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Trial ยท NCT03380429

A Clinical Study to Evaluate the Effect of the Connected Inhaler System (CIS) on Adherence to Maintenance Therapy in Poorly Controlled Asthmatic Subjects

NCT03380429, Phase 4, Completed, GlaxoSmithKline; results first posted 2020-02-05

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Clinical Study to Evaluate the Effect of the Connected Inhaler System (CIS) on Adherence to Maintenance Therapy in Poorly Controlled Asthmatic Subjects. Trials, record NCT03380429. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03380429

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Clinical Study to Evaluate the Effect of the Connected Inhaler System (CIS) on Adherence to Maintenance Therapy in Poorly Controlled Asthmatic Subjects
NCT number
NCT03380429
Status
Completed
Phases
Phase 4
Enrollment
437 participants, actual
Lead sponsor
GlaxoSmithKline
Conditions
Asthma
Interventions
RELVAR/BREO, Salbutamol, Smart phone app, HCP Dashboard, Sensors
First posted
2017-12-21
Last updated
2021-04-12
Other registries' IDs
eudract:2017-002266-45
Results first posted
2020-02-05

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
Primary
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance Sensor for Arms; ("Cohort 1: Data on Maintenance Use Supplied to Participant and HCP" and"Cohort 5: no Data Supplied to Participant or HCP")
Month 4 to Month 6
Daily adherence is defined as the participant taking one dose of Relvar/Breo ELLIPTA, within a 24-hour period, starting at 12.00 anti-meridiem (a.m.) each day of the treatment period. The percentage of ELLIPTA doses taken were determined by the clip-on sensor attached to ELLIPTA, which records the time and date when the ELLIPTA cover was opened and closed. Analysis was carried out by Analysis of Covariance (ANCOVA) model. Least Square mean percentage of ELLIPTA doses taken (daily adherence) between Months 4 and 6 was determined by the maintenance sensor daily adherence over the last three months of the study period (between months 4 to 6). The daily adherence to ELLIPTA maintenance therapy when both the participant and the HCP were supplied with data from the maintenance sensor (Cohort 1) versus no data supplied to the participant or HCP (Cohort 5) is summarized.
SecondaryPercentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance SensorMonth 4 to Month 6
Daily adherence is defined as the participant taking one dose of Relvar/Breo ELLIPTA, within a 24-hour period, starting at 12.00 a.m. each day of the treatment period. The percentage of ELLIPTA doses taken were determined by the clip-on sensor attached to ELLIPTA, which records the time and date when the ELLIPTA cover was opened and closed. Least Square mean percentage of ELLIPTA doses taken (daily adherence) between Months 4 and 6 was determined by the maintenance sensor daily adherence over the last three months of the study period (between months 4 to 6). The effect on daily adherence to maintenance therapy when maintenance data was only supplied to participants (Cohort 2), rescue and maintenance data were supplied to participant and HCP (Cohort 3), and rescue and maintenance data only supplied to participant (Cohort 4) versus no data supplied to the participant or HCP (Cohort 5) is summarized.
SecondaryPercentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 1 and Month 3 as Determined by the Maintenance SensorMonth 1 to Month 3
Daily adherence is defined as the participant taking one dose of Relvar/Breo ELLIPTA, within a 24-hour period, starting at 12.00 a.m. each day of the treatment period. The percentage of ELLIPTA doses taken were determined by the clip-on sensor attached to ELLIPTA, which records the time and date when the ELLIPTA cover was opened and closed. Least Square mean percentage of ELLIPTA doses taken (daily adherence) between Months 1 and 3 was determined by the maintenance sensor daily adherence. The effect on daily adherence to maintenance therapy when maintenance data was supplied to both the participant and the HCP (Cohort 1), maintenance data was only supplied to participants (Cohort 2), rescue and maintenance data were supplied to participant and HCP (Cohort 3), and rescue and maintenance data only supplied to participant (Cohort 4) versus no data supplied to the participant or HCP (Cohort 5) is summarized.
SecondaryPercentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 1 and Month 6 as Determined by the Maintenance SensorMonth 1 to Month 6
Daily adherence is defined as the participant taking one dose of Relvar/Breo ELLIPTA, within a 24-hour period, starting at 12.00 a.m. each day of the treatment period. The percentage of ELLIPTA doses taken were determined by the clip-on sensor attached to ELLIPTA, which records the time and date when the ELLIPTA cover was opened and closed. Least Square mean percentage of ELLIPTA doses taken (daily adherence) between Months 1 and 6 was determined by the maintenance sensor daily adherence. The effect on daily adherence to maintenance therapy when maintenance data was supplied to both the participant and the HCP (Cohort 1), maintenance data was only supplied to participants (Cohort 2), rescue and maintenance data were supplied to participant and HCP (Cohort 3), and rescue and maintenance data only supplied to participant (Cohort 4) versus no data supplied to the participant or HCP (Cohort 5) is summarized.
