Chronic Obstructive Pulmonary Disease (COPD)Phase 3GOLDEN-5NCT02276222
A Long-Term Safety Trial of Treatment With Nebulized SUN-101 in Patients With COPD
A Phase 3 study testing SUN-101 50 mcg BID eFlow (CS) nebulizer and Spiriva® 18 mcg QD Handihaler in people with Chronic Obstructive Pulmonary Disease (COPD), run by Sunovion Respiratory Development Inc. at 118 sites in 4 countries.
Trial summary
This is a long-term safety trial of 48 weeks. Eligible subjects will enter the 48-week, open-label treatment period to receive one of two treatments (SUN-101 given as 50 mcg twice a day or Spiriva® [tiotropium] given as 18 mcg once a day). 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?
- SUN-101 50 mcg BID eFlow (CS) nebulizer and Spiriva® 18 mcg QD Handihaler
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,087 participants
- Where
- 118 sitesin 4 countries
- Study dates
- Oct 2014to Feb 2016
- 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
- Male or female patients age ≥ 40 years, inclusive.
- A clinical diagnosis of COPD according to the GOLD 2014 guidelines.
- 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) FEV1 < 80% of predicted normal and > 0.7 L during Screening (Visit 1).
- Post-bronchodilator (following inhalation of ipratropium bromide) FEV1/FVC ratio < 0.70 during Screening (Visit 1).
- Ability to perform reproducible spirometry according to the American Thoracic Society (ATS) and European Respiratory Society (ERS) guidelines (2005).
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- Subject, if female ≤ 65 years of age and of child bearing potential, must have a negative serum pregnancy test at Visit 1. 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 participation; b) barrier method of contraception, e.g., condom and /or diaphragm with spermicide while participating in the study; and/or c) abstinence..
- Willing and able to provide written informed consent.
- Willing and able to attend all study visits and adhere to all study assessments and procedures.
Who cannot join
- Severe comorbidities including unstable cardiac or pulmonary disease or any other medical conditions that would, in the opinion of the Investigator, preclude the subject from safely completing the required tests or the study, or is likely to result in disease progression that would require withdrawal of the subject.
- Concomitant clinically significant respiratory disease other than COPD (eg, asthma, tuberculosis, bronchiectasis or other non-specific pulmonary disease).
- Recent history of COPD exacerbation requiring hospitalization or need for increased treatments for COPD within 6 weeks prior to Screening (Visit 1).
- Use of daily oxygen therapy > 12 hours per day.
- Respiratory tract infection within 6 weeks prior to Screening (Visit 1).
- Use of systemic steroids within 3 months prior to Screening (Visit 1).
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- 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.
- Prolonged QTc (> 450 msec for males and > 470 msec for females) during Screening (Visit 1), or history of long QT syndrome.
- History of or clinically significant ongoing bladder outflow obstruction or history of catheterization for relief of bladder outflow obstruction within the previous 6 months.
- History of narrow angle glaucoma.
- History of hypersensitivity or intolerance to aerosol medications.
- Recent documented history (within the previous 3 months) of substance abuse.
- Significant psychiatric disease that would likely result in the subject not being able to complete the study, in the opinion of the Investigator.
- Participation in another investigational drug study where drug was received within 30 days prior to Screening (Visit 1) or current participation in another investigational drug trial, including a SUN-101 study.
- Previously received SUN-101 (active treatment; formerly known as EP-101).
- Contraindicated for treatment with, or having a history of reactions/ hypersensitivity to anticholinergic agents, beta2 agonists, or sympathomimetic amines.
Trial locations and contacts
118 sites in 4 countries.
118 sites in 4 countries
United States83 sites
SEC Lung LLC
Andalusia, Alabama, 36420
Achieve Clinical Research LLC
Birmingham, Alabama, 35216
Tampa Bay Clinical Research Center
Brandon, Florida, 33511
Cadillac Clinical Research LLC
Cadillac, Michigan, 49601
Clinical Research Advantage, Inc.lEast Valley Family Physicians, PLC
Chandler, Arizona, 85224
Lowcountry Lung and Critical Care, PA
Charleston, South Carolina, 29406
American Health Research, Inc.
