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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)

7. februar 2017 opdateret af: Pearl Therapeutics, Inc.

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

This is a multi-center, randomized, double-blind, parallel group, chronic dosing, active-controlled, 28-week safety extension study of the two pivotal 24-week safety and efficacy studies (Studies PT003006 and PT003007). This study is designed to assess the long-term safety and tolerability of Glycopyrrolate (GP) and Formoterol Fumarate (FF) combination (GFF) metered dose inhaler (MDI), GP MDI, and FF MDI in subjects with moderate to very severe COPD over a total observation period of 52 weeks. Open-label Spiriva is included as an active control. To be eligible for this study, a subject must complete participation in Study PT003006 (NCT01854645) or Study PT003007 (NCT01854658).

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

892

Fase

  • Fase 3

Kontakter og lokationer

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

Studiesteder

  • Australien
    • 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
  • Forenede Stater
    • 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
  • New Zealand
      • 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

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 80 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

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

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: Parallel tildeling
  • Maskning: Tredobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: Åbent tiotropiumbromid inhalationspulver
Åbent tiotropiumbromid inhalationspulver (Spiriva® Handihaler®)
Medicin: Open-label tiotropium bromide inhalation (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)
Medicin: GFF MDI (PT 003)
GFF MDI administered as two puffs BID
Eksperimentel: GP MDI (PT001)
Medicin: GP MDI (PT001)
GP MDI administreret som to pust BID
Eksperimentel: FF MDI (PT005)
Medicin: FF MDI (PT005)
FF MDI administreret som to pust BID

Hvad måler undersøgelsen?

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

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

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

Sponsor

Pearl Therapeutics, Inc.

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. november 2013

Primær færdiggørelse (Faktiske)

1. marts 2015

Studieafslutning (Faktiske)

1. marts 2015

Datoer for studieregistrering

Først indsendt

18. oktober 2013

Først indsendt, der opfyldte QC-kriterier

22. oktober 2013

Først opslået (Skøn)

28. oktober 2013

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

17. marts 2017

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

7. februar 2017

Sidst verificeret

1. februar 2017

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

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 .

Kliniske forsøg med FF MDI (PT005)

Søg i lignende forsøg

Sponsorer og samarbejdspartnere

Medicinske tilstande

Narkotikainterventioner

CROs by country

CROs in Finland

Betingelser

Sjældne sygdomme

Narkotikainterventioner

Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

3
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