A Randomized Study To Evaluate The Efficacy And Safety Of An Investigational Drug In Adolescent And Adult Subjects With Asthma Uncontrolled on Moderate-Dose ICS Therapy.

Sponsor
GlaxoSmithKline (Industry)
Overall Status
Completed
CT.gov ID
NCT00603746
Collaborator
(none)
627
154
1
9.7
4.1
0.4

Study Details

Study Description

Brief Summary

This study is designed to determine if the investigational drug is effective and safe in individuals with asthma.

Condition or Disease Intervention/Treatment Phase
Phase 2

Detailed Description

A Randomized Double-Blind, Double Dummy, Placebo-Controlled, Parallel-Group, Multicenter Dose Ranging Study to Evaluate the Efficacy and Safety of GW685698X Inhalation Powder Once Daily and Fluticasone Propionate Inhalation Powder Twice Daily compared with Placebo for 8 Weeks in Adolescent and Adult Subjects with Persistent Asthma Symptomatic on Moderate-Dose ICS Therapy

Study Design

Study Type:
Interventional
Actual Enrollment :
627 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Primary Purpose:
Treatment
Official Title:
A Randomized Double-Blind, Double Dummy, Placebo-Controlled, Parallel-Group, Multicenter Dose Ranging Study to Evaluate the Efficacy and Safety of GW685698X Inhalation Powder Once Daily and Fluticasone Propionate Inhalation Powder 500mcg Twice Daily Compared With Placebo for 8 Weeks in Adolescent an
Study Start Date :
Dec 1, 2007
Actual Primary Completion Date :
Sep 1, 2008
Actual Study Completion Date :
Sep 20, 2008

Arms and Interventions

Arm Intervention/Treatment
Experimental: GW685698X

GW685698X

Drug: GW685698X
GW685698X

Outcome Measures

Primary Outcome Measures

  1. Mean Change From Baseline in Trough (Evening Pre-dose and Pre- Rescue Bronchodilator) FEV1 at Week 8 [Baseline and Week 8]

    Pulmonary function was measured by forced expiratory volume in one second (FEV1), defined as the maximal amount of air that can be forcibly exhaled from the lungs in one second. Pre-dose and pre-rescue bronchodilator (albuterol/salbutamol) trough FEV1 (the measurement of FEV1 performed at the end of the dosing interval) was measured electronically by spirometry in the evening at the Baseline (BL) through Week 8 clinic visits. The highest of 3 technically acceptable measurements was recorded. The Visit 3 FEV1 assessment was used as the Baseline value. Change from Baseline in trough FEV1 was calculated as the value at Week 8 minus the value at Baseline. The analysis was performed using an Analysis of Covariance (ANCOVA) model with covariates of Baseline trough FEV1, country, sex, age, and treatment group.

Secondary Outcome Measures

  1. Mean Change From Baseline in Daily Trough (Pre-dose and Pre-rescue Bronchodilator) Evening Peak Expiratory Flow (PEF) Averaged Over the 8-week Treatment Period [From Baseline up to Week 8]

    PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. Trough PEF is defined as the maximal rate (speed) that a person can exhale during a short maximal expiratory effort after a full inspiration. PEF was measured by the participants using a hand-held electronic peak flow meter each evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. The best of three attempts was recorded by the participants in a daily diary. The Baseline value was derived from the last 7 days of the daily diary prior to the randomization of the participant. Change from Baseline was calculated as the value of the averaged daily evening PEF over the 8-week treatment period minus the value at Baseline. The analysis was performed using an ANCOVA model with covariates of Baseline trough evening PEF, country, sex, age, and treatment group.

  2. Mean Change From Baseline in Daily Morning PEF Averaged Over the 8-week Treatment Period [From Baseline up to Week 8]

    PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. Trough PEF is defined as the maximal rate (speed) that a person can exhale during a short maximal expiratory effort after a full inspiration. PEF was measured by the participants using a hand-held electronic peak flow meter each morning prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. The best of three attempts was recorded by the participants in a daily diary. The Baseline value was derived from the last 7 days of the daily diary prior to the randomization of the participant. Change from Baseline was calculated as the value of the averaged daily morning PEF over the 8-week treatment period minus the value at Baseline. The analysis was performed using an ANCOVA model with covariates of Baseline trough morning PEF, country, sex, age, and treatment group.

  3. Mean Change From Baseline in the Percentage of Symptom-free 24-hour (hr) Periods During the 8-week Treatment Period [From Baseline up to Week 8]

    Asthma symptoms were recorded in a daily dairy by the participants every day in the morning and evening before taking any rescue or study medication and before PEF measurement. A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no symptoms was considered as symptom-free. The Baseline value was derived from the last 7 days of the daily diary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 8-week Treatment Period minus the value at Baseline. The analysis was performed using an ANCOVA model with covariates of Baseline, country, sex, age, and treatment group.

  4. Mean Change From Baseline in the Percentage of Rescue-free 24-hour (hr) Periods During the 8-week Treatment Period [From Baseline up to Week 8]

    The number of inhalations of rescue albuterol/salbutamol inhalation aerosol used during the day and night was recorded by the participants in a daily diary. A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no use of rescue medication was considered as rescue-free. The Baseline value was derived from the last 7 days of the daily diary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 8-week Treatment Period minus the value at Baseline. The analysis was performed using an ANCOVA model with covariates of Baseline, country, sex, age, and treatment group.

  5. Number Participants Who Withdrew Due to Lack of Efficacy During the 8-week Treatment Period [From the first dose of the study medication up to Week 8/Early Withdrawal]

    The number of participants whose primary reason for withdrawal was lack of efficacy was analyzed.

  6. Number of Participants With Any On-treatment Adverse Event or Serious Adverse Event Throughout the 8-week Treatment Period [From the first dose of the study medication up to Week 8/Early Withdrawal]

    An adverse event (AE) is defined as any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires hospitalization or prolongation of existing hospitalization; results in disability/incapacity; or is a congenital anomaly/birth defect. Medical or scientific judgment should have been exercised in other situations. Refer to the general AE/SAE module for a list of AEs (occurring at a frequency threshold >=3%) and SAEs.

  7. Number of Participants With Clinical/Visual Evidence of Oropharyngeal Candidiasis [From Baseline up to Week 8/Early Withdrawal]

    A detailed oropharyngeal examination for visual evidence of oral candidiasis was performed.

  8. Percentage of Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils in the Blood at Baseline and Week 8 [Baseline and Week 8]

    Blood samples were collected for the measurement of the percentage of basophils, eosinophils, lymphocytes, monocytes, and total neutrophils in the blood at Baseline (BL) and Week 8 (W8). The Baseline value was the measurement taken at screening (Visit 1).

  9. Hematocrit at Baseline and Week 8 [Baseline and Week 8]

    Blood samples were collected for the measurement of hematocrit at Baseline and Week 8. The Baseline value was the measurement taken at screening (Visit 1).

  10. Hemoglobin at Baseline and Week 8 [Baseline and Week 8]

    Blood samples were collected for the measurement of hemoglobin at Baseline and Week 8. The Baseline value was the measurement taken at screening (Visit 1).

  11. Platelet Count and White Blood Cell Count at Baseline and Week 8 [Baseline and Week 8]

    Blood samples were collected for determining the platelet count and white blood cell (WBC) count at Baseline and Week 8. The Baseline value was the measurement taken at screening (Visit 1).

  12. Red Blood Cell Count at Baseline and Week 8 [Baseline and Week 8]

    Blood samples were collected for determining the red blood cell count at Baseline and Week 8. The Baseline value was the measurement taken at screening (Visit1).

  13. Clinical Chemistry Parameters of Alanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), Gamma Glutamyl Transferase (GGT), and Lactate Dehydrogenase (LDH) at Baseline and Week 8 [Baseline and Week 8]

    Blood samples were collected for the measurement of ALT, ALP, AST, GGT, and LDH at Baseline and Week 8. The Baseline value was the measurement taken at screening (Visit 1).

  14. Clinical Chemistry Parameters of Albumin and Total Protein at Baseline and Week 8 [Baseline and Week 8]

    Blood samples were collected for the measurement of albumin and total protein at Baseline and Week 8. The Baseline value was the measurement taken at screening (Visit 1).

  15. Clinical Chemistry Parameters of Calcium, Carbon Dioxide Content/Bicarbonate, Chloride, Cholesterol, Glucose, Phosphorus Inorganic, Potassium, Sodium, and Urea at Baseline and Week 8 [Baseline and Week 8]

    Blood samples were collected for the measurement of calcium, carbon dioxide content/bicarbonate (CO2/BI), chloride, cholesterol, glucose, phosphorus inorganic (PI), potassium, sodium, and urea at Baseline and Week 8. The Baseline value was the measurement taken at screening (Visit 1).

  16. Clinical Chemistry Parameters of Creatinine, Direct Bilirubin, Total Bilirubin, and Uric Acid at Baseline and Week 8 [Baseline and Week 8]

    Blood samples were collected for the measurement of creatinine, direct bilirubin (DBIL), total bilirubin (TBIL), and uric acid at Baseline and Week 8. The Baseline value was the measurement taken at screening (Visit 1).

  17. Number of Participants With the Indicated Result for the Indicated Urinalysis Parameters Tested by Dipstick at Baseline and Week 8/Withdrawal [Baseline and Week 8/Early Withdrawal]

    Urinalysis parameters included: Urine Occult Blood (UOB), Urine Glucose (UG), Urine Ketones (UK), Urine Protein (UP), and Urine Leukocyte Esterase test for detecting White Blood Cells (UWBC). The dipstick was a strip used to detect the presence or absence of these parameters in the urine sample. The dipstick test gives results in a semi-quantitative manner; results for urinalysis parameters can be read as 1+, 2+, 3+, Large, Moderate, Negative (Neg), Small, and Trace. For UG, the result can be read as Neg, Trace, Trace or 1/10 grams per deciliter (G/dL), 1+ or 1/4 G/dL, 2+ or 1/2 G/dL, 3+ or 1 G/dL, 4+ or 2 or more G/dL, indicating proportional concentrations in the urine sample. Data are reported as the number of participants who had 1+, 2+, 3+, Large, Moderate, Neg, Small, or Trace levels at Baseline (BL) and Week 8 (W8)/Early Withdrawal (EW). The Baseline value was the measurement taken at screening (Visit 1).

