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Safety and Tolerability of Aclidinium Bromide/Formoterol Fumarate Compared With Formoterol Fumarate in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease

3. april 2017 oppdatert av: AstraZeneca

A Long-Term, Randomized, Study of the Safety and Tolerability of a Fixed-Dose Combination of Aclidinium Bromide/Formoterol Fumarate Compared With Formoterol Fumarate in Patients With Moderate to Severe, Stable Chronic Obstructive Pulmonary Disease (COPD)

The purpose of this study is to assess the long-term safety and tolerability of inhaled aclidinium bromide/formoterol in patients with moderate to severe, stable chronic obstructive pulmonary disease (COPD).

Studieoversikt

Studietype

Intervensjonell

Registrering (Faktiske)

590

Fase

  • Fase 3

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Alabama
      • Birmingham, Alabama, Forente stater, 35209
        • Forest Investigative Site 1162
      • Birmingham, Alabama, Forente stater, 35209
        • Forest Investigative Site 1493
      • Birmingham, Alabama, Forente stater, 35235
        • Forest Investigative Site 1620
      • Mobile, Alabama, Forente stater, 36608
        • Forest Investigative Site 1127
    • Arizona
      • Chandler, Arizona, Forente stater, 85224
        • Forest Investigative Site 1613
      • Peoria, Arizona, Forente stater, 85381
        • Forest Investigative Site 1623
      • Phoenix, Arizona, Forente stater, 85018
        • Forest Investigative Site 1379
      • Phoenix, Arizona, Forente stater, 85012
        • Forest Investigative Site 1582
      • Phoenix, Arizona, Forente stater, 85020
        • Forest Investigative Site 1581
      • Phoenix, Arizona, Forente stater, 85050
        • Forest Investigative Site 1571
    • Arkansas
      • Fort Smith, Arkansas, Forente stater, 72901
        • Forest Investigative Site 1596
    • California
      • Encinitas, California, Forente stater, 92024
        • Forest Investigative Site 1547
      • Lakewood, California, Forente stater, 90712
        • Forest Investigative Site 1088
      • Los Angeles, California, Forente stater, 90025
        • Forest Investigative Site 1624
      • Los Angeles, California, Forente stater, 90048
        • Forest Investigative Site 1927
      • Paramount, California, Forente stater, 90723
        • Forest Investigative Site 1388
      • San Diego, California, Forente stater, 92128
        • Forest Investigative Site 1503
      • Torrance, California, Forente stater, 90505
        • Forest Investigative Site 1374
      • Vista, California, Forente stater, 92083
        • Forest Investigative Site 1331
      • Walnut Creek, California, Forente stater, 94598
        • Forest Investigative Site 2039
    • Colorado
      • Boulder, Colorado, Forente stater, 80304
        • Forest Investigative Site 1597
      • Colorado Springs, Colorado, Forente stater, 80907
        • Forest Investigative Site 1137
      • Denver, Colorado, Forente stater, 80206
        • Forest Investigative Site 0892
      • Fort Collins, Colorado, Forente stater, 80528
        • Forest Investigative Site 2037
      • Wheat Ridge, Colorado, Forente stater, 80033
        • Forest Investigative Site 1327
      • Wheat Ridge, Colorado, Forente stater, 80033
        • Forest Investigative Site 2045
    • Connecticut
      • Norwalk, Connecticut, Forente stater, 06851
        • Forest Investigative Site 1589
      • Stamford, Connecticut, Forente stater, 06902
        • Forest Investigative Site 1598
    • Florida
      • Brandon, Florida, Forente stater, 33511
        • Forest Investigative Site 1154
      • Brandon, Florida, Forente stater, 33511
        • Forest Investigative Site 1944
      • Clearwater, Florida, Forente stater, 33765
        • Forest Investigative Site 1152
      • Debary, Florida, Forente stater, 32713
        • Forest Investigative Site 1617
      • Debary, Florida, Forente stater, 32713
        • Forest Investigative Site 1959
      • Edgewater, Florida, Forente stater, 32132
        • Forest Investigative Site 1516
      • Hollywood, Florida, Forente stater, 33024
        • Forest Investigative Site 1403
      • Orlando, Florida, Forente stater, 32822
        • Forest Investigative Site 1556
      • Ormond Beach, Florida, Forente stater, 32174
        • Forest Investigative Site 1542
      • Pensacola, Florida, Forente stater, 32504
        • Forest Investigative Site 0974
      • Tampa, Florida, Forente stater, 33613
        • Forest Investigative Site 2047
      • Venice, Florida, Forente stater, 34292
        • Forest Investigative Site 1565
    • Georgia
      • Atlanta, Georgia, Forente stater, 30342
