COPDPhase 4NCT01443845
Roflumilast in Chronic Obstructive Pulmonary Disease (COPD) Patients Treated With Fixed Dose Combinations of Long-acting β2-agonist (LABA) and Inhaled Corticosteroid (ICS)
A Phase 4 study testing Roflumilast in people with COPD and COPD Exacerbation, run by AstraZeneca at 338 sites in 17 countries.
Trial summary
To demonstrate the additional benefit of roflumilast when added on to fixed-dose combination (FDC) LABA/ICS in the reduction of exacerbations in subjects with severe to very severe COPD. Read more about this study
- Who is it for?
- Ages 40 years and older
- Conditions the study is for
- COPD, COPD Exacerbation, Lung Diseases
- What is being tested?
- Roflumilast
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 2,354 participants
- Where
- 338 sitesin 17 countries
- Study dates
- 30 Sep 2011to 31 Jan 2016
- 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
- 1. Male or female patients at least 40 years of age
- 2. History of COPD (according to Global Initiative for Chronic Obstructive Lung Disease [GOLD] 2010) for at least 12 months prior to Screening (Visit 1) associated with chronic productive cough for 3 months in each of 2 consecutive years (with other causes of productive cough excluded). Only patients with chronic bronchitis will be included (concomitant emphysema is permitted)
- 3. Forced expiratory volume after 1 second (FEV1)/forced vital capacity (FVC) ratio (postbronchodilator) < 70% at Screening (Visit 1)
- 4. FEV1 (postbronchodilator) ≤ 50% of predicted at Screening (Visit 1)
- 5. At least two documented moderate or severe COPD exacerbations within 12 months prior to Screening (Visit 1)
- 6. Patients must be on FDC LABA/ICS treatment ≥ 3 months prior to Screening (Visit 1)
- 7. Former smokers (defined as smoking cessation at least 1 year ago) or current smokers (including patients who ceased smoking within the past year) both with a smoking history of at least 20 pack-years
Who cannot join
- 1. Moderate or severe COPD exacerbation and/or COPD exacerbations treated with antibiotics or systemic glucocorticosteroids within 4 weeks of Screening (Visit 1) (ie, patients must be clinically stable)
- 2. Known alpha-1-antitrypsin deficiency
- 3. Current diagnosis of asthma (either controlled or uncontrolled) (Note: History of childhood asthma is not exclusionary.)
- 4. Body mass index (BMI) ≥ 45 kg/m2
- 5. Patients with a history (within 5 years) or current diagnosis of cancer other than basal or squamous cell skin cancer
Trial locations and contacts
338 sites in 17 countries.
338 sites in 17 countries
United States217 sites
Forest Investigative Site 125
Abingdon, Virginia, 24210
Forest Investigative Site 086
Altoona, Pennsylvania, 16601
Forest Investigative Site 157
Ann Arbor, Michigan, 48106
Forest Investigative Site 081
Anniston, Alabama, 36207
Forest Investigative Site 024
Arlington, Texas, 76012
Forest Investigative Site 313
Asheville, North Carolina, 28801
Forest Investigative Site 065
Athens, Alabama, 35611
Forest Investigative Site 248
Baltimore, Maryland, 21224
Forest Investigative Site 340
Beaver, Pennsylvania, 15009
Forest Investigative Site 197
Bellevue, Nebraska, 68123
Forest Investigative Site 074
Bellflower, California, 90706
Forest Investigative Site 177
Boerne, Texas, 78006
Forest Investigative Site 201
Bolingbrook, Illinois, 60490
Forest Investigative Site 051
Bowling Green, Kentucky, 42101
Forest Investigative Site 196
Brandon, Florida, 33511
Forest Investigative Site 224
Brandon, Florida, 33511
Forest Investigative Site 358
Brandon, Florida, 33511
Forest Investigative Site 223
Bristol, Tennessee, 37620
Forest Investigative Site 226
Brooklyn, New York, 11229
Forest Investigative Site 193
Burlington, North Carolina, 27215
