Chronic Obstructive Pulmonary DiseasePhase 3SUMIRENCT01069289
Efficacy and Safety Study of Symbicort® Turbuhaler® Versus Oxis® Turbuhaler® in Chronic Obstructive Pulmonary Disease (COPD) Patients
A Phase 3 study testing Budesonide/formoterol (Symbicort Turbuhaler) and Formoterol (Oxis Turbuhaler) in people with Chronic Obstructive Pulmonary Disease, run by AstraZeneca at 119 sites in 9 countries.
Trial summary
The primary purpose of the study is to investigate if Symbicort is more effective than Oxis in increasing forced expiratory volume in one second (FEV1), measured at the clinics, in patients with COPD. Read more about this study
- Who is it for?
- Ages 40 years and older
- Conditions the study is for
- Chronic Obstructive Pulmonary Disease
- What is being tested?
- Budesonide/formoterol (Symbicort Turbuhaler) and Formoterol (Oxis Turbuhaler)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,293 participants
- Where
- 119 sitesin 9 countries
- Study dates
- Jan 2010to Mar 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
- A current clinical diagnosis of Chronic Obstructive Pulmonary Disease
- Documented Chronic Obstructive Pulmonary Disease symptoms for more than 2 years
- A smoking history of at least 10 pack years
Who cannot join
- History and/or current clinical diagnosis of asthma
- History and/or current clinical diagnosis of atopic diseases such as allergic rhinitis
Trial locations and contacts
119 sites in 9 countries.
119 sites in 9 countries
Japan62 sites
Research Site
Akita, Akita
Research Site
Asahikawa, Hokkaido
Research Site
Chino-shi, Nagano
Research Site
Chūō, Tokyo
Research Site
Fujisawa, Kanagawa
Research Site
Fukuoka, Fukuoka
Research Site
Gifu, Gifu
Research Site
Himeji, Hyōgo
Research Site
Hiroshima, Hiroshima
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Hitachi, Ibaraki
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Isahaya-shi, Nagasaki
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Itami, Hyōgo
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Izumi-shi, Osaka
Research Site
Kagoshima, Kagoshima-ken
Research Site
Kanazawa, Ishikawa-ken
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Kawasaki-shi, Kanagawa
Research Site
Kishiwada, Osaka
Research Site
Kitakatsushika-gun, Saitama
Research Site
Kobe, Hyōgo
Research Site
Kochi, Kochi
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Koshigaya-shi, Saitama
Research Site
Kurashiki-shi, Okayama-ken
Research Site
Kyoto, Kyoto
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Maebashi, Gunma
Research Site
Matsue, Shimane
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Matsumoto, Nagano
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Matsusaka-shi, Mie-ken
Research Site
Meguro City, Tokyo
Research Site
Minato-ku, Tokyo
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Moriguchi, Osaka
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Murata, Miyagi
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Nagaoka, Niigata
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Nagoya, Aichi-ken
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Naka-gun, Ibaragi
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Obihiro, Hokkaido
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Okayama, Okayama-ken
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Okazaki, Aichi-ken
Research Site
Osaka, Osaka
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Ōta, Gunma
Research Site
Saga, Saga-ken
Research Site
Saiki-shi, Oita Prefecture
Researche Site
Sakai-shi, Osaka
Research Site
Sakaidechō, Kagawa-ken
Research Site
Sapporo, Hokkaido
Research Site
Sendai, Miyagi
Research Site
Setagaya City, Tokyo
Research Site
Seto, Aichi-ken
Research Site
Shinagawa-ku, Tokyo
Research Site
Suginami-ku, Tokyo
Research Site
Sumida-ku, Tokyo
Research Site
tabashi City, Tokyo
Research Site
Takayama-shi, Gifu
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Tomakomai, Hokkaido
Research Site
Toyota, Aichi-ken
Research Site
Toyota-shi, Aichi-ken
Research Site
Tsukuba, Ibaraki
Research Site
Urasoe-shi, Okinawa
Research Site
Wakayama, Wakayama
Research Site
Yanagawa, Fukuoka
Research Site
Yokohama, Kanagawa
Research Site
Yufu-shi, Oita Prefecture
Research Site
Zama-shi, Kanagawa
Poland21 sites
Research Site
Bialystok
Research Site
Bydgoszcz
Research Site
Chodzież
Research Site
Jarosław
Research Site
