Pulmonary Disease, Chronic ObstructivePhase 2NCT00606684
A Study To Assess Efficacy And Safety Of Different Doses Of GW642444 In Subjects With Chronic Obstructive Pulmonary Disease (COPD)
A Phase 2 study testing GW642444 6.25, GW642444 3mcg and GW642444 12.5mcg in people with Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 99 sites in 14 countries.
Trial summary
This study will assess the safety and efficacy of 5 doses GW642444 in subjects with Chonic Obstructive Pulmonary Disease (COPD) Read more about this study
- Who is it for?
- Ages 40 to 80 years
- Conditions the study is for
- Pulmonary Disease, Chronic Obstructive
- What is being tested?
- GW642444 6.25, GW642444 3mcg and GW642444 12.5mcg
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 602 participants
- Where
- 99 sitesin 14 countries
- Study dates
- Feb 2008to Oct 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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects eligible for enrollment in the study must meet all of the following criteria:
- Informed Consent: Subjects who give their signed written informed consent to participate.
- Gender: Male or females who are 40 - 80 years of age at Visit 1. A female is eligible to enter and participate in the study if she is of:
- Non-child bearing potential (i.e. physiologically incapable of becoming pregnant, including any female who is post-menopausal); or
- Child bearing potential, has a negative pregnancy test at screening, and agrees to one of the following acceptable contraceptive methods used consistently and correctly (i.e. in accordance with the approved product label and the instructions of the physician for the duration of the study - screening to follow-up contact):
- Complete abstinence from intercourse from screening until 2 weeks after the follow-up contact; or
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- Male partner is sterile (vasectomy with documentation of azoospermia) prior to female subject entry into the study, and this male partner is the sole partner for that subject; or
- Implants of levonorgestrel inserted for at least 1 month prior to the study medication administration but not beyond the third successive year following insertion; or
- Injectable progestogen administered for at least 1 month prior to study medication administration and administered for 1 month following study completion; or
- Oral contraceptive (combined or progestogen only) administered for at least one monthly cycle prior to study medication administration; or
- Double barrier method: condom or occlusive cap (diaphragm or cervical/vault caps) plus spermicidal agent (foam/gel/film/cream/suppository); or
- An intrauterine device (IUD), inserted by a qualified physician, with published data showing that the highest expected failure rate is less than 1% per year; or
- Estrogenic vaginal ring; or
- Percutaneous contraceptive patches
- COPD Diagnosis: Subjects with an established clinical history of COPD in accordance with the following definition by the American Thoracic Society/European Respiratory Society [Celli, 2004]: COPD is a preventable and treatable disease characterised by airflow limitation that is not fully reversible. The airflow limitation is usually progressive and is associated with an abnormal inflammatory response of the lungs to noxious particles or gases, primarily caused by cigarette smoking. Although COPD affects the lungs, it also produces significant systemic consequences.
- Tobacco Use: Must have current or prior history of at least 10 pack-years of cigarette smoking. [number of pack years = (number of cigarettes per day / 20) x number of years smoked (e.g., 20 cigarettes per day for 10 years, or 10 cigarettes per day for 20 years]. Previous smokers are defined as those who have stopped smoking for at least 6 months prior to Visit 1.
- Severity of Disease:
- Subjects with a measured post-salbutamol FEV1/FVC ratio of ≤0.70 at Visit 1 (Screening).
- Subjects with a measured post-salbutamol FEV1 ≥35 and ≤70% of predicted normal values calculated using NHANES III reference equations at Visit 1 (Screening).
Who cannot join
- Subjects meeting any of the following criteria must not be enrolled in the study:
- Pregnancy: Women who are pregnant or lactating.
- Asthma: Subjects with a primary diagnosis of asthma. (Subjects with a prior history of asthma are eligible if COPD is currently their primary diagnosis)
- a1-antitrypsin deficiency: Subjects with a1-antitrypsin deficiency as the underlying cause of COPD.
- Other Respiratory disorders: Subjects with active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis, pulmonary hypertension, interstitial lung disease or other active pulmonary disease.
