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Chronic Obstructive Pulmonary DiseasePhase 2NCT01566773

PT001 MDI Versus Spiriva® in Patients With Moderate to Severe COPD

A Phase 2 study testing PT001 MDI and Tiotropium Bromide in people with Chronic Obstructive Pulmonary Disease, run by Pearl Therapeutics, Inc. at 10 sites in United States.

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

The overall objective of this study is to determine an optimal dose and dosing regimen of PT001 MDI for further evaluation in later stage studies. Read more about this study

Who is it for?
Ages 40 to 80 years
Conditions the study is for
Chronic Obstructive Pulmonary Disease
What is being tested?
PT001 MDI and Tiotropium Bromide
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
140 participants
Where
10 sitesUnited States
Study dates
Mar 2012to Aug 2012
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed written informed consent
  • 40 - 80 years of age
  • Clinical history of COPD with airflow limitation that is not fully reversible
  • Females of non-child bearing potential or females of child bearing potential with negative pregnancy test; and acceptable contraceptive methods
  • Current/former smokers with at least a 10 pack-year history of cigarette smoking
  • A measured post- bronchodilator FEV1/FVC ratio of < or = 0.70
  • A measured post- bronchodilator FEV1 > or = 750ml or 30% predicted and < or = 80% of predicted normal values
  • Able to change COPD treatment as required by protocol

Who cannot join

  • Women who are pregnant or lactating
  • Primary diagnosis of asthma
  • Alpha-1 antitrypsin deficiency as the cause of COPD
  • Active pulmonary diseases
  • Prior lung volume reduction surgery
  • Abnormal chest X-ray (or CT scan) not due to the presence of COPD
Show all 11Show fewer
  • Hospitalized due to poorly controlled COPD within 3 months of Screening
  • Clinically significant medical conditions that preclude participation in the study (e.g. clinically significant abnormal ECG, uncontrolled hypertension, glaucoma, symptomatic prostatic hypertrophy)
  • Cancer that has not been in complete remission for at least 5 years
  • Treatment with investigational study drug or participation in another clinical trial or study within the last 30 days or 5 half lives
  • Other inclusion/exclusion criteria as defined in the protocol

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

United States10 sites
  • Pearl Investigative Site

    Charlotte, North Carolina, 28207

  • Pearl Investigative Site

    Clearwater, Florida, 33765

  • Pearl Investigative Site

    Fullerton, California, 92835

  • Pearl Investigative Site

    Longview, Texas, 75605

  • Pearl Investigative Site

    Medford, Oregon, 97504

  • Pearl Investigative Site

    Panama City, Florida, 32405

  • Pearl Investigative Site

    Richmond, Virginia, 23225

  • Pearl Investigative Site

    Spartanburg, South Carolina, 29303

  • Pearl Investigative Site

    Tampa, Florida, 33603

  • Pearl Investigative Site

    Winter Park, Florida, 32789

Other trials in United States

About this study

Official title: A Randomized, Double Blind (Test Products and Placebo), Chronic Dosing (14 Days), Four Period, Eight Treatment, Placebo-Controlled, Incomplete Block, Cross Over, Multi Center Study to Assess Efficacy and Safety of Six Doses of PT001 in Patients With Moderate to Severe COPD, Compared With Spiriva® Handihaler® (Tiotropium Bromide, Open Label) as An Active Control

The overall objective of this study is to determine an optimal dose and dosing regimen of PT001 MDI for further evaluation in later stage studies.

Read the detailed description

The primary objective of this study is to assess efficacy relative to placebo of GP MDI in subjects with moderate to severe chronic obstructive pulmonary disease (COPD) within the range of doses evaluated in this protocol. To this end, each dose of GP MDI will be compared to placebo with respect to the primary efficacy endpoint, FEV1 AUC0-12 relative to baseline.

Being tested
PT001 MDI, Tiotropium Bromide, PT001 Placebo MDI
Keywords
COPD
Medical subject headings
Pulmonary Disease, Chronic Obstructive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PT001 MDIDrug

    Administered as two puffs BID for 14 days

  • Tiotropium BromideDrug

    Also called Spiriva® Handihaler®

    Taken as 1 capsule containing 18 µg of tiotropium via the Handihaler DPI

  • PT001 Placebo MDIDrug

Study groups in NCT01566773
Study groupRoleWhat they receive
PT001 MDI (Dose 1)ExperimentalNot described
Receives: Drug: PT001 MDI
PT001 MDI (Dose 2)ExperimentalNot described
Receives: Drug: PT001 MDI
PT001 MDI (Dose 3)ExperimentalNot described
Receives: Drug: PT001 MDI
PT001 MDI (Dose 4)ExperimentalNot described
Receives: Drug: PT001 MDI
PT001 MDI (Dose 5)ExperimentalNot described
Receives: Drug: PT001 MDI
PT001 MDI (Dose 6)ExperimentalNot described
Receives: Drug: PT001 MDI
PT001 Placebo MDIPlacebo comparatorNot described
Receives: Drug: PT001 Placebo MDI
Spiriva® Handihaler® (Tiotropium Bromide)Active comparatorNot described
Receives: Drug: Tiotropium Bromide

What is being measured

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

  1. FEV1 AUC0-12

    Forced expiratory volume in 1 second (FEV1) normalized area under the curve 0-12 hours (AUC0-12) following chronic dosing for 14 days.

    Measured: Day 14 (-1 hr, -30 min, 15 min, 30 min, 1 hr, 2 hr, 4 hr, 6 hr, 8 hr, 10 hr, 11.5 hr, 12 hr)

Secondary outcomes (24)
  1. Peak Change From Baseline in FEV1

    Highest value of FEV1 post dose on day 1

    Measured: Day 1

  2. Time to Onset of Action (>10% Improvement in FEV1) on Day 1

    Time to Onset of Action (>10% Improvement in FEV1) on Day 1.

    Measured: Day 1 (15 min, 30 min, 1 hr, 2 hrs, no onset within 2 hrs)

  3. Percentage of Subjects Achieving at Least 12% Improvement in FEV1

    Percentage of subjects achieving at least 12% improvement in FEV1.

    Measured: Day 1

  4. Peak Change From Baseline in Inspiratory Capacity (IC)

    Peak change in Inspiratory Capacity (IC) mean of 1 and 2 hour post-dose assessments minus the baseline

    Measured: Day 1 (1 hr and 2 hr post-dose )

  5. Change From Baseline in Morning Pre-dose Trough FEV1

    Change from baseline in morning pre-dose trough FEV1 (average of the 60 and 30-minute pre-dose values on Treatment Day 7 minus the baseline)

    Measured: Day 7 (average of the 60 and 30-minute pre-dose values on Treatment Day 7 minus the baseline)

  6. Peak Change From Baseline in FEV1

    Peak change from baseline in FEV1 (defined as the change at the highest value of FEV1 post-dose minus the baseline)

    Measured: Day 7

  7. Change From Baseline in Morning Pre-dose Trough Inspiratory Capacity (IC)

    Change from baseline in morning pre-dose trough IC (average of the 60 and 30-minute pre-dose assessments minus the baseline)

    Measured: Day 7

  8. Peak Change From Baseline in IC

    Peak change from baseline in IC (mean of 1 hr and 2 hr post-dose assessments)

    Measured: Day 7 (mean of 1 hr and 2 hr post-dose assessments)

  9. Change From Baseline in Mean Morning Pre-dose Daily PEFR

    Change from baseline in mean morning pre-dose daily PEFR (peak expiratory flow rate) taken by subjects and recorded in subject diaries, up through Diary Day 7 of each treatment period (excluding reading taken pre-dose on Visit 2 [Treatment Day 1])

    Measured: Day 7 (60 minutes pre-dose, 30 minutes pre-dose)

  10. Change From Baseline in Morning Post-dose Daily PEFR

    Change from baseline in morning post-dose daily PEFR (peak expiratory flow rate) taken by subjects and recorded in subject diaries, up through Diary Day 7 of each treatment period (excluding reading taken pre-dose on Visit 2 [Treatment Day 1])

    Measured: Day 7 (30 minutes post-dose)

  11. Change From Baseline in Mean Evening Pre-dose PEFR

    Change from baseline in mean evening pre-dose daily peak flow readings taken by subjects and recorded in subject diaries, up through Diary Day 7 of each treatment period (subjects taking Spiriva performed a single evening assessment)

    Measured: Day 7

  12. Change From Baseline in Mean Evening Post-dose PEFR

    Change from baseline in mean evening post-dose daily peak flow readings taken by subjects and recorded in subject diaries, up through Diary Day 7 of each treatment period (subjects taking Spiriva performed a single evening assessment)

    Measured: Day 7

  13. Mean Number of Puffs of Rescue Medication

    Mean number of puffs of rescue medication recorded in subject diaries during each treatment period and by treatment and numbers of days treated

    Measured: Day 7

  14. Change From Baseline in Morning Pre-dose Trough FEV1

    Change from baseline in morning pre-dose trough FEV1 (average of the 60 and 30-minute pre-dose values on Treatment Day 14 minus the baseline)

    Measured: Day 14 (average of the 60 and 30-minute pre-dose values on Treatment Day 14 minus the baseline)

  15. Peak Change From Baseline in FEV1

    Peak change from baseline in FEV1 (defined as the change at the highest value of FEV1 post-dose minus the baseline)

