COPD (Chronic Obstructive Pulmonary Disease)Phase 3NCT06075095
A Study to Investigate the Effect on Lung Function of an Approved COPD Treatment (BGF, With HFA Propellant) Compared to BGF Formulated With a Next-Generation Propellant in Participants 40 to 80 Years of Age With COPD
A Phase 3 study testing BGF MDI HFO 320/14.4/9.6μg and BGF MDI HFA 320/14.4/9.6 μg in people with COPD (Chronic Obstructive Pulmonary Disease), run by AstraZeneca at 87 sites in 14 countries.
Trial summary
The purpose of this study is to demonstrate that the lung function effect from orally inhaled BGF delivered via HFO propellant is equivalent to the lung function effect from orally inhaled BGF delivered via HFA propellant in participants with COPD. Read more about this study
- Who is it for?
- Ages 40 to 80 years
- Conditions the study is for
- COPD (Chronic Obstructive Pulmonary Disease)
- What is being tested?
- BGF MDI HFO 320/14.4/9.6μg and BGF MDI HFA 320/14.4/9.6 μg
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 297 participants
- Where
- 87 sitesin 14 countries
- Study dates
- 11 Jan 2024to 12 Aug 2025
- 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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participants are eligible to be included in the study only if all of the following criteria apply:
- Age
- Participants must be 40 to 80 years inclusive at the time of signing the ICF. Type of Participant and Disease Characteristics
- Participants who have a documented history of physician-diagnosed COPD as defined by the ATS/ERS (Celli et al 2004).
- Participants who have been receiving LABA, LAMA, LAMA/LABA, or ICS/LABA inhaled maintenance therapies for the management of their COPD for at least 4 weeks prior to Visit 1, OR Participants who have been receiving SABA, SAMA, or SABA/SAMA either scheduled or as needed for at least 4 weeks prior to Visit 1, OR Participants who are COPD treatment-naïve or have not received previously prescribed COPD treatment in the 4 weeks prior to Visit 1.
- At Visit 1: Participants with a blood eosinophil count < 300 cells/μL.
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- At Visit 1: Participants with a pre-bronchodilator FEV1 of < 80% predicted normal.
- At Visit 2: Participants with a post-bronchodilator FEV1/FVC ratio of < 0.70 and a postbronchodilator FEV1 of ≥ 40% to < 80% predicted normal.
- At Visit 3 (TP 1 Day 1): Participants with a pre-dose FEV1 of < 80% predicted normal that is within ± 20% or 200 mL of their Visit 2 pre-bronchodilator FEV1 and an FEV1/FVC ratio of < 0.70.
- Current or former smokers with a history of at least 10 pack-years of tobacco smoking
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- pack-year = 20 cigarettes smoked per day for one year). 9 Participants who are willing and, in the opinion of the Investigator, able to adjust current COPD therapy, as required by the protocol. Sex and Contraceptive/Barrier Requirements 10 Females must not be of childbearing potential or must use a form of highly effective birth control as defined below:
- Females not of childbearing potential are defined as females who are either permanently sterilised (hysterectomy, bilateral oophorectomy, or bilateral salpingectomy) or postmenopausal. Females will be considered postmenopausal if they have been amenorrhoeic for 52 weeks (12 months) prior to the planned date of randomisation without an alternative medical cause. The following age-specific requirements apply:
- Females < 50 years old would be considered postmenopausal if they have been amenorrhoeic for 52 weeks (12 months) or more following cessation of exogenous hormonal treatment with FSH levels in the postmenopausal range.
- Females ≥ 50 years old would be considered postmenopausal if they have been amenorrhoeic for 52 weeks (12 months) or more following cessation of all exogenous hormonal treatment.
- Female participants of childbearing potential must use one highly effective form of birth control. A highly effective method of contraception is defined as one that can achieve a failure rate of less than 1% per year when used consistently and correctly.
- All FOCBP who are sexually active with a non-sterilised male partner must agree to use one highly effective method of birth control, as defined below, from enrolment throughout the study and until at least 14 days after the last dose of study intervention. Cessation of contraception after this point should be discussed with a responsible physician. Periodic abstinence (calendar, symptothermal, post-ovulation methods), withdrawal (coitus interruptus), spermicides only, and lactational [15:32] Łubian, Dominika amenorrhoea method are not acceptable methods of contraception. Female condom and male condom should not be used together.
