Pulmonary Disease, Chronic ObstructivePhase 2/3NCT00463567
26 Week Efficacy, Safety and Tolerability Study of Indacaterol in Patients With Chronic Obstructive Pulmonary Disease (COPD)
A Phase 2/3 study testing Indacaterol, Formoterol (12 µg b.i.d.) and Tiotropium (18 µg o.d.) in people with Pulmonary Disease, Chronic Obstructive and COPD, run by Novartis at 344 sites in 12 countries.
Trial summary
Stage 1 of the study is designed to provide data about the risk-benefit of 4 dose regimens of indacaterol (75, 150, 300 \& 600 µg o.d.) in order to select two doses to carry forward into study Stage 2. Read more about this study
- Who is it for?
- Ages 40 years and older
- Conditions the study is for
- Pulmonary Disease, Chronic Obstructive, COPD, Lung Diseases, Obstructive
- What is being tested?
- Indacaterol, Formoterol (12 µg b.i.d.) and Tiotropium (18 µg o.d.)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 2,059 participants
- Where
- 344 sitesin 12 countries
- Study dates
- Apr 2007to Aug 2008
- Phase
- Phase 2/3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male and female adults aged ≥ 40 years, who have signed an Informed Consent Form prior to initiation of any study-related procedure
- Co-operative outpatients with a diagnosis of COPD (moderate to severe as classified by the Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD) Guidelines, 2005) and:
- Smoking history of at least 20 pack years
- Post-bronchodilator FEV1 < 80% and ≥ 30% of the predicted normal value.
- Post-bronchodilator FEV1/FVC < 70% (Post refers to within 30 min of inhalation of 400 µg of salbutamol)
Who cannot join
- Pregnant or lactating females
- Patients who have been hospitalized for a COPD exacerbation in the 6 weeks prior to Visit 1 or during the run-in period
- Patients requiring long term oxygen therapy (> 15 h a day)
- Patients who have had a respiratory tract infection 6 weeks prior to V1 (with further criteria)
- Patients with concomitant pulmonary disease, pulmonary tuberculosis, or clinically significant bronchiectasis
- Patients with a history of asthma (with further criteria)
Show all 17Show fewer
- Patients with Type I or uncontrolled Type II diabetes
- Patients with contraindications for tiotropium
- Patients who have clinically relevant laboratory abnormalities or a clinically significant abnormality
- Any patient with active cancer or a history of cancer with less than 5 years disease free survival time
- Patients with a history of long QT syndrome or whose QTc interval is prolonged
- Patients with a hypersensitivity to any of the study drugs or drugs with similar chemical structures
- Patients who have had treatment with the investigational drug (with further criteria)
- Patients who have had live attenuated vaccinations within 30 days prior to visit 1, or during run-in period
- Patients with known history of non compliance to medication
- Patients unable to satisfactorily use a dry powder inhaler device or perform spirometry measurements
- Other protocol-defined inclusion/exclusion criteria may apply
Trial locations and contacts
344 sites in 12 countries.
344 sites in 12 countries
United States221 sites
Johnston Memorial Hospital Pulmonary Research
Abingdon, Virginia, 24210
Pulmonary and Critical Care Services
Albany, New York, 12205
PharmaTex Research LLC
Amarillo, Texas, 79106
Community Hospital Anderson
Anderson, Indiana, 46011
ClinSite, Inc
Ann Arbor, Michigan, 48106-0525
Pinnacle Research Group, LLC
Anniston, Alabama, 36207
Crescent Medical Associates
Astoria, New York, 11102
Neutrotrials Research Inc
Atlanta, Georgia, 30342
Georgia Clinical Research
Austell, Georgia, 30106
John Hopkins Asthma and Allergy Center
Baltimore, Maryland, 21224
Allergy, Asthma, Immunology, Pharmaceutical Studies
Bangor, Maine, 04401
Tri-State Medical Group
Beaver, Pennsylvania, 15009 - 1957
Madrona Medical Group - Clinical Research Dept.
