Uno studio su pazienti con broncopneumopatia cronica ostruttiva (FUTURE)
Uno studio di 12 settimane, multicentrico, multinazionale, randomizzato, in doppio cieco, double-dummy, a gruppi paralleli a 2 bracci che confronta l'efficacia e la sicurezza di Foster® 100/6 (beclometasone dipropionato 100 µg più formoterolo 6 µg/erogazione), 2 Puffs b.i.d., Versus Seretide® 500/50 (Fluticasone 500 µg Plus Salmeterol 50 µg/Actuation), 1 inalazione b.i.d., in pazienti con broncopneumopatia cronica ostruttiva
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
Tipo di studio
Tipo di studio
Iscrizione (Effettivo)
Iscrizione
Fase
Fase
- Fase 3
Contatti e Sedi
Luoghi di studio
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Aarhus, Danimarca
- Aarhus University Hospital
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Copenhagen, Danimarca
- Bispebjerg Hospital
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Copenhagen, Danimarca
- Dept. of Cardiology and Respiratory Medicine
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Gentofte Municipality, Danimarca
- Gentofte Hospital
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Odense, Danimarca
- Odense University Hospital
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Toulon, Francia
- Centre Hospitalier
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Berlin, Germania
- Praxis Dr. Jorg Kampschulte
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Leipzig, Germania
- Praxis Dr. Jörg Winkler
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Lübeck, Germania
- KLB Healthresearch
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Lübeck, Germania
- KLD Helthreseach
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Magdeburg, Germania
- SMO.MD GmbH Zentrum für Klinische Studien
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Saarbrücken, Germania
- Pneumologische Gemeinschaftspraxis Saarbrücken
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Wedel, Germania
- Fachinternistische Gemeinschafts
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Wiesloch, Germania
- Pneumologische Praxis Dr Redlich
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Wuppertal, Germania
- Gemeinschaftspraxis für Pneumologie
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Bologna, Italia
- Ospedale Sant'Orsola-Malpighi
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Catania, Italia
- A.O. Policlinico
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Monza, Italia
- A.O. S. Gerardo
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Naples, Italia
- Azienda Ospedaliera Monaldi
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Pisa, Italia
- Universita di Pisa
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Roma, Italia
- IRCCS San Raffaele La Pisana
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Rome, Italia, 00161
- Policlinico Umberto I - VIII Padiglione
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Gdansk, Polonia
- NZOZ "Non Nocere"
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Koszalin, Polonia
- Niepubliczny Zakład Opieki Zdrowotnej "PROFILAKTYKA"
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Krakow, Polonia
- Szpital Uniwersytecki w Krakowie
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Krakow, Polonia
- Szpital Specjalistyczny im Jana Pawła II
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Lodz, Polonia
- Prywatny Gabinet Specjalistyczny
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Szczecin, Polonia
- Samodzielny Publiczny Szpital Kliniczny
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Warsaw, Polonia
- Chorób Płuc
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Warsaw, Polonia
- Gabinet Lekarski SERIA IWONA GRZELEWSKA-RZYMOWSKA
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Warsaw, Polonia
- Instytut Gruźlicy i Chorób Płuc. Zakład Diagnostyki i Leczenia Niewydolności Oddychania
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Warsaw, Polonia
- Zakład Fizjopatologii Oddychania, Instytut Gruźlicy i Chorób Płuc
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Wroclaw, Polonia
- DOBROSTAN - Gabinety Lekarskie
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Wroclaw, Polonia
- NZOZ Lekarze Specjaliści J.Małolepszy i Partnerzy
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Zgierz, Polonia
- Wojewódzki Szpital Specjalistyczny im. M. Curie-Skłodowskiej)
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Belfast, Regno Unito
- Belfast City Hospital
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London, Regno Unito