  18. Urine Specific Gravity at Baseline and Week 8/Early Withdrawal [Baseline and Week 8/Early Withdrawal]

    Urine samples were collected for the measurement of urine specific gravity by dipstick method at Baseline and at Week 8/Early Withdrawal. The Baseline value was the measurement taken at screening (Visit 1). Specific gravity is a measure of the amount of material dissolved in the urine. Specific gravity is the ratio of the density (mass of a unit volume) of a substance to the density (mass of the same unit volume) of a reference substance. Normal urine has a specific gravity between 1.010 and 1.020.

  19. Urine pH at Baseline and Week 8/Early Withdrawal [Baseline and Week 8/Early Withdrawal]

    Urine samples were collected for the measurement of urine pH by dipstick method at Baseline and at Week 8/Early Withdrawal. The Baseline value was the measurement taken at screening (Visit 1). Urine pH is an acid-base measurement. pH is measured on a numeric scale ranging from 0 to 14; values on the scale refer to the degree of alkalinity or acidity. A pH of 7 is neutral. A pH less than 7 is acidic, and a pH greater than 7 is basic. Normal urine has a slightly acid pH (5.0 - 6.0).

  20. 24-hour Urinary Cortisol Excretion at Baseline and Week 8 [Baseline and Week 8]

    A 24-hour urine sample was collected for the measurement of 24-hour urinary cortisol excretion at the following scheduled time points: within 7 days prior to Study Visit 3 (Baseline; Week 0) and Study Visit 8 (Week 8). The Baseline value for 24-hour urinary cortisol was taken from Visit 3.

  21. Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Week 8 [Baseline and Week 8]

    Change from Baseline was calculated as the Week 8 value minus the Baseline value.

  22. Change From Baseline in Heart Rate at Week 8 [Baseline and Week 8]

    Change from Baseline was calculated as the Week 8 value minus the Baseline value.

Eligibility Criteria

Criteria

Ages Eligible for Study:
12 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
INCLUSION CRITERIA:
Subjects eligible for enrolment in the study must meet all of the following criteria:
  • Type of Subject: Outpatient

  • Age: 12 years of age or older at Visit 1. For sites in the following countries, subjects recruited will be ≥18 years of age: Bulgaria, Czech Republic, Germany, Greece, Lithuania, New Zealand, Russian Federation, Turkey and any other countries where local regulations or the regulatory status of study medication permit enrolment of adults only.

    1. Gender: Male or Eligible Female
  • To be eligible for entry into the study, females of childbearing potential must commit to consistent and correct use of an acceptable method of birth control, as defined by the following:

  • Male partner who is sterile prior to the female subject's entry into the study and is the sole sexual partner for that female subject

  • Implants of levonorgestrel

  • Injectable progestogen

  • Oral contraceptive (either combined estrogen/progestin or progestin only)

  • Any intrauterine device (IUD) with a documented failure rate of less than 1% per year.

  • Females of childbearing potential who are not sexually active must commit to complete abstinence from intercourse throughout the clinical trial and for a period after the trial to account for elimination of the drug (minimum of six days).

  • Double barrier method - spermicide plus a mechanical barrier (e.g., spermicide plus a male condom or a spermicide and female diaphragm).

  • NB: For German sites, female subjects must use a method of birth control other than the double barrier method.

  • The contraceptive transdermal patch, Ortho Evra (if the subject is less than 198 pounds)

  • Female subjects should not be enrolled if they are pregnant, lactating or plan to become pregnant during the time of study participation. A serum pregnancy test is required of all females. This test will be performed at the initial screening visit (Visit 1) and Visit 8. In addition, a urine pregnancy test will be performed on the evening of the double-blind treatment visit, prior to randomization (Visit 3) and at Visits 4 through 7.

  • Asthma Diagnosis: Asthma as defined by the National Institutes of Health [National Institutes of Health, 2007].

  • Severity of Disease: A best FEV1 of 40%-85% of the predicted normal value during the morning Visit 1 screening period or a best FEV1 of 40%-90% of the predicted normal value during the evening Visit 1 screening period.

  • Reversibility of Disease: Demonstrated a ≥ 12% and ≥200mL reversibility of FEV1 within approximately 30-minutes following 4 inhalations of albuterol/salbutamol inhalation aerosol (if required, spacers are permitted for reversibility testing only) or one nebulized albuterol/salbutamol solution during the screening period.

Re-screening of subjects during the Visit 1 screening period: If a subject does not meet the inclusion criteria based upon FEV1 percent predicted and/or reversibility, the subject may return to the site once within 4 days and repeat the lung function tests.

  • Current Anti-Asthma Therapy: Subjects must have been using a inhaled corticosteroid for at least 8 weeks prior to Visit 1 and maintained on a stable dose of inhaled corticosteroids for four weeks prior to Visit 1 at one of the following doses: [fluticasone propionate MDI CFC/HFA >176 ≤ 440mcg exactuator or > 200 ≤500mcg ex valve]; [fluticasone propionate DPI > 200≤500mcg]; [beclomethasone dipropionate DPI > 420 ≤ 840mcg exactuator or > 500 ≤ 1000mcg ex-valve]; [beclomethasone dipropionate HFA Qvar > 160 ≤ 480mcg exactuator or > 200 ≤ 500mcg ex-valve]; [budesonide DPI MDI >400 ≤1200mcg]; [flunisolide > 1000 ≤ 2000mcg]; [triamcinolone acetonide >1000 ≤1600mcg]; [mometasone furoate DPI >200 ≤ 440mcg]; [ciclesonide MDI HFA >160 mcg ≤ 320mcg ex-actuator dose / >200mcg ≤ 400mcg ex-valve dose}

  • Short- Acting Beta2-Agonists: All subjects must be able to replace their current short-acting beta2-agonists with albuterol/salbutamol inhalation aerosol at Visit 1 for use as needed for the duration of the study. The use of spacer devices with metered dose inhaler (MDI) or nebulized albuterol/salbutamol will not be allowed during the study with the exception of their use during reversibility testing at Visit

  1. Subjects must be able to withhold all inhaled short-acting beta sympathomimetic bronchodilators for at least 6 hours prior to all study visits.
  • Informed Consent: All subjects must be able and willing to give written informed consent to take part in the study.

  • Compliance: Subjects must be able to comply with completion of the Daily Diary (includes paper medical conditions diary).

  • French subjects: In France, a subject will be eligible for inclusion in this study only if either affiliated to or a beneficiary of a social security category.

Inclusion Criteria for Randomization

At the end of the run-in period, a subject will be eligible to enter the treatment period of the study if he/she meets the following criteria at Visit 3:

  1. Evening pre-dose percent predicted FEV1 of between 40% and 90% of their predicted normal.

  2. Any combination of the daily asthma symptom scores (day-time plus night-time) of ≥1 or albuterol/salbutamol use on at least 4 of the last 7 consecutive days of the run-in period (immediately preceding Visit 3).

EXCLUSION CRITERIA:
  • History of Life-threatening asthma: Defined for this protocol as an asthma episode that required intubation and/or was associated with hypercapnia, respiratory arrest or hypoxic seizures.

  • 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 Visit 1 and 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.

  • Asthma Exacerbation: Any asthma exacerbation requiring oral corticosteroids within 3 months of Visit 1. A subject must not have had any hospitalization for asthma within 6 months prior to Visit 1.

  • Concurrent Diseases/Abnormalities: Historical or current evidence of clinically significant uncontrolled disease including, but not limited to: cardiovascular disease, hepatic disease, renal disease, hematological disease, neurological disease, or pulmonary disease (including, but not confined to chronic bronchitis, emphysema, bronchiectasis with the need of treatment, cystic fibrosis, bronchopulmonary dysplasia, and chronic obstructive pulmonary disease). Significant is defined as any disease that, in the opinion of the investigator, would put the safety of the subject at risk through participation, or which would affect the efficacy or safety analysis if the disease/condition exacerbated during the study. The list of additional excluded conditions/diseases includes, but is not limited to the following: congestive heart failure, clinically significant coronary artery disease, stroke within 3 months of Visit 1, poorly controlled peptic ulcer, immunologic compromise, tuberculosis (current or untreated), Addison's disease, uncontrolled thyroid disorder, known aortic aneurysm, clinically significant cardiac arrhythmia, uncontrolled hypertension, hematological, hepatic, or renal disease, current malignancy, cushings disease, uncontrolled diabetes mellitus, recent history of drug or alcohol abuse.

  • Oropharyngeal Examination: A subject will not be eligible for the run-in if he/she has clinical visual evidence of oral candidiasis at Visit 1.

  • Investigational Medications: A subject must not have participated in a study or used any investigational drug within 30 days prior to Visit 1.

  • 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 novel dry powder inhaler or DISKUS/ACCUHALER (i.e., lactose or magnesium stearate).

  • Milk Protein Allergy: History of severe milk protein allergy.

  • Immunosuppressive Medications: A subject must not be using, or require use, of immunosuppressive medications during the study. NOTE: Immunotherapy for the treatment of allergies is allowed during the study provided that the treatment was initiated prior to Visit 1 and the subject is maintained on a stable regimen throughout the study period.

  • Attendance: A subject will not be eligible if he/she or his/her parent or legal guardian has any infirmity, disability, or geographical location which seems likely (in the opinion of the Investigator) to impair compliance with any aspect of this study protocol or scheduled visits to the study center and non-compliant with study medication or procedures (e.g. completion of daily diary). Neurological or psychiatric disease or history of drug or alcohol abuse which in the opinion of the investigator could interfere with the subject's proper completion of the protocol requirements excludes study participation.

  • Tobacco Use : Current smoker or a smoking history of 10 pack years or more (e.g. 20 cigarettes/day for 10 years). A subject may not have used tobacco products within the past one year (i.e., cigarettes, cigars, or pipe tobacco).

