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.
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
- Conditions the study is for
- Chronic Obstructive Pulmonary Disease (COPD)
- 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
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
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
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
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
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
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
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
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
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
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
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
France3 sites
Almirall Investigational Site
Nîmes, 30900
Almirall Investigational Site
Perpignan, 66025
Almirall Investigational Site
Vieux-Condé, 59690
Italy3 sites
Almirall Investigational Site
Pisa, 56124
Almirall Investigational Site
Pordenone, 33170
Almirall Investigational Site
Trieste, 34149
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 group | Role | What they receive |
|---|---|---|
| Aclidinium Bromide / Formoterol Fumarate | Experimental | Aclidinium Bromide 400 μg / Formoterol Fumarate 12 μg BID for 24 Weeks Receives: Drug: Aclidinium Bromide / Formoterol Fumarate |
| Salmeterol / Fluticasone propionate | Active comparator | Salmeterol 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.
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)
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.
- First posted25 Jul 2013 (estimated)
- Study startSep 2013
- Primary completionAug 2014
- Study completionAug 2014
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 Chronic Obstructive Pulmonary Disease (COPD)Studies of the same condition, open and under way.
- More trials run by AstraZenecaThe 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
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 933 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Esther Garcia, Ph.D., Study director, Global Medicines Development
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Study at a glance
From the registry record, last updated by the sponsor on 7 Mar 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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)
- ClinicalTrials.gov ID
- NCT01908140
- Acronym / sponsor ID
- M/40464/39
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 933 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- Sep 2013
- Primary completion
- Aug 2014 (actual)
- Study completion
- Aug 2014 (actual)
- First posted
- 25 Jul 2013 (estimated)
- Results
- Posted 7 Mar 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Aclidinium Bromide / Formoterol Fumarate | Experimental | Drug: Aclidinium Bromide / Formoterol FumarateAclidinium Bromide 400 μg / Formoterol Fumarate 12 μg BID for 24 Weeks |
| Salmeterol / Fluticasone propionate | Active comparator | Drug: Salmeterol / FluticasoneSalmeterol 50 μg / Fluticasone propionate 500 μg BID for 24 Weeks |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- 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
Key exclusion criteria (20 listed)
- 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
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 |
|---|---|---|
| Aclidinium Bromide / Formoterol Fumarate | Drug | Aclidinium Bromide / Formoterol Fumarate |
| Salmeterol / FluticasoneAlso: Seretide, Advair | Drug | Salmeterol / Fluticasone propionate |
Primary outcome
Peak Forced Expiratory Volume in One Second (FEV1) at Week 24
Time frame: At Week 24
Peak FEV1 define at the highest value observed in the 3h after the morning IMP administration
1 secondary outcome
Transition Dyspnoea Index (TDI) Focal Score at Week 24
Time frame: At Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Mar 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 27492833Vogelmeier 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.
- CSR SynopsisLink provided by the sponsor.
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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.
Esther Garcia, Ph.D. study director
Global Medicines Development
126 sites in 14 countries: see every site and its status.
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.