Efficacy and Safety of Indacaterol Plus Tiotropium Versus Tiotropium Alone in Patients With Chronic Obstructive Pulmonary Disease (INTRUST1)

July 22, 2011 updated by: Novartis Pharmaceuticals

A Randomized, Double-blind, Controlled, Parallel-group, 12-week Study to Compare the Efficacy and Safety of the Combination of Indacaterol 150 µg Once Daily With Open Label Tiotropium 18 µg Once Daily Versus Open Label Tiotropium 18 µg Once Daily in Patients With Moderate-to-severe Chronic Obstructive Pulmonary Disease

This study assessed the efficacy and safety of indacaterol (150 µg once daily [od]) when combined with tiotropium (18 µg od) versus tiotropium (18 µg od) treatment alone in patients with chronic obstructive pulmonary disease (COPD)

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

1134

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Buenos Aires, Argentina
        • Novartis Investigative Site
      • Cordoba, Argentina
        • Novartis Investigative Site
      • Corrientes, Argentina
        • Novartis Investigative Site
      • Mendoza, Argentina
        • Novartis Investigative Site
      • Rosario, Argentina
        • Novartis Investigative Site
      • Box Hill, Australia
        • Novartis Investigator Site
      • Clayton, Australia
        • Novartis Investigator Site
      • Garran, Australia
        • Novartis Investigator Site
      • Glebe, Australia
        • Novartis Investigator Site
      • Kogarah, Australia
        • Novartis Investigator Site
      • Nedlands, Australia
        • Novartis Investigator Site
      • Barranquilla, Colombia
        • Novartis Investigative Site
      • Bogota, Colombia
        • Novartis Investigative Site
      • Bogota, Colombia
        • Novartis Investigator Site
      • Medellin, Colombia
        • Novartis Investigative Site
      • Copenhagen, Denmark
        • Novartis Investigator Site
      • Fredericia, Denmark
        • Novartis Investigator Site
      • Silkeborg, Denmark
        • Novartis Investigator Site
      • Soeborg, Denmark
        • Novartis Investigator Site
      • Vejle, Denmark
        • Novartis Investigator Site
      • Berlin, Germany
        • Novartis Investigator Site
      • Cottbus, Germany
        • Novartis Investigator Site
      • Donaustauf, Germany
        • Novartis Investigator Site
      • Dortmund, Germany
        • Novartis Investigator Site
      • Erfurt, Germany
        • Novartis Investigator Site
      • Frankfurt, Germany
        • Novartis Investigator Site
      • Gelnhausen, Germany
        • Novartis Investigator Site
      • Grosshansdorf, Germany
        • Novartis Investigator Site
      • Hannover, Germany
        • Novartis Investigator Site
      • Heidelberg, Germany
        • Novartis Investigator Site
      • Leipzig, Germany
        • Novartis Investigator Site
      • Mainz, Germany
        • Novartis Investigator Site
      • Neu-Ulm, Germany
        • Novartis Investigator Site
      • Neuss, Germany
        • Novartis Investigator Site
      • Potsdam, Germany
        • Novartis Investigator Site
      • Rostock, Germany
        • Novartis Investigator Site
      • Schwabach, Germany
        • Novartis Investigator Site
      • Schwetzingen, Germany
        • Novartis Investigator Site
      • Straussberg, Germany
        • Novartis Investigator Site
      • Wiesbaden, Germany
        • Novartis Investigative Site
      • Wuppertal, Germany
        • Novartis Investigator Site
      • Guatemala, Guatemala
        • Novartis Investigative Site
      • Guatemala City, Guatemala
        • Novartis Investigative Site
      • Guadalajara, Mexico
        • Novartis Investigative Site
      • Mexico City, Mexico
        • Novartis Investigator Site
      • Monterrey, Mexico
        • Novartis Investigative Site
      • Zapopan, Mexico
        • Novartis Investigative Site
      • Manila, Philippines
        • Novartis Investigator Site
      • Amanzimtoti, South Africa
        • Novartis Investigator Site
      • Cape Town, South Africa
        • Novartis Investigator Site
      • Johannesburg, South Africa
        • Novartis Investigator Site
      • Midrand, South Africa
        • Novartis Investigator Site
      • Umkomaas, South Africa
        • Novartis Investigator Site
      • Alicante, Spain
        • Novartis Investigative Site
      • Barcelona, Spain
        • Novartis Investigator Site
      • Begonte, Spain
        • Novartis Investigator Site
      • Cadiz, Spain
        • Novartis Investigator Site
      • Granollers, Spain
        • Novartis Investigator Site
      • Jaén, Spain
        • Novartis Investigative Site
      • La Coruna, Spain
        • Novartis Investigator Site
      • Leon, Spain
        • Novartis Investigator Site
      • Madrid, Spain
        • Novartis Investigator Site
      • Pamplona, Spain
        • Novartis Investigator Site
      • Torrelavega, Spain
        • Novartis Investigator Site
      • Valencia, Spain
        • Novartis Investigator Site
      • Vigo, Spain
        • Novartis Investigator Site
      • Antalya, Turkey
        • Novartis Investigator Site
      • Canakkale, Turkey
        • Novartis Investigator Site
      • Isparta, Turkey
        • Novartis Investigator Site
      • Istanbul, Turkey
        • Novartis Investigator Site
      • Kartal, Turkey
        • Novartis Investigator Site
      • Kayseri, Turkey
        • Novartis Investigator Site
      • Kozlu / Zonguldak, Turkey
        • Novartis Investigator Site
      • Malatya, Turkey
        • Novartis Investigator Site
      • Manisa, Turkey
        • Novartis Investigator Site
      • Mecidiyekoy/Istanbul, Turkey
        • Novartis Investigator Site
      • Yenisehir/Izmir, Turkey
        • Novartis Investigator Site
    • Alabama