  • Affiliation with Investigator's Site: A subject will not be eligible for this study if he/she is an immediate family member of the participating Investigator, sub-Investigator, study coordinator, or employee of the participating Investigator.

  • Corticosteroid Use: Administration of systemic, oral or depot corticosteroids within 12 weeks of Visit 1.

  • Potent Cytochrome P450 3A4 (CYP3A4) inhibitors: Patients who are receiving potent CYP3A4 inhibitors within 4 weeks of Visit 1 (e.g., ritonavir, ketoconazole, itraconazole).

Exclusion Criteria for Randomization At the end of the run-in period, a subject will not be eligible to enter the treatment period of the study if they meet any of the following criteria.

  1. Clinical Laboratory Abnormalities: Clinically significant abnormal laboratory tests during Visit 1 which are still abnormal upon repeat analysis and are not believed to be due to disease(s) present. Each Investigator will use his/her own discretion in determining the clinical significance of the abnormality. When in doubt, GlaxoSmithKline, or designee, should be notified so that a joint decision can be made.

  2. Changes in asthma medication (excluding albuterol/salbutamol inhalation aerosol provided at Visit 1).

  3. Occurrence of a culture-documented or suspected bacterial or viral infection of the upper or lower respiratory tract, sinus or middle ear during the run-in period 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.

  4. Asthma exacerbation, defined as any worsening of asthma requiring any treatment other than rescue albuterol/salbutamol or regular inhaled corticosteroid use. This includes requiring the use of systemic corticosteroids and / or emergency room visit or hospitalization or a change in subject's regular inhaled corticosteroid dose.

  5. A subject will not be eligible for randomization if he/she has an abnormal visual oropharyngeal exam at the randomization Visit 3 (visual clinical evidence of oral candidiasis).

  6. Non-compliance with completion of the Daily Diary, defined as: -Completion of AM and PM symptom scores on less than 4 days out of the last 7 days immediately preceding Visit 3.

  • Completion of AM and PM rescue use on less than 4 days out of the last 7 days immediately preceding Visit 3.

  • Completion of AM and PM PEF measurements on less than 4 days out of the last 7 days immediately preceding Visit 3.

  • Recording run-in asthma medication use on less than 4 days out of the last 7 days immediately preceding Visit 3.

Contacts and Locations

Locations

Site City State Country Postal Code
1 GSK Investigational Site Phoenix Arizona United States 85028
2 GSK Investigational Site Fort Smith Arkansas United States 72903
3 GSK Investigational Site Little Rock Arkansas United States 72211-3733
4 GSK Investigational Site Fresno California United States 93720
5 GSK Investigational Site Granada Hills California United States 91344
6 GSK Investigational Site Huntington Beach California United States 92647
7 GSK Investigational Site Long Beach California United States 90806
8 GSK Investigational Site Long Beach California United States 90808
9 GSK Investigational Site Los Angeles California United States 90048
10 GSK Investigational Site Los Angeles California United States 90095-1752
11 GSK Investigational Site Palmdale California United States 93551
12 GSK Investigational Site Riverside California United States 92506
13 GSK Investigational Site Roseville California United States 95678
14 GSK Investigational Site San Diego California United States 92120
15 GSK Investigational Site Torrance California United States 90505
16 GSK Investigational Site Walnut Creek California United States 94598
17 GSK Investigational Site West Covina California United States 91790
18 GSK Investigational Site Colorado Springs Colorado United States 80910
19 GSK Investigational Site Wheat Ridge Colorado United States 80033
20 GSK Investigational Site Bridgeport Connecticut United States 06606
21 GSK Investigational Site Waterbury Connecticut United States 06708
22 GSK Investigational Site Boca Raton Florida United States 33487
23 GSK Investigational Site Cocoa Florida United States 32927
24 GSK Investigational Site Daytona Beach Florida United States 32114
25 GSK Investigational Site Largo Florida United States 33770
26 GSK Investigational Site Miami Florida United States 33157
27 GSK Investigational Site Miami Florida United States 33175
28 GSK Investigational Site Ocala Florida United States 34471
29 GSK Investigational Site Tampa Florida United States 33613
30 GSK Investigational Site West Palm Beach Florida United States 33401
31 GSK Investigational Site Winter Park Florida United States 32789
32 GSK Investigational Site Gainesville Georgia United States 30501
33 GSK Investigational Site Bloomingdale Illinois United States 60108
34 GSK Investigational Site Chicago Illinois United States 60617
35 GSK Investigational Site DeKalb Illinois United States 60115
36 GSK Investigational Site Gurnee Illinois United States 60031
37 GSK Investigational Site Evansville Indiana United States 47713
38 GSK Investigational Site Iowa City Iowa United States 52240
39 GSK Investigational Site Lenexa Kansas United States 66215
40 GSK Investigational Site Crescent Springs Kentucky United States 41017
41 GSK Investigational Site Metairie Louisiana United States 70002
42 GSK Investigational Site Bangor Maine United States 04401
43 GSK Investigational Site North Dartmouth Massachusetts United States 02747
44 GSK Investigational Site Detroit Michigan United States 48221
45 GSK Investigational Site Taylor Michigan United States 48180
46 GSK Investigational Site Ypsilanti Michigan United States 48197
47 GSK Investigational Site Rochester Minnesota United States 55905
48 GSK Investigational Site Jackson Mississippi United States 39202
49 GSK Investigational Site Rolla Missouri United States 65401
50 GSK Investigational Site Saint Louis Missouri United States 63141
51 GSK Investigational Site Saint Louis Missouri United States 63143
52 GSK Investigational Site Warrensburg Missouri United States 64093
53 GSK Investigational Site Billings Montana United States 59101
54 GSK Investigational Site Butte Montana United States 59701
55 GSK Investigational Site Missoula Montana United States 59808
56 GSK Investigational Site Las Vegas Nevada United States 89107
57 GSK Investigational Site Clifton New Jersey United States 7011
58 GSK Investigational Site Hillsborough New Jersey United States 08844
59 GSK Investigational Site Little Silver New Jersey United States 07739
60 GSK Investigational Site Skillman New Jersey United States 08558
61 GSK Investigational Site East Syracuse New York United States 13057
62 GSK Investigational Site Ithaca New York United States 14850
63 GSK Investigational Site Rockville Centre New York United States 11570
64 GSK Investigational Site Greensboro North Carolina United States 27408
65 GSK Investigational Site Greenville North Carolina United States 27834
66 GSK Investigational Site Raleigh North Carolina United States 27607
67 GSK Investigational Site Canton Ohio United States 44718
68 GSK Investigational Site Cincinnati Ohio United States 45231
69 GSK Investigational Site Cleveland Ohio United States 44113
70 GSK Investigational Site Columbus Ohio United States 43235
71 GSK Investigational Site Oklahoma City Oklahoma United States 73112
72 GSK Investigational Site Oklahoma City Oklahoma United States 73120
73 GSK Investigational Site Eugene Oregon United States 97401
74 GSK Investigational Site Medford Oregon United States 97504
75 GSK Investigational Site Pittsburgh Pennsylvania United States 15243
76 GSK Investigational Site Bluffton South Carolina United States 29910
77 GSK Investigational Site Charleston South Carolina United States 29407
78 GSK Investigational Site Mount Pleasant South Carolina United States 29464
79 GSK Investigational Site Knoxville Tennessee United States 37909
80 GSK Investigational Site Boerne Texas United States 78006
81 GSK Investigational Site Dallas Texas United States 75231
82 GSK Investigational Site Dallas Texas United States 75246
83 GSK Investigational Site Dickinson Texas United States 77539
84 GSK Investigational Site Fort Worth Texas United States 76104
85 GSK Investigational Site Plano Texas United States 75093
86 GSK Investigational Site San Antonio Texas United States 78205
87 GSK Investigational Site San Antonio Texas United States 78229
88 GSK Investigational Site San Antonio Texas United States 78233
89 GSK Investigational Site Waco Texas United States 76712
90 GSK Investigational Site South Burlington Vermont United States 05403
91 GSK Investigational Site Manassas Virginia United States 20110
92 GSK Investigational Site Bellingham Washington United States 98225
93 GSK Investigational Site Spokane Washington United States 99204
94 GSK Investigational Site Spokane Washington United States 99207
95 GSK Investigational Site Adelaide South Australia Australia 5000
96 GSK Investigational Site Clayton Victoria Australia 3168
97 GSK Investigational Site Nedlands Western Australia Australia 6009
98 GSK Investigational Site Pleven Bulgaria 5800
99 GSK Investigational Site Ruse Bulgaria 7000
100 GSK Investigational Site Sofia Bulgaria 1431
101 GSK Investigational Site Bay Roberts Newfoundland and Labrador Canada A0A 1G0
102 GSK Investigational Site Ajax Ontario Canada L1S 2J5
103 GSK Investigational Site Brampton Ontario Canada L6T 3T1
104 GSK Investigational Site Mississauga Ontario Canada L5M 2V8
105 GSK Investigational Site Ottawa Ontario Canada K1Y 4G2
106 GSK Investigational Site Toronto Ontario Canada M3H 5S4
107 GSK Investigational Site Quebec City Quebec Canada G1V 4M6
108 GSK Investigational Site Sainte-Foy Quebec Canada G1V 4G5
109 GSK Investigational Site Sherbrooke Quebec Canada J1H 1Z1
110 GSK Investigational Site Puente Alto - Santiago Región Metro De Santiago Chile 8207257
111 GSK Investigational Site Santiago Región Metro De Santiago Chile 7500551
112 GSK Investigational Site Valparaiso Valparaíso Chile 2341131
113 GSK Investigational Site Santiago Chile 8380453
114 GSK Investigational Site Beroun Czechia 266 01
115 GSK Investigational Site Brno Czechia 639 00
116 GSK Investigational Site Kutna Hora Czechia 284 01
117 GSK Investigational Site Tabor Czechia
118 GSK Investigational Site Tallinn Estonia 13619
119 GSK Investigational Site Tartu Estonia 51014
120 GSK Investigational Site Grenoble France 38000
121 GSK Investigational Site Marseille France 13009
122 GSK Investigational Site Montpellier France 34295
123 GSK Investigational Site Nantes France 44093
124 GSK Investigational Site Gelnhausen Hessen Germany 63571
125 GSK Investigational Site Hannover Niedersachsen Germany 30167
126 GSK Investigational Site Berlin Germany 10367
127 GSK Investigational Site Berlin Germany 10717
128 GSK Investigational Site Berlin Germany 13597
129 GSK Investigational Site Guadalajara Jalisco Mexico 44100
130 GSK Investigational Site Zapopan Jalisco Mexico 45040
131 GSK Investigational Site Distrito Federal Mexico 06760
132 GSK Investigational Site Mexico Mexico 04530
133 GSK Investigational Site Mexico Mexico 11550
134 GSK Investigational Site Amsterdam Netherlands 1034 CS
135 GSK Investigational Site Eindhoven Netherlands 5623 EJ
136 GSK Investigational Site Hengelo Netherlands 7555 DL
137 GSK Investigational Site Schiedam Netherlands 3116 BA
138 GSK Investigational Site Utrecht Netherlands 3584 EA
139 GSK Investigational Site Lima Peru Lima 1
140 GSK Investigational Site Lima Peru Lima 27
141 GSK Investigational Site Bialystok Poland 15-276
142 GSK Investigational Site Warszawa Poland 02-097
143 GSK Investigational Site Wroclaw Poland 50-434
144 GSK Investigational Site Irkutsk Russian Federation 664005
145 GSK Investigational Site Kazan Russian Federation 420015
146 GSK Investigational Site Moscow Russian Federation 115 280
147 GSK Investigational Site Moscow Russian Federation 123367
148 GSK Investigational Site Tomsk Russian Federation 634001
149 GSK Investigational Site Amanzimtoti South Africa 4126
150 GSK Investigational Site Bellville South Africa 7530
151 GSK Investigational Site Durban South Africa 4001
152 GSK Investigational Site Mowbray South Africa 7700
153 GSK Investigational Site Bangkok Thailand 10330
154 GSK Investigational Site Bangkok Thailand 10400

