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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT02516592




Registration number
NCT02516592
Ethics application status
Date submitted
4/08/2015
Date registered
6/08/2015
Date last updated
21/03/2019

Titles & IDs
Public title
Assessment of Switching From Salmeterol/Fluticasone to Indacaterol/Glycopyrronium in a symtomaticCOPD Patient Cohort
Scientific title
A 12-week Treatment, Multi-center, Randomized, Double-blind, Double-dummy, Parallel Group Study to Assess the Efficacy and Safety of Switching From Salmeterol/Fluticasone to QVA149 (Indacaterol Maleate/Glycopyrronium Bromide) in Symptomatic COPD Patients
Secondary ID [1] 0 0
CQVA149A3405
Universal Trial Number (UTN)
Trial acronym
FLASH
Linked study record

Health condition
Health condition(s) or problem(s) studied:
COPD 0 0
Condition category
Condition code

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - QVA149 110/50 micrograms
Treatment: Drugs - Salmeterol/fluticasone 50/500 microgrammes

Experimental: QVA149 110/50 micrograms - QVA149 110/50 micrograms o.d. Capsules for inhalation

Active comparator: salmeterol/fluticasone 50/500 micrograms - salmeterol/fluticasone 50/500 micrograms b.i.d. Dry inhalation powder


Treatment: Drugs: QVA149 110/50 micrograms
QVA149 110/50 micrograms o.d. capsules for inhalation, supplied in blisters via a single dose dry powder inhalater (SDDPI)

Treatment: Drugs: Salmeterol/fluticasone 50/500 microgrammes
Salmeterol/fluticasone 50/500 microgrammes b.i.d.dry inhalation powder delivered via Accuhaler / Diskus device
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Change From Baseline in Trough Pre-dose FEV1 in Both Arms
Timepoint [1] 0 0
Baseline, week 12
Secondary outcome [1] 0 0
Transitional Dyspnea Index (TDI) Focal Score
Timepoint [1] 0 0
Baseline, week 12
Secondary outcome [2] 0 0
Change From Baseline in FVC (Forced Vital Capacity)
Timepoint [2] 0 0
week 12
Secondary outcome [3] 0 0
Change From Baseline in Total Symptom Score- CAT (COPD Assessment Test)
Timepoint [3] 0 0
week 12
Secondary outcome [4] 0 0
Change From Baseline in Mean Daily Use of Rescue Medication
Timepoint [4] 0 0
over 12 weeks

Eligibility
Key inclusion criteria
* Written informed consent must be obtained before any assessment is performed.
* Male and female = 40 years
* Current or ex-smokers who have a smoking history of at least 10 pack years (Ten pack years are defined as 20 cigarettes per day for 10 years or 10 cigarettes per day for 20 years). An ex-smoker is defined as a patient who has not smoked for = 6 months at visit 1
* Confirmed diagnosis of COPD and post-bronchodilator FEV1 = 30% and < 80% of the predicted normal value and post-bronchodilator FEV1/FVC < 0.70 at visit 1
* Treated with salmeterol/fluticasone 50/500 µg b.i.d. for at least 3 months prior to visit 1
* Documented CAT score of = 10 at Visit 1 and 2
Minimum age
40 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Treatment with any LAMA in the 2 weeks prior to visit 1
* Presence of any contraindication, warning, precaution, hypersensitivity in the approved prescribing information for salmeterol/fluticasone
* Prior or current diagnosis of asthma
* More than one COPD exacerbation requiring treatment with antibiotics and/or systemic corticosteroids and/or hospitalization in the year prior to Visit 1
* Patients who developed a COPD exacerbation of any severity within the 6 weeks before the screening (Visit 1) or between screening (Visit 1) and start of treatment (Visit 2) will not be eligible but will be permitted to be re-screened after a minimum of 6 weeks after the resolution of the COPD exacerbation
* Respiratory tract infection within 4 weeks prior to Visit 1
* Respiratory tract infection between Visit 1 and 2. Patients can be re-screened 4 weeks after resolution of the infection
* Requiring oxygen therapy prescribed for >12 hours per day
* Onset of respiratory symptoms, including a COPD diagnosis prior to age 40 years

