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Chronic Obstructive Pulmonary Disease (COPD)Phase 3TRIBUTENCT02579850

2-arm Parallel Group Study of Fixed Combination of CHF 5993 vs Ultibro® in COPD Patients

A Phase 3 study testing Central spirometry, COPD assessment test and Local laboratory Assessments in people with Chronic Obstructive Pulmonary Disease (COPD), run by Chiesi Farmaceutici S.p.A. at 1 site in Italy.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of the present study is to evaluate the superiority of the fixed triple therapy with BDP/FF/GB at a daily dose of 400/24/50 mcg respectively with that of Ultibro® Breezhaler® (DPI), fixed combination of indacaterol 85 mcg and of glycopyrronium 43 mcg in COPD patients. Read more about this study

Who is it for?
Ages 40 years and older
What is being tested?
Central spirometry, COPD assessment test and Local laboratory Assessments
Type of treatment
Surgery or procedure
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,532 participants
Where
1 siteItaly
Study dates
29 May 2015to 10 Jul 2017
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 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female ≥ 40 years
  • Severe or very severe COPD diagnosed for at least 12 months
  • Current smokers or ex-smokers who quit smoking at least 6 months prior to screening visit, with a smoking history of at least 10 pack years
  • Post-bronchodilator FEV1 < 50% of the predicted normal value and a post-bronchodilator FEV1/FVC ratio < 0.7
  • Documented history of at least one exacerbation in the 12 months
  • Patient under double therapy for at least 2 months prior to screening. Double therapy will be defined by treatment with any of the following:
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  • Orally inhaled corticosteroid (ICS) and (long-acting beta2-agonist) LABA ICS and long-acting muscarinic antagonist (LAMA) Orally LABA and LAMA Monotherapy with LAMA for at least 2 months prior to screening
  • Symptomatic patient at screening with a CAT score ≥ 10.
  • Cooperative attitude and ability to use correctly the inhalers, the spacer AeroChamber Plus (only to patients who are using a spacer), the electronic devices with COPD questionnaire.

Who cannot join

  • Pregnant or lactating women and all women physiologically capable of becoming pregnant UNLESS are willing to use one or more of the reliable methods of contraception
  • Patient with a current clinical diagnosis of asthma with a physician-judged need for inhaled or oral corticosteroid therapy
  • Patient requiring use of the following medications:
  • Course of systemic steroids > 3 days for COPD exacerbation in the 4 weeks prior to screening Course of antibiotics for COPD exacerbation > 7 days in the 4 weeks prior to screening Phosphodiesterase-4 inhibitor in the 4 weeks prior to screening Use of antibiotics for a lower respiratory tract infection in the 4 weeks prior to screening
  • COPD exacerbation requiring prescription of systemic corticosteroids and/or antibiotics or hospitalization during the run-in period
  • Patient treated with non-cardioselective β-blockers in the month preceding the screening or during the run-in period.
Show all 21Show fewer
  • Patient treated with long-acting antihistamines unless taken at stable regimen at least 2 months prior to screening and to be maintained constant during the study or if taken as needed
  • Patient requiring long term (at least 12 hours daily) oxygen therapy for chronic hypoxemia
  • Known respiratory disorders other than COPD which may impact the efficacy of the study drug
  • Patient who have clinically significant cardiovascular condition
  • Patient with atrial fibrillation (AF): Paroxysmal atrial fibrillation, Persistent, Long standing or Permanent
  • Abnormal and clinically significant 12-lead ECG that results in active medical problem which may impact the safety of the patient
  • Patient whose ECG shows QTcF >450 ms for males or QTcF >470 ms for females at screening visit are not eligible (not applicable for patient with pacemaker)
  • Medical diagnosis of narrow-angle glaucoma, clinically relevant prostatic hypertrophy or bladder neck obstruction would prevent use of anticholinergic agents
  • History of hypersensitivity to M3 Antagonists, β2-agonist, corticosteroids or any of the excipients contained in any of the formulations used in the trial which may raise contra-indications or impact the efficacy of the study drug
  • Clinically significant laboratory abnormalities indicating a significant or unstable concomitant disease which may impact the efficacy or the safety of the study drug
  • Patients with hypokalaemia (serum potassium <3.5 mEq/L or 3.5 mmol/L) or uncontrolled hyperkalaemia
  • Unstable concurrent disease which may impact the results of the study
  • Patients with any history of malignancy likely to result in significant disability or likely to require significant medical or surgical intervention within the next six months (after V1) or with malignancy for which they are currently undergoing radiation therapy or chemotherapy
  • History of alcohol abuse or substance/drug abuse within 12 months prior to screening visit
  • Participation in another clinical trial if investigational drug was received less than 8 weeks prior to screening visit

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • Chiesi Farmaceutici S.p.A.