        • Forest Investigative Site 0980
      • Atlanta, Georgia, Forente stater, 30329
        • Forest Investigative Site 1851
      • Atlanta, Georgia, Forente stater, 30342
        • Forest Investigative Site 1567
      • Lawrenceville, Georgia, Forente stater, 30046
        • Forest Investigative Site 1607
    • Illinois
      • O'Fallon, Illinois, Forente stater, 62269
        • Forest Investigative Site 1409
      • River Forest, Illinois, Forente stater, 60305
        • Forest Investigative Site 2051
      • Springfield, Illinois, Forente stater, 62702
        • Forest Investigative Site 1604
    • Indiana
      • Evansville, Indiana, Forente stater, 47713
        • Forest Investigative Site 1576
    • Iowa
      • Council Bluffs, Iowa, Forente stater, 51503
        • Forest Investigative Site 1549
    • Kentucky
      • Bowling Green, Kentucky, Forente stater, 42101
        • Forest Investigative Site 2033
      • Crescent Springs, Kentucky, Forente stater, 41017
        • Forest Investigative Site 2085
      • Louisville, Kentucky, Forente stater, 40215
        • Forest Investigative Site 1336
    • Louisiana
      • Lafayette, Louisiana, Forente stater, 70503
        • Forest Investigative Site 2024
      • New Orleans, Louisiana, Forente stater, 70115
        • Forest Investigative Site 1430
      • Sunset, Louisiana, Forente stater, 70584
        • Forest Investigative Site 1360
    • Maine
      • Auburn, Maine, Forente stater, 04210
        • Forest Investigative Site 1566
    • Maryland
      • Baltimore, Maryland, Forente stater, 21236
        • Forest Investigative Site 1333
      • Columbia, Maryland, Forente stater, 21044
        • Forest Investigative Site 1622
      • Towson, Maryland, Forente stater, 21204
        • Forest Investigative Site 1590
    • Massachusetts
      • Fall River, Massachusetts, Forente stater, 02720
        • Forest Investigative Site 1570
      • Haverhill, Massachusetts, Forente stater, 01830
        • Forest Investigative Site 1546
      • North Dartmouth, Massachusetts, Forente stater, 02747
        • Forest Investigative Site 1029
      • Worcestor, Massachusetts, Forente stater, 01605
        • Forest Investigative Site 1595
    • Michigan
      • Traverse City, Michigan, Forente stater, 49684
        • Forest Investigative Site 1605
    • Minnesota
      • Fridley, Minnesota, Forente stater, 55432
        • Forest Investigative Site 1527
      • Minneapolis, Minnesota, Forente stater, 55407
        • Forest Investigative Site 1124
      • Plymouth, Minnesota, Forente stater, 55441
        • Forest Investigative Site 1619
    • Missouri
      • Chesterfield, Missouri, Forente stater, 63017
        • Forest Investigative Site 1587
      • Jefferson City, Missouri, Forente stater, 65109
        • Forest Investigative Site 1572
      • St. Louis, Missouri, Forente stater, 63141
        • Forest Investigative Site 1399
      • St. Louis, Missouri, Forente stater, 63141
        • Forest Investigative Site 1599
    • Montana
      • Bozeman, Montana, Forente stater, 59718
        • Forest Investigative Site 1831
      • Missoula, Montana, Forente stater, 59808
        • Forest Investigative Site 1400
    • Nebraska
      • Bellevue, Nebraska, Forente stater, 68123
        • Forest Investigative Site 1609
      • Lincoln, Nebraska, Forente stater, 68506
        • Forest Investigative Site 1616
      • Omaha, Nebraska, Forente stater, 68134
        • Forest Investigative Site 1615
    • Nevada
      • Las Vegas, Nevada, Forente stater, 89183
        • Forest Investigative Site 1562
    • New Hampshire
      • Rochester, New Hampshire, Forente stater, 03867
        • Forest Investigative Site 1610
    • New Jersey
      • Brick, New Jersey, Forente stater, 08723
        • Forest Investigative Site 1558
      • Cherry Hill, New Jersey, Forente stater, 08003
        • Forest Investigative Site 1559
      • Ocean, New Jersey, Forente stater, 07712
        • Forest Investigative Site 1394
      • Summit, New Jersey, Forente stater, 07901
        • Forest Investigative Site 2084
    • New York
      • Brooklyn, New York, Forente stater, 11229
        • Forest Investigative Site 0972
      • New York, New York, Forente stater, 10028
        • Forest Investigative Site 1425
      • New York, New York, Forente stater, 10016
        • Forest Investigative Site 1163
      • Newburgh, New York, Forente stater, 12550
        • Forest Investigative Site 1554
      • Syracuse, New York, Forente stater, 13210
        • Forest Investigative Site 1563
    • North Carolina
      • Raleigh, North Carolina, Forente stater, 27612
        • Forest Investigative Site 1557