SecondaryPercentage of Rescue Free Days Between Month 4 and Month 6 as Determined by the Rescue Medication SensorMonth 4 to Month 6
Data for rescue medication use was collected by the clip-on sensor for salbutamol MDI which records time and date when the MDI was actuated. Percentage of rescue free days were determined by the rescue sensor records of date, time and number of inhaler actuations. Least Square mean percentage of rescue free days between Months 4 and 6 when maintenance data was supplied to both the participant and the HCP (Cohort 1); maintenance data was only supplied to participants (Cohort 2); rescue and maintenance data were supplied to participant and HCP (Cohort 3) and rescue and maintenance data only supplied to participant (Cohort 4) versus no data supplied to the participant or HCP (Cohort 5) is summarized.
SecondaryNumber of Doses of Rescue Medication Use Between Month 4 and Month 6 as Determined by the Rescue Medication SensorMonth 4 to Month 6
Data for rescue medication use was collected by the clip-on sensor for salbutamol MDI which records time and date when the MDI was actuated. Total rescue use was determined by the rescue sensor records of date, time and number of inhaler actuations. The mean number of doses of rescue medicines between Months 4 and 6 when maintenance data was supplied to both the participant and the HCP (Cohort 1); maintenance data was only supplied to participants (Cohort 2); rescue and maintenance data were supplied to participant and HCP (Cohort 3) and rescue and maintenance data only supplied to participant (Cohort 4) versus no data supplied to the participant or HCP (Cohort 5) is summarized.
SecondaryChange From Baseline in Asthma Control Test (ACT) Total ScoreBaseline and Month 6
The ACT is a validated self-completed questionnaire utilizing 5 questions to assess asthma control on a 5-point categorical scale ranging from 1 (not controlled at all) to 5 (completely controlled). Total score is calculated as the sum of the scores from the 5 questions and can range from 5 to 25, with higher scores indicating better control. An ACT total score of 5 to 19 suggests that the participant's asthma is unlikely to be well controlled, whilst a score of 20 to 25 suggests that the participant's asthma is likely to be well controlled. Baseline value was the latest assessment prior to randomization (Day 1, pre-dose). Change from Baseline was calculated as post-dose visit value minus the Baseline value.
SecondaryPercentage of Participants Attaining Asthma Control (Percentage of Participants With an ACT Total Score >=20) at Month 6Month 6
Percentage of participants attaining asthma control was defined as participants with an ACT total score \>=20 at Month 6. The ACT is a validated self-completed questionnaire utilizing 5 questions to assess asthma control on a 5-point categorical scale ranging from 1 (not controlled at all) to 5 (completely controlled). Total score is calculated as the sum of the scores from the 5 questions and can range from 5 to 25, with higher scores indicating better control. An ACT total score of 5 to 19 suggests that the participant's asthma is unlikely to be well controlled, whilst a score of 20 to 25 suggests that the participant's asthma is likely to be well controlled. Percentage of participants who attained asthma control at Month 6 is presented.
SecondaryPercentage of Participants With an Increase From Baseline >=3 in ACT Total Score at Month 6Baseline and Month 6
The ACT is a validated self-completed questionnaire utilizing 5 questions to assess asthma control on a 5-point categorical scale ranging from 1 (not controlled at all) to 5 (completely controlled). Total score is calculated as the sum of the scores from the 5 questions and can range from 5 to 25, with higher scores indicating better control. An ACT total score of 5 to 19 suggests that the participant's asthma is unlikely to be well controlled, whilst a score of 20 to 25 suggests that the participant's asthma is likely to be well controlled. Baseline value was the latest assessment prior to randomization (Day 1, pre-dose). Percentage of participants with an increase from Baseline \>=3 in ACT total score at Month 6 is presented.
SecondaryPercentage of Participants Who Have Either an ACT Total Score of >=20 and/or an Increase From Baseline >=3 in ACT Total Score at Month 6Baseline and Month 6
The ACT is a validated self-completed questionnaire utilizing 5 questions to assess asthma control on a 5-point categorical scale ranging from 1 (not controlled at all) to 5 (completely controlled). Total score is calculated as the sum of the scores from the 5 questions and can range from 5 to 25, with higher scores indicating better control. Baseline value was the latest assessment prior to randomization (Day 1, pre-dose). Percentage of participants who had either an ACT total score of \>=20 and/or an increase from Baseline \>=3 in ACT total score at Month 6 is presented.