      • Birmingham, Alabama, United States, 32509
        • Novartis Investigator Site
      • Mobile, Alabama, United States, 36608
        • Novartis Investigator Site
    • Arizona
      • Scottsdale, Arizona, United States, 85258
        • Novartis Investigative Site
      • Tucson, Arizona, United States, 85723
        • Novartis Investigative Site
      • Tucson, Arizona, United States, 85712
        • Novartis Investigative Site
    • Arkansas
      • Pine Bluff, Arkansas, United States, 71603
        • Novartis Investigator Site
    • California
      • Fountain Valley, California, United States, 92708
        • Novartis Investigator Site
      • Long Beach, California, United States, 90822
        • Novartis Investigator Site
      • Los Angeles, California, United States, 90095
        • Novartis Investigative Site
      • National City, California, United States, 91950
        • Novartis Investigator Site
      • Palmdale, California, United States, 93551
        • Novartis Investigator Site
      • Stockton, California, United States, 95207
        • Novartis Investigative Site
      • Temecula, California, United States, 92591
        • Novartis Investigator Site
    • Connecticut
      • Hartford, Connecticut, United States, 06105-1208
        • Novartis Investigative Site
    • Florida
      • Clearwater, Florida, United States, 33756
        • Novartis Investigative Site
      • Ft. Walton Beach, Florida, United States, 32547
        • Novartis Investigator Site
      • Miami, Florida, United States, 33136
        • Novartis Investigative Site
      • Miami, Florida, United States, 331577
        • Novartis Investigative Site
      • Naranja, Florida, United States, 33032
        • Novartis Investigative Site
      • Pensacola, Florida, United States, 32514
        • Novartis Investigator Site
      • Sarasota, Florida, United States, 34233
        • Novartis Investigator Site
    • Georgia
      • Atlanta, Georgia, United States, 30342
        • Novartis Investigative Site
      • Conyers, Georgia, United States, 30094
        • Novartis Investigator Site
    • Illinois
      • Normal, Illinois, United States, 61761
        • Novartis Investigative Site
    • Iowa
      • Iowa City, Iowa, United States, 52240
        • Novartis Investigative Site
    • Kansas
      • Kansas City, Kansas, United States, 66160
        • Novartis Investigative Site
      • Lenexa, Kansas, United States, 66215
        • Novartis Investigative Site
      • Topeka, Kansas, United States, 66606
        • Novartis Investigative Site
    • Louisiana
      • Lafayette, Louisiana, United States, 70503
        • Novartis Investigator Site
      • Metaire, Louisiana, United States, 70002
        • Novartis Investigator Site
      • New Orleans, Louisiana, United States, 70119
        • Novartis Investigator Site
      • Slidell, Louisiana, United States, 70458
        • Novartis Investigator Site
    • Maryland
      • Columbia, Maryland, United States, 21044
        • Novartis Investigator Site
    • Massachusetts
      • Brockton, Massachusetts, United States, 02301
        • Novartis Investigator Site
    • Michigan
      • Clarkston, Michigan, United States, 48346
        • Novartis Investigator Site
      • Detroit, Michigan, United States, 48202
        • Novartis Investigator Site
    • Missouri
      • St Charles, Missouri, United States, 63301
        • Novartis Investigative Site
    • Montana
      • Missoula, Montana, United States, 59808
        • Novartis Investigator Site
    • Nebraska
      • Boys Town, Nebraska, United States, 68010
        • Novartis Investigator Site
      • Omaha, Nebraska, United States, 68114
        • Novartis Investigative Site
      • Omaha, Nebraska, United States, 68134
        • Novartis Investigative Site
    • Nevada
      • Las Vegas, Nevada, United States, 89119
        • Novartis Investigative Site
    • New Hampshire
      • Lebanon, New Hampshire, United States, 03756
        • Novartis Investigator Site
    • New Jersey
      • Asbury Park, New Jersey, United States, 07712
        • Novartis Investigator Site
    • New York
      • Rochester, New York, United States, 14618
        • Novartis Investigative Site
    • North Carolina
      • Mooresville, North Carolina, United States, 28117
        • Novartis Investigator Site
      • Winston-Salem, North Carolina, United States, 27103
        • Novartis Investigative Site
    • Oklahoma
      • Tulsa, Oklahoma, United States, 74135-2920
        • Novartis Investigator Site
    • Oregon
      • Medford, Oregon, United States, 97504
        • Novartis Investigative Site
    • Pennsylvania
      • Bethlehem, Pennsylvania, United States, 18020
        • Novartis Investigator Site
    • Rhode Island
      • Cumberland, Rhode Island, United States, 02864
        • Novartis Investigative Site
    • South Carolina
      • Greenville, South Carolina, United States, 29615
        • Novartis Investigator Site
      • Spartanburg, South Carolina, United States, 29303
        • Novartis Investigative Site
    • Tennessee
      • Knoxville, Tennessee, United States, 37919
        • Novartis Investigator Site
    • Texas
      • El Paso, Texas, United States, 79903
        • Novartis Investigator Site
      • Houston, Texas, United States, 77024
        • Novartis Investigative Site
      • Houston, Texas, United States, 77079
        • Novartis Investigative Site
      • New Braunfels, Texas, United States, 78130-6113
        • Novartis Investigative Center
    • Virginia
      • Newport News, Virginia, United States, 23606
        • Novartis Investigator Site
      • Richmond, Virginia, United States, 23225
        • Novartis Investigative Site
      • Richmond, Virginia, United States, 23249
        • Novartis Investigator Site

