Chronic Obstructive Pulmonary Disease (COPD)Phase 3NCT01462942
Long-term Efficacy and Safety of Aclidinium Bromide/Formoterol Fumarate Fixed-Dose Combination
A Phase 3 study testing Aclidinium Bromide/Formoterol Fumarate, Aclidinium Bromide and Formoterol Fumarate in people with Chronic Obstructive Pulmonary Disease (COPD), run by AstraZeneca at 197 sites in 22 countries.
Trial summary
The objective is to provide data supporting the use of LAS40464 as an efficacious and safe maintenance bronchodilator treatment of patients with Chronic Obstructive Pulmonary Disease (COPD). Read more about this study
- Who is it for?
- Ages 40 years and older
- Conditions the study is for
- Chronic Obstructive Pulmonary Disease (COPD)
- What is being tested?
- Aclidinium Bromide/Formoterol Fumarate, Aclidinium Bromide and Formoterol Fumarate
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 2,443 participants
- Where
- 197 sitesin 22 countries
- Study dates
- Oct 2011to Jan 2013
- 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
- Adult male or non-pregnant, non-lactating female aged ≥40. Women of childbearing potential are allowed to enter the trial if they show to have a negative serum pregnancy test at the Screening Visit and are using, during the last two months before the Screening Visit, at least one medically approved and highly effective method of birth control defined as those which result in a low failure rate (i.e less than 1% per year) when used consistently and correctly such as implants, injectables, oral contraceptives combined with at least one barrier method, hormonal Intrauterine Devices (IUDs), sexual abstinence or vasectomy of the partner.
- Current or ex-cigarette smoker, with a smoking history of at least 10 pack-years.
- Patient with a clinical diagnosis of stable COPD according to the Global Initiative for Chronic Lung Disease "GOLD" Guidelines at the Screening Visit.
- Patient whose FEV1/FVC (Forced Vital Capacity) at the Screening Visit measured between 10-15 minutes post inhalation of 400 micrograms of salbutamol is < 70% (i.e., 100 x Post-salbutamol FEV1 /FVC < 70%).
- Patient with a diagnosis of moderate to severe COPD according to the GOLD Guidelines classification (stages II and III) at the Screening Visit: FEV1 measured between 10-15 minutes post inhalation of 400 micro grams of salbutamol is 30% < FEV1 < 80% of the predicted normal value (i.e., 100 x Post-salbutamol FEV1/ Predicted FEV1 must be < 80% and ≥ 30%).
- Patient must be able to perform repeatable pulmonary function testing for FEV1 according to American Thoracic Society/European Respiratory Society "ATS/ERS" 2005 criteria at Screening Visit.
- Patient who is eligible and able to participate in the trial and who consent to do so in writing after the purpose and nature of the investigation have been explained.
Who cannot join
- History or current diagnosis of asthma.
- Any respiratory tract infection (including the upper respiratory tract) or COPD exacerbation in the 6 weeks before Screening Visit.
- Patient hospitalised for COPD exacerbation within 3 months prior to Screening Visit.
- Clinically significant respiratory conditions defined as:
- Known active tuberculosis.
- History of interstitial lung or massive pulmonary thromboembolic disease.
Show all 38Show fewer
- Pulmonary resection or lung volume reduction surgery within 12 months prior to Screening Visit.
- History of lung transplantation.
- History of bronchiectasis secondary to respiratory diseases others than COPD (e.g., cystic fibrosis, Kartagener's syndrome, etc).
- Known a1-antitrypsin deficiency.
- Patients who in the Investigator's opinion might have needed to start a pulmonary rehabilitation program during the study and/or patients who started/finished it within 3 months prior to screening.
- Use of long-term oxygen therapy (≥ 15 hours/day).
- Patients who did not maintain regular day/night, waking/sleeping cycles including night shift workers (eg, history of sleep apnoea syndrome, any condition related to sleep disturbances such as restless-legs syndrome or somnambulism).
- Clinically significant cardiovascular conditions defined as:
- Myocardial infarction within the 6 months prior to screening.
- Thoracic surgery within 12 months prior to screening.
- Unstable angina or unstable arrhythmia which had required changes in the pharmacological therapy or other intervention within 12 months prior to screening, or newly diagnosed arrhythmia within the previous 3 months prior to screening.
- Hospitalisation within 12 months prior to screening for heart failure functional classes III (marked limitation of activity and only comfortable at rest) and IV (need of complete rest, confinement to bed or chair, discomfort at any physical activity and presence of symptoms at rest) as per the New York Heart Association.
- Patients (with or without pharmacological therapy) with resting systolic blood pressure (SBP)
- ≥200 mmHg, a resting diastolic blood pressure (DBP) ≥120 mmHg, or a resting heart rate ≥105 beats per minute (bpm) at screening and at Visit 1 prior to randomisation.
- Patients with interval corrected for heart rate "QTc" [calculated according to formulae (QTc=QT/RR1/2) > 470 msec as indicated in the centralised reading report assessed at Screening Visit.
- Patients with clinically relevant abnormalities in the clinical laboratory tests, ECG parameters (other than QT interval corrected using Bazett's formula [QTcB]) or in the physical examination at screening, if the abnormality defined a disease state listed as exclusion criteria, except for those related to COPD.
- Patients with a history of hypersensitivity reactions to inhaled anticholinergics, sympathomimetic amines, or inhaled medication or any component thereof (including report of paradoxical bronchospasm). Patients with known narrow-angle glaucoma, symptomatic bladder neck obstruction or acute urinary retention.
- Patients with symptomatic non-stable prostate hypertrophy. (However, patients with well-controlled, stable, asymptomatic benign prostatic hypertrophy were not excluded).
- Patients with known uncontrolled history of infection with human immunodeficiency virus and/or active hepatitis.
- Current diagnosis of cancer other than basal or squamous cell skin cancer.
- Life expectancy of less than 1 year.
- Patients with any other serious or uncontrolled physical or mental dysfunction that, as judged by the Investigator, could have placed the patient at higher risk from his/her participation in the study, could have confounded the results of the study, or is likely to prevent the patient from complying with the requirements of the study, or completing the study.
- Patients with a history (within 2 years prior to screening) of drug and/or alcohol abuse that might have prevented study compliance based on the Investigator judgment.
- Patients unlikely to be cooperative (eg, take the medication, complete the Patient Diaries or attend the clinic at the required times).
- Patients unable to properly use a DPI or pMDI inhaler device or to perform spirometry measurements.
- Patients previously randomised in a study involving aclidinium bromide/formoterol FDC.
- Patients previously randomised in a study involving aclidinium bromide monotherapy except when participation finished at least 6 months before screening.
- Patients treated with any investigational drug within 30 days (or 6 half-lives, whichever is longer) prior to screening.
- Patients who intended to use any concomitant medication not permitted by this protocol or who had not undergone the required washout period for a particular prohibited medication.
- Patients unable to give consent, or patients of consenting age but under guardianship, or vulnerable patients.
- Patients employed, or relatives of employees at the study centre, Almirall or Forest Laboratories.
- Any other conditions that, in the Investigator's opinion, might have indicated the patient to be unsuitable for the study.
Trial locations and contacts
197 sites in 22 countries.