    Parma, 43123

Other trials in Italy

About this study

Official title: 52-week, Double Blind, Randomized, 2 Active Parallel Arms Study of Fixed Combination CHF 5993 Administered vs Ultibro® in COPD Patients

The aim of the present study is to evaluate the superiority of the fixed triple therapy with BDP/FF/GB at a daily dose of 400/24/50 mcg respectively with that of Ultibro® Breezhaler® (DPI), fixed combination of indacaterol 85 mcg and of glycopyrronium 43 mcg in COPD patients.

Read the detailed description

Outpatients attending the hospital clinics/study centres will be recruited. Patients with severe and very severe COPD airflow obstruction according to GOLD 2014 criteria. A total of approximately 2192 patients will need to be screened in order to obtain 1534 (767 per arm) randomized and evaluable patients. Approximately 200 sites will be involved worldwide.

Each patient will perform a total of 8 clinic visits (V0 to V7) during the study.

The Primary objective is to demonstrate the superiority of CHF 5993 pMDI over Ultibro® in terms of moderate and severe COPD exacerbation rate over 52 weeks of treatment.

The Secondary objectives are:

  1. To evaluate the effect of CHF 5993 pMDI on other lung function parameters, patient's health status and clinical outcome measures;
  2. To assess the safety and the tolerability of the study treatments.

A 2-week open-label run-in period under Ultibro® followed by a 52-week randomised treatment period.

The trial design will be optimised to measure exacerbation rates by using the Exacerbations of Chronic Pulmonary Disease Tool (EXACT), developed means of collecting patient-reported outcome (PRO) data, which helps to capture the frequency of exacerbations.

Being tested
CHF 5993 + Ultibro matched placebo, Ultibro + CHF 5993 matched placebo, Central spirometry, COPD assessment test, Local laboratory Assessments
Keywords
COPD, COPD Exacerbation, EXACT-PRO
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.

  • CHF 5993 + Ultibro matched placeboDrug

    Also called CHF 5993

    Active medication treatment CHF 5993 and Ultibro matched placebo administered twice a day

  • Ultibro + CHF 5993 matched placeboDrug

    Also called Ultibro Breezhaler

    Active medication treatment Ultibro and CHF 5993 matched placebo administered twice a day

  • Central spirometryProcedure or surgery

    Central spirometry to assess forced expiratory volume at one second and forced vital capacity

  • COPD assessment testOther

    COPD assessment test (CAT) at visit 1

  • Local laboratory AssessmentsProcedure or surgery

    ECG + Standard Haematology and Biochemistry

  • Saint George's Respiratory QuestionnaireOther

    Saint George's Respiratory Questionnaire

  • EXACT-pro questionnaireOther

    daily from randomization (Visit 2) to end of study (Visit 7)

Study groups in NCT02579850
Study groupRoleWhat they receive
CHF 5993 + Ultibro matched placeboExperimentalFixed triple therapy with BDP/FF/GB 100/6/12.5 mcg (CHF 5993) administered 2 puffs twice daily via pMDI + Fixed combination of indacaterol and of glycopyrronium (Ultibro® Breezhaler®) matched placebo administered once daily via DPI for 52-week treatment. Patient used to take pMDI medication using a spacer will be provided with a new spacer for the study. 7 study visits including : central spirometry tests, Local laboratory, COPD assessment test (visit 1 only), Local laboratory Assessments Saint George's Respiratory Questionnaire EXACT-pro questionnaire
Receives: Drug: CHF 5993 + Ultibro matched placebo; Procedure: Central spirometry; Other: COPD assessment test; Procedure: Local laboratory Assessments; Other: Saint George's Respiratory Questionnaire; Other: EXACT-pro questionnaire
Ultibro + CHF 5993 matched placeboActive comparatorFixed combination of indacaterol 85 mcg and of glycopyrronium 43 mcg (Ultibro® Breezhaler®) administered once daily via DPI + Fixed triple therapy with BDP/FF/GB (CHF 5993) matched placebo administered 2 puffs twice daily via pMDI for 52-week treatment. Patient used to take pMDI medication using a spacer will be provided with a new spacer for the study. 7 study visits including : central spirometry tests, Local laboratory, COPD assessment test (visit 1 only), Local laboratory Assessments, Saint George's Respiratory Questionnaire, EXACT-pro questionnaire
Receives: Drug: Ultibro + CHF 5993 matched placebo; Procedure: Central spirometry; Other: COPD assessment test; Procedure: Local laboratory Assessments; Other: Saint George's Respiratory Questionnaire; Other: EXACT-pro questionnaire