Bellingham, Washington, 98226
Primecare Physician Associates
Biddeford, Maine, 04005
Montana Health Research Institute
Billings, Montana, 59102
University of Alabama at Birmingham
Birmingham, Alabama, 35249
Boulder Medical Center
Boulder, Colorado, 80304
Miray Medical Center
Brockton, Massachusetts, 02302
Novartis Investigator Site
Buena Park, California, 90620
University of North Carolina
Chapel Hill, North Carolina, 27599
Low County Lung and Critical Care, PA
Charleston, South Carolina, 29406-7108
Hugh D. Durrence, MD, Family Medicine
Charleston, South Carolina, 29412
Medical University of South Carolina
Charleston, South Carolina, 29425
Charleston Area Medical Center
Charleston, West Virginia, 26304
Sensenbrenner Primary Care
Charlotte, North Carolina, 28277
University of Virginia
Charlottesville, Virginia, 22908
Delaware Valley Clinical Research
Cherry Hill, New Jersey, 08003
St. Luke's Cardio-Pulmonary Research
Chesterfield, Missouri, 63017
University of Chicago Hospital
Chicago, Illinois, 60637
Cincinnati VA Hospital
Cincinnati, Ohio, 45220
New Horizons Clinical Research
Cincinnati, Ohio, 452242
Bernstein Clinical Research Centre
Cincinnati, Ohio, 45231
Community Research Inc
Cincinnati, Ohio, 45245
Novartis Investigator Site
Clarkston, Michigan, 48346
Clinical Research of West Florida
Clearwater, Florida, 33765
University Hospitals of Cleveland
Cleveland, Ohio, 44106
Metro Health Medical Center
Cleveland, Ohio, 44109-1998
Cleveland Clinic
Cleveland, Ohio, 44195
Vermont Lung Center
Colchester, Vermont, 05446
University of Missouri - Columbia
Columbia, Missouri, 65212
Ohio State University - Davis Heart and Lung Research Institute
Columbus, Ohio, 43210
Novartis Investigator Site
Columbus, Ohio, 43213
Remington-Davis Clinical Research
Columbus, Ohio, 43215
Novartis Investigator Site
Columbus, Ohio, 43235
Trinity Clinic - Corsicana
Corsicana, Texas, 75110
Asthma and Allergy Associates
Cortland, New York, 13045
New England Center for Clinical Research
Cranston, Rhode Island, 02920
Novartis Investigator Site
Crescent Springs, Kentucky, 41017
Partners in Clinical Research
Cumberland, Rhode Island, 02864
Pharmaceutical Research & Consulting, Inc
Dallas, Texas, 75231-4307
Asthma & Allergy Research Associates
Dallas, Texas, 75231
National Jewish Medical & Research Center
Denver, Colorado, 80206
Harper University Hospital; Wayne State University
Detroit, Michigan, 48201
USC Rancho Amigos Medical Center
Downey, California, 90242
Pulmonary and Critical Care Associates, PA
East Brunswick, New Jersey, 08816
Novartis Investigator Site
Easton, Pennsylvania, 18045
Minnesota Lung Center
Edina, Minnesota, 55435
Western Sky Medical Research
El Paso, Texas, 79902
Asthma and Allergy Associates
Elmira, New York, 14905
Encompass Clinical Research - North Coast
Encinitas, California, 92024
Chest Diseases of Northwestern PA
Erie, Pennsylvania, 16506
River Road Medical Group
Eugene, Oregon, 97404
Merit Care Medical Group
Fargo, North Dakota, 58122
Novartis Investigator Site
Flint, Michigan, 48532
Northern Colorado Pulmonary Consultants, PC
Fort Collins, Colorado, 80528
Texas Pulmonary & Critical Care
Fort Worth, Texas, 76104
California Research
Fullerton, California, 92835
University of Florida Shands Hospital
Gainesville, Florida, 32610 - 0277
University of Texas Medical Branch at Galveston
Galveston, Texas, 77555 - 0561
Med Plus South - Strand Family Practice
Garden City, South Carolina, 29576
Pulmonary Associates, PA
Glendale, Arizona, 85306
New West Physicians Clinical research
Golden, Colorado, 80401
Novartis Investigator Site
Greenville, South Carolina, 29615
Lovelace Scientific Resources, Inc.
Henderson, Nevada, 89014
Pulmonary Medicine Associates PC
Homewood, Alabama, 35209
*Private Practice*
Houston, Texas, 77024
Baylor College of Medicine
Houston, Texas, 77030
Houstons Veteran's Medical Center
Houston, Texas, 77030
Allergy and Asthma Specialists Medical Group and research Center
Huntington Beach, California, 92647
Dawes Fretzin Clinical Research Group LLC
Indianapolis, Indiana, 46256
Iowa Clinical Research Corporation
Iowa City, Iowa, 52240
University of Iowa
Iowa City, Iowa, 52242
Shands Jacksonville Medical Center
Jacksonville, Florida, 32209
Jasper Summit Research
Jasper, Alabama, 35501
MultiSpeciality Clinical Research
Johnson City, Tennessee, 37601
Novartis Investigator Site
Kalispell, Montana, 59901
Kansas City University of Medicine and Biosciences
Kansas City, Missouri, 64106 - 1453
University of Missouri KC/ Truman Medical
Kansas City, Missouri, 64108-2677
West Houston Allergy and Asthma, PA
Katy, Texas, 77450
Holston Medical Group
Kingsport, Tennessee, 37660
Volunteer Research Center
Knoxville, Tennessee, 37920
Gulf Coast Research, LLC
Lafayette, Louisiana, 70503
Innovative Research of West Florida
Largo, Florida, 33770
Clinical Research Center of NV
Las Vegas, Nevada, 89131
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, 03756
Kentucky Medical research Center