Karpacz
Research Site
Krakow
Research Site
Lodz
Research Site
Loma
Research Site
Lublin
Research Site
Ostrów Wielkopolski
Research Site
Piła
Research Site
Poznan
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Ruda Śląska
Research Site
Słupca
Research Site
Tczew
Research Site
Torun
Research Site
Turek
Research Site
Włoszczowa
Research Site
Zabrze
Research Site
Zawadzkie
Research Site
Żnin
India7 sites
Research Site
Bangalore, Karnataka
Research Site
Coimbatore, Tamil Nadu
Research Site
Indore, Madhya Pradesh
Research Site
Mysore, Karnataka
Research Site
Nagpur, Maharashtra
Research Site
New Delhi, National Capital Territory of Delhi
Research Site
Trivandrum, Kerala
Russia7 sites
Research Site
Barnaul, Russia
Research Site
Kazan', Russia
Research Site
Moscow, Russia
Research Site
Novosibirsk
Research Site
Saint Petersburg, Russia
Research Site
Vladikavkaz
Research Site
Yekaterinburg, Russia
Ukraine7 sites
Research Site
Dnipropetrovsk
Research Site
Donetsk
Research Site
Kyiv
Research Site
Poltava
Research Site
Uzhhorod
Research Site
Vinytsa
Research Site
Zaporozye
Philippines6 sites
Research Site
Davao City, Philippines
Research Site
Iloilo City
Research Site
Lipa City, Batangas
Research Site
Olongapo City
Research Site
Quezon City
Researche Site
San Fernando City, Pampanga
Taiwan4 sites
Research Site
Chiayi City
Research Site
Kaohsiung City
Research Site
Keelung
Research Site
Taipei
South Korea3 sites
Research Site
Ansan
Research Site
Incheon
Research Site
Seoul
About this study
Official title: A Phase III, 12-week, Double-blind, Randomised, Parallel-group, Active-controlled, Multinational, Efficacy and Safety Study of Symbicort® Turbuhaler® 160/4.5 μg 2 Inhalations Twice Daily (Bid) Compared to Oxis® Turbuhaler® 4.5 μg 2 Inhalations Twice Daily (Bid) in Patients With Chronic Obstructive Pulmonary Disease
The primary purpose of the study is to investigate if Symbicort is more effective than Oxis in increasing forced expiratory volume in one second (FEV1), measured at the clinics, in patients with COPD.
- Conditions
- Chronic Obstructive Pulmonary Disease
- Being tested
- Budesonide/formoterol (Symbicort Turbuhaler), Formoterol (Oxis Turbuhaler)
- Keywords
- Symbicort, Oxis, Chronic Obstructive Pulmonary Disease, COPD, 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.
Budesonide/formoterol (Symbicort Turbuhaler)Drug
Also called Symbicort Turbuhaler
2x160/4.5 microgram, inhalation, twice daily, 12 weeks
Formoterol (Oxis Turbuhaler)Drug
Also called Oxis Turbuhaler
2 X 4.5 microgram, inhalation, twice daily, 12 weeks
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | Symbicort Turbuhaler 160/4.5 microgram, 2 inhalations twice daily Receives: Drug: Budesonide/formoterol (Symbicort Turbuhaler) |
| 2 | Active comparator | Oxis Turbuhaler 4.5 microgram, 2 inhalations twice daily Receives: Drug: Formoterol (Oxis Turbuhaler) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pre-dose Forced Expiratory Volume in One Second (FEV1)
The ratio, expressed as percentage, of the geometric mean of available data for Weeks 0, 4, 8 and 12 to the baseline for each treatment group
Measured: Before randomization, 0, 4, 8 and 12 weeks after randomization
Secondary outcomes (16)
1 Hour Post Dose Forced Expiratory Volume in One Second (FEV1)
The ratio, expressed as percentage, of the geometric mean of available data for Weeks 0, 4, 8 and 12 to the baseline for each treatment group
Measured: Before randomization, 0, 4, 8 and 12 weeks after randomization
Pre-dose Forced Vital Capacity (FVC)
The ratio, expressed as percentage, of the geometric mean of available data for Weeks 0, 4, 8 and 12 to the baseline for each treatment group
Measured: Before randomization, 0, 4, 8 and 12 weeks after randomization
1 Hour Post-dose Forced Vital Capacity (FVC)
The ratio, expressed as percentage, of the geometric mean of available data for Weeks 0, 4, 8 and 12 to the baseline for each treatment group
Measured: Before randomization, 0, 4, 8 and 12 weeks after randomization
Percentage of Participants With Exacerbations
A Chronic Obstructive Pulmonary Disease (COPD) exacerbation was defined as worsening in COPD symptoms requiring treatment with either a course of systemic steroid or hospitalisation. The percentage of participants who had experienced COPD exacerbation at the end of the study for each treatment group.
