COPDPhase 3TRITONNCT04320342
A Study Comparing Efficacy, Safety and Tolerability of the Fixed Dose Triple Combination CHF 5993 With the Fixed Dose Dual Combination CHF 1535 in Subjects With COPD
A Phase 3 study testing Beclomethasone Dipropionate, Glycopyrronium Bromide and Formoterol Fumarate in people with COPD and COPD Exacerbation, run by Chiesi Farmaceutici S.p.A. at 436 sites in 10 countries.
Trial summary
The purpose of this study is to compare CHF 5993 with CHF 1535 in improving lung function, reducing moderate and severe COPD exacerbations, and other clinical efficacy and safety outcomes in the target subject population. Read more about this study
- Who is it for?
- Ages 40 years and older
- Conditions the study is for
- COPD, COPD Exacerbation
- What is being tested?
- Beclomethasone Dipropionate, Glycopyrronium Bromide and Formoterol Fumarate
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 3,406 participants
- Where
- 436 sitesin 10 countries
- Study dates
- 27 Apr 2022to 12 Jan 2026
- 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
- Signed and dated written informed consent must be obtained prior to initiating any study-related procedures
- Outpatient
- Male or female subjects aged ≥40 years
- Female subjects:
- WOCBP fulfilling one of the following criteria: i. WOCBP with fertile male partners: they and/or their partner must be willing to use a highly effective birth control method from the signing of the informed consent form and until the follow-up contact or ii. WOCBP with non-fertile male partners (contraception is not required in this case).
- Female subjects of non-childbearing potential defined as physiologically incapable of becoming pregnant (i.e. post-menopausal or permanently sterile as per definitions given in Appendix 5). Tubal ligation or partial surgical interventions are not acceptable. If indicated, as per investigator's request, post-menopausal status may be confirmed by follicle-stimulating hormone levels (according to local laboratory ranges)
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- COPD diagnosis for at least 12 months before the screening visit in accordance with the definition by the GOLD 2020 Report
- Current or ex-smokers who quit smoking at least 6 months prior to screening with a smoking history of at least 10 pack-years [pack-years = (number of cigarettes per day x number of years)/20]
- COPD Assessment Test (CAT) score ≥10
- A pre- and post-bronchodilator FEV1/FVC ratio <0.70 at screening
- A post-bronchodilator FEV1 <50% predicted normal at screening and a documented history of ≥1 moderate or severe COPD exacerbation in the previous 12 months OR a post-bronchodilator FEV1 ≥50% and <80% of predicted normal at screening and a documented history of ≥2 moderate COPD exacerbations or ≥1 severe COPD exacerbation in the previous 12 months
- Subjects receiving daily inhaled maintenance therapy for their COPD, at a stable dose for at least 3 months prior to the screening and randomization visits
- Documentation (including imagery and report) of chest x-ray (CXR) or CT scan performed within 6 months prior to the screening visit, without evidence of significant abnormalities (other than those related to the presence of COPD).
- A cooperative attitude and ability to demonstrate correct use of the pMDI inhalers and eDiary.
Who cannot join
- Female subjects who are pregnant (as evident by a positive urine hCG or serum β-hCG test) or lactating
- Subjects using the following medications prior to the screening visit and during the run-in period:
- Systemic/oral/parenteral corticosteroids in the prior 4 weeks
- Use of antibiotics for a lower respiratory tract infection (e.g. pneumonia) or COPD exacerbation in the prior 4 weeks
- Any long-term chronic maintenance use of antibiotic treatment in the prior 4 weeks
- Oral xanthine derivatives (e.g. theophylline) in the prior 7 days
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- A moderate or severe COPD exacerbation or a respiratory tract infection (e.g., pneumonia) that has not resolved ≤14 days prior to the screening visit or during the run-in period
- Current treatment with non-cardioselective β-blockers
- Requirement of long term (> 15 hours daily) oxygen therapy
- Known respiratory disorders other than COPD which may impact the efficacy of the study drug according to investigator's judgement.
- Lung transplant surgery or lung volume reduction surgery (subjects with lung volume reduction surgery are excluded if the procedure was performed within 1 year before the Screening visit)
- Medical diagnosis of narrow-angle glaucoma, prostatic hypertrophy or bladder neck obstruction that, in the opinion of the investigator, would prevent use of anticholinergic agents
- History of hypersensitivity to M3 receptor antagonists, β2 agonists, corticosteroids or any of the excipients contained in any of the study drugs used in the trial which may raise contra-indications or impact the efficacy of the study drug according to the investigator's judgement
- Subject has severe, acute or uncontrolled cardiovascular condition (such as but not limited to unstable ischemic heart disease, NYHA Class IV, left ventricular failure, acute myocardial infarction or unstable angina) in the last 6 months
- An abnormal and clinically significant 12-lead ECG at either the screening or randomization visit. This is characterized as but not limited to any of the following findings:
- Atrial fibrillation (AF) with rapid ventricular response > 120 bpm
- Ventricular tachycardias (sustained, non-sustained [>3 up to 30 sec])
- Evidence of Mobitz Type II second degree or third-degree atrioventricular block
- Prolonged QTcF (>450ms for males, or >470ms for females). This criterion is not applicable for subjects with a pacemaker or permanent AF.
- Clinically significant laboratory abnormalities indicating a significant or unstable concomitant disease which may impact the efficacy or the safety of the study drug according to investigator's judgement
- Unstable or uncontrolled concurrent disease which may impact the efficacy or safety of the study drug or the subject's participation in the study according to investigator's judgment
- Malignancy that has not been in complete remission for at least 1 year or any untreated localized carcinomas
- History of alcohol abuse and/or substance/drug abuse within 12 months prior to the screening visit
- Receipt of any other investigational drug within 1 month or 5 half-lives (whichever is greater) prior to the screening visit or have been previously randomized in this trial, or are currently participating in another clinical trial
- Currently in the acute phase of a pulmonary rehabilitation program within 4 weeks before the screening visit or planning to enroll in the acute phase of such a program during the study. Subjects who are in the maintenance phase of a pulmonary rehabilitation program are not excluded
- Mentally or legally incapacitated, or subjects incarcerated as a result of an official or judicial order
- Major surgery in the 3 months prior to the screening visit or have a planned surgery during the trial
- Non-satisfactory compliance with the eDiary (<65% or >135%) during the run-in period
- Subjects requiring the use of spacer device or nebulizer for administration of maintenance COPD therapies.
- Veins unsuitable for repeat venipuncture
- Blood donation or blood loss (≥450mL) in the 4 weeks before randomization
Trial locations and contacts
436 sites in 10 countries.