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARY
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance Sensor for Arms; (Cohort 1: Data on Maintenance Use Supplied to Participant and HCP andCohort 5: no Data Supplied to Participant or HCP)
Month 4 to Month 6
Intent-to-Treat (ITT) Population comprised of all randomized participants, excluding those who were randomized in error. Only those participants with adherence data observed/imputed at the specified time points were analyzed.
Percentage of ELLIPTA dosesLEAST_SQUARES_MEAN
SECONDARYPercentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance SensorMonth 4 to Month 6ITT Population. Only those participants with adherence data observed/imputed at the specified time points were analyzed.Percentage of ELLIPTA dosesLEAST_SQUARES_MEAN
SECONDARYPercentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 1 and Month 3 as Determined by the Maintenance SensorMonth 1 to Month 3ITT Population. Only those participants with adherence data observed/imputed at the specified time points were analyzed.Percentage of ELLIPTA dosesLEAST_SQUARES_MEAN
SECONDARYPercentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 1 and Month 6 as Determined by the Maintenance SensorMonth 1 to Month 6ITT Population. Only those participants with adherence data observed/imputed at the specified time points were analyzed.Percentage of ELLIPTA dosesLEAST_SQUARES_MEAN
SECONDARYPercentage of Rescue Free Days Between Month 4 and Month 6 as Determined by the Rescue Medication SensorMonth 4 to Month 6ITT Population. Only those participants with rescue data observed/imputed at the specified time points were analyzed.Percentage of rescue free daysLEAST_SQUARES_MEAN
SECONDARYNumber of Doses of Rescue Medication Use Between Month 4 and Month 6 as Determined by the Rescue Medication SensorMonth 4 to Month 6ITT Population. Only those participants with data available at the specified data points were analyzed.Doses of rescue medicationMEAN
SECONDARYChange From Baseline in Asthma Control Test (ACT) Total ScoreBaseline and Month 6ITT Population. Only those participants with data available at the specified data points were analyzed.Scores on a ScaleLEAST_SQUARES_MEAN
SECONDARYPercentage of Participants Attaining Asthma Control (Percentage of Participants With an ACT Total Score >=20) at Month 6Month 6ITT PopulationPercentage of participantsNUMBER
SECONDARYPercentage of Participants With an Increase From Baseline >=3 in ACT Total Score at Month 6Baseline and Month 6ITT PopulationPercentage of participantsNUMBER
SECONDARYPercentage of Participants Who Have Either an ACT Total Score of >=20 and/or an Increase From Baseline >=3 in ACT Total Score at Month 6Baseline and Month 6ITT PopulationPercentage of participantsNUMBER

