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
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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Chita, Den Russiske Føderation, 672000
- GSK Investigational Site
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Irkutsk, Den Russiske Føderation, 664005
- GSK Investigational Site
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Moscow, Den Russiske Føderation, 115446
- GSK Investigational Site
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Petrozavodsk, Den Russiske Føderation, 185019
- GSK Investigational Site
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Ryazan, Den Russiske Føderation, 390039
- GSK Investigational Site
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Saint-Petersburg, Den Russiske Føderation, 194354
- GSK Investigational Site
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Saratov, Den Russiske Føderation, 410028
- GSK Investigational Site
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Saratov, Den Russiske Føderation, 410018
- GSK Investigational Site
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Tomsk, Den Russiske Føderation, 634001
- GSK Investigational Site
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Voronezh, Den Russiske Føderation, 394018
- GSK Investigational Site
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Yaroslavl, Den Russiske Føderation
- GSK Investigational Site
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Alabama
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Birmingham, Alabama, Forenede Stater, 35216
- GSK Investigational Site
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California
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San Diego, California, Forenede Stater, 92117
- GSK Investigational Site
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Florida
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DeLand, Florida, Forenede Stater, 32720
- GSK Investigational Site
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Orlando, Florida, Forenede Stater, 32822
- GSK Investigational Site
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Tampa, Florida, Forenede Stater, 33603
- GSK Investigational Site
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Georgia
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Decatur, Georgia, Forenede Stater, 30033
- GSK Investigational Site
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Missouri
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Saint Charles, Missouri, Forenede Stater, 63301
- GSK Investigational Site
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New Mexico
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Albuquerque, New Mexico, Forenede Stater, 87108
- GSK Investigational Site
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Oklahoma
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Oklahoma City, Oklahoma, Forenede Stater, 73103
- GSK Investigational Site
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Pennsylvania
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Phoenixville, Pennsylvania, Forenede Stater, 19460
- GSK Investigational Site
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South Carolina
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Charleston, South Carolina, Forenede Stater, 29406-7108
- GSK Investigational Site
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Gaffney, South Carolina, Forenede Stater, 29340
- GSK Investigational Site
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Greenville, South Carolina, Forenede Stater, 29615
- GSK Investigational Site
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Rock Hill, South Carolina, Forenede Stater, 29732
- GSK Investigational Site
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Seneca, South Carolina, Forenede Stater, 29678
- GSK Investigational Site
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South Dakota
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Rapid City, South Dakota, Forenede Stater, 57702
- GSK Investigational Site
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Texas
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San Antonio, Texas, Forenede Stater, 78229
- GSK Investigational Site
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Virginia
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Newport News, Virginia, Forenede Stater, 23606
- GSK Investigational Site
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Richmond, Virginia, Forenede Stater, 23229
- GSK Investigational Site
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Clermont Ferrand cedex 1, Frankrig, 63003
- GSK Investigational Site
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Nantes cedex 1, Frankrig, 44093
- GSK Investigational Site
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Nîmes cedex 09, Frankrig, 30029
- GSK Investigational Site
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Saint Pierre Cedex, Frankrig, 97448
- GSK Investigational Site
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Campania
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Avellino, Campania, Italien, 83100
- GSK Investigational Site
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Friuli-Venezia-Giulia
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Pordenone, Friuli-Venezia-Giulia, Italien, 33170
- GSK Investigational Site
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Lazio
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Roma, Lazio, Italien, 00144
- GSK Investigational Site
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Liguria
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Pietra Ligure (SV), Liguria, Italien, 17027
- GSK Investigational Site
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Lombardia
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Milano, Lombardia, Italien, 20121
- GSK Investigational Site
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Pavia, Lombardia, Italien, 27100
- GSK Investigational Site
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Tradate (VA), Lombardia, Italien, 21049
- GSK Investigational Site
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Puglia
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Foggia, Puglia, Italien, 71100
- GSK Investigational Site
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Sicilia
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Catania, Sicilia, Italien, 95123
- GSK Investigational Site
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Toscana
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Pisa, Toscana, Italien, 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, Polen, 80-405
- GSK Investigational Site
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Gidle, Polen, 97-540
- GSK Investigational Site
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Krakow, Polen, 31-023
- GSK Investigational Site
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Lubliniec, Polen, 42-700
- GSK Investigational Site
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Sopot, Polen, 81-741
- GSK Investigational Site
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Wloclawek, Polen, 87-800
- GSK Investigational Site
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Zabrze, Polen, 41-800
- GSK Investigational Site
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Bacau, Rumænien, 600252
- GSK Investigational Site
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Bucharest, Rumænien, 011794
- GSK Investigational Site
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Ploiesti, Rumænien, 100184
- GSK Investigational Site
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Timisoara, Rumænien, 300310
- GSK Investigational Site
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Berlin, Tyskland, 13086
- GSK Investigational Site
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Berlin, Tyskland, 10717
