REported Outcomes in COPD With Trixeo in Real worlD (RECORD)

A Non-interventional, Multi-centre Study to Investigate the Change in Clinical and Patient-reported Outcomes in Moderate to Severe COPD Patients Treated With TRIXEO (Budesonide / Glycopyrronium / Formoterol) Under Real-life Conditions

Chronic obstructive pulmonary disease (COPD) is characterized by persistent respiratory symptoms (including breathlessness, cough, and sputum production), which has a substantial impact on health-related quality of life (HRQoL). Medical treatment of COPD aims to reduce these symptoms, reduce exacerbations, and improve patients' ability to perform exercise and daily activities. TRIXEO is a triple therapy indicated as a maintenance treatment in adult patients with moderate-to-severe COPD who are not adequately treated by a combination of an inhaled corticosteroid and a long-acting beta2-agonist or combination of a long-acting beta2-agonist and a long-acting muscarinic antagonist.

The RECORD study is a prospective, non-interventional study to be conducted in the United Kingdom (UK) and Germany. The study aims to generate data to describe the real world effectiveness of Trixeo for patients with COPD who receive Trixeo in routine clinical practice. It also aims describe patients HRQoL, physical activity and treatment satisfaction, and will explore patients' sleep quality and adherence to inhalers in the real-world. This data may provide important information for practicing physicians.

The study will include approximately 500 patients with moderate to severe COPD from approximately 50 sites (including hospitals and GP practices) in the UK. Patients eligible for TRIXEO therapy may be enrolled by their treating physicians. The decision to treat with TRIXEO must be independent of the study and made by the treating physician according to the patients' medical need and local routine clinical practice. Patients data will be collected for 12 months after starting therapy with Trixeo.

Demographic and clinical data will be extracted from patients' health care records. Patient reported outcomes will be collected remotely by asking patients to answer questionnaires on health status and HRQoL, treatment satisfaction, and inhaled medication adherence through electronic surveys. Consenting patients´ physical activity and sleep data will be collected via a Fitbit armband device.

Study Overview

• Status: Completed
• Conditions: Chronic Obstructive Pulmonary Disease

• Study Type: Observational
• Enrollment (Actual): 150

Contacts and Locations

Study Locations

• United Kingdom
  • Ashton Under Lyne, United Kingdom
    • Research Site
  • Bath, United Kingdom
    • Research Site
  • Belfast, United Kingdom
    • Research Site
  • Birkenhead, United Kingdom
    • Research Site
  • Bury St Edmunds, United Kingdom
    • Research Site
  • Carmarthen, United Kingdom
    • Research Site
  • Cippenham, United Kingdom
    • Research Site
  • Dewsbury, United Kingdom
    • Research Site
  • Gillingham, United Kingdom
    • Research Site
  • Gloucestershire, United Kingdom
    • Research Site
  • Greenisland, United Kingdom
    • Research Site
  • Hampshire, United Kingdom
    • Research Site
  • Harlow, United Kingdom
    • Research Site
  • Leeds, United Kingdom
    • Research Site
  • Leicester, United Kingdom
    • Research Site
  • Louth, United Kingdom
    • Research Site
  • Macclesfield, United Kingdom
    • Research Site
  • Manchester, United Kingdom
    • Research Site
  • Mundesley, United Kingdom
    • Research Site
  • North Shields, United Kingdom
    • Research Site
  • Nuneaton, United Kingdom
    • Research Site
  • Prenton, United Kingdom
    • Research Site
  • Preston, United Kingdom
    • Research Site
  • Redruth, United Kingdom
    • Research Site
  • Rhyl, United Kingdom
    • Research Site
  • Stafford, United Kingdom
    • Research Site
  • Taunton, United Kingdom
    • Research Site
  • Waterlooville, United Kingdom
    • Research Site
  • Watford, United Kingdom
    • Research Site
  • Westcliff on Sea, United Kingdom
    • Research Site
  • Wirral, United Kingdom
    • Research Site

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 130 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

The source population for this study is patients with moderate to severe COPD and who have been prescribed TRIXEO therapy in the primary care or hospital care setting may be enrolled in this study. Patients meeting all the inclusion criteria and none of the exclusion criteria may be enrolled by their physician.

