0.12]ANCOVA
p-value: 0.88795% CI: [-0.13, 0.15]ANCOVA
p-value: 0.47195% CI: [-0.19, 0.09]ANCOVA
p-value: 0.24895% CI: [-0.22, 0.06]ANCOVA
Secondary

Mean Change From Baseline in Night-time Rescue SABA Usage Over the 8-Week Treatment Period

The numbers of inhalations of rescue SABA, salbutamol/albuterol inhalation aerosol used during the day and night was recorded by the participants in an eDiary. Participants who used salbutamol/albuterol inhalation aerosol at night-time were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged number of night-time salbutamol/albuterol inhalation aerosol used during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants).

Time frame: Baseline up to Week 8

Population: ITT Population. Endpoint obtained from the daily diary record used all available data over the period of interest. No imputations were performed on missing data from the daily diary record.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMean Change From Baseline in Night-time Rescue SABA Usage Over the 8-Week Treatment Period-0.30 Night-time number of inhalationsStandard Error 0.07
GSK2190915 10 mgMean Change From Baseline in Night-time Rescue SABA Usage Over the 8-Week Treatment Period-0.40 Night-time number of inhalationsStandard Error 0.07
GSK2190915 30 mgMean Change From Baseline in Night-time Rescue SABA Usage Over the 8-Week Treatment Period-0.44 Night-time number of inhalationsStandard Error 0.07
GSK2190915 100 mgMean Change From Baseline in Night-time Rescue SABA Usage Over the 8-Week Treatment Period-0.42 Night-time number of inhalationsStandard Error 0.07
GSK2190915 300 mgMean Change From Baseline in Night-time Rescue SABA Usage Over the 8-Week Treatment Period-0.30 Night-time number of inhalationsStandard Error 0.07
Fluticasone Propionate 100 mcgMean Change From Baseline in Night-time Rescue SABA Usage Over the 8-Week Treatment Period-0.47 Night-time number of inhalationsStandard Error 0.07
Montelukast 10 mgMean Change From Baseline in Night-time Rescue SABA Usage Over the 8-Week Treatment Period-0.46 Night-time number of inhalationsStandard Error 0.07
p-value: 0.395% CI: [-0.28, 0.09]ANCOVA
p-value: 0.14595% CI: [-0.32, 0.05]ANCOVA
p-value: 0.1995% CI: [-0.31, 0.06]ANCOVA
p-value: 0.9895% CI: [-0.19, 0.18]ANCOVA
p-value: 0.0795% CI: [-0.36, 0.01]ANCOVA
p-value: 0.09595% CI: [-0.34, 0.03]ANCOVA
Secondary

Mean Change From Baseline in the Percentage of Rescue-free Days Averaged Over the 8-Week Treatment Period

The number of inhalations of rescue salbutamol/albuterol inhalation aerosol used during the day and night was recorded by the participants in an eDiary. The time span during which the participants did not have to take any rescue medication (medication intended to relieve symptoms immediately) was considered to be a rescue-free period. For participants, the rescue-free days were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged of rescue-free days during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants).

Time frame: Baseline up to Week 8

Population: ITT Population. Endpoint obtained from the daily diary record used all available data over the period of interest. No imputations were performed on missing data from the daily diary record.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMean Change From Baseline in the Percentage of Rescue-free Days Averaged Over the 8-Week Treatment Period16.80 Percentage of rescue-free daysStandard Error 3.1
GSK2190915 10 mgMean Change From Baseline in the Percentage of Rescue-free Days Averaged Over the 8-Week Treatment Period22.91 Percentage of rescue-free daysStandard Error 3.1
GSK2190915 30 mgMean Change From Baseline in the Percentage of Rescue-free Days Averaged Over the 8-Week Treatment Period20.91 Percentage of rescue-free daysStandard Error 3.09
GSK2190915 100 mgMean Change From Baseline in the Percentage of Rescue-free Days Averaged Over the 8-Week Treatment Period18.95 Percentage of rescue-free daysStandard Error 3.08
GSK2190915 300 mgMean Change From Baseline in the Percentage of Rescue-free Days Averaged Over the 8-Week Treatment Period18.51 Percentage of rescue-free daysStandard Error 3.06
Fluticasone Propionate 100 mcgMean Change From Baseline in the Percentage of Rescue-free Days Averaged Over the 8-Week Treatment Period26.39 Percentage of rescue-free daysStandard Error 3.06
Montelukast 10 mgMean Change From Baseline in the Percentage of Rescue-free Days Averaged Over the 8-Week Treatment Period23.55 Percentage of rescue-free daysStandard Error 3.13
p-value: 0.16495% CI: [-2.5, 14.71]ANCOVA
p-value: 0.34995% CI: [-4.49, 12.7]ANCOVA
p-value: 0.62395% CI: [-6.42, 10.72]ANCOVA
p-value: 0.69495% CI: [-6.84, 10.26]ANCOVA
p-value: 0.02895% CI: [1.03, 18.15]ANCOVA
p-value: 0.12595% CI: [-1.89, 15.38]ANCOVA
Secondary

Mean Change From Baseline in the Percentage of Rescue-free Nights Averaged Over the 8-Week Treatment Period

The number of inhalations of rescue salbutamol/albuterol inhalation aerosol used during the day and night was recorded by the participants in an eDiary. The time span during which the participants did not have to take any rescue medication (medication intended to relieve symptoms immediately) was considered to be a rescue-free period. For participants, the rescue-free nights were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged of rescue-free nights during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants).

