Long Term Safety and Tolerability of QVA149 Versus Tiotropium in Japanese Patients With Chronic Obstructive Pulmonary Disease (COPD)
A 52-week Treatment, Multi-center, Randomized, Open Label, Parallel Group Study to Assess the Long Term Safety and Tolerability of QVA149 (110 Mcg Indacaterol / 50 Mcg Glycopyrrolate o.d.) Using Tiotropium (18 Mcg o.d.) as an Active Control in Japanese Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 3
Kontakte und Standorte
Studienorte
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Akita, Japan, 010-0933
- Novartis Investigative Site
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Fukuoka, Japan, 812-0033
- Novartis Investigative Site
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Fukuoka, Japan, 811-0213
- Novartis Investigative Site
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Fukuoka, Japan, 815-8588
- Novartis Investigative Site
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Kochi, Japan, 780-8077
- Novartis Investigative Site
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Osaka, Japan, 558-8558
- Novartis Investigative Site
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Wakayama, Japan, 641-8510
- Novartis Investigative Site
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Aichi
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Anjo, Aichi, Japan, 446-8602
- Novartis Investigative Site
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Nagoya, Aichi, Japan, 457-8511
- Novartis Investigative Site
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Nishio-city, Aichi, Japan, 445-8510
- Novartis Investigative Site
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Fukuoka
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Kasuga-city, Fukuoka, Japan, 816-0813
- Novartis Investigative Site
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Kitakyushu, Fukuoka, Japan, 820-0052
- Novartis Investigative Site
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Kurume, Fukuoka, Japan, 830-0011
- Novartis Investigative Site
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Yanagawa, Fukuoka, Japan, 832-0059
- Novartis Investigative Site
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Hokkaido
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Asahikawa, Hokkaido, Japan, 070-8644
- Novartis Investigative Site
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Obihiro, Hokkaido, Japan, 080-0805
- Novartis Investigative Site
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Sapporo-city, Hokkaido, Japan, 060-8648
- Novartis Investigative Site
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Hyogo
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Himeji-city, Hyogo, Japan, 672-8064
- Novartis Investigative Site
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Ishikawa
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Kanazawa, Ishikawa, Japan, 920-8610
- Novartis Investigative Site
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Kagawa
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Takamatsu, Kagawa, Japan, 760-8538
- Novartis Investigative Site
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Kanagawa
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Kawasaki, Kanagawa, Japan, 210-0852
- Novartis Investigative Site
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Yokohama, Kanagawa, Japan, 236-0051
- Novartis Investigative Site
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Kumamoto
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Koshi-city, Kumamoto, Japan, 861-1196
- Novartis Investigative Site
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Mie
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Matsusaka-city, Mie, Japan, 515-8544
- Novartis Investigative Site
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Nagano
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Ueda, Nagano, Japan, 386-8610
- Novartis Investigative Site
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Osaka
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Osaka-city, Osaka, Japan, 545-8586
- Novartis Investigative Site
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Osakasayama, Osaka, Japan, 589-0022
- Novartis Investigative Site
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Takatsuki, Osaka, Japan, 569-1192
- Novartis Investigative Site
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Toyonaka, Osaka, Japan, 560-8552
- Novartis Investigative Site
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Saitama
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Kawaguhi-city, Saitama, Japan, 333-0833
- Novartis Investigative Site
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Shizuoka
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Hamamatsu, Shizuoka, Japan, 430-8525
- Novartis Investigative Site
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Tokyo
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Fuchu, Tokyo, Japan, 183-8524
- Novartis Investigative Site
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Meguro, Tokyo, Japan, 152-8902
- Novartis Investigative Site
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Yamagata
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Yamagata city, Yamagata, Japan, 990-8533
- Novartis Investigative Site
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Yamaguchi
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Ube, Yamaguchi, Japan, 755-0241
- Novartis Investigative Site
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Patients with moderate to severe stable COPD (Stage II or Stage III) according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) Guidelines 2008.
- Current or ex-smokers who have a smoking history of at least 10 pack years. (Ten pack years are defined as 20 cigarettes a day for 10 years, or 10 cigarettes a day for 20 years etc.)
- Patients with post-bronchodilator forced expiratory volume in one second (FEV1) ≥30% and < 80% of the predicted normal, and post-bronchodilator FEV1/forced vital capacity (FVC) < 0.7 at Visit 2.
Exclusion Criteria:
- Pregnant women or nursing mothers or women of child-bearing potential not using an acceptable method of contraception
- Patients requiring long term oxygen therapy
- Patients who have had a lower respiratory tract infection within 4 weeks prior to Visit 1
- Patients with concomitant pulmonary disease
- Patients with a history of asthma
- Any patient with history of malignancy of any organ system (including lung cancer), treated or untreated, within the past 5 years
- Patients with a history of certain cardiovascular comorbid conditions
- Patients with a known history and diagnosis of alpha-1 antitrypsin deficiency
- Patients in the active phase of a supervised pulmonary rehabilitation program
- Patients contraindicated for treatment with, or having a history of reactions/ hypersensitivity to anticholinergic agents, long and short acting beta-2 agonists, sympathomimetic amines
Other protocol-defined inclusion/exclusion criteria may apply
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
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Experimental: QVA149
QVA149 110/50 μg once a day (o.d)
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QVA149 (110 μg indacaterol / 50 μg glycopyrronium o.d.), delivered via Concept1
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Aktiver Komparator: Tiotropium
tiotropium 18 μg o.d.