The decision to start treatment with TRIXEO has to be made by the treating physician according to the subjects' medical need and a positive benefit/risk balance. The decision is not part of the study, lies with the treating physician and is taken according to the standard of current best medical practice and national guidelines.

Description

Inclusion Criteria:

• Physician-diagnosed COPD
• Having been prescribed treatment with TRIXEO according to label and local market reimbursement criteria
• Patients must be able and willing to read and to comprehend written instructions, and to comprehend and complete the questionnaires required by the protocol
• After full explanation, patients must have signed an informed consent document indicating that they understand the purpose of and the procedures required for the study and are willing to participate in the study.

Exclusion Criteria:

• COPD due to α-1 antitrypsin deficiency
• Previous treatment with any other triple fixed-dose combination during screening
• Hospitalisation due to COPD exacerbation within the last 4 weeks prior to enrolment
• Pregnancy or lactation period
• Participation in an observational trial that might, in the investigator's opinion, influence the assessment for the current study, or participation in a randomised clinical trial in the last 30 days.
• Patient still recovering from Covid-19 infection

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
To describe the change in COPD health status after 3 months of treatment vs baseline in eligible COPD patients initiated with TRIXEO treatment	Change from baseline in COPD Assessment Test (CAT) score after 3 months treatment	3 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Describe change in COPD health status after 1, 6 and 12 months of treatment vs baseline in eligible COPD patients initiated with TRIXEO treatment	Change from baseline in CAT score after 1, 6 and 12 months treatment	12 months
Describe change in health-related quality of life (HRQL) after 3 and 12 months vs baseline in eligible COPD patients initiated with TRIXEO treatment	Change from baseline in St George's Respiratory Questionnaire (SGRQ) score after 3 and 12 months treatment	12 months
Describe change in physical activity and activity limitations after 1, 3 and 12 months of treatment vs baseline in eligible COPD patients initiated with TRIXEO treatment	Change from baseline in device-measured steps per day after 3 and 12 months of treatment	12 months
Describe change in physical activity and activity limitations after 1, 3 and 12 months of treatment vs baseline in eligible COPD patients initiated with TRIXEO treatment	Change from baseline in activity limitations, measured by CAT activity question/domain, after 1, 3 and 12 months of treatment	12 months
Describe change in physical activity and activity limitations after 1, 3 and 12 months of treatment vs baseline in eligible COPD patients initiated with TRIXEO treatment	Change from baseline in activity limitations, measured by SGRQ activity question/domain, after 3 and 12 months of treatment	12 months
Describe change in patient satisfaction with their inhalation device after 3 and 12 months vs baseline in eligible COPD patients initiated with TRIXEO treatment	IQVIA Treatment Satisfaction Questionnaire for Medication (TSQM)© scores at baseline, 3 and 12 months	12 months
Describe change in physician-reported exacerbation rate (moderate and severe exacerbations) after 6 and 12 months vs baseline	Change from baseline in exacerbation rate (moderate, severe) after 6 and 12 months of treatment	12 months

Collaborators and Investigators

• Sponsor: AstraZeneca

Publications and helpful links

Helpful Links

• CSR Synopsis

Study record dates

Study Major Dates

• Study Start (Actual): August 11, 2022
• Primary Completion (Actual): July 8, 2024
• Study Completion (Actual): July 8, 2024

Study Registration Dates

• First Submitted: December 22, 2021
• First Submitted That Met QC Criteria: January 17, 2022
• First Posted (Actual): January 28, 2022

Study Record Updates

• Last Update Posted (Actual): July 11, 2025
• Last Update Submitted That Met QC Criteria: July 8, 2025
• Last Verified: July 1, 2025

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Chronic Disease; Disease Attributes; Respiratory Tract Diseases; Lung Diseases; Lung Diseases, Obstructive; Pulmonary Disease, Chronic Obstructive
• Other Study ID Numbers: D5980R00051