Time frame: Baseline up to Week 8

Population: ITT Population. Endpoint obtained from the daily diary record used all available data over the period of interest. No imputations were performed on missing data from the daily diary record.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMean Change From Baseline in the Percentage of Rescue-free Nights Averaged Over the 8-Week Treatment Period16.93 Percentage of rescue-free nightsStandard Error 3.04
GSK2190915 10 mgMean Change From Baseline in the Percentage of Rescue-free Nights Averaged Over the 8-Week Treatment Period19.28 Percentage of rescue-free nightsStandard Error 3.04
GSK2190915 30 mgMean Change From Baseline in the Percentage of Rescue-free Nights Averaged Over the 8-Week Treatment Period17.36 Percentage of rescue-free nightsStandard Error 3.03
GSK2190915 100 mgMean Change From Baseline in the Percentage of Rescue-free Nights Averaged Over the 8-Week Treatment Period19.63 Percentage of rescue-free nightsStandard Error 3.02
GSK2190915 300 mgMean Change From Baseline in the Percentage of Rescue-free Nights Averaged Over the 8-Week Treatment Period15.71 Percentage of rescue-free nightsStandard Error 3
Fluticasone Propionate 100 mcgMean Change From Baseline in the Percentage of Rescue-free Nights Averaged Over the 8-Week Treatment Period24.42 Percentage of rescue-free nightsStandard Error 3.02
Montelukast 10 mgMean Change From Baseline in the Percentage of Rescue-free Nights Averaged Over the 8-Week Treatment Period20.54 Percentage of rescue-free nightsStandard Error 3.07
p-value: 0.58595% CI: [-6.09, 10.78]ANCOVA
p-value: 0.9295% CI: [-8, 8.86]ANCOVA
p-value: 0.52895% CI: [-5.7, 11.11]ANCOVA
p-value: 0.77695% CI: [-9.6, 7.17]ANCOVA
p-value: 0.08195% CI: [-0.92, 15.9]ANCOVA
p-value: 0.40395% CI: [-4.87, 12.09]ANCOVA
Secondary

Mean Change From Baseline in the Percentage of Symptom-free Days Averaged Over the 8-Week Treatment Period

Asthma symptoms were recorded in a daily electronic diary (eDiary) by the participants every day in the evening at bedtime and before taking any rescue or study medication and before the assessment of the PEF measurement. Participant's responses to evening assessments indicated no symptoms were considered to be symptom free. For participants, the symptom free days were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged of symptom-free days during the 8-Week treatment period minus the Baseline value. Baseline was defined as the last 7 days prior to randomization of the participants.

Time frame: Baseline up to Week 8

Population: ITT Population. Endpoint obtained from the daily diary record used all available data over the period of interest. No imputations were performed on missing data from the daily diary record.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMean Change From Baseline in the Percentage of Symptom-free Days Averaged Over the 8-Week Treatment Period13.98 Percentage of symptom-free daysStandard Error 2.84
GSK2190915 10 mgMean Change From Baseline in the Percentage of Symptom-free Days Averaged Over the 8-Week Treatment Period15.15 Percentage of symptom-free daysStandard Error 2.84
GSK2190915 30 mgMean Change From Baseline in the Percentage of Symptom-free Days Averaged Over the 8-Week Treatment Period18.54 Percentage of symptom-free daysStandard Error 2.84
GSK2190915 100 mgMean Change From Baseline in the Percentage of Symptom-free Days Averaged Over the 8-Week Treatment Period15.31 Percentage of symptom-free daysStandard Error 2.82
GSK2190915 300 mgMean Change From Baseline in the Percentage of Symptom-free Days Averaged Over the 8-Week Treatment Period14.06 Percentage of symptom-free daysStandard Error 2.81
Fluticasone Propionate 100 mcgMean Change From Baseline in the Percentage of Symptom-free Days Averaged Over the 8-Week Treatment Period22.18 Percentage of symptom-free daysStandard Error 2.81
Montelukast 10 mgMean Change From Baseline in the Percentage of Symptom-free Days Averaged Over the 8-Week Treatment Period16.87 Percentage of symptom-free daysStandard Error 2.87
p-value: 0.77195% CI: [-6.73, 9.07]ANCOVA
p-value: 0.25795% CI: [-3.33, 12.45]ANCOVA
p-value: 0.74195% CI: [-6.54, 9.19]ANCOVA
p-value: 0.98395% CI: [-7.76, 7.93]ANCOVA
p-value: 0.04195% CI: [0.34, 16.07]ANCOVA
p-value: 0.47595% CI: [-5.05, 10.83]ANCOVA
Secondary

