Chronic Obstructive Pulmonary DiseasePhase 3NCT01572792
Efficacy, Safety and Tolerability of Two Fixed Dose Combinations of Aclidinium Bromide/Formoterol Fumarate, Aclidinium Bromide, Formoterol Fumarate and Placebo for 28-Weeks Treatment in Patients With Moderate to Severe, Stable Chronic Obstructive Pulmonary Disease (COPD)
A Phase 3 study testing Aclidinium bromide/formoterol Fixed-Dose Combination (FDC), Aclidinium bromide and Formoterol Fumarate in people with Chronic Obstructive Pulmonary Disease, run by AstraZeneca at 208 sites in 4 countries.
Trial summary
The purpose of this Phase III study is to evaluate the long-term safety and tolerability of two fixed-dose combinations of inhaled aclidinium bromide/formoterol fumarate, aclidinium bromide, formoterol fumarate and placebo in patients with moderate to severe 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
- What is being tested?
- Aclidinium bromide/formoterol Fixed-Dose Combination (FDC), Aclidinium bromide and Formoterol Fumarate
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 921 participants
- Where
- 208 sitesin 4 countries
- Study dates
- Apr 2012to Jun 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
- Completion of the treatment phase of the lead-in study, LAC-MD-31
- Written informed consent obtained from the patient before the initiation of any study specific procedures
- No medical contraindication as judged by the PI
- Compliance with LAC-MD-31 study procedures and IP dosing.
Who cannot join
- No specific exclusion criteria
Trial locations and contacts
208 sites in 4 countries.
208 sites in 4 countries
United States179 sites
Forest Investigative Site 1949
Albuquerque, New Mexico, 87106
Forest Investigative Site 1833
Altoona, Pennsylvania, 16601
Forest Investigative Site 1822
Anaheim, California, 92801
Forest Investigative Site 1892
Ann Arbor, Michigan, 48106
Forest Investigative Site 1827
Anniston, Alabama, 36207
Forest Investigative Site 1440
Arlington, Texas, 76012
Forest Investigative Site 1920
Athens, Alabama, 35611
Forest Investigative Site 1900
Atlanta, Georgia, 30312
Forest Investigative Site 0987
Austell, Georgia, 30106
Forest Investigative Site 1924
Baltimore, Maryland, 21237
Forest Investigative Site 1814
Bangor, Maine, 04401
Forest Investigative Site 1821
Bay Pines, Florida, 33744
Forest Investigative Site 1609
Bellevue, Nebraska, 68123
Forest Investigative Site 1120
Bellingham, Washington, 98225
Forest Investigative Site 1889
Bend, Oregon, 97701
Forest Investigative Site 1162
Birmingham, Alabama, 35209
Forest Investigative Site 1493
Birmingham, Alabama, 35209
Forest Investigative Site 1937
Birmingham, Alabama, 35216
Forest Investigative Site 1879
Boerne, Texas, 78006
Forest Investigative Site 2033
Bowling Green, Kentucky, 42101
Forest Investigative Site 1831
Bozeman, Montana, 59718
Forest Investigative Site 1154
Brandon, Florida, 33511
Forest Investigative Site 1944
Brandon, Florida, 33511
Forest Investigative Site 1957
Brentwood, Tennessee, 37027
Forest Investigative Site 1483
Buena Park, California, 90620
Forest Investigative Site 1891
Cadiz, Ohio, 43907
Forest Investigative Site 1828
Canton, Georgia, 30114
Forest Investigative Site 1134
Canton, Ohio, 44718
Forest Investigative Site 1861
Carrollton, Texas, 75007
Forest Investigative Site 2072
Charleston, South Carolina, 29406
Forest Investigative Site 1905
Charleston, South Carolina, 29407
Forest Investigative Site 1802
Charleston, South Carolina, 29412
Forest Investigative Site 1392
Charlotte, North Carolina, 28277
Forest Investigative Site 1559
Cherry Hill, New Jersey, 08003
Forest Investigative Site 1885
Cincinnati, Ohio, 45219
Forest Investigative Site 1806