- Lung Resection: Subjects with lung volume reduction surgery within the previous 12 months.
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- Chest X-ray: Chest X-ray (or CT scan) reveals evidence of clinically significant abnormalities not believed to be due to the presence of COPD. A chest x-ray must be taken if a chest x-ray or CT scan is not available within the 6 months preceding the Screening Visit. For sites in Germany, if a chest x-ray (or CT scan) is not available in the 6 months preceding the Screening (Visit 1), the subject will not be eligible for the study.
- Hospitalization: Subjects who are hospitalized due to poorly controlled COPD within 12 weeks of the screening visit.
- Poorly controlled COPD: Subjects with poorly controlled COPD, defined as the occurrence of any of the following in the 6 weeks prior to Visit 1:
- acute worsening of COPD that is managed by subject with corticosteroids or antibiotics, or
- acute worsening of COPD that requires treatment prescribed by a physician
- Other Diseases/Abnormalities: Subjects with clinically significant cardiovascular neurological, psychiatric, renal, immunological, endocrine (including uncontrolled diabetes or thyroid disease) or hematological abnormalities that are uncontrolled.
- Lower Respiratory Tract Infection: Subjects with lower respiratory tract infections which required the use of antibiotics within 6 weeks prior to visit 1.
- 12-Lead ECG: An abnormal and clinically significant 12-lead electrocardiogram (ECG) that results in an active medical problem. For the purposes of this study, an abnormal ECG is defined as a 12-lead tracing which is interpreted with (but not limited to) any of the following:
- Clinically significant conduction abnormalities (e.g., left bundle branch block, Wolff-Parkinson-White syndrome)
- Clinically significant arrhythmias (e.g., atrial fibrillation, ventricular tachycardia)
- The investigator will determine the clinical significance of any ECG abnormality and determine if a subject is precluded from entering the study. However, the following predetermined ECG abnormalities are considered clinically significant and will result in exclusion of a subject:
- A mean QTc(B) value at screening >450msec, or uncorrected QT>600msec or an ECG that is not suitable for QT measurements (e.g. poorly defined termination of the T wave)
- Ventricular rate < 45 beats per minute.
- PR interval > 240msec.
- Evidence of second or third degree atrioventricular (AV) block
- Pathological Q waves
- Non-specific intraventricular conduction delay
- ST-T wave abnormalities (excluding non-specific ST-T wave abnormalities)
- Right or left complete bundle branch block
- Hypertension: Subjects with clinically significant hypertension that is uncontrolled.
- Hepatitis: Subjects with a positive Hepatitis B surface antigen or positive hepatitis C antibody pre-study or at Screening.
- Cancer: Subjects with carcinoma that has not been in complete remission for at least 5 years. Carcinoma in situ of the cervix, squamous cell carcinoma and basal cell carcinoma would not be excluded if the subject was considered cured in less than 5 years since diagnosis.
- Drug allergy: Subjects with a history of hypersensitivity to any beta-agonist or any component of the MDI and/or nebule or sensitivity to any of the constituents of the dry powder product (magnesium stearate or lactose). In addition patients with a history of severe milk protein allergy would also be excluded.
- Drug abuse: Subjects with a known or suspected history of alcohol or drug abuse within the last 2 years.
- Medication prior to spirometry: Subjects who are medically unable to withhold their salbutamol for the 6 hour period required prior to spirometry testing at each study visit would be ineligible for the study.
