Pulmonary Disease, Chronic ObstructivePhase 3NCT01009463
A Study to Evaluate the Efficacy and Safety of Fluticasone Furoate (FF)/GW642444 Inhalation Powder in Subjects With Chronic Obstructive Pulmonary Disease (COPD)
A Phase 3 study testing FF/GW642444 Inhalation Powder and GW642444 Inhalation Powder in people with Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 188 sites in 15 countries.
Trial summary
The Purpose of this study is to assess the efficacy and safety of three strengths of the FF/GW642444 Inhalation Powder in subject with Chronic Obstructive Pulmonary Disease (COPD) Read more about this study
- Who is it for?
- Ages 40 years and older
- Conditions the study is for
- Pulmonary Disease, Chronic Obstructive
- What is being tested?
- FF/GW642444 Inhalation Powder and GW642444 Inhalation Powder
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,626 participants
- Where
- 188 sitesin 15 countries
- Study dates
- 25 Sep 2009to 31 Oct 2011
- Phase
- Phase 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
- Type of subject: outpatient
- Informed consent: Subjects must give their signed and dated written informed consent to participate.
- Gender: Male or female subjects 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 surgically sterile). Surgically sterile females are defined as those with a documented hysterectomy and/or bilateral oophorectomy or tubal ligation. Post-menopausal females are defined as being amenorrhoeic for greater than 1 year with an appropriate clinical profile, e.g., age appropriate, history of vasomotor symptoms. However in questionable cases, a blood sample with FSH > 40MIU/ml and estradiol <40pg/ml (<140 pmol/L) is confirmatory. 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 the Follow-Up Phone Contact; or
- 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
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- Implants of levonorgestral 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 until the Follow-Up Phone Contact; 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
- Age: ≥40 years of age at Screening (Visit 1)
- COPD diagnosis: Subjects with a 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 characterized 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: Subjects with a current or prior history of ≥10 pack-years of cigarette smoking at Screening (Visit 1). Former smokers are defined as those who have stopped smoking for at least 6 months prior to Visit 1. Note: Pipe and/or cigar use cannot be used to calculate pack-year history. Number of pack years = (number of cigarettes per day/20) x number of years smoked
- Severity of Disease:
- Subject with a measured post-albuterol/salbutamol FEV1/FVC ratio of ≤0.70 at Screening (Visit 1)
- Subjects with a measured post-albuterol/salbutamol FEV1 <70% of predicted normal values calculated (via centralized vendor equipment) using NHANES III reference equations [Hankinson, 1999] at Screening (Visit 1). Post-bronchodilator spirometry will be performed approximately 10-15 minutes after the subject has self-administered 4 inhalations (i.e., total 400mcg) of albuterol/salbutamol via an MDI with a valved-holding chamber. The study provided central spirometry equipment will calculate the FEV1/FVC ratio and FEV1 percent predicted values.
- History of Exacerbations: A documented history (e.g., medical record verification) of at least one COPD exacerbation in the 12 months prior to Visit 1 that required either oral corticosteroids, antibiotics and/or hospitalization. Prior use of antibiotics alone does not qualify as an exacerbation history unless the use was associated with treatment of worsening symptoms of COPD, such as increased dyspnea, sputum volume, or sputum purulence (color). Subject verbal reports are not acceptable.
Who cannot join
- Subjects meeting any of the following criteria must not be enrolled in the study:
- Pregnancy: Women who are pregnant or lactating or are planning on becoming pregnant during the study.
- Asthma: Subjects with a current diagnosis of asthma. (Subjects with a prior history of asthma are eligible if they have a current diagnosis of COPD)
- α1-antitrypsin deficiency: Subjects with α1-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 diseases or other active pulmonary diseases
- Lung resection: Subjects with lung volume reduction surgery within the 12 months prior to Screening (Visit 1)
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- Chest X-ray (or CT scan): Subjects with a chest X-ray (or CT scan) that reveals evidence of clinically significant abnormalities not believed to be due to the presence of COPD. A chest X-ray must be taken at Screening (Visit 1) if a chest X-ray or CT scan is not available within 6 months prior to Visit 1. For sites in Germany, if a chest X-ray (or CT scan) is not available in the 6 months preceding Screening (Visit 1), the subject will not be eligible for the study.
- Risk Factors for Pneumonia: immune suppression (HIV, Lupus, etc) or other risk for pneumonia (e.g. neurological disorders affecting control of the upper airway, such as Parkinson's, Myasthenia Gravis, etc).
