Ease of Use and Correct Use Study of Placebo ELLIPTA® Inhaler in COPD Subjects
9. oktober 2017 opdateret af: GlaxoSmithKline
An Open-label Study of the Correct Use and Ease of Use of Placebo ELLIPTA Dry Powder Inhaler in Subjects With Chronic Obstructive Pulmonary Disease (COPD)
Chronic obstructive pulmonary disease (COPD) is a preventable and treatable disease characterized by airflow limitation that is not fully reversible. The mainstay for treatment involves the use of inhaled medications, including short and/or long-acting bronchodilators along with inhaled corticosteroids. For inhaled medications, the choice of inhalation device is an important consideration because an inadequate technique reduces the effects of inhalation. Therefore, the development of an easy-to-use inhaler that delivers the drug to the lungs effectively, is important. This study will assess the correct use of the ELLIPTA inhaler by subjects with COPD and to assess ease of use of the ELLIPTA inhaler, as rated by those subjects determined to be using the inhaler correctly. Study will be divided into two visits i.e. Screening/Visit 1 (day 1) and Visit 2 (Day 28 +/-2) with a phone call on Day 8+/-2 days of Visit 1 to assess safety. In this multi-center, single-arm, randomised (to receive one of two versions of the ELLIPTA inhaler Ease of Use questionnaires), open-label, placebo study, only subjects who are have never used the ELLIPTA inhaler before and have an established diagnosis of COPD and receiving COPD therapy and are able to demonstrate correct use of the ELLIPTA inhaler at Visit 1 will be considered eligible to participate in this study. Approximately 252 subjects will be screened with an expectation of 208 subjects completing the study while demonstrating correct ELLIPTA inhaler use at visit 2.
ELLIPTA is a registered trademark of the GlaxoSmithKline Group of Companies.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
278
Fase
- Fase 4
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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Alabama
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Jasper, Alabama, Forenede Stater, 35501
- GSK Investigational Site
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Florida
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Clearwater, Florida, Forenede Stater, 33765
- GSK Investigational Site
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Orlando, Florida, Forenede Stater, 32825
- GSK Investigational Site
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Ormond Beach, Florida, Forenede Stater, 32174
- GSK Investigational Site
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Minnesota
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Minneapolis, Minnesota, Forenede Stater, 55402
- GSK Investigational Site
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Plymouth, Minnesota, Forenede Stater, 55441
- GSK Investigational Site
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Ohio
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Cincinnati, Ohio, Forenede Stater, 45231
- 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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Easley, South Carolina, Forenede Stater, 29640
- GSK Investigational Site
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Greenville, South Carolina, Forenede Stater, 29615
- GSK Investigational Site
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Mount Pleasant, South Carolina, Forenede Stater, 29464
- 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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Spartanburg, South Carolina, Forenede Stater, 29303
- GSK Investigational Site
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Union, South Carolina, Forenede Stater, 29379
- GSK Investigational Site
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Virginia
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Richmond, Virginia, Forenede Stater, 23225
- GSK Investigational Site
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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 og ældre (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Age: >=40 years of age at Visit 1
- Diagnosis of COPD with a documented history of COPD for at least one year, in accordance with the definition by the American Thoracic Society/European Respiratory Society.
- Severity of Disease: Post albuterol/salbutamol forced expiratory volume in one second (FEV1)/ forced vital capacity (FVC) ratio <0.70 and FEV1 <=70% of predicted obtained within two years of Visit 1.
- Smoking History: Current or former (defined as subjects who have quit smoking for at least 3 months prior to Screening/Visit 1) cigarette smokers with a >10 pack-year smoking history (Number of pack years = [number of cigarettes per day divided by 20] x number of years smoked [e.g., 10 pack-years is equal to 20 cigarettes per day for 10 years, or 10 cigarettes per day for 20 years]).
- Current COPD Therapy: Currently receiving maintenance (with one or more long-acting bronchodilators, such as a long-acting muscarinic antagonist (LAMA; also known as a long-acting anti-cholinergic) or long-acting beta 2-agonist (LABA) inhaler therapy (with no prior or ongoing use of ELLIPTA inhaler) for the treatment of COPD. Subjects must be able to continue using their currently prescribed COPD maintenance inhaler therapy throughout the study and as needed short acting beta-adrenergic agonist (SABA) for rescue use.
- Ability to Use Inhalers: Subject must be able to demonstrate correct use of ELLIPTA inhaler within three attempts at Visit 1.
- Males
- Females who are not pregnant or not planning a pregnancy during the study or not lactating.
- Informed Consent: Capable of giving signed and dated written informed consent which includes compliance with the requirements and restrictions listed in the consent form and in the protocol.
- Subject understands and is willing, able, and likely to comply with study procedures and restrictions.
- Subject must be able to read, comprehend, and record information in English.
Exclusion Criteria:
A subject will not be eligible for inclusion in this study if any of the following criteria apply
- Asthma: Subjects with a current primary diagnosis of asthma.
- COPD medications: Receiving only inhaled short-acting beta-adrenergic agonists, i.e., albuterol as their daily COPD therapy (as needed [prn] or regularly scheduled); Has changed maintenance COPD treatment within 4 weeks prior to Screening/Visit 1 or plans to change COPD treatment within 4 weeks of Visit 1.
