- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT00567996
Efficacy and Safety of Indacaterol in Patients With Chronic Obstructive Pulmonary Disease (COPD) Using Salmeterol as Active Control
A 26-week Treatment, Multi-center, Randomized, Double-blind, Double- Dummy, Placebo-controlled, Parallel-group Study to Assess the Efficacy, and Safety of Indacaterol (150 µg o.d.) in Patients With Chronic Obstructive Pulmonary Disease, Using Salmeterol (50 µg b.i.d.) as an Active Control
Tutkimuksen yleiskatsaus
Tila
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Vaihe 3
Yhteystiedot ja paikat
Opiskelupaikat
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Chennai, Intia
- Novartis Investigator Site
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Coimbatore, Intia
- Novartis Investigator Site
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Goa, Intia
- Novartis Investigator Site
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Hyderabad, Intia
- Novartis Investigator Site
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Jaipur, Intia
- Novartis Investigator Site
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Kerala, Intia
- Novartis Investigator Site
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Mangalore, Intia
- Novartis Investigator Site
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Mumbai, Intia
- Novartis Investigator Site
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Vellore, Intia
- Novartis Investigator Site
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Reykhavik, Islanti
- Novartis Investigator Site
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Ancona, Italia
- Novartis Investigator Site
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Arenzano, Italia
- Novartis Investigator Site
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Ascoli Piceno, Italia
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Brescia, Italia
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Cagliari, Italia
- Novartis Investigator Site
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Chieti, Italia
- Novartis Investigator Site
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Ferrara, Italia
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Milan, Italia
- Novartis Investigator Site
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Milano, Italia
- Novartis Investigator Site
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Orbassano, Italia
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Palermo, Italia
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Reggio Emilia, Italia
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Rome, Italia
- Novartis Investigator Site
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Sesto, Italia
- Novartis Investigator Site
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Siena, Italia
- Novartis Investigator Site
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Terni, Italia
- Novartis Investigator Site
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Edmonton, Kanada
- Novartis Investigative Site
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Edmonton, Kanada
- Novartis Investigator Site
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London, Kanada
- Novartis Investigator Site
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Mirabel, Kanada
- Novartis Investigator Site
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Montreal, Kanada
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Toronto, Kanada
- Novartis Investigator Site
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Barranquilla, Kolumbia
- Novartis Investigator Site
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Bogota D.C., Kolumbia
- Novartis Investigator Site
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Medellin, Kolumbia
- Novartis Investigator Site
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Callao, Peru
- Novartis Investigator Site
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Miraflores, Peru
- Novartis Investigator Site
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San Borja, Peru
- Novartis Investigator Site
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San Isidro, Peru
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San Martin de Porres, Peru
- Novartis Investigator Site
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Surco, Peru
- Novartis Investigator Site
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Ambroise, Ranska
- Novartis Investigative Site
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Beuvry, Ranska
- Novartis Investigative Site
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Ferolles-Attilly, Ranska
- Novartis Investgative Site
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Nice, Ranska
- Novartis Investigator Site
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Bad Segeberg, Saksa
- Novartis Investigator Site
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Berlin, Saksa
- Novartis Investigator Site
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Bielefeld, Saksa
- Novartis Investigator Site
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Bochum, Saksa
- Novartis Investigator Site
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Bonn, Saksa
- Novartis Investigator Site
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Bruehl, Saksa
- Novartis Investigator Site
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Cottbus, Saksa
- Novartis Investigator Site
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Dortmund, Saksa
- Novartis Investigator Site
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Dueren, Saksa
- Novartis Investigator Site