- A moderate and severe COPD exacerbation that has not resolved at least 14 days prior to Visit 1 and at least 30 days following the last dose of oral corticosteroids (if applicable).
- Pneumonia and/or moderate and severe COPD exacerbation at Visit 1 Note: Subjects who experience a pneumonia and/or exacerbation at Screening (Visit 1) must be not continue in the study, but may be re-screened at a later time provided the pneumonia and/or COPD exacerbation has resolved prior to the re-screening visit. At the Re-screening Visit, the chest x-ray should confirm resolution of pneumonia. The Re-screening Visit must be conducted at least ≥ 14 days following the resolution date of the exacerbation and/or pneumonia and at least 30 days following the last dose of oral corticosteroids (if applicable).
- Other diseases/abnormalities: Subjects with historical or current evidence of clinically significant cardiovascular (i.e., pacemaker), neurological, psychiatric, renal, hepatic, immunological, endocrine (including uncontrolled diabetes or thyroid disease) or haematological abnormalities that are uncontrolled. Significant is defined as any disease that, in the opinion of the investigator, would put the safety of the subject at risk through participation, or which would affect the efficacy or safety analysis if the disease/condition exacerbated during the study.
- Peptic Ulcer disease: Subjects with clinically significant peptic ulcer disease that is uncontrolled.
- Hypertension: Subjects with clinically significant hypertension that is uncontrolled.
- 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 of the skin would not be excluded if the subject has been considered cured within 5 years since diagnosis.
- Drug/food allergy: Subjects with a history of hypersensitivity to any of the study medications (e.g., beta-agonists, corticosteroid) or components of the inhalation powder (e.g., lactose, magnesium stearate). In addition, subjects with a history of severe milk protein allergy that, in the opinion of the study physician, contraindicates the subject's participation will also be excluded.
- Drug/alcohol 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 albuterol/salbutamol and/or their ipratropium for the 4-hour period required prior to spirometry testing at each study visit.
- Additional medication: Unable to stop using certain medications such as bronchodilators and corticosteroids for the protocol-specified times prior to Visit 1 (the Investigator will discuss the specific medications)
- Oxygen therapy: Subjects receiving treatment with long-term oxygen therapy (LTOT) or nocturnal oxygen therapy required for greater than 12 hours a day. Oxygen prn use (i.e., ≤12 hours per day) is not exclusionary.
- Sleep apnea: Subjects with clinically significant sleep apnea who require use of continuous positive airway pressure (CPAP) device or non-invasive positive pressure ventilation (NIPPV) device.
- Pulmonary rehabilitation: Subjects who have participated in the acute phase of a Pulmonary Rehabilitation Program within 4 weeks prior to Screening (Visit 1) 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 at risk of non-compliance, or unable to comply with the study procedures. Any infirmity, disability, or geographic location that would limit compliance for scheduled visits.
- Questionable validity of consent: Subjects with a history of psychiatric disease, intellectual deficiency, poor motivation or other conditions that will limit the validity of informed consent to participate in the study.
- Prior use of study medication/other investigational drugs: Subjects who have previously been randomized to treatment with GW642444 Inhalation Powder in the B2C111045 study, randomized to treatment in the HZC111348 study or have participated in the HZC112207, HZC102871, HZC102970, or HZC110946 studies. Subjects who have received an investigational drug within 30 days of entry into this study (Screening), or within 5 drug half-lives of the investigational drug, whichever is longer.
- 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 participating in this study.
Trial locations and contacts
188 sites in 15 countries.