- Kings College Hospital
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Newcastle, Regno Unito
- Freeman Hospital
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Humenné, Slovacchia
- Neštátna ambulancia pneumológie a ftizeológie, Nemocničná
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Nové Zámky, Slovacchia
- Diunea, sro. Ambulancia PaF
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Ostrov, Slovacchia
- ALERGOIMUNO s.r.o
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Poprad, Slovacchia
- Pľúcna ambulancia, Poliklinika ADUS
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Prešov, Slovacchia
- PULMO, s.r.o
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Prievidza, Slovacchia
- PNEUMO-MED, s.r.o
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Spišská Nová Ves, Slovacchia
- Pľúcna ambulancia, Hrebenár s.r.o
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Trnava, Slovacchia
- PNEUMO-CENTRUM, s.r.o, Poliklinika
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Barcelona, Spagna
- Hospital Del Mar
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Sabadell, Spagna
- Hospital Parc Tauli
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Vic, Spagna
- Hospital General Vic
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Adana, Turchia (Türkiye)
- Çukurova Üniversitesi
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Antalya, Turchia (Türkiye)
- Akdeniz Universitesi
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Antalya, Turchia (Türkiye)
- Bilim Üniversitesi
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Bornova, Turchia (Türkiye)
- Ege Üniversitesi
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Bursa, Turchia (Türkiye)
- Uludağ Üniversitesi
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Gaziantep, Turchia (Türkiye)
- Gaziantep Üniversitesi
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Istanbul, Turchia (Türkiye)
- Fatih Üniversitesi
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Istanbul, Turchia (Türkiye)
- Marmara Üniversitesi
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Izmir, Turchia (Türkiye)
- Dokuz Eylul Universitesi
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Kayseri, Turchia (Türkiye)
- Erciyes Üniversitesi
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Balassagyarmat, Ungheria
- Dr. Kenessey Albert Kórház - Rendelőintézet
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Budapest, Ungheria
- Szabolcs-Szatmár-Bereg Megyei Önkormányzat Jósa András Oktató Kórház
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Békés, Ungheria
- Békés Megyei Képviselő-testület Pándy Kálmán Kórház
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Debrecen, Ungheria
- Centrum-Tüdőgyógyászati Klinika
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Kecskemét, Ungheria
- Bács-Kiskun Megeyi Önkormanyzat...
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Mosonmagyaróvár, Ungheria
- Karolina Kórház és Rendelőintézet Tüdőgyógyászat
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Nyíregyháza, Ungheria
- Jósa András Hospital
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Nyíregyháza, Ungheria
- Békés Megyei Képviselő-testület Pándy Kálmán Kórház
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Szigetszentmiklös, Ungheria
- Chiesi Clinical Centre Szigetszentmiklös
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Descrizione
Criterio di inclusione:
- Pazienti di sesso maschile o femminile di età ≥ 40 anni, che hanno firmato un modulo di consenso informato prima dell'inizio di qualsiasi procedura correlata allo studio o, una volta applicabile, il consenso informato scritto ottenuto dal rappresentante legale.
Pazienti ambulatoriali con diagnosi di BPCO e inclusi:
- Storia del fumo di almeno 10 pacchetti anno definita come [(numero di sigarette fumate al giorno) x (numero di anni di fumo) / 20], sono ammissibili sia i fumatori attuali che gli ex fumatori.
- Uso di broncodilatatori nei 2 mesi precedenti alla visita 1.
- FEV1 post-broncodilatatore < 60% del valore normale previsto.
- FEV1/FVC post-broncodilatatore < 0,7.
- Una risposta ≥ 5% a un test di reversibilità.
- Un punteggio focale dell'indice di dispnea al basale (BDI) inferiore o uguale a 10 (da raggiungere anche alla visita 2).
- Anamnesi di non più di una riacutizzazione di BPCO nei 12 mesi precedenti (senza considerare gli ultimi 2 mesi) da visitare 1.
- Un atteggiamento collaborativo e la capacità di essere addestrati all'uso corretto di inalatori pMDI e DPI (Accuhaler®, inalatore di plastica stampato circolare).
