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COPDPhase 2NCT00557466

A Dose Ranging Trial of 4 Doses of Indacaterol Delivered Via the TWISTHALER® Device in Patients With Chronic Obstructive Pulmonary Disease (COPD)

A Phase 2 study testing indacaterol, formoterol and short acting β2- agonist in people with COPD, run by Novartis at 75 sites in 17 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study will evaluate the dose response relationship among four doses of indacaterol as well as placebo delivered via the TWISTHALER® device. Read more about this study

Who is it for?
Ages 40 years and older
Conditions the study is for
COPD
What is being tested?
indacaterol, formoterol and short acting β2- agonist
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
568 participants
Where
75 sitesin 17 countries
Study dates
Oct 2007to May 2008
Phase
Phase 2
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 (which include any adjustment to their current COPD treatment)
  • Cooperative outpatients with a diagnosis of COPD (moderate to severe as classified by the Global Initiative for Obstructive Lung Disease (GOLD) Guidelines, 2006) and:
  • Smoking history of at least 10 pack years
  • Post-bronchodilator Forced Expiratory Volume in one second (FEV1) < 80% and ≥30% of the predicted normal value.
  • Post-bronchodilator FEV1/Forced vital capacity (FVC) < 70%

Who cannot join

  • Pregnant women, nursing mothers, or females of childbearing potential, regardless of whether or not sexually active, if they are not using acceptable methods of contraception.
  • Patients who have been hospitalized for an exacerbation of their airways disease within 6 weeks prior to Visit 1 or between Visit 1 and Visit 2.
  • Patients with a history of asthma.
  • Patients with an acute respiratory tract infection within 4 weeks prior to Visit 1, will be not allowed to enter the study.
  • Other clinically significant conditions which may interfere with the study conduct or patient safety as specified in the protocol.
  • Other protocol-defined inclusion/exclusion criteria may apply.

Trial locations and contacts

75 sites in 17 countries.

75 sites in 17 countries

Germany11 sites
  • Novartis Investigator Site

    Berlin

  • Novartis Investigator site

    Bibertal

  • Novartis Investigator Site

    Bochum

  • Novartis Investigator Site - 2 sites

    Bonn

  • Novartis Investigator Site

    Cologne

  • Novartis Investigator Site

    Frankfurt

  • Novartis Investigator Site

    Hamburg

  • Novartis Investigator Site

    Heidelberg

  • novartis Investigator site

    Koblenz

  • Novartis Investigator Site

    Marburg

  • Novartis Investigator Site

    Solingen

Other trials in Germany

South Africa10 sites
  • Novartis Investigator Site

    Bloemfontain

  • Novartis Investigator Site

    Bloemfontein

  • Novartis Investigator Site

    Cape Town

  • Novartis Investigator Site

    Durban

  • Novartis Investigator Site

    eManzimtoti

  • Novartis Investigator Site

    George

  • Novartis Investigator Site

    Johannesburg

  • Novartis Investigator Site

    Port Elizabeth

  • Novartis Investigator Site

    Pretoria

  • Novartis Investigator Site

    Tygerberg

Other trials in South Africa

Turkey (Türkiye)9 sites
  • Novartis Investigator Site

    Erzurum

  • Novartis Investigator Site

    Isparta

  • Novartis Investigator Site

    Istanbul

  • Novartis Investigator Site

    Kahramanmaraş

  • Novartis Investigator Site

    Kayseri

  • Novartis Investigator Site

    Malatya

  • Novartis Investigator Site

    Manisa

  • Novartis Investigator Site

    Sanliurfa

  • Novartis Investigator Site

    Trabzon

Other trials in Turkey (Türkiye)