- All FOCBP must have a negative serum pregnancy test result at Visit 1.
- Females < 50 years of age with amenorrhoea for at least 12 months without an alternative medical cause must have a serum FSH test at Visit 1.
- Highly effective birth control methods are listed below:
- Total sexual abstinence is an acceptable method provided it is the preferred and usual lifestyle of the participant (defined as refraining from heterosexual intercourse during the entire period of risk associated with the study interventions).
- Combined (oestrogen and progestogen-containing) hormonal contraception associated with inhibition of ovulation:
- o Oral
- o Intravaginal
- o Transdermal
- Progestogen-only hormonal contraception associated with inhibition of ovulation: o Oral
- o Injectable
- Implantable
- Intrauterine device (IUD) or intrauterine hormone-releasing system (IUS)
- Bilateral tubal occlusion
- Male partner sterilisation/vasectomy with documentation of azoospermia prior to the female participant's entry into the study, and this male is the sole partner for that participant. The documentation on male sterility can come from the site personnel's review of participant's medical records, medical examination and/or semen analysis or medical history interview provided by her or her partner. Informed Consent 11 Capable of giving signed informed consent as described in Appendix A which includes compliance with the requirements and restrictions listed in the ICF and in this protocol.
- Other Inclusion Criteria 12 Participants with calculated eGFR > 30 mL/min/1.73 m2 using the CKD-EPI formula.
- 13 Participants who demonstrate acceptable MDI administration and spirometry techniques.
- 14 Participants who remain compliant with placebo run-in administrations, defined as ≥ 80% of planned doses over the last 7 days prior to Visit 3, based on ePRO diary data.
- 15 Participants who are willing to remain at the study centre as required per protocol to complete all visit assessments.
Who cannot join
- Medical Conditions
- Confirmed diagnosis of asthma, in the opinion of the Investigator based on thorough review of medical history and medical records.
- COPD due to α1-antitrypsin deficiency.
- A COPD exacerbation treated with systemic corticosteroids or antibiotics within 4 months prior to Visit 1 or during the Screening Period.
- A COPD exacerbation that required hospitalisation within 12 months prior to Visit 1 or during the Screening Period.
- A respiratory infection ending within 4 weeks prior to Visit 1 or beginning or ending during the Screening Period, per the Investigator's judgement.
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- Life-threatening COPD (eg, need for mechanical ventilation) at any time prior to Visit 1 or during the Screening Period.
- A SARS-CoV-2 infection in the 8 weeks prior to Visit 1 or during the Screening Period, or that required hospitalisation at any time prior to Visit 1 or during the Screening Period.
- Sleep apnoea that, in the opinion of the Investigator, is uncontrolled.
- Other respiratory disorders including, but not limited to, known active tuberculosis, lung cancer, cystic fibrosis, significant bronchiectasis (high-resolution CT evidence of bronchiectasis that causes repeated acute exacerbations), severe neurological disorders affecting control of the upper airway, sarcoidosis, primary ciliary dyskinesia, idiopathic interstitial pulmonary fibrosis, primary pulmonary hypertension, or pulmonary thromboembolic disease.
- Significant or unstable ischaemic heart disease, arrhythmia, cardiomyopathy, heart failure, uncontrolled hypertension as defined by the Investigator, or any other relevant cardiovascular disorder as judged by the Investigator.
- Diagnosis of narrow-angle glaucoma that has not been adequately treated, or a change in vision that may be relevant, in the opinion of the Investigator.
- Note: All medications approved for control of intraocular pressures are allowed, including topical ophthalmic nonselective beta-blockers and prostaglandin analogues.
- Symptomatic prostatic hypertrophy or bladder neck obstruction/urinary retention that, in the opinion of the Investigator, is clinically significant.
- Unresectable cancer that has not been in complete remission for at least 5 years prior to Visit 1. Note: Squamous cell and basal cell carcinomas of the skin are allowed.