Principali criteri di esclusione:
- Patologie respiratorie clinicamente rilevanti.
- Diagnosi attuale di asma o disturbi respiratori diversi dalla BPCO.
- Anomalie di laboratorio ed ECG clinicamente significative che indicano una malattia concomitante significativa o instabile che può influire sulla fattibilità dei risultati dello studio secondo il giudizio dello sperimentatore.
- Pazienti con riacutizzazione della BPCO nei 2 mesi precedenti lo screening e durante il periodo di studio.
- Pazienti che richiedono ossigenoterapia a lungo termine (almeno 12 ore al giorno) per ipossiemia cronica.
- Pazienti trattati con corticosteroidi depot nei 2 mesi precedenti la visita 1 e durante il periodo di rodaggio.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Quadruplicare
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
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Sperimentale: Foster®
Participants received 2 puffs of Foster® (beclomethasone dipropionate 100 µg plus formoterol 6 µg/unit dose) administered via a pMDI twice daily (BID), resulting in a total daily dose of beclomethasone dipropionate 400 μg plus formoterol 24 μg, for a duration of 12 weeks.
To ensure blinding, participants received one inhalation of placebo matching Seretide® Accuhaler® via a inhaler BID, for a duration of 12 weeks.
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Administered via a pressurized metered-dose inhaler
Altri nomi:
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Comparatore attivo: Seretide® Accuhaler®
Participants received one inhalation of Seretide® Accuhaler® (fluticasone 500 μg plus salmeterol 50 μg/actuation) administered via inhaler, BID resulting in a total daily dose of fluticasone 1000 μg plus salmeterol 100 μg, for a duration of 12 weeks.
To ensure blinding, participants receieved two puffs of placebo matching Foster® via pMDI, BID for a duration of 12 weeks.
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Administered via a pressurized metered-dose inhaler
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Area Under the Curve (AUC) 0-30min Standardized by Time of Change From Pre-dose in Forced Expiratory Volume in One Second (FEV1) in the Morning of Day 1
Lasso di tempo: on Day 1 (V2)
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FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second.
FEV1 was measured using spirometry, conducted at baseline and all clinical visits.
An increase in FEV1 reflects improved airway patency, while a decrease suggests worsening obstruction.
Higher FEV1 values indicate better lung function.
Adjusted means were reported.
Assessment were implemented at pre-dose, and 5, 15 and 30 minutes post inhalation
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on Day 1 (V2)
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Transition Dyspnoea Index (TDI) Score at Day 84
Lasso di tempo: Day 84 (V5)
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TDI has three domains as follows:
The TDI score ranges from -3 (major deterioration) to +3 (major improvement) for each domain. The sum of all domains yields the TDI focal score of -9 (major deterioration) to +9 (major improvement). Adjusted means were reported. |
Day 84 (V5)
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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AUC 0-30min Standardized by Time of Change From Pre-dose in FEV1 in the Morning of Day 84
Lasso di tempo: on Day 84 (V5)
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FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second.
FEV1 was measured using spirometry, conducted at baseline and all clinical visits.
An increase in FEV1 reflects improved airway patency, while a decrease suggests worsening obstruction.
Higher FEV1 values indicate better lung function.
Adjusted means were reported.
Assessments were implemented pre-dose, 5, 15 and 30 minutes post inhalation.
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on Day 84 (V5)
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AUC 0-30min Standardized by Time of Change From Baseline in FEV1 After Drug Inhalation in the Morning of Day 84
Lasso di tempo: on Day 84 (V5)
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FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second.
FEV1 was measured using spirometry, conducted at baseline and all clinical visits.
An increase in FEV1 reflects improved airway patency, while a decrease suggests worsening obstruction.
Higher FEV1 values indicate better lung function.
Adjusted means were reported.
Assessments were implemented at baseline and 5,15 and 30 minutes post inhalation.