What is being measured

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

  1. Moderate and severe COPD exacerbation rate over 52 weeks of treatment

    Exacerbations will be evaluated at each study visit and collected using EXACT-PRO filled-in by patient every day throughout the study

    Measured: 1 year

Secondary outcomes (4)
  1. Time to first moderate to severe COPD exacerbation

    Measured: 1 year

  2. Rate of severe COPD exacerbation over 52 weeks of treatment

    Measured: 1 year

  3. Rate of moderate COPD exacerbation over 52 weeks of treatment

    Measured: 1 year

  4. Change from Baseline at each visit and over the entire treatment period in pre-dose morning FEV1

    Measured: 1 year

Timeline

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

  1. First posted20 Oct 2015 (estimated)
  2. Study start29 May 2015
  3. Primary completion10 Jul 2017
  4. Study completion10 Jul 2017

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,532 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02579850
Sponsor's protocol ID
CCD-05993AA1-08
Other IDs
2014-001704-22, 2014
Acronym
TRIBUTE
Status last verified
Oct 2021
First submitted
12 May 2015
Last updated
29 Oct 2021
Results posted
No
Data monitoring committee
No
Individual data sharing
Yes: Chiesi commits to sharing with qualified scientific and medical Researchers, conducting legitimate research, Patient-level Data, Study-level Data, the Clinical Protocol and the full CSR, providing access to clinical trial information consistently with the principle of safeguarding commercially confidential information and patient privacy. Any shared Patient-level Data is anonymized to protect personally identifiable information. Chiesi access criteria and complete process for clinical data sharing is available on the Chiesi Group website.

Publications

  • Vanfleteren L, Fabbri LM, Papi A, Petruzzelli S, Celli B. Triple therapy (ICS/LABA/LAMA) in COPD: time for a reappraisal. Int J Chron Obstruct Pulmon Dis. 2018 Dec 12;13:3971-3981. doi: 10.2147/COPD.S185975. eCollection 2018.

    PubMed 30587953
  • Singh D, Fabbri LM, Vezzoli S, Petruzzelli S, Papi A. Extrafine triple therapy delays COPD clinically important deterioration vs ICS/LABA, LAMA, or LABA/LAMA. Int J Chron Obstruct Pulmon Dis. 2019 Feb 28;14:531-546. doi: 10.2147/COPD.S196383. eCollection 2019.

    PubMed 30880943
  • Singh D, Fabbri LM, Corradi M, Georges G, Guasconi A, Vezzoli S, Petruzzelli S, Papi A. Extrafine triple therapy in patients with symptomatic COPD and history of one moderate exacerbation. Eur Respir J. 2019 May 18;53(5):1900235. doi: 10.1183/13993003.00235-2019. Print 2019 May.

    PubMed 30792343
  • Papi A, Petruzzelli S, Vezzoli S, Georges G, Fabbri LM. Triple therapy for all patients with severe symptomatic COPD at risk of exacerbations. Eur Respir J. 2019 Apr 18;53(4):1900147. doi: 10.1183/13993003.00147-2019. Print 2019 Apr. No abstract available.

    PubMed 31000665
  • Papi A, Vestbo J, Fabbri L, Corradi M, Prunier H, Cohuet G, Guasconi A, Montagna I, Vezzoli S, Petruzzelli S, Scuri M, Roche N, Singh D. Extrafine inhaled triple therapy versus dual bronchodilator therapy in chronic obstructive pulmonary disease (TRIBUTE): a double-blind, parallel group, randomised controlled trial. Lancet. 2018 Mar 17;391(10125):1076-1084. doi: 10.1016/S0140-6736(18)30206-X. Epub 2018 Feb 9.

    PubMed 29429593

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Central spirometry, COPD assessment test and Local laboratory Assessments in people with Chronic Obstructive Pulmonary Disease (COPD), run by Chiesi Farmaceutici S.p.A. at 1 site in Italy.

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 21 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 29 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Moderate and severe COPD exacerbation rate over 52 weeks of treatment (time frame: 1 year). 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 NCT02579850, which also lists 5 linked publications.

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

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

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Oct 2021.

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