436 sites in 10 countries
United States276 sites
Chiesi Clinical Trial Site 840223
Adairsville, Georgia, 30103
Chiesi Clinical Trial Site 840445
Akron, Ohio, 44313
Chiesi Clinical Trial Site 840116
Altamonte Springs, Florida, 32701
Chiesi Clinical Trial Site 840222
Anderson, South Carolina, 29621
Chiesi Clinical Trial Site 840435
Anderson, South Carolina, 29621
Chiesi Clinical Trial Site 840441
Aurora, Colorado, 80014
Chiesi Clinical Trial Site 840268
Aventura, Florida, 33180
Chiesi Clinical Trial Site 840447
Baltimore, Maryland, 21237
Chiesi Clinical Trial Site 840376
Baltimore, Maryland, 21287
Chiesi Clinical Trial Site 840451
Bangor, Maine, 04401
Chiesi Clinical Trial Site 840101
Baytown, Texas, 77521
Chiesi Clinical Trial Site 840300
Beaver, Pennsylvania, 15009
Chiesi Clinical Trial Site 840297
Berlin, New Jersey, 08009
Chiesi Clinical Trial Site 840330
Binghamton, New York, 13905
Chiesi Clinical Trial Site 840350
Birmingham, Alabama, 35215-7502
Chiesi Clinical Trial Site 840114
Boerne, Texas, 78006
Chiesi Clinical Trial Site 840229
Boulder, Colorado, 80302
Chiesi Clinical Trial Site 840192
Brandon, Florida, 33511
Chiesi Clinical Trial Site 840397
Brooklyn, New York, 11235
Chiesi Clinical Trial Site 840310
Brooksville, Florida, 34613
Chiesi Clinical Trial Site 840254
Buffalo, New York, 14201
Chiesi Clinical Trial Site 840307
Buffalo, New York, 14203
Chiesi Clinical Trial Site 840406
Chandler, Arizona, 85224
Chiesi Clinical Trial Site 840431
Charleston, South Carolina, 29406
Chiesi Clinical Trial Site 840215
Charlotte, North Carolina, 28207
Chiesi Clinical Trial Site 840366
Charlotte, North Carolina, 28210
Chiesi Clinical Trial Site 840158
Charlotte, North Carolina, 28277
Chiesi Clinical Trial Site 840305
Chattanooga, Tennessee, 37404
Chiesi Clinical Trial Site 840278
Chesterfield, Missouri, 63017
Chiesi Clinical Trial Site 840321
Chicago, Illinois, 60602
Chiesi Clinical Trial Site 840365
Chicago Ridge, Illinois, 60415
Chiesi Clinical Trial Site 840240
Chiefland, Florida, 32626
Chiesi Clinical Trial Site 840104
Cincinnati, Ohio, 45231
Chiesi Clinical Trial Site 840357
Cincinnati, Ohio, 45242
Chiesi Clinical Trial Site 840153
Clearwater, Florida, 33756
Chiesi Clinical Trial Site 840337
Colchester, Vermont, 05446
Chiesi Clinical Trial Site 840155
Columbia, Missouri, 65203
Chiesi Clinical Trial Site 840334
Columbia, South Carolina, 29201
Chiesi Clinical Trial Site 840130
Columbia, South Carolina, 29204
Chiesi Clinical Trial Site 840430
Columbia, South Carolina, 29223
Chiesi Clinical Trial Site 840218
Columbus, Georgia, 31904
Chiesi Clinical Trial Site 840414
Columbus, Georgia, 31904
Chiesi Clinical Trial Site 840124
Columbus, Ohio, 43215
Chiesi Clinical Trial Site 840272
Coral Gables, Florida, 33134
Chiesi Clinical Trial Site 840304
Coral Gables, Florida, 33134
Chiesi Clinical Trial Site 840437
Cordele, Georgia, 31015
Chiesi Clinical Trial Site 840318
Council Bluffs, Iowa, 51503
Chiesi Clinical Trial Site 840404
Covina, California, 91723
Chiesi Clinical Trial Site 840450
Cranston, Rhode Island, 02920
Chiesi Clinical Trial Site 840207
Crowley, Louisiana, 70526
Chiesi Clinical Trial Site 840332
Cumberland, Rhode Island, 02864
Chiesi Clinical Trial Site 840193
Cutler Bay, Florida, 33157
Chiesi Clinical Trial Site 840311
Cutler Bay, Florida, 33189
Chiesi Clinical Trial Site 840335
Cutler Bay, Florida, 33189
Chiesi Clinical Trial Site 840146
Cypress, Texas, 77429
Chiesi Clinical Trial Site 840413
Dallas, Texas, 75230
Chiesi Clinical Trial Site 840426
Dayton, Ohio, 45424
Chiesi Clinical Trial Site 840141
Daytona Beach, Florida, 32117
Chiesi Clinical Trial Site 840325
Dearborn, Michigan, 48124
Chiesi Clinical Trial Site 840400
Dearborn, Michigan, 48126
Chiesi Clinical Trial Site 840133
DeLand, Florida, 32720
Chiesi Clinical Trial Site 840409
Denver, North Carolina, 28037
Chiesi Clinical Trial Site 840269
Doral, Florida, 33122
Chiesi Clinical Trial Site 840186
Dothan, Alabama, 36303
Chiesi Clinical Trial Site 840308
DuBois, Pennsylvania, 15801
Chiesi Clinical Trial Site 840403
Durham, North Carolina, 27705
Chiesi Clinical Trial Site 840209
Escondido, California, 92025
Chiesi Clinical Trial Site 840423
Everett, Washington, 98208
Chiesi Clinical Trial Site 840214
Fall River, Massachusetts, 02723
Chiesi Clinical Trial Site 840183
Farmington Hills, Michigan, 48336
Chiesi Clinical Trial Site 840444
Fayette, Mississippi, 39069
Chiesi Clinical Trial Site 840340
Flint, Michigan, 48504
Chiesi Clinical Trial Site 840401
Flint, Michigan, 48532
Chiesi Clinical Trial Site 840368
Flushing, New York, 11355
Chiesi Clinical Trial Site 840258
Foley, Alabama, 36535
Chiesi Clinical Trial Site 840211
Fort Mill, South Carolina, 29707
Chiesi Clinical Trial Site 840351
Franklin, Tennessee, 37067
Chiesi Clinical Trial Site 840182
Gaffney, South Carolina, 29340
Chiesi Clinical Trial Site 840428
Gastonia, North Carolina, 28054
Chiesi Clinical Trial Site 840111
Greenville, South Carolina, 29615
Chiesi Clinical Trial Site 840407
Hammond, Indiana, 46324
Chiesi Clinical Trial Site 840303
Hialeah, Florida, 33010
Chiesi Clinical Trial Site 840163
Hialeah, Florida, 33012
Chiesi Clinical Trial Site 840165
Hialeah, Florida, 33012
Chiesi Clinical Trial Site 840238
Hialeah, Florida, 33012
Chiesi Clinical Trial Site 840265
Hialeah, Florida, 33012
Chiesi Clinical Trial Site 840241
Hialeah, Florida, 33015
Chiesi Clinical Trial Site 840253
Hialeah, Florida, 33015
Chiesi Clinical Trial Site 840184
Hialeah, Florida, 33016
Chiesi Clinical Trial Site 840267
Hialeah, Florida, 33016
Chiesi Clinical Trial Site 840354
Hialeah Gardens, Florida, 33016
Chiesi Clinical Trial Site 840256
Hialeah Gardens, Florida, 33066
Chiesi Clinical Trial Site 840284
Houston, Texas, 77008
Chiesi Clinical Trial Site 840411
Houston, Texas, 77008
Chiesi Clinical Trial Site 840389
Houston, Texas, 77030
Chiesi Clinical Trial Site 840185
Houston, Texas, 77084
Chiesi Clinical Trial Site 840224
Houston, Texas, 77098
Chiesi Clinical Trial Site 840408
Humble, Texas, 77396
Chiesi Clinical Trial Site 840236
Huntersville, North Carolina, 28078
Chiesi Clinical Trial Site 840279
Jasper, Alabama, 35501
Chiesi Clinical Trial Site 840156
Jenkintown, Pennsylvania, 19046
Chiesi Clinical Trial Site 840306
Johnson City, Tennessee, 37601
Chiesi Clinical Trial Site 840102
Katy, Texas, 77494
Chiesi Clinical Trial Site 840274
Katy, Texas, 77494
Chiesi Clinical Trial Site 840432
Kerrville, Texas, 78028
Chiesi Clinical Trial Site 840302
Kettering, Ohio, 45439
Chiesi Clinical Trial Site 840421
Kingwood, West Virginia, 26537
Chiesi Clinical Trial Site 840200
Kissimmee, Florida, 34741
Chiesi Clinical Trial Site 840171
Knoxville, Tennessee, 37909
Chiesi Clinical Trial Site 840427
La Palma, California, 90623
Chiesi Clinical Trial Site 840232
Lakeland, Florida, 33803
Chiesi Clinical Trial Site 840160
Lampasas, Texas, 76550
Chiesi Clinical Trial Site 840420
Lancaster, South Carolina, 29720
Chiesi Clinical Trial Site 840213
Las Vegas, Nevada, 840213
Chiesi Clinical Trial Site 840285
Las Vegas, Nevada, 89106
Chiesi Clinical Trial Site 840299
Las Vegas, Nevada, 89123
Chiesi Clinical Trial Site 840390
Lawrenceville, Georgia, 30044
Chiesi Clinical Trial Site 840227
Lawrenceville, Georgia, 30046
Chiesi Clinical Trial Site 840113
Leesburg, Florida, 34748
