Pulmonary Disease, Chronic ObstructivePhase 4NCT03474081
A Comparative Study Between Fluticasone Furoate/Umeclidinium/Vilanterol (FF/UMEC/VI) Single Inhaler Triple Therapy Versus Tiotropium Monotherapy in Subjects With Chronic Obstructive Pulmonary Disease (COPD)
A Phase 4 study testing FF/UMEC/VI, Tiotropium and Albuterol/salbutamol in people with Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 72 sites in 3 countries.
Trial summary
COPD is a progressive disease characterized by increasing obstruction to airflow and the progressive development of respiratory symptoms including chronic cough, increased sputum production, dyspnea and wheezing. Read more about this study
- Who is it for?
- Ages 40 years and older
- Conditions the study is for
- Pulmonary Disease, Chronic Obstructive
- What is being tested?
- FF/UMEC/VI, Tiotropium and Albuterol/salbutamol
- Type of treatment
- Pill or oral medicine, Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 800 participants
- Where
- 72 sitesin 3 countries
- Study dates
- 29 Mar 2018to 17 Jul 2019
- Phase
- Phase 4
- 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
- Subjects capable of giving signed informed consent.
- Outpatients will be included in the study.
- Subjects 40 years of age or older at Screening (Visit 1).
- Male or female subjects will be included; a female subject is eligible to participate if she is not pregnant, not breastfeeding, and at least one of the following conditions applies: not a woman of childbearing potential (WOCBP) or a WOCBP who agrees to follow the contraceptive guidance during the treatment period and until the safety follow-up contact after the last dose of study treatment.
- An established clinical history of COPD in accordance with the definition by the American Thoracic Society/European Respiratory Society.
- Current or former cigarette smokers with a history of cigarette smoking of >=10 pack-years at Screening (Visit 1) (number of pack years = [number of cigarettes per day / 20] x number of years smoked [example given {e.g.}, 20 cigarettes per day for 10 years, or 10 cigarettes per day for 20 years]). Previous smokers are defined as those who have stopped smoking for at least 6 months prior to Visit 1.
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- A score of >=10 on the COPD Assessment Test (CAT) at Screening (Visit 1).
- Subjects must demonstrate at Screening: A post-bronchodilator FEV1 <50 percent predicted normal or a post-bronchodilator FEV1 <80 percent predicted normal and a documented history of >=2 moderate exacerbations or one severe (hospitalized) exacerbation in the previous 12 months. Subjects must also have a measured post albuterol/salbutamol FEV1/forced vital capacity (FVC) ratio of <0.70 at screening.
- Subjects must have been receiving daily maintenance treatment with tiotropium alone (via the HANDIHALER or RESPIMAT®) for their COPD for at least 3 months prior to Screening.
Who cannot join
- Women who are pregnant or lactating or are planning on becoming pregnant during the study.
- Subjects with a current diagnosis of asthma. (Subjects with a prior history of asthma are eligible if they have a current diagnosis of COPD).
- Subjects with alpha1-antitrypsin deficiency as the underlying cause of COPD.
- Subjects with active tuberculosis, lung cancer, and clinically significant: bronchiectasis, sarcoidosis, lung fibrosis, pulmonary hypertension, interstitial lung disease or other active pulmonary diseases.
- Subjects who have undergone lung volume reduction surgery within the 12 months prior to Screening.
- Immune suppression (e.g. advanced human immunodeficiency virus [HIV] with high viral load and low cluster of differentiation 4 [CD4] count, lupus on immunosuppressant's) that in the opinion of the investigator would increase risk of pneumonia or other risk factors for pneumonia (e.g. neurological disorders affecting control of the upper airway, such as Parkinson's Disease, Myasthenia Gravis). Subjects at potentially high risk for pneumonia (e.g. very low body mass index [BMI], severely malnourished, or very low FEV1) will only be included at the discretion of the Investigator.
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- Pneumonia and/or moderate or severe COPD exacerbation that has not resolved at least 14 days prior to Screening and at least 30 days following the last dose of oral/systemic corticosteroids (if applicable).
