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Chronic Obstructive Pulmonary DiseasePhase 3NCT00393458

Efficacy, Safety, and Tolerability of Once Daily Indacaterol in Chronic Obstructive Pulmonary Disease (COPD) Using Formoterol Twice Daily as Active Control

A Phase 3 study testing Indacaterol and Formoterol in people with Chronic Obstructive Pulmonary Disease, run by Novartis at 183 sites in 25 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study was designed to assess the efficacy and long-term safety of 300 and 600 µg doses of indacaterol when delivered via a single-dose dry-powder inhaler (SDDPI) in patients with chronic obstructive pulmonary disease (COPD). Read more about this study

Who is it for?
Ages 40 years and older
Conditions the study is for
Chronic Obstructive Pulmonary Disease
What is being tested?
Indacaterol and Formoterol
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,732 participants
Where
183 sitesin 25 countries
Study dates
Oct 2006to Jul 2008
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female adults ≥ 40 years, with a diagnosis of chronic obstructive pulmonary disease (COPD) according to Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines 2005 and:
  • Smoking history of at least 20 pack years
  • Post-bronchodilator forced expiratory volume in 1 second (FEV1) < 80% and ≥ 30% of the predicted normal value
  • Post-bronchodilator FEV1/FVC (forced volume capacity) < 70% (Post refers to within 30 minutes after inhalation of 400 μg of salbutamol)

Who cannot join

  • Patients who were hospitalized for a COPD exacerbation in the 6 weeks prior to screening.
  • Patients who had a respiratory tract infection within 6 weeks prior to screening.
  • Patients with concomitant pulmonary disease.
  • Patients with a history of asthma.
  • Patients with diabetes type I or uncontrolled diabetes type II.
  • Any patient with lung cancer or a history of lung cancer.
  • Patients with a history of certain cardiovascular co-morbid conditions.
  • Other protocol-defined inclusion/exclusion criteria applied to the study.

Trial locations and contacts

183 sites in 25 countries.

