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Chronic Obstructive Pulmonary Disease (COPD)Phase 3NCT01908140

Study of Aclidinium Bromide/Formoterol Fumarate Compared With Salmeterol/Fluticasone Propionate in Patients With Chronic Obstructive Pulmonary Disease (COPD)

A Phase 3 study testing Aclidinium Bromide / Formoterol Fumarate and Salmeterol / Fluticasone in people with Chronic Obstructive Pulmonary Disease (COPD), run by AstraZeneca at 126 sites in 14 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 purpose of the study is to compare the efficacy, safety and tolerability of aclidinium bromide/formoterol fumarate and salmeterol/fluticasone propionate in patients with chronic obstructive pulmonary disease (COPD) Read more about this study

Who is it for?
Ages 40 years and older
What is being tested?
Aclidinium Bromide / Formoterol Fumarate and Salmeterol / Fluticasone
Could I receive a placebo?
No, everyone receives an active treatment
How many people
933 participants
Where
126 sitesin 14 countries
Study dates
Sep 2013to Aug 2014
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

  • Adult male or non-pregnant, non-lactating female aged ≥40.
  • Current or ex-cigarette smoker, with a smoking history of at least 10 pack-years
  • Patients with a clinical diagnosis of COPD according to GOLD guidelines 2013, with a post-bronchodilator FEV1 <80%, and FEV1/FVC < 70% at Screening Visits
  • Symptomatic patients with a COPD assessment test (CAT) ≥10 at Screening and Randomisation Visits
  • Patient must be able to perform repeatable pulmonary function testing for FEV1 according to ATS/ERS 2005 criteria at Screening Visits
  • Patients eligible and able to participate in the trial and who consent to do so in writing after the purpose and nature of the investigation have been explained

Who cannot join

  • History or current diagnosis of asthma
  • Development of a respiratory tract infection or COPD exacerbation within 6 weeks (or 3 months if hospitalisation was required) before the Screening Visit or during the run-in period
  • Clinically significant respiratory conditions
  • Type I or uncontrolled Type II diabetes, uncontrolled hypo- or hyperthyroidism, hypokalaemia, or hyperadrenergic state, uncontrolled or untreated hypertension
  • Patients who, in the investigator's opinion, may need to start a pulmonary rehabilitation programme during the study and/or patients who started/finished it within 3 months prior to Screening Visit
  • Use of long-term oxygen therapy (≥15 hours/day)
Show all 20Show fewer
  • Patients treated on daily basis with triple therapy (LABA+LAMA+ICS) within 4 weeks prior to the Screening Visit
  • Patient who does not maintain regular day/night, waking/sleeping cycles including night shift workers
  • Clinically significant cardiovascular conditions
  • Patient with clinically relevant abnormalities in the results of the clinical laboratory tests, ECG parameters or in the physical examination at the Screening Visit
  • Patient with a history of hypersensitivity reaction to inhaled anticholinergics, sympathomimetic amines, or inhaled medication or any component thereof (including report of paradoxical bronchospasm)
  • Patient with known narrow-angle glaucoma, symptomatic bladder neck obstruction, acute urinary retention, or patients with symptomatic non-stable prostatic hypertrophy
  • Patient with known non-controlled history of infection with human immunodeficiency virus (HIV) and/or active hepatitis
  • History of malignancy of any organ system (including lung cancer), treated or untreated, within the past 5 years other than basal or squamous cell skin cancer
  • Patient with any other serious or uncontrolled physical or mental dysfunction
  • Patient with a history (within 2 years prior to Screening Visit) of drug and/or alcohol abuse that may prevent study compliance based on investigator judgment
  • Patient unlikely to be cooperative or that can't comply with the study procedures
  • Patient treated with any investigational drug within 30 days (or 6 half-lives, whichever is longer) prior to Screening Visit
  • Patient who intend to use any concomitant medication not permitted by this protocol or who have not undergone the required stabilization periods for prohibited medication
  • Any other conditions that, in the investigator's opinion, might indicate the patient to be unsuitable for the study

Trial locations and contacts

126 sites in 14 countries.