Measured: Daily during 12-week randomization treatment
Number of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation
A Chronic Obstructive Pulmonary Disease (COPD) exacerbation was defined as worsening in COPD symptoms requiring treatment with either a course of systemic steroid or hospitalisation. Number of COPD exacerbation during 12-week randomization treatment
Measured: Daily during 12-week randomization treatment
Morning Peak Expiratory Flow(PEF)
The change from Run-in period average to Treatment period average for each treatment group
Measured: Daily during run-in period and daily during 12-week randomization treatment
Evening Peak Expiratory Flow (PEF)
The change from Run-in period average to Treatment period average for each treatment group
Measured: Daily during run-in period and daily during 12-week randomization treatment
Total Number of Day With Exacerbation
Total number of days with COPD exacerbation for each treatment group
Measured: Daily during 12-week randomization treatment
Morning Forced Expiratory Volume in One Second (FEV1)
The change from Run-in period average to Treatment period average for each treatment group
Measured: Daily during run-in period and daily during 12-week randomization treatment
Evening Forced Expiratory Volume in One Second (FEV1)
The change from Run-in period average to Treatment period average for each treatment group
Measured: Daily during run-in period and daily during 12-week randomization treatment
Night-time Awakening Due to Chronic Obstructive Pulmonary Disease (COPD) Symptoms
Scored 0 to 1 (0 = no awakening and 1 = awakening). The change from Run-in period average to Treatment period average for each treatment group
Measured: Daily during run-in period and daily during 12-week randomization treatment
Breathlessness Due to Chronic Obstructive Pulmonary Disease (COPD) Symptoms
There are 5 alternatives (scored 0 to 4, with 4 being the most severe condition). The change from Run-in period average to Treatment period average for each treatment group
Measured: Daily during run-in period and daily during 12-week randomization treatment
Cough Due to Chronic Obstructive Pulmonary Disease (COPD) Symptoms
There are 5 alternatives (scored 0 to 4, with 4 being the most severe condition). The change from Run-in period average to Treatment period average for each treatment group
Measured: Daily during run-in period and daily during 12-week randomization treatment
Total Chronic Obstructive Pulmonary Disease (COPD) Symptom Score
The Total COPD Symptom score is the sum of the measures night-time awakening, breathlessness and cough, ranges from 0 to 12 with 12 being the most severe. The change from Run-in period average to Treatment period average for each treatment group.
Measured: Daily during run-in period and daily during 12-week randomization treatment
Use of Rescue Medication
The change from Run-in period average to Treatment period average for each treatment group.
Measured: Daily during run-in period and daily during 12-week randomization treatment
St George's Respiratory Questionnaire (SGRQ) Total Score
The change from Run-in period average to Treatment period average for each treatment group. The SGRQ ranges from 0 (no impairment of quality of life) to 100 (highest impairment of quality of life).
Measured: Daily during run-in period and daily during 12-week randomization treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Feb 2010 (estimated)
- Study startJan 2010
- Primary completionMar 2011
- Study completionMar 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.
- Other trials for Chronic Obstructive Pulmonary DiseaseStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,293 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Lars-Göran Carlsson, MD, Study chair, AstraZeneca R&D, Lund, SwedenYoshinosuke Fukuchi, M.D., PhD, Principal investigator, Department of Respiratory medicine, Juntendo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01069289
- Sponsor's protocol ID
- D589DC00007
- Acronym
- SUMIRE
- Status last verified
- Sep 2012
- First submitted
- 11 Feb 2010
- Last updated
- 25 Oct 2012
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Oct 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, 12-week, Double-blind, Randomised, Parallel-group, Active-controlled, Multinational, Efficacy and Safety Study of Symbicort® Turbuhaler® 160/4.5 μg 2 Inhalations Twice Daily (Bid) Compared to Oxis® Turbuhaler® 4.5 μg 2 Inhalations Twice Daily (Bid) in Patients With Chronic Obstructive Pulmonary Disease
- ClinicalTrials.gov ID
- NCT01069289
- Acronym / sponsor ID
- SUMIRE / D589DC00007
- Conditions
- Chronic Obstructive Pulmonary Disease
- Keywords
- Symbicort, Oxis, Chronic Obstructive Pulmonary Disease, COPD, Efficacy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,293 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- Jan 2010
- Primary completion
