FF/UMEC/VI Inhaler: Qualitative Analysis and Subject Preference Survey

Study Overview
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Brief Summary
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Three main classes of inhaled treatment exist for chronic obstructive pulmonary disease (COPD): Beta2-adrenergic agonists (which may be short (SABA) or long (LABA) acting), long-acting muscarinic acetylcholine receptor antagonists (LAMA), and inhaled corticosteroids (ICS). For subjects at higher risk of exacerbation, treatment with all these three classes of medication is recommended. This study aims to explore the potential utility of a device called single inhaler triple combination or fluticasone furoate/ umeclidinium/ vilanterol (FF/UMEC/VI) inhaler containing all three groups of compound. This is a mixed methods study with a qualitative phase and a quantitative Discrete Choice Experiment (DCE) phase and will be conducted in four stages: qualitative concept elicitation, DCE development, DCE piloting and testing, and conduct of the DCE. The study will conducted in the United Kingdom (UK), United States (US) and Germany and approximately 573 subjects with COPD will be included.

Official Title
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FF/UMEC/VI: Qualitative Interviews and Discrete Choice Experiment(s) Evaluating the Perceived Benefits of the Features of FF/UMEC/VI (Single Inhaler Triple Therapy) Treatment in the UK, US and Germany

Conditions
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Pulmonary Disease, Chronic Obstructive

Intervention / Treatment
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* Other: Telephone interviews
* Other: In-person focus groups
* Other: DCE surveys- cognitive interviews
* Other: Modified DCE
* Other: Online DCE survey


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosis of COPD, self-reported. Age: More than or equal to 40 years. Moderate to severe COPD, indicated by a COPD Assessment Test (CAT) score of greater than or equal to 10 or Modified Medical Research Council (MMRC) score of greater than or equal to 2. Currently prescribed and receiving one of the following treatment types: ICS/LABA; LABA/LAMA; ICS/LABA/LAMA (triple therapy); LAMA. Currently resident in the UK, US or Germany. Adequate written and oral fluency in language of country of residence. Willing and able to understand the study and provide informed consent. Has access to the internet (Cognitive interviews and DCE survey only). Exclusion Criteria: Has taken part in any other stage of this study. Subjects with a current diagnosis of asthma. (Subjects with a prior history of asthma are eligible if they have a current diagnosis of COPD). Any co-morbidity that would inhibit the ability to provide informed consent or allow participation in a telephone of face-to-face interview.

Ages Eligible for Study
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Minimum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Subjects included in telephone interviews<br>Approximately 10 subjects with COPD per country will be included in qualitative concept elicitation telephone interviews. | Other: Telephone interviews<br>* Qualitative concept elicitation telephone interviews will be conducted in subjects with COPD to explore treatment effectiveness, symptoms, quality of life, and features of treatment that are considered to be most important to them when making treatment choices.<br>|
| Subjects included in in-person focus groups<br>1 in-person focus-group per country including up to 5 subjects with COPD will be included in the qualitative analysis. | Other: In-person focus groups<br>* Qualitative concept elicitation in-person focus groups will be conducted in subjects with COPD to explore treatment effectiveness, symptoms, quality of life, and features of treatment that are considered to be most important to them when making treatment choices.<br>|
| Subjects included in DCE surveys- cognitive interviews<br>Up to six subjects with COPD in each of the UK, US and Germany will be asked to complete and provide feedback on the surveys. | Other: DCE surveys- cognitive interviews<br>* Draft version of the DCE surveys will be tested with subjects in cognitive interviews to explore the saliency of the attribute choices and assess whether the attributes are understandable, meaningful and comprehensive.<br>|
| Subjects included in modified DCEs<br>Up to 20 subjects with COPD in each country will be included in pilot testing of the modified DCEs. | Other: Modified DCE<br>* The modified DCEs will be piloted with subjects with COPD in each country to refine the underlying design and ensure that information is collected in an efficient way to enable the statistical analysis to be as precise as possible.<br>|
| Subjects included in Final DCE<br>150 subjects with COPD in each of the UK, US and Germany will be included in the final online market specific DCE survey. | Other: Online DCE survey<br>* An online DCE survey questionnaire will be given to the subjects to identify subject preferences, priorities and treatment goals.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluation of the key relevant attributes of COPD treatment | The key attributes considered to be most important to subjects with COPD when making treatment choices will be assessed using the data from the subject interviews and focus groups. | Up to 368 hours | 
| Evaluation of the preferences, priorities and treatment goals of subjects with COPD for inhaled treatments | The probability of choosing one treatment over another will be evaluated using DCE survey questionnaire. | Up to 368 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of the relative appeal of different treatment approaches | The burden of COPD, priorities in terms of symptoms and treatment effect, goals and preferences of subjects will be analyzed. | Up to 371 hours | 
| Estimation of the relative importance of each attribute | The DCE online survey will be used to assess the relative importance of treatment attributes and priorities. | Up to 371 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Triple therapy, COPD, DCE, Qualitative