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Efficacy, Safety and Tolerability of the Co-administration of NVA237 Plus Indacaterol Once Daily Versus Indacaterol Once Daily in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD) (GLOW6)

12. November 2014 aktualisiert von: Novartis Pharmaceuticals

A 12-week Multi-center, Randomized, Double-blind, Parallel Group Study to Assess the Efficacy, Safety and Tolerability of the Co-administration of NVA237 + Indacaterol Once Daily vs. Indacaterol Once Daily in Patients With Moderate to Severe COPD

This study assessed the efficacy, safety and tolerability of the co-administration of NVA237 plus indacaterol taken once daily versus indacaterol taken once daily in patients with moderate to severe Chronic Obstructive Pulmonary Disease.

Studienübersicht

Status

Abgeschlossen

Bedingungen

Intervention / Behandlung

Studientyp

Interventionell

Einschreibung (Tatsächlich)

449

Phase

  • Phase 3

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienorte

  • Belgien
      • Brussel, Belgien, 1090
        • Novartis Investigative Site
      • Bruxelles, Belgien, 1070
        • Novartis Investigative Site
      • Genk, Belgien, 3600
        • Novartis Investigative Site
      • Gilly, Belgien, 6060
        • Novartis Investigative Site
      • Gosselies, Belgien, 6041
        • Novartis Investigative Site
      • Hasselt, Belgien, 3500
        • Novartis Investigative Site
      • Herentals, Belgien, 2200
        • Novartis Investigative Site
      • Jambes, Belgien, 5100
        • Novartis Investigative Site
      • Liège, Belgien, 4000
        • Novartis Investigative Site
      • Luxembourg, Belgien, 1210
        • Novartis Investigative Site
      • Malmedy/Bellevaux-Ligneuville, Belgien, 4960
        • Novartis Investigative Site
      • Montigny-le-tilleul, Belgien, 6110
        • Novartis Investigative Site
      • Turnhout, Belgien, 2300
        • Novartis Investigative Site
      • Yvoir, Belgien, 5530
        • Novartis Investigative Site
  • Bulgarien
      • Pleven, Bulgarien, 5800
        • Novartis Investigative Site
      • Plovdiv, Bulgarien, 4002
        • Novartis Investigative Site
      • Ruse, Bulgarien, 7002
        • Novartis Investigative Site
      • Sofia, Bulgarien, 1431
        • Novartis Investigative Site
      • Sofia, Bulgarien, 1606
        • Novartis Investigative Site
      • Sofia, Bulgarien, 1000
        • Novartis Investigative Site
      • Stara Zagora, Bulgarien, 6000
        • Novartis Investigative Site
      • Varna, Bulgarien, 9010
        • Novartis Investigative Site
  • Griechenland
      • Athens, Griechenland, 11527
        • Novartis Investigative Site
    • GR
      • Athens, GR, Griechenland, 115 27
        • Novartis Investigative Site
      • Athens, GR, Griechenland, 106 76
        • Novartis Investigative Site
      • Thessaloniki, GR, Griechenland, 564 03
        • Novartis Investigative Site
  • Irland
    • Cork
      • Wilton, Cork, Irland
        • Novartis Investigative Site
  • Russische Föderation
      • Moscow, Russische Föderation, 125315
        • Novartis Investigative Site
      • N.Novgorod, Russische Föderation, 603126
        • Novartis Investigative Site
      • Nizhny Novgorod, Russische Föderation, 603018
        • Novartis Investigative Site
      • Saratov, Russische Föderation, 410012
        • Novartis Investigative Site
  • Slowakei
      • Bratislava, Slowakei, 826 06
        • Novartis Investigative Site
      • Kosice, Slowakei, 040 01
        • Novartis Investigative Site
      • Kralovsky Chlmec, Slowakei, 077 01
        • Novartis Investigative Site
    • Slovak Republic
      • Bardejov, Slovak Republic, Slowakei, 085 01
        • Novartis Investigative Site
      • Bojnice, Slovak Republic, Slowakei, 972 01
        • Novartis Investigative Site
      • Liptovsky Hradok, Slovak Republic, Slowakei, 033 01
        • Novartis Investigative Site
    • Slovensko
      • Námestovo, Slovensko, Slowakei, 02901
        • Novartis Investigative Site
  • Spanien
      • Barcelona, Spanien, 08025
        • Novartis Investigative Site
    • Andalucia
      • Malaga, Andalucia, Spanien, 29010
        • Novartis Investigative Site
    • Asturias
      • Gijon, Asturias, Spanien, 33290
