Effect on Structural Changes in Airways, Measured by MSCT, of Twice Daily 60mg AZD9668 for 12 Weeks in Chronic Obstructive Pulmonary Disease (COPD) Patients
A 12-week, Phase II, Double-blind, Placebo-Controlled, Randomised, Parallel-Group, Multi-Centre Study to Assess the Effect of 60mg AZD9668 Administered Orally Twice Daily on Structural Changes in the Airways by Multi-Slice Computed Tomography in Patients With Chronic Obstructive Pulmonary Disease.
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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Quebec, Canada
- Research Site
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Ontario
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Kingston, Ontario, Canada
- Research Site
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Hellerup, Denmark
- Research Site
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Hvidovre, Denmark
- Research Site
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Odensec, Denmark
- Research Site
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Breda, Netherlands
- Research Site
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Nieuwegein, Netherlands
- Research Site
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Bucuresti, Romania
- Research Site
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Kyiv, Ukraine
- Research 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:
- Diagnosis of COPD with symptoms over 1 year
- FEV1/FVC < 70% and FEV1 >= 40 and < =70 % of predicted post-bronchodilator
- Ex-smokers for at least 12 months
Exclusion Criteria:
- Past history or current evidence of clinically significant heart disease
- Current diagnosis of asthma
- Worsening of COPD requiring hospitalisation and/or treatment with antibiotics and/or an increase in inhaled steroid dose and/or oral steroids within 4 weeks of study visit 1b
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Placebo Comparator: Placebo
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2 x matched placebo to oral tablet twice daily (bid) for 12 weeks
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Experimental: AZD9668
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2 x 30 mg oral tablets twice daily (bid) for 12 weeks
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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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AWT-Pi10 (Airway Wall Thickness of a Theoretical Airway With an Internal Perimeter of 10 mm)
Time Frame: Measured after 12 weeks treatment (day 84)
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AWT-Pi10 (mm) as a measure of structural changes in airways.
End of treatment Least Squares Mean.
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Measured after 12 weeks treatment (day 84)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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5th Generation Wall Area Percentage
Time Frame: Measured after 12 weeks treatment (day 84)
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5th Generation Wall Area Percentage as a measure of structural changes in airways.
End of treatment Least Squares Mean.
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Measured after 12 weeks treatment (day 84)
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Air Trapping Index (ATI) on Expiratory Scans
Time Frame: Measured after 12 weeks treatment (day 84)
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ATI Percentage as a measure of structural changes in airways.
End of treatment Least Squares Mean.
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Measured after 12 weeks treatment (day 84)
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Pre-bronchodilator Inspiratory Capacity (IC)
Time Frame: Measured after 12 weeks treatment (day 84)
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Inspiratory Capacity (L) as a measure of lung function.
End of treatment Least Squares Mean.
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Measured after 12 weeks treatment (day 84)
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Pre-bronchodilator Total Lung Capacity (TLC)
Time Frame: Measured after 12 weeks treatment (day 84)
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Total Lung Capacity (L) as a measure of lung function.
End of treatment Least Squares Mean.
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Measured after 12 weeks treatment (day 84)
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Pre-bronchodilator Functional Residual Capacity (FRC)
Time Frame: Measured after 12 weeks treatment (day 84)
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Functional Residual Capacity (L) as a measure of lung function.
End of treatment Least Squares Mean.
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Measured after 12 weeks treatment (day 84)
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Pre-bronchodilator Residual Volume (RV)
Time Frame: Measured after 12 weeks treatment (day 84)
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Residual volume (L) as a measure of lung function.
End of treatment Least Squares Mean.
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Measured after 12 weeks treatment (day 84)
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Pre-bronchodilator Specific Airway Conductance (SGaw)
Time Frame: Measured after 12 weeks treatment (day 84)
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Specific Airway Conductance as a measure of lung function.
End of treatment Least Squares Mean.
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Measured after 12 weeks treatment (day 84)
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Pre-bronchodilator Diffusion Capacity of Carbon Monoxide (DLco)
Time Frame: Measured after 12 weeks treatment (day 84)
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Capacity of Carbon Monoxide as a measure of lung function.
End of treatment Least Squares Mean.
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Measured after 12 weeks treatment (day 84)
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Pre-bronchodilator Forced Expiratory Volume in 1 Second (FEV1)
Time Frame: Measured after 12 weeks treatment (day 84)
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Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic.
End of treatment value or Last Observation Carried Forward (LOCF).
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Measured after 12 weeks treatment (day 84)
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Post-bronchodilator Forced Expiratory Volume in 1 Second (FEV1)
Time Frame: Measured after 12 weeks treatment (day 84)
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Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic.
