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Chronic Obstructive Pulmonary DiseasePhase 4INSTEADNCT01555138

Comparison of Indacaterol 150 mcg Once Daily (o.d.) With Salmeterol/Fluticasone Propionate 50 mcg/500 mcg Twice Daily (b.i.d.)

A Phase 4 study testing Indacaterol and Salmeterol in people with Chronic Obstructive Pulmonary Disease, run by Novartis Pharmaceuticals at 94 sites in 9 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to compare the effectiveness and safety of indacaterol with salmeterol /fluticasone propionate treatment in patients with moderate chronic obstructive pulmonary disease who, on entry to the study are being treated with salmeterol /fluticasone propionate. Read more about this study

Who is it for?
Ages 40 years and older
Conditions the study is for
Chronic Obstructive Pulmonary Disease
What is being tested?
Indacaterol and Salmeterol
Could I receive a placebo?
No, everyone receives an active treatment
How many people
581 participants
Where
94 sitesin 9 countries
Study dates
Feb 2012to Feb 2014
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

  • Patients with moderate COPD (Stage II)
  • Able to perform spirometry assessments
  • Current or ex-smokers
  • On treatment with the fixed-dose combination of salmeterol 50 µg/fluticasone propionate 500 µg MDDPI b.i.d. for the treatment of COPD for ≥ 3 months directly preceding Visit 1.

Who cannot join

  • Having had a COPD exacerbation that required treatment with antibiotics and/or oral corticosteroids and/or hospitalization in the past year.
  • Having a history of, or current ECG abnormality
  • Asthma
  • Other protocol-defined inclusion/exclusion criteria may apply.

Trial locations and contacts

94 sites in 9 countries.