183 sites in 25 countries

Germany38 sites
  • Novartis Investigator Site

    Augsburg

  • Novartis Investigator Site

    Bad Segeberg

  • Novartis Investigator Site

    Bad Wörishofen

  • Novartis Investigator Site

    Berlin

  • Novartis Investigator Site

    Bielefeld

  • Novartis Investigator Site

    Bochum

  • Novartis Investigator Site

    Bonn

  • Novartis Investigator Site

    Borstel

  • Novartis Investigator Site

    Darmstadt

  • Novartis Investigator Site

    Dortmund

  • Novartis Investigator Site

    Erfurt

  • Novartis Investigator Site

    Forchheim

  • Novartis Investigator Site

    Frankfurt

  • Novartis Investigator Site

    Gauting

  • Novartis Investigator Site

    Geesthacht

  • Novartis Investigator Site

    Gelsenkirchen

  • Novartis Investigator Site

    Großhansdorf

  • Novartis Investigator Site

    Gummersbach

  • Novartis Investigator Site

    Hagen

  • Novartis Investigator Site

    Hamburg

  • Novartis Investigator Site

    Hanover

  • Novartis Investigator Site

    Ilvesheim

  • Novartis Investigator Site

    Kassel

  • Novartis Investigator Site

    Kiel

  • Novartis Investigator Site

    Leipzig

  • Novartis Investigator Site

    Lübeck

  • Novartis Investigator Site

    Lüdenscheid

  • Novartis Investigator Site

    Mainz

  • Novartis Investigator Site

    Marburg

  • Novartis Investigator Site

    München

  • Novartis Investigator Site

    Neumünster

  • Novartis

    Nuremberg

  • Novartis Investigator Site

    Oschersleben

  • Novartis Investigator Site

    Rüdersdorf

  • Novartis Investigator Site

    Schönefeld

  • Novartis Investigator Site

    Strausberg

  • Novartis Investigator Site

    Witten

  • Novartis Investigator Site

    Wuppertal

Other trials in Germany

Netherlands15 sites
  • Novartis Investigator Site

    Almelo

  • Novartis Investigator Site

    Amersfoort

  • Novartis

    Arnhem

  • Novartis Investigator Site

    Breda

  • Novartis Investigator Site

    Ede

  • Novartis Investigator Site

    Eindhoven

  • Novartis Investigator Site

    Harderwijk

  • Novartis Investigator Site

    Helmond

  • Novartis Investigator Site

    Hengelo

  • Novartis Investigator Site

    Hoorn

  • Novartis Investigator Site

    Leeuwarden

  • Novartis Investigator Site

    Rotterdam

  • Novartis Investigator Site

    Sneek

  • Novartis Investigator Site

    Veldhoven

  • Novartis Investigator Site

    Zutphen

Other trials in Netherlands

France12 sites
  • Novartis Investigator Site

    Beuvry

  • Novartis Investigator Site

    Chamalières

  • Novartis Investigator Site

    Férolles-Attilly

  • Novartis Investigator Site

    Grasse

  • Novartis Investigator Site

    Marseille

  • Novartis Investigator Site

    Montpellier

  • Novartis Investigator Site

    Nice

  • Novartis Investigator Site

    Nîmes

  • Novartis Investigator Site

    Paris

  • Novartis Investigator Site

    Perpignan

  • Novartis Investigator Site

    Pessac

  • Novartis Investigator Site

    Strasbourg

Other trials in France

Italy11 sites
  • Novartis Investigator Site

    Ancona

  • Novartis Investigator Site

    Catania

  • Novartis Investigator Site

    Ferrara

  • Novartis Investigator Site

    Florence

  • Novartis Investigator Site

    Foggia

  • Novartis Investigator Site

    Genova

  • Novartis Investigator Site

    Milan

  • Novartis

    Milan

  • Novartis Investigator Site

    Pisa

  • Novartis Investigator Site

    Roma

  • Novartis Investigator Site

    Siena

Other trials in Italy

Spain11 sites
  • Novartis Investigator Site

    Alicante

  • Novartis Investigator Site

    Barcelona

  • Novartis

    Barcelona

  • Novartis Investigator Site

    Begonte

  • Novartis Investigator Site

    Cáceres

  • Novartis Investigative Site

    Madrid

  • Novartis Investigator Site

    Mataró

  • Novartis Investigator Site

    Petrel

  • Novartis Investigator Site

    Ponferrada

  • Novartis Investigator Site

    Terrassa

  • Novartis Investigator Site

    Valencia

Other trials in Spain

United Kingdom11 sites
  • Novartis Investigator Site

    Belfast

  • Novartis Investigator Site

    Bexhill-on-Sea

  • Novartis Investigator Site

    Blackpool

  • Novartis Investigator Site

    Chertsey

  • Novartis Investigator Site

    Glasgow

  • Novartis Investigator Site

    Leicester

  • Novartis Investigator Site

    London

  • Novartis Investigator Site

    Manchester

  • Novartis Investigator Site

    Newcastle upon Tyne

  • Novartis Investigator Site

    Slough

  • Novartis Investigator Site

    Swansea

Other trials in United Kingdom

Czechia7 sites
  • Novartis Investigator Site

    Cvikov

  • Novartis Investigator Site

    Kyjov

  • Novartis Investigator Site

    Ostrava Poruba

  • Novartis Investigator Site

    Pardubice

  • Novartis

    Prague

  • Novartis Investigator Site

    Tábor

  • Novartis Investigator Site

    Žatec

Other trials in Czechia

Denmark6 sites
  • Novartis Investigator Site

    Aarhus

  • Novartis

    Copenhagen

  • Novartis Investigator Site

    Hellerup

  • Novartis Investigator Site

    Hvidovre

  • Novartis Investigator Site

    Molleparkvej

  • Novartis Investigator Site

    Odense

Other trials in Denmark

Hungary6 sites
  • Novartis Investigator Site

    Budapest

  • Novartis

    Budapest

  • Novartis Investigator Site

    Deszk

  • Novartis Investigator Site

    Mátraháza

  • Novartis Investigator Site

    Mosdós

  • Novartis Investigator Site

    Sopron

Other trials in Hungary

Russia6 sites
  • Novartis Investigator Site

    Kazan'

