COPDPhase 2GOLDEN-2NCT01706536
A Study of the Efficacy and Safety of EP-101 ( (SUN101) in Subjects With Moderate to Severe Chronic Obstructive Pulmonary Disease
A Phase 2 study testing EP-101 12.5 mcg, EP-101 25 mcg and EP-101 50 mcg in people with COPD, run by Sunovion Respiratory Development Inc. at 26 sites in United States.
Trial summary
This is a randomized, double-blind, placebo-controlled, parallel arm study. The study population will consist of subjects, 35 to 75 years of age, with a diagnosis of moderate to severe COPD per Global Initiative for Chronic Obstructive Lung Disease guidelines. Read more about this study
- Who is it for?
- Ages 35 to 75 years
- Conditions the study is for
- COPD
- What is being tested?
- EP-101 12.5 mcg, EP-101 25 mcg and EP-101 50 mcg
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 275 participants
- Where
- 26 sitesUnited States
- Study dates
- Oct 2012to Apr 2013
- 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 35 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male and female subjects age 35 through 75 years, inclusive.
- A clinical diagnosis of moderate to severe COPD according to GOLD guidelines (2011).
- Current smokers or ex-smokers with at least 10 pack-year smoking history (eg, at least 1 pack/day for 10 years, or equivalent).
- Post-bronchodilator (following inhalation of ipratropium bromide MDI) FEV1 ≥ 30% and ≤ 70% of predicted normal value during the Screening Period.
- Post-bronchodilator (following inhalation of ipratropium bromide MDI) FEV1/FVC ratio < 0.70 during the Screening Period.
- Post-bronchodilator (following inhalation of ipratropium bromide MDI) improvement in FEV1 ≥ 12% and ≥ 100 mL during the Screening Period.
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- Ability to perform reproducible spirometry according to the American Thoracic Society (ATS) and European Respiratory Society (ERS) guidelines (2005).
- Subject, if female ≤ 65 years of age and of child bearing potential, must have a negative serum pregnancy test at screening. Females of childbearing potential must be instructed to and agree to avoid pregnancy during the study and must use an acceptable method of birth control:
- a. An oral contraceptive, an intrauterine device (IUD), implantable contraceptive, transdermal or injectable contraceptive for at least 1 month prior to entering the study with continued use throughout the study and for thirty days following study participation.
- b. Barrier method of contraception, eg, condom and/or diaphragm with spermicide while participating in the study.
- c. Abstinence.
- Willing and able to provide written informed consent.
Who cannot join
- Current evidence or recent history of any clinically significant and unstable disease (other than COPD) or abnormality in the opinion of the Investigator that would put the subject at risk or which would compromise the quality of the study data; including but not limited to cardiovascular disease, myocardial infarction, cardiac failure, uncontrolled hypertension, life-threatening arrhythmias, uncontrolled diabetes, neurologic or neuromuscular disease, liver disease, gastrointestinal disease or electrolyte abnormalities.
- Current evidence or history of clinically significant abnormal cardiac rhythm and/or conduction findings, including Holter monitoring results during the Screening Period.
- Concomitant pulmonary disease or primary diagnosis of asthma.
- History of malignancy of any organ system, treated or untreated within the past 5 years, with the exception of localized basal cell carcinoma of the skin
- Recent history of COPD exacerbation requiring hospitalization or need for increased treatments for COPD within 6 weeks prior to the Screening Period.
- Use of daily oxygen therapy > 10 hours per day.
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- Use of systemic steroids within 3 months prior to the Screening Period.
- Respiratory tract infection within 6 weeks prior to or during the Screening Period.
- History of tuberculosis, bronchiectasis or other non-specific pulmonary disease.
- History of urinary retention or bladder neck obstruction type symptoms.
- History of narrow-angle glaucoma.
- Prolonged QTc interval (> 450msec for males and > 470msec for females) during the Screening Period, or history of long QT syndrome.
- Recent history (previous 12 months) of excessive use or abuse of narcotic/illegal drugs.
- History of hypersensitivity or intolerance to β2-agonists or anticholinergics.
- Participation in another investigational drug study where drug was received within 30 days prior to the Screening Period.
- Female subject who is pregnant or lactating
Trial locations and contacts
26 sites in 1 country.
26 sites in 1 country
United States26 sites
Georgia Clinical Research
Austell, Georgia, 30106
American Health Research
Charlotte, North Carolina, 28207
New Horizons Clinical Research
Cincinnati, Ohio, 45242
Clinical Research of West Florida
Clearwater, Florida, 33765
California Research Medical Group, Inc.