Charlotte, North Carolina, 28207
IVA Researcb
Cincinnati, Ohio, 45245
Clinical Research of West Florida
Clearwater, Florida, 33765
H.C. Research LLC
Coeur d'Alene, Idaho, 83814
Howard County Center for Lung and Sleep Medicine, LLC
Columbia, Maryland, 21044
Remington Davis Inc
Columbus, Ohio, 43215
Corsicana Medical Research, PLLC
Corsicana, Texas, 75110
Avail Clinical Research, llC
DeLand, Florida, 32720
Easley Clinical Research
Easley, South Carolina, 29640
Palmetto Medical Research Associates
Easley, South Carolina, 29640
Minnesota Lung Center
Edina, Minnesota, 55435
Evanston Premier Healthcare Research LLC
Evanston, Illinois, 60201
Lillestol Research, LLC
Fargo, North Dakota, 58103
Abraham Research, PLLC
Fort Mitchell, Kentucky, 41017
Allianz Research Institute, Inc.
Fountain Valley, California, 92708
Research Center of Fresno, Inc.
Fresno, California, 93702
California Research Medical Group, lnc.
Fullerton, California, 92835
Gaffney Pharmaceutical Research
Gaffney, South Carolina, 29340
Spectrum Medical Research, LLC
Gaffney, South Carolina, 29341
Greenville Pharmaceutical Research, Inc.
Greenville, South Carolina, 29615
Upstate Pharmaceutical Research, Inc.
Greenville, South Carolina, 29615
DeGarmo Institute of Medical Research
Greer, South Carolina, 29651
Kentucky Lung Clinics, PSC
Hazard, Kentucky, 41701
The Community Research of South Florida
Hialeah, Florida, 33016
Pioneer Research Solutions, Inc
Houston, Texas, 77099
ARSM Research
Huntersville, North Carolina, 28078
Clinical Research of Lake Norman
Huntersville, North Carolina, 28078
ISA Clinical Research
Jamaica, New York, 11435
Jasper Summit Research LLC
Jasper, Alabama, 35501
New Phase Clinical Research & Development
Knoxville, Tennessee, 37919
Bendel Medical Research Center, LLC
Lafayette, Louisiana, 70508
Clinical Research Advantage Inc
Las Vegas, Nevada, 89128
Gwinnett Biomedical Research
Lawrenceville, Georgia, 30046
Somnos Laboratories, Inc d/b/a Somnos Clinical Research
Lincoln, Nebraska, 68510
Pulmonary Research Institute of Southeast Michigan
Livonia, Michigan, 48152
Southern California Institute For Respiratory Diseases, Inc.
Los Angeles, California, 90048
Delaware Valley Clinical Research, LLC
Marlton, New Jersey, 08053
Clinical Research Institute of Southern Oregon, PC
Medford, Oregon, 97504
Sunstone Medical Research, L.LC
Medford, Oregon, 97504
AppleMed Research, Inc
Miami, Florida, 33155
Research Institute of South Florida, Inc
Miami, Florida, 33173
Clinical Trials of Florida, LLC
Miami, Florida, 33186
LaPorte County Institute For Clinical Research
Michigan City, Indiana, 46360
Clinical Research Institute, Inc.
Minneapolis, Minnesota, 55402
Minnesota Lung Center
Minneapolis, Minnesota, 55407
Clinical Research of Charleston
Mt. Pleasant, South Carolina, 29464
New Orleans Center for Clinical Research
New Orleans, Louisiana, 70119
Atlantic Research Center, LLC
Ocean City, New Jersey, 07712
IPS Research Company
Oklahoma City, Oklahoma, 73103
Florida Institute For Clinical Research, LLC
Orlando, Florida, 32825
Ribo Research, LLC dba Peninsula Research, Inc.
Ormond Beach, Florida, 32174
Allergy Associates Research Center
Portland, Oregon, 97202
North Carolina Clinical Research
Raleigh, North Carolina, 27607
Asthma and Allergy Center of Chicago SC
River Forest, Illinois, 60305
Integrated Research Group, Inc
Riverside, California, 92506
Midwest Chest Consultants PC
Saint Charles, Missouri, 63301
Alamo Clinical Research Associates
San Antonio, Texas, 78212
Institute of Healthcare Assessments Inc.
