Extension Study to Evaluate the Safety and Efficacy of PT003, PT001, and PT005 in Subjects With Moderate to Very Severe COPD, With Spiriva® Handihaler® (PINNACLE 3)
A 28-Week, Multi-Center, Randomized, Double Blind, Parallel-Group, Active-Controlled Safety Extension Study to Evaluate the Safety and Efficacy of PT003, PT001, and PT005 in Subjects With Moderate to Very Severe COPD, With Spiriva® Handihaler® as an Active Control
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
-
-
New South Wales
-
New Lambton, New South Wales, Australien
- Pearl Investigative Site
-
Westmead, New South Wales, Australien
- Pearl Investigative Site
-
-
Queensland
-
Brisbane, Queensland, Australien
- Pearl Investigative Site
-
Cairns, Queensland, Australien
- Pearl Investigative Site
-
Wooloongabba, Queensland, Australien
- Pearl Investigative Site
-
-
South Australia
-
Adelaide, South Australia, Australien
- Pearl Investigative Site
-
-
Victoria
-
Heidelberg, Victoria, Australien
- Pearl Investigative Site
-
-
Western Australia
-
Nederlands, Western Australia, Australien
- Pearl Investigative Site
-
Perth, Western Australia, Australien
- Pearl Investigative Site
-
-
-
-
Alabama
-
Andalusia, Alabama, Forenede Stater
- Pearl Investigative Site
-
Anniston, Alabama, Forenede Stater
- Pearl Investigative Site
-
Athens, Alabama, Forenede Stater
- Pearl Investigative Site
-
Birmingham, Alabama, Forenede Stater
- Pearl Investigative Site
-
Jasper, Alabama, Forenede Stater
- Pearl Investigative Site
-
-
Arizona
-
Glendale, Arizona, Forenede Stater
- Pearl Investigative Site
-
Mesa, Arizona, Forenede Stater
- Pearl Investigative Site
-
Phoenix, Arizona, Forenede Stater
- Pearl Investigative Site
-
Scottsdale, Arizona, Forenede Stater
- Pearl Investigative Site
-
Tucson, Arizona, Forenede Stater
- Pearl Investigative Site
-
-
California
-
Anaheim, California, Forenede Stater
- Pearl Investigative Site
-
Carlsbad, California, Forenede Stater
- Pearl Investigative Site
-
Lakewood, California, Forenede Stater
- Pearl Investigative Site
-
Los Angeles, California, Forenede Stater
- Pearl Investigative Site
-
Monterey Park, California, Forenede Stater
- Pearl Investigative Site
-
Pasadena, California, Forenede Stater
- Pearl Investigative Site
-
Poway, California, Forenede Stater
- Pearl Investigative Site
-
Sacramento, California, Forenede Stater
- Pearl Investigative Site
-
San Diego, California, Forenede Stater
- Pearl Investigative Site
-
Tustin, California, Forenede Stater
- Pearl Investigative Site
-
Vista, California, Forenede Stater
- Pearl Investigative Site
-
-
Colorado
-
Colorado Springs, Colorado, Forenede Stater
- Pearl Investigative Site
-
Denver, Colorado, Forenede Stater
- Pearl Investigative Site
-
Fort Collins, Colorado, Forenede Stater
- Pearl Investigative Site
-
Wheat Ridge, Colorado, Forenede Stater
- Pearl Investigative Site
-
-
Connecticut
-
Danbury, Connecticut, Forenede Stater
- Pearl Investigative Site
-
Waterbury, Connecticut, Forenede Stater
- Pearl Investigative Site
-
-
Florida
-
Clearwater, Florida, Forenede Stater
- Pearl Investigative Site
-
Miami, Florida, Forenede Stater
- Pearl Investigative Site
-
Ormond Beach, Florida, Forenede Stater
- Pearl Investigative Site
-
Panama City, Florida, Forenede Stater
- Pearl Investigative Site
-
Pensacola, Florida, Forenede Stater
- Pearl Investigative Site
-
St Petersburg, Florida, Forenede Stater
- Pearl Investigative Site
-
Tampa, Florida, Forenede Stater
- Pearl Investigative Site
-
Winter Park, Florida, Forenede Stater
- Pearl Investigative Site
-
-
Georgia
-
Atlanta, Georgia, Forenede Stater
- Pearl Investigative Site
-
Austell, Georgia, Forenede Stater
- Pearl Investigative Site
-
Columbus, Georgia, Forenede Stater
- Pearl Investigative Site
