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Chronic Obstructive Pulmonary Disease (COPD)Phase 2NCT01023516

Efficacy and Safety of Twice Daily 60mg AZD9668 in COPD for 12 Weeks in Patients on Background Budesonide/Formoterol

A Phase 2 study testing AZD9668 in people with Chronic Obstructive Pulmonary Disease (COPD), run by AstraZeneca at 66 sites in 6 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 efficacy of AZD9668 compared with placebo in symptomatic COPD patients by assessing the effects on lung function and symptoms of COPD Read more about this study

Who is it for?
Ages 40 to 80 years
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
615 participants
Where
66 sitesin 6 countries
Study dates
Nov 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
  • FEV1/FVC < 70% and FEV1 >= 30 and < 80 % of predicted post-bronchodilator
  • Symptomatic COPD for a total of 7 days in the two weeks prior to randomisation
  • At least 1 COPD exacerbation from 4 weeks to 12 months before the screening visit

Who cannot join

  • Past history or current evidence of clinically significant heart disease
  • Current diagnosis of asthma
  • Patients who require long term oxygen therapy
  • Worsening of COPD requiring treatment with antibiotics, an increase in inhaled steroid dose and/or oral steroids within 4 weeks of study visit 1b

Trial locations and contacts

66 sites in 6 countries.

66 sites in 6 countries

Slovakia17 sites
  • Research Site

    Bardejov

  • Research Site

    Bojnice

  • Research Site

    Bratislava

  • Research Site

    Dunajská Streda

  • Research Site

    Humenné

  • Research Site

    Košice

  • Research Site

    Liptovský Hrádok

  • Research Site

    Nové Mesto nad Váhom

  • Research Site

    Nové Zámky

  • Research Site

    Poprad

  • Research Site

    Považská Bystrica

  • Research Site

    Prešov

  • Research Site

    Revúca

  • Research Site

    Spišská Nová Ves

  • Research Site

    Trnava

  • Research Site

    Trstená

  • Research Site

    Žilina

Other trials in Slovakia

Poland16 sites
  • Research Site

    Bialystok

  • Research Site

    Gdynia

  • Research Site

    Gorzow Wlkp

  • Research Site

    Grodzisk Mazowiecki

  • Research Site

    Jelenia Góra

  • Research Site

    Katowice

  • Research Site

    Kielce

  • Research Site

    Krakow

  • Research Site

    Lodz

  • Research Site

    Lublin

  • Research Site

    Piła

  • Research Site

    Skierniewice

  • Research Site

    Szczecin

  • Research Site

    Tarnów

  • Research Site

    Warsaw

  • Research Site

    Wroclaw

Other trials in Poland

Hungary11 sites
  • Research Site

    Balassagyarmat

  • Research Site

    Budapest

  • Research Site

    Debrecen

  • Research Site

    Deszk

  • Research Site

    Győr

  • Research Site

    Nyíregyháza

  • Research Site

    Pécs

  • Research Site

    Százhalombatta

  • Research Site

    Szombathely

  • Research Site

    Törökbálint

  • Research Site

    Vásárosnamény

Other trials in Hungary

Czechia9 sites
  • Research Site

    Jihlava

  • Research Site

    Jindřichův Hradec

  • Research Site

    Kladno

  • Research Site

    Krnov

  • Research Site

    Nový Jičín

  • Research Site

    Pardubice

  • Research Site

    Prague

  • Research Site

    Rokycany

  • Research Site

    Třebíč

Other trials in Czechia

Bulgaria8 sites
  • Research Site

    Lovech

  • Research Site

    Pleven

  • Research Site

    Plovdiv

  • Research Site

    Rousse

  • Research Site

    Sofia

  • Research Site

    Stara Zagora

  • Research Site

    Troyan Municipality

  • Research Site

    Varna

Other trials in Bulgaria

Romania5 sites
  • Research Site

    Bucharest, Romania

  • Research Site

    Bucharest

  • Research Site

    Constanța, Constanța County

  • Research Site

    Deva, Hunedoara County

  • Research Site

    Iași

Other trials in Romania

About this study

Official title: A 12-Week, Randomised, Double-Blind, Placebo-Controlled, Parallel Group, Multinational, Phase IIb Study to Evaluate the Efficacy and Safety of 60mg AZD9668 Administered Orally Twice Daily to Subjects With Chronic Obstructive Pulmonary Disease (COPD) on Treatment With Budesonide/Formoterol