- Additional Medications: The following medications are not permitted during this study and must not have been taken for the indicated times prior to Visit 1 (See Prohibited Medications): Medication (Required period of time prior to screening visit):
- Ipratropium or ipratropium/salbutamol combination product (6 hours)
- Inhaled short acting beta-agonists (study salbutamol will be provided)(6 hours)
- Oral beta2-agonists (48 hours)
- LABAs (salmeterol and formoterol)(48 hours)
- Corticosteroids/Long acting beta-agonist combination products (48 hours for the LABA component)
- Theophylline preparations (48 hours)
- Cromolyn and nedocromil inhalers(24 hours)
- Zafirlukast, montelukast, zileuton(48 hours)
- Tiotropium (1 Week)
- Depot corticosteroids (12 Weeks)
- Intra-articular corticosteroids (24 hours)
- Inhaled corticosteroids>1000mcg/day of fluticasone propionate or equivalent (4 Weeks)
- Any other investigational medication (30 days or within 5 drug half-lives of the investigational drug (whichever is longer))
- P-glycoprotein inhibitors (e.g., ritonavir, ketoconazole) or Cytochrome P 3A4 inhibitors (e.g., cimetidine) (4 weeks (grapefruit is allowed up to the screening visit))
- Other Medications: Subjects receiving treatment with tricyclic antidepressants, MAOs, beta-adrenergic antagonists, anticonvulsants (barbiturates, hydantoins, and carbamazepine) or phenothiazines would be ineligible for the study.
- Oxygen: Subjects receiving long-term-oxygen therapy (LTOT) or nocturnal oxygen therapy required for greater than 12 hours a day. Oxygen prn use is not exclusionary.
- Sleep apnea: Subjects with clinically significant sleep apnea that is uncontrolled.
- Pulmonary Rehabilitation: Subjects who have participated in the acute phase of a Pulmonary Rehabilitation Program within 4 weeks prior to Visit 1 (Screening) or who will enter the acute phase of a Pulmonary Rehabilitation Program during the study. Subjects who are in the maintenance phase of a Pulmonary Rehabilitation program are not excluded.
- Non-compliance: Subjects unable to comply with study procedures.
- Affiliation with investigator site: Study investigators, sub-investigators, study coordinators, employees of a participating investigator or immediate family members of the aforementioned are excluded from participation in this study.
- Questionable validity of Consent: Subjects with a history of psychiatric disease, intellectual deficiency, poor motivation, substance abuse, (including drug and alcohol), or other conditions, which will limit the validity of informed consent to participate in the study.
- Prior use of Study Medication: Subjects who have received the investigational drug GW642444 in previous studies.
Trial locations and contacts
99 sites in 14 countries.
99 sites in 14 countries
United States49 sites
GSK Investigational Site
Abingdon, Virginia, 24210
GSK Investigational Site
Brandon, Florida, 33511
GSK Investigational Site
Butte, Montana, 59701
GSK Investigational Site
Carmel, Indiana, 46032
GSK Investigational Site
Charleston, South Carolina, 29406-7108
GSK Investigational Site
Charlotte, North Carolina, 28207
GSK Investigational Site
Cincinnati, Ohio, 45231
GSK Investigational Site
Corsicana, Texas, 75110
GSK Investigational Site
Dallas, Texas, 75216
GSK Investigational Site
DeLand, Florida, 32720
GSK Investigational Site
Detroit, Michigan, 48201-2018
GSK Investigational Site
Elkhart, Indiana, 46515
GSK Investigational Site
Elmira, New York, 14901
GSK Investigational Site
Florence, Alabama, 35630
GSK Investigational Site
Fullerton, California, 92835
GSK Investigational Site
Gaffney, South Carolina, 29340
GSK Investigational Site
Greenville, North Carolina, 27834
GSK Investigational Site
Greenville, South Carolina, 29615
GSK Investigational Site
Houston, Texas, 77030
GSK Investigational Site
Jasper, Alabama, 35501
GSK Investigational Site
Lafayette, Louisiana, 70503
GSK Investigational Site
Lakewood, California, 90712
GSK Investigational Site
Larchmont, New York, 10538
GSK Investigational Site
Livonia, Michigan, 48152
GSK Investigational Site
Los Angeles, California, 90095-1752
GSK Investigational Site
Marietta, Georgia, 30060
GSK Investigational Site
Medford, Oregon, 97504
GSK Investigational Site