- Respiratory tract infection that has not resolved at least 7 days prior to Screening.
- Chest x-ray (posteroanterior and lateral) reveals evidence of pneumonia or a clinically significant abnormality not believed to be due to the presence of COPD, or another condition that would hinder the ability to detect an infiltrate on chest x-ray (e.g. significant cardiomegaly, pleural effusion or scarring). All subjects will have a chest x-ray at Screening Visit 1 (or historical radiograph or computerized tomography [CT] scan obtained within 3 months prior to screening). For sites in Germany: If a chest x-ray (or CT scan) within 3 months prior to Screening (Visit 1) is not available, approval to conduct a diagnostic chest x-ray will need to be obtained from the Federal Office for Radiation Protection (BfS).
- Subjects with historical or current evidence of clinically significant cardiovascular, neurological, psychiatric, renal, hepatic, immunological, gastrointestinal, urogenital, nervous system, musculoskeletal, skin, sensory, endocrine (including uncontrolled diabetes or thyroid disease) or hematological abnormalities that are uncontrolled. Significant is defined as any disease that, in the opinion of the Investigator, would put the safety of the subject at risk through participation, or which would affect the efficacy or safety analysis if the disease/condition exacerbated during the study.
- Alanine Transaminase (ALT) >2x Upper Limit of Normal (ULN); and bilirubin >1.5x ULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35 percent). Current active liver or biliary disease (with the exception of Gilbert's syndrome or asymptomatic gallstones or otherwise stable chronic liver disease per investigator assessment). Chronic stable hepatitis B and C (e.g., presence of hepatitis B surface antigen [HBsAg] or positive hepatitis C antibody test result at screening or within 3 months prior to first dose of study treatment) are acceptable if subject otherwise meets entry criteria.
- Subjects with any of the following at Screening (Visit 1): myocardial infarction or unstable angina in the last 6 months; unstable or life threatening cardiac arrhythmia requiring intervention in the last 3 months; New York Heart Association (NYHA) Class IV Heart failure.
- Abnormal and clinically significant 12-lead electrocardiogram (ECG) finding at Visit 1. The Investigator will determine the clinical significance of each abnormal ECG finding in relation to the Subject's medical history and exclude subjects who would be at undue risk by participating in the trial. An abnormal and clinically significant finding that would preclude a subject from entering the trial is defined as a 12-lead ECG tracing that is interpreted at, but not limited to, any of the following: atrial fibrillation (AF) with rapid ventricular rate >120 beats per minute (BPM); sustained and non-sustained ventricular tachycardia (VT); second degree heart block Mobitz type II and third degree heart block (unless pacemaker or defibrillator had been inserted); QT interval corrected for heart rate (QTc) >=500 millisecond (msec) in subjects with QRS <120 msec and QTc >=530 msec in subjects with QRS >=120 msec.
- A history of allergy or hypersensitivity to any corticosteroid, anticholinergic/muscarinic receptor antagonist, beta2-agonist, lactose/milk protein or magnesium stearate or a medical condition such as narrow-angle glaucoma, prostatic hypertrophy or bladder neck obstruction that, in the opinion of the Investigator, contraindicates study participation.
- Subjects with carcinoma that has not been in complete remission for at least 3 years. Subjects who have had carcinoma in situ of the cervix, squamous cell carcinoma and basal cell carcinoma of the skin would not be excluded based on the 3 year waiting period if the subject has been considered cured by treatment.
- Use of long-term oxygen therapy (LTOT) described as resting oxygen therapy >3 Liters per minute (L/minute) (Oxygen use <=3 L/minute flow is not exclusionary.)
- Subjects who are medically unable to withhold their albuterol/salbutamol for the 4-hour period required prior to spirometry testing at each study visit.
- Subjects who have participated in the acute phase of a Pulmonary Rehabilitation Programme within 4 weeks prior to screening or subjects who plan to enter the acute phase of a Pulmonary Rehabilitation Programme during the study. Subjects who are in the maintenance phase of a Pulmonary Rehabilitation Programme are not excluded.
- Subjects with a known or suspected history of alcohol or drug abuse within the last 2 years.