  • Novartis Investigator Site

    Moscow

  • Novartis

    Moscow

  • Novartis Investigator Site

    Saint Petersburg

  • Novartis Investigator Site

    Samara

  • Novartis Investigator Site

    Yekaterinburg

Other trials in Russia

Turkey (Türkiye)6 sites
  • Novartis Investigator Site

    Ankara

  • Novartis Investigator Site

    Bursa

  • Novartis

    Istanbul

  • Novartis Investigator Site

    Izmir

  • Novartis Investigator Site

    Mersin

  • Novartis Investigator Site

    Yenişehir

Other trials in Turkey (Türkiye)

Argentina5 sites
  • Novartis Investigator Site

    Buenos Aires

  • Novartis

    Buenos Aires

  • Novartis Investigator Site

    Mendoza

  • Novartis Investigator Site

    San Miguel

  • Novartis Investigator Site

    Santa Fe

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Lithuania5 sites
  • Novartis Investigator Site

    Alytus

  • Novartis Investigator Site

    Kaunas

  • Novartis

    Kaunas

  • Novartis Investigator Site

    Klaipėda

  • Novartis Investigator Site

    Vilnius

Other trials in Lithuania

Slovakia5 sites
  • Novartis Investigator Site

    Banská Bystrica

  • Novartis Investigator Site

    Bratislava

  • Novartis

    Bratislava

  • Novartis Investigator Site

    Košice

  • Novartis Investigator Site

    Partizánske

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South Korea5 sites
  • Novartis Investigator Site

    Kyunggi

  • Novartis Investigator Site

    Seoul

  • Novartis

    Seoul

  • Novartis Investigator Site

    Suwon

  • Novartis Investigator Site

    Uijeongbu-si

Other trials in South Korea

Switzerland5 sites
  • Novartis Investigator Site

    Aarau

  • Novartis Investigator Site

    Basel

  • Novartis Investigator Site

    Locarno

  • Novartis Investigator Site

    Münchenstein

  • Novartis Investigator Site

    Zurich

Other trials in Switzerland

Egypt4 sites
  • Novartis Investigator Site

    Alexandria

  • Novartis Investigator Site

    Asyut

  • Novartis Investigator Site

    Cairo

  • Novartis

    Cairo

Other trials in Egypt

Israel4 sites
  • Novartis Investigator Site

    Jerusalem

  • Novartis

    Petah Tikva

  • Novartis Investigator Site

    Rehovot

  • Novartis Investigator Site

    Tel HaShomer

Other trials in Israel

Latvia4 sites
  • Novartis Investigator Site

    Daugavpils

  • Novartis Investigator Site

    Jēkabpils

  • Novartis Investigator Site

    Riga

  • Novartis

    Riga

Other trials in Latvia

Romania4 sites
  • Novartis

    Bucharest

  • Novartis Investigator Site

    Cluj-Napoca

  • Novartis Investigator Site

    Iași

  • Novartis Investigator Site

    Timișoara

Other trials in Romania

Chile3 sites
  • Novartis Investigator Site

    Rancagua

  • Novartis

    Santiago

  • Novartis Investigator Site

    Viña del Mar

Other trials in Chile

Colombia3 sites
  • Novartis Investigator Site

    Barranquilla

  • Novartis

    Bogotá

  • Novartis Investigator Site

    Medellín

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Ecuador3 sites
  • Novartis Investigator Site

    Guayaquil

  • Novartis Investigator Site

    Quito

  • Novartis

    Quito

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Estonia2 sites
  • Novartis Investigator Site

    Tallinn

  • Novartis

    Tartu

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Peru2 sites
  • Novartis Investigator Site

