A Multi-centre Randomized Double Blind 52-week Study to Assess the Safety of QVA149 Compared to QAB149 in Patients With COPD Who Have Moderate to Severe Airflow Limitation
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Studietype
Studietype
Inschrijving (Werkelijk)
Inschrijving
Fase
Fase
- Fase 3
Contacten en locaties
Studie Locaties
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Pleven, Bulgarije, 5800
- Novartis Investigative Site
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Plovdiv, Bulgarije, 4002
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Ruse, Bulgarije, 7002
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Sofia, Bulgarije, 1431
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Varna, Bulgarije, 9010
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HUS, Finland, 00029
- Novartis Investigative Site
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Helsinki, Finland, 00029
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Pori, Finland, FIN-28500
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Turku, Finland, 20521
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Budapest, Hongarije, 1125
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Budapest, Hongarije, 1046
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Gyor, Hongarije, 9024
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Mako, Hongarije, 6900
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Nyiregyhaza, Hongarije, 4400
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Pecs, Hongarije, 7635
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Szazhalombatta, Hongarije, 2440
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Szolnok, Hongarije, H-5000
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Torokbalint, Hongarije, 2045
- Novartis Investigative Site
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Barceloneta, Puerto Rico, 00617
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San Juan, Puerto Rico, 00909
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San Juan, Puerto Rico, 00918
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Brasov, Roemenië, 500281
- Novartis Investigative Site
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Bucharest, Roemenië, 060011
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Bucuresti, Roemenië, 50554
- Novartis Investigative Site
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Cluj-Napoca, Roemenië, 400371
- Novartis Investigative Site
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District 1
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Bucharest, District 1, Roemenië, 10457
- Novartis Investigative Site
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Bucharest, District 1, Roemenië, 11475
- Novartis Investigative Site
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District 3
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Bucharest, District 3, Roemenië, 030303
- Novartis Investigative Site
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Bucharest, District 3, Roemenië, 030317
- Novartis Investigative Site
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Jud. Constanta
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Constanta, Jud. Constanta, Roemenië, 900002
- Novartis Investigative Site
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Jud. Iasi
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Iasi, Jud. Iasi, Roemenië, 700115
- Novartis Investigative Site
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Andalucia
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Granada, Andalucia, Spanje, 18014
- Novartis Investigative Site
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Málaga, Andalucia, Spanje, 29010
- Novartis Investigative Site
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Cataluña
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Badalona, Cataluña, Spanje, 08914
- Novartis Investigative Site
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Barcelona, Cataluña, Spanje
- Novartis Investigative Site
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Canet de Mar, Cataluña, Spanje, 08360
- Novartis Investigative Site
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Centelles, Cataluña, Spanje, 08540
- Novartis Investigative Site
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Tarragona, Cataluña, Spanje, 43350
- Novartis Investigative Site
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Comunidad Valenciana
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Valencia, Comunidad Valenciana, Spanje, 46015
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Alabama
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Vestavia, Alabama, Verenigde Staten, 35216
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California
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Huntington Beach, California, Verenigde Staten, 92647
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Lakewood, California, Verenigde Staten, 90712-151
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Los Angeles, California, Verenigde Staten, 90048
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Orange, California, Verenigde Staten, 92868
- Novartis Investigative Site
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Stockton, California, Verenigde Staten, 95207
- Novartis Investigative Site
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Walnut Creek, California, Verenigde Staten, 94598
- Novartis Investigative Site
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Colorado
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Boulder, Colorado, Verenigde Staten, 80304
- Novartis Investigative Site
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Hawaii
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Honolulu, Hawaii, Verenigde Staten, 96814
- Novartis Investigative Site
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Illinois
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Lombard, Illinois, Verenigde Staten, 60148
- Novartis Investigative Site
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O'Fallon, Illinois, Verenigde Staten, 62269
- Novartis Investigative Site
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Peoria, Illinois, Verenigde Staten, 61602
- Novartis Investigative Site
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Indiana
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Evansville, Indiana, Verenigde Staten, 47712
- Novartis Investigative Site
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Iowa
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Ames, Iowa, Verenigde Staten, 50010
- Novartis Investigative Site
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Iowa City, Iowa, Verenigde Staten, 52240
- Novartis Investigative Site
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Waterloo, Iowa, Verenigde Staten, 50702
- Novartis Investigative Site
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Kentucky
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Bowling Green, Kentucky, Verenigde Staten, 42101
- Novartis Investigative Site
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Louisiana
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New Orleans, Louisiana, Verenigde Staten, 70115
- Novartis Investigative Site
