Chronic Obstructive Pulmonary DiseasePhase 2NCT01349803
PT003 MDI Cardiovascular Safety Study
A Phase 2 study testing PT005 MDI, PT001 MDI and PT003 MDI in people with Chronic Obstructive Pulmonary Disease, run by Pearl Therapeutics, Inc. at 20 sites in 3 countries.
Trial summary
This study is primarily a safety study. The primary and secondary endpoints are based on 24-hour Holter monitor assessments obtained on Day 14 relative to baseline. Read more about this study
- Who is it for?
- Ages 40 to 80 years
- Conditions the study is for
- Chronic Obstructive Pulmonary Disease
- What is being tested?
- PT005 MDI, PT001 MDI and PT003 MDI
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 237 participants
- Where
- 20 sitesin 3 countries
- Study dates
- May 2011to Nov 2011
- Phase
- Phase 2
- 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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Signed written informed consent
- 40 - 80 years of age
- Clinical history of COPD with airflow limitation that is not fully reversible
- Females of non-child bearing potential or females of child bearing potential with negative pregnancy test; and acceptable contraceptive methods
- Current/former smokers with at least a 10 pack-year history of cigarette smoking
- A measured post- bronchodilator FEV1/FVC ratio of < or = 0.70
Show all 9Show fewer
- A measured post- bronchodilator FEV1 > or = 750ml or 30% predicted and < or = 80% of predicted normal values
- Able to change COPD treatment as required by protocol
- Acceptable baseline (Visit 2) Holter monitor recording
Who cannot join
- Women who are pregnant or lactating
- Primary diagnosis of asthma
- Alpha-1 antitrypsin deficiency as the cause of COPD
- Active pulmonary diseases
- Prior lung volume reduction surgery
- Abnormal chest X-ray (or CT scan) not due to the presence of COPD
Show all 13Show fewer
- Hospitalized due to poorly controlled COPD within 3 months of Screening
- Clinically significant medical conditions that preclude participation in the study (e.g. clinically significant abnormal ECG, uncontrolled hypertension, glaucoma, symptomatic prostatic hypertrophy)
- Cancer that has not been in complete remission for at least 5 years
- Treatment with investigational study drug or participation in another clinical trial or study within the last 30 days or 5 half lives
- Clinically significant abnormal findings during the baseline Holter recording
- Patients with a pacemaker or ICD/CRT/CRT_D devices
- Other inclusion/exclusion criteria as defined by the protocol
Trial locations and contacts
20 sites in 3 countries.
20 sites in 3 countries
United States10 sites
Pearl Investigative Site
Fullerton, California
Pearl Investigative Site
Glendale, Arizona
Pearl Investigative Site
Lafayette, Louisiana
Pearl Investigative Site
Livonia, Michigan
Pearl Investigative Site
Los Angeles, California
Pearl Investigative Site
Medford, Oregon
Pearl Investigative Site
North Dartmouth, Massachusetts
Pearl Investigative Site
Pensacola, Florida
Pearl Investigative Site
San Antonio, Texas
Pearl Investigative Site
San Diego, California
Australia6 sites
Pearl Investigative Site
Caboolture, Queensland
Pearl Investigative Site
Dawpark, South Australia
Pearl Investigative Site
Glebe, New South Wales
Pearl Investigative Site
Heidelberg, Victoria
Pearl Investigative Site
Nedlands, Western Australia
Pearl Investigative Site
Toorak Gardens, South Australia
New Zealand4 sites
Pearl Investigative Site
Caversham, Dunedin
Pearl Investigative Site
Newtown, Wellington Region
Pearl Investigative Site
Private Bag, Hamilton
Pearl Investigative Site
Tauranga, North Island
About this study
Official title: A Randomized, Double-blind, Parallel Group, 14-day, Multi-Center Study to Evaluate the Safety of PT003, PT005, PT001 and Foradil® Aerolizer® (12 µg, Open Label) as Evaluated by Holter Monitoring, in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)
This study is primarily a safety study. The primary and secondary endpoints are based on 24-hour Holter monitor assessments obtained on Day 14 relative to baseline.
- Conditions
- Chronic Obstructive Pulmonary Disease
- Being tested
- PT005 MDI, PT001 MDI, PT003 MDI, Formoterol Fumarate 12 μg (Foradil® Aerolizer®)
- Keywords
- COPD
- 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.