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Eggenfelden, Saksa
- Novartis Investigator Site
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Eschwege, Saksa
- Novartis Investigator Site
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Forchheim, Saksa
- Novartis Investigator Site
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Freudenberg, Saksa
- Novartis Investigator Site
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Furth, Saksa
- Novartis Investigator Site
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Gelsenkirchen, Saksa
- Novartis Investigator Site
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Gummersbach, Saksa
- Novartis Investigator Site
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Hagen, Saksa
- Novartis Investigator Site
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Hannover, Saksa
- Novartis Investigator Site
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Kassel, Saksa
- Novartis Investigator Site
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Kempten, Saksa
- Novartis Investigator Site
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Koeln, Saksa
- Novartis Investigator Site
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Landsberg am Lech, Saksa
- Novartis Investigator Site
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Langenfeld, Saksa
- Novartis Investigator Site
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Leipzig, Saksa
- Novartis Investigator Site
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Mainz, Saksa
- Novartis Investigator Site
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Muenchen, Saksa
- Novartis Investigator Site
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Munich, Saksa
- Novartis Investigator Site
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Neuss, Saksa
- Novartis Investigator Site
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Nuremburg, Saksa
- Novartis Investigator Site
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Oschersleben, Saksa
- Novartis Investigator Site
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Ruhmannsfelden, Saksa
- Novartis Investigator Site
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Sinsheim, Saksa
- Novartis Investigator Site
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Solingen, Saksa
- Novartis Investigator Site
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Steinfort-borghorst, Saksa
- Novartis Investigator Site
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Vilshofen, Saksa
- Novartis Investigator Site
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Wallerfing, Saksa
- Novartis Investigator Site
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Witten, Saksa
- Novartis Investigator Site
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Bardejov, Slovakia
- Novartis Investigator Site
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Bratislava, Slovakia
- Novartis Investigator Site
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Kosice, Slovakia
- Novartis Investigator Site
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Kovice, Slovakia
- Novartis Investigator Site
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Spisska, Slovakia
- Novartis Investigator Site
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Hus, Suomi
- Novartis Investigator Site
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Jyvaskyla, Suomi
- Novartis Investigator Site
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Lahti, Suomi
- Novartis Investigator Site
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Oulu, Suomi
- Novartis Investigator Site
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Tampere, Suomi
- Novartis Investigator Site
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Turku, Suomi
- Novartis Investigator Site
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Changhua, Taiwan
- Novartis Investigator Site
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Kaohsiung, Taiwan
- Novartis Investigator Site
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Kaohusing, Taiwan
- Novartis Investigator Site
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Lin-ko, Taiwan
- Novartis Investigator Site
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Taichung, Taiwan
- Novartis Investigator Site
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Taipei, Taiwan
- Novartis Investigator Site
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Aalborg, Tanska
- Novartis Investigator Site
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Arhus, Tanska
- Novartis Investigator Site
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Copenhagen, Tanska
- Novartis Investigative Site
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Copenhagen, Tanska
- Novartis Investigator Site
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Frederikssund, Tanska
- Novartis Investigator Site
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Hellerup, Tanska
- Novartis Investigator Site
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Hvidovre, Tanska
- Novartis Investigator Site
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Odense, Tanska
- Novartis Investigator Site
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Roslev, Tanska
- Novartis Investigator Site
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Silkeborg, Tanska
- Novartis Investigative Site
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Soborg, Tanska
- Novartis Investgative Site
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Vaerloese, Tanska
- Novartis Investigator Site
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Cvikov, Tšekin tasavalta
- Novartis Investigator Site
