Study to Determine the Onset of Action of Indacaterol in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)
This study has been completed.
Sponsor:
Novartis
Information provided by:
Novartis
ClinicalTrials.gov Identifier:
NCT00669617
First received: April 28, 2008
Last updated: September 7, 2011
Last verified: September 2011
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Purpose
This study will evaluate the onset of action of indacaterol (150 and 300 µg) as compared to placebo, salbutamol 200 µg and salmeterol/fluticasone 50/500 µg
| Condition | Intervention | Phase |
|---|---|---|
|
Chronic Obstructive Pulmonary Disease |
Drug: Indacaterol Drug: Salmeterol/fluticasone (50/500 μg) Drug: Salbutamol (200 µg) Drug: Placebo to Indacaterol Drug: Placebo to Salmeterol/fluticasone Drug: Placebo to salbutamol |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Phase III, Randomized, Double-blind, Triple-dummy, Placebo Controlled, Multicenter, 5-period, Single-dose Complete Block Crossover Study to Determine the Onset of Action of Indacaterol (150 and 300 μg) in Patients With Moderate to Severe COPD Using Salbutamol (200 μg) and Salmeterol/Fluticasone (50/500 μg) as Active Controls |
Resource links provided by NLM:
MedlinePlus related topics:
COPD (Chronic Obstructive Pulmonary Disease)
Drug Information available for:
Albuterol
Levalbuterol
Levalbuterol hydrochloride
Albuterol sulfate
Fluticasone propionate
Salmeterol
Fluticasone
Salmeterol xinafoate
Indacaterol
Levalbuterol tartrate
U.S. FDA Resources
Further study details as provided by Novartis:
Primary Outcome Measures:
- Forced Expiratory Volume in 1 Second (FEV1) at 5 Minutes Post-dose [ Time Frame: Five Minutes Post Dose ] [ Designated as safety issue: No ]FEV1 was measured at 5 minutes after dosing with spirometry conducted according to internationally accepted standards. The time of dosing was defined as the time corresponding to the use of the first inhaler device. The primary variable was analyzed using a mixed model containing the period baseline FEV1 as covariate. The period baseline FEV1 was the average of the FEV1 value measured in the clinic at 50 and 15 min prior to the study drug administration in that period.
| Enrollment: | 89 |
| Study Start Date: | April 2008 |
| Study Completion Date: | August 2008 |
| Primary Completion Date: | August 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Ind 150μg, Salm/flut, Ind 300μg, Placebo, Salbut
Participants received a single dose of each treatment from Period I - V in the following order, separated by a washout period of 4-7 days: Indacaterol 150 μg (Ind 150μg), Salmeterol/fluticasone 50/500 μg (Salm/flut), Indacaterol 300 μg (Ind 300μg), Placebo, Salbutamol 200 μg (Salbut). At each treatment visit, participants received the specified treatment and 2 placebo inhalations (one inhalation from the SDDPI, and one inhalation from each of the two MDDPIs) to maintain blinding. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
|
Drug: Indacaterol
Indacaterol 150 and 300 μg, delivered via single-dose dry-powder inhaler (SDDPI)
Other Names:
Drug: Salmeterol/fluticasone (50/500 μg)
Salmeterol/fluticasone 50/500 μg fixed-dose combination delivered via manufacturer's proprietary Multi-Dose Dry-Powder Inhaler (MDDPI).
Drug: Salbutamol (200 µg)
Salbutamol 200 μg delivered via manufacturer's proprietary Multi-Dose Dry-Powder Inhaler (MDDPI).
Drug: Placebo to Indacaterol
Placebo to indacaterol delivered via SDDPI
Drug: Placebo to Salmeterol/fluticasone
Placebo to salmeterol/fluticasone delivered via MDDPI
Drug: Placebo to salbutamol
Placebo to salbutamol delivered via MDDPI
|
|
Experimental: Ind 300μg, Ind 150μg, Salbut, Salm/flut, Placebo
Participants received a single dose of each treatment from Period I - V in the following order, separated by a washout period of 4-7 days: Indacaterol 300 μg (Ind 300μg), Indacaterol 150 μg (Ind 150μg), Salbutamol 200 μg (Salbut), Salmeterol/fluticasone 50/500 μg (Salm/flut), Placebo. At each treatment visit, participants received the specified treatment and 2 placebo inhalations (one inhalation from the SDDPI, and one inhalation from each of the two MDDPIs) to maintain blinding. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
|
Drug: Indacaterol
Indacaterol 150 and 300 μg, delivered via single-dose dry-powder inhaler (SDDPI)
Other Names:
Drug: Salmeterol/fluticasone (50/500 μg)
Salmeterol/fluticasone 50/500 μg fixed-dose combination delivered via manufacturer's proprietary Multi-Dose Dry-Powder Inhaler (MDDPI).
Drug: Salbutamol (200 µg)
Salbutamol 200 μg delivered via manufacturer's proprietary Multi-Dose Dry-Powder Inhaler (MDDPI).
Drug: Placebo to Indacaterol
Placebo to indacaterol delivered via SDDPI
Drug: Placebo to Salmeterol/fluticasone
Placebo to salmeterol/fluticasone delivered via MDDPI
Drug: Placebo to salbutamol
Placebo to salbutamol delivered via MDDPI
|
|
Experimental: Salm/flut, Placebo, Ind 150μg, Salbut, Ind 300μg
Participants received a single dose of each treatment from Period I - V in the following order, separated by a washout period of 4-7 days: Salmeterol/fluticasone 50/500 μg (Salm/flut), Placebo, Indacaterol 150 μg (Ind 150μg), Salbutamol 200 μg (Salbut), Indacaterol 300 μg (Ind 300μg). At each treatment visit, participants received the specified treatment and 2 placebo inhalations (one inhalation from the SDDPI, and one inhalation from each of the two MDDPIs) to maintain blinding. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
|
Drug: Indacaterol
Indacaterol 150 and 300 μg, delivered via single-dose dry-powder inhaler (SDDPI)
Other Names:
Drug: Salmeterol/fluticasone (50/500 μg)
Salmeterol/fluticasone 50/500 μg fixed-dose combination delivered via manufacturer's proprietary Multi-Dose Dry-Powder Inhaler (MDDPI).
Drug: Salbutamol (200 µg)
Salbutamol 200 μg delivered via manufacturer's proprietary Multi-Dose Dry-Powder Inhaler (MDDPI).
Drug: Placebo to Indacaterol
Placebo to indacaterol delivered via SDDPI
Drug: Placebo to Salmeterol/fluticasone
Placebo to salmeterol/fluticasone delivered via MDDPI
Drug: Placebo to salbutamol
Placebo to salbutamol delivered via MDDPI
|
|
Experimental: Salbut, Ind 300μg, Placebo, Ind 150μg, Salm/flut
Participants received a single dose of each treatment from Period I - V in the following order, separated by a washout period of 4-7 days: Salbutamol 200 μg (Salbut), Indacaterol 300 μg (Ind 300μg), Placebo, Indacaterol 150 μg (Ind 150μg), Salmeterol/fluticasone 50/500 μg (Salm/flut). At each treatment visit, participants received the specified treatment and 2 placebo inhalations (one inhalation from the SDDPI, and one inhalation from each of the two MDDPIs) to maintain blinding. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
|
Drug: Indacaterol
Indacaterol 150 and 300 μg, delivered via single-dose dry-powder inhaler (SDDPI)
Other Names:
Drug: Salmeterol/fluticasone (50/500 μg)
Salmeterol/fluticasone 50/500 μg fixed-dose combination delivered via manufacturer's proprietary Multi-Dose Dry-Powder Inhaler (MDDPI).
Drug: Salbutamol (200 µg)
Salbutamol 200 μg delivered via manufacturer's proprietary Multi-Dose Dry-Powder Inhaler (MDDPI).
Drug: Placebo to Indacaterol
Placebo to indacaterol delivered via SDDPI
Drug: Placebo to Salmeterol/fluticasone
Placebo to salmeterol/fluticasone delivered via MDDPI
Drug: Placebo to salbutamol
Placebo to salbutamol delivered via MDDPI
|
|
Experimental: Placebo, Salbut, Salm/flut , Ind 300μg, Ind 150μg
Participants received a single dose of each treatment from Period I - V in the following order, separated by a washout period of 4-7 days: Placebo, Salbutamol 200 μg (Salbut), Salmeterol/fluticasone 50/500 μg (Salm/flut), Indacaterol 300 μg (Ind 300μg), Indacaterol 150 μg (Ind 150μg). At each treatment visit, participants received the specified treatment and 2 placebo inhalations (one inhalation from the SDDPI, and one inhalation from each of the two MDDPIs) to maintain blinding. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
|
Drug: Indacaterol
Indacaterol 150 and 300 μg, delivered via single-dose dry-powder inhaler (SDDPI)
Other Names:
Drug: Salmeterol/fluticasone (50/500 μg)
Salmeterol/fluticasone 50/500 μg fixed-dose combination delivered via manufacturer's proprietary Multi-Dose Dry-Powder Inhaler (MDDPI).
Drug: Salbutamol (200 µg)
Salbutamol 200 μg delivered via manufacturer's proprietary Multi-Dose Dry-Powder Inhaler (MDDPI).
Drug: Placebo to Indacaterol
Placebo to indacaterol delivered via SDDPI
Drug: Placebo to Salmeterol/fluticasone
Placebo to salmeterol/fluticasone delivered via MDDPI
Drug: Placebo to salbutamol
Placebo to salbutamol delivered via MDDPI
|
Eligibility| Ages Eligible for Study: | 40 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Male and female adults aged ≥40 years, who have signed an Informed Consent Form prior to initiation of any study-related procedure
Patients with a diagnosis of Chronic Obstructive Pulmonary Disease (COPD) (moderate-to-severe as classified by the GOLD Guidelines, 2006) and:
- Smoking history of at least 20 pack years
- Post-bronchodilator Forced Expiratory Volume in 1 Second (FEV1) <80% and ≥30% of the predicted normal value.
