- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT02039050
Evaluation of Long-Acting Muscarinic Antagonists in COPD (MAN04)
Proof of Concept Evaluation of Drug-Device Interaction With Aclidinium Bromide Via Genuair® and Tiotropium Bromide Via HandiHaler® in COPD Using Impulse Oscillometry
In chronic obstructive pulmonary disease (COPD), the airways of the lungs are narrowed or blocked. Bronchodilators are drugs usually delivered through inhalers which help open up the airways. Tiotropium is a type of bronchodilator drug known as a long-acting muscarinic antagonist (LAMA). For a long time tiotropium was the only available LAMA. More recently, a new LAMA called aclidinium has been approved for use in COPD. There are potentially important differences between these two medications that might have an impact on the treatment of COPD patients.
In this study we aim to compare the effects of tiotropium and aclidinium in people with COPD. The main comparison will be done using a very sensitive breathing test called impulse oscillometry
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Studietype
Registrering (Faktiske)
Fase
- Fase 4
Kontakter og plasseringer
Studiesteder
-
-
-
Dundee, Storbritannia, DD1 9SY
- Asthma and Allergy Research Group, University of Dundee
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion Criteria:
- Male and female volunteers aged 40-80 years with moderate to severe COPD (GOLD Stage 2, 3).
- On inhaled corticosteroids / long-acting beta agonists
- FEV1 30-80% predicted and FEV1/FVC <70%.
- Smoking history ≥10 pack-years.
- Ability to give informed consent
- Agreement for their General Practitioner to be made aware of study participation and to receive feedback as relevant to the participant's well being
Exclusion Criteria:
- Other respiratory diseases such as asthma, bronchiectasis or allergic bronchopulmonary aspergillosis
- A COPD exacerbation or respiratory tract infection requiring systemic steroids and/or antibiotics within 1 month of the study commencement (3 months if hospitalisation has been required)
- Any clinically significant medical condition that may endanger the health or safety of the participant
- Known or suspected sensitivity to/intolerance of investigational medicinal product
- Patients with prostatic hyperplasia, bladder outflow obstruction or glaucoma
- Pregnancy or lactation
- Unable to comply with the procedures of the protocol
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Crossover-oppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Aktiv komparator: Tiotropium
Participants receive tiotropium for 2 to 3 weeks.Participants then enter a washout period and after the washout period receive the alternative treatment arm.
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Eksperimentell: Aclidinium
Participants receive tiotropium for 2 to 3 weeks.Participants then enter a washout period and after the washout period receive the alternative treatment arm.
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Change in trough R5 from baseline after chronic dosing
Tidsramme: 4 to 6 weeks
|
4 to 6 weeks
|
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Remaining impulse oscillometry (IOS) variables (R20,R5-R20,X5,AX,RF)
Tidsramme: 4 to 6 weeks
|
4 to 6 weeks
|
|
Spirometry (FEV1, FEF25-75, FVC)
Tidsramme: 4 to 6 weeks
|
4 to 6 weeks
|
|
Relaxed VC (RVC) with RVC to FVC ratio
Tidsramme: 4 to 6 weeks
|
4 to 6 weeks
|
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Six-minute walk test (includes oxygen saturation measurements and Borg dyspnoea score)
Tidsramme: 4 to 6 weeks
|
4 to 6 weeks
|
|
Domiciliary PIKO-6 measurements for FEV1 and FEV6
Tidsramme: 4 to 6 weeks
|
4 to 6 weeks
|
|
St. George's Respiratory Questionnaire (SGRQ)
Tidsramme: 4 to 6 weeks
|
4 to 6 weeks
|
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Baseline Dyspnea Index-Transition Dyspnea Index (BDI-TDI)
Tidsramme: 4 to 6 weeks
|
4 to 6 weeks
|
Samarbeidspartnere og etterforskere
Sponsor
Samarbeidspartnere
Etterforskere
- Hovedetterforsker: Brina Lipworth, MD, University of Dundee
Publikasjoner og nyttige lenker
Studierekorddatoer
Studer hoveddatoer
Studiestart
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Patologiske prosesser
- Sykdommer i luftveiene
- Sykdomsattributter
- Lungesykdommer, obstruktiv
- Lungesykdommer
- Lungesykdom, kronisk obstruktiv
- Kronisk sykdom
- Fysiologiske effekter av legemidler
- Nevrotransmittere agenter
- Molekylære mekanismer for farmakologisk virkning
- Parasympatholytika
- Autonome agenter
- Agenter fra det perifere nervesystemet
- Kolinerge antagonister
- Kolinerge midler
- Bronkodilatatorer
- Anti-astmatiske midler
- Luftveismidler
- Tiotropiumbromid
Andre studie-ID-numre
- 2013RC09
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