Lexington, Kentucky, 40504
University of Kentucky Chandler Medical Center
Lexington, Kentucky, 40536
Somnos Laboratories, Inc
Lincoln, Nebraska, 68510
Pulmonary Respiratory Institute of Southwest Michigan
Livonia, Michigan, 48152
Interlink Research Institute
Los Alamitos, California, 90720
Allergy Research Foundation, Inc
Los Angeles, California, 90025
Novartis Investigator Site
Los Angeles, California, 90033
Southern California Institute for Respiratory Diseases
Los Angeles, California, 90048
David Geffen UCLA School of Medicine
Los Angeles, California, 90095
Family Asthma and Allergy Research Associates
Louisville, Kentucky, 40215
Lynchburg Pulmonary Associates
Lynchburg, Virginia, 24501
Marietta Pulmonary Medicine
Marietta, Georgia, 30060
Novartis Investigator Site
Marion, Ohio, 43302
Nassau Chest Physicians, PC
Massapequa, New York, 11758
Clinical Research Institute of Southern Oregon, PC
Medford, Oregon, 97504
Oregon Clinical Research Associates
Medford, Oregon, 97504
Rx R&D
Metaire, Louisiana, 70002
University of Miami School of Medicine
Miami, Florida, 33136
Elite Research Institute
Miami, Florida, 33169
Novartis Investigator Site
Milwaukee, Wisconsin, 53209
Clinical Research Institute
Minneapolis, Minnesota, 55402
Novartis Investigator Site
Minneapolis, Minnesota, 55402
Minnesota Lung Center
Minneapolis, Minnesota, 55407
Novartis Investigator Site
Missoula, Montana, 59808
Pulmonary Associate of Mobile, PC
Mobile, Alabama, 36608
Dickson Family Medicine Group, PC
Nashville, Tennessee, 37203
Novartis Investigator Site
Nashville, Tennessee, 37208-3599
Central Texas Health Research
New Braunfels, Texas, 78130
North Shore University Hospital
New Hyde Park, New York, 11040
LSU Health Sciences Center/LSU School of Medicine
New Orleans, Louisiana, 70112
New Orleans Center for Clinical Research
New Orleans, Louisiana, 70119
Heartland Medical, P.C
New Tazewell, Tennessee, 37825-1409
New York Pulmonary Associates, PC
New York, New York, 10016
Weill Medical College of Cornell University
New York, New York, 10021
Mount Sinai Medical Center
New York, New York, 10029
Lung Health & Sleep Enhancement Center
Newark, Delaware, 19713
Novartis Investigator Site
Newark, New Jersey, 7101
Sneeze, Wheeze & Itch Associates, LLC
Normal, Illinois, 61761
Norwalk Hospital
Norwalk, Connecticut, 06856
Southern Illinois Clinical Research Center
O'Fallon, Illinois, 62269
Oklahoma Allergy and Asthma Clinic
Oklahoma City, Oklahoma, 73104
University of Oklahoma Health Science Center
Oklahoma City, Oklahoma, 73104
Lynne Health Science Institute
Oklahoma City, Oklahoma, 73112
Omaha VA Medical Center
Omaha, Nebraska, 68105
Quality Clinical Research
Omaha, Nebraska, 68114
Midwest Allergy and Asthma Clinic
Omaha, Nebraska, 68130
Creighton University Centre for Allergy, Asthma & Immunology
Omaha, Nebraska, 68131
Creigton University
Omaha, Nebraska, 68131
Heartland Clinical Research, Inc
Omaha, Nebraska, 68134
Meridian Clinical Research, LLC
Omaha, Nebraska, 68134
University of Nebraska Medical Center - Pulmonary Research
Omaha, Nebraska, 68198 - 5885
Advance Clinical Research Institute
Orange, California, 92869
California Allergy & Asthma Medical Group
Palmdale, California, 93551
The Asthma & Allergy Center, PC
Papillion, Nebraska, 68046
Novartis Investigator Site
Pembroke Pines, Florida, 33029
Emerald Coast Clinical Research, LLC
Pensacola, Florida, 32504
Pensacola Research Consultants
Pensacola, Florida, 32504
Integrity Research
Pensacola, Florida, 32514
Asthma Allergy &Pulmonary Associates, PC
Philadelphia, Pennsylvania, 19107
Drexel University College of Medicine
Philadelphia, Pennsylvania, 19107
Novartis Investigator Site
Philadelphia, Pennsylvania, 19140
Novartis Investigator Site
Philadelphia, Pennsylvania, 19141
Pulmonary Associates, PA
Phoenix, Arizona, 85006
Novartis Investigator Site
Pine Bluff, Arkansas, 71603
Pittsburgh Pulmonary Associates
Pittsburgh, Pennsylvania, 15025
South Hills Pulmonary Associates
Pittsburgh, Pennsylvania, 15243
Novartis Investigator Site
Port Huron, Michigan, 48060
Allergy Associates Research Center
Portland, Oregon, 97213
Novartis Investigator Site
Portland, Oregon, 97227-1110
North Carolina Clinical Research
Raleigh, North Carolina, 27607
Novartis Investigator Site
Richmond, Virginia, 23249
Novartis Investigator Site
River Forest, Illinois, 60305
Intergrated Research Group
Riverside, California, 92506
Mayo Clinic
Rochester, Minnesota, 55905
AAIR research Centre
Rochester, New York, 14618
Brevard Pulmonary Specialists
Rockledge, Florida, 32955
Synergy Medical Education Alliance
Saginaw, Michigan, 48602 - 5303
Midwest Chest Consultants
Saint Charles, Missouri, 63301
Quality Assurance Research Centre
San Antonio, Texas, 78205
Audie L. Murphy VA Hospital
San Antonio, Texas, 78229 - 4404
Allergy and Asthma Research Center, PA
San Antonio, Texas, 78229
Diagnostics Research Group
San Antonio, Texas, 78229
Wellmed Clinical Research
San Antonio, Texas, 78229
