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COPDPhase 3AVANTNCT03022097

Study to Assess Efficacy and Safety of Aclidinium Bromide and Aclidinium Bromide/Formoterol Fumarate in Stabile COPD Patients

A Phase 3 study testing Aclidinium bromide/formoterol Fixed-Dose Combination, Aclidinium bromide and Formoterol Fumarate in people with COPD, run by AstraZeneca at 74 sites in 5 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

This is a multiple dose, randomised, parallel, double blind, double dummy, multicentre and multinational Phase III study to determine the efficacy and safety of Aclidinium bromide/Formoterol fumarate compared with individual components and placebo and Aclidinium bromide compared with Placebo when administered to… Read more about this study

Who is it for?
Ages 40 to 130 years
Conditions the study is for
COPD
What is being tested?
Aclidinium bromide/formoterol Fixed-Dose Combination, Aclidinium bromide and Formoterol Fumarate
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,625 participants
Where
74 sitesin 5 countries
Study dates
2 Feb 2017to 14 Apr 2022
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 to 130 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 1. Adult male or non-pregnant, non-lactating female patients aged ≥40
  • 2. Patients with a diagnosis of COPD prior to Visit 1 (screening)
  • 3. Patients with moderate to severe stable COPD (Stage II or Stage III) at Visit 1: post-bronchodilator FEV1 ≥30% and < 80% and post-bronchodilator FEV1/Forced vital capacity (FVC) < 70%
  • 4. Current or former smokers with a smoking history of ≥ 10 pack-years
  • 5. Patients able to perform repeatable pulmonary function testing for FEV1 according to the American Thoracic Society (ATS)/European Respiratory Society (ERS) 2005 criteria at Visit 1(screening)
  • 6. Patients who understand the study procedures and are willing to participate in the study as indicated by signing the informed consent

Who cannot join

  • 1. Involvement in the planning and/or conduct of the study (applies to AstraZeneca staff and/or site staff) or patients employed by or relatives of the employees of the site or sponsor.
  • 2. Previous enrolment or randomisation in the present study
  • 3. History or current diagnosis of asthma
  • 4. Any respiratory tract infection (including the upper respiratory tract) or COPD exacerbation (including the mild COPD exacerbation) within 6 weeks prior to screening or during the run-in period
  • 5. Patients hospitalized for COPD exacerbation (an emergency room visit for longer than 24 hours will be considered a hospitalization) within 3 months prior to screening and during the run-in period
  • 6. Clinically significant respiratory conditions other than COPD
Show all 25Show fewer
  • 7. Patients who in the Investigator's opinion may need to start a pulmonary rehabilitation program during the study and/or patients who started/finished it within 3 months prior to screening
  • 8. Use of long-term oxygen therapy (≥15 hours/day)
  • 9. Patient who does not maintain regular day/night, waking/sleeping cycles including night shift workers
  • 10. Clinically significant cardiovascular conditions
  • 11. Patients with Type I or uncontrolled Type II diabetes, uncontrolled hypo-or hyperthyroidism, hypokalaemia, or hyperadrenergic state, uncontrolled or untreated hypertension
  • 12. Patients with QT corrected interval (QTc) using Fridericia formula (QTcF) (QTc=QT/ Duration in milliseconds between two R peaks of two consecutive QRS complexes (RR1/3) >470 msec as indicated in the centralised reading report assessed at Screening (Visit 1)
  • 13. Patients with clinically significant abnormalities in the clinical laboratory tests, ECG parameters (other than QTcF) or in the physical examination at Visit 1 (screening)
  • 14. Patients with abnormal liver function tests defined as Aspartate aminotransferase (AST), Alanine aminotransferase (ALT), or total bilirubin ≥ 2.5 times upper limit of normal ranges at screening
  • 15. Patient with known non-controlled history of infection with human immunodeficiency virus and/or active hepatitis
  • 16. Patient with a history of hypersensitivity reaction to inhaled anticholinergic drugs, sympathomimetic amines, inhaled medication or any component thereof
  • 17. Patient with known narrow-angle glaucoma, symptomatic bladder neck obstruction, acute urinary retention, or patients with symptomatic non-stable prostatic hypertrophy
  • 18. 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
  • 19. Any other serious or uncontrolled physical or mental dysfunction
  • 20. Patients with a history (within 2 years prior to Visit 1 (screening) of drug and/or alcohol abuse that may prevent study compliance based on the Investigator judgment
  • 21. Patients unlikely to be cooperative or cannot comply with the study procedures
  • 22. Patients treated with any investigational drug within 30 days (or 6 half-lives, whichever is longer) prior to screening
  • 23. Patients who intended to use any concomitant medication not permitted by this protocol or who had not undergone the required washout period for a particular prohibited medication
  • 24. Patients unable to give consent, or patients of consenting age but under guardianship, or vulnerable patients
  • 25. Any other conditions that, in the Investigator's opinion, might have indicated the patient to be unsuitable for the study