Forest Investigative Site 333
Butte, Montana, 59701
Forest Investigative Site 103
Canton, Georgia, 30114
Forest Investigative Site 164
Canton, Ohio, 44718
Forest Investigative Site 305
Charleston, South Carolina, 29406
Forest Investigative Site 335
Charleston, West Virginia, 25304
Forest Investigative Site 142
Charlotte, North Carolina, 28207
Forest Investigative Site 259
Charlotte, North Carolina, 28277
Forest Investigative Site 067
Cherry Hill, New Jersey, 08003
Forest Investigative Site 033
Chesterfield, Missouri, 63017
Forest Investigative Site 166
Chiefland, Florida, 32626
Forest Investigative Site 149
Cincinnati, Ohio, 45219
Forest Investigative Site 061
Cincinnati, Ohio, 45231
Forest Investigative Site 040
Cincinnati, Ohio, 45242
Forest Investigative Site 280
Cincinnati, Ohio, 45267
Forest Investigative Site 111
Clearwater, Florida, 33756
Forest Investigative Site 123
Clearwater, Florida, 33765
Forest Investigative Site 327
Clifton, New Jersey, 07012
Forest Investigative Site 008
Coeur d'Alene, Idaho, 83814
Forest Investigative Site 181
Colchester, Vermont, 05446
Forest Investigative Site 020
Columbia, Maryland, 21044
Forest Investigative Site 009
Columbus, Ohio, 43213
Forest Investigative Site 291
Coral Gables, Florida, 33134
Forest Investigative Site 090
Corsicana, Texas, 75110
Forest Investigative Site 135
Council Bluffs, Iowa, 51503
Forest Investigative Site 075
Crescent Springs, Kentucky, 41017
Forest Investigative Site 172
Dallas, Texas, 75246
Forest Investigative Site 292
Dawsonville, Georgia, 30534
Forest Investigative Site 353
Dayton, Ohio, 45439
Forest Investigative Site 239
DeFuniak Springs, Florida, 32435
Forest Investigative Site 341
Detroit, Michigan, 48202
Forest Investigative Site 206
Downers Grove, Illinois, 60515
Forest Investigative Site 120
Downingtown, Pennsylvania, 19335
Forest Investigative Site 042
Duluth, Georgia, 30096
Forest Investigative Site 119
Eagle, Idaho, 83616
Forest Investigative Site 093
Easley, South Carolina, 29640
Forest Investigative Site 303
Edina, Minnesota, 55435
Forest Investigative Site 019
Elizabeth City, North Carolina, 27909
Forest Investigative Site 136
Elk Grove Village, Illinois, 60007
Forest Investigative Site 263
Elwood, Indiana, 46036
Forest Investigative Site 062
Erie, Pennsylvania, 16506
Forest Investigative Site 106
Fall River, Massachusetts, 02720
Forest Investigative Site 050
Fayetteville, Tennessee, 37334
Forest Investigative Site 131
Florence, Alabama, 35630
Forest Investigative Site 001
Fort Lauderdale, Florida, 33316
Forest Investigative Site 257
Fort Mill, South Carolina, 29707
Forest Investigative Site 208
Fort Smith, Arkansas, 72901
Forest Investigative Site 165
Fort Walton Beach, Florida, 32547
Forest Investigative Site 267
Fremont, Nebraska, 68025
Forest Investigative Site 337
Fremont, Nebraska, 68028
Forest Investigative Site 060
Fresno, California, 93721
Forest Investigative Site 329
Fresno, California, 93726
Forest Investigative Site 056
Fridley, Minnesota, 55432
Forest Investigative Site 245
Fullerton, California, 92835
Forest Investigative Site 233
Gaffney, South Carolina, 29340
Forest Investigative Site 102
Gainesville, Florida, 32608
Forest Investigative Site 140
Gainesville, Georgia, 30501
Forest Investigative Site 310
Garden Grove, California, 92844
Forest Investigative Site 199
Great Neck, New York, 11021
Forest Investigative Site 110
Greenville, South Carolina, 29615
Forest Investigative Site 144
Hackensack, New Jersey, 07601
Forest Investigative Site 351
Hazard, Kentucky, 41701
Forest Investigative Site 079
Henderson, Nevada, 89014
Forest Investigative Site 270
Henderson, Nevada, 89052
Forest Investigative Site 003
Hollywood, Florida, 33024
Forest Investigative Site 237
Houston, Texas, 77030