Allergy & Asthma Associates of Santa Clara Res. Center
San Jose, California, 95117
Asthma & Allergy Research Center
Sarasota, Florida, 34233
Novartis Investigative Center
Scottsdale, Arizona, 85255
Arizona Pulmonary Specialists, LTD
Scottsdale, Arizona, 85258
Greater Los Angeles Healthcare System
Sepulveda, California, 91343
Heart of America Research Institute
Shawnee Mission, Kansas, 66216
Novartis Investigator Site
Shelby, North Carolina, 28150
Louisiana Health Sciences Center
Shreveport, Louisiana, 71103
Northshore Research Associates
Slidell, Louisiana, 70461
South Bend Clinic
South Bend, Indiana, 46617
South Miami Clinical Research, LLC
South Miami, Florida, 33143
Spartanburg Pharmaceutical Research
Spartanburg, South Carolina, 29303
Pulmonary and Research Associates
Spokane, Washington, 99204
William L. Gray Research
Spokane, Washington, 99216
Encompass Clinical Research
Spring Valley, California, 91978
Washington U School of Medicine, Center for Clinical Studies
St Louis, Missouri, 63110
The Clinical Research Centre
St Louis, Missouri, 63141
Bensch Clinical Research Associates
Stockton, California, 95207
Pulmonary and Allergy Associates, PA
Summit, New Jersey, 07901
John Winder Associates
Sylvania, Ohio, 43650
Pulmonary Consultants, PLLC
Tacoma, Washington, 98405
Madigan Army medical Center / Dept. of Army
Tacoma, Washington, 98431
Central Medical Group, PA
Tamarac, Florida, 33321
Clireco, Inc
Tamarac, Florida, 33321
Novartis Investigator Site
Tampa, Florida, 33603
University of South Florida
Tampa, Florida, 33613
Premiere Pharmaceutical Research, LLC
Tempe, Arizona, 85282
Advanced Health Care Specialists
Thornville, Ohio, 43076
The University of Toledo
Toledo, Ohio, 43614
Cotton-O'Neil Clinical Research Center
Topeka, Kansas, 66606
Peninsula Pulmonary Medical Associates
Torrance, California, 90505
Novartis Investigator Site
Troy, Michigan, 48085
Canyon Clinical Research, LLC
Tucson, Arizona, 85712
SAVAHSC / Pulmonary Section
Tucson, Arizona, 85723
Healthcare Research Consultants, Inc
Tulsa, Oklahoma, 74135
Palmetto Pulmonary Medicine, PA - Sleep Disorders Lab
Varnville, South Carolina, 29944
Progressive Clinical Research
Vista, California, 92083
Allergy and Asthma Clinical Research Inc
Walnut Creek, California, 94598
Rocky Mountain Center for Clinical Research
Wheat Ridge, Colorado, 80033
Western States Clinical Research
Wheat Ridge, Colorado, 80033
Cloverdale Research Facility
Winston-Salem, North Carolina, 27103
Fallon Clinic at Worcester Medical Center
Worcester, Massachusetts, 01604
Pharmacotherapy Research Associates, Inc
Zanesville, Ohio, 43701
Spain23 sites
Novartis Investigator Site
A Coruña
Novartis Investigator Site
Alicante
Novartis Investigator Site
Barcelona
Novartis
Barcelona
Novartis Investigator Site
Burgos
Novartis Investigator Site
Cadiz
Novartis Investigator Site
Calde Lugo
Novartis Investigator Site
Galdakano
Novartis Investigator Site
Girona
Novartis Investigator Site
Gran Canaria
Novartis Investigator Site
Madrid
Novartis Investigator Site
Málaga
Novartis Investigator Site
Ourense
Novartis Investigator Site
Oviedo
Novartis Investigator Site
Palma de Mallorca
Novartis Investigator Site
Ponferrada
Novartis Investigator Site
Pontevedra
Novartis Investigator Site
Port de Sagunt
Novartis Investigator Site
Seville
Novartis Investigator Site
Valencia
Novartis Investigator Site
Vic
Novartis Investigator Site
Vila-real
Novartis Investigator Site
Zaragoza
Germany21 sites
Novartis Investigator Site
Augsburg
Novartis Investigator Site
Bad Segeberg
Novartis Investigator Site
Berlin
Novartis Investigator Site
Bielefeld
Novartis Investigator Site
Bonn
Novartis Investigator Site
Brühl
Novartis Investigator Site
Dachau
Novartis
Fürth
Novartis Investigator Site
Hamburg
Novartis Investigator Site
Hoyerswerda
Novartis Investigator Site
Kaufbeuren
Novartis Investigator Site
Landsberg
Novartis Investigator Site
Leipzig
Novartis Investigator Site
Mainz
Novartis Investigator Site
München
Novartis Investigator Site
Oranienburg
Novartis Investigator Site
Oschersleben
Novartis Investigator Site
Potsdam
Novartis Investigator Site
Ratingen
Novartis Investigator Site
Steinfurt
Novartis Investigator Site
Wuppertal
Canada20 sites
Novartis Investigator Site
Ajax
Novartis Investigator Site
Calgary
Novartis Investigator Site
Chatham
Novartis Investigator Site
Gatineau
Novartis Investigator Site
Moncton
Novartis Investigator Site
Montreal
Novartis Investigator Site
Niagara Falls
Novartis Investigator Site
Ottawa
Novartis
Québec
Novartis Investigator Site
Saint Romuald
Novartis Investigator Site
Saskatoon
Novartis Investigator Site
Sherbrooke
Novartis Investigator Site
St. John's
Novartis Investigator Site
Ste-Foy
Novartis Investigator Site
Toronto
Novartis Investigator Site
Trois-Rivières
Novartis Investigator Site
Vancouver
Novartis Investigator Site
Waterloo
Novartis Investigator Site
Windsor
Novartis Investigator Site
Winnipeg
Italy16 sites
Novartis Investigator Site
Bologna