Cincinnati, Ohio, 45231
Forest Investigative Site 2028
Cincinnati, Ohio, 45242
Forest Investigative Site 1903
Cincinnati, Ohio, 45255
Forest Investigative Site 1364
Clearwater, Florida, 33756
Forest Investigative Site 1152
Clearwater, Florida, 33765
Forest Investigative Site 1875
Clearwater, Florida, 33765
Forest Investigative Site 0679
Coeur d'Alene, Idaho, 83814
Forest Investigative Site 1361
Columbus, Ohio, 43207
Forest Investigative Site 1433
Columbus, Ohio, 43213
Forest Investigative Site 1816
Corsicana, Texas, 75110
Forest Investigative Site 1811
Covington, Florida, 70433
Forest Investigative Site 1832
Cumberland, Rhode Island, 02864
Forest Investigative Site 1890
Dallas, Texas, 75220
Forest Investigative Site 0670
DeLand, Florida, 32720
Forest Investigative Site 1820
Downington, Pennsylvania, 19335
Forest Investigative Site 1858
Eagle, Idaho, 83616
Forest Investigative Site 1089
East Providence, Rhode Island, 02914
Forest Investigative Site 1516
Edgewater, Florida, 32132
Forest Investigative Site 1128
Edina, Minnesota, 55435
Forest Investigative Site 1332
El Paso, Texas, 79903
Forest Investigative Site 2035
Elizabeth City, North Carolina, 27909
Forest Investigative Site 1423
Erie, Pennsylvania, 16508
Forest Investigative Site 1570
Fall River, Massachusetts, 02720
Forest Investigative Site 1852
Fall River, Massachusetts, 02720
Forest Investigative Site 1526
Fayetteville, Tennessee, 37334
Forest Investigative Site 0990
Fort Lauderdale, Florida, 33316
Forest Investigative Site 1914
Fort Mill, South Carolina, 29707
Forest Investigative Site 2085
Fort Mitchell, Kentucky, 41017
Forest Investigative Site 2012
Fort Worth, Texas, 76104
Forest Investigative Site 1948
Fremont, Nebraska, 68025
Forest Investigative Site 1156
Fresno, California, 93726
Forest Investigative Site 1527
Fridley, Minnesota, 55432
Forest Investigative Site 1913
Gaffney, South Carolina, 29340
Forest Investigative Site 0909
Glendale, Arizona, 85306
Forest Investigative Site 1380
Golden, Colorado, 80401
Forest Investigative Site 1151
Great Neck, New York, 11021
Forest Investigative Site 1824
Gulf Shores, Alabama, 36542
Forest Investigative Site 1923
Hackensack, New Jersey, 07601
Forest Investigative Site 1807
Henderson, Nevada, 89052
Forest Investigative Site 1513
Hialeah, Florida, 33012
Forest Investigative Site 1854
Hialeah, Florida, 33012
Forest Investigative Site 1366
High Point, North Carolina, 27262
Forest Investigative Site 1882
Hollywood, Florida, 33024
Forest Investigative Site 1951
Houston, Texas, 77070
Forest Investigative Site 1543
Jacksonville, Florida, 32216
Forest Investigative Site 2088
Jasper, Alabama, 35501
Forest Investigative Site 1602
Kansas City, Missouri, 64128
Forest Investigative Site 1416
Kissimmee, Florida, 34741
Forest Investigative Site 1899
Langhorne, Pennsylvania, 19047
Forest Investigative Site 1489
Larchmont, New York, 10538
Forest Investigative Site 1834
Las Vegas, Nevada, 89128
Forest Investigative Site 1562
Las Vegas, Nevada, 89183
Forest Investigative Site 0539
Lexington, Kentucky, 40504
Forest Investigative Site 1871
Lincoln, California, 95648
Forest Investigative Site 1815
Lincoln, Nebraska, 68510
Forest Investigative Site 1873
Los Angeles, California, 90073
Forest Investigative Site 1478
Louisville, Kentucky, 40217
Forest Investigative Site 1830
Marietta, Georgia, 30066
Forest Investigative Site 1091
McKinney, Texas, 75069
Forest Investigative Site 2043
Medford, Oregon, 97504
Forest Investigative Site 1167
Melbourne, Florida, 32935
Forest Investigative Site 1432
Miami, Florida, 33143
Forest Investigative Site 2041
Minneapolis, Minnesota, 55402
Forest Investigative Site 1124
Minneapolis, Minnesota, 55407
Forest Investigative Site 1400