      • Shelby, North Carolina, Forente stater, 28152
        • Forest Investigative Site 1588
      • Wilmington, North Carolina, Forente stater, 28401
        • Forest Investigative Site 1553
      • Winston-Salem, North Carolina, Forente stater, 27103
        • Forest Investigative Site 1550
    • Ohio
      • Canton, Ohio, Forente stater, 44718
        • Forest Investigative Site 1134
      • Cincinnati, Ohio, Forente stater, 45242
        • Forest Investigative Site 2028
      • Cincinnati, Ohio, Forente stater, 45224
        • Forest Investigative Site 1594
      • Marion, Ohio, Forente stater, 43302
        • Forest Investigative Site 1541
      • Toledo, Ohio, Forente stater, 43608
        • Forest Investigative Site 1530
      • Zanesville, Ohio, Forente stater, 43701
        • Forest Investigative Site 1393
    • Oregon
      • Ashland, Oregon, Forente stater, 97520
        • Forest Investigative Site 1612
      • Corvallis, Oregon, Forente stater, 97330
        • Forest Investigative Site 1575
      • Eugene, Oregon, Forente stater, 97404
        • Forest Investigative Site 1081
      • Portland, Oregon, Forente stater, 97213
        • Forest Investigative Site 1580
      • Portland, Oregon, Forente stater, 97220
        • Forest Investigative Site 1552
    • Pennsylvania
      • Beaver, Pennsylvania, Forente stater, 15009
        • Forest Investigative Site 1574
      • Beaver, Pennsylvania, Forente stater, 15009
        • Forest Investigative Site 1577
      • Bethlehem, Pennsylvania, Forente stater, 18020
        • Forest Investigative Site 1126
      • Erie, Pennsylvania, Forente stater, 16506
        • Forest Investigative Site 1423
      • Hershey, Pennsylvania, Forente stater, 17033
        • Forest Investigative Site 1504
      • Pittsburgh, Pennsylvania, Forente stater, 15243
        • Forest Investigative Site 1146
      • Pittsburgh, Pennsylvania, Forente stater, 15213
        • Forest Investigative Site 1569
      • Pittsburgh, Pennsylvania, Forente stater, 15236
        • Forest Investigative Site 1548
      • Pittsburgh, Pennsylvania, Forente stater, 15243
        • Forest Investigative Site 1560
      • Tipton, Pennsylvania, Forente stater, 16684
        • Forest Investigative Site 1449
      • Uniontown, Pennsylvania, Forente stater, 15401
        • Forest Investigative Site 1564
    • Rhode Island
      • Johnston, Rhode Island, Forente stater, 02919
        • Forest Investigative Site 1144
    • South Carolina
      • Charleston, South Carolina, Forente stater, 29406
        • Forest Investigative Site 2072
      • Easley, South Carolina, Forente stater, 29640
        • Forest Investigative Site 1568
      • Greenville, South Carolina, Forente stater, 29615
        • Forest Investigative Site 1506
      • Greer, South Carolina, Forente stater, 29651
        • Forest Investigative Site 1601
      • Spartanburg, South Carolina, Forente stater, 29303
        • Forest Investigative Site 0900
      • Union, South Carolina, Forente stater, 29379
        • Forest Investigative Site 1450
    • South Dakota
      • Rapid City, South Dakota, Forente stater, 57702
        • Forest Investigative Site 1365
    • Texas
      • Arlington, Texas, Forente stater, 76012
        • Forest Investigative Site 1440
      • Austin, Texas, Forente stater, 78731
        • Forest Investigative Site 1954
      • Dallas, Texas, Forente stater, 75231
        • Forest Investigative Site 1155
      • Dallas, Texas, Forente stater, 75231
        • Forest Investigative Site 1328
      • El Paso, Texas, Forente stater, 79903
        • Forest Investigative Site 1332
      • Fort Worth, Texas, Forente stater, 76104
        • Forest Investigative Site 2012
      • Killeen, Texas, Forente stater, 76543
        • Forest Investigative Site 1902
      • San Antonio, Texas, Forente stater, 78215
        • Forest Investigative Site 1498
      • San Antonio, Texas, Forente stater, 78228
        • Forest Investigative Site 1614
      • San Antonio, Texas, Forente stater, 78229
        • Forest Investigative Site 1906
      • San Antonio, Texas, Forente stater, 78229
        • Forest Investigative Site 2004
    • Utah
      • Magna, Utah, Forente stater, 84044
        • Forest Investigative Site 1600
    • Virginia
      • Abingdon, Virginia, Forente stater, 24210
        • Forest Investigative Site 1480
      • Alexandria, Virginia, Forente stater, 22304
        • Forest Investigative Site 1579
    • Washington
      • Spokane, Washington, Forente stater, 99216
        • Forest Investigative Site 1573
      • Spokane, Washington, Forente stater, 99204
        • Forest Investigative Site 1142