San Diego, California, 92120
Hope Clinical Research
Seneca, South Carolina, 29678
S. Carolina Pharmaceutical Research
Spartanburg, South Carolina, 29303
Spartanburg Medical Research
Spartanburg, South Carolina, 29303
CARE Clinical Research
St Louis, Missouri, 63141
Midwest Clinical Research LLC
St Louis, Missouri, 63141
The Clinical Research Center
St Louis, Missouri, 63141
Pulmonary and Allergy Associates, PA
Summit, New Jersey, 07901
Pulmonary Consultants PLLC
Tacoma, Washington, 98405
Clinical Research of West Florida, Inc.
Tampa, Florida, 33603
Clinical Research of West Florida
Tampa, Florida, 33603
Pulmonary and Critical Care Associates of Baltimore
Towson, Maryland, 21204
Desert Sun Clinical Research LLC
Tucson, Arizona, 85710
CU Pharmaceutical Research
Union, South Carolina, 29379
Buynak Clinical Research, P.C.
Valparaiso, Indiana, 46383
Vero Lung Center
Vero Beach, Florida, 32960
Waterbury Pulmonary Associates, LLC
Waterbury, Connecticut, 06708
PMG Research of Wilmington, LLC
Wilmington, North Carolina, 28401
Southeastern Research Center
Winston-Salem, North Carolina, 27103
Minnesota Lung Center
Woodbury, Minnesota, 55125
Russia14 sites
Territorial SBI of Healthcare <Territorial Clinical Hospital>
Barnaul, 656024
FSBI Far Eastern Research Centre ofPhysiology and Pathology of Breathing of Siberian branch of RAMS
Blagoveshchensk, 675000
SBI of Healthcare Regional Clinical Hospital #4 City consultative department for pulmonological patientsr
Chelyabinsk, 454021
Municipal Budget Institution of Healthcare (City Clinical Hospital #3 n.a. M.A. Podgorbunsky)
Kemerovo, 650000,
FSSI Scientific Research Institute of Complex Cardiovascular Pathology
Kemerovo, 650002
FSBI
Moscow, 115682
Non-State Private Institution of Healthcare <Scientific Clinical Center>
Moscow, 125315
SBI of Healthcare of Nizhny-Novgorod region
Nizhny Novgorod, 603126
SB1 of Healthcare of Novosibirsk region <Novosibirsk State Regional Clinical Hospital>l
Novosibirsk, 630087
SBI of Healthcare of Novosibirsk region <Novosibirsk State Regional Clinical Hospital>
Novosibirsk, 630087
Alliance Biomedical, Russian Group LLC
Saint Petersburg, 194358
SBEI of HPE <North-West State Medical University n.a. LL Mechnikov>
Saint Petersburg, 195067
SBr of Helathcareof Yaraslavl region Clinical Hospital of Emervency care n.a.N.V. Solovyev
Yaroslavl, 150003
Municipal Autonomous Institution (City ClinicalHospital #14)
Yekaterinburg, 620039
Hungary12 sites
Dr. Kenessey Albert Korhaz-Rendetointezet, TOd6gy6gyaszati
Balassagyarmat, H-2660
Csornai Margit Korhaz, TOd6gy6gyaszat
Csorna, H-9300
Kenezy Gyula Korhaz es Rendelomtezet, Klinikai Farmakologiai
Debrecen, H-4043
Veszprern Megyei Tudbgyogyintezet
Farkasgyepű, H-8582
Somogy Megyei Kaposi M6r Oktat6 Korhaz, Tudoqondozo
Kaposvár, H-7400
Lumniczer Sandor Korhaz as Rendelointezet, Tudoqondozo
Kapuvár, H-9330
Selye Janos Korhaz es Rendelointezet, Tud6gy6gyaszati Szakrendeles
Komárom, H-2900
Szakorvosi Rendelointezet Monor, Tudoqondozo
Monor, H-2200
Revamed Eqeszsequqyi Szolqaltato Kft.
Nyíregyháza, H-4400
Si6fok Kornaz-Rendelointezet, Tudoqondozo
Siófok, H-8600
Farmakontroll Egeszsegugyi Szolqaltato Bt
Százhalombatta, H-2440
Csonqrad Megyei Mellkasi Beteqseqek Szakkorhaza, Tudoqondozo lntezet
Szeged, H-6722
Czechia9 sites
Medicentrum Beroun s.r o.