94 sites in 9 countries

Argentina32 sites
  • Novartis Investigative Site

    Buenos Aires, Buenos Aires, 1425

  • Novartis Investigative Site

    Buenos Aires, Buenos Aires, B6500EZL

  • Novartis Investigative Site

    Buenos Aires, Buenos Aires, C1120AAC

  • Novartis Investigative Site

    Buenos Aires, Buenos Aires, C1125ABE

  • Novartis Investigative Site

    Buenos Aires, C1440BRR

  • Novartis Investigative Site

    C A B A, Buenos Aires

  • Novartis Investigative Site

    Caba, Argentina, C1119ACN

  • Novartis Investigative Site

    Caba, Buenos Aires, 1028

  • Novartis Investigative Site

    Caba, Buenos Aires, 1122

  • Novartis Investigative Site

    Caba, Buenos Aires, 1209

  • Novartis Investigative Site

    Caba, Buenos Aires, 1425

  • Novartis Investigative Site

    Caba, Buenos Aires, B8000XAV

  • Novartis Investigative Site

    Caba, Buenos Aires, C1056ABJ

  • Novartis Investigative Site

    Caba, Buenos Aires, C1122AAK

  • Novartis Investigative Site

    Caba, Buenos Aires, C1280AEB

  • Novartis Investigative Site

    Caba, Buenos Aires, C1414AIF

  • Novartis Investigative Site

    Caba, Buenos Aires, C1425DQI

  • Novartis Investigative Site

    Concepción del Uruguay, Entre Ríos Province, 3260

  • Novartis Investigative Site

    Córdoba, Córdoba Province, X5016KEH

  • Novartis Investigative Site

    La Plata, Buenos Aires, 1900

  • Novartis Investigative Site

    Mar del Plata, Buenos Aires, 7600

  • Novartis Investigative Site

    Mar del Plata, Buenos Aires, B7600DHK

  • Novartis Investigative Site

    Mendoza, Mendoza Province, 5500

  • Novartis Investigative Site

    Mendoza, Mendoza Province, M5500CBA

  • Novartis Investigative Site

    Quilmes, Buenos Aires, B1878FNR

  • Novartis Investigative Site

    Rosario, Santa Fe Province, S2000CXH

  • Novartis Investigative Site

    Salta, Salta Province, 4000

  • Novartis Investigative Site

    San Miguel de Tucumán, Tucumán Province, 4000

  • Novartis Investigative Site

    San Miguel de Tucumán, Tucumán Province, T4000IFL

  • Novartis Investigative Site

    Santa Fe, Rosario, S2000DBS

  • Novartis Investigative Site

    Santa Fe, Santa Fe Province, S3000FIL

  • Novartis Investigative Site

    Villa María, Córdoba Province, X5900JKA

Other trials in Argentina

Italy25 sites
  • Novartis Investigative Site

    Acquaviva delle Fonti, BA, 70021

  • Novartis Investigative Site

    Bologna, BO, 40138

  • Novartis Investigative Site

    Caserta, CE, 81100

  • Novartis Investigative Site

    Cassano delle Murge, BA, 70020

  • Novartis Investigative Site

    Cassino, FR, 03043

  • Novartis Investigative Site

    Cittadella, PD, 35013

  • Novartis Investigative Site

    Cona, FE, 44100

  • Novartis Investigative Site

    Cuasso al Monte, VA, 21050

  • Novartis Investigative Site

    Foggia, FG, 71100

  • Novartis Investigative Site

    Forlì, FC, 47100

  • Novartis Investigative Site

    Genova, GE, 16132

  • Novartis Investigative Site

    Messina, ME, 98158

  • Novartis Investigative Site

    Milan, MI, 20123

  • Novartis Investigative Site

    Milan, MI, 20126

  • Novartis Investigative Site

    Milan, MI, 20142

  • Novartis Investigative Site

    Negrar, VR, 37024

  • Novartis Investigative Site

    Parma, PR, 43100

  • Novartis Investigative Site

    Pavia, PV, 27100

  • Novartis Investigative Site

    Pisa, PI, 56124

  • Novartis Investigative Site

    Pordenone, PN, 33170

  • Novartis Investigative Site

    Salerno, SA, 84131

  • Novartis Investigative Site

    Sesto San Giovanni, Mi, 20099

  • Novartis Investigative Site

    Tradate, VA, 21049

  • Novartis Investigative Site

    Treviglio, BG, 24047

  • Novartis Investigative Site

    Verona, VR, 37126

Other trials in Italy

Spain9 sites
  • Novartis Investigative Site

    Barcelona, Catalonia, 08024

  • Novartis Investigative Site

    Canet de Mar, Catalonia, 08360

  • Novartis Investigative Site

    Corbera de Llobregat, Catalonia, 08757

  • Novartis Investigative Site

    Lleida, Catalonia, 25198

  • Novartis Investigative Site

    Loja, Andalusia, 18300

  • Novartis Investigative Site

    Madrid, Madrid, 28029

  • Novartis Investigative Site

    Pozuelo de Alarcón, Madrid, 28223

  • Novartis Investigative Site

    Sanlúcar de Barrameda, Andalusia, 11540

  • Novartis Investigative Site

    Valladolid, Castille and León, 47011

Other trials in Spain

United Kingdom9 sites
  • Novartis Investigative Site

    Bradford, BD9 6RJ

  • Novartis Investigative Site

    Chester, CH2 1UL

  • Novartis Investigative Site

    Dundee, Perthshire, DD1 2BU

  • Novartis Investigative Site

    East Yorkshire, HU16 5JQ

  • Novartis Investigative Site

    Hants, Southampton, SO9 5NY

  • Novartis Investigative Site

    Kettering, NN16 8UZ

  • Novartis Investigative Site

    Lancaster, LA1 4RP

  • Novartis Investigative Site

    Newcastle upon Tyne, Newcastle-upon-Tyne, NE7 7DN

  • Novartis Investigative Site

    Surrey, KT16 0PZ

Other trials in United Kingdom

Mexico6 sites
  • Novartis Investigative Site

    Guadalajara, Jalisco, 44100

  • Novartis Investigative Site

    Mexico City, Mexico City, 11950

  • Novartis Investigative Site

    Mexico City, Mexico City, 14050

  • Novartis Investigative Site

    Monterrey, Nuevo León, 64718

  • Novartis Investigative Site

    Querétaro City, Querétaro, 76000

  • Novartis Investigative Site

    San Luis Potosí City, San Luis Potosí, 78200

Other trials in Mexico

Switzerland4 sites
  • Novartis Investigative Site

    Basel, 4031

  • Novartis Investigative Site

    Biel, 2500

  • Novartis Investigative Site

    Gossau, 9200

  • Novartis Investigative Site

    Muenchenstein, Switzerland, 4241

Other trials in Switzerland

Colombia3 sites
  • Novartis Investigative Site

    Barranquilla

  • Novartis Investigative Site

    Bogota, Cundinamarca

  • Novartis Investigative Site

    Bogotá

Other trials in Colombia

Malaysia3 sites
  • Novartis Investigative Site

    Kuching, Sarawak, 93586

  • Novartis Investigative Site

    Pulau Pinang, 10990

  • Novartis Investigative Site

    Wilayah Persekutuan, Kuala Lumpur, 50590

Other trials in Malaysia

Netherlands3 sites
  • Novartis Investigative Site

    Breda, Netherlands, 4819 EV

  • Novartis Investigative Site

    Helmond, Netherlands, 5707 HA

  • Novartis Investigative Site

    Rotterdam, 3045 PM

Other trials in Netherlands

About this study

Official title: A Randomized, Double-blind, Parallel-group, 26-week Study Comparing the Efficacy and Safety of Indacaterol (Onbrez® Breezhaler® 150 mcg o.d.) With Salmeterol/Fluticasone Propionate (Seretide® Accuhaler® 50 mcg/500 mcg b.i.d.) in Patients With Moderate Chronic Obstructive Pulmonary Disease

The purpose of this study is to compare the effectiveness and safety of indacaterol with salmeterol /fluticasone propionate treatment in patients with moderate chronic obstructive pulmonary disease who, on entry to the study are being treated with salmeterol /fluticasone propionate.

Being tested
Indacaterol, Salmeterol
Keywords
Chronic Obstructive Pulmonary Disease, Indacaterol, Salmeterol/fluticasone propionate
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.

  • IndacaterolDrug

    Indacaterol is delivered via a SDDPI.

  • SalmeterolDrug

    Salmeterol/fluticasone is delivered via a MDDPI

Study groups in NCT01555138
Study groupRoleWhat they receive
IndacaterolExperimentalIndacaterol 150 mcg once daily (o.d.) delivered via the Novartis single dose dry power inhaler (SDDPI) (Onbrez® Breezhaler®)
Receives: Drug: Indacaterol
Salmeterol/fluticasone propionateActive comparatorSalmeterol 50 mcg /fluticasone propionate 500 mcg for inhalation delivered via a proprietary multi dose dry powder inhaler (MDDPI) device (Seretide® Accuhaler®) twice daily (b.i.d.)
Receives: Drug: Salmeterol

What is being measured

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

  1. Trough Forced Expiratory Volume in One Second (FEV1) at 12 Weeks (Imputed With LOCF): Treatment Comparisons

    Spirometry conducted to internationally accepted standards. Trough FEV1 defined as the mean of the FEV1 measurements at 23 h 10 min and 23 h 45 min post the Day 84 morning dose. The primary variable (imputed with last observation carried forward) will be analysed using a mixed model for the Per Protocol Set (PPS). The model will contain treatment as a fixed effect with the baseline FEV1 measurement, FEV1 prior to inhalation and FEV1 10-15 min post inhalation of salbutamol (components of reversibility at Visit 1) as covariates.

    Measured: 12 weeks

Secondary outcomes (10)
  1. Trough FEV1 (L) at Week 26 (Imputed With LOCF): Treatment Comparisons

    Trough FEV1 is defined as the average of the 23 h 10 min and the 23 h 45 min values taken in the clinic at Visit 11.

    Measured: 26 weeks

  2. FEV1 (L) at Individual Time Points After 12 Weeks Treatment: Treatment Comparisons

    FEV1 at each time point, for each visit, will be analyzed using the same mixed model as specified for the primary analysis. Least squares means will be displayed by treatment group.

    Measured: 12 weeks

  3. FEV1 (L) at Individual Time Points After 26 Weeks Treatment: Treatment Comparisons

    FEV1 at each time point, for each visit, will be analyzed using the same mixed model as specified for the primary analysis. Least squares means will be displayed by treatment group .

    Measured: 26 weeks

  4. FVC Over 26 Weeks of Treatment

    FVC at each time point, for each visit, will be analyzed using the same mixed model as specified for the primary analysis. Least squares means will be displayed by treatment group.