- Post-bronchodilator FEV1/Forced Vital Capacity (FVC) < 70%, where FVC is forced vital capacity ('Post-' refers to 15-30 minutes after inhalation of 400 μg of salbutamol at Visit 2)
Exclusion Criteria:
- Pregnant / nursing women or women of child-bearing potential
- Long term oxygen therapy (more than 15 hours per day) on a daily basis for chronic hypoxemia
- Patients hospitalized for COPD exacerbation in 6 weeks prior to Visit 2 and up to Visit 3
- Respiratory tract infection within 6 weeks prior to Visit 2 and up to Visit 3
- Concomitant pulmonary disease, pulmonary tuberculosis (unless chest x-ray confirms no longer active) or clinically significant bronchiectasis
- Any history of asthma, including: blood eosinophil count >400/mm3; onset of asthma symptoms prior to age 40 years
- History of long QT syndrome or whose QTc (Bazett's) measured at Visit 2 or Visit 3 is prolonged (>450ms for males or >470ms for females)
- Clinically relevant lab abnormalities / conditions such as (but not limited to) unstable ischemic heart disease, arrhythmia (excluding stable AF), uncontrolled hypertension, uncontrolled hypo- and hyperthyroidism, hypokalemia, hyperadrenergic state or any condition which in the investigator's opinion might compromise patient safety or compliance, interfere with evaluation, or preclude completion of the study
- Uncontrolled Type I / Type II Diabetes or blood glucose outside normal or HbA1c >8.0% of total hemoglobin measured at Visit 2
- Any patient with lung cancer or any active cancer or a history of cancer with less than 5 years disease-free survival time
- History of hypersensitivity to any of the study drugs
- Irregular day/night, waking/sleeping cycles e.g. shift workers
- Live attenuated vaccinations within 30 days prior to Visit 2
- Investigational drug within 30 days prior to Visit 2
- Known history of non-compliance or not able to use devices or perform spirometry
Other protocol-defined inclusion/exclusion criteria may apply
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00669617
Locations
| United States, Florida | |
| Novartis Investigative Site | |
| Tamarac, Florida, United States, 33321 | |
| United States, Louisiana | |
| Novartis Investigator Site | |
| Lafayette, Louisiana, United States, 70503 | |
| United States, Missouri | |
| Novartis Investigative Site | |
| St Charles, Missouri, United States, 63301-2847 | |
| United States, North Carolina | |
| Novartis Investigative site | |
| Shelby, North Carolina, United States, 28150 | |
| United States, Pennsylvania | |
| Novartis Investigative Site | |
| Beaver, Pennsylvania, United States, 15009 | |
| Belgium | |
| Novartis Investigative Site | |
| Antwerpen, Belgium | |
| Germany | |
| Novartis Investigative Site | |
| Berlin, Germany | |
| Novartis Investigator Site | |
| Borstel, Germany | |
| Novartis Investigative site | |
| Dortmund, Germany | |
| Novartis Investigative site | |
| Hamburg, Germany | |
| Novartis Investigative site | |
| Hannover, Germany | |
| Novartis Investigative site | |
| Mainz, Germany | |
| Novartis Investigator Site | |
| Potsdam, Germany | |
| Novartis Investigative site | |
| Wiesbaden, Germany | |
| Hungary | |
| Novartis Investigative site | |
| Debrecen, Hungary | |
| Novartis Investigative site | |
| Deszk, Hungary | |
| Novartis Investigative Site | |
| Nyiregyhaza, Hungary | |
Sponsors and Collaborators
Novartis
More Information
No publications provided
| Responsible Party: | External Affairs, Novartis |
| ClinicalTrials.gov Identifier: | NCT00669617 History of Changes |
| Other Study ID Numbers: | CQAB149B2307, EUDRACT: 2007-006189-14 |
| Study First Received: | April 28, 2008 |
| Results First Received: | July 22, 2011 |
| Last Updated: | September 7, 2011 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices Hungary: National Institute of Pharmacy United States: Food and Drug Administration |
Keywords provided by Novartis:
|
chronic obstructive pulmonary disease COPD indacaterol adults |
Additional relevant MeSH terms:
|
Lung Diseases Respiration Disorders Pulmonary Disease, Chronic Obstructive Lung Diseases, Obstructive Respiratory Tract Diseases Albuterol Salmeterol Fluticasone Tocolytic Agents Reproductive Control Agents Physiological Effects of Drugs Pharmacologic Actions Therapeutic Uses Adrenergic beta-2 Receptor Agonists |
Adrenergic beta-Agonists Adrenergic Agonists Adrenergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Bronchodilator Agents Autonomic Agents Peripheral Nervous System Agents Anti-Asthmatic Agents Respiratory System Agents Dermatologic Agents Anti-Allergic Agents Anti-Inflammatory Agents |
ClinicalTrials.gov processed this record on June 17, 2013