Poland8 sites
  • Novartis Investigator Site

    Izabelin

  • Novartis Investigator Site

    Lodz

  • Novartis Investigator Site

    Lublin

  • Novartis Investigator site

    Mrozy

  • Novartis Investigator Site

    Olsztyn

  • Novartis Investigator Site

    Rzeszów

  • Novartis Investigator Site

    Wejhrowo

  • Novartis Investigator Site

    Włocławek

Other trials in Poland

United Kingdom7 sites
  • Novartis Investigator Site

    Belfast

  • Novartis Investigator Site

    Chesterfield

  • Novartis Investigator Site

    Glasgow

  • Novartis Investigator Site

    Plymouth

  • Novartis Investigator Site

    Warminster

  • Novartis investigator site

    Watford

  • Novartis Investigator Site

    Whitstable

Other trials in United Kingdom

France6 sites
  • Novartis Investigator Site

    Bois-Guillaume

  • Novartis Investigator Site

    Clermot Ferand

  • Novartis Investigator Site

    Lille

  • Novartis Investigator Site

    Marseille

  • Novartis Investigator Site

    Nantes

  • Novartis Investigator site

    Toulouse

Other trials in France

Romania4 sites
  • Novartis Investigator Site

    Bucharest

  • Novartis Investigator Site

    Cluj-Napoca

  • Novartis Investigator Site

    Iași

  • Novartis Investigator Site

    Timișoara

Other trials in Romania

Argentina3 sites
  • Novartis Investigator site

    Buenos Aires

  • Novartis Investigator Site

    Rosario

  • Novartis Investigator Site

    Santillán

Other trials in Argentina

Hungary3 sites
  • Novartis Investigator Site

    Budapest

  • Novartis Investigator Site

    Debrecen

  • Novartis investigator site

    Pécs

Other trials in Hungary

Italy3 sites
  • Novartis Investigator Site

    Genova

  • Novartis Investigator Site

    Naples

  • Novartis Investigator Site

    Pordenone

Other trials in Italy

Lithuania3 sites
  • Novartis Investigator Site

    Kaunas

  • Novartis Investigator Site

    Klaipėda

  • Novartis Investigator Site

    Vilnius

Other trials in Lithuania

Chile2 sites
  • Novartis Investigator Site

    Santiago

  • Novartis Investigator Site

    Val Pariso

Other trials in Chile

Latvia2 sites
  • Novartis investigator site

    Daugavpils

  • Novartis Investigator Site

    Riga

Other trials in Latvia

Belgium1 site
  • Novartis Investigator Site

    Liège

Other trials in Belgium

Ireland1 site
  • Novartis investigator site

    Dublin

Other trials in Ireland

Norway1 site
  • Novartis Investigator Site

    Tronheim

Other trials in Norway

Peru1 site
  • Novartis Investigator Site

    Lima

Other trials in Peru

About this study

Official title: A Randomized, Multi-center, Parallel Group, Double Blind, Placebo and Formoterol Controlled 14 Day Dose Ranging Trial of 4 Doses of Indacaterol Delivered Via TWISTHALER® Device in Patients With COPD

This study will evaluate the dose response relationship among four doses of indacaterol as well as placebo delivered via the TWISTHALER® device.

Conditions
COPD
Being tested
indacaterol, formoterol, placebo to indacaterol, placebo to formoterol, short acting β2- agonist
Keywords
QMF, indacaterol, TWISTHALER® device
Medical subject headings
Pulmonary Disease, Chronic Obstructive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • indacaterolDrug

    Indacaterol delivered by multiple dose dry powder inhaler (TWISTHALER® device).

  • formoterolDrug

    Formoterol delivered by oral inhalation via AEROLIZER® inhalation device.

  • placebo to indacaterolDrug

    Placebo TWISTHALER® device

  • placebo to formoterolDrug

    Placebo AEROLIZER® device

  • short acting β2- agonistDrug

    100 μg / 90 μg salbutamol/albuterol Metered Dose Inhaler (MDI) or equivalent dose of Dry Powder Inhaler (DPI).

