Pulmonary Disease, Chronic ObstructivePhase 3DB2113361NCT01313637
A 24-week Evaluation of GSK573719/Vilanterol (125/25mcg) and Components in COPD
A Phase 3 study testing GSK573719/GW642444 125/25mcg, GSK573719 125mcg and GW642444 25mcg in people with Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 157 sites in 14 countries.
Trial summary
This is a phase III multicenter, randomized, double-blind, placebo-controlled, parallel-group study to evaluate the efficacy and safety of GSK573719/GW642444 Inhalation Powder, GSK573719 Inhalation Powder, GW642444 Inhalation Powder and Placebo when administered once-daily via a Novel Dry Powder Inhaler over a 24-week… 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?
- GSK573719/GW642444 125/25mcg, GSK573719 125mcg and GW642444 25mcg
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,493 participants
- Where
- 157 sitesin 14 countries
- Study dates
- 1 Mar 2011to 19 Apr 2012
- 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
- Diagnosis of COPD
- 10 pack-year or greater history of cigarette smoking
- Post-bronchodilator FEV1/FVC of <0.7
- Predicted FEV1 of 70% of normal or less
- Modified Medical Research Council (mMRC) dyspnea score of 2 or greater
Who cannot join
- Women who are pregnant, lactating, or planning to become pregnant
- Respiratory disorders other than COPD, including a current diagnosis of asthma
- Clinically significant non-respiratory diseases or abnormalities that are not adequately controlled
- Significant allergy or hypersensitivity to anticholinergics, beta2-agonists, or the excipients of magnesium stereate or lactose used in the inhaler delivery device
- Hospitalization for COPD or pneumonia within 12 weeks prior to screening
- Lung volume reduction surgery within 12 weeks prior to screening
Show all 15Show fewer
- Abnormal and clinically significant ECG findings at screening
- Clinically significant laboratory findings at screening
- Use of systemic corticosteroids, antibiotics for respiratory tract infections, strong cytochrome P450 3A4 inhibitors, high dose inhaled steroids (>1000mcg fluticasone propionate or equivalent), PDE4 inhibitors, tiotropium, oral beta2-agoinists, short- and long-acting inhaled beta2-agonists, ipratropium, inhaled sodium cromoglycate or nedocromil sodium, or investigational medicines for defined time periods prior to the screening visit
- Use of long-term oxygen therapy (12 hours or greater per day)
- Regular use of nebulized treatment with short-acting bronchodilators
- Participation in the acute phase of a pulmonary rehabilitation program
- A know or suspected history of alcohol or drug abuse
- Affiliation with the investigational site
- Previous use of GSK573719 or GW642444 alone or in combination, including the combination of fluticasone furoate and GW642444
Trial locations and contacts
157 sites in 14 countries.