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Tiotropium (18 μg o.d.), delivered via Handihaler®
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) or Death
Zeitfenster: 52 weeks
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An AE was the appearance or worsening of any undesirable sign, symptom, or medical condition occurring after starting the study drug even if the event was not considered to be related to study drug.
Study drug includes the investigational drug under evaluation and the comparator drug or placebo that was given during any phase of the study.
Adverse events starting on or after the time of the first inhalation of study drug were classified as a treatment emergent adverse event.
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52 weeks
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Anzahl der Patienten mit neu auftretenden oder sich verschlechternden klinisch bemerkenswerten hämatologischen Werten zu jedem Zeitpunkt während des gesamten Behandlungszeitraums
Zeitfenster: 52 Wochen
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Klinisch bemerkenswerte hämatologische Werte waren: Hämoglobin – männlich <11,5 g/dl, weiblich <9,5 g/dl; Hämatokrit – männlich <37 %, weiblich <32 %; Anzahl weißer Blutkörperchen – <2800 µL oder >16000 µL; Blutplättchen – <7,5 10*4/µL oder >70,0 10*4/µL
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52 Wochen
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Number of Patients With Newly Occurring or Worsening Clinically Notable Biochemistry Values at Any Time-point Over the Treatment Period
Zeitfenster: 52 weeks
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Clinically notable biochemistry values were: total protein - <4.0 g/dL or >9.5 g/dL; albumin <2.5 g/dL; bilirubin (total) >1.9 mg/dL; BUN >27 mg/dL; creatinine >1.99 mg/dL; AST >3 x ULN U/L; ALT >3 x ULN U/L; ALP >3 x ULN U/L; y-GTP >3 x ULN U/L; sodium <125 mEq/L or >160 mEq/L; potassium <3.0 mEq/L or >6.0 mEq/L; glucose <51.0 mg/dL or >180.0 mg/dL
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52 weeks
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Number of Patients With Newly Occurring or Worsening Clinically Notable Vital Signs Values at Any Time-point Over the Whole Treatment Period
Zeitfenster: 52 weeks
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Clinically notable vital sign values were: pulse rate - low, <40 bpm or <=50 bpm and decrease from baseline >=15bpm; pulse rate high, >130 bpm or >=120bpm and increase from baseline >=15 bpm.
Systolic blood pressure - low, <75 mmHg or <=90 mmHg and decrease from baseline >=20 mmHg; high, >200 mmHg or >=180 mmHg and increase from baseline >=20 mmHg.
Diastolic blood pressure - low, <40 mmHg or <=50 mmHg and decrease from baseline >=15 mmHg; high, >115 mmHg or >=105 mmHg and increase from baseline >=15 mmHg.
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52 weeks
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Number of Patients With Newly Occurring or Worsening Clinically Notable Fridericia's QTc Values at Any Time-point Over the Whole Treatment Period
Zeitfenster: 52 weeks
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Clinically notable change from baseline was an increase from baseline of 30 or greater milliseconds (ms).
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52 weeks
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Change in Pre-dose Forced Expiratory Volume in One Second (FEV1) From Baseline
Zeitfenster: Weeks 3, 6, 12, 24, 36, 52
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Pre-dose FEV1 is defined as the average of the measurements at 45 and 15 min pre-dose.
Baseline is defined as the pre-dose FEV1 value on Day 1 (Week 1).
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Weeks 3, 6, 12, 24, 36, 52
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Change in Pre-dose Forced Vital Capacity (FVC) From Baseline
Zeitfenster: Weeks 3, 6, 12, 24, 36, 52
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Pre-dose FVC is defined as the average of the measurements at 45 and 15 min pre-dose.
Baseline is defined as the pre-dose FVC value on Day 1 (Week 1).
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Weeks 3, 6, 12, 24, 36, 52
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Erkrankungen der Atemwege
- Lungenkrankheit
- Lungenerkrankungen, obstruktive
- Lungenerkrankung, chronisch obstruktiv
- Physiologische Wirkungen von Arzneimitteln
- Neurotransmitter-Agenten
- Molekulare Mechanismen der pharmakologischen Wirkung
- Parasympatholytika
- Autonome Agenten
- Agenten des peripheren Nervensystems
- Cholinerge Antagonisten
- Cholinerge Wirkstoffe
- Bronchodilatatoren
- Anti-Asthmatiker
- Atemwegsmittel
- Tiotropiumbromid
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- CQVA149A1301
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