    Measured: Day 14

  16. Change From Baseline for Mean Morning Pre-dose Trough IC

    Change from baseline for mean morning pre-dose trough IC (average of the 60 and 30-minute pre-dose assessments minus the baseline)

    Measured: Day 14 (average of the 60 and 30-minute pre-dose assessments minus the baseline)

  17. Peak Change From Baseline in IC

    Peak change from baseline in IC (mean of 1 and 2 hour post-dose assessments minus the baseline)

    Measured: Day 14 (mean of 1 and 2 hour post-dose assessments minus the baseline)

  18. Change From Baseline in 12-hour Post-dose Trough FEV1

    12-hour post-dose trough FEV1 was defined as the mean of the FEV1 assessments taken at 11.5 and 12 hours post-dose minus the baseline

    Measured: Day 14 (Baseline, 11.5 and 12 hours post dose)

  19. Change From Baseline in Mean Morning Pre-dose Daily PEFR

    Change from baseline in mean morning pre-dose daily peak flow readings taken by subjects and recorded in subject diaries during each treatment period for subjects with more than 7 days of diary data (mean reading excluded reading taken pre-dose on Visit 2 [Treatment 1 Day 1]

    Measured: Baseline, Treatment Day 1 and every day, to the end of the 14-Day Treatment period before dosing, values were averaged for the end of treatment value (all subjects with diary data after Diary day 7)

  20. Change From Baseline in Mean Morning Post-dose Daily PEFR

    Change from baseline in mean morning post-dose daily peak flow readings taken by subjects and recorded in subject diaries during each treatment period for subjects with more than 7 days of diary data (mean reading excluded reading taken pre-dose on Visit 2 [Treatment 1 Day 1]

    Measured: Baseline, Treatment Day 1 and every day, to the end of the 14-Day Treatment period 30 minutes post dosing, values were averaged for the end of treatment value (all subjects with diary data after Diary day 7)

  21. Change From Baseline in Mean Evening Pre-dose Daily PEFR

    Change from baseline in mean evening pre-dose daily peak flow readings taken by subjects and recorded in subject diaries during each treatment period for subjects with more than 7 days of diary data (subjects taking Spiriva performed a single evening assessment)

    Measured: Treatment Day 1 to the end of the 14-Day Treatment, values were averaged for the end of treatment value (all subjects with diary data after Diary day 7)

  22. Change From Baseline in Mean Evening Post-dose Daily PEFR

    Change from baseline in mean evening post-dose daily peak flow readings taken by subjects and recorded in subject diaries during each treatment period for subjects with more than 7 days of diary data (subjects taking Spiriva performed a single evening assessment)

    Measured: Through the end of the 14-Day Treatment

  23. Mean Number of Puffs of Rescue Medication (End of Treatment)

    Mean number of puffs of rescue medication recorded in subject diaries during each treatment period and by treatment and numbers of days treated

    Measured: Day 14 (End of treatment)

  24. Change From Baseline in Morning Pre-dose Trough FEV1 (mL) Averaging Treatment Day 7 and Day 14

    Change from Baseline in Morning Pre-dose Trough FEV1 (mL) Averaging Treatment Day 7 and Day 14

    Measured: Day 1 through Day 14

Timeline

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

  1. First posted29 Mar 2012 (estimated)
  2. Study startMar 2012
  3. Primary completionAug 2012
  4. Study completionAug 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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
140 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01566773
Sponsor's protocol ID
PT001003
Status last verified
Oct 2017
First submitted
27 Mar 2012
Last updated
12 Oct 2017
Data monitoring committee
No

Publications

  • Fabbri LM, Kerwin EM, Spangenthal S, Ferguson GT, Rodriguez-Roisin R, Pearle J, Sethi S, Orevillo C, Darken P, St Rose E, Fischer T, Golden M, Dwivedi S, Reisner C. Dose-response to inhaled glycopyrrolate delivered with a novel Co-Suspension Delivery Technology metered dose inhaler (MDI) in patients with moderate-to-severe COPD. Respir Res. 2016 Sep 2;17(1):109. doi: 10.1186/s12931-016-0426-4.

    PubMed 27586537

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PT001 MDI and Tiotropium Bromide in people with Chronic Obstructive Pulmonary Disease, run by Pearl Therapeutics, Inc. at 10 sites in United States.

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 8 inclusion and 11 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 12 Oct 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in United States. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 12 Oct 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?

FEV1 AUC0-12 (time frame: Day 14 (-1 hr, -30 min, 15 min, 30 min, 1 hr, 2 hr, 4 hr, 6 hr, 8 hr, 10 hr, 11.5 hr, 12 hr)). 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 NCT01566773, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

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

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Oct 2017.

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