Forest Investigative Site 271
Houston, Texas, 77030
Forest Investigative Site 370
Houston, Texas, 77030
Forest Investigative Site 195
Houston, Texas, 77034
Forest Investigative Site 312
Houston, Texas, 77079
Forest Investigative Site 332
Huntsville, Texas, 77340
Forest Investigative Site 256
Iowa City, Iowa, 52242
Forest Investigative Site 023
Jacksonville, Florida, 32216
Forest Investigative Site 228
Johnston, Rhode Island, 02919
Forest Investigative Site 328
Kalamazoo, Michigan, 49009
Forest Investigative Site 077
Kissimmee, Florida, 34741
Forest Investigative Site 330
Kissimmee, Florida, 34741
Forest Investigative Site 342
Lafayette, Indiana, 47904
Forest Investigative Site 273
Lafayette, Louisiana, 70503
Forest Investigative Site 297
Lakewood, California, 90712
Forest Investigative Site 030
Lawrenceville, Georgia, 30046
Forest Investigative Site 128
Lewiston, Maine, 04240
Forest Investigative Site 068
Lexington, Kentucky, 40504
Forest Investigative Site 315
Lincoln, Nebraska, 68506
Forest Investigative Site 108
Lincoln, Nebraska, 68510
Forest Investigative Site 283
Lincoln, Rhode Island, 02865
Forest Investigative Site 101
Little Rock, Arkansas, 72205
Forest Investigative Site 063
Livonia, Michigan, 48152
Forest Investigative Site 116
Long Beach, California, 90822
Forest Investigative Site 232
Longview, Texas, 75605
Forest Investigative Site 085
Los Angeles, California, 90048
Forest Investigative Site 241
Los Angeles, California, 90073
Forest Investigative Site 088
Louisville, Kentucky, 40215
Forest Investigative Site 059
Marion, Ohio, 43302
Forest Investigative Site 154
Marion, Ohio, 43302
Forest Investigative Site 285
Medford, Oregon, 97501
Forest Investigative Site 272
Mesa, Arizona, 85206
Forest Investigative Site 027
Miami, Florida, 33015
Forest Investigative Site 229
Miami, Florida, 33136
Forest Investigative Site 115
Miami, Florida, 33175
Forest Investigative Site 339
Miami, Florida, 33186
Forest Investigative Site 293
Michigan City, Indiana, 46360
Forest Investigative Site 029
Missoula, Montana, 59808
Forest Investigative Site 073
Mobile, Alabama, 36608
Forest Investigative Site 319
Morgantown, West Virginia, 26505
Forest Investigative Site 264
Muncie, Indiana, 47303
Forest Investigative Site 092
Naples, Florida, 34119
Forest Investigative Site 071
New York, New York, 10029
Forest Investigative Site 124
Newark, Delaware, 19713
Forest Investigative Site 277
Norristown, Pennsylvania, 19401
Forest Investigative Site 044
North Dartmouth, Massachusetts, 02747
Forest Investigative Site 299
Northridge, California, 91325
Forest Investigative Site 139
Oak Lawn, Illinois, 60453
Forest Investigative Site 167
Oklahoma City, Oklahoma, 73103
Forest Investigative Site 281
Oklahoma City, Oklahoma, 73103
Forest Investigative Site 214
Olathe, Kansas, 66061
Forest Investigative Site 345
Omaha, Nebraska, 68114
Forest Investigative Site 070
Opelousas, Louisiana, 70570
Forest Investigative Site 004
Orlando, Florida, 32822
Forest Investigative Site 187
Ormond Beach, Florida, 32174
Forest Investigative Site 053
Owensboro, Kentucky, 42303
Forest Investigative Site 213
Palo Alto, California, 94555
Forest Investigative Site 300
Pelzer, South Carolina, 29669
Forest Investigative Site 069
Pensacola, Florida, 32504
Forest Investigative Site 091
Peoria, Arizona, 85381
Forest Investigative Site 227
Peoria, Illinois, 61637
Forest Investigative Site 230
Philadelphia, Pennsylvania, 19107
Forest Investigative Site 205
Philadelphia, Pennsylvania, 19140
Forest Investigative Site 034
Phoenix, Arizona, 85018
Forest Investigative Site 188
Phoenix, Arizona, 85020
Forest Investigative Site 211
Phoenix, Arizona, 85028
Forest Investigative Site 247
Phoenix, Arizona, 85050
Forest Investigative Site 268
Pismo Beach, California, 93449
