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A Phase IIA FF/VI Study to Measure FeNO in Asthmatic Patients.

A Randomised, Placebo-controlled, Double-blind, Two Period Crossover Study to Characterise the Exhaled Nitric Oxide Time Profile as a Biomarker of Airway Inflammation in Adult Asthma Patients Following Repeat Administration of Inhaled Fluticasone Furoate (FF)/ Vilanterol (VI) 100/25 mcg.

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02712047
Enrollment
28
Registered
2016-03-17
Start date
2016-04-29
Completion date
2017-02-21
Last updated
2018-08-28

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

Conditions

Asthma

Keywords

Fluticasone furoate/vilanterol, Asthma, fraction of exhaled nitric oxide, cross-over

Brief summary

For asthmatic subjects, a combination of inhaled corticosteroid (FF) and long-acting beta2 receptor agonist (VI) is recommended for use (once daily) and fraction of exhaled nitric oxide (FeNO) is a non-invasive airway inflammation marker. In this randomised, double blind, placebo-controlled, two-period, crossover repeat dose study, the duration of action of fluticasone furoate (FF) will be determined by monitoring the return of FeNO levels to baseline, following the treatment with FF/vilanetrol (VI) in asthmatic subjects. Subjects who meet the eligibility criteria will participate in the following two treatment periods: FF/VI 100/25 mcg once-daily and placebo once-daily. Approximately 28 subjects will be enrolled in order to achieve 24 evaluable subjects. A 2-week treatment period will be followed by a 21-day monitoring/washout period before crossing over to the next treatment period. Total duration of each subject will be a maximum of 21 weeks. FeNO will be monitored up to 21 days after treatment with FF/VI together with FEV1 (up to 7 days).

Interventions

DRUGFluticasone furoate (FF) (100 mcg)

First blister strip contains FF blended with lactose, 100 mcg per blister

DRUGVilanterol (VI) (25 mcg)

Second blister strip contains vilanterol blended with lactose and magnesium stearate, 25 mcg per blister

DRUGPlacebo

Matching placebo will have two blister strips, identical in appearance to the inhaler containing active study medication; one containing lactose and the second strip containing lactose and magnesium stearate

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Age of subject: Between 18 and 65 years of age inclusive, at the time of signing the informed consent. * A doctor diagnosis of asthma for at least 6 months prior to the start of the study. * Severity of disease: A screening pre-bronchodilator forced expiratory volume in one second (FEV1) \>=60% of predicted values, which will be based upon NHANES III * Reversibility of disease: Demonstrated presence of reversible airway disease at screening (repeat testing of eligibility can be undertaken following the screening visit up to Day -7) OR The presence of reversible airways disease can have been demonstrated historically within 6 months of the screening visit. Reversible airway disease is defined as increase in FEV1 of \>=12% over baseline and an absolute change of \>=200 mL within 30 minutes following 4 inhalations of albuterol/salbutamol inhalation aerosol/spacer (or equivalent nebulised treatment with albuterol/salbutamol solution). * Current Therapy: Short-acting beta2-agonists (SABA) prescribed for at least 12 weeks prior to screening. No inhaled corticosteroids (ICS), long-actint beta2-receptor agonist (LABA), long acting muscarinic anatagonist (LAMA), leukotriene receptor antagonist (LTRA) therapy for three months prior to the start of the study. * Non-smoker or ex-smoker (no smoking in previous 12 weeks, ≤10 pack years). * Screening and Day -7 AM fraction of inhaled nitric oxide (FeNO) values \> 40ppb. Both screening and Day -7 AM FeNO values for treatment Period 1 need to be \> 40ppb for the subject to be eligible. * Bodyweight and BMI: Bodyweight \>=50 kg and body mass index (BMI) within the range 18.0 40.0 kg/m2 (inclusive) * Male OR Female: * Females: A female subject is eligible to participate if she is not pregnant (as confirmed by a negative urine human chorionic gonadotrophin \[hCG\[ test), not lactating, and at least one of the following conditions applies: Non-reproductive potential defined as: * Pre-menopausal females reporting one of the following: Tubal ligation Hysteroscopic tubal occlusion procedure with follow-up confirmation of bilateral tubal occlusion Hysterectomy Bilateral Oophorectomy * Postmenopausal defined as 12 months of spontaneous amenorrhea (in questionable cases a blood sample with simultaneous follicle stimulating hormone \[FSH\] and estradiol levels consistent with menopause \[refer to laboratory reference ranges for confirmatory levels\]). Females on hormone replacement therapy (HRT) and whose menopausal status is in doubt will be required to use one of the highly effective contraception methods if they wish to continue their HRT during the study. Otherwise, they must discontinue HRT to allow confirmation of post-menopausal status prior to study enrolment. * Reproductive potential and agrees to follow one of the options listed in the Modified List of Highly Effective Methods for Avoiding Pregnancy in Females of Reproductive Potential (FRP) from 30 days prior to the first dose of study medication and until after the last dose of study medication and completion of the follow-up visit * The investigator is responsible for ensuring that subjects understand how to properly use these methods of contraception. * Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the consent form and in this protocol.

