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Confirmatory Dose Finding Study of 2 Dosages of CHF 4226 pMDI (Carmoterol) in Patients With COPD

24. august 2010 opdateret af: Chiesi Farmaceutici S.p.A.

Evaluation of the Effect of 2 Weeks Treatment With CHF 4226 pMDI 2µg and 4µg, Given Once Daily in the Morning, on 24-Hour FEV1 in Patients With COPD

The purpose of this study is to confirm the dose of CHF 4226 (carmoterol) that should be given once a day to patients with COPD in order for the effect to last for 24 hours.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

57

Fase

  • Fase 2

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Forenede Stater
    • Arizona
      • Gilbert, Arizona, Forenede Stater, 85295
        • Horizon Clinical Research Associates, PLLC
      • Phoenix, Arizona, Forenede Stater, 85006
        • Pulmonary Associates, PA
    • California
      • Los Angeles, California, Forenede Stater, 90095
        • UCLA David Geffen School of Medicine
    • Florida
      • DeLand, Florida, Forenede Stater, 32720
        • University Clinical Research - Deland, LLC
    • Georgia
      • Austell, Georgia, Forenede Stater, 30106
        • Pulmonary Medicine and Critical Care
    • Illinois
      • Normal, Illinois, Forenede Stater, 61761
        • Sneeze, Wheeze & Itch Associates, LLC
    • Kentucky
      • Madisonville, Kentucky, Forenede Stater, 42431
        • Commonwealth BioMedical Research
    • North Carolina
      • Raleigh, North Carolina, Forenede Stater, 27607
        • North Carolina Clinical Research
    • Ohio
      • Cincinnati, Ohio, Forenede Stater, 45242
        • New Horizons Clinical Research
    • Oklahoma
      • Oklahoma City, Oklahoma, Forenede Stater, 73112
        • Lynn Health Science Institute
    • Oregon
      • Medford, Oregon, Forenede Stater, 97504
        • Clinical Research Institute of Southern Oregon, PC
      • Portland, Oregon, Forenede Stater, 97213
        • Asthma Allergy Associates
    • South Carolina
      • Spartanburg, South Carolina, Forenede Stater, 29303
        • Spartanburg Medical Research
    • Texas
      • Sugar Land, Texas, Forenede Stater, 77074
        • Reichman Associates
    • Utah
      • Salt Lake City, Utah, Forenede Stater, 84108
        • University of Utah

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

40 år til 75 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Signed IRB approved Informed Consent form
  • Male or non-pregnant female, 40 -75 years old, inclusive
  • Current or past cigarette smoking history of at least 15 pack-years
  • Clinical diagnosis of COPD in accordance with recommendations of the National Heart Lung and Blood Institute/World Health Organization (NHLBI/WHO) Global Initiative for Chronic Obstructive Lung Disease (GOLD)

  • Patient meets following requirements after FEV1 albuterol reversibility test (i.e., 30 minutes after 200μg (metered dose) albuterol MDI):

    • FEV1/FVC < 70%
    • FEV1 is at least 0.9L
    • FEV1 30% - 80%, inclusive, of patient's predicted normal value; ∆FEV1 > 5% of pre-albuterol value
    • If ∆FEV1 < 5% of pre-albuterol value, requirement must be met after retesting during run-in period, at least 24 hours prior to Period 1/Visit 1.

Exclusion Criteria:

  • History of asthma
  • Blood eosinophil count > 500/microliters
  • History of allergic rhinitis or atopy
  • COPD exacerbation or lower respiratory tract infection within 8 weeks prior to screening, or during run-in period, that resulted in use of an antibiotic, or oral or parenteral corticosteroids
  • Inhaled corticosteroid that has been initiated, or effective dose has been changed, within 4 weeks prior to screening or during run-in period
  • Uncontrolled cardiovascular (e.g., uncontrolled hypertension), respiratory, hematologic, immunologic, renal, neurologic, hepatic, endocrine (e.g., uncontrolled diabetes mellitus) or other disease, or any condition that might, in Investigator's judgment, place patient at undue risk or potentially compromise study results or interpretation
  • History of coronary artery disease, cerebrovascular disease, cardiac arrhythmias
  • Lung cancer or history of lung cancer
  • Active cancer or history of cancer with < 5 years disease free survival time (with or without evidence of local recurrence or metastases). Localized basal cell carcinoma (without metastases) of skin is acceptable.
  • Serum potassium value ≤ 3.5 mEq/L or > 5.5mEq/L and/or fasting serum glucose value ≥ 140 mg/dL
  • Abnormal QTcF interval value in Screening visit ECG test (i.e., > 450 msec in males or > 470 msec in females)
  • Cor Pulmonale
  • Long term oxygen therapy, i.e., > 16 hours/24-hour period, every day, unless patient resides at elevation > 4000ft

  • Use of any of the following medications prior to Screening, without meeting specified minimum washout period:

