Efficacy and Safety of Glycopyrronium/Formoterol Fumarate Fixed-dose Combination Relative to Umeclidinium/Vilanterol Fixed-dose Combination Over 24 Weeks in Patients With Moderate to Very Severe Chronic Obstructive Pulmonary Disease (AERISTO)
A Randomised, Double-Blind, Double-Dummy, Multicentre, Parallel Group Study to Assess the Efficacy and Safety of Glycopyrronium/Formoterol Fumarate Fixed-dose Combination Relative to Umeclidinium/Vilanterol Fixed-dose Combination Over 24 Weeks in Patients With Moderate to Very Severe Chronic Obstructive Pulmonary Disease (AERISTO)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Dupnitsa, Bulgaria, 2600
- Research Site
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Dupnitsa, Bulgaria, 2602
- Research Site
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Haskovo, Bulgaria, 6305
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Kozloduy, Bulgaria, 3320
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Pazardzhik, Bulgaria, 4400
- Research Site
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Petrich, Bulgaria, 2850
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Pleven, Bulgaria, 5800
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Plovdiv, Bulgaria, 4002
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Razlog, Bulgaria, 2760
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Ruse, Bulgaria, 7002
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Sliven, Bulgaria, 8800
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Smolyan, Bulgaria, 4700
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Sofia, Bulgaria, 1407
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Sofia, Bulgaria, 1233
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Sofia, Bulgaria, 1618
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Sofia, Bulgaria, 1002
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Sofia, Bulgaria, 1408
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Stara Zagora, Bulgaria, 6000
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Varna, Bulgaria, 9000
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Vidin, Bulgaria, 3700
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Quebec, Canada, G1G 3Y8
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Quebec, Canada, G1V 4G5
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Quebec, Canada, G3K 2P8
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Alberta
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Sherwood Park, Alberta, Canada, T8L 0N2
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Manitoba
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Winnipeg, Manitoba, Canada, R2V 4W3
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Nova Scotia
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Truro, Nova Scotia, Canada, B2N 1L2
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Ontario
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Burlington, Ontario, Canada, L7N 3V2
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Burlington, Ontario, Canada, L7M 4Y1
- Research Site
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Etobicoke, Ontario, Canada, M9W 4L6
- Research Site
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Windsor, Ontario, Canada, N8X 1T3
- Research Site
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Windsor, Ontario, Canada, N8X-5A6
- Research Site
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Quebec
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Gatineau, Quebec, Canada, J8Y 6S8
- Research Site
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Levis, Quebec, Canada, G6W 0M5
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St Charles Borromee, Quebec, Canada, J6E 2B4
- Research Site
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Besancon Cedex, France, 25030
- Research Site
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Brest Cedex, France, 29609
- Research Site
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Lyon Cedex 04, France, 69317
- Research Site
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Montpellier, France, 34295
- Research Site
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Nantes Cedex 2, France, 44277
- Research Site
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Pessac, France, 33604
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Poitiers, France, 86021
- Research Site
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Reims, France, 51092
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Balassagyarmat, Hungary, 2660
- Research Site
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Budapest, Hungary, 1135
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Debrecen, Hungary, 4032
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Debrecen, Hungary, H-4031
- Research Site
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Farkasgyepü, Hungary, 8582
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Hajdúnánás, Hungary, 4080
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Komló, Hungary, 7300
- Research Site
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Komárom, Hungary, 2900
- Research Site
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Miskolc, Hungary, 3529
- Research Site
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Püspökladány, Hungary, 4150
- Research Site
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Siófok, Hungary, 8600
- Research Site
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Szeged, Hungary, H-6722
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Szombathely, Hungary, 9700
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Vásárosnamény, Hungary, 4800
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Barnaul, Russian Federation, 656045
- Research Site
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Barnaul, Russian Federation, 656038
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Chelyabinsk, Russian Federation, 454021
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Ekaterinburg, Russian Federation, 620028
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Izhevsk, Russian Federation, 426035
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Moscow, Russian Federation, 109544
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Novosibirsk, Russian Federation, 630051
