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Chronic Obstructive Pulmonary Disease COPDPhase 3AERISTONCT03162055

Efficacy and Safety of Glycopyrronium/Formoterol Fumarate Fixed-dose Combination Relative to Umeclidinium/Vilanterol Fixed-dose Combination Over 24 Weeks in Patients With Moderate to Very Severe Chronic Obstructive Pulmonary Disease

A Phase 3 study testing Glycopyrronium/Formoterol Fumarate and umeclidinium/vilanterol in people with Chronic Obstructive Pulmonary Disease COPD, run by AstraZeneca at 107 sites in 7 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 phase IIIb randomised, double-blind, double-dummy, multicentre, parallel group, 24 week study to assess the efficacy and safety of Glycopyrronium/Formoterol Fumarate (GFF) fixed-dose combination 7.2/4.8 μg 2 inhalations twice daily compared to Umeclidinium/Vilanterol (UV) 62.5/25 μg fixed-dose combination 1… Read more about this study

Who is it for?
Ages 40 to 95 years
What is being tested?
Glycopyrronium/Formoterol Fumarate and umeclidinium/vilanterol
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,119 participants
Where
107 sitesin 7 countries
Study dates
25 May 2017to 4 May 2018
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 95 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 40-95 years at screening
  • Current or former smoker with a history of at least 10 pack-years of cigarette smoking
  • Current clinical diagnosis of COPD, with COPD symptoms > 1 year prior to screening, as defined by GOLD criteria or other current guidelines
  • COPD Severity defined by FEV1/FVC ratio <0.70 and FEV1 <80% of predicted normal value at screening and at randomisation
  • COPD treatment with rescue medication only, or stable dose of maintenance monotherapy (LAMA, LABA or ICS), or stable dose of double maintenance therapy (LAMA/LABA or ICS/LABA), for one month prior to screening
  • COPD Assessment Test (CAT) score ≥10 at randomisation
  • Documentation of a chest x-ray (as per local practice) or computed tomography (CT) within 6 months prior to screening, with no clinically significant pulmonary abnormalities other than related to COPD

Who cannot join

  • Respiratory disease other than COPD, including:
  • Current diagnosis of asthma
  • Alpha-1 Antitrypsin Deficiency as the cause of COPD
  • Other respiratory disorders and conditions as listed in the protocol
  • Severe COPD exacerbation (resulting in hospitalisation) not resolved within 8 weeks prior to screening, or moderate exacerbation not resolved within 4 weeks, or during screening
  • Pneumonia or lower respiratory tract infection that required antibiotics within 8 weeks prior to screening, or during screening.
Show all 9Show fewer
  • Significant diseases or conditions other than COPD which may put the patient at risk, or influence the results of the study or the patient's ability to participate, including cardiac disease, advanced renal disease, and cancer that has not been in complete remission for at least 5 years.
  • Patients who have needed additions or alterations to their usual maintenance therapy for COPD due to worsening symptoms within 1 month prior to and during screening
  • Treatment with depot corticosteroids within 6 weeks, or other systemic corticosteroids within 4 weeks, prior to screening. (Patients maintained on an equivalent of 5 mg prednisone per day for at least 3 months prior to screening are allowed.)

Trial locations and contacts

107 sites in 7 countries.