Sponsors and Collaborators

  • GlaxoSmithKline

Investigators

  • Study Director: GSK Clinical Trials, GlaxoSmithKline

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

Responsible Party:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT00603746
Other Study ID Numbers:
  • FFA109684
First Posted:
Jan 29, 2008
Last Update Posted:
Sep 15, 2017
Last Verified:
Aug 1, 2017
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Keywords provided by GlaxoSmithKline
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail Participants (par.) meeting eligibility criteria at the Screening visit completed a 28-day Run-in Period for Baseline safety evaluations and measures of asthma status. Par. were then randomized to an 8-week Treatment Period. 1175 par. were screened, and 627 par. were randomized, out of which 622 par. received at least one dose of study treatment.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the
Period Title: Overall Study
STARTED 103 99 101 107 102 110
COMPLETED 65 81 93 94 85 97
NOT COMPLETED 38 18 8 13 17 13

Baseline Characteristics

Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID Total
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Total of all reporting groups
Overall Participants 103 99 101 107 102 110 622
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
47.2
(14.03)
45.7
(15.02)
47.2
(14.39)
45.7
(14.38)
46.6
(14.09)
46.1
(13.86)
46.4
(14.25)
Sex: Female, Male (Count of Participants)
Female
64
62.1%
63
63.6%
62
61.4%
67
62.6%
63
61.8%
68
61.8%
387
62.2%
Male
39
37.9%
36
36.4%
39
38.6%
40
37.4%
39
38.2%
42
38.2%
235
37.8%
Race/Ethnicity, Customized (participants) [Number]
African American/African Heritage (HER)
2
1.9%
3
3%
3
3%
4
3.7%
4
3.9%
4
3.6%
20
3.2%
American Indian or Alaska Native
6
5.8%
7
7.1%
5
5%
8
7.5%
5
4.9%
7
6.4%
38
6.1%
Central/South Asian HER
2
1.9%
3
3%
1
1%
4
3.7%
1
1%
1
0.9%
12
1.9%
Japanese/East Asian HER/South East Asian HER
4
3.9%
6
6.1%
6
5.9%
7
6.5%
6
5.9%
6
5.5%
35
5.6%
White
83
80.6%
74
74.7%
80
79.2%
77
72%
80
78.4%
83
75.5%
477
76.7%
American Indian or Alaska Native & Asian & White
0
0%
1
1%
0
0%
0
0%
0
0%
0
0%
1
0.2%
American Indian or Alaska Native & White
6
5.8%
5
5.1%
6
5.9%
7
6.5%
6
5.9%
8
7.3%
38
6.1%
Missing
0
0%
0
0%
0
0%
0
0%
0
0%
1
0.9%
1
0.2%

Outcome Measures

1. Primary Outcome
Title Mean Change From Baseline in Trough (Evening Pre-dose and Pre- Rescue Bronchodilator) FEV1 at Week 8
Description Pulmonary function was measured by forced expiratory volume in one second (FEV1), defined as the maximal amount of air that can be forcibly exhaled from the lungs in one second. Pre-dose and pre-rescue bronchodilator (albuterol/salbutamol) trough FEV1 (the measurement of FEV1 performed at the end of the dosing interval) was measured electronically by spirometry in the evening at the Baseline (BL) through Week 8 clinic visits. The highest of 3 technically acceptable measurements was recorded. The Visit 3 FEV1 assessment was used as the Baseline value. Change from Baseline in trough FEV1 was calculated as the value at Week 8 minus the value at Baseline. The analysis was performed using an Analysis of Covariance (ANCOVA) model with covariates of Baseline trough FEV1, country, sex, age, and treatment group.
Time Frame Baseline and Week 8

Outcome Measure Data

Analysis Population Description
Intent-to-Treat (ITT) Population: all participants randomized to treatment who received at least one dose of study medication. The last observation carried forward (LOCF) method was used to impute missing data, in which the last non-missing post-BL on-treatment measurement (scheduled and unscheduled visits) was used to impute missing measurements.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 103 99 101 107 102 110
Least Squares Mean (Standard Error) [Liters]
-0.043
(0.0338)
0.232
(0.0347)
0.229
(0.0342)
0.221
(0.0332)
0.182
(0.0342)
0.155
(0.0332)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, GW685698X 200 µg OD
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Median Difference (Final Values)
Estimated Value 0.275
Confidence Interval () 95%
0.180 to 0.370
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, GW685698X 400 µg OD
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Median Difference (Final Values)
Estimated Value 0.272
Confidence Interval (2-Sided) 95%
0.178 to 0.367
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, GW685698X 600 µg OD
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Median Difference (Final Values)
Estimated Value 0.264
Confidence Interval (2-Sided) 95%
0.171 to 0.357
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, GW685698X 800 µg OD
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 0.225
Confidence Interval (2-Sided) 95%
0.131 to 0.320
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, FP 500 µg BID
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 0.198
Confidence Interval (2-Sided) 95%
0.105 to 0.291
Parameter Dispersion Type:
Value:
Estimation Comments
2. Secondary Outcome
Title Mean Change From Baseline in Daily Trough (Pre-dose and Pre-rescue Bronchodilator) Evening Peak Expiratory Flow (PEF) Averaged Over the 8-week Treatment Period
Description PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. Trough PEF is defined as the maximal rate (speed) that a person can exhale during a short maximal expiratory effort after a full inspiration. PEF was measured by the participants using a hand-held electronic peak flow meter each evening prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. The best of three attempts was recorded by the participants in a daily diary. The Baseline value was derived from the last 7 days of the daily diary prior to the randomization of the participant. Change from Baseline was calculated as the value of the averaged daily evening PEF over the 8-week treatment period minus the value at Baseline. The analysis was performed using an ANCOVA model with covariates of Baseline trough evening PEF, country, sex, age, and treatment group.
Time Frame From Baseline up to Week 8

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 100 99 101 107 101 109
Least Squares Mean (Standard Error) [Liters per minute]
-5.1
(3.32)
11.9
(3.32)
14.5
(3.29)
11.7
(3.20)
16.3
(3.30)
11.1
(3.17)
3. Secondary Outcome
Title Mean Change From Baseline in Daily Morning PEF Averaged Over the 8-week Treatment Period
Description PEF is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. Trough PEF is defined as the maximal rate (speed) that a person can exhale during a short maximal expiratory effort after a full inspiration. PEF was measured by the participants using a hand-held electronic peak flow meter each morning prior to the dose of study medication and any rescue albuterol/salbutamol inhalation aerosol use. The best of three attempts was recorded by the participants in a daily diary. The Baseline value was derived from the last 7 days of the daily diary prior to the randomization of the participant. Change from Baseline was calculated as the value of the averaged daily morning PEF over the 8-week treatment period minus the value at Baseline. The analysis was performed using an ANCOVA model with covariates of Baseline trough morning PEF, country, sex, age, and treatment group.
Time Frame From Baseline up to Week 8

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 101 99 101 107 101 109
Least Squares Mean (Standard Error) [Liters per minute]
-7.3
(3.32)
19.6
(3.34)
20.9
(3.31)
16.7
(3.22)
20.7
(3.32)
16.5
(3.19)
4. Secondary Outcome
Title Mean Change From Baseline in the Percentage of Symptom-free 24-hour (hr) Periods During the 8-week Treatment Period
Description Asthma symptoms were recorded in a daily dairy by the participants every day in the morning and evening before taking any rescue or study medication and before PEF measurement. A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no symptoms was considered as symptom-free. The Baseline value was derived from the last 7 days of the daily diary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 8-week Treatment Period minus the value at Baseline. The analysis was performed using an ANCOVA model with covariates of Baseline, country, sex, age, and treatment group.
Time Frame From Baseline up to Week 8