Forest Investigative Site 336
Pittsburgh, Pennsylvania, 15221
Forest Investigative Site 364
Pittsburgh, Pennsylvania, 15240
Forest Investigative Site 344
Pittsburgh, Pennsylvania, 15243
Forest Investigative Site 350
Pittsfield, Massachusetts, 01201
Forest Investigative Site 161
Ponte Vedra, Florida, 32081
Forest Investigative Site 087
Port Orange, Florida, 32127
Forest Investigative Site 289
Portland, Oregon, 97220
Forest Investigative Site 218
Portland, Oregon, 97227
Forest Investigative Site 365
Providence, Rhode Island, 02903
Forest Investigative Site 058
Rapid City, South Dakota, 57702
Forest Investigative Site 202
Richmond, Virginia, 23225
Forest Investigative Site 231
Richmond, Virginia, 23229
Forest Investigative Site 045
Richmond, Virginia, 23233
Forest Investigative Site 025
Riverside, California, 92506
Forest Investigative Site 082
Rochester, Minnesota, 55905
Forest Investigative Site 013
Rochester, New York, 14618
Forest Investigative Site 204
Rock Hill, South Carolina, 29732
Forest Investigative Site 143
Roseville, California, 95661
Forest Investigative Site 104
Sacramento, California, 95817
Forest Investigative Site 098
Saint Charles, Missouri, 63301
Forest Investigative Site 109
Saint Cloud, Florida, 34769
Forest Investigative Site 322
Saint Joseph, Michigan, 49085
Forest Investigative Site 352
San Diego, California, 92117
Forest Investigative Site 038
San Diego, California, 92120
Forest Investigative Site 326
San Jose, California, 95124
Forest Investigative Site 318
Shelby, North Carolina, 28150
Forest Investigative Site 078
Shelby, North Carolina, 28152
Forest Investigative Site 253
Shelbyville, Tennessee, 37160
Forest Investigative Site 021
Spartanburg, South Carolina, 29303
Forest Investigative Site 184
Spokane, Washington, 99202
Forest Investigative Site 174
Spokane, Washington, 99204
Forest Investigative Site 334
Springfield, Illinois, 62703
Forest Investigative Site 117
Springfield, Missouri, 65803
Forest Investigative Site 186
St Louis, Missouri, 63141
Forest Investigative Site 288
St Louis, Missouri, 63143
Forest Investigative Site 121
St. Petersburg, Florida, 33704
Forest Investigative Site 357
St. Petersburg, Florida, 33744
Forest Investigative Site 331
Stamford, Connecticut, 06902
Forest Investigative Site 317
Summit, New Jersey, 07901
Forest Investigative Site 097
Sunset, Louisiana, 70584
Forest Investigative Site 066
Syracuse, New York, 13210
Forest Investigative Site 217
Tacoma, Washington, 98405
Forest Investigative Site 002
Tamarac, Florida, 33312
Forest Investigative Site 287
Tampa, Florida, 33607
Forest Investigative Site 052
Tampa, Florida, 33613
Forest Investigative Site 010
Tipton, Pennsylvania, 16684
Forest Investigative Site 346
Toledo, Ohio, 43606
Forest Investigative Site 316
Topeka, Kansas, 66606
Forest Investigative Site 209
Torrance, California, 90502
Forest Investigative Site 072
Towson, Maryland, 21204
Forest Investigative Site 236
Tulsa, Oklahoma, 74135
Forest Investigative Site 049
Tyler, Texas, 75708
Forest Investigative Site 012
Union, South Carolina, 29379
Forest Investigative Site 064
Uniontown, Pennsylvania, 15401
Forest Investigative Site 017
Waterbury, Connecticut, 06708
Forest Investigative Site 146
West Allis, Wisconsin, 53227
Forest Investigative Site 158
West Seneca, New York, 14224
Forest Investigative Site 301
Wichita, Kansas, 67205
Forest Investigative Site 176
Wilmington, North Carolina, 28451
Forest Investigative Site 282
Winston-Salem, North Carolina, 27103
Forest Investigative Site 314
Winston-Salem, North Carolina, 27103
Forest Investigative Site 011
Winter Park, Florida, 32789
Forest Investigative Site 348
Winter Park, Florida, 32792
Forest Investigative Site 321
Woodstock, Georgia, 30189
