Pulmonary Disease, Chronic ObstructivePhase 3DB2113373NCT01313650
A 24-week Evaluation of GSK573719/Vilanterol (62.5/25mcg) and Components in COPD
A Phase 3 study testing 62.5/25mcg, 62.5mcg and 25mcg in people with Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 165 sites in 13 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?
- 62.5/25mcg, 62.5mcg and 25mcg
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,538 participants
- Where
- 165 sitesin 13 countries
- Study dates
- 1 Mar 2011to 5 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 adequate controlled
- Significant allergy or hypersensitivity to anticholinergics, beta-agonist, 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 GW64244
Trial locations and contacts
165 sites in 13 countries.
165 sites in 13 countries
United States37 sites
GSK Investigational Site
Abingdon, Virginia, 24210
GSK Investigational Site
Albuquerque, New Mexico, 87108
GSK Investigational Site
Atlanta, Georgia, 30342
GSK Investigational Site
Beaver, Pennsylvania, 15009
GSK Investigational Site
Cadillac, Michigan, 49601
GSK Investigational Site
Cincinnati, Ohio, 45231
GSK Investigational Site
Cincinnati, Ohio, 45245
GSK Investigational Site
Coeur d'Alene, Idaho, 83814
GSK Investigational Site
Columbus, Ohio, 43215
GSK Investigational Site
Dayton, Ohio, 45459
GSK Investigational Site
Erie, Pennsylvania, 16508
GSK Investigational Site
Gaffney, South Carolina, 29340
GSK Investigational Site
Greenville, South Carolina, 29615
GSK Investigational Site
Houston, Texas, 77030
GSK Investigational Site
Johnson City, Tennessee, 37601
GSK Investigational Site
Kingwood, Texas, 77339
GSK Investigational Site
Lafayette, Indiana, 47904
GSK Investigational Site
Larchmont, New York, 10538
GSK Investigational Site
Lawrenceville, Georgia, 30046
GSK Investigational Site
Los Angeles, California, 90048
GSK Investigational Site
Madisonville, Kentucky, 42431
GSK Investigational Site
Medford, Oregon, 97504
GSK Investigational Site
New Orleans, Louisiana, 70115
GSK Investigational Site
Newport News, Virginia, 23606
GSK Investigational Site
Olathe, Kansas, 66061
GSK Investigational Site
Omaha, Nebraska, 68134
GSK Investigational Site
Ormond Beach, Florida, 32174
GSK Investigational Site
Pelzer, South Carolina, 29669
GSK Investigational Site
Phoenixville, Pennsylvania, 19460
GSK Investigational Site
Rapid City, South Dakota, 57702
GSK Investigational Site
Richmond, Virginia, 23249
GSK Investigational Site
Spartanburg, South Carolina, 29303
GSK Investigational Site
St Louis, Missouri, 63141
GSK Investigational Site
Sunset, Louisiana, 70584
GSK Investigational Site
Tampa, Florida, 33603
GSK Investigational Site
Topeka, Kansas, 66606
GSK Investigational Site
Tucson, Arizona, 85723
Russia17 sites
GSK Investigational Site
Arkhangelsk, 153000
GSK Investigational Site
Barnaul, 656 045
GSK Investigational Site
Blagoveshchensk, 675000
GSK Investigational Site
Krasnoyarsk, 660022
GSK Investigational Site
Moscow, 105 229
GSK Investigational Site
Moscow, 119620
GSK Investigational Site
Moscow, 123182
GSK Investigational Site
Nizhny Novgorod, 603126
GSK Investigational Site
Novosibirsk, 630087
GSK Investigational Site
Perm, 614077
GSK Investigational Site
Pyatigorsk, 357538
GSK Investigational Site
Saint Petersburg, 194354
GSK Investigational Site
Saint Petersburg, 198260
GSK Investigational Site
Saratov, 410028
GSK Investigational Site
Tomsk, 634063
GSK Investigational Site
Ufa, 450071
GSK Investigational Site
Yaroslavl, 150062
Japan16 sites
GSK Investigational Site
Fukushima, 963-8052
GSK Investigational Site
Hyōgo, 672-8064
GSK Investigational Site
Ibaraki, 311-3193
GSK Investigational Site
Ibaraki, 312-0057
GSK Investigational Site
Kanagawa, 254-8502
GSK Investigational Site
Kumamoto, 861-1196
GSK Investigational Site
Kyoto, 602-8026
GSK Investigational Site
Osaka, 530-0001
GSK Investigational Site
Osaka, 558-8558
GSK Investigational Site
Saitama, 343-8555
GSK Investigational Site
Shimane, 690-8506
GSK Investigational Site
Shimane, 690-8556
GSK Investigational Site
