Chronic Obstructive Pulmonary DiseasePhase 3NCT01860066
A 12 Week Study of QVA149 Compared to Fluticasone/Salmeterol (Advair) for Treatment of COPD
A Phase 3 study testing QVA149 and fluticasone/salmeterol in people with Chronic Obstructive Pulmonary Disease, run by Novartis Pharmaceuticals at 31 sites in 5 countries.
Trial summary
Study is to show that QVA149 is superior to the standard of care, fluticasone/salmeterol, in patients with moderate to severe airflow limitation. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Chronic Obstructive Pulmonary Disease
- What is being tested?
- QVA149 and fluticasone/salmeterol
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- 31 sitesin 5 countries
- Study dates
- Dec 2013to Sep 2014
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Inclusion Criteria: - Age >= 40 years, patients with airflow limitation indicated by post-bronchdilation FEV1 >=30% and <80% of predicted normal, current or ex-smokers with a 10 pack year smoking history, patients with a mMRC grade 2 or greater Exclusion Criteria: - prolonged QTCF >450 ms, paroxysmal atrial fibrillation, Type I or uncontrolled Type II diabetes, history of asthma, COPD diagnosis before age 40, receiving treatments not allowed in the study, other concomitant pulmonary diseases.
Other protocol-defined inclusion/exclusion criteria may apply.
Trial locations and contacts
31 sites in 5 countries.
31 sites in 5 countries
India8 sites
Novartis Investigative Site
Ahmedabad, Gujarat, 380 008
Novartis Investigative Site
Bangalore, Karnataka, 560 002
Novartis Investigative Site
Faridabad, Haryana, 121 001
Novartis Investigative Site
Guntur, Andhra Pradesh, 522 001
Novartis Investigative Site
Jaipur, Rajasthan, 302004
Novartis Investigative Site
Karamsad, India, 388225
Novartis Investigative Site
Nagpur, Maharashtra, 400 012
Novartis Investigative Site
Pune, Maharashtra, 411004
Argentina7 sites
Novartis Investigative Site
Buenos Aires, Buenos Aires, 1425
Novartis Investigative Site
Buenos Aires, Buenos Aires, C1115AAB
Novartis Investigative Site
Buenos Aires, Buenos Aires, C1122AAK
Novartis Investigative Site
Buenos Aires, Buenos Aires
Novartis Investigative Site
Mendoza, Mendoza Province, 5500
Novartis Investigative Site
Mendoza, Mendoza Province, M5500CBA
Novartis Investigative Site
San Miguel de Tucumán, Tucumán Province, 4000
Czechia7 sites
Novartis Investigative Site
Cvikov, Czech Republic, 471 54
Novartis Investigative Site
Jindřichův Hradec, Czech Republic, 377 01
Novartis Investigative Site
Karlovy Vary, Czech Republic, 360 66
Novartis Investigative Site
Kuřim, Czech Republic, 664 34
Novartis Investigative Site
Kyjov, CZE, 697 70
Novartis Investigative Site
Pardubice, Czech Republic, 530 09
Novartis Investigative Site
Teplice, Czech Republic, 415 01
Belgium6 sites
Novartis Investigative Site
Antwerp, 2060
Novartis Investigative Site
Brussels, 1000
Novartis Investigative Site
Genk, 3600
Novartis Investigative Site
Gilly, 6060
Novartis Investigative Site
Hasselt, 3500
Novartis Investigative Site
Jambes, 5100
Colombia3 sites
Novartis Investigative Site
Barranquilla
Novartis Investigative Site
Florida Blanca
Novartis Investigative Site
Medellín
About this study
Official title: A 12-week Treatment, Multi-center, Randomized, Double-blind, Double-dummy, Parallel-group Study to Assess the Efficacy, Safety and Tolerability of QVA149 Compared to Fluticasone/Salmeterol in COPD Patients With Moderate to Severe Airflow Limitation
Study is to show that QVA149 is superior to the standard of care, fluticasone/salmeterol, in patients with moderate to severe airflow limitation.