Miami, Florida, 33136
GSK Investigational Site
Montgomery, Alabama, 36109
GSK Investigational Site
New Albany, Indiana, 47150
GSK Investigational Site
Newark, Delaware, 19713
GSK Investigational Site
Philadelphia, Pennsylvania, 19140
GSK Investigational Site
Portland, Oregon, 97220
GSK Investigational Site
Raleigh, North Carolina, 27607
GSK Investigational Site
Rancho Mirage, California, 92270
GSK Investigational Site
Richmond, Virginia, 23225
GSK Investigational Site
Saint Charles, Missouri, 63301
GSK Investigational Site
Sepuldeva, California, 91343
GSK Investigational Site
South Burlington, Vermont, 05403
GSK Investigational Site
Spartanburg, South Carolina, 29303
GSK Investigational Site
St Louis, Missouri, 63122
GSK Investigational Site
St Louis, Missouri, 63141
GSK Investigational Site
Statesville, North Carolina, 28625
GSK Investigational Site
Summit, New Jersey, 07091
GSK Investigational Site
Sunset, Louisiana, 70584
GSK Investigational Site
Tampa, Florida, 33613
GSK Investigational Site
Union, South Carolina, 29379
GSK Investigational Site
Upland, California, 91786
GSK Investigational Site
Waco, Texas, 76712
Germany8 sites
GSK Investigational Site
Berlin, State of Berlin, 14057
GSK Investigational Site
Geesthacht, Schleswig-Holstein, 21502
GSK Investigational Site
Landsberg am Lech, Bavaria, 86899
GSK Investigational Site
Leipzig, Saxony, 04103
GSK Investigational Site
Magdeburg, Saxony-Anhalt, 39112
GSK Investigational Site
Munich, Bavaria, 80539
GSK Investigational Site
Rüdersdorf, Brandenburg, 15562
GSK Investigational Site
Schmölln, Thuringia, 04626
Canada6 sites
GSK Investigational Site
Bathurst, New Brunswick, E2A 4X7
GSK Investigational Site
Brampton, Ontario, L6T 3T1
GSK Investigational Site
Gatineau, Quebec, J8Y 6S8
GSK Investigational Site
Montreal, Quebec, H3H 2R9
GSK Investigational Site
Saskatoon, Ontario, S7N 0W8
GSK Investigational Site
Toronto, Ontario, M5G 1N8
Russia6 sites
GSK Investigational Site
Moscow, 105077
GSK Investigational Site
Moscow, 125315
GSK Investigational Site
Samara, 443079
GSK Investigational Site
Saratov, 410053
GSK Investigational Site
Smolensk, 214001
GSK Investigational Site
Yekaterinburg, 620109
Poland5 sites
GSK Investigational Site
Gidle, 97-540
GSK Investigational Site
Prabuty, 82-550
GSK Investigational Site
Warsaw, 01-138
GSK Investigational Site
Warsaw, 02-097
GSK Investigational Site
Zabrze, 41-803
Mexico4 sites
GSK Investigational Site
México, 11550
GSK Investigational Site
Mexico City, 06720
GSK Investigational Site
Monterrey NL, Nuevo León, 64718
GSK Investigational Site
Zapopan, Jalisco, 45040
Argentina3 sites
GSK Investigational Site
Buenos Aires, C1121ABE
GSK Investigational Site
Mendoza, Mendoza Province, M5500CCG
GSK Investigational Site
Vicente López, Buenos Aires, B1602DOH
Denmark3 sites
GSK Investigational Site
Hellerup, 2900
GSK Investigational Site
Hvidovre, 2650
GSK Investigational Site
Odense C, 5000
Estonia3 sites
GSK Investigational Site
Tallinn, 13419
GSK Investigational Site
Tallinn, 13619
GSK Investigational Site
Tartu, 51014
Philippines3 sites
GSK Investigational Site
Lipa City, 4217
GSK Investigational Site
Manila, 1000
GSK Investigational Site
Quezon City, 1101
Slovakia3 sites
GSK Investigational Site
Bratislava, 821 06
GSK Investigational Site
Šaľa, 927 01
GSK Investigational Site
Spišská Nová Ves, 052 01
Chile2 sites
GSK Investigational Site
Santiago, Región Metro de Santiago, 7500551
GSK Investigational Site
Valparaíso, Valparaiso, 2341131
Peru2 sites
GSK Investigational Site
Lima, Lima Province, Lima 1
GSK Investigational Site
San Isidro, Lima region, Lima 27
South Korea2 sites
GSK Investigational Site
Seoul, 135-710
GSK Investigational Site
Seoul, 152-703
About this study
Official title: Study B2C111045, A Dose-Finding Study of GW642444 Versus Placebo in Patients With COPD
This study will assess the safety and efficacy of 5 doses GW642444 in subjects with Chonic Obstructive Pulmonary Disease (COPD)
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Being tested
- GW642444 6.25, GW642444 3mcg, GW642444 12.5mcg, GW642444 25mcg, GW642444 50mcg
- Keywords
- Chronic Obstructive Pulmonary Disease (COPD), COPD, GW642444
- 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.