- Subjects at risk of non-compliance, or unable to comply with the study procedures. Any infirmity, disability, or geographic location that would limit compliance for scheduled visits.
- Subjects with a history of psychiatric disease, intellectual deficiency, poor motivation or other conditions that will limit the validity of informed consent to participate in the study.
- Study Investigators, sub-Investigators, study coordinators, employees of a participating Investigator or study site, or immediate family members of the aforementioned that is involved with this study.
- In the opinion of the Investigator, any subject who is unable to read and/or would not be able to complete study related materials.
- Subjects taking following drug therapies will be excluded; subjects taking inhaled short-acting anticholinergics alone or along with short-acting beta agonist combination within 6 hours prior to screening; subjects taking inhaled short-acting beta2 agonists within >=4 hours prior to screening; subjects taking ICS, ICS/inhaled LABA combinations (e.g., FF/salmeterol, mometasone furoate/formoterol fumarate, budesonide/formoterol fumarate; FF/VI), Phosphodiesterase 4 (PDE4) inhibitors (roflumilast), LABA (e.g., indacaterol, olodaterol), LAMA (e.g., LAMA/LABA combinations UMEC, aclidinium, glycopyrronium), LAMA/LABA combinations, theophyllines, sodium cromoglycate and nedocromil sodium, anti-leukotrienes as maintenance treatment within 3 months prior to Visit 1 will be excluded. Maintenance treatment is defined as use for >=14 consecutive days (at any time in the 3 months prior to Visit 1). Subjects taking long term antibiotic therapy. (Antibiotics are allowed for the short term treatment (<=14 days) of an exacerbation or for short term treatment (<=14 days) of other acute infections during the study); subjects taking systemic, oral, parenteral corticosteroids 30 days prior to screening; (During the study oral/systemic corticosteroids may be used for <=14 days to treat COPD exacerbations/pneumonia) will be excluded. Intra-articular injections are allowed; subjects taking any other investigational drug within 30 days or 5 half-lives whichever is longer prior to screening will be excluded.
Trial locations and contacts
72 sites in 3 countries.
72 sites in 3 countries
United States33 sites
GSK Investigational Site
Andalusia, Alabama, 36420
GSK Investigational Site
Anderson, South Carolina, 29621
GSK Investigational Site
Bronxville, New York, 10708
GSK Investigational Site
Cincinnati, Ohio, 45242
GSK Investigational Site
Colorado Springs, Colorado, 80907
GSK Investigational Site
Corsicana, Texas, 75110
GSK Investigational Site
Daytona Beach, Florida, 32117
GSK Investigational Site
Dublin, Ohio, 43016
GSK Investigational Site
DuBois, Pennsylvania, 15801
GSK Investigational Site
Edina, Minnesota, 55435
GSK Investigational Site
Fayetteville, New York, 13066
GSK Investigational Site
Gaffney, South Carolina, 29340
GSK Investigational Site
Gastonia, North Carolina, 28054
GSK Investigational Site
Greer, South Carolina, 29650
GSK Investigational Site
Huntington Beach, California, 92647
GSK Investigational Site
Huntsville, Texas, 77340
GSK Investigational Site
Kissimmee, Florida, 34741
GSK Investigational Site
Little River, South Carolina, 029566
GSK Investigational Site
Miami, Florida, 33126
GSK Investigational Site
Miami, Florida, 33134
GSK Investigational Site
Miami Lakes, Florida, 33014
GSK Investigational Site
Minneapolis, Minnesota, 55407
GSK Investigational Site
Nampa, Idaho, 83687
GSK Investigational Site
Orlando, Florida, 32825
GSK Investigational Site
Ormond Beach, Florida, 32174
GSK Investigational Site
Oxon Hill, Maryland, 20745
GSK Investigational Site
Panama City, Florida, 32405
GSK Investigational Site