107 sites in 7 countries

Russia21 sites
  • Research Site

    Barnaul, 656038

  • Research Site

    Barnaul, 656045

  • Research Site

    Chelyabinsk, 454021

  • Research Site

    Izhevsk, 426035

  • Research Site

    Moscow, 109544

  • Research Site

    Novosibirsk, 630051

  • Research Site

    Penza, 440026

  • Research Site

    Penza, 440067

  • Research Site

    Ryazan, 390005

  • Research Site

    Saint Petersburg, 191015

  • Research Site

    Saint Petersburg, 191180

  • Research Site

    Saint Petersburg, 194291

  • Research Site

    Saint Petersburg, 196084

  • Research Site

    Saint Petersburg, 197022

  • Research Site

    Saint Petersburg, 197342

  • Research Site

    Saint Petersburg, 198260

  • Research Site

    Saratov, 410012

  • Research Site

    Smolensk, 214006

  • Research Site

    Tomsk, 634050

  • Research Site

    Ulyanovsk, 432009

  • Research Site

    Yekaterinburg, 620028

Other trials in Russia

Bulgaria20 sites
  • Research Site

    Dupnitsa, 2600

  • Research Site

    Dupnitsa, 2602

  • Research Site

    Haskovo, 6305

  • Research Site

    Kozloduy, 3320

  • Research Site

    Pazardzhik, 4400

  • Research Site

    Petrich, 2850

  • Research Site

    Pleven, 5800

  • Research Site

    Plovdiv, 4002

  • Research Site

    Razlog, 2760

  • Research Site

    Rousse, 7002

  • Research Site

    Sliven, 8800

  • Research Site

    Smolyan, 4700

  • Research Site

    Sofia, 1002

  • Research Site

    Sofia, 1233

  • Research Site

    Sofia, 1407

  • Research Site

    Sofia, 1408

  • Research Site

    Sofia, 1618

  • Research Site

    Stara Zagora, 6000

  • Research Site

    Varna, 9000

  • Research Site

    Vidin, 3700

Other trials in Bulgaria

United States15 sites
  • Research Site

    Dublin, Ohio, 43016

  • Research Site

    Escondido, California, 92025

  • Research Site

    Farmington Hills, Michigan, 48336

  • Research Site

    Gastonia, North Carolina, 28054

  • Research Site

    Greenville, South Carolina, 29615

  • Research Site

    Hollywood, Florida, 33021

  • Research Site

    Lawrenceville, Georgia, 30046

  • Research Site

    Pittsburgh, Pennsylvania, 15243

  • Research Site

    Rincon, Georgia, 31326

  • Research Site

    Sacramento, California, 95821

  • Research Site

    Sherman, Texas, 75092

  • Research Site

    Spartanburg, South Carolina, 29303

  • Research Site

    Tempe, Arizona, 85283

  • Research Site

    The Bronx, New York, 10455

  • Research Site

    Tomball, Texas, 77375

Other trials in United States

Ukraine15 sites
  • Research Site

    Chernivtsi, 58000

  • Research Site

    Chernivtsi, 58001

  • Research Site

    Ivano-Frankivsk, 76012

  • Research Site

    Kharkiv, 61002

  • Research Site

    Kharkiv, 61035

  • Research Site

    Kharkiv, 61058

  • Research Site

    Kyiv, 03680

  • Research Site

    Kyiv, 04107

  • Research Site

    Lutsk, 43000

  • Research Site

    Lviv, 79066

  • Research Site

    Odesa, 65025

  • Research Site

    Poltava, 36040

  • Research Site

    Vinnytsia, 21001

  • Research Site

    Vinnytsia, 21029

  • Research Site

    Zaporizhzhya, 69096

Other trials in Ukraine

Canada14 sites
  • Research Site

    Burlington, Ontario, L7M 4Y1

  • Research Site

    Burlington, Ontario, L7N 3V2

  • Research Site

    Etobicoke, Ontario, M9W 4L6

  • Research Site

    Gatineau, Quebec, J8Y 6S8

  • Research Site

    Lévis, Quebec, G6W 0M5

  • Research Site

    Québec, Quebec, G1G 3Y8

  • Research Site

    Québec, Quebec, G1V 4G5

  • Research Site

    Québec, Quebec, G3K 2P8

  • Research Site

    Saint-Charles-Borromée, Quebec, J6E 2B4

  • Research Site

    Sherwood Park, Alberta, T8L 0N2

  • Research Site

    Truro, Nova Scotia, B2N 1L2

  • Research Site

    Windsor, Ontario, N8X 1T3

  • Research Site

    Windsor, Ontario, N8X-5A6

  • Research Site

    Winnipeg, Manitoba, R2V 4W3

Other trials in Canada

Hungary14 sites
  • Research Site

    Balassagyarmat, 2660

  • Research Site

    Budapest, 1135

  • Research Site

    Debrecen, 4032

  • Research Site