Exclusion criteria

* A history of life-threatening asthma, which is defined as an asthma episode that required intubation and/or was associated with hypercapnia, respiratory arrest or hypoxic seizures within the last 5 years * Other significant pulmonary diseases to include (but not limited to): pneumonia, pneumothorax, atelectasis, pulmonary fibrotic disease, bronchopulmonary dysplasia, chronic bronchitis, emphysema, chronic obstructive pulmonary disease, or other respiratory abnormalities other than asthma. * Respiratory Infection: Culture-documented or suspected bacterial or viral infection of the upper or lower respiratory tract, sinus or middle ear that is not resolved within 4 weeks of screening that led to a change in asthma management OR in the opinion of the Investigator, is expected to affect the subject's asthma status OR the subject's ability to participate in the study. However, subjects can be rescreened to allow for an adequate time period (of at least 4 weeks) between resolution of the infection and the date of randomisation. * Asthma Exacerbation: Any asthma exacerbation requiring oral corticosteroids within 12 weeks of screening or that resulted in overnight hospitalization requiring additional treatment for asthma within 6 months prior to screening. * Pre-defined concomitant medications and restrictions of nitrate-rich foods * Tobacco Use: Current smokers or a smoking history of \>=10 pack years. A subject may not have used any inhaled tobacco products in 12 weeks preceding the screening visit. * Previous Participation: Exposure to more than four new chemical entities within 12 months prior to the first dosing day. * Other concurrent Diseases/Abnormalities: A subject has any clinically significant, uncontrolled condition or disease state that, in the opinion of the investigator, would put the safety of the subject at risk through study participation or would confound the interpretation of the study results if the condition/disease exacerbated during the study. * The list of additional excluded conditions/diseases includes, but is not limited to the following: * Congestive heart failure-Known aortic aneurysm * Clinically significant coronary heart disease-Clinically significant cardiac arrhythmia * Stroke within 3 months of Visit 1-Uncontrolled hypertension * Recent or poorly controlled peptic ulcer-Haematologic, hepatic, or renal disease * Immunologic compromise-Current malignancy * Tuberculosis (current or untreated)-Cushing's disease * Addison's disease-Uncontrolled diabetes mellitus * Liver cirrhosis-Systemic Lupus Erythematosus * Uncontrolled thyroid disorder-Recent history of drug or alcohol abuse * Oropharyngeal examination: A subject will not be eligible if he/she has clinical visual evidence of oral candidiasis at screening. * Pregnancy and Lactating Females: * Pregnant females as determined by positive serum hCG test at screening or by positive urine hCG test prior to dosing. * Lactating females * Allergies: * Milk Protein Allergy: History of severe milk protein allergy. * Drug Allergy: Any adverse reaction including immediate or delayed hypersensitivity to any beta2-agonist, sympathomimetic drug, or any intranasal, inhaled, or systemic corticosteroid therapy. Known or suspected sensitivity to the constituents of the Dry Powder Inhaler (DPI) (i.e., lactose or magnesium stearate). * Historical Allergy: History of drug or other allergy that, in the opinion of investigator or GSK Medical Monitor, contraindicates their participation

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIBaseline and up to Day 29 in each treatment periodFeNO is non-invasive marker of airway inflammation in asthma participants. It was measured by the participants, using Niox Vero device at AM (pre-dose) and PM on Day -7 and all way through Day 29 of each TP. The FeNO measurements were done over time following stop of repeat dose treatment with FF/VI. Change from Baseline was measured as ratio of post-dose visit value to Baseline value. Baseline was defined as Day 1(Pre-dose). Subject level Baseline defined as the mean of Baseline across periods for each participant. Period level Baseline defined as the difference between the Baseline and subject level Baseline for each period and each participant. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Summary of ratio from Baseline for exhaled nitric oxide reported as Geometric mean and Geometric coefficient of Variation. NA indicates data was not available.

Secondary

MeasureTime frameDescription
Change From Baseline in FeNO Over the FF/VI Treatment PeriodBaseline and up to Day 29 in each treatment periodIn participants with asthma the FeNO is a non-invasive marker of airway inflammation. The FeNO was measured by the participants AM (pre-dose) and PM on Day -7 and all the way through Day 29 of each treatment period. The measurements were recorded using Niox Vero device provided at the site. These FeNO measurements were done throughout the treatment period. Change from Baseline was measured by the value at post-dose visit minus the Baseline value. Baseline was defined as Day 1(Pre-dose). Subject level Baseline is defined as the mean of Baseline across periods for each participant. Period level Baseline is defined as the difference between the Baseline and subject level Baseline for each period and each participant. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). NA indicates data was not available.
Change From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIBaseline and up to Day 29 in TP1; Baseline and up to follow up (Day 29) in TP2The PEF is a lung function evaluation assessed using a PEF meter. It was defined as the maximum amount of air exhaled during forced exhalation with lungs fully inflated. For PEF measurements the best of the 3 recordings were recorded AM and PM (i.e every 12 hours), from Day-7 through to Day 29 of TP1, and then from Day 1 of TP2 through to the (29). Change from Baseline was measured by the value at post-dose visit minus the Baseline value. Baseline was defined as Day 1(Pre-dose). Subject level Baseline is defined as the mean of Baseline across periods for each participant. Period level Baseline is defined as the difference between the Baseline and subject level Baseline for each period and each participant. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). NA indicates data was not available.
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIBaseline every morning and evening until Day 21 of each treatment periodFEV1 is defined as the maximal amount of air which can be exhaled forcefully in one second. Three technically acceptable FEV1 measurements were made using a spirometer, and were measured on pre-dose on Day 1, taken pre-dose on Day 14 and every morning and evening until Day 19, and in the morning on Day 21. Change from Baseline was measured by the value at post-dose visit minus the Baseline value. Baseline was defined as Day 1(Pre-dose). Subject level Baseline is defined as the mean of Baseline across periods for each participant. Period level Baseline is defined as the difference between the Baseline and subject level Baseline for each period and each participant.

Countries

New Zealand

Participant flow

Recruitment details

This was a randomized, double blind, placebo-controlled, two-period, crossover repeat dose study in adult participants with asthma. The study was conducted from 29 April 2016 to 21 February 2017, at a single site in New Zealand.

Pre-assignment details

Total 36 participants were screened, of which 8 participants were screen failures. Of the 28 participants who were enrolled in the study, 27 participants were randomized as 1 participant withdrew before randomization. The study had Run-in period of 7 days, which was followed by a Treatment period (TP) 1, a wash-out period of 21 days and TP2.

