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Chronic Obstructive Pulmonary Disease (COPD)Phase 4SECURE2NCT01415518

Efficacy and Tolerability Study in Severe Chronic Obstructive Pulmonary Disease (COPD) Patients

A Phase 4 study testing Drug: Budesonide/formoterol (Symbicort Turbuhaler, Drug: ipratropium (AtroventTM) and theophylline SR in people with Chronic Obstructive Pulmonary Disease (COPD), run by AstraZeneca at 21 sites in China.

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

Efficacy and tolerability study in severe chronic obstructive pulmonary disease (COPD) patients. Read more about this study

Who is it for?
Ages 40 years and older
What is being tested?
Drug: Budesonide/formoterol (Symbicort Turbuhaler, Drug: ipratropium (AtroventTM) and theophylline SR
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
581 participants
Where
21 sitesChina
Study dates
1 Sep 2011to 1 Dec 2012
Phase
Phase 4
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

  • Signed and dated informed consent
  • Men or women patients ≥ 40 years of age
  • Diagnosis of COPD with symptoms for more than 2 years and there is a history of at least one COPD exacerbation requiring a course of oral steroids and/or antibiotics within 1-12 months before Visit 2
  • Forced Expiratory Volume in 1 second (FEV1) ≤50% of predicted normal value, pre-bronchodilator and Forced Expiratory Volume in 1 second (FEV1) / Forced Vital Capacity (FVC) < 70%, pre-bronchodilator
  • Total symptom score of 2 or more per day for at least half of run-in period (breathing, cough and sputum scores from the diary card) and complete morning recordings of Digital Peak Flow Meter data at least 7 out of the last 10 days of the run-in period

Who cannot join

  • A history of asthma and seasonal allergic rhinitis before 40 years of age
  • Patients who have experienced exacerbation of COPD requiring hospitalisation and /or emergency room treatment and/or a course of oral steroids and/or intravenous corticosteroids and/or antibiotics within 4 weeks prior to Visit 2 and/or during run-in period
  • Patients with relevant cardiovascular disorder judged by the investigator
  • Patients with glaucoma, prostatic hyperplasia or bladder-neck obstruction judged by the investigator
  • Women who are pregnant, breast-feeding or of child-bearing potential judged by the investigator

Trial locations and contacts

21 sites in 1 country.

21 sites in 1 country

China21 sites
  • Research Site

    Beijing, Beijing Municipality

  • Research Site

    Changchun, Jilin

  • Research Site

    Changsha, Hunan

  • Research Site

    Chengdu

  • Research Site

    Chongqin

  • Research Site

    Dalian

  • Research Site

    Foshan, Guangdong

  • Research Site

    Guangzhou, Guangdong

  • Research Site

    Ha'er BING

  • Research Site

    Haikou, Hainan

  • Research Site

    Hohhot

  • Research Site

    Nanjing, Jiangsu

  • Research Site

    Qingdao, Shandong

  • Research Site

    Shanghai, Shanghai Municipality

  • Research Site

    Shenyang, Liaoning

  • Research Site

    Shijiazhuang, Hebei

  • Research Site

    Tangshan, Hebei

  • Research Site

    Tianjin, Tianjin Municipality

  • Research Site

    Wuhan, Hubei

  • Research Site

    Zhengzhou, Henan

  • Research Site

    Zhongshan, Guangdong

Other trials in China

About this study

Official title: Efficacy and Tolerability Study of Symbicort Turbuhaler(160/4.5µg/Inhalation,2inhalations Twice Daily) Added to Atrovent (20µg/Inhalation, 2 Inhalations 4 Times Daily)+Theophylline SR(0.1g/Tablet,1 Tablet p.o. Twice Daily) Compared With Atrovent+Theophylline SR in Severe COPD Patients.

Efficacy and tolerability study in severe chronic obstructive pulmonary disease (COPD) patients.

Read the detailed description

Efficacy and tolerability study of Symbicort Turbuhaler (160/4.5µg/inhalation,2inhalations twice daily) added to Atrovent (20µg/inhalation, 2 inhalations 4 times daily) + theophylline SR(0.1g/tablet, 1 tablet p.o. twice daily) compared with Atrovent + theophylline SR in severe COPD patients.

Being tested
Drug: Budesonide/formoterol (Symbicort Turbuhaler, Drug: ipratropium (AtroventTM), theophylline SR
Keywords
Severe chronic obstructive pulmonary disease (COPD) patients
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.

  • Drug: Budesonide/formoterol (Symbicort TurbuhalerDrug

    budesonide/formoterol (Symbicort Turbuhaler 160/4.5µg/inhalation, 2 inhalations twice daily)

  • Drug: ipratropium (AtroventTM)Drug

    ipratropium (AtroventTM 20 µg/inhalation, 2 inhalations four times daily)

  • theophylline SRDrug

    theophylline SR (0.1g/tablet, 1 tablet p.o. twice daily)

Study groups in NCT01415518
Study groupRoleWhat they receive
1Otherbudesonide/formoterol (Symbicort Turbuhaler 160/4.5µg/inhalation, 2 inhalations twice daily) added to ipratropium (AtroventTM 20 µg/inhalation, 2 inhalations four times daily) + theophylline SR (0.1g/tablet, 1 tablet p.o. twice daily)
Receives: Drug: Drug: Budesonide/formoterol (Symbicort Turbuhaler; Drug: Drug: ipratropium (AtroventTM); Drug: theophylline SR
2Otheripratropium (AtroventTM 20 µg/inhalation, 2 inhalations four times daily) + theophylline SR (0.1g/tablet, 1 tablet p.o. twice daily)
Receives: Drug: Drug: ipratropium (AtroventTM); Drug: theophylline SR

What is being measured

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

  1. Pre-dose FEV1

    Ratio of pre-dose FEV1 (Forced Expiratory Volume in 1 second) in treatment period to baseline value

    Measured: Baseline (week 0) and mean in treatment period (weeks 1, 6, 12) measured before inhalation of study drug

Secondary outcomes (23)
  1. Post-dose FEV1 at 5 Minutes

    Ratio of post-dose FEV1 at 5 minutes to baseline value

    Measured: Baseline (-2 weeks) and mean in treatment period (1, 6, 12 weeks) measured at 5 minutes after inhalation of study drug

  2. Post-dose FEV1 at 60 Minutes

    Ratio of post-dose FEV1 at 60 minutes to baseline value

    Measured: Baseline (meaured before inhalation of study drug at week 0) and mean in treatment period (measured at 1 hour after inhalation of study drug at weeks 0, 1, 6, 12)

  3. Pre-dose FVC

    Ratio of pre-dose FVC (Forced Vital Capacity) to baseline

    Measured: Baseline (meaured before inhalation of study drug at week 0) and mean in treatment period (measured at 1 hour after inhalation of study drug at weeks 0, 1, 6, 12)

  4. Post-dose FVC at 5 Minutes

    Ratio of post-dose FVC at 5 minutes to baseline

    Measured: Baseline (meaured before inhalation of study drug at week 0) and mean in treatment period (measured at 5 minutes after inhalation of study drug at weeks 0, 1, 6, 12)

  5. Post-dose FVC at 60 Minutes

    Ratio of post-dose FVC at 60 minutes to baseline

    Measured: Baseline (meaured before inhalation of study drug at week 0) and mean in treatment period (measured at 1 hour after inhalation of study drug at weeks 0, 1, 6, 12)

  6. Pre-dose IC

    Ratio of pre-dose IC (Inspiratory Capacity) to baseline

    Measured: Baseline (meaured before inhalation of study drug at week 0) and mean in treatment period (measured at 1 hour after inhalation of study drug at weeks 0, 1, 6, 12)

  7. Post-dose IC at 60 Minutes

    Ratio of post-dose IC at 60 minutes to baseline

    Measured: Baseline (meaured before inhalation of study drug at week 0) and mean in treatment period (measured at 1 hour after inhalation of study drug at weeks 0, 1, 6, 12)

  8. Pre-dose PEF in Last Week of Treatment

    Change in pre-dose morning PEF (Peak Expiratory Flow) from run-in period to last week of treatment

    Measured: Mean of daily measurements in run-in period (the last 10 days before randomization) and mean of daily measurements measured before inhalation of study drug in the last week of treatment

  9. Pre-dose PEF in First Week of Treatment

    Change in pre-dose morning PEF from run-in period to first week of treatment

    Measured: Mean of daily measurements in run-in period (the last 10 days before randomization) and mean of daily measurments measured before inhalation of study drug in the first week of treatment

  10. Pre-dose PEF in Whole Treatment Period

    Change in pre-dose morning PEF from run-in period to whole treatment period

    Measured: Mean of daily measurements in run-in period (the last 10 days before randomization) and mean of daily measurements measured before inhalation of study drug in whole treatment period (12 weeks)

  11. Post-dose PEF in Last Week of Treatment

    Change in post-dose morning PEF at 5 minutes from run-period to last week of treatment

