24-week Trial Comparing GSK573719/GW642444 With GW642444 and With Tiotropium in Chronic Obstructive Pulmonary Disease
A Multicenter Trial Comparing the Efficacy and Safety of GSK573719/GW642444 With GW642444 and With Tiotropium Over 24 Weeks in Subjects With COPD
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Clermont Ferrand cedex 1, France, 63003
- GSK Investigational Site
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Nantes cedex 1, France, 44093
- GSK Investigational Site
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Nîmes cedex 09, France, 30029
- GSK Investigational Site
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Saint Pierre Cedex, France, 97448
- GSK Investigational Site
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Berlin, Germany, 13086
- GSK Investigational Site
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Berlin, Germany, 10717
- GSK Investigational Site
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Berlin, Germany, 12203
- GSK Investigational Site
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Berlin, Germany, 12157
- GSK Investigational Site
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Hamburg, Germany, 22299
- GSK Investigational Site
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Baden-Wuerttemberg
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Sinsheim, Baden-Wuerttemberg, Germany, 74889
- GSK Investigational Site
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Stuttgart, Baden-Wuerttemberg, Germany, 70378
- GSK Investigational Site
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Bayern
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Bamberg, Bayern, Germany, 96049
- GSK Investigational Site
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Erlangen, Bayern, Germany, 91052
- GSK Investigational Site
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Muenchen, Bayern, Germany, 80339
- GSK Investigational Site
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Nuernberg, Bayern, Germany, 90402
- GSK Investigational Site
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Brandenburg
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Potsdam, Brandenburg, Germany, 14467
- GSK Investigational Site
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Hessen
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Marburg, Hessen, Germany, 35037
- GSK Investigational Site
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Niedersachsen
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Hannover, Niedersachsen, Germany, 30159
- GSK Investigational Site
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Hannover, Niedersachsen, Germany, 30173
- GSK Investigational Site
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Nordrhein-Westfalen
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Dortmund, Nordrhein-Westfalen, Germany, 44263
- GSK Investigational Site
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Dortmund, Nordrhein-Westfalen, Germany, 44147
- GSK Investigational Site
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Campania
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Avellino, Campania, Italy, 83100
- GSK Investigational Site
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Friuli-Venezia-Giulia
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Pordenone, Friuli-Venezia-Giulia, Italy, 33170
- GSK Investigational Site
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Lazio
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Roma, Lazio, Italy, 00144
- GSK Investigational Site
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Liguria
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Pietra Ligure (SV), Liguria, Italy, 17027
- GSK Investigational Site
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Lombardia
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Milano, Lombardia, Italy, 20121
- GSK Investigational Site
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Pavia, Lombardia, Italy, 27100
- GSK Investigational Site
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Tradate (VA), Lombardia, Italy, 21049
- GSK Investigational Site
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Puglia
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Foggia, Puglia, Italy, 71100
- GSK Investigational Site
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Sicilia
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Catania, Sicilia, Italy, 95123
- GSK Investigational Site
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Toscana
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Pisa, Toscana, Italy, 56124
- GSK Investigational Site
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Mexico, Mexico, 10700
- GSK Investigational Site
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Mexico City, Mexico, 07760
- GSK Investigational Site
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Jalisco
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Guadalajara, Jalisco, Mexico, 44100
- GSK Investigational Site
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Zapopan, Jalisco, Mexico, 45200
- GSK Investigational Site
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Callao, Peru, Callao 2
- GSK Investigational Site
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Lima, Peru, Lima 1
- GSK Investigational Site
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Lima
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Jesus Maria, Lima, Peru, Lima 11
- GSK Investigational Site
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Lima 27, Lima, Peru, Lima 27
- GSK Investigational Site
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San Borja, Lima, Peru, Lima 41
- GSK Investigational Site
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San Isidro, Lima, Peru, Lima 27
- GSK Investigational Site
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San Miguel, Lima, Peru, Lima 32
- GSK Investigational Site
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Santiago de Surco, Lima, Peru, Lima 33
- GSK Investigational Site
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Gdansk, Poland, 80-405
