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Chronic Obstructive Pulmonary DiseasePhase 2NCT00949975

A Dose Range Finding Study to Evaluate the Efficacy and Safety of AZD9668 Administered Orally at Three Dose Levels to Patients With Chronic Obstructive Pulmonary Disease (COPD) on Treatment With Tiotropium

A Phase 2 study testing AZD9668 in people with Chronic Obstructive Pulmonary Disease, run by AstraZeneca at 105 sites in 12 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

The primary objective is to evaluate the dose-response relationship and efficacy of AZD9668 at 3 dose levels compared with placebo in symptomatic COPD patients by assessing effects on lung function and symptoms of COPD. Read more about this study

Who is it for?
Ages 40 to 80 years
Conditions the study is for
Chronic Obstructive Pulmonary Disease
What is being tested?
AZD9668
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
838 participants
Where
105 sitesin 12 countries
Study dates
Jul 2009to Aug 2010
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

  • Diagnosis of COPD with symptoms over 1 year
  • Smokers or ex-smokers
  • Males or post-menopausal females between 40 and 80 years old
  • Able to use electronic devices

Who cannot join

  • Past history or current evidence of clinically significant heart disease
  • Current diagnosis of asthma
  • Patients who require long term oxygen therapy
  • Treatment with antibiotics within 4 weeks of study visit 1b

Trial locations and contacts

105 sites in 12 countries.