Forest Investigative Site 105
Zanesville, Ohio, 43701
Ukraine23 sites
Forest Investigative Site 699
Cherkasy, 18009
Forest Investigative Site 691
Dnipropetrovsk, 49074
Forest Investigative Site 692
Donetsk, 83003
Forest Investigative Site 689
Donetsk, 83099
Forest Investigative Site 690
Ivano-Frankivsk, 76018
Forest Investigative Site 697
Kharkiv, 61035
Forest Investigative Site 693
Kharkiv, 61039
Forest Investigative Site 682
Kharkiv, 61124
Forest Investigative Site 709
Kremenchuk
Forest Investigative Site 698
Kyiv, 3049
Forest Investigative Site 683
Kyiv, 3680
Forest Investigative Site 684
Kyiv, 3680
Forest Investigative Site 687
Kyiv, 3680
Forest Investigative Site 685
Kyiv, 4050
Forest Investigative Site 681
Lviv, 79013
Forest Investigative Site 708
Mykolayiv, 54003
Forest Investigative Site 706
Poltava, 36038
Forest Investigative Site 695
Sumy, 40000
Forest Investigative Site 707
Vinnitsa, 21001
Forest Investigative Site 696
Zaporizhzhya, 69035
Forest Investigative Site 694
Zaporizhzhya, 69106
Forest Investigative Site 705
Zaporizhzhya, 69118
Forest Investigative Site 688
Zaporizhzhya, 69600
Argentina20 sites
Forest Investigative Site 403
Buenos Aires, Buenos Aires, B1842DID
Forest Investigative Site 411
Buenos Aires, C1015ABO
Forest Investigative Site 414
Buenos Aires, C1122AAK
Forest Investigative Site 419
Buenos Aires, C1426ABP
Forest Investigative Site 416
Buenos Aires, C1428DDE
Forest Investigative Site 418
Ciudad Autonoma de Buenos Aires, Buenos Aires, C1425DES
Forest Investigative Site 415
Derqui Pilar - Buenos Aires, B1629ODT
Forest Investigative Site 402
Florida, Buenos Aires, B1602DOH
Forest Investigative Site 405
La Plata, Buenos Aires, 1900
Forest Investigative Site 417
La Plata, 1900
Forest Investigative Site 406
Lanús Este, Buenos Aires, B1824 KAJ
Forest Investigative Site 413
Mar del Plata, Buenos Aires, CP 7600
Forest Investigative Site 404
Mendoza, Mendoza Province, M5500CCG
Forest Investigative Site 420
Mendoza, 5500
Forest Investigative Site 407
Paraná, Entre Ríos Province, E3100BHK
Forest Investigative Site 412
Rosario, Santa Fe Province, S2000DBS
Forest Investigative Site 409
Rosario, Santa Fe Province, S2000KZD
Forest Investigative Site 410
San Juan Bautista, 1888
Forest Investigative Site 401
San Miguel de Tucumán, T4000IFL
Forest Investigative Site 408
Santa Fe, 3000
Russia17 sites
Forest Investigative Site 608
Barnaul, 656045
Forest Investigative Site 602
Kazan', 420015
Forest Investigative Site 618
Kemerovo, 650000
Forest Investigative Site 609
Krasnodar, 350012
Forest Investigative Site 614
Krasnoyarsk, 660022
Forest Investigative Site 617
Moscow, 125367
Forest Investigative Site 605
Novosibirsk, 630099
Forest Investigative Site 606
Saint Petersburg, 191025
Forest Investigative Site 612
Saint Petersburg, 193231
Forest Investigative Site 619
Saint Petersburg, 194044
Forest Investigative Site 604
Saint Petersburg, 194358
Forest Investigative Site 611
Saint Petersburg, 196084
Forest Investigative Site 610
Saint Petersburg, 196247
Forest Investigative Site 601
Saint Petersburg, 197110
Forest Investigative Site 600
Saint Petersburg, 197706
Forest Investigative Site 607
Tomsk, 634063
Forest Investigative Site 620
Yaroslavl, 150003
Philippines9 sites
Forest Investigative Site 569
Cavite, 4114
Forest Investigative Site 567
Iloilo City, 5000
Forest Investigative Site 568
Iloilo City, 5000
Forest Investigative Site 565
Manila, 1000
Forest Investigative Site 563
Pasig, 1600
Forest Investigative Site 562
Quezon City, 1100
Forest Investigative Site 564
Quezon City, 1100
Forest Investigative Site 566
Quezon City, 1109
Forest Investigative Site 561
Quezon City, 1118
Peru8 sites
Forest Investigative Site 543
Bellavista, Callao 2
Forest Investigative Site 550
Lima, Lima 11