Novartis Investigator Site
Busto Arsizio
Novartis Investigator Site
Catania
Novartis Investigator Site
Catanzaro
Novartis Investigator Site
Chioggia
Novartis Investigator Site
Crema
Novartis Investigator Site
Ferrara
Novartis Investigator Site
Florence
Novartis Investigator Site
Genova
Novartis Investigator Site
Messina
Novartis Investigator Site
Milan
Novartis
Milan
Novartis Investigator Site
Pisa
Novartis Investigator Site
Roma
Novartis Investigator Site
Rozzano
Novartis Investigator Site
Siena
India12 sites
Novartis Investigator Site
Bangalore
Novartis Investigator Site
Banglore
Novartis Investigator Site
Caranazalem
Novartis Investigator Site
Chennai
Novartis Investigator Site
Coimbatore
Novartis Investigator Site
Hyderabaad
Novartis Investigator Site
Indore
Novartis Investigator Site
Jaipur
Novartis Investigator Site
Kolkata
Novartis Investigator Site
Ludhiana
Novartis Investigator Site
Mumbai
Novartis Investigator Site
Trivandrum
South Korea9 sites
Novartis Investigator Site
Bucheon-si
Novartis Investigator Site
Busan
Novartis Investigator Site
Chuncheon
Novartis Investigator Site
Daegu
Novartis Investigator Site
Kwangju
Novartis Investigator Site
Seoul
Novartis
Seoul
Novartis Investigator Site
Suwon
Novartis Investigator Site
Wŏnju
Turkey (Türkiye)7 sites
Novartis Investigator Site
Ankara
Novartis
Istanbul
Novartis Investigator Site
Izmir
Novartis Investigator Site
Konya
Novartis Investigator Site
Manisa
Novartis Investigator Site
Mersin
Novartis Investigator Site
Yenişehir
Sweden5 sites
Novartis
Gothenburg
Novartis Investigator Site
Jönköping
Novartis Investigator Site
Lidingö
Novartis Investigator Site
Luleå
Novartis Investigator Site
Lund
Taiwan5 sites
Novartis Investigator Site
Chiayi City
Novartis Investigator Site
Linkou District
Novartis Investigator Site
Taichung
Novartis Investigator Site
Taipei
Novartis
Taipei
Argentina4 sites
Novartis Investigator Site
Buenos Aires
Novartis
Buenos Aires
Novartis Investigator Site
Capital Federal
Novartis Investigator Site
Santa Fe
About this study
Official title: A 26-week Treatment, Multicenter, Randomized, Double Blind, Double Dummy, Placebo-controlled, Adaptive, Seamless, Parallel-group Study to Assess the Efficacy, Safety and Tolerability of Two Doses of Indacaterol (Selected From 75, 150, 300 & 600 µg o.d.) in Patients With Chronic Obstructive Pulmonary Disease Using Blinded Formoterol (12 µg b.i.d.) and Open Label Tiotropium (18 µg o.d.) as Active Controls
Stage 1 of the study is designed to provide data about the risk-benefit of 4 dose regimens of indacaterol (75, 150, 300 \& 600 µg o.d.) in order to select two doses to carry forward into study Stage 2. Study Stage 2 will provide pivotal confirmation of efficacy, safety, and tolerability of the selected indacaterol doses in patients with COPD
- Being tested
- Indacaterol, Formoterol (12 µg b.i.d.), Tiotropium (18 µg o.d.), Placebo to Indacaterol, Placebo to Formoterol
- Keywords
- indacaterol, long acting beta-2 agonist
- Medical subject headings
- Pulmonary Disease, Chronic Obstructive, Lung Diseases, Obstructive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IndacaterolDrug
In the morning, Indacaterol once daily (o.d.) orally inhaled via a single dose dry powder inhaler (SDDPI).
Formoterol (12 µg b.i.d.)Drug
Formoterol 12 µg twice daily (b.i.d.) in the morning and in the evening via an aerolizer.
Tiotropium (18 µg o.d.)Drug
Tiotropium 18 µg once daily (o.d.) dry powder capsules delivered via a SDDPI.
Placebo to IndacaterolDrug
In the morning, Placebo to Indacaterol once daily (o.d.) orally inhaled via a single dose dry powder inhaler (SDDPI).
Placebo to FormoterolDrug
In the morning and in the evening, placebo to formoterol delivered via Aerolizer.
| Study group | Role | What they receive |
|---|---|---|
| Indacaterol 150 µg (Continued Into Stage 2) | Experimental | In the morning, Indacaterol 150 µg once daily orally inhaled via a single dose dry powder inhaler (SDDPI) + Placebo to Indacaterol delivered via SDDPI + Placebo to Formoterol delivered via Aerolizer. In the evening, Placebo to Formoterol delivered via Aerolizer. Participated in the 2 week Stage 1 and continued treatment up to 26 weeks in Stage 2. Placebo to Formoterol inhalation in the morning and in the evening was discontinued after Stage 1.
Daily Inhaled Corticosteroid (ICS) monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study. Receives: Drug: Indacaterol; Drug: Placebo to Indacaterol; Drug: Placebo to Formoterol |
| Indacaterol 300 µg (Continued Into Stage 2) | Experimental | In the morning, Indacaterol 300 µg once daily orally inhaled via a SDDPI + Placebo to Indacaterol delivered via SDDPI + Placebo to Formoterol delivered via Aerolizer. In evening, Placebo to Formoterol delivered via Aerolizer. Participated in the 2 week Stage 1 and continued treatment up to 26 weeks in Stage 2. Placebo to Formoterol inhalation in the morning and in the evening was discontinued after Stage 1.
Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study. Receives: Drug: Indacaterol; Drug: Placebo to Indacaterol; Drug: Placebo to Formoterol |
| Tiotropium 18 µg (Continued Into Stage 2) | Active comparator | Tiotropium 18 µg dry powder capsules delivered (open label) via manufacturer's proprietary SDDPI, (Handihaler®). Participated in the 2 week Stage 1 and continued treatment up to 26 weeks in Stage 2.
Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study. Receives: Drug: Tiotropium (18 µg o.d.) |
| Placebo (Continued Into Stage 2) | Placebo comparator | In the morning, Placebo to Indacaterol delivered via two SDDPI devices + Placebo to Formoterol delivered via Aerolizer. In the evening, Placebo to Formoterol delivered via Aerolizer. Participated in the 2 week Stage 1 and continued treatment up to 26 weeks in Stage 2. Placebo to Formoterol inhalation in the morning and in the evening was discontinued after Stage 1.
Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study. Receives: Drug: Placebo to Indacaterol; Drug: Placebo to Formoterol |
| Indacaterol 75 µg (Not Continued into Stage 2) | Experimental | In the morning, Indacaterol 75 µg once daily orally inhaled via a SDDPI + Placebo to Indacaterol delivered via SDDPI + Placebo to Formoterol delivered via Aerolizer. In the evening, Placebo to Formoterol delivered via Aerolizer. Participated in the 2 week Stage 1 but did not continue to Stage 2.
Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study. Receives: Drug: Indacaterol; Drug: Placebo to Indacaterol; Drug: Placebo to Formoterol |
| Indacaterol 600 µg (Not Continued Into Stage 2) | Experimental | In the morning, 2 capsules of Indacaterol 300 µg once daily orally inhaled via two SDDPI devices + Placebo to Formoterol delivered via Aerolizer. In the evening, Placebo to Formoterol delivered via Aerolizer. Participated in the 2 week Stage 1 but did not continue to Stage 2.
Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study. Receives: Drug: Indacaterol; Drug: Placebo to Formoterol |
| Formoterol 12 µg (Not Continued Into Stage 2) | Active comparator | In the morning, Placebo to Indacaterol delivered via two SDDPI devices + Formoterol 12 µg delivered via Aerolizer. In evening, Formoterol 12 µg delivered via Aerolizer. Participated in the 2 week Stage 1 but did not continue to Stage 2.
Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study. Receives: Drug: Formoterol (12 µg b.i.d.); Drug: Placebo to Indacaterol |
What is being measured
The primary outcome is the main question the study is designed to answer.
Trough Forced Expiratory Volume in 1 Second (FEV1) Assessed by Spirometry 24 Hour Post Dose After 12 Weeks of Treatment
FEV1 was measured with spirometry conducted according to internationally accepted standards. Trough FEV1 was defined as the average of the 23 h 10 min and the 23 h 45 min post dose values. Mixed model used baseline FEV1, FEV1 prior to and 30 minutes post inhalation of salbutamol/albuterol, and FEV1 prior to and 1 hour post inhalation of ipratropium as covariates.
Measured: after 12 weeks of treatment
Secondary outcomes (1)
The Percentage of "Days of Poor Control" Reported Over the 26 Week Treatment Period
A Chronic Obstructive Pulmonary Disease (COPD) "day of poor control" was defined as any day in the participant's diary with a score ≥2 (moderate or severe) for at least 2 of 5 symptoms (cough, wheeze, production of sputum, color of sputum, breathlessness). Score for each symptom ranges from 0-3; a higher number indicates a more severe symptom. The model contained baseline percentage of "days of poor control" as well as FEV1 reversibility components as covariates.
Measured: up to 26 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Apr 2007 (estimated)
- Study startApr 2007
- Primary completionAug 2008
- Study completionAug 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Pulmonary Disease, Chronic ObstructiveStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 2,059 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Novartis Pharmaceuticals, Study chair, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00463567
- Sponsor's protocol ID
- CQAB149B2335S
- Status last verified
- Jul 2011
- First submitted
- 19 Apr 2007
- Last updated
- 18 Aug 2011
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Jones PW, Donohue JF, Nedelman J, Pascoe S, Pinault G, Lassen C. Correlating changes in lung function with patient outcomes in chronic obstructive pulmonary disease: a pooled analysis. Respir Res. 2011 Dec 29;12(1):161. doi: 10.1186/1465-9921-12-161.
PubMed 22206353Yelensky R, Li Y, Lewitzky S, Leroy E, Hurwitz C, Rodman D, Trifilieff A, Paulding CA. A pharmacogenetic study of ADRB2 polymorphisms and indacaterol response in COPD patients. Pharmacogenomics J. 2012 Dec;12(6):484-8. doi: 10.1038/tpj.2011.54. Epub 2011 Dec 13.
PubMed 22158330Jones PW, Mahler DA, Gale R, Owen R, Kramer B. Profiling the effects of indacaterol on dyspnoea and health status in patients with COPD. Respir Med. 2011 Jun;105(6):892-9. doi: 10.1016/j.rmed.2011.02.013. Epub 2011 Mar 11.
PubMed 21397482Worth H, Chung KF, Felser JM, Hu H, Rueegg P. Cardio- and cerebrovascular safety of indacaterol vs formoterol, salmeterol, tiotropium and placebo in COPD. Respir Med. 2011 Apr;105(4):571-9. doi: 10.1016/j.rmed.2010.11.027. Epub 2011 Jan 11.
PubMed 21227674Donohue JF, Fogarty C, Lotvall J, Mahler DA, Worth H, Yorgancioglu A, Iqbal A, Swales J, Owen R, Higgins M, Kramer B; INHANCE Study Investigators. Once-daily bronchodilators for chronic obstructive pulmonary disease: indacaterol versus tiotropium. Am J Respir Crit Care Med. 2010 Jul 15;182(2):155-62. doi: 10.1164/rccm.200910-1500OC. Epub 2010 May 12.
