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CTRI Number  CTRI/2009/091/001015 [Registered on: 31/05/2010]
Last Modified On: 07/01/2013
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Other 
Public Title of Study
Modification(s)  
FLT3507: A study to assess the efficacy and safety of FLUTIFORM® pMDI 125/5 μg (2 puffs bid) vs Symbicort® Turbohaler® 200/6 μg (2 puffs bid) in adolescent and adult subjects with moderate to severe persistent, reversible asthma. 
Scientific Title of Study   FLT3507: A double blind, double dummy, randomised, multicentre, two arm parallel group study to assess the efficacy and safety of FLUTIFORM® pMDI 125/5 μg (2 puffs bid) vs Symbicort® Turbohaler® 200/6 μg (2 puffs bid) in adolescent and adult subjects with moderate to severe persistent, reversible asthma. 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
2009-017223-25  EudraCT 
FLT3507 Version 1.0  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Ataali shaikh 
Designation  Senior Director 
Affiliation  Kendle India Pvt Ltd 
Address  Kendle India Pvt Ltd. Unit 002, Ground Floor, Tower C, Cyber Park, Sector 39,

Gurgaon
HARYANA
122001
India 
Phone  912241922000  
Fax    
Email  shaikh.ataali@kendle.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  DrMamta Singh 
Designation   
Affiliation  Kendle India Pvt Ltd 
Address  Kendle India Pvt Ltd. Unit 002, Ground Floor, Tower C, Cyber Park, Sector 39,

Gurgaon
HARYANA
122001
India 
Phone    
Fax    
Email  masingh@incresearch.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  DrMamta Singh 
Designation   
Affiliation  Kendle India Pvt Ltd 
Address  Kendle India Pvt Ltd. Unit 002, Ground Floor, Tower C, Cyber Park, Sector 39,

Gurgaon
HARYANA
122001
India 
Phone    
Fax    
Email  masingh@incresearch.com  
 
Source of Monetary or Material Support
Modification(s)  
Kendle India Pvt Ltd 
NIL 
 
Primary Sponsor
Modification(s)  
Name  Mundipharma Research Limited UK 
Address  Cambridge Science Park, Milton road, Cambridge CB40AB,UK 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
Kendle India Pvt Ltd  Ground floor, Tower C, Cyber park, Sector 39, Gurgaon, Haryana 122001, India 
NIL   
 
Countries of Recruitment
Modification(s)  
  India
Bulgaria
Hungary
Poland
Romania  
Sites of Study
Modification(s)  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Tushar Patel  "Consultant Pulmonologist and Critical Care Specialist, G-9436, Sterling Hospital, Sterling Hospital Road, Memnagar"   ,-380052
Ahmadabad
GUJARAT 
91 79 4001 111

drtusharpatel@yahoo.com  
Dr George D'souza   "Department of Medicine, Division of Chest Medicine St. Johns Medical College, Sarjahpur Road. "   ,-560034
Bangalore
KARNATAKA 
918022065508

dsouza.ga@gmail.com  
Dr Ajay Shah  "Shrey Hospital Pvt Ltd. 270/B/5, Near AMCO Bank, Behind Navrangpura Bus Stop"   ,-380009
Ahmadabad
GUJARAT 
91 79 27502590

doctoranshah@yahoo.com  
Dr Amrutha D Holla   Allergy Asthma Associates, Mysore   "Allergy Asthma Associates 1#397, 4th Cross, Krishnamurthypuram, MYSORE - 570 004," ,-570 004

 
08212432543

amruthadh@yahoo.com 
Dr. Salil Bhargava   Gyanpushp Research Centre for Allergy & Chest Diseases, Indore  Gyanpushp Research Centre for Allergy and Chest Diseases,SURABHI" 76, Dhar kothi,Residency Area,-452001
Indore
MADHYA PRADESH 
07312711611

bhargavasalil@hotmail.com 
Dr Mathew Thomas  Health and Research Centre  T.C. 1/907, 1st Floor, Devi Scans Building Kumarapuram Medical College P.O."
Thiruvananthapuram
KERALA 
914712554911

healthtrials@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Ethics committee of Diabetes thyroid hormone research institute for Dr Salil Bhargava site  Approved 
Ethics committee of the health care clinic for Dr Ajay Shah Site  Approved 
Ethics committee, Allergy asthma associates for Dr Amrutha Hulla site   Approved 
Health And Research Centre for Doctor Thomas site  Approved 
St Johns medical college and hospital institutional ethics review board for Dr George D souza site  Approved 
sterling hospital ethics committee for Dr Tushar Patel site  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Asthma Bronchiale,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Intervention  FLUTIFORM TM Inhaler  Dosage:2 puffs unit strength-125/5 microgram, dosing frequency:q12h Mode of administration:Inhaled Duration:12 weeks 
Comparator Agent  Symbicort® Turbohaler  Dosage form: 2 puffs unit strength-200/6 microgram Dosing frequency:q12h Mode of administration:Inhaled duration of treatment-12 weeks 
 
Inclusion Criteria
Modification(s)  
Age From  12.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Male or female subjects at least 12 years old.
2. Female subjects less than one year post-menopausal must have a negative urine pregnancy test recorded at the screening visit prior to the first dose of study medication, be non-lactating, and willing to use adequate and highly effective methods of contraception throughout the study. A highly effective method of birth control is defined as those which result in a low failure rate (i.e., less than 1% per year) when used consistently and correctly such as sterilisation, implants, injectables, combined oral contraceptives, some IUDs (Intrauterine Device, hormonal), sexual abstinence or vasectomised partner.
3. Known history of moderate to severe persistent, reversible asthma for ≥ 6 months prior to the Screening Visit characterised by: Treatment with an inhaled corticosteroid (ICS) at a dose of 250 , 1000 μg fluticasone or equivalent OR Treatment wth ICS at a dose of 200-500 μg fluticasone or equivalent in combination with a Long Acting β2-Agonist (LABA).
4. Demonstrated a FEV1 of ≥ 50% to ≤ 80% for predicted normal values (Quanjer et al., 1993 (adults), and 1995 (adolescents)) during the Screening Period (Visit 1 or Visit 2) following appropriate withholding of asthma medications (if applicable). - No β2-agonist use on day of testing - No use of inhaled combination asthma therapy on day of testing. - Inhaled corticosteroids are allowed on day of testing.
5. Documented reversibility of ≥ 15% in FEV1 at visit 1 or visit 2.
6. Demonstrated satisfactory technique in the use of the study medications i.e. pMDI and Dry Powder Inhaler (DPI) devices.
7. Willing and able to enter information in the electronic diary and attend all study visits.
8. Willing and able to substitute study medication for their pre study prescribed asthma medication for the duration of the study.
9. Written informed consent obtained.
10. Subject has used rescue medication for at least 3 days and had at least one night with sleep disturbance (i.e., sleep disturbance score of ≥ 1) during the last 7 days of the run in period, OR subject has used rescue medication for at least 3 days and had at least 3 days with asthma symptoms (i.e., a symptom score of ≥ 1) during the last 7 days of the run-in period. 
 
ExclusionCriteria 
Details  1. Near fatal or life-threatening (including intubation) asthma within the past year. 2. Hospitalisation or an emergency visit for asthma within the 4 weeks before the Screening Visit. 3. Known history of systemic (injectable or oral) corticosteroid medication use within 1 month of the Screening Visit. 4. Known history of omalizumab use within the past 6 months. 5. Current evidence or known history of any clinically significant disease or abnormality including uncontrolled coronary artery disease, congestive heart failure, myocardial infarction, or cardiac dysrhythmia. Clinically significant‟ is defined as any disease that, in the opinion of the Investigator, would put the subject at risk through study participation, or which would affect the outcome of the study. 6. In the investigator‟s opinion a clinically significant upper or lower respiratory infection within 4 weeks prior to the Screening Visit. 7. Significant, non-reversible, active pulmonary disease (e.g., chronic obstructive pulmonary disease (COPD), cystic fibrosis, bronchiectasis, tuberculosis). 8. Known Human Immunodeficiency Virus (HIV)-positive status. 9. Subject has a smoking history equivalent to 10 pack years (i.e., at least 1 pack of 20 cigarettes/day for 10 years or 10 packs/day for 1 year, etc.). 10. Current smoking history within 12 months prior to the Screening Visit. 11. Current evidence or known history of alcohol and/or substance abuse within 12 months prior to the Screening Visit. 12. Subject has taken -blocking agents, tricyclic antidepressants, monoamine oxidase inhibitors, astemizole (Hismanal), quinidine type antiarrhythmics, or potent CYP 3A4 inhibitors such as ketoconazole within the past week. 13. Current use of medications other than those allowed in the protocol that will have an effect on bronchospasm and/or pulmonary function. 14. Current evidence or known history of hypersensitivity or idiosyncratic reaction to test medications or components. 15. Subject has received an investigational drug within 30 days of the Screening Visit (12 weeks if an oral or injectable steroid). 16. Subject is currently participating in a clinical study. 
 
Method of Generating Random Sequence
Modification(s)  
Computer generated randomization 
Method of Concealment
Modification(s)  
Pre-numbered or coded identical Containers 
Blinding/Masking
Modification(s)  
Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
The primary endpoint is the change in pre-morning dose FEV1 values from baseline to the end of the 12 week treatment period.   at week 12 from baseline to end otf treatment 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
1. asthma quality of life questionnaire (AQLQ(S) ≥12 years)
2. subject‟s assessment of study medication
3. amount of rescue medication use
4. asthma symptom scores
5. sleep disturbance due to asthma
6. discontinuations due to lack of efficacy
7. asthma excacerbations requiring oral/parenteral steroid use or medical intervention
8. compliance with study medication use
9. Post Dose FEV1
10.PEFR, and other lung function parameters. 
at 12 week and from baseline to end end of the treatment 
 
Target Sample Size
Modification(s)  
Total Sample Size="260"
Sample Size from India="140" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
Modification(s)  
Phase 3 
Date of First Enrollment (India)
Modification(s)  
15/06/2010 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  14/04/2010 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
none 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
Expected date of first enrollment in India is 3 June 2010. 72 Subject will be recruited from India. 35 Subject will be recruited from Bulgaria. 32 Subject will be recruited from Hungry. 102 Subject will be recruited from Poland. 19 Subject will be recruited from Romania.  
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