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 101 99 101 107 101 110
Least Squares Mean (Standard Error) [Percentage of symptom-free 24-hr periods]
6.4
(2.71)
20.1
(2.74)
19.6
(2.71)
15.1
(2.63)
18.5
(2.71)
15.4
(2.61)
5. Secondary Outcome
Title Mean Change From Baseline in the Percentage of Rescue-free 24-hour (hr) Periods During the 8-week Treatment Period
Description The number of inhalations of rescue albuterol/salbutamol inhalation aerosol used during the day and night was recorded by the participants in a daily diary. A 24-hour period in which a participant's responses to both the morning and evening assessments indicated no use of rescue medication was considered as rescue-free. The Baseline value was derived from the last 7 days of the daily diary prior to the randomization of the participant. Change from Baseline was calculated as the averaged value during the 8-week Treatment Period minus the value at Baseline. The analysis was performed using an ANCOVA model with covariates of Baseline, country, sex, age, and treatment group.
Time Frame From Baseline up to Week 8

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 101 99 101 107 101 110
Least Squares Mean (Standard Error) [Percentage of rescue-free 24-hr periods]
3.6
(2.75)
17.9
(2.78)
21.1
(2.75)
17.4
(2.67)
22.3
(2.75)
16.7
(2.63)
6. Secondary Outcome
Title Number Participants Who Withdrew Due to Lack of Efficacy During the 8-week Treatment Period
Description The number of participants whose primary reason for withdrawal was lack of efficacy was analyzed.
Time Frame From the first dose of the study medication up to Week 8/Early Withdrawal

Outcome Measure Data

Analysis Population Description
ITT Population
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 103 99 101 107 102 110
Number [participants]
34
33%
11
11.1%
6
5.9%
11
10.3%
12
11.8%
8
7.3%
7. Secondary Outcome
Title Number of Participants With Any On-treatment Adverse Event or Serious Adverse Event Throughout the 8-week Treatment Period
Description An adverse event (AE) is defined as any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires hospitalization or prolongation of existing hospitalization; results in disability/incapacity; or is a congenital anomaly/birth defect. Medical or scientific judgment should have been exercised in other situations. Refer to the general AE/SAE module for a list of AEs (occurring at a frequency threshold >=3%) and SAEs.
Time Frame From the first dose of the study medication up to Week 8/Early Withdrawal

Outcome Measure Data

Analysis Population Description
ITT Population
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 103 99 101 107 102 110
Any AE
23
22.3%
31
31.3%
34
33.7%
37
34.6%
36
35.3%
39
35.5%
Any SAE
1
1%
2
2%
0
0%
1
0.9%
0
0%
2
1.8%
8. Secondary Outcome
Title Number of Participants With Clinical/Visual Evidence of Oropharyngeal Candidiasis
Description A detailed oropharyngeal examination for visual evidence of oral candidiasis was performed.
Time Frame From Baseline up to Week 8/Early Withdrawal

Outcome Measure Data

Analysis Population Description
ITT Population
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 103 99 101 107 102 110
Clinical evidence
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
No clinical evidence
103
100%
99
100%
101
100%
107
100%
102
100%
110
100%
9. Secondary Outcome
Title Percentage of Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils in the Blood at Baseline and Week 8
Description Blood samples were collected for the measurement of the percentage of basophils, eosinophils, lymphocytes, monocytes, and total neutrophils in the blood at Baseline (BL) and Week 8 (W8). The Baseline value was the measurement taken at screening (Visit 1).
Time Frame Baseline and Week 8

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the ITT Population.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 103 99 101 107 102 110
Basophils, BL, n=96, 98, 96, 101, 96, 104
0.31
(0.211)
0.38
(0.315)
0.35
(0.252)
0.34
(0.306)
0.36
(0.220)
0.34
(0.181)
Basophils, W 8, n=64, 78, 86, 88, 80, 93
0.38
(0.191)
0.35
(0.199)
0.28
(0.172)
0.26
(0.164)
0.31
(0.175)
0.30
(0.159)
Eosinophils, BL, n=96, 98, 96, 101, 96, 104
4.21
(3.241)
4.11
(3.024)
3.70
(2.942)
4.34
(3.148)
3.74
(2.543)
3.50
(2.675)
Eosinophils, W 8, n=64, 78, 86, 88, 80, 93
3.92
(2.835)
3.54
(2.784)
2.76
(1.943)
2.94
(3.395)
2.14
(2.076)
3.31
(2.815)
Lymphocytes, BL, n=96, 98, 96, 101, 96, 104
32.23
(7.231)
32.31
(8.344)
33.48
(9.299)
32.03
(7.813)
33.33
(7.990)
30.13
(8.938)
Lymphocytes, W 8, n=64, 78, 86, 88, 80, 93
30.87
(8.332)
30.64
(7.046)
30.28
(8.734)
27.64
(9.216)
29.50
(9.763)
29.23
(8.205)
Monocytes, BL, n=96, 98, 96, 101, 96, 104
5.03
(2.337)
4.75
(1.765)
5.23
(2.580)
4.89
(1.896)
5.19
(2.384)
5.06
(1.989)
Monocytes, W 8, n=64, 78, 86, 88, 80, 93
5.07
(1.885)
4.53
(2.025)
4.82
(2.087)
4.50
(2.188)
4.64
(2.224)
4.97
(2.150)
Total neutrophils, BL, n=96, 98, 96, 101, 96, 104
58.22
(8.020)
58.45
(9.166)
57.08
(10.168)
58.41
(8.589)
57.33
(8.627)
60.96
(10.096)
Total neutrophils, W 8, n=64, 78, 86, 88, 80, 93
59.78
(9.101)
60.95
(7.819)
61.87
(9.175)
64.67
(10.031)
63.41
(10.926)
62.19
(9.128)
10. Secondary Outcome
Title Hematocrit at Baseline and Week 8
Description Blood samples were collected for the measurement of hematocrit at Baseline and Week 8. The Baseline value was the measurement taken at screening (Visit 1).
Time Frame Baseline and Week 8

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the ITT Population.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 103 99 101 107 102 110
Baseline, n=95, 98, 96, 100, 94, 104
0.43
(0.039)
0.43
(0.034)
0.42
(0.035)
0.42
(0.042)
0.43
(0.038)
0.42
(0.043)
Week 8, n=64, 78, 86, 89, 80, 93
0.43
(0.040)
0.42
(0.036)
0.42
(0.035)
0.42
(0.042)
0.43
(0.037)
0.42
(0.043)
11. Secondary Outcome
Title Hemoglobin at Baseline and Week 8
Description Blood samples were collected for the measurement of hemoglobin at Baseline and Week 8. The Baseline value was the measurement taken at screening (Visit 1).
Time Frame Baseline and Week 8

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the ITT Population.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 103 99 101 107 102 110
Baseline, n=95, 98, 96, 100, 94, 104
139.99
(13.230)
140.20
(11.183)
139.35
(11.577)
138.50
(14.987)
140.91
(13.023)
138.53
(14.770)
Week 8, n=64, 78, 86, 89, 80, 93
139.63
(12.359)
137.42
(11.461)
137.56
(11.747)
135.81
(13.847)
140.64
(12.679)
137.31
(14.650)
12. Secondary Outcome
Title Platelet Count and White Blood Cell Count at Baseline and Week 8
Description Blood samples were collected for determining the platelet count and white blood cell (WBC) count at Baseline and Week 8. The Baseline value was the measurement taken at screening (Visit 1).
Time Frame Baseline and Week 8

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the ITT Population.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 103 99 101 107 102 110
Platelet count, BL, n=95, 98, 96, 99, 94, 104
275.76
(58.949)
281.46
(74.550)
270.32
(50.756)
275.62
(56.811)
269.09
(61.890)
269.80
(65.376)
Platelet count, W8, n=64, 78, 86, 89, 79, 93
265.86
(55.155)
285.62
(66.487)
270.77
(50.491)
291.36
(63.650)
280.78
(65.044)
275.48
(65.011)
WBC count, BL, n=95, 98, 96, 99, 94, 104
8.16
(2.182)
7.77
(2.016)
8.01
(2.199)
8.18
(1.807)
7.91
(1.853)
8.25
(2.400)
WBC count, W8, n=64, 78, 86, 88, 80, 93
7.84
(1.944)
7.97
(1.671)
8.38
(2.416)
9.10
(2.134)
8.90
(1.964)
8.21
(1.973)
13. Secondary Outcome
Title Red Blood Cell Count at Baseline and Week 8
Description Blood samples were collected for determining the red blood cell count at Baseline and Week 8. The Baseline value was the measurement taken at screening (Visit1).
Time Frame Baseline and Week 8

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the ITT Population.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 103 99 101 107 102 110
Baseline, n=95, 98, 96, 100, 94, 104
4.67
(0.413)
4.69
(0.438)
4.64
(0.413)
4.60
(0.428)
4.66
(0.416)
4.64
(0.421)
Week 8, n=64, 78, 86, 89, 80, 93
4.61
(0.423)
4.64
(0.472)
4.57
(0.383)
4.52
(0.442)
4.65
(0.425)
4.61
(0.430)
14. Secondary Outcome
Title Clinical Chemistry Parameters of Alanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), Gamma Glutamyl Transferase (GGT), and Lactate Dehydrogenase (LDH) at Baseline and Week 8
Description Blood samples were collected for the measurement of ALT, ALP, AST, GGT, and LDH at Baseline and Week 8. The Baseline value was the measurement taken at screening (Visit 1).
Time Frame Baseline and Week 8