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

40 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Diagnosis of chronic obstructive pulmonary disease (COPD) (moderate-to-severe as classified by the Global Initiative for Chronic Obstructive Lung Disease [GOLD] Guidelines, 2007) and:

    1. Smoking history of at least 10 pack-years
    2. Post-bronchodilator forced expiratory volume in 1 second (FEV1) ≤ 65% and ≥ 30% of the predicted normal value
    3. Post-bronchodilator FEV1/FVC (force vital capacity) < 70%

Exclusion Criteria:

  • Patients who have had a COPD exacerbation requiring systemic glucocorticosteroid treatment or antibiotics and/or hospitalization in the 6 weeks prior to screening or during the run-in period
  • Patients who have had a respiratory tract infection within 6 weeks prior to screening or during the run-in period
  • Patients with a body mass index less than 15 or more than 40 kg/m^2
  • Patients with concomitant pulmonary disease
  • Patients with a history of asthma
  • Patients with diabetes Type I or uncontrolled diabetes Type II
  • Any patient with lung cancer or a history of lung cancer
  • Patients with a history of certain cardiovascular comorbid conditions

Other protocol-defined inclusion/exclusion criteria applied to the study.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Indacaterol 150 μg and tiotropium 18 μg
Patients inhaled indacaterol 150 μg and tiotropium 18 μg once daily in the morning between 8:00 AM and 11:00 AM for 12 weeks. Indacaterol was delivered blinded via a single dose dry powder inhaler (SDDPI). Tiotropium was delivered open-label via the manufacturer's proprietary inhalation device (HandiHaler®). Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Indacaterol was supplied in powder filled capsules together with a single dose dry powder inhaler (SDDPI) device.
Tiotropium was supplied in powder filled capsules together the manufacture's proprietary inhalation device (HandiHaler®).
Active Comparator: Tiotropium 18 μg
Patients inhaled placebo to indacaterol 150 μg and tiotropium 18 μg once daily in the morning between 8:00 AM and 11:00 AM for 12 weeks. Placebo to indacaterol was delivered blinded via a single dose dry powder inhaler (SDDPI). Tiotropium was delivered open-label via the manufacturer's proprietary inhalation device (HandiHaler®). Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Tiotropium was supplied in powder filled capsules together the manufacture's proprietary inhalation device (HandiHaler®).
Placebo to indacaterol was supplied in powder filled capsules together with a single dose dry powder inhaler (SDDPI) device.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Forced Expiratory Volume in 1 Second (FEV1) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) From 5 Minutes to 8 Hours Post-dose at the End of Treatment (Week 12)
Time Frame: From 5 minutes to 8 hours post-dose at the end of treatment (Week 12, Day 84)
FEV1 was measured with spirometry conducted according to internationally accepted standards. Measurements were made at 5 and 30 minutes; and 1, 2, 3, 4, 6, and 8 hours post-dose at the end of the study (Week 12, Day 84). Standardized FEV1 AUC was calculated by the trapezoidal rule. The analysis included baseline FEV1, FEV1 pre-dose and 10-15 minutes post-dose of salbutamol/albuterol during screening, and FEV1 pre-dose and 1 hour post-dose of ipratropium during screening as covariates.
From 5 minutes to 8 hours post-dose at the end of treatment (Week 12, Day 84)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Trough Forced Expiratory Volume in 1 Second (FEV1) 24 Hours Post-dose at the End of Treatment (Week 12 + 1 Day, Day 85)
Time Frame: 24 hours post-dose at the end of treatment (Week 12 + 1 day, Day 85)