Chiesi Clinical Trial Site 840281
Lincoln, Nebraska, 68506
Chiesi Clinical Trial Site 840358
Lomita, California, 90717
Chiesi Clinical Trial Site 840264
Manassas, Virginia, 20110
Chiesi Clinical Trial Site 840386
Mauldin, South Carolina, 29662
Chiesi Clinical Trial Site 840233
Maumee, Ohio, 43537
Chiesi Clinical Trial Site 840424
McAllen, Texas, 78503
Chiesi Clinical Trial Site 840119
McKinney, Texas, 75069
Chiesi Clinical Trial Site 840203
Medford, Oregon, 97504
Chiesi Clinical Trial Site 840372
Miami, Florida, 33122
Chiesi Clinical Trial Site 840137
Miami, Florida, 33125
Chiesi Clinical Trial Site 840289
Miami, Florida, 33125
Chiesi Clinical Trial Site 840377
Miami, Florida, 33125
Chiesi Clinical Trial Site 840387
Miami, Florida, 33125
Chiesi Clinical Trial Site 840326
Miami, Florida, 33126
Chiesi Clinical Trial Site 840175
Miami, Florida, 33133
Chiesi Clinical Trial Site 840346
Miami, Florida, 33133
Chiesi Clinical Trial Site 840347
Miami, Florida, 33134
Chiesi Clinical Trial Site 840205
Miami, Florida, 33135
Chiesi Clinical Trial Site 840247
Miami, Florida, 33135
Chiesi Clinical Trial Site 840341
Miami, Florida, 33135
Chiesi Clinical Trial Site 840148
Miami, Florida, 33144
Chiesi Clinical Trial Site 840239
Miami, Florida, 33144
Chiesi Clinical Trial Site 840312
Miami, Florida, 33144
Chiesi Clinical Trial Site 840355
Miami, Florida, 33144
Chiesi Clinical Trial Site 840388
Miami, Florida, 33144
Chiesi Clinical Trial Site 840237
Miami, Florida, 33155
Chiesi Clinical Trial Site 840261
Miami, Florida, 33155
Chiesi Clinical Trial Site 840262
Miami, Florida, 33155
Chiesi Clinical Trial Site 840280
Miami, Florida, 33155
Chiesi Clinical Trial Site 840178
Miami, Florida, 33165
Chiesi Clinical Trial Site 840292
Miami, Florida, 33165
Chiesi Clinical Trial Site 840202
Miami, Florida, 33166
Chiesi Clinical Trial Site 840275
Miami, Florida, 33169
Chiesi Clinical Trial Site 840122
Miami, Florida, 33173
Chiesi Clinical Trial Site 840352
Miami, Florida, 33173
Chiesi Clinical Trial Site 840235
Miami, Florida, 33174
Chiesi Clinical Trial Site 840360
Miami, Florida, 33174
Chiesi Clinical Trial Site 840381
Miami, Florida, 33174
Chiesi Clinical Trial Site 840243
Miami, Florida, 33175
Chiesi Clinical Trial Site 840244
Miami, Florida, 33175
Chiesi Clinical Trial Site 840257
Miami, Florida, 33175
Chiesi Clinical Trial Site 840380
Miami, Florida, 33175
Chiesi Clinical Trial Site 840382
Miami, Florida, 33175
Chiesi Clinical Trial Site 840367
Miami, Florida, 33176
Chiesi Clinical Trial Site 840162
Miami, Florida, 33186
Chiesi Clinical Trial Site 840166
Miami, Florida, 33186
Chiesi Clinical Trial Site 840370
Miami, Florida, 33186
Chiesi Clinical Trial Site 840392
Miami, Florida, 33186
Chiesi Clinical Trial Site 840319
Miami Beach, Florida, 33141
Chiesi Clinical Trial Site 840328
Miami Lakes, Florida, 33014
Chiesi Clinical Trial Site 840378
Miami Lakes, Florida, 33014
Chiesi Clinical Trial Site 840288
Miami Lakes, Florida, 33016
Chiesi Clinical Trial Site 840385
Miami Lakes, Florida, 33016
Chiesi Clinical Trial Site 840353
Miami Lakes, Florida, 33144
Chiesi Clinical Trial Site 840167
Middleburg Heights, Ohio, 44130
Chiesi Clinical Trial Site 840273
Missoula, Montana, 59808
Chiesi Clinical Trial Site 840433
Mobile, Alabama, 36608
Chiesi Clinical Trial Site 840259
Monroe, North Carolina, 28112
Chiesi Clinical Trial Site 840206
Montgomery, Alabama, 36106
Chiesi Clinical Trial Site 840440
Morgantown, North Carolina, 28655
Chiesi Clinical Trial Site 840201
Morgantown, West Virginia, 26505
Chiesi Clinical Trial Site 840140
Mt. Dora, Florida, 32757
Chiesi Clinical Trial Site 840249
Muscle Shoals, Alabama, 35661
Chiesi Clinical Trial Site 840361
Nashville, Tennessee, 37203
Chiesi Clinical Trial Site 840442
Nederland, Texas, 77627
Chiesi Clinical Trial Site 840322
New Bedford, Massachusetts, 02740
Chiesi Clinical Trial Site 840194
New Bern, North Carolina, 28562
Chiesi Clinical Trial Site 840263
New Port Richey, Florida, 34652
Chiesi Clinical Trial Site 840362
New Windsor, New York, 12553
Chiesi Clinical Trial Site 840173
Newport Beach, California, 92663
Chiesi Clinical Trial site 840250
North Dartmouth, Massachusetts, 02747
Chiesi Clinical Trial Site 840132
North Miami, Florida, 33161
Chiesi Clinical Trial Site 840161
North Miami Beach, Florida, 33160
Chiesi Clinical Trial Site 840176
North Richland Hills, Texas, 76180
Chiesi Clinical Trial Site 840208
Northridge, California, 91324
Chiesi Clinical Trial Site 840277
Northridge, California, 91324
Chiesi Clinical Trial Site 840399
Norwalk, Connecticut, 06586
Chiesi Clinical Trial Site 840345
Novi, Michigan, 48375
Chiesi Clinical Trial Site 840329
Omaha, Nebraska, 68114
Chiesi Clinical Trial Site 840255
Orlando, Florida, 32807
Chiesi Clinical Trial Site 840110
Orlando, Florida, 32822
Chiesi Clinical Trial Site 840125
Orlando, Florida, 32825
Chiesi Clinical Trial Site 840121
Palmetto Bay, Florida, 33157
Chiesi Clinical Trial Site 840283
Pearland, Texas, 77584
Chiesi Clinical Trial Site 840196
Pembroke Pines, Florida, 33024
Chiesi Clinical Trial Site 840198
Pembroke Pines, Florida, 33024
Chiesi Clinical Trial Site 840402
Peoria, Arizona, 85381
Chiesi Clinical Trial Site 840327
Pittsburgh, Pennsylvania, 15236
Chiesi Clinical Trial Site 840363
Plantation, Florida, 33317
Chiesi Clinical Trial Site 840371
Plantation, Florida, 33317
Chiesi Clinical Trial Site 840252
Pompano Beach, Florida, 33064
Chiesi Clinical Trial Site 840105
Port Charlotte, Florida, 33952
Chiesi Clinical Trial Site 840338
Portsmouth, New Hampshire, 03810
Chiesi Clinical Trial Site 840120
Raleigh, North Carolina, 27607
Chiesi Clinical Trial Site 840438
Raleigh, North Carolina, 27607
Chiesi Clinical Trial Site 840429
Raleigh, North Carolina, 27617
Chiesi Clinical Trial Site 840398
Rapid City, South Dakota, 57702
Chiesi Clinical Trial Site 840364
Redding, California, 96001
Chiesi Clinical Trial Site 840342
Renton, Washington, 98055
Chiesi Clinical Trial Site 840159
Richmond, Virginia, 23219
Chiesi Clinical Trial Site 840425
Richmond, Virginia, 23226
Chiesi Clinical Trial Site 840316
Richmond Heights, Missouri, 63117
Chiesi Clinical Trial Site 840448
Ridgeland, Mississippi, 39157
Chiesi Clinical Trial Site 840138
Rincon, Georgia, 31326
Chiesi Clinical Trial Site 840100
Rock Hill, South Carolina, 29732
Chiesi Clinical Trial Site 840112
Rocky Mount, North Carolina, 27804
Chiesi Clinical Trial Site 840226
Sacramento, California, 95821
Chiesi Clinical Trial Site 840405
Sacramento, California, 95823
Chiesi Clinical Trial Site 840150
Saint Charles, Missouri, 63301
Chiesi Clinical Trial Site 840191
San Antonio, Texas, 78063
Chiesi Clinical Trial Site 840320
San Antonio, Texas, 78215
Chiesi Clinical Trial Site 840410
San Antonio, Texas, 78229
Chiesi Clinical Trial Site 840107
San Diego, California, 92120
Chiesi Clinical Trial Site 840373
Santa Ana, California, 92705
Chiesi Clinical Trial Site 840294
Sarasota, Florida, 34239
Chiesi Clinical Trial Site 840418
Scotland, Pennsylvania, 15683
Chiesi Clinical Trial Site 840135
Shelby, North Carolina, 28150
Chiesi Clinical Trial Site 840231
Sherman, Texas, 75092
Chiesi Clinical Trial Site 840396
Sherman, Texas, 75092
Chiesi Clinical Trial Site 840419
Smithfield, Pennsylvania, 15478
Chiesi Clinical Trial Site 840287
Southfield, Michigan, 48034
Chiesi Clinical Trial Site 840415