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the ITT Population.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 103 99 101 107 102 110
ALT, BL, n=101, 97, 101, 107, 101, 109
22.4
(12.52)
21.0
(10.02)
23.9
(15.07)
23.5
(18.89)
23.1
(14.71)
20.5
(13.26)
ALT, W8, n=66, 79, 91, 90, 86, 96
23.7
(19.99)
20.2
(11.31)
21.6
(14.43)
20.4
(12.33)
22.0
(12.14)
20.7
(14.56)
ALP, BL, n=101, 97, 101, 107, 100, 109
74.7
(21.34)
80.2
(41.24)
90.9
(54.98)
77.1
(38.35)
73.9
(31.02)
76.7
(32.97)
ALP, W8, n=66, 78, 91, 89, 86, 96
75.1
(21.38)
80.4
(54.47)
86.6
(42.66)
74.5
(26.54)
70.6
(26.33)
77.2
(28.25)
AST, BL, n=101, 97, 100, 106, 101, 108
21.6
(6.45)
21.6
(7.11)
23.7
(10.46)
23.3
(20.15)
22.7
(8.42)
21.9
(11.34)
AST, W8, n=66, 78, 91, 89, 85, 96
24.1
(20.87)
21.6
(8.39)
22.0
(11.41)
22.1
(17.12)
22.0
(9.25)
21.4
(8.61)
GGT, BL, n=101, 97, 101, 107, 101, 109
33.0
(26.34)
36.8
(39.79)
40.4
(44.86)
42.3
(109.34)
31.2
(22.88)
28.2
(20.50)
GGT, W8, n=66, 79, 91, 90, 86, 96
36.4
(37.07)
32.7
(22.50)
40.6
(70.55)
47.4
(167.46)
34.1
(28.31)
29.2
(20.01)
LDH, BL, n=101, 97, 100, 106, 101, 108
158.2
(26.10)
162.0
(27.64)
163.5
(35.16)
158.7
(30.24)
161.6
(31.49)
160.6
(24.97)
LDH, W8, n=66, 78, 91, 89, 85, 96
160.4
(43.44)
159.0
(27.52)
163.6
(37.00)
164.6
(35.80)
170.6
(33.92)
164.0
(27.59)
15. Secondary Outcome
Title Clinical Chemistry Parameters of Albumin and Total Protein at Baseline and Week 8
Description Blood samples were collected for the measurement of albumin and total protein at Baseline and Week 8. The Baseline value was the measurement taken at screening (Visit 1).
Time Frame Baseline and Week 8

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the ITT Population.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 103 99 101 107 102 110
Albumin, BL, n=101, 97, 101, 107, 101, 109
44.6
(2.36)
44.9
(3.11)
45.1
(2.91)
44.3
(3.27)
44.8
(3.49)
44.9
(2.96)
Albumin, W8, n=66, 79, 91, 90, 86, 96
44.5
(2.66)
44.8
(3.27)
44.6
(3.32)
44.0
(3.28)
44.1
(3.38)
44.6
(3.07)
Total protein, BL, n=101, 97, 101, 107, 101, 109
72.7
(3.82)
73.4
(3.90)
73.2
(4.15)
73.3
(4.22)
73.1
(4.80)
72.5
(3.85)
Total protein, W8, n=66, 79, 91, 90, 86, 96
72.0
(4.21)
72.6
(3.67)
72.7
(4.54)
72.2
(4.20)
72.0
(4.39)
71.9
(4.34)
16. Secondary Outcome
Title Clinical Chemistry Parameters of Calcium, Carbon Dioxide Content/Bicarbonate, Chloride, Cholesterol, Glucose, Phosphorus Inorganic, Potassium, Sodium, and Urea at Baseline and Week 8
Description Blood samples were collected for the measurement of calcium, carbon dioxide content/bicarbonate (CO2/BI), chloride, cholesterol, glucose, phosphorus inorganic (PI), potassium, sodium, and urea at Baseline and Week 8. The Baseline value was the measurement taken at screening (Visit 1).
Time Frame Baseline and Week 8

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the ITT Population.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 103 99 101 107 102 110
Calcium, BL, n=101, 97, 100, 106, 101, 108
2.3
(0.07)
2.3
(0.10)
2.4
(0.09)
2.3
(0.09)
2.3
(0.09)
2.3
(0.09)
Calcium, W8, n=66, 78, 91, 89, 85, 96
2.3
(0.09)
2.3
(0.11)
2.4
(0.10)
2.3
(0.11)
2.3
(0.10)
2.3
(0.09)
CO2/BI, BL, n=101, 97, 100, 106, 101, 108
23.2
(2.45)
22.9
(2.75)
23.3
(2.39)
22.6
(2.87)
23.1
(2.56)
23.2
(2.33)
CO2/BI, W8, n=66, 78, 91, 89, 85, 96
22.7
(3.01)
22.7
(2.68)
23.5
(2.71)
22.6
(2.56)
23.3
(2.11)
22.9
(2.73)
Chloride, BL, n=101, 97, 101, 107, 101, 109
104.8
(2.45)
104.4
(2.24)
104.1
(2.84)
104.3
(2.24)
104.4
(2.25)
105.0
(2.80)
Chloride, W8, n=66, 79, 91, 90, 86, 96
105.0
(2.52)
104.4
(2.46)
103.9
(2.84)
104.3
(2.46)
104.1
(2.68)
104.9
(2.79)
Cholesterol, BL, n=101, 97, 101, 107, 101, 109
5.4
(1.04)
5.3
(1.11)
5.3
(1.13)
5.3
(1.21)
5.5
(1.15)
5.1
(1.08)
Cholesterol, W8, n=66, 79, 91, 90, 86, 96
5.3
(1.00)
5.2
(1.09)
5.2
(1.07)
5.4
(1.24)
5.5
(1.03)
5.2
(1.17)
Glucose, BL, n=101, 97, 101, 107
5.3
(0.81)
5.5
(2.36)
5.2
(1.27)
5.2
(1.14)
5.4
(1.73)
5.3
(0.91)
Glucose, W8, n=66, 78, 91, 90, 86, 96
5.2
(1.38)
5.3
(1.81)
5.5
(3.24)
5.2
(1.19)
5.4
(1.91)
5.3
(1.16)
PI, BL, n=101, 97, 101, 107, 101, 109
1.1
(0.18)
1.1
(0.18)
1.2
(0.22)
1.2
(0.19)
1.2
(0.19)
1.1
(0.18)
PI, W8, n=66, 79, 91, 90, 86, 96
1.2
(0.16)
1.2
(0.17)
1.2
(0.15)
1.2
(0.16)
1.2
(0.17)
1.2
(0.16)
Potassium, BL, n=101, 97, 100, 106, 101, 108
4.2
(0.38)
4.3
(0.47)
4.2
(0.51)
4.2
(0.41)
4.2
(0.30)
4.2
(0.41)
Potassium, W8, n=66, 78, 91, 89, 85, 96
4.2
(0.36)
4.2
(0.60)
4.2
(0.41)
4.2
(0.38)
4.2
(0.32)
4.2
(0.36)
Sodium, BL, n=101, 97, 101, 107, 101, 109
140.8
(1.93)
140.4
(1.92)
140.4
(2.06)
140.1
(1.93)
140.1
(1.64)
140.8
(1.95)
Sodium, W8, n=66, 79, 91, 90, 86, 96
140.5
(2.15)
140.3
(2.17)
140.3
(2.09)
140.1
(1.99)
140.4
(2.21)
140.6
(2.08)
Urea, BL, n=101, 97, 101, 107, 101, 109
5.7
(1.68)
5.4
(1.49)
5.8
(1.72)
5.0
(1.34)
5.5
(1.52)
5.4
(1.63)
Urea, W8, n=66, 79, 91, 90, 86, 96
5.5
(1.57)
5.4
(1.50)
5.7
(1.37)
5.4
(1.45)
5.6
(1.35)
5.6
(1.55)
17. Secondary Outcome
Title Clinical Chemistry Parameters of Creatinine, Direct Bilirubin, Total Bilirubin, and Uric Acid at Baseline and Week 8
Description Blood samples were collected for the measurement of creatinine, direct bilirubin (DBIL), total bilirubin (TBIL), and uric acid at Baseline and Week 8. The Baseline value was the measurement taken at screening (Visit 1).
Time Frame Baseline and Week 8

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the ITT Population.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 103 99 101 107 102 110
Creatinine, BL, n=101, 97, 101, 107, 101, 109
84.4
(14.89)
79.8
(14.17)
79.4
(15.86)
78.8
(14.12)
81.4
(13.90)
82.0
(18.12)
Creatinine, W8, n=66, 79, 91, 90, 86, 96
83.2
(15.84)
79.9
(12.40)
78.6
(15.25)
78.7
(13.95)
81.7
(13.87)
81.3
(18.02)
DBIL, BL, n=101, 97, 101, 107, 101, 109
2.0
(0.92)
2.0
(1.08)
2.1
(1.15)
2.0
(1.05)
1.7
(0.94)
2.1
(1.38)
DBIL, W8, n=65, 78, 91, 90, 86, 96
1.7
(0.75)
1.8
(0.91)
2.1
(1.19)
1.9
(1.22)
1.7
(0.82)
2.0
(1.20)
TBIL, BL, n=101, 97, 101, 107, 101, 109
9.4
(4.67)
9.9
(4.87)
9.8
(5.19)
9.7
(5.00)
8.2
(3.31)
10.3
(5.86)
TBIL, W8, n=66, 79, 91, 90, 86, 96
8.3
(3.68)
9.0
(4.44)
9.8
(5.10)
9.4
(5.65)
8.6
(3.33)
9.6
(4.76)
Uric acid, BL, n=101, 97, 101, 107, 101, 109
323.3
(102.51)
326.1
(75.18)
330.4
(81.69)
322.1
(87.22)
330.8
(90.07)
310.6
(83.25)
Uric acid, W8, n=66, 79, 91, 90, 86, 96
326.2
(104.11)
318.5
(75.93)
319.2
(89.12)
305.8
(91.04)
316.5
(92.80)
322.7
(88.44)
18. Secondary Outcome
Title Number of Participants With the Indicated Result for the Indicated Urinalysis Parameters Tested by Dipstick at Baseline and Week 8/Withdrawal
Description Urinalysis parameters included: Urine Occult Blood (UOB), Urine Glucose (UG), Urine Ketones (UK), Urine Protein (UP), and Urine Leukocyte Esterase test for detecting White Blood Cells (UWBC). The dipstick was a strip used to detect the presence or absence of these parameters in the urine sample. The dipstick test gives results in a semi-quantitative manner; results for urinalysis parameters can be read as 1+, 2+, 3+, Large, Moderate, Negative (Neg), Small, and Trace. For UG, the result can be read as Neg, Trace, Trace or 1/10 grams per deciliter (G/dL), 1+ or 1/4 G/dL, 2+ or 1/2 G/dL, 3+ or 1 G/dL, 4+ or 2 or more G/dL, indicating proportional concentrations in the urine sample. Data are reported as the number of participants who had 1+, 2+, 3+, Large, Moderate, Neg, Small, or Trace levels at Baseline (BL) and Week 8 (W8)/Early Withdrawal (EW). The Baseline value was the measurement taken at screening (Visit 1).
Time Frame Baseline and Week 8/Early Withdrawal

