- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01513460
Efficacy, Tolerability and Safety of NVA237 in Patients With Chronic Obstructive Pulmonary Disease
December 23, 2014 updated by: Novartis Pharmaceuticals
A Multicenter, Randomized, Blinded, Active-controlled, Parallel-group Study to Compare the Efficacy, Tolerability and Safety of NVA237 Compared to Tiotropium Added on to Fluticasone/Salmeterol in Patients With Chronic Obstructive Pulmonary Disease
This study will assess the efficacy, tolerability and safety of NVA237 compared to tiotropium when added on to fluticasone/salmeterol in patients with chronic obstructive pulmonary disease.
Study Overview
Status
Completed
Conditions
Study Type
Interventional
Enrollment (Actual)
773
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
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New South Wales
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Baulkham Hills, New South Wales, Australia, 2153
- Novartis Investigative Site
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Brookvale, New South Wales, Australia, 2100
- Novartis Investigative Site
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Castle Hill, New South Wales, Australia, 2067
- Novartis Investigative Site
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Dapto, New South Wales, Australia
- Novartis Investigative Site
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Darlinghurst, New South Wales, Australia, 2010
- Novartis Investigative Site
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Ermington, New South Wales, Australia
- Novartis Investigative Site
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Gosford, New South Wales, Australia, 2250
- Novartis Investigative Site
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Hinchinbrook, New South Wales, Australia, 2168
- Novartis Investigative Site
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Kingswood, New South Wales, Australia, 2747
- Novartis Investigative Site
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Sydney, New South Wales, Australia, 2089
- Novartis Investigative Site
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Queensland
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Arundel, Queensland, Australia, 4214
- Novartis Investigative Site
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Aspley, Queensland, Australia, 4034
- Novartis Investigative Site
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Beenleigh, Queensland, Australia, 4207
- Novartis Investigative Site
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Browns Plains, Queensland, Australia, 4118
- Novartis Investigative Site
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Chemside, Queensland, Australia, 4032
- Novartis Investigative Site
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Deception Bay, Queensland, Australia, 4508
- Novartis Investigative Site
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Everton Plaza, Queensland, Australia, 4053
- Novartis Investigative Site
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Holland Park, Queensland, Australia, 4121
- Novartis Investigative Site
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Jimboomba, Queensland, Australia, 4032
- Novartis Investigative Site
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Kedron, Queensland, Australia
- Novartis Investigative Site
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Kenmore, Queensland, Australia, 4069
- Novartis Investigative Site
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Kippa Ring, Queensland, Australia, 4021
- Novartis Investigative Site
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Logan Central, Queensland, Australia, 4114
- Novartis Investigative Site
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Loganholme, Queensland, Australia, 4129
- Novartis Investigative Site
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Mermaid Beach, Queensland, Australia, 4218
- Novartis Investigative Site
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Morayfield, Queensland, Australia, 4506
- Novartis Investigative Site
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Nerang, Queensland, Australia, 4211
- Novartis Investigative Site
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Woolloongabba, Queensland, Australia, 4102
- Novartis Investigative Site
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South Australia
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Adelaide, South Australia, Australia, 5000
- Novartis Investigative Site
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Daw Park, South Australia, Australia, 5041
- Novartis Investigative Site
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Glenelg East, South Australia, Australia, 5045
- Novartis Investigative Site
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Golden Grove, South Australia, Australia, 5125
- Novartis Investigative Site
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Hamley Bridge, South Australia, Australia, 5401
- Novartis Investigative Site
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Kensington Gardens, South Australia, Australia, 5065
- Novartis Investigative Site
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Prospect, South Australia, Australia, 5082
- Novartis Investigative Site
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Victoria
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Dandenong, Victoria, Australia
- Novartis Investigative Site
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Lalor, Victoria, Australia, 3075
- Novartis Investigative Site
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Malvern, Victoria, Australia, 3144
- Novartis Investigative Site
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Melbourne, Victoria, Australia
- Novartis Investigative Site
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Noble Park, Victoria, Australia, 3174
- Novartis Investigative Site
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Oakleigh East, Victoria, Australia, 3166
- Novartis Investigative Site
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Preston, Victoria, Australia
- Novartis Investigative Site
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Rosebud, Victoria, Australia, 3063
- Novartis Investigative Site
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Western Australia
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Bicton, Western Australia, Australia
- Novartis Investigative Site
