To assess indacaterol (300 and 600 ug once daily via SDDPI) superiority in patients with COPD as compared to placebo with respect to 24 h post dose (through) FEV1 after 12 weeks of treatment.
ID
Source
Brief title
Condition
- Bronchial disorders (excl neoplasms)
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
24 hrs post dose FEV1 after 12 weeks
Secondary outcome
Safety and tolerability: vital signs, ECG, laboratory results, adverse events
and co-medication/significant non-medical therapies.
Efficacy: Spirometry (FEV1), questionnaires, walking test, diary data
Pharmacokinetic data.
Background summary
Indacaterol is a novel, long-acting B2-adrenerg receptor agonist, meant for
once daily treatment in patients with COPD and/or asthma.
Study objective
To assess indacaterol (300 and 600 ug once daily via SDDPI) superiority in
patients with COPD as compared to placebo with respect to 24 h post dose
(through) FEV1 after 12 weeks of treatment.
Study design
The study is a multi-center, double-blind, double dummy, parallel group study.
During the pre-screen visit, the informed consent is obtained and current COPD
medications are reviewed and if necessary arrangements are made to adjust
prohibited COPD therapy to allowable COPD therapy.
At the screening visits (V1 and V2) eligibility is being assessed to protocol
criteria. The period between V1/V2 and V3 (14 days) is called the run-in period
and is used to assess further eligibility for the study and to collect baseline
diary data.
V3 to V17 is a treatment period of 52 weeks in which the patients are being
treated with either indacaterol 300 or 600 ug once daily, formoterol 12 ug
twice daily or placebo (1:1:1:1)
In a sub-group of patients, 12 h spirometry will be performed at V3, V8 en V16
(day 1, after 12 weeks and after 52 weeks of treatment).
The patient is allowed to use his/her inhaled corticosteroids during the study
and is allowed to use salbutamol as rescue medication.
Intervention
Indacaterol 300 ug group: morning: 1 x 300 ug indacaterol, 1 x indacaterol
placebo and 1x formoterol placebo, evening 1 x formoterol placebo
Indacaterol 300 ug group: morning 2 x 300 ug indacaterol, 1 x formoterol
placebo, evening 1 x formoterol placebo
Formoterol group: morning 1 x 12 ug formoterol, 2 x incadaterol placebo,
evening 1 x 12 ug formoterol
Placebo group: morning 2 x indacaterol placebo, 1 x formoterol placebo, evening
1 x formoterol placebo
Study burden and risks
Burden:
Intake of study medication (52 weeks and double dummy), daily completion of
diary and peak flow two times a day, 17 x visit to the clinic in 54 weeks, 4 x
physical examination, 19 x vital signs, 36 x ECG, 6 x urine collection, 51 x
spirometry, 13 x blood draw, 7 x completion of questionnaires, 3 x walking test.
Risk:
So far, when using indacaterol, the same side effects have been seen as
compared to other bronchodilators, such as: tremor (shaking), headache,
palpitations, muscle cramps and nausea.
These side effects were most of the time mild and went over when time passed
by, they seldom needed treatment. Just like in every other clinical research
study, the use of study medication can be related to unexpected events or side
effects.
The risks of taking blood is not different then normal and may include pain
and/or bruising.
Raapopseweg 1
6824 DP
Nederland
Raapopseweg 1
6824 DP
Nederland
Listed location countries
Age
Inclusion criteria
1. Male and female adults aged >= 40 years
2. Outpatients with a diagnosis of COPD according to the GOLD Guidelines (2005) and:
a) Smoking history of at least 20 pack years
b) Pre-bronchodilator FEV1 < 65% of the predicted normal value and at least 0.75 L.
c) Pre-bronchodilator FEV1/FVC < 70%
Exclusion criteria
1. Pregnant or nursing (lactating) women
2. Women of child-bearing potential unless they are postmenopausal, had surgical sterilization, use hormonal contraception or double-barrier methods
3. Patients who have been hospitalized for a COPD exacerbation in the 6 weeks prior to Visit 1 or during the run-in period
4. Patients requiring long term (> 6 months) oxygen therapy for chronic hypoxemia
5. Patients who have had a respiratory tract infection within 6 weeks prior to Visit 1.
6. Patients with concomitant pulmonary disease, pulmonary tuberculosis (unless confirmed by chest x-ray to be no longer active) or clinically significant bronchiectasis
7. Patients with a history (up to and including Visit 1) of asthma indicated by (but not limited to):
a) Blood eosinophil count > 400/mm3
b) Onset of respiratory symptoms prior to age 40 years
8. Patients with diabetes Type I or uncontrolled diabetes Type II i(HbA1c > 8.0% of total Hb measured at Visit 1)
9. Any patient with lung cancer or a history of lung cancer
10. Any patient with active cancer or a history of cancer with less than 5 years disease free survival time. Localized basal cell carcinoma (without metastases) of the skin is acceptable.
11. Patients with a history of long QT syndrome or whose QTc interval (Bazett*s) is
prolonged to > 450 ms (males) or > 470 ms (females)
12. Patients who have had live attenuated vaccinations within 30 days prior to Visit 1 or during the run-in period. (Inactivated influenza vaccination, pneumococcal vaccination or any other inactivated vaccine is acceptable provided it is not administered within 48 h prior to Visits 1, 2 or 3)
13. Treatments for COPD and allied conditions: the following medications must not be used prior to Visit 1 for at least the minimum washout period specified below or at any time during the study:
a) The long acting anti-cholinergic agent tiotropium: 7 days
b) Short acting anti-cholinergics: 8 h
c) Fixed combinations of β2-agonists and inhaled corticosteroids: 48 h
(Patients taking fixed dose combination therapy must be switched to the equivalent inhaled corticosteroid as monotherapy plus salbutamol/albuterol as rescue therapy)
d) Fixed combinations of β2-agonists and inhaled anticholinergics: 48 h
e) Long-acting β2-agonists: 48 h
f) Short acting β2-agonists (other than those prescribed in the study): 6 h
g) Theophylline and other xanthines: 1 week
h) Parenteral or oral corticosteroids: 1 month
14. Treatments for COPD and allied conditions: The following medications should not be used unless they have been stabilized:
a) Cromoglycate, nedocromil, ketotifen, omalizumab, inhaled or nasal corticosteroids and leukotriene antagonists - at least one month prior to Visit 1
b) Antihistamines (excluding those in 19c below) - at least 5 days prior to Visit 1
15. Other excluded medications:
a) Non-potassium sparing diuretics (unless administered as a fixed dose combination with a potassium conserving drug)
b) Non-selective beta-blocking agents
c) Cardiac anti-arrhythmics Class Ia (e.g., disopyramide, procainamide, quinidine), Class III (e.g., amiodarone, dofetilide, ibutilide, sotalol), terfenadine, astemizole, mizolastin and any drug with potential to significantly prolong the QT interval
d) Tricyclic antidepressants and monoamino-oxidase inhibitors.
16. Patients unable to successfully use a dry powder inhaler device or perform spirometry measurements
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
EudraCT | EUCTR2006-001954-28-NL |
CCMO | NL14017.060.06 |