Participants by arm

ArmCount
Total (Placebo+FF/VI 100/25mcg)
In this two-period crossover study, participants received FF/VI 100/25 mcg or matching placebo through DPI once daily in each morning for 14 days either in TP 1 or TP 2 as per randomization schedule. There was a 21-days monitoring/washout period between two treatments during which participants were allowed to take rescue medication if required. Participants with any upper respiratory disorders including allergic rhinitis (both seasonal and perennial) and chronic rhinosinusitis (with or without nasal polyps), any participant who was on chronic maintenance therapies for these conditions were continued on their current standard of care medications (intranasal corticosteroids, antihistamines, cromones) throughout the entire duration of the study.
27
Total27

Baseline characteristics

CharacteristicTotal (Placebo+FF/VI 100/25mcg)
Age, Continuous24.5 Years
STANDARD_DEVIATION 8.14
Race/Ethnicity, Customized
Asian and White
1 Participants
Race/Ethnicity, Customized
Native Hawaiin or other Pacific Islander and White
5 Participants
Race/Ethnicity, Customized
White
21 Participants
Sex: Female, Male
Female
10 Participants
Sex: Female, Male
Male
17 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 270 / 27
other
Total, other adverse events
10 / 2714 / 27
serious
Total, serious adverse events
0 / 270 / 27

Outcome results

Primary

Change From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VI

FeNO is non-invasive marker of airway inflammation in asthma participants. It was measured by the participants, using Niox Vero device at AM (pre-dose) and PM on Day -7 and all way through Day 29 of each TP. The FeNO measurements were done over time following stop of repeat dose treatment with FF/VI. Change from Baseline was measured as ratio of post-dose visit value to Baseline value. Baseline was defined as Day 1(Pre-dose). Subject level Baseline defined as the mean of Baseline across periods for each participant. Period level Baseline defined as the difference between the Baseline and subject level Baseline for each period and each participant. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Summary of ratio from Baseline for exhaled nitric oxide reported as Geometric mean and Geometric coefficient of Variation. NA indicates data was not available.