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East Fremantle, Western Australia, Australia, 6158
- Novartis Investigative Site
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East Victoria Park, Western Australia, Australia, 6101
- Novartis Investigative Site
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Fremantle, Western Australia, Australia, 6160
- Novartis Investigative Site
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Mirrabooka, Western Australia, Australia, 6061
- Novartis Investigative Site
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Morley, Western Australia, Australia, 6062
- Novartis Investigative Site
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Nedlands, Western Australia, Australia, 6009
- Novartis Investigative Site
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Noranda, Western Australia, Australia
- Novartis Investigative Site
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Perth, Western Australia, Australia, 6000
- Novartis Investigative Site
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Perth, Western Australia, Australia, 6069
- Novartis Investigative Site
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Perth, Western Australia, Australia
- Novartis Investigative Site
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Pinjarra, Western Australia, Australia
- Novartis Investigative Site
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Spearwood, Western Australia, Australia, 6163
- Novartis Investigative Site
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Woodvale, Western Australia, Australia, 6026
- Novartis Investigative Site
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Yokine, Western Australia, Australia, 6060
- Novartis Investigative Site
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Auckland, New Zealand
- Novartis Investigative Site
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Auckland, New Zealand, 1051
- Novartis Investigative Site
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Christchurch, New Zealand
- Novartis Investigative Site
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Dunedin, New Zealand
- Novartis Investigative Site
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Grafton, Auckland, New Zealand, 1010
- Novartis Investigative Site
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Hamilton, New Zealand, 3240
- Novartis Investigative Site
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Tauranga, New Zealand
- Novartis Investigative Site
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Tauranga, New Zealand, 3143
- Novartis Investigative Site
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Wellington, New Zealand, 6021
- Novartis Investigative Site
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Wellington, New Zealand
- Novartis Investigative Site
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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:
- Patients with Moderate to Severe COPD (Stage II or Stage III) according to the GOLD 2010 guideline
- Current or ex-smokers who have a smoking history of at least 10 pack years
- Qualifying FEV1 at Visit 2 (day -7)
Exclusion Criteria:
- Patients with a history of asthma or a history of high blood eosinophil count (>600/mm³)
- Patients with concomitant pulmonary disease
- Patients with lung lobectomy or lung volume reduction or lung transplantation
- Patients with α-1 antitrypsin deficiency
- Patients who have had live attenuated vaccinations within 30 days prior to screening visit or during run-in period
Other protocol-defined inclusion/exclusion criteria may apply.
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: NVA237 + Fluticasone/Salmeterol (Flu/Sal)
NVA237 50 µg once daily (NVA237 + Tiotropium placebo + Flu/Sal).
NVA237 50 μg o.d., delivered via single-dose dry-powder inhaler (SDDPI) o.d.
plus Placebo to tiotropium o.d.
delivered via a proprietary inhalation device plus Flu/Sal 500/50 μg b.i.d.
delivered via a proprietary inhalation device.
In addition, at Visit 1, all participants were provided with a short acting β2-agonist (salbutamol) which they were instructed to use throughout the study as rescue medication.
|
NVA237 50 μg o.d., delivered via single-dose dry-powder inhaler (SDDPI)
Flu/Sal 500/50 μg b.i.d.
delivered via a proprietary inhalation device
Tiotropium 18 μg o.d.
delivered via a proprietary inhalation device
|
Active Comparator: Tiotropium + Flu/Sal
Tiotropium 18µg once daily (NVA237 placebo + Tiotropium + Flu/Sal).
Tiotropium 18 μg o.d.
delivered via a proprietary inhalation device plus Placebo to NVA237 o.d.
delivered via single-dose dry-powder inhaler (SDDPI) plus Flu/Sal 500/50 μg b.i.d.
delivered via a proprietary inhalation device.
In addition, at Visit 1, all participants were provided with a short acting β2-agonist (salbutamol) which they were instructed to use throughout the study as rescue medication.
|
Flu/Sal 500/50 μg b.i.d.
delivered via a proprietary inhalation device
Tiotropium 18 μg o.d.
delivered via a proprietary inhalation device
Tiotropium 18 μg o.d.
delivered via a proprietary inhalation device
|
Placebo Comparator: Flu/Sal
Placebo (NVA237 placebo + Tiotropium placebo + Flu/Sal).
Placebo to tiotropium o.d.
delivered via a proprietary inhalation device plus Placebo to NVA237 o.d.
delivered via single-dose dry-powder inhaler (SDDPI) plus Flu/Sal 500/50 μg b.i.d.
delivered via a proprietary inhalation device.
In addition, at Visit 1, all participants were provided with a short acting β2-agonist (salbutamol) which they were instructed to use throughout the study as rescue medication.
|
Flu/Sal 500/50 μg b.i.d.
delivered via a proprietary inhalation device
Tiotropium 18 μg o.d.
delivered via a proprietary inhalation device
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change From Baseline in Mean Trough Forced Expiratory Volume in 1 Second (FEV1) (NVA237 Versus Tiotropium)
Time Frame: baseline, 12 weeks
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Spirometry was conducted according to internationally accepted standards.
Trough FEV1 referred to the mean of FEV1 at 23:15 hours and 23:45 hours after the morning dose of study drug.
The baseline was defined as the average of FEV1 values taken in the clinic 45 min and 15 min prior to the first dose of randomized treatment at Visit 3. A mixed model was used and contained treatment as a fixed effect with the baseline measurement of trough FEV1, FEV1 prior to inhalation of short acting bronchodilators, and FEV1 post-inhalation of bronchodilators and stratification factors as covariates.
