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Chronic Obstructive Pulmonary DiseasePhase 3NCT01854645

Efficacy and Safety of PT003, PT005, and PT001 in Subjects With Moderate to Very Severe Chronic Obstructive Pulmonary Disease (COPD); (PINNACLE 1)

A Phase 3 study testing GFF MDI, GP MDI and FF MDI in people with Chronic Obstructive Pulmonary Disease, run by Pearl Therapeutics, Inc. at 139 sites in 3 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 overall objective of this study is to assess the efficacy and safety of treatment with PT003 (GFF MDI), PT005 (FF MDI), PT001 (GP MDI), and open-label tiotropium bromide inhalation powder compared with each other and Placebo MDI over 24 weeks in subjects with moderate to very severe COPD. 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?
GFF MDI, GP MDI and FF MDI
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
2,103 participants
Where
139 sitesin 3 countries
Study dates
May 2013to 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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female subjects at least 40 years of age and no older than 80 at Visit 1.
  • Subjects with an established clinical history of COPD as defined by the American Thoracic Society (ATS)/European Respiratory Society (ERS)
  • Current or former smokers with a history of at least 10 pack-years of cigarette smoking.
  • Average f the -60 and the -30 min pre-dose FEV1 assessments must be < 80% predicted normal value calculated using National Health and Nutrition Examination Survey (NHANES) III reference equations.
  • Subjects willing and, in the opinion of the investigator, able to adjust current COPD therapy as required by the protocol

Who cannot join

  • Significant diseases other than COPD, i.e. disease or condition which, in the opinion of the investigator, may put the patient at risk because of participation in the study or may influence either the results of the study or the subject's ability to participate in the study
  • Current diagnosis of asthma or alpha-1 antitrypsin deficiency
  • Other active pulmonary disease such as active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, idiopathic interstitial pulmonary fibrosis, primary pulmonary hypertension, or uncontrolled sleep apnea
  • Hospitalized due to poorly controlled COPD within 3 months prior to screening or during the Screening Period
  • Poorly controlled COPD, defined as acute worsening of COPD that requires treatment with oral corticosteroids or antibiotics within 6 weeks prior to screening or during the Screening Period
  • Lower respiratory tract infections that required antibiotics within 6 weeks prior to screening or during the Screening Period
Show all 14Show fewer
  • Unstable ischemic heart disease, left ventricular failure, or documented myocardial infarction within 12 months of enrollment.
  • Recent history of acute coronary syndrome, percutaneous coronary intervention, coronary artery bypass graft within the past three months
  • Congestive heart failure (CHF) New York Heart Association (NYHA) Class III/IV)
  • Clinically significant abnormal 12-lead ECG
  • Abnormal liver function tests defined as aspartate transaminase (AST), alanine transaminase (ALT), or total bilirubin ≥ 1.5 times upper limit of normal at Visit 1 and on repeat testing
  • Cancer not in complete remission for at least five years
  • History of hypersensitivity to β2-agonists, glycopyrronium or other muscarinic anticholinergics, lactose/milk protein or any component of the MDI
  • Other protocol-defined inclusion/exclusion criteria may apply

Trial locations and contacts

139 sites in 3 countries.

