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Chronic Obstructive Pulmonary DiseasePhase 3NCT01070784

A Safety and Efficacy Study of Symbicort Turbuhaler Compared With Standard Chronic Obstructive Pulmonary Disease (COPD) Treatment in Japan

A Phase 3 study testing Symbicort Turbuhaler (Budesonide/formoterol) and Drug: any available COPD treatment; investigator to decide in people with Chronic Obstructive Pulmonary Disease, run by AstraZeneca at 17 sites in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the safety and efficacy of Symbicort Turbuhaler compared to standard COPD treatment during one year in Japanese 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?
Symbicort Turbuhaler (Budesonide/formoterol) and Drug: any available COPD treatment; investigator to decide
Could I receive a placebo?
No, everyone receives an active treatment
How many people
328 participants
Where
17 sitesJapan
Study dates
Jan 2010to 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

  • A current clinical diagnosis of COPD according to the guidelines (GOLD, JPS)
  • Documented COPD symptoms for more than 2 years
  • Pre-bronchodilator FEV1≦50% of predicted normal value, and post-bronchodilator FEV1/FVC<70%

Who cannot join

  • History and/or current clinical diagnosis of asthma and atopic diseases such as allergic rhinitis
  • Subjects with significant or unstable ischemic heart disease, arrhythmia, cardiomyopathy, heart failure, uncontrolled hypertension as defined by the investigator, or any other relevant cardiovascular disorder as judged by the investigator
  • COPD exacerbation during the run-in period or within 4 weeks prior to registration, requiring hospitalization and/or treatment with systemic steroids.

Trial locations and contacts

17 sites in 1 country.

17 sites in 1 country

Japan17 sites
  • Research Site

    Asahikawa, Hokkaido

  • Research Site

    Chūō, Tokyo

  • Research Site

    Fujisawa, Kanagawa

  • Research Site

    Hiroshima, Hiroshima

  • Research Site

    Hitachi, Ibaraki

  • Research Site

    Itami, Hyōgo

  • Research Site

    Kōshi, Kumamoto

  • Research Site

    Kyoto, Kyoto

  • Research Site

    Murata, Miyagi

  • Research Site

    Nagoya, Aichi-ken

  • Research Site

    Sakaidechō, Kagawa-ken

  • Research Site

    Sapporo, Hokkaido

  • Research Site

    Setagaya City, Tokyo

  • Research Site

    Toyota, Aichi-ken

  • Research Site

    Tsukuba, Ibaraki

  • Research Site

    Yanagawa, Fukuoka

  • Research Site

    Yokohama, Kanagawa

Other trials in Japan

About this study

Official title: An Open-label Phase III, Multi-centre 52-week , Parallel-group Study Evaluating the Safety and Efficacy of Symbicort Turbuhaler 320/9 Twice Daily Compared With Standard Treatment in Japanese Patients With Chronic Obstructive Pulmonary Disease (COPD)

The purpose of this study is to evaluate the safety and efficacy of Symbicort Turbuhaler compared to standard COPD treatment during one year in Japanese patients with COPD.

Being tested
Symbicort Turbuhaler (Budesonide/formoterol), Drug: any available COPD treatment; investigator to decide
Keywords
Symbicort, Safety, Efficacy, COPD, Japanese
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.

  • Symbicort Turbuhaler (Budesonide/formoterol)Drug

    Also called Symbicort Turbuhaler

    2 x 160/4.5 microgram, inhalation, bid, 52 weeks

  • Drug: any available COPD treatment; investigator to decideDrug

    According to investigator decision, 52 weeks, Standard COPD treatment according to investigator decision

Study groups in NCT01070784
Study groupRoleWhat they receive
1ExperimentalNot described
Receives: Drug: Symbicort Turbuhaler (Budesonide/formoterol)
2Active comparatorNot described
Receives: Drug: Drug: any available COPD treatment; investigator to decide