Study groups in NCT00557466
Study groupRoleWhat they receive
indacaterol 62.5 μgExperimentalIndacaterol 62.5 μg delivered by the TWISTHALER® device once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication.
Receives: Drug: indacaterol; Drug: placebo to formoterol; Drug: short acting β2- agonist
indacaterol 125 μgExperimentalIndacaterol 125 μg delivered by the TWISTHALER® device once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication.
Receives: Drug: indacaterol; Drug: placebo to formoterol; Drug: short acting β2- agonist
Indacaterol 250 μgExperimentalIndacaterol 250 μg delivered by the TWISTHALER® device once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication.
Receives: Drug: indacaterol; Drug: placebo to formoterol; Drug: short acting β2- agonist
indacaterol 500 μgExperimentalIndacaterol 500 μg delivered by the TWISTHALER® device once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication.
Receives: Drug: indacaterol; Drug: placebo to formoterol; Drug: short acting β2- agonist
formoterolActive comparatorFormoterol 12 μg delivered by the AEROLIZER® device twice a day and placebo to indacaterol (placebo TWISTHALER® device) once a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication.
Receives: Drug: formoterol; Drug: placebo to indacaterol; Drug: short acting β2- agonist
placeboPlacebo comparatorPlacebo to indacaterol (placebo TWISTHALER® device) once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication.
Receives: Drug: placebo to indacaterol; Drug: placebo to formoterol; Drug: short acting β2- agonist

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1)

    FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Change from baseline to 24 hour post dose trough FEV1 after 14 days of treatment was analyzed using Analysis of Covariance (ANCOVA) adjusting for treatment and region with baseline FEV1 as a covariate.

    Measured: Baseline (prior to first dose) and Day 15 (24 hours after last dose)

Secondary outcomes (6)
  1. Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose

    FEV1 was measured on Day 14 pre-dose and up to 4 hours post-dose. The Area Under the Curve (AUC) for FEV1 was analyzed using Analysis of Covariance adjusting for treatment and region with baseline FEV1 as a covariate.

    Measured: Day 14, pre-dose and at 5, 20, 30 minutes and 1, 2, 3, and 4 hours post-dose.

  2. The Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) on Day 1

    FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Change from baseline to 24 hour post dose trough FEV1 after 1 day of treatment was analyzed using Analysis of Covariance (ANCOVA) adjusting for treatment and region with baseline FEV1 as a covariate.

    Measured: Day 1 Baseline (prior to first dose) and 24 hours post-dose.

  3. Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose on Day 1

    FEV1 was measured on Day 1 pre-dose and up to 4 hours post-dose. The Area Under the Curve (AUC) for FEV1 was analyzed using Analysis of Covariance adjusting for treatment and region with baseline FEV1 as a covariate.

    Measured: Day 1; pre-dose and at 5, 20, 30 minutes and 1, 2, 3, and 4 hours post-dose.

  4. Time to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14

    FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Time to peak FEV1 is calculated in minutes from the time of inhalation of study drug to the time of the peak FEV1, which is taken as the maximum FEV1 recorded post-dose.

    Measured: Day 1 and Day 14 measured pre-dose and up to 4 hours post-dose

  5. Change From Baseline in Morning and Evening Peak Expiratory Flow

    The Peak Expiratory Flow (PEF) rate is the maximal rate that a person can exhale during a short maximal expiratory effort after fully inhaling. Participants measured their PEF using a peak flow meter prior to taking study medication and recorded measurements in a diary every morning and evening during the study. Change from baseline is the difference between the mean baseline PEF recorded during the screening period until the first day of treatment, and the overall mean PEF from Days 1 to 14.

    Measured: Baseline (recorded during the screening period) and Days 1-14 (treatment period).

  6. Number of Participants Using Rescue Medication

    Participants recorded the use of rescue medications (salbutamol/albuterol) for treatment of asthma symptoms twice a day in a diary during the 14 days of the treatment period.

    Measured: Over 14 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Nov 2007 (estimated)
  2. Study startOct 2007
  3. Primary completionMay 2008
  4. Study completionMay 2008

Resources

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
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
568 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00557466
Sponsor's protocol ID
CQMF149B2201
Status last verified
Nov 2012
First submitted
13 Nov 2007
Last updated
18 Jan 2013

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing indacaterol, formoterol and short acting β2- agonist in people with COPD, run by Novartis at 75 sites in 17 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 6 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 Jan 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 75 sites in Germany, South Africa, Turkey (Türkiye), Poland, United Kingdom and 12 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 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.

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 Jan 2013). 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?

The Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) (time frame: Baseline (prior to first dose) and Day 15 (24 hours after last dose)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 Jan 2013.

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