        • Novartis Investigative Site
    • Cantabria
      • Torrelavega, Cantabria, Spanien, 39300
        • Novartis Investigative Site
    • Castilla la Mancha
      • Illescas, Castilla la Mancha, Spanien, 45200
        • Novartis Investigative Site
    • Castilla y Leon
      • Ponferrada, Castilla y Leon, Spanien, 24400
        • Novartis Investigative Site
    • Cataluña
      • Centelles, Cataluña, Spanien, 08540
        • Novartis Investigative Site
      • Salt, Cataluña, Spanien, 17190
        • Novartis Investigative Site
      • Sant Boi de Llobregat, Cataluña, Spanien, 08830
        • Novartis Investigative Site
      • Viladecans, Cataluña, Spanien
        • Novartis Investigative Site
    • Extremadura
      • Mérida, Extremadura, Spanien, 06800
        • Novartis Investigative Site
  • Truthahn
      • Ankara, Truthahn, 06490
        • Novartis Investigative Site
      • Istanbul, Truthahn, 34854
        • Novartis Investigative Site
      • Istanbul, Truthahn
        • Novartis Investigative Site
      • Kocaeli, Truthahn, 41380
        • Novartis Investigative Site
      • Mersin, Truthahn, 33079
        • Novartis Investigative Site
      • Yenisehir/Izmir, Truthahn, 35110
        • Novartis Investigative Site
  • Ungarn
      • Budapest, Ungarn, 1121
        • Novartis Investigative Site
      • Budapest, Ungarn, 1046
        • Novartis Investigative Site
      • Deszk, Ungarn, 6772
        • Novartis Investigative Site
      • Erd, Ungarn, H-2030
        • Novartis Investigative Site
      • Godollo, Ungarn, 2100
        • Novartis Investigative Site
  • Vereinigtes Königreich
      • Bath, Vereinigtes Königreich, BA1 2SR
        • Novartis Investigative Site
      • Bexhill-on-Sea, Vereinigtes Königreich, TN40 1JJ
        • Novartis Investigative Site
      • Blackpool, Vereinigtes Königreich, FY3 7EN
        • Novartis Investigative Site
      • Bradford, Vereinigtes Königreich, BD9 6RJ
        • Novartis Investigative Site
      • Cambridge, Vereinigtes Königreich, CB7 5JD
        • Novartis Investigative Site
      • Chesterfield, Vereinigtes Königreich, S40 4AA
        • Novartis Investigative Site
      • Huntingdon, Vereinigtes Königreich, PE29 6NT
        • Novartis Investigative Site
      • Manchester, Vereinigtes Königreich, M20 2RN
        • Novartis Investigative Site
      • Newcastle-upon-Tyne, Vereinigtes Königreich, NE7 7DN
        • Novartis Investigative Site
      • Newton Aycliffe, Vereinigtes Königreich, DL5 4SE
        • Novartis Investigative Site
      • Reading, Vereinigtes Königreich, RG7 3SQ
        • Novartis Investigative Site
      • Southbourne, Vereinigtes Königreich
        • Novartis Investigative Site
      • Telford, Vereinigtes Königreich, TF1 6TF
        • Novartis Investigative Site
      • Watford, Vereinigtes Königreich, WD25 0EA
        • Novartis Investigative Site
      • Wiltshire, Vereinigtes Königreich, SN15 2SB
        • Novartis Investigative Site
    • County Durham
      • Burnhope, County Durham, Vereinigtes Königreich, DH7 0BD
        • Novartis Investigative Site
    • Suffolk
      • Alderton, Suffolk, Vereinigtes Königreich, IP12 3DA
        • Novartis Investigative Site
    • Warwickshire
      • Atherstone, Warwickshire, Vereinigtes Königreich, CV9 1EU
        • Novartis Investigative Site
      • Leamington Spa, Warwickshire, Vereinigtes Königreich, CV32 4RA
        • Novartis Investigative Site
    • Yorkshire
      • Strensall, Yorkshire, Vereinigtes Königreich, YO32 5UA
        • Novartis Investigative Site

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

40 Jahre und älter (Erwachsene, Älterer Erwachsener)

Akzeptiert gesunde Freiwillige

Nein

Studienberechtigte Geschlechter

Alle

Beschreibung

Inclusion Criteria:

  • Patients with moderate to severe stable Chronic Obstructive Lung Disease (COPD) Stage II or Stage III according to Global Initiative for Chronic Obstructive Lung Disease (GOLD) Guidelines.
  • Patients with a post-bronchodilator forced expiratory volume in 1 second (FEV1) ≥ 30 % and/or <80 % of the predicted normal, and a post-bronchodilator FEV1/Forced Vital Capacity (FVC) < 0.70 at screening.
  • Current or ex-smokers who have a smoking history of at least 10 pack years
  • Symptomatic patients according to daily diary data.

