to study device attributes by investigating errors made in use, ease of use and preference among different inhalers in subjects with asthma

Conditions: Asthma

Summary: this study is designed to assess the proportion of asthma subjects making critical and non-critical errors made in using ellipta® inhaler compared with other commercially available inhaler devices such as the turbuhaler®, mdi (metered-dose inhaler), and diskus/accuhaler®. this study will also assess the ease of use and preference between the ellipta inhaler and the other commercially available inhaler devices. this is a randomized, open-label, placebo, crossover, multicentre study with a single visit. the study will comprise three sub-studies. subjects will receive inactive treatment (placebo) via the ellipta inhaler and one of the other inhaler devices depending on the sub-study they are allocated to. only subjects who are naïve to the ellipta inhaler and to one of the other inhalers that will be used in this study will be included. the study will be conducted in the netherlands and the uk, and comprises one visit only. a sufficient number of subjects (at least 190) with asthma will be screened and 180 will be randomized to one of the three sub-studies. eligible subjects will be allocated to one of the sub-studies in the following order depending on their experience of using the other inhaler (i.e., depending on which other inhaler they are naïve to). ellipta, diskus, and accuhaler are registered trademarks of the gsk group of companies. turbuhaler is a registered trademark of astrazeneca.

this is a non-interventional study and not an observational study and therefore some fields are not applicable for the ct.gov observational study design. it would be preferential to have the field populated as "not applicable" for sampling method, time perspective, and observational study model as they don't apply to this study design.

Eligibility criteria:
inclusion criteria: * informed consent: subject must give their signed and dated written informed consent to participate; subject understands and is willing, able, and likely to comply with study procedures and restrictions; subject must be able to read, comprehend, and record information in dutch and/or english * age: \>=18 years of age * gender: male or female subjects. * asthma diagnosis: a diagnosis of asthma as defined by the national institutes of health. comorbidities (rheumatoid arthritis or other locomotor problems, visual impairment, and depression or anxiety) will be documented as relevant to inhaler use. * asthma treatment: all subjects should be currently receiving treatment for asthma. * must be naive to using ellipta inhaler and at least one other inhaler device. exclusion criteria: * chronic obstructive pulmonary disease (copd): subjects with a current diagnosis of copd only. * contraindications: a history of allergy or hypersensitivity to lactose/milk protein or magnesium stearate or to any other excipient. * subjects who are currently participating in another randomised pharmacological interventional trial. * inability to read: in the opinion of the investigator, any subject who is unable to read and/or would not be able to complete a questionnaire and understand verbal instructions

Keywords: inhaler preference overall inhaler error diskus/accuhaler mdi turbuhaler ellipta ease of use critical inhaler error