157 sites in 14 countries
United States24 sites
GSK Investigational Site
Charlotte, North Carolina, 28207
GSK Investigational Site
Cherry Hill, New Jersey, 08003
GSK Investigational Site
Clearwater, Florida, 33765
GSK Investigational Site
DeLand, Florida, 32720
GSK Investigational Site
Easley, South Carolina, 29640
GSK Investigational Site
Greenville, South Carolina, 29615
GSK Investigational Site
Jasper, Alabama, 35501
GSK Investigational Site
Lincoln, Nebraska, 68506
GSK Investigational Site
Livonia, Michigan, 48152
GSK Investigational Site
Long Beach, California, 90822
GSK Investigational Site
Los Angeles, California, 90095
GSK Investigational Site
Orlando, Florida, 32822
GSK Investigational Site
Palo Alto, California, 94304
GSK Investigational Site
Panama City, Florida, 32405
GSK Investigational Site
Phoenix, Arizona, 85006
GSK Investigational Site
Plymouth, Minnesota, 55441
GSK Investigational Site
Richmond, Virginia, 23225
GSK Investigational Site
Riverside, California, 92506
GSK Investigational Site
San Diego, California, 92103-8415
GSK Investigational Site
San Diego, California, 92117
GSK Investigational Site
Spartanburg, South Carolina, 29303
GSK Investigational Site
Topeka, Kansas, 66606
GSK Investigational Site
Torrance, California, 90502
GSK Investigational Site
Union, South Carolina, 29379
Germany24 sites
GSK Investigational Site
Berlin, 10117
GSK Investigational Site
Berlin, 10367
GSK Investigational Site
Berlin, 10787
GSK Investigational Site
Berlin, 13125
GSK Investigational Site
Berlin, 13581
GSK Investigational Site
Berlin, 14059
GSK Investigational Site
Cologne, North Rhine-Westphalia, 51069
GSK Investigational Site
Dillingen an der Donau, Bavaria, 89407
GSK Investigational Site
Dresden, Saxony, 01307
GSK Investigational Site
Frankfurt am Main, Hesse, 60596
GSK Investigational Site
Geesthacht, Schleswig-Holstein, 21502
GSK Investigational Site
Gelnhausen, Hesse, 63571
GSK Investigational Site
Hamburg, 20246
GSK Investigational Site
Hamburg, 20253
GSK Investigational Site
Hamburg, 22143
GSK Investigational Site
Künzing, Bavaria, 94550
GSK Investigational Site
Leipzg, Saxony, 04109
GSK Investigational Site
Leipzig, Saxony, 04103
GSK Investigational Site
Magdeburg, Saxony-Anhalt, 39112
GSK Investigational Site
Munich, Bavaria, 80809
GSK Investigational Site
Neu-Isenburg, Hesse, 63263
GSK Investigational Site
Rodgau, Hesse, 63110
GSK Investigational Site
Schmölln, Thuringia, 04626
GSK Investigational Site
Schwabach, Bavaria, 91126
Japan18 sites
GSK Investigational Site
Aichi, 454-8502
GSK Investigational Site
Aichi, 455-8530
GSK Investigational Site
Aichi, 457-8510
GSK Investigational Site
Chiba, 296-8602
GSK Investigational Site
Fukuoka, 802-0052
GSK Investigational Site
Fukuoka, 811-3195
GSK Investigational Site
Fukuoka, 814-0180
GSK Investigational Site
Fukuoka, 832-0059
GSK Investigational Site
Hokkaido, 070-8644
GSK Investigational Site
Ibaraki, 319-1113
GSK Investigational Site
Kanagawa, 252-0001
GSK Investigational Site
Miyagi, 989-1253
GSK Investigational Site
Okayama, 714-0081
GSK Investigational Site
Osaka, 596-8501
GSK Investigational Site
Shizuoka, 434-8511
GSK Investigational Site
Tokyo, 171-0014
GSK Investigational Site
Tokyo, 194-0023
GSK Investigational Site
Tokyo, 204-8585
Netherlands13 sites
GSK Investigational Site
Alkmaar, 1815 JD
GSK Investigational Site
Almelo, 7609 PP
GSK Investigational Site
Almere Stad, 1311 RL
GSK Investigational Site
Beek, 6191 JW
GSK Investigational Site
Ede, 6716 RP
GSK Investigational Site
Eindhoven, 5623 EJ
GSK Investigational Site
Enschede, 7513 ER
GSK Investigational Site
Groningen, 9728 NP
GSK Investigational Site
Helmond, 5707 HA
GSK Investigational Site
Hoorn, 1624 NP
GSK Investigational Site
Tubbergen, 7651 JH
GSK Investigational Site
Veldhoven, 5504 DB