Exclusion Criteria:

  • Pregnant or nursing (lactating) women.
  • Women of child-bearing potential unless using adequate contraception.
  • Patients with Type I or uncontrolled Type II diabetes.
  • Patients with a history of long time interval between start of Q wave and end of T wave in the heart's electrical cycle (QT) syndrome or whose QT corrected for heart rate (QTc) measured at screening (Visit 2) (Fridericia's method) is prolonged
  • Patients with paroxysmal (e.g. intermittent) atrial fibrillation
  • Patients who have a clinically significant electrocardiogram (ECG) or laboratory abnormality at screening (Visit 2)

Other protocol-defined inclusion/exclusion criteria may apply.

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Behandlung
  • Zuteilung: Zufällig
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Verdreifachen

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Aktiver Komparator: NVA237 + indacaterol
Arzneimittel: NVA237 50 µg and indacaterol 150 µg
NVA237 50 µg and indacaterol 150 µg supplied as blistered capsules for inhalation.
Andere Namen:
  • Glycopyrronium Bromide
Placebo-Komparator: Placebo to NVA237 + indacaterol
Arzneimittel: Placebo to NVA237 and indacaterol 150 µg
Placebo to NVA237 and indacaterol 150 µg supplied as blistered capsules for inhalation.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Trough Forced Expiratory Volume at 1 Second (FEV1)
Zeitfenster: 12 weeks
Centralized spirometry according to internationally accepted standards was used. The model contained treatment, baseline smoking status and baseline inhaled corticosteroid (ICS) use as fixed effects with the baseline measurement of FEV1, FEV1 prior to inhalation of short acting bronchodilators and FEV1 post inhalation of short acting bronchodilator as covariates and center nested in region as a random effect. If trough FEV1 was missing at week 12, the latest non-missing pre-dose trough FEV1 (the mean of 45 and 15 min pre-dose measurements) from day 29, 57 or 84) was carried forward. These measurements had to have been taken before the next dose of study medication. FEV1 measurements within 6 hours of rescue medication use or within 7 days of systemic corticosteroid use were not included in the analysis.
12 weeks