Results by group46

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance Sensor for Arms; (Cohort 1: Data on Maintenance Use Supplied to Participant and HCP andCohort 5: no Data Supplied to Participant or HCP)
Cohort 1: Data on Maintenance Use Supplied to Par and HCP80.9Standard Error 3.19Percentage of ELLIPTA doses
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance Sensor for Arms; (Cohort 1: Data on Maintenance Use Supplied to Participant and HCP andCohort 5: no Data Supplied to Participant or HCP)
Cohort 5: No Data Supplied to Par or HCP69.0Standard Error 3.19Percentage of ELLIPTA doses
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance SensorCohort 2: Data on Maintenance Use Supplied to Par77.2Standard Error 3.04Percentage of ELLIPTA doses
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance SensorCohort 3: Data on Maintenance and Rescue Use to Par and HCP78.3Standard Error 3.11Percentage of ELLIPTA doses
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance SensorCohort 4: Data on Maintenance and Rescue Use Supplied to Par77.1Standard Error 3.25Percentage of ELLIPTA doses
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 4 and Month 6 as Determined by the Maintenance SensorCohort 5: No Data Supplied to Par or HCP69.0Standard Error 3.19Percentage of ELLIPTA doses
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 1 and Month 3 as Determined by the Maintenance SensorCohort 1: Data on Maintenance Use Supplied to Par and HCP85.7Standard Error 2.82Percentage of ELLIPTA doses
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 1 and Month 3 as Determined by the Maintenance SensorCohort 2: Data on Maintenance Use Supplied to Par84.2Standard Error 2.66Percentage of ELLIPTA doses
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 1 and Month 3 as Determined by the Maintenance SensorCohort 3: Data on Maintenance and Rescue Use to Par and HCP82.0Standard Error 2.74Percentage of ELLIPTA doses
Percentage of ELLIPTA Doses Taken (Daily Adherence) Between Month 1 and Month 3 as Determined by the Maintenance SensorCohort 4: Data on Maintenance and Rescue Use Supplied to Par79.2Standard Error 2.78Percentage of ELLIPTA doses

Participant flow15

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort 1: Data on Maintenance Use Supplied to Par and HCP87
Overall StudySTARTEDCohort 2: Data on Maintenance Use Supplied to Par88
Overall StudySTARTEDCohort 3: Data on Maintenance and Rescue Use to Par and HCP88
Overall StudySTARTEDCohort 4: Data on Maintenance and Rescue Use Supplied to Par88
Overall StudySTARTEDCohort 5: No Data Supplied to Par or HCP86
Overall StudyCOMPLETEDCohort 1: Data on Maintenance Use Supplied to Par and HCP82
Overall StudyCOMPLETEDCohort 2: Data on Maintenance Use Supplied to Par81
Overall StudyCOMPLETEDCohort 3: Data on Maintenance and Rescue Use to Par and HCP77
Overall StudyCOMPLETEDCohort 4: Data on Maintenance and Rescue Use Supplied to Par78
Overall StudyCOMPLETEDCohort 5: No Data Supplied to Par or HCP81

Adverse events125

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherOral candidiasisInfections and infestationsCohort 1: Data on Maintenance Use Supplied to Par and HCP287
otherOral candidiasisInfections and infestationsCohort 2: Data on Maintenance Use Supplied to Par088
otherOral candidiasisInfections and infestationsCohort 3: Data on Maintenance and Rescue Use to Par and HCP088
otherOral candidiasisInfections and infestationsCohort 4: Data on Maintenance and Rescue Use Supplied to Par088
otherOral candidiasisInfections and infestationsCohort 5: No Data Supplied to Par or HCP086
otherOesophageal candidiasisInfections and infestationsCohort 1: Data on Maintenance Use Supplied to Par and HCP187
otherOesophageal candidiasisInfections and infestationsCohort 2: Data on Maintenance Use Supplied to Par088
otherOesophageal candidiasisInfections and infestationsCohort 3: Data on Maintenance and Rescue Use to Par and HCP088
otherOesophageal candidiasisInfections and infestationsCohort 4: Data on Maintenance and Rescue Use Supplied to Par088
otherOesophageal candidiasisInfections and infestationsCohort 5: No Data Supplied to Par or HCP086

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort 1: Data on Maintenance Use Supplied to Par and HCP087
Total, all-cause mortalityCohort 2: Data on Maintenance Use Supplied to Par088
Total, all-cause mortalityCohort 3: Data on Maintenance and Rescue Use to Par and HCP088
Total, all-cause mortalityCohort 4: Data on Maintenance and Rescue Use Supplied to Par088
Total, all-cause mortalityCohort 5: No Data Supplied to Par or HCP086
Total, other adverse eventsCohort 1: Data on Maintenance Use Supplied to Par and HCP487
Total, other adverse eventsCohort 2: Data on Maintenance Use Supplied to Par188
Total, other adverse eventsCohort 3: Data on Maintenance and Rescue Use to Par and HCP188
Total, other adverse eventsCohort 4: Data on Maintenance and Rescue Use Supplied to Par188
Total, other adverse eventsCohort 5: No Data Supplied to Par or HCP286

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
33334936DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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