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
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Studietype
Studietype
Registrering (Faktiske)
Registrering
Fase
Fase
- Fase 3
Kontakter og plasseringer
Studiesteder
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Pleven, Bulgaria, 5800
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Plovdiv, Bulgaria, 4002
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Ruse, Bulgaria, 7002
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Sofia, Bulgaria, 1431
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Varna, Bulgaria, 9010
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HUS, Finland, 00029
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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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Alabama
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Vestavia, Alabama, Forente stater, 35216
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California
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Huntington Beach, California, Forente stater, 92647
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Lakewood, California, Forente stater, 90712-151
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Los Angeles, California, Forente stater, 90048
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Orange, California, Forente stater, 92868
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Stockton, California, Forente stater, 95207
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Walnut Creek, California, Forente stater, 94598
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Colorado
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Boulder, Colorado, Forente stater, 80304
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Hawaii
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Honolulu, Hawaii, Forente stater, 96814
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Illinois
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Lombard, Illinois, Forente stater, 60148
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O'Fallon, Illinois, Forente stater, 62269
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Peoria, Illinois, Forente stater, 61602
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Indiana
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Evansville, Indiana, Forente stater, 47712
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Iowa
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Ames, Iowa, Forente stater, 50010
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Iowa City, Iowa, Forente stater, 52240
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Waterloo, Iowa, Forente stater, 50702
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Kentucky
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Bowling Green, Kentucky, Forente stater, 42101
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Louisiana
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New Orleans, Louisiana, Forente stater, 70115
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Slidell, Louisiana, Forente stater, 70458
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Maine
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Bangor, Maine, Forente stater, 04401
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Maryland
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Baltimore, Maryland, Forente stater, 21224
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Michigan
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Livonia, Michigan, Forente stater, 48152
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Minnesota
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Minneapolis, Minnesota, Forente stater, 55407
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Mississippi
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Jackson, Mississippi, Forente stater, 39209
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Picayune, Mississippi, Forente stater, 39466
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Missouri
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St. Charles, Missouri, Forente stater, 63301
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Montana
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Missoula, Montana, Forente stater, 59804
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Nebraska
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Lincoln, Nebraska, Forente stater, 68506
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Omaha, Nebraska, Forente stater, 68131
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Nevada
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Henderson, Nevada, Forente stater, 89014
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Las Vegas, Nevada, Forente stater, 89119
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New York
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Rochester, New York, Forente stater, 14618
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Ohio
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Dayton, Ohio, Forente stater, 45459
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Dublin, Ohio, Forente stater, 43016
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Oklahoma
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Oklahoma City, Oklahoma, Forente stater, 73112
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Oklahoma City, Oklahoma, Forente stater, 73103
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Oregon
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Eugene, Oregon, Forente stater, 97404
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Medford, Oregon, Forente stater, 97504-8741
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South Carolina
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Spartanburg, South Carolina, Forente stater, 29303
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Tennessee
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Knoxville, Tennessee, Forente stater, 37912
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Texas
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Corsicana, Texas, Forente stater, 75110
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Ft. Worth, Texas, Forente stater, 76104
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Lufkin, Texas, Forente stater, 75904
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McKinney, Texas, Forente stater, 75069
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Virginia
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Abingdon, Virginia, Forente stater, 24210
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Midlothian, Virginia, Forente stater, 23114
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Newport News, Virginia, Forente stater, 23606
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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, Romania, 500281
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Bucharest, Romania, 060011
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Bucuresti, Romania, 50554
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Cluj-Napoca, Romania, 400371
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District 1
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Bucharest, District 1, Romania, 10457
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Bucharest, District 1, Romania, 11475
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District 3
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Bucharest, District 3, Romania, 030303
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Bucharest, District 3, Romania, 030317
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Jud. Constanta
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Constanta, Jud. Constanta, Romania, 900002
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Jud. Iasi
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Iasi, Jud. Iasi, Romania, 700115
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Andalucia
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Granada, Andalucia, Spania, 18014
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Málaga, Andalucia, Spania, 29010
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Cataluña
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Badalona, Cataluña, Spania, 08914
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Barcelona, Cataluña, Spania
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Canet de Mar, Cataluña, Spania, 08360
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Centelles, Cataluña, Spania, 08540
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Tarragona, Cataluña, Spania, 43350
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Comunidad Valenciana
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Valencia, Comunidad Valenciana, Spania, 46015
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Budapest, Ungarn, 1125
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Budapest, Ungarn, 1046
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Gyor, Ungarn, 9024
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Mako, Ungarn, 6900
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Nyiregyhaza, Ungarn, 4400
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Pecs, Ungarn, 7635
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Szazhalombatta, Ungarn, 2440
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Szolnok, Ungarn, H-5000
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Torokbalint, Ungarn, 2045
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Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
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
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Firemannsrom
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
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Eksperimentell: 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
|
|
Eksperimentell: 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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Aktiv komparator: 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
|
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Number of Patients With Adverse Events, Serious Adverse Events, and Death
Tidsramme: 56 weeks
|
The overall rate of adverse events reported from initiation through 30 days post last dose.
|
56 weeks
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Time to Premature Discontinuation of Treatment
Tidsramme: 56 weeks
|
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
Tidsramme: 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
Tidsramme: Day 1, 29, 57, 85, 141, 197, 253, 309, and 365
|
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.
|
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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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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Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Studierekorddatoer
Studer hoveddatoer
Studiestart
Studiestart
Primær fullføring (Faktiske)
Primær fullføring
Studiet fullført (Faktiske)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Sykdommer i luftveiene
- Lungesykdommer
- Lungesykdommer, obstruktiv
- Lungesykdom, kronisk obstruktiv
- Fysiologiske effekter av legemidler
- Nevrotransmittere agenter
- Molekylære mekanismer for farmakologisk virkning
- Muskariniske antagonister
- Kolinerge antagonister
- Kolinerge midler
- Adjuvanser, anestesi
- Glykopyrrolat
Andre studie-ID-numre
Andre studie-ID-numre
- CQVA149A2340
- 2012-001998-93
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