- Historical or current evidence of a clinically significant disease including, but not limited to: cardiovascular, hepatic, renal, haematological, neurological, endocrine, gastrointestinal, or pulmonary. Immune deficiency disorders (ie, HIV infection) should be excluded even if controlled. Significant is defined as any disease that, in the opinion of the Investigator, would put the safety of the participant at risk through participation, or that could affect the efficacy or safety analysis if the disease/condition is exacerbated during the study.
- Participants with a known hypersensitivity to beta2-agonists, muscarinic antagonists, or corticosteroids, or any component of the MDI.
- Known history of drug or alcohol abuse within 12 months of Visit 1 or known abuse at any time during the study.
- History of QT prolongation associated with another medication that required discontinuation of that medication.
- Prior/Concomitant Therapy
- Unable to abstain from short-acting bronchodilators within 6 hours prior to lung function testing at each study visit.
- Pulmonary resection or lung volume reduction surgery during the 6 months prior to Visit 1 (ie, lobectomy, bronchoscopic lung volume reduction [endobronchial blockers, airway bypass, endobronchial valves, thermal vapour ablation, biological sealants, and airway implants]).
- Long-term-oxygen therapy or nocturnal oxygen therapy required for greater than 15 hours per day.
- Note: As-needed oxygen use is allowed.
- Trans-urethral resection of the prostate or full resection of the prostate within 6 months prior to Visit 1.
- Unable to abstain from any protocol-defined prohibited medications during the Screening or Treatment Periods (see Section 6.9).
- Use of any herbal products by either inhalation or nebuliser within 2 weeks prior to Visit 1 or refusal to stop use for the duration of the study.
- Prior/Concurrent Clinical Study Experience
- Participation in another clinical study with a study intervention administered within 30 days or 5 half-lives, whichever is longer, prior to Visit 1.
- Diagnostic Assessments
- Participants with ECG QTcF interval > 480 milliseconds.
- Participants with high-degree atrioventricular block II or III, or with sinus node dysfunction with clinically significant pauses who are not treated with pacemaker.
- Any clinically relevant abnormal findings in physical examination, clinical chemistry, haematology, urinalysis, vital signs, or ECG which, in the opinion of the Investigator, may put the participant at risk because of their participation in the study.
- Other Exclusions
- Planned hospitalisation during the study.
- Involvement in the planning or conduct of the study (applies to both AstraZeneca staff and staff at the study sites).
- Study Investigators, sub-Investigators, coordinators, and their employees or immediate family members.
- Judgement by the Investigator that the participant should not participate in the study if the participant is unlikely to comply with study procedures, restrictions, and requirements.
- Previous randomisation in the present study.
- For women only: currently pregnant (confirmed with positive pregnancy test), breastfeeding, or planned pregnancy during the study, or FOCBP not using acceptable contraception measures.
Trial locations and contacts
87 sites in 14 countries.
87 sites in 14 countries
United States19 sites
Research Site
Boerne, Texas, 78006
Research Site
Chicago, Illinois, 60607
Research Site
Clearwater, Florida, 33765
Research Site
Dublin, Ohio, 43016
Research Site
El Paso, Texas, 79912
Research Site
Gaffney, South Carolina, 29340
Research Site
Gainesville, Florida, 32605
Research Site
Medford, Oregon, 97504
Research Site
Miami, Florida, 33175
Research Site
Orlando, Florida, 32825
Research Site
Philadelphia, Pennsylvania, 19114
Research Site
Portland, Oregon, 97202
Research Site
Raleigh, North Carolina, 27607
Research Site
Rincon, Georgia, 31326
Research Site
Saint Charles, Missouri, 63301
Research Site
Sheffield, Alabama, 35660
Research Site
St Louis, Missouri, 63141
Research Site
Tampa, Florida, 33606
Research Site