Southfield, Michigan, 48075
Chiesi Clinical Trial Site 840375
Spartanburg, South Carolina, 29303
Chiesi Clinical Trial Site 840394
Splendora, Texas, 77372
Chiesi Clinical Trial Site 840282
St Louis, Missouri, 63123
Chiesi Clinical Trial Site 840123
St Louis, Missouri, 63141
Chiesi Clinical Trial Site 840142
St Louis, Missouri, 63141
Chiesi Clinical Trial Site 840291
St. Petersburg, Florida, 33704
Chiesi Clinical Trial Site 840417
Stonecrest, Georgia, 30038
Chiesi Clinical Trial Site 840221
Sugar Land, Texas, 77479
Chiesi Clinical Trial Site 840313
Tampa, Florida, 33607
Chiesi Clinical Trial Site 840356
Tampa, Florida, 33607
Chiesi Clinical Trial Site 840379
Tampa, Florida, 33607
Chiesi Clinical Trial Site 840131
Tampa, Florida, 33613
Chiesi Clinical Trial Site 840324
Tampa, Florida, 33614
Chiesi Clinical Trial Site 840309
Tampa, Florida, 33634
Chiesi Clinical Trial Site 840128
The Bronx, New York, 10455
Chiesi Clinical Trial Site 840210
The Villages, Florida, 32162
Chiesi Clinical Trial Site 840157
Toledo, Ohio, 43617
Chiesi Clinical Trial Site 840139
Tomball, Texas, 77375
Chiesi Clinical Trial Site 840314
Tomball, Texas, 77375
Chiesi Clinical Trial Site 840333
Toms River, New Jersey, 08755
Chiesi Clinical Trial Site 840349
Tucson, Arizona, 85741
Chiesi Clinical Trial Site 840271
Tullahoma, Tennessee, 37388
Chiesi Clinical Trial Site 840106
Union, South Carolina, 29379
Chiesi Clinical Trial Site 840383
Union City, Georgia, 30291
Chiesi Clinical Trial Site 840164
Upland, California, 91786
Chiesi Clinical Trial Site 840108
Valparaiso, Indiana, 76383
Chiesi Clinical Trial Site 840154
Vancouver, Washington, 98664
Chiesi Clinical Trial Site 840295
West Columbia, South Carolina, 29169
Chiesi Clinical Trial Site 840174
West Covina, California, 91790
Chiesi Clinical Trial Site 840144
Westminster, California, 92683
Chiesi Clinical Trial Site 840199
Westminster, Maryland, 21157
Chiesi Clinical Trial Site 840189
Wilmington, North Carolina, 28403
Chiesi Clinical Trial Site 840412
Winston-Salem, North Carolina, 27103
Chiesi Clinical Trial Site 840129
Winter Park, Florida, 32789
Chiesi Clinical Trial Site 840436
Zachary, Louisiana, 70791
Argentina35 sites
Chiesi Clinical Trial Site 032125
Buenos Aires, 1407
Chiesi Clinical Trial Site 032130
Buenos Aires, C1425FVH
Chiesi Clinical Trial Site 032133
Buenos Aires
Chiesi Clinical Trial Site 032115
Ciudad Autonoma de Buenos Aire, Buenos Aires, 1056ABJ
Chiesi Clinical Trial Site 032113
Ciudad Autonoma de Buenos Aire, Buenos Aires, 1426
Chiesi Clinical Trial Site 032107
Ciudad Autonoma de Buenos Aire, Buenos Aires, B1837
Chiesi Clinical Trial Site 032112
Ciudad Autonoma de Buenos Aire, Buenos Aires, C1426ABO
Chiesi Clinical Trial Site 032121
Ciudad Autonoma de Buenos Aire, Buenos Aires, Cl425DTG
Chiesi Clinical Trial Site 032103
Ciudad Autonoma de Buenos Aire, 1430
Chiesi Clinical Trial Site 032109
Ciudad Autonoma de Buenos Aire, B1602DOH
Chiesi Clinical Trial Site 032120
Concepción del Uruguay, Entre Ríos Province, E3260EPD
Chiesi Clinical Trial Site 032111
Córdoba, Córdoba Province, X5008HHW
Chiesi Clinical Trial Site 032122
Córdoba, 5000
Chiesi Clinical Trial Site 032108
La Plata, Buenos Aires, 1900
Chiesi Clinical Trial Site 032131
Lobos, 7240
Chiesi Clinical Trial Site 032118
Mar del Plata, Buenos Aires, 3168
Chiesi Clinical Trial Site 032114
Mar del Plata, Buenos Aires, B7600FZO
Chiesi Clinical Trial Site 032119
Mar del Plata, 7600
Chiesi Clinical Trial Site 032105
Mendoza, 5500
Chiesi Clinical Trial Site 032129
Mendoza, 5500
Chiesi Clinical Trial Site 032126
Mendoza, M5502IDE
Chiesi Clinical Trial Site 032102
Monte Grande, Buenos Aires, 1842
Chiesi Clinical Trial Site 032123
Paraná, 3100
Chiesi Clinical Trial Site 032106
Quilmes, Buenos Aires, B1878FNR
Chiesi Clinical Trial Site 032101
Rosario, Santa Fe Province, 2000
Chiesi Clinical Trial Site 032132
Rosario, Santa Fe Province, S2121
Chiesi Clinical Trial Site 032128
Rosario, S2002OJN
Chiesi Clinical Trial Site 032116
San Fernando, Buenos Aires, 1646
Chiesi Clinical Trial Site 032110
San Juan Bautista, Buenos Aires, B1853AIK
Chiesi Clinical Trial Site 032117
San Miguel de Tucumán, Tucumán Province, T4000
Chiesi Clinical Trial Site 032134
San Miguel de Tucumán, 4000
Chiesi Clinical Trial Site 032136
San Miguel de Tucumán, 4000
Chiesi Clinical Trial Site 032127
San Rafael, 5600
Chiesi Clinical Trial Site 032124
Santa Fe, 3000
Chiesi Clinical Trial Site 032100
Vicente López, Buenos Aires, 1602
Bulgaria30 sites
Chiesi Clinical Trial Site 100125
Gabrovo
Chiesi Clinical Trial Site 100109
Haskovo
Chiesi Clinical Trial Site 100129
Kozloduy, 3320
Chiesi Clinical Trial Site 100111
Lovech
Chiesi Clinical Trial Site 100115
Montana
Chiesi Clinical Trial Site 100132
Pleven, 5808
Chiesi Clinical Trial Site 100101
Pleven
Chiesi Clinical Trial Site 100131
Plovdiv, 4003
Chiesi Clinical Trial Site 100102
Plovdiv
Chiesi Clinical Trial Site 100126
Plovdiv
Chiesi Clinical Trial Site 100128
Razgrad, 7200
Chiesi Clinical Trial Site 100104
Rousse
Chiesi Clinical Trial Site 100113
Rousse
Chiesi Clinical Trial Site 100100
Sofia
Chiesi Clinical Trial Site 100110
Sofia
Chiesi Clinical Trial Site 100112
Sofia
Chiesi Clinical Trial Site 100116
Sofia
Chiesi Clinical Trial Site 100117
Sofia
Chiesi Clinical Trial Site 100118
Sofia
Chiesi Clinical Trial Site 100119
Sofia
Chiesi Clinical Trial Site 100121
Sofia
Chiesi Clinical Trial Site 100123
Sofia
Chiesi Clinical Trial Site 100124
Sofia
Chiesi Clinical Trial Site 100127
Sofia
Chiesi Clinical Trial Site 100103
Stara Zagora
Chiesi Clinical Trial Site 100107
Stara Zagora
Chiesi Clinical Trial Site 100130
Varna, 9020
Chiesi Clinical Trial Site 100122
Veliko Tarnovo
Chiesi Clinical Trial Site 100106
Vidin
Chiesi Clinical Trial Site 100114
Vidin
Poland27 sites
Chiesi Clinical Trial Site 616125
Bialystok, 15-003
Chiesi Clinical Trial Site 616119
Bialystok
Chiesi Clinical Trial Site 616100
Giżycko
Chiesi Clinical Trial Site 616113
Grudziądz
Chiesi Clinical Trial Site 616116
Katowice
Chiesi Clinical Trial Site 616122
Krakow, 30-149
Chiesi Clinical Trial Site 616106
Krakow
Chiesi Clinical Trial Site 616109
Krakow
Chiesi Clinical Trial Site 616118
Krakow
Chiesi Clinical Trial Site 616103
Lodz
Chiesi Clinical Trial Site 616128
Olsztyn
Chiesi Clinical Trial Site 616105
Ostróda
Chiesi Clinical Trial Site 616117
Ostrowiec
Chiesi Clinical Trial Site 616123
Poznan, 60-214
Chiesi Clinical Trial Site 616107
Poznan
Chiesi Clinical Trial Site 616110
Poznan
Chiesi Clinical Trial Site 616108
Rzeszów
Chiesi Clinical Trial Site 616114
Skierniewice
Chiesi Clinical Trial Site 616120
Skorzewo, 60-185
Chiesi Clinical Trial Site 616102
Sosnowiec
Chiesi Clinical Trial Site 616111
Tarnów
Chiesi Clinical Trial Site 616115
Torun
Chiesi Clinical Trial Site 616127
Warsaw, 00-215
Chiesi Clinical Trial Site 616126
Wroclaw, 54-239
Chiesi Clinical Trial Site 616104
Wroclaw
Chiesi Clinical Trial Site 616112
Wroclaw
Chiesi Clinical Trial Site 616101
Zawadzkie
Romania20 sites
Chiesi Clinical Trial Site 642109
Bacau, 600252
Chiesi Clinical Trial Site 642107
Bragadiru, Ilfov, 077025
Chiesi Clinical Trial Site 642106
Bragadiru, 077025
Chiesi Clinical Trial Site 642117
Brasov, 500283
Chiesi Clinical Trial Site 642108
Bucharest, 012071
Chiesi Clinical Trial Site 642103
Bucharest, 020125