- Conditions
- Chronic Obstructive Pulmonary Disease
- Being tested
- QVA149, fluticasone/salmeterol
- Keywords
- COPD
- Medical subject headings
- Pulmonary Disease, Chronic Obstructive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
QVA149Drug
QVA149 via inhaler twice a day
fluticasone/salmeterolDrug
fluticasone/salmeterol via inhaler twice a day
| Study group | Role | What they receive |
|---|---|---|
| QVA149 | Experimental | QVA149 study medication kit will contain blister strips and a unique inhaler. Patients will be instructed to inhale their medication twice a day for 12 weeks. Receives: Drug: QVA149 |
| fluticasone/salmeterol | Active comparator | Fluticasone/salmeterol study medication kit will contain an inhaler in the manufacturer's device. Patients will be instructed to inhale their medication twice a day for 12 weeks. Receives: Drug: fluticasone/salmeterol |
What is being measured
The primary outcome is the main question the study is designed to answer.
Area under the curve (AUC) 0-12 hours for FEV1 following 12 weeks of treatment
Area under the curve (AUC) 0-12 hours for Forced Expiratory Volume in 1 second (FEV1) following 12 weeks of treatment. AUC will be calculated using the trapezoidal rule and standardized with respect to length of time from the first 5 minute to the last measurement at 12 hours
Measured: 12 weeks
Secondary outcomes (9)
Trough Forced Expiratory Volume in 1 second (FEV1) following 12 weeks of treatment
Spiromtery testing conducted according to internationally accepted standards. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing. The trough FEV1 will be will be defined as the mean from repeat measurements at Day 1 and week 12
Measured: Day 1 and Week 12
Peak Forced Expiratory Volume in 1 second (FEV1) within 4 hours post-dose
Spirometry testing conducted accorded to internationally accepted standards. Peak FEV1 defined as the maximum FEV1 during the first 4 hours post dosing. The Peak FEV1 will be defined as the mean from repeat measurements at Day 1 and week 12.
Measured: Day 1 and Week 12
Area under the curve (AUC) 0-4 hours for FEV1
Area under the curve (AUC) 0-4 hours for Forced Expiratory Volume in 1 second (FEV1) at Day 1 and week 12. AUC will be calculated using the trapezoidal rule and standardized with respect to length of time from the first 5 minute to the last measurement at 12 hours.
Measured: Day 1 and Week 12
Transition Dyspnea Index (TDI) Focal Score
Transition Dyspnea Index (TDI) captures changes from baseline. The TDI score is based on three domains with each domain scored from -3 (major deterioration) to +3 (major improvement), to give an overall score of -9 to +9, a negative score indicating a deterioration from baseline. A TDI focal score of 1 is considered to be a clinically significant improvement from baseline; negative scores indicate deterioration. A TDI focal score of 1 unit is considered to be a minimal clinically important difference (MCID) from baseline.
Measured: Week 12
Quality of Lfe Assessment with St George's Respiratory Questionaire (SGRQ)
SGRQ is a health related quality of life questionnaire consisting of 51 items in three components: symptoms, activity, and impacts. The lowest possible value is zero and the highest 100. Higher values correspond to greater impairment in quality of life. Change from baseline in total score will be assessed.
Measured: Week 12
Change from baseline in daily number of puffs of rescue medication
Number of puffs of rescue medication in previous 12 hours is recorded in Patient Diary twice daily. The total number of puffs of rescue medication per day (daily use) over the active treatment period will be used to derive the mean daily number of puffs of rescue medication taken by the patient.
Measured: Week 12
Daily symptoms reported by patient
Patient's daily symptoms will be recorded twice daily using a patient diary. Mean daily total symptom score, mean morning and evening symptom score for each patient will be calculated over the 12 week study period.
Measured: Week 12
COPD assessment (CAT) test
COPD assessment test (CAT) contains 8 questions regarding patient symptoms. Patient will complete questions using a 6 point scale and total score out of a possible score of 40 will be summed and reported.