-
Duluth, Georgia, Forenede Stater
- Pearl Investigative Site
-
Gainesville, Georgia, Forenede Stater
- Pearl Investigative Site
-
-
Idaho
-
Couer d'aline, Idaho, Forenede Stater
- Pearl Investigative Site
-
-
Illinois
-
Champaign, Illinois, Forenede Stater
- Pearl Investigative Site
-
Evanston, Illinois, Forenede Stater
- Pearl Investigative Site
-
Peoria, Illinois, Forenede Stater
- Pearl Investigative Site
-
River Forest, Illinois, Forenede Stater
- Pearl Investigative Site
-
-
Indiana
-
Avon, Indiana, Forenede Stater
- Pearl Investigative Site
-
Evansville, Indiana, Forenede Stater
- Pearl Investigative Site
-
South Bend, Indiana, Forenede Stater
- Pearl Investigative Site
-
-
Iowa
-
Iowa City, Iowa, Forenede Stater
- Pearl Investigative Site
-
-
Kansas
-
Olathe, Kansas, Forenede Stater
- Pearl Investigative Site
-
Topeka, Kansas, Forenede Stater
- Pearl Investigative Site
-
-
Kentucky
-
Louisville, Kentucky, Forenede Stater
- Pearl Investigative Site
-
-
Louisiana
-
Lafayette, Louisiana, Forenede Stater
- Pearl Investigative Site
-
Sunset, Louisiana, Forenede Stater
- Pearl Investigative Site
-
-
Maryland
-
Hollywood, Maryland, Forenede Stater
- Pearl Investigative Site
-
-
Michigan
-
Livonia, Michigan, Forenede Stater
- Pearl Investigative Site
-
Southfield, Michigan, Forenede Stater
- Pearl Investigative Site
-
-
Minnesota
-
Edina, Minnesota, Forenede Stater
- Pearl Investigative Site
-
Fridley, Minnesota, Forenede Stater
- Pearl Investigative Site
-
Minneapolis, Minnesota, Forenede Stater
- Pearl Investigative Site
-
Woodbury, Minnesota, Forenede Stater
- Pearl Investigative Site
-
-
Missouri
-
Chesterfield, Missouri, Forenede Stater
- Pearl Investigative Site
-
Springfield, Missouri, Forenede Stater
- Pearl Investigative Site
-
St Louis, Missouri, Forenede Stater
- Pearl Investigative Site
-
-
Nebraska
-
Bellvue, Nebraska, Forenede Stater
- Pearl Investigative Site
-
Omaha, Nebraska, Forenede Stater
- Pearl Investigative Site
-
-
Nevada
-
Las Vegas, Nevada, Forenede Stater
- Pearl Investigative Site
-
-
New Mexico
-
Albuquerque, New Mexico, Forenede Stater
- Pearl Investigative Site
-
-
New York
-
Corning, New York, Forenede Stater
- Pearl Investigative Site
-
-
North Carolina
-
Burlington, North Carolina, Forenede Stater
- Pearl Investigative Site
-
Charlotte, North Carolina, Forenede Stater
- Pearl Investigative Site
-
Greensboro, North Carolina, Forenede Stater
- Pearl Investigative Site
-
Huntersville, North Carolina, Forenede Stater
- Pearl Investigative Site
-
Mooresville, North Carolina, Forenede Stater
- Pearl Investigative Site
-
Raleigh, North Carolina, Forenede Stater
- Pearl Investigative Site
-
Wilmington, North Carolina, Forenede Stater
- Pearl Investigative Site
-
Winston-Salem, North Carolina, Forenede Stater
- Pearl Investigative Site
-
-
Ohio
-
Cincinnati, Ohio, Forenede Stater
- Pearl Investigative Site
-
Dayton, Ohio, Forenede Stater
- Pearl Investigative Site
-
-
Oregon
-
Bend, Oregon, Forenede Stater
- Pearl Investigative Site
-
Brandon, Oregon, Forenede Stater
- Pearl Investigative Site
-
Medford, Oregon, Forenede Stater
- Pearl Investigative Site
-
Portland, Oregon, Forenede Stater
- Pearl Investigative Site
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, Forenede Stater
- Pearl Investigative Site
-
Pittsburgh, Pennsylvania, Forenede Stater
- Pearl Investigative Site
-
-
South Carolina
-
Charleston, South Carolina, Forenede Stater
- Pearl Investigative Site
-
Easley, South Carolina, Forenede Stater
- Pearl Investigative Site
-
Gaffney, South Carolina, Forenede Stater
- Pearl Investigative Site
-
Murrells Inlet, South Carolina, Forenede Stater
- Pearl Investigative Site
-
Rock Hill, South Carolina, Forenede Stater
- Pearl Investigative Site