Time frame: Baseline and up to Day 29 in each treatment period

Population: The Pharmacodynamic (PD) Population consisted of all the participants from the All Subject population who had at least one PD assessment.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 1, AM (n=27,27)1.042 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 31.5499
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 14, AM (n=26,27)1.008 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 45.5319
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 7, AM (n=27,27)0.826 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 31.4676
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 14, PM (n=25,26)0.955 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 45.5768
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 3, PM (n=27,27)0.922 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 23.6705
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 15, AM (n=26,26)0.977 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 51.5523
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 7, PM (n=25,25)0.774 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 32.7473
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 15, PM (n=25,25)0.940 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 42.366
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 2, AM (n=27,27)1.012 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 27.3017
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 8, AM (n=25,27)0.830 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 40.7773
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 16, PM (n=26,27)1.019 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 38.169
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 4, AM (n=27,27)1.007 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 34.9235
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 17, AM (n=25,26)1.049 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 40.1495
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 8, PM (n=27,26)0.834 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 30.403
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 17, PM (n=18,16)0.967 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 38.4731
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 16, AM (n=26,27)1.029 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 51.1876
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 18, AM (n=17,14)0.935 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 39.0474
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 9, AM (n=27,27)0.935 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 35.7583
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 18, PM (n=14,10)0.926 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 39.247
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 4, PM (n=27,27)0.857 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 23.7972
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 19, AM (n=14,10)1.015 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 42.225
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 9, PM (n=27,27)0.924 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 32.1314
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 19, PM (n=12,6)0.911 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 30.6911
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 10, AM (n=24,26)1.022 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 34.474
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 20, AM (n=12,6)0.958 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 43.0056
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 2, PM (n=27,27)0.957 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 26.3328
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 20, PM (n=7,5)0.828 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 39.6562
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 10, PM (n=27,27)0.989 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 35.1066
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 21, AM (n=7,6)0.892 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 35.8531
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 5, AM (n=27,27)0.834 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 24.4572
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 21, PM (n=7,5)0.934 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 40.4076
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 11, AM (n=26,26)1.092 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 37.7142
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 22, AM (n=6,5)0.845 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 45.8754
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 5, PM (n=26,26)0.734 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 27.1308
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 22, PM (n=6,5)0.822 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 43.0801
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 11, PM (n=27,27)1.029 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 28.6618
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 23, AM (n=7,5)0.925 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 51.4896
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 1, PM (n=27,27)0.985 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 26.4785
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 23, PM (n=2,1)0.898 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 116.9108
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 12, AM (n=27,27)1.028 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 29.9667
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 24, AM (n=2,1)0.914 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 130.0375
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 6, AM (n=26,26)0.794 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 31.5924
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 24, PM (n=1,1)0.671 Ratio of exhaled Nitric Oxide
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 12, PM (n=27,27)1.004 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 28.5673
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 25, AM (n=1,0)0.548 Ratio of exhaled Nitric Oxide
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 3, AM (n=27,27)0.987 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 24.6102
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 13, AM (n=27,25)1.068 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 34.009
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 6, PM (n=24,26)0.783 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 30.82
PlaceboChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 13, PM (n=25,25)0.955 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 40.2945
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 28, AM (n=0,1)1.044 Ratio of exhaled Nitric Oxide
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 28, PM (n=0,1)0.767 Ratio of exhaled Nitric Oxide
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 29, AM (n=0,1)0.911 Ratio of exhaled Nitric Oxide
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 13, AM (n=27,25)0.744 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 38.4939
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 9, PM (n=27,27)0.607 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 46.3872
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 1, AM (n=27,27)0.371 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 47.3672
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 1, PM (n=27,27)0.321 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 51.5233
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 2, AM (n=27,27)0.373 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 71.6824
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 2, PM (n=27,27)0.346 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 52.6225
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 3, AM (n=27,27)0.442 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 60.8203
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 3, PM (n=27,27)0.417 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 51.1903
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 4, AM (n=27,27)0.536 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 60.5532
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 4, PM (n=27,27)0.484 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 48.1593
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 5, PM (n=26,26)0.473 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 46.6144
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 6, AM (n=26,26)0.525 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 50.7361
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 6, PM (n=24,26)0.470 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 43.8128
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 7, AM (n=27,27)0.484 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 49.0454
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 7, PM (n=25,25)0.487 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 49.9617
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 8, AM (n=25,27)0.554 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 47.5854
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 8, PM (n=27,26)0.545 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 42.1101
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 9, AM (n=27,27)0.594 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 45.0429
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 10, AM (n=24,26)0.658 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 41.371
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 10, PM (n=27,27)0.660 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 41.4832
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 11, AM (n=26,26)0.756 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 40.9942
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 11, PM (n=27,27)0.723 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 45.9281
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 12, AM (n=27,27)0.717 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 42.8654
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 12, PM (n=27,27)0.691 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 43.1839
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 5, AM (n=27,27)0.515 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 53.5926
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 13, PM (n=25,25)0.739 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 39.5506
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 14, AM (n=26,27)0.770 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 43.7613
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 14, PM (n=25,26)0.634 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 76.0516
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 15, AM (n=26,26)0.731 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 40.4602
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 15, PM (n=25,25)0.700 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 48.1949
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 16, AM (n=26,27)0.727 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 44.7703
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 16, PM (n=26,27)0.718 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 50.7656
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 17, AM (n=25,26)0.770 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 44.332
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 17, PM (n=18,16)0.765 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 59.4286
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 18, AM (n=17,14)0.724 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 54.2082
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 18, PM (n=14,10)0.619 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 58.6249
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 19, AM (n=14,10)0.722 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 51.2962
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 19, PM (n=12,6)0.571 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 48.191
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 20, AM (n=12,6)0.667 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 45.5449
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 20, PM (n=7,5)0.588 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 54.7676
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 21, AM (n=7,6)0.743 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 54.875
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 21, PM (n=7,5)0.637 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 63.2223
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 22, AM (n=6,5)0.705 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 82.0353
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 22, PM (n=6,5)0.622 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 75.8988
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 23, AM (n=7,5)0.749 Ratio of exhaled Nitric OxideGeometric Coefficient of Variation 76.0176
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 23, PM (n=2,1)1.000 Ratio of exhaled Nitric Oxide
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 24, AM (n=2,1)1.144 Ratio of exhaled Nitric Oxide
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 24, PM (n=1,1)0.911 Ratio of exhaled Nitric Oxide
FF/VI 100/25mcgChange From Baseline in Fraction of Exhaled Nitric Oxide (FeNO) Over Time Following the Cessation of Repeat Dose Treatment With FF/VIDay 26, PM (n=0,1)0.989 Ratio of exhaled Nitric Oxide
95% CI: [0.61, 0.86]
95% CI: [0.61, 0.86]
95% CI: [0.61, 0.85]
95% CI: [0.58, 0.81]
95% CI: [0.31, 0.43]
95% CI: [0.28, 0.39]
95% CI: [0.32, 0.45]
95% CI: [0.31, 0.44]
95% CI: [0.39, 0.54]
95% CI: [0.4, 0.56]
95% CI: [0.47, 0.66]
95% CI: [0.49, 0.69]
95% CI: [0.53, 0.75]
95% CI: [0.57, 0.8]
95% CI: [0.56, 0.8]
95% CI: [0.52, 0.74]
95% CI: [0.51, 0.71]
Comparison: Ratio of FF/VI 100/25mcg Vs Placebo for Day 8, AM95% CI: [0.52, 0.74]
95% CI: [0.58, 0.81]
95% CI: [0.57, 0.8]
95% CI: [0.56, 0.78]
95% CI: [0.57, 0.8]
95% CI: [0.55, 0.78]
95% CI: [0.6, 0.84]
95% CI: [0.61, 0.86]
95% CI: [0.66, 0.93]
95% CI: [0.66, 0.93]
95% CI: [0.56, 0.79]
95% CI: [0.66, 0.93]
95% CI: [0.66, 0.94]
95% CI: [0.62, 0.87]
95% CI: [0.61, 0.86]
95% CI: [0.65, 0.91]
95% CI: [0.65, 1.01]
95% CI: [0.61, 0.96]
95% CI: [0.59, 1]
95% CI: [0.63, 1.05]
95% CI: [0.52, 1]
95% CI: [0.56, 1.09]
95% CI: [0.53, 1.14]
95% CI: [0.59, 1.22]
95% CI: [0.5, 1.13]
95% CI: [0.55, 1.25]
95% CI: [0.51, 1.16]
95% CI: [0.66, 1.49]
95% CI: [0.29, 1.51]
95% CI: [0.32, 1.64]
Secondary

Change From Baseline in FeNO Over the FF/VI Treatment Period

In participants with asthma the FeNO is a non-invasive marker of airway inflammation. The FeNO was measured by the participants AM (pre-dose) and PM on Day -7 and all the way through Day 29 of each treatment period. The measurements were recorded using Niox Vero device provided at the site. These FeNO measurements were done throughout the treatment period. Change from Baseline was measured by the value at post-dose visit minus the Baseline value. Baseline was defined as Day 1(Pre-dose). Subject level Baseline is defined as the mean of Baseline across periods for each participant. Period level Baseline is defined as the difference between the Baseline and subject level Baseline for each period and each participant. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). NA indicates data was not available.