PT005 MDIDrug
PT005 MDI administered as two puffs BID for 14 days
PT001 MDIDrug
PT001 MDI administered as two puffs BID for 14 days
PT003 MDIDrug
PT003 MDI administered as two puffs BID for 14 days
Formoterol Fumarate 12 μg (Foradil® Aerolizer®)Drug
Also called Foradil® Aerolizer®
Formoterol Fumarate 12 μg (Foradil® Aerolizer®) administered BID for 14 days
| Study group | Role | What they receive |
|---|---|---|
| PT005 MDI | Experimental | PT005 MDI Receives: Drug: PT005 MDI |
| PT001 MDI | Experimental | PT001 MDI Receives: Drug: PT001 MDI |
| PT003 MDI | Experimental | PT003 MDI Receives: Drug: PT003 MDI |
| Formoterol Fumarate 12 μg (Foradil® Aerolizer®) | Active comparator | Formoterol Fumarate 12 μg (Foradil® Aerolizer®) Receives: Drug: Formoterol Fumarate 12 μg (Foradil® Aerolizer®) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in 24-Hour Mean Heart Rate Post-dose
The primary safety objective of this study was to compare the change in mean heart rate averaged over 24 hours post-dose, following twice daily dosing over 14 days with PT003 MDI, PT005 MDI, PT001 MDI or Foradil Aerolizer compared to baseline in patients with moderate to severe chronic obstructive pulmonary disease (COPD).
Measured: 14 days
Secondary outcomes (15)
Change From Baseline in Mean FEV1 Trough
Trough FEV1 averaged over Day 7 and Day 14
Measured: Day 7 to Day 14
Change From Baseline in 24-Hour Mean Heart Rate for Day 1 of Treatment
The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).
Measured: 24 hours
Change From Baseline in Daytime Mean Heart Rate
The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).
Measured: Baseline, Day 1, and Day 14
Change From Baseline in Night Time Mean Heart Rate
The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).
Measured: Baseline, Day 1, and Day 14
Change From Baseline in 24-Hour Maximum Heart Rate
The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).
Measured: Baseline, Day 1, and Day 14
Change From Baseline in 24-Hour Minimum Heart Rate
The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).
Measured: Baseline, Day 1, and Day 14
Change From Baseline in Number of Isolated Ventricular Events Recorded During 24-Hour Holter Monitoring
The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).
Measured: Baseline, Day 1, and Day 14
Change From Baseline in the Number of Ventricular Couplets Recorded During 24-Hour Holter Monitoring
The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).
Measured: Baseline, Day 1, and Day 14
Change From Baseline in the Number of Ventricular Runs Recorded During 24-Hour Holter Monitoring
The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).
Measured: Baseline, Day 1, and Day 14
Change From Baseline in the Number of Isolated Supraventricular Events Recorded During 24-Hour Holter Monitoring
The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).
Measured: Baseline, Day 1, and Day 14
Change From Baseline in the Number of Supraventricular Couplets Recorded During 24-Hour Holter Monitoring
The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).
Measured: Baseline, Day 1, and Day 14
Change From Baseline in the Number of Supraventricular Runs Recorded During 24-Hour Holter Monitoring
The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).
Measured: Baseline, Day 1, and Day 14
Change From Baseline in the Number of Bradycardia Episodes Recorded During 24-Hour Holter Monitoring
The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).
Measured: Baseline, Day 1, and Day 14
Change From Baseline in the Number of Tachycardia Episodes Recorded During 24-Hour Holter Monitoring
The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).
Measured: Baseline, Day 1, and Day 14
Mean Change From Baseline in QTcF Interval
The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).
Measured: Baseline, Day 1, Day 7, and Day 14
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 May 2011 (estimated)
- Study startMay 2011
- Primary completionNov 2011
- Study completionNov 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Chronic Obstructive Pulmonary DiseaseStudies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 237 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pearl Therapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Colin Reisner, M.D., Study director, Pearl Therapeutics
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01349803
- Sponsor's protocol ID
- PT003003
- Status last verified
- Nov 2016
- First submitted
- 5 May 2011
- Last updated
- 31 Jan 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Ferguson GT, Reisner C, Pearle J, DePetrillo P, Maes A, Martin UJ. Cardiovascular safety profile of a fixed-dose combination of glycopyrrolate and formoterol fumarate delivered via metered dose inhaler using co-suspension delivery technology. Pulm Pharmacol Ther. 2018 Apr;49:67-74. doi: 10.1016/j.pupt.2018.01.007. Epub 2018 Feb 4.
PubMed 29567116
Study at a glance
From the registry record, last updated by the sponsor on 31 Jan 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Parallel Group, 14-day, Multi-Center Study to Evaluate the Safety of PT003, PT005, PT001 and Foradil® Aerolizer® (12 µg, Open Label) as Evaluated by Holter Monitoring, in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)
- ClinicalTrials.gov ID
- NCT01349803
- Acronym / sponsor ID
- PT003003
- Conditions
- Chronic Obstructive Pulmonary Disease
- Keywords
- COPD
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 237 participants (actual)
- Lead sponsor
- Pearl Therapeutics, Inc.Industry (pharma, biotech, devices)
- Study start
- May 2011
- Primary completion
- Nov 2011 (actual)
- Study completion
- Nov 2011 (actual)
- First posted
- 9 May 2011 (estimated)
- Results
- Posted 31 Jan 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is primarily a safety study. The primary and secondary endpoints are based on 24-hour Holter monitor assessments obtained on Day 14 relative to baseline.