GW642444 6.25Drug
GW642444 6.25
GW642444 3mcgDrug
Also called GW642444
once daily
GW642444 12.5mcgDrug
GW642444 12.5mcg
GW642444 25mcgDrug
GW642444 25mcg
GW642444 50mcgDrug
GW642444 50mcg
placeboOther
placebo
| Study group | Role | What they receive |
|---|---|---|
| GW642444 | Active comparator | GW642444 Receives: Drug: GW642444 6.25; Drug: GW642444 3mcg; Drug: GW642444 12.5mcg; Drug: GW642444 25mcg; Drug: GW642444 50mcg |
| placebo | Placebo comparator | Not described Receives: Other: placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Change From Baseline in Trough (Pre Bronchodilator and Pre Dose) FEV1 on Day 29
Pulmonary function was measured by forced expiratory volume in one second (FEV1), defined as the maximal amount of air that can be forcibly exhaled from the lungs in one second. Baseline FEV1 is defined as the mean of the two assessments made 30 minutes pre-dose and immediately pre-dose on Day 1. If one of these two assessments was missing then Baseline is defined as the single pre-dose FEV1 value at Day 1. The trough FEV1 is defined as the mean of the FEV1 values obtained at 23 and 24-hours after dosing on Day 28 and the Baseline FEV1 is defined as the mean of the two assessments made 30 minutes pre-dose and immediately pre-dose on Day 1. Change from Baseline in trough FEV1 was calculated as the value on Day 29 minus the value at Baseline. Analysis was performed using Analysis of Covariance (ANCOVA) using Last Observation Carried Forward (LOCF) with covariates of baseline, sex, age, smoking status (at screening), reversibility stratum, and treatment (trt).
Measured: Baseline (BL) and Day 29
Secondary outcomes (3)
Time-adjusted Area Under the Curve (AUC) (i.e. Weighted Mean Change From Baseline) for 24 Hour Serial FEV1 on Days 1 and 28
Weighted mean was derived by calculating the AUC, and then dividing by the relevant time interval. The weighted mean change from Baseline was calculated as the weighted mean of the 24 hour serial FEV1 measures on Day 1 and Day 28 minus the Baseline value. Serial FEV1 measurements were taken on Day 1 and Day 28 (post-dose FEV1 after 5, 15, 30 minutes and 1, 2, 4, 8, 12, 23 and 24 hours). AUC was calculated only when there was at least 3 non-missing values between 0 and 24 hours and must have a value at 23 or 24 hours. Analysis performed used a repeated measures model with covariates of treatment, baseline, sex, age, smoking status (at Screening), reversibility stratum, Day (nominal), day by Baseline, and day by treatment interactions.
Measured: Baseline to Day 28
Time to >= 12% Increase From Baseline in FEV1 (0-4 Hours Post-dose)
Forced expiratory volume in one second (FEV1) is a measure of lung function defined as the maximal amount of air that can be forcibly exhaled from the lungs in one second. Time until participants achieved a >=12% increase from Baseline FEV1 (0-4 hours post-dose) are presented. Baseline FEV1 is defined as the mean of the two assessments made 30 minutes pre-dose and immediately pre-dose on Day 1. If one of these two assessments was missing then Baseline is defined as the single pre-dose FEV1 on Day 1.Time to >= 12% increase from Baseline (on Day 1) is defined as the time when the first post-dose FEV1 (on Day 1) is >=12% above Baseline FEV1. Time to >= 12% increase from Baseline was assessed over the 0-4 hour time period and only used lung function data recorded up to 6 hours post the Day 1 dose.