Beroun, 266 01
MediTrial, s.r.o Internf a pneumoloqicka ambulance
Jindřichův Hradec, 377 01
Nemocnice Kyjov, p.o.
Kyjov, 69733
Plicni ambulance
Neratovice, 277 11
MephaCentrum, a s Plicni oddeleni
Ostrava - Poruba, 708 00
MephaCentrum, a.s.
Ostrava-Poruba, 708 00
PNEUMa-HOST s LO.
Prague, 158 00
PLiCNI AMBULANCE ROKYCANY, s.r o.
Rokycany, 337 01
Hrudnf ambulance s.r.o.
Žatec, 438 01
About this study
Official title: A Randomized, Open-Label, Active-Controlled, Parallel-Group, Multicenter, Long-Term Safety Trial of Treatment With Nebulized SUN-101 in Patients With COPD: GOLDEN-5 (Glycopyrrolate for Obstructive Lung Disease Via Electronic Nebulizer)
This is a long-term safety trial of 48 weeks. Eligible subjects will enter the 48-week, open-label treatment period to receive one of two treatments (SUN-101 given as 50 mcg twice a day or Spiriva® [tiotropium] given as 18 mcg once a day).
Read the detailed description
This is a Phase 3, randomized, open-label, active-controlled, parallel-group, multicenter, long-term safety trial of 48 weeks of treatment with nebulized SUN-101 using an Investigational eFlow® Closed System (CS) nebulizer or Spiriva in approximately 1050 subjects with chronic obstructive pulmonary disease (COPD) according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD 2014) guidelines.
Eligible subjects will enter the 48-week, open-label treatment period following randomization to receive one of two treatments (SUN-101 given as 50 mcg BID or Spiriva® [tiotropium] given as 18 mcg QD).
The hypothesis for this study is that the incidence of treatment-emergent adverse events reported over the course of 48 weeks of treatment by subjects randomized to SUN-101 is numerically similar to the incidence of treatment-emergent adverse events reported over the course of 48 weeks of treatment by subject randomized to Spiriva (tiotropium).
- Being tested
- SUN-101 50 mcg BID eFlow (CS) nebulizer, Spiriva® 18 mcg QD Handihaler
- Keywords
- Chronic Obstructive Pulmonary Disease, 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.
SUN-101 50 mcg BID eFlow (CS) nebulizerDrug
Also called Glycopyrrolate
SUN-101 (Glycopyrrolate) 50 mcg twice daily (BID) via eFlow Closed System (CS) nebulizer
Spiriva® 18 mcg QD HandihalerDrug
Also called (tiotropium)
Spiriva (tiotropium) 18 mcg once daily (QD) via Handihaler
| Study group | Role | What they receive |
|---|---|---|
| SUN-101 50 mcg BID eFlow (CS) nebulizer | Experimental | SUN-101 (Glycopyrrolate) 50 mcg twice daily (BID) via eFlow Closed System (CS) nebulizer Receives: Drug: SUN-101 50 mcg BID eFlow (CS) nebulizer |
| Spiriva 18 mcg QD Handihaler | Active comparator | Spiriva (tiotropium) 18 mcg once daily (QD) via Handihaler Receives: Drug: Spiriva® 18 mcg QD Handihaler |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Subjects With Treatment-emergent Adverse Events (TEAE)
A TEAE is any adverse event (AE) that occurred on or after the first dose of study medication, any AE with a missing start date and a stop date on or after the first dose of study medication, or any AE with both a missing start and stop date.
Measured: Up to Week 48
Percentage of Subjects With Treatment-emergent Adverse Events
A TEAE is any adverse event (AE) that occurred on or after the first dose of study medication, any AE with a missing start date and a stop date on or after the first dose of study medication, or any AE with both a missing start and stop date.
Measured: Up to Week 48
Number of Subjects With Treatment-emergent Serious Adverse Events (SAE)
A treatment emergent serious adverse event (SAE) is any SAE that occurred on or after the first dose of study medication, any SAE with a missing start date and a stop date on or after the first dose of study medication, or any SAE with both a missing start and stop date.
Measured: Up to Week 48
Percentage of Subjects With Treatment-emergent Serious Adverse
A treatment emergent serious adverse event (SAE) is any SAE that occurred on or after the first dose of study medication, any SAE with a missing start date and a stop date on or after the first dose of study medication, or any SAE with both a missing start and stop date.