GSK Investigational Site
Zutphen, 7207 AE
Hungary12 sites
GSK Investigational Site
Balassagyarmat, 2660
GSK Investigational Site
Budapest, 1529
GSK Investigational Site
Debrecen, 4032
GSK Investigational Site
Deszk, 6772
GSK Investigational Site
Farkasgyepű, 8582
GSK Investigational Site
Gödöllő, 2100
GSK Investigational Site
Gyöngyös, 3200
GSK Investigational Site
Nyíregyháza, 4400
GSK Investigational Site
Sátoraljaújhely, 3980
GSK Investigational Site
Szikszó, 3800
GSK Investigational Site
Szombathely, 9700
GSK Investigational Site
Törökbálint, 2045
France10 sites
GSK Investigational Site
Lyon, 69317
GSK Investigational Site
Montauban, 82017
GSK Investigational Site
Nice, 06000
GSK Investigational Site
Perpignan, 66000
GSK Investigational Site
Reims, 51092
GSK Investigational Site
Tarbes, 65013
GSK Investigational Site
Toulon, 83000
GSK Investigational Site
Toulouse, 31059
GSK Investigational Site
Tours, 37044
GSK Investigational Site
Vieux-Condé, 59690
Sweden10 sites
GSK Investigational Site
Gothenburg, SE-412 63
GSK Investigational Site
Gothenburg, SE-413 45
GSK Investigational Site
Höllviken, SE-236 32
GSK Investigational Site
Linköping, SE-582 16
GSK Investigational Site
Luleå, SE-971 89
GSK Investigational Site
Lund, SE-221 85
GSK Investigational Site
Malmö, SE-211 52
GSK Investigational Site
Stockholm, SE-111 57
GSK Investigational Site
Stockholm, SE-113 61
GSK Investigational Site
Vällingby, SE-162 68
Norway9 sites
GSK Investigational Site
Bekkestua, 1319
GSK Investigational Site
Bergen, 5017
GSK Investigational Site
Bodø, 8005
GSK Investigational Site
Elverum, 2408
GSK Investigational Site
Kløfta, 2040
GSK Investigational Site
Skedsmokorset, N-2020
GSK Investigational Site
Stavanger, 4005
GSK Investigational Site
Trondheim, 7011
GSK Investigational Site
Trondheim, 7027
Ukraine8 sites
GSK Investigational Site
Donetsk, 83099
GSK Investigational Site
Ivano-Frankivsk, 76018
GSK Investigational Site
Kharkiv, 61037
GSK Investigational Site
Kharkiv, 61124
GSK Investigational Site
Kiev, 03680
GSK Investigational Site
Kyiv, 03680
GSK Investigational Site
Simferopol, 95043
GSK Investigational Site
Zaporizhia, 69035
Denmark7 sites
GSK Investigational Site
Aalborg, 9100
GSK Investigational Site
Copenhagen, 2400
GSK Investigational Site
Hvidovre, 2650
GSK Investigational Site
Næstved, 4700
GSK Investigational Site
Odense C, 5000
GSK Investigational Site
Roedovre, 2610
GSK Investigational Site
Roskilde, 4000
Estonia6 sites
GSK Investigational Site
Haapsalu, 90502
GSK Investigational Site
Pärnu, 80010
GSK Investigational Site
Rakvere, 44316
GSK Investigational Site
Tallinn, 10117
GSK Investigational Site
Tallinn, 10138
GSK Investigational Site
Tartu, 51014
Slovakia6 sites
GSK Investigational Site
Bardejov, 085 01
GSK Investigational Site
Humenné, 066 01
GSK Investigational Site
Poprad, 058 01
GSK Investigational Site
Revúca, 050 01
GSK Investigational Site
Spišská Nová Ves, 052 01
GSK Investigational Site
Vráble, 952 01
Belgium5 sites
GSK Investigational Site
Aalst, 9300
GSK Investigational Site
Edegem, 2650
GSK Investigational Site
Genk, 3600
GSK Investigational Site
Kortrijk, 8500
GSK Investigational Site
Liège, 4000
Philippines5 sites
GSK Investigational Site
Cebu City, 6000
GSK Investigational Site
Dasmariñas, Cavite, 4114
GSK Investigational Site
Marikina City, 1800
GSK Investigational Site
Marilao, Bulacan, 3019
GSK Investigational Site
Quezon City, 1109
About this study
Official title: A 24-Week, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of GSK573719/GW642444 Inhalation Powder and the Individual Components Delivered Once-Daily Via a Novel Dry Powder Inhaler in Subjects With Chronic Obstructive Pulmonary Disease