197 sites in 22 countries
Germany28 sites
Almirall Investigational Site #2
Berlin, 10117
Almirall Investigational Site #12
Berlin, 10629
Almirall Investigational Site #19
Berlin, 12627
Almirall Investigational Site #11
Berlin, 13125
Almirall Investigational Site #24
Berlin, 14059
Almirall Investigational Site #16
Bochum, 44787
Almirall Investigational Site #23
Bonn, 53123
Almirall Investigational Site #15
Dresden, 1067
Almirall Investigational Site #10
Dresden, 1307
Almirall Investigational Site #5
Frankfurt, 60389
Almirall Investigational Site #13
Frankfurt, 60596
Almirall Investigational Site #33
Haltern am See, 44263
Almirall Investigational Site #7
Hamburg, 20253
Almirall Investigational Site #21
Hamburg, 22143
Almirall Investigational Site #36
Hessen, 60596
Almirall Investigational Site #32
Land Niedersachsen, 30159
Almirall Investigational Site #1
Lübeck, 23538
Almirall Investigational Site #6
Mainz, 55131
Almirall Investigational Site #20
Marburg, 35037
Almirall Investigational Site #34
München, 80539
Almirall Investigational Site #18
Nuremberg, 90402
Almirall Investigational Site #22
Reinfeld, 23858
Almirall Investigational Site #35
Sachsen, 1067
Almirall Investigational Site #27
Sachsen, 2826
Almirall Investigational Site #28
Sachsen, 39104
Almirall Investigational Site #25
Sachsen, 4103
Almirall Investigational Site #8
Schwerin, 19055
Almirall Investigational Site #4
Witten, 58452
Poland21 sites
Almirall Investigational Site #26
Bialystok, 15-003
Almirall Investigational Site #3
Bialystok, 15-540
Almirall Investigational Site #19
Bielsko-Biala, 43-316
Almirall Investigational Site #23
Bydgoszcz, 85-079
Almirall Investigational Site #21
Gdynia, 81-384
Almirall Investigational Site #5
Katowice, 40-748
Almirall Investigational Site #22
Katowice, 40-751
Almirall Investigational Site #7
Krakow, 31-024
Almirall Investigational Site #9
Krakow, 31-159
Almirall Investigational Site #6
Lodz, 92-216
Almirall Investigational Site #1
Lodz, 93-319
Almirall Investigational Site #14
Lublin, 20-718
Almirall Investigational Site #8
Oława, 55-200
Almirall Investigational Site #2
Poznan, 60-214
Almirall Investigational Site #11
Poznan, 60-693
Almirall Investigational Site #4
Poznan, 60-823
Almirall Investigational Site #13
Torun, 87-100
Almirall Investigational Site #18
Torun, 87-100
Almirall Investigational Site #10
Warsaw, 01-138
Almirall Investigational Site #15
Warsaw, 01-138
Almirall Investigational Site #16
Warsaw, 01-868
United Kingdom16 sites
Almirall Investigational Site #6
Birmingham, B15 2SQ
Almirall Investigational Site #12
Bradford, BD9 6RJ
Almirall Investigational Site #10
Cambridge, CB2 2QQ
Almirall Investigational Site #13
Cardiff, CF14 5GJ
Almirall Investigational Site #5
Chorley, PR7 7NA
Almirall Investigational Site #2
Glasgow, G81 2DR
Almirall Investigational Site #11
Hull, HU16 5JQ
Almirall Investigational Site #14
Liverpool, L22 0LG
Almirall Investigational Site #1
London, E2 9JX
Almirall Investigational Site #4
Manchester, M15 6SX
Almirall Investigational Site #8
Manchester, M23 9QZ
Almirall Investigational Site #17
Metropolitan Borough of Wirral, CH49 5PE
Almirall Investigational Site #18
Newcastle upon Tyne, NE7 7DN
Almirall Investigational Site #7
Reading, RG2 7AG
Almirall Investigational Site #16
Stockton-on-Tees, TS19 8PE
Almirall Investigational Site #15
West Midlands, WV10 0QP
Hungary15 sites
Almirall Investigational Site #4
Balassagyarmat, 2660
Almirall Investigational Site #16
Budapest, 1033
Almirall Investigational Site #12
Budapest, 1036
Almirall Investigational Site #17
Budapest, 1036
Almirall Investigational Site #6
Budapest, 1125
Almirall Investigational Site #14
Budapest, 1221
