Determine the Safety and Efficacy of (R,R)-Formoterol in the Treatment of Subjects With COPD - Full Text View

Sponsor:	Sepracor, Inc.
Information provided by:	Sepracor, Inc.
ClinicalTrials.gov Identifier:	NCT00064402

Purpose

The purpose of this study is to assess the bronchodilator effect and safety of multiple daily doses of arformoterol administered for 12 weeks as maintenance treatment in patients with COPD

Condition	Intervention	Phase
Chronic Obstructive Pulmonary Disease Chronic Bronchitis Emphysema	Drug: arformoterol tartrate inhalation solution Drug: Salmeterol Drug: Placebo	Phase III

Study Type:	Interventional
Study Design:	Treatment, Randomized, Double Blind (Subject, Investigator, Outcomes Assessor), Parallel Assignment, Efficacy Study
Official Title:	A Double-Blind, Double-Dummy, Randomized, Placebo- and Active-Controlled, Multicenter, Parallel-Group Study of (R,R)-Formoterol in the Treatment of Subjects With Chronic Obstructive Pulmonary Disease

Resource links provided by NLM:

MedlinePlus related topics: Bronchitis COPD (Chronic Obstructive Pulmonary Disease) Emphysema

Drug Information available for: Formoterol fumarate Arformoterol Formoterol Salmeterol Salmeterol xinafoate Arformoterol Tartrate

U.S. FDA Resources

Further study details as provided by Sepracor, Inc.:

Primary Outcome Measures:

percent change in trough FEV1 from study baseline to the end of the dosing interval (12 hours post-second dose for the BID treatment arms and 24 hours postdose for the QD treatment arm) over the double-blind period. [ Time Frame: Weeks -2, 0, 3, 6, 9, 12 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

time-normalized area under the percent change from visit predose curve for FEV1 over 12 hours (nAUC0-12-P) [ Time Frame: Weeks -2, 0, 3, 6, 9, 12 ] [ Designated as safety issue: No ]
Peak percent of predicted FEV1 [ Time Frame: Weeks -2, 0, 3, 6, 9, 12 ] [ Designated as safety issue: No ]
time-normalized area under the percent change in FEV1 from study baseline over 12 hours (nAUC0-12-B) [ Time Frame: Weeks -2, 0, 3, 6, 9, 12 ] [ Designated as safety issue: No ]
time-normalized area under the percent change from visit predose curve for FEV1 over 24 hours (nAUC0-24-P) [ Time Frame: Weeks -2, 0, 3, 6, 9, 12 ] [ Designated as safety issue: No ]
time-normalized area under the percent change in FEV1 from study baseline curve over 24 hours (nAUC0-24-B) [ Time Frame: Weeks -2, 0, 3, 6, 9, 12 ] [ Designated as safety issue: No ]
peak percent change in FEV1 from visit predose and study baseline [ Time Frame: Weeks -2, 0, 3, 6, 9, 12 ] [ Designated as safety issue: No ]
time point changes in FEV1; time to onset of response [ Time Frame: Weeks -2, 0, 3, 6, 9, 12 ] [ Designated as safety issue: No ]
time to peak change in FEV1 [ Time Frame: Weeks -2, 0, 3, 6, 9, 12 ] [ Designated as safety issue: No ]
at-home and in-clinic peak expiratory flow rate (PEFR) [ Time Frame: Weeks -2, 0, 3, 6, 9, 12 ] [ Designated as safety issue: No ]
relationship between the plasma concentration values and selected pharmacodynamic parameters [ Time Frame: Weeks -2, 0, 3, 6, 9, 12, 13 ] [ Designated as safety issue: No ]
Supplemental ipratropium bromide MDI and racemic albuterol MDI use [ Time Frame: Weeks 0-13 ] [ Designated as safety issue: No ]
COPD exacerbations and COPD symptom ratings [ Time Frame: Weeks 0-13 ] [ Designated as safety issue: Yes ]
St. George's Hospital Respiratory Questionnaire [ Time Frame: Weeks 0, 6, 13 ] [ Designated as safety issue: Yes ]
Investigator and Subject Global Evaluations [ Time Frame: Weeks -2, 12, 13 ] [ Designated as safety issue: Yes ]
Baseline and Transitional Dyspnea Index [ Time Frame: Weeks -2, 6, 12 ] [ Designated as safety issue: Yes ]
distance walked in six minutes [ Time Frame: Weeks -2, 3, 9 ] [ Designated as safety issue: Yes ]

Enrollment:	741
Study Start Date:	April 2002
Study Completion Date:	March 2004
Primary Completion Date:	March 2004 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
1: Experimental Arformoterol 50 mcg QD and placebo MDI	Drug: arformoterol tartrate inhalation solution arformoterol 50 mcg QD
2: Experimental Arformoterol 25 mcg BID and Placebo MDI	Drug: arformoterol tartrate inhalation solution arformoterol 25 mcg BID
3: Experimental Arformoterol 15 mcg BID and placebo MDI	Drug: arformoterol tartrate inhalation solution arformoterol 15 mcg BID
4: Active Comparator Salmeterol MDI 42 mcg BID and placebo inhalation solution	Drug: Salmeterol Salmeterol MDI 42 mcg BID
5: Placebo Comparator Placebo MDI and placebo inhalation solution	Drug: Placebo Placebo BID

