A Study to Evaluate the Efficacy and Safety of QMF149 (Indacaterol Acetate/Mometasone Furoate) Versus Budesonide in Children From 6 to Less Than 12 Years of Age With Asthma

ConditionAsthma
Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age6-11
SponsorNovartis Pharmaceuticals

About this trial

The purpose of this study is to evaluate the superiority in terms of efficacy and evaluate the safety of QMF149 (indacaterol (acetate) / mometasone (furoate)) compared to budesonide in children from 6 to less than 12 years of age with asthma.

* The study duration will be up to 37 weeks including an investigational treatment duration of 12 weeks and a comparator treatment duration of 12 weeks. * The visit frequency will be 3 weeks for screening, run-in and wash-out period, 6 weeks interval for visits during each treatment period, 30 days for safety follow-up.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male or female children ≥ 6 years and <12 years in age at randomization.

Parents/legal guardian must be willing and able to attend study visits and assist the child with the procedures outlined in the protocol (e.g. compliance with taking study medication and completing the diary) ((≥ 70% during the last 14 days of the Run-in period)).

Confirmed/documented diagnosis of asthma, as defined by national or international asthma guidelines for at least 12 months prior to study enrollment.

Written and signed informed consent by parent(s)/legal guardian(s) for the pediatric patient and assent by the pediatric patient (depending on local requirements) must be obtained before any study-specific assessment is performed.

Disqualifiers

Prior intubation for asthma.

Patients who have had a severe asthma exacerbation requiring in the previous month either systemic steroids or hospitalization due to asthma (>24h) or emergency room visit (≤24 hours).

Subjects receiving any medications in the classes specified in Table 6 6 unless they undergo the required washout period prior to Treatment Visit (Day 1) and follow the adjustment through the treatment period.

Use of other investigational drugs within 5 half-lives of enrollment, or within 30 days, whichever is longer.

Trial design

Design model

Crossover

Treatments tested in this trial

  • QMF149

    Drug

    QMF149 75/40 μg o.d via Breezhaler

  • Budesonide

    Drug

    Budesonide 200 μg o.d via Breezhaler

Treatment groups

200 Participants
are divided into 2 treatment groups
Group A: QMF149Experimental treatment 1 intervention
Group B: BudesonideActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change from baseline in trough FEV1

Forced Expiratory Volume in 1 second (FEV1) is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured by spirometry.

Time frame
Week 12 of each treatment period

Secondary outcomes

1

Change from baseline in ACQ-IA score

The Asthma Control Questionnaire-Interview Administered (ACQ-IA) includes seven questions that assess nighttime awakenings, waking in the morning with symptoms, limitation of daily activities, shortness of breath, wheezing, forced expiratory volume in the first second (FEV1% predicted), and daily rescue bronchodilator use.

Time frame
At week 12 of each treatment period
2

Change from baseline in average Morning and Evening PEFR

Morning and Evening Peak Expiratory Flow Rate (PEF) will be measured. PEF is the peak expiratory flow, the maximum speed of expiration.

Time frame
Over 12 weeks of each treatment period
3

Change from baseline in average rescue medication use

Change from baseline in average rescue medication use (daytime, night-time, and daily) over 12 weeks of each treatment period

Time frame
Over 12 weeks of each treatment period
4

Annual rate of asthma exacerbations

Annual rate of asthma exacerbations by exacerbation category (any, moderate or severe, severe)

Time frame
Over 12 weeks with each treatment

Other outcomes

Sponsors and contacts

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