Pelzer, South Carolina, 29669
GSK Investigational Site
Sacramento, California, 95821
GSK Investigational Site
Salt Lake City, Utah, 84102
GSK Investigational Site
Seneca, South Carolina, 29678
GSK Investigational Site
Simi Valley, California, 93065
GSK Investigational Site
Spartanburg, South Carolina, 29303
Poland25 sites
GSK Investigational Site
Bialystok, 15-003
GSK Investigational Site
Bialystok, 15-044
GSK Investigational Site
Bielsko-Biala, 43-300
GSK Investigational Site
Bydgoszcz, 85-796
GSK Investigational Site
Bydgoszcz, 85-863
GSK Investigational Site
Chojnice, 89-600
GSK Investigational Site
Grudziądz, 86-300
GSK Investigational Site
Kielce, 25-751
GSK Investigational Site
Krakow, 30-033
GSK Investigational Site
Krakow, 31-209
GSK Investigational Site
Lublin, 20-412
GSK Investigational Site
Nowa Sól, 67-100
GSK Investigational Site
Ostróda, 14-100
GSK Investigational Site
Ostrowiec Świętokrzyski, 27-400
GSK Investigational Site
Piaseczno, 05-500
GSK Investigational Site
Proszowice, 32-100
GSK Investigational Site
Siedlce, 08-110
GSK Investigational Site
Skierniewice, 96-100
GSK Investigational Site
Sopot, 81-741
GSK Investigational Site
Swidnica, 58-100
GSK Investigational Site
Szczecin, 71-124
GSK Investigational Site
Torun, 87-100
GSK Investigational Site
Warsaw, 02-777
GSK Investigational Site
Zamość, 22-400
GSK Investigational Site
Zawadzkie, 47-120
Russia14 sites
GSK Investigational Site
Ivanovo, 153005
GSK Investigational Site
Moscow, 111539
GSK Investigational Site
Moscow, 115 280
GSK Investigational Site
Moscow, 115682
GSK Investigational Site
Novosibirsk, 630008
GSK Investigational Site
Novosibirsk, 630087
GSK Investigational Site
Saint Petersburg, 196084
GSK Investigational Site
Saint Petersburg, 197022
GSK Investigational Site
Saint Petersburg, 198260
GSK Investigational Site
Saint Petersburg, 199106
GSK Investigational Site
Saratov, 410028
GSK Investigational Site
Ulyanovsk, 432063
GSK Investigational Site
Voronezh, 394066
GSK Investigational Site
Yekaterinburg, 620109
About this study
Official title: A Phase IV, 12 Week, Randomised, Double-blind, Double-dummy Study to Compare Single Inhaler Triple Therapy, Fluticasone Furoate/Umeclidinium/Vilanterol (FF/UMEC/VI), With Tiotropium Monotherapy Based on Lung Function and Symptoms in Participants With Chronic Obstructive Pulmonary Disease
COPD is a progressive disease characterized by increasing obstruction to airflow and the progressive development of respiratory symptoms including chronic cough, increased sputum production, dyspnea and wheezing. Once-daily triple therapy of an Inhaled Corticosteroid/ Long-acting Muscarinic Receptor Antagonists/ Long Acting Beta-Agonist (ICS/LAMA/LABA) that is combination of FF/UMEC/VI in a single device is being developed with the aim of providing a new treatment option for the management of advanced COPD. The primary purpose of this study is to evaluate lung function and health related quality of life (HRQoL) after 84 days of treatment with a single inhaler triple therapy combination of FF/ UMEC/VI once daily via the ELLIPTA® dry powder inhaler (DPI) compared with tiotropium once daily via HANDIHALER®, in subjects with COPD. Subjects will be randomized 1:1 to receive FF/UMEC/VI or tiotropium in the morning for 84 days. Subjects will also receive albuterol/salbutamol as a rescue therapy throughout the study. Approximately 848 subjects with advanced COPD will be enrolled in the study. The total study duration will be approximately 17 weeks including, 4-week run-in period, 12-week treatment period and a 1-week follow-up period. ELLIPTA is a registered trademark of GlaxoSmithKline (GSK) group of companies. HANDIHALER and RESPIMAT are registered trademarks of Boeringher Ingelheim.