Trial locations and contacts

74 sites in 5 countries.

74 sites in 5 countries

China48 sites
  • Research Site

    Baotou, 14010

  • Research Site

    Beijing, 100050

  • Research Site

    Beijing, 100097

  • Research Site

    Beijing, 102300

  • Research Site

    Beijing, CN-100083

  • Research Site

    Cangzhou, 61000

  • Research Site

    Changchun, 130021

  • Research Site

    Changsha, 410005

  • Research Site

    Changsha, 430033

  • Research Site

    Chengdu, 610072

  • Research Site

    Guangzhou, 510530

  • Research Site

    Haikou, 570311

  • Research Site

    Hangzhou, 310003

  • Research Site

    Hangzhou, 310005

  • Research Site

    Hangzhou, 310014

  • Research Site

    Hefei, 230001

  • Research Site

    Hefei, 230022

  • Research Site

    Hefei, 230061

  • Research Site

    Hengyang, 50012

  • Research Site

    Hohhot, 010017

  • Research Site

    Liangyugang, 222002

  • Research Site

    Linhai, 317000

  • Research Site

    Nanchang, 330006

  • Research Site

    Nanjing, 210009

  • Research Site

    Qiqihar, 161005

  • Research Site

    Shanghai, 200030

  • Research Site

    Shanghai, 200040

  • Research Site

    Shanghai, 200062

  • Research Site

    Shanghai, 200090

  • Research Site

    Shanghai, 200240

  • Research Site

    Shanghai, 200433

  • Research Site

    Shanghai, 201200

  • Research Site

    Shanxi, 30001

  • Research Site

    Shengyang, 110004

  • Research Site

    Shenzhen, 518020

  • Research Site

    Shenzhen, 518053

  • Research Site

    Shijiazhuang, 050000

  • Research Site

    Taiyuan, 030001

  • Research Site

    Tianjin, 300050

  • Research Site

    Wenzhou, 325015

  • Research Site

    Wuxi, 214023

  • Research Site

    Xi'an, 710061

  • Research Site

    Xiamen, 361004

  • Research Site

    Xining, 810007

  • Research Site

    Yangzhou, 225000

  • Research Site

    Yanji, 133000

  • Research Site

    Yinchuan, 750004

  • Research Site

    Zhanjiang, 524001

Other trials in China

India14 sites
  • Research Site

    Ahmedabad, 380060

  • Research Site

    Alappuzha, 688524

  • Research Site

    Ernākulam, 683577

  • Research Site

    Guntur, 522001

  • Research Site

    Jaipur, 302006

  • Research Site

    Kozhikode, 673008

  • Research Site

    Mysore, 57002

  • Research Site

    Nagpur, 440010

  • Research Site

    Nagpur, 440012

  • Research Site

    Nagpur, 440019

  • Research Site

    Pune, 411019

  • Research Site

    Pune, 411057

  • Research Site

    Pune, 440012

  • Research Site

    Vijayawada, 520 008

Other trials in India

Philippines6 sites
  • Research Site

    Caloocan, 1400

  • Research Site

    Iloilo City, 5000

  • Research Site

    Manila, 1000

  • Research Site

    Quezon City, 1000

  • Research Site

    Quezon City, 1100

  • Research Site

    Quezon City, 1101

Other trials in Philippines

Taiwan3 sites
  • Research Site

    Keelung, 20448

  • Research Site

    Taichung, 40201

  • Research Site

    Taipei, 112