Time frame: Baseline and up to Day 29 in each treatment period

Population: PD Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 13, PM (n=25,25)-1.6 Parts per billionStandard Deviation 38.12
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 7, AM (n=27,27)-15.4 Parts per billionStandard Deviation 24.26
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 14, AM (n=26,27)4.7 Parts per billionStandard Deviation 45.42
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 3, AM (n=27,27)-0.8 Parts per billionStandard Deviation 25.07
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 14, PM (n=25,26)-3.4 Parts per billionStandard Deviation 42.26
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 1, PM (n=27,27)-0.5 Parts per billionStandard Deviation 24.55
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 15, AM (n=26,26)-1.6 Parts per billionStandard Deviation 47.88
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 8, AM (n=25,27)-14.2 Parts per billionStandard Deviation 30
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 15, PM (n=25,25)-3.7 Parts per billionStandard Deviation 49.33
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 3, PM (n=27,27)-7.9 Parts per billionStandard Deviation 21.18
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 16, AM (n=26,27)3.7 Parts per billionStandard Deviation 48
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 8, PM (n=27,26)-15.3 Parts per billionStandard Deviation 24.7
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 16, PM (n=26,27)4.5 Parts per billionStandard Deviation 37.4
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 17, AM (n=25,26)6.1 Parts per billionStandard Deviation 42.81
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 6, AM (n=26,26)-17.6 Parts per billionStandard Deviation 24.37
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 17, PM (n=18,16)-8.5 Parts per billionStandard Deviation 29.54
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 18, AM (n=17,14)-7.5 Parts per billionStandard Deviation 32.1
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 9, AM (n=27,27)-5.7 Parts per billionStandard Deviation 29.23
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 18, PM (n=14,10)-6.2 Parts per billionStandard Deviation 23.93
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 4, AM (n=27,27)1.2 Parts per billionStandard Deviation 33.27
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 19, AM (n=14,10)-2.8 Parts per billionStandard Deviation 27.47
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 9, PM (n=27,27)-5.3 Parts per billionStandard Deviation 23.53
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 19, PM (n=12,6)-9.3 Parts per billionStandard Deviation 24.19
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 2, AM (n=27,27)1.3 Parts per billionStandard Deviation 27.67
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 20, AM (n=12,6)0.1 Parts per billionStandard Deviation 27.71
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 10, AM (n=24,26)4.1 Parts per billionStandard Deviation 27.86
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 20, PM (n=7,5)-8.7 Parts per billionStandard Deviation 21.68
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 24, AM (n=2,1)2.0 Parts per billionStandard Deviation 59.4
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 7, PM (n=25,25)-19.9 Parts per billionStandard Deviation 25.92
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 21, AM (n=7,6)-6.6 Parts per billionStandard Deviation 24.08
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 10, PM (n=27,27)3.8 Parts per billionStandard Deviation 28.99
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 21, PM (n=7,5)-3.0 Parts per billionStandard Deviation 25.83
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 5, AM (n=27,27)-15.3 Parts per billionStandard Deviation 22.49
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 22, AM (n=6,5)-7.5 Parts per billionStandard Deviation 27.54
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 11, AM (n=26,26)12.8 Parts per billionStandard Deviation 31.82
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 22, PM (n=6,5)-11.5 Parts per billionStandard Deviation 27.52
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 1, AM (n=27,27)1.9 Parts per billionStandard Deviation 24.39
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 23, AM (n=7,5)-0.6 Parts per billionStandard Deviation 29.53
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 11, PM (n=27,27)6.2 Parts per billionStandard Deviation 34.03
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 23, PM (n=2,1)-0.5 Parts per billionStandard Deviation 54.45
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 5, PM (n=26,26)-22.1 Parts per billionStandard Deviation 19.45
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 12, AM (n=27,27)3.1 Parts per billionStandard Deviation 24.79
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 24, PM (n=1,1)-24.0 Parts per billion
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 2, PM (n=27,27)-3.1 Parts per billionStandard Deviation 24.64
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 25, AM (n=1,0)-33.0 Parts per billion
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 12, PM (n=27,27)1.3 Parts per billionStandard Deviation 25.08
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 6, PM (n=24,26)-19.4 Parts per billionStandard Deviation 25.76
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 13, AM (n=27,25)8.3 Parts per billionStandard Deviation 35.47
PlaceboChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 4, PM (n=27,27)-11.6 Parts per billionStandard Deviation 17.93
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 28, AM (n=0,1)4.0 Parts per billion
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 28, PM (n=0,1)-21.0 Parts per billion
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 6, AM (n=26,26)-47.1 Parts per billionStandard Deviation 42.19
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 29, AM (n=0,1)-8.0 Parts per billion
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 4, AM (n=27,27)-48.6 Parts per billionStandard Deviation 50.54
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 16, PM (n=26,27)-26.6 Parts per billionStandard Deviation 43.37
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 17, PM (n=18,16)-19.6 Parts per billionStandard Deviation 48.58
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 1, AM (n=27,27)-63.3 Parts per billionStandard Deviation 45.47
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 1, PM (n=27,27)-68.5 Parts per billionStandard Deviation 49.07
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 2, AM (n=27,27)-63.5 Parts per billionStandard Deviation 53.63
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 2, PM (n=27,27)-66.1 Parts per billionStandard Deviation 48.26
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 3, AM (n=27,27)-56.6 Parts per billionStandard Deviation 53.97
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 3, PM (n=27,27)-59.8 Parts per billionStandard Deviation 47.32
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 4, PM (n=27,27)-51.5 Parts per billionStandard Deviation 42.12
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 5, AM (n=27,27)-48.9 Parts per billionStandard Deviation 47.09
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 5, PM (n=26,26)-54.0 Parts per billionStandard Deviation 45
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 6, PM (n=24,26)-54.0 Parts per billionStandard Deviation 43.96
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 7, AM (n=27,27)-50.0 Parts per billionStandard Deviation 43.19
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 7, PM (n=25,25)-46.4 Parts per billionStandard Deviation 42.73
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 8, AM (n=25,27)-42.7 Parts per billionStandard Deviation 44.14
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 8, PM (n=27,26)-46.1 Parts per billionStandard Deviation 40.39
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 9, AM (n=27,27)-40.1 Parts per billionStandard Deviation 37.45
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 9, PM (n=27,27)-38.7 Parts per billionStandard Deviation 40.36
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 10, AM (n=24,26)-31.6 Parts per billionStandard Deviation 31.5
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 10, PM (n=27,27)-32.8 Parts per billionStandard Deviation 37.47
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 11, AM (n=26,26)-23.8 Parts per billionStandard Deviation 39.65
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 11, PM (n=27,27)-26.4 Parts per billionStandard Deviation 41.33
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 12, AM (n=27,27)-25.7 Parts per billionStandard Deviation 36.64
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 12, PM (n=27,27)-29.4 Parts per billionStandard Deviation 37.19
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 13, AM (n=27,25)-23.3 Parts per billionStandard Deviation 30.09
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 13, PM (n=25,25)-26.2 Parts per billionStandard Deviation 39.97
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 14, AM (n=26,27)-23.5 Parts per billionStandard Deviation 38.84
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 14, PM (n=25,26)-30.9 Parts per billionStandard Deviation 43.69
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 15, AM (n=26,26)-25.8 Parts per billionStandard Deviation 37.76
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 15, PM (n=25,25)-27.9 Parts per billionStandard Deviation 43.14
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 16, AM (n=26,27)-26.7 Parts per billionStandard Deviation 43.16
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 17, AM (n=25,26)-20.9 Parts per billionStandard Deviation 39.31
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 18, AM (n=17,14)-27.3 Parts per billionStandard Deviation 44.36
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 18, PM (n=14,10)-38.3 Parts per billionStandard Deviation 42.9
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 19, AM (n=14,10)-30.7 Parts per billionStandard Deviation 50.03
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 19, PM (n=12,6)-52.2 Parts per billionStandard Deviation 49.82
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 20, AM (n=12,6)-40.2 Parts per billionStandard Deviation 46.27
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 20, PM (n=7,5)-59.0 Parts per billionStandard Deviation 63.82
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 21, AM (n=7,6)-32.7 Parts per billionStandard Deviation 56.23
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 21, PM (n=7,5)-51.2 Parts per billionStandard Deviation 58.37
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 22, AM (n=6,5)-37.0 Parts per billionStandard Deviation 66.25
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 22, PM (n=6,5)-51.8 Parts per billionStandard Deviation 63.96
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 23, AM (n=7,5)-37.0 Parts per billionStandard Deviation 71.04
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 23, PM (n=2,1)0.0 Parts per billion
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 24, AM (n=2,1)13.0 Parts per billion
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 24, PM (n=1,1)-8.0 Parts per billion
FF/VI 100/25mcgChange From Baseline in FeNO Over the FF/VI Treatment PeriodDay 26, PM (n=0,1)-1.0 Parts per billion
Secondary

Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VI

FEV1 is defined as the maximal amount of air which can be exhaled forcefully in one second. Three technically acceptable FEV1 measurements were made using a spirometer, and were measured on pre-dose on Day 1, taken pre-dose on Day 14 and every morning and evening until Day 19, and in the morning on Day 21. Change from Baseline was measured by the value at post-dose visit minus the Baseline value. Baseline was defined as Day 1(Pre-dose). Subject level Baseline is defined as the mean of Baseline across periods for each participant. Period level Baseline is defined as the difference between the Baseline and subject level Baseline for each period and each participant.

Time frame: Baseline every morning and evening until Day 21 of each treatment period

Population: PD Population

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 3,AM0.084 LiterStandard Deviation 0.3668
PlaceboChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 21, AM0.082 LiterStandard Deviation 0.321
PlaceboChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 2,PM0.200 LiterStandard Deviation 0.3902
PlaceboChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 2, AM0.073 LiterStandard Deviation 0.3953
PlaceboChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 3,PM0.213 LiterStandard Deviation 0.384
PlaceboChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 4, PM0.221 LiterStandard Deviation 0.4187
PlaceboChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 5, AM0.197 LiterStandard Deviation 0.3375
PlaceboChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 1, PM0.180 LiterStandard Deviation 0.3105
PlaceboChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 7, AM0.124 LiterStandard Deviation 0.3753
PlaceboChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 4, AM0.092 LiterStandard Deviation 0.387
PlaceboChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 1, AM0.036 LiterStandard Deviation 0.4169
FF/VI 100/25mcgChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 21, AM0.004 LiterStandard Deviation 0.267
FF/VI 100/25mcgChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 1, AM0.361 LiterStandard Deviation 0.3135
FF/VI 100/25mcgChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 1, PM0.383 LiterStandard Deviation 0.3151
FF/VI 100/25mcgChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 2, AM0.331 LiterStandard Deviation 0.2739
FF/VI 100/25mcgChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 3,AM0.271 LiterStandard Deviation 0.2967
FF/VI 100/25mcgChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 3,PM0.319 LiterStandard Deviation 0.3256
FF/VI 100/25mcgChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 4, PM0.301 LiterStandard Deviation 0.3163
FF/VI 100/25mcgChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 2,PM0.369 LiterStandard Deviation 0.3166
FF/VI 100/25mcgChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 4, AM0.241 LiterStandard Deviation 0.2913
FF/VI 100/25mcgChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 5, AM0.207 LiterStandard Deviation 0.2498
FF/VI 100/25mcgChange From Baseline in Forced Expiratory Volume in One Second (FEV1) Pre-treatment and for up to 7 Days After Cessation of Repeat Dose Treatment With FF/VIDay 7, AM0.102 LiterStandard Deviation 0.3317
95% CI: [0.26, 0.46]
95% CI: [0.16, 0.36]
95% CI: [0.24, 0.44]
95% CI: [0.14, 0.34]
95% CI: [0.16, 0.36]
95% CI: [0.08, 0.28]
95% CI: [0.14, 0.34]
95% CI: [0.07, 0.27]
95% CI: [-0.03, 0.17]
95% CI: [-0.06, 0.14]
95% CI: [-0.07, 0.13]
Secondary

Change From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VI

The PEF is a lung function evaluation assessed using a PEF meter. It was defined as the maximum amount of air exhaled during forced exhalation with lungs fully inflated. For PEF measurements the best of the 3 recordings were recorded AM and PM (i.e every 12 hours), from Day-7 through to Day 29 of TP1, and then from Day 1 of TP2 through to the (29). Change from Baseline was measured by the value at post-dose visit minus the Baseline value. Baseline was defined as Day 1(Pre-dose). Subject level Baseline is defined as the mean of Baseline across periods for each participant. Period level Baseline is defined as the difference between the Baseline and subject level Baseline for each period and each participant. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). NA indicates data was not available.