    Lima

  • Novartis

    Lima

Other trials in Peru

About this study

Official title: A 52-week Treatment, Multicenter, Randomized, Double-blind, Double-dummy, Placebo-controlled, Parallel-group Study to Assess the Efficacy, Safety, and Tolerability of Indacaterol (300 and 600 µg Once Daily) in Patients With Chronic Obstructive Pulmonary Disease, Using Formoterol (12 µg Twice Daily) as an Active Control

This study was designed to assess the efficacy and long-term safety of 300 and 600 µg doses of indacaterol when delivered via a single-dose dry-powder inhaler (SDDPI) in patients with chronic obstructive pulmonary disease (COPD). Patients were randomized to receive either indacaterol 300 µg once daily, indacaterol 600 µg once daily, formoterol 12 µg twice daily, or placebo.

Being tested
Indacaterol, Formoterol, Placebo to indacaterol, Placebo to formoterol
Keywords
chronic obstructive pulmonary disease, COPD, indacaterol, long-acting β2 agonist
Medical subject headings
Pulmonary Disease, Chronic Obstructive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • IndacaterolDrug

    Indacaterol was supplied in powder-filled capsules with a single-dose dry-powder inhaler (SDDPI).

  • FormoterolDrug

    Formoterol was supplied in powder-filled capsules with the manufacturer's proprietary inhalation device (Aerolizer®).

  • Placebo to indacaterolDrug

    Placebo to indacaterol was supplied in powder-filled capsules with a single-dose dry-powder inhaler (SDDPI).

  • Placebo to formoterolDrug

    Placebo to formoterol was supplied in powder-filled capsules with the manufacturer's proprietary inhalation device (Aerolizer®).

Study groups in NCT00393458
Study groupRoleWhat they receive
Indacaterol 300 μg plus placebo to formoterolExperimentalPatients inhaled indacaterol 300 μg once daily via a single-dose dry-powder inhaler (SDDPI), placebo to indacaterol once daily via a SDDPI, and placebo to formoterol twice daily via the manufacturer's proprietary inhalation device (Aerolizer®). Indacaterol, placebo to indacaterol, and placebo to formoterol were taken in the morning between 8:00 and 10:00 AM; placebo to formoterol was taken again 12 hours later in the evening between 8:00 and 10:00 PM. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Receives: Drug: Indacaterol; Drug: Placebo to formoterol
Indacaterol 600 μg plus placebo to formoterolExperimentalPatients inhaled indacaterol 600 μg (two 300 μg capsules) once daily via single-dose dry-powder inhalers (SDDPI) plus placebo to formoterol twice daily via the manufacturer's proprietary inhalation device (Aerolizer®). Indacaterol and placebo to formoterol were taken in the morning between 8:00 and 10:00 AM; placebo to formoterol was taken again 12 hours later in the evening between 8:00 and 10:00 PM. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Receives: Drug: Indacaterol; Drug: Placebo to formoterol
Formoterol 12 μg plus placebo to indacaterolActive comparatorPatients inhaled formoterol 12 μg twice daily via the manufacturer's proprietary inhalation device (Aerolizer®) plus placebo to indacaterol once daily via a single-dose dry-powder inhaler (SDDPI). Formoterol and placebo to indacaterol were taken in the morning between 8:00 and 10:00 AM; formoterol was taken again 12 hours later in the evening between 8:00 and 10:00 PM. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Receives: Drug: Formoterol; Drug: Placebo to indacaterol
Placebo to indacaterol plus placebo to formoterolPlacebo comparatorPatients inhaled placebo to indacaterol once daily via a single-dose dry-powder inhaler (SDDPI) plus placebo to formoterol twice daily via the manufacturer's proprietary inhalation device (Aerolizer®). Placebo to indacaterol and placebo to formoterol were taken in the morning between 8:00 and 10:00 AM; placebo to formoterol was taken again 12 hours later in the evening between 8:00 and 10:00 PM. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Receives: Drug: Placebo to indacaterol; Drug: Placebo to formoterol

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 12 + 1 Day, Day 85

    FEV1 was measured with spirometry conducted according to internationally accepted standards. Trough FEV1 was defined as the average of measurements made 23 hours 10 minutes and 23 hours 45 minutes post-dose at the end of treatment. The analysis included baseline FEV1, FEV1 pre-dose and 30 minutes post-dose of salbutamol/albuterol during screening, and FEV1 pre-dose and 1 hour post-dose of ipratropium during screening as covariates.