126 sites in 14 countries

Germany31 sites
  • Almirall Investigational Site

    Berlin, 10117

  • Almirall Investigational Site

    Berlin, 10629

  • Almirall Investigational Site

    Berlin, 10717

  • Almirall Investigational Site

    Berlin, 10969

  • Almirall Investigational Site

    Berlin, 12043

  • Almirall Investigational Site

    Berlin, 13125

  • Almirall Investigational Site

    Berlin, 13581

  • Almirall Investigational Site

    Berlin, 14059

  • Almirall Investigational Site

    Bochum, 44789

  • Almirall Investigational Site

    Bonn, 53123

  • Almirall Investigational Site

    Cologne, 51069

  • Almirall Investigational Site

    Cottbus, 03050

  • Almirall Investigational Site

    Dortmund, 44263

  • Almirall Investigational Site

    Dresden, 01307

  • Almirall Investigational Site

    Frankfurt, 60389

  • Almirall Investigational Site

    Frankfurt, 60596

  • Almirall Investigational Site

    Gauting, 82131

  • Almirall Investigational Site

    Großhansdorf, 22927

  • Almirall Investigational Site

    Hamburg, 20253

  • Almirall Investigational Site

    Hamburg, 20354

  • Almirall Investigational Site

    Hamburg, 22143

  • Almirall Investigational Site

    Hanover, 30159

  • Almirall Investigational Site

    Jena, 07740

  • Almirall Investigational Site

    Leipzig, 4357

  • Almirall Investigational Site

    Marburg, 35037

  • Almirall Investigational Site

    Munich, 80539

  • Almirall Investigational Site

    Rüdersdorf, 15562

  • Almirall Investigational Site

    Schwabach, 91126

  • Almirall Investigational Site

    Wiesbaden, 65187

  • Almirall Investigational Site

    Wiesloch, 69168

  • Almirall Investigational Site

    Witten, 58452

Other trials in Germany

Poland17 sites
  • Almirall Investigational Site

    Bialystok, 15-010

  • Almirall Investigational Site

    Bialystok, 15-044

  • Almirall Investigational Site

    Bialystok, 15-270

  • Almirall Investigational Site

    Gdansk, 80-847

  • Almirall Investigational Site

    Katowice, 40-752

  • Almirall Investigational Site

    Krakow, 31-455

  • Almirall Investigational Site

    Lodz, 90-242

  • Almirall Investigational Site

    Ostrowiec Świętokrzyski, 27-400

  • Almirall Investigational Site

    Piła, 64-920

  • Almirall Investigational Site

    Poznan, 60-214

  • Almirall Investigational Site

    Proszowice, 32-100

  • Almirall Investigational Site

    Sopot, 81-741

  • Almirall Investigational Site

    Szczecin, 71-124

  • Almirall Investigational Site

    Tarnów, 33-100

  • Almirall Investigational Site

    Tczew, 83-110

  • Almirall Investigational Site

    Warsaw, 01-138

  • Almirall Investigational Site

    Wilkowice-Bystra, 43-365

Other trials in Poland

Spain11 sites
  • Almirall Investigational Site

    Alicante, 03114

  • Almirall Investigational Site

    Barcelona, 08003

  • Almirall Investigational Site

    Barcelona, 08025

  • Almirall Investigational Site

    Barcelona, 08907

  • Almirall Investigational Site

    Elda, 03600

  • Almirall Investigational Site

    Laredo, 39770

  • Almirall Investigational Site

    Madrid, 28007

  • Almirall Investigational Site

    Palma de Mallorca, 07010

  • Almirall Investigational Site

    Sant Boi de Llobregat, 08830

  • Almirall Investigational Site

    Santander, 38008

  • Almirall Investigational Site

    Seville, 41071

Other trials in Spain

Hungary10 sites
  • Almirall Investigational Site

    Balassagyarmat, 2660

  • Almirall Investigational Site

    Budapest, 1191

  • Almirall Investigational Site

    Budapest, 1204

  • Almirall Investigational Site

    Debrecen, H-4032

  • Almirall Investigational Site

    Komárom, 2900

  • Almirall Investigational Site

    Nyíregyháza, 4400

  • Almirall Investigational Site