188 sites in 15 countries
United States94 sites
GSK Investigational Site
Abingdon, Virginia, 24210
GSK Investigational Site
Anderson, South Carolina, 29621
GSK Investigational Site
Austell, Georgia, 30106
GSK Investigational Site
Austin, Texas, 78705
GSK Investigational Site
Avon, Indiana, 46123
GSK Investigational Site
Bay Pines, Florida, 33744
GSK Investigational Site
Belleville, Illinois, 62220
GSK Investigational Site
Billings, Montana, 59102
GSK Investigational Site
Birmingham, Alabama, 35235
GSK Investigational Site
Birmingham, Alabama, 35294
GSK Investigational Site
Boerne, Texas, 78006
GSK Investigational Site
Charleston, South Carolina, 29406-7108
GSK Investigational Site
Charlottesville, Virginia, 22911
GSK Investigational Site
Chattanooga, Tennessee, 37421
GSK Investigational Site
Chester, South Carolina, 29706
GSK Investigational Site
Chula Vista, California, 91911
GSK Investigational Site
Clearwater, Florida, 33755
GSK Investigational Site
Clearwater, Florida, 33756
GSK Investigational Site
Columbia, Maryland, 21044
GSK Investigational Site
Dayton, Ohio, 45406
GSK Investigational Site
Decatur, Georgia
GSK Investigational Site
Elizabeth City, North Carolina, 27909
GSK Investigational Site
Fort Myers, Florida, 33916
GSK Investigational Site
Fort Worth, Texas, 76109
GSK Investigational Site
Fredericksburg, Virginia, 22401
GSK Investigational Site
Gaffney, South Carolina, 29340
GSK Investigational Site
Gainesville, Florida, 32608
GSK Investigational Site
Greenwood, South Carolina, 29646
GSK Investigational Site
Greer, South Carolina, 29651
GSK Investigational Site
Iowa City, Iowa, 52242
GSK Investigational Site
Jasper, Alabama, 35501
GSK Investigational Site
Johnston, Rhode Island, 02919
GSK Investigational Site
Kingwood, Texas, 77339
GSK Investigational Site
Lafayette, Indiana, 47904
GSK Investigational Site
Lake Jackson, Texas, 77566
GSK Investigational Site
Lakewood, Washington, 98499
GSK Investigational Site
Lawrenceville, Georgia, 30046
GSK Investigational Site
Lebanon, New Hampshire, 03756
GSK Investigational Site
Lenexa, Kansas, 66215
GSK Investigational Site
Lincoln, California, 95648
GSK Investigational Site
Long Beach, California, 90822
GSK Investigational Site
Los Angeles, California, 90048
GSK Investigational Site
Medford, Oregon, 97504
GSK Investigational Site
Miami, Florida, 33136
GSK Investigational Site
Minneapolis, Minnesota, 55402
GSK Investigational Site
Minneapolis, Minnesota, 55407
GSK Investigational Site
Mission Viejo, California, 92691
GSK Investigational Site
Muncie, Indiana, 47304-5547
GSK Investigational Site
Munfordville, Kentucky, 42765
GSK Investigational Site
New Orleans, Louisiana, 70115
GSK Investigational Site
New Tazewell, Tennessee, 37824-1409
GSK Investigational Site
New York, New York, 10004
GSK Investigational Site
New York, New York, 10029
GSK Investigational Site
Newburgh, Indiana, 47630
GSK Investigational Site
Ocean City, New Jersey, 7712
GSK Investigational Site
Oklahoma City, Oklahoma, 73103
GSK Investigational Site
Oklahoma City, Oklahoma, 73120
GSK Investigational Site
Orlando, Florida, 32822
GSK Investigational Site
Ormond Beach, Florida, 32174
GSK Investigational Site
Owensboro, Kentucky, 42301
GSK Investigational Site
Palo Alto, California, 94304
GSK Investigational Site
Peoria, Arizona, 85381
GSK Investigational Site
Phoenix, Arizona, 85012
GSK Investigational Site
Phoenix, Arizona, 85050
GSK Investigational Site
Plymouth, Minnesota, 55441
GSK Investigational Site
Poway, California, 92064
GSK Investigational Site
Rancho Mirage, California, 92270
GSK Investigational Site
Richmond, Virginia, 23225
GSK Investigational Site
River Forest, Illinois, 60305
GSK Investigational Site
Riverside, California, 92506
GSK Investigational Site
Rolling Hills Estates, California, 90274
GSK Investigational Site
Saint Charles, Missouri, 63301