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
FEV(1) Area Under the Curve (AUC) During 30 Minutes to 4 Hours Post Dose
Zeitfenster: 12 weeks
Centralized spirometry was used according to internationally accepted standards was used. The trapezoidal rule was applied to calculate FEV1 Area Under the Curve (AUC) and then normalized to the length of time. Whether the participants had complete or incomplete FEV1 assessments in respective time ranges, their AUCs were calculated based on the existing FEV1 measurements (i.e., the missing FEV1 measurements were not interpolated). Specifically, for those participants who had a FEV1 assessment at only one time-point, their AUC was approximated by the observed FEV1. FEV1 measurements within 6 hours of rescue medication use or within 7 days of systemic corticosteroid use were not included in the analysis.
12 weeks
Peak FEV1 During 30 Minutes to 4 Hours Post-dose at 12 Weeks
Zeitfenster: 12 weeks
Centralized spirometry was used according to internationally accepted standards was used. Peak FEV1 was defined as the maximum FEV1 during the first 4 hours post morning dosing. The model contained treatment, baseline smoking status and baseline ICS use as fixed effects with the baseline measurement of FEV1, FEV1 prior to inhalation of short acting bronchodilators and FEV1 post inhalation of short acting bronchodilator as covariates and center nested in a region as a random effect. If all FEV1 measurements were missing from 30 minutes onward, the peak FEV1 was not calculated. FEV1 measurements within 6 hours of rescue medication use or within 7 days of systemic corticosteroid use were not included in the analysis.
12 weeks
FEV1 at Individual Time-points
Zeitfenster: Day 1, Day 29, Day 57 and Days 84/85
Centralized spirometry according to internationally accepted standards was used. FEV1 was measured at all post-dose time points up to 4 hours, and at 23 hours 15 minutes and 23 hours 45 minutes, by visit. The model contained treatment, baseline smoking status and baseline ICS use as fixed effects with the baseline measurement of FEV1, FEV1 prior to inhaltion of short acting bronchodilators and FEV1 post inhaltion of short acting bronchodilators as covariates and center nested in region as a random effect. FEV1 measurements within 6 hours of rescue medication use or within 7 days of systemic corticosteroid use were not included in the analysis.
Day 1, Day 29, Day 57 and Days 84/85
Forced Vital Capacity (FVC) at Individual Time-points
Zeitfenster: Day 1, Day 29, Day 57 and Days 84/85
FVC was calculated at each time point up to 4 hours post-dose and at 23 hours 15 minutes and 23 hours 45 minutes, by visit. The model contained treatment, baseline smoking status and baseline ICS use as fixed effects with the baseline measurement of FVC, FEV1 prior to inhaltion of short acting bronchodilators and FEV1 post inhaltion of short acting bronchodilators as covariates and center nested in region as a random effect. FVC measurements within 6 hours of rescue medication use or within 7 days of systemic corticosteroid use were set to missing.
Day 1, Day 29, Day 57 and Days 84/85
Inspiratory Capacity (IC) at Individual Time-points
Zeitfenster: Day 1, Days 84/85
Inspiratory Capacity (IC) was measured at 20 min pre-dose and at post-dose at 25 minutes, 1 hour 55 minutes, 3 hours 55 minutes and 23 hours 40 minutes, by visit. The model contained treatment, baseline smoking status and baseline ICS use as fixed effects with the baseline measurement of IC, FEV1 prior to inhalation of short acting bronchodilators and FEV1 post inhalation of short acting bronchodilators as covariates and center nested in region as a random effect. IC measurements within 6 hours of rescue medication use or within 7 days of systemic corticosteroid use were set to missing.
Day 1, Days 84/85
Change From Baseline in Mean Daily Number of Puffs of Rescue Medication
Zeitfenster: Baseline, 12 weeks
The number of puffs of rescue medication taken in the previous 12 hours was recorded in the patient diary in the morning and evening. The total number of puffs of rescue medication per day over the whole active treatment period was calculated and divided by the total number of days with non-missing rescue data to derive the mean daily number of puffs of rescue medication taken for the patient. If the number of puffs was missing for part of the day (either morning or evening), then a half day was used in the denominator.
Baseline, 12 weeks
Transitional Dyspnea Index (TDI) Focal Score
Zeitfenster: baseline, 12 weeks
Dyspnea was measured at baseline using the Baseline Dyspnea Index (BDI) and during treatment using the Transitional Dyspnea Index (TDI). Analysis was done via mixed model. The BDI and TDI each have three domains: functional impairment, magnitude of task and magnitude of effort. BDI domains were rated from 0 (severe) to 4 (unimpaired) and rates summed for baseline focal score ranged from 0 to 12; lower scores mean worse severity. TDI domains were rated from -3 (major deterioration) to 3 (major improvement) and rates summed for transition focal score ranged from -9 to 9; negative scores indicate deterioration. A TDI focal score of 1 is considered a minimal clinically important difference.
baseline, 12 weeks
Change From Baseline in Mean Daily Total and Individual Symptom Scores
Zeitfenster: Baseline, 12 weeks
The symptoms (respiratory, cough, wheeze, sputum color, sputum production, breathlessness, sore throat, nasal discharge or congestion, and fever) for the whole active treatment period was analyzed using a mixed model, which contained treatment, baseline smoking status and baseline ICS use as fixed effects with the baseline symptom score, FEV1 prior to inhalation of short acting bronchodilators and FEV1 post inhalation of short acting bronchodilators as covariates and center nested in region as a random effect. Each symptom was scored as 0, 1, 2 or 3 where the description for each score varied. For each of the symptoms, the range of scores from 0 to 3 represented an increase in symptoms where 0 represented little to no symptom and 3 represented severe or worst symptom. The total symptom score, which is the sum of the individual scores, ranged from 0 (best possible outcome) to 27 (worst possible outcome).
Baseline, 12 weeks
Number of Participants With Adverse Events and Serious Adverse Events
Zeitfenster: 12 weeks
All study emergent adverse events including Chronic Obstructive Pulmonary Disease exacerbations were monitored from screening through the end of study.
12 weeks

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

Novartis Pharmaceuticals

Publikationen und hilfreiche Links

Die Bereitstellung dieser Publikationen erfolgt freiwillig durch die für die Eingabe von Informationen über die Studie verantwortliche Person. Diese können sich auf alles beziehen, was mit dem Studium zu tun hat.

Allgemeine Veröffentlichungen

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn

1. Mai 2012

Primärer Abschluss (Tatsächlich)

1. Januar 2013

Studienabschluss (Tatsächlich)

1. Januar 2013

Studienanmeldedaten

Zuerst eingereicht

21. Mai 2012

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

21. Mai 2012

Zuerst gepostet (Schätzen)

23. Mai 2012

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Schätzen)

14. November 2014

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

12. November 2014

Zuletzt verifiziert

1. November 2014

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Schlüsselwörter

Zusätzliche relevante MeSH-Bedingungen

Andere Studien-ID-Nummern

  • CNVA237A2316
  • 2011-005673-23 (EudraCT-Nummer)

Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .

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