    Pécs, H-7635

  • Almirall Investigational Site

    Százhalombatta, H-2400

  • Almirall Investigational Site

    Szigetszentmiklós, H-2310

  • Almirall Investigational Site

    Vásárosnamény, 4800

Other trials in Hungary

Bulgaria8 sites
  • Almirall Investigational Site

    Dimitrovgrad, 6400

  • Almirall Investigational Site

    Gabrovo, 5300

  • Almirall Investigational Site

    Kozloduy, 3320

  • Almirall Investigational Site

    Petrich, 2850

  • Almirall Investigational Site

    Plovdiv, 4000

  • Almirall Investigational Site

    Razgrad, 7200

  • Almirall Investigational Site

    Stara Zagora, 6003

  • Almirall Investigational Site

    Vidin, 3700

Other trials in Bulgaria

United Kingdom8 sites
  • Almirall Investigational Site

    Birmingham, B15 2SQ

  • Almirall Investigational Site

    Chorley, PR7 7NA

  • Almirall Investigational Site

    Glasgow, G20 0SP

  • Almirall Investigational Site

    Liverpool, L22 0LG

  • Almirall Investigational Site

    Manchester, M15 6SX

  • Almirall Investigational Site

    Middlesex, HA6 2RN

  • Almirall Investigational Site

    Reading, RG2 0TG

  • Almirall Investigational Site

    Sidcup, DA14 6LT

Other trials in United Kingdom

Canada7 sites
  • Almirall Investigational Site

    Edmonton, Alberta, AB T6G 2B7

  • Almirall Investigational Site

    Moncton, New Brunswick, NB E1C 5K4

  • Almirall Investigational Site

    Saint Romuald, Quebec, QC G6W 5M6

  • Almirall Investigational Site

    Toronto, Ontario, ON M6H 3M2

  • Almirall Investigational Site

    Trois-Rivières, Quebec, QC G8T 7A1

  • Almirall Investigational Site

    Vancouver, British Columbia, BC V5Z 1M9

  • Almirall Investigational Site

    Vancouver, British Columbia, BC V7M 2H9

Other trials in Canada

South Africa7 sites
  • Almirall Investigational Site

    Belville, 7530

  • Almirall Investigational Site

    Cape Town, 7700

  • Almirall Investigational Site

    Gauteng, 158

  • Almirall Investigational Site

    Gauteng, 1724

  • Almirall Investigational Site

    Middelburg, 1050

  • Almirall Investigational Site

    Pretoria, 0184

  • Almirall Investigational Site

    Somerset West, 7130

Other trials in South Africa

Czechia6 sites
  • Almirall Investigational Site

    Karlovy Vary, 360 09

  • Almirall Investigational Site

    Kralupy nad Vltavou, 278 01

  • Almirall Investigational Site

    Liberec, 460 63

  • Almirall Investigational Site

    Ostrava - Hrabuvka, 700 30

  • Almirall Investigational Site

    Rokycany, 337 01

  • Almirall Investigational Site

    Strakonice, 386 01

Other trials in Czechia

Netherlands6 sites
  • Almirall Investigational Site

    Almere Stad, 1311 RL

  • Almirall Investigational Site

    Beek, 6191 JW

  • Almirall Investigational Site

    Eindhoven, 5623 EJ

  • Almirall Investigational Site

    Hoofddorp, 2134

  • Almirall Investigational Site

    Leeuwarden, 8934 AD

  • Almirall Investigational Site

    Rotterdam, 3045 PM

Other trials in Netherlands

Austria5 sites
  • Almirall Investigational Site

    Feldbach, 8330

  • Almirall Investigational Site

    Feldkirch, 6800

  • Almirall Investigational Site

    Grieskirchen, A-4710

  • Almirall Investigational Site

    Linz, 4020

  • Almirall Investigational Site

    Salzburg, 5020

Other trials in Austria

Lithuania4 sites
  • Almirall Investigational Site

    Kaunas, LT-50009

  • Almirall Investigational Site

    Klaipėda, LT-92231

  • Almirall Investigational Site

    Klaipėda, LT-92288

  • Almirall Investigational Site

    Vilnius, LT-01117

Other trials in Lithuania

France3 sites
  • Almirall Investigational Site

    Nîmes, 30900

  • Almirall Investigational Site

    Perpignan, 66025

  • Almirall Investigational Site

    Vieux-Condé, 59690