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Slidell, Louisiana, Verenigde Staten, 70458
- Novartis Investigative Site
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Maine
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Bangor, Maine, Verenigde Staten, 04401
- Novartis Investigative Site
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Maryland
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Baltimore, Maryland, Verenigde Staten, 21224
- Novartis Investigative Site
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Michigan
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Livonia, Michigan, Verenigde Staten, 48152
- Novartis Investigative Site
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Minnesota
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Minneapolis, Minnesota, Verenigde Staten, 55407
- Novartis Investigative Site
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Mississippi
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Jackson, Mississippi, Verenigde Staten, 39209
- Novartis Investigative Site
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Picayune, Mississippi, Verenigde Staten, 39466
- Novartis Investigative Site
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Missouri
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St. Charles, Missouri, Verenigde Staten, 63301
- Novartis Investigative Site
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Montana
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Missoula, Montana, Verenigde Staten, 59804
- Novartis Investigative Site
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Nebraska
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Lincoln, Nebraska, Verenigde Staten, 68506
- Novartis Investigative Site
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Omaha, Nebraska, Verenigde Staten, 68131
- Novartis Investigative Site
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Nevada
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Henderson, Nevada, Verenigde Staten, 89014
- Novartis Investigative Site
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Las Vegas, Nevada, Verenigde Staten, 89119
- Novartis Investigative Site
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New York
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Rochester, New York, Verenigde Staten, 14618
- Novartis Investigative Site
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Ohio
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Dayton, Ohio, Verenigde Staten, 45459
- Novartis Investigative Site
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Dublin, Ohio, Verenigde Staten, 43016
- Novartis Investigative Site
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Oklahoma
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Oklahoma City, Oklahoma, Verenigde Staten, 73112
- Novartis Investigative Site
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Oklahoma City, Oklahoma, Verenigde Staten, 73103
- Novartis Investigative Site
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Oregon
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Eugene, Oregon, Verenigde Staten, 97404
- Novartis Investigative Site
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Medford, Oregon, Verenigde Staten, 97504-8741
- Novartis Investigative Site
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South Carolina
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Spartanburg, South Carolina, Verenigde Staten, 29303
- Novartis Investigative Site
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Tennessee
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Knoxville, Tennessee, Verenigde Staten, 37912
- Novartis Investigative Site
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Texas
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Corsicana, Texas, Verenigde Staten, 75110
- Novartis Investigative Site
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Ft. Worth, Texas, Verenigde Staten, 76104
- Novartis Investigative Site
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Lufkin, Texas, Verenigde Staten, 75904
- Novartis Investigative Site
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McKinney, Texas, Verenigde Staten, 75069
- Novartis Investigative Site
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Virginia
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Abingdon, Virginia, Verenigde Staten, 24210
- Novartis Investigative Site
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Midlothian, Virginia, Verenigde Staten, 23114
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Newport News, Virginia, Verenigde Staten, 23606
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Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- Male and female adults aged ≥40 years
- Patients with stable COPD according to GOLD strategy (GOLD 2011).
- Patients with airflow limitation indicated by a post-bronchodilator FEV1 ≥ 30% and <80% of the predicted normal, and a post-bronchodilator FEV1/FVC < 0.70.
- Current or ex-smokers who have a smoking history of at least 10 pack years.
- Patients with an mMRC ≥ grade 2
Exclusion Criteria:
- History of long QT syndrome or prolonged QTc
- Patients who have had a COPD exacerbation that required treatment with antibiotics and/or systemic corticosteroids and/or hospitalization in the 6 weeks prior to Visit 1.
- Patients with Type I or uncontrolled Type II diabetes
- Patients with a history of asthma or have concomitant pulmonary disease
- Patients with paroxysmal (e.g. intermittent) atrial fibrillation. Only patients with persistent atrial fibrillation and controlled with a rate control strategy for at least six months could be eligible
- Patients who have clinically significant renal, cardiovascular, neurological, endocrine, immunological, psychiatric, gastrointestinal, hepatic, or hematological abnormalities which could interfere with the assessment of safety
- Other protocol defined inclusion/exclusion criteria may apply
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Verviervoudigen
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
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Experimenteel: QVA149 dose 1
QVA149 27.5/12.5 μg capsules
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QVA149 will be supplied in a capsule form in blister packs for use in the Novartis Concept1 SDDPI
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Experimenteel: QVA149 dose 2
QVA149 27.5/25 μg capsules
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QVA149 will be supplied in a capsule form in blister packs for use in the Novartis Concept1 SDDPI
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Actieve vergelijker: QAB149
QAB149 75 μg capsules
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QAB149 and matching placebo will be supplied in capsule form in blister packs for use in the Novartis Concept1 SDDPI
To mimic QAB149
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Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Number of Patients With Adverse Events, Serious Adverse Events, and Death
Tijdsspanne: 56 weeks
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The overall rate of adverse events reported from initiation through 30 days post last dose.
