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Chronic Obstructive Pulmonary Disease (COPD)Phase 3ILLUMINATENCT01315249

QVA149 Versus Fluticasone/Salmeterol in Patients With Chronic Obstructive Pulmonary Disease (COPD)

A Phase 3 study testing indacaterol and glycopyrronium (QVA149) and fluticasone/salmeterol in people with Chronic Obstructive Pulmonary Disease (COPD), run by Novartis Pharmaceuticals at 93 sites in 9 countries.

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 compare the efficacy and safety/tolerability of indacaterol and glycopyrronium (QVA149) (fixed-dose combination) with fluticasone/salmeterol over a 26-week period in patients with moderate to severe COPD. Read more about this study

Who is it for?
Ages 40 years and older
What is being tested?
indacaterol and glycopyrronium (QVA149) and fluticasone/salmeterol
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
523 participants
Where
93 sitesin 9 countries
Study dates
Mar 2011to Mar 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

  • Smoking history of at least 10 pack years
  • Diagnosis of Chronic Obstructive Pulmonary Disease (COPD) (moderate-to-severe as classified by the Global Initiative for Chronic Obstructive Lung Disease [GOLD] Guidelines, 2009)
  • Post-bronchodilator Forced Expiratory Volume in 1 second (FEV1) >40% and < 80% of the predicted normal value and post-bronchodilator FEV1/Forced Vital Capacity (FVC) <70%

Who cannot join

  • Patients who have had a COPD exacerbation that required treatment with antibiotics, systemic steroids (oral or intravenous) or hospitalization in the last year.
  • Patients requiring long term oxygen therapy on a daily basis for chronic hypoxemia.
  • Patients who have had a respiratory tract infection within 4 weeks prior to Visit 1.
  • Patients with concomitant pulmonary disease
  • Patients with a history of asthma
  • Any patient with lung cancer or a history of lung cancer (within last 5 years)
  • Patients with a history of certain cardiovascular co-morbid conditions

Trial locations and contacts

93 sites in 9 countries.