The Bronx, New York, 10455
Bulgaria9 sites
Research Site
Burgas, 8000
Research Site
Pernik, 2300
Research Site
Pleven, 5800
Research Site
Plovdiv, 4002
Research Site
Sofia, 1202
Research Site
Sofia, 1756
Research Site
Varna, 9000
Research Site
Veliko Tarnovo, 5000
Research Site
Vratsa, 3000
Turkey (Türkiye)7 sites
Research Site
Ankara, 06620
Research Site
Dinar, 03400
Research Site
Istanbul, 34020
Research Site
Istanbul, 34722
Research Site
Izmir, 35110
Research Site
Izmir, 35965
Research Site
Kayseri, 38030
Vietnam7 sites
Research Site
Can Tho, 900000
Research Site
Da Nang, 550000
Research Site
Hà Nội, 100000
Research Site
Haiphong, 180000
Research Site
Hanoi, 10000
Research Site
Ho Chi Minh City, 700000
Research Site
Hochiminh, 70000
India6 sites
Research Site
Ajmer, 305001
Research Site
Aligarh, 202002
Research Site
Coimbatore, 641028
Research Site
Jaipur, 302039
Research Site
Kanpur, 208002
Research Site
Surat, 395009
Argentina5 sites
Research Site
Buenos Aires, C1414AIF
Research Site
Buenos Aires, C1425BEN
Research Site
Quilmes, B1878FNR
Research Site
Rosario, 2000
Research Site
San Fernando, B1646EBJ
Canada5 sites
Research Site
Burlington, Ontario, L7N 3V2
Research Site
Guelph, Ontario, N1H 6J2
Research Site
Québec, Quebec, G1W 4R4
Research Site
Saint-Charles-Borromée, Quebec, J6E 2B4
Research Site
Truro, Nova Scotia, B2N 1L2
Hungary5 sites
Research Site
Balassagyarmat, 2660
Research Site
Hajdúnánás, 4080
Research Site
Mosonmagyaróvár, 9200
Research Site
Pécs, 7635
Research Site
Püspökladány, 4150
Mexico5 sites
Research Site
Benito Juárez, 03650
Research Site
Chihuahua City, 31200
Research Site
Cuernavaca, 62290
Research Site
Monterrey, 64465
Research Site
Zapopan, 45138
South Korea5 sites
Research Site
Daegu, 42415
Research Site
Jeonju, 54907
Research Site
Seoul, 04763
Research Site
Seoul, 06591
Research Site
Ulsan, 44033
Malaysia4 sites
Research Site
George Town, 10450
Research Site
Ipoh, 30990
Research Site
Kuala Lumpur, 50586
Research Site
Kuala Terengganu, 20400
Thailand4 sites
Research Site
Chiang Mai, 50200
Research Site
Hat Yai, 90110
Research Site
Khon Kaen, 40002
Research Site
Muang, 22000
Philippines3 sites
Research Site
Iloilo City, 5000
Research Site
Las Piñas, 1742
Research Site
Quezon City, 1000
Poland3 sites
Research Site
Bialystok, 15-044
Research Site
Chęciny, 26-060
Research Site
Lublin, 20-601
About this study
Official title: A Randomised, Placebo-Controlled, Double-Blind, Multi-Centre, 4-week, 3-way Crossover Pharmacodynamic Study to Assess the Equivalence of Budesonide, Glycopyrronium, and Formoterol Fumarate (BGF) Delivered by MDI HFO Compared With BGF Delivered by MDI HFA in Participants With Chronic Obstructive Pulmonary Disease
The purpose of this study is to demonstrate that the lung function effect from orally inhaled BGF delivered via HFO propellant is equivalent to the lung function effect from orally inhaled BGF delivered via HFA propellant in participants with COPD. The study duration for each participant will be approximately 15 to 16 weeks and consist of:
- A screening and placebo run-in period of approximately 2 weeks prior to first dosing
- Three treatment periods of approximately 4 weeks each (one period for each of 3 study interventions)
- A final safety follow-up visit via telephone contact approximately 1 to 2 weeks after the final dose administration Participants will be provided with rescue SABA (albuterol or salbutamol) to be used as needed throughout the study. Participants will attend in-clinic study visits approximately weekly during the screening/run-in period (Visits 1, 2, and 3), then every 4 weeks (Visits 4, 5, and 6) to receive take-home study treatment, measure their lung function, and assess their health and safety
Read the detailed description
This is a phase III, randomised, placebo-controlled, double-blind, multi-centre, 4-week, 3-way crossover pharmacodynamic study to assess the equivalence of BGF MDI HFO compared with BGF MDI HFA in participants with COPD. To demonstrate assay sensitivity, BGF MDI HFA will be compared to placebo MDI HFA for superiority in lung function, both pre- and post-dose.