139 sites in 3 countries

United States121 sites
  • Pearl Investigative Site

    Abingdon, Virginia

  • Pearl Investigative Site

    Albuquerque, New Mexico

  • Pearl Investigative Site

    Anaheim, California

  • Pearl Investigative Site

    Andalusia, Alabama

  • Pearl Investigative Site

    Anderson, Indiana

  • Pearl Investigative Site

    Anniston, Alabama

  • Pearl Investigative Site

    Athens, Alabama

  • Pearl Investigative Site

    Atlanta, Georgia

  • Pearl Investigative Site

    Austell, Georgia

  • Pearl Investigative Site

    Austin, Texas

  • Pearl Investigative Site

    Avon, Indiana

  • Pearl Investigative Site

    Baltimore, Maryland

  • Pearl Investigative Site

    Bellevue, Nebraska

  • Pearl Investigative Site

    Bend, Oregon

  • Pearl Investigative Site

    Birmingham, Alabama

  • Pearl Investigative Site

    Brandon, Florida

  • Pearl Investigative Site

    Bristol, Tennessee

  • Pearl Investigative Site

    Burlington, North Carolina

  • Pearl Investigative Site

    Carlsbad, California

  • Pearl Investigative Site

    Champaign, Illinois

  • Pearl Investigative Site

    Charleston, South Carolina

  • Pearl Investigative Site

    Charlotte, North Carolina

  • Pearl Investigative Site

    Cincinnati, Ohio

  • Pearl Investigative Site

    Clearwater, Florida

  • Pearl Investigative Site

    Coeur d'Alene, Idaho

  • Pearl Investigative Site

    Colorado Springs, Colorado

  • Pearl Investigative Site

    Columbus, Georgia

  • Pearl Investigative Site

    Columbus, Ohio

  • Pearl Investigative Site

    Corning, New York

  • Pearl Investigative Site

    Danbury, Connecticut

  • Pearl Investigative Site

    Dayton, Ohio

  • Pearl Investigative Site

    Denver, Colorado

  • Pearl Investigative Site

    Dublin, Ohio

  • Pearl Investigative Site

    Duluth, Georgia

  • Pearl Investigative Site

    Easley, South Carolina

  • Pearl Investigative Site

    Edina, Minnesota

  • Pearl Investigative Site

    El Paso, Texas

  • Pearl Investigative Site

    Elwood, Indiana

  • Pearl Investigative Site

    Evanston, Illinois

  • Pearl Investigative Site

    Evansville, Indiana

  • Pearl Investigative Site

    Fort Collins, Colorado

  • Pearl Investigative Site

    Fort Worth, Texas

  • Pearl Investigative Site

    Fridley, Minnesota

  • Pearl Investigative Site

    Gaffney, South Carolina

  • Pearl Investigative Site

    Gainesville, Georgia

  • Pearl Investigative Site

    Greensboro, North Carolina

  • Pearl Investigative Site

    Greenville, South Carolina

  • Pearl Investigative Site

    Hollywood, Maryland

  • Pearl Investigative Site

    Houston, Texas

  • Pearl Investigative Site

    Huntersville, North Carolina

  • Pearl Investigative Site

    Huntsville, Texas

  • Pearl Investigative Site

    Iowa City, Iowa

  • Pearl Investigative Site

    Johnson City, Tennessee

  • Pearl Investigative Site

    Kingsport, Tennessee

  • Pearl Investigative Site

    Lafayette, Louisiana

  • Pearl Investigative Site

    Lakewood, California

  • Pearl Investigative Site

    Las Vegas, Nevada

  • Pearl Investigative Site

    Lehigh Acres, Florida

  • Pearl Investigative Site

    Livonia, Michigan

  • Pearl Investigative Site

    Longview, Texas

  • Pearl Investigative Site

    Los Angeles, California

  • Pearl Investigative Site

    Louisville, Kentucky

  • Pearl Investigative Site

    Lufkin, Texas

  • Pearl Investigative Site

    Medford, Oregon

  • Pearl Investigative Site

    Mesa, Arizona

  • Pearl Investigative Site

    Miami, Florida

  • Pearl Investigative Site

    Midvale, Utah

  • Pearl Investigative Site

    Minneapolis, Minnesota

  • Pearl Investigative Site

    Missoula, Montana

  • Pearl Investigative Site

    Monroeville, Pennsylvania

  • Pearl Investigative Site

    Morgantown, West Virginia

  • Pearl Investigative Site

    Mt. Pleasant, South Carolina

  • Pearl Investigative Site

    Murrells Inlet, South Carolina

  • Pearl Investigative Site

    Myrtle Beach, South Carolina

  • Pearl Investigative Site

    New Braunfels, Texas

  • Pearl Investigative Site

    Ocean City, New Jersey

  • Pearl Investigative Site

    Omaha, Nebraska

  • Pearl Investigative Site

    Oregon, Ohio

  • Pearl Investigative Site

    Ormond Beach, Florida

  • Pearl Investigative Site

    Panama City, Florida

  • Pearl Investigative Site

    Pasadena, California

  • Pearl Investigative Site

    Pensacola, Florida

  • Pearl Investigative Site

    Peoria, Illinois

  • Pearl Investigative Site

    Philadelphia, Pennsylvania

  • Pearl Investigative Site

    Phoenix, Arizona

  • Pearl Investigative Site

    Portland, Oregon

  • Pearl Investigative Site

    Poway, California

  • Pearl Investigative Site

    Raleigh, North Carolina

  • Pearl Investigative Site

    Rapid City, South Dakota

  • Pearl Investigative Site

    Richmond, Virginia

  • Pearl Investigative Site

    River Forest, Illinois

  • Pearl Investigative Site

    Rock Hill, South Carolina

  • Pearl Investigative Site

    Sacramento, California

  • Pearl Investigative Site

    Saint Charles, Missouri

  • Pearl Investigative Site

    Salt Lake City, Utah

  • Pearl Investigative Site