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56 weeks
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Secundaire uitkomstmaten
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Time to Premature Discontinuation of Treatment
Tijdsspanne: 56 weeks
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methodTime to premature treatment discontinuation for each treatment group was displayed using a Kaplan-Meier curve.
The date of last dose of study medication was considered as the event date and also as the censoring date for those patients who did not discontinue treatment earl
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56 weeks
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Change From Baseline in Pre-dose Trough FEV1
Tijdsspanne: Day 29, 57,, 85, 141, 197, 253, 309 and 365
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Pulmonary function assessments were performed using centralized spirometry according to international standards.
Baseline FEV1 was defined as the average of the pre-dose FEV1 measured at -45 minutes (min) and -15 min at day 1.
A mixed model for repeated measures (MMRM), used for this analysis, included terms of treatment, baseline FEV1 measurements, smoking status at baseline, baseline inhaled corticosteroid (ICS) use, region, baseline FEV1 * visit interaction, and visit, treatment * visit interaction.
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Day 29, 57,, 85, 141, 197, 253, 309 and 365
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Change From Baseline in 1 Hour Post-dose FEV1 Measurements
Tijdsspanne: Day 1, 29, 57, 85, 141, 197, 253, 309, and 365
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Pulmonary function assessments were performed using centralized spirometry according to international standards.
Baseline FEV1 was defined as the average of the pre-dose FEV1 measured at -45 minutes (min) and -15 min at day 1.
A mixed model for repeated measures (MMRM), used for this analysis, included terms of treatment, baseline FEV1 measurements, smoking status at baseline, baseline inhaled corticosteroid (ICS) use, region, baseline FEV1 * visit interaction, and visit, treatment * visit interaction.
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Day 1, 29, 57, 85, 141, 197, 253, 309, and 365
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Change From Baseline in FVC Measurement at All Post-baseline Time Points
Tijdsspanne: Day1, 29, 57, 85, 141, 197, 253, 309, and 365
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Pulmonary function assessments were performed using centralized spirometry according to international standards.
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Day1, 29, 57, 85, 141, 197, 253, 309, and 365
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Percentage of Participants Experiencing Moderate or Severe COPD Exacerbation
Tijdsspanne: 52 weeks
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Percentage of participants experiencing moderate or severe Chronic Obstructive Pulmonary Disease (COPD)
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52 weeks
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Change From Baseline in Mean Total Daily Symptom Scores
Tijdsspanne: 52 weeks
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The participant recorded symptom scores twice daily in the eDiary.
The daily clinical symptoms included: cough, wheezing, shortness of breath, sputum volume, sputum color, and night time awakening.
The range of scores for each assessment is 0 to 3 where 0 indications No symptom and 3 indicates a Severe symptom.
The maximum daytime total score is 27 and the maximum nighttime total score is 27.
The total daily symptom score is obtained by adding the scores for the morning and evening symptoms for each day.
The maximum possible total daily score is 54.
A negative change from baseline indicated improvement.
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52 weeks
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Change From Baseline in the Daily Number of Puffs of Rescue Medication Over the 52 Week Period
Tijdsspanne: 52 weeks
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Participants completed an electronic diary (eDiary) twice daily at the same time in the morning and evening to record the number of puffs of rescue medication taken in the previous 12 hours.
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52 weeks
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Medewerkers en onderzoekers
Sponsor
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start
Studie start
Primaire voltooiing (Werkelijk)
Primaire voltooiing
Studie voltooiing (Werkelijk)
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
- Ziekten van de luchtwegen
- Longziekten
- Longziekten, obstructief
- Longziekte, chronisch obstructief
- Fysiologische effecten van medicijnen
- Neurotransmitter agenten
- Moleculaire mechanismen van farmacologische werking
- Muscarine-antagonisten
- Cholinerge antagonisten
- Cholinerge middelen
- Adjuvantia, anesthesie
- Glycopyrrolaat
Andere studie-ID-nummers
Andere studie-ID-nummers
- CQVA149A2340
- 2012-001998-93
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