PubMed 20463178
Study at a glance
From the registry record, last updated by the sponsor on 18 Aug 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 26-week Treatment, Multicenter, Randomized, Double Blind, Double Dummy, Placebo-controlled, Adaptive, Seamless, Parallel-group Study to Assess the Efficacy, Safety and Tolerability of Two Doses of Indacaterol (Selected From 75, 150, 300 & 600 µg o.d.) in Patients With Chronic Obstructive Pulmonary Disease Using Blinded Formoterol (12 µg b.i.d.) and Open Label Tiotropium (18 µg o.d.) as Active Controls
- ClinicalTrials.gov ID
- NCT00463567
- Acronym / sponsor ID
- CQAB149B2335S
- Keywords
- indacaterol, long acting beta-2 agonist
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,059 participants (actual)
- Lead sponsor
- NovartisIndustry (pharma, biotech, devices)
- Study start
- Apr 2007
- Primary completion
- Aug 2008 (actual)
- Study completion
- Aug 2008 (actual)
- First posted
- 20 Apr 2007 (estimated)
- Results
- Posted 18 Aug 2011
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Stage 1 of the study is designed to provide data about the risk-benefit of 4 dose regimens of indacaterol (75, 150, 300 \& 600 µg o.d.) in order to select two doses to carry forward into study Stage 2. Study Stage 2 will provide pivotal confirmation of efficacy, safety, and tolerability of the selected indacaterol doses in patients with COPD
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| Indacaterol 150 µg (Continued Into Stage 2) | Experimental | Drug: Indacaterol, Drug: Placebo to Indacaterol, Drug: Placebo to FormoterolIn the morning, Indacaterol 150 µg once daily orally inhaled via a single dose dry powder inhaler (SDDPI) + Placebo to Indacaterol delivered via SDDPI + Placebo to Formoterol delivered via Aerolizer. In the evening, Placebo to Formoterol delivered via Aerolizer. Participated in the 2 week Stage 1 and continued treatment up to 26 weeks in Stage 2. Placebo to Formoterol inhalation in the morning and in the evening was discontinued after Stage 1. Daily Inhaled Corticosteroid (ICS) monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study. |
| Indacaterol 300 µg (Continued Into Stage 2) | Experimental | Drug: Indacaterol, Drug: Placebo to Indacaterol, Drug: Placebo to FormoterolIn the morning, Indacaterol 300 µg once daily orally inhaled via a SDDPI + Placebo to Indacaterol delivered via SDDPI + Placebo to Formoterol delivered via Aerolizer. In evening, Placebo to Formoterol delivered via Aerolizer. Participated in the 2 week Stage 1 and continued treatment up to 26 weeks in Stage 2. Placebo to Formoterol inhalation in the morning and in the evening was discontinued after Stage 1. Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study. |
| Tiotropium 18 µg (Continued Into Stage 2) | Active comparator | Drug: Tiotropium (18 µg o.d.)Tiotropium 18 µg dry powder capsules delivered (open label) via manufacturer's proprietary SDDPI, (Handihaler®). Participated in the 2 week Stage 1 and continued treatment up to 26 weeks in Stage 2. Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study. |
| Placebo (Continued Into Stage 2) | Placebo comparator | Drug: Placebo to Indacaterol, Drug: Placebo to FormoterolIn the morning, Placebo to Indacaterol delivered via two SDDPI devices + Placebo to Formoterol delivered via Aerolizer. In the evening, Placebo to Formoterol delivered via Aerolizer. Participated in the 2 week Stage 1 and continued treatment up to 26 weeks in Stage 2. Placebo to Formoterol inhalation in the morning and in the evening was discontinued after Stage 1. Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study. |
| Indacaterol 75 µg (Not Continued into Stage 2) | Experimental | Drug: Indacaterol, Drug: Placebo to Indacaterol, Drug: Placebo to FormoterolIn the morning, Indacaterol 75 µg once daily orally inhaled via a SDDPI + Placebo to Indacaterol delivered via SDDPI + Placebo to Formoterol delivered via Aerolizer. In the evening, Placebo to Formoterol delivered via Aerolizer. Participated in the 2 week Stage 1 but did not continue to Stage 2. Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study. |
| Indacaterol 600 µg (Not Continued Into Stage 2) | Experimental | Drug: Indacaterol, Drug: Placebo to FormoterolIn the morning, 2 capsules of Indacaterol 300 µg once daily orally inhaled via two SDDPI devices + Placebo to Formoterol delivered via Aerolizer. In the evening, Placebo to Formoterol delivered via Aerolizer. Participated in the 2 week Stage 1 but did not continue to Stage 2. Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study. |
| Formoterol 12 µg (Not Continued Into Stage 2) | Active comparator | Drug: Formoterol (12 µg b.i.d.), Drug: Placebo to IndacaterolIn the morning, Placebo to Indacaterol delivered via two SDDPI devices + Formoterol 12 µg delivered via Aerolizer. In evening, Formoterol 12 µg delivered via Aerolizer. Participated in the 2 week Stage 1 but did not continue to Stage 2. Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study. |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Male and female adults aged ≥ 40 years, who have signed an Informed Consent Form prior to initiation of any study-related procedure
