A 24-week Prospective, Open-label, Multicenter, Single-arm rPMS Study in Real-world Setting for Atectura®

Study Overview
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Brief Summary
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This surveillance was designed as a prospective, open-label, multicenter, single-arm, non-interventional, observational study to evaluate the safety and effectiveness of Atectura inhalation capsule for up to 24 weeks under routine clinical practice.

Detailed Description
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The three different doses of Atectura inhalation capsule via Breezhaler will be prescribed according to the approved label information in Korea, and the investigation for any additional diagnostic or monitoring will be not conducted for this study

Official Title
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A 24-week Prospective, Open-label, Multicenter, Single-arm Regulatory Post-Marketing Surveillance (rPMS) Study in Real-world Setting (Mandatory by Local HA Regulation) for Atectura® (QMF149 150/80 μg o.d., QMF149 150/160 μg o.d. and QMF149 150/320 μg o.d. Via Breezhaler)

Conditions
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Asthma

Intervention / Treatment
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* Other: Atectura inhalation capsule (150/80ug)
* Other: Atectura inhalation capsule (150/160ug)
* Other: Atectura inhalation capsule (150/320ug)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adolescent (≥12 years of age) and adult patients with a physician's diagnosis of asthma, who are prescribed Atectura inhalation capsule (indacaterol acetate/mometasone furoate; 150/80, 150/160, 150/320 μg) via Breezhaler, as per the approved label information Patients who participate in the study after signing the consent form for data collection and use (Data Privacy ICF) after receiving a clear explanation of the objectives and nature of the study from the investigator (For patients under the age of 18, consent and signature of a legal representative is required) Exclusion Criteria: Patients who are contraindicated for this medicinal product as described in the Precautions for Use in the label information (package insert) A. Patients with hypersensitivity reaction to this medicinal product or any of its constituents B. Because this medicinal product contains lactose, patients with hereditary problems of galactose intolerance, the Lapp lactose deficiency or glucose-galactose malabsorption, etc. Patients with acute asthma symptoms, including acute episodes of bronchospasm, for which a short-acting bronchodilator is required Patients participating in other interventional clinical trials

Ages Eligible for Study
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Minimum Age: 12 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 |
| --- | --- |
| Atectura inhalation capsule (150/80ug)<br>Indacaterol acetate/Mometasone furoate; 150/80ug | Other: Atectura inhalation capsule (150/80ug)<br>* There is no treatment allocation. Patients administered Atectura by prescription that have started before inclusion of the patient into the study will be enrolled.<br>|
| Atectura inhalation capsule (150/160ug)<br>Indacaterol acetate/Mometasone furoate; 150/160ug | Other: Atectura inhalation capsule (150/160ug)<br>* There is no treatment allocation. Patients administered Atectura by prescription that have started before inclusion of the patient into the study will be enrolled.<br>|
| Atectura inhalation capsule (150/320ug)<br>Indacaterol acetate/Mometasone furoate; 150/320ug | Other: Atectura inhalation capsule (150/320ug)<br>* There is no treatment allocation. Patients administered Atectura by prescription that have started before inclusion of the patient into the study will be enrolled.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence of adverse events and serious adverse events | Incidence of AE and SAE will be collected | 24 weeks | 
| Incidence of unexpected adverse events and unexpected serious adverse events | Incidence of unexpected AE and SAE will be collected. The term unexpected means not listed in local label | 24 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change from baseline in trough FEV1 | Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. | Baseline, week 12 | 
| change from baseline in ACT score | The Asthma Control Test (ACT) is a validated tool to assess overall asthma control. It is a 1 page questionnaire consisting of 5 simple questions assessing: asthma symptoms, use of rescue medications, and the impact of asthma on everyday functioning. All questions are scored on a 5-point Likert scale, with a higher score indicating better control. All scores are added together to calculate a total score. Total score ranges from 5 to 25. A positive change indicates improvement. | Baseline, week 12 | 
| Effective rate and ineffective rate by investigator assessment | Effective (improved) rate and ineffective (unchanged/aggravated) rate by investigator assessment | week 12 | 
| Baseline characteristics of patients showing adverse events/adverse drug reactions | The incidence rates of AEs/ADRs will be presented by factors, such as subject baseline characteristics (age (<65 vs. ≥65 years), male vs. female, pregnancy (yes vs. no), family history (yes vs. no), exacerbation history (0 vs. above 1), smoking history (yes vs. no), comorbidity (yes vs. no), concomitant medication/ therapy (yes vs. no)), study treatment information, and special populations. | 24 weeks | 
| Baseline characteristics of patient in relation to changes from baseline through FEV1 and ACT score | Regression analysis will be performed to determine factors affecting the change in trough FEV1 and ACT score, out of baseline characteristics (age (<65 vs. ≥65 years), male vs. female, pregnancy (yes vs. no), family history (yes vs. no), exacerbation history (0 vs. 1), smoking history (yes vs. no), comorbidity (yes vs. no), concomitant medication/ therapy (yes vs. no)), study treatment information, and special populations | 12 weeks | 
| Baseline characteristics of patients in relation to the investigator assessment | Logistic regression analysis will be performed to determine factors affecting the effectiveness (improved) in the investigator assessment, out of baseline characteristics (age (<65 vs. ≥65 years), male vs. female, pregnancy (yes vs. no), family history (yes vs. no), exacerbation history (0 vs. above 1), smoking history (yes vs. no), comorbidity (yes vs. no), concomitant medication/ therapy (yes vs. no)), study treatment information, and special populations. | 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Korea, ICS/LABA combination