Eligible participants are between 40 and 80 years of age, inclusive, who have an established clinical history of COPD as defined by the ATS/ERS. Participants are required to have an FEV1/FVC ratio of < 0.70, have a post-bronchodilator FEV1 ≥ 40% and < 80% predicted normal value, have a blood eosinophil count < 300 cells/μL, and be current or former cigarette smokers with a history of at least 10 pack-years. Participants must not have had a COPD exacerbation treated with oral corticosteroids or antibiotics within 4 months prior to initiation of screening, and must not have had a COPD exacerbation that required hospitalisation within 12 months prior to initiation of screening. Eligible participants are those on treatment with LABA, LAMA, LAMA/LABA (open or fixed-dose combination), ICS/LABA (open or fixed-dose combination) inhaled maintenance therapies, or SABA, SAMA, or SAMA/SABA scheduled or as-needed inhaled therapies, or who are naïve to COPD therapy.
This study will be conducted at approximately 95 sites globally. After screening, participants will be randomised 1:1:1:1:1:1 to receive study interventions in one of 6 possible treatment sequences.
- Being tested
- BGF MDI HFO 320/14.4/9.6μg, BGF MDI HFA 320/14.4/9.6 μg, Placebo MDI HFA
- 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.
BGF MDI HFO 320/14.4/9.6μgDrug
Also called Budesonide, Glycopyrronium, and Formoterol Fumarate (BGF), Delivered by MDI HFO (HFO-1234ze)
Study interventions will be administered orally via MDI as 2 inhalations BID (every morning and evening, approximately 12 hours apart)
BGF MDI HFA 320/14.4/9.6 μgDrug
Also called Budesonide, Glycopyrronium, and Formoterol Fumarate (BGF), Delivered by MDI HFA
Study interventions will be administered orally via MDI as 2 inhalations BID (every morning and evening, approximately 12 hours apart):
Placebo MDI HFADrug
Also called Placebo
Study interventions will be administered orally via MDI as 2 inhalations BID (every morning and evening, approximately 12 hours apart)
| Study group | Role | What they receive |
|---|---|---|
| Treatment Sequence 1 | Experimental | Each participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions) in the following sequence.
Sequence 1:
BGF MDI HFO 320/14.4/9.6 μg BGF MDI HFA 320/14.4/9.6 μg Placebo MDI HFA Receives: Drug: BGF MDI HFO 320/14.4/9.6μg; Drug: BGF MDI HFA 320/14.4/9.6 μg; Drug: Placebo MDI HFA |
| Treatment Sequence 2 | Experimental | Each participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions) in the following sequence.
Sequence 2:
BGF MDI HFO 320/14.4/9.6 μg Placebo MDI HFA BGF MDI HFA 320/14.4/9.6 μg Receives: Drug: BGF MDI HFO 320/14.4/9.6μg; Drug: BGF MDI HFA 320/14.4/9.6 μg; Drug: Placebo MDI HFA |
| Treatment Sequence 3 | Experimental | Each participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions) in the following sequence.
Sequence 3:
BGF MDI HFA 320/14.4/9.6 μg BGF MDI HFO 320/14.4/9.6 μg Placebo MDI HFA Receives: Drug: BGF MDI HFO 320/14.4/9.6μg; Drug: BGF MDI HFA 320/14.4/9.6 μg; Drug: Placebo MDI HFA |
| Treatment Sequence 4 | Experimental | Each participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions) in the following sequence.
Sequence 4:
BGF MDI HFA 320/14.4/9.6 μg Placebo MDI HFA BGF MDI HFO 320/14.4/9.6 μg Receives: Drug: BGF MDI HFO 320/14.4/9.6μg; Drug: BGF MDI HFA 320/14.4/9.6 μg; Drug: Placebo MDI HFA |
| Treatment Sequence 5 | Experimental | Each participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions) in the following sequence.
