Effect on bone mineral density.
ID
Source
Brief title
Condition
- Bone disorders (excl congenital and fractures)
- Respiratory disorders NEC
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Bone mineral density hip.
Secondary outcome
Bone mineral density lumbar spine. Adverse events.
Background summary
Although inhaled corticosteroids have demonstrated utility in patients with
COPD, there is a potential safety concern with long-term use of ICS on bone
demineralization. These concerns, for the most part, are derived from the
well-documented effects of oral corticosteroids on bone density and fracture;
however the actual effects of inhaled corticosteroids are not clear and require
further study.
Study HZC102972 will prospectively assess the effects of 3 years (156 weeks)
exposure to Fluticasone Furoate /Vilanterol (FF/VI) Inhalation Powder versus VI
on bone mineral density in adult subjects with COPD.
Fluticasone is an inhaled corticosteroid and vilanterol is a long acting ß2-
agonist. The combination has recently been registered in the EU.
Study objective
Effect on bone mineral density.
Study design
Multicenter randomized double blind phase IV parallel group study. Single-blind
run-in period of 2-3 weeks.
Randomisation (1:1) to treatment with:
* Fluticasone Furoate /Vilanterol (100/25 mcg) once daily
* Vilanterol (25 mcg) once daily
administration as inhaled dry powder formulation.
Treatment duration approx 3 years.
Approx 280 randomized patients.
Intervention
Treatment with fluticasone furoate/vilanterol or vilanterol.
Study burden and risks
Risk: Adverse effects of study medication.
Burden:
Visits: screening, 1st treatment day, thereafter every 3 months during approx.
3 years. Final telephone consultation. Duration 1-3 hours.
Physical examination: screening, therafter yearly.
Inspection mouth and throat: every visit.
Blood draw 20 ml, ECG, chest X-ray and (if relevant) pregnancy test at
screening.
Pulmonary function test at screening (incl. reversibility) and every 6 months
thereafter.
DEXA scan: screening, thereafter every 6 months.
Daily completion of diary (medication use, concomitant medical problems,
concomitant medication).
Optional pharmacogenetic research (saliva).
Huis ter Heideweg 62
Zeist 3705 LZ
NL
Huis ter Heideweg 62
Zeist 3705 LZ
NL
Listed location countries
Age
Inclusion criteria
* COPD patients *40 years of age (see protocol page 16 for details).
* (Ex) smokers, at least 10 pack years.
* Pre and post salbutamol FEV1/FVC ratio <70%.
* Post salbutamol FEV1 *50% and *70% of predicted.
* At least one native hip..
* Safe contraception for women of childbearing potential.
Exclusion criteria
* Pregnancy, lactation.
* Bronchial asthma.
* Poorly controlled COPD (see protocol page 17 for details).
* Bone disorders (see protocol page 17 for details).
* Immobility.
* Low vitamin D (see protocol page 18 for details)
* Use of prohibited medication (see protocol page 19 for details).
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 |
---|---|
Other | clinicaltrials.gov; NCT01957150 |
EudraCT | EUCTR2012-004801-28-NL |
CCMO | NL46657.060.13 |