What is being measured

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

  1. Clinical Laboratory Test: Haematology -Erythrocytes

    Mean change from Baseline

    Measured: Baseline and 52 week after

  2. Clinical Laboratory Test: Haematology -Haemoglobin

    Change from baseline

    Measured: Baseline and 52 week after

  3. Clinical Laboratory Test: Haematology -Leucocytes

    Change from baseline

    Measured: Baseline and 52 week after

  4. Clinical Laboratory Test: Haematology -Platelet Count

    Change from baseline

    Measured: Baseline and 52 week after

  5. Clinical Laboratory Test: Haematology -Eosinophils

    Change from baseline

    Measured: Baseline and 52 week after

  6. Clinical Laboratory Test: Haematology -Basophils

    Change from baseline

    Measured: Baseline and 52 week after

  7. Clinical Laboratory Test: Haematology -Lymphocytes

    Change from baseline

    Measured: Baseline and 52 week after

  8. Clinical Laboratory Test: Haematology -Monocytes

    Change from baseline

    Measured: Baseline and 52 week after

  9. Clinical Laboratory Test: Haematology -Neutrophils

    Change from baseline

    Measured: Baseline and 52 week after

  10. Clinical Laboratory Test: Clinical Chemistry- S-Alanine Aminotransferase

    Change from baseline

    Measured: Baseline and 52 week after

  11. Clinical Laboratory Test: Clinical Chemistry- S-Aspartate Aminotransferase

    Change from baseline

    Measured: Baseline and 52 week after

  12. Clinical Laboratory Test: Clinical Chemistry- S-Alkaline Phosphatase (ALP)

    Change from baseline

    Measured: Baseline and 52 week after

  13. Clinical Laboratory Test: Clinical Chemistry- S-Creatinine

    Change from baseline

    Measured: Baseline and 52 week after

  14. Clinical Laboratory Test: Clinical Chemistry- S-Total Bilirubin

    Change from baseline

    Measured: Baseline and 52 week after

  15. Clinical Laboratory Test: Clinical Chemistry- S-Sodium

    Change from baseline

    Measured: Baseline and 52 week after

  16. Clinical Laboratory Test: Clinical Chemistry- S-Potassium

    Change from baseline

    Measured: Baseline and 52 week after

  17. Clinical Laboratory Test: Clinical Chemistry- S- Calcium

    Change from baseline

    Measured: Baseline and 52 week after

  18. Clinical Laboratory Test: Clinical Chemistry- S-Albumin

    Change from baseline

    Measured: Baseline and 52 week after

  19. Clinical Laboratory Test: Clinical Chemistry- S-Protein, Total

    Change from baseline

    Measured: Baseline and 52 week after

  20. Clinical Laboratory Test: Clinical Chemistry- S-C-Reactive Protein

    Change from baseline

    Measured: Baseline and 52 week after

  21. Clinical Laboratory Test: Clinical Chemistry- S-Urea Nitrogen

    Change from baseline

    Measured: Baseline and 52 week after

  22. Vital Signs- Sitting Systolic Blood Pressure(SBP)

    Change from baseline

    Measured: Baseline and 52 week after

  23. Vital Signs- Sitting Diastolic Blood Pressure(DBP)

    Change from baseline

    Measured: Baseline and 52 week after

  24. Vital Signs- Pulse Rate

    Change from baseline

    Measured: Baseline and 52 week after

  25. ECG Variables - Heart Rate

    Change from baseline

    Measured: Baseline and 52 week after

  26. ECG Variables - QT Interval

    Change from baseline

    Measured: Baseline and 52 week after

  27. ECG Variables - QTcB Interval

    Change from baseline

    Measured: Baseline and 52 week after

  28. ECG Variables - QTcF Interval

    Change from baseline

    Measured: Baseline and 52 week after

  29. ECG Variables - RR Interval

    Change from baseline

    Measured: Baseline and 52 week after

Secondary outcomes (13)
  1. Chronic Obstructive Pulmonary Disease (COPD) symptoms_Night-time Awakening