Measured: Up to Week 48
Number of Subjects Who Discontinue the Study Due to TEAE
A TEAE is any adverse event (AE) that occurred on or after the first dose of study medication, any AE with a missing start date and a stop date on or after the first dose of study medication, or any AE with both a missing start and stop date.
Measured: Up to Week 48
Percentage of Subjects Who Discontinue the Study Due to TEAE
A TEAE is any adverse event (AE) that occurred on or after the first dose of study medication, any AE with a missing start date and a stop date on or after the first dose of study medication, or any AE with both a missing start and stop date.
Measured: Up to 48 Weeks
Secondary outcomes (4)
Number of Subjects With Major Adverse Cardiac Events (MACE), Including Cardiovascular Death, Ischemia/Infarction, and Stroke
All deaths and any other findings suggestive of a potential MACE (including clinically relevant information and SAEs, and all PTs form the SMQs "myocardial infarction", "other ischemic heart disease", "central nervous system hemorrhages and cerebrovascular conditions") were sent to an adjudication committee for review and categorized as CV death, nonfatal MI, and nonfatal stroke. The MACE score was defined as the total number of subjects with CV deaths, nonfatal MIs, and nonfatal strokes. These events were collected from the first date of study medication until the date of last contact.
Measured: Up to Week 48
Percentage of Subjects With Major Adverse Cardiac Events (MACE), Including Cardiovascular Death, Ischemia/Infarction, and Stroke
All deaths and any other findings suggestive of a potential MACE (including clinically relevant information and SAEs, and all PTs form the SMQs "myocardial infarction", "other ischemic heart disease", "central nervous system hemorrhages and cerebrovascular conditions") were sent to an adjudication committee for review and categorized as CV death, nonfatal MI, and nonfatal stroke. The MACE score was defined as the total number of subjects with CV deaths, nonfatal MIs, and nonfatal strokes. These events were collected from the first date of study medication until the date of last contact.
Measured: Up to 48 Weeks
Incidence Rate Per 1000 Person Years of Subjects With Major Adverse Cardiac Events (MACE), Including Cardiovascular Death, Ischemia/Infarction, and Stroke
All deaths and any other findings suggestive of a potential MACE (including clinically relevant information and SAEs, and all PTs form the SMQs "myocardial infarction", "other ischemic heart disease", "central nervous system hemorrhages and cerebrovascular conditions") were sent to an adjudication committee for review and categorized as CV death, nonfatal MI, and nonfatal stroke. The MACE score was defined as the total number of subjects with CV deaths, nonfatal MIs, and nonfatal strokes. These events were collected from the first date of study medication until the date of last contact.
Measured: up to week 48
Mean Change From Baseline Over 48 Weeks in Trough FEV1 for All Subjects
Spirometry was performed according to internationally accepted standards. Trough FEV1 was defined as the average of the FEV1 values collected at the end of the dosing interval at each clinic visit. The mean change from baseline in trough FEV1 over the 48 week treatment period is calculated by averaging the trough FEV1 changes from baseline across all study visits while subjects are taking randomized treatment.
Values affected by other medication use were to be set to missing.
Measured: Up to Week 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Oct 2014 (estimated)
- Study startOct 2014
- Primary completionFeb 2016
- Study completionFeb 2016
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 (2)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.
- 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
- None (open label)
- Enrolment
- 1,087 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sunovion Respiratory Development Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Respiratory Medical Director, Study director, Sunovion Respiratory Development
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02276222
- Sponsor's protocol ID
- SUN101-303
- Acronym
- GOLDEN-5
- Status last verified
- Feb 2018
- First submitted
- 14 Oct 2014
- Last updated
- 13 Mar 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Ferguson GT, Goodin T, Tosiello R, Wheeler A, Kerwin E. Long-term safety of glycopyrrolate/eFlow(R) CS in moderate-to-very-severe COPD: Results from the Glycopyrrolate for Obstructive Lung Disease via Electronic Nebulizer (GOLDEN) 5 randomized study. Respir Med. 2017 Nov;132:251-260. doi: 10.1016/j.rmed.2017.08.020. Epub 2017 Aug 24.