Fullerton, California, 92835
Greenville Pharmaceutical Research, Inc
Greenville, South Carolina, 29615
Upstate Pharmaceutical Research
Greenville, South Carolina, 29615
Baylor College of Medicine
Houston, Texas, 77030
Jasper Summit Research, LLC
Jasper, Alabama, 35501
Gwinnett Biomedical Research
Lawrenceville, Georgia, 30046
UCLA David Geffen School of Medicine
Los Angeles, California, 90095
Clinical Research Institute of Southern Oregon, PC
Medford, Oregon, 97504
Sunstone Medical Research LLC
Medford, Oregon, 97504
Minnesota Lung Center
Minneapolis, Minnesota, 55407
Central Texas Health Research
New Braunfels, Texas, 78130
Pulmonary Associates, PA
Phoenix, Arizona, 85006
Allergy Associates Research Center
Portland, Oregon, 97202
North Carolina Clinical Research
Raleigh, North Carolina, 27607
Pulmonary Associates of Richmond, Inc.
Richmond, Virginia, 23225
Integrated Research Group
Riverside, California, 92506
Capital Allergy & Respiratory Disease Center
Sacramento, California, 95819
Institute of HealthCare Assessment, Inc.
San Diego, California, 92120
South Carolina Pharmaceutical Research
Spartanburg, South Carolina, 29303
Clinical Research of West Florida
Tampa, Florida, 33603
Veritas Clinical Specialities, LTD
Topeka, Kansas, 66606
CU Pharmacuetical Research
Union, South Carolina, 29379
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Study of the Efficacy and Safety of EP-101 (SUN101) in Subjects With Moderate to Severe Chronic Obstructive Pulmonary Disease: GOLDEN-2 (Glycopyrrolate for Obstructive Lung Disease Via Electronic Nebulizer)
This is a randomized, double-blind, placebo-controlled, parallel arm study. The study population will consist of subjects, 35 to 75 years of age, with a diagnosis of moderate to severe COPD per Global Initiative for Chronic Obstructive Lung Disease guidelines.
Read the detailed description
This is a randomized, double-blind, placebo-controlled, parallel arm study. The study population will consist of subjects, 35 to 75 years of age, with a diagnosis of moderate to severe COPD per Global Initiative for Chronic Obstructive Lung Disease guidelines (GOLD, 2011). The primary analysis will compare each of the EP-101 (SUN101) dose groups to placebo with respect to the change from baseline in morning trough FEV1 on Day 29. Trough FEV1 is defined as the mean of the two FEV1 values obtained at 23 hours 30 minutes and 24 hours after Day 28 AM dose (ie, approximately 12 hours after the previous PM dose).
- Conditions
- COPD
- Being tested
- Placebo, EP-101 12.5 mcg, EP-101 25 mcg, EP-101 50 mcg, EP-101 100 mcg
- 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.
PlaceboDrug
Also called SUN101
EP-101 Placebo AM + EP-101 Placebo PM
EP-101 12.5 mcgDrug
Also called SUN101
EP-101 12.5 mcg AM + EP-101 12.5 mcg PM
EP-101 25 mcgDrug
Also called SUN101
EP-101 25 mcg AM + EP-101 25 mcg PM
EP-101 50 mcgDrug
Also called SUN101
EP-101 50 mcg AM + EP-101 50 mcg PM
EP-101 100 mcgDrug
Also called SUN101
EP-101 100 mcg AM + EP-101 100 mcg PM
| Study group | Role | What they receive |
|---|---|---|
| EP-101 Placebo | Placebo comparator | EP-101 Placebo AM + EP-101 Placebo PM Receives: Drug: Placebo |
| EP 101 12.5 mcg | Experimental | EP-101 12.5 mcg AM + EP-101 12.5 mcg PM Receives: Drug: EP-101 12.5 mcg |
| EP-101 25 mcg | Experimental | EP-101 25 mcg AM + EP-101 25 mcg PM Receives: Drug: EP-101 25 mcg |
| EP-101 50 mcg | Experimental | EP-101 50 mcg AM + EP-101 50 mcg PM Receives: Drug: EP-101 50 mcg |
| EP-101 100 mcg | Experimental | EP-101 100 mcg AM + EP-101 100 mcg PM Receives: Drug: EP-101 100 mcg |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Morning Trough Forced Expiratory Volume in 1 Second (FEV1)
Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines. Trough FEV1 was defined as the mean of the spirometry values collected at 23 hours 30 minutes and 24 hours after the in-clinic morning dose (i.e. approximately 12 hrs after the previous evening dose).
Measured: Baseline and Day 29
Secondary outcomes (9)
The Standardized Change From Baseline FEV1 AUC(0-12)
Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines.
Measured: Day 28
The Standardized Change From Baseline FEV1 AUC(12-24)
Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines.
Measured: Day 28
The Peak FEV1 Change From Baseline
Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines. Peak FEV1 is defined as the highest postdose FEV1 value within 4 hrs after the morning dose.