Almirall Investigational Site #5
Budapest, 1529
Almirall Investigational Site #1
Deszk, 6772
Almirall Investigational Site #9
Komárom, 2900
Almirall Investigational Site #2
Miskolc, 3534
Almirall Investigational Site #15
Mosonmagyaróvár, 9200
Almirall Investigational Site #13
Nagykanizsa, 8800
Almirall Investigational Site #3
Nyíregyháza, 4400
Almirall Investigational Site #7
Törökbálint, 2045
Almirall Investigational Site #11
Zalaegerszeg, 8900
Ukraine14 sites
Almirall Investigational Site #18
Crimea Oblast, 98603
Almirall Investigational Site #12
Dnipropetrovsk, 49051
Almirall Investigational Site #9
Donetsk, 83099
Almirall Investigational Site #11
Ivano-Frankivsk, 76012
Almirall Investigational Site #1
Kharkiv, 61035
Almirall Investigational Site #17
Kharkiv, 61039
Almirall Investigational Site #15
Kyiv, 03680
Almirall Investigational Site #2
Kyiv, 3680
Almirall Investigational Site #3
Kyiv, 3680
Almirall Investigational Site #4
Kyiv, 3680
Almirall Investigational Site #5
Kyiv, 4050
Almirall Investigational Site #6
Luhansk, 91045
Almirall Investigational Site #8
Mykolaiv, 54003
Almirall Investigational Site #10
Vinnytsia, 21029
Czechia12 sites
Almirall Investigational Site #8
Brno, 65691
Almirall Investigational Site #3
Jindřichův Hradec, 377 01
Almirall Investigational Site #10
Karlovy Vary, 360 00
Almirall Investigational Site #9
Liberec, 460 63
Almirall Investigational Site #16
Ostrava Hrabuvka, 700 30
Almirall Investigational Site #2
Prague, 130 00
Almirall Investigational Site #12
Prague, 155 00
Almirall Investigational Site #15
Prague, 163 00
Almirall Investigational Site #14
Prague, 18200
Almirall Investigational Site #6
Praha 5 - Radotin, 153 00
Almirall Investigational Site #11
Strakonice, 386 01
Almirall Investigational Site #1
Tábor, 390 01
Romania12 sites
Almirall Investigational Site #1
Brasov, 500075
Almirall Investigational Site #9
Bucharest, 21382
Almirall Investigational Site #18
Bucharest, 21659
Almirall Investigational Site #7
Bucharest, 30303
Almirall Investigational Site #10
Bucharest, 50554
Almirall Investigational Site #17
Constanța, 900002
Almirall Investigational Site #2
Constanța, 900002
Almirall Investigational Site #3
Craiova, 200515
Almirall Investigational Site #8
Deva, 330084
Almirall Investigational Site #6
Iași, 700115
Almirall Investigational Site #16
Iași, 700381
Almirall Investigational Site #5
Târgu Mureş, RO540136
South Africa9 sites
Almirall Investigational Site #16
Cape Town, 7500
Almirall Investigational Site #2
Cape Town, 7500
Almirall Investigational Site #15
Cape Town, Western Cape, 7700
Almirall Investigational Site #1
eManzimtoti, 4126
Almirall Investigational Site #12
Pretoria, 2
Almirall Investigational Site #13
Pretoria, 2
Almirall Investigational Site #3
Pretoria, 84
Almirall Investigational Site #8
Roodepoort, 1724
Almirall Investigational Site #5
Somerset West, 7129
South Korea8 sites
Almirall Investigational Site #7
Buchon-si, 420-767
Almirall Investigational Site #4
Gyeonggi-do, 431-070
Almirall Investigational Site #8
Seoul, 110-744
Almirall Investigational Site #6
Seoul, 120-752
Almirall Investigational Site #3
Seoul, 136-705
Almirall Investigational Site #5
Seoul, 137-710
Almirall Investigational Site #2
Seoul, 152-703
Almirall Investigational Site #1
Seoul, 158-710
France7 sites
Almirall Investigational Site #6
Lille, 59037
Almirall Investigational Site #10
Marseille, 13291
Almirall Investigational Site #11
Montpellier, 34295
Almirall Investigational Site #1
Pessac, 33604
Almirall Investigational Site #3
Rennes, 35033
Almirall Investigational Site #8
Toulouse, 31059
Almirall Investigational Site #12
Vieux-Condé, 59690
Netherlands7 sites