105 sites in 12 countries

Japan24 sites
  • Research Site

    Asahikawa, Hokkaido

  • Research Site

    Bunkyō City

  • Research Site

    Chūō, Tokyo

  • Research Site

    Fukuoka, Fukuoka

  • Research Site

    Himeji, Hyōgo

  • Research Site

    Hiroshima, Hiroshima

  • Research Site

    Kagoshima, Kagoshima-ken

  • Research Site

    Kawasaki, Kanagawa

  • Research Site

    Kishiwada, Osaka

  • Research Site

    Kita-ku, Sakai, Osaka

  • Research Site

    Kochi, Kochi

  • Research Site

    Matsue, Shimane

  • Research Site

    Matsumoto, Nagano

  • Research Site

    Nakano-ku, Tokyo

  • Research Site

    Nihommatsu, Fukushima

  • Research Site

    Noda, Chiba

  • Research Site

    Saiki, Oita Prefecture

  • Research Site

    Sapporo, Hokkaido

  • Research Site

    Seto, Aichi-ken

  • Research Site

    Tanabe, Wakayama

  • Research Site

    Touon, Ehime

  • Research Site

    Ukyo-ku, Kyoto, Kyoto

  • Research Site

    Yokohama, Kanagawa

  • Research Site

    Yukuhashi, Fukuoka

Other trials in Japan

Canada14 sites
  • Research Site

    Antigonish Nova Scotia, Nova Scotia

  • Research Site

    Edmonton, Alberta

  • Research Site

    Grimsby, Ontario

  • Research Site

    Hamilton, Ontario

  • Research Site

    Kingston, Ontario

  • Research Site

    La Malbaie, Quebec

  • Research Site

    Mirabel, Quebec

  • Research Site

    Mississauga, Ontario

  • Research Site

    Mount Pearl, Newfoundland and Labrador

  • Research Site

    Québec, Quebec

  • Research Site

    Saint-Léonard, Quebec

  • Research Site

    Saskatoon, Saskatchewan

  • Research Site

    Toronto, Ontario

  • Research Site

    Vancouver, British Columbia

Other trials in Canada

Slovakia11 sites
  • Research Site

    Bardejov

  • Research Site

    Bojnice

  • Research Site

    Bratislava

  • Research Site

    Košice

  • Research Site

    Nové Mesto nad Váhom

  • Research Site

    Nové Zámky

  • Research Site

    Poprad

  • Research Site

    Prešov

  • Research Site

    Trnava

  • Research Site

    Žilina

  • Research Site

    Zvolen

Other trials in Slovakia

United States9 sites
  • Research Site

    Boerne, Texas

  • Research Site

    Council Bluffs, Iowa

  • Research Site

    Fullerton, California

  • Research Site

    Gaffney, South Carolina

  • Research Site

    Greenville, South Carolina

  • Research Site

    Hickory, North Carolina

  • Research Site

    Jefferson Hills, Pennsylvania

  • Research Site

    Spartanburg, South Carolina

  • Research Site

    Valparaiso, Indiana

Other trials in United States

Poland9 sites
  • Research Site

    Bydgoszcz

  • Research Site

    Chęciny

  • Research Site

    Krakow

  • Research Site

    Ostrów Wielkopolski

  • Research Site

    Poznan

  • Research Site

    Proszowice

  • Research Site

    Tczew

  • Research Site

    Wroclaw

  • Research Site

    Zawadzkie

Other trials in Poland

Australia8 sites
  • Research Site

    Adelaide, South Australia

  • Research Site

    Carina Heights, Queensland

  • Research Site

    Concord, New South Wales

  • Research Site

    Daw Park, South Australia

  • Research Site

    Glebe, New South Wales

  • Research Site

    Kogarah, New South Wales

  • Research Site

    Nedlands, Western Australia

  • Research Site

    Parkville, Victoria

Other trials in Australia

Russia6 sites
  • Research Site

    Barnaul, Russia

  • Research Site

    Kazan', Russia

  • Research Site

    Moscow, Russia

  • Research Site

    Novosibirsk, Russia

  • Research Site

    Saint Petersburg, Russia

  • Research Site

    Yekaterinburg, Russia

Other trials in Russia

South Korea6 sites
  • Research Site

    Anyang

  • Research Site

    Bucheon-si

  • Research Site

    Daegu

  • Research Site

    Seoul

  • Research Site

    Uijeongbu-si, Gyeonggi-do

  • Research Site

    Wŏnju, Gangwon-do

Other trials in South Korea

Germany5 sites
  • Research Site

    Berlin

  • Research Site

    Fulda

  • Research Site

    Hanover

  • Research Site

    Leipzig

  • Research Site

    Marburg

Other trials in Germany

Taiwan5 sites
  • Research Site

    Kaohsiung City

  • Research Site

    Keelung

  • Research Site

    Taichung

  • Research Site

    Taipei

  • Research Site

    Taoyuan

Other trials in Taiwan

Ukraine5 sites
  • Research Site

    Dnipropetrovsk

  • Research Site

    Ivano-Frankivsk, Ivano-Frankivsk Oblast

  • Research Site

    Kharkiv

  • Research Site

    Kyiv

  • Research Site

    Luhansk, Ukraine

Other trials in Ukraine

Philippines3 sites
  • Research Site

    Iloilo City

  • Research Site

    Lipa City, Batangas

  • Research Site

    Quezon City

Other trials in Philippines

About this study

Official title: A 12-week, Randomised, Double-blind, Placebo-controlled, Parallel Group, Multinational, Phase IIb Dose Range Finding Study to Evaluate the Efficacy and Safety of AZD9668 Administered Orally at 3 Dose Levels to Patients With Chronic Obstructive Pulmonary Disease (COPD) on Treatment With Tiotropium

The primary objective is to evaluate the dose-response relationship and efficacy of AZD9668 at 3 dose levels compared with placebo in symptomatic COPD patients by assessing effects on lung function and symptoms of COPD.

Being tested
AZD9668, AZD9668 Placebo
Keywords
Chronic, Obstructive, Pulmonary, Lung, Respiratory disease, Efficacy, Safety and tolerability, Placebo-controlled, Pharmacokinetics, COPD
Medical subject headings
Pulmonary Disease, Chronic Obstructive, Bronchiolitis Obliterans Syndrome, Respiration Disorders

What participants receive

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

  • AZD9668Drug

    2 x 30 mg oral tablets twice daily (bid) for 12 weeks

  • AZD9668Drug

    2 x 10 mg oral tablets twice daily (bid) for 12 weeks

  • AZD9668Drug

    2 x 2.5 mg oral tablets twice daily (bid) for 12 weeks

  • AZD9668 PlaceboDrug

    2 x Matched placebo to oral tablet twice daily (bid) for 12 weeks

Study groups in NCT00949975
Study groupRoleWhat they receive
1Active comparatorAZD9668 active treatment
Receives: Drug: AZD9668
2Active comparatorAZD9668 active treatment
Receives: Drug: AZD9668
3Active comparatorAZD9668 active treatment
Receives: Drug: AZD9668
4Placebo comparatorAZD9668 placebo treatment
Receives: Drug: AZD9668 Placebo