- GSK Investigational Site
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Gidle, Poland, 97-540
- GSK Investigational Site
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Krakow, Poland, 31-023
- GSK Investigational Site
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Lubliniec, Poland, 42-700
- GSK Investigational Site
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Sopot, Poland, 81-741
- GSK Investigational Site
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Wloclawek, Poland, 87-800
- GSK Investigational Site
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Zabrze, Poland, 41-800
- GSK Investigational Site
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Bacau, Romania, 600252
- GSK Investigational Site
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Bucharest, Romania, 011794
- GSK Investigational Site
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Ploiesti, Romania, 100184
- GSK Investigational Site
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Timisoara, Romania, 300310
- GSK Investigational Site
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Chita, Russian Federation, 672000
- GSK Investigational Site
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Irkutsk, Russian Federation, 664005
- GSK Investigational Site
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Moscow, Russian Federation, 115446
- GSK Investigational Site
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Petrozavodsk, Russian Federation, 185019
- GSK Investigational Site
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Ryazan, Russian Federation, 390039
- GSK Investigational Site
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Saint-Petersburg, Russian Federation, 194354
- GSK Investigational Site
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Saratov, Russian Federation, 410028
- GSK Investigational Site
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Saratov, Russian Federation, 410018
- GSK Investigational Site
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Tomsk, Russian Federation, 634001
- GSK Investigational Site
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Voronezh, Russian Federation, 394018
- GSK Investigational Site
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Yaroslavl, Russian Federation
- GSK Investigational Site
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Dnipropetrovsk, Ukraine, 49074
- GSK Investigational Site
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Dnipropetrovsk, Ukraine, 49027
- GSK Investigational Site
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Donetsk, Ukraine, 83099
- GSK Investigational Site
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Ivano-Frankivsk, Ukraine, 76018
- GSK Investigational Site
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Kharkiv, Ukraine, 61124
- GSK Investigational Site
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Kharkiv, Ukraine, 61037
- GSK Investigational Site
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Kiev, Ukraine, 03680
- GSK Investigational Site
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Kyiv, Ukraine, 03680
- GSK Investigational Site
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Kyiv, Ukraine, 03038
- GSK Investigational Site
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Kyiv, Ukraine, 01114
- GSK Investigational Site
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Simferopol, Ukraine, 95043
- GSK Investigational Site
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Vinnytsia, Ukraine, 21029
- GSK Investigational Site
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Zaporizhia, Ukraine, 69035
- GSK Investigational Site
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Alabama
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Birmingham, Alabama, United States, 35216
- GSK Investigational Site
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California
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San Diego, California, United States, 92117
- GSK Investigational Site
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Florida
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DeLand, Florida, United States, 32720
- GSK Investigational Site
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Orlando, Florida, United States, 32822
- GSK Investigational Site
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Tampa, Florida, United States, 33603
- GSK Investigational Site
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Georgia
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Decatur, Georgia, United States, 30033
- GSK Investigational Site
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Missouri
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Saint Charles, Missouri, United States, 63301
- GSK Investigational Site
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New Mexico
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Albuquerque, New Mexico, United States, 87108
- GSK Investigational Site
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73103
- GSK Investigational Site
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Pennsylvania
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Phoenixville, Pennsylvania, United States, 19460
- GSK Investigational Site
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South Carolina
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Charleston, South Carolina, United States, 29406-7108
- GSK Investigational Site
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Gaffney, South Carolina, United States, 29340
- GSK Investigational Site
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Greenville, South Carolina, United States, 29615
- GSK Investigational Site
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Rock Hill, South Carolina, United States, 29732
- GSK Investigational Site
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Seneca, South Carolina, United States, 29678
- GSK Investigational Site
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South Dakota
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Rapid City, South Dakota, United States, 57702
- GSK Investigational Site
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Texas
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San Antonio, Texas, United States, 78229
- GSK Investigational Site
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Virginia
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Newport News, Virginia, United States, 23606
- GSK Investigational Site
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Richmond, Virginia, United States, 23229
- GSK Investigational 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:
- outpatient
- signed and dated written informed consent
- 40 years of age or older
- male and female subjects
- COPD diagnosis
- at least 10 pack-year smoking history
- post-albuterol/salbutamol FEV1/FVC ratio of <0.70 and post-albuterol/salbutamol FEV1 of less than or equal to 70% predicted normal values
- score of greater than or equal to 2 on the Modified Medical Resarch Council Dyspnea Scale (mMRC)
Exclusion Criteria:
- women who are pregnant or lactating or are planning on becoming pregnant during the study
- current diagnosis of asthma
- other respiratory disorders other than COPD
- other diseases/abnormalities that are uncontrolled including cancer not in remission for at least 5 years
- chest x-ray or CT scan with clinically significant abnormalities not believed to be due to COPD
- hypersensitivity to anticholinergics, beta-agonists, lactose/milk protein or magnesium stearate or medical conditions associated with inhaled anticholinergics
- hospitalization for COPD or pneumonia within 12 weeks prior to Visit 1
- lung volume reduction surgery within 12 months prior to Visit 1
- abnormal and clinically significant ECG at Visit 1
- significantly abnormal finding from laboratory tests at Visit 1
- unable to withhold albuterol/salbutamol at least 4 hours prior to spirometry at each visit
- use of depot corticosteroids within 12 weeks of Visit 1
- use of oral or parenteral corticosteroids, antibiotics for lower respiratory tract infection, or cytochrome P450 3A4 inhibitors, within 6 weeks of Visit 1
- use of long-acting beta-agonist (LABA)/inhaled corticosteroid (ICS) product if LABA/ICS therapy is discontinued withing 30 days of Visit 1
- use of ICS at a dose of >1000mcg/day of fluticasone propionate or equivalent within 30 days of Visit 1
- initiation or discontinuation of ICS within 30 days of Visit 1
- use of tiotropium or roflumilast within 14 days of Visit 1
- use of theophyllines, oral leukotriene inhibitors, long-acting oral beta-agonists, or inhaled long-acting beta-agonists within 48 hours of Visit 1
- short-acting oral beta-agonists within 12 hours of Visit 1
- use of LABA/ICS combination products only if discontinuing LABA therapy and switching to ICS monotherapy within 48 hours of Visit 1 for the LABA component
- use of sodium cromoglycate or nedocromil sodium within 24 hours of Visit 1
- use of inhaled short-acting beta-agonists, inhaled short-acting anticholinergics, or inhaled short-acting anticholinergic/short-acting beta-agonist combination products within 4 hours of Visit 1
- use of any other investigational medication within 30 days or 5 drug half-lives (whichever is longer)
- long-term oxygen therapy prescribed for >12 hours per day
- regular use of nebulized short-acting bronchodilators
- participation in acute phase of pulmonary rehabilitation program
- known or suspected history of alcohol or drug abse within 2 years prior to Visit 1
- anyone affiliated with the investigator site (e.g., investigator, sub-investigator, study coordinator, employee of a participating investigator or study site, or immediate family member)
- previous exposure to GSK573719, GSK573719/GW642444 combination, GW642444 (vilanterol), or fluticasone furoate/GW642444 combination
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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Experimental: GSK573719/GW642444 125/25
125/25 mcg once-daily
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125/25 mcg once-daily
Other Names:
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Experimental: GSK573719/GW642444 62.5/25
62.5/25 mcg once-daily
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62.5/26 mcg once-daily
Other Names:
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Active Comparator: tiotropium bromide
18 mcg once-daily
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18 mcg once-daily
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Experimental: GW642444
25 mcg once-daily
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25 mcg once-daily
Other Names:
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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 (BL) in Trough Forced Expiratory Volume in One Second (FEV1) on Day 169 (Week 24)
Time Frame: Baseline and Day 169
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FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second.
Trough FEV1 measurements were taken electronically by spirometry on Days 2, 28, 56, 84, 112, 168, and 169.
Baseline is defined as the mean of the assessments made 30 minutes pre-dose and 5 minutes pre-dose on Treatment Day 1. Trough FEV1 is defined as the mean of the FEV1 values obtained at 23 and 24 hours after the previous morning's dosing (ie., trough FEV1 on Day 169 is the mean of the FEV1 values obtained 23 and 24 hours after the morning dosing on Day 168).
Change from Baseline at a particular visit was calculated as the trough FEV1 at that visit minus Baseline.
Analysis was performed using a repeated measures model with covariates of treatment, Baseline , smoking status, center group, day, and day by Baseline and day by treatment interactions.
ITT=Intent-to-Treat; par.=participants. .
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Baseline and Day 169
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Change From Baseline (BL) in Weighted Mean (WM) 0-6 Hour FEV1 Obtained Post-dose at Day 168
Time Frame: Baseline and Day 168
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FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second.