GSK Investigational Site
Saint Joseph, Michigan, 49085
GSK Investigational Site
Salisbury, North Carolina, 28144
GSK Investigational Site
San Antonio, Texas, 78229
GSK Investigational Site
Santa Monica, California, 90404
GSK Investigational Site
Scottsdale, Arizona, 85258
GSK Investigational Site
Sellersville, Pennsylvania, 18960
GSK Investigational Site
Seneca, South Carolina, 29678
GSK Investigational Site
Sepulveda, California, 91343
GSK Investigational Site
South Burlington, Vermont, 05403
GSK Investigational Site
Southfield, Michigan, 48034
GSK Investigational Site
Spokane, Washington, 99204
GSK Investigational Site
Stamford, Connecticut, 06902
GSK Investigational Site
Sunset, Louisiana, 70584
GSK Investigational Site
Tacoma, Washington, 98405
GSK Investigational Site
Tamarac, Florida, 33321
GSK Investigational Site
Temple, Texas, 76508
GSK Investigational Site
Torrance, California, 90503
GSK Investigational Site
Tulsa, Oklahoma, 74136-8303
GSK Investigational Site
Virginia Beach, Virginia, 23455
GSK Investigational Site
Wenatchee, Washington, 98801
GSK Investigational Site
Wichita, Kansas, 67205
GSK Investigational Site
Winter Park, Florida, 32792
South Africa14 sites
GSK Investigational Site
Boksburg North, 1459
GSK Investigational Site
Cape Town, Gauteng, 7505
GSK Investigational Site
Cape Town, 8001
GSK Investigational Site
Durban, 4001
GSK Investigational Site
Durban, 4091
GSK Investigational Site
Groenkloof, 0181
GSK Investigational Site
Lynnwood Manor, 0081
GSK Investigational Site
Lyttleton, 0140
GSK Investigational Site
Mueckelneck, Gauteng, 0001
GSK Investigational Site
Paarl, 7646
GSK Investigational Site
Panorama, 7500
GSK Investigational Site
Reiger Park, 1459
GSK Investigational Site
Somerset West, 7130
GSK Investigational Site
Witbank, 1034
Netherlands12 sites
GSK Investigational Site
Bunnik, 3981 LB
GSK Investigational Site
Enschede, 7513 ER
GSK Investigational Site
Etten-Leur, 4872 LA
GSK Investigational Site
Harderwijk, 3844 DG
GSK Investigational Site
Heerlen, 6419 PC
GSK Investigational Site
Helmond, 5707 HA
GSK Investigational Site
Nijverdal, 7442 LS
GSK Investigational Site
Rotterdam, 3078 HT
GSK Investigational Site
Sneek, 8601 ZK
GSK Investigational Site
Spijkenisse, 3207 NB
GSK Investigational Site
Veldhoven, 5504 DB
GSK Investigational Site
Voerendaal, 6367 ED
Canada10 sites
GSK Investigational Site
Burlington, Ontario, L7N 3V2
GSK Investigational Site
Corunna, Ontario, N0N 1G0
GSK Investigational Site
Greater Sudbury, Ontario, P3E 1H5
GSK Investigational Site
Montreal, Quebec, H2R 1V6
GSK Investigational Site
Québec, Quebec, G1V 4G5
GSK Investigational Site
St. John's, Newfoundland and Labrador, A1E 2E2
GSK Investigational Site
Toronto, Ontario, M3H 5S4
GSK Investigational Site
Toronto, Ontario, M4P 1P2
GSK Investigational Site
Toronto, Ontario, M9W 4L6
GSK Investigational Site
Vancouver, British Columbia, V5Z 4E1
Italy10 sites
GSK Investigational Site
Cassano Murge (BA), Apulia, 70020
GSK Investigational Site
Eboli (SA), Campania, 84025
GSK Investigational Site
Ferrara, Emilia-Romagna, 44100
GSK Investigational Site
Genoa, Liguria, 16132
GSK Investigational Site
Milan, Lombardy, 20142
GSK Investigational Site
Rome, Lazio, 00135
GSK Investigational Site
Rome, Lazio, 00163
GSK Investigational Site
Telese Terme (BN), Campania, 82037
GSK Investigational Site
Torrette (AN), The Marches, 60126
GSK Investigational Site
Tradate (VA), Lombardy, 21049
Australia8 sites
GSK Investigational Site
Cairns, Queensland, 4870
GSK Investigational Site
Daw Park, South Australia, 5041
GSK Investigational Site
Frankston, Victoria, 3199
GSK Investigational Site
Garran, Australian Capital Territory, 2606
GSK Investigational Site
Geelong, Victoria, 3220
GSK Investigational Site
Heidelberg, Victoria, 3084
GSK Investigational Site
Kippa-Ring, Queensland, 4021