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Being tested
- FF/UMEC/VI, Tiotropium, Albuterol/salbutamol, Placebo to match FF/UMEC/VI, Placebo to match tiotropium
- Keywords
- Umeclidinium, Lung function, RESPIMAT, Chronic obstructive pulmonary disease, Triple Therapy, Vilanterol, HANDIHALER, Tiotropium, Fluticasone furoate
- 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.
FF/UMEC/VIDrug
A single inhaler triple therapy of FF/UMEC/VI will be provided via ELLIPTA DPI. FF/UMEC/VI will be available as dry white powder with dosing strengths of 100/25/62.5 mcg per blister.
TiotropiumDrug
Tiotropium will be provided as a hard gelatin capsule for oral inhalation containing 18 mcg tiotropium bromide blended with lactose, administered via HANDIHALER DPI.
Albuterol/salbutamolDrug
Albuterol/salbutamol will be provided as an inhalation via MDI with a spacer or nebules and will be given as a rescue medication throughout the study.
Placebo to match FF/UMEC/VIDrug
Placebo matching FF/UMEC/VI will be available as a dry white powder of lactose or magnesium stearate, administered via ELLIPTA DPI.
Placebo to match tiotropiumDrug
Placebo will be given as hard gelatin capsule for oral inhalation containing lactose, administered via HANDIHALER DPI.
ELLIPTA inhalerDevice
ELLIPTA DPI will contain two individual blister strips with 30 blisters per strip. FF/UMEC/VI and placebo to match FF/UMEC/VI will be administered to the subjects using ELLIPTA DPI.
HANDIHALERDevice
Tiotropium and placebo to match tiotropium will be administered to the subjects using HANDIHALER DPI.
MDIDevice
Albuterol/salbutamol will be provided as a rescue medication throughout the study using MDI.
| Study group | Role | What they receive |
|---|---|---|
| Subjects receiving FF/UMEC/VI + Placebo to match tiotropium | Experimental | Eligible subjects will receive FF/UMEC/VI at a dose of 100/62.5/25 microgram (mcg) administered once daily in the morning via ELLIPTA along with placebo to match tiotropium administered once daily in the morning via HANDIHALER. Subjects will self-administer 4 puffs of rescue medication (Albuterol/salbutamol) via metered dose inhaler (MDI). Receives: Drug: FF/UMEC/VI; Drug: Albuterol/salbutamol; Drug: Placebo to match tiotropium; Device: ELLIPTA inhaler; Device: HANDIHALER; Device: MDI |
| Subjects receiving Tiotropium + Placebo to match FF/UMEC/VI | Experimental | Eligible subjects will receive Tiotropium at a dose of 18 mcg administered once daily in the morning via HANDIHALER along with placebo to match FF/UMEC/VI administered once daily in the morning via ELLIPTA. Subjects will self-administer 4 puffs of rescue medication (Albuterol/salbutamol) via MDI. Receives: Drug: Tiotropium; Drug: Albuterol/salbutamol; Drug: Placebo to match FF/UMEC/VI; Device: ELLIPTA inhaler; Device: HANDIHALER; Device: MDI |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) on Day 85
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Day 85 was defined as the mean of the two planned spirometry FEV1 measurements. Change from Baseline in trough FEV1 on Day 85 was calculated by subtracting Baseline FEV1 value from the trough FEV1 value on Day 85. Baseline FEV1 was defined as the mean of the two assessments made at 30 and 5 minutes pre-dose on Day 1.
Measured: Baseline (Day 1 [Pre-dose at 30 minutes and 5 minutes]) and Day 85
Secondary outcomes (5)
Change From Baseline in Trough FEV1 on Day 28
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Day 28 was defined as the average of the two pre-dose FEV1 measurements recorded before the morning dose of randomized study medication on Day 28. Change from Baseline in trough FEV1 on Day 28 was calculated by subtracting Baseline FEV1 value from the trough FEV1 value on Day 28. Baseline FEV1 was defined as the mean of the two assessments made at 30 and 5 minutes pre-dose on Day 1.