Measured: Day 28
The Number of Subjects With Treatment-emergent Adverse Events
Treatment-emergent adverse events were those which first occurred or increased in severity or relationship to study drug after the first dose of double-blind study drug.
Measured: Baseline up to Day 28
The Number of Subjects With Treatment-emergent Serious Adverse Events
Treatment-emergent serious adverse events were those which first occurred or increased in severity or relationship to study drug after the first dose of double-blind study drug.
Measured: Baseline up to Day 28
The Number of Subjects With Treatment-emergent Adverse Events Leading to Study Medication Discontinuation
Treatment-emergent adverse events were those which first occurred or increased in severity or relationship to study drug after the first dose of double-blind study drug.
Measured: Baseline up to Day 28
The Percentage of Subjects With Treatment-emergent Adverse Events
Treatment-emergent adverse events were those which first occurred or increased in severity or relationship to study drug after the first dose of double-blind study drug.
Measured: Baseline up to Day 28
The Percentage of Subjects With Treatment-emergent Serious Adverse Events
Treatment-emergent serious adverse events were those which first occurred or increased in severity or relationship to study drug after the first dose of double-blind study drug.
Measured: Baseline up to Day 28
The Percentage of Subjects With Treatment-emergent Adverse Events Leading to Study Medication Discontinuation
Treatment-emergent adverse events were those which first occurred or increased in severity or relationship to study drug after the first dose of double-blind study drug.
Measured: Baseline up to Day 28
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Oct 2012 (estimated)
- Study startOct 2012
- Primary completionApr 2013
- Study completionApr 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 COPDStudies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 275 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sunovion Respiratory Development Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Respiratory Medical Director, MD, Study director, Sunovion Respiratory Development
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01706536
- Sponsor's protocol ID
- EP-101-04 (SUN101)
- Acronym
- GOLDEN-2
- Status last verified
- Feb 2018
- First submitted
- 10 Oct 2012
- Last updated
- 8 Mar 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Donohue JF, Goodin T, Tosiello R, Wheeler A. Dose selection for glycopyrrolate/eFlow(R) phase III clinical studies: results from GOLDEN (Glycopyrrolate for Obstructive Lung Disease via Electronic Nebulizer) phase II dose-finding studies. Respir Res. 2017 Dec 4;18(1):202. doi: 10.1186/s12931-017-0681-z.
PubMed 29202767
Study at a glance
From the registry record, last updated by the sponsor on 8 Mar 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Study of the Efficacy and Safety of EP-101 (SUN101) in Subjects With Moderate to Severe Chronic Obstructive Pulmonary Disease: GOLDEN-2 (Glycopyrrolate for Obstructive Lung Disease Via Electronic Nebulizer)
- ClinicalTrials.gov ID
- NCT01706536
- Acronym / sponsor ID
- GOLDEN-2 / EP-101-04 (SUN101)
- Conditions
- COPD
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 275 participants (actual)
- Lead sponsor
- Sunovion Respiratory Development Inc.Industry (pharma, biotech, devices)
- Study start
- Oct 2012
- Primary completion
- Apr 2013 (actual)
- Study completion
- Apr 2013 (actual)
- First posted
- 15 Oct 2012 (estimated)
- Results
- Posted 8 Mar 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a randomized, double-blind, placebo-controlled, parallel arm study. The study population will consist of subjects, 35 to 75 years of age, with a diagnosis of moderate to severe COPD per Global Initiative for Chronic Obstructive Lung Disease guidelines.
Detailed description
This is a randomized, double-blind, placebo-controlled, parallel arm study. The study population will consist of subjects, 35 to 75 years of age, with a diagnosis of moderate to severe COPD per Global Initiative for Chronic Obstructive Lung Disease guidelines (GOLD, 2011). The primary analysis will compare each of the EP-101 (SUN101) dose groups to placebo with respect to the change from baseline in morning trough FEV1 on Day 29. Trough FEV1 is defined as the mean of the two FEV1 values obtained at 23 hours 30 minutes and 24 hours after Day 28 AM dose (ie, approximately 12 hours after the previous PM dose).
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 |
|---|---|---|
| EP-101 Placebo | Placebo comparator | Drug: PlaceboEP-101 Placebo AM + EP-101 Placebo PM |
| EP 101 12.5 mcg | Experimental | Drug: EP-101 12.5 mcgEP-101 12.5 mcg AM + EP-101 12.5 mcg PM |
| EP-101 25 mcg | Experimental | Drug: EP-101 25 mcgEP-101 25 mcg AM + EP-101 25 mcg PM |
| EP-101 50 mcg | Experimental | Drug: EP-101 50 mcgEP-101 50 mcg AM + EP-101 50 mcg PM |
| EP-101 100 mcg | Experimental | Drug: EP-101 100 mcgEP-101 100 mcg AM + EP-101 100 mcg PM |
Who may qualify
- Ages
- 35 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Male and female subjects age 35 through 75 years, inclusive.