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on Day 84 (V5)
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Change From Baseline (CFB) in Pre-dose Morning FEV1
Lasso di tempo: Weeks 4, 8 and 12
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FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second.
FEV1 was measured using spirometry, conducted at baseline and all clinical visits.
An increase in FEV1 reflects improved airway patency, while a decrease suggests worsening obstruction.
Higher FEV1 values indicate better lung function.
Adjusted means were reported.
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Weeks 4, 8 and 12
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Change From Baseline in Pre-dose Morning Forced Vital Capacity (FVC)
Lasso di tempo: Weeks 4, 8 and 12
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FVC is is a measure of lung function and is defined as the amount of air that can be forcefully exhaled from lungs after taking the deepest breath possible, FVC was measured using spirometry at baseline and all clinical visits.
Higher values indicate improved lung capacity and reduced airway obstruction.
Adjusted means were reported.
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Weeks 4, 8 and 12
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Change From Pre-dose in Morning FEV1 at 5, 15 and 30 Min After Drug Intake
Lasso di tempo: 5, 15, 30 Min post inhalation at Weeks 0 (V2) and 12 (Day 84, V5)
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FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second.
FEV1 was measured using spirometry, conducted at baseline and all clinical visits.
An increase in FEV1 reflects improved airway patency, while a decrease suggests worsening obstruction.
Higher FEV1 values indicate better lung function.
Adjusted means were reported.
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5, 15, 30 Min post inhalation at Weeks 0 (V2) and 12 (Day 84, V5)
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Change From Baseline in Morning FEV1 at 5, 15 and 30 Min After Drug Intake
Lasso di tempo: at 5, 15 and 30 mins post inhalation at Week 12 (Day 84, V5)
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FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second.
FEV1 was measured using spirometry, conducted at baseline and all clinical visits.
An increase in FEV1 reflects improved airway patency, while a decrease suggests worsening obstruction.
Higher FEV1 values indicate better lung function.
Adjusted means were reported.
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at 5, 15 and 30 mins post inhalation at Week 12 (Day 84, V5)
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Change From Pre-dose in Morning FVC at 5, 15 and 30 Min After Drug Intake
Lasso di tempo: at 5, 15 and 30 min post inhalation Week 0 (V2) & Week 12 Day 84, (V5)
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FVC is is a measure of lung function and is defined as the amount of air that can be forcefully exhaled from lungs after taking the deepest breath possible, FVC was measured using spirometry at baseline and all clinical visits.
Higher values indicate improved lung capacity and reduced airway obstruction.
Adjusted means were reported.
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at 5, 15 and 30 min post inhalation Week 0 (V2) & Week 12 Day 84, (V5)
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Change From Baseline to Each Two-Week Period in COPD Symptom Scores
Lasso di tempo: Weeks 1-2, 3-4, 5-6, 7-8, 9-10, 11-12
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COPD symptom scores consists of following 6 items recorded by the participants in diary.
Each symptom score is recorded on a scale from 0 (no symptoms) to 3 (worst), the total score ranges from 0 (no symptoms) to 18 (worst). Baseline COPD symptom score has been calculated as the mean of the COPD symptom scores recorded in the run-in period. Each item or total scores were averaged over each 2 week period. Average COPD symptom score in each two-week period has been calculated as the mean of the item or total score recorded in each two-week period. Adjusted means were reported. |
Weeks 1-2, 3-4, 5-6, 7-8, 9-10, 11-12
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Change From Baseline to Each Two-Week Period in Percentage of COPD Symptom-Free Days
Lasso di tempo: Weeks 1-2, 3-4, 5-6, 7-8, 9-10, 11-12
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COPD symptom scores consists of following 6 items recorded by the participants in diary.