Measured: Baseline (Day 1 [Pre-dose at 30 minutes and 5 minutes]) and Day 28
Change From Baseline in Trough FEV1 on Day 84
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Day 84 was defined as the average of the two pre-dose FEV1 measurements recorded before the morning dose of randomized study medication on Day 84. Change from Baseline in trough FEV1 on Day 84 was calculated by subtracting Baseline FEV1 value from the trough FEV1 value on Day 84. Baseline FEV1 was defined as the mean of the two assessments made at 30 and 5 minutes pre-dose on Day 1.
Measured: Baseline (Day 1 [Pre-dose at 30 minutes and 5 minutes]) and Day 84
Number of Participants With Non-serious Adverse Events (Non-SAEs) and Serious Adverse Events (SAEs)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect or any other important medical event according to medical or scientific judgement was categorized as SAE.
Measured: Up to Day 95
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
SBP and DBP were assessed in the sitting position after approximately 5 minutes rest. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value. Baseline was defined as the latest pre-first-dose assessment with a non-missing value, including those from unscheduled visits.
Measured: Baseline (Day 1, Pre-dose) and Day 84
Change From Baseline in Pulse Rate
Pulse rate was assessed in the sitting position after approximately 5 minutes rest. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value. Baseline was defined as the latest pre-first-dose assessment with a non-missing value, including those from unscheduled visits.
Measured: Baseline (Day 1, Pre-dose) and Day 84
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Mar 2018
- Study start29 Mar 2018
- Primary completion17 Jul 2019
- Study completion17 Jul 2019
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 Pulmonary Disease, Chronic ObstructiveStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe 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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Subjects will be randomized 1:1 to receive either FF/UMEC/VI via ELLIPTA DPI along with placebo to match tiotropium or tiotropium via HANDIHALER along with placebo to match FF/UMEC/VI in the morning for 84 days.
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 800 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Parexel
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03474081
- Sponsor's protocol ID
- 207626
- Other IDs
- 2017-001190-16, 2017
- Status last verified
- Jul 2021
- First submitted
- 15 Mar 2018
- Last updated
- 15 Jul 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- Yes
- Individual data sharing
- Yes: IPD for this study is available via the Clinical Study Data Request site
Publications
Bansal S, Anderson M, Anzueto A, Brown N, Compton C, Corbridge TC, Erb D, Harvey C, Kaisermann MC, Kaye M, Lipson DA, Martin N, Zhu CQ, Papi A. Single-inhaler fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) triple therapy versus tiotropium monotherapy in patients with COPD. NPJ Prim Care Respir Med. 2021 May 25;31(1):29. doi: 10.1038/s41533-021-00241-z.
PubMed 34035312
Study at a glance
From the registry record, last updated by the sponsor on 15 Jul 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase IV, 12 Week, Randomised, Double-blind, Double-dummy Study to Compare Single Inhaler Triple Therapy, Fluticasone Furoate/Umeclidinium/Vilanterol (FF/UMEC/VI), With Tiotropium Monotherapy Based on Lung Function and Symptoms in Participants With Chronic Obstructive Pulmonary Disease
- ClinicalTrials.gov ID
- NCT03474081
- Acronym / sponsor ID
- 207626
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Keywords
- Umeclidinium, Lung function, RESPIMAT, Chronic obstructive pulmonary disease, Triple Therapy, Vilanterol, HANDIHALER, Tiotropium
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 800 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Collaborators
- Parexel
- Study start
- 29 Mar 2018 (actual)
- Primary completion
- 17 Jul 2019 (actual)
- Study completion
- 17 Jul 2019 (actual)
- First posted
- 22 Mar 2018 (actual)
- Results
- Posted 24 Apr 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
COPD is a progressive disease characterized by increasing obstruction to airflow and the progressive development of respiratory symptoms including chronic cough, increased sputum production, dyspnea and wheezing. Once-daily triple therapy of an Inhaled Corticosteroid/ Long-acting Muscarinic Receptor Antagonists/ Long Acting Beta-Agonist (ICS/LAMA/LABA) that is combination of FF/UMEC/VI in a single device is being developed with the aim of providing a new treatment option for the management of advanced COPD. The primary purpose of this study is to evaluate lung function and health related quality of life (HRQoL) after 84 days of treatment with a single inhaler triple therapy combination of FF/ UMEC/VI once daily via the ELLIPTA® dry powder inhaler (DPI) compared with tiotropium once daily via HANDIHALER®, in subjects with COPD. Subjects will be randomized 1:1 to receive FF/UMEC/VI or tiotropium in the morning for 84 days. Subjects will also receive albuterol/salbutamol as a rescue therapy throughout the study. Approximately 848 subjects with advanced COPD will be enrolled in the study. The total study duration will be approximately 17 weeks including, 4-week run-in period, 12-week treatment period and a 1-week follow-up period. ELLIPTA is a registered trademark of GlaxoSmithKline (GSK) group of companies. HANDIHALER and RESPIMAT are registered trademarks of Boeringher Ingelheim.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
- Model description
- Subjects will be randomized 1:1 to receive either FF/UMEC/VI via ELLIPTA DPI along with placebo to match tiotropium or tiotropium via HANDIHALER along with placebo to match FF/UMEC/VI in the morning for 84 days.