This is a phase III multicenter, randomized, double-blind, placebo-controlled, parallel-group study to evaluate the efficacy and safety of GSK573719/GW642444 Inhalation Powder, GSK573719 Inhalation Powder, GW642444 Inhalation Powder and Placebo when administered once-daily via a Novel Dry Powder Inhaler over a 24-week treatment period in subjects with COPD. Subjects who meet eligibility criteria at Screening (Visit 1) will complete a 7 to14 day run-in period followed by a randomization visit (Visit 2) then a 24-week treatment period. There will be a total of 9 clinic study visits. A follow-up phone contact for adverse event assessment will be conducted approximately one week after the last study visit (Visit 9 or Early Withdrawal). The total duration of subject participation in the study will be approximately 27 weeks. A subset of subjects at selected sites will also perform 24-hour serial spirometry and Holter monitoring during the study and provide serial blood samples for pharmacokinetic analysis. Sparse pharmacokinetic sampling for population pharmacokinetic analyses will be obtained from non-subset subjects. The primary measure of efficacy is clinic visit trough (pre-bronchodilator and pre-dose) FEV1 on Treatment Day 169. Safety will be assessed by adverse events, 12-lead ECGs, vital signs, clinical laboratory tests, and 24 hour Holter monitoring (subset only).
Read the detailed description
This is a 24-week, phase III multicenter, randomized, double-blind, placebo-controlled, parallel-group study.
Eligible subjects will be randomized to GSK573719/GW642444 125/25mcg, GSK573719 125mcg, GW642444 25mcg, and placebo treatment groups in a 3:3:3:2 ratio such that of the planned 1463 total number of randomized subjects approximately 399 subjects will be randomized to each active treatment group and 266 subjects will be randomized to placebo. All treatments will be administered once-daily in the morning by inhalation using a Novel Dry Powder Inhaler (Novel DPI).
There will be a total of 9 study clinic visits conducted on an outpatient basis. Subjects who meet the eligibility criteria at Screening (Visit 1) will complete a 7 to 14 day run-in period followed by a 24-week treatment period. Clinic visits will be at Screening, Randomization (Day 1), Day 2, after 4, 8, 12, 16, and 24-weeks of treatment, and 1 day after the Week 24 Visit (also referred as Treatment Day 169). A follow-up contact for adverse assessment will be conducted by telephone approximately 7 days after Visit 9 or the Early Withdrawal Visit. The total duration of subject participation, including follow-up will be approximately 27 weeks. All subjects will be provided with albuterol/salbutamol for use on an "as-needed" basis throughout the run-in and study treatment periods.
At screening, pre-bronchodilator spirometry testing will be followed by post-albuterol/salbutamol spirometry testing. Post-albuterol/salbutamol FEV1 and FEV1/FVC values will be used to determine subject eligibility. To further characterize bronchodilator responsiveness, post-ipratropium testing will be conducted following completion of post-albuterol/salbutamol spirometry.
Spirometry will be conducted at each post-randomization clinic visit. Six hour post-dose serial spirometry will be conducted at Visits 2, 4, 6, and 8. Trough spirometry will be obtained 23 and 24 hours after the previous day's dose of blinded study medication at Visits 3 to 9. All subjects will be provided with an electronic diary (eDiary) for completion daily in the evening throughout the run-in and treatment periods. Subjects will use the eDiary to record dyspnea scores using the Shortness of Breath with Daily Activities instrument (SOBDA), daily use of supplemental albuterol/salbutamol as either puffs/day from a metered-dose inhaler (MDI) and/or nebules used per day, and any healthcare contacts related to COPD.
Additional assessments of dyspnea will be obtained using the Baseline and Transition Dyspnea Index (BDI/TDI) which is an interviewer based instrument. At Visit 2, the severity of dyspnea at baseline will be assessed using the BDI. At subsequent visits (Visits 4, 6, and 8) change from baseline will be assessed using the TDI. Disease specific health status will be evaluated using the subject-completed St. George's Respiratory Questionnaire (SGRQ). The SGRQ will be completed at Visits 2, 4, 6, and 8. Administration of the SGRQ and BDI/TDI should be done prior to spirometry testing.
The occurrence of adverse events will be evaluated throughout the study beginning at Visit 2. SAEs will be collected over the same time period as for AEs. However, any SAEs assessed as related to study participation (e.g., study treatment, protocol-mandated procedures, invasive tests, or change in existing therapy) or related to a GSK concomitant medication, will be recorded from the time a subject consents to participate in the study up to and including any follow up contact.
Additional safety assessments of vital signs (blood pressure and pulse rate), 12-lead ECGs and standard clinical laboratory tests (hematology and chemistry) will be obtained at selected clinic visits. Blood samples for population pharmacokinetic analyses will be obtained.
At selected study sites, a subset of approximately 198 subjects will perform 24-hour serial spirometry during the study for evaluation of lung function over the dosing period. In conjunction with the serial spirometry, this subset of subjects will also perform 24 hour Holter monitoring and provide blood samples for PK analysis.
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Being tested
- GSK573719/GW642444 125/25mcg, GSK573719 125mcg, GW642444 25mcg, Placebo only
- Keywords
- anticholinergic, long-acting beta agonist
- 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.
GSK573719/GW642444 125/25mcgDrug
Also called umeclidinium bromide/vilanterol trifenatate
125/25mcg
GSK573719 125mcgDrug
Also called umeclidinium bromide
125mcg
GW642444 25mcgDrug
Also called vilanterol trifenatate
25mcg
Placebo onlyDrug
Also called placebo
Placebo
| Study group | Role | What they receive |
|---|---|---|
| GSK573719/GW642444 | Experimental | 125/25mcg Receives: Drug: GSK573719/GW642444 125/25mcg |
| GSK573719 | Experimental | 125mcg Receives: Drug: GSK573719 125mcg |
| GW642444 | Experimental | 25mcg Receives: Drug: GW642444 25mcg |
| Placebo | Placebo comparator | Placebo Receives: Drug: Placebo only |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline (BL) in Trough Forced Expiratory Volume in One Second (FEV1) on Day 169 (Week 24)
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 measurements were taken electronically by spirometry on Days 2, 28, 56, 84, 112, 168, and 169. Baseline is defined as the mean of the assessments made 30 minutes pre-dose and 5 minutes pre-dose on Treatment Day 1. Trough FEV1 is defined as the mean of the FEV1 values obtained at 23 and 24 hours after the previous morning's dosing (ie., trough FEV1 on Day 169 is the mean of the FEV1 values obtained 23 and 24 hours after the morning dosing on Day 168). Change from Baseline at a particular visit was calculated as the trough FEV1 at that visit minus Baseline. Analysis was performed using a repeated measures model with covariates of treatment, Baseline , smoking status, center group, day, and day by Baseline and day by treatment interactions. ITT=Intent-to-Treat; par.=participants.
Measured: Baseline and Day 169
Secondary outcomes (2)
Mean Transition Dyspnea Index (TDI) Focal Score at Day 168 (Week 24)
Considered an 'other' endpoint by the FDA. The TDI is an interviewer-administered instrument which measures the changes in the participant's dyspnea from Baseline. This questionnaire was collected on Days 28, 84 and 168. The scores in the TDI evaluate ratings for 3 different categories (functional impairment, magnitude of task in exertional capacity, and magnitude of effort). TDI scores ranged from -3 (major deterioration) to +3 (major improvement); total score = -9 to 9. Analysis was performed using a repeated measures model with covariates of treatment, Baseline dyspnea index (BDI) focal score,smoking status, center group, day, day by BDI focal score and day by treatment interactions.
Measured: Day 168 (Week 24)
Change From Baseline in Weighted Mean (WM) 0-6 Hour FEV1 Obtained Post-dose at Day 168
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. The WM FEV1 was derived by calculating the area under the FEV1/time curve (AUC) using the trapezoidal rule, and then dividing the value by the time interval over which the AUC was calculated. The WM was calculated at Days 1, 28, 84, and 168 using the 0-6-hour post-dose FEV1 measurements collected on that day, which included pre-dose (Day 1: 30 minutes [min] and 5 min prior to dosing; other serial visits: 23 and 24 hours after the previous morning dose) and post-dose at 15 min, 30 min, 1 hour, 3 hours, and 6 hours. Change from Baseline at a particular visit was calculated as the WM at that visit minus Baseline. Analysis was performed using a repeated measures model with covariates of treatment, Baseline (mean of the two assessments made 30 min and 5 min pre-dose on Day 1), smoking status, center group, day, and day by Baseline and day by treatment interactions.
Measured: Baseline and Day 168
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Mar 2011 (estimated)
- Study start1 Mar 2011
- Primary completion1 Mar 2012
- Study completion19 Apr 2012
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 (1)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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,493 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
- NCT01313637
- Sponsor's protocol ID
- 113361
- Other IDs
- 2010-023348-33
- Acronym
- DB2113361
- Status last verified
- Jan 2018
- First submitted
- 10 Mar 2011
- Last updated
- 29 Jan 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Celli B, Crater G, Kilbride S, Mehta R, Tabberer M, Kalberg CJ, Church A. Once-daily umeclidinium/vilanterol 125/25 mcg in COPD: a randomized, controlled study. Chest. 2014 May;145(5):981-991. doi: 10.1378/chest.13-1579.
PubMed 24385182
Study at a glance
From the registry record, last updated by the sponsor on 29 Jan 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 24-Week, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of GSK573719/GW642444 Inhalation Powder and the Individual Components Delivered Once-Daily Via a Novel Dry Powder Inhaler in Subjects With Chronic Obstructive Pulmonary Disease
- ClinicalTrials.gov ID
- NCT01313637
- Acronym / sponsor ID
- DB2113361 / 113361
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Keywords
- anticholinergic, long-acting beta agonist
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,493 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 1 Mar 2011
- Primary completion
- 1 Mar 2012 (actual)
- Study completion
- 19 Apr 2012 (actual)
- First posted
- 14 Mar 2011 (estimated)
- Results
- Posted 10 Feb 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a phase III multicenter, randomized, double-blind, placebo-controlled, parallel-group study to evaluate the efficacy and safety of GSK573719/GW642444 Inhalation Powder, GSK573719 Inhalation Powder, GW642444 Inhalation Powder and Placebo when administered once-daily via a Novel Dry Powder Inhaler over a 24-week treatment period in subjects with COPD. Subjects who meet eligibility criteria at Screening (Visit 1) will complete a 7 to14 day run-in period followed by a randomization visit (Visit 2) then a 24-week treatment period. There will be a total of 9 clinic study visits. A follow-up phone contact for adverse event assessment will be conducted approximately one week after the last study visit (Visit 9 or Early Withdrawal). The total duration of subject participation in the study will be approximately 27 weeks. A subset of subjects at selected sites will also perform 24-hour serial spirometry and Holter monitoring during the study and provide serial blood samples for pharmacokinetic analysis. Sparse pharmacokinetic sampling for population pharmacokinetic analyses will be obtained from non-subset subjects. The primary measure of efficacy is clinic visit trough (pre-bronchodilator and pre-dose) FEV1 on Treatment Day 169. Safety will be assessed by adverse events, 12-lead ECGs, vital signs, clinical laboratory tests, and 24 hour Holter monitoring (subset only).
Detailed description
This is a 24-week, phase III multicenter, randomized, double-blind, placebo-controlled, parallel-group study.
Eligible subjects will be randomized to GSK573719/GW642444 125/25mcg, GSK573719 125mcg, GW642444 25mcg, and placebo treatment groups in a 3:3:3:2 ratio such that of the planned 1463 total number of randomized subjects approximately 399 subjects will be randomized to each active treatment group and 266 subjects will be randomized to placebo. All treatments will be administered once-daily in the morning by inhalation using a Novel Dry Powder Inhaler (Novel DPI).
There will be a total of 9 study clinic visits conducted on an outpatient basis. Subjects who meet the eligibility criteria at Screening (Visit 1) will complete a 7 to 14 day run-in period followed by a 24-week treatment period. Clinic visits will be at Screening, Randomization (Day 1), Day 2, after 4, 8, 12, 16, and 24-weeks of treatment, and 1 day after the Week 24 Visit (also referred as Treatment Day 169). A follow-up contact for adverse assessment will be conducted by telephone approximately 7 days after Visit 9 or the Early Withdrawal Visit. The total duration of subject participation, including follow-up will be approximately 27 weeks. All subjects will be provided with albuterol/salbutamol for use on an "as-needed" basis throughout the run-in and study treatment periods.
At screening, pre-bronchodilator spirometry testing will be followed by post-albuterol/salbutamol spirometry testing. Post-albuterol/salbutamol FEV1 and FEV1/FVC values will be used to determine subject eligibility. To further characterize bronchodilator responsiveness, post-ipratropium testing will be conducted following completion of post-albuterol/salbutamol spirometry.
Spirometry will be conducted at each post-randomization clinic visit. Six hour post-dose serial spirometry will be conducted at Visits 2, 4, 6, and 8. Trough spirometry will be obtained 23 and 24 hours after the previous day's dose of blinded study medication at Visits 3 to 9. All subjects will be provided with an electronic diary (eDiary) for completion daily in the evening throughout the run-in and treatment periods. Subjects will use the eDiary to record dyspnea scores using the Shortness of Breath with Daily Activities instrument (SOBDA), daily use of supplemental albuterol/salbutamol as either puffs/day from a metered-dose inhaler (MDI) and/or nebules used per day, and any healthcare contacts related to COPD.
Additional assessments of dyspnea will be obtained using the Baseline and Transition Dyspnea Index (BDI/TDI) which is an interviewer based instrument. At Visit 2, the severity of dyspnea at baseline will be assessed using the BDI. At subsequent visits (Visits 4, 6, and 8) change from baseline will be assessed using the TDI. Disease specific health status will be evaluated using the subject-completed St. George's Respiratory Questionnaire (SGRQ). The SGRQ will be completed at Visits 2, 4, 6, and 8. Administration of the SGRQ and BDI/TDI should be done prior to spirometry testing.
The occurrence of adverse events will be evaluated throughout the study beginning at Visit 2. SAEs will be collected over the same time period as for AEs. However, any SAEs assessed as related to study participation (e.g., study treatment, protocol-mandated procedures, invasive tests, or change in existing therapy) or related to a GSK concomitant medication, will be recorded from the time a subject consents to participate in the study up to and including any follow up contact.
Additional safety assessments of vital signs (blood pressure and pulse rate), 12-lead ECGs and standard clinical laboratory tests (hematology and chemistry) will be obtained at selected clinic visits. Blood samples for population pharmacokinetic analyses will be obtained.
