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Exhibit 99.1

 

POSTER NO. PS108

 

Efficacy and safety of once-daily fluticasone furoate/vilanterol 200/25mcg compared with twice-daily fluticasone propionate 500mcg in asthma patients of Asian ancestry

 

Jiangtao L(1), Crawford J(2), Jacques L(3), Stone S(3)

 


(1)Department of Respiratory Diseases, China-Japan Friendship Hospital, Beijing 100029, China

(2)Quantitative Sciences Division, GlaxoSmithKline, Uxbridge, UK

(3)Respiratory Medicines Development Centre, GlaxoSmithKline, Uxbridge, UK

 

INTRODUCTION

 

·                  Fluticasone furoate (FF)/vilanterol (VI) is a novel once-daily ICS/long-acting beta2-agonist (LABA) combination therapy for the treatment of asthma.

 

·                  Fluticasone proprionate (FP) is an inhaled corticosteroid (ICS) taken twice daily via the DISKUSTM inhaler for the treatment of asthma.

 

·                  FF/VI delivered via the ELLIPTATM dry powder inhaler, has demonstrated 24h effectiveness in asthma patients in global studies(1),(2)

 

·   The 200/25mcg strength significantly improved lung function versus FP 500mcg twice daily over 24 weeks.(2)

 

·           Responses to pharmacotherapy can vary across ethnic groups,(3),(4) including in Asian patients.(4)

 

OBJECTIVES

 

·                  To evaluate the efficacy and safety of once-daily FF/VI 200/25mcg administered in the evening, compared with twice-daily FP 500mcg administered in the morning and evening, in asthma patients of Asian ancestry.

 

METHODS

 

·                  A randomised, double-blind, double-dummy, active-comparator, parallel-group, 12-week multicentre study.

 

·                  Inclusion criteria: aged >12 years; FEV1 40–90% predicted; reversibility of >12% and >200mL within 10–40  minutes following 2–4 inhalations of salbutamol; treated with stable high-dose ICS or mid-dose ICS/LABA therapy for >4 weeks prior to Screening.

 

·                  Patients were randomised (1:1) to receive FF/VI 200/25mcg once daily via the ELLIPTA device (equivalent to a delivered dose of FF/VI 184/22mcg) or FP 500mcg twice daily via the DISKUS inhaler for 12 weeks.

 

·                  Primary endpoint: mean change from baseline in daily evening peak expiratory flow (PEF) averaged over the 12-week treatment period.

 

·                  Secondary endpoints (Weeks 1–12, unless stated)

 

·   Change from baseline in % rescue-free 24h periods

 

·   Mean change from baseline in morning PEF (averaged over Weeks 1–12)

 

·   Change from baseline in % symptom-free 24h periods

 

·   Change from baseline in AQLQ+12 Total score (measured at Week 12).

 

·                  A step-down statistical hierarchy was applied to account for multiplicity across endpoints. Testing of each endpoint was dependent on the achievement of significance at the 5% level for the previous endpoint, in the following order

 

·   Evening PEF > % rescue-free 24h periods > morning PEF > % symptom-free 24h periods > AQLQ score.

 

·                  Safety endpoints included incidence of adverse events (AEs), vital signs, electrocardiogram and laboratory evaluations.

 

RESULTS

 

Table 1. Demographic and baseline characteristics
(ITT population)

 

 

 

FF/VI 200/25

 

FP 500

 

 

 

 

OD
N=155

 

BD
N=154

 

Total
N=309

Age (years)

 

46.9 (12.93)

 

48.8 (13.41)

 

47.9 (13.19)

Male, n (%)

 

59 (38)

 

68 (44)

 

127 (41)

Duration of asthma

 

12.39

 

13.44

 

12.91

(years)

 

(12.857)

 

(13.551)

 

(13.196)

Lung function parameters

 

 

 

 

 

 

FEV1 (L)

 

1.78 (0.493)

 

1.77 (0.552)

 

1.77 (0.523)

% predicted FEV1

 

67.51

 

67.55

 

67.53

 

(13.249)

 

(13.432)

 

(13.319)

% reversibility FEV1

 

27.31

 

26.98

 

27.14

at screening

 

(14.570)

 

(14.262)

 

(14.395)

 

Data are mean (SD) unless otherwise stated; OD=once daily; BD=twice daily

 



 

RESULTS

 

Efficacy

 

·                    FF/VI and FP improved evening PEF compared with baseline
(Figure 1)

 

·   Change from baseline with FF/VI was 39.1L/min (standard error=3.01) and with FP was 10.5L/min (3.03)

 

·   The effect was statistically significantly better (p<0.001) with FF/VI compared with FP (28.5L/min; 95% confidence interval [CI]: 20.1, 36.9).