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Penza, Russian Federation, 440026
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Penza, Russian Federation, 440067
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Ryazan, Russian Federation, 390005
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Saint Petersburg, Russian Federation, 197342
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Saint Petersburg, Russian Federation, 198260
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Saint Petersburg, Russian Federation, 191015
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Saint-Petersburg, Russian Federation, 194291
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Saint-Petersburg, Russian Federation, 196084
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Saint-Petersburg, Russian Federation, 191180
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Saratov, Russian Federation, 410012
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Smolensk, Russian Federation, 214006
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St. Petersburg, Russian Federation, 197022
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Tomsk, Russian Federation, 634050
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Ulyanovsk, Russian Federation, 432009
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Chernivtsi, Ukraine, 58001
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Chernivtsi, Ukraine, 58000
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Ivano-Frankivsk, Ukraine, 76012
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Kharkiv, Ukraine, 61002
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Kharkiv, Ukraine, 61058
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Kharkiv, Ukraine, 61035
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Kyiv, Ukraine, 04107
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Kyiv, Ukraine, 03680
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Lutsk, Ukraine, 43000
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Lviv, Ukraine, 79066
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Odesa, Ukraine, 65025
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Poltava, Ukraine, 36040
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Vinnytsia, Ukraine, 21029
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Vinnytsia, Ukraine, 21001
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Zaporizhzhia, Ukraine, 69096
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Arizona
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Tempe, Arizona, United States, 85283
- Research Site
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California
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Escondido, California, United States, 92025
- Research Site
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Sacramento, California, United States, 95821
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Florida
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Hollywood, Florida, United States, 33021
- Research Site
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Georgia
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Lawrenceville, Georgia, United States, 30046
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Rincon, Georgia, United States, 31326
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Michigan
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Farmington Hills, Michigan, United States, 48336
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New York
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Bronx, New York, United States, 10455
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North Carolina
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Gastonia, North Carolina, United States, 28054
- Research Site
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Ohio
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Dublin, Ohio, United States, 43016
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15243
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South Carolina
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Greenville, South Carolina, United States, 29615
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Spartanburg, South Carolina, United States, 29303
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Texas
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Sherman, Texas, United States, 75092
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Tomball, Texas, United States, 77375
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria:
- Age 40-95 years at screening
- Current or former smoker with a history of at least 10 pack-years of cigarette smoking
- Current clinical diagnosis of COPD, with COPD symptoms > 1 year prior to screening, as defined by GOLD criteria or other current guidelines
- COPD Severity defined by FEV1/FVC ratio <0.70 and FEV1 <80% of predicted normal value at screening and at randomisation
- COPD treatment with rescue medication only, or stable dose of maintenance monotherapy (LAMA, LABA or ICS), or stable dose of double maintenance therapy (LAMA/LABA or ICS/LABA), for one month prior to screening
- COPD Assessment Test (CAT) score ≥10 at randomisation
- Documentation of a chest x-ray (as per local practice) or computed tomography (CT) within 6 months prior to screening, with no clinically significant pulmonary abnormalities other than related to COPD
Exclusion criteria:
- Respiratory disease other than COPD, including:
- Current diagnosis of asthma
- Alpha-1 Antitrypsin Deficiency as the cause of COPD
- Other respiratory disorders and conditions as listed in the protocol
- Severe COPD exacerbation (resulting in hospitalisation) not resolved within 8 weeks prior to screening, or moderate exacerbation not resolved within 4 weeks, or during screening
- Pneumonia or lower respiratory tract infection that required antibiotics within 8 weeks prior to screening, or during screening.
- Significant diseases or conditions other than COPD which may put the patient at risk, or influence the results of the study or the patient's ability to participate, including cardiac disease, advanced renal disease, and cancer that has not been in complete remission for at least 5 years.