Missoula, Montana, 59808
Forest Investigative Site 1555
Morgantown, West Virginia, 26505
Forest Investigative Site 1587
N. Chesterfield, Missouri, 63017
Forest Investigative Site 1819
Naples, Florida, 34119
Forest Investigative Site 1430
New Orleans, Louisiana, 70115
Forest Investigative Site 550
New York, New York, 10003
Forest Investigative Site 1425
New York, New York, 10028
Forest Investigative Site 1945
Newport News, Virginia, 23606
Forest Investigative Site 1431
No. Dartmouth, Massachusetts, 02747
Forest Investigative Site 1404
Norfolk, Virginia, 23502
Forest Investigative Site 1095
Normal, Illinois, 61761
Forest Investigative Site 1912
Normal, Illinois, 61761
Forest Investigative Site 1808
North Miami, Florida, 33179
Forest Investigative Site 1915
Oklahoma City, Oklahoma, 73103
Forest Investigative Site 1950
Oldsmar, Florida, 34677
Forest Investigative Site 1884
Olive Branch, Mississippi, 38654
Forest Investigative Site 1363
Omaha, Nebraska, 68114
Forest Investigative Site 1907
Omaha, Nebraska, 68130
Forest Investigative Site 1911
Omaha, Nebraska, 68131
Forest Investigative Site 1908
Omaha, Nebraska, 68134
Forest Investigative Site 1804
Omaha, Nebraska, 68144
Forest Investigative Site 1812
Opelousas, Louisiana, 70570
Forest Investigative Site 1145
Ormond Beach, Florida, 32174
Forest Investigative Site 1519
Owensboro, Kentucky, 42303
Forest Investigative Site 1094
Panama City, Florida, 32405
Forest Investigative Site 1803
Pembroke Pines, Florida, 32028
Forest Investigative Site 0974
Pensacola, Florida, 32504
Forest Investigative Site 1443
Philadelphia, Pennsylvania, 19107
Forest Investigative Site 1379
Phoenix, Arizona, 85018
Forest Investigative Site 1863
Phoenixville, Pennsylvania, 19460
Forest Investigative Site 1146
Pittsburgh, Pennsylvania, 15243
Forest Investigative Site 1826
Plano, Texas, 75001
Forest Investigative Site 1619
Plymouth, Minnesota, 55441
Forest Investigative Site 1137
Pueblo, Colorado, 81001
Forest Investigative Site 1153
Raleigh, North Carolina, 27607
Forest Investigative Site 2051
River Forest, Illinois, 60305
Forest Investigative Site 2064
Riverside, California, 92506
Forest Investigative Site 1118
Rochester, Minnesota, 55905
Forest Investigative Site 2098
Rochester, New York, 14618
Forest Investigative Site 1427
Sacramento, California, 95817
Forest Investigative Site 1866
Sacramento, California, 95842
Forest Investigative Site 2079
Saint Charles, Missouri, 63301
Forest Investigative Site 1823
Salisbury, North Carolina, 28144
Forest Investigative Site 1936
Salt Lake City, Utah, 84102
Forest Investigative Site 1895
San Antonio, Texas, 78212
Forest Investigative Site 1125
San Diego, California, 92103
Forest Investigative Site 2009
San Diego, California, 92120
Forest Investigative Site 1817
Sarasota, Florida, 34233
Forest Investigative Site 1918
Scottsboro, Alabama, 35768
Forest Investigative Site 1330
South Burlington, Vermont, 05403
Forest Investigative Site 1121
Spartanburg, South Carolina, 29303
Forest Investigative Site 1977
Spokane, Washington, 99202
Forest Investigative Site 1878
Spokane, Washington, 99204
Forest Investigative Site 1573
Spokane, Washington, 99216
Forest Investigative Site 1856
Springfield, Missouri, 65807
Forest Investigative Site 1867
Springfield, Missouri, 65807
Forest Investigative Site 1399
St Louis, Missouri, 63141
Forest Investigative Site 1599
St Louis, Missouri, 63141
Forest Investigative Site 1874
St. Petersburg, Florida, 33704
Forest Investigative Site 1342
Stevensville, Michigan, 49127
Forest Investigative Site 2090
Sylvania, Ohio, 43560
Forest Investigative Site 0988
Tacoma, Washington, 98405
Forest Investigative Site 1870
Tacoma, Washington, 98405