Forest Investigative Site 551
Lima, Lima 13
Forest Investigative Site 545
Lima, Lima 18
Forest Investigative Site 546
Lima, Lima 27
Forest Investigative Site 549
Lima, Lima 31
Forest Investigative Site 544
Lima, Lima 33
Forest Investigative Site 541
Pueblo Libre, Lima 21
Romania8 sites
Forest Investigative Site 585
Brasov, 500112
Forest Investigative Site 586
Bucharest, 10457
Forest Investigative Site 587
Bucharest, 30303
Forest Investigative Site 588
Bucharest, 31298
Forest Investigative Site 584
Bucharest, 50159
Forest Investigative Site 582
Bucharest, 50554
Forest Investigative Site 581
Iași, 700115
Forest Investigative Site 583
Iași, 700115
Serbia7 sites
Forest Investigative Site 622
Belgrade, 11000
Forest Investigative Site 623
Belgrade, 11000
Forest Investigative Site 624
Belgrade, 11000
Forest Investigative Site 625
Belgrade, 11000
Forest Investigative Site 627
Kamenitz, 21204
Forest Investigative Site 629
Knez-Selo, Nišava District, 18204
Forest Investigative Site 628
Kragujevac, 34000
Canada5 sites
Forest Investigative Site 302
Burlington, Ontario, L7N 3V2
Forest Investigative Site 235
Calgary, Alberta, T2K5R7
Forest Investigative Site 185
Montreal, Quebec, H2R 1V6
Forest Investigative Site 162
North Vancouver, British Columbia, V7M 2H9
Forest Investigative Site 127
Saskatoon, Saskatchewan, S7N0W8
Malaysia4 sites
Forest Investigative Site 505
Batu Caves, 68100
Forest Investigative Site 501
Kuala Lumpur, 50588
Forest Investigative Site 504
Kuala Lumpur, 59100
Forest Investigative Site 502
Kuantan, 25100
Mexico4 sites
Forest Investigative Site 524
Guadalajara, 44100
Forest Investigative Site 526
Mérida, Yucatán, 97070
Forest Investigative Site 522
Monterrey, Nuevo León, 64460
Forest Investigative Site 521
Monterrey, 64060
Taiwan4 sites
Forest Investigative Site 723
Kaohsiung Hsien, 833
Forest Investigative Site 724
Puzih City, 61363
Forest Investigative Site 725
Taipei, 100
Forest Investigative Site 722
Taipei, 11490
Thailand4 sites
Forest Investigative Site 664
Bangkok, 10400
Forest Investigative Site 663
Bangkok, 11000
Forest Investigative Site 662
Hat Yai, Changwat Songkhla, 90110
Forest Investigative Site 661
Muang, 40002
Spain3 sites
Forest Investigative Site 641
Cadiz, 11009
Forest Investigative Site 647
Loja, 18300
Forest Investigative Site 644
Salt, 17190
Colombia2 sites
Forest Investigative Site 442
Bogotá, 111111
Forest Investigative Site 443
Bogotá, 111711
Italy2 sites
Forest Investigative Site 461
Chieti, 66013
Forest Investigative Site 464
Roma, 00168
About this study
Official title: Study to Evaluate the Effect of Roflumilast 500 μg on Exacerbation Rate in Subjects With Chronic Obstructive Pulmonary Disease (COPD) Treated With a Fixed-Dose Combination of Long-Acting Beta Agonist and Inhaled Corticosteroid (LABA/ICS)
To demonstrate the additional benefit of roflumilast when added on to fixed-dose combination (FDC) LABA/ICS in the reduction of exacerbations in subjects with severe to very severe COPD.
- Conditions
- COPD, COPD Exacerbation, Lung Diseases, Respiratory Disorders, Pulmonary Disease, Chronic Obstructive Lung Diseases
- Being tested
- Roflumilast, Placebo
- Keywords
- COPD, Exacerbations, Roflumilast, Daliresp
- Medical subject headings
- Pulmonary Disease, Chronic Obstructive, Lung Diseases, Respiration Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RoflumilastDrug
Also called Daliresp
Roflumilast 500 µg, oral administration, once per day
PlaceboDrug
Dose-matched placebo, oral administration, once per day.
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | Roflumilast Receives: Drug: Roflumilast |
| 2 | Placebo comparator | Placebo Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Rate of Moderate or Severe COPD Exacerbations Per Patient Per Year.