The primary objective is to evaluate the efficacy of AZD9668 compared with placebo in symptomatic COPD patients by assessing the effects on lung function and symptoms of COPD

Being tested
AZD9668, Placebo
Keywords
Chronic, obstructive, pulmonary, lung, respiratory disease, efficacy, placebo-controlled, COPD, FEV1, St Georges Respiratory Questionnaire
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 bd for 12 weeks

  • PlaceboDrug

    2 x matched placebo to oral tablet bd for 12 weeks

Study groups in NCT01023516
Study groupRoleWhat they receive
1ExperimentalNot described
Receives: Drug: AZD9668
2Placebo comparatorNot described
Receives: Drug: 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 (FEV1) 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: up to week 12

Secondary outcomes (36)
  1. Post-bronchodilator FEV1 (L) - Baseline

    Forced expiratory volume in 1 second (FEV1) 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: up to week 12

  3. Pre-bronchodilator FVC (L) - Baseline

    Forced vital capacity (FVC) 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: up to week 12

  5. Post-bronchodilator FVC (L) - Baseline

    Forced vital capacity (FVC) 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: up to week 12

  7. Baseline Pre-bronchodilator FEV6 (L)

    Forced expiratory volume in 6 seconds (FEV6) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic.

    Measured: Day 1

  8. End-value Pre-bronchodilator FEV6 (L)

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

    Measured: up to week 12

  9. Baseline Post-bronchodilator FEV6 (L)

    Forced expiratory volume in 6 seconds (FEV6) as a measure of lung function, measured post after bronchodilator (salbutamol) use in the clinic.

    Measured: Day 1

  10. End-value Post-bronchodilator FEV6 (L)

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

    Measured: up to week 12

  11. Baseline Pre-bronchodilator FEF25-75% (L/Sec)

    Forced expiratory flow between 25% to 75% of vital capacity (FEF25-75%) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic.

    Measured: Day 1

  12. End-value Pre-bronchodilator FEF25-75% (L/Sec)

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

    Measured: up to week 12

  13. Baseline Post-bronchodilator FEF25-75% (L/Sec)

    Forced expiratory flow between 25% to 75% of vital capacity (FEF25-75%) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic.

    Measured: Day 1

  14. End-value Post-bronchodilator FEF25-75% (L/Sec)

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

    Measured: up to week 12

  15. Pre-bronchodilator IC (L) - Baseline

    Inspiratory capacity (IC) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic.

    Measured: Day 1

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

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

    Measured: up to week 12

  17. Post-bronchodilator IC (L) - Baseline

    Inspiratory capacity (IC) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic.

    Measured: Day 1

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

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

    Measured: up to week 12

  19. 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

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

    Peak expiratory flow (PEF)

    Measured: Last 6 weeks on treatment

  21. 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

  22. 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

  23. 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

  24. 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).

    Measured: Last 6 weeks on treatment

  25. 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

  26. 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).

    Measured: Last 6 weeks on treatment

  27. 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

  28. 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: End of treatment week 12

  29. Use of Reliever Medication

    Daily average of number of inhalations of reliever medication

    Measured: Last 6 weeks on treatment

  30. Incremental Shuttle Walk Test - Baseline

    Endurance time (s)

    Measured: Day 1

  31. Incremental Shuttle Walk Test - End Value

    Measured: Week 12 - visit 6

  32. Endurance Shuttle Walk Test - Baseline

    Endurance time (s)

    Measured: Day 1

  33. Endurance Shuttle Walk Test - End Value

    Assessed at vist 6 -( last on treatment clinic visit)

    Measured: Week 12 - visit 6

  34. 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

  35. 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

  36. 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 posted2 Dec 2009 (estimated)
  2. Study startNov 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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
615 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01023516
Sponsor's protocol ID
D0520C00020
Status last verified
Jun 2012
First submitted
1 Dec 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
  • Kuna P, Jenkins M, O'Brien CD, Fahy WA. AZD9668, a neutrophil elastase inhibitor, plus ongoing budesonide/formoterol in patients with COPD. Respir Med. 2012 Apr;106(4):531-9. doi: 10.1016/j.rmed.2011.10.020. Epub 2011 Dec 23.

    PubMed 22197578

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing AZD9668 in people with Chronic Obstructive Pulmonary Disease (COPD), run by AstraZeneca at 66 sites in 6 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 66 sites in Slovakia, Poland, Hungary, Czechia, Bulgaria and 1 more country. 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 NCT01023516, 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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