    San Antonio, Texas

  • Pearl Investigative Site

    San Diego, California

  • Pearl Investigative Site

    Scottsdale, Arizona

  • Pearl Investigative Site

    South Burlington, Vermont

  • Pearl Investigative Site

    Southfield, Michigan

  • Pearl Investigative Site

    Spartanburg, South Carolina

  • Pearl Investigative Site

    Spokane, Washington

  • Pearl Investigative Site

    Springfield, Missouri

  • Pearl Investigative Site

    St Louis, Missouri

  • Pearl Investigative Site

    St. Petersburg, Florida

  • Pearl Investigative Site

    Sunset, Louisiana

  • Pearl Investigative Site

    Tacoma, Washington

  • Pearl Investigative Site

    Tampa, Florida

  • Pearl Investigative Site

    Topeka, Kansas

  • Pearl Investigative Site

    Tucson, Arizona

  • Pearl Investigative Site

    Tullahoma, Tennessee

  • Pearl Investigative Site

    Tustin, California

  • Pearl Investigative Site

    Union, South Carolina

  • Pearl Investigative Site

    Vista, California

  • Pearl Investigative Site

    Waterbury, Connecticut

  • Pearl Investigative Site

    West Allis, Wisconsin

  • Pearl Investigative Site

    Wheat Ridge, Colorado

  • Pearl Investigative Site

    Wilmington, North Carolina

  • Pearl Investigative Site

    Winston-Salem, North Carolina

  • Pearl Investigative Site

    Winter Park, Florida

  • Pearl Investigative Site

    Woodbury, Minnesota

Other trials in United States

Australia12 sites
  • Pearl Investigative Site

    Adelaide, South Australia

  • Pearl Investigative Site

    Box Hill, Victoria

  • Pearl Investigative Site

    Brisbane, Queensland

  • Pearl Investigative Site

    Cairns, Queensland

  • Pearl Investigative Site

    Daw Park, South Australia

  • Pearl Investigative Site

    Heidelberg, Victoria

  • Pearl Investigative Site

    Nedlands, Western Australia

  • Pearl Investigative Site

    New Lambton, New South Wales

  • Pearl Investigative Site

    Perth, Western Australia

  • Pearl Investigative Site

    Toorak Gardens, South Australia

  • Pearl Investigative Site

    Westmead, New South Wales

  • Pearl Investigative Site

    Wooloongabba, Queensland

Other trials in Australia

New Zealand6 sites
  • Pearl Investigative Site

    Caversham, Dunedin

  • Pearl Investigative Site

    Greenlane, East Aukland

  • Pearl Investigative Site

    Hamilton, Waikato Region

  • Pearl Investigative Site

    Newtown, Wellington Region

  • Pearl Investigative Site

    Otahuhu, Aukland

  • Pearl Investigative Site

    Tauranga

Other trials in New Zealand

About this study

Official title: A Randomized, Double Blind, Chronic Dosing, Placebo-Controlled, Parallel Group, Multi Center Study to Assess the Efficacy and Safety of PT003, PT005, and PT001 in Subjects With Moderate to Very Severe COPD, Compared With Placebo and Spiriva® Handihaler® (Tiotropium Bromide 18 µg Open-Label) as an Active Control

The overall objective of this study is to assess the efficacy and safety of treatment with PT003 (GFF MDI), PT005 (FF MDI), PT001 (GP MDI), and open-label tiotropium bromide inhalation powder compared with each other and Placebo MDI over 24 weeks in subjects with moderate to very severe COPD.

Being tested
GFF MDI, GP MDI, FF MDI, Open-label tiotropium bromide inhalation powder (Spiriva® Handihaler®), Placebo MDI
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.

  • GFF MDIDrug

    GFF MDI administered as two puffs Bis in Di.e. Twice Daily (BID)

  • GP MDIDrug

    GP MDI administered as two puffs BID

  • FF MDIDrug

    FF MDI administered as two puffs BID

  • Open-label tiotropium bromide inhalation powder (Spiriva® Handihaler®)Drug

    Taken as 1 capsule daily containing 18 µg of open-label tiotropium via the Handihaler dry powder inhaler (DPI)

  • Placebo MDIDrug

    Inhaled placebo administered as two puffs BID

Study groups in NCT01854645
Study groupRoleWhat they receive
GFF MDIExperimentalGlycopyrronium Formoterol Fumarate (GFF) Metered Dose Inhaler (MDI) (PT003)
Receives: Drug: GFF MDI
GP MDIExperimentalGlycopyrronium (GP) MDI (PT001)
Receives: Drug: GP MDI
FF MDIExperimentalFormoterol Fumarate (FF) MDI (PT005)
Receives: Drug: FF MDI
Open-label tiotropium bromide inhalation powderActive comparatorOpen-label tiotropium bromide inhalation powder (Spiriva® Handihaler®)
Receives: Drug: Open-label tiotropium bromide inhalation powder (Spiriva® Handihaler®)
PlaceboPlacebo comparatorPlacebo MDI
Receives: Drug: Placebo MDI

What is being measured

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

  1. Change From Baseline in Morning Pre-dose Trough FEV1 at Week 24

    Change from baseline in morning pre-dose trough forced expiratory volume in 1 second (FEV1) at Week 24

    Measured: Baseline and at Week 24

Secondary outcomes (5)
  1. Change From Baseline in Morning Pre-dose Trough FEV1 Over 24 Weeks

    Change from baseline in morning pre-dose trough forced expiratory volume in 1 second (FEV1) over 24 weeks. FEV1 was assessed at multiple time points post-baseline,and a modelbased average of all visits starting from Week 2 through week 24 inclusive was calculated. The change values reported in the table represent the change between the baseline and the average FEV1 post-baseline.

