Trial Outcomes & Findings for Improving Asthma Control in the Real World: A Systematic Approach to Improving Dulera Adherence (NCT NCT02045875)

NCT ID: NCT02045875

Last Updated: 2018-06-20

Results Overview

Asthma Control Questionnaire measured at each office visit. ACQ integrates values by 6 clinical questions related to symptoms and the value related to FEV1% predicted with a total score ranging from 0-6 and higher values indicating poorer asthma control.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

50 participants

Primary outcome timeframe

Baseline, one, two and three months

Results posted on

2018-06-20

Participant Flow

Participant milestones

Participant milestones
Measure
Dulera Adherence Monitoring
Adherence Monitoring Dulera; Identification of adherence barrier(s); Motivational Interviewing Adherence Strategies to promote adherence Dulera: Dulera is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist, FDA approved and indicated for treatment of asthma in patients 12 years of age and older.
Dulera Standard of Asthma Care
Dulera standard of asthma care Dulera: Dulera is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist, FDA approved and indicated for treatment of asthma in patients 12 years of age and older.
Overall Study
STARTED
27
23
Overall Study
COMPLETED
20
20
Overall Study
NOT COMPLETED
7
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Dulera Adherence Monitoring
Adherence Monitoring Dulera; Identification of adherence barrier(s); Motivational Interviewing Adherence Strategies to promote adherence Dulera: Dulera is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist, FDA approved and indicated for treatment of asthma in patients 12 years of age and older.
Dulera Standard of Asthma Care
Dulera standard of asthma care Dulera: Dulera is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist, FDA approved and indicated for treatment of asthma in patients 12 years of age and older.
Overall Study
Lost to Follow-up
3
0
Overall Study
Withdrawal by Subject
4
3

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dulera Adherence Monitoring
n=20 Participants
Adherence Monitoring Dulera; Identification of adherence barrier(s); Motivational Interviewing Adherence Strategies to promote adherence Dulera: Dulera is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist, FDA approved and indicated for treatment of asthma in patients 12 years of age and older.
Dulera Standard of Asthma Care
n=20 Participants
Dulera standard of asthma care Dulera: Dulera is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist, FDA approved and indicated for treatment of asthma in patients 12 years of age and older.
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
41 years
n=20 Participants
39 years
n=20 Participants
40 years
n=40 Participants
Sex: Female, Male
Female
12 Participants
n=20 Participants
15 Participants
n=20 Participants
27 Participants
n=40 Participants
Sex: Female, Male
Male
8 Participants
n=20 Participants
5 Participants
n=20 Participants
13 Participants
n=40 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
20 Participants
n=20 Participants
20 Participants
n=20 Participants
40 Participants
n=40 Participants

PRIMARY outcome

Timeframe: Baseline, one, two and three months

Population: All patients who completed ACQ at 4 clinical visits were included in the analysis

Asthma Control Questionnaire measured at each office visit. ACQ integrates values by 6 clinical questions related to symptoms and the value related to FEV1% predicted with a total score ranging from 0-6 and higher values indicating poorer asthma control.

Outcome measures

Outcome measures
Measure
Dulera Adherence Monitoring
n=19 Participants
Adherence Monitoring Dulera; Identification of adherence barrier(s); Motivational Interviewing Adherence Strategies to promote adherence Dulera: Dulera is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist, FDA approved and indicated for treatment of asthma in patients 12 years of age and older.
Dulera Standard of Asthma Care
n=20 Participants
Dulera standard of asthma care Dulera: Dulera is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist, FDA approved and indicated for treatment of asthma in patients 12 years of age and older.
Asthma Control
baseline
1.857 units on a scale
Standard Deviation 0.924
1.592 units on a scale
Standard Deviation 0.839
Asthma Control
one month
1.792 units on a scale
Standard Deviation 1.359
1.578 units on a scale
Standard Deviation 0.855
Asthma Control
two month
1.345 units on a scale
Standard Deviation 1.184
1.488 units on a scale
Standard Deviation 0.947
Asthma Control
three month
1.105 units on a scale
Standard Deviation 0.806
1.407 units on a scale
Standard Deviation 0.759

SECONDARY outcome

Timeframe: week 2. months 1, 2, and 3

Population: Data was only collected in the interventional group.

Subjects in the monitoring group will have adherence greater than or equal to the 60% benchmark Adherence was calculated by taking the number of doses actually taken divided by the number of doses prescribed and multiplying by 100.

Outcome measures

Outcome measures
Measure
Dulera Adherence Monitoring
n=20 Participants
Adherence Monitoring Dulera; Identification of adherence barrier(s); Motivational Interviewing Adherence Strategies to promote adherence Dulera: Dulera is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist, FDA approved and indicated for treatment of asthma in patients 12 years of age and older.
Dulera Standard of Asthma Care
Dulera standard of asthma care Dulera: Dulera is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist, FDA approved and indicated for treatment of asthma in patients 12 years of age and older.
Adherence to Dulera 100/5 and 200/5
week 2
88.75 percent of prescribed doses
Standard Deviation 10.43
Adherence to Dulera 100/5 and 200/5
month 1
80.7 percent of prescribed doses
Standard Deviation 14.52
Adherence to Dulera 100/5 and 200/5
month 2
77.55 percent of prescribed doses
Standard Deviation 19.13
Adherence to Dulera 100/5 and 200/5
month 3
76.8 percent of prescribed doses
Standard Deviation 19.83

SECONDARY outcome

Timeframe: 3 months

Population: Data was only collected in the interventional group.

Subjects in the monitoring group will have adherence greater than or equal to the 60% benchmark Overall interval value was the mean of daily percent

Outcome measures

Outcome measures
Measure
Dulera Adherence Monitoring
n=20 Participants
Adherence Monitoring Dulera; Identification of adherence barrier(s); Motivational Interviewing Adherence Strategies to promote adherence Dulera: Dulera is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist, FDA approved and indicated for treatment of asthma in patients 12 years of age and older.
Dulera Standard of Asthma Care
Dulera standard of asthma care Dulera: Dulera is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist, FDA approved and indicated for treatment of asthma in patients 12 years of age and older.
Overall Adherence to Dulera 100/5 and 200/5
80.95 percent of prescribed doses per day
Standard Deviation 14.23

Adverse Events

Dulera Adherence Monitoring

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Dulera Standard of Asthma Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Andrew G Weinstein MD

Asthma Management Systems

Phone: 302 893 5455

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place