Time frame: Baseline and up to Day 29 in TP1; Baseline and up to follow up (Day 29) in TP2

Population: PD population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 10, PM (n=27,26)-1.7 Liter per minuteStandard Deviation 84.64
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 8, PM (n=27,27)13.1 Liter per minuteStandard Deviation 61.79
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 4, PM (n=27,27)36.0 Liter per minuteStandard Deviation 85.62
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 11, PM (n=27,27)15.8 Liter per minuteStandard Deviation 76.76
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 12, AM (n=24,26)-11.0 Liter per minuteStandard Deviation 83.14
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 21, AM (n=7,6)-43.3 Liter per minuteStandard Deviation 56.85
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 12, PM (n=26,27)-2.4 Liter per minuteStandard Deviation 71.17
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 5, AM (n=27,26)19.7 Liter per minuteStandard Deviation 61.28
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 13, AM (n=27,26)-20.6 Liter per minuteStandard Deviation 77.5
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 24, AM (n=2,1)-23.0 Liter per minuteStandard Deviation 25.46
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 13, PM (n=25,26)17.0 Liter per minuteStandard Deviation 104.76
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 5, PM (n=26,27)21.5 Liter per minuteStandard Deviation 75.94
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 14, AM (n=25,25)-31.5 Liter per minuteStandard Deviation 77.48
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 1, AM (n=27,27)-1.0 Liter per minuteStandard Deviation 67.11
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 14, PM (n=25,27)-0.8 Liter per minuteStandard Deviation 76.69
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 15, AM (n=25,27)-17.4 Liter per minuteStandard Deviation 59.88
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 6, AM (n=25,26)-0.4 Liter per minuteStandard Deviation 69.89
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 15, PM (n=25,25)-15.0 Liter per minuteStandard Deviation 67.65
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 11, AM (n=26,27)-12.8 Liter per minuteStandard Deviation 74.84
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 16, AM (n=25,26)-27.0 Liter per minuteStandard Deviation 66.7
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 6, PM (n=24,26)11.3 Liter per minuteStandard Deviation 75.26
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 16, PM (n=26,26)-8.1 Liter per minuteStandard Deviation 74.86
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 2, AM (n=27,27)5.1 Liter per minuteStandard Deviation 61.5
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 17, AM (n=26,26)-23.4 Liter per minuteStandard Deviation 73.32
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 7, AM (n=27,27)11.5 Liter per minuteStandard Deviation 71.97
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 17, PM (n=18,16)10.6 Liter per minuteStandard Deviation 86.6
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 24, PM (n=1,1)-50.0 Liter per minute
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 18, AM (n=17,14)-14.2 Liter per minuteStandard Deviation 79.96
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 7, PM (n=24,26)11.8 Liter per minuteStandard Deviation 75.33
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 18, PM (n=14,10)-8.9 Liter per minuteStandard Deviation 90.25
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 8, AM (n=27,27)-1.6 Liter per minuteStandard Deviation 73.8
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 19, AM (n=14,10)-11.4 Liter per minuteStandard Deviation 91.61
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 3, AM (n=27,27)9.0 Liter per minuteStandard Deviation 58.49
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 19, PM (n=12,6)2.3 Liter per minuteStandard Deviation 102.76
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 20, AM (n=12,6)-8.5 Liter per minuteStandard Deviation 81.09
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 25, AM (n=1,0)-31.0 Liter per minute
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 20, PM (n=7,5)-27.7 Liter per minuteStandard Deviation 46.03
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 9, AM (n=27,26)-7.2 Liter per minuteStandard Deviation 80.69
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 3, PM (n=27,27)20.4 Liter per minuteStandard Deviation 69.1
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 21, PM (n=6,4)-16.7 Liter per minuteStandard Deviation 73.86
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 9, PM (n=27,27)9.1 Liter per minuteStandard Deviation 73.71
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 22, AM (n=5,5)-48.4 Liter per minuteStandard Deviation 40.28
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 2, PM (n=27,27)16.6 Liter per minuteStandard Deviation 74.02
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 22, PM (n=6,5)-56.8 Liter per minuteStandard Deviation 46.23
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 10, AM (n=26,26)-19.6 Liter per minuteStandard Deviation 76.63
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 23, AM (n=6,5)-15.0 Liter per minuteStandard Deviation 50.62
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 4, AM (n=26,26)18.3 Liter per minuteStandard Deviation 61.63
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 23, PM (n=2,1)-53.0 Liter per minuteStandard Deviation 1.41
PlaceboChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 1, PM (n=27,27)17.4 Liter per minuteStandard Deviation 69.59
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 22, AM (n=5,5)-11.0 Liter per minuteStandard Deviation 103.22
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 22, PM (n=6,5)-2.0 Liter per minuteStandard Deviation 91.29
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 23, AM (n=6,5)11.4 Liter per minuteStandard Deviation 53.62
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 23, PM (n=2,1)1.0 Liter per minute
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 1, PM (n=27,27)54.5 Liter per minuteStandard Deviation 63.23
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 7, PM (n=24,26)21.8 Liter per minuteStandard Deviation 55.7
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 11, PM (n=27,27)-7.3 Liter per minuteStandard Deviation 63.12
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 14, PM (n=25,27)-1.6 Liter per minuteStandard Deviation 58.26
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 19, PM (n=12,6)27.7 Liter per minuteStandard Deviation 61.49
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 24, AM (n=2,1)74.0 Liter per minute
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 24, PM (n=1,1)15.0 Liter per minute
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 28, AM (n=0,1)-42.0 Liter per minute
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 29, AM (n=0,1)6.0 Liter per minute
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 26, PM (n=0,1)-62.0 Liter per minute
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 27, AM (n=0,1)82.0 Liter per minute
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 1, AM (n=27,27)44.6 Liter per minuteStandard Deviation 55.54
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 2, AM (n=27,27)32.4 Liter per minuteStandard Deviation 55.35
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 2, PM (n=27,27)37.2 Liter per minuteStandard Deviation 53.42
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 3, AM (n=27,27)24.3 Liter per minuteStandard Deviation 58.56
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 3, PM (n=27,27)47.3 Liter per minuteStandard Deviation 52.8
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 4, AM (n=26,26)28.8 Liter per minuteStandard Deviation 54.42
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 4, PM (n=27,27)43.9 Liter per minuteStandard Deviation 56.01
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 5, AM (n=27,26)25.4 Liter per minuteStandard Deviation 49.86
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 5, PM (n=26,27)30.9 Liter per minuteStandard Deviation 49.67
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 6, AM (n=25,26)4.1 Liter per minuteStandard Deviation 61.63
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 6, PM (n=24,26)28.5 Liter per minuteStandard Deviation 52.75
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 7, AM (n=27,27)17.0 Liter per minuteStandard Deviation 55.89
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 8, AM (n=27,27)2.6 Liter per minuteStandard Deviation 51.94
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 8, PM (n=27,27)9.1 Liter per minuteStandard Deviation 56.68
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 9, AM (n=27,26)-14.7 Liter per minuteStandard Deviation 74.06
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 9, PM (n=27,27)-1.7 Liter per minuteStandard Deviation 58.12
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 10, AM (n=26,26)-19.9 Liter per minuteStandard Deviation 68.55
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 10, PM (n=27,26)12.6 Liter per minuteStandard Deviation 52.16
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 11, AM (n=26,27)-12.3 Liter per minuteStandard Deviation 56.24
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 12, AM (n=24,26)-23.5 Liter per minuteStandard Deviation 64.35
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 12, PM (n=26,27)-5.9 Liter per minuteStandard Deviation 66.19
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 13, AM (n=27,26)-35.1 Liter per minuteStandard Deviation 67.19
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 13, PM (n=25,26)-13.0 Liter per minuteStandard Deviation 61.78
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 14, AM (n=25,25)-13.6 Liter per minuteStandard Deviation 65.25
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 15, AM (n=25,27)-20.4 Liter per minuteStandard Deviation 58.86
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 15, PM (n=25,25)-7.8 Liter per minuteStandard Deviation 64.72
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 16, AM (n=25,26)-30.2 Liter per minuteStandard Deviation 75.78
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 16, PM (n=26,26)0.7 Liter per minuteStandard Deviation 60.72
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 17, AM (n=26,26)-4.7 Liter per minuteStandard Deviation 65.85
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 17, PM (n=18,16)8.7 Liter per minuteStandard Deviation 62.33
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 18, AM (n=17,14)3.8 Liter per minuteStandard Deviation 71.5
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 18, PM (n=14,10)29.6 Liter per minuteStandard Deviation 64.62
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 19, AM (n=14,10)-0.1 Liter per minuteStandard Deviation 70.24
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 20, AM (n=12,6)-10.5 Liter per minuteStandard Deviation 71.92
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 20, PM (n=7,5)26.6 Liter per minuteStandard Deviation 49.22
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 21, AM (n=7,6)17.8 Liter per minuteStandard Deviation 78.2
FF/VI 100/25mcgChange From Baseline in Peak Expiratory Flow (PEF) During Treatment and Following Cessation of Repeat Dose Treatment With FF/VIDay 21, PM (n=6,4)-19.8 Liter per minuteStandard Deviation 32.62
95% CI: [23.69, 68.03]
95% CI: [23.2, 67.55]
95% CI: [11.86, 56.21]
95% CI: [9.38, 53.73]
95% CI: [0.68, 45.03]
95% CI: [14.77, 59.12]
95% CI: [-3, 41.66]
95% CI: [-1.32, 43.03]
95% CI: [-5.47, 39.11]
95% CI: [-0.41, 44.14]
95% CI: [-9.57, 35.67]
95% CI: [5.38, 51.98]
95% CI: [-5.08, 39.26]
95% CI: [0.28, 46.94]
95% CI: [-9.3, 35.05]
95% CI: [-14.67, 29.68]
95% CI: [-19.11, 25.74]
95% CI: [-18.34, 26]
95% CI: [-11.11, 33.82]
95% CI: [5.43, 50.03]
95% CI: [-7.57, 36.98]
95% CI: [-28.8, 15.55]
95% CI: [-18.39, 27.11]
95% CI: [-13.99, 30.57]
95% CI: [-21.64, 22.92]
95% CI: [-29.96, 16.19]
95% CI: [5.76, 51.13]
95% CI: [-10.13, 34.74]
95% CI: [-18.16, 26.36]
95% CI: [-3.89, 41.63]
95% CI: [-16.17, 28.88]
95% CI: [-3.27, 41.41]
95% CI: [6.87, 52.15]
95% CI: [-17.91, 37.19]
95% CI: [-4.2, 53.73]
95% CI: [14.63, 79.45]
95% CI: [-12.3, 52.52]
95% CI: [-15.02, 65.27]
95% CI: [-48.04, 32.25]
95% CI: [-37.22, 54.25]
95% CI: [-28.5, 58.67]
95% CI: [-45.35, 55.73]

Source: ClinicalTrials.gov · Data processed: Mar 6, 2026