    Measured: Baseline and Weeks 2 to 24

  2. St. George's Respiratory Questionnaire (SGRQ) Score

    Change from baseline in the SGRQ total score. The SGRQ is a disease-specific questionnaire, self-completed by participants, used to evaluate the effect of GFF MDI, FF MDI and GP MDI on health-related quality of life as compared to placebo in subjects with COPD. The scores range from 0 (minimum, best possible health status) to 100 (maximum, worst possible health status). The SGRQ contains 76 items grouped into three domains (symptoms, activity and impacts). Change from Baseline at a particular visit was calculated as the SGRQ total score at that visit minus Baseline. Change from Baseline in total score of -4 units or lower is considered as clinically meaningful improvement in quality of life.

    Measured: Baseline and at Week 24

  3. Rescue Ventolin Hydrofluoroalkane (HFA) Use

    Change from baseline in average daily rescue Ventolin HFA use

    Measured: Baseline and at Week 24

  4. Onset of Action as Assessed by FEV1

    Defined as the first time-point using the 5- and 15-minute post dose measurements where the difference in FEV1 from Placebo was statistically significant

    Measured: Assessed for 5- and 15-minute post dose on Day 1

  5. Peak Change From Baseline in FEV1 Within 2 Hours Post-dose

    Peak change from baseline in forced expiratory volume in 1 second (FEV1) within 2 hours post-dose

    Measured: Baseline and at Week 24

Timeline

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

  1. First posted15 May 2013 (estimated)
  2. Study startMay 2013
  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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
2,103 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01854645
Sponsor's protocol ID
PT003006-00
Status last verified
Feb 2017
First submitted
13 May 2013
Last updated
28 Mar 2017
Data monitoring committee
Yes

Publications

  • Spata E, Jauhiainen A, Da Silva CA. Impact of season and geography on COPDCompEx: a composite endpoint for COPD trials. Respir Med Res. 2026 Jul 12;90:101305. doi: 10.1016/j.resmer.2026.101305. Online ahead of print.

    PubMed 42551404
  • Singh D, Hurst JR, Martinez FJ, Rabe KF, Bafadhel M, Jenkins M, Salazar D, Dorinsky P, Darken P. Predictive modeling of COPD exacerbation rates using baseline risk factors. Ther Adv Respir Dis. 2022 Jan-Dec;16:17534666221107314. doi: 10.1177/17534666221107314.

    PubMed 35815359
  • Martinez FJ, Lipworth BJ, Rabe KF, Collier DJ, Ferguson GT, Sethi S, Feldman GJ, O'Brien G, Jenkins M, Reisner C. Benefits of glycopyrrolate/formoterol fumarate metered dose inhaler (GFF MDI) in improving lung function and reducing exacerbations in patients with moderate-to-very severe COPD: a pooled analysis of the PINNACLE studies. Respir Res. 2020 May 25;21(1):128. doi: 10.1186/s12931-020-01388-y.

    PubMed 32450869
  • Martinez FJ, Rabe KF, Lipworth BJ, Arora S, Jenkins M, Martin UJ, Reisner C. Glycopyrrolate/Formoterol Fumarate Metered Dose Inhaler Improves Lung Function versus Monotherapies in GOLD Category A Patients with COPD: Pooled Data from the Phase III PINNACLE Studies. Int J Chron Obstruct Pulmon Dis. 2020 Jan 9;15:99-106. doi: 10.2147/COPD.S229794. eCollection 2020.

    PubMed 32021148
  • Martinez FJ, Fabbri LM, Ferguson GT, Orevillo C, Darken P, Martin UJ, Reisner C. Baseline Symptom Score Impact on Benefits of Glycopyrrolate/Formoterol Metered Dose Inhaler in COPD. Chest. 2017 Dec;152(6):1169-1178. doi: 10.1016/j.chest.2017.07.007. Epub 2017 Jul 16.

    PubMed 28720336

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing GFF MDI, GP MDI and FF MDI in people with Chronic Obstructive Pulmonary Disease, run by Pearl Therapeutics, Inc. at 139 sites in 3 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 5 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 139 sites in United States, Australia, 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 28 Mar 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?

Change From Baseline in Morning Pre-dose Trough FEV1 at Week 24 (time frame: Baseline and at Week 24). 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 NCT01854645, which also lists 5 linked publications.

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

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

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Mar 2017.

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