Measured: Baseline and Day 1
Time to >= 100 Milliliter (mL) Increase From Baseline in FEV1 (0-4 Hours Post-dose)
Pulmonary function was measured by forced expiratory volume in one second (FEV1), defined as the maximal amount of air that can be forcibly exhaled from the lungs in one second. Time until participants achieve >=100 mL increase from Baseline FEV1 (0-4 hours post-dose) are presented. Baseline FEV1 is defined as the mean of the two assessments made 30 minutes pre-dose and immediately pre-dose on Day 1. Time to >= 100mL increase from Baseline (on Day 1) is defined as the time until the first post-dose FEV1 (on Day 1) is >= 100mL above Baseline FEV1. Time to >= 100mL increase from Baseline (on Day 1) was calculated only if there was at least one non-missing FEV1 value recorded within the first hour of dosing. Time to >= 100mL increase from Baseline was assessed over the 0-4 time period and only used lung function data recorded up to 6 hours post the Day 1 dose. Participants who did not achieve >= 100mL increase from Baseline over this time period were censored.
Measured: Baseline and Day 1
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Feb 2008 (estimated)
- Study startFeb 2008
- Primary completionOct 2008
- Study completionOct 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 (1)Papers the sponsor has linked to this study.
- Other trials for Pulmonary Disease, Chronic ObstructiveStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- 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
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 602 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00606684
- Sponsor's protocol ID
- B2C111045
- Status last verified
- Nov 2016
- First submitted
- 18 Jan 2008
- Last updated
- 16 Dec 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
Publications
Hanania NA, Feldman G, Zachgo W, Shim JJ, Crim C, Sanford L, Lettis S, Barnhart F, Haumann B. The efficacy and safety of the novel long-acting beta2 agonist vilanterol in patients with COPD: a randomized placebo-controlled trial. Chest. 2012 Jul;142(1):119-127. doi: 10.1378/chest.11-2231.
PubMed 22241764
Study at a glance
From the registry record, last updated by the sponsor on 16 Dec 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Study B2C111045, A Dose-Finding Study of GW642444 Versus Placebo in Patients With COPD
- ClinicalTrials.gov ID
- NCT00606684
- Acronym / sponsor ID
- B2C111045
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Keywords
- Chronic Obstructive Pulmonary Disease (COPD), COPD, GW642444
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 602 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- Feb 2008
- Primary completion
- Oct 2008 (actual)
- Study completion
- Oct 2008 (actual)
- First posted
- 4 Feb 2008 (estimated)
- Results
- Posted 17 Sep 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will assess the safety and efficacy of 5 doses GW642444 in subjects with Chonic Obstructive Pulmonary Disease (COPD)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| GW642444 | Active comparator | Drug: GW642444 6.25, Drug: GW642444 3mcg, Drug: GW642444 12.5mcg, Drug: GW642444 25mcg, Drug: GW642444 50mcgGW642444 |
| placebo | Placebo comparator | Other: placebo |
Who may qualify
- Ages
- 40 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (19 listed)
- Informed Consent: Subjects who give their signed written informed consent to participate.
- Gender: Male or females who are 40 - 80 years of age at Visit 1. A female is eligible to enter and participate in the study if she is of:
- COPD Diagnosis: Subjects with an established clinical history of COPD in accordance with the following definition by the American Thoracic Society/European Respiratory Society [Celli, 2004]: COPD is a preventable and treatable disease characterised by airflow limitation that is not fully reversible. The airflow limitation is usually progressive and is associated with an abnormal inflammatory response of the lungs to noxious particles or gases, primarily caused by cigarette smoking. Although COPD affects the lungs, it also produces significant systemic consequences.