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the ITT Population.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 103 99 101 107 102 110
UOB, 1+, BL, n=97, 98, 96, 102, 95, 103
0
0%
3
3%
3
3%
0
0%
1
1%
4
3.6%
UOB, 2+, BL, n=97, 98, 96, 102, 95, 103
3
2.9%
1
1%
2
2%
1
0.9%
3
2.9%
0
0%
UOB, 3+, BL, n=97, 98, 96, 102, 95, 103
0
0%
0
0%
4
4%
2
1.9%
1
1%
1
0.9%
UOB, Large, BL, n=97, 98, 96, 102, 95, 103
0
0%
1
1%
0
0%
1
0.9%
0
0%
0
0%
UOB, Moderate, BL, n=97, 98, 96, 102, 95, 103
1
1%
0
0%
1
1%
0
0%
0
0%
0
0%
UOB, Neg, BL, n=97, 98, 96, 102, 95, 103
87
84.5%
87
87.9%
81
80.2%
93
86.9%
83
81.4%
95
86.4%
UOB, Small, BL, n=97, 98, 96, 102, 95, 103
0
0%
2
2%
0
0%
0
0%
0
0%
0
0%
UOB, Trace, BL, n=97, 98, 96, 102, 95, 103
6
5.8%
4
4%
5
5%
5
4.7%
7
6.9%
3
2.7%
UOB, 1+, W8, n=65, 79, 88, 90, 80, 92
1
1%
0
0%
0
0%
4
3.7%
1
1%
1
0.9%
UOB, 2+, W8, n=65, 79, 88, 90, 80, 92
0
0%
1
1%
2
2%
3
2.8%
0
0%
1
0.9%
UOB, 3+, W8, n=65, 79, 88, 90, 80, 92
1
1%
2
2%
3
3%
2
1.9%
0
0%
2
1.8%
UOB, Large, W8, n=65, 79, 88, 90, 80, 92
0
0%
0
0%
0
0%
1
0.9%
0
0%
0
0%
UOB, Moderate, W8, n=65, 79, 88, 90, 80, 92
0
0%
0
0%
1
1%
1
0.9%
0
0%
0
0%
UOB, Neg, W8, n=65, 79, 88, 90, 80, 92
57
55.3%
71
71.7%
75
74.3%
71
66.4%
72
70.6%
79
71.8%
UOB, Small, W8, n=65, 79, 88, 90, 80, 92
0
0%
0
0%
0
0%
1
0.9%
0
0%
0
0%
UOB, Trace, W8, n=65, 79, 88, 90, 80, 92
6
5.8%
5
5.1%
7
6.9%
7
6.5%
7
6.9%
9
8.2%
UOB, Neg, EW, n=7, 0, 1, 4, 80, 92
7
6.8%
0
0%
1
1%
4
3.7%
5
4.9%
4
3.6%
UG, 1+ or 1/4 G/DL, BL, n=97, 98, 96, 102, 95, 103
0
0%
0
0%
1
1%
0
0%
0
0%
1
0.9%
UG, 2+ or 1/2 G/DL, BL, n=97, 98, 96, 102, 95, 103
0
0%
0
0%
0
0%
1
0.9%
0
0%
0
0%
UG, 3+ or 1 G/DL, BL, n=97, 98, 96, 102, 95, 103
0
0%
2
2%
0
0%
1
0.9%
1
1%
0
0%
UG, Neg, BL, n=97, 98, 96, 102, 95, 103
97
94.2%
95
96%
93
92.1%
99
92.5%
94
92.2%
101
91.8%
UG, Trace, BL, n=97, 98, 96, 102, 95, 103
0
0%
0
0%
0
0%
0
0%
0
0%
1
0.9%
UG, Trace, 1/10 G/DL, BL, n=97, 98, 96, 102,95,103
0
0%
1
1%
2
2%
1
0.9%
0
0%
0
0%
UG, 1+ or 1/4 G/DL, W8, n=65, 79, 88, 90, 80, 92
0
0%
1
1%
2
2%
1
0.9%
1
1%
0
0%
UG, 3+ or 1 G/DL, W8, n=65, 79, 88, 90, 80, 92
1
1%
0
0%
1
1%
0
0%
1
1%
0
0%
UG, 4+ or 2 or more G/DL, W8, n=65, 79,88,90,80,92
0
0%
1
1%
1
1%
0
0%
0
0%
0
0%
UG, Neg, W8, n=65, 79, 88, 90, 80, 92
63
61.2%
77
77.8%
83
82.2%
88
82.2%
78
76.5%
90
81.8%
UG, Trace, W8, n=65, 79, 88, 90, 80, 92
0
0%
0
0%
0
0%
1
0.9%
0
0%
1
0.9%
UG, Trace or 1/10 G/DL, W8, n=65, 79, 88, 90,80,92
1
1%
0
0%
1
1%
0
0%
0
0%
1
0.9%
UG, Neg, EW, n=7, 0, 1, 4, 80, 92
7
6.8%
0
0%
1
1%
4
3.7%
5
4.9%
4
3.6%
UK, 1+, BL, n=97, 98, 96, 102, 95, 103
1
1%
0
0%
0
0%
0
0%
1
1%
0
0%
UK, Neg, BL, n=97, 98, 96, 102, 95, 103
93
90.3%
97
98%
93
92.1%
101
94.4%
91
89.2%
99
90%
UK, Trace, BL, n=97, 98, 96, 102, 95, 103
3
2.9%
1
1%
3
3%
1
0.9%
3
2.9%
4
3.6%
UK, Neg, W8, n=65, 79, 88, 90, 80, 92
63
61.2%
78
78.8%
86
85.1%
86
80.4%
78
76.5%
87
79.1%
UK, Trace, W8, n=65, 79, 88, 90, 80, 92
2
1.9%
1
1%
2
2%
4
3.7%
2
2%
5
4.5%
UK, Neg, EW, n=7, 0, 1, 4, 5, 4
7
6.8%
0
0%
1
1%
4
3.7%
5
4.9%
4
3.6%
UP, 1+, BL, n=97, 98, 96, 102, 95, 103
3
2.9%
3
3%
5
5%
7
6.5%
3
2.9%
3
2.7%
UP, 2+, BL, n=97, 98, 96, 102, 95, 103
0
0%
0
0%
3
3%
0
0%
0
0%
0
0%
UP, 3+, BL, n=97, 98, 96, 102, 95, 103
0
0%
0
0%
0
0%
1
0.9%
0
0%
1
0.9%
UP, Neg, BL, n=97, 98, 96, 102, 95, 103
90
87.4%
84
84.8%
80
79.2%
88
82.2%
85
83.3%
82
74.5%
UP, Trace, BL, n=97, 98, 96, 102, 95, 103
4
3.9%
11
11.1%
8
7.9%
6
5.6%
7
6.9%
17
15.5%
UP, 1+, W8, n=65, 79, 88, 90, 80, 92
1
1%
1
1%
5
5%
5
4.7%
2
2%
3
2.7%
UP, 2+, W8, n=65, 79, 88, 90, 80, 92
2
1.9%
0
0%
0
0%
1
0.9%
0
0%
0
0%
UP, 3+, W8, n=65, 79, 88, 90, 80, 92
0
0%
0
0%
0
0%
0
0%
0
0%
1
0.9%
UP, Neg, W8, n=65, 79, 88, 90, 80, 92
56
54.4%
69
69.7%
77
76.2%
77
72%
71
69.6%
81
73.6%
UP, Trace, W8, n=65, 79, 88, 90, 80, 92
6
5.8%
9
9.1%
6
5.9%
7
6.5%
7
6.9%
7
6.4%
UP, Neg, EW, n=7, 0, 1, 4, 5, 4
6
5.8%
0
0%
0
0%
4
3.7%
5
4.9%
4
3.6%
UP, Trace, EW, n=7, 0, 1, 4, 5, 4
1
1%
0
0%
1
1%
0
0%
0
0%
0
0%
UWBC, 1+, BL, n=97, 98, 96, 102, 95, 103
3
2.9%
9
9.1%
4
4%
9
8.4%
6
5.9%
3
2.7%
UWBC, 2+, BL, n=97, 98, 96, 102, 95, 103
1
1%
1
1%
3
3%
1
0.9%
3
2.9%
2
1.8%
UWBC, 3+, BL, n=97, 98, 96, 102, 95, 103
0
0%
2
2%
1
1%
0
0%
1
1%
4
3.6%
UWBC, Moderate, BL, n=97, 98, 96, 102, 95, 103
1
1%
1
1%
0
0%
1
0.9%
0
0%
0
0%
UWBC, Neg, BL, n=97, 98, 96, 102, 95, 103
88
85.4%
78
78.8%
83
82.2%
85
79.4%
83
81.4%
81
73.6%
UWBC, Small, BL, n=97, 98, 96, 102, 95, 103
0
0%
2
2%
3
3%
0
0%
0
0%
2
1.8%
UWBC, Trace, BL, n=97, 98, 96, 102, 95, 103
4
3.9%
5
5.1%
2
2%
6
5.6%
2
2%
11
10%
UWBC, 1+, W8, n=65, 79, 88, 90, 80, 92
3
2.9%
5
5.1%
5
5%
8
7.5%
4
3.9%
8
7.3%
UWBC, 2+, W8, n=65, 79, 88, 90, 80, 92
0
0%
1
1%
0
0%
2
1.9%
5
4.9%
5
4.5%
UWBC, 3+, W8, n=65, 79, 88, 90, 80, 92
0
0%
1
1%
1
1%
1
0.9%
2
2%
1
0.9%
UWBC, Large, W8, n=65, 79, 88, 90, 80, 92
0
0%
0
0%
0
0%
0
0%
0
0%
1
0.9%
UWBC, Moderate, W8, n=65, 79, 88, 90, 80, 92
1
1%
1
1%
1
1%
1
0.9%
0
0%
0
0%
UWBC, Neg, W8, n=65, 79, 88, 90, 80, 92
58
56.3%
69
69.7%
75
74.3%
72
67.3%
65
63.7%
71
64.5%
UWBC, Small, W8, n=65, 79, 88, 90, 80, 92
1
1%
0
0%
0
0%
0
0%
0
0%
1
0.9%
UWBC, Trace, W8, n=65, 79, 88, 90, 80, 92
2
1.9%
2
2%
6
5.9%
6
5.6%
4
3.9%
5
4.5%
UWBC, 1+, EW, n=7, 0, 1, 4, 5, 4
2
1.9%
0
0%
0
0%
0
0%
0
0%
0
0%
UWBC, Neg, EW, n=7, 0, 1, 4, 5, 4
4
3.9%
0
0%
1
1%
4
3.7%
5
4.9%
4
3.6%
UWBC, Small, EW, n=7, 0, 1, 4, 5, 4
1
1%
0
0%
0
0%
0
0%
0
0%
0
0%
19. Secondary Outcome
Title Urine Specific Gravity at Baseline and Week 8/Early Withdrawal
Description Urine samples were collected for the measurement of urine specific gravity by dipstick method at Baseline and at Week 8/Early Withdrawal. The Baseline value was the measurement taken at screening (Visit 1). Specific gravity is a measure of the amount of material dissolved in the urine. Specific gravity is the ratio of the density (mass of a unit volume) of a substance to the density (mass of the same unit volume) of a reference substance. Normal urine has a specific gravity between 1.010 and 1.020.
Time Frame Baseline and Week 8/Early Withdrawal