93 sites in 9 countries

Germany42 sites
  • Novartis Investigative Site

    Aschaffenburg, 63739

  • Novartis Investigative Site

    Bad Wörishofen, 86825

  • Novartis Investigative Site

    Bamberg, 96049

  • Novartis Investigative Site

    Berlin, Germany, 10117

  • Novartis Investigative Site

    Berlin, Germany, 14050

  • Novartis Investigative Site

    Berlin, 13057

  • Novartis Investigative Site

    Berlin, 13086

  • Novartis Investigative Site

    Berlin, 13507

  • Novartis Investigative Site

    Berlin, 13581

  • Novartis Investigative Site

    Berlin, 14050

  • Novartis Investigative Site

    Berlin, D-12165

  • Novartis Investigative Site

    Bielefeld, 33617

  • Novartis Investigative Site

    Bochum, 44787

  • Novartis Investigative Site

    Bonn, 53123

  • Novartis Investigative Site

    Borstel, 23845

  • Novartis Investigative Site

    Düren, 52349

  • Novartis Investigative Site

    Eschwege, 37269

  • Novartis Investigative Site

    Frankfurt, 60596

  • Novartis Investigative Site

    Freudenberg, 57258

  • Novartis Investigative Site

    Fulda, 36039

  • Novartis Investigative Site

    Fürstenwalde, 15517

  • Novartis Investigative Site

    Gelsenkirchen, 45879

  • Novartis Investigative Site

    Göttingen, 37075

  • Novartis Investigative Site

    Gummersbach, 51643

  • Novartis Investigative Site

    Güstrow, 18273

  • Novartis Investigative Site

    Hagen, 59065

  • Novartis Investigative Site

    Hamburg, 20253

  • Novartis Investigative Site

    Hamburg, 20354

  • Novartis Investigative Site

    Hamburg, 20357

  • Novartis Investigative Site

    Hanover, 30167

  • Novartis Investigative Site

    Hildesheim, 31134

  • Novartis Investigative Site

    Leipzig, Germany, 04207

  • Novartis Investigative Site

    Lübeck, 23558

  • Novartis Investigative Site

    München, 80539

  • Novartis Investigative Site

    Oschersleben, 39387

  • Novartis Investigative Site

    Ratingen, 40878

  • Novartis Investigative Site

    Rheine, 48431

  • Novartis Investigative Site

    Saarbrücken, Germany, 66111

  • Novartis Investigative Site

    Schwerte, 58239

  • Novartis Investigative Site

    Solingen, 42651

  • Novartis Investigative Site

    Ulm, 89081

  • Novartis Investigative Site

    Wissen, 57537

Other trials in Germany

Hungary9 sites
  • Novartis Investigative Site

    Budapest, 1191

  • Novartis Investigative Site

    Cegléd, Hungary, 2700

  • Novartis Investigative Site

    Debrecen, Hungary, 4032

  • Novartis Investigative Site

    Eger, 3300

  • Novartis Investigative Site

    Gödöllő, 2100

  • Novartis Investigative Site

    Mosonmagyaróvár, 9200

  • Novartis Investigative Site

    Szarvas, Hungary, 5540

  • Novartis Investigative Site

    Szeged, 6770

  • Novartis Investigative Site

    Törökbálint, 2045

Other trials in Hungary

Czechia8 sites
  • Novartis Investigative Site

    Cvikov, Czech Republic, 471 54

  • Novartis Investigative Site

    Jindřichův Hradec, Czech Republic, 377 01

  • Novartis Investigative Site

    Kyjov, CZE, 697 70

  • Novartis Investigative Site

    Mělník, Czech Republic, 276 01

  • Novartis Investigative Site

    Pardubice, Czech Republic, 530 09

  • Novartis Investigative Site

    Prague, Czech Republic, 108 00

  • Novartis Investigative Site

    Prague, Czech Republic, 130 00

  • Novartis Investigative Site

    Teplice, Czech Republic, 415 01

Other trials in Czechia

Belgium7 sites
  • Novartis Investigative Site

    Aalst, 9300

  • Novartis Investigative Site

    Brussels, 1000

  • Novartis Investigative Site

    Hasselt, 3500

  • Novartis Investigative Site

    Jambes, 5100

  • Novartis Investigative Site

    Jette, 1090

  • Novartis Investigative Site

    Luxembourg, Luxembourg, 1210

  • Novartis Investigative Site

    Malmedy, Belgium, 4960

Other trials in Belgium

South Korea7 sites
  • Novartis Investigative Site

    Daegu, 705-717

  • Novartis Investigative Site

    Seoul, Seoul, 130-709

  • Novartis Investigative Site

    Seoul, 100-032

  • Novartis Investigative Site

    Seoul, 130-702

  • Novartis Investigative Site

    Seoul, 143-729

  • Novartis Investigative Site

    Seoul, 152-703

  • Novartis Investigative Site

    Wŏnju, Gangwon-do, 220-701

Other trials in South Korea

Spain7 sites
  • Novartis Investigative Site

    Alicante, Alicante, 03114

  • Novartis Investigative Site

    Barcelona, Catalonia, 08025

  • Novartis Investigative Site

    Oviedo, Principality of Asturias, 33006

  • Novartis Investigative Site

    Pamplona, Navarre, 31008

  • Novartis Investigative Site

    Sabadell, Catalonia, 08208

  • Novartis Investigative Site

    Sant Boi de Llobregat, Catalonia, 08830

  • Novartis Investigative Site

    Valladolid, Valladolid, 47011

Other trials in Spain

Lithuania6 sites
  • Novartis Investigative Site

    Alytus, LT-62114

  • Novartis Investigative Site

    Kaunas, 44320

  • Novartis Investigative Site

    Klaipėda, 92288

  • Novartis Investigative Site

    Klaipėda, LT-92231

  • Novartis Investigative Site

    Utena, LT-28151

  • Novartis Investigative Site

    Vilnius, 06001

Other trials in Lithuania

Norway5 sites
  • Novartis Investigative Site

    Ålesund, 6017

  • Novartis Investigative Site

    Kongsvinger, 2212

  • Novartis Investigative Site

    Skedsmokorset, 2020

  • Novartis Investigative Site

    Stavanger, 4005

  • Novartis Investigative Site

    Trondheim, 7006

Other trials in Norway

Estonia2 sites
  • Novartis Investigative Site

    Tallinn, 13419

  • Novartis Investigative Site

    Tartu, Estonia, 51014

Other trials in Estonia

About this study

Official title: A 26-week Treatment, Multi-center, Randomized, Doubleblind, Double Dummy, Parallel-group Study to Assess the Efficacy, Safety and Tolerability of QVA149 Compared to Fluticasone/Salmeterol in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease

The purpose of this study is to compare the efficacy and safety/tolerability of indacaterol and glycopyrronium (QVA149) (fixed-dose combination) with fluticasone/salmeterol over a 26-week period in patients with moderate to severe COPD.

Being tested
indacaterol and glycopyrronium (QVA149), Placebo to fluticasone/salmeterol, fluticasone/salmeterol, Placebo to indacaterol and glycopyrronium (QVA149)
Keywords
QVA149, indacaterol, NVA237, COPD, fluticasone/salmeterol
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.

  • indacaterol and glycopyrronium (QVA149)Drug

    QVA149 capsules delivered via dry powder inhaler (SDDPI), once daily.

  • Placebo to fluticasone/salmeterolDrug

    Placebo to fluticasone/salmeterol delivered via Accuhaler® device, twice daily.

  • fluticasone/salmeterolDrug

    Fluticasone/salmeterol dry inhalation powder delivered via Accuhaler® device, twice daily.

  • Placebo to indacaterol and glycopyrronium (QVA149)Drug

    Placebo to QVA149 delivered via dry powder inhaler (SDDPI), once daily

Study groups in NCT01315249
Study groupRoleWhat they receive
QVA149ExperimentalParticipants received indacaterol and glycopyrronium (QVA149) and placebo to fluticasone/salmeterol.
Receives: Drug: indacaterol and glycopyrronium (QVA149); Drug: Placebo to fluticasone/salmeterol
fluticasone/salmeterolActive comparatorParticipants received fluticasone/salmeterol and placebo to indacaterol and glycopyrronium (QVA149).
Receives: Drug: fluticasone/salmeterol; Drug: Placebo to indacaterol and glycopyrronium (QVA149)

What is being measured

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

  1. Forced Expiratory Volume in 1 Second Area Under the Curve (FEV1 AUC) 0-12

    Forced Expiratory Volume in one second (FEV1) was calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. FEV1 was normalized by 12 hours (divided by time). This outcome measures absolute values at week 26. Results are obtained from linear mixed model.

    Measured: Week 26

Secondary outcomes (10)
  1. Standardized Forced Expiratory Volume in 1 Second Area Under the Curve (FEV1 AUC) 0-12 Hours

    Standardized Forced Expiratory Volume in 1 Second (FEV1) was measured with spirometry conducted according to internationally accepted standards. Measurements were made between 0 and 12 hours after treatment. FEV1 was normalized by 12 hours (divided by time). This outcome measures absolute values at week 12. Results are obtained from linear mixed model.

    Measured: Week 12

  2. Forced Vital Capacity at All-time Points (Week 12)

    Forced Vital Capacity (FVC) is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. FVC was assessed via spirometry. A positive change from baseline in FVC indicates improvement in lung function.

    This outcome measures absolute values at -45 min, -15 min predose; 5 min, 30 min, 1 hr, 2hr, 4 hr, 8 hr, 12 hr post-dose week 12. Results are obtained from linear mixed model.

    Measured: -45 min, -15 min predose; 5 min, 30 min, 1 hr, 2hr, 4 hr, 8 hr, 12 hr post-dose on week 12

  3. Forced Vital Capacity at All-time Points (Week 26)

    Forced Vital Capacity (FVC) is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. FVC was assessed via spirometry. A positive change from baseline in FVC indicates improvement in lung function.

    This outcome measures absolute values at -45 min, -15 min predose; 5 min, 30 min, 1 hr, 2hr, 4 hr, 8 hr, 12 hr post-dose on week 26. Results are obtained from linear mixed model.