Detailed Description:

This was a double-blind, double-dummy, randomized, placebo- and active-controlled, multicenter, parallel-group study of adult subjects with COPD. The study was double blinded through the use of both unit dose vial (UDV) and metered-dose inhaler (MDI) placebos, as appropriate. The primary efficacy analysis utilized the placebo control. Secondary analyses of the primary efficacy endpoint utilized the active control, and included comparisons between the placebo and active control.

Eligibility

Ages Eligible for Study:	35 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Be willing to comply with study procedures and visit schedule
Are at least 35 years of age
Female subjects >65 years of age must have a serum pregnancy test conducted at Visit 1 and confirmed negative prior to randomization
Subjects of childbearing potential must be using an acceptable method of birth control. Female subjects who are considered not of childbearing potential must be: documented surgically sterile, OR postmenopausal.
Have a primary diagnosis of COPD. Diagnosis can be made during the screening process.
Have a minimum smoking history of 15 pack-years (pack-years = the number of cigarette packs per day times the number of years).
Have a chest x-ray that is consistent with the diagnosis of COPD and taken <3 months prior to study start
Able to complete all study questionnaires and logs reliably

Exclusion Criteria:

Female subject who is pregnant or lactating
Have participated in an investigational drug study within 30 days prior to study start, or who is currently participating in another investigational drug study
Subject whose schedule or travel prevents the completion of all required visits
Are scheduled for in-patient hospitalization, including elective surgery during the trial
Have life-threatening/unstable respiratory status, including upper or lower respiratory tract infection, within the previous 30 days
History of asthma or any chronic respiratory disease other than COPD (chronic bronchitis and/or emphysema)
Have clinically significant cardiac, hepatic, renal, gastrointestinal, endocrine, metabolic, neurologic, or psychiatric disorder that may interfere with successful completion of this protocol
Have a history of cancer except non-melanomatous skin cancer
Have a history of lung resection of more than one full lobe
Requires continuous supplemental oxygen therapy.
Has had a change in dose or type of any medications for COPD within 14 days prior to the screening visit
Have a known sensitivity to arformoterol, ipratropium, salmeterol or albuterol or any of the excipients contained in any of these formulations
Have a history of substance abuse or drug abuse within 12 months, or with a positive urine drug screen
Are using any prescription drug for which concomitant beta-agonist administration is contraindicated (e.g., beta-blockers)