Rate of moderate or severe COPD exacerbations, defined as requiring oral or parenteral glucocorticosteroids (moderate) or requiring hospitalization and/or leading to death (severe), during the double-blind treatment period.
Measured: Baseline to Week 52
Secondary outcomes (3)
Rate of COPD Exacerbations That Led to Hospitalization or Death (ie, Severe COPD Exacerbations)
Rate of moderate or severe COPD exacerbations, defined as requiring hospitalization and/or leading to death (severe), during the double-blind treatment period.
Measured: Week 0 (Visit 2) to Week 52
Rate of Moderate or Severe COPD Exacerbations or COPD Exacerbations Treated With Antibiotics
Rate of moderate or severe COPD exacerbations treated with antibiotics during the double-blind treatment period.
Measured: Week 0 (Visit 2) to Week 52
Mean Change in Predose Forced Expiratory Volume in 1 Second (FEV1)
Mean change from randomization (Visit 2) over 52 weeks of treatment in predose forced expiratory volume in 1 second (FEV1)
Measured: Week 0 (Visit 2) to Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Sep 2011 (estimated)
- Study start30 Sep 2011
- Primary completion30 Nov 2015
- Study completion31 Jan 2016
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 (3)Papers the sponsor has linked to this study.
- Other trials for COPDStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe 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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 2,354 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01443845
- Sponsor's protocol ID
- ROF-MD-07
- Status last verified
- Mar 2017
- First submitted
- 28 Sep 2011
- Last updated
- 13 Apr 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Martinez FJ, Rabe KF, Calverley PMA, Fabbri LM, Sethi S, Pizzichini E, McIvor A, Anzueto A, Alagappan VKT, Siddiqui S, Reisner C, Zetterstrand S, Roman J, Purkayastha D, Bagul N, Rennard SI. Determinants of Response to Roflumilast in Severe Chronic Obstructive Pulmonary Disease. Pooled Analysis of Two Randomized Trials. Am J Respir Crit Care Med. 2018 Nov 15;198(10):1268-1278. doi: 10.1164/rccm.201712-2493OC.
PubMed 29763572Karpefors M, Weatherall J. The Tendril Plot-a novel visual summary of the incidence, significance and temporal aspects of adverse events in clinical trials. J Am Med Inform Assoc. 2018 Aug 1;25(8):1069-1073. doi: 10.1093/jamia/ocy016.
PubMed 29579254Martinez FJ, Rabe KF, Sethi S, Pizzichini E, McIvor A, Anzueto A, Alagappan VK, Siddiqui S, Rekeda L, Miller CJ, Zetterstrand S, Reisner C, Rennard SI. Effect of Roflumilast and Inhaled Corticosteroid/Long-Acting beta2-Agonist on Chronic Obstructive Pulmonary Disease Exacerbations (RE(2)SPOND). A Randomized Clinical Trial. Am J Respir Crit Care Med. 2016 Sep 1;194(5):559-67. doi: 10.1164/rccm.201607-1349OC.
PubMed 27585384
Study at a glance
From the registry record, last updated by the sponsor on 13 Apr 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Study to Evaluate the Effect of Roflumilast 500 μg on Exacerbation Rate in Subjects With Chronic Obstructive Pulmonary Disease (COPD) Treated With a Fixed-Dose Combination of Long-Acting Beta Agonist and Inhaled Corticosteroid (LABA/ICS)
- ClinicalTrials.gov ID
- NCT01443845
- Acronym / sponsor ID
- ROF-MD-07
- Conditions
- COPD, COPD Exacerbation, Lung Diseases, Respiratory Disorders, Pulmonary Disease, Chronic Obstructive Lung Diseases
- Keywords
- COPD, Exacerbations, Roflumilast, Daliresp
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,354 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- 30 Sep 2011 (actual)
- Primary completion
- 30 Nov 2015 (actual)
- Study completion
- 31 Jan 2016 (actual)
- First posted
- 30 Sep 2011 (estimated)
- Results
- Posted 25 Jan 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To demonstrate the additional benefit of roflumilast when added on to fixed-dose combination (FDC) LABA/ICS in the reduction of exacerbations in subjects with severe to very severe COPD.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: RoflumilastRoflumilast |
| 2 | 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 (7 listed)
- 1. Male or female patients at least 40 years of age
- 2. History of COPD (according to Global Initiative for Chronic Obstructive Lung Disease [GOLD] 2010) for at least 12 months prior to Screening (Visit 1) associated with chronic productive cough for 3 months in each of 2 consecutive years (with other causes of productive cough excluded). Only patients with chronic bronchitis will be included (concomitant emphysema is permitted)
- 3. Forced expiratory volume after 1 second (FEV1)/forced vital capacity (FVC) ratio (postbronchodilator) < 70% at Screening (Visit 1)
- 4. FEV1 (postbronchodilator) ≤ 50% of predicted at Screening (Visit 1)
- 5. At least two documented moderate or severe COPD exacerbations within 12 months prior to Screening (Visit 1)
Key exclusion criteria (5 listed)
- 1. Moderate or severe COPD exacerbation and/or COPD exacerbations treated with antibiotics or systemic glucocorticosteroids within 4 weeks of Screening (Visit 1) (ie, patients must be clinically stable)
- 2. Known alpha-1-antitrypsin deficiency
- 3. Current diagnosis of asthma (either controlled or uncontrolled) (Note: History of childhood asthma is not exclusionary.)
