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Chronic Obstructive Pulmonary Disease (COPD)Phase 3NCT01610037

Comparison of Long-term Safety of the Combination Product QVA149A Against Placebo and Standard of Care Treatment in Chronic Obstructive Pulmonary Disease Patients With Moderate to Severe Airflow Limitation

A Phase 3 study testing QVA149 and Tiotropium in people with Chronic Obstructive Pulmonary Disease (COPD), run by Novartis Pharmaceuticals at 116 sites in 17 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 study will assess the long-term safety of the fixed combination product QVA149 versus placebo and a standard of care treatment (tiotropium) in Chronic Obstructive Pulmonary Disease (COPD) patients with moderate to severe airflow limitation. Read more about this study

Who is it for?
Ages 40 years and older
What is being tested?
QVA149 and Tiotropium
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,215 participants
Where
116 sitesin 17 countries
Study dates
Oct 2012to Feb 2015
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

  • Male and female adults aged ≥40 years.
  • Patients with stable COPD according to GOLD strategy (GOLD 2011).
  • Patients with airflow limitation indicated by a post-bronchodilator FEV1 ≥ 30% and <80% of the predicted normal, and a post-bronchodilator.
  • FEV1/FVC < 0.70.
  • Current or ex-smokers who have a smoking history of at least 10 pack years.
  • Patients with an mMRC ≥ grade 2

Who cannot join

  • History of long QT syndrome or prolonged QTc.
  • Patients who have had a COPD exacerbation that required treatment with antibiotics and/or systemic corticosteroids and/or hospitalization in the 6 weeks prior to Visit 1.
  • Patients with Type I or uncontrolled Type II diabetes.
  • Patients with a history of asthma or have concomitant pulmonary disease.
  • Patients with paroxysmal (e.g. intermittent) atrial fibrillation. Only patients with persistent atrial fibrillation and controlled with a rate control strategy for at least six months could be eligible.
  • Patients who have clinically significant renal, cardiovascular, neurological, endocrine, immunological, psychiatric, gastrointestinal, hepatic, or hematological abnormalities which could interfere with the assessment of safety.

Trial locations and contacts

116 sites in 17 countries.

116 sites in 17 countries

Argentina25 sites
  • Novartis Investigative Site

    Buenos Aires, Buenos Aires, 1425

  • Novartis Investigative Site

    Buenos Aires, Buenos Aires, B1842DID

  • Novartis Investigative Site

    Caba, Buenos Aires, 1028

  • Novartis Investigative Site

    Caba, Buenos Aires, C1113AAC

  • Novartis Investigative Site

    Caba, Buenos Aires, C1122AAK

  • Novartis Investigative Site

    Caba, Buenos Aires, C1180AAX

  • Novartis Investigative Site

    Caba, Buenos Aires, C1425AUA

  • Novartis Investigative Site

    Concepción del Uruguay, Entre Ríos Province, E3260EPD

  • Novartis Investigative Site

    Corrientes, Corrientes Province, W3400

  • Novartis Investigative Site

    Florida, Buenos Aires, B1602DQD

  • Novartis Investigative Site

    Lanus, Buenos Aires, B8000XAV

  • Novartis Investigative Site

    Mar del Plata, Buenos Aires, B7600FZN

  • 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, S2000AII

  • Novartis Investigative Site

    Rosario, Santa Fe Province, S2000CXH

  • Novartis Investigative Site

    Salta, Salta Province, 4000

  • Novartis Investigative Site

    San Isidro, Buenos Aires, B1642DCD

  • Novartis Investigative Site

    San Juan Bautista, Buenos Aires, B2705XAE

  • Novartis Investigative Site

    San Miguel de Tucumán, Tucumán Province, 4000

  • Novartis Investigative Site

    Santa Fe, Rosario, S2000DBS

  • Novartis Investigative Site

    Santa Fe, Santa Fe Province, S3000FIL

  • Novartis Investigative Site

    Santa Fe, Santa Fe Province, S3000FWO

  • Novartis Investigative Site

    Vicente López, Buenos Aires, B1638AAI

Other trials in Argentina

India14 sites
  • Novartis Investigative Site

    Ahmedabad, India, 380009

  • Novartis Investigative Site

    Bangalore, Karnataka, 560002

  • Novartis Investigative Site

    Bikaner, Rajasthan, 334 001

  • Novartis Investigative Site

    Coimbatore, Tamil Nadu, 641 045.