Chiesi Clinical Trial Site 642113
Bucharest, 11025
Chiesi Clinical Trial Site 642115
Caracal, 235200
Chiesi Clinical Trial Site 642104
Cluj-Napoca, Cluj, 400371
Chiesi Clinical Trial Site 642111
Cluj-Napoca, 400275
Chiesi Clinical Trial Site 642105
Constanța, 900433
Chiesi Clinical Trial Site 642110
Craiova, 200515
Chiesi Clinical Trial Site 642118
Craiova, 200515
Chiesi Clinical Trial Site 642120
Deva, Hunedoara County, 330162
Chiesi Clinical Trial Site 642101
Iași, 700141
Chiesi Clinical Trial Site 642102
Oradea, Bihor County, 410169
Chiesi Clinical Trial Site 642114
Reșca, 237143
Chiesi Clinical Trial Site 642112
Satu Mare, 44055
Chiesi Clinical Trial Site 642119
Timișoara, Timiș County, 300336
Chiesi Clinical Trial Site 642116
Timișoara, 300134
Mexico16 sites
Chiesi Clinical Trial Site 484116
Chihuahua City, 31217
Chiesi Clinical Trial Site 484105
Chihuahua City
Chiesi Clinical Trial Site 484109
Chihuahua City
Chiesi Clinical Trial Site 484103
Cuauhtémoc, Mexico City
Chiesi Clinical Trial Site 484113
Guadalajara, Jalisco, 44610
Chiesi Clinical Trial Site 484100
Guadalajara, Jalisco
Chiesi Clinical Trial Site 484102
Guadalajara, Jalisco
Chiesi Clinical Trial Site 484104
Guadalajara, Jalisco
Chiesi Clinical Trial Site 484106
Guadalajara, Jalisco
Chiesi Clinical Trial Site 484112
Guadalajara, Jalisco
Chiesi Clinical Trial Site 484115
Guadalupe, Jalisco, 44200
Chiesi Clinical Trial Site 484101
Monterrey, Nuevo León
Chiesi Clinical Trial Site 484111
Monterrey, Nuevo León
Chiesi Clinical Trial Site 484107
Morelia, Michoacán
Chiesi Clinical Trial Site 484110
Tijuana, Estado de Baja California
Chiesi Clinical Trial Site 484108
Tlalpan
Hungary14 sites
Chiesi Clinical Trial Site 348107
Balassagyarmat, Nógrád megye
Chiesi Clinical Trial Site 348124
Csorna, GS, 9300
Chiesi Clinical Trial Site 348118
Debrecen
Chiesi Clinical Trial Site 348120
Gödöllő, Pest County
Chiesi Clinical Trial Site 348112
Hajdúnánás
Chiesi Clinical Trial Site 348116
Hatvan
Chiesi Clinical Trial Site 348121
Komló, BA, 7300
Chiesi Clinical Trial Site 348103
Monor
Chiesi Clinical Trial Site 348104
Nyíregyháza, Szabolcs-Szatmár-Bereg
Chiesi Clinical Trial Site 348109
Nyíregyháza, Szabolcs-Szatmár-Bereg
Chiesi Clinical Trial Site 348122
Pécs, BA, 7626
Chiesi Clinical Trial Site 348125
Sellye, 7960
Chiesi Clinical Trial Site 348126
Szolnok, JN, 5000
Chiesi Clinical Trial Site 348105
Szombathely, Vas County
Czechia11 sites
Chiesi Clinical Trial Site 203101
Brandýs nad Labem
Chiesi Clinical Trial Site 203107
Jindřichův Hradec
Chiesi Clinical Trial Site 203109
Miroslav
Chiesi Clinical Trial Site 203116
Prague, 11000
Chiesi Clinical Trial Site 203115
Prague, 140 00
Chiesi Clinical Trial Site 203114
Prague
Chiesi Clinical Trial Site 203112
Rokycany
Chiesi Clinical Trial Site 203108
Strakonice
Chiesi Clinical Trial Site 203105
Tábor
Chiesi Clinical Trial Site 203104
Teplice
Chiesi Clinical Trial Site 203110
Varnsdorf
Canada6 sites
Chiesi Clinical Trial Site 124102
Burlington, Ontario, L7N 3V2
Chiesi Clinical Trial Site 124103
Edmonton, Alberta, T5A 4L8
Chiesi Clinical Trial Site 124104
Greater Sudbury, Ontario, P3C 1X3
Chiesi Clinical Trial Site 124105
Sherwood Park, Alberta, T8H 0N2
Chiesi Clinical Trial Site 124106
Trois-Rivières, Quebec, G8T 7A1
Chiesi Clinical Trial Site 124100
Windsor, Ontario, N8X 1T3
About this study
Official title: A Phase III, 52-week, Multinational, Multicenter, Randomized, Double-blind, 2-arm Parallel Group Study Comparing Efficacy, Safety and Tolerability of the Fixed Dose Triple Combination of Beclomethasone Dipropionate Plus Formoterol Fumarate Plus Glycopyrronium Bromide (CHF 5993) With the Fixed Dose Dual Combination of Beclomethasone Dipropionate Plus Formoterol Fumarate (CHF 1535), Both Administered Via pMDI in Subjects With Chronic Obstructive Pulmonary Disease (COPD)
The purpose of this study is to compare CHF 5993 with CHF 1535 in improving lung function, reducing moderate and severe COPD exacerbations, and other clinical efficacy and safety outcomes in the target subject population.
Read the detailed description
This is a phase III, multinational, multicenter, randomized, double-blind active controlled 2-arm parallel group study to compare efficacy, safety, and tolerability of CHF 5993 pMDI with CHF 1535 pMDI with respect to lung function, incidence of moderate and severe COPD exacerbations, and other clinical efficacy and safety outcomes.
After screening, eligible subjects will enter 2-week run-in period using their regular COPD maintenance therapies after which they will be randomized to one of 2 study treatment groups. Following randomization, subjects will be assessed after 4 weeks then at 6-week intervals thereafter for a period of 52 weeks. A follow-up safety phone call will be performed a week after the last clinic visit. A subset of subjects consenting to participate in the pharmacokinetic substudy will undergo additional assessments (totaling 3 visits) during the scheduled study visits.
During the study, daily symptoms, rescue medication use and compliance with the study drug will be recorded via a subject electronic diary. Subject concomitant medications, adverse events, and healthcare resource utilization will be assessed and recorded throughout the study. At intermittent study visits, subjects will undergo vital signs examinations including weight, spirometry measurements, and 12-lead ECG. Symptoms and COPD health status will be assessed through disease specific questionnaires. Routine hematology, blood chemistry, and serum pregnancy testing will be performed before enrollment and at end of study.
- Conditions
- COPD, COPD Exacerbation
- Being tested
- Beclomethasone Dipropionate, Glycopyrronium Bromide, Formoterol Fumarate
- Keywords
- Lung Function, Safety Profile, Beclomethasone Dipropionate, Glycopyrronium Bromide, Formoterol Fumarate
- 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.
Beclomethasone DipropionateDrug
Also called BDP
Available in pressurized inhalation solution BDP/FF/GB 100/6/12.5μg and BDP/FF 100/6μg
Glycopyrronium BromideDrug
Also called glycopyrrolate, GB
Available in pressurized inhalation solution BDP/FF/GB 100/6/12.5μg
Formoterol FumarateDrug
Also called FF
Available in pressurized inhalation solution BDP/FF/GB 100/6/12.5μg and BDP/FF 100/6μg
| Study group | Role | What they receive |
|---|---|---|
| BDP/FF/GB - CHF 5993 | Experimental | Two inhalations twice daily of BDP/FF/GB (100/6/12.5μg) for a period of 52 weeks via pressurized metered dose inhaler Receives: Drug: Beclomethasone Dipropionate; Drug: Glycopyrronium Bromide; Drug: Formoterol Fumarate |
| BDP/FF - CHF 1535 | Active comparator | Two inhalations twice daily of BDP/FF (100/6μg) for a period of 52 weeks via pressurized metered dose inhaler Receives: Drug: Beclomethasone Dipropionate; Drug: Formoterol Fumarate |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline in pre-dose morning Forced Expiratory Volume in the 1st second (FEV1) at Week 28
Measured: Week 28
Secondary outcomes (21)
Change from baseline in 2-hour post-dose morning FEV1 at Week 28
Measured: Week 28
Rate of moderate and severe COPD exacerbations over 52 weeks of treatment
Annualized rate of moderate and severe COPD exacerbations as observed during the 52-week study treatment period.
Measured: 52-week treatment period
Change from baseline in pre-dose morning FEV1 at designated clinic visits
Measured: Week 4, Week 10, Week 40, & Week 52
Change from baseline in 2-hour post-dose morning FEV1 designated clinic visits
Measured: Day 1, Week 4, Week 10, Week 40, & Week 52
Change from pre-dose to 2-hour post-dose morning FEV1 at designated clinic visits
Measured: Day 1, Week 4, Week 10, Week 28, Week 40, & Week 52
FEV1 response (change from baseline in pre-dose morning FEV1 ≥100ml) at designated clinic visits
Measured: Day 1, Week 4, Week 10, Week 28, Week 40, & Week 52
Time to first moderate or severe COPD exacerbation
Measured: 52-week treatment period
Rate of severe COPD exacerbations over 52 weeks of treatment
Annualized rate of severe COPD exacerbations as observed during 52-week treatment period
Measured: 52-week treatment period
Time to first severe COPD exacerbation
Measured: 52-week treatment period
Saint George's Respiratory Questionnaire (SGRQ) response (a decrease from baseline in total score ≥4) at designated clinic visits
Measured: Week 4, Week 10, Week 28, Week 40, & Week 52
Change from baseline in the SGRQ total score and domain scores at each designated clinic visit
Measured: Week 4, Week 10, Week 28, Week 40, & Week 52
Change from baseline to each inter-visit period in the percentage of days without intake of rescue medication
Change from baseline (defined as the 2-week run-in period prior to randomization) to each inter-visit period (defined as the period of time between designated clinic visits) in percentage of days without rescue medication
Measured: Day 1-Week 4, Week 4-Week 10, Week 10-Week 28, Week 28-Week 40, Week 40-Week 52
Change from baseline to each inter-visit period in the average use of rescue medication (number of puffs/day)
Change from baseline (defined as the 2-week run-in period prior to randomization) in the average number of puffs per day of rescue medication for each inter-visit period (defined as the period of time between designated clinic visits).
Measured: Day 1-Week 4, Week 4-Week 10, Week 10-Week 28, Week 28-Week 40, Week 40-Week 52
Change from baseline in pre-dose morning Forced Vital Capacity (FVC) at designated clinic visits
Measured: Week 4, Week 10, Week 28, Week 40, & Week 52
Change from baseline in 2-hour post-dose morning FVC at designated clinic visits
Change from baseline (defined as the pre-dose value on Day 1) in 2-hour post-dose morning FVC at designated clinic visits
Measured: Day 1, Week 4, Week 10, Week 28, Week 40, & Week 52
Change from pre-dose to 2-hour post-dose morning FVC at designated clinic visits
Measured: Day 1, Week 4, Week 10, Week 28, Week 40, & Week 52
Change from baseline to each inter-visit period in the average E-RS total score and domain scores
Change from baseline (defined as the 2-week run-in period prior to randomization) in the average E-RS total score and E-RS domain scores for the period of time between designated clinic visits.
Measured: Day 1-Week 4, Week 4-Week 10, Week 10-Week 28, Week 28-Week 40, Week 40-Week 52
Change from baseline in COPD Assessment Test (CAT) score at designated clinic visit
The CAT is composed of 8 questions to measure the impact of COPD on daily life, which are scored from 0 to 5 with higher scores reflecting greater impact.
Measured: Week 4, Week 10, Week 28, Week 40, & Week 52
CAT response (decrease from baseline ≥2 points) at designated clinic visits
Measured: Week 4, Week 10, Week 28, Week 40, & Week 52
Modified Medical Research Council (mMRC) dyspnea scale at designated clinic visits
Descriptive statistics of the mMRC dyspnea scale score at designated clinic visits. The mMRC dyspnea scale is graded from 0 to 4, with higher grades reflecting greater severity.
Measured: Day 1, Week 4, Week 10, Week 28, Week 40, & Week 52
Change from baseline in health-related quality of life (decrease from baseline in total SGRQ score ≥4) over 52 weeks of treatment.
Measured: 52-week treatment period
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Mar 2020
- Study start27 Apr 2022
- Primary completion12 Jan 2026
- Study completion12 Jan 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (33)Papers the sponsor has linked to this study.
- Other trials for COPDStudies of the same condition, open and under way.
- More trials run by Chiesi Farmaceutici S.p.A.The 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 3,406 participants (actual)
Sponsor and investigators
- Lead sponsor
- Chiesi Farmaceutici S.p.A.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Thomas Siler, MD, Principal investigator, Midwest Chest Consultants
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04320342
- Sponsor's protocol ID
- CLI-05993AA3-06
- Other IDs
- 2020-002389-16, 2023-510172-31-00, 2023
- Acronym
- TRITON
- Status last verified
- Sep 2026
- First submitted
- 23 Mar 2020
- Last updated
- 21 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes
Publications
Quanjer PH, Stanojevic S, Cole TJ, Baur X, Hall GL, Culver BH, Enright PL, Hankinson JL, Ip MS, Zheng J, Stocks J; ERS Global Lung Function Initiative. Multi-ethnic reference values for spirometry for the 3-95-yr age range: the global lung function 2012 equations. Eur Respir J. 2012 Dec;40(6):1324-43. doi: 10.1183/09031936.00080312. Epub 2012 Jun 27.
PubMed 22743675Lopez AD, Shibuya K, Rao C, Mathers CD, Hansell AL, Held LS, Schmid V, Buist S. Chronic obstructive pulmonary disease: current burden and future projections. Eur Respir J. 2006 Feb;27(2):397-412. doi: 10.1183/09031936.06.00025805. No abstract available.
PubMed 16452599Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, Abraham J, Adair T, Aggarwal R, Ahn SY, Alvarado M, Anderson HR, Anderson LM, Andrews KG, Atkinson C, Baddour LM, Barker-Collo S, Bartels DH, Bell ML, Benjamin EJ, Bennett D, Bhalla K, Bikbov B, Bin Abdulhak A, Birbeck G, Blyth F, Bolliger I, Boufous S, Bucello C, Burch M, Burney P, Carapetis J, Chen H, Chou D, Chugh SS, Coffeng LE, Colan SD, Colquhoun S, Colson KE, Condon J, Connor MD, Cooper LT, Corriere M, Cortinovis M, de Vaccaro KC, Couser W, Cowie BC, Criqui MH, Cross M, Dabhadkar KC, Dahodwala N, De Leo D, Degenhardt L, Delossantos A, Denenberg J, Des Jarlais DC, Dharmaratne SD, Dorsey ER, Driscoll T, Duber H, Ebel B, Erwin PJ, Espindola P, Ezzati M, Feigin V, Flaxman AD, Forouzanfar MH, Fowkes FG, Franklin R, Fransen M, Freeman MK, Gabriel SE, Gakidou E, Gaspari F, Gillum RF, Gonzalez-Medina D, Halasa YA, Haring D, Harrison JE, Havmoeller R, Hay RJ, Hoen B, Hotez PJ, Hoy D, Jacobsen KH, James SL, Jasrasaria R, Jayaraman S, Johns N, Karthikeyan G, Kassebaum N, Keren A, Khoo JP, Knowlton LM, Kobusingye O, Koranteng A, Krishnamurthi R, Lipnick M, Lipshultz SE, Ohno SL, Mabweijano J, MacIntyre MF, Mallinger L, March L, Marks GB, Marks R, Matsumori A, Matzopoulos R, Mayosi BM, McAnulty JH, McDermott MM, McGrath J, Mensah GA, Merriman TR, Michaud C, Miller M, Miller TR, Mock C, Mocumbi AO, Mokdad AA, Moran A, Mulholland K, Nair MN, Naldi L, Narayan KM, Nasseri K, Norman P, O'Donnell M, Omer SB, Ortblad K, Osborne R, Ozgediz D, Pahari B, Pandian JD, Rivero AP, Padilla RP, Perez-Ruiz F, Perico N, Phillips D, Pierce K, Pope CA 3rd, Porrini E, Pourmalek F, Raju M, Ranganathan D, Rehm JT, Rein DB, Remuzzi G, Rivara FP, Roberts T, De Leon FR, Rosenfeld LC, Rushton L, Sacco RL, Salomon JA, Sampson U, Sanman E, Schwebel DC, Segui-Gomez M, Shepard DS, Singh D, Singleton J, Sliwa K, Smith E, Steer A, Taylor JA, Thomas B, Tleyjeh IM, Towbin JA, Truelsen T, Undurraga EA, Venketasubramanian N, Vijayakumar L, Vos T, Wagner GR, Wang M, Wang W, Watt K, Weinstock MA, Weintraub R, Wilkinson JD, Woolf AD, Wulf S, Yeh PH, Yip P, Zabetian A, Zheng ZJ, Lopez AD, Murray CJ, AlMazroa MA, Memish ZA. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012 Dec 15;380(9859):2095-128. doi: 10.1016/S0140-6736(12)61728-0.