Mean Change From Baseline in the Percentage of Symptom-free Nights Averaged Over the 8-Week Treatment Period

Asthma symptoms were recorded in a daily eDairy by the participants every day in the morning upon rising and before taking any rescue or study medication and before the assessment of the PEF measurement. Participant's responses to the morning assessments indicated no symptoms were considered to be symptom free. For participants, the symptom free nights were assessed during the 8-Week treatment period. Change from Baseline was calculated as the averaged of symptom-free nights during the 8-Week treatment period minus the Baseline value (defined as the last 7 days prior to randomization of the participants).

Time frame: Baseline up to Week 8

Population: ITT Population. Endpoint obtained from the daily diary record used all available data over the period of interest. No imputations were performed on missing data from the daily diary record.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMean Change From Baseline in the Percentage of Symptom-free Nights Averaged Over the 8-Week Treatment Period13.99 Percentage of symptom-free nightsStandard Error 2.9
GSK2190915 10 mgMean Change From Baseline in the Percentage of Symptom-free Nights Averaged Over the 8-Week Treatment Period14.83 Percentage of symptom-free nightsStandard Error 2.9
GSK2190915 30 mgMean Change From Baseline in the Percentage of Symptom-free Nights Averaged Over the 8-Week Treatment Period16.71 Percentage of symptom-free nightsStandard Error 2.9
GSK2190915 100 mgMean Change From Baseline in the Percentage of Symptom-free Nights Averaged Over the 8-Week Treatment Period16.12 Percentage of symptom-free nightsStandard Error 2.88
GSK2190915 300 mgMean Change From Baseline in the Percentage of Symptom-free Nights Averaged Over the 8-Week Treatment Period12.21 Percentage of symptom-free nightsStandard Error 2.86
Fluticasone Propionate 100 mcgMean Change From Baseline in the Percentage of Symptom-free Nights Averaged Over the 8-Week Treatment Period19.94 Percentage of symptom-free nightsStandard Error 2.88
Montelukast 10 mgMean Change From Baseline in the Percentage of Symptom-free Nights Averaged Over the 8-Week Treatment Period19.39 Percentage of symptom-free nightsStandard Error 2.93
p-value: 0.83895% CI: [-7.22, 8.89]ANCOVA
p-value: 0.50895% CI: [-5.33, 10.76]ANCOVA
p-value: 0.60395% CI: [-5.9, 10.14]ANCOVA
p-value: 0.66295% CI: [-9.78, 6.22]ANCOVA
p-value: 0.14695% CI: [-2.08, 13.98]ANCOVA
p-value: 0.19195% CI: [-2.69, 13.48]ANCOVA
Secondary

Number of Participants Who Withdrew Due to Lack of Efficacy During the 8-Week Treatment Period

The participants who met any of the following withdrawal criteria were considered to be withdrawn due to lack of efficacy: 1) Clinic FEV1 below stability limit calculated at Visit 3. 2) More than three days between two consecutive visits, PEF has fallen below stability limit calculated at Visit 3. 3) Use of 12 or more inhalations of SABA per day for more than two days between consecutive visits. 4) Asthma exacerbation defined as worsening requiring any treatment other than study medication or rescue medication. This included requiring the use of systemic or inhaled corticosteroids and /or emergency room visit or hospitalization for the treatment of asthma. The stability limit was calculated as best pre-salbutamol/albuterol FEV1 at Visit 3 x 80 percent (%).

Time frame: Upto 8 Weeks

Population: ITT Population. Only those participants with analyzable data at the indicated time point were assessed.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants Who Withdrew Due to Lack of Efficacy During the 8-Week Treatment Period11 Participants
GSK2190915 10 mgNumber of Participants Who Withdrew Due to Lack of Efficacy During the 8-Week Treatment Period11 Participants
GSK2190915 30 mgNumber of Participants Who Withdrew Due to Lack of Efficacy During the 8-Week Treatment Period9 Participants
GSK2190915 100 mgNumber of Participants Who Withdrew Due to Lack of Efficacy During the 8-Week Treatment Period11 Participants
GSK2190915 300 mgNumber of Participants Who Withdrew Due to Lack of Efficacy During the 8-Week Treatment Period13 Participants
Fluticasone Propionate 100 mcgNumber of Participants Who Withdrew Due to Lack of Efficacy During the 8-Week Treatment Period8 Participants
Montelukast 10 mgNumber of Participants Who Withdrew Due to Lack of Efficacy During the 8-Week Treatment Period7 Participants
p-value: 1Fisher Exact
p-value: 0.814Fisher Exact
p-value: 1Fisher Exact
p-value: 0.828Fisher Exact
p-value: 0.477Fisher Exact
p-value: 0.46Fisher Exact

Source: ClinicalTrials.gov · Data processed: Mar 23, 2026