- Patients who have needed additions or alterations to their usual maintenance therapy for COPD due to worsening symptoms within 1 month prior to and during screening
- Treatment with depot corticosteroids within 6 weeks, or other systemic corticosteroids within 4 weeks, prior to screening. (Patients maintained on an equivalent of 5 mg prednisone per day for at least 3 months prior to screening are allowed.)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Experimental
glycopyrronium/formoterol fumarate 7.2/4.8
μg per actuation, twice daily
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Metered dose inhaler (MDI), contains glycopyrronium/formoterol fumarate fixed-dose combination 7.2/4.8
μg per actuation
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Active Comparator: Active comparator
umeclidinium/vilanterol 62.5/ 25μg per inhalation, once daily
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Dry powder inhaler (DPI), Each metered dose contains umeclidinium/vilanterol 62.5/ 25μg fixed-dose combination per inhalation
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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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Mean Change From Baseline in Morning Pre-dose Trough Forced Expiratory Volume in 1 Second (FEV1) Over 24 Weeks
Time Frame: From Baseline (Day 1) up to 24 weeks
|
To assess the effects of GFF relative to UV on lung function as measured by change from baseline in morning pre-dose trough FEV1 is defined as the average of the -60 and -30 minute pre-dose values at each visit minus baseline using spirometry.
Baseline is defined as the mean of the non-missing -60 and -30 minute values obtained prior to dosing at randomization (Day 1).
BR a/s = bronchodilator responsiveness to albuterol/salbutamol.
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From Baseline (Day 1) up to 24 weeks
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Mean Peak Change From Baseline in FEV1 Within 2 Hours Post-dosing Over 24 Weeks in PP Analysis Set Population
Time Frame: From Baseline (Day 1) up to 24 weeks
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To assess the effects of GFF relative to UV on lung function in PP analysis set population as measured by peak change from baseline in FEV1 is defined as the maximum of the FEV1 assessments within the 2 hours post-dosing time windows at each visit minus baseline using spirometry.
Baseline is defined as the mean of the non-missing -60 and -30 minute values obtained prior to dosing at randomization (Day 1).
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From Baseline (Day 1) up to 24 weeks
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Mean Peak Change From Baseline in FEV1 Within 2 Hours Post-dosing Over 24 Weeks in FAS Population
Time Frame: From Baseline (Day 1) up to 24 weeks
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To assess the effects of GFF relative to UV on lung function in FAS population as measured by peak change from baseline in FEV1 is defined as the maximum of the FEV1 assessments within the 2 hours post-dosing time windows at each visit minus baseline using spirometry.
Baseline is defined as the mean of the non-missing -60 and -30 minute values obtained prior to dosing at randomization (Day 1).
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From Baseline (Day 1) up to 24 weeks
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants With Increase of FEV1 of >=100 mL From Baseline at 5 Minutes Post-dosing on Day 1
Time Frame: 5 minutes post-dose on Day 1
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The percentage of participants with an increase in FEV1 of >=100 mL from baseline at 5 minutes post-dosing on Day 1 was determined to assess the early onset of action.
Baseline is defined as the average of available evaluable -60 and -30 minute pre-dose assessments conducted at randomization (Day 1).
Only data assigned to the 5 minute window was used to determine response.
Participants with missing data were considered non-responders for the analysis.
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5 minutes post-dose on Day 1
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Mean Peak Change From Baseline in Inspiratory Capacity (IC) Within 2 Hours Post-dosing Over 24 Weeks
Time Frame: From Baseline (Day 1) up to 24 weeks
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Peak change from baseline in IC is defined as the maximum of the IC assessments within the 2 hours post-dosing time windows at each visit minus baseline.
Baseline is defined as the average of available evaluable -60 and -30 minute pre-dose assessments conducted at randomization (Day 1).
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From Baseline (Day 1) up to 24 weeks
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Mean Transition Dyspnea Index (TDI) Focal Score Over 24 Weeks
Time Frame: From Baseline (Day -7 or 1) up to 24 weeks
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The baseline dyspnea index (BDI) and TDI consist of 3 individual components: functional impairment, magnitude of task, and magnitude of effort.