- A clinical diagnosis of moderate to severe COPD according to GOLD guidelines (2011).
- Current smokers or ex-smokers with at least 10 pack-year smoking history (eg, at least 1 pack/day for 10 years, or equivalent).
- Post-bronchodilator (following inhalation of ipratropium bromide MDI) FEV1 ≥ 30% and ≤ 70% of predicted normal value during the Screening Period.
- Post-bronchodilator (following inhalation of ipratropium bromide MDI) FEV1/FVC ratio < 0.70 during the Screening Period.
Key exclusion criteria (16 listed)
- Current evidence or recent history of any clinically significant and unstable disease (other than COPD) or abnormality in the opinion of the Investigator that would put the subject at risk or which would compromise the quality of the study data; including but not limited to cardiovascular disease, myocardial infarction, cardiac failure, uncontrolled hypertension, life-threatening arrhythmias, uncontrolled diabetes, neurologic or neuromuscular disease, liver disease, gastrointestinal disease or electrolyte abnormalities.
- Current evidence or history of clinically significant abnormal cardiac rhythm and/or conduction findings, including Holter monitoring results during the Screening Period.
- Concomitant pulmonary disease or primary diagnosis of asthma.
- History of malignancy of any organ system, treated or untreated within the past 5 years, with the exception of localized basal cell carcinoma of the skin
- Recent history of COPD exacerbation requiring hospitalization or need for increased treatments for COPD within 6 weeks prior to the Screening Period.
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 |
|---|---|---|
| PlaceboAlso: SUN101EP-101 Placebo AM + EP-101 Placebo PM | Drug | EP-101 Placebo |
| EP-101 12.5 mcgAlso: SUN101EP-101 12.5 mcg AM + EP-101 12.5 mcg PM | Drug | EP 101 12.5 mcg |
| EP-101 25 mcgAlso: SUN101EP-101 25 mcg AM + EP-101 25 mcg PM | Drug | EP-101 25 mcg |
| EP-101 50 mcgAlso: SUN101EP-101 50 mcg AM + EP-101 50 mcg PM | Drug | EP-101 50 mcg |
| EP-101 100 mcgAlso: SUN101EP-101 100 mcg AM + EP-101 100 mcg PM | Drug | EP-101 100 mcg |
Primary outcome
Change From Baseline in Morning Trough Forced Expiratory Volume in 1 Second (FEV1)
Time frame: Baseline and Day 29
Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines. Trough FEV1 was defined as the mean of the spirometry values collected at 23 hours 30 minutes and 24 hours after the in-clinic morning dose (i.e. approximately 12 hrs after the previous evening dose).
9 secondary outcomes
The Standardized Change From Baseline FEV1 AUC(0-12)
Time frame: Day 28
The Standardized Change From Baseline FEV1 AUC(12-24)
Time frame: Day 28
The Peak FEV1 Change From Baseline
Time frame: Day 28
The Number of Subjects With Treatment-emergent Adverse Events
Time frame: Baseline up to Day 28
The Number of Subjects With Treatment-emergent Serious Adverse Events
Time frame: Baseline up to Day 28
The Number of Subjects With Treatment-emergent Adverse Events Leading to Study Medication Discontinuation
Time frame: Baseline up to Day 28
The Percentage of Subjects With Treatment-emergent Adverse Events
Time frame: Baseline up to Day 28
The Percentage of Subjects With Treatment-emergent Serious Adverse Events
Time frame: Baseline up to Day 28
The Percentage of Subjects With Treatment-emergent Adverse Events Leading to Study Medication Discontinuation
Time frame: Baseline up to Day 28
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Mar 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 29202767Donohue JF, Goodin T, Tosiello R, Wheeler A. Dose selection for glycopyrrolate/eFlow(R) phase III clinical studies: results from GOLDEN (Glycopyrrolate for Obstructive Lung Disease via Electronic Nebulizer) phase II dose-finding studies. Respir Res. 2017 Dec 4;18(1):202. doi: 10.1186/s12931-017-0681-z.
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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.
Respiratory Medical Director, MD study director
Sunovion Respiratory Development
26 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing EP-101 12.5 mcg, EP-101 25 mcg and EP-101 50 mcg in people with COPD, run by Sunovion Respiratory Development Inc. at 26 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 12 inclusion and 16 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 8 Mar 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 26 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 8 Mar 2018). 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 Morning Trough Forced Expiratory Volume in 1 Second (FEV1) (time frame: Baseline and Day 29). 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 NCT01706536, 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 8 Mar 2018.