- Mar 2011 (actual)
- Study completion
- Mar 2011 (actual)
- First posted
- 17 Feb 2010 (estimated)
- Results
- Posted 25 Oct 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary purpose of the study is to investigate if Symbicort is more effective than Oxis in increasing forced expiratory volume in one second (FEV1), measured at the clinics, in patients with COPD.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: Budesonide/formoterol (Symbicort Turbuhaler)Symbicort Turbuhaler 160/4.5 microgram, 2 inhalations twice daily |
| 2 | Active comparator | Drug: Formoterol (Oxis Turbuhaler)Oxis Turbuhaler 4.5 microgram, 2 inhalations twice daily |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- A current clinical diagnosis of Chronic Obstructive Pulmonary Disease
- Documented Chronic Obstructive Pulmonary Disease symptoms for more than 2 years
- A smoking history of at least 10 pack years
Key exclusion criteria (2 listed)
- History and/or current clinical diagnosis of asthma
- History and/or current clinical diagnosis of atopic diseases such as allergic rhinitis
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 |
|---|---|---|
| Budesonide/formoterol (Symbicort Turbuhaler)Also: Symbicort Turbuhaler2x160/4.5 microgram, inhalation, twice daily, 12 weeks | Drug | 1 |
| Formoterol (Oxis Turbuhaler)Also: Oxis Turbuhaler2 X 4.5 microgram, inhalation, twice daily, 12 weeks | Drug | 2 |
Primary outcome
Pre-dose Forced Expiratory Volume in One Second (FEV1)
Time frame: Before randomization, 0, 4, 8 and 12 weeks after randomization
The ratio, expressed as percentage, of the geometric mean of available data for Weeks 0, 4, 8 and 12 to the baseline for each treatment group
16 secondary outcomes
1 Hour Post Dose Forced Expiratory Volume in One Second (FEV1)
Time frame: Before randomization, 0, 4, 8 and 12 weeks after randomization
Pre-dose Forced Vital Capacity (FVC)
Time frame: Before randomization, 0, 4, 8 and 12 weeks after randomization
1 Hour Post-dose Forced Vital Capacity (FVC)
Time frame: Before randomization, 0, 4, 8 and 12 weeks after randomization
Percentage of Participants With Exacerbations
Time frame: Daily during 12-week randomization treatment
Number of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation
Time frame: Daily during 12-week randomization treatment
Morning Peak Expiratory Flow(PEF)
Time frame: Daily during run-in period and daily during 12-week randomization treatment
Evening Peak Expiratory Flow (PEF)
Time frame: Daily during run-in period and daily during 12-week randomization treatment
Total Number of Day With Exacerbation
Time frame: Daily during 12-week randomization treatment
Morning Forced Expiratory Volume in One Second (FEV1)
Time frame: Daily during run-in period and daily during 12-week randomization treatment
Evening Forced Expiratory Volume in One Second (FEV1)
Time frame: Daily during run-in period and daily during 12-week randomization treatment
Night-time Awakening Due to Chronic Obstructive Pulmonary Disease (COPD) Symptoms
Time frame: Daily during run-in period and daily during 12-week randomization treatment
Breathlessness Due to Chronic Obstructive Pulmonary Disease (COPD) Symptoms
Time frame: Daily during run-in period and daily during 12-week randomization treatment
Cough Due to Chronic Obstructive Pulmonary Disease (COPD) Symptoms
Time frame: Daily during run-in period and daily during 12-week randomization treatment
Total Chronic Obstructive Pulmonary Disease (COPD) Symptom Score
Time frame: Daily during run-in period and daily during 12-week randomization treatment
Use of Rescue Medication
Time frame: Daily during run-in period and daily during 12-week randomization treatment
St George's Respiratory Questionnaire (SGRQ) Total Score
Time frame: Daily during run-in period and daily during 12-week randomization treatment
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Oct 2012.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
Lars-Göran Carlsson, MD study chair
AstraZeneca R&D, Lund, Sweden
Yoshinosuke Fukuchi, M.D., PhD principal investigator
Department of Respiratory medicine, Juntendo University
119 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Budesonide/formoterol (Symbicort Turbuhaler) and Formoterol (Oxis Turbuhaler) in people with Chronic Obstructive Pulmonary Disease, run by AstraZeneca at 119 sites in 9 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 3 inclusion and 2 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 25 Oct 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 119 sites in Japan, Poland, India, Russia, Ukraine and 4 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 25 Oct 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?
Pre-dose Forced Expiratory Volume in One Second (FEV1) (time frame: Before randomization, 0, 4, 8 and 12 weeks after randomization). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Oct 2012.