For the BDI, each of these 3 components were rated in 5 grades from 0 (very severe) to 4 (no impairment), and were summed to form a baseline total score from 0 to 12.
For the TDI, changes in dyspnea were rated for each component by 7 grades from -3 (major deterioration) to +3 (major improvement), and were added to form a TDI focal score from -9 to +9.
Baseline is defined as the latest BDI assessment within 7 days before or at randomization (Day 1).
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From Baseline (Day -7 or 1) up to 24 weeks
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Mean Change From Baseline in Early Morning Symptoms of COPD Instrument (EMSCI) Over 24 Weeks
Time Frame: From Baseline (Day -7) up to 24 weeks
|
Change from baseline in the 6-item EMSCI Symptom Severity Score was derived by averaging the responses from a participant on the 6 item-level symptom scores (scored on a 4-point scale from 1 to 4, whereas 1= mild and 4= very severe).
The EMSCI collected data about the frequency and severity of early morning symptoms and the impact of COPD symptoms on early morning activity in participants with COPD.
Participants completed a daily electronic patient-reported outcome (ePRO) questionnaire for their COPD symptoms.
Baseline is defined as the average of the non-missing values from the ePRO data collected in the last 7 days before the randomization (Day 1).
TI = Time interval.
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From Baseline (Day -7) up to 24 weeks
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mean Change From Baseline in Night-Time Symptoms of COPD Instrument (NiSCI) Over 24 Weeks
Time Frame: From Baseline (Day -7) up to 24 weeks
|
Change from baseline in the 6-item NiSCI Symptom Severity Score was derived by averaging the responses from a participant on the 6 item-level symptom scores (scored on a 4-point scale from 1 to 4, whereas 1= mild and 4= very severe).
The NiSCI collected data about the frequency and severity of night-time symptoms and the impact of COPD symptoms on night-time awakenings in participants with COPD.
Participants completed a daily ePRO questionnaire for their COPD symptoms.
Baseline is defined as the average of the non-missing values from the ePRO data collected in the last 7 days before the randomization (Day 1).
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From Baseline (Day -7) up to 24 weeks
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Mean Change From Baseline in Daily Rescue (Albuterol/Salbutamol MDI) Use Over 24 Weeks
Time Frame: From Baseline (Day -7) up to 24 weeks
|
The number of inhalations of rescue albuterol/salbutamol MDI was recorded in the participant ePRO in the morning and evening.
Baseline is defined as the average of the non-missing values from the ePRO data collected in the last 7 days before the randomization (Day 1).
a/s = albuterol/salbutamol.
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From Baseline (Day -7) up to 24 weeks
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Mean Change From Baseline in COPD Assessment Test (CAT) Score Over 24 Weeks
Time Frame: From Baseline (Day -7 or 1) up to 24 weeks
|
The CAT is used to quantify the impact of COPD symptoms on health status.
The CAT has a scoring range of 0-40, and it is calculated as the sum of the responses given for each of the 8 items (scored on a 6-point scale from 0 to 5), with higher scores indicating a higher impact of COPD symptoms on health status.
If the response to 1 of the 8 items is missing, the missing item was considered equal to the average of the 7 non-missing items for that participant.
If more than 1 item is missing the score was considered missing.
Baseline is defined as the latest assessment within 7 days before or at randomization (Day 1).
|
From Baseline (Day -7 or 1) up to 24 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
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
- Adrenergic Agents
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Autonomic Agents
- Peripheral Nervous System Agents
- Muscarinic Antagonists
- Cholinergic Antagonists
- Cholinergic Agents
- Adrenergic Agonists
- Adjuvants, Anesthesia
- Bronchodilator Agents
- Anti-Asthmatic Agents
- Respiratory System Agents
- Adrenergic beta-2 Receptor Agonists
- Adrenergic beta-Agonists
- Glycopyrrolate
- Formoterol Fumarate
Other Study ID Numbers
Other Study ID Numbers
- D5970C00002
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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