Sequence 5:
Placebo MDI HFA BGF MDI HFO 320/14.4/9.6 μg BGF MDI HFA 320/14.4/9.6 μg Receives: Drug: BGF MDI HFO 320/14.4/9.6μg; Drug: BGF MDI HFA 320/14.4/9.6 μg; Drug: Placebo MDI HFA |
| Treatment Sequence 6 | Experimental | Each participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions in the following sequence.
Sequence 6:
Placebo MDI HFA BGF MDI HFA 320/14.4/9.6 μg BGF MDI HFO 320/14.4/9.6 μg Receives: Drug: BGF MDI HFO 320/14.4/9.6μg; Drug: BGF MDI HFA 320/14.4/9.6 μg; Drug: Placebo MDI HFA |
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes in FEV1 AUC (0-4)
To assess the equivalence of BGF MDI HFO relative to BGF MDI HFA on lung function in participants with COPD
Measured: Change from baseline at Day 29
Change in morning pre-dose trough FEV1
To assess the equivalence of BGF MDI HFO relative to BGF MDI HFA on lung function in participants with COPD
Measured: Change from baseline at Day 29
Changes in FEV1 AUC (0-4)
To demonstrate assay sensitivity via superiority of BGF MDI HFA relative to placebo MDI HFA on lung function in participants with COPD
Measured: Change from baseline at Day 29
Change in morning pre-dose trough FEV1
To demonstrate assay sensitivity via superiority of BGF MDI HFA relative to placebo MDI HFA on lung function in participants with COPD
Measured: Change from baseline at Day 29
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Oct 2023
- Study start11 Jan 2024
- Primary completion12 Aug 2025
- Study completion12 Aug 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for COPD (Chronic Obstructive Pulmonary Disease)Studies of the same condition, open and under way.
- More trials run by AstraZenecaThe 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
- Crossover
- Model description
- This is a phase III, randomised, placebo-controlled, double-blind, multi-centre, 4-week, 3-way crossover pharmacodynamic study to assess the equivalence of BGF MDI HFO compared with BGF MDI HFA in participants with COPD.
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 297 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06075095
- Sponsor's protocol ID
- D5985C00002
- Other IDs
- 2023-506565-57-00, 2023
- Status last verified
- Aug 2025
- First submitted
- 4 Oct 2023
- Last updated
- 27 Aug 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
Study at a glance
From the registry record, last updated by the sponsor on 27 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised, Placebo-Controlled, Double-Blind, Multi-Centre, 4-week, 3-way Crossover Pharmacodynamic Study to Assess the Equivalence of Budesonide, Glycopyrronium, and Formoterol Fumarate (BGF) Delivered by MDI HFO Compared With BGF Delivered by MDI HFA in Participants With Chronic Obstructive Pulmonary Disease
- ClinicalTrials.gov ID
- NCT06075095
- Acronym / sponsor ID
- D5985C00002
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 297 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- 11 Jan 2024 (actual)
- Primary completion
- 12 Aug 2025 (actual)
- Study completion
- 12 Aug 2025 (actual)
- First posted
- 10 Oct 2023 (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 demonstrate that the lung function effect from orally inhaled BGF delivered via HFO propellant is equivalent to the lung function effect from orally inhaled BGF delivered via HFA propellant in participants with COPD. The study duration for each participant will be approximately 15 to 16 weeks and consist of:
- A screening and placebo run-in period of approximately 2 weeks prior to first dosing
- Three treatment periods of approximately 4 weeks each (one period for each of 3 study interventions)
- A final safety follow-up visit via telephone contact approximately 1 to 2 weeks after the final dose administration Participants will be provided with rescue SABA (albuterol or salbutamol) to be used as needed throughout the study. Participants will attend in-clinic study visits approximately weekly during the screening/run-in period (Visits 1, 2, and 3), then every 4 weeks (Visits 4, 5, and 6) to receive take-home study treatment, measure their lung function, and assess their health and safety
Detailed description
This is a phase III, randomised, placebo-controlled, double-blind, multi-centre, 4-week, 3-way crossover pharmacodynamic study to assess the equivalence of BGF MDI HFO compared with BGF MDI HFA in participants with COPD. To demonstrate assay sensitivity, BGF MDI HFA will be compared to placebo MDI HFA for superiority in lung function, both pre- and post-dose.