Forest Investigative Site 2082
Tamarac, Florida, 33321
Forest Investigative Site 2053
Tampa, Florida, 33603
Forest Investigative Site 2047
Tampa, Florida, 33613
Forest Investigative Site 1449
Tipton, Pennsylvania, 16684
Forest Investigative Site 1530
Toledo, Ohio, 43608
Forest Investigative Site 1374
Torrance, California, 90505
Forest Investigative Site 1487
Troy, Michigan, 48085
Forest Investigative Site 1813
Tustin, California, 92780
Forest Investigative Site 1862
Uniontown, Pennsylvania, 15473
Forest Investigative Site 1883
Vista, California, 92083
Forest Investigative Site 1976
Waterbury, Connecticut, 06708
Forest Investigative Site 1327
Wheat Ridge, Colorado, 80033
Forest Investigative Site 1872
Wheaton, Maryland, 20902
Forest Investigative Site 1185
Winter Park, Florida, 32789
Forest Investigative Site 1860
Winter Park, Florida, 32792
Forest Investigative Site 2089
Woodstock, Georgia, 30189
Forest Investigative Site 1393
Zanesville, Ohio, 43701
Australia11 sites
Forest Investigative Site 2253
Adelaide, South Australia, 5000
Forest Investigative Site 1981
Bedford Park, South Australia, 5042
Forest Investigative Site 2250
Clayton, Victoria, 3168
Forest Investigative Site 1990
Daw Park, South Australia, 5041
Forest Investigative Site 1972
Fitzroy, Victoria, 3065
Forest Investigative Site 1986
Geelong, Victoria, 3220
Forest Investigative Site 1991
New Lambton, New South Wales, 2305
Forest Investigative Site 1985
Parkville, Victoria, 3050
Forest Investigative Site 1987
Redcliffe, Queensland, 4020
Forest Investigative Site 2251
Toorak Gardens, South Australia, 5065
Forest Investigative Site 1973
Woolloongabba, Queensland, 4102
Canada10 sites
Forest Investigative Site 1904
Langley, British Columbia, V3A 4H9
Forest Investigative Site 1952
Montreal, Quebec, H2R 1V6
Forest Investigative Site 1859
Québec, Quebec, G1V 4M6
Forest Investigative Site 1877
Sarina, Ontario, N7T 4X3
Forest Investigative Site 1896
Sarnia, Ontario, N7T 4X3
Forest Investigative Site 0943
Saskatoon, Saskatchewan, S7N 0W8
Forest Investigative Site 1171
Toronto, Ontario, M5T 3A9
Forest Investigative Site 2203
Toronto, Ontario, M6H 3M2
Forest Investigative Site 905
Vancouver, British Columbia, V5Z 1M9
Forest Investigative Site 0976
Winnipeg, Manitoba, R2K 3S8
New Zealand8 sites
Forest Investigative Site 1027
Auckland, 1051
Forest Investigative Site 1970
Christchurch, 8011
Forest Investigative Site 1967
Dunedin, 9012
Forest Investigative Site 1964
Dunedin, 9058
Forest Investigative Site 1968
Hamilton, 3240
Forest Investigative Site 1965
Tauranga, 3110
Forest Investigative Site 1980
Tauranga, 3112
Forest Investigative Site 1025
Wellington, 7366
About this study
Official title: A Phase III, Long-term, Randomized, Double-blind, Extension Study of the Efficacy, Safety, and Tolerability of Two Fixed Dose Combinations of Aclidinium Bromide/Formoterol Fumarate, Aclidinium Bromide, Formoterol Fumarate and Placebo for 28- Weeks Treatment in Patients With Moderate to Severe, Stable Chronic Obstructive Pulmonary Disease (COPD)
The purpose of this Phase III study is to evaluate the long-term safety and tolerability of two fixed-dose combinations of inhaled aclidinium bromide/formoterol fumarate, aclidinium bromide, formoterol fumarate and placebo in patients with moderate to severe Chronic Obstructive Pulmonary Disease (COPD). Long-term efficacy, pharmacoeconomic and health-related quality of life assessments will also be evaluated. This extension study will include a 28 week treatment period, followed by a four week follow up visit. All patients will remain in the same treatment group as for the lead-in study and continue on one of the four treatment arms or placebo.