PubMed 28919143Ferguson GT, Kerwin EM, Donohue JF, Ganapathy V, Tosiello RL, Bollu VK, Rajagopalan K. Health-Related Quality of Life Improvements in Moderate to Very Severe Chronic Obstructive Pulmonary Disease Patients on Nebulized Glycopyrrolate: Evidence from the GOLDEN Studies. Chronic Obstr Pulm Dis. 2018 Jun 6;5(3):193-207. doi: 10.15326/jcopdf.5.3.2017.0178.
PubMed 30584583
Study at a glance
From the registry record, last updated by the sponsor on 13 Mar 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Open-Label, Active-Controlled, Parallel-Group, Multicenter, Long-Term Safety Trial of Treatment With Nebulized SUN-101 in Patients With COPD: GOLDEN-5 (Glycopyrrolate for Obstructive Lung Disease Via Electronic Nebulizer)
- ClinicalTrials.gov ID
- NCT02276222
- Acronym / sponsor ID
- GOLDEN-5 / SUN101-303
- Keywords
- Chronic Obstructive Pulmonary Disease, COPD
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,087 participants (actual)
- Lead sponsor
- Sunovion Respiratory Development Inc.Industry (pharma, biotech, devices)
- Study start
- Oct 2014
- Primary completion
- Feb 2016 (actual)
- Study completion
- Feb 2016 (actual)
- First posted
- 28 Oct 2014 (estimated)
- Results
- Posted 13 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 long-term safety trial of 48 weeks. Eligible subjects will enter the 48-week, open-label treatment period to receive one of two treatments (SUN-101 given as 50 mcg twice a day or Spiriva® [tiotropium] given as 18 mcg once a day).
Detailed description
This is a Phase 3, randomized, open-label, active-controlled, parallel-group, multicenter, long-term safety trial of 48 weeks of treatment with nebulized SUN-101 using an Investigational eFlow® Closed System (CS) nebulizer or Spiriva in approximately 1050 subjects with chronic obstructive pulmonary disease (COPD) according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD 2014) guidelines.
Eligible subjects will enter the 48-week, open-label treatment period following randomization to receive one of two treatments (SUN-101 given as 50 mcg BID or Spiriva® [tiotropium] given as 18 mcg QD).
The hypothesis for this study is that the incidence of treatment-emergent adverse events reported over the course of 48 weeks of treatment by subjects randomized to SUN-101 is numerically similar to the incidence of treatment-emergent adverse events reported over the course of 48 weeks of treatment by subject randomized to Spiriva (tiotropium).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| SUN-101 50 mcg BID eFlow (CS) nebulizer | Experimental | Drug: SUN-101 50 mcg BID eFlow (CS) nebulizerSUN-101 (Glycopyrrolate) 50 mcg twice daily (BID) via eFlow Closed System (CS) nebulizer |
| Spiriva 18 mcg QD Handihaler | Active comparator | Drug: Spiriva® 18 mcg QD HandihalerSpiriva (tiotropium) 18 mcg once daily (QD) via Handihaler |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Male or female patients age ≥ 40 years, inclusive.
- A clinical diagnosis of COPD according to the GOLD 2014 guidelines.
- 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) FEV1 < 80% of predicted normal and > 0.7 L during Screening (Visit 1).
- Post-bronchodilator (following inhalation of ipratropium bromide) FEV1/FVC ratio < 0.70 during Screening (Visit 1).
Key exclusion criteria (16 listed)
- Severe comorbidities including unstable cardiac or pulmonary disease or any other medical conditions that would, in the opinion of the Investigator, preclude the subject from safely completing the required tests or the study, or is likely to result in disease progression that would require withdrawal of the subject.
- Concomitant clinically significant respiratory disease other than COPD (eg, asthma, tuberculosis, bronchiectasis or other non-specific pulmonary disease).
- Recent history of COPD exacerbation requiring hospitalization or need for increased treatments for COPD within 6 weeks prior to Screening (Visit 1).
- Use of daily oxygen therapy > 12 hours per day.
- Respiratory tract infection within 6 weeks prior to Screening (Visit 1).