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Lovosice, Tšekin tasavalta
- Novartis Investigator Site
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Novy Jocin, Tšekin tasavalta
- Novartis Investigator Site
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Pardubice, Tšekin tasavalta
- Novartis Investigator Site
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Praha, Tšekin tasavalta
- Novartis Investigator Site
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Zatec, Tšekin tasavalta
- Novartis Investigative Site
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Budapest, Unkari
- Novartis Investigator Site
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Debrechen, Unkari
- Novartis Investigator Site
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Deszk, Unkari
- Novartis Investigator Site
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Mosonmagyarovar, Unkari
- Novartis Investigator Site
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Szekesfehervar, Unkari
- Novartis Investigator Site
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Ekaterinburg, Venäjän federaatio
- Novartis Investigator Site
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Kazan, Venäjän federaatio
- Novartis Investigator Site
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Moscow, Venäjän federaatio
- Novartis Investigator Site
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Saint Petersburg, Venäjän federaatio
- Novartis Investigator Site
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Samara, Venäjän federaatio
- Novartis Investigator Site
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St Petersburg, Venäjän federaatio
- Novartis Investigator Site
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Yaroslavl, Venäjän federaatio
- Novartis Investigator Site
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Yekaterinburg, Venäjän federaatio
- Novartis Investigator Site
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
Inclusion Criteria:
Clinical diagnosis of moderate to severe Chronic Obstructive Pulmonary Disease (COPD) as per the Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2006 Guidelines (mandatory) and including:
- Smoking history of at least 20 pack years
- Post-bronchodilator Forced Expiratory Volume in 1 second (FEV1) < 80% predicted and >or= 30% of predicted normal value
- Post-bronchodilator FEV1/FVC < 70%
("Post" defined as within 30 minutes of inhalation of 400 µg salbutamol)
Exclusion Criteria:
- Pregnant or nursing (lactating) women and women of child-bearing potential UNLESS they meet pre-specified definitions of post-menopausal or are using pre-specified acceptable methods of contraception
- Hospitalisation for COPD exacerbation in the 6 weeks prior to Visit 1 or during run-in
- Patients requiring oxygen therapy for chronic hypoxemia (typically >15h/day)
- Respiratory tract infection within 6 weeks prior to Visit 1 and during the run-in period
- Concomitant pulmonary disease
- Asthma history (eosinophils > 400/mm3; symptoms prior to age 40). Includes history of childhood asthma
- History of long QTc syndrome or QTc interval > 450 ms for males and >470 ms for females
- Patients who have a clinically significant condition or a clinically relevant laboratory abnormality
- History of reactions to sympathomimetic amines or inhaled medication
- Inability to use the dry powder devices or perform spirometry
- Irregular day/night, wake/sleep cycles, e.g. shift workers
- Certain medications for COPD and allied conditions such as long acting bronchodilators must not be used prior to Visit 1 and for a pre-specified minimum washout period
- Patients unable or unwilling to complete a patient diary
Other protocol-defined inclusion/exclusion criteria may apply.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Kolminkertaistaa
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Kokeellinen: Indacaterol 150 μg
Indacaterol 150 μg once daily in the morning, inhaled via a single dose dry powder inhaler (SDDPI). Placebo to Salmeterol delivered twice daily via a proprietary dry powder inhaler in the morning and in the evening. Daily inhaled corticosteroid treatment (if applicable) was allowed to remain stable throughout the study. The short acting (beta) β2-agonist (SABA) salbutamol/albuterol was available for rescue use throughout the study. |
Indacaterol 150 μg once daily (o.d) inhaled
Placebo to salmeterol delivered via a proprietary dry powder inhaler
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|
Placebo Comparator: Placebo
Placebo to Indacaterol once daily in the morning, inhaled via a single dose dry powder inhaler (SDDPI). Placebo to Salmeterol delivered twice daily via a proprietary dry powder inhaler in the morning and in the evening. Daily inhaled corticosteroid treatment (if applicable) was allowed to remain stable throughout the study. The short acting (beta) β2-agonist (SABA) salbutamol/albuterol was available for rescue use throughout the study. |
Placebo to salmeterol delivered via a proprietary dry powder inhaler
Placebo to Indacaterol inhaled via SDDPI.
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Active Comparator: Salmeterol 50 μg
Salmeterol 50 μg twice daily delivered via a proprietary dry powder inhaler in the morning and in the evening. Placebo to Indacaterol daily in the morning, inhaled via a single dose dry powder inhaler (SDDPI). Daily inhaled corticosteroid treatment (if applicable) was allowed to remain stable throughout the study. The short acting (beta) β2-agonist (SABA) salbutamol/albuterol was available for rescue use throughout the study. |
Placebo to Indacaterol inhaled via SDDPI.