- Conditions
- Chronic Obstructive Pulmonary Disease
- Being tested
- Aclidinium bromide/formoterol Fixed-Dose Combination (FDC), Aclidinium bromide, Formoterol Fumarate, Placebo
- Keywords
- COPD, Chronic Obstructive Pulmonary Disease, Chronic Bronchitis, Emphysema, Airflow Obstruction, Chronic, Chronic Airflow Obstruction, Chronic Obstructive Airway Disease, Chronic Obstructive Lung Disease
- Medical subject headings
- Pulmonary Disease, Chronic Obstructive, Bronchitis, Chronic, Emphysema
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Aclidinium bromide/formoterol Fixed-Dose Combination (FDC)Drug
Inhaled Aclidinium bromide/formoterol Fixed-Dose Combination (FDC) high dose, twice per day
Aclidinium bromide/formoterol Fixed-Dose Combination (FDC)Drug
Inhaled Aclidinium bromide/formoterol Fixed-Dose Combination (FDC) low dose, twice per day
Aclidinium bromideDrug
Inhaled Aclidinium bromide 400 μg, twice per day
Formoterol FumarateDrug
Inhaled Formoterol Fumarate 12 μg, twice per day
PlaceboDrug
Inhaled dose-matched placebo, twice per day
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | Aclidinium bromide/formoterol Fixed-Dose Combination (FDC) high dose Receives: Drug: Aclidinium bromide/formoterol Fixed-Dose Combination (FDC) |
| 2 | Experimental | Aclidinium bromide/formoterol Fixed-Dose Combination (FDC) low dose Receives: Drug: Aclidinium bromide/formoterol Fixed-Dose Combination (FDC) |
| 3 | Active comparator | Aclidinium bromide 400 μg Receives: Drug: Aclidinium bromide |
| 4 | Active comparator | Formoterol Fumarate 12 μg Receives: Drug: Formoterol Fumarate |
| 5 | Placebo comparator | Placebo Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Patients to Experience Any Treatment-emergent Adverse Event
For each safety parameter, the last assessment made before the first dose of investigational product in the lead-in study (LAC MD-31) was used as the baseline for all analyses of that safety parameter in this extension study
Measured: Baseline of lead-in study to follow-up call 14±3 days after last dose of investigational product (up to Week 52)
Secondary outcomes (3)
Percentage of Patients to Experience Potentially Clinically Significant Post-baseline Clinical Laboratory Values for Hematology, Chemistry or Urinalysis
Potentially clinically significant change:
>1.15 × upper limit of normal (ULN) for absolute cell count of basophils, eosinophils or monocytes, blood alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, total bilirubin, blood urea nitrogen, total cholesterol, creatine kinase, creatinine, gamma glutamyl transferase, lactate dehydrogenase, triglycerides or uric acid <0.85 x lower limit of normal (LLN) or > 1.15 ULN for hematocrit ratio, haemoglobin, lymphocytes or neutrophils absolute cell count, platelet count (thrombocytes), red or white blood cell count, calcium, fasting glucose, phosphorus, total protein, or urinary pH <0.95 x LLN or >1.05 x ULN for chloride, potassium, sodium Urinary glucose ≥0.015, blood or ketones or protein ≥1 or specific gravity >1.1 × ULN
The last assessment made before the first dose of investigational product in the lead-in study was used as the baseline for all safety analyses in the extension study
Measured: Baseline of lead-in study to end of treatment (up to Week 52)
Percentage of Patients to Experience a Potentially Significant Post-baseline 12-lead ECG Value
Measured: Baseline of lead-in study to end of treatment (up to Week 52)
Percentage of Patients to Experience Potentially Clinically Significant Post-baseline Vital Signs (Pulse Rate, Systolic or Diastolic Blood Pressure or Weight)
Potentially clinically significant change:
Systolic BP ≥180 mmHg and increase ≥20 mmHg from baseline or ≤90 mmHg and decrease ≥20 mmHg from baseline Diastolic BP ≥105 mmHg and increase ≥15 mmHg from baseline or ≤50 mmHg and decrease ≥15 mmHg from baseline Pulse rate ≥110 bpm and increase ≥15% from baseline or ≤50 bpm and decrease ≥15% from baseline Weight increase or decrease ≥7% from baseline
The last assessment made before the first dose of investigational product in the lead-in study was used as the baseline for all safety analyses in the extension study
Measured: Baseline of lead-in study to end of treatment (up 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 posted6 Apr 2012 (estimated)
- Study startApr 2012
- Primary completionJun 2013
- Study completionJun 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 (1)Papers the sponsor has linked to this study.