- 4. Body mass index (BMI) ≥ 45 kg/m2
- 5. Patients with a history (within 5 years) or current diagnosis of cancer other than basal or squamous cell skin cancer
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 |
|---|---|---|
| RoflumilastAlso: DalirespRoflumilast 500 µg, oral administration, once per day | Drug | 1 |
| PlaceboDose-matched placebo, oral administration, once per day. | Drug | 2 |
Primary outcome
Rate of Moderate or Severe COPD Exacerbations Per Patient Per Year.
Time frame: Baseline to Week 52
Rate of moderate or severe COPD exacerbations, defined as requiring oral or parenteral glucocorticosteroids (moderate) or requiring hospitalization and/or leading to death (severe), during the double-blind treatment period.
3 secondary outcomes
Rate of COPD Exacerbations That Led to Hospitalization or Death (ie, Severe COPD Exacerbations)
Time frame: Week 0 (Visit 2) to Week 52
Rate of Moderate or Severe COPD Exacerbations or COPD Exacerbations Treated With Antibiotics
Time frame: Week 0 (Visit 2) to Week 52
Mean Change in Predose Forced Expiratory Volume in 1 Second (FEV1)
Time frame: Week 0 (Visit 2) to Week 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Apr 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 29763572Martinez FJ, Rabe KF, Calverley PMA, Fabbri LM, Sethi S, Pizzichini E, McIvor A, Anzueto A, Alagappan VKT, Siddiqui S, Reisner C, Zetterstrand S, Roman J, Purkayastha D, Bagul N, Rennard SI. Determinants of Response to Roflumilast in Severe Chronic Obstructive Pulmonary Disease. Pooled Analysis of Two Randomized Trials. Am J Respir Crit Care Med. 2018 Nov 15;198(10):1268-1278. doi: 10.1164/rccm.201712-2493OC.
- Derived from this study: PubMed 29579254Karpefors M, Weatherall J. The Tendril Plot-a novel visual summary of the incidence, significance and temporal aspects of adverse events in clinical trials. J Am Med Inform Assoc. 2018 Aug 1;25(8):1069-1073. doi: 10.1093/jamia/ocy016.
- Derived from this study: PubMed 27585384Martinez FJ, Rabe KF, Sethi S, Pizzichini E, McIvor A, Anzueto A, Alagappan VK, Siddiqui S, Rekeda L, Miller CJ, Zetterstrand S, Reisner C, Rennard SI. Effect of Roflumilast and Inhaled Corticosteroid/Long-Acting beta2-Agonist on Chronic Obstructive Pulmonary Disease Exacerbations (RE(2)SPOND). A Randomized Clinical Trial. Am J Respir Crit Care Med. 2016 Sep 1;194(5):559-67. doi: 10.1164/rccm.201607-1349OC.
- RESPOND Protocol\_RedactedLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
338 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Roflumilast in people with COPD and COPD Exacerbation, run by AstraZeneca at 338 sites in 17 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 7 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 13 Apr 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 338 sites in United States, Ukraine, Argentina, Russia, Philippines and 12 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 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 25 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?
Rate of Moderate or Severe COPD Exacerbations Per Patient Per Year. (time frame: Baseline to Week 52). 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 NCT01443845, which also lists 3 linked publications.
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 13 Apr 2017.