    Measured: -45 min, -15 min predose; 5 min, 30 min, 1 hr, 2hr, 4 hr, 8 hr, 12 hr post-dose on week 26

  4. Focal Score of the Transitional Dyspnea Index (TDI)

    Transition Dyspnea Index (TDI) captures changes from baseline. The TDI score is based on three domains with each domain scored from -3 (major deterioration) to +3 (major improvement), to give an overall score of -9 to +9, a negative score indicating a deterioration from baseline. A TDI focal score of 1 is considered to be a clinically significant improvement.

    Measured: 12 weeks and 26 weeks

  5. Total Score of the St. George's Respiratory Questionnaire (SGRQ-C)

    The total score of the St. George's Respiratory Questionnaire (SGRQ-C) is a health related quality of life questionnaire consisting of 51 items in three components: symptoms, activity, and impacts. The lowest possible value is zero and the highest 100. Higher values correspond to greater impairment in quality of life.

    Measured: 12 weeks and 26 weeks

  6. Mean Change From Baseline in Daily Number of Puffs of Rescue Medication

    Participants maintained a diary to record the daily number of puffs of rescue medication used to treat COPD symptoms.

    Measured: Baseline, 12 weeks and 26 weeks

  7. Change From Baseline in Symptom Scores Reported Using the Ediary

    Participants maintained an ediary to record daily symptom scores (AM and PM) over 12 weeks and 26 weeks of treatment. This analysis compares the mean symptom scores over 12 weeks and 26 weeks compared to baseline. The diary records morning and evening daily clinical symptoms including cough, wheezing, shortness of breath, sputum volume, sputum purulence, night time awakenings and rescue medication use.

    Scale ranges: ranges are 0 to 3 with varying scale descriptions that pertain to the question being asked.

    0 is the minimum score = "none" or "No symptoms" or "never" or "No"

    1. = mild, a little
    2. = moderate
    3. = severe For the scale range provided, high values represent a worse outcome.

    Measured: 12 weeks and 26 weeks

  8. Inspiratory Capacity (IC) at All-time Points (12 Weeks)

    After 12 weeks of treatment, Inspiratory Capacity (IC) was measured via spirometry, conducted according to internationally accepted standards. The mean of 3 acceptable measurements was calculated and reported in liters.

    Measured: 12 weeks

  9. Inspiratory Capacity (IC) at All-time Points (26 Weeks)

    After 26 weeks of treatment, Inspiratory Capacity (IC) was measured via spirometry, conducted according to internationally accepted standards. The mean of 3 acceptable measurements was calculated and reported in liters.

    Measured: 26 weeks

  10. Number of Participants With Adverse Events

    The assessment of safety was based on Adverse Events. A summary of adverse events is presented with this outcome, additional details are provided in Adverse Events Section.

    Measured: 26 weeks

Timeline

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

  1. First posted15 Mar 2011 (estimated)
  2. Study startMar 2011
  3. Primary completionMar 2012
  4. Study completionMar 2012

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
523 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01315249
Sponsor's protocol ID
CQVA149A2313
Other IDs
2010-023621-37
Acronym
ILLUMINATE
Status last verified
Jul 2013
First submitted
11 Mar 2011
Last updated
9 Aug 2013
Data monitoring committee
No

Publications

  • Vogelmeier CF, Bateman ED, Pallante J, Alagappan VK, D'Andrea P, Chen H, Banerji D. Efficacy and safety of once-daily QVA149 compared with twice-daily salmeterol-fluticasone in patients with chronic obstructive pulmonary disease (ILLUMINATE): a randomised, double-blind, parallel group study. Lancet Respir Med. 2013 Mar;1(1):51-60. doi: 10.1016/S2213-2600(12)70052-8. Epub 2012 Dec 6.

    PubMed 24321804

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing indacaterol and glycopyrronium (QVA149) and fluticasone/salmeterol in people with Chronic Obstructive Pulmonary Disease (COPD), run by Novartis Pharmaceuticals at 93 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 7 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 9 Aug 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 93 sites in Germany, Hungary, Czechia, Belgium, South Korea 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 9 Aug 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?

Forced Expiratory Volume in 1 Second Area Under the Curve (FEV1 AUC) 0-12 (time frame: Week 26). 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 NCT01315249, 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 9 Aug 2013.

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