A positive change from baseline indicates improvement.
|
baseline, 12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change From Baseline in Mean Trough FEV1 (Flu/Sal Versus NVA237/Tiotropium+Flu/Sal)
Time Frame: baseline, 4 weeks, 8 weeks, 12 weeks
|
Spirometry was conducted according to internationally accepted standards.
Trough FEV1 referred to the mean of FEV1 at 23:15h and 23:45h after the morning dose of study drug.
The baseline was defined as the average of FEV1 values taken in the clinic 45min and 15min prior to the first dose of randomized treatment at Visit 3. A mixed model was used and contained treatment as a fixed effect with the baseline measurement of trough FEV1, FEV1 prior to inhalation of short acting bronchodilators, and FEV1 post-inhalation of bronchodilators and stratification factors as covariates.
A positive change from baseline indicates improvement.
|
baseline, 4 weeks, 8 weeks, 12 weeks
|
Change From Baseline in Mean Trough FEV1
Time Frame: baseline, 4 weeks, 8 weeks, 12 weeks
|
Spirometry was conducted according to internationally accepted standards.
Trough FEV1 referred to the mean of FEV1 at 23:15h and 23:45h after the morning dose of study drug.
The baseline was defined as the average of FEV1 values taken in the clinic 45min and 15min prior to the first dose of randomized treatment at Visit 3. A mixed model was used and contained treatment as a fixed effect with the baseline measurement of trough FEV1, FEV1 prior to inhalation of short acting bronchodilators, and FEV1 post-inhalation of bronchodilators and stratification factors as covariates.
A positive change from baseline indicates improvement.
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baseline, 4 weeks, 8 weeks, 12 weeks
|
Change From Baseline in Total Score of the St George's Respiratory Questionnaire for COPD Patients (SGRQ-C) After 12 Weeks of Treatment
Time Frame: 12 weeks
|
SGRQ-C is a health related quality of life questionnaire consisting of 40 items divided into two components: 1) symptoms, 2) activity& impacts.
The lowest possible value is zero and the highest is 100.
Higher values corresponded to greater impairment in quality of life.
An analysis model included terms for treatment, baseline total SGRQ score, FEV1 and baseline smoking status.
The model also contained as fixed effects the baseline total SGRQ score, FEV1 prior to inhalation of short acting bronchodilator, FEV1 post inhalation of short acting bronchodilator and stratification factors as covariates.
A negative change from baseline indicates improvement.
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12 weeks
|
Change From Baseline in the Mean Daily Number of Puffs of Rescue Medication Use
Time Frame: baseline, 12 weeks
|
The total number of puffs of rescue medication used over the last 12 h recorded in the morning (nighttime use) and in the evening (daytime use) over the full 12 weeks was divided by the total number of days with non-missing rescue data to derive the mean daytime and nighttime number of puffs of rescue medication.
Change from baseline in the mean daytime and nighttime number of puffs of rescue medication was analyzed as for the change from baseline in the mean daily number of puffs of rescue medication.
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baseline, 12 weeks
|
Mean Percentage of Nights With 'no Nighttime Awakenings'
Time Frame: 12 weeks
|
A night with 'no nighttime awakenings' is defined from diary data as any night where patient did not wake up due to symptoms.
Total number of nights with 'no nighttime awakenings' over treatment period was divided by total number of nights where diary recordings have been made in order to derive percentage of 'no nighttime awakenings' which will be summarized by treatment and analyzed using a similar mixed model as specified for primary analysis.
Diary data recorded during the 7 day run-in period was used to calculate baseline percentage of nights 'no nighttime awakenings'.
|
12 weeks
|
Mean Percentage of Days With Performance of Usual Activities
Time Frame: 12 weeks
|
A 'day able to perform usual daily activities' was defined from diary data as any day where the patient was not prevented from performing their usual daily activities due to respiratory symptoms.
The percentage of 'days able to perform usual daily activities' was derived and analyzed using a similar mixed model as specified for primary analysis as for the percentage of nights with 'no nighttime awakenings'.
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12 weeks
|
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
April 1, 2012
Primary Completion (Actual)
December 1, 2013
Study Completion (Actual)
December 1, 2013
Study Registration Dates
First Submitted
January 16, 2012
First Submitted That Met QC Criteria
January 19, 2012
First Posted (Estimate)
January 20, 2012
Study Record Updates
Last Update Posted (Estimate)
January 5, 2015
Last Update Submitted That Met QC Criteria
December 23, 2014
Last Verified
December 1, 2014
More Information
Terms related to this study
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
- Parasympatholytics
- Autonomic Agents
- Peripheral Nervous System Agents
- Muscarinic Antagonists
- Cholinergic Antagonists
- Cholinergic Agents
- Adjuvants, Anesthesia
- Bronchodilator Agents
- Anti-Asthmatic Agents
- Respiratory System Agents
- Glycopyrrolate
- Tiotropium Bromide
Other Study ID Numbers
- CNVA237AAU01
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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