Almirall Investigational Site #8
Beek, 6191 JW
Almirall Investigational Site #7
Breda, 4811 VL
Almirall Investigational Site #13
Eindhoven, 5632 EJ
Almirall Investigational Site #1
Leiderdorp, 2352 RA
Almirall Investigational Site #9
Rotterdam, 3021 HC
Almirall Investigational Site #11
Velp, 6883 ES
Almirall Investigational Site #10
Zoetermeer, 2724 EK
Slovakia7 sites
Almirall Investigational Site #6
Banská Bystrica, 975 17
Almirall Investigational Site #5
Bardejov, 8501
Almirall Investigational Site #3
Bratislava, 821 06
Almirall Investigational Site #1
Nové Zámky, 940 01
Almirall Investigational Site #4
Spišská Nová Ves, 5201
Almirall Investigational Site #9
Štúrovo, 943 01
Almirall Investigational Site #10
Vyšné Hágy, 059 84
Spain7 sites
Almirall Investigational Site #7
Barcelona, 8003
Almirall Investigational Site #12
Barcelona, 8916
Almirall Investigational Site #10
Cáceres, 10003
Almirall Investigational Site #3
Canet de Mar, 8360
Almirall Investigational Site #1
Málaga, 29010
Almirall Investigational Site #9
Oviedo, 33006
Almirall Investigational Site #8
Seville, 41071
Bulgaria5 sites
Almirall Investigational Site #6
Rousse, 7002
Almirall Investigational Site #10
Sevlievo, 5400
Almirall Investigational Site #8
Sofia, 1000
Almirall Investigational Site #2
Sofia, 1431
Almirall Investigational Site #11
Sofia, 1709
Finland5 sites
Almirall Investigational Site #7
Espoo, 2740
Almirall Investigational Site #8
Jyväskylä, 40100
Almirall Investigational Site #1
Tampere, 33520
Almirall Investigational Site #6
Tampere, 33520
Almirall Investigational Site #3
Turku, 20520
Russia5 sites
Almirall Investigational Site #2
Moscow, 109240
Almirall Investigational Site #1
Moscow, 119620
Almirall Investigational Site #9
Novosibirsk, 630089
Almirall Investigational Site #7
Saint Petersburg, 194044
Almirall Investigational Site #12
Saint Petersburg, 194354
Sweden5 sites
Almirall Investigational Site #2
Gothenburg, 41263
Almirall Investigational Site #1
Lund, 22185
Almirall Investigational Site #6
Lund, 22222
Almirall Investigational Site #3
Malmö, 21152
Almirall Investigational Site #4
Vällingby, 16268
Denmark4 sites
Almirall Investigational Site #4
Hillerød, 3400
Almirall Investigational Site #1
København NV, 2400
Almirall Investigational Site #5
Odense, 5000
Almirall Investigational Site #2
Silkeborg, 8600
Italy4 sites
Almirall Investigational Site #15
Genova, 16132
Almirall Investigational Site #3
Parma, 43100
Almirall Investigational Site #5
Pisa, 56124
Almirall Investigational Site #1
Siena, 53100
Austria2 sites
Almirall Investigational Site #2
Graz, 8036
Almirall Investigational Site #3
Salzburg, 5020
Belgium2 sites
Almirall Investigational Site #3
Edegem, 2650
Almirall Investigational Site #2
Genk, 3600
Croatia2 sites
Almirall Investigational Site #2
Zagreb, 10000
Almirall Investigational Site #4
Zagreb, 10000
About this study
Official title: Efficacy and Safety of Aclidinium Bromide/Formoterol Fumarate Fixed-dose Combinations Compared With Individual Components and Placebo When Administered to Patients With Stable Chronic Obstructive Pulmonary Disease.
The objective is to provide data supporting the use of LAS40464 as an efficacious and safe maintenance bronchodilator treatment of patients with Chronic Obstructive Pulmonary Disease (COPD).
Read the detailed description
This Phase III study seeks to confirm the long-term bronchodilator efficacy and effects on COPD related health status and other secondary parameters as well as the safety of two doses of the combination of aclidinium bromide/formoterol FDC (FDC 400/12 μg and 400/6 μg) compared with aclidinium bromide monotherapy 400 μg, formoterol monotherapy 12 μg and placebo.
- Being tested
- Aclidinium Bromide/Formoterol Fumarate, Aclidinium Bromide, Placebo, Formoterol Fumarate
- Keywords
- COPD, Bronchitis, Chronic, Emphysema
- Medical subject headings
- Pulmonary Disease, Chronic Obstructive, Bronchitis, Bronchiolitis Obliterans Syndrome, Emphysema
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Aclidinium Bromide/Formoterol FumarateDrug
Inhaled Aclidinium/formoterol Fixed Dose Combination (FDC) low dose (400/6 μg), twice per day
Aclidinium Bromide/Formoterol FumarateDrug
Inhaled Aclidinium/formoterol FDC high dose (400/12 μg), twice per day
Aclidinium BromideDrug
Inhaled Aclidinium 400 μg, twice per day
PlaceboDrug
Inhaled dose-matched placebo, twice per day
Formoterol FumarateDrug
Inhaled Formoterol 12 μg, twice per day
| Study group | Role | What they receive |
|---|---|---|
| Aclidinium/Formoterol 400/6 μg | Experimental | 24 week, double blind treatment period Receives: Drug: Aclidinium Bromide/Formoterol Fumarate |
| Aclidinium/Formoterol 400/12 μg | Experimental | 24 week, double blind treatment period Receives: Drug: Aclidinium Bromide/Formoterol Fumarate |
| Aclidinium monotherapy 400 μg | Experimental | 24 week, double blind treatment period Receives: Drug: Aclidinium Bromide |
| Formoterol monotherapy 12 μg | Active comparator | 24 week, double blind treatment period Receives: Drug: Formoterol Fumarate |
| Placebo | Placebo comparator | 24 week, double blind treatment period Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in 1-hour Morning Post-dose Forced Expiratory Volume in One Second (FEV1)
Measured: Baseline and Week 24
Change From Baseline in Morning Pre-dose (Trough) Forced Expiratory Volume in One Second (FEV1)
Measured: Baseline and Week 24
Secondary outcomes (2)
Change in Transition Dyspnoea Index (TDI) Focal Score
Evaluation of dyspnea was performed by an independent interviewer experienced in taking a respiratory history The TDI includes three categories: functional impairment which determines the impact of breathlessness on the ability to perform activities, magnitude of task which determines the type of task that caused breathlessness and magnitude of effort which establishes the level of effort needed to evoke breathlessness Each category ranges from minus three (-3; major deterioration) to plus three (+3; major improvement) including a zero (0) score to indicate 'no change' The three categories are totalled to obtain a focal score (total score) ranging from minus nine (-9), including zero (0), to plus nine (+9) Provision is made for circumstances when dyspnoea could not be rated - if reduction of activities, effort or functional impairment was caused by reasons other than respiratory A change of 1 unit in TDI is used as the criterion for a minimal meaningful improvement
Measured: Baseline and Week 24
Change From Baseline in St. George´s Respiratory Questionnaire (SGRQ) Total Score
SGRQ is a standardised, self-administered tool for measuring impaired health and perceived well-being in respiratory diseases; a validated electronic version of the questionnaire in the relevant validated languages was used in this study The questionnaire contains 50 items divided into three dimensions (Symptoms, Activity and Impact) Each of the three dimensions of the questionnaire is scored separately in the range from 0 to 100: zero (0) score indicating no impairment of quality of life The total SGRQ score ranging from 0 to 100 is a summary score utilising responses to all items calculated using weights attached to each item of the questionnaire Higher scores indicate poorer health and change of 4 units in the SGRQ has been determined to be the threshold for a clinically relevant change in health status
Measured: Baseline and Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Nov 2011 (estimated)
- Study startOct 2011
- Primary completionJan 2013
- Study completionJan 2013
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 (4)Papers the sponsor has linked to this study.
- Other trials for Chronic Obstructive Pulmonary Disease (COPD)Studies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 2,443 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Esther Garcia, Ph.D., Study director, AstraZeneca
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01462942
- Sponsor's protocol ID
- M/40464/30
- Status last verified
- Dec 2016
- First submitted
- 26 Oct 2011
- Last updated
- 15 Feb 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Singh D, D'Urzo AD, Donohue JF, Kerwin EM, Molins E, Chuecos F, Ribera A, Jarreta D. An Evaluation Of Single And Dual Long-Acting Bronchodilator Therapy As Effective Interventions In Maintenance Therapy-Naive Patients With COPD. Int J Chron Obstruct Pulmon Dis. 2019 Dec 6;14:2835-2848. doi: 10.2147/COPD.S217710. eCollection 2019.
PubMed 31827323Singh D, D'Urzo AD, Chuecos F, Munoz A, Garcia Gil E. Reduction in clinically important deterioration in chronic obstructive pulmonary disease with aclidinium/formoterol. Respir Res. 2017 May 30;18(1):106. doi: 10.1186/s12931-017-0583-0.
PubMed 28558833Bateman ED, Chapman KR, Singh D, D'Urzo AD, Molins E, Leselbaum A, Gil EG. Aclidinium bromide and formoterol fumarate as a fixed-dose combination in COPD: pooled analysis of symptoms and exacerbations from two six-month, multicentre, randomised studies (ACLIFORM and AUGMENT). Respir Res. 2015 Aug 2;16(1):92. doi: 10.1186/s12931-015-0250-2.
PubMed 26233481Singh D, Jones PW, Bateman ED, Korn S, Serra C, Molins E, Caracta C, Gil EG, Leselbaum A. Efficacy and safety of aclidinium bromide/formoterol fumarate fixed-dose combinations compared with individual components and placebo in patients with COPD (ACLIFORM-COPD): a multicentre, randomised study. BMC Pulm Med. 2014 Nov 18;14:178. doi: 10.1186/1471-2466-14-178.
PubMed 25404569
Study at a glance
From the registry record, last updated by the sponsor on 15 Feb 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy and Safety of Aclidinium Bromide/Formoterol Fumarate Fixed-dose Combinations Compared With Individual Components and Placebo When Administered to Patients With Stable Chronic Obstructive Pulmonary Disease.
- ClinicalTrials.gov ID
- NCT01462942
- Acronym / sponsor ID
- M/40464/30
- Keywords
- COPD, Bronchitis, Chronic, Emphysema
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,443 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- Oct 2011
- Primary completion
- Jan 2013 (actual)
- Study completion
- Jan 2013 (actual)
- First posted
- 1 Nov 2011 (estimated)
- Results
- Posted 15 Feb 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective is to provide data supporting the use of LAS40464 as an efficacious and safe maintenance bronchodilator treatment of patients with Chronic Obstructive Pulmonary Disease (COPD).
Detailed description
This Phase III study seeks to confirm the long-term bronchodilator efficacy and effects on COPD related health status and other secondary parameters as well as the safety of two doses of the combination of aclidinium bromide/formoterol FDC (FDC 400/12 μg and 400/6 μg) compared with aclidinium bromide monotherapy 400 μg, formoterol monotherapy 12 μg and placebo.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Aclidinium/Formoterol 400/6 μg | Experimental | Drug: Aclidinium Bromide/Formoterol Fumarate24 week, double blind treatment period |
| Aclidinium/Formoterol 400/12 μg | Experimental | Drug: Aclidinium Bromide/Formoterol Fumarate24 week, double blind treatment period |
| Aclidinium monotherapy 400 μg | Experimental | Drug: Aclidinium Bromide24 week, double blind treatment period |
| Formoterol monotherapy 12 μg | Active comparator | Drug: Formoterol Fumarate24 week, double blind treatment period |
| Placebo | Placebo comparator | Drug: Placebo24 week, double blind treatment period |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Adult male or non-pregnant, non-lactating female aged ≥40. Women of childbearing potential are allowed to enter the trial if they show to have a negative serum pregnancy test at the Screening Visit and are using, during the last two months before the Screening Visit, at least one medically approved and highly effective method of birth control defined as those which result in a low failure rate (i.e less than 1% per year) when used consistently and correctly such as implants, injectables, oral contraceptives combined with at least one barrier method, hormonal Intrauterine Devices (IUDs), sexual abstinence or vasectomy of the partner.
- Current or ex-cigarette smoker, with a smoking history of at least 10 pack-years.
- Patient with a clinical diagnosis of stable COPD according to the Global Initiative for Chronic Lung Disease "GOLD" Guidelines at the Screening Visit.
- Patient whose FEV1/FVC (Forced Vital Capacity) at the Screening Visit measured between 10-15 minutes post inhalation of 400 micrograms of salbutamol is < 70% (i.e., 100 x Post-salbutamol FEV1 /FVC < 70%).
- Patient with a diagnosis of moderate to severe COPD according to the GOLD Guidelines classification (stages II and III) at the Screening Visit: FEV1 measured between 10-15 minutes post inhalation of 400 micro grams of salbutamol is 30% < FEV1 < 80% of the predicted normal value (i.e., 100 x Post-salbutamol FEV1/ Predicted FEV1 must be < 80% and ≥ 30%).
Key exclusion criteria (38 listed)
- History or current diagnosis of asthma.