Each symptom score is recorded on a scale from 0 (no symptoms) to 3 (worst), the total score ranges from 0 (no symptoms) to 18 (worst). A COPD symptom-free day is a day with total COPD symptom scores = 0. Baseline % of COPD symptom-free days is calculated as the % ratio between the number of COPD symptom-free days and the number of days with data recorded in the run-in period)*100. Reported values (in form of adjusted means) reflect a percentage (%). % of COPD symptom-free days in each two-week period is calculated as % (ratio between the number of COPD symptom-free days and the number of days with data recorded in the two-week period)*100. |
Weeks 1-2, 3-4, 5-6, 7-8, 9-10, 11-12
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Change From Baseline to Entire Treatment Period in Percentage of COPD Symptom-Free Days
Lasso di tempo: Baseline, Weeks 1 through 12
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COPD symptom scores consists of following 6 items recorded by the participants in diary.
Each symptom score is recorded on a scale from 0 (no symptoms) to 3 (worst), the total score ranges from 0 (no symptoms) to 18 (worst). A COPD symptom-free day is a day with total COPD symptom scores = 0. Reported values (in form of adjusted means) reflect a percentage (%). Baseline % of COPD symptom-free days is calculated as (% ratio between the number of COPD symptom-free days and the number of days with data recorded in the run-in period)*100. % of COPD symptom-free days in each two-week period is calculated as (% ratio between the number of COPD symptom-free days and the number of days with data recorded in the two-week period)*100. |
Baseline, Weeks 1 through 12
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Change From Baseline to Each Two-Week Period in Average Use of Rescue Salbutamol Consumption
Lasso di tempo: Weeks 1-2, 3-4, 5-6, 7-8, 9-10, 11-12
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Number of rescue salbutamol puffs per day were recorded in the diary.
Baseline use of rescue medication has been calculated as the mean number of puffs per day in the run-in period.
Average use of rescue medication in each two-week period has been calculated as the mean number of puffs per day in each two week period.
Adjusted means were reported.
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Weeks 1-2, 3-4, 5-6, 7-8, 9-10, 11-12
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Change From Baseline to Each Two-Week Period in Percentage of Rescue Salbutamol-Free Days
Lasso di tempo: Weeks 1-2, 3-4, 5-6, 7-8, 9-10, 11-12
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A rescue medication-free day is a day with number of puffs of rescue medication = 0. Reported values (in form of adjusted means) reflect a percentage (%). Baseline percentage (%) of rescue medication-free days is calculated as (% ratio between the number of rescue medication-free days and the number of days with data recorded in the run-in period)*100. % of rescue medication-free days in each two-week period is calculated as (% ratio between the number of rescue medication-free days and the number of days with data recorded in the two-week period)*100. |
Weeks 1-2, 3-4, 5-6, 7-8, 9-10, 11-12
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Change From Baseline to Entire Treatment Period in Percentage of Rescue Salbutamol-Free Days
Lasso di tempo: at week 12 (V5)
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A rescue medication-free day is a day with number of puffs of rescue medication = 0. Reported values (in form of adjusted means) reflect a percentage (%). Baseline % of rescue medication-free days is calculated as (% ratio between the number of rescue medication-free days and the number of days with data recorded in the run-in period)*100. % of rescue medication-free days in the entire treatment period is calculated as (% ratio between the number of rescue medication-free days and the number of days with data recorded in the entire treatment period)*100. |
at week 12 (V5)
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Change From Baseline in the St George's Respiratory Questionnaire (SGRQ) Component and Total Scores
Lasso di tempo: at Week 12 (V5)
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SGRQ is a 76-item questionnaire developed to measure health in chronic airflow limitation and designed to be self-completed by the participant. It consists of 76-items across three domains:
Each domain score ranges from 0 to 100 with higher scores indicating the worst health status. Total score was obtained by combining the weighted scores from each domain and ranging from 0 (better health) to 100 (Worst health). |
at Week 12 (V5)
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Change From Baseline in Pre-dose and in Post-dose Distance Walked (6 Minute Walking Test - 6MWT)
Lasso di tempo: Week 12 (V5), pre-dose and post-dose
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The 6MWT was carried out following standardized procedures, according to ATS guidelines.