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00064402

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Locations

United States, Alabama
Pulmonary & Sleep Associates of Jasper, PC
Jasper, Alabama, United States, 35501
United States, Arizona
Arizona Clinical Research Center, Inc.
Tucson, Arizona, United States, 85712
Pulmonary Associates, PA
Phoenix, Arizona, United States, 85006
United States, California
Institute of Healthcare Assessment, Inc.
San Diego, California, United States, 92120
California Research Medical Group, Inc.
Fullerton, California, United States, 92835
Advances in Medicine
Rancho Mirage, California, United States, 92270
Radiant Research-Irvine
Irvine, California, United States, 92618
Center for Clinical Trials, LLC
Paramount, California, United States, 90723
Allergy & Asthma Medical Group of Diablo Valley, Inc.
Walnut Creek, California, United States, 94598
SARC Research Center
Fresno, California, United States, 93720
Northern California Research Corp.
Fair Oaks, California, United States, 95628
West Coast Clinical Trials
Newport Beach, California, United States
San Jose Clinical Research
San Jose, California, United States
United States, Colorado
Colorado Pulmonary Associates
Denver, Colorado, United States, 80218
Northern Colorado Pulmonary Consultants, PC
Fort Collins, Colorado, United States
United States, Connecticut
Physicians Research Center, Inc.
Hartford, Connecticut, United States, 06106
United States, District of Columbia
Washington Hospital Center
Washington, District of Columbia, United States
United States, Florida
Mt. Sinai Medical Center
Miami Beach, Florida, United States, 33140
Clinical Pharmacology Services
Tampa, Florida, United States, 33617
University Clinical Research, DeLand
DeLand, Florida, United States, 32720
Clinical Research of West Florida, Inc.
Clearwater, Florida, United States, 33765
United States, Georgia
Marietta Pulmonary Medicine
Marietta, Georgia, United States, 30060
Protocare Trial, Inc.
Austell, Georgia, United States, 30106
United States, Illinois
Office of Bradley Sakran, MD, PC
O'Fallon, Illinois, United States, 62269
United States, Indiana
South Bend Clinic
South Bend, Indiana, United States, 46617
United States, Kentucky
Family Allergy & Asthma Research Institute
Louisville, Kentucky, United States, 40215
Cumberland Lung and Sleep Specialists
Somerset, Kentucky, United States
United States, Louisiana
North Shore Research Associates
Slidell, Louisiana, United States, 70461
New Orleans Center for Clinical Research
New Orleans, Louisiana, United States, 70119
Best Clinical Trials, LLC
New Orleans, Louisiana, United States, 70115
Sunset Medical Research
Sunset, Louisiana, United States, 70584
Bendel Medical Associates/Research
Lafayette, Louisiana, United States, 70503
New Orleans Center for Clinical Research
New Orleans, Louisiana, United States
United States, Maryland
University of Maryland-Airways Research Center
Baltimore, Maryland, United States
Institute of Asthma and Allergy
Wheaton, Maryland, United States
United States, Massachusetts
Pro-Medica Clinical Research Center
Boston, Massachusetts, United States, 02135
United States, Michigan
ClinSite, Inc.
Ann Arbor, Michigan, United States, 48106
United States, Missouri
MedEx HealthCare Research, Inc.
Saint Louis, Missouri, United States, 63108
C.A.R.E Clinical Research
St. Louis,, Missouri, United States, 63122
Midwest Chest Consultants, PC
St. Charles, Missouri, United States, 63301-2847
United States, Montana
Office of Keith Popovich, MD
Butte, Montana, United States
Montana Medical Research, LLC
Missoula, Montana, United States
United States, Nebraska
VA Medical Center
Omaha, Nebraska, United States
United States, Nevada
Advanced Biomedical Research of America
Las Vegas, Nevada, United States, 89119
United States, North Carolina
Carolina Pharmaceutical Research, Inc.
Statesville, North Carolina, United States, 28625
Pulmonary Medicine
Chapel Hill, North Carolina, United States, 27599
New Hanover Medical Research
Wilmington, North Carolina, United States, 28412
Charlotte Lung and Health Center
Charlotte, North Carolina, United States, 28207
United States, Ohio
New Horizons Clinical Research, Inc.
Cincinnati, Ohio, United States, 45241
United States, Oklahoma
COR Clinical Research LLC
Oklahoma City, Oklahoma, United States, 73103
United States, Oregon
Allergy Associates Research Center
Portland, Oregon, United States, 97213
United States, Pennsylvania
Northeast Clinical Research Centers, Inc.
Allentown, Pennsylvania, United States, 18104
Keystone Clinical Solutions
Altoona, Pennsylvania, United States, 16602
Philadelphia Health Associates - Adult Medicine
Philadelphia, Pennsylvania, United States, 19146
Consortium Clinical Research, Ltd.
Ridley Park, Pennsylvania, United States, 19078
United States, Rhode Island
Safe Harbor Clinical Research
East Providence, Rhode Island, United States, 02914
United States, South Carolina
Spartanburg Pharmaceutical Research
Spartanburg, South Carolina, United States, 29307
United States, Tennessee
Volunteer Research Group
Knoxville, Tennessee, United States, 37920
United States, Texas
Breath of Life Research Institute
Houston, Texas, United States, 77084
Central Texas Health Research
New Braunfels, Texas, United States, 78130
Sylvana Research Associates
San Antonio, Texas, United States, 78229
United States, Virginia
Pulmonary Associates of Richmond, Inc.
Richmond, Virginia, United States, 23225
Pulmonary Associates of Fredericksburg, Inc.
Fredericksburg, Virginia, United States, 22401
United States, Washington
Bellingham Asthma, Allergy & Immunology Clinic
Bellingham, Washington, United States, 98225
United States, Wisconsin
University of Wisconsin-Medical School
Madison, Wisconsin, United States, 53792

Sponsors and Collaborators

Sepracor, Inc.

More Information

No publications provided

Responsible Party:	Sepracor ( Brovana Medical Director )
Study ID Numbers:	091-051
Study First Received:	July 8, 2003
Last Updated:	June 6, 2008
ClinicalTrials.gov Identifier:	NCT00064402 History of Changes
Health Authority:	United States: Food and Drug Administration

Additional relevant MeSH terms:

Respiratory System Agents
Neurotransmitter Agents
Bronchial Diseases
Adrenergic Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Adrenergic Agonists
Pulmonary Emphysema
Lung Diseases, Obstructive
Pathologic Processes
Respiratory Tract Infections
Respiratory Tract Diseases
Therapeutic Uses
Formoterol

Bronchitis
Emphysema
Salmeterol
Adrenergic beta-Agonists
Respiration Disorders
Anti-Asthmatic Agents
Pharmacologic Actions
Bronchitis, Chronic
Autonomic Agents
Lung Diseases
Peripheral Nervous System Agents
Bronchodilator Agents
Pulmonary Disease, Chronic Obstructive

ClinicalTrials.gov processed this record on November 25, 2009