    • Long acting anti-cholinergic agent (i.e., tiotropium): 7 days
    • Short acting anti-cholinergics: 8 hours
    • Fixed combinations of β2-agonists and inhaled corticosteroids: 48 hours
    • Fixed combinations of an anti-cholinergic and short acting β2-agonist: 8 hours
  • Long-acting β2-agonists: 48 hours
  • Short acting β2-agonists (other than those prescribed in the study): 6 hours
  • Theophylline and other xanthines: 1 week
  • Parenteral or oral corticosteroids: 1 month
  • Patient has taken any non-permitted medication
  • Patient has received live-attenuated virus vaccination within two weeks prior to screening or during run-in (inactivated Influenza vaccination is acceptable if given > 48 hours prior to Screening)
  • Known intolerance/hypersensitivity to β2-adrenergic agonists, propellant gases/excipients
  • Patient is pregnant or lactating female, or female at risk of pregnancy (i.e., not using adequate contraceptive method: surgical sterilization [e.g., bilateral tubal ligation], hormonal contraception [implantable, patch, oral], IUD, and double-barrier methods [any double combination of: male or female condom with spermicidal gel, diaphragm, sponge, cervical cap]).
  • Patient is mentally or legally incapacitated
  • Patient has participated in another investigational study within 30 days prior to screening
  • Abuse of alcohol or other substances
  • Patient does not maintain regular day/night, waking/sleeping cycles (e.g., night shift worker)
  • Patient is potentially non-compliant or unable to perform required protocol outcome measurements

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Crossover opgave
  • Maskning: Tredobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: A
CHF 4226 (carmoterol) 2 μg once a day, in the morning
Medicin: carmoterol (CHF 4226)

carmoterol (CHF 4226) 2 μg once a day, in the morning

(1 puff of carmoterol 2 μg + 1 puff of placebo pMDI)

Andre navne:
  • CHF 4226
  • TA2005
Medicin: carmoterol (CHF 4226)

carmoterol (CHF 4226) 4 μg once a day, in the morning

(1 puff of carmoterol 2 µg + 1 puff of carmoterol 2µg)

Andre navne:
  • CHF 4226
  • TA2005
Eksperimentel: B
CHF 4226 (carmoterol) 4 μg once a day, in the morning
Medicin: carmoterol (CHF 4226)

carmoterol (CHF 4226) 2 μg once a day, in the morning

(1 puff of carmoterol 2 μg + 1 puff of placebo pMDI)

Andre navne:
  • CHF 4226
  • TA2005
Medicin: carmoterol (CHF 4226)

carmoterol (CHF 4226) 4 μg once a day, in the morning

(1 puff of carmoterol 2 µg + 1 puff of carmoterol 2µg)

Andre navne:
  • CHF 4226
  • TA2005
Placebo komparator: C
placebo once a day, in the morning
Medicin: placebo

placebo once a day, in the morning

(1 puff of placebo pMDI + 1 puff of placebo pMDI)
Aktiv komparator: D
salmeterol 50 μg twice daily, in the morning and in the evening
Medicin: salmeterol

Salmeterol 50 μg twice daily, in the morning and in the evening

(1 blister of Serevent Diskus BID)

Andre navne:
  • Serevent Diskus/Accuhaler

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Tidsramme
FEV1 AUC0-24 standardized by time
Tidsramme: on Day 15 (after 14 days of dosing)
on Day 15 (after 14 days of dosing)

Sekundære resultatmål

Resultatmål
Tidsramme
FEV1(L)
Tidsramme: 30 min, 1, 2 ,3, 4, 6, 10, 12, 14, 16, 22, 23, and 24 hrs post dose at Visit 2 at all treatment periods
30 min, 1, 2 ,3, 4, 6, 10, 12, 14, 16, 22, 23, and 24 hrs post dose at Visit 2 at all treatment periods
blood pressure
Tidsramme: at the beginning and end of each of the four 14-day treatment periods
at the beginning and end of each of the four 14-day treatment periods
heart rate
Tidsramme: at the beginning and end of each of the four 14-day treatment periods
at the beginning and end of each of the four 14-day treatment periods
FEV1 percent change
Tidsramme: 30 min, 1, 2 ,3, 4, 6, 10, 12, 14, 16, 22, 23, and 24 hrs post dose at Visit 2 at all treatment periods
30 min, 1, 2 ,3, 4, 6, 10, 12, 14, 16, 22, 23, and 24 hrs post dose at Visit 2 at all treatment periods

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Chiesi Farmaceutici S.p.A.

Efterforskere

  • Studieleder: Steven E. Linberg, PhD, Chiesi Farmaceutici S.p.A.
  • Ledende efterforsker: Donald P. Tashkin, MD, University of California, Los Angeles

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. april 2008

Primær færdiggørelse (Faktiske)

1. oktober 2008

Studieafslutning (Faktiske)

1. oktober 2008

Datoer for studieregistrering

Først indsendt

18. marts 2008

Først indsendt, der opfyldte QC-kriterier

18. marts 2008

Først opslået (Skøn)

21. marts 2008

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

27. august 2010

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

24. august 2010

Sidst verificeret

1. august 2010

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • CCD-0706-PR-0026

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 .

Kliniske forsøg med carmoterol (CHF 4226)

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