    There are 5 alternatives (scored 0 to 4, 0= no awakening and 4 =did not sleep at all). The change from Run-in period average to Treatment period average for each treatment group

    Measured: Daily during run-in period and daily during 52-week randomization treatment

  2. Chronic Obstructive Pulmonary Disease (COPD) symptoms_Breathlessness

    There are 5 alternatives (scored 0 to 4, 0= unaware of any difficulty and 4 =almost constant, present even when resting). The change from Run-in period average to Treatment period average for each treatment group

    Measured: Daily during run-in period and daily during 52-week randomization treatment

  3. Chronic Obstructive Pulmonary Disease (COPD) symptoms_cough

    There are 5 alternatives (scored 0 to 4, 0= unaware of coughing, 4= never free of cough or need to cough). The change from Run-in period average to Treatment period average for each treatment group

    Measured: Daily during run-in period and daily during 52-week randomization treatment

  4. Forced Expiratory Volume in 1 Second (FEV1) Measured With the Spirometer at the Clinic

    The ratio of the average value of available data for Weeks 0, 4, 8, 17, 26, 34, 43 and 52 to the baseline for each treatment group. Ratio is being reported as a percentage in this Measure.

    Measured: Before randomization, 0, 4, 8, 17, 26, 34, 43 and 52 weeks after randomization

  5. Forced Vital Capacity (FVC) Measured With the Spirometer at the Clinic

    The ratio of the average value of available data for Weeks 0, 4, 8, 17, 26, 34, 43 and 52 to the baseline for each treatment group. Ratio is being reported as a percentage in this Measure.

    Measured: Before randomization, 0, 4, 8, 17, 26, 34, 43 and 52 weeks after randomization

  6. Time to First 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. The percentage of participants who had experienced COPD exacerbation at the end of the study for each treatment group.

    Measured: Daily during 52-week randomization treatment

  7. Number of COPD Exacerbations Over the Study Treatment Period

    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 52-week randomization treatment

    Measured: Daily during 52-week randomization treatment

  8. Rescue Medication Use

    The change from run-in period and daily during 52-week randomization treatment

    Measured: Daily during 52-week randomization treatment

  9. Health Related Quality of Life (HRQL) Based on the St. George's Respiratory Questionnaire (SGRQ)

    The change from run-in period and daily during 52-week randomization treatment 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 52-week randomization treatment

  10. Morning Peak Expiratory Flow (PEF) Measured at Home

    The change from Run-in period average to 52-week randomization Treatment period average for each treatment group

    Measured: Daily during run-in period and daily 52-week randomization treatment

  11. Evening Peak Expiratory Flow (PEF) Measured at Home

    The change from Run-in period average to 52-week randomization Treatment period average for each treatment group

    Measured: Daily during run-in period and daily 52-week randomization treatment

  12. Morning FEV1 Measured by the Subjects at Home

    The change from run-in period and daily during 52-week randomization treatment

    Measured: Daily during run-in period and daily 52-week randomization treatment

  13. Evening FEV1 Measured by the Subjects at Home

    The change from run-in period and daily during 52-week randomization treatment

    Measured: Daily during run-in period and daily 52-week randomization treatment

Timeline

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

  1. First posted18 Feb 2010 (estimated)
  2. Study startJan 2010
  3. Primary completionOct 2011
  4. Study completionOct 2011

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
328 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01070784
Sponsor's protocol ID
D589DC00008
Status last verified
Apr 2014
First submitted
11 Feb 2010
Last updated
29 Apr 2014
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Symbicort Turbuhaler (Budesonide/formoterol) and Drug: any available COPD treatment; investigator to decide in people with Chronic Obstructive Pulmonary Disease, run by AstraZeneca at 17 sites in Japan.

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 3 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 29 Apr 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in Japan. 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 5 Dec 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?

Clinical Laboratory Test: Haematology -Erythrocytes (time frame: Baseline and 52 week after). The study lists 29 primary outcomes in all. 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 29 Apr 2014.

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