What is being measured

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

  1. Baseline Pre-bronchodilator FEV1 (L)

    Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic

    Measured: Day 1

  2. End-value Pre-bronchodilator FEV1 (L)

    End of treatment value - week 12 for completers, otherwise Last Observation Carried forward (LOCF)

    Measured: Measured at clinic visits: 1, 4, 8 and 12 weeks

Secondary outcomes (26)
  1. Post-bronchodilator FEV1 (L) - Baseline

    Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic

    Measured: Day 1

  2. Post-bronchodilator FEV1 (L) - End-value

    End of treatment value - week 12 for completers, otherwise Last Observation Carried forward (LOCF)

    Measured: Measured at clinic visits: 1, 4, 8 and 12 weeks

  3. Pre-bronchodilator FVC (L) - Baseline

    Forced Vital Capacity (L) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic

    Measured: Day 1

  4. Pre-bronchodilator FVC (L) - End-value

    End of treatment value - week 12 for completers, otherwise Last Observation Carried forward (LOCF)

    Measured: Measured at clinic visits: 1, 4, 8 and 12 weeks

  5. Post-bronchodilator FVC (L) - Baseline

    Forced Vital Capacity (L) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic

    Measured: Day 1

  6. Post-bronchodilator FVC (L) - End-value

    End of treatment value - week 12 for completers, otherwise Last Observation Carried forward (LOCF)

    Measured: Measured at clinic visits: 1, 4, 8 and 12 weeks

  7. Pre-bronchodilator IC (L) - Baseline

    Inspiratory Capacity (L) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic

    Measured: Day 1

  8. Pre-bronchodilator IC (L) - End-value

    End of treatment value - week 12 for completers, otherwise Last Observation Carried forward (LOCF)

    Measured: Measured at clinic visits: 1, 4, 8 and 12 weeks

  9. Post-bronchodilator IC (L) - Baseline

    Inspiratory Capacity (L) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic

    Measured: Day 1

  10. Post-bronchodilator IC (L) - End-value

    End of treatment value - week 12 for completers, otherwise Last Observation Carried forward (LOCF)

    Measured: Measured at clinic visits: 1, 4, 8 and 12 weeks

  11. PEF - Baseline Measured by Patient at Home (L/Min) in the Morning

    Peak Expiratory Flow (L/min) as a measure of lung function, measured at home by the patient each morning.Baseline is the mean of last 10 days of data before start of treatment

    Measured: Baseline

  12. PEF - End-value Measured by Patient at Home (L/Min) in the Morning

    Peak Expiratory Flow (L/min)

    Measured: Last 6 weeks on treatment

  13. FEV1 - Baseline Measured by Patient at Home (L) in the Morning

    Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured at home by the patient each morning.Baseline is the mean of last 10 days of data before start of treatment

    Measured: Baseline

  14. FEV1 - End-value Measured by Patient at Home (L) in the Morning

    Forced Expiratory Volume in 1 second (L)

    Measured: Last 6 weeks on treatment

  15. EXACT - Baseline Total Score

    EXAcerbations of Chronic pulmonary disease Tool, patient questionnaire as a measure of respiratory symptoms (reported as units on a 0 (best health status) to 100 (worst possible status)scale). Baseline is the mean of last 10 days of data before start of treatment.

    Measured: Baseline

  16. EXACT - End-value Total Score

    EXAcerbations of Chronic pulmonary disease Tool, patient questionnaire as a measure of respiratory symptoms (reported as units on a 0 (best health status) to 100 (worst possible status)scale). Last 6 weeks on treatment.

    Measured: Measured daily in the evening for 12 weeks

  17. BCSS - Baseline Total Score

    Breathlessness, Cough and Sputum Scale, patient reported questionnaire as a measure of respiratory symptoms (reported on a 0 (best health status) to 12 (worst possible status)scale).Baseline is the mean of last 10 days of data before start of treatment

    Measured: Baseline

  18. BCSS - End-value Total Score

    Breathlessness, Cough and Sputum Scale, patient reported questionnaire as a measure of respiratory symptoms (reported on a 0(best health status) to 12(worst possible status)scale). Last 6 weeks on treatment

    Measured: Measured daily in the evening for 12 weeks

  19. Sputum Colour - Baseline

    Sputum Colour as assessed by the Bronkotest scale, reported on a scale from 1 - clear (best health status) to 5 - dark green (worst possible health status).

    Measured: Baseline

  20. Sputum Colour - End Value

    Sputum Colour as assessed by the Bronkotest scale, reported on a scale from 1 - clear (best health status) to 5 - dark green (worst possible health status).End of treatment week 12

    Measured: Measured at clinic visits:1, 4, 8 and 12 weeks

  21. Use of Reliever Medication

    Daily average of number of inhalations of reliever medication

    Measured: Last 6 weeks on treatment

  22. Six-minute Walk Test - Distance Walked at Baseline (m)

    Measured: Day 1

  23. Six-minute Walk Test - End-value Distance Walked (m)

    distance walked on vist 6 - last on treatment clinic visit

    Measured: Measured Day 1 and 12 weeks

  24. St George's Respiratory Questionnaire (COPD) - Overall Score at Baseline

    St George's Respiratory Questionnaire for Chronic Obstructive Pulmonary Disease, as a measure of Quality of Life (reported on a % scale from 0 (best health status) to 100(worst possible status)).

    Measured: Day 1

  25. St George's Respiratory Questionnaire (COPD) - End-value Overall Score

    St George's Respiratory Questionnaire for Chronic Obstructive Pulmonary Disease, as a measure of Quality of Life (reported on a % scale from 0 (best health status) to 100(worst possible status)).questionaire assessed on vist 6 -( last on treatment clinic visit)

    Measured: Measured Day 1 and 12 weeks

  26. Exacerbations - Clinic Defined

    Number of patients having a clinic defined disease exacerbation

    Measured: Duration of the the treatment period - 12 weeks

Timeline

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

  1. First posted31 Jul 2009 (estimated)
  2. Study startJul 2009
  3. Primary completionAug 2010
  4. Study completionAug 2010

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
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
838 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00949975
Sponsor's protocol ID
D0520C00012
Status last verified
Jun 2012
First submitted
21 Jul 2009
Last updated
3 Aug 2012
Data monitoring committee
Yes

Publications

  • Leidy NK, Murray LT, Monz BU, Nelsen L, Goldman M, Jones PW, Dansie EJ, Sethi S. Measuring respiratory symptoms of COPD: performance of the EXACT- Respiratory Symptoms Tool (E-RS) in three clinical trials. Respir Res. 2014 Oct 7;15(1):124. doi: 10.1186/s12931-014-0124-z.

    PubMed 25287629
  • Leidy NK, Murray LT, Jones P, Sethi S. Performance of the EXAcerbations of chronic pulmonary disease tool patient-reported outcome measure in three clinical trials of chronic obstructive pulmonary disease. Ann Am Thorac Soc. 2014 Mar;11(3):316-25. doi: 10.1513/AnnalsATS.201309-305OC.

    PubMed 24432712
  • Vogelmeier C, Aquino TO, O'Brien CD, Perrett J, Gunawardena KA. A randomised, placebo-controlled, dose-finding study of AZD9668, an oral inhibitor of neutrophil elastase, in patients with chronic obstructive pulmonary disease treated with tiotropium. COPD. 2012 Apr;9(2):111-20. doi: 10.3109/15412555.2011.641803.

    PubMed 22458939

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing AZD9668 in people with Chronic Obstructive Pulmonary Disease, run by AstraZeneca at 105 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 4 inclusion and 4 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 3 Aug 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 105 sites in Japan, Canada, Slovakia, United States, Poland 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 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 3 Aug 2012). 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?

Baseline Pre-bronchodilator FEV1 (L) (time frame: Day 1). The study lists 2 primary outcomes in all. 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 NCT00949975, which also lists 3 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 3 Aug 2012.

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Clinical Trial NCT00949975 | AzTrials