    Measured: 12 and 26 weeks

  5. Analysis of AUC (5 Min - 4 h) for FEV1 (L) at Week 12 and Week 26: Treatment Comparison

    The standardized (with respect to the length of time) AUC for FEV1 will be calculated between 5 min and 4 h post morning dose as the sum of trapezoids divided by the length of time at Day 84 (Visit 6) and Day 182 (Visit 10). Scheduled (not actual) time points are to be used. FEV1 measurements taken within 6 h of rescue use will be set to missing before the standardized AUC is calculated.

    Measured: 12 and 26 weeks

  6. TDI Focal Score at Week 12 and Week 26: Treatment Comparisons

    The Transition Dyspnea Index (TDI) total score after 12 and 26 weeks of treatment will be analyzed using the same mixed model as specified for the primary analysis with the Baseline Dyspnea Index (BDI) total score as the baseline.Total score ranging - 9 to + 9. The lower the score, the more deterioration in severity of dyspnea. One additional option in each category, which does not contribute to the score, allows for circumstances in which impairment is due to reasons other than dyspnea.

    Measured: 12 and 26 weeks

  7. Number of COPD Exacerbations Per Patient Over 26 Weeks: Treatment Comparisons (Without Imputation; Full Analysis Set)

    The number of exacerbations during the 26 week treatment period will be analyzed using a generalized linear model assuming a negative binomial distribution.

    Measured: 26 weeks

  8. Mean Daily Number of Puffs of Rescue Medication Used Over 26 Weeks of Treatment

    The mean daily number of puffs of rescue medication taken by the patient will be derived. If the number of puffs is missing for part of the day (either morning or evening) then a half day will be used in the denominator. Rescue medication data recorded during the 14 day run-in period will be used to calculate the baseline. The mean change from baseline in the daily number of puffs of rescue medication will be analyzed using the same mixed model as specified for the primary analysis, with the baseline FEV1 replaced with the baseline daily rescue use.

    Measured: 12 and 26 weeks

  9. Rescue Medication Use Over 26 Weeks: Percentage of 'Days With no Rescue Use'

    A 'day with no rescue use' is defined from diary data as any day where the patient has taken no puffs of rescue medication. The percentage of 'days with no rescue use' will be derived and analyzed as for the percentage of 'nights with no nighttime awakenings'.

    Measured: 26 weeks

  10. St Georges Respiratory Questionnaire for COPD

    A Total and three component scores are calculated: Symptoms; Activity; Impacts. Each component of the questionnaire is scored separately:The score for each component is calculated separately by dividing the summed weights by the maximum possible weight for that component and expressing the result as a percentage: Score = 100 x Summed weights from all positive items in that component divided by Sum of weights for all items in that component The Total score is calculated in similar way: Score = 100 x Summed weights from all positive items in the questionnaire divided by Sum of weights for all items in the questionnaire Sum of maximum possible weights for each component and Total: Symptoms 566.2 Activity 982.9 Impacts 1652.8 Total (sum of maximum for all three components) 3201.9 The proportion of patients who achieve a clinically important improvement of at least 4 units in the total SGRQ will be analyzed. The higher the score the more symptoms of disease are present.

    Measured: 12 and 26 weeks

Timeline

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

  1. First posted15 Mar 2012 (estimated)
  2. Study startFeb 2012
  3. Primary completionFeb 2014
  4. Study completionFeb 2014

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
581 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01555138
Sponsor's protocol ID
CQAB149B2401
Other IDs
2011-003732-31
Acronym
INSTEAD
Status last verified
Apr 2015
First submitted
13 Mar 2012
Last updated
28 Apr 2015

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Indacaterol and Salmeterol in people with Chronic Obstructive Pulmonary Disease, run by Novartis Pharmaceuticals at 94 sites in 9 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 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 28 Apr 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 94 sites in Argentina, Italy, Spain, United Kingdom, Mexico and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 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 28 Apr 2015). 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?

Trough Forced Expiratory Volume in One Second (FEV1) at 12 Weeks (Imputed With LOCF): Treatment Comparisons (time frame: 12 weeks). 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 28 Apr 2015.

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