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 |
|---|---|---|
| SUN-101 50 mcg BID eFlow (CS) nebulizerAlso: GlycopyrrolateSUN-101 (Glycopyrrolate) 50 mcg twice daily (BID) via eFlow Closed System (CS) nebulizer | Drug | SUN-101 50 mcg BID eFlow (CS) nebulizer |
| Spiriva® 18 mcg QD HandihalerAlso: (tiotropium)Spiriva (tiotropium) 18 mcg once daily (QD) via Handihaler | Drug | Spiriva 18 mcg QD Handihaler |
Primary outcome
Number of Subjects With Treatment-emergent Adverse Events (TEAE)
Time frame: Up to Week 48
A TEAE is any adverse event (AE) that occurred on or after the first dose of study medication, any AE with a missing start date and a stop date on or after the first dose of study medication, or any AE with both a missing start and stop date.
Percentage of Subjects With Treatment-emergent Adverse Events
Time frame: Up to Week 48
A TEAE is any adverse event (AE) that occurred on or after the first dose of study medication, any AE with a missing start date and a stop date on or after the first dose of study medication, or any AE with both a missing start and stop date.
Number of Subjects With Treatment-emergent Serious Adverse Events (SAE)
Time frame: Up to Week 48
A treatment emergent serious adverse event (SAE) is any SAE that occurred on or after the first dose of study medication, any SAE with a missing start date and a stop date on or after the first dose of study medication, or any SAE with both a missing start and stop date.
Percentage of Subjects With Treatment-emergent Serious Adverse
Time frame: Up to Week 48
A treatment emergent serious adverse event (SAE) is any SAE that occurred on or after the first dose of study medication, any SAE with a missing start date and a stop date on or after the first dose of study medication, or any SAE with both a missing start and stop date.
Number of Subjects Who Discontinue the Study Due to TEAE
Time frame: Up to Week 48
A TEAE is any adverse event (AE) that occurred on or after the first dose of study medication, any AE with a missing start date and a stop date on or after the first dose of study medication, or any AE with both a missing start and stop date.
Percentage of Subjects Who Discontinue the Study Due to TEAE
Time frame: Up to 48 Weeks
A TEAE is any adverse event (AE) that occurred on or after the first dose of study medication, any AE with a missing start date and a stop date on or after the first dose of study medication, or any AE with both a missing start and stop date.
4 secondary outcomes
Number of Subjects With Major Adverse Cardiac Events (MACE), Including Cardiovascular Death, Ischemia/Infarction, and Stroke
Time frame: Up to Week 48
Percentage of Subjects With Major Adverse Cardiac Events (MACE), Including Cardiovascular Death, Ischemia/Infarction, and Stroke
Time frame: Up to 48 Weeks
Incidence Rate Per 1000 Person Years of Subjects With Major Adverse Cardiac Events (MACE), Including Cardiovascular Death, Ischemia/Infarction, and Stroke
Time frame: up to week 48
Mean Change From Baseline Over 48 Weeks in Trough FEV1 for All Subjects
Time frame: Up to Week 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Mar 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 28919143Ferguson GT, Goodin T, Tosiello R, Wheeler A, Kerwin E. Long-term safety of glycopyrrolate/eFlow(R) CS in moderate-to-very-severe COPD: Results from the Glycopyrrolate for Obstructive Lung Disease via Electronic Nebulizer (GOLDEN) 5 randomized study. Respir Med. 2017 Nov;132:251-260. doi: 10.1016/j.rmed.2017.08.020. Epub 2017 Aug 24.
- Derived from this study: PubMed 30584583Ferguson GT, Kerwin EM, Donohue JF, Ganapathy V, Tosiello RL, Bollu VK, Rajagopalan K. Health-Related Quality of Life Improvements in Moderate to Very Severe Chronic Obstructive Pulmonary Disease Patients on Nebulized Glycopyrrolate: Evidence from the GOLDEN Studies. Chronic Obstr Pulm Dis. 2018 Jun 6;5(3):193-207. doi: 10.15326/jcopdf.5.3.2017.0178.
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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 study director
Sunovion Respiratory Development
118 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing SUN-101 50 mcg BID eFlow (CS) nebulizer and Spiriva® 18 mcg QD Handihaler in people with Chronic Obstructive Pulmonary Disease (COPD), run by Sunovion Respiratory Development Inc. at 118 sites in 4 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 9 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 13 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 118 sites in United States, Russia, Hungary, Czechia. 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 13 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?
Number of Subjects With Treatment-emergent Adverse Events (TEAE) (time frame: Up to Week 48). The study lists 6 primary outcomes in all. 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 NCT02276222, which also lists 2 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 13 Mar 2018.