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Effect of Roflumilast on Exacerbation Rate in Patients With Chronic Obstructive Pulmonary Disease (COPD): The HERMES Study (BY217/M2-125)

This study has been completed.
Information provided by (Responsible Party):
AstraZeneca Identifier:
First received: February 27, 2006
Last updated: October 3, 2016
Last verified: September 2016

The aim of the study is to compare the effect of roflumilast on exacerbation rate and pulmonary function in patients with chronic obstructive pulmonary disease (COPD). Roflumilast will be administered orally once daily in the morning at one dose level. The study duration will be up to 56 weeks. The study will provide further data on safety and tolerability of roflumilast.

For additional information (for US patients only) see or dial 866-788-2673 (toll free).

Condition Intervention Phase
Chronic Obstructive Pulmonary Disease (COPD)
Drug: Roflumilast
Drug: Placebo
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Participant, Investigator)
Primary Purpose: Treatment
Official Title: Effect of Roflumilast on Exacerbation Rate in Patients With COPD. The HERMES Study

Resource links provided by NLM:

Further study details as provided by AstraZeneca:

Primary Outcome Measures:
  • Pre-bronchodilator Forced Expiratory Volume in First Second (FEV1) [ Time Frame: Change from baseline over 52 weeks of treatment ]
    Mean change from baseline during the treatment period in pre-bronchodilator FEV1 [L]

  • COPD Exacerbation Rate (Moderate or Severe) [ Time Frame: 52 weeks treatment period ]
    Mean rate of COPD exacerbations requiring oral or parenteral glucocorticosteroids (=moderate COPD exacerbations), or requiring hospitalization, or leading to death (=severe COPD exacerbations), per patient per year. A COPD exacerbation is an event in the natural course of the disease characterized by a change in the patient's baseline dyspnea, cough and/or sputum beyond day-to-day variability sufficient to warrant a change in management [American Thoracic Society (ATS) / European Respiratory Society (ERS) 2005].

Secondary Outcome Measures:
  • Post-bronchodilator FEV1 [L] [ Time Frame: Change from baseline over 52 weeks of treatment ]
    Mean change from baseline during the treatment period in post-bronchodilator FEV1 [L]

  • Time to Mortality Due to Any Reason [ Time Frame: 52 weeks treatment period ]
  • Natural Log-transformed C-reactive Protein (CRP) [ Time Frame: Change from baseline to last post randomization measurement (52 weeks) ]
    Mean change from baseline to the last post randomization measurement in natural log-transformed CRP

  • Mean Transition Dyspnea Index (TDI) Focal Score During the Treatment Period [ Time Frame: Change from baseline over 52 weeks of treatment ]
    The TDI is a recognized questionnaire to measure dyspnea in an out patient COPD population. At baseline, 3 components of dyspnea, each graded with 4 questions, were asked: - Functional Impairment - Magnitude of Task - Magnitude of Effort At each of the post-randomization visits questions from the TDI were asked related to 3 components: Change in - Functional Impairment - Magnitude of Task - Magnitude of Effort Each question in the TDI is graded from -3 (major deterioration) to +3 (major improvement). This results in a TDI Focal Score ranging from -9 to +9.

Enrollment: 1568
Study Start Date: March 2006
Study Completion Date: August 2008
Primary Completion Date: April 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Roflumilast
500 mcg, once daily, oral administration in the morning
Drug: Roflumilast
500 mcg, once daily, oral administration in the morning
Placebo Comparator: Placebo
once daily
Drug: Placebo
once daily


Ages Eligible for Study:   40 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Main Inclusion Criteria:

  • COPD patients having at least one exacerbation within last year
  • FEV1/FVC ratio (post-bronchodilator) ≤ 70%
  • FEV1 (post-bronchodilator) ≤ 50% of predicted

Main Exclusion Criteria:

  • COPD exacerbation not resolved at first baseline visit
  • Diagnosis of asthma and/or other relevant lung disease
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00297115

  Show 287 Study Locations
Sponsors and Collaborators
Study Director: AstraZeneca AstraZeneca AstraZeneca
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: AstraZeneca Identifier: NCT00297115     History of Changes
Other Study ID Numbers: BY217/M2-125
Study First Received: February 27, 2006
Results First Received: March 17, 2011
Last Updated: October 3, 2016

Keywords provided by AstraZeneca:
Chronic obstructive pulmonary disease

Additional relevant MeSH terms:
Lung Diseases
Lung Diseases, Obstructive
Pulmonary Disease, Chronic Obstructive
Respiratory Tract Diseases processed this record on May 25, 2017