- Co-operative outpatients with a diagnosis of COPD (moderate to severe as classified by the Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD) Guidelines, 2005) and:
Key exclusion criteria (17 listed)
- Pregnant or lactating females
- Patients who have been hospitalized for a COPD exacerbation in the 6 weeks prior to Visit 1 or during the run-in period
- Patients requiring long term oxygen therapy (> 15 h a day)
- Patients who have had a respiratory tract infection 6 weeks prior to V1 (with further criteria)
- Patients with concomitant pulmonary disease, pulmonary tuberculosis, or clinically significant bronchiectasis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| IndacaterolIn the morning, Indacaterol once daily (o.d.) orally inhaled via a single dose dry powder inhaler (SDDPI). | Drug | Indacaterol 150 µg (Continued Into Stage 2), Indacaterol 300 µg (Continued Into Stage 2), Indacaterol 600 µg (Not Continued Into Stage 2), Indacaterol 75 µg (Not Continued into Stage 2) |
| Formoterol (12 µg b.i.d.)Formoterol 12 µg twice daily (b.i.d.) in the morning and in the evening via an aerolizer. | Drug | Formoterol 12 µg (Not Continued Into Stage 2) |
| Tiotropium (18 µg o.d.)Tiotropium 18 µg once daily (o.d.) dry powder capsules delivered via a SDDPI. | Drug | Tiotropium 18 µg (Continued Into Stage 2) |
| Placebo to IndacaterolIn the morning, Placebo to Indacaterol once daily (o.d.) orally inhaled via a single dose dry powder inhaler (SDDPI). | Drug | Formoterol 12 µg (Not Continued Into Stage 2), Indacaterol 150 µg (Continued Into Stage 2), Indacaterol 300 µg (Continued Into Stage 2), Indacaterol 75 µg (Not Continued into Stage 2), Placebo (Continued Into Stage 2) |
| Placebo to FormoterolIn the morning and in the evening, placebo to formoterol delivered via Aerolizer. | Drug | Indacaterol 150 µg (Continued Into Stage 2), Indacaterol 300 µg (Continued Into Stage 2), Indacaterol 600 µg (Not Continued Into Stage 2), Indacaterol 75 µg (Not Continued into Stage 2), Placebo (Continued Into Stage 2) |
Primary outcome
Trough Forced Expiratory Volume in 1 Second (FEV1) Assessed by Spirometry 24 Hour Post Dose After 12 Weeks of Treatment
Time frame: after 12 weeks of treatment
FEV1 was measured with spirometry conducted according to internationally accepted standards. Trough FEV1 was defined as the average of the 23 h 10 min and the 23 h 45 min post dose values. Mixed model used baseline FEV1, FEV1 prior to and 30 minutes post inhalation of salbutamol/albuterol, and FEV1 prior to and 1 hour post inhalation of ipratropium as covariates.
1 secondary outcome
The Percentage of "Days of Poor Control" Reported Over the 26 Week Treatment Period
Time frame: up to 26 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Aug 2011.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 22206353Jones PW, Donohue JF, Nedelman J, Pascoe S, Pinault G, Lassen C. Correlating changes in lung function with patient outcomes in chronic obstructive pulmonary disease: a pooled analysis. Respir Res. 2011 Dec 29;12(1):161. doi: 10.1186/1465-9921-12-161.
- Derived from this study: PubMed 22158330Yelensky R, Li Y, Lewitzky S, Leroy E, Hurwitz C, Rodman D, Trifilieff A, Paulding CA. A pharmacogenetic study of ADRB2 polymorphisms and indacaterol response in COPD patients. Pharmacogenomics J. 2012 Dec;12(6):484-8. doi: 10.1038/tpj.2011.54. Epub 2011 Dec 13.
- Derived from this study: PubMed 21397482Jones PW, Mahler DA, Gale R, Owen R, Kramer B. Profiling the effects of indacaterol on dyspnoea and health status in patients with COPD. Respir Med. 2011 Jun;105(6):892-9. doi: 10.1016/j.rmed.2011.02.013. Epub 2011 Mar 11.
- Derived from this study: PubMed 21227674Worth H, Chung KF, Felser JM, Hu H, Rueegg P. Cardio- and cerebrovascular safety of indacaterol vs formoterol, salmeterol, tiotropium and placebo in COPD. Respir Med. 2011 Apr;105(4):571-9. doi: 10.1016/j.rmed.2010.11.027. Epub 2011 Jan 11.
- Derived from this study: PubMed 20463178Donohue JF, Fogarty C, Lotvall J, Mahler DA, Worth H, Yorgancioglu A, Iqbal A, Swales J, Owen R, Higgins M, Kramer B; INHANCE Study Investigators. Once-daily bronchodilators for chronic obstructive pulmonary disease: indacaterol versus tiotropium. Am J Respir Crit Care Med. 2010 Jul 15;182(2):155-62. doi: 10.1164/rccm.200910-1500OC. Epub 2010 May 12.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Pharmaceuticals study chair
Novartis Pharmaceuticals
344 sites in 12 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Indacaterol, Formoterol (12 µg b.i.d.) and Tiotropium (18 µg o.d.) in people with Pulmonary Disease, Chronic Obstructive and COPD, run by Novartis at 344 sites in 12 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 18 Aug 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 344 sites in United States, Spain, Germany, Canada, Italy and 7 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 18 Aug 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Trough Forced Expiratory Volume in 1 Second (FEV1) Assessed by Spirometry 24 Hour Post Dose After 12 Weeks of Treatment (time frame: after 12 weeks of treatment). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00463567, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Aug 2011.