PubMed 23245604Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006 Nov;3(11):e442. doi: 10.1371/journal.pmed.0030442.
PubMed 17132052Montes de Oca M, Perez-Padilla R, Talamo C, Halbert RJ, Moreno D, Lopez MV, Muino A, Jose Roberto BJ, Valdivia G, Pertuze J, Ana Maria BM; PLATINO Team. Acute bronchodilator responsiveness in subjects with and without airflow obstruction in five Latin American cities: the PLATINO study. Pulm Pharmacol Ther. 2010 Feb;23(1):29-35. doi: 10.1016/j.pupt.2009.09.005. Epub 2009 Oct 8.
PubMed 19818867Bestall JC, Paul EA, Garrod R, Garnham R, Jones PW, Wedzicha JA. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax. 1999 Jul;54(7):581-6. doi: 10.1136/thx.54.7.581.
PubMed 10377201Jones PW, Harding G, Berry P, Wiklund I, Chen WH, Kline Leidy N. Development and first validation of the COPD Assessment Test. Eur Respir J. 2009 Sep;34(3):648-54. doi: 10.1183/09031936.00102509.
PubMed 19720809Lane DC, Stemkowski S, Stanford RH, Tao Z. Initiation of Triple Therapy with Multiple Inhalers in Chronic Obstructive Pulmonary Disease: An Analysis of Treatment Patterns from a U.S. Retrospective Database Study. J Manag Care Spec Pharm. 2018 Nov;24(11):1165-1172. doi: 10.18553/jmcp.2018.24.11.1165.
PubMed 30362922Lipson DA, Barnhart F, Brealey N, Brooks J, Criner GJ, Day NC, Dransfield MT, Halpin DMG, Han MK, Jones CE, Kilbride S, Lange P, Lomas DA, Martinez FJ, Singh D, Tabberer M, Wise RA, Pascoe SJ; IMPACT Investigators. Once-Daily Single-Inhaler Triple versus Dual Therapy in Patients with COPD. N Engl J Med. 2018 May 3;378(18):1671-1680. doi: 10.1056/NEJMoa1713901. Epub 2018 Apr 18.
PubMed 29668352Welte T, Miravitlles M, Hernandez P, Eriksson G, Peterson S, Polanowski T, Kessler R. Efficacy and tolerability of budesonide/formoterol added to tiotropium in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2009 Oct 15;180(8):741-50. doi: 10.1164/rccm.200904-0492OC. Epub 2009 Jul 30.
PubMed 19644045Hanania NA, Crater GD, Morris AN, Emmett AH, O'Dell DM, Niewoehner DE. Benefits of adding fluticasone propionate/salmeterol to tiotropium in moderate to severe COPD. Respir Med. 2012 Jan;106(1):91-101. doi: 10.1016/j.rmed.2011.09.002. Epub 2011 Oct 29.
PubMed 22040533Jung KS, Park HY, Park SY, Kim SK, Kim YK, Shim JJ, Moon HS, Lee KH, Yoo JH, Lee SD; Korean Academy of Tuberculosis and Respiratory Diseases study group; Korea Chronic Obstructive Pulmonary Disease study group. Comparison of tiotropium plus fluticasone propionate/salmeterol with tiotropium in COPD: a randomized controlled study. Respir Med. 2012 Mar;106(3):382-9. doi: 10.1016/j.rmed.2011.09.004. Epub 2011 Oct 4.
PubMed 21975275Lipson DA, Barnacle H, Birk R, Brealey N, Locantore N, Lomas DA, Ludwig-Sengpiel A, Mohindra R, Tabberer M, Zhu CQ, Pascoe SJ. FULFIL Trial: Once-Daily Triple Therapy for Patients with Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med. 2017 Aug 15;196(4):438-446. doi: 10.1164/rccm.201703-0449OC.
PubMed 28375647Ferguson GT, Rabe KF, Martinez FJ, Fabbri LM, Wang C, Ichinose M, Bourne E, Ballal S, Darken P, DeAngelis K, Aurivillius M, Dorinsky P, Reisner C. Triple therapy with budesonide/glycopyrrolate/formoterol fumarate with co-suspension delivery technology versus dual therapies in chronic obstructive pulmonary disease (KRONOS): a double-blind, parallel-group, multicentre, phase 3 randomised controlled trial. Lancet Respir Med. 2018 Oct;6(10):747-758. doi: 10.1016/S2213-2600(18)30327-8. Epub 2018 Sep 16.
PubMed 30232048Singh D, Papi A, Corradi M, Pavlisova I, Montagna I, Francisco C, Cohuet G, Vezzoli S, Scuri M, Vestbo J. Single inhaler triple therapy versus inhaled corticosteroid plus long-acting beta2-agonist therapy for chronic obstructive pulmonary disease (TRILOGY): a double-blind, parallel group, randomised controlled trial. Lancet. 2016 Sep 3;388(10048):963-73. doi: 10.1016/S0140-6736(16)31354-X. Epub 2016 Sep 1.
PubMed 27598678
Study at a glance
From the registry record, last updated by the sponsor on 21 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, 52-week, Multinational, Multicenter, Randomized, Double-blind, 2-arm Parallel Group Study Comparing Efficacy, Safety and Tolerability of the Fixed Dose Triple Combination of Beclomethasone Dipropionate Plus Formoterol Fumarate Plus Glycopyrronium Bromide (CHF 5993) With the Fixed Dose Dual Combination of Beclomethasone Dipropionate Plus Formoterol Fumarate (CHF 1535), Both Administered Via pMDI in Subjects With Chronic Obstructive Pulmonary Disease (COPD)
- ClinicalTrials.gov ID
- NCT04320342
- Acronym / sponsor ID
- TRITON / CLI-05993AA3-06
- Conditions
- COPD, COPD Exacerbation
- Keywords
- Lung Function, Safety Profile, Beclomethasone Dipropionate, Glycopyrronium Bromide, Formoterol Fumarate
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 3,406 participants (actual)
- Lead sponsor
- Chiesi Farmaceutici S.p.A.Industry (pharma, biotech, devices)
- Study start
- 27 Apr 2022 (actual)
- Primary completion
- 12 Jan 2026 (actual)
- Study completion
- 12 Jan 2026 (actual)
- First posted
- 25 Mar 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to compare CHF 5993 with CHF 1535 in improving lung function, reducing moderate and severe COPD exacerbations, and other clinical efficacy and safety outcomes in the target subject population.
Detailed description
This is a phase III, multinational, multicenter, randomized, double-blind active controlled 2-arm parallel group study to compare efficacy, safety, and tolerability of CHF 5993 pMDI with CHF 1535 pMDI with respect to lung function, incidence of moderate and severe COPD exacerbations, and other clinical efficacy and safety outcomes.
After screening, eligible subjects will enter 2-week run-in period using their regular COPD maintenance therapies after which they will be randomized to one of 2 study treatment groups. Following randomization, subjects will be assessed after 4 weeks then at 6-week intervals thereafter for a period of 52 weeks. A follow-up safety phone call will be performed a week after the last clinic visit. A subset of subjects consenting to participate in the pharmacokinetic substudy will undergo additional assessments (totaling 3 visits) during the scheduled study visits.
During the study, daily symptoms, rescue medication use and compliance with the study drug will be recorded via a subject electronic diary. Subject concomitant medications, adverse events, and healthcare resource utilization will be assessed and recorded throughout the study. At intermittent study visits, subjects will undergo vital signs examinations including weight, spirometry measurements, and 12-lead ECG. Symptoms and COPD health status will be assessed through disease specific questionnaires. Routine hematology, blood chemistry, and serum pregnancy testing will be performed before enrollment and at end of study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| BDP/FF/GB - CHF 5993 | Experimental | Drug: Beclomethasone Dipropionate, Drug: Glycopyrronium Bromide, Drug: Formoterol FumarateTwo inhalations twice daily of BDP/FF/GB (100/6/12.5μg) for a period of 52 weeks via pressurized metered dose inhaler |
| BDP/FF - CHF 1535 | Active comparator | Drug: Beclomethasone Dipropionate, Drug: Formoterol FumarateTwo inhalations twice daily of BDP/FF (100/6μg) for a period of 52 weeks via pressurized metered dose inhaler |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Signed and dated written informed consent must be obtained prior to initiating any study-related procedures
- Outpatient
- Male or female subjects aged ≥40 years
- Female subjects:
- COPD diagnosis for at least 12 months before the screening visit in accordance with the definition by the GOLD 2020 Report
Key exclusion criteria (31 listed)
- Female subjects who are pregnant (as evident by a positive urine hCG or serum β-hCG test) or lactating
- Subjects using the following medications prior to the screening visit and during the run-in period:
- A moderate or severe COPD exacerbation or a respiratory tract infection (e.g., pneumonia) that has not resolved ≤14 days prior to the screening visit or during the run-in period
- Current treatment with non-cardioselective β-blockers
- Requirement of long term (> 15 hours daily) oxygen therapy
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 |
|---|---|---|
| Beclomethasone DipropionateAlso: BDPAvailable in pressurized inhalation solution BDP/FF/GB 100/6/12.5μg and BDP/FF 100/6μg | Drug | BDP/FF - CHF 1535, BDP/FF/GB - CHF 5993 |
| Glycopyrronium BromideAlso: glycopyrrolate, GBAvailable in pressurized inhalation solution BDP/FF/GB 100/6/12.5μg | Drug | BDP/FF/GB - CHF 5993 |
| Formoterol FumarateAlso: FFAvailable in pressurized inhalation solution BDP/FF/GB 100/6/12.5μg and BDP/FF 100/6μg | Drug | BDP/FF - CHF 1535, BDP/FF/GB - CHF 5993 |
Primary outcome
Change from baseline in pre-dose morning Forced Expiratory Volume in the 1st second (FEV1) at Week 28
Time frame: Week 28
21 secondary outcomes
Change from baseline in 2-hour post-dose morning FEV1 at Week 28
Time frame: Week 28
Rate of moderate and severe COPD exacerbations over 52 weeks of treatment
Time frame: 52-week treatment period
Change from baseline in pre-dose morning FEV1 at designated clinic visits
Time frame: Week 4, Week 10, Week 40, & Week 52
Change from baseline in 2-hour post-dose morning FEV1 designated clinic visits
Time frame: Day 1, Week 4, Week 10, Week 40, & Week 52
Change from pre-dose to 2-hour post-dose morning FEV1 at designated clinic visits
Time frame: Day 1, Week 4, Week 10, Week 28, Week 40, & Week 52
FEV1 response (change from baseline in pre-dose morning FEV1 ≥100ml) at designated clinic visits
Time frame: Day 1, Week 4, Week 10, Week 28, Week 40, & Week 52
Time to first moderate or severe COPD exacerbation
Time frame: 52-week treatment period
Rate of severe COPD exacerbations over 52 weeks of treatment
Time frame: 52-week treatment period
Time to first severe COPD exacerbation
Time frame: 52-week treatment period
Saint George's Respiratory Questionnaire (SGRQ) response (a decrease from baseline in total score ≥4) at designated clinic visits
Time frame: Week 4, Week 10, Week 28, Week 40, & Week 52
Change from baseline in the SGRQ total score and domain scores at each designated clinic visit
Time frame: Week 4, Week 10, Week 28, Week 40, & Week 52
Change from baseline to each inter-visit period in the percentage of days without intake of rescue medication
Time frame: Day 1-Week 4, Week 4-Week 10, Week 10-Week 28, Week 28-Week 40, Week 40-Week 52
Change from baseline to each inter-visit period in the average use of rescue medication (number of puffs/day)
Time frame: Day 1-Week 4, Week 4-Week 10, Week 10-Week 28, Week 28-Week 40, Week 40-Week 52
Change from baseline in pre-dose morning Forced Vital Capacity (FVC) at designated clinic visits
Time frame: Week 4, Week 10, Week 28, Week 40, & Week 52
Change from baseline in 2-hour post-dose morning FVC at designated clinic visits
Time frame: Day 1, Week 4, Week 10, Week 28, Week 40, & Week 52
Change from pre-dose to 2-hour post-dose morning FVC at designated clinic visits
Time frame: Day 1, Week 4, Week 10, Week 28, Week 40, & Week 52
Change from baseline to each inter-visit period in the average E-RS total score and domain scores
Time frame: Day 1-Week 4, Week 4-Week 10, Week 10-Week 28, Week 28-Week 40, Week 40-Week 52
Change from baseline in COPD Assessment Test (CAT) score at designated clinic visit
Time frame: Week 4, Week 10, Week 28, Week 40, & Week 52
CAT response (decrease from baseline ≥2 points) at designated clinic visits
Time frame: Week 4, Week 10, Week 28, Week 40, & Week 52
Modified Medical Research Council (mMRC) dyspnea scale at designated clinic visits
Time frame: Day 1, Week 4, Week 10, Week 28, Week 40, & Week 52
Change from baseline in health-related quality of life (decrease from baseline in total SGRQ score ≥4) over 52 weeks of treatment.
Time frame: 52-week treatment period
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Sep 2026.
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- Background: PubMed 17132052Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006 Nov;3(11):e442. doi: 10.1371/journal.pmed.0030442.
- Background: PubMed 19818867Montes de Oca M, Perez-Padilla R, Talamo C, Halbert RJ, Moreno D, Lopez MV, Muino A, Jose Roberto BJ, Valdivia G, Pertuze J, Ana Maria BM; PLATINO Team. Acute bronchodilator responsiveness in subjects with and without airflow obstruction in five Latin American cities: the PLATINO study. Pulm Pharmacol Ther. 2010 Feb;23(1):29-35. doi: 10.1016/j.pupt.2009.09.005. Epub 2009 Oct 8.
- Background: PubMed 10377201Bestall JC, Paul EA, Garrod R, Garnham R, Jones PW, Wedzicha JA. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax. 1999 Jul;54(7):581-6. doi: 10.1136/thx.54.7.581.
- Background: PubMed 19720809Jones PW, Harding G, Berry P, Wiklund I, Chen WH, Kline Leidy N. Development and first validation of the COPD Assessment Test. Eur Respir J. 2009 Sep;34(3):648-54. doi: 10.1183/09031936.00102509.
- Background: PubMed 30362922Lane DC, Stemkowski S, Stanford RH, Tao Z. Initiation of Triple Therapy with Multiple Inhalers in Chronic Obstructive Pulmonary Disease: An Analysis of Treatment Patterns from a U.S. Retrospective Database Study. J Manag Care Spec Pharm. 2018 Nov;24(11):1165-1172. doi: 10.18553/jmcp.2018.24.11.1165.
- Background: PubMed 29668352Lipson DA, Barnhart F, Brealey N, Brooks J, Criner GJ, Day NC, Dransfield MT, Halpin DMG, Han MK, Jones CE, Kilbride S, Lange P, Lomas DA, Martinez FJ, Singh D, Tabberer M, Wise RA, Pascoe SJ; IMPACT Investigators. Once-Daily Single-Inhaler Triple versus Dual Therapy in Patients with COPD. N Engl J Med. 2018 May 3;378(18):1671-1680. doi: 10.1056/NEJMoa1713901. Epub 2018 Apr 18.
- Background: PubMed 19644045Welte T, Miravitlles M, Hernandez P, Eriksson G, Peterson S, Polanowski T, Kessler R. Efficacy and tolerability of budesonide/formoterol added to tiotropium in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2009 Oct 15;180(8):741-50. doi: 10.1164/rccm.200904-0492OC. Epub 2009 Jul 30.
- Background: PubMed 22040533Hanania NA, Crater GD, Morris AN, Emmett AH, O'Dell DM, Niewoehner DE. Benefits of adding fluticasone propionate/salmeterol to tiotropium in moderate to severe COPD. Respir Med. 2012 Jan;106(1):91-101. doi: 10.1016/j.rmed.2011.09.002. Epub 2011 Oct 29.
- Background: PubMed 21975275Jung KS, Park HY, Park SY, Kim SK, Kim YK, Shim JJ, Moon HS, Lee KH, Yoo JH, Lee SD; Korean Academy of Tuberculosis and Respiratory Diseases study group; Korea Chronic Obstructive Pulmonary Disease study group. Comparison of tiotropium plus fluticasone propionate/salmeterol with tiotropium in COPD: a randomized controlled study. Respir Med. 2012 Mar;106(3):382-9. doi: 10.1016/j.rmed.2011.09.004. Epub 2011 Oct 4.
- Global Initiative for Chronic Obstructive Lung Disease: Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease (2020 Report)Link provided by the sponsor.
- ICH E9 (R1) addendum on estimands and sensitivity analysis in clinical trials to the guideline on statistical principles for clinical trialsLink provided by the sponsor.
- COPD Assessment Test (CAT)Link provided by the sponsor.
- Measuring shortness of breath (dyspnea) in COPD.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes
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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.
Thomas Siler, MD principal investigator
Midwest Chest Consultants
436 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Beclomethasone Dipropionate, Glycopyrronium Bromide and Formoterol Fumarate in people with COPD and COPD Exacerbation, run by Chiesi Farmaceutici S.p.A. at 436 sites in 10 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 14 inclusion and 31 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 21 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 436 sites in United States, Argentina, Bulgaria, Poland, Romania and 5 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?
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?
Change from baseline in pre-dose morning Forced Expiratory Volume in the 1st second (FEV1) at Week 28 (time frame: Week 28). 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 NCT04320342, which also lists 33 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 21 Sep 2026.