The WM FEV1 was derived by calculating the area under the FEV1/time curve (AUC) using the trapezoidal rule, and then dividing the value by the time interval over which the AUC was calculated.
The WM was calculated at Days 1, 84, and Day 168 using the 0-6-hour post-dose FEV1 measurements collected on that day, which included pre-dose (Day 1: 30 minutes [min] and 5 min prior to dosing; other serial visits: 23 and 24 hours after the previous morning dose) and post-dose at 15 minutes, 30 minutes, 1 hour, 3 hours, and 6 hours.
Change from BL at a particular visit was calculated as WM at that visit minus BL.
Analysis was performed using a repeated measures model with covariates of treatment, BL (mean of the two assessments made 30 minutes and 5 minutes pre-dose on Day 1), smoking status, center group, day, and day by BL and day by treatment interactions.
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Baseline and Day 168
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Change From Baseline (BL) in the Mean Shortness of Breath With Daily Activities (SOBDA) Score for Week 24
Time Frame: Baseline and Week 24
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The newly developed SOBDA questionnaire assesses dyspnea or shortness of breath (SOB) with daily activities.
The SOBDA questionnaire is made up of 13 items completed by the participant (par.) each evening prior to bedtime, when the par. is instructed to reflect on the current day's activities.
The daily score is computed as the mean of the scores on the 13 items (>=7 items must have non-missing responses for this to be calculated).
The par. is assigned a weekly mean SOBDA score ranging from 1 to 4 (greater scores indicate more severe breathlessness with daily activities) based on the mean of 7 days of data (>=4 of 7 days must be completed for a weekly mean to be calculated).
Change from BL is the mean weekly SOBDA score minus BL.
Analysis was performed using MMRM with covariates of treatment, BL (mean score in the week prior to treatment), smoking status, center group, week, week by BL and week by treatment interactions.
This MMRM analysis only included Weeks 4, 8, 12, and 24.
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Baseline and Week 24
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Maleki-Yazdi MR, Singh D, Anzueto A, Tombs L, Fahy WA, Naya I. Assessing Short-term Deterioration in Maintenance-naive Patients with COPD Receiving Umeclidinium/Vilanterol and Tiotropium: A Pooled Analysis of Three Randomized Trials. Adv Ther. 2017 Jan;33(12):2188-2199. doi: 10.1007/s12325-016-0430-6. Epub 2016 Oct 28.
- Decramer M, Anzueto A, Kerwin E, Kaelin T, Richard N, Crater G, Tabberer M, Harris S, Church A. Efficacy and safety of umeclidinium plus vilanterol versus tiotropium, vilanterol, or umeclidinium monotherapies over 24 weeks in patients with chronic obstructive pulmonary disease: results from two multicentre, blinded, randomised controlled trials. Lancet Respir Med. 2014 Jun;2(6):472-86. doi: 10.1016/S2213-2600(14)70065-7. Epub 2014 May 14.
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
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Lung Diseases, Obstructive
- Lung Diseases
- Pulmonary Disease, Chronic Obstructive
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Parasympatholytics
- Autonomic Agents
- Peripheral Nervous System Agents
- Cholinergic Antagonists
- Cholinergic Agents
- Anticonvulsants
- Bronchodilator Agents
- Anti-Asthmatic Agents
- Respiratory System Agents
- Tiotropium Bromide
- Bromides
Other Study ID Numbers
Other Study ID Numbers
- 113360
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Study Data/Documents
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Statistical Analysis Plan
Information identifier: 113360Information comments: For additional information about this study please refer to the GSK Clinical Study Register
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Clinical Study Report
Information identifier: 113360Information comments: For additional information about this study please refer to the GSK Clinical Study Register
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Dataset Specification
Information identifier: 113360Information comments: For additional information about this study please refer to the GSK Clinical Study Register
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Annotated Case Report Form
Information identifier: 113360Information comments: For additional information about this study please refer to the GSK Clinical Study Register
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Study Protocol
Information identifier: 113360Information comments: For additional information about this study please refer to the GSK Clinical Study Register
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Informed Consent Form
Information identifier: 113360Information comments: For additional information about this study please refer to the GSK Clinical Study Register
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Individual Participant Data Set
Information identifier: 113360Information comments: For additional information about this study please refer to the GSK Clinical Study Register
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.