Other trials in France

Italy3 sites
  • Almirall Investigational Site

    Pisa, 56124

  • Almirall Investigational Site

    Pordenone, 33170

  • Almirall Investigational Site

    Trieste, 34149

Other trials in Italy

About this study

Official title: A Randomised, Double-blind, Double-dummy, Active-controlled Study Evaluating the Efficacy, Safety and Tolerability of Twice-daily Aclidinium Bromide/Formoterol Fumarate Compared With Twice-daily Salmeterol/Fluticasone Propionate for 24 Weeks Treatment in Symptomatic Patients With Chronic Obstructive Pulmonary Disease (COPD)

The purpose of the study is to compare the efficacy, safety and tolerability of aclidinium bromide/formoterol fumarate and salmeterol/fluticasone propionate in patients with chronic obstructive pulmonary disease (COPD)

Being tested
Aclidinium Bromide / Formoterol Fumarate, Salmeterol / Fluticasone
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.

  • Aclidinium Bromide / Formoterol FumarateDrug

  • Salmeterol / FluticasoneDrug

    Also called Seretide, Advair

Study groups in NCT01908140
Study groupRoleWhat they receive
Aclidinium Bromide / Formoterol FumarateExperimentalAclidinium Bromide 400 μg / Formoterol Fumarate 12 μg BID for 24 Weeks
Receives: Drug: Aclidinium Bromide / Formoterol Fumarate
Salmeterol / Fluticasone propionateActive comparatorSalmeterol 50 μg / Fluticasone propionate 500 μg BID for 24 Weeks
Receives: Drug: Salmeterol / Fluticasone

What is being measured

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

  1. Peak Forced Expiratory Volume in One Second (FEV1) at Week 24

    Peak FEV1 define at the highest value observed in the 3h after the morning IMP administration

    Measured: At Week 24

Secondary outcomes (1)
  1. Transition Dyspnoea Index (TDI) Focal Score at Week 24

    The TDI includes the same 3 categories as BDI and 7 ratings indicating the magnitude of the change from baseline in each category: from -3 ("major deterioration") to zero ("no change") to +3 ("major improvement"). Category scores are added to compute the Focal Score (from -9 to 9)

    Measured: 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 posted25 Jul 2013 (estimated)
  2. Study startSep 2013
  3. Primary completionAug 2014
  4. Study completionAug 2014

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, Investigator, Outcomes assessor
Enrolment
933 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01908140
Sponsor's protocol ID
M/40464/39
Other IDs
2013-000116-14
Status last verified
Feb 2016
First submitted
23 Jul 2013
Last updated
7 Mar 2016
Data monitoring committee
No

Publications

  • Vogelmeier C, Paggiaro PL, Dorca J, Sliwinski P, Mallet M, Kirsten AM, Beier J, Seoane B, Segarra RM, Leselbaum A. Efficacy and safety of aclidinium/formoterol versus salmeterol/fluticasone: a phase 3 COPD study. Eur Respir J. 2016 Oct;48(4):1030-1039. doi: 10.1183/13993003.00216-2016. Epub 2016 Aug 4.

    PubMed 27492833

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Aclidinium Bromide / Formoterol Fumarate and Salmeterol / Fluticasone in people with Chronic Obstructive Pulmonary Disease (COPD), run by AstraZeneca at 126 sites in 14 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 20 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 7 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 126 sites in Germany, Poland, Spain, Hungary, Bulgaria and 9 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. 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 7 Mar 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?

Peak Forced Expiratory Volume in One Second (FEV1) at Week 24 (time frame: 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 NCT01908140, 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 7 Mar 2016.

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