Salmeterol 50 μg twice daily (b.i.d) delivered via a proprietary dry powder inhaler
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Trough Forced Expiratory Volume in 1 Second (FEV1) After 12 Weeks of Treatment
Aikaikkuna: Week 12
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Spirometry was conducted according to internationally accepted standards.
Trough FEV1 was defined as the average of the 23 hour 10 minute and 23 hour 45 minute post-dose FEV1 readings.
Mixed model used baseline FEV1, FEV1 prior to and 10-15 minutes post inhalation of salbutamol/albuterol, and FEV1 prior to and 1 hour post inhalation of ipratropium as covariates.
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Week 12
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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St. George's Respiratory Questionnaire (SGRQ) Total Score After 12 Weeks of Treatment
Aikaikkuna: Week 12
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SGRQ is a health related quality of life questionnaire consisting of 76 items in three sections: symptoms, activity and impacts.
The total score is 0 to 100 with a higher score indicating poorer health status.
The mixed model used baseline SGRQ total score, FEV1 prior to and 30 minutes post inhalation of salbutamol/albuterol, and FEV1 prior to and one hour post inhalation of ipratropium as covariates.
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Week 12
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Percentage of COPD "Days of Poor Control" During 26 Weeks of Treatment
Aikaikkuna: Up to 26 weeks
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Participants rated their symptoms on a scale of 0=none to 3=severe.
A Chronic Obstructive Pulmonary Disease (COPD) "day of poor control" was defined as any day in the participants diary with a score >=2 (moderate or severe) for at least 2 of 5 symptoms (cough, wheeze, production of sputum, color of sputum, breathlessness).
The mixed model used baseline percentage of "days of poor control", FEV1 prior to and 30 minutes post inhalation of salbutamol/albuterol, and FEV1 prior to and one hour post inhalation of ipratropium as covariates.
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Up to 26 weeks
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Yhteistyökumppanit ja tutkijat
Sponsori
Julkaisuja ja hyödyllisiä linkkejä
Yleiset julkaisut
- Jones PW, Mahler DA, Gale R, Owen R, Kramer B. Profiling the effects of indacaterol on dyspnoea and health status in patients with COPD. Respir Med. 2011 Jun;105(6):892-9. doi: 10.1016/j.rmed.2011.02.013. Epub 2011 Mar 11.
- Worth H, Chung KF, Felser JM, Hu H, Rueegg P. Cardio- and cerebrovascular safety of indacaterol vs formoterol, salmeterol, tiotropium and placebo in COPD. Respir Med. 2011 Apr;105(4):571-9. doi: 10.1016/j.rmed.2010.11.027. Epub 2011 Jan 11.
- Yelensky R, Li Y, Lewitzky S, Leroy E, Hurwitz C, Rodman D, Trifilieff A, Paulding CA. A pharmacogenetic study of ADRB2 polymorphisms and indacaterol response in COPD patients. Pharmacogenomics J. 2012 Dec;12(6):484-8. doi: 10.1038/tpj.2011.54. Epub 2011 Dec 13.
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus
Ensisijainen valmistuminen (Todellinen)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Arvio)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Arvio)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muita asiaankuuluvia MeSH-ehtoja
- Hengityselinten sairaudet
- Keuhkosairaudet
- Keuhkosairaudet, obstruktiiviset
- Keuhkosairaus, krooninen obstruktiivinen
- Huumeiden fysiologiset vaikutukset
- Adrenergiset aineet
- Neurotransmitterit
- Farmakologisen vaikutuksen molekyylimekanismit
- Autonomiset agentit
- Ääreishermoston aineet
- Adrenergiset agonistit
- Keuhkoputkia laajentavat aineet
- Astmaattiset aineet
- Hengityselinten aineet
- Adrenergiset beeta-2-reseptoriagonistit
- Adrenergiset beeta-agonistit
- Salmeteroli Xinafoaatti
Muut tutkimustunnusnumerot
- CQAB149B2336
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