GSK Investigational Site
Nedlands, Western Australia, 6009
Argentina6 sites
GSK Investigational Site
Buenos Aires, C1424BSF
GSK Investigational Site
Buenos Aires, C1425BEN
GSK Investigational Site
Buenos Aires, C1426ABP
GSK Investigational Site
Buenos Aires, C1428DDE
GSK Investigational Site
Cipolletti, Río Negro Province, R8324EMB
GSK Investigational Site
Mendoza, M5500CCG
United Kingdom6 sites
GSK Investigational Site
Doncaster, DN9 2HY
GSK Investigational Site
High Heaton, Newcastle Upon Tyne, Tyne & Wear, NE7 7DN
GSK Investigational Site
Liverpool, L9 7AL
GSK Investigational Site
London, E7 8QP
GSK Investigational Site
London, NW3 2PF
GSK Investigational Site
London, SW17 0RE
Sweden5 sites
GSK Investigational Site
Gothenburg, SE-412 63
GSK Investigational Site
Gothenburg, SE-413 45
GSK Investigational Site
Höllviken, SE-236 51
GSK Investigational Site
Kil, SE-665 30
GSK Investigational Site
Örebro, SE-703 62
Estonia4 sites
GSK Investigational Site
Rakvere, 44316
GSK Investigational Site
Tallinn, 10117
GSK Investigational Site
Tallinn, 10611
GSK Investigational Site
Tartu, 51014
Germany4 sites
GSK Investigational Site
Berlin, 10367
GSK Investigational Site
Berlin, 10717
GSK Investigational Site
Berlin, 12203
GSK Investigational Site
Geesthacht, Schleswig-Holstein, 21502
Mexico4 sites
GSK Investigational Site
Guadalajara, Jalisco, 44100
GSK Investigational Site
Monterrey, Nuevo León, 64060
GSK Investigational Site
Tijuana, Baja California Norte, 22320
GSK Investigational Site
Zapopan, Jalisco, 45040
Peru4 sites
GSK Investigational Site
Jesus Maria, Lima region, Lima 11
GSK Investigational Site
Lima, Lima 27
GSK Investigational Site
Lima, Lima 41
GSK Investigational Site
San Martín de Porres, Lima region, Lima 31
Philippines4 sites
GSK Investigational Site
Dagupan, 2400
GSK Investigational Site
Quezon City, 1100
GSK Investigational Site
Quezon City, 1101
GSK Investigational Site
Quezon City, 1109
Chile3 sites
GSK Investigational Site
Santiago, 8380453
GSK Investigational Site
Temuco, Región de La Araucania, 4800798
GSK Investigational Site
Valparaíso, Valparaiso, 2341131
About this study
Official title: HZC102871: A 52-week Efficacy and Safety Study to Compare the Effect of Three Dosage Strengths of Fluticasone Furoate/GW642444 Inhalation Powder With GW642444 on the Annual Rate of Exacerbations in Subjects With Chronic Obstructive Pulmonary Disease (COPD)
The Purpose of this study is to assess the efficacy and safety of three strengths of the FF/GW642444 Inhalation Powder in subject with Chronic Obstructive Pulmonary Disease (COPD)
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Being tested
- FF/GW642444 Inhalation Powder, GW642444 Inhalation Powder
- Keywords
- COPD, Safety, FEV1, Efficacy
- 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.
FF/GW642444 Inhalation PowderDrug
Inhaled Corticosteroid (ICS)/ Long Acting Beta Agonist(LABA) delivered within one dry powder inhaler (DPI) device for COPD
GW642444 Inhalation PowderDrug
Long Acting Beta Agonist(LABA) Inhalation Powder via DPI
| Study group | Role | What they receive |
|---|---|---|
| FF/GW642444 Inhalation Powder 100/25 mcg QD | Experimental | Inhaled Corticosteroid (ICS)/ Long Acting Beta Agonist(LABA) Receives: Drug: FF/GW642444 Inhalation Powder |
| FF/GW642444 Inhalation Powder 200/25 mcg QD | Experimental | Inhaled Corticosteroid (ICS)/ Long Acting Beta Agonist(LABA) Receives: Drug: FF/GW642444 Inhalation Powder |
| FF/GW642444 Inhalation Powder 50mcg/25mcg QD | Experimental | Inhaled Corticosteroid (ICS)/ Long Acting Beta Agonist(LABA) Receives: Drug: FF/GW642444 Inhalation Powder |
| GW642444 25mcg QD | Experimental | Long Acting Beta Agonist(LABA) Receives: Drug: GW642444 Inhalation Powder |
What is being measured
The primary outcome is the main question the study is designed to answer.