    Measured: Week 12 + 1 day, Day 85

Secondary outcomes (1)
  1. Percentage of Days of Poor Control During 52 Weeks of Treatment

    Percentage of days of poor control was defined as the number of days in the patient diary with a score ≥ 2 (scale of 0-3, a higher number means more severe symptoms) for at least 2 of 5 symptoms (cough, wheeze, production of sputum, color of sputum, breathlessness) over 52 weeks divided by the number of evaluable days (days with ≥ 2 symptoms with scores). The analysis included baseline percentage of days of poor control, FEV1 pre-dose and 30 minutes post-dose of salbutamol/albuterol during screening, and FEV1 pre-dose and 1 hour post-dose of ipratropium during screening as covariates.

    Measured: Baseline to end of study (Week 52)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Oct 2006 (estimated)
  2. Study startOct 2006
  3. Primary completionJul 2008
  4. Study completionJul 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,732 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00393458
Sponsor's protocol ID
CQAB149B2334
Status last verified
Jul 2011
First submitted
25 Oct 2006
Last updated
18 Aug 2011

Publications

  • Jones PW, Donohue JF, Nedelman J, Pascoe S, Pinault G, Lassen C. Correlating changes in lung function with patient outcomes in chronic obstructive pulmonary disease: a pooled analysis. Respir Res. 2011 Dec 29;12(1):161. doi: 10.1186/1465-9921-12-161.

    PubMed 22206353
  • Bleecker ER, Siler T, Owen R, Kramer B. Bronchodilator efficacy and safety of indacaterol 150 mug once daily in patients with COPD: an analysis of pooled data. Int J Chron Obstruct Pulmon Dis. 2011;6:431-8. doi: 10.2147/COPD.S21073. Epub 2011 Aug 18.

    PubMed 22003288
  • Jones PW, Mahler DA, Gale R, Owen R, Kramer B. Profiling the effects of indacaterol on dyspnoea and health status in patients with COPD. Respir Med. 2011 Jun;105(6):892-9. doi: 10.1016/j.rmed.2011.02.013. Epub 2011 Mar 11.

    PubMed 21397482
  • Worth H, Chung KF, Felser JM, Hu H, Rueegg P. Cardio- and cerebrovascular safety of indacaterol vs formoterol, salmeterol, tiotropium and placebo in COPD. Respir Med. 2011 Apr;105(4):571-9. doi: 10.1016/j.rmed.2010.11.027. Epub 2011 Jan 11.

    PubMed 21227674
  • Dahl R, Chung KF, Buhl R, Magnussen H, Nonikov V, Jack D, Bleasdale P, Owen R, Higgins M, Kramer B; INVOLVE (INdacaterol: Value in COPD: Longer Term Validation of Efficacy and Safety) Study Investigators. Efficacy of a new once-daily long-acting inhaled beta2-agonist indacaterol versus twice-daily formoterol in COPD. Thorax. 2010 Jun;65(6):473-9. doi: 10.1136/thx.2009.125435.

    PubMed 20522841

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Indacaterol and Formoterol in people with Chronic Obstructive Pulmonary Disease, run by Novartis at 183 sites in 25 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 18 Aug 2011. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 183 sites in Germany, Netherlands, France, Italy, Spain and 20 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 Aug 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 12 + 1 Day, Day 85 (time frame: Week 12 + 1 day, Day 85). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00393458, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Aug 2011.

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