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

40 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • Current or former cigarette smokers with a cigarette smoking history of at least 10 pack-years
  • A diagnosis of stable moderate to severe COPD and stable airway obstruction as defined by the Global Initiative for Chronic Obstructive Lung Disease guidelines and stable airway obstruction.

Exclusion Criteria:

  • Patients who have been hospitalized for an acute COPD exacerbation within three months prior to Visit 1
  • Any respiratory tract infection (including the upper respiratory tract) or COPD exacerbation in the six weeks before Visit 1.
  • Patients with any clinically significant respiratory conditions other than COPD
  • Clinical history that suggests that the patient has asthma as opposed to COPD
  • Chronic use of oxygen therapy ≥ 15 hours/day
  • Patients with clinically significant cardiovascular conditions
  • Patients with uncontrolled infection that may place the patient at risk resulting from human immunodeficiency virus (HIV), active hepatitis and/or patients with diagnosed active tuberculosis
  • Patients with a history of hypersensitivity reaction to inhaled anticholinergics,
  • Patients with Stage II hypertension, defined as systolic pressure of 160 and above, and/or diastolic pressure of 100 and above
  • Current diagnosis of cancer other than basal or squamous cell skin cancer

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Firemannsrom

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: 1
Inhaled aclidinium bromide 400 μg/formoterol fumarate 12 μg fixed dose combination (FDC), high dose twice per day
Inhaled aclidinium bromide 400 μg/formoterol fumarate 12 μg, high dose twice per day
Aktiv komparator: 2
Inhaled formoterol fumarate 12 μg, twice per day
Inhaled formoterol fumarate 12 μg, twice per day

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Percentage of Patients to Experience at Least One Treatment-emergent Adverse Event (TEAE)
Tidsramme: Up to study Week 56 ± 3 days
TEAEs were coded Version 16.0 of the Medical Dictionary for Regulatory Activities (MedDRA)
Up to study Week 56 ± 3 days

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Percentage of Patients to Experience Any Potentially Clinically Significant (PCS) Post-baseline Change in Clinical Laboratory Values for Hematology, Chemistry or Urinalysis at the End of the Study
Tidsramme: Up to study Week 52

<0.85 x lower limit of normal (LLN) or > 1.15 upper limit of normal (ULN) for hemoglobin, hematocrit, red blood cell, platelet, white blood cell, neutrophil and lymphocyte counts >1.15 × ULN for eosinophil, basophil and monocyte counts

>1.15 x ULN for aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, gamma glutamyl transferase, total bilirubin, creatinine kinase, lactate dehydrogenase, blood urea nitrogen, creatinine, uric acid, total cholesterol, triglycerides <0.85 x LLN or >1.15 ULN for fasting glucose, calcium, phosphorus, total protein and albumin <0.95 x LLN or >1.05 x ULN for sodium, potassium and chloride

Urinary blood, ketones or pH <0.85 x LLN or > 1.15 ULN

Up to study Week 52
Percentage of Patients to Experience a Potentially Clinically Significant (PCS) Change in Pulse Rate, Systolic and Diastolic Blood Pressure
Tidsramme: Up to study Week 56 ± 3 days
Systolic BP ≥180 mmHg and increase ≥20 mmHg from baseline or ≤90 mmHg and decrease ≥20 mmHg from baseline; Diastolic BP ≥105 mmHg and increase ≥15 mmHg from baseline or ≤50 mmHg and decrease ≥15 mmHg from baseline; Pulse rate ≥ 110 bpm and increase ≥ 15% from baseline or ≤ 50 bpm and decrease ≥15% from baseline
Up to study Week 56 ± 3 days
Percentage of Patients to Experience Potentially Clinically Significant Changes in ECG From Baseline
Tidsramme: Up to study Week 56 ± 3 days
Potentially clinically significant changes were defined as listed in the table below for QT interval, QTcB, QTcF, QRS interval, PR interval and heart rate (HR)
Up to study Week 56 ± 3 days

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Hjelpsomme linker

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

19. september 2011

Primær fullføring (Faktiske)

31. mars 2013

Studiet fullført (Faktiske)

30. april 2013

Datoer for studieregistrering

Først innsendt

19. september 2011

Først innsendt som oppfylte QC-kriteriene

20. september 2011

Først lagt ut (Anslag)

21. september 2011

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

11. mai 2017

Siste oppdatering sendt inn som oppfylte QC-kriteriene

3. april 2017

Sist bekreftet

1. mars 2017

Mer informasjon

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

Kliniske studier på Aclidinium Bromide/Formoterol Fumarate

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