| Arm | Type | Receives |
|---|---|---|
| Subjects receiving FF/UMEC/VI + Placebo to match tiotropium | Experimental | Drug: FF/UMEC/VI, Drug: Albuterol/salbutamol, Drug: Placebo to match tiotropium, Device: ELLIPTA inhaler, Device: HANDIHALER, Device: MDIEligible subjects will receive FF/UMEC/VI at a dose of 100/62.5/25 microgram (mcg) administered once daily in the morning via ELLIPTA along with placebo to match tiotropium administered once daily in the morning via HANDIHALER. Subjects will self-administer 4 puffs of rescue medication (Albuterol/salbutamol) via metered dose inhaler (MDI). |
| Subjects receiving Tiotropium + Placebo to match FF/UMEC/VI | Experimental | Drug: Tiotropium, Drug: Albuterol/salbutamol, Drug: Placebo to match FF/UMEC/VI, Device: ELLIPTA inhaler, Device: HANDIHALER, Device: MDIEligible subjects will receive Tiotropium at a dose of 18 mcg administered once daily in the morning via HANDIHALER along with placebo to match FF/UMEC/VI administered once daily in the morning via ELLIPTA. Subjects will self-administer 4 puffs of rescue medication (Albuterol/salbutamol) via MDI. |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Subjects capable of giving signed informed consent.
- Outpatients will be included in the study.
- Subjects 40 years of age or older at Screening (Visit 1).
- Male or female subjects will be included; a female subject is eligible to participate if she is not pregnant, not breastfeeding, and at least one of the following conditions applies: not a woman of childbearing potential (WOCBP) or a WOCBP who agrees to follow the contraceptive guidance during the treatment period and until the safety follow-up contact after the last dose of study treatment.
- An established clinical history of COPD in accordance with the definition by the American Thoracic Society/European Respiratory Society.
Key exclusion criteria (24 listed)
- Women who are pregnant or lactating or are planning on becoming pregnant during the study.
- Subjects with a current diagnosis of asthma. (Subjects with a prior history of asthma are eligible if they have a current diagnosis of COPD).
- Subjects with alpha1-antitrypsin deficiency as the underlying cause of COPD.
- Subjects with active tuberculosis, lung cancer, and clinically significant: bronchiectasis, sarcoidosis, lung fibrosis, pulmonary hypertension, interstitial lung disease or other active pulmonary diseases.
- Subjects who have undergone lung volume reduction surgery within the 12 months prior to Screening.