- Any respiratory tract infection (including the upper respiratory tract) or COPD exacerbation in the 6 weeks before Screening Visit.
- Patient hospitalised for COPD exacerbation within 3 months prior to Screening Visit.
- Clinically significant respiratory conditions defined as:
- Patients who in the Investigator's opinion might have needed to start a pulmonary rehabilitation program during the study and/or patients who started/finished it within 3 months prior to screening.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Aclidinium Bromide/Formoterol FumarateInhaled Aclidinium/formoterol Fixed Dose Combination (FDC) low dose (400/6 μg), twice per day | Drug | Aclidinium/Formoterol 400/6 μg |
| Aclidinium Bromide/Formoterol FumarateInhaled Aclidinium/formoterol FDC high dose (400/12 μg), twice per day | Drug | Aclidinium/Formoterol 400/12 μg |
| Aclidinium BromideInhaled Aclidinium 400 μg, twice per day | Drug | Aclidinium monotherapy 400 μg |
| PlaceboInhaled dose-matched placebo, twice per day | Drug | Placebo |
| Formoterol FumarateInhaled Formoterol 12 μg, twice per day | Drug | Formoterol monotherapy 12 μg |
Primary outcome
Change From Baseline in 1-hour Morning Post-dose Forced Expiratory Volume in One Second (FEV1)
Time frame: Baseline and Week 24
Change From Baseline in Morning Pre-dose (Trough) Forced Expiratory Volume in One Second (FEV1)
Time frame: Baseline and Week 24
2 secondary outcomes
Change in Transition Dyspnoea Index (TDI) Focal Score
Time frame: Baseline and Week 24
Change From Baseline in St. George´s Respiratory Questionnaire (SGRQ) Total Score
Time frame: Baseline and Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Feb 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 31827323Singh D, D'Urzo AD, Donohue JF, Kerwin EM, Molins E, Chuecos F, Ribera A, Jarreta D. An Evaluation Of Single And Dual Long-Acting Bronchodilator Therapy As Effective Interventions In Maintenance Therapy-Naive Patients With COPD. Int J Chron Obstruct Pulmon Dis. 2019 Dec 6;14:2835-2848. doi: 10.2147/COPD.S217710. eCollection 2019.
- Derived from this study: PubMed 28558833Singh D, D'Urzo AD, Chuecos F, Munoz A, Garcia Gil E. Reduction in clinically important deterioration in chronic obstructive pulmonary disease with aclidinium/formoterol. Respir Res. 2017 May 30;18(1):106. doi: 10.1186/s12931-017-0583-0.
- Derived from this study: PubMed 26233481Bateman ED, Chapman KR, Singh D, D'Urzo AD, Molins E, Leselbaum A, Gil EG. Aclidinium bromide and formoterol fumarate as a fixed-dose combination in COPD: pooled analysis of symptoms and exacerbations from two six-month, multicentre, randomised studies (ACLIFORM and AUGMENT). Respir Res. 2015 Aug 2;16(1):92. doi: 10.1186/s12931-015-0250-2.
- Derived from this study: PubMed 25404569Singh D, Jones PW, Bateman ED, Korn S, Serra C, Molins E, Caracta C, Gil EG, Leselbaum A. Efficacy and safety of aclidinium bromide/formoterol fumarate fixed-dose combinations compared with individual components and placebo in patients with COPD (ACLIFORM-COPD): a multicentre, randomised study. BMC Pulm Med. 2014 Nov 18;14:178. doi: 10.1186/1471-2466-14-178.
- CSRsynopsisLink 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.
Esther Garcia, Ph.D. study director
AstraZeneca
197 sites in 22 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Aclidinium Bromide/Formoterol Fumarate, Aclidinium Bromide and Formoterol Fumarate in people with Chronic Obstructive Pulmonary Disease (COPD), run by AstraZeneca at 197 sites in 22 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 38 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 15 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 197 sites in Germany, Poland, United Kingdom, Hungary, Ukraine and 17 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 15 Feb 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 1-hour Morning Post-dose Forced Expiratory Volume in One Second (FEV1) (time frame: Baseline and Week 24). The study lists 2 primary outcomes in all. 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 NCT01462942, which also lists 4 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 15 Feb 2017.