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

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00064402
Recruitment Status : Completed
First Posted : July 9, 2003
Last Update Posted : February 22, 2012
Information provided by (Responsible Party):

Brief Summary:
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 or disease Intervention/treatment Phase
Chronic Obstructive Pulmonary Disease Chronic Bronchitis Emphysema Drug: arformoterol tartrate inhalation solution Drug: Salmeterol Drug: Placebo Phase 3

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. This study was previously posted by Sepracor Inc. In October 2009, Sepracor Inc. was acquired by Dainippon Sumitomo Pharma., and in October 2010, Sepracor Inc's name was changed to Sunovion Pharmaceuticals Inc.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 741 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
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
Study Start Date : April 2002
Actual Primary Completion Date : March 2004
Actual Study Completion Date : March 2004

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Experimental: 1
Arformoterol 50 mcg QD and placebo MDI
Drug: arformoterol tartrate inhalation solution
arformoterol 50 mcg QD
Other Name: (R,R)-formoterol
Experimental: 2
Arformoterol 25 mcg BID and Placebo MDI
Drug: arformoterol tartrate inhalation solution
arformoterol 25 mcg BID
Other Name: (R,R)-formoterol
Experimental: 3
Arformoterol 15 mcg BID and placebo MDI
Drug: arformoterol tartrate inhalation solution
arformoterol 15 mcg BID
Other Names:
  • (R,R)-formoterol
  • Brovana
Active Comparator: 4
Salmeterol MDI 42 mcg BID and placebo inhalation solution
Drug: Salmeterol
Salmeterol MDI 42 mcg BID
Other Name: Serevent MDI
Placebo Comparator: 5
Placebo MDI and placebo inhalation solution
Drug: Placebo
Placebo BID

Primary Outcome Measures :
  1. 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 ]

Secondary Outcome Measures :
  1. 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 ]
  2. Peak percent of predicted FEV1 [ Time Frame: Weeks -2, 0, 3, 6, 9, 12 ]
  3. 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 ]
  4. 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 ]
  5. 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 ]
  6. peak percent change in FEV1 from visit predose and study baseline [ Time Frame: Weeks -2, 0, 3, 6, 9, 12 ]
  7. time point changes in FEV1; time to onset of response [ Time Frame: Weeks -2, 0, 3, 6, 9, 12 ]
  8. time to peak change in FEV1 [ Time Frame: Weeks -2, 0, 3, 6, 9, 12 ]
  9. at-home and in-clinic peak expiratory flow rate (PEFR) [ Time Frame: Weeks -2, 0, 3, 6, 9, 12 ]
  10. relationship between the plasma concentration values and selected pharmacodynamic parameters [ Time Frame: Weeks -2, 0, 3, 6, 9, 12, 13 ]
  11. Supplemental ipratropium bromide MDI and racemic albuterol MDI use [ Time Frame: Weeks 0-13 ]
  12. COPD exacerbations and COPD symptom ratings [ Time Frame: Weeks 0-13 ]
  13. St. George's Hospital Respiratory Questionnaire [ Time Frame: Weeks 0, 6, 13 ]
  14. Investigator and Subject Global Evaluations [ Time Frame: Weeks -2, 12, 13 ]
  15. Baseline and Transitional Dyspnea Index [ Time Frame: Weeks -2, 6, 12 ]
  16. distance walked in six minutes [ Time Frame: Weeks -2, 3, 9 ]

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Ages Eligible for Study:   35 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00064402

  Hide Study Locations
United States, Alabama
Pulmonary & Sleep Associates of Jasper, PC
Jasper, Alabama, United States, 35501
United States, Arizona
Pulmonary Associates, PA
Phoenix, Arizona, United States, 85006
Arizona Clinical Research Center, Inc.
Tucson, Arizona, United States, 85712
United States, California
Northern California Research Corp.
Fair Oaks, California, United States, 95628
SARC Research Center
Fresno, California, United States, 93720
California Research Medical Group, Inc.
Fullerton, California, United States, 92835
Radiant Research-Irvine
Irvine, California, United States, 92618
West Coast Clinical Trials
Newport Beach, California, United States
Center for Clinical Trials, LLC
Paramount, California, United States, 90723
Advances in Medicine
Rancho Mirage, California, United States, 92270
Institute of Healthcare Assessment, Inc.
San Diego, California, United States, 92120
San Jose Clinical Research
San Jose, California, United States
Allergy & Asthma Medical Group of Diablo Valley, Inc.
Walnut Creek, California, United States, 94598
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
Clinical Research of West Florida, Inc.
Clearwater, Florida, United States, 33765
University Clinical Research, DeLand
DeLand, Florida, United States, 32720
Mt. Sinai Medical Center
Miami Beach, Florida, United States, 33140
Clinical Pharmacology Services
Tampa, Florida, United States, 33617
United States, Georgia
Protocare Trial, Inc.
Austell, Georgia, United States, 30106
Marietta Pulmonary Medicine
Marietta, Georgia, United States, 30060
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
Bendel Medical Associates/Research
Lafayette, Louisiana, United States, 70503
Best Clinical Trials, LLC
New Orleans, Louisiana, United States, 70115
New Orleans Center for Clinical Research
New Orleans, Louisiana, United States, 70119
New Orleans Center for Clinical Research
New Orleans, Louisiana, United States
North Shore Research Associates
Slidell, Louisiana, United States, 70461
Sunset Medical Research
Sunset, Louisiana, United States, 70584
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
Midwest Chest Consultants, PC
St. Charles, Missouri, United States, 63301-2847
C.A.R.E Clinical Research
St. Louis,, Missouri, United States, 63122
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
Pulmonary Medicine
Chapel Hill, North Carolina, United States, 27599
Charlotte Lung and Health Center
Charlotte, North Carolina, United States, 28207
Carolina Pharmaceutical Research, Inc.
Statesville, North Carolina, United States, 28625
New Hanover Medical Research
Wilmington, North Carolina, United States, 28412
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 Fredericksburg, Inc.
Fredericksburg, Virginia, United States, 22401
Pulmonary Associates of Richmond, Inc.
Richmond, Virginia, United States, 23225
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

Responsible Party: Sunovion Identifier: NCT00064402     History of Changes
Other Study ID Numbers: 091-051
First Posted: July 9, 2003    Key Record Dates
Last Update Posted: February 22, 2012
Last Verified: February 2012

Additional relevant MeSH terms:
Lung Diseases
Lung Diseases, Obstructive
Pulmonary Disease, Chronic Obstructive
Bronchitis, Chronic
Respiratory Tract Diseases
Pathologic Processes
Bronchial Diseases
Respiratory Tract Infections
Pharmaceutical Solutions
Formoterol Fumarate
Salmeterol Xinafoate
Bronchodilator Agents
Autonomic Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Anti-Asthmatic Agents
Respiratory System Agents
Adrenergic beta-2 Receptor Agonists
Adrenergic beta-Agonists
Adrenergic Agonists
Adrenergic Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action