A 24-week Evaluation of GSK573719/Vilanterol (125/25mcg) and Components in COPD (DB2113361)
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Purpose
This is a phase III multicenter, randomized, double-blind, placebo-controlled, parallel-group study to evaluate the efficacy and safety of GSK573719/GW642444 Inhalation Powder, GSK573719 Inhalation Powder, GW642444 Inhalation Powder and Placebo when administered once-daily via a Novel Dry Powder Inhaler over a 24-week treatment period in subjects with COPD. Subjects who meet eligibility criteria at Screening (Visit 1) will complete a 7 to14 day run-in period followed by a randomization visit (Visit 2) then a 24-week treatment period. There will be a total of 9 clinic study visits. A follow-up phone contact for adverse event assessment will be conducted approximately one week after the last study visit (Visit 9 or Early Withdrawal). The total duration of subject participation in the study will be approximately 27 weeks. A subset of subjects at selected sites will also perform 24-hour serial spirometry and Holter monitoring during the study and provide serial blood samples for pharmacokinetic analysis. Sparse pharmacokinetic sampling for population pharmacokinetic analyses will be obtained from non-subset subjects. The primary measure of efficacy is clinic visit trough (pre-bronchodilator and pre-dose) FEV1 on Treatment Day 169. Safety will be assessed by adverse events, 12-lead ECGs, vital signs, clinical laboratory tests, and 24 hour Holter monitoring (subset only).
| Condition | Intervention | Phase |
|---|---|---|
|
Pulmonary Disease, Chronic Obstructive |
Drug: 125/25mcg Drug: 125mcg Drug: 25mcg Drug: Placebo |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A 24-Week, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of GSK573719/GW642444 Inhalation Powder and the Individual Components Once-Daily in Subjects With Chronic Obstructive Pulmonary Disease |
- Pre-dose, trough forced vital capacity in one second (FEV1) [ Time Frame: Treatment Day 169 ] [ Designated as safety issue: No ]
- Transition Dyspnea Index (TDI) [ Time Frame: Week 24 ] [ Designated as safety issue: No ]Interviewer-administered assessment of patient dyspnea
- Weighted mean FEV1 over 0 to 6 hours post-dose [ Time Frame: Week 24 ] [ Designated as safety issue: No ]Mean evaluaton of FEV1 assessments obtained over the first 6 hours post-dose
- Shortness of breath with daily activities (SOBDA) score [ Time Frame: Week 24 ] [ Designated as safety issue: No ]Daily patient completed assessment of dyspnea
| Enrollment: | 1492 |
| Study Start Date: | March 2011 |
| Study Completion Date: | March 2012 |
| Primary Completion Date: | March 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: GSK573719/GW642444
125/25mcg
|
Drug: 125/25mcg
GSK573719/GW642444
Other Name: GSK573719/vilanterol trifenatate
|
|
Experimental: GSK573719
125mcg
|
Drug: 125mcg
GSK573719
Other Name: GSK573719
|
|
Experimental: GW642444
25mcg
|
Drug: 25mcg
GW642444
Other Name: vilanterol trifenatate
|
|
Placebo Comparator: Placebo
Placebo
|
Drug: Placebo
Placebo
Other Name: placebo
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 40 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Diagnosis of COPD
- 10 pack-year or greater history of cigarette smoking
- Post-bronchodilator FEV1/FVC of <0.7
- Predicted FEV1 of 70% of normal or less
- Modified Medical Research Council (mMRC) dyspnea score of 2 or greater
Exclusion Criteria:
- Women who are pregnant, lactating, or planning to become pregnant
- Respiratory disorders other than COPD, including a current diagnosis of asthma
- Clinically significant non-respiratory diseases or abnormalities that are not adequately controlled
- Significant allergy or hypersensitivity to anticholinergics, beta2-agonists, or the excipients of magnesium stereate or lactose used in the inhaler delivery device
- Hospitalization for COPD or pneumonia within 12 weeks prior to screening
- Lung volume reduction surgery within 12 weeks prior to screening
- Abnormal and clinically significant ECG findings at screening
- Clinically significant laboratory findings at screening
- Use of systemic corticosteroids, antibiotics for respiratory tract infections, strong cytochrome P450 3A4 inhibitors, high dose inhaled steroids (>1000mcg fluticasone propionate or equivalent), PDE4 inhibitors, tiotropium, oral beta2-agoinists, short- and long-acting inhaled beta2-agonists, ipratropium, inhaled sodium cromoglycate or nedocromil sodium, or investigational medicines for defined time periods prior to the screening visit
- Use of long-term oxygen therapy (12 hours or greater per day)
- Regular use of nebulized treatment with short-acting bronchodilators
- Participation in the acute phase of a pulmonary rehabilitation program
- A know or suspected history of alcohol or drug abuse
- Affiliation with the investigational site
- Previous use of GSK573719 or GW642444 alone or in combination, including the combination of fluticasone furoate and GW642444
Contacts and Locations| France | |
| GSK Investigational Site | |
| Vieux Condé, France, 59690 | |
| Ukraine | |
| GSK Investigational Site | |
| Donetsk, Ukraine, 83099 | |
| GSK Investigational Site | |
| Ivano-Frankivsk, Ukraine, 76018 | |
| GSK Investigational Site | |
| Kharkiv, Ukraine, 61124 | |
| GSK Investigational Site | |
| Kiev, Ukraine, 03680 | |
| GSK Investigational Site | |
| Kyiv, Ukraine, 03680 | |
| GSK Investigational Site | |
| Zaporizhia, Ukraine, 69035 | |
| Study Director: | GSK Clinical Trials | GlaxoSmithKline |
More Information
No publications provided
| Responsible Party: | GlaxoSmithKline |
| ClinicalTrials.gov Identifier: | NCT01313637 History of Changes |
| Other Study ID Numbers: | 113361, 2010-023348-33 |
| Study First Received: | March 10, 2011 |
| Last Updated: | April 11, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by GlaxoSmithKline:
|
anticholinergic long-acting beta agonist |
Additional relevant MeSH terms:
|
Chronic Disease Lung Diseases Respiration Disorders Pulmonary Disease, Chronic Obstructive |
Lung Diseases, Obstructive Disease Attributes Pathologic Processes Respiratory Tract Diseases |
ClinicalTrials.gov processed this record on May 16, 2013