  • Novartis Investigative Site

    Hyderabad, A.p., 500 001

  • Novartis Investigative Site

    Hyderabad, Andhra Pradesh, 500004

  • Novartis Investigative Site

    Jaipur, Rajasthan, 302 039

  • Novartis Investigative Site

    Jaipur, Rajasthan, 302023

  • Novartis Investigative Site

    Mysore, Karnataka, 570004

  • Novartis Investigative Site

    Nagpur, Maharashtra, 440033

  • Novartis Investigative Site

    Nagpur - Maharashtra, India, 440012

  • Novartis Investigative Site

    Panjim, Goa, 403 002

  • Novartis Investigative Site

    Trivandrum, Kerala, 695 011

  • Novartis Investigative Site

    Vellore, Tamil Nadu, 632004

Other trials in India

Hungary11 sites
  • Novartis Investigative Site

    Budapest, HUN, 1204

  • Novartis Investigative Site

    Cegléd, Hungary, 2700

  • Novartis Investigative Site

    Csorna, H-9300

  • Novartis Investigative Site

    Debrecen, Hungary, 4032

  • Novartis Investigative Site

    Eger, 3300

  • Novartis Investigative Site

    Érd, Hungary, H-2030

  • Novartis Investigative Site

    Gödöllő, 2100

  • Novartis Investigative Site

    Monor, Hungary, 2200

  • Novartis Investigative Site

    Mosonmagyaróvár, 9200

  • Novartis Investigative Site

    Siófok, Hungary, 8600

  • Novartis Investigative Site

    Szarvas, Hungary, 5540

Other trials in Hungary

United Kingdom11 sites
  • Novartis Investigative Site

    Birmingham, B15 2WB

  • Novartis Investigative Site

    Birmingham, B9 5SS

  • Novartis Investigative Site

    Bradford, West Yorkshire, BD9 6RJ

  • Novartis Investigative Site

    Cheshire, CW1 4QJ

  • Novartis Investigative Site

    Doncaster, DN2 5LT

  • Novartis Investigative Site

    Leeds, LS9 7TF

  • Novartis Investigative Site

    Merseyside, CH49 5PE

  • Novartis Investigative Site

    Newport, P030 5TG

  • Novartis Investigative Site

    Portsmouth, PO6 3AD

  • Novartis Investigative Site

    Royal Leamington Spa, Warwickshire, CV32 4RA

  • Novartis Investigative Site

    Wolverhampton, WV10 0QP

Other trials in United Kingdom

Russia10 sites
  • Novartis Investigative Site

    Moscow, 115280

  • Novartis Investigative Site

    Moscow, 125315

  • Novartis Investigative Site

    N.Novgorod, 603126

  • Novartis Investigative Site

    Nizhny Novgorod, 603018

  • Novartis Investigative Site

    Ryazan, 390026

  • Novartis Investigative Site

    Saint Petersburg, 193231

  • Novartis Investigative Site

    Saint Petersburg, 193312

  • Novartis Investigative Site

    Saint Petersburg, 194354

  • Novartis Investigative Site

    Saratov, 410012

  • Novartis Investigative Site

    Yaroslavl, 150003

Other trials in Russia

South Korea8 sites
  • Novartis Investigative Site

    Bucheon-si, Gyeonggi-do, 14584

  • Novartis Investigative Site

    Daegu, 705-703

  • Novartis Investigative Site

    Incheon, 403-720

  • Novartis Investigative Site

    Incheon, 405-760

  • Novartis Investigative Site

    Seoul, Korea, 03080

  • Novartis Investigative Site

    Seoul, Korea, 130-709

  • Novartis Investigative Site

    Seoul, Seoul, 156-755

  • Novartis Investigative Site

    Seoul, 130-872

Other trials in South Korea

Poland5 sites
  • Novartis Investigative Site

    Bialystok, 15-044

  • Novartis Investigative Site

    Katowice, 40-752

  • Novartis Investigative Site

    Krakow, 31-159

  • Novartis Investigative Site

    Lodz, 90-153

  • Novartis Investigative Site

    Lodz, 90-302

Other trials in Poland

Turkey (Türkiye)5 sites
  • Novartis Investigative Site

    Kartal, 34890

  • Novartis Investigative Site

    Kocaeli, 41380

  • Novartis Investigative Site

    Mersin, 33079

  • Novartis Investigative Site

    Pendik / Istanbul, Turkey, 1330

  • Novartis Investigative Site

    Yenisehir/Izmir, 35110

Other trials in Turkey (Türkiye)