End of treatment value or Last Observation Carried Forward (LOCF).
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Measured after 12 weeks treatment (day 84)
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Pre-bronchodilator Forced Vital Capacity (FVC)
Time Frame: Measured after 12 weeks treatment (day 84)
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Forced Vital Capacity (L) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic.
End of treatment value or Last Observation Carried Forward (LOCF).
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Measured after 12 weeks treatment (day 84)
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Post-bronchodilator Forced Vital Capacity (FVC)
Time Frame: Measured after 12 weeks treatment (day 84)
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Forced Vital Capacity (L) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic.
End of treatment value or Last Observation Carried Forward (LOCF).
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Measured after 12 weeks treatment (day 84)
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Pre-bronchodilator Slow Vital Capacity (SVC)
Time Frame: Measured after 12 weeks treatment (day 84)
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Slow Vital Capacity (L) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic.
End of treatment value or Last Observation Carried Forward (LOCF).
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Measured after 12 weeks treatment (day 84)
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Post-bronchodilator Slow Vital Capacity (SVC)
Time Frame: Measured after 12 weeks treatment (day 84)
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Slow Vital capacity (L) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic.
End of treatment value or Last Observation Carried Forward (LOCF).
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Measured after 12 weeks treatment (day 84)
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Peak Expiratory Flow (PEF) Morning (Daily Recordings)
Time Frame: Average from measurements recorded daily by patient in last 6 weeks of treatment.
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Peak Expiratory Flow (L/min) as a measure of lung function, measured at home by the patient each morning.
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Average from measurements recorded daily by patient in last 6 weeks of treatment.
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Peak Expiratory Flow (PEF) Evening (Daily Recordings)
Time Frame: Average from measurements recorded daily by patient in last 6 weeks of treatment.
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Peak Expiratory Flow (L/min) as a measure of lung function, measured at home by the patient each evening .
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Average from measurements recorded daily by patient in last 6 weeks of treatment.
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Forced Expiratory Volume in 1 Second (FEV1) Morning (Daily Recordings)
Time Frame: Average from measurements recorded daily by patient in last 6 weeks of treatment.
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Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured at home by the patient each morning.
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Average from measurements recorded daily by patient in last 6 weeks of treatment.
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Forced Expiratory Volume in 1 Second (FEV1) Evening (Daily Recordings)
Time Frame: Average from measurements recorded daily by patient in last 6 weeks of treatment.
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Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured at home by the patient each evening.
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Average from measurements recorded daily by patient in last 6 weeks of treatment.
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Breathlessness, Cough and Sputum Scale (BCSS) Total Score
Time Frame: Average from measurements recorded daily by patient in last 6 weeks of treatment.
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Breathlessness, Cough and Sputum Scale, patient reported questionnaire as a measure of respiratory symptoms (reported on a 0 (best health status) to 12 (worst possible status) scale).
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Average from measurements recorded daily by patient in last 6 weeks of treatment.
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EXAcerbations of Chronic Pulmonary Disease Tool (EXACT) Total Score
Time Frame: Average from measurements recorded daily by patient in last 6 weeks of treatment.
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EXAcerbations of Chronic pulmonary disease Tool, patient questionnaire as a measure of respiratory symptoms (reported as units on a 0 (best health status) to 100 (worst possible status) scale).
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Average from measurements recorded daily by patient in last 6 weeks of treatment.
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St George's Respiratory Questionnaire for COPD Patients (SGRQ-C) Overall Score
Time Frame: Measured after 12 weeks treatment (day 84)
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St George's Respiratory Questionnaire for Chronic Obstructive Pulmonary Disease, as a measure of Quality of Life (reported on a % scale from 0 (best health status) to 100(worst possible status)).
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Measured after 12 weeks treatment (day 84)
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Percentage of Reliever Free Days in Last Six Weeks of Treatment
Time Frame: Average from measurements recorded daily by patient in last 6 weeks of treatment.
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Percentage of reliever free days in last 6 weeks on treatment.
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Average from measurements recorded daily by patient in last 6 weeks of treatment.
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Exacerbations
Time Frame: Exacerbations were recorded at all study visits (after 1, 4, 8, and 12 weeks of treatment and at follow up)
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Number of patients experiencing disease exacerbations on treatment.
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Exacerbations were recorded at all study visits (after 1, 4, 8, and 12 weeks of treatment and at follow up)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Professor Asger Dirksen, Gentofte Hospital, Department of Lung Medicine
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 (Estimate)
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
Other Study ID Numbers
Other Study ID Numbers
- D0520C00014
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