- Other trials for Chronic Obstructive Pulmonary DiseaseStudies 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 921 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Esther Garcia, MD, Study director, AstraZeneca
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01572792
- Sponsor's protocol ID
- LAC-MD-36
- Status last verified
- Feb 2017
- First submitted
- 4 Apr 2012
- Last updated
- 21 Apr 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
D'Urzo A, Rennard S, Kerwin E, Donohue JF, Lei A, Molins E, Leselbaum A. A randomised double-blind, placebo-controlled, long-term extension study of the efficacy, safety and tolerability of fixed-dose combinations of aclidinium/formoterol or monotherapy in the treatment of chronic obstructive pulmonary disease. Respir Med. 2017 Apr;125:39-48. doi: 10.1016/j.rmed.2017.02.008. Epub 2017 Feb 16.
PubMed 28340861
Study at a glance
From the registry record, last updated by the sponsor on 21 Apr 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Long-term, Randomized, Double-blind, Extension Study of the Efficacy, Safety, and Tolerability of Two Fixed Dose Combinations of Aclidinium Bromide/Formoterol Fumarate, Aclidinium Bromide, Formoterol Fumarate and Placebo for 28- Weeks Treatment in Patients With Moderate to Severe, Stable Chronic Obstructive Pulmonary Disease (COPD)
- ClinicalTrials.gov ID
- NCT01572792
- Acronym / sponsor ID
- LAC-MD-36
- Conditions
- Chronic Obstructive Pulmonary Disease
- Keywords
- COPD, Chronic Obstructive Pulmonary Disease, Chronic Bronchitis, Emphysema, Airflow Obstruction, Chronic, Chronic Airflow Obstruction, Chronic Obstructive Airway Disease, Chronic Obstructive Lung Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 921 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- Apr 2012
- Primary completion
- Jun 2013 (actual)
- Study completion
- Jun 2013 (actual)
- First posted
- 6 Apr 2012 (estimated)
- Results
- Posted 21 Apr 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this Phase III study is to evaluate the long-term safety and tolerability of two fixed-dose combinations of inhaled aclidinium bromide/formoterol fumarate, aclidinium bromide, formoterol fumarate and placebo in patients with moderate to severe Chronic Obstructive Pulmonary Disease (COPD). Long-term efficacy, pharmacoeconomic and health-related quality of life assessments will also be evaluated. This extension study will include a 28 week treatment period, followed by a four week follow up visit. All patients will remain in the same treatment group as for the lead-in study and continue on one of the four treatment arms or placebo.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: Aclidinium bromide/formoterol Fixed-Dose Combination (FDC)Aclidinium bromide/formoterol Fixed-Dose Combination (FDC) high dose |
| 2 | Experimental | Drug: Aclidinium bromide/formoterol Fixed-Dose Combination (FDC)Aclidinium bromide/formoterol Fixed-Dose Combination (FDC) low dose |
| 3 | Active comparator | Drug: Aclidinium bromideAclidinium bromide 400 μg |
| 4 | Active comparator | Drug: Formoterol FumarateFormoterol Fumarate 12 μg |
| 5 | 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 (4 listed)
- Completion of the treatment phase of the lead-in study, LAC-MD-31
- Written informed consent obtained from the patient before the initiation of any study specific procedures
- No medical contraindication as judged by the PI
- Compliance with LAC-MD-31 study procedures and IP dosing.