    Debrecen, H-4031

  • Research Site

    Farkasgyepü, 8582

  • Research Site

    Hajdúnánás, 4080

  • Research Site

    Komárom, 2900

  • Research Site

    Komló, 7300

  • Research Site

    Miskolc, 3529

  • Research Site

    Püspökladány, 4150

  • Research Site

    Siófok, 8600

  • Research Site

    Szeged, H-6722

  • Research Site

    Szombathely, 9700

  • Research Site

    Vásárosnamény, 4800

Other trials in Hungary

France8 sites
  • Research Site

    Besançon, 25030

  • Research Site

    Brest, 29609

  • Research Site

    Lyon, 69317

  • Research Site

    Montpellier, 34295

  • Research Site

    Nantes, 44277

  • Research Site

    Pessac, 33604

  • Research Site

    Poitiers, 86021

  • Research Site

    Reims, 51092

Other trials in France

About this study

Official title: A Randomised, Double-Blind, Double-Dummy, Multicentre, Parallel Group Study to Assess the Efficacy and Safety of Glycopyrronium/Formoterol Fumarate Fixed-dose Combination Relative to Umeclidinium/Vilanterol Fixed-dose Combination Over 24 Weeks in Patients With Moderate to Very Severe Chronic Obstructive Pulmonary Disease (AERISTO)

This is a phase IIIb randomised, double-blind, double-dummy, multicentre, parallel group, 24 week study to assess the efficacy and safety of Glycopyrronium/Formoterol Fumarate (GFF) fixed-dose combination 7.2/4.8 μg 2 inhalations twice daily compared to Umeclidinium/Vilanterol (UV) 62.5/25 μg fixed-dose combination 1 inhalation once daily in Patients with moderate to very severe COPD.

Being tested
Glycopyrronium/Formoterol Fumarate, umeclidinium/vilanterol
Keywords
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.

  • Glycopyrronium/Formoterol FumarateDrug

    Metered dose inhaler (MDI), contains glycopyrronium/formoterol fumarate fixed-dose combination 7.2/4.8 μg per actuation

  • umeclidinium/vilanterolDrug

    Dry powder inhaler (DPI), Each metered dose contains umeclidinium/vilanterol 62.5/ 25μg fixed-dose combination per inhalation

Study groups in NCT03162055
Study groupRoleWhat they receive
ExperimentalExperimentalglycopyrronium/formoterol fumarate 7.2/4.8 μg per actuation, twice daily
Receives: Drug: Glycopyrronium/Formoterol Fumarate
Active comparatorActive comparatorumeclidinium/vilanterol 62.5/ 25μg per inhalation, once daily
Receives: Drug: umeclidinium/vilanterol

What is being measured

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

  1. Mean Change From Baseline in Morning Pre-dose Trough Forced Expiratory Volume in 1 Second (FEV1) Over 24 Weeks

    To assess the effects of GFF relative to UV on lung function as measured by change from baseline in morning pre-dose trough FEV1 is defined as the average of the -60 and -30 minute pre-dose values at each visit minus baseline using spirometry. Baseline is defined as the mean of the non-missing -60 and -30 minute values obtained prior to dosing at randomization (Day 1). BR a/s = bronchodilator responsiveness to albuterol/salbutamol.

    Measured: From Baseline (Day 1) up to 24 weeks

  2. Mean Peak Change From Baseline in FEV1 Within 2 Hours Post-dosing Over 24 Weeks in PP Analysis Set Population

    To assess the effects of GFF relative to UV on lung function in PP analysis set population as measured by peak change from baseline in FEV1 is defined as the maximum of the FEV1 assessments within the 2 hours post-dosing time windows at each visit minus baseline using spirometry. Baseline is defined as the mean of the non-missing -60 and -30 minute values obtained prior to dosing at randomization (Day 1).

    Measured: From Baseline (Day 1) up to 24 weeks

  3. Mean Peak Change From Baseline in FEV1 Within 2 Hours Post-dosing Over 24 Weeks in FAS Population

    To assess the effects of GFF relative to UV on lung function in FAS population as measured by peak change from baseline in FEV1 is defined as the maximum of the FEV1 assessments within the 2 hours post-dosing time windows at each visit minus baseline using spirometry. Baseline is defined as the mean of the non-missing -60 and -30 minute values obtained prior to dosing at randomization (Day 1).