- Tobacco Use: Must have current or prior history of at least 10 pack-years of cigarette smoking. [number of pack years = (number of cigarettes per day / 20) x number of years smoked (e.g., 20 cigarettes per day for 10 years, or 10 cigarettes per day for 20 years]. Previous smokers are defined as those who have stopped smoking for at least 6 months prior to Visit 1.
- Severity of Disease:
Key exclusion criteria (54 listed)
- Pregnancy: Women who are pregnant or lactating.
- Asthma: Subjects with a primary diagnosis of asthma. (Subjects with a prior history of asthma are eligible if COPD is currently their primary diagnosis)
- a1-antitrypsin deficiency: Subjects with a1-antitrypsin deficiency as the underlying cause of COPD.
- Other Respiratory disorders: Subjects with active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis, pulmonary hypertension, interstitial lung disease or other active pulmonary disease.
- Lung Resection: Subjects with lung volume reduction surgery within the previous 12 months.
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 |
|---|---|---|
| GW642444 6.25GW642444 6.25 | Drug | GW642444 |
| GW642444 3mcgAlso: GW642444once daily | Drug | GW642444 |
| GW642444 12.5mcgGW642444 12.5mcg | Drug | GW642444 |
| GW642444 25mcgGW642444 25mcg | Drug | GW642444 |
| GW642444 50mcgGW642444 50mcg | Drug | GW642444 |
| placeboplacebo | Other | placebo |
Primary outcome
Mean Change From Baseline in Trough (Pre Bronchodilator and Pre Dose) FEV1 on Day 29
Time frame: Baseline (BL) and Day 29
Pulmonary function was measured by forced expiratory volume in one second (FEV1), defined as the maximal amount of air that can be forcibly exhaled from the lungs in one second. Baseline FEV1 is defined as the mean of the two assessments made 30 minutes pre-dose and immediately pre-dose on Day 1. If one of these two assessments was missing then Baseline is defined as the single pre-dose FEV1 value at Day 1. The trough FEV1 is defined as the mean of the FEV1 values obtained at 23 and 24-hours after dosing on Day 28 and the Baseline FEV1 is defined as the mean of the two assessments made 30 minutes pre-dose and immediately pre-dose on Day 1. Change from Baseline in trough FEV1 was calculated as the value on Day 29 minus the value at Baseline. Analysis was performed using Analysis of Covariance (ANCOVA) using Last Observation Carried Forward (LOCF) with covariates of baseline, sex, age, smoking status (at screening), reversibility stratum, and treatment (trt).
3 secondary outcomes
Time-adjusted Area Under the Curve (AUC) (i.e. Weighted Mean Change From Baseline) for 24 Hour Serial FEV1 on Days 1 and 28
Time frame: Baseline to Day 28
Time to >= 12% Increase From Baseline in FEV1 (0-4 Hours Post-dose)
Time frame: Baseline and Day 1
Time to >= 100 Milliliter (mL) Increase From Baseline in FEV1 (0-4 Hours Post-dose)
Time frame: Baseline and Day 1
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Dec 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 22241764Hanania NA, Feldman G, Zachgo W, Shim JJ, Crim C, Sanford L, Lettis S, Barnhart F, Haumann B. The efficacy and safety of the novel long-acting beta2 agonist vilanterol in patients with COPD: a randomized placebo-controlled trial. Chest. 2012 Jul;142(1):119-127. doi: 10.1378/chest.11-2231.
- Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
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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.
GSK Clinical Trials study director
GlaxoSmithKline
99 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing GW642444 6.25, GW642444 3mcg and GW642444 12.5mcg in people with Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 99 sites in 14 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 19 inclusion and 54 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 16 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 99 sites in United States, Germany, Canada, Russia, Poland and 9 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 17 Sep 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?
Mean Change From Baseline in Trough (Pre Bronchodilator and Pre Dose) FEV1 on Day 29 (time frame: Baseline (BL) and Day 29). 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 NCT00606684, which also lists 1 linked publication.
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 16 Dec 2016.