FEV1 was measured with spirometry conducted according to internationally accepted standards. Measurements were made at 23 hours 10 minutes and 23 hours 45 minutes post-dose at the end of the study (Week 12 + 1 day, Day 85). The analysis included baseline FEV1, FEV1 pre-dose and 10-15 minutes post-dose of salbutamol/albuterol during screening, and FEV1 pre-dose and 1 hour post-dose of ipratropium during screening as covariates.
24 hours post-dose at the end of treatment (Week 12 + 1 day, Day 85)
Forced Expiratory Volume in 1 Second (FEV1) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) From 5 Minutes to 8 Hours Post-dose on Day 1
Time Frame: From 5 minutes to 8 hours post-dose on Day 1
FEV1 was measured with spirometry conducted according to internationally accepted standards. Measurements were made at 5 and 30 minutes; and 1, 2, 3, 4, 6, and 8 hours post-dose on Day 1. Standardized FEV1 AUC was calculated by the trapezoidal rule. The analysis included baseline FEV1, FEV1 pre-dose and 10-15 minutes post-dose of salbutamol/albuterol during screening, and FEV1 pre-dose and 1 hour post-dose of ipratropium during screening as covariates.
From 5 minutes to 8 hours post-dose on Day 1
Trough Forced Expiratory Volume in 1 Second (FEV1) 24 Hours Post-dose on Day 2
Time Frame: 24 hours post-dose on Day 2
FEV1 was measured with spirometry conducted according to internationally accepted standards. Measurements were made at 23 hours 10 minutes and 23 hours 45 minutes post-dose on Day 2. The analysis included baseline FEV1, FEV1 pre-dose and 10-15 minutes post-dose of salbutamol/albuterol during screening, and FEV1 pre-dose and 1 hour post-dose of ipratropium during screening as covariates.
24 hours post-dose on Day 2
Forced Expiratory Volume in 1 Second (FEV1) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) From 5 Minutes to 4 Hours Post-dose on Day 1
Time Frame: From 5 minutes to 4 hours post-dose on Day 1
FEV1 was measured with spirometry conducted according to internationally accepted standards. Measurements were made at 5 and 30 minutes; and 1, 2, 3, and 4 hours post-dose on Day 1. Standardized FEV1 AUC was calculated by the trapezoidal rule. The analysis included baseline FEV1, FEV1 pre-dose and 10-15 minutes post-dose of salbutamol/albuterol during screening, and FEV1 pre-dose and 1 hour post-dose of ipratropium during screening as covariates.
From 5 minutes to 4 hours post-dose on Day 1
Forced Expiratory Volume in 1 Second (FEV1) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) From 5 Minutes to 4 Hours Post-dose at the End of Treatment (Week 12)
Time Frame: From 5 minutes to 4 hours post-dose at the end of treatment (Week 12)
FEV1 was measured with spirometry conducted according to internationally accepted standards. Measurements were made at 5 and 30 minutes; and 1, 2, 3, and 4 hours post-dose at the end of treatment (Week 12). Standardized FEV1 AUC was calculated by the trapezoidal rule. The analysis included baseline FEV1, FEV1 pre-dose and 10-15 minutes post-dose of salbutamol/albuterol during screening, and FEV1 pre-dose and 1 hour post-dose of ipratropium during screening as covariates.
From 5 minutes to 4 hours post-dose at the end of treatment (Week 12)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

March 1, 2009

Primary Completion (Actual)

March 1, 2010

Study Completion (Actual)

March 1, 2010

Study Registration Dates

First Submitted

February 15, 2009

First Submitted That Met QC Criteria

February 15, 2009

First Posted (Estimate)

February 18, 2009

Study Record Updates

Last Update Posted (Estimate)

August 18, 2011

Last Update Submitted That Met QC Criteria

July 22, 2011

Last Verified

July 1, 2011

More Information

Terms related to this study

Other Study ID Numbers

  • CQAB149B2341

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.