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 |
|---|---|---|
| FF/UMEC/VIA single inhaler triple therapy of FF/UMEC/VI will be provided via ELLIPTA DPI. FF/UMEC/VI will be available as dry white powder with dosing strengths of 100/25/62.5 mcg per blister. | Drug | Subjects receiving FF/UMEC/VI + Placebo to match tiotropium |
| TiotropiumTiotropium will be provided as a hard gelatin capsule for oral inhalation containing 18 mcg tiotropium bromide blended with lactose, administered via HANDIHALER DPI. | Drug | Subjects receiving Tiotropium + Placebo to match FF/UMEC/VI |
| Albuterol/salbutamolAlbuterol/salbutamol will be provided as an inhalation via MDI with a spacer or nebules and will be given as a rescue medication throughout the study. | Drug | Subjects receiving FF/UMEC/VI + Placebo to match tiotropium, Subjects receiving Tiotropium + Placebo to match FF/UMEC/VI |
| Placebo to match FF/UMEC/VIPlacebo matching FF/UMEC/VI will be available as a dry white powder of lactose or magnesium stearate, administered via ELLIPTA DPI. | Drug | Subjects receiving Tiotropium + Placebo to match FF/UMEC/VI |
| Placebo to match tiotropiumPlacebo will be given as hard gelatin capsule for oral inhalation containing lactose, administered via HANDIHALER DPI. | Drug | Subjects receiving FF/UMEC/VI + Placebo to match tiotropium |
| ELLIPTA inhalerELLIPTA DPI will contain two individual blister strips with 30 blisters per strip. FF/UMEC/VI and placebo to match FF/UMEC/VI will be administered to the subjects using ELLIPTA DPI. | Device | Subjects receiving FF/UMEC/VI + Placebo to match tiotropium, Subjects receiving Tiotropium + Placebo to match FF/UMEC/VI |
| HANDIHALERTiotropium and placebo to match tiotropium will be administered to the subjects using HANDIHALER DPI. | Device | Subjects receiving FF/UMEC/VI + Placebo to match tiotropium, Subjects receiving Tiotropium + Placebo to match FF/UMEC/VI |
| MDIAlbuterol/salbutamol will be provided as a rescue medication throughout the study using MDI. | Device | Subjects receiving FF/UMEC/VI + Placebo to match tiotropium, Subjects receiving Tiotropium + Placebo to match FF/UMEC/VI |
Primary outcome
Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) on Day 85
Time frame: Baseline (Day 1 [Pre-dose at 30 minutes and 5 minutes]) and Day 85
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Day 85 was defined as the mean of the two planned spirometry FEV1 measurements. Change from Baseline in trough FEV1 on Day 85 was calculated by subtracting Baseline FEV1 value from the trough FEV1 value on Day 85. Baseline FEV1 was defined as the mean of the two assessments made at 30 and 5 minutes pre-dose on Day 1.
5 secondary outcomes
Change From Baseline in Trough FEV1 on Day 28
Time frame: Baseline (Day 1 [Pre-dose at 30 minutes and 5 minutes]) and Day 28
Change From Baseline in Trough FEV1 on Day 84
Time frame: Baseline (Day 1 [Pre-dose at 30 minutes and 5 minutes]) and Day 84
Number of Participants With Non-serious Adverse Events (Non-SAEs) and Serious Adverse Events (SAEs)
Time frame: Up to Day 95
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Time frame: Baseline (Day 1, Pre-dose) and Day 84
Change From Baseline in Pulse Rate
Time frame: Baseline (Day 1, Pre-dose) and Day 84
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jul 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 34035312Bansal S, Anderson M, Anzueto A, Brown N, Compton C, Corbridge TC, Erb D, Harvey C, Kaisermann MC, Kaye M, Lipson DA, Martin N, Zhu CQ, Papi A. Single-inhaler fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) triple therapy versus tiotropium monotherapy in patients with COPD. NPJ Prim Care Respir Med. 2021 May 25;31(1):29. doi: 10.1038/s41533-021-00241-z.
- Individual participant dataSharing planned: Yes. IPD for this study is available via the Clinical Study Data Request site
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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.
GSK Clinical Trials study director
GlaxoSmithKline
72 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing FF/UMEC/VI, Tiotropium and Albuterol/salbutamol in people with Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 72 sites in 3 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 24 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 15 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 72 sites in United States, Poland, Russia. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
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 24 Apr 2020). 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 Trough Forced Expiratory Volume in 1 Second (FEV1) on Day 85 (time frame: Baseline (Day 1 [Pre-dose at 30 minutes and 5 minutes]) and Day 85). 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 NCT03474081, 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 15 Jul 2021.