Key exclusion criteria (1 listed)
- No specific exclusion criteria
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 Fixed-Dose Combination (FDC)Inhaled Aclidinium bromide/formoterol Fixed-Dose Combination (FDC) high dose, twice per day | Drug | 1 |
| Aclidinium bromide/formoterol Fixed-Dose Combination (FDC)Inhaled Aclidinium bromide/formoterol Fixed-Dose Combination (FDC) low dose, twice per day | Drug | 2 |
| Aclidinium bromideInhaled Aclidinium bromide 400 μg, twice per day | Drug | 3 |
| Formoterol FumarateInhaled Formoterol Fumarate 12 μg, twice per day | Drug | 4 |
| PlaceboInhaled dose-matched placebo, twice per day | Drug | 5 |
Primary outcome
Percentage of Patients to Experience Any Treatment-emergent Adverse Event
Time frame: Baseline of lead-in study to follow-up call 14±3 days after last dose of investigational product (up to Week 52)
For each safety parameter, the last assessment made before the first dose of investigational product in the lead-in study (LAC MD-31) was used as the baseline for all analyses of that safety parameter in this extension study
3 secondary outcomes
Percentage of Patients to Experience Potentially Clinically Significant Post-baseline Clinical Laboratory Values for Hematology, Chemistry or Urinalysis
Time frame: Baseline of lead-in study to end of treatment (up to Week 52)
Percentage of Patients to Experience a Potentially Significant Post-baseline 12-lead ECG Value
Time frame: Baseline of lead-in study to end of treatment (up to Week 52)
Percentage of Patients to Experience Potentially Clinically Significant Post-baseline Vital Signs (Pulse Rate, Systolic or Diastolic Blood Pressure or Weight)
Time frame: Baseline of lead-in study to end of treatment (up to Week 52)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Apr 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 28340861D'Urzo A, Rennard S, Kerwin E, Donohue JF, Lei A, Molins E, Leselbaum A. A randomised double-blind, placebo-controlled, long-term extension study of the efficacy, safety and tolerability of fixed-dose combinations of aclidinium/formoterol or monotherapy in the treatment of chronic obstructive pulmonary disease. Respir Med. 2017 Apr;125:39-48. doi: 10.1016/j.rmed.2017.02.008. Epub 2017 Feb 16.
- lac-md-36-synopsisLink provided by the sponsor.
Related trials for Chronic Obstructive Pulmonary Disease
Active, not recruiting
Symptoms and Functions in Patients With COPD and Chronic Bronchitis Switching From CIG to THS
COPD, Smoking
Not yet recruitingPhase 2/3
An Open-Label Extension Study to Evaluate Inhaled Treprostinil SMI in Participants With Pulmonary Hypertension Associated With Chronic Obstructive Pulmonary Disease (PH-COPD)
Pulmonary Hypertension Associated With Chronic Obstructive Pulmonary Disease
Not yet recruiting
The Aim of the Study is to Decipher the Alterations in Signalling Pathways of Skeletal Muscle Stem Cells (Satellite Cells (SCs)) in Individuals With COPD, as Well as to Examine the Effect of Exercise Training on SCs.
COPD (Chronic Obstructive Pulmonary Disease), Sarcopenia in Elderly
Not yet recruitingPhase 2
Study of Treprostinil Administered Via Soft Mist Inhaler (SMI) in Participants With Pulmonary Hypertension Associated With Chronic Obstructive Pulmonary Disease (PH-COPD)
Pulmonary Hypertension Associated With Chronic Obstructive Pulmonary Disease
RecruitingPhase 3
A Study to Investigate the Efficacy and Safety of Belumosudil Compared With Best Available Therapy in Participants Aged 12 Years or Older With Chronic Graft-versus-host Disease
Chronic Graft Versus Host Disease
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, MD study director
AstraZeneca
208 sites in 4 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 Fixed-Dose Combination (FDC), Aclidinium bromide and Formoterol Fumarate in people with Chronic Obstructive Pulmonary Disease, run by AstraZeneca at 208 sites in 4 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 1 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 21 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 208 sites in United States, Australia, Canada, New Zealand. 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 21 Apr 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?
Percentage of Patients to Experience Any Treatment-emergent Adverse Event (time frame: Baseline of lead-in study to follow-up call 14±3 days after last dose of investigational product (up 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 NCT01572792, 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 21 Apr 2017.