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 4
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
13/10/2015
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
4/05/2017
Sample size
Target
Accrual to date
Final
500
Recruitment in Australia
Recruitment state(s)
NSW,QLD,South AustrailiaSA,WA
Recruitment hospital [1] 0 0
Novartis Investigative Site - Coffs Harbour
Recruitment hospital [2] 0 0
Novartis Investigative Site - Drummoyne
Recruitment hospital [3] 0 0
Novartis Investigative Site - Westmead
Recruitment hospital [4] 0 0
Novartis Investigative Site - Cairns
Recruitment hospital [5] 0 0
Novartis Investigative Site - Daw Park
Recruitment hospital [6] 0 0
Novartis Investigative Site - Bedford Park
Recruitment hospital [7] 0 0
Novartis Investigative Site - Glen Osmond
Recruitment hospital [8] 0 0
Novartis Investigative Site - Murdoch
Recruitment postcode(s) [1] 0 0
2450 - Coffs Harbour
Recruitment postcode(s) [2] 0 0
2047 - Drummoyne
Recruitment postcode(s) [3] 0 0
2145 - Westmead
Recruitment postcode(s) [4] 0 0
4870 - Cairns
Recruitment postcode(s) [5] 0 0
5041 - Daw Park
Recruitment postcode(s) [6] 0 0
5042 - Bedford Park
Recruitment postcode(s) [7] 0 0
5064 - Glen Osmond
Recruitment postcode(s) [8] 0 0
6150 - Murdoch
Recruitment outside Australia
Country [1] 0 0
Egypt
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Alexandria
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Egypt
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Cairo
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Egypt
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Fayoum
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India
State/province [4] 0 0
Gujarat
Country [5] 0 0
India
State/province [5] 0 0
Maharashtra
Country [6] 0 0
India
State/province [6] 0 0
Punjab
Country [7] 0 0
India
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Tamil Nadu
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India
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New Delhi
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Israel
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Ashkelon
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Israel
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Be'er Sheva
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Israel
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Haifa
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Israel
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Jerusalem
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Israel
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Petach Tikva
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Israel
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Rehovot
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Israel
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Sefad
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Israel
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Tel Giborim, Holon
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Lebanon
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LBN
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Lebanon
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Ashrafieh
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Lebanon
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Beirut
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Lebanon
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Hazmieh
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Lebanon
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Saida
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Malaysia
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Kelantan
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Malaysia
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Pahang
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Malaysia
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Perak
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Malaysia
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Sarawak
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Malaysia
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Kuala Lumpur
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Philippines
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Batangas
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Philippines
State/province [28] 0 0
Bulacan
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Philippines
State/province [29] 0 0
Manila
Country [30] 0 0
Philippines
State/province [30] 0 0
Quezon City
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Philippines
State/province [31] 0 0
San Pablo City, Laguna
Country [32] 0 0
Saudi Arabia
State/province [32] 0 0
SAU
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Saudi Arabia
State/province [33] 0 0
Jeddah
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South Africa
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Cape Town
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South Africa
State/province [35] 0 0
Durban
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South Africa
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Gatesville
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South Africa
State/province [37] 0 0
Johannesburg
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South Africa
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Phoenix
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Taiwan
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Kaoshiung
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Taiwan
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Lin-Kou
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Taiwan
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New Taipei
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Taiwan
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Taichung
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Turkey
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Adana
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Turkey
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Aydin
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Turkey
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Erzurum
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Turkey
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Istanbul
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Turkey
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Izmir
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Turkey
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Konya
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Turkey
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Mersin
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Turkey
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Trabzon
Country [51] 0 0
Turkey
State/province [51] 0 0
Yenisehir/Izmir

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Novartis Pharmaceuticals
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
This study will investigate whether switching symptomatic COPD patients from a fixed-dose combination of salmeterol/fluticasone 50/500 µg b.i.d. to a fixed dose combination of QVA149 110/50 µg o.d. leads to improved lung function and airflow. It will also assess the effect on symptom burden, breathlessness, and use of rescue medication after this switch.
Trial website
https://clinicaltrials.gov/study/NCT02516592
Trial related presentations / publications
Frith PA, Ashmawi S, Krishnamurthy S, Gurgun A, Hristoskova S, Pilipovic V, Hamann AM, Backer A, Olsson P, Kostikas K, Diaz DV; FLASH Investigators. Efficacy and safety of the direct switch to indacaterol/glycopyrronium from salmeterol/fluticasone in non-frequently exacerbating COPD patients: The FLASH randomized controlled trial. Respirology. 2018 Dec;23(12):1152-1159. doi: 10.1111/resp.13374. Epub 2018 Aug 3.
Public notes

Contacts
Principal investigator
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/study/NCT02516592