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 |
|---|---|---|
| PT005 MDI | Experimental | Drug: PT005 MDIPT005 MDI |
| PT001 MDI | Experimental | Drug: PT001 MDIPT001 MDI |
| PT003 MDI | Experimental | Drug: PT003 MDIPT003 MDI |
| Formoterol Fumarate 12 μg (Foradil® Aerolizer®) | Active comparator | Drug: Formoterol Fumarate 12 μg (Foradil® Aerolizer®)Formoterol Fumarate 12 μg (Foradil® Aerolizer®) |
Who may qualify
- Ages
- 40 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Signed written informed consent
- 40 - 80 years of age
- Clinical history of COPD with airflow limitation that is not fully reversible
- Females of non-child bearing potential or females of child bearing potential with negative pregnancy test; and acceptable contraceptive methods
- Current/former smokers with at least a 10 pack-year history of cigarette smoking
Key exclusion criteria (13 listed)
- Women who are pregnant or lactating
- Primary diagnosis of asthma
- Alpha-1 antitrypsin deficiency as the cause of COPD
- Active pulmonary diseases
- Prior lung volume reduction surgery
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 |
|---|---|---|
| PT005 MDIPT005 MDI administered as two puffs BID for 14 days | Drug | PT005 MDI |
| PT001 MDIPT001 MDI administered as two puffs BID for 14 days | Drug | PT001 MDI |
| PT003 MDIPT003 MDI administered as two puffs BID for 14 days | Drug | PT003 MDI |
| Formoterol Fumarate 12 μg (Foradil® Aerolizer®)Also: Foradil® Aerolizer®Formoterol Fumarate 12 μg (Foradil® Aerolizer®) administered BID for 14 days | Drug | Formoterol Fumarate 12 μg (Foradil® Aerolizer®) |
Primary outcome
Change From Baseline in 24-Hour Mean Heart Rate Post-dose
Time frame: 14 days
The primary safety objective of this study was to compare the change in mean heart rate averaged over 24 hours post-dose, following twice daily dosing over 14 days with PT003 MDI, PT005 MDI, PT001 MDI or Foradil Aerolizer compared to baseline in patients with moderate to severe chronic obstructive pulmonary disease (COPD).
15 secondary outcomes
Change From Baseline in Mean FEV1 Trough
Time frame: Day 7 to Day 14
Change From Baseline in 24-Hour Mean Heart Rate for Day 1 of Treatment
Time frame: 24 hours
Change From Baseline in Daytime Mean Heart Rate
Time frame: Baseline, Day 1, and Day 14
Change From Baseline in Night Time Mean Heart Rate
Time frame: Baseline, Day 1, and Day 14
Change From Baseline in 24-Hour Maximum Heart Rate
Time frame: Baseline, Day 1, and Day 14
Change From Baseline in 24-Hour Minimum Heart Rate
Time frame: Baseline, Day 1, and Day 14
Change From Baseline in Number of Isolated Ventricular Events Recorded During 24-Hour Holter Monitoring
Time frame: Baseline, Day 1, and Day 14
Change From Baseline in the Number of Ventricular Couplets Recorded During 24-Hour Holter Monitoring
Time frame: Baseline, Day 1, and Day 14
Change From Baseline in the Number of Ventricular Runs Recorded During 24-Hour Holter Monitoring
Time frame: Baseline, Day 1, and Day 14
Change From Baseline in the Number of Isolated Supraventricular Events Recorded During 24-Hour Holter Monitoring
Time frame: Baseline, Day 1, and Day 14
Change From Baseline in the Number of Supraventricular Couplets Recorded During 24-Hour Holter Monitoring
Time frame: Baseline, Day 1, and Day 14
Change From Baseline in the Number of Supraventricular Runs Recorded During 24-Hour Holter Monitoring
Time frame: Baseline, Day 1, and Day 14
Change From Baseline in the Number of Bradycardia Episodes Recorded During 24-Hour Holter Monitoring
Time frame: Baseline, Day 1, and Day 14
Change From Baseline in the Number of Tachycardia Episodes Recorded During 24-Hour Holter Monitoring
Time frame: Baseline, Day 1, and Day 14
Mean Change From Baseline in QTcF Interval
Time frame: Baseline, Day 1, Day 7, and Day 14
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Jan 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 29567116Ferguson GT, Reisner C, Pearle J, DePetrillo P, Maes A, Martin UJ. Cardiovascular safety profile of a fixed-dose combination of glycopyrrolate and formoterol fumarate delivered via metered dose inhaler using co-suspension delivery technology. Pulm Pharmacol Ther. 2018 Apr;49:67-74. doi: 10.1016/j.pupt.2018.01.007. Epub 2018 Feb 4.
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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.
Colin Reisner, M.D. study director
Pearl Therapeutics
20 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing PT005 MDI, PT001 MDI and PT003 MDI in people with Chronic Obstructive Pulmonary Disease, run by Pearl Therapeutics, Inc. at 20 sites in 3 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 9 inclusion and 13 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 31 Jan 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 20 sites in United States, Australia, New Zealand. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 31 Jan 2017). 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 in 24-Hour Mean Heart Rate Post-dose (time frame: 14 days). 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 NCT01349803, 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 31 Jan 2017.