Annual Rate of Moderate and Severe COPD Exacerbations Expressed as Least Square Mean
The annual rate of moderate and severe chronic obstructive pulmonary disease (COPD) exacerbations during the treatment (trt) period (per participant [par.] per year) was assessed. An exacerbation of COPD, is defined as the worsening of two or more major symptoms (dyspnea, sputum volume, sputum purulence [color]) for at least two consecutive days; or the worsening of any one major symptom together with any one of the minor symptoms (sore throat, cold, fever without other cause, increased cough, increased wheeze) for at least two consecutive days. The COPD exacerbation was categorized as mild, moderate and severe by the investigator. Mild: worsening symptoms of COPD that were self-managed by the par. without the use of oral corticosteroids or antibiotics; Moderate: worsening symptoms of COPD that required treatment with oral corticosteroids and/or antibiotics; Severe: worsening symptoms of COPD that required treatment with in-patient hospitalization.
Measured: From the start of the double blinded study medication until Visit 11 (Week 52)/Early Withdrawal
Secondary outcomes (3)
Time to First Occurrence of Moderate or Severe COPD Exacerbation
Time to first occurrence analyzed by using a Cox proportional hazards model with covariates of treatment, smoking status at screening (stratum), baseline disease severity (pre-dose Day 1 % predicted FEV1) and centre grouping. An exacerbation of COPD is defined as the worsening of two or more major symptoms (dyspnea, sputum volume, sputum purulence [color]) for at least two consecutive days; or the worsening of any one major symptom together with any one of the minor symptoms (sore throat, cold, fever without other cause, increased cough, increased wheeze) for at least two consecutive days. A moderate exacerbation is defined as worsening symptoms of COPD that required treatment with oral corticosteroids and/or antibiotics. A severe exacerbation is defined as worsening symptoms of COPD that required treatment with in-patient hospitalization. The number of participants with a moderate or severe COPD exacerbation while on treatment are presented.
Measured: From the start of the double blind study medication until Visit 11 (Week 52)/Early Withdrawal
Annual Rate of Exacerbations Requiring Systemic/Oral Corticosteroids Expressed as Least Square Mean
The annual rate of COPD exacerbations during the treatment period (per participant per year) that required systemic/oral corticosteroids was assessed. An exacerbation of COPD is defined as the worsening of two or more major symptoms (dyspnea, sputum volume, sputum purulence [color]) for at least two consecutive days; or the worsening of any one major symptom together with any one of the minor symptom (sore throat, cold, fever without other cause, increased cough, increased wheeze) for at least two consecutive days. The COPD exacerbation was categorized as mild, moderate, and severe by the investigator. Mild: worsening symptoms of COPD that were self-managed by the participant. Mild exacerbations were not associated with the use of oral corticosteroids or antibiotics. Moderate: worsening symptoms of COPD that required treatment with oral corticosteroids and/or antibiotics. Severe: worsening symptoms of COPD that required treatment with in-patient hospitalization.
Measured: From the start of the double blind study medication until Visit 11 (Week 52)/Early Withdrawal
Change From Baseline in Trough FEV1 at Week 52 (Visit 11)
Pulmonary function was measured by forced expiratory volume in one second (FEV1). Trough FEV1 was defined as the 24-hour post-dose FEV1 assessment, which was obtained at each visit. Analysis performed using a repeated measures model with covariates of treatment, smoking status at Screening (stratum), baseline (pre-dose Day 1), centre grouping, Week, Week by Baseline, and Week by treatment interactions.
Measured: Baseline to Visit 11 (Week 52)/Early Withdrawal
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Nov 2009 (estimated)
- Study start25 Sep 2009
- Primary completion1 Oct 2011
- Study completion31 Oct 2011
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.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 1,626 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
- NCT01009463
- Sponsor's protocol ID
- 102871
- Status last verified
- Oct 2017
- First submitted
- 5 Nov 2009
- Last updated
- 9 Nov 2017
- 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
Dransfield MT, Bourbeau J, Jones PW, Hanania NA, Mahler DA, Vestbo J, Wachtel A, Martinez FJ, Barnhart F, Sanford L, Lettis S, Crim C, Calverley PM. Once-daily inhaled fluticasone furoate and vilanterol versus vilanterol only for prevention of exacerbations of COPD: two replicate double-blind, parallel-group, randomised controlled trials. Lancet Respir Med. 2013 May;1(3):210-23. doi: 10.1016/S2213-2600(13)70040-7. Epub 2013 Apr 12.
PubMed 24429127Largajolli A, Beerahee M, Yang S. Bayesian approach to investigate a two-state mixed model of COPD exacerbations. J Pharmacokinet Pharmacodyn. 2019 Aug;46(4):371-384. doi: 10.1007/s10928-019-09643-6. Epub 2019 Jun 13.