-
Spartanburg, South Carolina, Forenede Stater
- Pearl Investigative Site
-
-
South Dakota
-
Rapid City, South Dakota, Forenede Stater
- Pearl Investigative Site
-
-
Tennessee
-
Bristol, Tennessee, Forenede Stater
- Pearl Investigative Site
-
Johnson City, Tennessee, Forenede Stater
- Pearl Investigative Site
-
Kingsport, Tennessee, Forenede Stater
- Pearl Investigative Site
-
-
Texas
-
Austin, Texas, Forenede Stater
- Pearl Investigative Site
-
Houston, Texas, Forenede Stater
- Pearl Investigative Site
-
Huntsville, Texas, Forenede Stater
- Pearl Investigative Site
-
Longview, Texas, Forenede Stater
- Pearl Investigative Site
-
New Braunfels, Texas, Forenede Stater
- Pearl Investigative Site
-
San Antonio, Texas, Forenede Stater
- Pearl Investigative Site
-
-
Utah
-
Midvale, Utah, Forenede Stater
- Pearl Investigative Site
-
Salt Lake City, Utah, Forenede Stater
- Pearl Investigative Site
-
-
Vermont
-
South Burlington, Vermont, Forenede Stater
- Pearl Investigative Site
-
-
Virginia
-
Abingdon, Virginia, Forenede Stater
- Pearl Investigative Site
-
Richmond, Virginia, Forenede Stater
- Pearl Investigative Site
-
-
Washington
-
Spokane, Washington, Forenede Stater
- Pearl Investigative Site
-
Tacoma, Washington, Forenede Stater
- Pearl Investigative Site
-
-
West Virginia
-
Morgantown, West Virginia, Forenede Stater
- Pearl Investigative Site
-
-
Wisconsin
-
West Allis, Wisconsin, Forenede Stater
- Pearl Investigative Site
-
-
-
-
-
Tauranga, New Zealand
- Pearl Investigative Site
-
-
Aukland
-
Otahuhu, Aukland, New Zealand
- Pearl Investigative Site
-
-
Dunedin
-
Caversham, Dunedin, New Zealand
- Pearl Investigative Site
-
-
East Aukland
-
Greenlabe, East Aukland, New Zealand
- Pearl Investigative Site
-
-
Waikato
-
Hamilton, Waikato, New Zealand
- Pearl Investigative Site
-
-
Wellington
-
Newtown, Wellington, New Zealand
- Pearl Investigative Site
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Key Inclusion Criteria:
- Participant in/completion of previous 24-week PINNACLE Phase III Trial.
- Male or female subjects at least 40 years of age and no older than 80 at Visit 1.
- Subjects with an established clinical history of COPD as defined by the American Thoracic Society (ATS)/European Respiratory Society (ERS)
- Current or former smokers with a history of at least 10 pack-years of cigarette smoking.
- Subjects with FEV1/forced vital capacity (FVC) ratio of <0.70 and FEV1 <80% predicted normal and ≥750 mL if FEV1 <30% of predicted normal value.
- Subjects willing and, in the opinion of the investigator, able to adjust current COPD therapy as required by the protocol
Key Exclusion Criteria:
- Significant diseases other than COPD, i.e. disease or condition which, in the opinion of the investigator, may put the patient at risk because of participation in the study or may influence either the results of the study or the subject's ability to participate in the study
- Current diagnosis of asthma or alpha-1 antitrypsin deficiency
- Other active pulmonary disease such as active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, idiopathic interstitial pulmonary fibrosis, primary pulmonary hypertension, or uncontrolled sleep apnea
- Hospitalized due to poorly controlled COPD within 3 months prior to screening or during the Screening Period
- Poorly controlled COPD, defined as acute worsening of COPD that requires treatment with oral corticosteroids or antibiotics within 6 weeks prior to screening or during the Screening Period
- Lower respiratory tract infections that required antibiotics within 6 weeks prior to screening or during the Screening Period
- Unstable ischemic heart disease, left ventricular failure, or documented myocardial infarction within 12 months of enrollment.