- COPD/Exacerbations/Hospitalization: Subjects that have experienced a COPD exacerbation requiring systemic corticosteroids (oral, parenteral or depot) and/or antibiotics within four weeks of Visit 1. A subject must not have had any hospitalization for COPD within three months prior to Visit 1; Subjects with uncontrolled COPD, in the investigator's judgment that would affect subject's ability to evaluate "ease of use and correct use".
- Other Respiratory Disorders: Subjects with other respiratory disorders, including active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis, pulmonary hypertension, interstitial lung diseases or other active pulmonary diseases.
- Lung Resection: Subjects with lung volume reduction surgery within the 12 months prior to Screening/Visit 1.
- Oxygen: Use of long-term oxygen therapy (LTOT; defined as oxygen therapy prescribed for greater than 12 hours per day) or nocturnal oxygen.
- Other Disease Abnormalities: Historical or current evidence of clinically significant or rapidly progressing or unstable cardiovascular, neurological, renal, hepatic, immunological, endocrine (including uncontrolled diabetes or thyroid disease) or haematological abnormalities that are uncontrolled. Significant is defined as any disease that, in the opinion of the investigator, would put the safety of the subject at risk through participation, or which would affect the analysis if the disease/condition exacerbated during the study; Subjects with a history of psychiatric disease, intellectual deficiency, poor motivation or other conditions that will limit the validity of informed consent to participate in the study.
- Compliance: Subjects at risk of non-compliance, or unable to comply with the study procedures, or unable to continue their current COPD medications.
- Alcohol and Drug Abuse: A known or suspected history of alcohol or drug abuse within the last 2 years.
- A history of hypersensitivity to any components of the study inhaler (e.g., lactose, magnesium stearate). In addition, patients with a history of severe milk protein allergy that, in the opinion of the study physician, contraindicates participation will also be excluded.
- Prior or Ongoing use of the ELLIPTA inhaler (including both investigational and commercially available product).
- Investigational Product: Subjects who have received an investigational drug and/or medical device within 30 days of entry into this study (Screening/Visit 1), or within five drug half-lives of the investigational drug, whichever is longer.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Andet
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Eksperimentel: Placebo ELLIPTA inhalator
Forsøgspersonerne vil få udleveret ELLIPTA-inhalatoren, som er en støbt tosidet plastikinhalator, der rummer to individuelle blisterstrimler, der indeholder enten lactose eller en blanding af lactose og magnesiumstearat.
Forsøgspersonerne vil fortsætte med at bruge almindelig KOL-medicin gennem hele undersøgelsen i henhold til protokol.
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ELLIPTA Inhalator Brugervenlighed Spørgeskema er en firepunkts Likert-skala.
Dette spørgeskema vil blive udfyldt af investigator (designee) baseret på svar modtaget fra forsøgsperson.
Svarene på spørgeskemaet er Meget svært, Svært, Let, Meget let.
Emner vil blive givet enten version A eller B ved besøg 2.
Subjects will receive 1 inhalation once-daily until visit 2.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Percentage of Participants With COPD Who Rate the Use of the ELLIPTA Inhaler as Easy or Very Easy, Among Those Who Demonstrate Correct Use of the Inhaler at the End of the Study.
Tidsramme: Day 30
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Participants rated how easy it was to use the ELLIPTA inhaler, using a four-point Likert scale (1-very easy, 2-easy, 3-difficult, 4-very difficult).
"Easy to use" was defined as the combination of an "easy" or "very easy" rating choice.
The percentage was reported overall for the single treatment group along with a 95% confidence interval (CI) for the percentage calculated using the exact binomial distribution.
The percentage is based off the number of participants analyzed i.e the number of subjects in the MITT population (subjects who received a dose of study medication and were randomised).
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Day 30
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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The Percentage of Participants Who Rated the Ability to Tell How Many Doses Were Remaining in the ELLIPTA Inhaler as Easy or Very Easy at the End of the Study.
Tidsramme: Day 30
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Participants rated how easy it was to determine how many doses were left in the ELLIPTA inhaler, using a four-point Likert scale (1-very easy, 2-easy, 3-difficult, 4-very difficult).
"Easy to use" was defined as the combination of an "easy" or "very easy" rating choice.
The percentage was reported overall for the single treatment group along with a 95% CI for the percentage calculated using the exact binomial distribution.
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Day 30
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The Percentage of Participants Who Demonstrated Correct Use of the ELLIPTA Inhaler at the End of the Study.
Tidsramme: Day 30
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Participants' ability to correctly use the ELLIPTA inhaler was assessed at Visit 1 and Visit 2 using the Correct Use Checklist by an ELLIPTA trained health care professional.
The percentage was reported overall for the single treatment group along with a 95% CI for the percentage calculated using the exact binomial distribution.
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Day 30
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
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. oktober 2015
Primær færdiggørelse (Faktiske)
1. marts 2016
Studieafslutning (Faktiske)
15. marts 2016
Datoer for studieregistrering
Først indsendt
22. oktober 2015
Først indsendt, der opfyldte QC-kriterier
22. oktober 2015
Først opslået (Skøn)
26. oktober 2015
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
9. november 2017
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
9. oktober 2017
Sidst verificeret
1. oktober 2017
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 201071
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 .