 

 

·                    Improvements in % rescue-free 24h periods were similar for FF/VI and FP

 

·   The equivalent number of rescue-free days per week was 2.3 with FF/VI and 2.2 with FP

 

·   The adjusted treatment difference (1.0%; 95% CI: —7.3, 9.2) was not statistically significant (p=0.821) (Figure 2).

 

·                    Due to the statistical hierarchy, significance for remaining endpoints could not be inferred.

 

·                    There were numerical improvements in the remaining secondary endpoints for FF/VI compared with FP (Figure 2).

 

 



 

 

RESULTS

 

Safety

 

·                    Incidence of AEs, treatment-related AEs and serious AEs was low and similar for FF/VI and FP (Table 2).

 

·                    There were no fatal AEs.

 

·                    The only treatment-related SAE was asthma (FP 500mcg).

 

·                    Pneumonia was reported by two patients (both with FF/VI 200/25mcg); neither required hospitalisation.

 

·                    There were no clinically significant changes in vital signs, electrocardiogram parameters or clinical laboratory evaluations.

 

Table 2. Summary of adverse events (ITT population)

 

 

 

FF/VI 200/25

 

FP 500

 

 

 

OD

 

BD

 

 

 

N=155

 

N=154

 

All AEs

 

 

 

 

 

On-treatment

 

40 (26)

 

41 (27)

 

On-treatment, treatment-related

 

5 (3)

 

5 (3)

 

On-treatment leading to withdrawal

 

2 (1)

 

2 (1)

 

Post-treatment

 

0

 

1 (<1)

 

SeriousAEs

 

 

 

 

 

On-treatment

 

1 (<1)

 

2 (1)

 

On-treatment, treatment-related

 

0

 

1 (<1)

 

Most frequent(a) on-treatment AEs

 

 

 

 

 

Upper respiratory tract infection

 

13 (8)

 

18 (12)

 

Nasopharyngitis

 

6 (4)

 

6 (4)

 

Rhinitis allergic

 

5 (3)

 

2 (1)

 

Oropharyngeal pain

 

4 (3)

 

1 (<1)

 

 


(a)Occurring in >3% of patients in either treatment group

 

CONCLUSIONS

 

·                    FF/VI 200/25mcg once daily demonstrated clinically and statistically significant improvements in evening PEF compared with FP 500mcg twice daily in Asian asthma patients uncontrolled on high-dose ICS or mid-dose ICS/LABA.

 

·                    There were numerical improvements across the secondary endpoints with FF/VI 200/25mcg versus FP 500mcg.

 

·                    The safety profile of FF/VI 200/25mcg was broadly similar to that of FP 500mcg.

 

·                    The results are generally consistent with a previously published global study that compared FF/VI 200/25mcg with FP 500mcg.(2)

 


REFERENCES

 

(1)         Woodcock A, et al. Chest 2013;144:1222–9.

(2)         O’Byrne PM, et al. Eur Respir J 2013;Oct 17:ePub ahead of print.

(3)         Bjornsson TD,et al. J Clin Pharmacol 2003;43:943–67.

(4)         Huang SM, et al. Clin Pharmacol Ther 2008;84:287–94.

 

ACKNOWLEDGMENTS

 

·                    The presenting author, Dr Jiangtao Lin has received speaker’s honoraria from AstraZeneca, GlaxoSmithKline and MSD, and has been a member of global advisory boards for Boehringer Ingelheim.

 

·                    The study was funded by GlaxoSmithKline (GSK study code HZA113714 (clinicaltrials.gov registration number: NCT01498653).

 

·                    Editorial support (in the form of writing assistance, assembling tables and figures, collating author comments, grammatical editing and referencing) was provided by Laura Maguire, MChem at Gardiner-Caldwell Communications (Macclesfield, UK) and was funded by GlaxoSmithKline.

 

       

 

DISKUS™ and ELLIPTA™ are trade marks of the GlaxoSmithKline group of companies

 

Presented at the 18th Congress of the Asian Pacific Society of Respirology, Yokohama, Japan, 11–14 November 2013