    Measured: From Baseline (Day 1) up to 24 weeks

Secondary outcomes (4)
  1. Percentage of Participants With Increase of FEV1 of >=100 mL From Baseline at 5 Minutes Post-dosing on Day 1

    The percentage of participants with an increase in FEV1 of >=100 mL from baseline at 5 minutes post-dosing on Day 1 was determined to assess the early onset of action. Baseline is defined as the average of available evaluable -60 and -30 minute pre-dose assessments conducted at randomization (Day 1). Only data assigned to the 5 minute window was used to determine response. Participants with missing data were considered non-responders for the analysis.

    Measured: 5 minutes post-dose on Day 1

  2. Mean Peak Change From Baseline in Inspiratory Capacity (IC) Within 2 Hours Post-dosing Over 24 Weeks

    Peak change from baseline in IC is defined as the maximum of the IC assessments within the 2 hours post-dosing time windows at each visit minus baseline. Baseline is defined as the average of available evaluable -60 and -30 minute pre-dose assessments conducted at randomization (Day 1).

    Measured: From Baseline (Day 1) up to 24 weeks

  3. Mean Transition Dyspnea Index (TDI) Focal Score Over 24 Weeks

    The baseline dyspnea index (BDI) and TDI consist of 3 individual components: functional impairment, magnitude of task, and magnitude of effort. For the BDI, each of these 3 components were rated in 5 grades from 0 (very severe) to 4 (no impairment), and were summed to form a baseline total score from 0 to 12. For the TDI, changes in dyspnea were rated for each component by 7 grades from -3 (major deterioration) to +3 (major improvement), and were added to form a TDI focal score from -9 to +9. Baseline is defined as the latest BDI assessment within 7 days before or at randomization (Day 1).

    Measured: From Baseline (Day -7 or 1) up to 24 weeks

  4. Mean Change From Baseline in Early Morning Symptoms of COPD Instrument (EMSCI) Over 24 Weeks

    Change from baseline in the 6-item EMSCI Symptom Severity Score was derived by averaging the responses from a participant on the 6 item-level symptom scores (scored on a 4-point scale from 1 to 4, whereas 1= mild and 4= very severe). The EMSCI collected data about the frequency and severity of early morning symptoms and the impact of COPD symptoms on early morning activity in participants with COPD. Participants completed a daily electronic patient-reported outcome (ePRO) questionnaire for their COPD symptoms. Baseline is defined as the average of the non-missing values from the ePRO data collected in the last 7 days before the randomization (Day 1). TI = Time interval.

    Measured: From Baseline (Day -7) up to 24 weeks

Timeline

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

  1. First posted22 May 2017
  2. Study start25 May 2017
  3. Primary completion4 May 2018
  4. Study completion4 May 2018

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
1,119 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03162055
Sponsor's protocol ID
D5970C00002
Acronym
AERISTO
Status last verified
Apr 2019
First submitted
19 May 2017
Last updated
22 May 2019
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Maltais F, Ferguson GT, Feldman GJ, Deslee G, Bourdin A, Fjallbrant H, Siwek-Posluszna A, Jenkins MA, Martin UJ. A Randomized, Double-Blind, Double-Dummy Study of Glycopyrrolate/Formoterol Fumarate Metered Dose Inhaler Relative to Umeclidinium/Vilanterol Dry Powder Inhaler in COPD. Adv Ther. 2019 Sep;36(9):2434-2449. doi: 10.1007/s12325-019-01015-3. Epub 2019 Jul 2.

    PubMed 31267366

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Glycopyrronium/Formoterol Fumarate and umeclidinium/vilanterol in people with Chronic Obstructive Pulmonary Disease COPD, run by AstraZeneca at 107 sites in 7 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 7 inclusion and 9 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 22 May 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 107 sites in Russia, Bulgaria, United States, Ukraine, Canada and 2 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 22 May 2019). 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?

Mean Change From Baseline in Morning Pre-dose Trough Forced Expiratory Volume in 1 Second (FEV1) Over 24 Weeks (time frame: From Baseline (Day 1) up to 24 weeks). 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?

On the ClinicalTrials.gov record for NCT03162055, 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 22 May 2019.

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