PubMed 31197640Hinds DR, DiSantostefano RL, Le HV, Pascoe S. Identification of responders to inhaled corticosteroids in a chronic obstructive pulmonary disease population using cluster analysis. BMJ Open. 2016 Jun 1;6(6):e010099. doi: 10.1136/bmjopen-2015-010099.
PubMed 27251682Crim C, Dransfield MT, Bourbeau J, Jones PW, Hanania NA, Mahler DA, Vestbo J, Wachtel A, Martinez FJ, Barnhart F, Lettis S, Calverley PM. Pneumonia risk with inhaled fluticasone furoate and vilanterol compared with vilanterol alone in patients with COPD. Ann Am Thorac Soc. 2015 Jan;12(1):27-34. doi: 10.1513/AnnalsATS.201409-413OC.
PubMed 25490706Svedsater H, Dale P, Garrill K, Walker R, Woepse MW. Qualitative assessment of attributes and ease of use of the ELLIPTA dry powder inhaler for delivery of maintenance therapy for asthma and COPD. BMC Pulm Med. 2013 Dec 7;13:72. doi: 10.1186/1471-2466-13-72.
PubMed 24314123
Study at a glance
From the registry record, last updated by the sponsor on 9 Nov 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- HZC102871: A 52-week Efficacy and Safety Study to Compare the Effect of Three Dosage Strengths of Fluticasone Furoate/GW642444 Inhalation Powder With GW642444 on the Annual Rate of Exacerbations in Subjects With Chronic Obstructive Pulmonary Disease (COPD)
- ClinicalTrials.gov ID
- NCT01009463
- Acronym / sponsor ID
- 102871
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Keywords
- COPD, Safety, FEV1, Efficacy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,626 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 25 Sep 2009
- Primary completion
- 1 Oct 2011 (actual)
- Study completion
- 31 Oct 2011 (actual)
- First posted
- 6 Nov 2009 (estimated)
- Results
- Posted 19 Aug 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The Purpose of this study is to assess the efficacy and safety of three strengths of the FF/GW642444 Inhalation Powder in subject with Chronic Obstructive Pulmonary Disease (COPD)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| FF/GW642444 Inhalation Powder 100/25 mcg QD | Experimental | Drug: FF/GW642444 Inhalation PowderInhaled Corticosteroid (ICS)/ Long Acting Beta Agonist(LABA) |
| FF/GW642444 Inhalation Powder 200/25 mcg QD | Experimental | Drug: FF/GW642444 Inhalation PowderInhaled Corticosteroid (ICS)/ Long Acting Beta Agonist(LABA) |
| FF/GW642444 Inhalation Powder 50mcg/25mcg QD | Experimental | Drug: FF/GW642444 Inhalation PowderInhaled Corticosteroid (ICS)/ Long Acting Beta Agonist(LABA) |
| GW642444 25mcg QD | Experimental | Drug: GW642444 Inhalation PowderLong Acting Beta Agonist(LABA) |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (20 listed)
- Type of subject: outpatient
- Informed consent: Subjects must give their signed and dated written informed consent to participate.
- Gender: Male or female subjects 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 surgically sterile). Surgically sterile females are defined as those with a documented hysterectomy and/or bilateral oophorectomy or tubal ligation. Post-menopausal females are defined as being amenorrhoeic for greater than 1 year with an appropriate clinical profile, e.g., age appropriate, history of vasomotor symptoms. However in questionable cases, a blood sample with FSH > 40MIU/ml and estradiol <40pg/ml (<140 pmol/L) is confirmatory. 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 the Follow-Up Phone Contact; or
Key exclusion criteria (25 listed)
- Pregnancy: Women who are pregnant or lactating or are planning on becoming pregnant during the study.
