BENITIONSClinical Trial Intelligence

TRIple in Asthma hiGh strenGth vErsus Ics/Laba hs and tiotRopium (TRIGGER)

Phase 3 Completed NCT02676089

ConditionAsthma
PhasePhase 3
SponsorChiesi Farmaceutici S.p.A.
StatusCompleted
Enrollment1,437 participants
InterventionsCHF 5993 200/6/12.5 µg, CHF 1535 200/6 µg, CHF 1535 200/6 µg + Tiotropium Respimat 2.5 µg
Start dateApr 6, 2016
Completion dateMay 28, 2018
Results postedMay 29, 2026

Summary

Evaluate the superiority of CHF 5993 200/6/12.5 µg pressurised metered dose inhaler (pMDI) (fixed combination of extrafine beclometasone dipropionate plus formoterol fumarate plus glycopyrronium bromide) versus CHF 1535 200/6 µg pMDI (fixed combination of extrafine beclometasone dipropionate plus formoterol fumarate) in patients with uncontrolled asthma under medium doses of inhaled corticosteroid/long-acting β2-adrenergic receptor agonists (ICS/LABA), in patients with uncontrolled asthma who received medium doses of ICS/LABA. The treatments tested the improvement of the forced expiratory volume in the 1st second (FEV1) and the reduction of moderate and severe asthma exacerbations rate.

1_Change From Baseline in Pre-Dose Forced Expiratory Volume in the First Second (FEV1) at Week 26

Week 0 (pre-treatment, baseline) to Week 26. · Liter

CHF 5993 200/6/12.5 µg0.229 Liter
CHF 1535 200/6 µg0.157 Liter
CHF 1535 200/6 µg + Tiotropium (Tio) 2.5 µg0.274 Liter
p-value0.003
Least square mean difference0.073 (95% CI 0.026–0.120)

2_Moderate and Severe Asthma Exacerbation Rate Over the 52-Week Treatment Period

Week 0 (pre-treatment, baseline) to Week 52. · events/year

CHF 5993 200/6/12.5 µg1.726 events/year
CHF 1535 200/6 µg1.963 events/year
CHF 1535 200/6 µg + Tiotropium Respimat 2.5 µg1.613 events/year
p-value0.110
Adjusted rate ratio0.880 (95% CI 0.751–1.030)

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