Colombia4 sites
  • Novartis Investigative Site

    Armenia

  • Novartis Investigative Site

    Barranquilla

  • Novartis Investigative Site

    Bogota, Cundinamarca

  • Novartis Investigative Site

    Bogotá

Other trials in Colombia

Croatia4 sites
  • Novartis Investigative Site

    Osijek, 31000

  • Novartis Investigative Site

    Sisak, Croatia, 44000

  • Novartis Investigative Site

    Zagreb, Croatia, 10 000

  • Novartis Investigative Site

    Zagreb, 10000

Other trials in Croatia

Israel4 sites
  • Novartis Investigative Site

    Jerusalem, 91031

  • Novartis Investigative Site

    Jerusalem, 9112001

  • Novartis Investigative Site

    Petah Tikva, 49100

  • Novartis Investigative Site

    Rehovot, 76100

Other trials in Israel

Mexico4 sites
  • Novartis Investigative Site

    León, Guanajuato, 37000

  • Novartis Investigative Site

    Mexico City, Mexico City, 06726

  • Novartis Investigative Site

    Mexico City, Mexico City, 14050

  • Novartis Investigative Site

    Pachuca, Hidalgo, 42090

Other trials in Mexico

Estonia3 sites
  • Novartis Investigative Site

    Tallinn, 13419

  • Novartis Investigative Site

    Tallinn, 13619

  • Novartis Investigative Site

    Tartu, Estonia, 51014

Other trials in Estonia

Latvia3 sites
  • Novartis Investigative Site

    Daugavpils, LV-5401

  • Novartis Investigative Site

    Riga, 1002

  • Novartis Investigative Site

    Riga, LV-1038

Other trials in Latvia

Panama2 sites
  • Novartis Investigative Site

    Panama City, Provincia de Panamá, 0834-00363

  • Novartis Investigative Site

    Panama City, Provincia de Panamá

Other trials in Panama

Serbia2 sites
  • Novartis Investigative Site

    Knez-Selo, 18204

  • Novartis Investigative Site

    Kragujevac, 34000

Other trials in Serbia

Slovenia1 site
  • Novartis Investigative Site

    Golnik, 4204

Other trials in Slovenia

About this study

Official title: A Placebo and Active Controlled Study to Assess the Long-term Safety of Once Daily QVA149 for 52 Weeks in Chronic Obstructive Pulmonary Disease (COPD) Patients With Moderate to Severe Airflow Limitation

The study will assess the long-term safety of the fixed combination product QVA149 versus placebo and a standard of care treatment (tiotropium) in Chronic Obstructive Pulmonary Disease (COPD) patients with moderate to severe airflow limitation.

Being tested
QVA149, Tiotropium, placebo
Keywords
chronic obstructive pulmonary disease, COPD, QVA149, QAB149, NVA237, Indacaterol maleate, Glycopyronnium bromide
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.

  • QVA149Drug

    QVA149 110/50 µg will be supplied as capsules in blister packs for once daily inhalation using the Novartis Concept1 SDDPI

  • TiotropiumDrug

    Tiotropium 18 µg will be supplied as capsules in blister packs for once daily inhalation using the HandiHaler SDDPI

  • placeboDrug

    placebo to QVA149A and Tiotropium will be supplied in the appropriate capsule in blister packs for use in either the Novartis Concept1 SDDPI or the HandiHaler SDDPI

Study groups in NCT01610037
Study groupRoleWhat they receive
QVA149ExperimentalNot described
Receives: Drug: QVA149
TiotropiumActive comparatorNot described
Receives: Drug: Tiotropium
placeboPlacebo comparatorNot described
Receives: Drug: placebo

What is being measured

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

  1. Number of Patients With Serious Adverse Events

    The overall rate of serious adverse events reported from initiation through 30 days post last dose.

    Measured: Week 52

Secondary outcomes (11)
  1. Percentage of Patients With Composite Endpoint of All-cause Mortality, and Serious Cardio- and Cerebrovascular (CCV) Events.

    The endpoint of all-cause mortality and serious CCV events (composite) was chosen to further characterize any discernible risks. The patients with an event in the analysis were those who had at least one of the 2 events namely, all-cause mortality and serious CCV, during treatment or within 30 days after the date of last dose of study drug.

    Measured: 52 weeks

  2. Post-hoc Analysis: Percentage of Patients With Composite Endpoint of Cardiovascular Death and MACE

    The composite endpoint included all deaths and all serious CCV events, including MACE and events which were not considered MACE. A rigorous post hoc analysis was done on composite endpoint of CV deaths and major adverse cardiovascular events (MACE). The patients with an event in the analysis were those who had at least one of the 2 events namely, CV deaths and MACE, during treatment or within 30 days after the date of last dose of study drug.