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the ITT Population.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 103 99 101 107 102 110
Baseline, n=97, 98, 96, 102, 95, 103
1.0221
(0.00721)
1.0232
(0.00762)
1.0217
(0.00786)
1.0223
(0.00653)
1.0210
(0.00692)
1.0218
(0.00774)
Week 8, n=65, 79, 88, 90, 80, 92
1.0223
(0.00633)
1.0214
(0.00690)
1.0223
(0.00730)
1.0230
(0.00680)
1.0214
(0.00702)
1.0228
(0.00813)
EW, n=7, 0, 1, 4, 5, 4
1.0203
(0.00685)
NA
(NA)
1.0380
(NA)
1.0255
(0.00311)
1.0200
(0.00863)
1.0233
(0.00506)
20. Secondary Outcome
Title Urine pH at Baseline and Week 8/Early Withdrawal
Description Urine samples were collected for the measurement of urine pH by dipstick method at Baseline and at Week 8/Early Withdrawal. The Baseline value was the measurement taken at screening (Visit 1). Urine pH is an acid-base measurement. pH is measured on a numeric scale ranging from 0 to 14; values on the scale refer to the degree of alkalinity or acidity. A pH of 7 is neutral. A pH less than 7 is acidic, and a pH greater than 7 is basic. Normal urine has a slightly acid pH (5.0 - 6.0).
Time Frame Baseline and Week 8/Early Withdrawal

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the ITT Population.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 103 99 101 107 102 110
Baseline, n=97, 98, 96, 102, 95, 103
6.01
(0.405)
5.93
(0.429)
6.01
(0.441)
6.00
(0.482)
5.92
(0.486)
5.88
(0.415)
Week 8, n=65, 79, 88, 90, 80, 92
6.11
(0.534)
6.00
(0.416)
5.91
(0.469)
5.97
(0.494)
5.98
(0.493)
6.04
(0.464)
EW, n=7, 0, 1, 4, 5, 4
5.71
(0.267)
NA
(NA)
6.00
(NA)
5.88
(0.479)
5.60
(0.418)
5.88
(0.250)
21. Secondary Outcome
Title 24-hour Urinary Cortisol Excretion at Baseline and Week 8
Description A 24-hour urine sample was collected for the measurement of 24-hour urinary cortisol excretion at the following scheduled time points: within 7 days prior to Study Visit 3 (Baseline; Week 0) and Study Visit 8 (Week 8). The Baseline value for 24-hour urinary cortisol was taken from Visit 3.
Time Frame Baseline and Week 8

Outcome Measure Data

Analysis Population Description
Urine Cortisol (UC) Population: all participants whose urine samples did not have confounding factors that could affect the interpretation of results
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 52 71 74 71 66 80
Baseline
52.55
66.00
54.65
67.50
51.30
70.12
Week 8
51.79
69.40
55.19
49.80
22.99
62.35
22. Secondary Outcome
Title Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Week 8
Description Change from Baseline was calculated as the Week 8 value minus the Baseline value.
Time Frame Baseline and Week 8

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 66 82 93 95 86 97
SBP
-0.4
(11.17)
-1.2
(9.96)
-1.9
(9.56)
-0.8
(11.07)
0.0
(11.57)
-2.8
(11.32)
DBP
1.0
(8.28)
-1.0
(8.36)
-0.9
(8.37)
1.7
(7.74)
1.8
(8.72)
-1.5
(9.48)
23. Secondary Outcome
Title Change From Baseline in Heart Rate at Week 8
Description Change from Baseline was calculated as the Week 8 value minus the Baseline value.
Time Frame Baseline and Week 8

Outcome Measure Data

Analysis Population Description
ITT Population. Only those participants available at the specified time points were analyzed.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
Measure Participants 66 82 93 95 86 97
Mean (Standard Deviation) [Beats per minute]
0.7
(8.07)
-0.8
(9.40)
0.2
(8.89)
-0.1
(8.70)
-0.4
(8.24)
-0.0
(8.60)

Adverse Events

Time Frame Serious adverse events (SAEs) and non-serious AEs were collected from the start of study medication to the end of the the treatment period (up to Week 8).
Adverse Event Reporting Description SAEs and non-serious AEs were reported for members of the Intent-to-Treat (ITT) Population, comprised of all participants randomized to treatment who received at least one dose of trial medication during the treatment period.
Arm/Group Title Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Arm/Group Description Participants received placebo once daily (OD) in the evening from the dry powder inhaler (DPI) and placebo twice daily (BID) from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 200 micrograms (µg) OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 400 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 600 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received GW685698X 800 µg OD in the evening from the DPI and placebo BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period. Participants received fluticasone propionate (FP) 500 µg BID from the DISKUS/ACCUHALER (one inhalation in the morning and one inhalation in the evening) plus placebo OD in the evening from the DPI for 8 weeks. Albuterol/salbutamol inhalation aerosol was provided to be used as needed for symptomatic relief of asthma symptoms during the Treatment Period.
All Cause Mortality
Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1/103 (1%) 2/99 (2%) 0/101 (0%) 1/107 (0.9%) 0/102 (0%) 2/110 (1.8%)
Infections and infestations
Gastrointestinal infection 0/103 (0%) 1/99 (1%) 0/101 (0%) 0/107 (0%) 0/102 (0%) 0/110 (0%)
Pneumonia 0/103 (0%) 1/99 (1%) 0/101 (0%) 0/107 (0%) 0/102 (0%) 0/110 (0%)
Injury, poisoning and procedural complications
Overdose 0/103 (0%) 0/99 (0%) 0/101 (0%) 1/107 (0.9%) 0/102 (0%) 1/110 (0.9%)
Pregnancy, puerperium and perinatal conditions
Abortion spontaneous 0/103 (0%) 0/99 (0%) 0/101 (0%) 0/107 (0%) 0/102 (0%) 0/110 (0%)
Psychiatric disorders
Suicide attempt 0/103 (0%) 0/99 (0%) 0/101 (0%) 0/107 (0%) 0/102 (0%) 1/110 (0.9%)
Respiratory, thoracic and mediastinal disorders
Asthma 1/103 (1%) 0/99 (0%) 0/101 (0%) 0/107 (0%) 0/102 (0%) 1/110 (0.9%)
Other (Not Including Serious) Adverse Events
Placebo GW685698X 200 µg OD GW685698X 400 µg OD GW685698X 600 µg OD GW685698X 800 µg OD FP 500 µg BID
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 15/103 (14.6%) 18/99 (18.2%) 21/101 (20.8%) 21/107 (19.6%) 26/102 (25.5%) 21/110 (19.1%)
Infections and infestations
Nasopharyngitis 4/103 (3.9%) 3/99 (3%) 5/101 (5%) 2/107 (1.9%) 7/102 (6.9%) 4/110 (3.6%)
Oropharyngeal candidiasis 1/103 (1%) 4/99 (4%) 4/101 (4%) 1/107 (0.9%) 4/102 (3.9%) 4/110 (3.6%)
Oral candidiasis 0/103 (0%) 2/99 (2%) 2/101 (2%) 1/107 (0.9%) 7/102 (6.9%) 0/110 (0%)
Musculoskeletal and connective tissue disorders
Back pain 1/103 (1%) 1/99 (1%) 1/101 (1%) 4/107 (3.7%) 2/102 (2%) 0/110 (0%)
Nervous system disorders
Headache 10/103 (9.7%) 3/99 (3%) 10/101 (9.9%) 12/107 (11.2%) 10/102 (9.8%) 10/110 (9.1%)
Respiratory, thoracic and mediastinal disorders
Dysphonia 1/103 (1%) 4/99 (4%) 5/101 (5%) 1/107 (0.9%) 4/102 (3.9%) 2/110 (1.8%)
Pharyngolaryngeal pain 1/103 (1%) 2/99 (2%) 0/101 (0%) 3/107 (2.8%) 1/102 (1%) 4/110 (3.6%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.

Results Point of Contact

Name/Title GSK Response Center
Organization GlaxoSmithKline
Phone 866-435-7343
Email
Responsible Party:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT00603746
Other Study ID Numbers:
  • FFA109684
First Posted:
Jan 29, 2008
Last Update Posted:
Sep 15, 2017
Last Verified:
Aug 1, 2017