Tokyo, 103-0027
GSK Investigational Site
Tokyo, 103-0028
GSK Investigational Site
Tokyo, 158-0083
GSK Investigational Site
Tokyo, 173-8610
Spain15 sites
GSK Investigational Site
Alicante, 03114
GSK Investigational Site
Badalona, 08916
GSK Investigational Site
Badalona / Barcelona
GSK Investigational Site
Barakaldo (Vizcaya), 48903
GSK Investigational Site
Cáceres, 10003
GSK Investigational Site
Centelles
GSK Investigational Site
Madrid, 28046
GSK Investigational Site
Palma de Mallorca, 07010
GSK Investigational Site
Pamplona, 31008
GSK Investigational Site
Pozuelo de Alarcón/Madrid, 28223
GSK Investigational Site
Salt (gerona), 17190
GSK Investigational Site
Sant Boi de Llobregat - Barcelona, 08830
GSK Investigational Site
Santander, 38008
GSK Investigational Site
Santiago de Compostela, 15706
GSK Investigational Site
Valencia, 46015
Canada14 sites
GSK Investigational Site
Burlington, Ontario, L7N 3V2
GSK Investigational Site
Calgary, Alberta, T2N 4Z6
GSK Investigational Site
Grimsby, Ontario, L3M 1P3
GSK Investigational Site
Montreal, Quebec, H2R 1V6
GSK Investigational Site
Pointe-Claire, Quebec, H9R 3J1
GSK Investigational Site
Québec, Quebec, G1V 4G5
GSK Investigational Site
Québec, Quebec, G3K 2P8
GSK Investigational Site
Saint-Charles-Borromée, Quebec, J6E 6J2
GSK Investigational Site
Sarnia, Ontario, N7T 4X3
GSK Investigational Site
Toronto, Ontario, M3H 5S4
GSK Investigational Site
Toronto, Ontario, M5G 1N8
GSK Investigational Site
Toronto, Ontario, M9W 4L6
GSK Investigational Site
Trois-Rivières, Quebec, G8T 7A1
GSK Investigational Site
Winnipeg, Manitoba, R2K 3S8
Czechia11 sites
GSK Investigational Site
Český Krumlov, 381 01
GSK Investigational Site
Kralupy nad Vltavou, 278 01
GSK Investigational Site
Kyjov, 697 33
GSK Investigational Site
Lovosice, 410 02
GSK Investigational Site
Nový Jičín, 741 01
GSK Investigational Site
Olomouc, 772 00
GSK Investigational Site
Pilsen, 301 00
GSK Investigational Site
Prague, 150 00
GSK Investigational Site
Praha 5 - Radotin, 153 00
GSK Investigational Site
Rokycany, 337 01
GSK Investigational Site
Teplice, 415 10
Bulgaria10 sites
GSK Investigational Site
Dimitrovgrad, 6400
GSK Investigational Site
Pleven, 5800
GSK Investigational Site
Plovdiv, 4000
GSK Investigational Site
Rousse, 7000
GSK Investigational Site
Sofia, 1000
GSK Investigational Site
Sofia, 1202
GSK Investigational Site
Sofia, 1431
GSK Investigational Site
Sofia
GSK Investigational Site
Troyan Municipality, 5600
GSK Investigational Site
Varna, 9010
Poland10 sites
GSK Investigational Site
Bydgoszcz, 85-681
GSK Investigational Site
Gidle, 97-540
GSK Investigational Site
Grudziądz, 86-300
GSK Investigational Site
Iława, 14-200
GSK Investigational Site
Krakow, 31-023
GSK Investigational Site
Łomża, 18-400
GSK Investigational Site
Olsztyn, 10-357
GSK Investigational Site
Poznan, 60-569
GSK Investigational Site
Szczecin, 71-124
GSK Investigational Site
Warsaw, 01-456
Greece9 sites
GSK Investigational Site
Athens, 106 76
GSK Investigational Site
Athens, 115 27
GSK Investigational Site
Athens, 151 26
GSK Investigational Site
Haidari / Athens, 124 62
GSK Investigational Site
Heraklion, Crete, 71110
GSK Investigational Site
Larissa, 41110
GSK Investigational Site
Serres, 62100
GSK Investigational Site
Thessaloniki, 546 42
GSK Investigational Site
Thessaloniki, 56429
South Africa9 sites
GSK Investigational Site
Benoni, Gauteng, 1501
GSK Investigational Site
Bloemfontein, 9301
GSK Investigational Site
Durban, 4001
GSK Investigational Site
Gatesville, 7764
GSK Investigational Site
Meyerspark, Gauteng, 0184
GSK Investigational Site
Mowbray, 7700
GSK Investigational Site
Newtown, 2113
GSK Investigational Site
Somerset West, 7130
GSK Investigational Site
Tygerberg, 7505
Chile7 sites
GSK Investigational Site
Puente Alto - Santiago, Región Metro de Santiago, 8207257
GSK Investigational Site
Rancagua, Reg Del Libert Bern Ohiggins, 2841959
GSK Investigational Site
Santiago, Región Metro de Santiago, 8880465
GSK Investigational Site
Santiago, Región Metro de Santiago
GSK Investigational Site