Other trials in Taiwan

Vietnam3 sites
  • Research Site

    Hanoi, 10000

  • Research Site

    Ho Chi Minh City, 700000

  • Research Site

    Ho Chi Minh City, 70000

Other trials in Vietnam

About this study

Official title: A 24-week Treatment, Randomised, Parallel-group, Double Blinded, Double-Dummy, Multicenter Study to Assess the Efficacy and Safety of Aclidinium Bromide/Formoterol Fumarate Compared With Individual Components and Placebo and Aclidinium Bromide Compared With Placebo When Administered to Patients With Stable Chronic Obstructive Pulmonary Disease.

This is a multiple dose, randomised, parallel, double blind, double dummy, multicentre and multinational Phase III study to determine the efficacy and safety of Aclidinium bromide/Formoterol fumarate compared with individual components and placebo and Aclidinium bromide compared with Placebo when administered to patients with stable Chronic Obstructive Pulmonary Disease (COPD).

Conditions
COPD
Being tested
Aclidinium bromide/formoterol Fixed-Dose Combination, Aclidinium bromide, Formoterol Fumarate, Placebo
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 Fixed-Dose CombinationDrug

    Inhaled Aclidinium bromide/formoterol Fixed-Dose Combination, twice per day via Genuair

  • Aclidinium bromideDrug

    Inhaled Aclidinium bromide 400 μg, twice per day via Genuair

  • Formoterol FumarateDrug

    Inhaled Formoterol Fumarate 12 μg, twice per day via Turbuhaler

  • PlaceboDrug

    Inhaled dose-matched placebo, twice per day via Genuair or via Turbuhaler

Study groups in NCT03022097
Study groupRoleWhat they receive
Experimental 1ExperimentalAclidinium bromide 400μg/Formoterol fumarate 12 μg
Receives: Drug: Aclidinium bromide/formoterol Fixed-Dose Combination
Experimental 2ExperimentalAclidinium bromide 400 μg
Receives: Drug: Aclidinium bromide
ComparatorActive comparatorFormoterol fumarate 12 μg
Receives: Drug: Formoterol Fumarate
PlaceboPlacebo comparatorPlacebo
Receives: Drug: Placebo

What is being measured

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

  1. Change From Baseline in 1-hour Morning Post Forced Expiratory Volume in 1 Second (FEV1)

    Change from baseline in 1-hour morning post-dose FEV1 of Aclidinium bromide 400 μg/Formoterol fumarate 12 μg compared to Aclidinium bromide at Week 24.

    Baseline was defined as the average of the two FEV1 values measure prior to the administration of the first dose of the IP at randomisation visit. If one of the two values was missing, the available one was used as baseline. If both values were missing, the screening pre-bronchodilator value was used.

    Estimand is based on the while on-treatment approach, where treatment estimates are analysed while subjects are taking IP.

    Measured: Week 24, 1-hour morning post-dose

  2. Change From Baseline in Morning Pre-dose (Trough) FEV1 for Aclidinium Bromide/Formoterol Fumarate

    Change from baseline in morning pre-dose (trough) FEV1 of Aclidinium bromide 400 μg/Formoterol fumarate 12 μg compared to Formoterol fumarate 12 μg at Week 24.