At selected study sites, a subset of approximately 198 subjects will perform 24-hour serial spirometry during the study for evaluation of lung function over the dosing period. In conjunction with the serial spirometry, this subset of subjects will also perform 24 hour Holter monitoring and provide blood samples for PK analysis.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| GSK573719/GW642444 | Experimental | Drug: GSK573719/GW642444 125/25mcg125/25mcg |
| GSK573719 | Experimental | Drug: GSK573719 125mcg125mcg |
| GW642444 | Experimental | Drug: GW642444 25mcg25mcg |
| Placebo | Placebo comparator | Drug: Placebo onlyPlacebo |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Diagnosis of COPD
- 10 pack-year or greater history of cigarette smoking
- Post-bronchodilator FEV1/FVC of <0.7
- Predicted FEV1 of 70% of normal or less
- Modified Medical Research Council (mMRC) dyspnea score of 2 or greater
Key exclusion criteria (15 listed)
- Women who are pregnant, lactating, or planning to become pregnant
- Respiratory disorders other than COPD, including a current diagnosis of asthma
- Clinically significant non-respiratory diseases or abnormalities that are not adequately controlled
- Significant allergy or hypersensitivity to anticholinergics, beta2-agonists, or the excipients of magnesium stereate or lactose used in the inhaler delivery device
- Hospitalization for COPD or pneumonia within 12 weeks prior to screening
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 |
|---|---|---|
| GSK573719/GW642444 125/25mcgAlso: umeclidinium bromide/vilanterol trifenatate125/25mcg | Drug | GSK573719/GW642444 |
| GSK573719 125mcgAlso: umeclidinium bromide125mcg | Drug | GSK573719 |
| GW642444 25mcgAlso: vilanterol trifenatate25mcg | Drug | GW642444 |
| Placebo onlyAlso: placeboPlacebo | Drug | Placebo |
Primary outcome
Change From Baseline (BL) in Trough Forced Expiratory Volume in One Second (FEV1) on Day 169 (Week 24)
Time frame: Baseline and Day 169
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 measurements were taken electronically by spirometry on Days 2, 28, 56, 84, 112, 168, and 169. Baseline is defined as the mean of the assessments made 30 minutes pre-dose and 5 minutes pre-dose on Treatment Day 1. Trough FEV1 is defined as the mean of the FEV1 values obtained at 23 and 24 hours after the previous morning's dosing (ie., trough FEV1 on Day 169 is the mean of the FEV1 values obtained 23 and 24 hours after the morning dosing on Day 168). Change from Baseline at a particular visit was calculated as the trough FEV1 at that visit minus Baseline. Analysis was performed using a repeated measures model with covariates of treatment, Baseline , smoking status, center group, day, and day by Baseline and day by treatment interactions. ITT=Intent-to-Treat; par.=participants.
2 secondary outcomes
Mean Transition Dyspnea Index (TDI) Focal Score at Day 168 (Week 24)
Time frame: Day 168 (Week 24)
Change From Baseline in Weighted Mean (WM) 0-6 Hour FEV1 Obtained Post-dose at Day 168
Time frame: Baseline and Day 168
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Jan 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 24385182Celli B, Crater G, Kilbride S, Mehta R, Tabberer M, Kalberg CJ, Church A. Once-daily umeclidinium/vilanterol 125/25 mcg in COPD: a randomized, controlled study. Chest. 2014 May;145(5):981-991. doi: 10.1378/chest.13-1579.
- 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.
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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
157 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing GSK573719/GW642444 125/25mcg, GSK573719 125mcg and GW642444 25mcg in people with Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 157 sites in 14 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 5 inclusion and 15 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 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 157 sites in United States, Germany, Japan, Netherlands, Hungary and 9 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 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 10 Feb 2014). 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?
Change From Baseline (BL) in Trough Forced Expiratory Volume in One Second (FEV1) on Day 169 (Week 24) (time frame: Baseline and Day 169). 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 NCT01313637, which also lists 1 linked publication.
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 Jan 2018.