Measured: Week 12
Safety and tolerability
All adverse events and serious adverse events (SAEs) will be reported.
Measured: Over 12 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 May 2013 (estimated)
- Study startDec 2013
- Primary completionSep 2014 (estimated)
- Study completionSep 2014 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Obstructive Pulmonary DiseaseStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01860066
- Sponsor's protocol ID
- CQVA149A2328
- Status last verified
- Nov 2013
- First submitted
- 15 Apr 2013
- Last updated
- 11 Nov 2013
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 11 Nov 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 12-week Treatment, Multi-center, Randomized, Double-blind, Double-dummy, Parallel-group Study to Assess the Efficacy, Safety and Tolerability of QVA149 Compared to Fluticasone/Salmeterol in COPD Patients With Moderate to Severe Airflow Limitation
- ClinicalTrials.gov ID
- NCT01860066
- Acronym / sponsor ID
- CQVA149A2328
- Conditions
- Chronic Obstructive Pulmonary Disease
- Keywords
- COPD
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Withdrawn
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- Dec 2013
- Primary completion
- Sep 2014 (estimated)
- Study completion
- Sep 2014 (estimated)
- First posted
- 22 May 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Study is to show that QVA149 is superior to the standard of care, fluticasone/salmeterol, in patients with moderate to severe airflow limitation.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| QVA149 | Experimental | Drug: QVA149QVA149 study medication kit will contain blister strips and a unique inhaler. Patients will be instructed to inhale their medication twice a day for 12 weeks. |
| fluticasone/salmeterol | Active comparator | Drug: fluticasone/salmeterolFluticasone/salmeterol study medication kit will contain an inhaler in the manufacturer's device. Patients will be instructed to inhale their medication twice a day for 12 weeks. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
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 |
|---|---|---|
| QVA149QVA149 via inhaler twice a day | Drug | QVA149 |
| fluticasone/salmeterolfluticasone/salmeterol via inhaler twice a day | Drug | fluticasone/salmeterol |
Primary outcome
Area under the curve (AUC) 0-12 hours for FEV1 following 12 weeks of treatment
Time frame: 12 weeks
Area under the curve (AUC) 0-12 hours for Forced Expiratory Volume in 1 second (FEV1) following 12 weeks of treatment. AUC will be calculated using the trapezoidal rule and standardized with respect to length of time from the first 5 minute to the last measurement at 12 hours
9 secondary outcomes
Trough Forced Expiratory Volume in 1 second (FEV1) following 12 weeks of treatment
Time frame: Day 1 and Week 12
Peak Forced Expiratory Volume in 1 second (FEV1) within 4 hours post-dose
Time frame: Day 1 and Week 12
Area under the curve (AUC) 0-4 hours for FEV1
Time frame: Day 1 and Week 12
Transition Dyspnea Index (TDI) Focal Score
Time frame: Week 12
Quality of Lfe Assessment with St George's Respiratory Questionaire (SGRQ)
Time frame: Week 12
Change from baseline in daily number of puffs of rescue medication
Time frame: Week 12
Daily symptoms reported by patient
Time frame: Week 12
COPD assessment (CAT) test
Time frame: Week 12
Safety and tolerability
Time frame: Over 12 weeks
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Nov 2013.
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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.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
31 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing QVA149 and fluticasone/salmeterol in people with Chronic Obstructive Pulmonary Disease, run by Novartis Pharmaceuticals at 31 sites in 5 countries.
The full registered description is in the About this study section and the official record.
Is this clinical trial currently recruiting?
The record says: withdrawn, as of the sponsor's last update on 11 Nov 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 31 sites in India, Argentina, Czechia, Belgium, Colombia. 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. 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?
The study was withdrawn before enrolling participants, so there are no results.
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?
Area under the curve (AUC) 0-12 hours for FEV1 following 12 weeks of treatment (time frame: 12 weeks). 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 11 Nov 2013.