    Measured: 52 weeks

  3. Change From Baseline in Pre-Dose Forced Expiratory Volume Over in Second (FEV1)

    Pulmonary function assessments were performed using centralized spirometry according to international standards. Baseline FEV1 was defined as the average of the pre-dose FEV1 measured at -45 minutes (min) and -15 min at day 1.

    Measured: Day 22, 43, 85, 183, 274 and 364

  4. Change From Baseline in Health Status as Measured by St. George's Respiratory Questionnaire for COPD Patients (SGRQ-C)

    The SGRQ-C contains 40 items divided into two parts covering three aspects of health related to COPD: Part I covers "Symptoms" and is concerned with respiratory symptoms, their frequency and severity; Part II covers "Activity" and is concerned with activities that cause or are limited by breathlessness; Part II is also concerned with "Impacts" which covers a range of aspects concerned with social functioning and psychological disturbances resulting from airways disease. A score will be calculated for each of these three subscales and a "Total" score will also be calculated. In each case the lowest possible value is zero and the highest 100. Higher values correspond to greater impairment of health status.

    Measured: Measurment at day 364

  5. Change From Baseline in Daily, Morning and Evening Symptom Scores

    Patients will be provided with an electronic diary (eDiary) to record daily clinical symptoms, or rescue medication. The patients will be instructed to routinely complete the patient diary twice daily. There are 9 total symptom questions for a total possible score of 27 at each timepoint. A higher score means the patient is reporting more symptoms related to Chronic Obstructive Pulmonary Disease. The mean daily total symptom score, the mean daytime total symptom score and the mean nighttime total symptom score were calculated for each patient over 52 weeks. Diary data recorded during the 14 day run-in period were used to calculate the baseline.

    Measured: 52 weeks

  6. Change From Baseline in Percentage of Nights With 'no Nighttime Awakenings

    A night with 'no nighttime awakenings' is defined from diary data as any night where the patient did not wake up due to symptoms.

    Measured: 52 weeks

  7. Change From Baseline in Percentage of no Daytime Symptoms

    A day with 'no daytime symptoms' is defined from the diary data as any day where the patient has recorded in the evening no cough, no wheeze, no production of sputum and no feeling of breathlessness (other than when running) during the past 12 hours (approx. 8 am to 8 pm).

    Measured: 52 weeks

  8. Change From Baseline in Percentage of Days Able to Perform Usual Daily Activities.

    A day able to perform usual daily activities' is defined from diary data as any day where the patient was not prevented from performing their usual daily activities due to respiratory symptoms.

    Measured: 52 weeks

  9. Change From Baseline in 1 Hour Post-dose Forced Vital Capacity (FVC) Measurements

    Pulmonary function assessments were performed using centralized spirometry according to international standards

    Measured: Day 1, 22, 43, 85, 183, 274 and 364

  10. Time to Premature Discontinuation

    Time to premature treatment discontinuation for each treatment group was displayed using a Kaplan-Meier curve. The date of last dose of study medication was considered as the event date and also as the censoring date for those patients who did not discontinue treatment early. The range of the 'time to treatment discontinuation' varied from 5-407 days in the Tiotropium group. Hence the model estimated lower limit of the median time to treatment discontinuation is greater than the scheduled treatment period of 52 weeks.

    Measured: Time varied from 5 - 407 days

  11. Change From Baseline in 1 Hour Post-dose FEV1 Measurements

    The avg 60 min post dose forced expiratory volume in 1 second (FEV1) at visit 4, 5, 6, 7, 8 and 9 will be analyzed.

    Measured: Day 1, 22, 43, 85, 183, 274 and 364

Timeline

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

  1. First posted1 Jun 2012 (estimated)
  2. Study startOct 2012
  3. Primary completionFeb 2015
  4. Study completionFeb 2015

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
1,215 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01610037
Sponsor's protocol ID
CQVA149A2339
Other IDs
2012-002057-38
Status last verified
May 2016
First submitted
30 May 2012
Last updated
15 Jun 2016
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing QVA149 and Tiotropium in people with Chronic Obstructive Pulmonary Disease (COPD), run by Novartis Pharmaceuticals at 116 sites in 17 countries.

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

Who may be eligible to take part?

The sponsor lists 6 inclusion and 6 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 Jun 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 116 sites in Argentina, India, Hungary, United Kingdom, Russia and 12 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

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

What does this phase mean?

Phase 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 Jun 2016). 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?

Number of Patients With Serious Adverse Events (time frame: Week 52). 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 15 Jun 2016.

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