    Measured: Mean of daily measurements in run-in period (the last 10 days before randomization) and mean of daily measurements measured at 5 minutes after inhalation of study drug in the last week of treatment

  12. Post-dose PEF in First Week of Treatment

    Change in post-dose morning PEF at 5 minutes from run-in period to first week of treatment

    Measured: Mean of daily measurements in run-in period (the last 10 days before randomization) and mean of daily measurments measured at 5 minutes after inhalation of study drug in the first week of treatment

  13. Post-dose PEF in Whole Treatment Period

    Change in post-dose morning PEF at 5 minutes from run-period to whole treatment period

    Measured: Mean of daily measurements in run-in period (the last 10 days before randomization) and mean of daily measurements measured at 5 minutes after inhalation of study drug in whole treatment period (12 weeks)

  14. Use of Reliever Medication During Day in the Last Week on Treatment

    Change in the number of inhalations of reliever medication during day from run-in to the last week on treatment

    Measured: Mean of daily measurements in run-in period (the last 10 days before randomization) and mean of daily measurements measured during day in the last week on treatment

  15. Use of Reliever Medication During Day in the First Week on Treatment

    Change in the number of inhalations of reliever medication during day from run-in to the first week on treatment

    Measured: Mean of daily measurements in run-in period (the last 10 days before randomization) and mean of daily measurements measured during day in the first week on treatment

  16. Use of Reliever Medication During Day in the Whole Treatment Period

    Change in the number of inhalations of reliever medication during day from run-in to the whole treatment period

    Measured: Mean of daily measurements in run-in period (the last 10 days before randomization) and mean of daily measurements measured during day in the whole treatment period (12 weeks)

  17. Change in COPD Symptoms - Breathing

    Change in breathing symptom score (from 0 (none) to 4 (severe)) from run-in period

    Measured: Mean of daily measurements in run-in period (the last 10 days before randomization) and mean of daily measurements in the whole treatment period (12 weeks)

  18. COPD Symptoms - Cough

    Change in cough symptom score (from 0 (none) to 4 (almost constant)) from run-in period

    Measured: Mean of daily measurements in run-in period (the last 10 days before randomization) and mean of daily measurements in the whole treatment period (12 weeks)

  19. COPD Symptoms Sputum

    Change in sputum symptom score (from 0 (none) to 4 (severe)) from run-in period

    Measured: Mean of daily measurements in run-in period (the last 10 days before randomization) and mean of daily measurements in the whole treatment period (12 weeks)

  20. COPD Exacerbations

    Severe exacerbations requiring systemic steroids (oral ≥3 days or parenteral) or hospitalisation or emergency room treatment due to worsening of COPD symptoms

    Measured: Whole treatment period (12 weeks)

  21. Use of Reliever Medication During Night in the Last Week on Treatment

    Change in the number of inhalations of reliever medication during day from run-in to the whole treatment period

    Measured: Mean of daily measurements in run-in period (the last 10 days before randomization) and mean of daily measurements measured during night in the last week on treatment

  22. Use of Reliever Medication During Night in the First Week on Treatment

    change in the number of inhalations of reliever medication during day from run-in to the first week on treatment

    Measured: Mean of daily measurements in run-in period (the last 10 days before randomization) and mean of daily measurements measured during night in the first week on treatment

  23. Use of Reliever Medication During Night in the Whole Treatment Period

    Change in the number of inhalations of reliever medication during day from run-in to the whole treatment period

    Measured: Mean of daily measurements in run-in period (the last 10 days before randomization) and mean of daily measurements measured during night in the whole treatment period (12 weeks)

Timeline

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

  1. First posted12 Aug 2011 (estimated)
  2. Study start1 Sep 2011
  3. Primary completion1 Dec 2012
  4. Study completion1 Dec 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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
581 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01415518
Sponsor's protocol ID
D589BL00022
Acronym
SECURE2
Status last verified
Jun 2019
First submitted
8 Aug 2011
Last updated
9 Jul 2019

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Drug: Budesonide/formoterol (Symbicort Turbuhaler, Drug: ipratropium (AtroventTM) and theophylline SR in people with Chronic Obstructive Pulmonary Disease (COPD), run by AstraZeneca at 21 sites in China.

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 5 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 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in China. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 26 Aug 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?

Pre-dose FEV1 (time frame: Baseline (week 0) and mean in treatment period (weeks 1, 6, 12) measured before inhalation of study drug). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Jul 2019.

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