Talcahuano, 4270918
GSK Investigational Site
Valparaíso, Valparaiso, 2341131
GSK Investigational Site
Viña del Mar, 2570017
Thailand6 sites
GSK Investigational Site
Bangkok, 10330
GSK Investigational Site
Bangkok, 10400
GSK Investigational Site
Chiang Mai, 50200
GSK Investigational Site
Khon Kaen, 40002
GSK Investigational Site
Nonthaburi, 11000
GSK Investigational Site
Songkhla, 90110
Mexico4 sites
GSK Investigational Site
Guadalajara, Jalisco, 44100
GSK Investigational Site
Monterrey, Nuevo León, 64020
GSK Investigational Site
Puebla, Pue, Puebla, 72000
GSK Investigational Site
Zapopan, Jalisco, 45040
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
- 62.5/25mcg, 62.5mcg, 25mcg, Placebo
- Keywords
- long-acting beta agonist, anticholinergic
- 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.
62.5/25mcgDrug
GSK573719/GW64244
62.5mcgDrug
GSK573719
25mcgDrug
GW642444
PlaceboDrug
Placebo
| Study group | Role | What they receive |
|---|---|---|
| GSK573719/GW642444 | Experimental | 62.5/25mcg Receives: Drug: 62.5/25mcg |
| GSK573719 | Experimental | 62.5mcg Receives: Drug: 62.5mcg |
| GW642444 | Experimental | 25mcg Receives: Drug: 25mcg |
| Placebo | Placebo comparator | Placebo Receives: Drug: Placebo |
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 Apr 2012
- Study completion5 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
- 1,538 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
- NCT01313650
- Sponsor's protocol ID
- 113373
- Other IDs
- 2010-023349-32
- Acronym
- DB2113373
- Status last verified
- Aug 2018
- First submitted
- 10 Mar 2011
- Last updated
- 6 Aug 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
Publications
Donohue JF, Maleki-Yazdi MR, Kilbride S, Mehta R, Kalberg C, Church A. Efficacy and safety of once-daily umeclidinium/vilanterol 62.5/25 mcg in COPD. Respir Med. 2013 Oct;107(10):1538-46. doi: 10.1016/j.rmed.2013.06.001. Epub 2013 Jul 2.
PubMed 23830094
Study at a glance
From the registry record, last updated by the sponsor on 6 Aug 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
- NCT01313650
- Acronym / sponsor ID
- DB2113373 / 113373
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Keywords
- long-acting beta agonist, anticholinergic
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,538 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 1 Mar 2011
- Primary completion
- 1 Apr 2012 (actual)
- Study completion
- 5 Apr 2012 (actual)
- First posted
- 14 Mar 2011 (estimated)
- Results
- Posted 4 Mar 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: 62.5/25mcg62.5/25mcg |
| GSK573719 | Experimental | Drug: 62.5mcg62.5mcg |
| GW642444 | Experimental | Drug: 25mcg25mcg |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo |
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 adequate controlled
- Significant allergy or hypersensitivity to anticholinergics, beta-agonist, 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 |
|---|---|---|
| 62.5/25mcgGSK573719/GW64244 | Drug | GSK573719/GW642444 |
| 62.5mcgGSK573719 | Drug | GSK573719 |
| 25mcgGW642444 | Drug | GW642444 |
| 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 6 Aug 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 23830094Donohue JF, Maleki-Yazdi MR, Kilbride S, Mehta R, Kalberg C, Church A. Efficacy and safety of once-daily umeclidinium/vilanterol 62.5/25 mcg in COPD. Respir Med. 2013 Oct;107(10):1538-46. doi: 10.1016/j.rmed.2013.06.001. Epub 2013 Jul 2.
- Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
165 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing 62.5/25mcg, 62.5mcg and 25mcg in people with Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 165 sites in 13 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 6 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 165 sites in United States, Russia, Japan, Spain, Canada and 8 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 4 Mar 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 NCT01313650, 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 6 Aug 2018.