Efficacy and Safety of QVA149 in Patients With Chronic Obstructive Pulmonary Disease (COPD)
A Randomized, Double-blind, Placebo Controlled, Multicentre Study to Determine the Effect of QVA149 on Lung Function in Patients With Chronic Obstructive Pulmonary Disease (COPD)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Antwerpen, Belgium
- Novartis Investigator Site
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Gent, Belgium
- Novartis Investigator Site
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Jambes, Belgium
- Novartis Investigator Site
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Saint Vith, Belgium
- Novartis Investigator Site
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Moncton, Canada
- Novartis Investigator Site
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Montreal, Canada
- Novartis Investigator Site
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Toronto, Canada
- Novartis Investigator Site
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Bad Worishofen, Germany
- Novartis Investigator Site
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Berlin, Germany
- Novartis Investigator Site
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Frankfurt, Germany
- Novartis Investigator Site
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Mainz, Germany
- Novartis Investigator Site
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Rudersdorf, Germany
- Novartis Investigator Site
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Wiesbaden, Germany
- Novartis Investigator Site
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Almelo, Netherlands
- Novartis Investigator Site
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Breda, Netherlands
- Novartis Investigator Site
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Eindhoven, Netherlands
- Novartis Investigator Site
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Heerlen, Netherlands
- Novartis Investigator Site
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Nijmegen, Netherlands
- Novartis Investigator Site
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Veldhoven, Netherlands
- Novartis Investigator Site
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Missouri
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Saint Louis, Missouri, United States
- Novartis Investigator Site
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North Carolina
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Charlotte, North Carolina, United States
- Novartis Investigator Site
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Raleigh, North Carolina, United States
- Novartis Investigator Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or female adults aged ≥40 years, who have signed an Informed Consent Form prior to initiation of any study-related procedure.
- Patients with moderate to severe stable Chronic Obstructive Pulmonary Disease (COPD) according to the Global Initiative for Obstructive Lung Disease (GOLD) Guidelines 2006.
- Patients who have smoking history of at least 10 pack years.
- Patients with a post-bronchodilator Forced Expiratory Volume in 1 second (FEV1) ≥30% and < 80% of the predicted normal and post-bronchodilator FEV1/Forced Vital Capacity (FVC) <0.70.
Exclusion Criteria:
- Pregnant or nursing women, or women of child-bearing potential, regardless of whether or not sexually active if they are not using acceptable methods of contraception.
- Patients requiring long term oxygen therapy (> 15 hours a day) on a daily basis for chronic hypoxemia, or who have been hospitalized or visited an emergency department for a COPD exacerbation or as result of their airways disease in the 6 weeks prior to screening.
- Patients who have had a respiratory tract infection within 6 weeks prior to screening.
- Patients with concomitant pulmonary disease, pulmonary tuberculosis (unless confirmed by chest x-ray to be no longer active) or clinically significant bronchiectasis.
- Patients with any history of asthma indicated by (but not limited to) a blood eosinophil count > 400/mm3.
- Patients who, in the judgment of the investigator or the responsible Novartis personnel, have a clinically relevant laboratory abnormality or a clinically significant condition.
- Patients with uncontrolled Type I and Type II diabetes.
- History of malignancy of any organ system (including lung cancer), treated or untreated, within the past 5 years.
- Patients who are contraindicated for or who have shown an untoward reaction to inhaled anticholinergic agents.
- Patients with a history of long QT syndrome or whose QTc interval (Fridericia method) measured at screening is prolonged (>450 ms for males or >470 ms for females).
- Patients with a history of untoward reactions to sympathomimetic amines, inhaled medication or any component thereof, or any of the study drugs or drugs with similar chemical structures.
Other protocol-defined inclusion/exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: indacaterol/glycopyrrolate 300/50 μg
One indacaterol/glycopyrrolate 300/50 μg capsule + 1 placebo capsule inhaled once daily via a single dose dry powder inhaler for 7 days.
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Inhalation capsule indacaterol/glycopyrrolate 300/50 μg inhaled once daily via a single dose dry powder inhaler for 7 days.
Other Names:
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Active Comparator: indacaterol 600 μg
Two indacaterol 300 μg capsules inhaled once daily via a single dose dry powder inhaler for 7 days.
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Inhalation capsule indacaterol supplied as 300 μg capsules inhaled once daily via a single dose dry powder inhaler for 7 days.
Other Names:
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Active Comparator: indacaterol 300 μg
One capsule indacaterol 300 μg + one placebo capsule inhaled once daily via a single dose dry powder inhaler for 7 days.
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Inhalation capsule indacaterol supplied as 300 μg capsules inhaled once daily via a single dose dry powder inhaler for 7 days.
Other Names:
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Placebo Comparator: placebo
Two placebo capsules inhaled once daily via a single dose dry powder inhaler for 7 days.
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Placebo inhalation capsules inhaled once daily via a single dose dry powder inhaler for 7 days.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) at Day 7
Time Frame: Baseline, Day 7
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Spirometry testing was performed in accordance with American Thoracic Society standards.
Trough FEV1 was defined as the average of the 23 hour 15 minute and 23 hour 45 minute measurements post dosing.
Baseline FEV1 is the mean of the 45 minute and 15 minute pre-dose FEV1 values at day 1 of each period.
Least square means are based on the Analysis of Covariance Trough FEV1 at day 7 = sequence effect + patient(sequence) + period effect + treatment effect + (period) baseline FEV1 + error.
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Baseline, Day 7
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve (AUC) 5 Minutes-12 Hours at Day 7
Time Frame: Day 7
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Spirometry testing was performed in accordance with American Thoracic Society standards.
FEV1 was assessed at 5, 15, 30 minutes, 1, 2, 3, 4, 5, 6, 8, 10 and 12 hours post dose on Day 7. Standardized (with respect to time) AUC (5 minutes-12 hours) for FEV1 on day 7 was calculated using the trapezoidal rule.
Least square means are based on the Analysis of Covariance: FEV1 AUC = sequence effect + patient (sequence) + period + treatment + baseline FEV1 (period) + error.
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Day 7
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Number of Participants With Adverse Events, Serious Adverse Events and Discontinuations Due to Adverse Events
Time Frame: 47 days
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Additional information about adverse events can be found in the Adverse Event Section.
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47 days
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Lung Diseases
- Lung Diseases, Obstructive
- Pulmonary Disease, Chronic Obstructive
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Muscarinic Antagonists
- Cholinergic Antagonists
- Cholinergic Agents
- Adjuvants, Anesthesia
- Glycopyrrolate
Other Study ID Numbers
Other Study ID Numbers
- CQVA149A2204
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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