    Morning pre-dose (trough) FEV1 was defined as the average of the two FEV1 values at morning pre-dose of IP at Week 24. If one value was missing, the remaining was used as the trough value.

    Estimand is based on the while on-treatment approach, where treatment estimates are analysed while subjects are taking IP.

    Measured: Week 24, morning pre-dose (trough)

  3. Change From Baseline in Morning Pre-dose (Trough) FEV1 for Aclidinium Bromide

    Change from baseline in morning pre-dose (trough) FEV1 of Aclidinium bromide 400 μg compared to placebo at Week 24.

    Morning pre-dose (trough) FEV1 was defined as the average of the two FEV1 values at morning pre-dose of IP at Week 24. If one value was missing, the remaining was used as the trough value.

    Estimand is based on the while on-treatment approach, where treatment estimates are analysed while subjects are taking IP.

    Measured: Week 24, morning pre-dose (trough)

Secondary outcomes (3)
  1. Change From Baseline in Peak FEV1

    Change from baseline in peak FEV1 of Aclidinium bromide 400 μg compared to placebo at week 24.

    Peak FEV1 was the highest value recorded at Week 24 after morning IP intake.

    Estimand is based on the while on-treatment approach, where treatment estimates are analysed while subjects are taking IP.

    Measured: Week 24, peak

  2. Improvements Transition Dyspnoea Index (TDI) Focal Score

    Improvements TDI focal score of Aclidinium bromide 400 μg/Formoterol fumarate 12 μg and Aclidinium bromide 400μg compared to placebo at week 24.

    Transition Dyspnoea Index (TDI) measures severity of breathlessness in symptomatic patients. An impairment severity score is assigned for three components: functional impairment; magnitude of task and magnitude of effort. Focal scores is derived as the sum of individual component scores. TDI focal score ranges from -9 to +9, with negative values indicating a worsening in dyspnoea, 0 showing no change from baseline and positive values associated with a post-baseline improvement.

    Estimand is based on the while on-treatment approach, where treatment estimates are analysed while subjects are taking IP.

    Measured: Week 24

  3. Change From Baseline in St Georges Respiratory Questionnaire (SGRQ) Total Score

    Change from baseline in SGRQ total score of Aclidinium bromide 400 μg/Formoterol fumarate 12 μg and Aclidinium bromide 400μg compared to placebo at week 24.

    St. George's Respiratory Questionnaire (SGRQ) measures the impact of COPD on overall health, daily life and perceived well-being. It is composed of 50 items split into 17 parts, from which 3 dimension scores on Symptoms, Activity and Impact are derived. A total score utilising responses to all items can also be derived to assess the overall impact of COPD on quality of life. SGRQ dimension and total scores range from 0 to 100, with higher scores indicating a worse possible health status.

    Estimand is based on the while on-treatment approach, where treatment estimates are analysed while subjects are taking IP.

    Measured: 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 posted16 Jan 2017 (estimated)
  2. Study start2 Feb 2017
  3. Primary completion14 Apr 2022
  4. Study completion14 Apr 2022

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
Double blind
Who is masked
Participant, Investigator
Enrolment
1,625 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03022097
Sponsor's protocol ID
D6570C00002
Other IDs
M-AS464-30
Acronym
AVANT
Status last verified
Mar 2025
First submitted
13 Jan 2017
Last updated
26 Mar 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Aclidinium bromide/formoterol Fixed-Dose Combination, Aclidinium bromide and Formoterol Fumarate in people with COPD, run by AstraZeneca at 74 sites in 5 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 25 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 26 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 74 sites in China, India, Philippines, Taiwan, Vietnam. 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. Some participants in this study may receive a placebo. 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 26 Mar 2025). 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?

Change From Baseline in 1-hour Morning Post Forced Expiratory Volume in 1 Second (FEV1) (time frame: Week 24, 1-hour morning post-dose). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

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

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Mar 2025.

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