Eligible participants are between 40 and 80 years of age, inclusive, who have an established clinical history of COPD as defined by the ATS/ERS. Participants are required to have an FEV1/FVC ratio of < 0.70, have a post-bronchodilator FEV1 ≥ 40% and < 80% predicted normal value, have a blood eosinophil count < 300 cells/μL, and be current or former cigarette smokers with a history of at least 10 pack-years. Participants must not have had a COPD exacerbation treated with oral corticosteroids or antibiotics within 4 months prior to initiation of screening, and must not have had a COPD exacerbation that required hospitalisation within 12 months prior to initiation of screening. Eligible participants are those on treatment with LABA, LAMA, LAMA/LABA (open or fixed-dose combination), ICS/LABA (open or fixed-dose combination) inhaled maintenance therapies, or SABA, SAMA, or SAMA/SABA scheduled or as-needed inhaled therapies, or who are naïve to COPD therapy.
This study will be conducted at approximately 95 sites globally. After screening, participants will be randomised 1:1:1:1:1:1 to receive study interventions in one of 6 possible treatment sequences.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 6
- Model description
- This is a phase III, randomised, placebo-controlled, double-blind, multi-centre, 4-week, 3-way crossover pharmacodynamic study to assess the equivalence of BGF MDI HFO compared with BGF MDI HFA in participants with COPD.
| Arm | Type | Receives |
|---|---|---|
| Treatment Sequence 1 | Experimental | Drug: BGF MDI HFO 320/14.4/9.6μg, Drug: BGF MDI HFA 320/14.4/9.6 μg, Drug: Placebo MDI HFAEach participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions) in the following sequence. Sequence 1: BGF MDI HFO 320/14.4/9.6 μg BGF MDI HFA 320/14.4/9.6 μg Placebo MDI HFA |
| Treatment Sequence 2 | Experimental | Drug: BGF MDI HFO 320/14.4/9.6μg, Drug: BGF MDI HFA 320/14.4/9.6 μg, Drug: Placebo MDI HFAEach participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions) in the following sequence. Sequence 2: BGF MDI HFO 320/14.4/9.6 μg Placebo MDI HFA BGF MDI HFA 320/14.4/9.6 μg |
| Treatment Sequence 3 | Experimental | Drug: BGF MDI HFO 320/14.4/9.6μg, Drug: BGF MDI HFA 320/14.4/9.6 μg, Drug: Placebo MDI HFAEach participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions) in the following sequence. Sequence 3: BGF MDI HFA 320/14.4/9.6 μg BGF MDI HFO 320/14.4/9.6 μg Placebo MDI HFA |
| Treatment Sequence 4 | Experimental | Drug: BGF MDI HFO 320/14.4/9.6μg, Drug: BGF MDI HFA 320/14.4/9.6 μg, Drug: Placebo MDI HFAEach participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions) in the following sequence. Sequence 4: BGF MDI HFA 320/14.4/9.6 μg Placebo MDI HFA BGF MDI HFO 320/14.4/9.6 μg |
| Treatment Sequence 5 | Experimental | Drug: BGF MDI HFO 320/14.4/9.6μg, Drug: BGF MDI HFA 320/14.4/9.6 μg, Drug: Placebo MDI HFAEach participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions) in the following sequence. Sequence 5: Placebo MDI HFA BGF MDI HFO 320/14.4/9.6 μg BGF MDI HFA 320/14.4/9.6 μg |
| Treatment Sequence 6 | Experimental | Drug: BGF MDI HFO 320/14.4/9.6μg, Drug: BGF MDI HFA 320/14.4/9.6 μg, Drug: Placebo MDI HFAEach participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions in the following sequence. Sequence 6: Placebo MDI HFA BGF MDI HFA 320/14.4/9.6 μg BGF MDI HFO 320/14.4/9.6 μg |
Who may qualify
- Ages
- 40 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (35 listed)
- Participants are eligible to be included in the study only if all of the following criteria apply:
- Age
- Participants must be 40 to 80 years inclusive at the time of signing the ICF. Type of Participant and Disease Characteristics
- Participants who have a documented history of physician-diagnosed COPD as defined by the ATS/ERS (Celli et al 2004).
- Participants who have been receiving LABA, LAMA, LAMA/LABA, or ICS/LABA inhaled maintenance therapies for the management of their COPD for at least 4 weeks prior to Visit 1, OR Participants who have been receiving SABA, SAMA, or SABA/SAMA either scheduled or as needed for at least 4 weeks prior to Visit 1, OR Participants who are COPD treatment-naïve or have not received previously prescribed COPD treatment in the 4 weeks prior to Visit 1.
Key exclusion criteria (40 listed)
- Medical Conditions
- Confirmed diagnosis of asthma, in the opinion of the Investigator based on thorough review of medical history and medical records.
- COPD due to α1-antitrypsin deficiency.
- A COPD exacerbation treated with systemic corticosteroids or antibiotics within 4 months prior to Visit 1 or during the Screening Period.
- A COPD exacerbation that required hospitalisation within 12 months prior to Visit 1 or during the Screening Period.
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 |
|---|---|---|
| BGF MDI HFO 320/14.4/9.6μgAlso: Budesonide, Glycopyrronium, and Formoterol Fumarate (BGF), Delivered by MDI HFO (HFO-1234ze)Study interventions will be administered orally via MDI as 2 inhalations BID (every morning and evening, approximately 12 hours apart) | Drug | Treatment Sequence 1, Treatment Sequence 2, Treatment Sequence 3, Treatment Sequence 4, Treatment Sequence 5, Treatment Sequence 6 |
| BGF MDI HFA 320/14.4/9.6 μgAlso: Budesonide, Glycopyrronium, and Formoterol Fumarate (BGF), Delivered by MDI HFAStudy interventions will be administered orally via MDI as 2 inhalations BID (every morning and evening, approximately 12 hours apart): | Drug | Treatment Sequence 1, Treatment Sequence 2, Treatment Sequence 3, Treatment Sequence 4, Treatment Sequence 5, Treatment Sequence 6 |
| Placebo MDI HFAAlso: PlaceboStudy interventions will be administered orally via MDI as 2 inhalations BID (every morning and evening, approximately 12 hours apart) | Drug | Treatment Sequence 1, Treatment Sequence 2, Treatment Sequence 3, Treatment Sequence 4, Treatment Sequence 5, Treatment Sequence 6 |
Primary outcome
Changes in FEV1 AUC (0-4)
Time frame: Change from baseline at Day 29
To assess the equivalence of BGF MDI HFO relative to BGF MDI HFA on lung function in participants with COPD
Change in morning pre-dose trough FEV1
Time frame: Change from baseline at Day 29
To assess the equivalence of BGF MDI HFO relative to BGF MDI HFA on lung function in participants with COPD
Changes in FEV1 AUC (0-4)
Time frame: Change from baseline at Day 29
To demonstrate assay sensitivity via superiority of BGF MDI HFA relative to placebo MDI HFA on lung function in participants with COPD
Change in morning pre-dose trough FEV1
Time frame: Change from baseline at Day 29
To demonstrate assay sensitivity via superiority of BGF MDI HFA relative to placebo MDI HFA on lung function in participants with COPD
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 27 Aug 2025.
- Individual participant dataSharing planned: Yes. Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
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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.
The record lists no contact. Use the official record to reach the sponsor.
87 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing BGF MDI HFO 320/14.4/9.6μg and BGF MDI HFA 320/14.4/9.6 μg in people with COPD (Chronic Obstructive Pulmonary Disease), run by AstraZeneca at 87 sites in 14 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 35 inclusion and 40 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 27 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 87 sites in United States, Bulgaria, Turkey (Türkiye), Vietnam, India and 9 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?
Changes in FEV1 AUC (0-4) (time frame: Change from baseline at Day 29). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Aug 2025.