The test was performed indoors, along a long, flat, straight, 30m-long corridor, and one well-trained researcher supervised the test.
Prior to start walking, patients were explained that the aim of the test was to walk from end to end along the corridor and to cover as much distance as possible in the period of 6 minutes.
The patients sit at rest for at least 10 minutes before the test start.
The longer distance covered, the better the outcome.
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Week 12 (V5), pre-dose and post-dose
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Change From Pre-dose in Post-dose Distance Walked (6MWT)
Lasso di tempo: on Week 0 (Day 1, V2) and Week 12 (V5, Day 84)
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The 6MWT was carried out following standardized procedures, according to ATS guidelines.
The test was performed indoors, along a long, flat, straight, 30m-long corridor, and one well-trained researcher supervised the test.
Prior to start walking, patients were explained that the aim of the test was to walk from end to end along the corridor and to cover as much distance as possible in the period of 6 minutes.
The patients sit at rest for at least 10 minutes before the test start.
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on Week 0 (Day 1, V2) and Week 12 (V5, Day 84)
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Number of Participants With COPD Exacerbations From Week 0 Through Week 12
Lasso di tempo: Week 12
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A COPD exacerbation is defined as "a sustained worsening of the participants condition (dyspnoea, cough and/or sputum production/purulence), from the stable state and beyond normal day-to-day variations, that is acute in onset and requires unscheduled medical intervention [leading to prescriptions of systemic corticosteroids (at least 3 days)] and/or antibiotics (at least 5 days), or need for a visit to an emergency department or hospitalization) in a participant with underlying COPD".
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Week 12
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Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Lasso di tempo: From first dose of study drug until end of the treatment (up to 84 days)
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AE=An untoward medical occurrence after exposure to a medicine, which is not necessarily caused by that medicine. Serious AE= An adverse event that results in death, is life-threatening, requires hospitalisation or prolongation of existing hospitalisation, results in persistent or significant disability or incapacity, or is a birth defect. ADR=A response to a medicinal product which is harmful and unintended. Response in this context means that a causal relationship between the medicinal product and an adverse event is at least a reasonable possibility Serious ADR=An adverse reaction that results in death, is life-threatening, requires hospitalisation or prolongation of existing hospitalisation, results in persistent or significant disability or incapacity, or is a birth defect. Severe AE= "Severe" refers to the intensity of an AE; the event itself may be of relatively minor medical significance but intense. |
From first dose of study drug until end of the treatment (up to 84 days)
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Collaboratori e investigatori
Sponsor
Sponsor
Investigatori
Investigatori
- Investigatore principale: Dave Singh, MD, The Medicine Evaluation Unit - Manchester, UK
- Investigatore principale: Jorgen Vestbo, MD, Dept. of Cardiology and Respiratory Medicine - Copenhagen, Denmark
Pubblicazioni e link utili
Collegamenti utili
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Effettivo)
Completamento primario
Completamento dello studio (Effettivo)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stimato)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
- Processi patologici
- Malattia cronica
- Attributi della malattia
- Malattie delle vie respiratorie
- Malattie polmonari
- Malattie polmonari, ostruttive
- Condizioni patologiche, segni e sintomi
- Malattia polmonare, cronica ostruttiva
- Prodotti chimici organici
- Preparati farmaceutici
- Terapie
- Composti policiclici
- Ammine
- Steroidi
- Composti anelli fusi
- Cura del paziente
- Servizi sanitari
- Force di lavoro e servizi per le strutture sanitarie
- Servizi sanitari della comunità
- Alcoli
- Aminouli
- Androstadienes
- Androstenes
- Androstanes
- Etanolamine
- Fenetilammine
- Etilammine
- Combinazioni di droga
- Salmeterol xinafoate
- Albuterolo
- Fluticasone
- Combinazione di farmaci fluticasone-salmeterolo
- Affido Familiare
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- CCD-0910-PR-0021
- 2009-014410-10 (Numero EudraCT)
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .