Overview

This trial is active, not recruiting.

Condition asthma
Treatments mometasone furoate/formoterol mdi 100/5 mcg, mometasone furoate/formoterol mdi 200/5 mcg, mometasone furoate mdi 100 mcg, mometasone furoate mdi 200 mcg, albuterol 90 mcg /salbutamol 100 mcg hfa mdi, prednisone/prednisolone
Phase phase 4
Sponsor Merck Sharp & Dohme Corp.
Start date January 2012
End date October 2016
Trial size 11664 participants
Trial identifier NCT01471340, 2011-002142-13, MK-0887A-202, P06241

Summary

The purpose of this study is to test the safety of DULERA. DULERA is a pressurized metered-dose inhaler (MDI) that contains two drugs combined, namely mometasone and formoterol in a single inhaler. Mometasone is an inhaled corticosteroid (ICS), which reduces the inflammation in the airways. Formoterol is a long-acting beta 2 agonist (LABA), which helps to relax the muscles of the airways in the lungs, making it easier to breathe. In combination, mometasone and formoterol are used for the treatment of asthma. This study will evaluate whether participants taking a LABA in combination with an ICS in a single inhaler have a different risk of having serious asthma events (hospitalization, intubation and death) compared to participants taking an ICS alone.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification safety study
Intervention model parallel assignment
Masking double blind (subject, investigator)
Primary purpose treatment
Arm
(Experimental)
MF/F MDI 200/10 mcg twice daily (BID)
mometasone furoate/formoterol mdi 100/5 mcg SCH 418131 (MK-0887A); Dulera/Zenhale
two inhalations twice daily (BID)
albuterol 90 mcg /salbutamol 100 mcg hfa mdi
use as needed for asthma symptoms
prednisone/prednisolone
Oral prednisone/prednisolone used only as an emergency rescue medication at the discretion of the investigator
(Experimental)
MF/F MDI 400/10 mcg BID
mometasone furoate/formoterol mdi 200/5 mcg SCH 418131 (MK-0887A); Dulera/Zenhale
two inhalations BID
albuterol 90 mcg /salbutamol 100 mcg hfa mdi
use as needed for asthma symptoms
prednisone/prednisolone
Oral prednisone/prednisolone used only as an emergency rescue medication at the discretion of the investigator
(Active Comparator)
MF MDI 200 mcg BID
mometasone furoate mdi 100 mcg SCH 032088
two inhalations BID
albuterol 90 mcg /salbutamol 100 mcg hfa mdi
use as needed for asthma symptoms
prednisone/prednisolone
Oral prednisone/prednisolone used only as an emergency rescue medication at the discretion of the investigator
(Active Comparator)
MF MDI 400 mcg BID
mometasone furoate mdi 200 mcg SCH 032088
two inhalations BID
albuterol 90 mcg /salbutamol 100 mcg hfa mdi
use as needed for asthma symptoms
prednisone/prednisolone
Oral prednisone/prednisolone used only as an emergency rescue medication at the discretion of the investigator

Primary Outcomes

Measure
Time-to-first serious asthma outcomes (a composite endpoint defined as asthma-related: hospitalizations, intubations, and deaths)
time frame: Baseline up to 26 weeks

Secondary Outcomes

Measure
Time-to-first asthma exacerbation
time frame: Baseline up to 26 weeks

Eligibility Criteria

Male or female participants at least 12 years old.

Inclusion Criteria: - Persistent asthma for at least 1-year - Must use a daily asthma controller medication for at least 4 weeks prior to randomization, including an inhaled corticosteroid (ICS) with or without a long-acting beta agonist (LABA) or other adjunctive asthma therapy OR be using a leukotriene receptor antagonist (LTRA), xanthine or short acting beta agonist (SABA) as a monotherapy. - Must be able to discontinue current asthma medication - Must have a history of at least one asthma exacerbation in previous 4 to 52 weeks Exclusion Criteria: - Unstable asthma - Taking high dose ICS with or without other adjunctive therapy who have an Asthma Control Questionnaire 6 (ACQ6) total score ≥ 1.5 - Taking LTRA, xanthine or SABA monotherapy with an ACQ-6 total score < 1.5 (controlled) - Chronic obstructive pulmonary disease (COPD), cystic fibrosis (CF), or other significant, non-asthmatic, lung disease - Clinically significant abnormality, illness or disorder of any body or organ system - Significant underlying cardiovascular condition which may contraindicate use of a beta-agonist. - History of smoking greater than 10-pack years - Had an asthma exacerbation within 4 weeks of the Baseline Visit - Had more than 4 asthma exacerbations or 2 hospitalizations within 52 weeks of the randomization visit - Known or suspected hypersensitivity or intolerance to corticosteroids, beta-2 agonists, or any of the (inactive ingredients) excipients present in the medications used in this study - Require the use of chronic systemic steroids, omalizumab, or other monoclonal or polyclonal antibodies - Requires the use of beta-blockers - History of life-threatening asthma, including an asthma episode that required intubation and/or was associated with hypercapnia requiring noninvasive ventilatory support - Lactating, pregnant, or plans to become pregnant during the course of the trial

Additional Information

Official title A 26-Week Randomized, Double-Blinded, Active Controlled Study Comparing the Safety of Mometasone Furoate/Formoterol Fumarate MDI Fixed Dose Combination Versus Mometasone Furoate MDI Monotherapy in Adolescents and Adults With Persistent Asthma (Protocol No. P06241 Also Known as P202)
Description Amendments 2 and 3 are specific to Brazil; all other countries will enroll patients under Amendment 1.
Trial information was received from ClinicalTrials.gov and was last updated in September 2016.
Information provided to ClinicalTrials.gov by Merck Sharp & Dohme Corp..