- Recent history of acute coronary syndrome, percutaneous coronary intervention, coronary artery bypass graft within the past three months
- Congestive heart failure (CHF) New York Heart Association (NYHA) Class III/IV)
- Clinically significant abnormal 12-lead electrocardiogram (ECG)
- Abnormal liver function tests defined as alanine transaminase (ALT), aspartate transaminanse (AST), or total bilirubin ≥ 1.5 times upper limit of normal at Visit 1 and on repeat testing
- Cancer not in complete remission for at least five years
- History of hypersensitivity to β2-agonists, glycopyrronium or other muscarinic anticholinergics, lactose/milk protein or any component of the MDI
Other protocol-defined inclusion/exclusion criteria may apply
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Tredobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Aktiv komparator: Åbent tiotropiumbromid inhalationspulver
Åbent tiotropiumbromid inhalationspulver (Spiriva® Handihaler®)
|
Taken as 1 capsule daily containing 18 μg of open-label tiotropium via the Handihaler dry powder inhaler (DPI)
|
|
Eksperimentel: GFF MDI (PT003)
|
GFF MDI administered as two puffs BID
|
|
Eksperimentel: GP MDI (PT001)
|
GP MDI administreret som to pust BID
|
|
Eksperimentel: FF MDI (PT005)
|
FF MDI administreret som to pust BID
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change From Baseline in Morning -Pre-dose Trough FEV1 Over 52 Weeks
Tidsramme: Baseline and Weeks 2 to 52
|
Change From Baseline in Morning Pre-Dose Trough FEV1 Over 52 Weeks as a Model-Based Average (ITT Population).
FEV1 was assessed at multiple time points post-baseline, and a model-based average of all visits starting from Week 2 through week 52 inclusive was calculated.
The change values reported in the table represent the change between the baseline and the average FEV1 post-baseline.
|
Baseline and Weeks 2 to 52
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Self-Administered Computerized (SAC) TDI Focal Score Over 52 Weeks
Tidsramme: Baseline and Weeks 4 to 52
|
SAC TDI focal score over 52 Weeks as a Model-Based Average (ITT Population) The TDI is an instrument which measures the changes in the participant's dyspnea from Baseline.
The scores in the TDI evaluate ratings for 3 different categories (functional impairment, magnitude of task in exertional capacity, and magnitude of effort).
TDI scores ranged from -3 (major deterioration) to +3 (major improvement); total score = -9 to 9.
|
Baseline and Weeks 4 to 52
|
|
Peak Change From Baseline in FEV1 Within 2 Hrs Post-dosing
Tidsramme: Baseline and Weeks 2 to 52
|
Peak change from Baseline FEV1 Over 52 Weeks is a Model-Based Average (ITT Population).
Peak FEV1 was assessed at multiple visits post-baseline, and a model-based average of all visits starting from Week 2 through week 52 inclusive was calculated.
The change values reported in the table represent the change between the baseline and the average Peak FEV1 post-baseline.
|
Baseline and Weeks 2 to 52
|
|
Change From Baseline in SGRQ Total Score
Tidsramme: Baseline and Weeks 12 to 52
|
The SGRQ is a disease-specific questionnaire, self-completed by participants, used to evaluate the effect of GFF MDI, FF MDI and GP MDI on health-related quality of life as compared to placebo in subjects with COPD.
The scores range from 0 (best possible health status) to 100 (worst possible health status).
The SGRQ contains 76 items grouped into three domains (symptoms, activity and impacts).
Change from Baseline in total score of -4 units or lower is considered as clinically meaningful improvement in quality of life.
SGRQ Total Score was assessed at multiple visits post-baseline, and a model-based average of all visits starting from Week 12 through week 52 inclusive was calculated.
The change values reported in the table represent the change between the baseline and the average SGRQ Total Score post-baseline.
|
Baseline and Weeks 12 to 52
|
|
Change From Baseline in Average Daily Rescue Ventolin Use
Tidsramme: Baseline through Week 52
|
Subjects recorded in their diary the number of puffs of rescue Ventolin HFA taken on each study day.
The subject's average daily number of puffs of rescue Ventolin HFA was calculated over the entire 52-week treatment period.
Missing values were ignored in both the numerator and denominator.
Diary data recorded during the last 7 days of the 10-14 day screening period were used to calculate the baseline average.
Change in rescue Ventolin HFA use was calculated by subtracting the baseline average from the 52-week average.
|
Baseline through Week 52
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
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
- Lungesygdomme, obstruktiv
- 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
- PT003008-00
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 .