- Asthma: Subjects with a current diagnosis of asthma. (Subjects with a prior history of asthma are eligible if they have a current diagnosis of COPD)
- α1-antitrypsin deficiency: Subjects with α1-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 diseases or other active pulmonary diseases
- Lung resection: Subjects with lung volume reduction surgery within the 12 months prior to Screening (Visit 1)
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 |
|---|---|---|
| FF/GW642444 Inhalation PowderInhaled Corticosteroid (ICS)/ Long Acting Beta Agonist(LABA) delivered within one dry powder inhaler (DPI) device for COPD | Drug | FF/GW642444 Inhalation Powder 100/25 mcg QD, FF/GW642444 Inhalation Powder 200/25 mcg QD, FF/GW642444 Inhalation Powder 50mcg/25mcg QD |
| GW642444 Inhalation PowderLong Acting Beta Agonist(LABA) Inhalation Powder via DPI | Drug | GW642444 25mcg QD |
Primary outcome
Annual Rate of Moderate and Severe COPD Exacerbations Expressed as Least Square Mean
Time frame: From the start of the double blinded study medication until Visit 11 (Week 52)/Early Withdrawal
The annual rate of moderate and severe chronic obstructive pulmonary disease (COPD) exacerbations during the treatment (trt) period (per participant [par.] per year) was assessed. An exacerbation of COPD, is defined as the worsening of two or more major symptoms (dyspnea, sputum volume, sputum purulence [color]) for at least two consecutive days; or the worsening of any one major symptom together with any one of the minor symptoms (sore throat, cold, fever without other cause, increased cough, increased wheeze) for at least two consecutive days. The COPD exacerbation was categorized as mild, moderate and severe by the investigator. Mild: worsening symptoms of COPD that were self-managed by the par. without the use of oral corticosteroids or antibiotics; Moderate: worsening symptoms of COPD that required treatment with oral corticosteroids and/or antibiotics; Severe: worsening symptoms of COPD that required treatment with in-patient hospitalization.
3 secondary outcomes
Time to First Occurrence of Moderate or Severe COPD Exacerbation
Time frame: From the start of the double blind study medication until Visit 11 (Week 52)/Early Withdrawal
Annual Rate of Exacerbations Requiring Systemic/Oral Corticosteroids Expressed as Least Square Mean
Time frame: From the start of the double blind study medication until Visit 11 (Week 52)/Early Withdrawal
Change From Baseline in Trough FEV1 at Week 52 (Visit 11)
Time frame: Baseline to Visit 11 (Week 52)/Early Withdrawal
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Nov 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 24429127Dransfield MT, Bourbeau J, Jones PW, Hanania NA, Mahler DA, Vestbo J, Wachtel A, Martinez FJ, Barnhart F, Sanford L, Lettis S, Crim C, Calverley PM. Once-daily inhaled fluticasone furoate and vilanterol versus vilanterol only for prevention of exacerbations of COPD: two replicate double-blind, parallel-group, randomised controlled trials. Lancet Respir Med. 2013 May;1(3):210-23. doi: 10.1016/S2213-2600(13)70040-7. Epub 2013 Apr 12.
- Derived from this study: PubMed 31197640Largajolli A, Beerahee M, Yang S. Bayesian approach to investigate a two-state mixed model of COPD exacerbations. J Pharmacokinet Pharmacodyn. 2019 Aug;46(4):371-384. doi: 10.1007/s10928-019-09643-6. Epub 2019 Jun 13.
- Derived from this study: PubMed 27251682Hinds DR, DiSantostefano RL, Le HV, Pascoe S. Identification of responders to inhaled corticosteroids in a chronic obstructive pulmonary disease population using cluster analysis. BMJ Open. 2016 Jun 1;6(6):e010099. doi: 10.1136/bmjopen-2015-010099.
- Derived from this study: PubMed 25490706Crim C, Dransfield MT, Bourbeau J, Jones PW, Hanania NA, Mahler DA, Vestbo J, Wachtel A, Martinez FJ, Barnhart F, Lettis S, Calverley PM. Pneumonia risk with inhaled fluticasone furoate and vilanterol compared with vilanterol alone in patients with COPD. Ann Am Thorac Soc. 2015 Jan;12(1):27-34. doi: 10.1513/AnnalsATS.201409-413OC.
- Derived from this study: PubMed 24314123Svedsater H, Dale P, Garrill K, Walker R, Woepse MW. Qualitative assessment of attributes and ease of use of the ELLIPTA dry powder inhaler for delivery of maintenance therapy for asthma and COPD. BMC Pulm Med. 2013 Dec 7;13:72. doi: 10.1186/1471-2466-13-72.
- 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
188 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing FF/GW642444 Inhalation Powder and GW642444 Inhalation Powder in people with Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 188 sites in 15 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 20 inclusion and 25 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 9 Nov 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 188 sites in United States, South Africa, Netherlands, Canada, Italy and 10 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. 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 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 19 Aug 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?
Annual Rate of Moderate and Severe COPD Exacerbations Expressed as Least Square Mean (time frame: From the start of the double blinded study medication until Visit 11 (Week 52)/Early Withdrawal). 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 NCT01009463, 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 9 Nov 2017.