- GSK Investigational Site
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Berlin, Tyskland, 12203
- GSK Investigational Site
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Berlin, Tyskland, 12157
- GSK Investigational Site
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Hamburg, Tyskland, 22299
- GSK Investigational Site
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Baden-Wuerttemberg
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Sinsheim, Baden-Wuerttemberg, Tyskland, 74889
- GSK Investigational Site
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Stuttgart, Baden-Wuerttemberg, Tyskland, 70378
- GSK Investigational Site
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Bayern
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Bamberg, Bayern, Tyskland, 96049
- GSK Investigational Site
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Erlangen, Bayern, Tyskland, 91052
- GSK Investigational Site
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Muenchen, Bayern, Tyskland, 80339
- GSK Investigational Site
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Nuernberg, Bayern, Tyskland, 90402
- GSK Investigational Site
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Brandenburg
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Potsdam, Brandenburg, Tyskland, 14467
- GSK Investigational Site
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Hessen
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Marburg, Hessen, Tyskland, 35037
- GSK Investigational Site
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Niedersachsen
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Hannover, Niedersachsen, Tyskland, 30159
- GSK Investigational Site
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Hannover, Niedersachsen, Tyskland, 30173
- GSK Investigational Site
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Nordrhein-Westfalen
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Dortmund, Nordrhein-Westfalen, Tyskland, 44263
- GSK Investigational Site
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Dortmund, Nordrhein-Westfalen, Tyskland, 44147
- 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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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
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
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: GSK573719/GW642444 125/25
125/25 mcg én gang dagligt
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125/25 mcg én gang dagligt
Andre navne:
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Eksperimentel: GSK573719/GW642444 62,5/25
62,5/25 mcg én gang dagligt
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62.5/26 mcg once-daily
Andre navne:
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Aktiv komparator: tiotropiumbromid
18 mcg én gang dagligt
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18 mcg én gang dagligt
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Eksperimentel: GW642444
25 mcg once-daily
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25 mcg once-daily
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Change From Baseline (BL) in Trough Forced Expiratory Volume in One Second (FEV1) on Day 169 (Week 24)
Tidsramme: 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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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Ændring fra baseline (BL) i vægtet gennemsnit (WM) 0-6 timers FEV1 opnået efter dosis på dag 168
Tidsramme: Baseline og dag 168
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FEV1 er et mål for lungefunktionen og er defineret som den maksimale mængde luft, der kan udåndes kraftigt på et sekund.
WM FEV1 blev udledt ved at beregne arealet under FEV1/tidskurven (AUC) ved hjælp af trapezreglen og derefter dividere værdien med det tidsinterval, som AUC blev beregnet over.
WM blev beregnet på dag 1, 84 og dag 168 ved hjælp af 0-6 timers FEV1-målinger fra 0-6 timer opsamlet den dag, som inkluderede før-dosis (dag 1: 30 minutter [min] og 5 minutter før dosering andre serielle besøg: 23 og 24 timer efter den foregående morgendosis) og efter dosis efter 15 minutter, 30 minutter, 1 time, 3 timer og 6 timer.
Ændring fra BL ved et bestemt besøg blev beregnet som WM ved det besøg minus BL.
Analyse blev udført ved hjælp af en model med gentagne målinger med kovariater af behandling, BL (gennemsnit af de to vurderinger foretaget 30 minutter og 5 minutter før dosis på dag 1), rygestatus, centergruppe, dag og dag for BL og dag for behandling interaktioner.
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Baseline og dag 168
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Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Ændring fra baseline (BL) i gennemsnitlig åndenød med daglige aktiviteter (SOBDA)-score for uge 24
Tidsramme: Baseline og uge 24
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Det nyudviklede SOBDA-spørgeskema vurderer dyspnø eller åndenød (SOB) med daglige aktiviteter.
SOBDA-spørgeskemaet består af 13 punkter udfyldt af deltageren (par.) hver aften før sengetid, når par. pålægges at reflektere over den aktuelle dags aktiviteter.
Den daglige score beregnes som gennemsnittet af scorerne på de 13 punkter (>=7 punkter skal have ikke-manglende svar for at dette kan beregnes).
Par. tildeles en ugentlig gennemsnitlig SOBDA-score, der spænder fra 1 til 4 (større score indikerer mere alvorlig åndenød ved daglige aktiviteter) baseret på gennemsnittet af 7 dages data (>=4 af 7 dage skal fuldføres for at et ugentligt gennemsnit kan beregnes) .
Ændring fra BL er den gennemsnitlige ugentlige SOBDA-score minus BL.
Analyse blev udført ved hjælp af MMRM med kovariater af behandling, BL (gennemsnitlig score i ugen før behandling), rygestatus, centergruppe, uge, uge for BL og uge efter behandlingsinteraktioner.
Denne MMRM-analyse inkluderede kun uge 4, 8, 12 og 24.
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Baseline og uge 24
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
Generelle publikationer
- 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.
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Luftvejssygdomme
- Lungesygdomme, obstruktiv
- Lungesygdomme
- Lungesygdom, kronisk obstruktiv
- Lægemidlers fysiologiske virkninger
- Neurotransmittermidler
- Molekylære mekanismer for farmakologisk virkning
- Parasympatholytika
- Autonome agenter
- Agenter fra det perifere nervesystem
- Kolinerge antagonister
- Kolinerge midler
- Antikonvulsiva
- Bronkodilatatorer
- Anti-astmatiske midler
- Respiratoriske midler
- Tiotropiumbromid
- Bromider
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 113360
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Studiedata/dokumenter
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Statistisk analyseplan
Informations-id: 113360Oplysningskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
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Klinisk undersøgelsesrapport
Informations-id: 113360Oplysningskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
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Datasætspecifikation
Informations-id: 113360Oplysningskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
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Annoteret sagsbetænkningsformular
Informations-id: 113360Oplysningskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
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Studieprotokol
Informations-id: 113360Oplysningskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
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Formular til informeret samtykke
Informations-id: 113360Oplysningskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
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Individuelt deltagerdatasæt
Informations-id: 113360Oplysningskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .